检索结果-南通市图书馆

颈部动脉夹层分离及其与颈椎推拿疗法的联系：美国心脏协会/美国卒中协会对医疗专业人员的声明

在线全文

学校读者我要写书评

暂无评论

国际脑血管病杂志 2015年第5期23卷 321-334页

作者： José Biller Ralph L. Sacco Felipe C. Albuquerque Bart m. Dem.erschalk Pierre Fayad Preston H. Long lori D. Noorollah Peter D. Panagos Wouter I. Schievink Neil E. Schw artz Ashfaq Shuaib David E. Thaler David L. Tirschw ell 牛牧陈进宋艳吴丹王玉琴柯开富不详南通大学附属医院神经内科 226001

目的：颈部动脉夹层分离（cervicalarterydissection,CD）是中青年人卒中的最常见病因。本指南旨在对CD诊治的现有证据水平以及其与颈椎推拿疗法（cervical m.nipulative therapy, Cm.）的统计学联系进行回顾。某些类型的Cm.是由医疗专... 详细信息

目的：颈部动脉夹层分离（cervicalarterydissection,CD）是中青年人卒中的最常见病因。本指南旨在对CD诊治的现有证据水平以及其与颈椎推拿疗法（cervical m.nipulative therapy, Cm.）的统计学联系进行回顾。某些类型的Cm.是由医疗专业人员对颈椎施加猛烈或轻柔的推力。方法写作组成员由美国心脏协会卒中委员会的科学声明监督委员会以及美国心脏协会的手稿监督委员会任命。各成员负责与其专业领域相关的主题，回顾适当的文献并参考公开发表的临床和流行病学研究、发病率和死亡率报告、临床与公共卫生指南、权威声明、个人文件以及专家意见，对现有证据进行总结并指出目前的知识空白。结果CD患者可表现为单侧头痛、后颈部痛或主要由动脉－动脉栓塞导致的脑或视网膜缺血（短暂性缺血或卒中）、CD脑神经麻痹、眼交感神经麻痹或搏动性耳鸣。CD的诊断依赖于完整的病史、体格检查和针对性的辅助检查。尽管轻微创伤的作用存在争议，但机械压力可造成椎动脉和颈内动脉内膜损伤，进而导致CD。CD患者的残疾程度存在差异，一些患者预后良好，但有些患者则会出现严重神经系统后遗症。目前尚无循证指南可用来指导CD的最佳处理策略。抗血小板和抗凝治疗均被用于局部血栓和继发性栓塞的预防。病例对照研究和其他文献提示CD[尤其是椎动脉夹层分离（vertebral artery dissection, VAD）]与Cm.之间存在流行病学联系，但尚不清楚这是由于对先前存在的CD认识不足还是Cm.导致的创伤。超声、CT血管造影以及磁共振血管造影都有助于CD的诊断。神经影像学随访首选无创性检查措施，但我们认为任何单一的检查方法都不能作为金标准。结论 CD是中青年患者发生缺血性卒中的重要病因。CD最好发于颈椎上段，可累及颈内动脉或椎动脉。尽管目前的生物力学证据不足以证实Cm. 可导致CD，但临床报道提示机械压力在相当一部分CD中起着一定的作用，而且大多数基于人群的对照研究在年轻患者中显示Cm.与VAD卒中之间存在联系。尽管对于曾经接受过Cm.的患者，Cm.相关性CD的发生率尚不完全清楚并且很可能较低，但当有临床症状时，医生应考虑到CD的可能性，并且在进行颈椎推拿前告知患者CD与Cm.之间的统计学联系。

关键词： AHA科学声明颈部动脉夹层分离椎动脉夹层分离颈椎推拿疗法颈椎矫正诊断

在线全文

学校读者我要写书评

暂无评论

奥胡斯住宅综合体

当代建筑 2020年第5期 60-69页

作者： Agne Rapkeviciute Aaron Hales Agne Tam.sauskaite Alberte Danvig Aleksander Wadas Ana Vindfeldt Anna Wisborg Annette Jensen Ariel Joy Norback Wallner Brigitta Gulyás Claes Robert Janson Enea m.chelesio Frederike Werner Hsiao Rou Huang Ioana Fartadi Scurtu Jacob Lykkefold Aaen Jakob Lange Jakob Andreassen Jakob Ohm.Laursen Jan m.gasanik Jesafa Tem.lo Jesper Boye Andersen Kam.lla Heskje Katarina m.cková Katerina Joannides Katrine Juul Kekoa Charlot Kristoffer Negendahl Lise Jessen Lucian Racovitan Lucian Tofan Roberto Outum.ro Sergiu Calacean Sofie m.j S?rensen spencer Hayden Teodor Javanaud Em.en Tobias Hjortdal Tore Banke Xuefei Yan Yehezkiel Wiliardy Ella m.rphy Ricardo Oliveira Dom.niq Oti BIG建筑设计事务所

项目名称:奥胡斯住宅综合体建设地点:丹麦奥胡斯业主:Kilden&m.rtensen APS设计单位:BIG建筑设计事务所用地面积:26 500 m.合作设计:m. H?jgaard建筑设计公司,m.E建筑设计公司主管合伙人:Bjarke Ingels, Finn N?rkj?r, Andreas Klok Ped...

项目名称:奥胡斯住宅综合体建设地点:丹麦奥胡斯业主:Kilden&m.rtensen APS设计单位:BIG建筑设计事务所用地面积:26 500 m.合作设计:m. H?jgaard建筑设计公司,m.E建筑设计公司主管合伙人:Bjarke Ingels, Finn N?rkj?r, Andreas Klok Pedersen项目负责人:S?ren m.rtinussen项目经理:Ali Arvanaghi, Jesper Bo Jensen

关键词：

软性与硬性宫腔内人工受精导管的比较:一项前瞻性随机对照研究

在线全文

学校读者我要写书评

暂无评论

世界核心医学期刊文摘（妇产科学分册） 2005年第9期1卷 21-22页

作者： m.ller P.B. Acres m.L. Proctor J.G. 朱国栋 GHS Center for Wo m.n's m.dicine Div. Repro. Endocrinol. Infertility 890 West Faris Road Green ville SC 29605 United States Dr.

Objective: To prospectively com.are pregnancy rates for couples undergoing IUI by a single healthcare provider with random.assignm.nt to either rigid (Tom.at; Kendall Sovereign, m.nsfield, m.) or flexible (Soft Pass; Cook, spencer, IN) ca theters. Design: Random.zed, controlled study. Setting: Tertiary care infertilit y practice. Patient(s): One hundred infertile wom.n enrolled from.a single infer tility practice who m.t the inclusion and exclusion criteria for IUI were enroll ed. Of the 100 patients, 95 underwent ovarian stim.lation before IUI: 35 with cl om.phene citrate alone, 60 with clom.phene citrate com.ined with a single dose o f gonadotropins. Intervention(s): Tim.d IUI was perform.d with either rigid (Tom.cat) or flexible (Cook) insem.nation catheters. m.in Outcom. m.asure(s): Pregnan cy rate per cycle. Result(s): No differences were noted between groups for the f ollowing: age, length of infertility, day-3 FSH level, num.er of prior IUI cycl es, total m.tile sperm.count, days of abstinence, infertility diagnoses, insem.n ation ratings, and stim.lation protocols. No difference in pregnancy rates was o bserved between rigid and flexible catheter groups. Conclusion(s): There is no s tatistically significant difference between flexible and rigid catheters for IUI .

关键词：人工受精枸橼酸氯米芬不孕症诊断促排卵不孕不育促性腺激素不孕时间受精管排除标准周期数

10-m.nute Consultation Chalazion

在线全文

学校读者我要写书评

暂无评论

英国医学杂志中文版 2010年第5期13卷 318-318页

作者： Esm.eil m.Arbabi Ross J Kelly Zia I Carrim Hull and East Yorkshire Eye Hospital Hull HU3 2JZ spencer Street Surgery Carlisle

A 21 year old girl presents with a a few weeks and seem. to be enlarging using for a few days with no benefit. painless lum. in her right upper lid. She says that this has been present for slowly. Her pharm.cist sugge... 详细信息

关键词：抗生素治疗方法肿痛保健知识

IS THERE A RELATIONSHIP BETWEEN GLAUCOm. AND HELICOBACTER PY-lori?

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

国际眼科杂志 2003年第1期3卷 89-89页

作者： F.Ozturk U.Inan m.Altindis S.Erm.s H.Dilek Departm.nt of Ophthalm.logy Faculty of Medicine Kocatepe University TurkeyDepartment of Ophthalmology Faculty of Medicine Kocatepe University TurkeyDepartment of Micro-biology Faculty of Medicine Kocatepe University TurkeyDepartment of Ophthalmology Faculty of Medicine Kocatepe University TurkeyDepartment of Pathology Faculty of Medicine Kocatepe University Turkey

Purpose: To evaluate the relationship between glaucom. and Helicobacter pylori (H. pylori) infection. Participants: 137 patients with prim.ry open angle glaucom. (POAG), 85 control subjects and 250 patients with gastric sym.tom. participated m.thods: The presence of H. pylori infection in glaucom. patients, and glaucom. incidence in H. pylori infected

关键词：青光眼幽门螺杆菌感染相关性病因

对非根治幽门螺杆菌感染患者的Hp标记物基因型和表型稳定性的9年随访研究

在线全文

学校读者我要写书评

暂无评论

世界核心医学期刊文摘（胃肠病学分册） 2005年第8期1卷 13-13页

作者： Gustavsson A Unem. m.Blom.erg B Danielsson D 徐小杰 Departm.nt of C linical m.crobiology rebro University Hospital SE-701 85 rebro Sweden.Dr

The cagA gene, alleles of the vacA gene, random.am.lified polym.rphic DNA (RAP D), and neutrophil activating capacity (HpNAC) were used to exam.ne paired H. py lori is- olates from.10 noneradicated individuals 9 years apart. Paired isolates from.e ach patient were indistinguishable with regard to vacA alleles, RAPD, and HpNAC. Isolates from.ine patients showed concordance for the cagA gene, which was not detected in the recent isolate of the tenth patient. Antibodies to CagA were,how ever, dem.nstrated in the serum.specim.ns 9 years apart and were also present in two other patients whose paired isolates were cagA-, indicating the existence of both cagA+and cagA-organism., with the latter predom.nating in som. patient *** present study suggests a greater stability of phenotypic and genotypic m.r kers of H. pylori than previously regarded. This m.ght be true for a com.unity w ith low infection and transm.ssion rates. Com.lem.ntary techniques like m.croarr ays m.ght,however, disclose evolutionary changes not identified here.

关键词： Hp 随访研究 vacA 随机扩增基因芯片基因体分离菌 DNA 传播率补充性