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The impact of round window vs cochleostomy surgical approaches on interscalar excursions in the cochlea:Preliminary results from a flat-panel computed tomography study

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World journal of Otorhinolaryngology-Head and Neck Surgery 2016年第3期2卷 -页

作者： Nicole T. jiam Charles j. Limb Department of 0tolaryngology e Head and Neck Surgery University of California San Francisco School of Medicine USA

Objective:To evaluate incidence of interscalar excursions between round window (RW) and cochleostomy approaches for cochlear implant (CI) insertion. Methods:This was a retrospective case-comparison. Flat-panel CT (FPCT) scans for 8 CI users with Med-el standard length electrode arrays were collected. Surgical technique was identified by a combination of operative notes and FPCT imaging. Four cochleae underwent round win-dow insertion and 4 cochleae underwent cochleostomy approaches anterior and inferior to the round window. Results:In our pilot study, cochleostomy approaches were associated with a higher likeli-hood of interscalar excursion. Within the cochleostomy group, we found 29% of electrode contacts (14 of 48 electrodes) to be outside the scala tympani. On the other hand, 8.5%of the electrode contacts (4 of 47 electrodes) in the round window insertion group were extra-scalar to the scala tympani. These displacements occurred at a mean angle of occur-rence of 364? ? 133?, near the apex of the cochlea. Round window electrode displacements tend to localize at angle of occurrences of 400? or greater. Cochleostomy electrodes occurred at an angle of occurrence of 19?e490?.

关键词： Cochlear implantation Round window insertion Cochleostomy Interscalar excursion electrode position Flat-panel computed tomography Surgical approach

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动态增强MR成像预测胶质母细胞瘤病人标准治疗后增强病灶进展的前瞻性研究

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国际医学放射学杂志 2017年第5期 612-612页

作者： R.e.yoo S.H.Choi T.M.Kim C.K.Park S.H.Park j.K.Won 董晨风 Department of Radiology Seoul National University College of Medicine

摘要目的探讨动态对比增强MRI(DCe-MRI)在预测胶质母细胞瘤(GBM)病人术后及标准治疗后持续存在的增强病灶进展的价值。方法纳入2014年5月—2016年2月间

关键词： DCe 胶质母细胞瘤 MR

AMe证据系列001--转化医学协会:脓毒症诊断和早期识别的临床实践指南

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临床与病理杂志 2016年第10期36卷 1467-1476页

作者： Zhongheng Zhang Nathan j.Smischney Haibo Zhang Sven Van Poucke Panagiotis Tsirigotis jordi Rello Patrick M.Honore.win Sen Kuan juliet june Ray jiancang Zhou You Shang Yuetian Yu Christian jung Chiara Robba Fabio Silvio Taccone Pietro Caironi David Grimaldi Stefan Hofer George Dimopoulos Marc Leone Sang-Bum Hong Mabrouk Bahloul Laurent Argaud Won Young Kim Herbert D.Spapen jose Rodolfo Rocco 张建成(译) 尚游(译) 钟鸣(校) Department of emergency Medicine Sir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou 310016 Department of Critical Care Medicine Jinhua Hospital of Zhejiang UniversityJinhua Zhejiang 321000 Department of Anesthesiology Mayo ClinicRochesterMNUSA Keenan Research Center for Biomedical Science of St.Michael's Hospital Departments of Anesthesia and PhysiologyInterdepartmental Division of Critical Care MedicineUniversity of TorontoTorontoONCanada Departments of Anesthesiology Critical CareEmergency Medicine and Pain TherapyZiekenhuis Oost-Limburgy GenkBelgium 2nd Department of Internal Medicine Attikcon University HospitalMedical SchoolNational and Kapodistrian University of AthensAthensGreece CIBeReS Vall d'Hebron Institut of ResearchUniversitat Autonoma de BarcelonaSpain Universitair Ziekenhuis Brussely Vrije Universiteit Brussel Brussels BrusselsBelgium emergency Medicine Department National University HospitalNational University Health SystemSingapore and the Department of SurgeryYong Loo Lin School of MedicineNational University of SingaporeSingapore DeWitt Daughtry Family Department of Surgery Jackson Memorial HospitalUniversity of Miami Leonard M.Miller School of MedicineMiamiFLUSA Department of Critical Care Medicine Sir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou 310016 Department of Critical Care Medicine Union HospitalTongji Medical CollegueHuazhong University of Science and TechnologyWuhan 430022 Department of Critical Care Medicine Renji HospitalShanghai Jiao Tong University School of MedicineShanghai 200001 University Hospital Dusseldorf Heinrich-Heine-University DusseldorfMedical FacultyDivision of CardiologyPulmonology and Vascular MedicineDusseldorfGermany Neurosciences Critical Care Unit Addenbrooke's HospitalCambridgeUK Department of Intensive Care Hopital ErasmeUniversite Libre de Bruxelles(ULB)BrusselsBelgium Dipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti Fondazione IRCCS Ca'Granda-Ospedale

脓毒症是一种由感染引起的异质性疾病,感染触发了一系列复杂的局部或者全身的免疫炎症反应,引起多器官功能衰竭,发病率和病死率显著升高。由于至今仍然没有诊断脓毒症的金标准,所以脓毒症的临床诊断仍是一个难题。因此,脓毒症的临床诊... 详细信息

脓毒症是一种由感染引起的异质性疾病,感染触发了一系列复杂的局部或者全身的免疫炎症反应,引起多器官功能衰竭,发病率和病死率显著升高。由于至今仍然没有诊断脓毒症的金标准,所以脓毒症的临床诊断仍是一个难题。因此,脓毒症的临床诊断需要不断改变来满足临床和研究的要求。然而,尽管有许多新型的生物标记和筛选工具去预测脓毒症发生的风险,但是这些措施的诊断价值和有效性不足以让人满意,并且没有充分的证据去建议临床使用这些新技术。因此,脓毒症的临床诊断标准需要定期更新去适应不断产生的新证据。这篇综述旨在呈现当前脓毒症的诊断和早期识别方面的最新研究证据。临床运用不同的诊断方法的推荐意见依赖于推荐、评价、发展和评估分级体系(Grades of Recommendation Assessment,Development and evaluation,GRADe),因为大部分的研究是观察性研究,并没有对这些方法进行可靠评估,采用的是两步推理方法。未来需要更多研究来确认或者反驳某一特殊的指标检测,同时应该直接采用相关病人的结果数据。

关键词：脓毒症早期识别诊断

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Acoustic emission Studies on Weld Bead Defects in Nuclear Grade SS 316L Materials

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Open journal of Acoustics 2014年第3期4卷 115-130页

作者： Ranganayakulu S. V. Shiva Raju j. Kuchedludu A. Ramesh Kumar B. Center for Non Destructive evaluation Gurunanak Institutions Technical Campus Hyderabad India Institute for Plasma Research [IPR] Bhatt Gujarat State India

This paper contributes about the behaviour of Acoustic emission (Ae) signatures of implanted weld defects of SS 316L materials. Lack of penetration and lack of side fusion defects were implanted in weld bead region of the materials. Tungsten Inert Gas Welding (TIG) is adopted to weld the Stainless Steel (SS316L) nuclear grade materials. The material is fabricated with dimensions of 140 × 16 × 10 mm and Ae signatures are studied under preload conditions. Mechanical jig is fabricated to maintain constant load in concentrated weld region. When external load is applied on the weld region, the deformed specimen experiences acoustic emission signals form the weld defect region which are potential source of releasing stress energy. Liner Location Technique (LLT) is adopted for Ae singal studies and the generated signal is processed by 2-channel USB—Ae node and Ae.win software. The tests are conducted on two different samples having each defect. A conventional NDT method i.e. X-ray Radiography is conducted on the samples to know the defect ranging and correlated with Ae signatures. This study will be helpful to standardize the Ae signals for different implanted weld defects of SS 316L materials and it is found that, the parameter “counts vs. amplitude” has given the widest distinction with respect to the type of defects.

关键词： Acoustic emission Signatures X-Ray Radiography Lack of Side Fusion Lack of Penetration Tungsten Inert Gas Welding (TIG)

Using the.win ratio to compare laparoscopic versus open liver resection for colorectal cancer liver metastases

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Hepatobiliary Surgery and Nutrition 2023年第5期12卷 692-703,I0017页

作者： Alessandro Paro j.Madison Hyer Brandon S.Avery Diamantis I.Tsilimigras Fabio Bagante Alfredo Guglielmi Andrea Ruzzenente Sorin Alexandrescu George Poultsides Kazunari Sasaki Federico Aucejo Timothy M.Pawlik Department of Surgery The Ohio State University Wexner Medical Center and James Cancer Hospital and Solove Research InstituteColumbusOHUSA University of Verona VeronaItaly Fundeni Clinical Institute BucharestRomania Stanford University StanfordCAUSA Cleveland Clinic Foundation ClevelandOHUSA

Background:We sought to assess the overall benefit of laparoscopic versus open hepatectomy for treatment of colorectal liver metastases(CRLMs)using the.win ratio,a novel methodological ***:CRLM patients undergoing curative-intent resection in 2001-2018 were identified from an international multi-institutional *** were paired and matched based on age,number and size of lesions,lymph node status and receipt of preoperative *** win ratio was calculated based on margin status,severity of postoperative complications,90-day mortality,time to recurrence,and time to ***:Among 962 patients,the majority underwent open hepatectomy(n=832,86.5%),while a minority underwent laparoscopic hepatectomy(n=130,13.5%).Among matched patient-to-patient pairs,the odds of the patient undergoing laparoscopic resection“winning”were 1.77[WR:1.77,95%confidence interval(CI):1.42-2.34].The.win ratio favored laparoscopic hepatectomy independent of low(WR:2.94,95%CI:1.20-6.39),medium(WR:1.56,95%CI:1.16-2.10)or high(WR:7.25,95%CI:1.13-32.0)tumor burden,as well as unilobar(WR:1.71,95%CI:1.25-2.31)or bilobar(WR:4.57,95%CI:2.36-8.64)*** odds of“winning”were particularly pronounced relative to short-term outcomes(i.e.,90-day mortality and severity of postoperative complications)(WR:4.06,95%CI:2.33-7.78).Conclusions:Patients undergoing laparoscopic hepatectomy had 77%increased odds of“winning”.Laparoscopic liver resection should be strongly considered as a preferred approach to resection in CRLM patients.

关键词： Colorectal liver metastases(CRLMs) minimally invasive surgery laparoscopic liver resection win ratio

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急性卒中影像学研究路径图Ⅱ

国际脑血管病杂志 2014年第2期22卷 81-92页

作者： Max wintermark Gregory W. Albers joseph P. Broderick Andrew M. Demchuk jochen B. Fiebach jens Fiehler james C. Grotta Gary Houser Tudor G. jovin Kennedy R. Lees Michael H. Lev David S. Liebeskind Marie Luby Keith W. Muir Mark W. Parsons Rudiger von Kummer joanna M. Wardlaw Ona Wu Albert j. yoo Andrei V. Alexandrov jeffry R. Alger Richard I. Aviv Roland Bammer jean-Claude Baron Fernando Calamante Bruce C.V. Campbell Trevor C. Carpenter Sφren Christensen William A. Copen Colin P. Derdeyn e. Clarke Haley jr Pooja Khatri Kohsuke Kudo Maarten G. Lansberg Lawrence L. Latour Ting-Yim Lee Richard Leigh Weili Lin Patrick Lyden Grant Mair Bijoy IC Menon Patrik Michel Robert Mikulik Raul G. Nogueira Left φstergaard Salvador Pedraza Christian H. Riedel Howard A. Rowley Pina C. Sanelli Makoto Sasaki jeffrey L. Saver Pamela W. Schaefer Peter D. Schellinger Georgios Tsivgoulis Lawrence R. Wechsler Philip M. White Greg Zaharchuk Osama O. Zaidat Stephen M. Davis Geoffrey A. Donnan Anthony j. Furlan Werner Hacke Dong-Wha Kang Chelsea Kidw ell Vincent N. Thijs Gotz Thomalla Steven j. Warach 严晓铭刘牧张晶晶柯开富不详南通大学附属医院神经内科 226001

卒中影像学研究组（StrokeImagingResearchGroup，STIR）、美国神经放射学学会和美国神经放射学学会基金会在过去1年多的时间时举办了一系列的工作会议，最后一次会议于2013年3月9日至10日在华盛顿召开的卒中治疗专业学术圆桌会议（Stro... 详细信息

卒中影像学研究组（StrokeImagingResearchGroup，STIR）、美国神经放射学学会和美国神经放射学学会基金会在过去1年多的时间时举办了一系列的工作会议，最后一次会议于2013年3月9日至10日在华盛顿召开的卒中治疗专业学术圆桌会议（Stroke Treatment Academy Industry Roundtable，STAIR）期间举行。

关键词：急性卒中影像学神经放射学路径会议基金会学会美国

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译者主体性在外宣翻译中的彰显

河北联合大学学报（社会科学版） 2016年第6期16卷 149-154页

作者：杜丽娟阜阳师范学院安徽阜阳236041

译者主体性的发挥必然绕不开三个特征,即受动性、为我性和能动性。外宣翻译的目的明确,即让世界了解中国。为了赢得更多的国外受众和更好地实现对外宣传中国的传播效果,译者需要发挥其主体性,即在尊重翻译对象的前提下,在翻译活动中表... 详细信息

译者主体性的发挥必然绕不开三个特征,即受动性、为我性和能动性。外宣翻译的目的明确,即让世界了解中国。为了赢得更多的国外受众和更好地实现对外宣传中国的传播效果,译者需要发挥其主体性,即在尊重翻译对象的前提下,在翻译活动中表现出来的主观能动作用。译者主体性在外宣翻译中的体现主要彰显在以下的翻译策略,即语义补足翻译、结构补足翻译、解释性翻译、改译等。

关键词：外宣翻译译者主体性受动性为我性能动性

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已报道的急性冠状动脉综合征遗传危险因素在大规模重复性研究中未确证

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世界核心医学期刊文摘(心脏病学分册) 2007年第9期 4-4页

作者： Morgan T.M. Krumholz H.M. Lifton R.P. Spertus j.A. 刘少伟 Washington University School of Medicine McDonnell Pediatric Research Bldg. 3103 660 Euclid Ave St Louis MO 63110 United States

背景:由于已报道的与急性冠状动脉综合征(ACS)相关的遗传变异数量众多而不一致,故有必要对ACS的易患基因型进行全面确证。目的:对推断的ACS遗传危险因素进行全面确证。设计、机构和受试者:通过对2005年3月10日前发表的文献进行系统检索... 详细信息

背景:由于已报道的与急性冠状动脉综合征(ACS)相关的遗传变异数量众多而不一致,故有必要对ACS的易患基因型进行全面确证。目的:对推断的ACS遗传危险因素进行全面确证。设计、机构和受试者:通过对2005年3月10日前发表的文献进行系统检索,确定了

关键词：急性冠状动脉综合征危险因素危险隐患 ACS