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National trends in resection of the distal pancreas

World Journal of Gastroenterology 2012年第32期18卷 4342-4349页

作者： Armando Rosales-Velderrain Steven P Bowers ross F Goldberg Tatyan M Clarke Mauricia A Buchanan john A Stauffer Horacio J Asbun Department of General Surgery Mayo Clinic FloridaJacksonvilleFL 32225United States

AIM:To investigate national trends in distal pancreatectomy(DP) through query of three national patient care ***:From the Nationwide Inpatient Sample(NIS,2003-2009),the National Surgical Quality Improvement Project(NSQIP,2005-2010),and the Surveillance Epidemiology and End Results(SEER,2003-2009) databases using appropriate diagnostic and procedural codes we identified all patients with a diagnosis of a benign or malignant lesion of the body and/or tail of the pancreas that had undergone a partial or distal *** of laparoscopy was defined in NIS by the International Classification of Diseases,Ninth Revision correspondent procedure code;and in NSQIP by the exploratory laparoscopy or unlisted procedure current procedural terminology *** SEER,patients were identified by the International Classification of Diseases for Oncology,Third Edition diagnosis codes and the SEER Program Code Manual,third edition procedure *** analyzed the databases with respect to trends of inpatient outcome metrics,oncologic outcomes,and hospital volumes in patients with lesions of the neck and body of the pancreas that underwent operative ***:NIS,NSQIP and SEER identified 4242,2681 and 11 082 DP resections,***,laparoscopy was utilized in 15%(NIS) and 27%(NSQIP).No significant increase was seen over the course of the *** was performed for malignancy in 59%(NIS) and 66%(NSQIP).Neither patient Body mass index nor comorbidities were associated with operative approach(P = 0.95 and P = 0.96,respectively).Mortality(3% vs 2%,P = 0.05) and reoperation(4% vs 4%,P = 1.0) was not different between laparoscopy and open *** complications(10% vs 15%,P < 0.001),hospital costs [44 741 dollars,interquartile range(IQR) 28 347-74 114 dollars vs 49 792 dollars,IQR 13 299-73 463,P = 0.02] and hospital length of stay(7 d,IQR 4-11 d vs 7 d,IQR 6-10,P < 0.001) were less when laparoscopy was *** and two year sur

关键词： Laparoscopic distal pancreatectomy Trends Nationwide Inpatient Sample National Surgical Quality Improvement Project Surveillance epidemiology and end results

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Scaffolds based therapy for osteochondral lesions of the talus:A systematic review

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World Journal of Orthopedics 2017年第10期8卷 798-808页

作者： Yoshiharu Shimozono Youichi Yasui Andrew W ross Wataru Miyamoto john G Kennedy Hospital for Special Surgery New York Department of Orthopaedic Surgery Teikyo University School of Medicine Department of Orthopaedic Surgery Kyoto University Graduate School of Medicine

AIM To clarify the effectiveness of scaffold-based therapy for osteochondral lesions of the talus(OLT). METHODS A systematic search of MEDLINE and EMBASE databases was performed during August 2016 and updated in January 2017. Included studies were evaluated with regard to the level of evidence(LOE) and quality of evidence(QOE) using the Modified Coleman Methodology Score. Variable reporting outcome data, clinical outcomes, and the percentage of patients who returned to sport at previous level were also evaluated. RESULTS Twenty-eight studies for a total of 897 ankles were included; 96% were either LOE Ⅲ or Ⅳ. Studies were designated as either of poor or fair quality. There were 30 treatment groups reporting six different scaffold repair techniques: 13 matrix-induced autologous chondrocyte transplantation(MACT), nine bone marrow derived cell transplantation(BMDCT), four autologous matrixinduced chondrogeneis(AMIC), and four studies of other techniques. The categories of general demographics(93%) and patient-reported outcome data(85%) were well reported. Study design(73%), imaging data(73%), clinical variables(49%), and patient history(30%) were also included. The weighted mean American Orthopaedic Foot and Ankle Society(AOFAS) score at final follow-up was: 86.7 in MACT, 88.2 in BMDCT, and 82.3 in AMIC. Eight studies reported that a weighted mean of 68.3% ofpatients returned to a previous level of sport activity. CONCLUSION Scaffold-based therapy for OLT may produce favorable clinical outcomes, but low LOE, poor QOE, and variability of the data have confounded the effectiveness of this treatment.

关键词： Scaffold Ankle Talar osteochondral lesion Systematic review Cartilage

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Beyond the Pediatric end-stage liver disease system: Solutions for infants with biliary atresia requiring liver transplant

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World Journal of Gastroenterology 2014年第32期20卷 11062-11068页

作者： Mary Elizabeth M Tessier Sanjiv Harpavat ross W Shepherd Girish S Hiremath Mary L Brandt Amy Fisher john A Goss Department of Pediatrics Baylor College of Medicine and Texas Children’s Hospital Department of Pediatrics Baylor College of Medicine and Texas Children’s Hospital Houston Department of Surgery Baylor College of Medicine and Texas Children’s HospitalHouston

Biliary atresia(BA), a chronic progressive cholestatic disease of infants, is the leading cause for liver transplant in children, especially in patients under two years of age. BA can be successfully treated with the Kasai portoenterostomy; however most patients still require a liver transplant, with up to one half of BA children needing a transplant by age two. In the current pediatric end-stage liver disease system, children with BA face the risk of not receiving a liver in a safe and timely manner. In this review, we discuss a number of possible solutions to help these children. We focus on two general approaches:(1) preventing/delaying need for transplantation, by optimizing the success of the Kasai operation; and(2) expediting transplantation when needed, by performing techniques other than the standard deceased-donor, whole, ABO-matched organ transplant.

关键词： Biliary atresia Liver transplantation Pediatric liver disease Pediatric end-stage liver disease Kasai operation Newborn screening Surgical outcomes Living-related donor transplantation Split liver transplantation ABO-incompatible liver transplantation

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Developing a coordinate-based strategy to support cognitive targeted prostate biopsies and correlative spatial-histopathological outcome analysis

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Asian Journal of Andrology 2021年第3期23卷 231-235页

作者： Keiran D Clement Lizzy Day Helen Rooney Matt Neilson Fiona Birrell Mark Salji Elizabeth Norm an ross Clark Amit Patel john Morrison Hing Y Leung Departm ent of Urology Queen Elizabeth University Hospital1345 Govan RdGlasgow G514TFUK Department of Urology Ayr University HospitalDalmellington RdAyr KA66DXUK CRUK Beatson Institute for Cancer Research Garscube EstateBearsdenGlasgow G611BDUK lnstitute of Cancer Sciences University of GlasgowBearsdenGlasgow G611BDUK Department of Radiology NHS Greater Glasgow and ClydeGlasgow G514TFUK.

Lack of investment for magnetic resonance(MR)fusion systems is an obstacle to deliver targeted prostate biopsies within the prostate cancer diagnostic *** developed a coordinate-based method to support cognitive targeted prostate biopsies and then performed an audit on cancer detection and the location of *** each patient,the prostate is considered as two separate hemiprostates,and each hemiprostate is divided into 4×4×4 *** unit is therefore defined by a three-dimensional *** prospectively applied our coordinates approach to target 106 prostatic lesions in 93 *** 45(of 106;42.5%)lesions positive for cancer,27 lesions(60.0%)harbored clinically significant *** density was significantly higher in patients with proven cancer(median:0.264 ng ml^(-2))when compared to the noncancer group(median:0.145 ng ml-2;P=0.003,Wilcoxon ranksum test).Lesions with Prostate Imaging-Reporting and Data System(PIRADS)score of 5 were found to have a cancer incidence of 65.2%,while PI RADS 4 and 3 lesions have a lower risk of cancer detection,as expected,at 37.3%and 31.3%,*** probability of a lesion being cancerous in our series significantly decreases as we go from the“apex-to-base”dimension(odds ratio[OR]:2.62,95%confidence interval[Cl]:1.55-4.44,P=0.00034).Our analysis also indicates that the probability of cancer decreases as the prostate volume increases(OR:1.03,95%Cl:1.01-1.05,P=0.00327).Based on this feasibility study,the use of coordinates to guide cognitive targeted prostate biopsies warrants future validation study in additional centers.

关键词： cognitive targeted prostate biopsies coordinates magnetic resonance imaging prostate cancer

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Heather ross prints

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2012年

作者： photographs by john Green by Heather ross

ISBN: (纸本)9781584799955

Heather ross Prints is an innovative craft book from the author of Weekend Sewing (published by STC Craft, 2009). In addition to being a designer and seamstress, Heather is well known for her whimsi(更多) Heather ross Prints is an innovative craft book from the author of Weekend Sewing (published by STC Craft, 2009). In addition to being a designer and seamstress, Heather is well known for her wh

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来源：畅想之星图书光盘版（南... 评论

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微生物封堵技术(Bio-Sealing)用于隧道防水

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现代隧道技术 2007年第Z1期44卷 42-44页

作者： john Lambert Vasco Veenbergen Nathalie ross 荷兰国家岩土工程研究所(GeoDelft) 荷兰国家岩土工程研究所(GeoDelft) 加拿大渥太华大学

　　荷兰国家岩土工程研究所(GeoDelft)近来提出了一个称为SmartSoils的新概念.Smart Soils,意即人们所需要的土,其着眼点在于土的某些性质(如渗水性、刚度和强度),以及如何将它们改良,使之能满足工程建设的某些要求.这些新的技术在岩...

　　荷兰国家岩土工程研究所(GeoDelft)近来提出了一个称为SmartSoils的新概念.Smart Soils,意即人们所需要的土,其着眼点在于土的某些性质(如渗水性、刚度和强度),以及如何将它们改良,使之能满足工程建设的某些要求.这些新的技术在岩土工程中可以被广泛应用.……

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Football injuries of the ankle: A review of injury mechanisms, diagnosis and management

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World Journal of Orthopedics 2016年第1期7卷 8-19页

作者： Raymond J Walls Keir A ross Ethan J Fraser Christopher W Hodgkins Niall A Smyth Christopher J Egan James Calder john G Kennedy Department of Foot and Ankle Surgery Hospital for Special Surgery New York University of Miami/Jackson Memorial Hospital Department of Trauma and Orthopaedic Surgery Chelsea and Westminster Hospital

Football is the most popular sport worldwide and is associated with a high injury rate, most of which are the result of trauma from player contact. Ankle injuries are among the most commonly diagnosed injuries in the game. The result is reduced physical activity and endurance levels, lost game time, and considerable medical cost. Sports medicine professionals must employ the correct diagnostic tools and effective treatments and rehabilitation protocols to minimize the impact of these injuries on the player. This review examines the diagnosis, treatment, and postoperative rehabilitation for common football injuries of the ankle based on the clinical evidence provided in the current literature.

关键词： Management Soccer Football Ankle Injury

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Cardiac rehabilitation and exercise therapy in the elderly： Should we invest in the aged？

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Journal of Geriatric Cardiology 2012年第1期9卷 68-75页

作者： Arthur R Menezes Carl J Lavie Richard V Milani ross A Arena Timothy S Church Department of Cardiovascular Diseases John Ochsner Heart and Vascular Institute Ochsner Clinical School The University of Queensland School ofMedicine 1514 Jefferson Highway New Orleans LA 70121 USA Department of Orthopaedics Physical Therapy Program and Division of Cardiology Department of Internal Medicine University of New MexicoAlbuquerque NM87131 USA Department of Preventive Medicine Pennington Biomedical Research Center Louisiana State University System Baton Rouge LA 70808 USA

Coronary heart disease （CHD） is the leading cause of death worldwide and becomes increasingly prevalent among patients aged 65 years and *** patients are at a higher risk for complications and accelerated physical deconditioning after a cardiovascular event,especially compared to their younger *** last few decades were privy to multiple studies that demonstrated the beneficial effects of cardiac rehabilitation （CR） and exercise therapy on mortality,exercise capacity,psychological risk factors,inflammation,and obesity among patients with ***,a significant portion of the available data in this field pertains to younger patients.A viable explanation is that older patients are grossly underrepresented in these programs for multiple reasons starting with the patient and extending to the *** this article,we will review the benefits of CR programs among the elderly,as well as some of the barriers that hinder their participation.

关键词： Cardiac rehabilitation Exercise therapy Elderly patients Exercise capacity

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i-Tree Eco Analysis of Landscape Vegetation on Remediated Areas of Oak Ridge National Laboratory

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Open Journal of Forestry 2020年第4期10卷 412-427页

作者： Sally ross Sharon Jean-Philippe Wayne Clatterbuck Neil Giffen Jamie Herold john Zobel School of Environment and Natural Resources The Ohio State University Columbus OH USA Department of Forestry Wildlife and Fisheries University of Tennessee Knoxville USA Oak Ridge National Laboratory Oak Ridge TN USA University of Minnesota Saint Paul MN USA

The Oak Ridge National Laboratory (ORNL) is the largest and most diverse energy, research, and development institution within the Department of Energy (DOE) system in the United States. As such, the site endures constant land development that creates rigorous growing conditions for urban vegetation. Natural resource managers at ORNL recognize that trees are an integral component of the landscape and are interested in characterizing the urban forest and their associated ecosystem services benefits. We evaluated the urban forest structure, quantified ecosystem services and benefits, and estimated economic value of resources using i-Tree Eco at ORNL. While this assessment captured over 1100 landscape trees, the ORNL Natural Resources Management for landscape vegetation can be expanded to include unmanaged landscapes, e.g. riparian areas, greenspace, and other vegetative attributes to increase ecosystem services benefits. Assigning a monetary value to urban forest benefits help to inform decisions about urban forest management, ideally on cost-benefit analysis.

关键词： Urban Tree(s) Urban Forest Urban Vegetation Landscape Vegetation Tree Inventory Tree Assessment Ecosystem Service(s) Ecological Function i-Tree Eco Economic Valuation

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GP prescribing in Northern Ireland by deprivation index:retrospective analysis

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Family Medicine and Community Health 2020年第3期8卷 18-26页

作者： john Scott Frazer Glenn ross Frazer Somerville College University of OxfordOxfordUK School of Mathematics and Physics Queen's University BelfastBelfastUK

Objective In the present study,we sought to explore the relationship between socioeconomic status and prescribing magnitude and cost in primary care throughout Northern *** We performed a retrospective data analysis of general practitioner(GP)prescribing using open-source databases with data collected from May to October 2019 to determine the number of prescriptions and cost of drugs and drug classes by area,ranking these by deprivation *** used Kendall’s tau to quantify the relationship between prescribing and *** We analysed open-source data collected from 325 GP practices in Northern Ireland during the period from May to October *** We analysed a total of 2764303 prescriptions signed during our study *** Our study indicates a clear trend of increased overall spending per patient(r=−0.1232,p=0.02)and number of prescriptions per patient(r=−0.3440,p<0.001)in areas of higher *** mean cost per item was higher in less deprived areas(r=0.3809,p<0.001).Overall,£13.79 more was spent and 3.5 more items were prescribed per patient in the most compared with the least deprived decile,although more expensive items tended to be prescribed in areas with lower socioeconomic deprivation(£11.27 per item vs£9.20 per item).We found a statistically significant correlation of prescribing of key drug classes,such as bronchodilators,antidepressants and drugs used to treat diabetes,among others,with greater *** of vaccines and drugs used in the treatment of glaucoma was correlated with lower *** We provide an exploration of the correlation of prescribing with deprivation by analysing all prescriptions signed within a 6-month period in Northern *** study broadly agrees with published literature,although a few notable exceptions are *** provide evidence of discrepancies in medication cost between areas of differing deprivation and suggest possible explanations for t

关键词： prescription drugs prescribed

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