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E-Learning and Learning Management System in Small Enterprises

通讯和计算机（中英文版） 2011年第3期8卷 211-221页

作者： V.V.R. Raman Veena tewari Asmara College of Health Sciences Asmara Post box 9555 Eritrea College of Business ＆ Economics Halhale Post box 9555 Eritrea

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Use of stereotactic radiosurgery in the treatment of gynecologic malignancies:A review

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World Journal of Radiology 2014年第6期6卷 366-373页

作者： Beverly Long Ramez N Eskander Krishnansu S tewari Department of Obstetrics and Gynecology Uni-versity of California Irvine Medical Center Orange CA 92868 United States Division of Gy-necologic Oncology Department of Obstetrics and Gynecology University of California Irvine Medical Center Orange CA 92868 United States

Recent retrospective studies have reported the use ofstereotactic radiosurgery(SRS) in the treatment of gy-necologic cancers. SRS uses real-time imaging and highdose radiation beams attached to precise robotic armsto target malignant lesions while sparing normal *** purpose of this review is to examine the indicationsfor SRS in gynecologic oncology, review the currentliterature regarding the use of SRS in gynecologic can-cers, and identify future directions for research in thisarea. Literature on stereotactic radiosurgery was re-viewed using the PubMed search engine. Articles writ-ten in English from 1993-2013 were reviewed, and 20 case series and clinical trials were included. The safetyand efficacy SRS has been demonstrated in all gyne-cologic disease sites including cervical, endometrial,vulvar, vaginal, and ovarian cancers. Indications for itsuse include non-central pelvic recurrences in previouslyirradiated patients, complex or non-resectable diseaserecurrence, and solitary brain metastases. Toxicitiesare usually mild, though grade 3-4 toxicities have been reported. SRS is a promising second line treatment modality for patients with primary or recurrent disease who cannot undergo standard surgical or radiation therapy. Further research is required to determine optimal dosing and fractionation schedules, delineate appropriate patient populations, and assess longterm morbidity and survival.

关键词： Stereotactic 镭外科学 Stereotactic 身体放射疗法妇科的肿瘤学

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Periodontal surgery in a stage Ⅱ Parkinson's disease patient:Report of a case with special considerations

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World Journal of Neurology 2017年第2期7卷 24-27页

作者： Ritika Arora R K Sharma Shikha tewari Himanshu Kapoor Department of Periodontology Subharti Dental College Department of Periodontology Post Graduate Institute of Dental Sciences Department of Pedodontics and Preventive Dentistry Subharti Dental College

Parkinson's disease(PD) is an idiopathic progressive neurological disorder characterised by resting tremor, restrictions in mobility and muscular rigidity that can lead to problems in maintaining oral health. Here we report a case where crown lengthening surgeries were successfully performed in a PD patient for complete oral rehabilitation. Certain special considerations that are required before and during periodontal surgery in such patients are also elucidated. Often dentists and PD patients are reluctant to embark on complex dental procedures resulting in a compromised outcome. However, early intervention along with proper education and motivation of these patients can aid in achieving satisfactory results.

关键词： Parkinson’s disease Overdenture Crown lengthening

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后腹腔镜下节段性肾动脉阻断保留肾单位手术的初步结果和体会

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临床泌尿外科杂志 2014年第10期29卷 874-877页

作者：陈方敏石家齐李登宝李海峰杨昊严波任德帅张鹏钟渠梁陈程姜锡男 Ashutosh tewari 贵阳医学院附属医院泌尿外科贵阳550004 贵州省人民医院泌尿外科齐齐哈尔医学院附属第三医院泌尿外科康奈尔大学Weill医学中心泌尿外科肿瘤研究所

目的：探讨后腹腔镜下节段性肾动脉阻断保留肾单位肾部分切除术治疗局限性小肾肿瘤的临床应用价值和初步结果。方法：回顾性总结贵阳医学院附属医院2011年9月-2013年6月采取后腹腔镜下节段性肾动脉阻断保留肾单位肾部分切除术治疗局限... 详细信息

目的：探讨后腹腔镜下节段性肾动脉阻断保留肾单位肾部分切除术治疗局限性小肾肿瘤的临床应用价值和初步结果。方法：回顾性总结贵阳医学院附属医院2011年9月-2013年6月采取后腹腔镜下节段性肾动脉阻断保留肾单位肾部分切除术治疗局限性小肾肿瘤患者44例。男26例,女18例,平均年龄50.2岁;平均肿瘤直径（2.8±0.9）cm;肿瘤位于下极25例,中极10例,上极9例;T1a期36例,良性肿瘤8例;肾透明细胞癌23例,乳头状癌7例,嫌色细胞癌6例,肾错构瘤8例。统计患者手术时间（min）、术中出血量（ml）、术后胃肠功能恢复时间（h）、手术并发症发生率（%）、切缘阳性率（%）、总住院时间（d）以及术后6个月术侧肾的肾小球滤过率（eGFR）下降（%）等参数,所有患者随访6-12个月,监测肿瘤复发情况。结果：44例患者手术时间110-192min,平均132min;术中出血40-120ml,平均74ml,无一例输血,无中转;术后胃肠功能恢复时间16.2-23.5h,平均19.3h;手术并发症发生率9.1%（4/44）;住院时间4-9d,平均4.6d;切缘阳性率2.3%（1/44）。患者随访期内无肿瘤复发,术后6个月44例患肾eGFR较术前无明显变化。术后6-12个月7例（7/44,15.9%）患肾eGFR较术前下降13.4-18.5ml/min,平均下降15.2ml/min（P〈0.05）。结论：后腹腔镜下节段性肾动脉阻断保留肾单位肾部分切除术具有创伤小、术中失血量少、胃肠功能恢复快、手术并发症少、住院时间短等优点。少部分患者术后远期患肾肾功能有一定影响,需要进一步观察。该术式是治疗局限性小肾肿瘤的一种安全有效的手术方法。

关键词：局限性小肾肿瘤保留肾单位肾部分切除术腹腔镜节段性肾动脉阻断

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