检索结果-南通市图书馆

Endovascular treatment in anterior circulation stroke beyond 6.5 hours after onset or time last seen well:results from the MR CLEAN Registry

引用

Stroke & Vascular Neurology 2021年第4期6卷 572-580,I0037-I0048页

作者： Luuk Dekker esmee venema F Anne V Pirson Charles B L M Majoie Bart J Emmer Ivo G H Jansen Maxim J H L Mulder Robin Lemmens Robert-Jan B Goldhoorn Marieke J H Wermer Jelis Boiten Geert J LycklamaàNijeholt Yvo B W E M Roos Adriaan C G M van Es Hester F Lingsma Diederik W J Dippel Wim H van Zwam Robert J van Oostenbrugge Ido R van den Wijngaard on behalf of the MR CLEAN Registry investigators Neurology Leiden University Medical CentreLeidenThe Netherlands Neurology Erasmus MCRotterdamThe Netherlands Public Health Erasmus MCRotterdamThe Netherlands Neurology Maastricht University Medical Centre+MaastrichtThe Netherlands Radiology and Nuclear Medicine Amsterdam University Medical CentreLocation AMCAmsterdamThe Netherlands Neurology University Hospitals LeuvenLeuvenBelgium Neurosciences Experimental Neurology and Leuven Brain InstituteUniversity of LeuvenLeuvenBelgium VIB Center for Brain&Disease ResearchLaboratory of NeurobiologyLeuvenBelgium Neurology Haaglanden Medical CentreDen HaagThe Netherlands Radiology Haaglanden Medical CentreDen HaagThe Netherlands Neurology Amsterdam University Medical CentreLocation AMCAmsterdamThe Netherlands Radiology Leiden University Medical CentreLeidenThe Netherlands Radiology Maastricht University Medical Centre+MaastrichtThe Netherlands

Background Randomised controlled trials with perfusion selection have shown benefit of endovascular treatment(EVT)for ischaemic stroke between 6 and 24 hours after symptom onset or time last seen ***,outcomes after EVT in these late window patients without perfusion imaging are largely *** assessed their characteristics and outcomes in routine clinical *** The Multicenter Randomized Clinical Trial of Endovascular Treatment for Acute Ischemic Stroke in the Netherlands Registry,a prospective,multicentre study in the Netherlands,included patients with an anterior circulation occlusion who underwent EVT between 2014 and *** perfusion was no standard imaging *** used adjusted ordinal logistic regression analysis to compare patients treated within versus beyond 6.5 hours after propensity score matching on age,prestroke modified Rankin Scale(mRS),National Institutes of Health Stroke Scale,Alberta Stroke Programme Early CT Score(ASPECTS),collateral status,location of occlusion and treatment with intravenous *** included 3-month mRS score,functional independence(defined as mRS 0-2),and *** Of 3264 patients who underwent EVT,106(3.2%)were treated beyond 6.5 hours(median 8.5,IQR 6.9-10.6),of whom 93(87.7%)had unknown time of stroke *** perfusion was not performed in 87/106(80.2%)late window *** window patients were younger(mean 67 vs 70 years,p<0.04)and had slightly lower ASPECTS(median 8 vs 9,p<0.01),but better collateral status(collateral score 2-3:68.3%vs 57.7%,p=0.03).No differences were observed in proportions of functional independence(43.3%vs 40.5%,p=0.57)or death(24.0%vs 28.9%,p=0.28).After matching,outcomes remained similar(adjusted common OR for 1 point improvement in mRS 1.04,95%CI 0.56 to 1.93).Conclusions Without the use of CT perfusion selection criteria,EVT in the 6.5-24-hour time window was not associated with poorer outcome in selected patients with favourable clinical and CT/C

关键词： treatment beyond Registry

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 efficacy of a computer-tailored physical activity intervention for prostate and colorectal cancer patients and survivors:A randomized controlled trial

引用

Journal of Sport and Health Science 2023年第6期12卷 690-704,F0003页

作者： Rianne Henrica Johanna Golsteijn Catherine Bolman Denise Astrid Peels esmee Volders Hein de Vries Lilian Lechner Department of Psychology Open University of the NetherlandsHeerlen6401 DLthe Netherlands Department of Health Promotion Maastricht UniversityMaastricht6200 MDthe Netherlands

Background Physical activity(PA)can improve the physical and psychological health of prostate and colorectal cancer survivors,but PA behavior change maintenance is necessary for long-term health *** is a print-and web-based intervention in which prostate and colorectal cancer patients and survivors receive automatically generated,personalized feedback aimed at integrating PA into daily life to increase and maintain *** evaluated the long-term outcomes of OncoActive by examining the 12-month follow-up differences between OncoActive and a control group,and we explored whether PA was maintained during a 6-month non-intervention follow-up *** Prostate or colorectal cancer patients were randomly assigned to an OncoActive(n=249)or a usual care waitlist control group(n=229).OncoActive participants received PA advice and a *** outcomes(i.e.,ActiGraph and self-report moderate-to-vigorous intensity PA(MVPA)min/week and days with≥30 min PA)and health-related outcomes(i.e.,fatigue,depression,physical functioning)were assessed at baseline,6 months,and 12 *** between groups and changes over time were assessed with multilevel linear regressions for the primary outcome(ActiGraph MVPA min/week)and all additional *** At 12 months,OncoActive participants did not perform better than control group participants at ActiGraph MVPA min/week,self-report MVPA min/week,or ActiGraph days with *** self-report days with PA were significantly higher in OncoActive compared to the control *** health-related outcomes only long-term fatigue was significantly lower in *** exploratively examining PA within OncoActive,the previously found PA effects at the end of the intervention(6 months follow-up)were maintained at 12 ***,all PA outcomes improved significantly from baseline to 12 *** control group showed small but non-significant improvements from 6 months to 12 months(and from baseline to 12 m

关键词： Behavior change maintenance Cancer survivorship Computer tailoring eHealth Physical activityTagedAPTARAEnd

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

急性缺血性卒中动脉内治疗的患者选择：两项随机试验研发和验证的一个临床决策工具

引用

英国医学杂志中文版 2018年第5期21卷 245-245页

作者：崔玥(译) 安红武力勇(校) 首都医科大学宣武医院神经内科

目的利用临床决策工具预测个体治疗的疗效，以改善急性卒中血管内治疗的患者选择。方法用2个随机对照临床试验的数据建立多变量回归模型。背景荷兰的16家医院（检测组）和美国、加拿大、澳大利亚、欧洲的58家医院（验证组）。

关键词：急性缺血性卒中动脉内治疗

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

百折不挠的加利福尼亚

引用

商业周刊（中文版） 2019年第22期 6-8页

作者： esmee.Deprez 不详

与其说是国中之州,不如说它是州中之国。加利福尼亚州是一片“最”字当头的土地:全美人口最多,经济最繁荣,最多标准普尔500指数成分股公司的大本营,以及经济总量排名最前的全球第五大经济体。其庞大的体量赋予它的威力甚至让唐纳德特朗... 详细信息

与其说是国中之州,不如说它是州中之国。加利福尼亚州是一片“最”字当头的土地:全美人口最多,经济最繁荣,最多标准普尔500指数成分股公司的大本营,以及经济总量排名最前的全球第五大经济体。其庞大的体量赋予它的威力甚至让唐纳德特朗普(Donald Trump)的华府也深感不快。

关键词：特朗普加利福尼亚州成分股标准普尔500指数唐纳德经济总量百折不挠

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

当睡大街成了唯一选择

引用

商业周刊（中文版） 2020年第3期 38-39页

作者： esmee.Deprez Noah Buhayar 融汐(译) 不详

法律不能因为你无家可归而惩罚你。但是,对于因无家可归而必须采取的行动呢?例如在收容所满员且无处可去时睡在大街上,那会怎样?美国第九巡回上诉法院2018年裁定,在没有任何合理的替代选择的情况下,禁止在公共场所露宿等同于将一个人的... 详细信息

法律不能因为你无家可归而惩罚你。但是,对于因无家可归而必须采取的行动呢?例如在收容所满员且无处可去时睡在大街上,那会怎样?美国第九巡回上诉法院2018年裁定,在没有任何合理的替代选择的情况下,禁止在公共场所露宿等同于将一个人的存在(法律上对“生而为人的身份”的提法)定为刑事犯罪,因此违反了《第八修正案》(Eighth Amendment)中禁止“残酷和异常惩罚”的规定。此裁决涉及的“马丁诉博伊西市案”(Martin *** of Boise)于十年前提起,当时律师代表包括主要原告罗伯特•马丁(Robert Martin)在内的六名无家可归者,在美国地方法院起诉了爱达荷州首府博伊西市。

关键词：地方法院无家可归者巡回上诉法院无处可去爱达荷州公共场所收容所博伊

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

Relevance of plasma lipoproteins and small metabolites in assessment of nutritional status among patients with severe injuries

引用

Journal of Intensive Medicine 2024年第4期4卷 496-507页

作者： esmee A.H.Verheul Suzan Dijkink Pieta Krijnen Aswin Verhoeven Martin Giera Roula Tsonaka Jochem M.Hoogendoorn Sesmu M.Arbous Ron Peters Inger B.Schipper Department of Trauma Surgery Leiden University Medical CenterLeidenThe Netherlands Acute Care Network West Netherlands LeidenThe Netherlands Center for Proteomics and Metabolomics Leiden University Medical CenterLeidenThe Netherlands Department of Biomedical Data Sciences Leiden University Medical CenterLeidenThe Netherlands Department of General Surgery Haaglanden Medical CenterThe HagueThe Netherlands Department of Intensive Care Leiden University Medical CenterLeidenThe Netherlands Department of Intensive Care Haaglanden Medical CenterThe HagueThe Netherlands

Background:This study aimed to identify plasma lipoproteins and small metabolites associated with high risk of malnutrition during intensive care unit(ICU)stay in patients with severe ***:This observational prospective exploratory study was conducted at two level-1 trauma centers in the *** patients(aged≥18 years)who were admitted to the ICU for more than 48 h between July 2018 and April 2022 owing to severe injuries(polytrauma,as defined by Injury Severity Scores of≥16)caused by blunt trauma were eligible for *** least squares discriminant analysis was used to analyze the relationship of 112 lipoprotein-related components and 23 small metabolites with the risk of malnutrition(mod-ified Nutrition Risk in Critically Ill score).Malnutrition was diagnosed based on Subjective Global Assessment *** relationship of lipoprotein properties and small metabolite concentrations with malnutrition(during ICU admission)was evaluated using mixed effects logistic ***:Overall,51 patients were ***(very)low-density lipoprotein([V]LDL)(free)cholesterol and phospholipid levels,low particle number,and higher levels of LDL triglycerides were associated with a higher risk of malnutrition(variable importance in projection[VIP]value>1.5).Low levels of most(V)LDL and intermediate-density lipoprotein subfractions and high levels of high-density lipoprotein Apo-A1 were associated with the diagnosis of malnutrition(VIP value>1.5).Increased levels of dimethyl sulfone,trimethylamine N-oxide,creatinine,N,N-dimethylglycine,and pyruvic acid and decreased levels of creatine,methionine,and acetoacetic acid were also indicative of malnutrition(VIP value>1.5).Overall,14 lipoproteins and 1 small metabolite were significantly associated with a high risk of malnutrition during ICU admission(P<0.05);however,the association did not persist after correcting the false discovery rate(P=0.35 for all).Conclusion:Increased triglyceride in sev

关键词： Trauma Severely injured Metabolites Lipoproteins Malnutrition Nutritional status

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

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

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：