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Factors associated with hopelessness in epileptic patients

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World Journal of Psychiatry 2014年第4期4卷 141-149页

作者： Maurizio Pompili Gianluca Serafini Marco Innamorati Franco Montebovi Dorian A Lamis Mariantonietta Milelli Manuela Giuliani matteo Caporro Paolo Tisei David Lester Mario Amore Paolo Girardi Carla Buttinelli Department of Neuro-sciences Mental Health and Sensory Organs Suicide Prevention Center Sant’Andrea Hospital Sapienza University of Rome 00189 Rome Italy Department of Neuroscience Rehabilitation Ophthalmology Genetics Maternal and Child Health Section of Psychiatry University of Genoa 16100 Genoa Italy Department of Psychiatry and Behavioral Sciences Emory University School of Medicine SC 29208 United States Department of Neurological Science Neurological Unit S. Andrea Hospital University La Sapienza 00189 Rome Italy The Richard Stockton College of New Jersey Galloway NJ 08205 United States

AIM: To investigate factors related to hopelessness in a sample of epileptic patients, including measures of depression and quality of life(QOL). METHODS: Sixty-nine participants were administered the following psychometric instruments: Beck Depression Inventory-Ⅱ, Beck Hopelessness Scale(BHS), and QOLin Epilepsy(QOLIE)-89. Patients were dichotomized into two categories: those affected by epilepsy with generalized tonic-clonic seizures vs those having epilepsy with partial seizures. RESULTS: The groups differed on the QOLIE Role Limitation/Emotional dimension. Patients with generalized seizures reported more limitations in common social/role activities related to emotional problems than patients with other types of epilepsy(89.57 ± 25.49 vs 72.86 ± 36.38; t 63 =-2.16; P < 0.05). All of the respondents reported moderate to severe depression, and 21.7% of patients with generalized seizures and 28.6% of patients with other diagnoses had BHS total scores ≥ 9 indicating a higher suicidal risk. The study did not control for years of the illness. CONCLUSION: Patients with generalized seizures reported more limitations in common social/role activities related to emotional problems compared to patients with other types of seizures. Patients at increased suicide risk as evaluated by the BHS were older than those who had a lower suicidal risk. Future studies are required to further investigate the impact of hopelessness on the outcome of epileptic patients.

关键词： Epilepsy Hopelessness Suicide risk Emotional problems Social/role activities

Evidence to suggest adoption of water exchange deservesbroader consideration:Its pain alleviating impact occurs in90%of investigators

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World Journal of Gastrointestinal Endoscopy 2016年第2期8卷 113-121页

作者： Sergio Cadoni Mauro Liggi Premysl Falt Stefano Sanna Mariangela Argiolas Viviana Fanari Paolo Gallittu Donatella Mura Maria L Porcedda Vit Smajstrla matteo Erriu Felix W Leung Digestive Endoscopy Unit St.Barbara Hospital09016 IglesiasItaly Digestive Diseases Center Vitkovice Hospital703 84 OstravaCzech Republic Digestive Endoscopy Unit N.S.di Bonaria Hospital09037 San Gavino MonrealeItaly Department of Surgical Sciences University of Cagliari09121 CagliariItaly Sepulveda Ambulatory Care Center Veterans Affairs Greater Los Angeles Healthcare SystemNorth HillsCA 91343United States David Geffen School of Medicine University of California at Los AngelesLos AngelesCA 90024United States

AIM: To determine variations in colonoscopy real-time insertion pain among investigators using three different insertion ***: From March 2013 through June 2014, 18-85-year-old diagnostic and 50-70-year-old screening patients were enrolled at each center to on-demand sedation colonoscopy with water exchange(WE), water immersion(WI) and insufflation with air or CO2 for insertion and withdrawal [air or carbon dioxide(AICD)]. Data were aggregated for analysis. Primary outcome: Variations in real-time maximum insertion pain(0 = none, 1-2 = discomfort, 10 = worst).RESULTS: One thousand and ninety-one cases analyzed: WE(n = 371); WI(n = 338); AICD(n = 382). Demographics and indications were comparable. The WE group had the lowest real-time maximum insertion pain score, mean(95%CI): WE 2.8(2.6-3.0), WI 3.8(3.5-4.1) and AICD 4.4(4.1-4.7), P < 0.0005. Ninety percent of the colonoscopists were able to use water exchange to significantly decrease maximum insertion pain scores. One investigator had high insertion pain in all groups, nonetheless WE achieved the lowest real-time maximum insertion pain score. WE had the highest proportions of patients with painless unsedated colonoscopy(vs WI, P = 0.013; vs AICD, P < 0.0005); unsedated colonoscopy with only minor discomfort(vs AICD, P < 0.0005), and completion without sedation(vs AICD, P < 0.0005).CONCLUSION: Aggregate data confirm superiority of WE in lowering colonoscopy real-time maximum insertion pain and need for sedation. Ninety percent of investigators were able to use water exchange to significantly decrease maximum insertion pain scores. Our results suggest that the technique deserves consideration in a broader scale.

关键词： Colonoscopy Painless colonoscopy Waterimmersion Water exchange Colonoscopy pain

髋关节异响：陶瓷-陶瓷全髋关节置换的一种现象

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中华骨科杂志 2010年第3期30卷 I0007-I0011页

作者： Christopher A. Jarrett, MD Amar S. Ranawat, MD matteo Bruzzone, MD Yossef C. Blum, MD Jose A. Rodriguez, MD Chitranjan S. Ranawat, MD 朱跃良(译) 徐永清(译) Investigation performed at Lenox Hill Hospital New York NY 成都军区昆明总医院全军骨科中心 650032

背景：现代陶瓷一陶瓷全髋置换术的早期临床应用报告显示其具有优异的临床和影像学结果。只有极少数病例由于早期设计缺陷而出现了灾难性的失败，多表现为假体断裂。有几篇文献报道涉及了术后可以闻及的“嘎吱”声。本文旨在研究陶瓷一... 详细信息

背景：现代陶瓷一陶瓷全髋置换术的早期临床应用报告显示其具有优异的临床和影像学结果。只有极少数病例由于早期设计缺陷而出现了灾难性的失败，多表现为假体断裂。有几篇文献报道涉及了术后可以闻及的“嘎吱”声。本文旨在研究陶瓷一陶瓷全髋关节置换术后“嘎吱”作响的髋关节（以下简称“嘎吱”髋，译者注）的发生率。方法：2003年3月至2005年5月，3位医生对143例患者（159髋）行陶瓷一陶瓷全髋关节置换。149髋（131例）随访1年以上。以改良的HSS评分及患者主控调查问卷进行前瞻性评估。以60髋（48例）金属一聚乙烯全髋关节置换作为对照组，在年龄、性别、体重指数与陶瓷一陶瓷组病例匹配的基础上，对比“嘎吱”声或其他声音的发生率，并按事前确定的标准进行影像学评估。

关键词：全髋关节置换术后陶瓷临床应用体重指数影像学结果全髋置换术前瞻性评估 HSS评分

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首尔国立大学美术馆

城市环境设计 2014年第6期83卷 76-81页

作者： Minsuk Cho Wim Eckert Roberto Otero Shiro Ogata George Bucher Piet Eckert Young Joon Kim Anthony Fonfenot Philipp Oswalt Tae Hong Park Andreas Huhn Rodrigo Patricio Sabine Schaaf Rob de Maat Franz Blok Don Weber Pilar Armand-Ugón Emese Barcosi matteo Poli Isabel Silva Isabel Gasanellas

首尔国立大学美术馆位于大学校园入口附近的小山丘边,它的选址造就了它的特色。我们基本上可以把大楼看作一个矩形盒子,但这个盒子理论上因为倾斜的山坡而被对角割开了。此建筑靠小小的中央核心点支撑着,由于这是它与地面的唯一接触点,... 详细信息

首尔国立大学美术馆位于大学校园入口附近的小山丘边,它的选址造就了它的特色。我们基本上可以把大楼看作一个矩形盒子,但这个盒子理论上因为倾斜的山坡而被对角割开了。此建筑靠小小的中央核心点支撑着,由于这是它与地面的唯一接触点,因此它几乎是完全的悬桁结构,随着山势向上、下伸展,准确地顺应着地貌形势而建。

关键词：首尔国立大学美术馆美术博物馆博物馆

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二十一世纪国家艺术博物馆

建筑创作 2016年第6期 170-183页

作者： Zaha Hadid Patrik Schumacher Anja Simons Paolo Matteuzzi Fabio Ceci Mario Mattia Maurizio Meossi Paolo Zilli Luca Peralta Maria Velceva matteo Grimal Ana M.Cajiao Barbara Pfenningstorff Dillon Lin Kenneth Bostock Raza Zahid Lars Teichmann Adriano De Gioannis Amin Taha Caroline Voet Gianluca Ruggeri Luca Segarelli

建筑设计概念以及城市策略：可能性领域的划分通过维持与原军队营房的索引关系,博物馆的设计提出了建筑与其所在城市文脉的问题。这绝不是对地貌混合拼凑的尝试,而是为了应对平衡场地周边的强势街区脉络,所提出的对弱城市肌理的延续。

关键词：艺术博物馆城市肌理建筑设计二十一世纪城市文脉 texture correlative directional looking Floor

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Liver biopsy:analysis of results of two specialist teams

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World Journal of Gastrointestinal Pathophysiology 2014年第2期5卷 114-119页

作者： Giulia Anania Elia Gigante matteo Piciucchi Emanuela Pilozzi Eugenio Pucci Adriano Maria Pellicelli Carlo Capotondi Michele Rossi Flavia Baccini Giulio Antonelli Paola Begini Gianfranco Delle Fave Massimo Marignani Department of Digestive and Liver Disease School of Medicine and Psychology University "Sapienza" Department of Pathology School of Medicine and Psychology University "Sapienza" Azienda Ospedaliera Liver Unit Azienda Ospedaliera San Camillo Department of Radiology School of Medicine and Psychology University "Sapienza" Azienda Ospedaliera

AIM:To analyze the safety and the adequacy of a sample of liver biopsies(LB)obtained by gastroenterologist(G)and interventional radiologist(IR)***:Medical records of consecutive patients evaluated at our GI unit from 01/01/2004 to31/12/2010 for whom LB was considered necessary to diagnose and/or stage liver disease,both in the setting of day hospital and regular admission(RA) care,were retrieved and the data entered in a *** were divided into two groups:one undergoing an ultrasonography(US)-assisted procedure by the G team and one undergoing US-guided biopsy by the IR *** the first group,an intercostal approach(US-assisted) and a Menghini modified type needle 16 G(length 90 mm) were *** IR team used a subcostal approach(US-guided) and a semiautomatic modified Menghini type needle 18 G(length 150 mm).All the biopsies were evaluated for appropriateness according to the current *** number of portal tracts present in each biopsy was assessed by a revision performed by a single pathologist unaware of the previous pathology ***,laboratory and demographic patient characteristics,the adverse events rate and the diagnostic adequacy of LB were ***:During the study period,226 patients,126 males(56%) and 100 females(44%),underwent LB:167(74%) were carried out by the G team,whereas 59(26%) by the IR *** was mostly performed in a day hospital setting by the G team,while IR completed more procedures on inpatients(P < 0.0001).The groups did not differ in median age,body mass index(BMI),presence of comorbidities and coagulation *** occurred in 26 patients(16 G team vs 10 IR team,P = 0.15).Most gross samples obtained were considered suitable for basal histological evaluation,with no difference among the two teams(96.4% G team vs 91.5% IR,P = 0.16).However,the samples obtained by the G team had a higher mean number of portal tracts(G team 9.5 ± 4.8; range 1-29 vs IR team 7.8 ± 4.1; range 1-2

关键词： Liver biopsy Ultrasound-guided biopsy Ultrasound-assisted biopsy Menghini needle Sample adequacy Portal tracts

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西方单中心18年肝门胆管癌外科治疗变化

肝胆外科杂志 2010年第6期18卷 476-476页

作者： Giorgio Ercolani matteo Zanello Gian Luca Grazi 陈江明刘付宝

背景肝门胆管癌由于化疗敏感性低和术后放疗效果不佳,手术治疗仍然是其治疗的金标准。本文评估了死亡率,生存率,预后因子以及1997年以后外科治疗的变化。方法共有51患者进行了肝脏切除组成研究人群。分为姑息性治疗组与切除组。随访时间... 详细信息

背景肝门胆管癌由于化疗敏感性低和术后放疗效果不佳,手术治疗仍然是其治疗的金标准。本文评估了死亡率,生存率,预后因子以及1997年以后外科治疗的变化。方法共有51患者进行了肝脏切除组成研究人群。分为姑息性治疗组与切除组。随访时间33.5±30.0（12.0~134.0）月。结果 Bismuth-Ⅳ型,伴门脉侵犯,肝蒂旁淋巴结转移的肝门胆管癌1998年前通常认为是手术禁忌症,

关键词：肝门胆管癌外科治疗西方化疗敏感性手术禁忌症淋巴结转移手术治疗预后因子

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热爱,可抵漫长岁月

现代装饰 2021年第8期 68-77页

作者： Jisun Kim Round Marco Lavit Studiopepe nendo Kojima shouten Paola Navone Marcello Ziliani Sam Hecht Kim Colin TAKT Depping&J?rgensen Jeremy Cole jeremycole Gabettie Isola Axolight Panos Sakkas Foteini Setaki matteo Thun Antonio Rodriguez Studio Zanellato/Borlotto Hyunhee Hwang Luca Nichetto Ethimo Jim Rokos ROKOS 郭映琴 The New Raw Extra&ordinary Design

诗人顾城的作品《门前》中有这样可爱的一幕,"草在结它的种子,风在摇它的叶子,我们站着,不说话,就十分美好",浅浅的文字描摹出淡淡的美好。七月,恰逢党的100岁生日,举国同庆,中华大地尽显繁荣昌盛的景象,国泰民安,时光静好。随着消费者...

诗人顾城的作品《门前》中有这样可爱的一幕,"草在结它的种子,风在摇它的叶子,我们站着,不说话,就十分美好",浅浅的文字描摹出淡淡的美好。七月,恰逢党的100岁生日,举国同庆,中华大地尽显繁荣昌盛的景象,国泰民安,时光静好。随着消费者需求、喜好的变化及产品的更新迭代,独特新颖的家居产品设计已成为趋势,别出心裁的设计更能博得用户的喜爱,在使用的过程中获得幸福感。

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伟业街133号

城市环境设计 2016年第5期 118-125页

作者：威尼·马斯雅各布·凡·里斯娜塔莉·德·弗里斯 Renske van der Stoep Wenchian Shi Martine Vledder Arjen Ketting Kyo Suk Lee Edwin Veth Gerard Heerink Ting Wen Nicolas Lee Jason Slabbynck Matias Thomsen matteo Artico Emilie Koch Arian Lehner Sanne van der Burgh Mikel Vazquez KlaasHofman

香港伟业街133号是从旧厂房脱胎换骨,摇身变成的一个玻璃办公楼。这个兼带零售和餐饮的建筑,使用不锈钢填充的玻璃作为唯一建筑材料。项目共18 000m2,坐落于后工业区九龙东内的观塘海滨,是打造九龙东新中央商务区这一城市变革计划的一... 详细信息

香港伟业街133号是从旧厂房脱胎换骨,摇身变成的一个玻璃办公楼。这个兼带零售和餐饮的建筑,使用不锈钢填充的玻璃作为唯一建筑材料。项目共18 000m2,坐落于后工业区九龙东内的观塘海滨,是打造九龙东新中央商务区这一城市变革计划的一部分。项目的初衷是创造彻底透明化的办公环境,一个全通透的办公楼将其淋漓尽致地体现。本工程在2013年由开发商基汇资本启动,它将这个区域的工业根源和未来的都市憧憬紧紧相连,现已成为该地区的旗舰项目之一。

关键词：玻璃窗建筑办公楼办公空间