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Acute penetrating injury of the spinal cord by a wooden spike with delayed surgery:a case report

Neural Regeneration Research 2023年第12期18卷 2781-2784页

作者： James D.Guest Zhuojing Luo Yansheng Liu Hongkun Gao dianchun wang Xiao-Ming Xu Hui Zhu Neurological Surgery and the Miami Project to Cure ParalysisMiller School of MedicineUniversity of MiamiMiamiFLUSA Kunming International Spine and Spinal Cord Injury Treatment CenterKunming Tongren HospitalKunmingYunnan ProvinceChina Department of Orthopedic Spinal Surgery Xijing HospitalThe Fourth Military Medical UniversityXi’anShaanxi ProvinceChina Department of Neurosurgery Kunming Tongren HospitalKunmingYunnan ProvinceChina Indiana University School of Medicine Stark Neurosciences Research InstituteIndianapolisINUSA

Rarely,penetrating injuries to the spinal cord result from wooden objects,creating unique challenges to mitigate neurological injury and high rates of infection and foreign body *** report a man who sustained a penetrating cervical spinal cord injury from a sharpened *** initially tetraparetic,he rapidly recovered *** risks of neurological deterioration during surgical removal made the patient reluctant to consent to surgery despite the impalement of the spinal cord.A repeat MRI on day 3 showed an extension of edema indicating progressive *** the 7~(th)day after injury,fever and paresthesias occurred with a large increase in serum inflammatory indicators,and the patient agreed to undergo surgical removal of the wooden *** discuss the management nuances related to wood,the longitudinal evolution of MRI findings,infection risk,surgical risk mitigation and technique,an inflammatory marker profile,long-term recovery,and the surprisingly minimal neurological deficits associated with low-velocity midline spinal cord *** patient had an excellent clinical *** main lessons are that a wooden penetrating central nervous system injury has a high risk for infection,and that surgical removal from the spinal cord should be performed soon after injury and under direct visualization.

关键词： case report interleukin-6 magnetic resonance imaging penetrating spinal cord injury wood

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Screen-imaging guidance using a modified portable video macroscope for middle cerebral artery occlusion

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Neural Regeneration Research 2012年第12期7卷 912-916页

作者： Xingbao Zhu Junli Luo Yun Liu Guolong Chen Song Liu Qiangjin Ruan Xunding Deng dianchun wang Quanshui Fan Xinghua Pan Department of Neurosurgery Kunming General Hospital Chengdu Military Area Command of Chinese PLA Kunming 650032 Yunnan Province China Disease Prevention ＆ Control Centre Chengdu Military Area Command of Chinese PLA Kunming 650032 Yunnan Province China Animal Experimental Centre Department of Clinical Research Kunming General Hospital Chengdu Military Area Command of Chinese PLA Kunming 650032 Yunnan Province China

The use of operating microscopes is limited by the focal *** using these instruments cannot simultaneously view and access the surgical field and must choose one or the *** longer focal length （more than 1 000 mm） of an operating telescope permits a position away from the operating field,above the surgeon and out of the field of *** gives the telescope an advantage over an operating *** developed a telescopic system using screen-imaging guidance and a modified portable video macroscope constructed from a Computar MLH-10 × macro lens,a DFK-21AU04 USB CCD Camera and a Dell laptop computer as monitor *** system was used to establish a middle cerebral artery occlusion model in *** showed that magnification of the modified portable video macroscope was appropriate （5-20 ×） even though the Computar MLH-10 × macro lens was placed 800 mm away from the operating field rather than at the specified working distance of 152.4 mm with a zoom of 1-40 ×.The screen-imaging telescopic technique was clear,life-like,stereoscopic and matched the actual ***-imaging guidance led to an accurate,smooth,minimally invasive and comparatively easy surgical *** rate of the model establishment evaluated by neurological function using the modified neurological score system was 74.07%.There was no significant difference in model establishment time,sensorimotor deficit and infarct volume *** findings indicate that the telescopic lens is effective in the screen surgical operation mode referred to as ＂long distance observation and short distance operation＂ and that screen-imaging guidance using an modified portable video macroscope can be utilized for the establishment of a middle cerebral artery occlusion model and micro-neurosurgery.

关键词： portabie video macroscope screen-imaging guidance telescopic surgery middle cerebral artery occlusion cerebral infarction

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Surgical intervention combined with weight-bearing walking training promotes recovery in patients with chronic spinal cord injury:a randomized controlled study

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Neural Regeneration Research 2024年第12期19卷 2773-2784页

作者： Hui Zhu James D.Guest Sarah Dunlop Jia-Xin Xie Sujuan Gao Zhuojing Luo Joe E.Springer Wutian Wu Wise Young Wai Sang Poon Song Liu Hongkun Gao Tao Yu dianchun wang Libing Zhou Shengping Wu Lei Zhong Fang Niu Xiaomei wang Yansheng Liu Kwok-Fai So Xiao-Ming Xu Kunming Tongren Hospital KunmingYunnan ProvinceChina Neurological Surgery and the Miami Project to Cure ParalysisMiller School of MedicineUniversity of MiamiMiamiFLUSA School of Biological Sciences The University of Western AustraliaPerthWAAustralia Minderoo Foundation PerthWAAustralia Clinical Center for Spinal Cord Injury Kunming General Hospital of Chengdu Military CommandKunmingYunnan ProvinceChina Department of Biostatistics and Health Data Science Indiana University School of MedicineIndianapolisINUSA Department of Orthopedic Spinal Surgery Xijing HospitalFourth Military Medical UniversityXi’anShaanxi ProvinceChina Spinal Cord and Brain Injury Research Center Department of Physical Medicine and RehabilitationUniversity of Kentucky College of MedicineLexingtonKYUSA Guangdong-HongKong-Macao Institute of CNS Regeneration Jinan UniversityGuangzhouGuangdong ProvinceChina W.M.Keck Center for Collaborative Neuroscience Rutgers UniversityPiscatawayNJUSA Neurosurgery Department Chinese University of Hong KongPrince of Wales HospitalHong Kong Special Administration RegionChina Spinal Cord and Brain Injury Research Group Stark Neurosciences Research InstituteDepartment of Neurological SurgeryIndiana University School of MedicineIndianapolisINUSA

For patients with chronic spinal cord injury,the co nventional treatment is rehabilitation and treatment of spinal cord injury complications such as urinary tract infection,pressure sores,osteoporosis,and deep vein *** is rarely perfo rmed on spinal co rd injury in the chronic phase,and few treatments have been proven effective in chronic spinal cord injury *** of effective therapies fo r chronic spinal co rd injury patients is *** conducted a randomized controlled clinical trial in patients with chronic complete thoracic spinal co rd injury to compare intensive rehabilitation(weight-bearing walking training)alone with surgical intervention plus intensive *** clinical trial was registered at ***(NCT02663310).The goal of surgical intervention was spinal cord detethering,restoration of cerebrospinal fluid flow,and elimination of residual spinal cord *** found that surgical intervention plus weight-bearing walking training was associated with a higher incidence of American Spinal Injury Association Impairment Scale improvement,reduced spasticity,and more rapid bowel and bladder functional recovery than weight-bearing walking training ***,the surgical procedures and intensive rehabilitation were *** Spinal Injury Association Impairment Scale improvement was more common in T7-T11 injuries than in T2-T6 *** combined with rehabilitation appears to have a role in treatment of chronic spinal cord injury patients.

关键词： chronic spinal cord injury intensive rehabilitation locomotor training neurological recovery surgical intervention weightbearing walking training

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清远抽水蓄能电站上水库渗漏分析评价

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资源环境与工程 2014年第4期28卷 441-445页

作者：王殿春广东省水利电力规划勘测设计研究院广东广州510635

抽水蓄能电站上水库的水极为宝贵,水库防渗要求高,尤其是清远抽水蓄能电站上水库库容和集雨面积小,水库渗漏勘察与分析关系到工程安全与经济。介绍了清远抽水蓄能电站上水库渗漏工程地质勘察的分析成果及处理方案建议,对抽水蓄能电站水... 详细信息

抽水蓄能电站上水库的水极为宝贵,水库防渗要求高,尤其是清远抽水蓄能电站上水库库容和集雨面积小,水库渗漏勘察与分析关系到工程安全与经济。介绍了清远抽水蓄能电站上水库渗漏工程地质勘察的分析成果及处理方案建议,对抽水蓄能电站水库渗漏勘察评价及处理具有参考应用价值。

关键词：水库渗漏勘察评价清远抽水蓄能电站

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多元共线性及其变换在体育科研中的应用

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湖北体育科技 2008年第1期27卷 20-21页

作者：王殿春浙江师范大学体育学院浙江金华321004

通过结合体育科研实际问题,从数据空间的几何解释角度分析了统计变换的本质,使得统计变换思想更为直观。并探讨了其在共线性数据处理中的应用及从统计变换的角度重新审视共线性问题,给共线性问题解决提供了新的研究思路。

关键词：体育科研统计变换共线性问题

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采用数字场开关的“柜员制”闭路监控系统

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电视技术 1999年第3期23卷 61-62页

作者：王殿春张淑清哈尔滨电影机厂 150086 黑龙江省电子器材公司

金融部门实行'柜员制'的同时,也要安装闭路监控系统,以确保存取款的安全.目前这些部门安装的闭路监控系统,基本采取以下几种设计方案.一种是采用'一对一'监控模式,即一台摄像机对应一台录像机进行实时录像.这种方式安全可靠,信息量记录... 详细信息

金融部门实行'柜员制'的同时,也要安装闭路监控系统,以确保存取款的安全.目前这些部门安装的闭路监控系统,基本采取以下几种设计方案.一种是采用'一对一'监控模式,即一台摄像机对应一台录像机进行实时录像.这种方式安全可靠,信息量记录多,但设备多,所用录像带数量多,操作复杂,运转成本高,管理困难,目前只在小储蓄所使用;第二种模式是采用'4画面'或'9画面'进行记录的方式.这种方式是将几路摄像机的视频信号,通过'4画面'或'9画面'机记录在一盘录像带上.

关键词：闭路监控系统数字场开关银行柜员制

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