检索结果-南通市图书馆

堪萨斯州小麦收获中出现1例因小麦颗粒导致的近乎死亡的窒息

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

世界核心医学期刊文摘（儿科学分册） 2006年第1期2卷 45-46页

作者： Arneson M. jensen A. Grewal h. 李丹平智广 Department of Surgery Temple University School of Medicine Temple University Children's Medical Center Philadel phia PA 19140 United States

We present a patient who had a near-fatal asphyxiation with wheat particles. A previously healthy 11-year-old boy slipped into wheat being unloaded from a transport wagon and was immediately submersed. On arrival at the hospital, he wa s found to have grain impacted in both mainstem bronchi. A combination of flexib le and rigid bronchoscopy with optical forceps and Fogarty balloon catheters was successful in clearing the airways. The removal of the particles through the us e of small bronchoscopic instruments is a tedious and delicate procedure, but in this case, it resulted in a life saved.

关键词：气管镜嵌塞异物钳主支气管医院检查单调乏味

维普期刊数据库

在线全文

学校读者我要写书评

暂无评论

颈椎椎管磁共振摄影术

放射学实践 1987年第3期 94-99页

作者： Von B.Terwey ,F.Koschorek ,h.P.jensen ,王璁同济医科大学附属协和医院

为了将肯定的经验和尚待解决的问题评论和整理,现将我们的经验与迄今各家发表的结果进行比较. 检查方法和病例资料使用场强0.35特斯拉超导磁体(Magnetom,Erlangen西门子公司出品).为了获得颈椎椎管的最佳空间分辨力,使用所谓“头部线圈... 详细信息

为了将肯定的经验和尚待解决的问题评论和整理,现将我们的经验与迄今各家发表的结果进行比较. 检查方法和病例资料使用场强0.35特斯拉超导磁体(Magnetom,Erlangen西门子公司出品).为了获得颈椎椎管的最佳空间分辨力,使用所谓“头部线圈”(直径30cm鞍状线圈).患者仰卧,头下用颈制泡沫塑料垫、两侧用楔形硬泡沫塑料枕固定,使颈椎处于舒适位置以免产生运动伪迹.只有当颈髓病而须在前俯、后仰及中性位置上拍片,才须改变上述原则. 对患者详细解说检查过程,以减少运动

关键词：颈椎椎管信号强度脑脊液磁共振脊髓空洞髓内肿瘤颈髓摄影术

Erythrocyte invasions and receptor heterogeneity in field isolates of Nanay river basin Iquitos

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

Asian Pacific Journal of Tropical Medicine 2012年第8期5卷 589-593页

作者： Kuppusamy Chenniappan Sarah h Johns Laboratorio de Investigacion deproductos Naturales Antiparasitarios de la Amazonia UNAPPampa chicaIquitosPeru 065

Objective:To determine whether the requirements for sialic acid varies and whether several types of silaic acid independent receptors utilized for invasion mechanisms of fresh filed isolates collected around Nanay river basin,***:The field isolates were cultured as described previously by jensen and Trager and MR4 protocol with little *** erythrocytes preparation and subsequent enzyme treatment was done as described previously by *** little *** assay was performed as described previously by Sharma et al with little ***:The Nanay river basin isolates showed five types of invasion mechanisms or types of receptors-ligand *** we observed that an equal numbers of neuraminidase sensitive and resistant invasion receptor-ligand interaction profiles as the most common receptor-ligand invasion *** resistance trypsin sensitive chymotrypsin sensitive(NM_RT_SCT_S) invasion of receptor-ligand interaction profile was found in seven isolates,Five field isolates and one reference strain showed neuraminidase sensitive, trypsin sensitive and chymotrypsin resistant(NM_RT_SCT_R) invasion of receptor-ligand interactions, six isolates including one reference strains dd2 showed neuraminidase sensitive,trypsin and chymotrypsin resistance(NM_ST_RCT_R) indicating its dependence on sialic acids and independence of trypsin and chymotrypsin sensitive *** isolates showed neuraminidase sensitive, trypsin sensitive and chymotrypsin sensitive(NM_ST_SCT_S) invasion of receptor-ligand interactions, seven isolates were neuraminidase resistant,trypsin sensitive and chymotrypsin resistance (NM_RT_SCT_R) invasion of receptor-ligand interactions,indicating its dependence on trypsin sensitive ***:The Nanay river basin isolates showed five types of invasion mechanisms or types of receptors-ligand interactions.A full understanding of theses invasion mechanisms may allow the developm

关键词： Nanay river basin Invasion Sialic acid Plasmodium falciparum Malaria

亚临床和显性肥厚型心肌病左室张力异常:心脏MR特征追踪

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

国际医学放射学杂志 2019年第3期 353-354页

作者：庞国栋 D.M.Vigneault E.Yang P.J.jensen M.W.Tee h.Farhad L.Chu Department of Radiology and Imaging Sciences Clinical CenterNational Institutes of Health

摘要目的评价肥厚型心肌病(hCM)病人的心肌应变和周向跨壁应变差(cTSD,心外膜和心内膜周向应变的差异),并探讨cTSD与其他疾病状态下的解剖和功能指标之间

关键词：肥厚型心肌病亚临床 hCM MR

Neuroendocrine tumors of the small bowels are on the rise:Early aspects and management

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Endoscopy 2010年第10期2卷 325-334页

作者： hans Scherbl Robert T jensen Guillaume Cadiot Ulrich Stlzel Gnter Klppel Departments of Gastroenterology and Gastrointestinal Oncology Vivantes Klinikum Am UrbanBerlin 10967Germany Digestive Diseases Branch NIHBethesdaMD 20892United States Service d'hépato-Gastroentérologie Hpital Robert DebréReims 51092France Departments of Gastroenterology and Gastrointestinal Oncology Klinikum ChemnitzChemnitz 09116Germany Institute of Pathology Technische Universitt MnchenKlinikum rechts der IsarMnchen 81675Germany

Neuroendocrine tumors of the small bowel are on the rise. In the US they have increased by 300%-500% in the last 35 years. At the same time their prognosis is much improved. Today,most neuroendocrine tumors (NETs) of the duodenum are detected "incidentally" and therefore recognized at an early stage. Duodenal NETs which are well differentiated,not larger than 10 mm and limited to the mucosa/submucosa can be endoscopically resected. The management of duodenal NETs ranging between 10 and 20 mm needs an interdisciplinary discussion. Endoscopic ultrasound is the method of choice to determine tumor size and depth of infiltration. Surgery is recommended for well-differentiated duodenal NET tumors greater than 20 mm,for localized sporadic gastrinomas (of any size) and for localized poorly differentiated NE cancers. Surgery is recommended for any ileal NET. Advanced ileal NETs with a carcinoid syndrome are treated with longacting somatostatin analogs. This treatment significantly improves (progression-free) survival in patients with metastatic NETs of the ileum. For optimal NET management,tumor biology,type,localization and stage of the neoplasm,as well as the patient's individual circumstances have to be taken into account.

关键词： Carcinoid Gastrinoma Duodenum Jejunum Ileum Cancer Multiple endocrine neoplasia

Management of early gastrointestinal neuroendocrine neoplasms

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Endoscopy 2011年第7期3卷 133-139页

作者： hans Scherübl Robert T jensen Guillaume Cadiot Ulrich Stlzel Günter Klppel Departments of Gastroenterology Gastrointestinal Oncology and Infectious Diseases Vivantes Klinikum Am Urban Berlin 10967 Germany Digestive Diseases Branch NIH Bethesda MD 20892 United States Service d'hépato-Gastroentérologie Hpital Robert Debré Reims 51092 France Departments of Gastroenterology and Gastrointestinal Oncology Klinikum Chemnitz Chemnitz 09116 Germany Department of Pathology Technical University München Klinikum rechts der Isar München 81675 Germany

Neuroendocrine neoplasms (NENs) of the stomach, duo- denum, appendix or rectum that are small (≤ 1 cm) and well differentiated can be considered "early" tumors, since they generally have a (very) good prognosis. In the new WhO classification of 2010, these neoplasms are called neuroendocrine tumors/ carcinoids (NETs), grade (G) 1 or 2, and distinguished from poorly differentiated neuroendocrine carcinomas (NECs), G3. NETs are increasing, with a rise in the age-adjusted incidence in the U.S.A. by about 700 % in the last 35 years. Improved early detection seems to be the main reason for these epidemiological changes. Both the better generalavailability of endoscopy, and imaging techniques, have led to a shift in the discovery of smaller-sized (≤ 10-20 mm) intestinal NETs/carcinoids and earlier tumor stages at diagnosis. Endoscopic screening is therefore effective in the early diagnosis, not only of colorectal adenocarcinomas, but also of NETs/carcinoids. Endoscopic removal, followed up with endoscopic surveillance is the treatment of choice in NETs/carcinoids of the stomach, duodenum and rectum that are ≤ 10 mm in size, have a low proliferative activity (G1), do not infiltrate the muscular layer and show no angioinvasion. In all the other intestinal NENs, optimal treatment generally needs surgery and/or medical therapy depending on type, biology and stage of the tumor, as well as the individual situation of the patient.

关键词： Neuroendocrine tumor Carcinoid Stomach Duodenum Gut Appendix Rectum Small size Prognosis Treatment

Risk for emerging bipolar disorder, variants, and symptoms in children with attention deficit hyperactivity disorder, now grown up

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Psychiatry 2015年第4期5卷 412-424页

作者： Ahmed Z Elmaadawi Peter S jensen L Eugene Arnold Brooke SG Molina Lily hechtman howard B Abikoff Stephen P hinshaw Jeffrey h Newcorn Laurence Lee Greenhill James M Swanson Cathryn A Galanter Department of Psychiatry Indiana University School of Medicine-South Bend Campus REACh Institute Department of Psychiatry Ohio State University Department of Psychiatry University of Pittsburgh Department of Psychiatry and Pediatrics McGill University Health Center Department of Child and Adolescent Psychiatry The Child Study Center at NYU Langone Medical Center Department of Psychology University of California Department of Psychiatry and Pediatrics Icahn School of Medicine at Mount Sinai Department of Clinical Child and Adolescent Psychiatry New York Psychiatric Institute Department of Pediatrics and Epidemiology Child Development Center University of California Department of Psychiatry State University of New York Downstate Medical Center and Kings County Hospital Center

AIM: To determine the prevalence of bipolar disorder(BD) and sub-threshold symptoms in children with attention deficit hyperactivity disorder(ADhD) through 14 years' follow-up, when participants were between 21-24 years ***: First, we examined rates of BD type Ⅰ?and Ⅱ diagnoses in youth participating in the NIMh-funded Multimodal Treatment Study of ADhD(MTA). We used the diagnostic interview schedule for children(DISC), administered to both parents(DISC-P) and youth(DISCY). We compared the MTA study subjects with ADhD(n = 579) to a local normative comparison group(LNCG, n = 289) at 4 different assessment points: 6, 8, 12, and 14 years of follow-ups. To evaluate the bipolar variants, we compared total symptom counts(TSC) of DSM manic and hypomanic symptoms that were generated by DISC in ADhD and LNCG subjects. Then we sub-divided the TSC into pathognomonic manic(PM) and non-specific manic(NSM) symptoms. We compared the PM and NSM in ADhD and LNCG at each assessment point and over time. We also evaluated the irritability as category A2 manic symptom in both groups and over time. Finally, we studied the irritability symptom in correlation with PM and NSM in ADhD and LNCG ***: DISC-generated BD diagnosis did not differ significantly in rates between ADhD(1.89%) and LNCG 1.38%). Interestingly, no participant met BD diagnosis more than once in the 4 assessment points in 14 years. however, on the symptom level, ADhD subjects reported significantly higher mean TSC scores: ADhD 3.0; LNCG 1.7; P hD status was associated with higher mean NSM: ADhD 2.0 vs LNCG 1.1; P hD subjects had higher PM symptoms than LNCG, with PM means over all time points of 1.3 ADhD; 0.9 LNCG; P = 0.0001. Examining both NSM and PM, ADhD status associated with greater NSM than PM. however, Over 14 years, the NSM symptoms declined and changed to PM over time(df 3, 2523; F = 20.1; P < 0.0001). Finally, Irritability(BD DSM criterion-A2) rates were significa

关键词： Multimodal treatment study of attention deficit hyperactivity disorder Irritability Attention deficit hyperactivity disorder Diagnostic interview schedule for children Bipolar disorder

ThE 4C APPROACh AS A WAY TO UNDERSTAND SPECIES INTERACTIONS DETERMINING INTERCROPPING PRODUCTIVITY

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Frontiers of Agricultural Science and Engineering 2021年第3期8卷 387-399页

作者： Eric JUSTES Laurent BEDOUSSAC Christos DORDAS Ela FRAK Gaetan LOUARN Simon BOUDSOCQ Etienne-Pascal JOURNET Anastasios LIThOURGIDIS Chrysanthi PANKOU Chaochun ZhANG Georg CARLSSON Erik Steen jensen Christine WATSON Long LI CIRAD Persyst Department34398 MontpellierFrance AGIR Univ ToulouseENSFEAINRAECastanet-TolosanFrance School of Agriculture Aristotle University of ThessalonikiThessalonikiGreece INRAE UR4URP3F86600 LusignanFrance INRAE UMR Eco&Sols34398 MontpellierFrance AGIR Univ ToulouseINRAECastanet-TolosanFrance LIPM Univ ToulouseCNRSCastanet-TolosanFrance China Agriculture University(CAU) Beijing 100193China Swedish University of Agricultural Sciences(SLU) AlnarpSweden Scotland’s Rural College(SRUC) AberdeenUK

Modern agriculture needs to develop transition pathways toward agroecological,resilient and sustainable farming *** key pathway for such agroecological intensification is the diversification of cropping systems using intercropping and notably cereal-grain legume *** mixtures or intercrops have the potential to increase and stabilize yields and improve cereal grain protein concentration in comparison to sole *** mixtures are complex and the 4C approach is both a pedagogical and scientific way to represent the combination of four joint effects of Competition,Complementarity,Cooperation,and Compensation as processes or effects occurring simultaneously and dynamically between species over the whole cropping *** is when plants have fairly similar requirements for abiotic resources in space and time,the result of all processes that occur when one species has a greater ability to use limiting resources(e.g.,nutrients,water,space,light)than *** is when plants grown together have different requirements for abiotic resources in space,time or *** is when the modification of the environment by one species is beneficial to the other(s).Compensation is when the failure of one species is compensated by the other(s)because they differ in their sensitivity to abiotic *** 4C approach allows to assess the performance of arable intercropping versus classical sole cropping through understanding the use of abiotic resources.

关键词： compensation competition complementarity cooperation interspecific interactions land equivalent ratio light nutrients species mixtures water

维普期刊数据库

A型肉毒杆菌毒素预防治疗慢性紧张型头痛的多中心、双盲、随机、安慰剂对照、平行分组研究

在线全文

学校读者我要写书评

暂无评论

世界核心医学期刊文摘(神经病学分册) 2006年第10期 13-14页

作者： Silberstein S.D. Gbel h. jensen R. 樊慧婷 Department of Neurology Jefferson Headache Center Thomas Jefferson University Hospital 111 South 11th Street Philadelphia PA19107United States Dr.

We studied the safety and efficacy of 0 U, 50 U, 100 U, 150 U (five sites), 86 Usub and 100 Usub (three sites) botulinum toxin type A (BoNTA; BOTOX ; Allergan, Inc., Irvine, CA, USA)- for the prophylaxis of chronic tension- type headache (CTTh). Three hundred patients (62.3% female; mean age 42.6 years)- enrolled. For the primary endpoint, the mean change from baseline in the number of TTh- free days per month, there was no statistically significant difference between placebo and four BoNTA groups, but a significant difference favouring placebo vs. BoNTA 150 was observed (4.5 vs. 2.8 tension headachefree days/month; P = 0.007). All treatment groups improved at day 60. Although efficacy was not demonstrated for the primary endpoint, at day 90, more patients in three BoNTA groups had ≥ 50% decrease in tension headache days than did placebo (P ≤ 0.024). Most treatment- related adverse events were mild or moderate, and transient. BoNZA was safe and well- tolerated in the study.

关键词：肉毒杆菌毒素紧张型安慰剂空白剂预防治疗头痛头疼疼痛