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Neural Regeneration Research 2014年第9期9卷 907-908页

作者： andrew d. reisner Forensic d.agnostic Center of d.strict Nine

The structural d.mage to vascular end.thelial cell In a recent article in the journal Brain Injury, four potential hypotheses for d.layed.neurological d.sord.rs following lightning and.electrical injury were suggested.（reisner, 2013）. The phenomenon of d.layed.neurod.generative synd.omes following lighting and.electrical injury has been known since the early 1930s （Critchley, 1934）, but to the present d.y, the mechanisms involved.have been poorly un- d.rstood. An initial and.still plausible theory is that the electrical insult causes d.mage to the vascular structures feed.ng the spinal cord.via d.mage to vascular end.thelial cells （Farrell and.Starr, 1968）.

关键词： neural d.ath d.layed.neural d.mage ind.ced.by lightning and.electrical injury

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Neurological and.neuropsychological consequences of electrical and.lightning shock： review and.theories of causation

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Neural Regeneration Research 2017年第5期12卷 677-686页

作者： Christopher J.andrews andrew d.reisner Faculty of Med.cine-The University of Queensland HerstonAustraliaLightning and Electrical InjuriesMt Ommaney Family PracticeMt OmmaneyBrisbaneAustralia Forensic d.agnostic Center of d.strict Nine CambridgeOHUSA

Injuries from lightning and.electrical injuries involve multiple systems of the bod., however neurological symptoms are very wid.ly reported. A d.sabling neuropsychological synd.ome is also noted. This paper presents a comprehensive review of neurological and.neuropsychological symptoms. Partial theories of causation for these injuries have been ad.anced. however, there is no convincing explanation for both d.lay in onset of symptoms and.also the genesis of the neuropsychological synd.ome. A theory of causation is proposed.which satisfies both these constraints. This theory suggests circulating hormones such as cortisol, together with nitric oxid. and.oxid.nt free rad.cals from glutamatergic hyper-stimulation, act on tissues remote from the injury path includ.ng the hippocampus. This theory opens a research path to explore treatment options.

关键词： electrical injury lightning injury neurology neuropsychology neuropsychiatry injury trauma

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Post electrical or lightning injury synd.ome: a proposal for an American Psychiatric Association's d.agnostic and.Statistical Manual formulation with implications for treatment

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Neural Regeneration Research 2017年第9期12卷 1405-1412页

作者： Christopher J.andrews andrew d.reisner Mary Ann Cooper Med.cine The University of Queensland Lightning and.Electrical Injuries Mt Ommaney Family Practice Forensic d.agnostic Center of d.strict Nine Lightning Injury Research Program University of Illinois at Chicago African Centres for Lightning and.Electromagnetics Network

In the past, victims of electrical and.lightning injuries have been assessed.in a manner lacking a system- atic formulation, and.against ad.hoc criteria, particularly in the area of neuropsychological d.sability. In this manner patients have, for example, only been partially treated. been poorly or incorrectly d.agnosed. and.have been d.nied.the full benefit of compensation for their injuries. This paper contains a proposal for d.agnostic criteria particularly for the neuropsychological aspects of the post injury synd.ome. It pays attention to wid.ly published.consistent d.scriptions of the synd.ome, and.a new cluster analysis of post electrical injury patients. It formulates a proposal which could.be incorporated.into future ed.tions of the American Psychiatric Association＇s d.agnostic and.Statistical Manual （d.M）. The major neuropsycholog- ical consequences includ. neurocognitive d.sfunction, and.memory subgroup d.sfunction, with ongoing consequences, and.sometimes includ.ng progressive or d.layed.psychiatric, cognitive, and.or neurological symptoms. The proposed.d.agnostic criteria insist on a d.monstrated.context for the injury, both specifying the shock circumstance, and.also physical consequences. It allows for a certain d.lay in onset of symptoms. It recognizes exclusory cond.tions. The outcome is a proposal for a d.M classification for the post electrical or lightning injury synd.ome. This proposal is consid.red.important for ground.ng patient treatment, and.for further treatment trials. Options for treatment in electrical or lightning injury are summarised. and.future trials are foreshad.wed.

关键词： electrical injury lightning injury neuropsychology neuropsychiatry injury American Psychiatric Association's d.agnostic and.Statistical Manual

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急诊室CT:医生制定决策改变的实时研究

国际医学放射学杂志 2016年第3期 304-304页

作者： P.V.Pand.aripand. A.T.reisner W.d.Bind.r A.Zaheer M.L.Gunn K.F.Linnau 李志鹏 d.partment of Rad.ology Institute for Technology AssessmentMassachusetts General Hospital

摘要目的明确急诊室CT如何影响医生的诊断、诊断的不确定性以及收治决策。材料与方法本研究由伦理委员会批准,并符合HIPAA。数据收集时间为2012年7月12日—2014年1月13日,未征求病人的同意。在这项4个中心的前瞻性研究中,病人以腹痛、... 详细信息

摘要目的明确急诊室CT如何影响医生的诊断、诊断的不确定性以及收治决策。材料与方法本研究由伦理委员会批准,并符合HIPAA。数据收集时间为2012年7月12日—2014年1月13日,未征求病人的同意。在这项4个中心的前瞻性研究中,病人以腹痛、胸痛和/或呼吸困难、或头痛到急诊部就诊,并接受CT检查。分别于CT检查前后调查医生的主要诊断、诊断的信心(范围:0～100%)、可能的排除

关键词：急诊室呼吸困难胸痛主要诊断疼痛科学管理决策 CT