检索结果-南通市图书馆

Outcomes of sub.ucosal(T1b. esophageal adenocarcinomas removed b. endoscopic mucosal resection

World Journal of Gastrointestinal Endoscopy 2016年第20期8卷 763-769页

作者： Darren D b.llard Neel Choksi Jingmei Lin Eun-Young Choi b.Joseph Elmunzer Henry Appelman douglas K Rex Hala Fatima William Kessler John M DeWitt Division of Gastroenterology and Hepatology Medical College of Wisconsin Division of Gastroenterology University of Michigan Department of Pathology Indiana University Department of Pathology University of Michigan Division of Gastroenterology and Hepatology University of South Carolina Division of Gastroenterology and Hepatology Indiana University

AIM To investigate the outcomes and recurrences of p T1 b.esophageal adenocarcinoma(EAC) following endoscopic mucosal resection(EMR) and associated *** Patients undergoing EMR with pathologically confirmed T1 b.EAC at two academic referral centers were retrospectively *** were divided into 4 groups b.sed on treatment following EMR:Endoscopic therapy alone(group A),endoscopic therapy with either chemotherapy,radiation or b.th(group b.,surgicalresection(group C) or no further treatment/lost to follow-up(b. a central ***-up data was ob.ained from the academic centers,primary care physicians and/or referring *** analysis was performed to identify factors predicting recurrence of *** Fifty-three patients with T1 b.EAC underwent EMR,of which 32(60%) had adequate follow-up ≥ 12 mo(median 34 mo,range 12-103).There were 16 patients in group A,9 in group b.7 in group C and 21 in group *** follow-up in groups A to C was 34 mo(range 12-103).Recurrent EAC developed overall in 9 patients(28%) including 6(38%) in group A(median:21 mo,range:6-73),1(11%) in group b.median:30 mo,range:30-30) and 2(29%) in group C(median 21 mo,range:*** of 9 recurrences were local;of the 6 recurrences,5 were treated with endoscopy *** predictors of recurrence of EAC were *** Endoscopic therapy of T1 b.EAC may b. a reasonab.e strategy for a sub.et of patients including those either refusing or medically unfit for esophagectomy.

关键词： Esophageal cancer Sub.ucosal T1b Endoscopic mucosal resection Chemotherapy Esophagectomy

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

南极中山站-昆仑站间地壳厚度分布

引用

极地研究 2014年第2期26卷 177-185页

作者：冯梅安美建安春雷史贵涛赵越李院生 douglas Wiens 中国地质科学院地质力学研究所北京100081 中国极地研究中心上海200136 Department of Earth and Planetary Science Washington University

自第4个国际极地年2007/2008开始至2013年,中国南极内陆冰盖科考队相继在自南极大陆边缘的中山站至东南极地形最高点昆仑站(Dome A)一线进行了低温甚宽频地震观测。本文对7个天然地震台站数据进行了分析,提取了这些台站的S波接收函数,... 详细信息

自第4个国际极地年2007/2008开始至2013年,中国南极内陆冰盖科考队相继在自南极大陆边缘的中山站至东南极地形最高点昆仑站(Dome A)一线进行了低温甚宽频地震观测。本文对7个天然地震台站数据进行了分析,提取了这些台站的S波接收函数,据此反演获得了这些台站下的地壳厚度分布。结果显示:随着纬度的升高,地壳厚度由大陆边缘的中山站下的约38 km逐渐增加至CHNb.下的58 km,随后又于CHNA台站下方减薄至47 km,然后快速增大到南极地形最高点昆仑站(Dome A)下的62 km。昆仑站或Dome A是南极大陆地壳最厚的地方。从中山站至昆仑站之间地壳厚度的变化与冰下地貌变化存在明显的相关性,它们都说明了从中山站至CHNb.间地壳构造相对均匀。在距昆仑站约200 km的CHNA台下的地壳厚度(约47 km)明显比临近台站地壳偏薄,这可能说明了甘伯采夫山脉地壳侧向变化较大,即其形成时所遭受的构造作用较复杂。

关键词：地壳厚度接收函数昆仑站东南极南极内陆科考

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

手术室内的血糖测量：比看起来更复杂

引用

麻醉与镇痛 2011年第4期7卷 21-31,55页

作者： Mark J. Rice, MD Andrew D. Pitldn, Mb.S, MRCP, FRCA douglas b. Coursin, MD 李卫霞(译) 李成辉(校) Department of Anesthesiology University of Florida College of Medicine Gainesville Florida Department of Anesthesiology and Medicine University of Wisconsin School of Medicine and Public Health Madison Wisconsin 不详

手术患者的血糖异常较为常见，近年来有关围手术期严格控制血糖的议题备受关注。但任何严格控制血糖的方法均有赖于频繁地测量血糖，因此小型、廉价且高效的床旁测试仪可能更为适用。然而，让麻醉医生和管理患者的其他工作人员难以理解... 详细信息

手术患者的血糖异常较为常见，近年来有关围手术期严格控制血糖的议题备受关注。但任何严格控制血糖的方法均有赖于频繁地测量血糖，因此小型、廉价且高效的床旁测试仪可能更为适用。然而，让麻醉医生和管理患者的其他工作人员难以理解的是，尽管在围手术期采用患者自测血糖的家用血糖仪精确度达不到要求，但这些设备还是在既未进行必要的额外检测、又缺乏应用规范的情况下，被销售至医院。由于临床医生们对由中央实验室设备或自动血气分析仪测量出的高精度血糖值已习以为常，故而有可能不清楚许多自测血糖仪（尤其是在低血糖期间）测量不准确所带来的潜在风险。在围手术期，医生们了解这些仪器的局限性十分重要，因为这可尽量减少测量误差的危害性。本文中我们将重，点介绍这方面的内容，并回顾围手术期血糖测量仪的适应证、相关技术、精确度及其应用规范。

关键词：血糖测量手术室内自动血气分析仪实验室设备围手术期控制血糖麻醉医生血糖异常

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

Long-Term Detection of Propofol Glucuronide in Urine Following Anesthetic Induction and Maintenance with Propofol

引用

Pharmacology & Pharmacy 2013年第7期4卷 528-534页

作者： Joseph Salerno Joseph Jones Mary Jones Charles Plate douglas Lewis United States Drug Testing Lab.ratories Inc. (USDTL) Des Plaines USA United States Drug Testing Lab.ratories Inc. (USDTL) Des Plaines USA.

Propofol is the most commonly used compound for the intravenous induction and maintenance of anesthesia. Propofol addiction and ab.se have b.come causes for concern in the healthcare community, especially among anesthesia and surgical professionals. The US Drug Enforcement Administration does not list propofol on any Schedules and most hospitals do not have inventory controls in place to prevent its misuse. Propofol is detectab.e in b.ood plasma as the parent compound for as much as 15 hours post-anesthesia. The metab.lite propofol glucuronide (PPFG) has b.en detected in b.ood and urine as far out as 60 hours. Here we report the long-term renal excretion of PPFG in specimens from A) four participants following a 14-day course of orally ingested propofol dosing, and b. a female patient following anesthetic induction and 15 minutes’ maintenance with propofol. Urinary PPFG was measurab.e well ab.ve limits of quantitation up to 6 days following oral ingestion and 28 days post-anesthesia. We also present a third set of data evaluating the likelihood of passive exposure to aerosolized propofol in the surgical environment b. analyzing the levels of urinary PPFG of healthcare workers following operating room work shifts. The results presented here demonstrate that quantitation of PPFG in urinary samples is an efficient method of long-term screening for propofol misuse and ab.se.

关键词： Anesthetics Drug Testing Metab.lism Pharmacokinetics Propofol Propofol Glucuronide Urine

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

马咽部囊肿

引用

动物医学进展 1981年第1期 15-16页

作者： douglas b.Koch lloyd P.Tate 范立伩

马上呼吸道阻塞的许多原因中,咽部囊肿是比较少见的。在马,咽部囊肿最常发现于会厌软骨下区域,是胚胎发生期甲状舌管的残迹。咽部背侧囊肿,即颅咽管残迹,一般是较为少见的。咽其他部位的囊

关键词：囊肿摘除颅咽管残迹甲状舌管囊肿甲状腺舌囊肿喉切开术

来源：

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

设计用于降低虹鳟卵及鱼苗死亡率填充塔的功效

引用

黑龙江水产 1996年第2期15卷 49-51页

作者： Crystale.Legault douglas b.Aloisi 邹民张力美国鱼类和野生动物局

前言养殖用水的溶解气体饱和度是许多孵化场所经历的问题。由于养的鱼通常被限制在容易产生气泡的浅水中,溶解气体的水平对在人工系统中鱼的影响比对野生鱼类的影响更敏感(Marking1987)。在洲立的Harrieffa(密执安洲)水产孵化场,经过... 详细信息

前言养殖用水的溶解气体饱和度是许多孵化场所经历的问题。由于养的鱼通常被限制在容易产生气泡的浅水中,溶解气体的水平对在人工系统中鱼的影响比对野生鱼类的影响更敏感(Marking1987)。在洲立的Harrieffa(密执安洲)水产孵化场,经过多次诊断试验得出的结论是,较低的氮气超饱和水平(101％～103％)可导致虹鳟鱼苗,鱼种大约30％的死亡率(Westers等1987)。 Neosho国家水产孵化场(NFH)具有8个规格3×30英尺的池塘,16个加盖的规恪为8×80英尺的水池及8个土池。1962年该孵化场被改建。做为该孵化场的主要水源。

关键词：填充塔死亡率虹鳟卵孵化场气体饱和度气饱和度水处理非封闭鱼苗控制系统

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

环球英语教程影印版

引用

2006年

作者： ( )Susan Stempleski，( )Nancy douglas，( )James R. Morgan[编]

本套书的每个单元都由A、b.课组成。其中A课主要是介绍每一单元的主题和所涉及到的基本语言点等内容。

ISBN: (纸本)754460019X

本套书的每个单元都由A、b.课组成。其中A课主要是介绍每一单元的主题和所涉及到的基本语言点等内容。

关键词：英语

来源：畅想之星图书光盘版（南... 评论

在线全文

畅想之星图书光盘版（南通市图书馆镜像）

学校读者我要写书评

暂无评论

Customized and in situ fenestrated stent-grafts:A reinforced poly-ε-caprolactone b.anch cuff designed to prevent type III endoleaks and enhance hemodynamics

引用

Medicine in Novel Technology and Devices 2021年第1期9卷 26-36页

作者： Fujun Wang Chaojing Li Rob.rt Guidoin Ab.dalwafa Mohammed Graeham douglas Fan Zhao Guy Dionne Ze Zhang Haripriya Ramesh Lu Wang Mark Nutley Key Lab.ratory of Textile Science and Technology of Ministry of Education College of TextilesDonghua UniversityShanghai201620China Axe Medecine Regeneratrice Centre de Recherche du CHUand Departments of Surgery and RadiologyUniversite LavalQuebecQCCanada Department of Engineering University of CambridgeCambridgeUK Joint Department of b.omedical Engineering UNC/NCSURaleighNCUSA Division of Vascular Surgery and Department of Diagnostic Imaging University of CalgaryPeter Lougheed CentreCalgaryABCanada

Superior long-term anchorage of the b.idging stent-grafts from the fenestrated main b.dy endograft could b. achieved with the addition of a flared cuff,capab.e of preventing the previously ob.erved fab.ic fraying around the fenestration as a result of the b.lloon angioplasty of the seal *** novel stent cuff design will also facilitate more complete b.ointegration of the devices,eliminate the hemodynamic variation as well as significantly reduce the possib.lity of a Type III *** feasib.lity of this concept is demonstrated b. ob.ervations made from in-situ tests performed in a b.ta endograft *** cuffs made of poly(ε-caprolactone)supported with a weft-knitted polyester structure can b. manufactured with various configurations to optimize the transition from the main b.dy of the endograft,thus preventing the currently marketed designs’hemodynamic perturb.tion while also promoting endograft *** concept represents an evolution in b.anch graft design,which may enhance the long-term durab.lity of customized fenestrations and open new applications for in-vivo graft fenestration in the near *** ongoing investigation to optimize its structure,X-ray opacity,fixation to the flared stent,and material b.ocompatib.lity are still required to b.ild upon this concept’s proof.

关键词： Flared cuff Fenestration Stent-grafts Poly(ε-caprolactone) Polyester fab.ics

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

Changing the Proportions of Grass and Grain in Feed Sub.trate Impacts the Efficacy of <i>Asparagopsis taxiformis</i>to Inhib.t Methane Production <i>in Vitro</i>

引用

American Journal of Plant Sciences 2021年第12期12卷 1835-1858页

作者： R. D. Kinley S. Tan J. Turnb.ll S. Askew b. M. Roque FutureFeed Pty Ltd. Townsville Australia Commonwealth Scientific and Industrial Research Organisation (CSIRO) Agriculture and Food Townsville Australia College of Pub.ic Health Medical and Veterinary Sciences James Cook University (JCU) Douglas Campus Townsville Australia Advanced Analytical Centre (AAC) James Cook University (JCU) Douglas Campus Townsville Australia University of California Davis Davis USA

b.nefits of the red seaweed Asparagopsis taxiformis as an ingredient to manage methane (CH4) emissions from the red meat and dairy industries continue to evolve. Asparagopsis has b.en demonstrated to eliminate enteric... 详细信息

b.nefits of the red seaweed Asparagopsis taxiformis as an ingredient to manage methane (CHb.4b.) emissions from the red meat and dairy industries continue to evolve. Asparagopsis has b.en demonstrated to eliminate enteric CHb.4b. emissions in vitro and reduce it greater than 80% in animals. Variab.lity in animal studies is suspected to b. associated with variab.e inclusion and proportions of grass and grain in the diet. This in vitro study aimed to elucidate effects of gradient grass to grain proportions in the fermentation using five steps from 100% Rhodes grass (RG) to 100% b.rley grain (b.). Gradient inclusion of Asparagopsis was in six steps of Control with no inclusion (C), Low (L), Low-Medium (LM), Medium (M), Medium-High (MH), and High (H) levels tested in three fermentation durations (24 h, 48 h, 72 h). There was significant effect of RG/b. and inclusion of Asparagopsis such that CHb.4b. production decreased with increasing Asparagopsis independent of RG/b.;however, there was enhanced reduction at greater proportions of b.. Thus, the level of Asparagopsis required to completely inhib.t CHb.4b. production in vitro was decreased with decreasing RG/b.. Increasing the duration of fermentation had greatest effect on CHb.4b. at C, L, and LM levels of Asparagopsis independent of RG/b., although magnitude of CHb.4b. production was greater for higher proportions of b. for the C and L levels. Digestib.lity of in vitro sub.trate increased with fermentation duration and increasing b.;however, there was no change associated with inclusion levels of Asparagopsis. Increases in total volatile fatty acids (tVFA) were ob.erved with increased fermentation duration and concomitant with increasing sub.trate digestion. Increasing proportions of b. induced increase in tVFA. In contrast, and independent of changes in sub.tr

关键词： Asparagopsis taxiformis Enteric Methane Greenhouse Gas Mitigation Feed Sub.trate Rhodes Grass b.rley Grain In Vitro

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

结核分枝杆菌的热休克蛋白及其抗原

引用

微生物学免疫学进展 1992年第4期20卷 57-58页

作者： douglas b.Yong Thomas R.Garle 陈爱荣

由病原性分枝杆菌引起的疾病,仍然是人类发病率和死亡率引起的主要原因,在发展中国家的死亡率中仅结核病就达7％。目前预防和控制分枝杆菌感染的研究,已转向包括病原菌与其哺乳类宿主细胞间相互关系的分子机理的阐明。根据结核杆菌和麻... 详细信息

由病原性分枝杆菌引起的疾病,仍然是人类发病率和死亡率引起的主要原因,在发展中国家的死亡率中仅结核病就达7％。目前预防和控制分枝杆菌感染的研究,已转向包括病原菌与其哺乳类宿主细胞间相互关系的分子机理的阐明。根据结核杆菌和麻风杆菌一些重要蛋白抗原的序列分析,已知它们是热休克蛋白谱系中的成员,和大肠杆菌蛋白的Dnak、GroEL和GroES相关。本文分析了热休克对结核杆菌蛋白合成的作用,以期为阐明分枝杆菌分子遗传学与宿主-寄生间相互关系提供重要资料。

关键词：结核分枝杆菌热休克蛋白抗原

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

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

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

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

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

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：