检索结果-南通市图书馆

Outcomes following operative vs. non-operative management of blunt traumatic pancreatic injuries: a retrospective multi-institutional study

引用

Burns & Trauma 2016年第4期4卷 316-322页

作者： Poppy Addison Toni Iurcotta Leo I.Amodu Geoffrey Crandall Meredith Akerman daniel galvin Annemarie Glazer Nathan Christopherson Jose Prince Matthew Bank Christopher Sorrentino Joaquin Cagliani Jeffrey Nicastro Gene Coppa Ernesto P.Molmenti Horacio L.Rodriguez Rilo Department of Surgery Hofstra-Northwell School of MedicineHempsteadNYUSA Pancreas Disease Center Northwell HealthManhassetNYUSA Department of Surgery Hofstra-Northwell School of MedicineHempsteadNYUSA Department of Biostatistics Feinstein Institute for Medical ResearchManhassetNYUSA Pancreas Disease Center Northwell HealthManhassetNYUSA Department of Surgery Hofstra-Northwell School of MedicineHempsteadNYUSA Pancreas Disease Center Northwell HealthManhassetNYUSA Northwell Health 900 Northern BoulevardSuite 150Great NeckNY 11020USA

Background:Traumatic pancreatic injuries are rare,and guidelines specifying management are controversial and difficult to apply in the acute clinical *** to sparse data on these injuries,we carried out a retrospective review to determine outcomes following surgical or non-surgical management of traumatic pancreatic *** hypothesize a higher morbidity and mortality rate in patients treated surgically when compared to patients treated ***:We performed a retrospective review of data from four trauma centers in New York from 1990–2014,comparing patients who had blunt traumatic pancreatic injuries who were managed operatively to those managed *** compared continuous variables using the Mann-Whitney U test and categorical variables using the chi-square and Fisher’s exact *** analysis was performed to determine the possible confounding factors associated with mortality in both treatment ***:Twenty nine patients were managed operatively and 32 *** was a significant difference between the operative and non-operative groups in median age(37.0 vs.16.2 years,P=0.016),grade of pancreatic injury(grade I;30.8 vs.85.2%,P value for all comparisons<0.0001),median injury severity score(ISS)(16.0 vs.4.0,P=0.002),blood transfusion(55.2 vs.15.6%,P=0.0012),other abdominal injuries(79.3 vs.38.7%,P=0.0014),pelvic fractures(17.2 vs.0.00%,P=0.020),intensive care unit(ICU)admission(86.2 vs.50.0%,P=0.003),median length of stay(LOS)(16.0 vs.4.0 days,P<0.0001),and mortality(27.6 vs.3.1%,P=0.010).Conclusions:Patients with traumatic pancreatic injuries treated operatively were more severely injured and suffered greater complications than those treated *** greater morbidity and mortality associated with these patients warrants further study to determine optimal triage strategies and which subset of patients is likely to benefit from surgery.

关键词： Injury Management Non-operative Operative Pancreas Trauma

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Linking science and decision making to promote an ecology for the city:practices and opportunities

引用

Ecosystem Health and Sustainability 2016年第9期2卷 18-27页

作者： J.Morgan Grove daniel L.Childers Michael galvin Sarah Hines Tischa Muñoz-Erickson Erika S.Svendsen Baltimore Field Station USDA Forest ServiceBaltimoreMaryland 21228 USA School of Sustainability Arizona State UniversityTempeArizona 85287 USA Urban Field Station International Institute of Tropical ForestryUSDA Forest ServiceRío PiedrasPuerto Rico 00926-1119 USA New York City Field Station USDA Forest ServiceNew YorkNew York 10007 USA

To promote urban sustainability and resilience,there is an increasing demand for actionable science that links science and decision making based on social-ecological ***,frameworks,and practices for such actionable science are needed and have only begun to *** propose that approaches based on the co-design and co-production of knowledge can play an essential role to meet this *** the antecedents for approaches to the co-design and co-production of knowledge are decades old,the integration of science and practice to advance urban sustainability and resilience that we present is different in several *** differences include the disciplines needed,diversity and number of actors involved,and the technological infrastructures that facilitate local-to global *** this article,we discuss how the new requirements and possibilities for co-design,co-production,and practical use of social-ecological research can be used as an ecology for the city to promote urban sustainability and *** new technologies are part of the solution,traditional approaches also remain *** our urban experiences with long-term,place-based research from several ***-Term Ecological Research sites and *** of Agriculture,Forest Service Urban Field Stations,we describe a dynamic framework for linking research with *** posit that this framework,coupled with a user-defined,theory-based approach to science,is instrumental to advance both practice and ***,cities are ideal places for integrating basic science and decision making,facilitating flows of information through networks,and developing sustainable and resilient solutions and futures.

关键词： Baltimore co-design co-production ecology for cities long-term ecological research New York City Phoenix San Juan social-ecological Special Feature:An Ecology in,of,and for the City transdisciplinary urban

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：