检索结果-南通市图书馆

Does music reduce anxiety and discomfort during flexible sigmoidoscopy?A systematic review and meta-analysis

World Journal of Gastrointestinal Endoscopy 2017年第5期9卷 228-237页

作者： Arun P Shanmuganandan Muhammad R Sameem siddiqui Nicholas Farkas Kiran Sran Rhys Thomas Said Mohamed Robert I Swift Al Mutaz Abulafi Department of Colorectal Surgery Croydon University Hospital Department of Surgery Royal Free Hospital

To investigate the role of music in reducing anxiety and discomfort during flexible sigmoidoscopy. METHODSA systematic review of all comparative studies up to November 2016, without language restriction that were identified from MEDLINE and the Cochrane Controlled Trials Register (1960-2016), and EMBASE (1991-2016). Further searches were performed using the bibliographies of articles and abstracts from major conferences such as the ESCP, NCRI, ASGBI and ASCRS. MeSH and text word terms used included “sigmoidoscopy”, “music” and “endoscopy” and “anxiety”. All comparative studies reporting on the effect of music on anxiety or pain during flexible sigmoidoscopy, in adults, were included. Outcome data was extracted by 2 authors independently using outcome measures defined a priori. Quality assessment was performed. RESULTSA total of 4 articles published between 1994 and 2010, fulfilled the selection criteria. Data were extracted and analysed using OpenMetaAnalyst. Patients who listened to music during their flexible sigmoidoscopy had less anxiety compared to control groups [Random effects; SMD: 0.851 (0.467, 1.235), S.E = 0.196, P 2 = 0). Patients who listened to music during their flexible sigmoidoscopy had less pain compared to those who did not, but this difference did not reach statistical significance [Random effects; SMD: 0.345 (-0.014, 0.705), S.E = 0.183, P = 0.06]. Patients who listened to music during their flexible sigmoidoscopy felt it was a useful intervention, compared to those who did not (P 2 = 0). CONCLUSIONMusic appeared to benefit patients undergoing flexible sigmoidoscopies in relation to anxiety and was deemed a helpful intervention. Pain may also be reduced however further investigation is required to ascertain this.

关键词： Music Flexible sigmoidoscopy Anxiety Discomfort Screening

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

Petrological and Geochemical Studies of Lepidolite (LCT Type) and Non-Lepidolite Pegmatite’s from Chakrasila, Dhubri District, Assam, North East India

引用

Open Journal of Geology 2021年第3期11卷 81-104页

作者： Rajkumar R. Meshram Bhupender Singh Mukesh Kumar Mishra H. Hrushikesh Alam siddiqui Devaseesh Shukla Rafique Akhtar Tushar M. Meshram Regional Petrology Division Geological Survey of India CR Nagpur India Geological Survey of India State Unit: P& H NR Chandigarh India Geological Survey of India Western Region Jaipur India Geological Survey of India State Unit: Assam NER Guwahati India Geological Survey of India Central Region Bhopal India

Lepidolite pegmatite occurs as intrusive within biotite gneiss and amphibolite of Assam Meghalaya Gneissic Complex (AMGC) or Precambrian Gneissic Complex in the Dhubri district, Assam. AMGC is the north western extension of the Proterozoic rocks of Meghalaya Plateau or Shillong plateau. In the field it occurs as small to large veins and scattered boulders. Lepidolite pegmatite is later intruded by non lepidolite pegmatite. Pegmatites are medium to coarse grained with quartz and K-feldspar. It also contains lepidolite, which occurs in the form of flakes and clusters varying from pink to purple in colour. Petrography of lepidolite pegmatite reveals lepidolite as major constituents with quartz, K-feldspar and muscovite as minor constituents. XRD analysis reveals lepidolite (muscovite) is major mineral phase with kaliophilite in minor amount. Geochemically, they are calc-alkaline to high calc-alkaline and per-aluminous in nature. On the basis of Alumina Saturation Index (ASI), these pegmatites resemble Lithium-Cesium-Tantalum (LCT) family and compositional affinity with S-type granites of orogenic environments. Trace element compositions (Rb, Sr, Ba) indicate crystal fractionations, variable degrees of fractionation, highly evolved nature of pegmatite’s and strongly differentiated granites protoliths as source. The different tectonic discrimination diagrams indicate S-type and I-type melt for pegmatite derivations. Therefore, both the studied pegmatites could be an evolved variety of granitic rocks that originated from the same magma. The REE is relatively low to moderate.

关键词： Lepidolite LCT XRD Per-Aluminous Fractionations AMGC and Shillong Plateau

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

Use of volumetric laser endomicroscopy for dysplasia detection at the gastroesophageal junction and gastric cardia

引用

World Journal of Gastrointestinal Endoscopy 2017年第7期9卷 319-326页

作者： Nina Gupta Uzma siddiqui Irving Waxman Christopher Chapman Ann Koons Vesta Valuckaite Shu-Yuan Xiao Namrata Setia John Hart Vani Konda Department of Medicine University of Chicago Medical Center Center of Endoscopic Research and Therapeutics Department of MedicineUniversity of Chicago Medical Center Department of Pathology University of Chicago Medical Center

To determine specific volumetric laser endomicroscopy (VLE) imaging features associated with neoplasia at the gastroesophageal junction (GEJ) and gastric cardia. METHODSDuring esophagogastroduodenoscopy for patients with known or suspected Barrett’s esophagus, VLE was performed before biopsies were taken at endoscopists’ discretion. The gastric cardia was examined on VLE scan from the GEJ (marked by top of gastric folds) to 1 cm distal from the GEJ. The NinePoints VLE console was used to analyze scan segments for characteristics previously found to correlate with normal or abnormal mucosa. Glands were counted individually. Imaging features identified on VLE scan were correlated with biopsy results from the GEJ and cardia region. RESULTSThis study included 34 cases. Features characteristic of the gastric cardia (gastric rugae, gastric pit architecture, poor penetration) were observed in all (100%) scans. Loss of classic gastric pit architecture was common and there was no difference between those with neoplasia and without (100% vs 74%, P = NS). The abnormal VLE feature of irregular surface was more often seen in patients with neoplasia than those without (100% vs 18%, P < 0.0001), as was heterogeneous scattering (86% vs 41%, P < 0.005) and presence of anomalous glands (100% vs 59%, P < 0.05). The number of anomalous glands did not differ between individual histologic subgroups (ANOVA, P = NS). CONCLUSIONThe transition from esophagus to gastric cardia is reliably identified on VLE. Histologically abnormal cardia mucosa produces abnormal VLE features. Optical coherence tomography algorithms can be expanded for use at the GEJ/cardia.

关键词： Volumetric laser endomicroscopy Cardia Gastroesophageal junction Barrett’s Optical coherence tomography Neoplasia

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

Transhepatic venous approach to permanent pacemaker placement in a patient with limited central venous access

引用

World Journal of Clinical Cases 2015年第9期3卷 835-837页

作者： Adeel M siddiqui Gregory S Harris Assad Movahed Karl S Chiang Mihail G Chelu Rajasekhar Nekkanti Department of Internal Medicine East Carolina School of Medicine Department of Cardiovascular Sciences East Carolina Brody School of Medicine Vascular Interventional Radiology Vidant Medical Center

The end-stage renal disease population poses a challenge for obtaining venous access required for life-saving invasive cardiac procedures. In this case report, we describe an adult patient with end-stage renal disease in whom the hepatic vein was the only available access to implant a single-lead permanent cardiac pacemaker. A 63-year-old male with endstage renal disease on maintenance hemodialysis and permanent atrial fibrillation/atrial flutter presented with symptomatic bradycardia. Imaging studies revealed all traditional central venous access sites to be occluded/non-accessible. With the assistance of vascular interventional radiology, a trans-hepatic venous catheter was placed. This was then used to place a right ventricular pacing lead with close attention to numerous technical aspects. The procedure was completed successfully with placement of a single-lead permanent cardiac pacemaker.

关键词： Trans-hepatic venous access Permanent cardiac pacemaker End-stage renal disease

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

巴基斯坦高等教育:挑战与机会(英文)

巴基斯坦高等教育:挑战与机会(英文)

引用

北京论坛（2009）文明的和谐与共同繁荣——危机的挑战、反思与和谐发展

作者： Pirzada Q.R.siddiqui University of Karachi

Higher Education in Pakistan starts after grade 12 and generally corresponds to students aged 17- 23 *** country has multiple parallel systems of *** are so called the English medium schools following O and A level curriculum and there are government schools and colleges following National *** additions to these institutions,there is a Taditional Medarsa system which imparts religious teaching with some general knowledge of mathematics, science and *** completing Intermediate or equivalent education,the students join undergraduate/graduate program in Colleges/Universities and Degree Awarding Institutes both private and public.

关键词：巴基斯坦

来源： cnki会议评论

在线全文

cnki会议

学校读者我要写书评

暂无评论

The effect of treatment package time in head and neck cancer patients treated with adjuvant radiotherapy and concurrent systemic therapy

引用

World Journal of Otorhinolaryngology-Head and Neck Surgery 2019年第3期5卷 160-167页

作者： Ahmed I.Ghanem Matthew Schymick Souheyla Bachiri Aniruddh Mannari Jawad Sheqwara Charlotte Burmeister Steven Chang Tamer Ghanem Farzan siddiqui Department of Radiation Oncology Henry Ford Hospital2799 W.Grand BlvdDetroitMI 48202USA Department of Medical Oncology Henry Ford Hospital2799 W.Grand BlvdDetroitMI 48202USA Department of Public Health Science Henry Ford Hospital2799 W.Grand BlvdDetroitMI 48202USA Department of Otolaryngology Henry Ford Hospital2799 W.Grand BlvdDetroitMI 48202USA Alexandria Clinical Oncology Department Alexandria UniversityQasm Bab SharqiAlexandria Governate00302Egypt

Objectives:In patients with head and neck carcinoma,“treatment package time”(TPT)was proven to impact outcomes in cases receiving adjuvant radiotherapy *** impact in patients receiving radiotherapy with concurrent systemic therapy has not been studied *** TPT influence on survival endpoints for patients treated with surgery followed by radiation and concurrent systemic therapy was ***:Institutional database to identify head and neck carcinoma cases treated with definitive surgery followed by concomitant chemo(bio)radiotherapy(CRT)was *** was the number of days elapsed between surgery and the last day of radiation.%FINDCUT SAS macro tool was used to search for the cutoff TPT that was associated with significant survival ***-Meier curves,log-rank tests as well as univariate and multivariate analyses were used to assess overall survival(OS)and recurrence free survival(RFS).Results:One hundred and three cases with a median follow up of 37 months were included in the *** tumors were 43%,oral cavity 40%and laryngeal 17%of *** systemic therapy included platinum and cetuximab in 72%and 28%,*** TPT was found to be<100 days with significantly better OS(P=0.002)and RFS(P=0.043)compared to TPT≥100 *** multivariate analysis;TPT<100 days,extracapsular nodal extension,high-risk score,iymphovascular space and perineural invasion were independent predictors for worse OS(P<0.05).T4,extracapsular nodal extension and high-risk score were all significantly detrimental to RFS(P<0.05).Conclusions:Addition of concomitant systemic therapy to adjuvant radiotherapy did not compensate for longer TPT in head and neck squamous cell *** coordinated care must be provided to ensure the early start of CRT with minimal treatment breaks.

关键词： Head and neck cancer Treatment package time Adjuvant radiation therapy Concomitant systemic therapy Survival

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

喹啉或喹啉/吡啶混合取代阳离子型卟啉化合物的制备和端粒酶抑制活性研究(英文)

引用

中国药科大学学报 2001年第3期32卷 172-179页

作者：陆涛 Adamsiddiqui LaurenceH Hurley College of Pharmacy and Arizona Cancer Center

目的 :寻找具有阳离子型卟啉结构的强效端粒酶抑制剂。方法 :通过芳香醛和吡咯的缩合反应制得 4 乙酰氨基苯基或 4 乙酰氨基苯基 / 4 吡啶基卟啉 ,经水解得相应氨基物 ,然后采用Skraup喹啉合成法制备 6 喹啉 / 4 吡啶取代卟啉碱基 ,最... 详细信息

目的 :寻找具有阳离子型卟啉结构的强效端粒酶抑制剂。方法 :通过芳香醛和吡咯的缩合反应制得 4 乙酰氨基苯基或 4 乙酰氨基苯基 / 4 吡啶基卟啉 ,经水解得相应氨基物 ,然后采用Skraup喹啉合成法制备 6 喹啉 / 4 吡啶取代卟啉碱基 ,最后经甲基化、离子交换得阳离子型卟啉化合物。同法制得 6 喹啉 / 3喹啉取代卟啉碱基。测试所合成化合物的端粒酶抑制活性。结果

关键词：端粒酶端粒酶抑制剂 G-四链体卟啉抗癌药

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

代表性特殊岩心分析样品在选择标准上的一些改进

引用

国外油气地质信息 2007年第3期 56-62页

作者： S．siddiqui 谢小箐（译）赵洪才（校）

通过特殊岩心分析（SCAL）测试得到的数据对油藏工程模型具有重要的影响。本文阐述了为SCAL测试选择代表性样品时所需要的一些标准和测试。推荐的这项技术可以保证选取到代表储层内合适的流体封隔箱或者地层岩相的高质量岩心栓。肉眼观... 详细信息

通过特殊岩心分析（SCAL）测试得到的数据对油藏工程模型具有重要的影响。本文阐述了为SCAL测试选择代表性样品时所需要的一些标准和测试。推荐的这项技术可以保证选取到代表储层内合适的流体封隔箱或者地层岩相的高质量岩心栓。肉眼观察、有时还有计算机层析成象术是用于SCAL研究中评价和选择岩心栓的两种主要手段。虽然可以对卤水渗透率进行测量，但没有一种可以直接测量SCAL岩心栓的孔隙度（φ）而不影响其润湿性的方法。其它的选择手段包括使用“姐妹岩心栓”上传统的岩心分析数据（k和φ）作为SCAL样品性质的通用指标。开发出了一种非常适合于保存样品或原状样品的选择技术来识别具有类似孔隙度／渗透率关系的储层层段。它综合应用了电缆测井、伽马扫描、定量CT和原状卤水渗透率数据。该技术利用这些数据来计算合适的深移储层性质指数（RQI）和流动层指标（FZI）数据。然后再用这些数据从每个储层封隔箱中选取具有代表性的岩心栓样品。作为一个实例，采用该选择指标从中东的上侏罗统碳酸盐岩储层申选取了大约400块SCA工。岩心栓。本文阐述了选择性岩心栓的具体步骤以及将这些岩心栓组合起来用于有意义的SCAL测试的选择标准。

关键词：岩心栓 SCAL测试 CT扫描润湿性渗透率切片

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

宫颈癌治疗：SIGN指南概要

引用

英国医学杂志中文版 2008年第2期11卷 113-115页

作者： R M James M E Cruickshank N siddiqui Scottish IntercollegiateGuidelines Network( SIGN ) 28 ThistleStreet EdinburgEH2 IEN Department ofObstetrics andGynaecology Aberdeen MaternityHospital AB25 7ZD Department ofGynaecologyOncology GlasgowRoyal InfirmaryG40SF

为什么阅读本概要？在英国尽管有一个组织严谨的宫颈癌前病变筛查程序，每年仍有2800例的宫颈癌新发病例和1000例的死亡病例^1。很多患者仍然会因宫颈癌相关症状就诊于全科医生。接种和免疫联合委员会宣布明年引进人乳头瘤病毒疫苗用于1... 详细信息

为什么阅读本概要？在英国尽管有一个组织严谨的宫颈癌前病变筛查程序，每年仍有2800例的宫颈癌新发病例和1000例的死亡病例^1。很多患者仍然会因宫颈癌相关症状就诊于全科医生。接种和免疫联合委员会宣布明年引进人乳头瘤病毒疫苗用于12～13岁少女接种。但可以预见，其对宫颈癌发生率的影响需要40～60年的时间才能看出。

关键词：宫颈癌前病变人乳头瘤病毒疫苗治疗联合委员会死亡病例新发病例全科医生

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

Upper Gastrointestinal Endoscopic Outcomes in Patients with Gastrointestinal Symptoms: Retrospective Analysis at a Tertiary Care Hospital

引用

Open Journal of Gastroenterology 2019年第8期9卷 141-157页

作者： Iftikhar Haider Naqvi Abu Talib Muqadus Tabraze Omer Mustafa siddiqui Maheen Fatima Hussaini Neha Saleem Paryani Rida Effendi Samrah lnam siddiqui Syeda Zuhaa Hassan Maham Munawar Zaiya Waseem Ameer Ahmed Khan Zafir Zohab Hussain Khan S. Zain Naeem Rizvi Sofia Fatima Farooqui Misbah Munaf Hasan Obaid Faryal Khan Dow University of Health Sciences Department of Medicine Karachi Pakistan

Background: Endoscopic procedures are frequently performed to rule out any disease process which eventuates with either a positive or negative outcome. Association of patient demographics, clinical features with endoscopic outcomes are of paramount importance for better understanding and practice of endoscopy. Objectives: This study aimed to determine the frequency of positive endoscopic findings in patients with gastrointestinal symptoms compared to those with negative findings. As a secondary objective, the association between relevant demographics, symptoms, laboratory investigations and procedural outcomes of the participants and positive endoscopic findings were also assessed. Methods: A retrospective analysis of all the patients who underwent esophagogastroduodenoscopy from January 2017 to December 2017 was conducted. A total of 1066 endoscopy records were retrieved and using a convenience sampling technique, relevant data were manually entered to the questionnaires. Records with incomplete or inconsistent data were disregarded as per the exclusion criteria, resulting in 1011 patient records ultimately utilized for the study. All data were entered and analyzed using IBM SPSS 23.0. Results: The study comprised a total of 1011 patients where 52.2% were females and 47.8% males while the mean age of patients was 42.16 ± 15.45. Positive endoscopic findings were observed in 88.1%, where the most common finding was gastritis (49.1%). Approximately 14.5% had positive investigation findings for HBsAg and 23.1% were seropositive for anti-HCV antibody. P-values statistically significant were for age (p = 0.044), hematemesis (p = 0.002), betel quid addiction (p = 0.044), anti-HCV antibody (p = 0.043), HCV-RNA (p = 0.041) and “H. pylori” antigen (p = 0.032). Conclusion: Both genders were almost equally included where most patients presented between the 3rd and 5th decades of life. A high incidence of gastritis was noted. Positive endoscopic findings were associated with be

关键词： Esophagogastroduodenoscopy Endoscopy Gastritis Esophageal Varices

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

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：