检索结果-南通市图书馆

1930年

作者：（英）萧伯纳（G.Bernard shaw）周容译

书名原文:The intelligent woman's guide to socialism and capitalism:为知识阶级妇女作:阐述作者对社会主义与资本主义在社会经济制度、社会生活、阶级、财富、资本、劳动、分配、道德观念等方面的观点和认识。

关键词：政治、法律政治理论

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Post-colonoscopy appendicitis: A case report and systematic review

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World Journal of Gastrointestinal Surgery 2013年第10期5卷 259-263页

作者： darcy shaw Gabriel Gallardo Marc d Basson department of Surgery College of Human MedicineMichigan State University

Colonoscopy is a widely used diagnostic and therapeutic modality with a relatively low ***,given the large volume of procedures performed,awareness of the infrequent complications is *** is an established complication of colonoscopy,and can range from 0.2%-3%depending on the series,population and modality of *** appendicitis after colonoscopy is an extremely rare event,and a cause-effect relationship between the colonoscopy and the appendicitis is not well *** addition,awareness of this condition can aid in prompt *** mild symptoms and exclusion of bowel perforation by contrast studies do not exclude appendicitis from the differential diagnosis for post-colonoscopy *** addition to the difficult diagnosis inherent to postcolonoscopy appendicitis,treatment strategies have varied *** paper reviews these *** also expand upon prior articles by giving guidance for the role of nonoperative management in these *** case and review of the literature will help to create awareness about this complication,and guide optimal treatment of pericolonoscopy appendicitis.

关键词： Colonoscopy complications Appendicitis

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Perioperative Outcomes Following Surgical Treatment of the Neuromuscular Hip: An Analysis of the National Surgical Quality Improvement Program—Pediatrics

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Open Journal of Orthopedics 2018年第1期8卷 24-32页

作者： K. Aaron shaw Justin M. Hire david S. Kauvar dana Olszewski Joshua S. Murphy department of Orthopaedic Surgery Dwight D. Eisenhower Army Medical Center Fort Gordon GA USA department of Surgery Uniformed Services University of the Health Sciences Bethesda MD USA department of Pediatric Orthopaedic Surgery Children’s Orthopedics of Atlanta Atlanta GA USA

Background: Surgical treatment for neuromuscular (NM) hip subluxation or dislocation is undertaken to maintain functionality and decrease pain. Longterm complications are well described;however, the acute complication profile is poorly understood. Questions/Purpose: The aim of this study was to identify the rate of and risk factors for complications following surgical treatment of hip subluxation/dislocation, especially as it relate to NM children. Methods: Hip reconstruction cases in patients with a NM diagnosis and non-NM patients were obtained from the 2015 American College of Surgeons NSQIP-Pediatric database by CPT code. 30-day postoperative complications were classified according to the Clavien-dindo system as minor (grade 1 or 2) or major (grade 3+). Patient and surgical factors were assessed in univariate and multivariate logistic regression analyses for association with post-operative complications. Results: 1081 cases were identified (median age 7.7, 55% female), of whom 420 (39%) had a NM diagnosis. Overall complication rate was significantly higher in NM patients (33% vs. 19%, p d with postoperative complication on univariate analysis. Multivariate analysis identified NM diagnosis (OR 1.5), age > 6 years (OR 1.5), or pelvic osteotomy (OR 1.9) as independent risk factors for complication. Conclusion: In pediatric reconstructive hip surgery requiring pelvic osteotomy, a NM diagnosis is associated with an increased risk of 30-day postoperative complications. Older age and increasing surgical complexity were also independently associated with complications. These findings support special attention for the older patients undergoing concomitant pelvic osteotomies to minimize complication rate.

关键词： Hip Subluxation Hip dislocation Surgical Complications Pediatric NSQIP-P

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Structural basis for the hydrolysis and transglycosylation activities of endo-β-N-acetylglycosaminidase A from Arthrobacter protophormiae

Structural basis for the hydrolysis and transglycosylation a...

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中国晶体学会第四届全国会员代表大会暨学术会议

作者： Jie Yin Lei Li Neil shaw Yang Li Chongyun Cheng Rongguang Zhang Peng Wang Zhi-Jie Liui National Glycoengineering Research Center and The State Key Laboratory of Microbial Technology School of Life ScienceShandong University National Laboratory of Biomacromolecules Institute of BiophysicsChinese Academy of Sciences Structural Biology Center Advanced Photon SourceArgonne National LaboratoryIL 60439 USA

Endo-β-N-acetylglycosaminidases(ENGases) belonging to the GH85 families of glycoside hydrolases are dual specificity enzymes with an ability to catalyze hydrolysis and transglycosylation *** and transglycosylation are achieved via a unique substrate assisted ***,these enzymes have been the focus of intense research because of their potential for synthesis of novel,regio-and sterio-specific glycopeptides and *** of the 3d structure has severely hampered the rational engineering of these enzymes. We have determined the three dimensional structure of ENGase from Arthrobacter protophormiae(Endo-A) in complex with GlcNAc-thiazoline and ***-A is composed of three domains-a classic(β/α) TIM-barrel domain found in several GH18 family ENGases,a Carbohydrate Binding Module(CBM) and an Fn3 domain,which have never been reported before for *** carbohydrate moiety sits in a cleft region surrounded by aromatic residues just above the *** conserved essential catalytic residues-E173,N171 and Y205 are within hydrogen bonding distance of the substrate.W216 and W244 regulate access to the active site during transglycosylation by serving as "gate-keepers".Residues N241,F243 and Y299 play a role in transglycosylation due to their proximity to ***,Y299F mutation resulted in a 3 fold increase in the transglycosylation *** structure provides insights into the catalytic mechanism at molecular level and could assist rational engineering of ENGases.

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Comparison of Coopdech Endobronchial Blocker,Arndt Wire-guided Endobronchial Blocker,and Univent Tube with double-lumen Endotracheal Tube in video assisted thoracoscopic surgery A Randomized,Prospective,Controlled Trial

Comparison of Coopdech Endobronchial Blocker,Arndt Wire-guid...

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2008年第七次华东六省一市麻醉学学术会议暨浙江省麻醉学术年会

作者： Taidi Zhong,M.d.,pHd,Wenyuan Wang,Md,Jie Chen,Md.Lv Ran,Md,pHd. department of Anesthesiology,Sir Run Run shaw Hospital,Medical College,Zhejiang University,Hangzhou City,China

Background:Techniques for one-lung ventilation(OLV)can be accomplished in two basic ways,the double lumen endobronchial tube(dLT)and the endobronchial blocker,such as the Amdt blocker or the Univent *** Coopdech endobronchial blocker is a newly designed endobronchial *** a few published articles described its use in *** current study was designed to compare the effectiveness of the Coopdech blocker with the Amdt blocker,the Univent blocker and the dLT during the elective video assisted thoracoscopic surgical(VATS)cases.

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在线咨询系统在初级保健中的应用:案例研究

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中国全科医学 2017年第36期20卷 4479-4479页

作者： casey m shaw s swinglehurst d 本刊编辑部

背景为增强全科医疗的可及性,提高其诊治效率的同时节约成本,目前国内正强有力地推动面对面咨询的替代方法——具有改善全科医疗潜力的新技术。目的探索在线咨询系统(Tele-doc)的引入及其运行情况。设计与场所一个市中心区全科诊所的混... 详细信息

背景为增强全科医疗的可及性,提高其诊治效率的同时节约成本,目前国内正强有力地推动面对面咨询的替代方法——具有改善全科医疗潜力的新技术。目的探索在线咨询系统(Tele-doc)的引入及其运行情况。设计与场所一个市中心区全科诊所的混合方法案例研究。方法通过采访系统开发人员、全科医生和诊所管理人员,审查Tele-doc的文档、网站和演示版本,进行主题分析和语篇分析。结果确定了3个相互关联的主题:创新在线咨询系统、管理全科咨询"混乱"和再分配全科医疗工作。及时地提出了当代全科医疗中有关咨询的重要性问题。患者对Tele-doc的接受度较低。大部分的咨询工作被再分配给患者和诊所管理人员,有时会引起误解。咨询工作的"混乱"难以消除。内部培训侧重于技术应用,而不是预想的咨询工作的相关转换。全科医生期待各式各样的咨询方式,但实践过程中,全科医疗效率并未提高。结论作为新的咨询方式,Tele-doc目前仍处在实践摸索阶段。其可能为离散患者、单一问题患者提供便利,并给全科医生工作量带来可喜的变化。但Tele-doc并不能很好地解决复杂问题和提高全科医疗效率,其应用带来的效果不可预见。

关键词：咨询系统世界家庭医生组织应用初级保健在线论文摘要案例全科医疗工作

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Full-volume three-dimensional echocardiographic assessment of left ventricular volume in human fetuses

Full-volume three-dimensional echocardiographic assessment o...

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第二届长三角超声医学论坛暨2009年浙江省超声医学学术年会

作者： department of diagnostic Ultrasound and Echocardiography,Sir Run Run shaw Hospital Zhejiang University College of Medicine & Sir Run Run shaw Institute of Clinical Medicine of Zhejiang University,Hangzhou 310016,China Li-li YU Bo-wen ZHAO Mei PAN Yuan YANG Peng LI Qian ANG

Objective To evaluate the feasibility and accuracy of full volume three-dimensional echocardiography (FV3dE) for quantifying the left ventricular(LV) volume in healthy fetuses. Methods The study subjects consisted of 254 singleton fetuses with gestational ages between 20 and 40 ***3dE,two-dimensional(2d) and M-mode images were acquired by Philips iE33 system and data

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Evolving technologies for growing,imaging and analyzing 3d root system architecture of crop plants

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Journal of Integrative Plant Biology 2016年第3期58卷 230-241页

作者： Miguel A.Pieros Brandon G.Larson Jon E.Shaff david J.Schneider Alexandre Xavier Falcao Lixing Yuan Randy T.Clark Eric J.Craft Tyler W.davis Pierre-Luc Pradier Nathanael M.shaw Ithipong Assaranurak Susan R.Mc Couch Craig Sturrock Malcolm Bennett Leon V.Kochian USdA-ARS Robert Holley Center for Agriculture and Health538 Tower RoadIthacaNY 14580USA department of Information Systems Institute of ComputingUniversity of CampinasAv.Albert Einstein1251CEP 13083-852CampinasSPBrazil department of Plant Nutrition China Agricultural UniversityBeijing 100193China department of Plant Breeding and Genetics Cornell UniversityIthacaNY 14853USA Centre for Plant Integrative Biology School of BiosciencesUniversity of NottinghamSutton BoningtonLE12 5RDUK College of Science King Saud UniversityRiyadh 11451Kingdom of Saudi Arabia

A plant＇s ability to maintain or improve its yield under limiting conditions,such as nutrient de ficiency or drought,can be strongly in fluenced by root system architecture（RSA）,the three-dimensional distribution of the different root types in the soil. The ability to image,track and quantify these root system attributes in a dynamic fashion is a useful tool in assessing desirable genetic and physiological root traits. Recent advances in imaging technology and phenotyping software have resulted in substantive progress in describing and quantifying RSA. We have designed a hydroponic growth system which retains the three-dimensional RSA of the plant root system,while allowing for aeration,solution replenishment and the imposition of nutrient treatments,as well as high-quality imaging of the root system. The simplicity and flexibility of the system allows for modi fications tailored to the RSA of different crop species and improved throughput. This paper details the recent improvements and innovations in our root growth and imaging system which allows for greater image sensitivity（detection of fine roots and other root details）,higher ef ficiency,and a broad array of growing conditions for plants that more closely mimic those found under field conditions.

关键词： Abiotic stress digital root phenotyping mineral nutrition root system architecture

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恶性组织细胞病骨显像一例

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中华核医学杂志 2003年第1期23卷 54-54,62页

作者：冯珏张琳边艳珠河北省人民医院核医学科石家庄050051

患者女,60岁,全身多发性骨痛2个月,伴发热,皮肤斑疹3d.肝脾及全身淋巴结未触及种大(入院后15d触诊脾肋下3cm),全身骨疼痛,活动不受限.实验室检查:WBC3.2×10~9/L,血红蛋白(HGB)84g/L,PLT78×10~9/L,红细胞沉降率:30mm/1h,60mm/2h,尿本... 详细信息

患者女,60岁,全身多发性骨痛2个月,伴发热,皮肤斑疹3d.肝脾及全身淋巴结未触及种大(入院后15d触诊脾肋下3cm),全身骨疼痛,活动不受限.实验室检查:WBC3.2×10~9/L,血红蛋白(HGB)84g/L,PLT78×10~9/L,红细胞沉降率:30mm/1h,60mm/2h,尿本周蛋白阴性.胸部GT示:双侧胸腔积液,左肺部分萎缩,右肺野内班片,索状影,考虑恶性组织细胞病肺仙浸泣表现,肿瘤不除外.2次骨髓涂片检查均考虑恶性组织细胞增生症.因临床不除外全身骨转移瘤而行全身骨显像,示全身骨髂显示不佳,软组织(肌肉及肺)显影,肝,脾放射性浓聚增高,于后位右肺下叶基底段可见一圆形放射性浓聚灶,与CT.X线胸片所示部位相符,性质待定.患者于骨显像后第15天死亡.

关键词：恶性组织细胞病骨显像诊断

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中国四川盆地八角场气田低起伏滑脱褶皱作用的机理

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国外石油动态 2008年第7期 8-24页

作者： Andreas Plesch John H. shaw david Kronman 谢力（译）

我们使用三维（3d）地震反射数据和建立在力学约束基础上的新的二维（2d）和3d构造恢复方法来深入地了解中国四川盆地八角场背斜的发育。该构造形成了对八角场气田的圈闭，据报告，该气田在很厚的上三叠统三角洲前沿和湖岸相硅质碎屑岩... 详细信息

我们使用三维（3d）地震反射数据和建立在力学约束基础上的新的二维（2d）和3d构造恢复方法来深入地了解中国四川盆地八角场背斜的发育。该构造形成了对八角场气田的圈闭，据报告，该气田在很厚的上三叠统三角洲前沿和湖岸相硅质碎屑岩内含有大量天然气储量。基底滑脱位于中三叠统蒸发岩单元，在此之上的层根据它们的机械应力被折叠和断裂为各种密度。新的恢复方法使得我们能够探测各种断层位移方向，并断定八角场构造主要是通过倾滑和挤缩褶皱作用生长的。此外，我们量化了各构造层内缩短的样式和大小。基底滑脱层上的大量缩短和延性增厚与一般的滑脱褶皱模型一致。然而，我们证实，基底滑脱上的滑动要远大于这些模型预测的，这意味着基底滑脱上的滑动超出了构造范围进入了前陆。此外，褶皱核心中的构造增厚被产生了构造叠瓦的基底滑脱中的一系列小对冲断层局部化了。这意味着八角场滑脱褶皱是通过类似于冲褶席的机理生长的，这对在褶皱的不同机械层内划分缩短和应变的方式有重要意义。

关键词：滑脱褶皱褶皱作用四川盆地八角气田机理中国构造形成

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