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酒精摄入与新发心力衰竭之间的关系:心血管健康研究

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世界核心医学期刊文摘（心脏病学分册） 2006年第12期2卷 54-页

作者： Bryson C.L. mukamal K.J. mittleman m.A. 赵君 Department of medicine Beth Israel-Deaconess Medical Center Boston MA United States Dr.

Objectives: We investigated the association between alcohol consumption and incident congestive heart failure(CHF) both overall and after adjusting for incident myocardial infarction(mI). Background: moderate alcohol consumption has been associated with lower risk of CHF and mI. methods: The Cardiovascular Health study, a prospective cohort study of cardiovascular disease risk factors and outcomes, followed 5,888 subjects ≥65 years old for 7 to 10 years. Cox models were used to estimate the adjusted risk of CHF by reported alcohol consumption. Results: There were 5,595 subjects at baseline at risk for incident CHF with alcohol data and 1,056 events during follow-up. Compared with abstainers, the adjusted risk of CHF was lower among subjects who reported consuming 1 to 6 drinks per week(hazard ratio[HR] 0.82, 95%confidence interval[CI] 0.67 to 1.00, p=0.05) and 7 to 13 drinks per week(HR 0.66, 95%CI 0.47 to 0.91, p=0.01). Time-dependent adjustment for incident mI altered only slightly the association between moderate alcohol consumption and CHF(for 1 to 6 drinks per week, HR 0.84, 95%CI 0.65 to 1.04; for 7 to 13 drinks per week, HR 0.69, 95%CI 0.49 to 0.99). Baseline former drinkers had a higher risk of CHF than abstainers(HR 1.51, pmoderate alcohol use is associated with a lower risk of incident CHF among older adults, even after accounting for incident mI and other factors.

关键词：酒精新发健康研究乙醇心血管摄入

植入埋藏式心脏复律除颤器的医疗保险受益者中严重并发症的发生率和治疗费用增加

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世界核心医学期刊文摘（心脏病学分册） 2006年第11期2卷 51-51页

作者： Reynolds m.R. Cohen D.J. Kugelmass A.D. 马超 Beth israel Deaconess medical Center Boston MAUnited States Dr.

Objectives: We aimed to quantify the frequency and nature of early complications after implantable cardioverter-defibrillator(ICD) implantation in general practice, and estimate the incremental costs of those complications to the health care system. Background: Cardioverter-defibrillator implantation rates are rising quickly. Little has been published regarding the outcomes and costs of these procedures in unselected populations. methods: Using medicare Provider Analysis and Review(medPAR) files, we identified 30,984 admissions containing procedure codes for new ICD or cardiac resynchronization therapy defibrillator implantation in fiscal year 2003. The frequencies of eight complicating diagnoses during these admissions were determined. Length of stay(LOS) and total hospital costs, derived using whole-hospital cost to charge ratios, were calculated for each admission. The incremental effects of any and each complication on LOS and hospital cost were estimated in multivariable models, adjusting for demographic factors and comorbid conditions. Results: The mean cost for all admissions was ＄42,184(median ＄37,902) with mean LOS of 4.7 days(median 2.0 days). One or more complications were coded in 10.8%of admissions, most commonly “mechanical complication of the ICD”and hemorrhage/hematoma. The occurrence of any complication increased adjusted LOS by 3.4 days and costs by ＄7,251. Each of the individual complications was associated with highly significant increases in both LOS(1 to 10 days) and hospital cost(＄5,000 to ＄20,000). Conclusions: In fiscal 2003, 10.8%of medicare patients undergoing cardioverter-defibrillator implantation experienced one or more early complications, associated with significant increases in LOS and costs. Efforts to reduce these complications could have significant clinical and financial benefits.

关键词：费用增加医疗保险综合医院再同步全部成本费用问题多变量模型人口统计学

“倡议联盟框架”研究的四分之一个世纪：一个专刊导论

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甘肃行政学院学报 2013年第4期 4-13页

作者：克里斯托弗 m.韦伯[美] 保罗 A.萨巴蒂尔汉克 C.詹金斯·史密斯丹尼尔·诺尔斯泰特[瑞典] 亚当·道格拉斯·亨利[美] 皮特·狄龙杨志军(译) 李巧丽(译) 科罗拉多大学丹佛分校公共事务学院副教授加州大学戴维斯分校环境科学与政策系教授俄克拉荷马大学政治科学系教授和应用科学研究中心副主任瑞典乌普萨拉大学政府管理学院助理教授西弗吉尼亚大学公共管理系助理教授科罗拉多大学丹佛分校公共事务学院教授上海交通大学国际与公共事务学院华东师范大学政治学系

《政策研究期刊》(Policy Studies Journal)在2011年8月由萨巴蒂尔等人汇编八篇"倡议联盟框架"研究专刊。这八篇论文分别是:《意识形态、权力和政策网络结构》、《基本原理决定倡议联盟:测验协调性网络和相应的信念》、《联盟稳定性和... 详细信息

《政策研究期刊》(Policy Studies Journal)在2011年8月由萨巴蒂尔等人汇编八篇"倡议联盟框架"研究专刊。这八篇论文分别是:《意识形态、权力和政策网络结构》、《基本原理决定倡议联盟:测验协调性网络和相应的信念》、《联盟稳定性和信念改变:美国外交政策和以色列建国中的倡议联盟(1922—1944)》、《政策过程中的网络结构:瑞士气候政策中的联盟、权力和经纪人》、《在有争议的子系统中转移资源和场域带来政策改变:以瑞典信号情报政策为例》、《政策改变和学习应对匈牙利的极端洪水事件:一个倡议联盟途径分析》、《17个生物技术政策子系统中的科学诚信、分歧和错误成本》、《政策叙述与政策过程》。此专刊涉及到三个理论探究主线:(1)联盟中的问题在哪里聚焦,为什么联盟会形成,随着时间推移联盟的结构及其稳定性如何;(2)以政策为导向的联盟学习;(3)政策改变中联盟所扮演的角色和行为。这些论文重温了以政策为导向的联盟学习研究,专注于倡议联盟框架的理论检验和开发,提倡发挥联盟资源的作用,重视将倡议联盟框架与其他框架理论相联系并运用到比较公共政策研究中。此次专刊编辑代表了《政策研究期刊》作为政策过程研究领域最好的出版商不断走向成熟的重大里程碑。

关键词：政策过程研究文献倡议联盟框架公共政策研究政策过程发展

2010女性急性单纯性膀胱炎和肾盂肾炎临床治疗指南(摘译)

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转化医学杂志 2016年第2期5卷 112-116页

作者：刘辉(译) 刘树元(译) kalpana gupta thomas m.hooton richard colgan loren g.miller gregory j.moran anthony j.schaeffer david e.soper lindsay e.nicolle kurt g.naber bjorn wullt raul raz 海军总医院急诊科北京100048 department of medicine veterans affairs boston health care system and boston university school of medicinebostonmassa-chusetts department of medicine university of miami miller school of medicineuniversity of miami miami florida department of family and community medicine university of marylandbaltimoremaryland division of infectious diseases harbor-ucla medical centertorrance department of emergency medicine and division of infectious diseases olive view-ucla medical center slymarcalifornia department of urology northwestern universitychicagoillinois department of obstetrics and gynecology and medicine medical university of south carolinacharlestonsouth carolina department of internal medicine and department of medical mirobiology university of manitoba winnipegcanada technical university of munich munichgermany lund university hospital lundsweden infectious diseases unit ha’emek medical centerafulaand rappaport faculty of medicinetechnionhaifaisrael

美国感染病学会、欧洲临床微生物与感染病学会共同组织专家对1999年美国感染病学会单纯性尿路感染的指南进行了更新。2010指南更新的重点是治疗女性急性单纯性膀胱炎和肾盂肾炎,仅适用于无已知尿道畸形或合并症的绝经前及未妊娠的女性... 详细信息

美国感染病学会、欧洲临床微生物与感染病学会共同组织专家对1999年美国感染病学会单纯性尿路感染的指南进行了更新。2010指南更新的重点是治疗女性急性单纯性膀胱炎和肾盂肾炎,仅适用于无已知尿道畸形或合并症的绝经前及未妊娠的女性患者。作者就指南的主要内容进行摘译。

关键词：单纯性膀胱炎肾盂肾炎指南女性

基于Fleischner学会肺小结节处理指南对834名放射科医生调查研究

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国际医学放射学杂志 2010年第3期 285-285页

作者：李智勇 R.L. Eisenberg A.A. Bankier P.m. Boiselle Department of Radiology Beth Israel Deaconess Medical Center

摘要目的旨在评价放射科医生对Fleischner学会关于肺小结节处理指南的熟悉程度,并探讨放射科医生对肺小结节的处理策略

关键词：放射科 Fleischner 肺小结节

应用三维能量多普勒(3DPD)超声诊断并随访胎儿血管异常

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世界核心医学期刊文摘（妇产科学分册） 2006年第4期2卷 14-14页

作者： Sciaky-Tamir Y. Cohen S.m. Hochner-Celnikier D. 李奎 Department of Obstetrics and Gynecology Hadassah University HospitalMt. Scopus Jerusalem Israel Dr.

Objective: This study was undertaken to examine the value of 3-dimensional power Doppler (3DPD) ultrasound imaging in diagnosis and follow-up of fetal vascular anomalies. Study design: In 174 women undergoing early second-trimester targeted organ scanning, followed by a midtrimester second scan in a university hospital setting, 3DPD was applied to the fetal intraabdominal and intrathoracic vessels. Results: In 137 of 174 fetuses (75%) in the earlier scan, and in 164 of 174 fetuses (95%) in the later scan, 3DPD ultrasound successfully visualized the fetal vessels. In an additional 9 cases, anomalous vascularity was identified: fetal intra-abdominal umbilicalvein varix (2), persistent right umbilical vein (1), agenesis of ductus venosus (2), eventration of diaphragm (1), parenchymal and vascular lung anomaly (1), sacrococcygeal teratoma (1), and chorioangioma (1). 3DPD improved diagnostic precision, aided our understanding of anomalous structure, and added information on the vascular volume of lesions in some cases. Conclusion: 3DPD improved ultrasound visualization of the fetal vessels of the abdomen and thorax in normal and anomalous cases.

关键词：胎儿血 PD 超声诊断胎儿腹腔骶尾部畸胎瘤脐静脉曲张绒毛膜血管瘤发育不全超声检查血管检

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妊娠期mRI利用盲肠倾斜角对阑尾定位

国际医学放射学杂志 2008年第A6期31卷 499-499页

作者： K.S.Lee N.m.Rofsky I.Pedrosa 范惠双 Department of Radiology Beth Israel Deaconess Medical Center 330 Brookline Ave Boston MA 02215 USA.

目的研究妊娠病人矢状位mRI上测得的盲肠倾斜角是否与阑尾的位置和妊娠年龄有关,以及盲肠倾斜角能否帮助预测阑尾的位置。

关键词： mRI 妊娠病阑尾根部腰骶椎伦理委员会成像平面知情同意近端年龄相关性右上腹部

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口服避孕药及妊娠引起反复腹水

世界核心医学期刊文摘（妇产科学分册） 2006年第10期2卷 60-60页

作者： Reiss A. Lowenstein L. Solt I. Deutsch m. 柳蕴 Department of Obstetrics and Gynecology Rambam Medical Center POB 9602 Haifa 31096 Israel Dr.

BACKGROUND: Ascites during pregnancy is a rare disorder with wide differential diagnosis. CASE: We report on 8 years of follow-up of a patient suffering from recurrent episodes of ascites following oral contraceptive use and during both her pregnancies. Each ascitic event resulted in spontaneous recovery. CONCLUSION: The mechanism underlying our patient’s fluid shift remains an enigma. We hypothesize that during her pregnancy and when oral contraceptives were administered, high levels of endogenous or exogenous sex hormones led to increased permeability and fluid displacement.

关键词：口服避孕药血管通透性变化机制内源外源

直肌移位术联合后固定缝线术治疗双上提肌麻痹

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世界核心医学期刊文摘(眼科学分册) 2005年第10期 61-61页

作者： Snir m. Friling R. Kalish-Stiebel H. 王永强 Ophthalmology Unit Schneider Children's Med. Ctr. I. Petah Tiqva 49202 Israel Dr.

Purpose: To evaluate the surgical and functional results of full horizontal te ndon rectus muscle transposition to the superior rectus (SR) insertion, augmente d by posterior fixation sutures, in patients with double-elevator palsy (DEP). Design: Retrospective nonconcurrent interventional comparative case series. Part icipants: Fourteen consecutive patients with DEP. Intervention: Six patients tre ated for DEP by vertical transposition of the horizontal muscles to the SR inser tion (Knapp procedure)-were compared with 8 patients treated by the Knapp proce dure combined with fixation of the transposed muscles to the sclera, adjacent to the SR, with nonabsorbable sutures. main Outcome measures: Postoperative ocular alignment, ductions, binocular functions, and rate of reoperation. Results: Ocu lar deviation: mean distance and near deviations decreased by 84%and 83%, resp ectively (P=0.012), in the augmented-surgery group versus 48%and 47%, respect ively (P = 0.03), in the standard-surgery group. Duction: mean elevation defici ency in abduction and adduction improved by 64%and 65%, respectively (P=0.01), in the augmented surgery group versus 42%and 55%(P = 0.02) in the standard gr oup. Binocular functions: 3 patients (37%), all in the study group, gained bino cular function. Reoperation was required in 5 patients (83.3%) in the control g roup. The difference in postoperative improvement between the groups was statist ically significant for all 4 parameters. No postoperative complications or ducti on anomalies were observed during the follow-up period of 15.4 months (standard deviation, 5.5). Conclusions: The augmented Knapp procedure with superior poste rior fixation suture is the preferred surgical treatment for patients with DEP. Its use in this series avoided the need for multiple surgeries on other extraocu lar muscles.

关键词：肌麻痹缝线术直肌上提