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Gastric antral webs in adults:A case series characterizing their clinical presentation and management in the modern endoscopic era

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World j.urnal of Gastrointestinal Endoscopy 2017年第1期9卷 19-25页

作者： Shannon j.Morales Neha Nigam Walid M Chalhoub Dalia I Abdelaziz j.mes H lewis Stanley B Benj.min Division of Gastroenterology Medstar Georgetown University HospitalWashingtonDC 20007United States

AIMTo investigate the current management of gastric antral webs (GAWs) among adults and identify optimal endoscopic and/or surgical management for these patients. METHODSWe reviewed our endoscopy database seeking to identify patients in whom a GAW was visualized among 24640 esophagogastroduodenoscopies (EGD) over a seven-year period (2006-2013) at a single tertiary care center. The diagnosis of GAW was suspected during EGD if aperture size of the antrum did not vary with peristalsis or if a “double bulb” sign was present on upper gastrointestinal series. Confirmation of the diagnosis was made by demonstrating a normal pylorus distal to the GAW. RESULTSWe identified 34 patients who met our inclusion criteria (incidence 0.14%). Of these, five patients presented with gastric outlet obstruction (GOO), four of whom underwent repeated sequential balloon dilations and/or needle-knife incisions with steroid inj.ction for alleviation of GOO. The other 29 patients were incidentally found to have a non-obstructing GAW. Age at diagnosis ranged from 30-87 years. Non-obstructing GAWs are mostly incidental findings. The most frequently observed symptom prompting endoscopic work-up was refractory gastroesophageal reflux (n = 24, 70.6%) followed by abdominal pain (n = 11, 33.4%), nausea and vomiting (n = 9, 26.5%), dysphagia (n = 6, 17.6%), unexplained weight loss, (n = 4, 11.8%), early satiety (n = 4, 11.8%), and melena of unclear etiology (n = 3, 8.82%). Four of five GOO patients were treated with balloon dilation (n = 4), four-quadrant needle-knife incision (n = 3), and triamcinolone inj.ction (n = 2). Three of these patients required repeat intervention. One patient had a significant complication of perforation after needle-knife incision. CONCLUSIONEndoscopic intervention for GAW using balloon dilation or needle-knife incision is generally safe and effective in relieving symptoms, however repeat treatment may be needed and a risk of perforation exists with thermal t

关键词： Gastric antral web Gastric outlet obstruction Needle knife Balloon dilation Triamcinolone inj.ction

Practical Art of Motion Picture Sound

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2012年

作者： David lewis Yewdall

ISBN: (纸本)9780240812403

Practical Art of Motion Picture Sound, 4th edition relies on the professional experience of the author and other top sound craftspeople to provide a comprehensive explanation of film sound, including mixing, dubbing, workflow, budgeting, and digital audio techniques. Practically grounded with real-world stories from the trenches throughout, the book also provides relevant technical data, as well as an appreciation of all the processes involved in creating optimal motion picture sound. New to this edition are exclusive sound artist lessons from the field (including 2 new production cases studies), including insight from craftspeople who have worked on the latest Harry Potter and Batman films. All technological changes have been updated to reflect the most current systems. **Due to a manufacturing error, the Yewdall Sound FX Library is not available on the DVD included with the book. Please visit the book’s website, to download the full library.**

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用硫酸氯奎宁治疗慢性盘状红斑狼疮

中华皮肤科杂志 1956年第3期4卷 249-250页

作者：夏廉博上海第二医学院附属广慈医院皮肤科

我们于1955年曾应用发得烈阿祥氏溶甲疗法(以下简称安氏法)在门诊治疗了甲癣病人60例,灰甲181只。现将操作过程中观察所见及详细步骤作一介绍,以便在使用安氏法治疗时不致发生不良情况,而能更好学习苏联先进经验。操作中发生的问题及讨论

关键词：红斑红斑狼疮治疗

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环境管理经济学

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Simulation of an Antimatter Beam Core Engine for Space Travel

1985年

作者：（英）罗威（Lowe j.）（英）路易士（lewis D.）王铁生译

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j.urnal of Modern Physics 2019年第11期10卷 1353-1363页

作者： Matthew Dubiel Ryan j. Hooper Department of Physics Lewis University Romeoville Illinois USA

An exciting prospect is the use of antimatter as a fuel source due to its ability to convert mass energy to kinetic energy. Upon annihilation of antimatter with matter, tremendous amounts of energy are carried away by charged and neutral particles. By redirecting the charged particles through an exhaust using a non-uniform magnetic field, an impulse can be generated capable of supplying thrust to an engine. Using the Geant 4 simulation toolkit developed by CERN, we simulate this process using a beam core engine design. By analyzing charged pions that result from antiproton-proton annihilation, we optimize the engine parameters and derive a specific impulse for antiproton fuel as used in the beam core configuration. A specific impulse of (2.49 ± 0.08) × 106 s was determined. This value is significantly higher than specific impulses of current chemical rocket fuels which range from 240 - 400 s.

关键词： Antimatter Antiproton Annihilation Space Travel Geant4

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肺动脉高压研究的新进展

国外医学情报 1993年第7期14卷 1-3页

作者： lewis j.Rubin 陈白屏美国马里兰大学医学院心脏科

肺动脉高压的治疗在10～15年以前几乎没有什么办法,此后有了一些新的进展。在介绍肺动脉高压治疗之前先复习肺动脉高压的原因。一、慢性肺动脉高压的分类 (一) 继发性肺动脉高压 1.心脏疾病 (1)

关键词：继发性肺动脉高压原发性肺动脉高压肺动脉压钙拮抗剂血液动力学肺血管阻力药物治疗血管扩张剂抗凝治疗先天性心脏病

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胃溃疡的治疗

国外医学(消化系疾病分册) 1984年第2期 108-110页

作者： lewis j.H 刘文英

二十多年来,胃溃疡的治疗发生了重要变化。以前的治疗选择限于中和胃酸、抗胆碱药、饮食治疗、放射治疗和外科切除。现在已有各种新的内科疗法,包括组织胺H2受体拮抗剂、细胞保护性药物。本文将重点复习胃溃疡的发病机理、诊断方法以及... 详细信息

二十多年来,胃溃疡的治疗发生了重要变化。以前的治疗选择限于中和胃酸、抗胆碱药、饮食治疗、放射治疗和外科切除。现在已有各种新的内科疗法,包括组织胺H2受体拮抗剂、细胞保护性药物。本文将重点复习胃溃疡的发病机理、诊断方法以及新的抗分泌和细胞保护剂在其治疗中的作用。病因学胃溃疡的病因似乎涉及许多因素,包括先天性和某些遗传性综合征。有证据提示某些病例与经常服用大量水杨酸盐有关。酒精虽可刺激酸分泌,而且它和非类固醇抗炎药可造成胃粘膜的急性损伤,但酒精、咖啡因、皮质类固醇和非类固醇抗炎药似乎与胃溃疡发病率的升高无关。吸烟可能增加胃溃疡的危险、延缓愈合并增加溃疡的并发症。

关键词：胃溃疡病抗胆碱药慢性胃溃疡胃粘膜屏障抗酸药应激性溃疡

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肥育猪的缬氨酸需要量

国外畜牧学（饲料） 1996年第5期 9-12页

作者：刘明江 A.j.lewis

缬氨酸在饲喂生长鼠的玉米中是第五种限制性氨基酸(lewis等,1982),在生长猪的玉米一大豆粕日粮中是第四种限制性氨基酸(Rrs-Sell等,1987)。因此,尽管缬氨酸在含有完全蛋白质猪的日粮中不具有限制性,但当日粮中补充了诸如赖氨酸、色氨酸... 详细信息

缬氨酸在饲喂生长鼠的玉米中是第五种限制性氨基酸(lewis等,1982),在生长猪的玉米一大豆粕日粮中是第四种限制性氨基酸(Rrs-Sell等,1987)。因此,尽管缬氨酸在含有完全蛋白质猪的日粮中不具有限制性,但当日粮中补充了诸如赖氨酸、色氨酸和苏氨酸之类的晶状氨基酸时,却又具有限制性。虽然缬氨酸在日粮中具有重要的作用,但至今人们仅做过两次试验。

关键词：猪育肥缬氨酸营养需要量

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工业卫生是有活力的专业

环境与职业医学 1989年第3期13卷 63-65页

作者： lewis j.Cralley 周志俊

序言对知识的紧迫需求造就了新型应用科学——工业卫生。。过去一世纪,工业卫生——通过控制工作场所的危害因素,预防职业病的概念已形成、发展,经受了锻炼,从而创立了工业卫生学科。本文主要讨论这门学科的独特现象,以及该学科如何... 详细信息

序言对知识的紧迫需求造就了新型应用科学——工业卫生。。过去一世纪,工业卫生——通过控制工作场所的危害因素,预防职业病的概念已形成、发展,经受了锻炼,从而创立了工业卫生学科。本文主要讨论这门学科的独特现象,以及该学科如何完成任务、满足需求的。文中工业卫生(indus trial health)与职业卫生(occupational health)为同义语。

关键词：工业卫生职业卫生 occupational 职业安全 NIOSH 团体会员综合性科学 OSHA AIHA 国际协会