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Anemia in patients with high-risk acute coronary syndromes admitted to Intensive Cardiac Care Units

Journal of Geriatric Cardiology 2020年第1期17卷 35-42页

作者： Victoria Lorente Jaime Aboal Cosme Garcia Jordi Sans-Rosello Antonia Sambola Rut Andrea Carlos Tomas Gil Bonet David Vinas Nabil el Ouaddi Santiago Montero Javier Cantalapiedra Margarida Pujol Isabel Hernandez Maria Perez-Rodriguez Isaac Llao jose C Sanchez-Salado Miquel Gual Albert Ariza-Sole 无 Hospital Universitari de Bellvitge L’Hospitalet de LlobregatBarcelonaSpain Hospital Unversitari josep Trueta GironaSpain Hospital Universitari Germans Trias i Pujol Badalona BarcelonaSpain Hospital de la santa Creu i Sant Pau Instituto de Investigación Biomedica IIB Sant PauUniversitat Autonoma de Barcelona(UAB)BarcelonaSpain Hospital Universitari de la Vall d’Hebron BarcelonaSpain Hospital Clinic i Provicial BarcelonaSpain Hospital Arnau de Vilanova LleidaSpain Hospital Joan XXIII TarragonaSpain the Grup de Treball de Cures Agudes Cardiologiques de la Societat Catalana de Cardiologia

Background Little information exists about the role of anemia in patients with acute coronary syndromes(ACS)admitted to Intensive Cardiac Care Units(ICCU).The aim of this study was to assess the prevalence of anemia and its impact on management and outcomes in this clinical *** All consecutive patients admitted to eight different ICCUs with diagnosis of non-ST segment elevation ACS(NSTEACS)were prospectively *** was defined as hemoglobin<130 g/L in men and<120 g/L in *** association between anemia and mortality or readmission at six months was assessed by the Cox regression *** A total of 629 patients were *** age was 66.6 years.A total of 197 patients(31.3%)had *** angiography was performed in most patients(96.2%).Patients with anemia were significantly older,with a higher prevalence of comorbidities,poorer left ventricle ejection fraction and higher GRACE score *** with anemia underwent less often coronary angiography,but underwent more often intraaortic counterpulsation,non-invasive mechanical ventilation and renal replacement *** ICCU and hospital stay were significantly longer in patients with *** the incidence of mortality(HR=3.36,95%CI:1.43–7.85,P=0.001)and the incidence of mortality/readmission were significantly higher in patients with anemia(HR=2.80,95%CI:2.03–3.86,P=0.001).After adjusting for confounders,the association between anemia and mortality/readmission remained significant(P=0.031).Conclusions Almost one of three NSTEACS patients admitted to ICCU had *** patients underwent coronary *** was independently associated to poorer outcomes at 6 months.

关键词： Acute coronary syndromes Anemia Intensive cardiac care units Prognosis

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Facial nerve palsy following parotid gland surgery:A machine learning prediction outcome approach

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2023年第4期9卷 271-279页

作者： Carlos M.Chiesa‐Estomba jose A.González‐García Ekhiñe Larruscain Jon A.Sistiaga Suarez Miquel Quer Xavier León Paula Martínez‐Ruiz de Apodaca Celia López‐Mollá Miguel Mayo‐Yanez Alfonso Medela Department of Otorhinolaryngology—Headand Neck Surgery Donostia University HospitalDonosti‐San SebastiánSpain Head&Neck Study Group of Young‐Otolaryngologists of the International Federations of Oto‐rhino‐laryngological Societies(YO‐IFOS) ParisFrance Biodonostia Health Research Institute San SebastiánSpain Department of Otorhinolaryngology Hospital Santa Creu I Sant PauUniversitatAutònoma de BarcelonaBarcelonaSpain Department of Otorhinolaryngology Doctor Peset University HospitalValenciaSpain Otorhinolaryngology—Head and Neck Surgery Department Complexo Hospitalario Universitario A Coruña(CHUAC)A CoruñaGaliciaSpain Clinical Research in Medicine International Center for Doctorate and Advanced Studies(CIEDUS)Universidade de Santiago deCompostela(USC)Santiago de CompostelaGaliciaSpain LEGIT Health BilbaoSpain

Introduction:Machine learning (ML)‐based facial nerve injury (FNI) forecasting grounded on multicentric data has not been released up to *** distinct ML models,random forest (RF),K‐nearest neighbor,and artificial neural network (ANN),for the prediction of FNI were evaluated in this ***:A retrospective,longitudinal,multicentric study was performed,including patients who went through parotid gland surgery for benign tumors at three different university ***:Seven hundred and thirty‐six patients were *** most compelling aspects related to risk escalation of FNI were as follows:(1) location,in the mid‐portion of the gland,near to or above the main trunk of the facial nerve and at the top part,over the frontal or the orbital branch of the facial nerve;(2) tumor volume in the anteroposterior axis;(3) the necessity to simultaneously dissect more than one level;and (4) the requirement of an extended resection compared to a lesser extended *** contrast,in accordance with the ML analysis,the size of the tumor (>3 cm),as well as gender and age did not result in a determining favor in relation to the risk of ***:The findings of this research conclude that ML models such as RF and ANN may serve evidence‐based predictions from multicentric data regarding the risk of ***:Along with the advent of ML technology,an improvement of the information regarding the potential risks of FNI associated with patients before each procedure may be achieved with the implementation of clinical,radiological,histological,and/or cytological data.

关键词： gland machine learning parotid personalized medicine surgery

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Central depressant effects of Piper tuberculatum Jacq essential oil in mice

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Food Bioscience 2022年第4期48卷 620-629页

作者： Valterlúcio dos Santos Sales Francisco Romero Cabral Emmily Petícia do Nascimento Sales Tatyelle Bezerra Carvalho Maria Haiele Nogueira Costa Victor Afonso Pereira de Oliveira Cristina Kelly de Souza Rodrigues Francisco Rodolpho Sobreira Dantas Nobrega de Figueiredo Daniel Souza Bezerra Gyllyandeson de Araújo Delmondes Henrique Douglas Melo Coutinho jose Galberto Martins da Costa Irwin Rose Alencar de Menezes Cícero Francisco Bezerra Felipe Marta Regina Kerntopf Universidade Regional do Cariri Departamento de Química Biol´ogicaCratoCear´aBrazil Universidade Federal de S˜ao Paulo-Departamento de Fisiologia S˜ao PauloSPBrazil Faculdade de Ciˆencias M´edicas da santa Casa de S˜ao Paulo S˜ao PauloSPBrazil Universidade Federal da Paraíba Departamento de Biologia MolecularJo˜ao PessoaParaíbaBrazil

This study aims to investigate the toxicity and possible effects and mechanism of action of the essential oil obtained from the Piper tuberculatum Jacq.‘s fruit(EOPT)on the central nervous system(CNS)of *** the Hippocratic test,it was observed ambulation reduction,sedation,piloerection and mortality of 25%at the dose of 1000 mg/kg and 50%at the dose of 5000 mg/*** results found demonstrate that the EOPT is endowed with a possible depressant effect,and is characterized by a likely sedative(open field test),anxiolytic-like(elevated plus maze test),anticonvulsant(pentylenetetrazole-induced seizure test)and hypnotic action(pentobarbital-induced sleeping time).These effects may possibly occur due to the interaction between the monoterpenes,present in its essential oil,and the GABAergic pathway confirmed by reversion of the effects by ***,these results demonstrate the therapeutic potential and the validation of the ethnopharmacological use of this species in the treatment of disorders affecting the central nervous system.

关键词： Piper tuberculatum Jacq. Essential oil Sedative Anxiolytic Hypnotic

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Diagnostic Yield of Non-Invasive Testing in Patients with Anomalous Aortic Origin of Coronary Arteries:A Multicentric Experience

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Congenital Heart Disease 2022年第4期17卷 375-385页

作者： Alberto Cipriani Pietro Bernardo Dall’Aglio Laura Mazzotta Domenico Sirico George Sarris Mark Hazekamp Thierry Carrel Alessandro Frigiola Vladimir Sojak Mauro Lo Rito Jurgen Horer Regine Roussin Julie Cleuziou Bart Meyns jose Fragata Helena Telles Anastasios C.Polimenakos Katrien Francois Altin Veshti Jukka Salminen Alvaro Gonzalez Rocafort Matej Nosal Eleftherios Protopapas Roberto Tumbarello Patrizio Sarto Cinzia Pegoraro Raffaella Motta Giovanni Di Salvo Domenico Corrado Vladimiro LVida Massimo A.Padalino Department of Cardio-Thoracic Vascular Sciences and Public HealthUniversity of PadovaPadovaItaly Department of Woman and Child’s Health Pediatric CardiologyUniversity of PadovaPadovaItaly Athens Heart Surgery Institute and Iaso Children’s Hospital AthensGreece Department for Cardiovascular Surgery University Medical CenterLeidenThe Netherlands Department for Cardiovascular Surgery University Hospital BernBernSwitzerland Department of Congenital Cardiac Surgery IRCCS Policlinico San DonatoSan Donato MilaneseItaly Department of Pediatric Cardiology and Congenital Heart Disease Hôpital Marie LannelongueUniversitéParis-SudLe Plessis-RobinsonFrance Deutsch Herz Zentrum MunichGermany Katholieke Universiteit Leuven LeuvenBelgium Cardiothoracic Surgery Hospital de santa Marta Rua LisbonPortugal Department of Pediatric Cardiothoracic Surgery Children’s Hospital of GeorgiaGeorgiaUSA Department of Cardiac Surgery University Hospital GhentGhentBelgium Division of Cardiac Surgery University Hospital Center of TiranaTiranaAlbania Department of Pediatric Cardiac Surgery Hospital for Children and AdolescentsUniversity of HelsinkiHelsinkiFinland Congenital Cardiac Surgery Department Hospital Universitario La PazMadridSpain Department of Pediatric Cardiac Surgery National Institute of Cardio-Vascular Diseases-Children’s Heart CenterBratislavaSlovakia Division of Pediatric Cardiology Ospedale BrotzuCagliariItaly Division of Sport Medicine Ospedale Ca’FoncelloTrevisoItaly Department of Medicine Radiology ClinicUniversity of Padua Medical SchoolPadovaItaly

Background:Anomalous aortic origin of a coronary artery(AAOCA)is a congenital heart disease with a 0.3%−0.5%*** is challenging due to nonspecific clinical *** stratification and treatment are currently based on expert consensus and single-center case ***:Demographical and clinical data of AAOCA patients from 17 tertiary-care centers were *** imaging studies(Bidimensional echocardiography,coronary computed tomography angiography[CCTA]were *** correlations with anomalous coronary course and origin were ***:Data from 239 patients(42%males,mean age 15 y)affected by AAOCA were collected;154 had AAOCA involving the right coronary artery(AAORCA),62 the left(AAOLCA),23 other anomalies.211(88%)presented with an inter-arterial *** electrocardiogram(ECG)was abnormal in 37(16%).AAOCA was detected by transthoracic echocardiography and CCTA in 53%and 92%of patients,*** of the patients reported cardiac symptoms(119/239;50%),mostly during exercise in 121/178(68%).An ischemic response was demonstrated in 37/106(35%)and 16/31(52%)of patients undergoing ECG stress test and stress-rest single positron emission cardiac *** with AAORCA,patients with AAOLCA presented more frequently with syncope(18%vs.5%,P=0.002),in particular when associated with inter-arterial course(22%vs.5%,P<0.001).Conclusion:Diagnosis of AAOCA is a clinical challenge due to nonspecific clinical presentations and low sensitivity of first-line cardiac screening *** seems to be strictly correlated to AAOLCA with inter-arterial course.

关键词： Anomalous coronary arteries congenital echocardiography coronary computed tomography angiography

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Clinical Follow-Up Nursing Quality in Child Health

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Health 2015年第10期7卷 1235-1242页

作者： Fábia Barbosa de Andrade Tainara Lorena dos Santos Ferreira Tiago jose Barbosa de Andrade Jéssica Isabelle dos Santos Dutra Dídia de Oliveira Pereira Brenda Kalyny Silva Brenda Kalyny Silva Ingrid Katianne Marques Araújo Faculty of Health Sciences of Trairi(FACISA) Federal University of Rio Grande do Norte(UFRN)Santa CruzBrazil University Center of Joao Pessoa(UNIPe) Joao PessoaBrazil

Objective: The present work aims to evaluate the impact of the activities of nursing consultations on health conditions of children served in Clínica de Enfermagem Salvando Vidas com Educa??o. Methods: This is an exploratory, descriptive study with a quantitative approach, realized from January through December 2012, at the Clínica de Enfermagem (Nursing Clinic), in the santa Cruz County, Rio Grande do Norte’s countryside, Brazil. Results: The obtained results showed a significant correlation between the type of pathology and final treatment proven by the value of p = 0.000;as for assessed 60%, more than half were discharged;the most prevalent diseases were the association between cutaneous and gastric with 11% who were discharged and, lastly, the association between gastric and respiratory with 7% discharged. Conclusion: Thus, the activities developed by the project are not restricted to the examination during the nursing consultation, since educational activities are planned from the data obtained in those consultations.

关键词： Child Nursing School Care

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PKR and PP1C Polymorphisms in Alzheimer’s Disease Risk

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Neuroscience & Medicine 2011年第3期2卷 226-231页

作者： Ernest Palomer Gerard ILL-Raga Marta Tajes Eva Ramos-Fernández Mònica Bosch-Morató Biuse Guivernau jose J.Galan Jordi Clarimon Carmen Antunez Merce Boada Luis M.Real César Fandos Francisco J.Munoz Laboratory of Molecular Physiology and Channelopathies Department of Experimental and Health SciencesPompeu Fabra University(UPF)BarcelonaSpain NeoCodex SevillaSpain Alzheimer Laboratory Neurology DepartmentSanta Creu and Sant Pau HospitalBiomedical Research Center on Neurodegenerative Diseases(CIBERNED)BarcelonaSpain Fundacion Alzheimur Dementia UnitVirgen de la Arrixaca HospitalMurciaSpain Memory Clinic of ACE Foundation Catalan Institute of Applied NeurosciencesBarcelonaSpain Neurology Department Vall d’Hebron Universitary HospitalBarcelonaSpain

Alzheimer’s disease (AD) is a neurodegenerative disease characterized by senile plaques and neurofibrillary tangles. Senile plaques are deposits of amyloid ?-peptide (A?) produced by the cleavage of a transmembrane protein termed Amyloid Precursor Protein (APP). The amyloidogenic cleavage of APP is performed by γ-secretase complex and ?-site APP cleaving enzyme 1 (BACE1), a key enzyme in AD that can be activated by different noxious stimuli. Interestingly, some viruses could activate double-stranded RNA-activated protein kinase (PKR), which phosphorylates Eukaryotic Initiation Factor 2 alpha (eIF2α). This phosphorylation stops global translation to avoid any synthesis of viral infective proteins, but paradoxically up-regulates BACE1 translation. One of the viral mechanisms to circumvent eIF2α phosphorylation is the recruitment of protein phosphatase 1 (PP1), to fully dephosphorylate eIF2α and allow viral protein synthesis. Due to the functional relationship between BACE1, PKR, PP1 and AD we have performed a large (1122 cases and 1191 control individuals) case-control genetic analysis using two biallelic polymorphisms rs2254958 and rs7480390, located within the genes coding for PKR and the catalytic unit A of PP1, respectively. Although a trend to association of the rs2254958 TT genotype with AD risk was found, our results show that neither rs7480390 nor rs2254958 are associated with AD susceptibility.

关键词： Alzheimer’s Disease BACE1 PKR PP1 eIF2α

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关于缺血性卒中后女性妊娠以及针对不育、避孕和绝经期进行激素治疗的共识文件

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国际脑血管病杂志 2017年第8期25卷 677-683页

作者： Valeria Caso Alberto Falomi Cheryl D. Bushnell Monica Acciarresi jose Ronohi Nikola Sprigg Sandro Gerli 李勍景燕李红燕朱沂 From the Stroke Unit Department of Vascular and Cardiovascular Medicine Santa Maria della Miserieordia Hospital Department of Medicine Section of Internal Medicine and Endocrine and Metabolic Sciences Department of Surgical and Biomedical Sciences Section of Obstetrics and Gynecology University of Perugia Italy Department of Neurology Wake Forest Baptist Medical Center Winston-Salem NC Instituto Valenciano de Infertilidad Universidad de Valencia Spain Stroke Trials Unit Division of Clinical Nenrosciences School of Medicine University of Nottingham United Kingdom 新疆维吾尔自治区人民医院神经内科乌鲁木齐830001

已有报道妊娠与缺血性卒中风险增高相关，妊娠期间发生卒中是导致孕产妇死亡的主要原因之一。Kuklina等对1994年至1995年与2006年至2007年的住院数据进行的比较显示，孕妇在产前发生任何类型卒中的风险增高47％（从0．15次／1000次分娩... 详细信息

已有报道妊娠与缺血性卒中风险增高相关，妊娠期间发生卒中是导致孕产妇死亡的主要原因之一。Kuklina等对1994年至1995年与2006年至2007年的住院数据进行的比较显示，孕妇在产前发生任何类型卒中的风险增高47％（从0．15次／1000次分娩～0．22次／1000次分娩），在产后发生任何卒中的风险增高83％（从0．12次／1000次分娩～0．22次／1000次分娩）。

关键词：缺血性卒中妊娠期间卒中后激素治疗绝经期不育女性文件

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Determination of the Biosorption of Cd（ II ） by Coconut Fiber

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Journal of Agricultural Science and Technology(B) 2014年第4期4卷 291-298页

作者： Dany G. Kramer Brismark G. Rocha Mirian C. S. Pereira Renata S. D. Souza Carlos R. Alves Geraldo B. C. Junior jose Heriberto O. Nascimento Margarida J. Quina Licinio G. Ferreira Rasiah Ladchumananandasivam Technology Center Mechanical Engineering Federal University of Rio Grande do Norte Natal 59.072-970 RN Brazil Centre of Chemical Processes Engineering and Forest Products (CIEPQPF) University of Coimbra Coimbra 3030- 790 Portugal Faculdade de CiOncias da Safide do Trairi Federal University of Rio Grande do Norte (UFRN) Santa Cruz 59000-200 RNBrazil Laboratory of Cellular Ultra Structure Oswaldo Cruz Institute Fundation (FIOCR UZ) Rio de Janeiro 21040-360 R J Brazil Department of Clinical Analysis Federal University of Rio Grande do Norte Natal 59.072-970 RN Brazil Department of Textile Engineering Federal University of Rio Grande do Norte Natal 59.072-970 RN Brazil

The coconut fiber is produced in large quantities in Brazil, even though very small quantities are being used by some industries, mainly cordage mats and handicrafts. An alternative usage would be the use of these fibers in biosorption of heavy metals from aqueous solutions. This present study aimed to evaluate the potentiality of cadmium biosorption by coconut fiber. The coconut fibers were used at kinetic analysis, influence ofpH and adsorption isotherms were also carried out. It can be concluded that there is great potential for the use of coconut fiber, and the optimum pH for adsorption was around 5.0. The adsorption kinetics is fast and equilibrium occurs within 120 min. The Langmuir isotherm was considered the most suitable to describe the experimental data.

关键词： Coconut fiber biosorption cadmium.

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改造工程：圣巴巴拉城堡

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中国电梯 2014年第22期25卷 56-57页

作者：弗朗西斯科·乔斯·布莱克·马丁内斯

位于西班牙阿利坎特的圣巴巴拉城堡是该国在9世纪被穆斯林占领期间修建的堡垒。城堡就建在Monte Benacantil山峰上，是该市的象征和重要的旅游景点。为了改善建筑遗址及旅游便利性，为城堡设计了修复工程，包括内壁、准备用作博物馆的... 详细信息

位于西班牙阿利坎特的圣巴巴拉城堡是该国在9世纪被穆斯林占领期间修建的堡垒。城堡就建在Monte Benacantil山峰上，是该市的象征和重要的旅游景点。为了改善建筑遗址及旅游便利性，为城堡设计了修复工程，包括内壁、准备用作博物馆的区域、展览室以及从Postiguet海滩到城堡的入口区的改造。

关键词：修复工程城堡改造旅游景点建筑遗址穆斯林西班牙便利性

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An international survey of classification and treatment choices for group D retinoblastoma

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International Journal of Ophthalmology(English edition) 2017年第6期10卷 961-967页

作者： Christina Scelfo Jasmine H Francis Vikas Khetan Thomas Jenkins Brian Marr David H Abramson Carol L Shields Jacob Pe’er Francis Munier Jesse Berry J.William Harbour Andrey Yarovoy Evandro Lucena Timothy G Murray Pooja Bhagia Evelyn Paysse Samuray Tuncer Guillermo L Chantada Annette C Moll Tatiana Ushakova David A Plager Islamov Ziyovuddin Carlos A Leal Miguel A Materin Xun-Da Ji jose W Cursino Rodrigo Polania Hayyam Kiratli Charlotta All-Ericsson Rejin Kebudi Santosh G Honavar Vicktoria Vishnevskia-Dai Sidnel Epelman Anthony B Daniels Jeanie D Ling Fousseyni Traore Marco A Ramirez-Ortiz Ophthalmic Oncology Service Department of Surgery Memorial Sloan Kettering Cancer Center New York 10065 USA Department of Ophthalmology Weill-Cornell Medical Center New York 10065 USA Department of Vitreoretinal and Ocular Oncology Sankara Nathralaya Chennai 600066 India Ocular Ontology Service Wills Eye Hospital Thomas Jefferson University Pennsylvania 19107 USA Hadassah - Hebrew University Medical Center Jerusalem 91120 Israel jules-Gonin Eye Hospital Lausanne 1004 Switzerland USC Roski Eye Institute Children＇s Hospital of Los Angeles California 90033 USA Ocular Oncology Service Bascom Palmer Eye Institute University of Miami Miller School of Medicine Florida 33136 USA Ocular Oncology Department S.N. Fyodorov Eye Microsurgery Federal State Institution Moscow 127486 Russia Department of Ocular Oncology Instituto Nacional de Cancer Rio de Janeiro 1122 Brazil Murray Ocular Oncology and Retina Miami Children＇s Hospital Florida 33143 USA St. joseph＇s Children＇s Hospital New Jersey 07504 USA Department of Ophthalmology Baylor College of Medicine Texas 77030 USA Department of Ophthalmology Ocular Oncology Istanbul Medical Faculty Istanbul University Istanbul 34452 Turkey Oncology Department Hospital JP Garrahan Buenos Aires 1245 Argentina Department of Ophthalmology VU University Medical Center Amsterdam 1081 the Netherlands Department of Head and Neck Tumors Science Research Institute of Pediatric Oncology and Hematology N.N. Blokhin Russian Cancer Research Center Moscow 115478 Russia Pediatric Ophthalmology and Adult Strabismus Riley Hospital for Children Indiana University Medical Center Indiana 46202 USA National Oncology Center of Uzbekistan Tashkent 110508 Uzbekistan nstituto Nacional de Pediatria Coyoacan 04530 Mexico Department of Ophthalmology and Visual Science Smilow Cancer Hospital at Yale New Haven CT 06520 USA Xin Hua Hospital Shanghai Jiao Tong University School of Medicine Shanghai 200092 China Department of Ophthalmology Santa Casa Mi

AIM： To determine which IIRC scheme was used by retinoblastoma centers worldwide and the percentage of D eyes treated primarily with enucleation versus globe salvaging therapies as well as to correlate trends in treatment choice to IIRC version used and geographic region. METHODS： An anonymized electronic survey was offered to 115 physicians at 39 retinoblastoma centers worldwide asking about IIRC classification schemes and treatment patterns used between 2008 and 2012. Participants were asked to record which version of the IIRC was used for classification, how many group D eyes were diagnosed, and how many eyes were treated with enucleation versus globe salvaging therapies. Averages of eyes per treatment modality were calculated and stratified by both IIRC version and geographic region. Statistical significance was determined by Chi-square, ANOVA and Kruskal-Wallis tests using Prism. RESULTS： The survey was completed by 29% of physicians invited to participate. Totally 1807 D eyes were diagnosed. Regarding IIRC system, 27% of centers used the Children＇s Hospital of Los Angeles （CHLA） version, 33% used the Children＇s Oncology Group （COG） version, 23% used the Philadelphia version, and 17% were unsure. The rate for primary enucleation varied between 0 and 100% and the mean was 29%. By IIRC version, primary enucleation rates were： Philadelphia, 8%; COG, 34%; and CHLA, 37%. By geographic region, primary enucleation rates were： Latin America, 57%; Asia, 40%; Europe, 36%; Africa, 10%, US, 8%; and Middle East, 8%. However, systemic chemoreduction was used more often than enucleation in all regions except Latin America with a mean of 57% per center （P〈0.0001）. CONCLUSION： Worldwide there is no consensus on which IIRC version is used, systemic chemoreduction was the most frequently used initial treatment during the study period followed by enucleation and primary treatment modality, especially enucleation, varied greatly with regards to IIRC version used and geographic r

关键词： retinoblastoma oncology retina enucleation chemotherapy intra-arterial chemotherapy ophthalmic arterychemosurgery cancer

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