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PVP治疗硬膜侵犯溶骨性胸腰椎转移癌的安全性及疗效评估

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中国骨与关节损伤杂志 2017年第11期32卷 1179-1180页

作者：徐建彪王占长 daniel Porter 杜传超清华大学第一附属医院骨科北京100016

目的探讨经皮椎体成形术(PVP)治疗硬膜侵犯溶骨性胸腰椎转移癌的临床疗效。方法回顾性分析自2011-08—2015-01采用PVP治疗的21例硬膜侵犯溶骨性胸腰椎转移癌,比较手术前后VAS评分、ODI指数。结果 21例(30椎)均顺利完成手术,21椎经椎弓... 详细信息

目的探讨经皮椎体成形术(PVP)治疗硬膜侵犯溶骨性胸腰椎转移癌的临床疗效。方法回顾性分析自2011-08—2015-01采用PVP治疗的21例硬膜侵犯溶骨性胸腰椎转移癌,比较手术前后VAS评分、ODI指数。结果 21例(30椎)均顺利完成手术,21椎经椎弓根入路穿刺,9椎经椎弓根外穿刺。本组手术时间平均21 min,单个椎体骨水泥注入量平均3 ml,住院时间平均3 d。4例出现少量骨水泥渗漏,其中1例椎体前缘渗漏,2例椎间盘渗漏,1例椎体后壁渗漏,均无严重并发症发生。本组术后1个月VAS评分、ODI指数较术前明显降低,差异有统计学意义(P<0.05)。结论 PVP治疗硬膜侵犯溶骨性胸腰椎转移癌是一种安全、有效的微创手术方式,可明显缓解患者疼痛,改善患者的生活质量。

关键词：经皮椎体成形术溶骨性椎体转移瘤硬膜侵犯胸腰椎

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制造牙轮钻头用的EX55钢

石油机械 1984年第5期 58-59页

作者： Stanley R.Scales ,daniel E.Diesburg ,朱丹

早在1972年,人们就已经认识到,制造碳化钨镶齿牙轮钻头的牙轮需要一种高淬透性的渗碳级新钢种。这是因为: 1.已经在钻头上应用的碳化钨齿伸出较长,并且切削端形状多种多样,这就要求有屈服强度高的钢材来保证碳化钨齿在压配中得到足够的... 详细信息

早在1972年,人们就已经认识到,制造碳化钨镶齿牙轮钻头的牙轮需要一种高淬透性的渗碳级新钢种。这是因为: 1.已经在钻头上应用的碳化钨齿伸出较长,并且切削端形状多种多样,这就要求有屈服强度高的钢材来保证碳化钨齿在压配中得到足够的固紧力。

关键词：渗碳层断裂应力断裂抗力表面层临界应力牙轮钻头 EX55 心部钨化合物碳化钨

如何提高你的运气——获得机遇的两个不可缺少的招数

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英语知识 2003年第1期 13-14页

作者： Catherine Lilly Ph.D. daniel Martin 隋达大连外国语学院大连116002

幸运指的是什么呢?幸运通常是指某人没有通过真正的努力就获得了珍贵的东西,某人在恰当的时间出现在合适的地方,找回了一幅丢失的名画,或者买了彩票中了奖——这样的人是幸运的人。他们遇上了事前没有预料到的幸运的事。

关键词：获得

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六周(2022)

电影画刊 2023年第3期 48-49页

作者： Noémi Veronika Szakonyi Máté Artur Vincze daniel Daoud

影片信息第25届上海国际电影节“一带一路”电影周入围影片，主演卡特琳·罗曼被评为媒体关注电影人。高中女生、乒乓球运动员索菲怀孕了。她与酗酒的母亲和年幼的妹妹同住，生活环境对新生婴儿不利。而且，她还打算继续练球，参加职业...

影片信息第25届上海国际电影节“一带一路”电影周入围影片，主演卡特琳·罗曼被评为媒体关注电影人。高中女生、乒乓球运动员索菲怀孕了。她与酗酒的母亲和年幼的妹妹同住，生活环境对新生婴儿不利。而且，她还打算继续练球，参加职业比赛。因此，她想通过社会程序将婴儿送养。按法律规定，她有六周考虑期，如改变决定可以要回孩子。在家照顾妹妹、妈妈的过程中，天然的母性在索菲心中一点一点苏醒，让她开始怀疑自己的决定。

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美国演出行业中技术和艺术的融合

演艺科技 2017年第6期 22-30页

作者：丹尼尔.里奥斯基美国威斯康星大学麦迪逊分校

介绍了当前美国大规模制作的趋势:动态表演自动化,互动表演自动化和互连表演系统。

关键词：美国演出行业大规模制作趋势动态表演自动化互动表演自动化互连表演系统

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Territorial Planning for Coastal Zones in Chile:The Need for Geographical-Environmental and Natural Risk Indicators for Spatial Decision Support Systems

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International Journal of Geosciences 2013年第6期4卷 17-29页

作者： Fernando Pena-Cortes daniel Rozas-Vasquez Gonzalo Rebolledo Jimmy Pincheira-Ulbrich Miguel Escalona Enrique Hauenstein Luis Vargas-Chacoff Carlos Bertran Jaime Tapia Marco Cisternas Laboratorio de Planificacion Territorial Nucleo de Investigacion en Estudios AmbientalesUniversidad Catolica de TemucoTemucoChile Programa de Doctorado en Sistematica y Biodiversidad Universidad de ConcepcionConcepcionChile Escuela de Ciencias Ambientales Facultad de Recursos NaturalesUniversidad Catolica de TemucoTemucoChile Instituto de Ciencias Marinas y Limnologicas Universidad Austral de ChileValdiviaChile Instituto de Quimica de Recursos Naturales Universidad de TalcaTalcaChile Escuela de Ciencias del Mar Pontificia Universidad Catolica de ValparaisoValparaisoChile

Coastal zones are very dynamic and fragile environments, constituting a landscape ever more heterogeneous, fragmented and with increasing levels of complexity due to the changing relationship between man and nature. Integrated coastal zone management therefore requires detailed knowledge of the system and its components, based—to a large extent—on technical and scientific information. However, the information generated must be in line with the political requirements necessary for decision-making and planning. Thus the use of indicators to give a simplified view of the many components of the territory, and at the same time to provide important information about patterns or trends, becomes a tool of the utmost importance. These indicators can be understood as measurable characteristics of the environment, which facilitate comprehension of the processes occurring at different scales and serve as a reference to inform the population and support decision-making. The aim of the present note is to demonstrate briefly the need to develop geographical-environmental and natural risk indicators to facilitate comprehension of the dynamic of spatial and temporal landscape patterns, particularly in coastal environments. This approach offers an historical summary of the natural, socio-economic and political processes which currently make up the territory, and which without doubt will continue to influence it in the future. At the same time, it is proposed that information should be integrated on the basis of this framework with a view to generating spatial decision support systems in a context of planning and integrated management of the coastal zones of Chile.

关键词： Coastal Zone Territorial Planning Indicators Spatial Decision Support System Chile

Attainment of the Fifth Millennium Development Goal: Utopia or Reality Based on Trends in Maternal Mortality in 12 Years in Two Regional Hospitals in Fako Division, Cameroon? A Retrospective Study

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Open Journal of Obstetrics and Gynecology 2014年第13期4卷 771-781页

作者： Gregory Edie Halle Ekane Thomas Egbe Obinchemti Charlotte Nguefack Tchente Lydia Kahgomia Fokunang Theophile Nana Njamen Ndamezie Nkafu Bechem Martin Mafany Njie daniel Latum Department of Surgery and Gynecology/Obstetrics Faculty of Health Sciences University of BueaBuea Cameroon Department of Obstetrics and Gynecology Douala General Hospital Douala Cameroon Department of Gynecology and Obstetrics Regional Hospital Buea Buea Cameroon Department of Obstetrics and Gynecology Limbe Regional Hospital Limbe Cameroon Department of Public and Community Health University of Yaoundé 1 Yaoundé Cameroon

Introduction: According to WHO, globally an estimated 585,000 women die each year from complications of pregnancy and childbirth. One of the targets of Millennium Development Goal 5 (MDG 5) is to reduce maternal mortality by three quarters of the 1999 value by the year 2015. However, three years to 2015, very little is known on the trends in maternal mortality ratio, causes of maternal deaths and their associated factors in the Tiko Cottage Hospital (TCH) and Limbe Regional Hospital (LRH) in the South-West Region, Cameroon. Methods: This was a retrospective, analytical cross-sectional study that was carried out from 1st January 2000 to December 2012. After obtaining ethical clearance, the records of cases of maternal deaths and a reference group of women who survived after a pregnancy during the same period were carefully reviewed. The data were analyzed with SPSS 10 and EPI 3.5.1. Results: There were 14,480 live births and 132 maternal deaths during the study period, giving an adjusted Maternal Mortality Ratio (MMR) of 892/100,000 live births. Patients’ age ranged from 15 - 40 years (SD 2.3). We observed a downwards trend of Maternal Mortality Ratio (MMR). Seventy-eight percent of the maternal deaths were due to direct causes. The triad of hemorrhage (54.5%), abortions (17.4%), and eclampsia (10.6%) was the leading cause of death. HIV-related complications and hepatitis constituted the main indirect causes of maternal death. In 85.4% of cases, maternal deaths were avoidable. Lack of blood for transfusion and late referral of cases were the main avoidable factors. Patients less than 35 years (p = 0.01), no antenatal care (ANC) (p = 0.001), unemployment [OR = 1.52;95% CI: (1.38 - 48.28);p = 0.02] were significantly associated with maternal deaths while grand multiparity [OR = 1.20;95% CI (0.30 - 4.86);p = 0.79], marital status [OR = 1.20;95% CI: (0.70 - 2.07);p = 0.51] and education level were not significantly associated with maternal deaths. Conclusion: The trend s

关键词： Maternal Mortality Ratio Causes Trends MDG 5 South West Region