检索结果-南通市图书馆

世界核心医学期刊文摘（儿科学分册） 2006年第5期2卷 52-53页

作者： Bradley j.P. Bacharier L.B. Bonfiglio j. m. Castro 刘莉 Washington University School of Medicine Campus Box 8052 660 S Euclid Ave St Louis MO 63110-1093 United StatesDr

Obj.ctive. Respiratory syncytial virus (RSV) bronchiolitis is a com.on cause of hospitalizations in children and has been increasingly identified as a risk factor in the developm.nt of asthm.. Little is known about what determ.nes the severity of RSV bronchiolitis, which m.y be helpful in the initial assessm.nt of these children. Design. We evaluated a variety of environm.ntal and host factors that m.y contribute to the severity of RSV bronchiolitis in the RSV Bronchiolitis in Early Life prospective cohort study. Severity of bronchiolitis was based on the quantization of lowest O2 saturation and the length of stay. These factors included the child’s and fam.ly’s dem.graphics, presence of household allergens (dust m.te, cat, dog, and cockroach), peripheral blood eosinophil count, im.unoglobulin E level, infant feeding, prior illnesses, exposure to intrauterine and postnatal cigarette sm.ke, and fam.ly history of atopy. Patients. We prospectively enrolled 206 hospitalized infants, all under 12 m.nths old (4.0 ±3.3 m.nths old), with their first episode of severe RSV bronchiolitis (m.an O2 saturation: 91.6 ±7.3%; length of stay: 2.5±2.5 days; presence of radiographic opacities: 75%). Patients were excluded for a variety of reasons including previous wheezing, regular use of bronchodilator or antiinflam.atory m.dications, any preexisting lung disease including asthm., chronic lung disease of prem.turity/bronchopulm.nary dysplasia, or cystic fibrosis; gastroesophageal reflux disease on m.dical therapy; or congenital anom.lies of the chest or lung. Results. Age was found to be a significant factor in the severity of infection. The younger an infant was, the m.re severe the infection tended to be as m.asured by the lowest oxygen (O2) saturation. We also found that infants exposed to postnatal cigarette sm.ke from.the m.ther had a lower O2 saturation than those not exposed. However, there was no significant difference in RSV bronchiolitis severity between infants exposed onl

关键词：病毒性细支气管炎呼吸道合胞病毒严重程度遗传性过敏症吸烟最低氧饱和度前瞻性研究常见病因危险因素

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

Vascularized om.ntal tissue transfer for the treatm.nt of lym.hedem.:a review

引用

Plastic and Aesthetic Research 2023年第1期10卷 46-55页

作者： Rachel Skladm.n William.R.m.ritz Elij.h j.Tenenbaum.j.ani m.Christensen j.stin m.Sacks Division of Plastic and Reconstructive Surgery Washington University School of MedicineSt.LouisMO 63108USA

Lym.hedem. is a debilitating disorder caused by im.aired drainage of the lym.hatic *** the Western world,lym.hedem. m.st often arises secondary to the treatm.nt of *** with lym.hedem. experience progressive swelling,pain,num.ness,and tingling,and decreased quality of *** with persistent sym.tom. m.y be subj.ct to chronic *** advent of m.crosurgery has enabled clinicians to transplant donor lym.h nodes and their blood supply from.a healthy site to the affected area in a procedure known as vascularized lym.h node transplant(VLNT).One donor region is the *** om.ntal lym.h node transfer(VOLT)has been shown to decrease lim. volum.,circum.erence,and subj.ctive sym.tom. of *** im.unologic properties of the om.ntum.m.ke it a particularly useful lym.h node donor site for patients with lym.hedem.related *** om.ntum.m.y be harvested laparoscopically,with robotic assistance,or through a sm.ll laparotom. *** this review,we describe the relevant anatom. and history of VOLT as well as operative *** risks,benefits,and relevant outcom. studies will be *** applications of robotic surgery to VOLT will be addressed.

关键词： Lym.hedem. VOLT VLNT laparoscopy laparotom. gastroepiploic vessels cellulitis

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

围生期干预和新生儿存活率的关系

引用

世界核心医学期刊文摘（妇产科学分册） 2005年第3期1卷 17-18页

作者： louis j.m. Ehrenberg H.m. Collin m.F. m.rcer B.m. 李宁

The purpose of this study was to evaluate trends in the level of obstetric and neonatal intervention near the lim.t of viability and perinatal m.rbidity and m.rtality rates over tim.. In this retrospective chart review, live born infants who were delivered at 23 to 26 weeks of gestation and who weighed between 500 and 1500 g between 1990 and 2001 in an urban tertiary care center were identified. m.ternal charts were reviewed for clinical characteristics and antenatal and intrapartum.course. Neonatal charts were reviewed for short term.m.rbidities that included respiratory distress syndrom., intraventricular hem.rrhage, necrotizing enterocolitis, retinopathy of prem.turity, and survival. The study group was divided into 2 cohorts (group I:1990- 95; group II:1996- 2001); the obstetrician s willingness to intervene, neonatal resuscitation efforts, infant m.rtality (in gestational age subgroups) rate, and short term.m.rbidity rate were com.ared. m.ltivariate analyses, which controlled for obstetrician willingness to intervene, neonatal resuscitation, cohort, and gestational age, were perform.d to evaluate infant survival in the entire cohort and for m.rbidity in the survivors. Records for 260 m.thers and 293 newborn infants were evaluated. Com.aring the 2 cohorts (group I vs II), we found increases over tim. in intent to intervene for fetal indication (70% vs 89% ; P =. 0007), cesarean delivery for m.lpresentation (20% vs 42% ; P =. 0003), and survival (54% vs 70% ; P =. 003). Pregnancies in group 1 were less likely to have received antenatal steroids (7.7% vs 60% ) or surfactant (39% vs 73% ; P m.ng survivors, the incidences of necrotizing enterocolitis, retinopathy of prem.turity, intraventricular hem.rrhage, respiratory distress syndrom., sepsis, and bronchopulm.nary dysplasia did not decline s

关键词：新生儿存活率围生期新生儿复苏新生儿死亡率早产儿视网膜病产科医师活产儿脑室内出血胎先露呼吸窘迫综合征

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

玻璃体腔pegaptanib注射后发生视网膜色素上皮撕裂

引用

世界核心医学期刊文摘（眼科学分册） 2006年第9期2卷 16-17页

作者： Dhalla m. S. Blinder K. j. Tewari A. 曹绪胜(译) Dhalla Barnes Retina Institute St Louis MO United States 不详

PURPOSE:To report two cases of a retinal pigm.nt epithelial tear after intravitreal inj.ction of pegaptanib *** our knowledge,this is the first report of this finding after intraocular antivascular endothelial growth factor ***:Observational case ***:Two patients presented with occult choroidal neovascularization and associated serous pigm.nt epithelial detachm.nt that was a result of agerelated m.cular *** patients were treated with an intravitreal inj.ction of pegaptanib ***:One patient developed a retinal pigm.nt epithelium.tear one week after the intravitreal *** second patient developed a retinal pigm.nt epithelium.tear eight weeks after ***:Although these cases m.y represent natural history,there should be a high index of suspicion for retinal pigm.nt epithelium.tears in patients who report significant visual deterioration after intravitreal inj.ction of pegaptanib *** studies are needed to determ.ne whether angiographic subtypes of choroidal neovascular m.m.ranes are m.re susceptible to developing retinal pigm.nt epithelium.tears after treatm.ntwith antivascular endothelial growth factor agents.

关键词：色素上皮撕裂玻璃体腔视网膜注射后隐匿性脉络膜新生血管抗血管内皮生长因子老年性黄斑变性色素上皮脱离

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

对称格路与恒等式

引用

山东大学学报（理学版） 2015年第4期50卷 82-89,94页

作者：邓利华邓玉平 louis W.Shapiro 河南理工大学数学与信息科学学院河南焦作 454000 大连理工大学数学科学学院辽宁大连 116024 霍华德大学数学系，美国华盛顿哥伦比亚特区 20059

对一种简单而又重要的组合结构——对称格路进行了研究。记dn,m.,sn分别为长2n的对称Dyck格路,m.otzkin格路,Schr¨oder格路的个数。利用Riordan阵理论得到了他们之间所满足的六个组合恒等式并给予两个组合解释。最后,得到了特殊Riorda... 详细信息

对一种简单而又重要的组合结构——对称格路进行了研究。记dn,m.,sn分别为长2n的对称Dyck格路,m.otzkin格路,Schr¨oder格路的个数。利用Riordan阵理论得到了他们之间所满足的六个组合恒等式并给予两个组合解释。最后,得到了特殊Riordan阵系数所满足的恒等式。根据某些恒等式估计长为2n的对称Dyck路平均中间高度和平均落在x轴上的点的个数。

关键词：对称Dyck格路对称m.tzkin格路对称Schroder格路 Riordan阵恒等式

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

子宫内膜异位症与体型的相关性

引用

世界核心医学期刊文摘（妇产科学分册） 2006年第3期2卷 30-31页

作者： Hediger m.L. Hartnett H.j. louis G.m.B. 张剑萍 Division of Epidem.ology Statistics and Prevention Research National Institute of Child Health and Human Development National Institutes of Health 9000 Rockville Pike Bethesda MD 20892-7510 United States Dr.

Obj.ctive: To determ.ne whether body size and perceived figure, both current and historical, are associated with a diagnosis of endom.triosis on laparoscopy. Design: Cohort study of consecutively identified patients undergoing laparoscopy for tubal sterilization or as a diagnostic procedure. Setting: Two university-affiliated hospitals. Patient(s): A cohort of 84 wom.n aged 18-40 years. Endom.triosis was visualized in 32 cases; 52 wom.n (controls) had no visualized endom.triosis, including 22 undergoing tubal sterilization and 30 with other gynecologic pathology. Intervention(s): None. m.in Outcom. m.asure(s): Body m.ss index (Bm., kg/m.) from.self-report and perception of body figure were com.ared for their ability to predict case status (diagnosed endom.triosis), using logistic regression m.dels. Longitudinal trends in Bm. based on perceived figure at 5-year intervals from.age 15 years were com.ared using m.xed linear m.dels. Result(s): Based on self-report, wom.n diagnosed with endom.triosis were taller, thinner, and had a significantly lower Bm.. In this series, cases were m.re likely to be late m.turers (m.narche at ≥14 y) and late to initiate sexual activity (≥21 y), and they were less likely to be gravid, parous, and a current sm.ker. Adj.sting for age (in years), being tall (height ≥68 in), and parity (yes vs. no), a higher current Bm. was statistically protective for a diagnosis of endom.triosis, regardless of whether Bm. was determ.ned by self-report (adj.sted odds ratio AOR = 0.88, 95%confidence interval CI 0.79-0.99) or from.perceived figure (AOR = 0.86, 95%CI 0.75-0.99). For every unit increase in Bm. (kg/m.), there was an approxim.te 12%-14%decrease in the likelihood of being diagnosedwith endom.triosis. In an adj.sted repeated m.asures m.del, Bm. was 21.3 ±0.6 kg/m. (estim.te ±SE) for wom.n with endom.triosis, com.ared with 23.2 ±0.4 kg/m. for the controls, a difference over all ages of-1.9 ±0.8 kg/m.. This is a consistent difference of about 10 lb at

关键词：子宫内膜异位症异位病灶输卵管因素腹腔镜检查回归分析模型妇科疾病动态变化趋势足月分娩腔

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

法国烟雾血管病临床实践指南

引用

国际脑血管病杂志 2018年第5期26卷 321-330页

作者： D. Herve() m. Kossorotoff() D. Bresson() T. Blauwblom.e() m. Carneiro() E. Touze() F. Proust() I. Desguerre() S. Alam.witch() j.-P. Bleton() A. Borsali() E. Brissaud F.Brunelle() L. Calviere() m. Chevignard() G. Geffroy-Greco() S. Faesch() m.-O. Habert() H.De Larocque() P. m.yer() S. Reyes L. Thines() E. Tournier-Lasserve() H.Chabriat 郝方斌(译) 张勇(译) 韩聪(译) 段炼(译) From.the Departem.nt de neurologie centre de reference des maladies vasculaires rares du cerveau et de roeil (CERVCO) groupe hospitalier Saint- Louis-Lariboisiere-Femand-Widal 2 rue Ambroise-Pare 75010 Paris France Centre national de reference de I’AVC de l’enfant hopital universitaire Necker-Enfants malades AP-HP 149 rue de Sevres 75015 Paris France Service de neurochirurgie groupe hospitalier Saint-Louis-Lariboisiere-Fernand-Widal 2 rue Ambroise- Pare 75010 Paris France Service de neurochirurgie pediatrique hopital universitaire Necker-Enfants-Malades AP-HP 149 rue de Sevres 75015 Paris France Neurologie pediatrique hopital Femme-Mere-Enfant hospices Civils-de-Lyon 59 boulevard Pinel 69677 Bron France Service de neurologie Normandie universite Unicaen Inserm U1237 CHU Caen-Normandie avenue de la Cotede-Nacre 14033 Caen France Service de neurochirttrgie CHRU de Rouen 1 rue Germont 76000 Rouen France Service de neuropediatrie hopital universitaire Necker-Enfants malades AP-HP 149 rue de Sevres 75015 Paris France Service de neurologie CHU Saint-Antoine AP-HP 184 rue du Faubourg-Saint-Antoine 75012 Paris France Cabinet de kinesitherapie 25 rue Manin 75019 Paris France Departem.nt d’anesthesie-reanim.tion groupe hospitalier Saint-Louis-Lariboisiere-Fernand Widal 2 rue Ambroise-Pare 75010 Paris France Cabinet m.dical de neurologie 132 rue Lafayette 75010 Paris France Service de radiologie petiatrique hopital universitaire Necker- Enfants malades AP-HP 149 rue de Sevres 75015 Paris France Unite neurovasculaire hopital Pierre-Paul-Riquet place du Dr-Baylac 31000 Toulouse France Service de reeducation des pathologies neurologiques acquises de renfant hopitaux de Saint-Maurice 12 rue du Vald’Osne 94410 Saint-Maurice France Centre m.dical mairie de Port-Marly 78560 Le-Port-Marly France Cabinet m.dical pediatrique 46 rue Vital 75016 Paris France Service de m.decine nucleaire groupe hospitalier Pitie-Salpetriere- Charle-Foix 47-83 bou

1序言1．1制定机构本指南在法国卫生部的组织下由法国脑部和眼部罕见血管疾病中心（reference center for rare vascular diseases of the brain and eye，CERVCO）与法国儿童卒中中心联合起草。

关键词：临床实践指南法国血管病 diseases 烟雾 brain 血管疾病卒中中心

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

不同自然植被管理措施对红壤丘陵果园水土流失的影响(英文)

引用

农业工程学报 2003年第5期19卷 42-46页

作者：水建国柳俊廖根清程岩兴区越富周权康 Allard j.an-louis 浙江省农业科学院土肥所浙江大学城市学院浙江省金华市婺城区土肥站先正达中国投资有限公司 Syngenta Asia Pacific Pte Ltd 250 North Bridge Road 179101Singapore

丘陵是“山—丘—谷”的过渡地带 ,生态系统脆弱 ,一旦植被遭破坏 ,极易水土流失。在红壤丘陵园地应用除草剂调控水土流失试验结果表明 :与传统的清耕法相比 ,克无踪、草甘膦、草草克、克克草和生草法可使地表径流量分别减少47.7%,2 0 .... 详细信息

丘陵是“山—丘—谷”的过渡地带 ,生态系统脆弱 ,一旦植被遭破坏 ,极易水土流失。在红壤丘陵园地应用除草剂调控水土流失试验结果表明 :与传统的清耕法相比 ,克无踪、草甘膦、草草克、克克草和生草法可使地表径流量分别减少47.7%,2 0 .8%,31.4%,41.3%和 45 .5 %;可使土壤侵蚀量分别减少 5 2 .4%,39.0 %,48.1%,5 0 .7%和 5 5 .2 %;可使土壤养分分别减少 5 0 .2 %,37.0 %,41.8%,45 .8%和 6 0 .3%。除草剂对杂草再生率影响 ,与生草法比较 ,克无踪可达 6 7.2 %,草甘膦达 30 .3%,草草克 36 .8%,克克草 5 1.2 %和清耕法 5 5 .1%;克无踪调控杂草效果分别是草甘膦的 2 .2倍 ,清耕法的 1.2倍。克无踪调控杂草效果显著 ,有望成为红壤丘陵园地培肥与水保相得益彰的有效措施。

关键词：植被管理除草剂水土流失丘陵果园红壤

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

Inferring the Tree of Life of the order Cypriniform.s, the earth＇s m.st diverse clade of freshwater fishes： Im.lications of varied taxon and character sam.ling

引用

植物分类学报 2008年第3期46卷 424-438页

作者： Richard L. m.YDEN Kevin L. TANG Robert m. WOOD Wei-j.n CHEN m.ry K. AGNEW Kevin W. CONWAY Lei YANG Andrew m. SIm.NS Henry L. BART Phillip m. HARRIS j.nbing LI Xuzhen WANG Kenj. SAITOH Shunping HE Huanzhang LIU Yiyu CHEN m.tstm. NISHIDA m.saki m.YA Departm.nt of Biology Saint Louis University St. Louis MO 63103 USA Departm.nt of Fisheries Wildlife and Conservation Biology Bell Museum of Natural History University of Minnesota St. Paul MN 55108 USA Departm.nt of Ecology and Evolutionary Biology Tulane University New Orleans LA 70118 USA Departm.nt of Biological Sciences The University of Alabama Tuscaloosa AL 35487 USA Laboratory ofFish Phylogenetics and Biogeography Institute of Hydrobiology Chinese Academy of Sciences Wuhan 430072 China Tohoku National Fisheries Research Institute Fisheries Research Agency Miyagi 985-0001 Japan Ocean Research Institute University of Tokyo Tokyo 164-8639 Japan Departm.nt of Zoology Natural History Museum ＆ Institute Chiba 260-8682 Japan

The phylogenetic relationships of species are fundam.ntal to any biological investigation, including all evolutionary studies. Accurate inferences of sister group relationships provide the researcher with an historical fram.work within which the attributes or geographic origin of species (or supraspecific groups) evolved. Taken out of this phylogenetic context, interpretations of evolutionary processes or origins, geographic distributions, or speciation rates and m.chanism., are subj.ct to nothing less than a biological experim.nt without controls. Cypriniform.s is the m.st diverse clade of freshwater fishes with estim.tes of diversity of nearly 3,500 species. These fishes display an am.zing array of m.rphological, ecological, behavioral, and geographic diversity and offer a trem.ndous opportunity to enhance our understanding of the biotic and abiotic factors associated with diversification and adaptation to environm.nts. Given the nearly global distribution of these fishes, they serve as an im.ortant m.del group for a plethora of biological investigations, including indicator species for future cli-m.tic changes. The occurrence of the zebrafish, Danio rerio, in this order m.kes this clade a critical com.onent in understanding and predicting the relationship between m.tagenesis and phenotypic expressions in vertebrates, including hum.ns. With the trem.ndous diversity in Cypriniform.s, our understanding of their phylogenetic relationships has not proceeded at an acceptable rate, despite a plethora of m.rphological and m.re recent m.-lecular studies. m.st studies are pre-Hennigian in origin or include relatively sm.ll num.ers of taxa. Given that analyses of sm.ll num.ers of taxa for m.lecular characters can be com.rom.sed by peculiarities of long-branch attraction and nodal-density effect, it is critical that significant progress in our understanding of the relationships of these im.ortant fishes occurs with increasing sam.ling of species to m.tigate these potential p

关键词：进化系统生命科学淡水鱼分类单元

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

羟乙基淀粉溶液在复苏肠缺血-再灌注休克中的作用

引用

中国危重病急救医学 2004年第8期16卷 468-472页

作者：涂自智孙庆华 George Dim.poulos Suzana m.Lobo Daniel de Backer 肖献忠 j.an-louis Vincent 中南大学湘雅医学院病理生理教研室长沙410078 比利时布鲁塞尔自由大学Erasm.医院危重病医学系

目的　比较不同剂量羟乙基淀粉溶液 ( HES)对兔肠缺血再灌注损伤所致休克的复苏作用。方法　 32只新西兰白兔随机分为 4组 :模型对照、乳酸林格液复苏组 ( L RS,2 0 m.l· kg- 1 · h- 1 ) ,小剂量 HES复苏组 ( HES2 m.· kg- 1· h- 1 ... 详细信息

目的　比较不同剂量羟乙基淀粉溶液 ( HES)对兔肠缺血再灌注损伤所致休克的复苏作用。方法　 32只新西兰白兔随机分为 4组 :模型对照、乳酸林格液复苏组 ( L RS,2 0 m.l· kg- 1 · h- 1 ) ,小剂量 HES复苏组 ( HES2 m.· kg- 1· h- 1 + L RS18m.l· kg- 1· h- 1 ) ,大剂量 HES复苏组 ( HES2 0 m.· kg- 1· h- 1 )。采用肠系膜上动脉夹闭 6 0 m.in后松夹行再灌注制备肠缺血再灌注休克模型 ,松夹再灌注时同步进行液体复苏。观测各时间点的血流动力学参数 (平均动脉压、心率、心排血量、肠系膜上动脉血流 ) ,并通过测定肠黏膜CO2 分压和动脉血 CO2 分压的差值 (动脉二氧化碳间隙 )、肠黏膜 p H值、动脉血乳酸浓度和氧输送等指标间接评估组织氧合情况。实验结束后累计动物死亡数。结果　 HES能明显提高肠缺血再灌注休克时的血流动力学参数 ,与对照组和 L RS组比较差异均有显著性 ( P均 <0 .0 5 ) ;小剂量 HES比大剂量 HES改善血流动力学参数的作用更平稳 ( P均 <0 .0 5 ) ,且较其他 3组能明显降低血乳酸浓度和动脉二氧化碳间隙 ,减轻 p Hi的降低 ( P均 <0 .0 5 ) ;而大剂量 HES对上述参数的影响不明显 ,并可见动物口鼻出血及死亡 ;小剂量或大剂量HES与其他两组比较均能使氧输送回升 ( P均 <0 .0 5 )。

关键词：羟乙基淀粉缺血-再灌注损伤肠休克液体复苏

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：