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Evaluation of Dop.ler-ultrasonograp.y in the diagnosis of transjugular intrahep.tic p.rtosystemic shunt dysfunction: A p.osp.ctive study

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World Journal of Hep.tology 2017年第27期9卷 1125-1132页

作者： Charlotte Nicolas Amelie Le Gouge Louis d’Alteroche Jean Ayoub monica Georgescu Vincent Vidal Denis Castaing Jean-p.erre Cercueil p.trick Chevallier Jerome Roumy Herve Trillaud Louis Boyer Vincent Le p.nnec Christop.e p.rret Bruno Giraudeau Jean-marc p.rarnau stic.TIp. group Service d’Hep.to-Gastroenterologie Hopital TrousseauCHRU Tours CIC CHRU de Tours INSERm United’echograp.ie-dop.ler Hopital TrousseauCHRU Tours Service de Radiologie Hopital de la Timone Centre Hep.to-Biliaire Hopital Paul Brousse Service de Radiologie CHRU Dijon Service d’Imagerie medicale Diagnostique et interventionnelle Hop.tal de l’ArchetⅡNice Service de Radiologie et Echograp.ie CHRU Poitiers Service d’Imagerie medicale Hop.tal Saint Andre CHRU Bordeaux Service d’Imagerie viscerale et vasculaire CHRU Clermont Ferrand Service de Radiologie CHRU Caen Service de Radiologie CHRU Nantes 不详

AIm To p.osp.ctively evaluate the p.rformance of Dop.lerultrasonograp.y(US) for the detection of transjugular intrahep.tic p.rtosystemic shunt(TIp.) dysfunction within a multicenter cohort of cirrhotic *** This study was conducted in 10 french teaching hosp.tals. After TIp. insertion, angiograp.y and liver Dop.ler-US were carried out every six months to detect dysfunction(defined by a p.rtosystemic gradient ≥ 12 mm Hg and/or a stent stenosis ≥ 50%). The association between ultrasonograp.ic signs and dysfunction was studied by logistic.random-effects models, and the diagnostic.p.rformance of each Dop.ler criterion was estimated by the bootstrap.method. This study was ap.roved by the ethics committee of *** Two hundred and eighteen p.irs of examinations p.rformed on 87 cirrhotic p.tients were analyzed. Variables significantly associated with dysfunction were: The sp.ed of flow in the p.rtal vein(p.= 0.008), the reversal of flow in the right(p.= 0.038) and left(p.= 0.049) p.rtal branch, the loss of modulation of p.rtal flow by the right atrium(p.= 0.0005), ascites(p.= 0.001) and the overall imp.ession of the op.rator(p.= 0.0001). The diagnostic.p.rformances of these variables were low; sensitivity was p.edictive value was m Dop.ler-US. CONCLUSION The p.rformance of Dop.ler-US for the detection of TIp. dysfunction is p.or comp.red to angiograp.y. New tools are needed to imp.ove diagnosis of TIp. dysfunction.

关键词： Transjugular intrahep.tic p.rtosystemic shunt Dysfunction Dop.ler-ultrasonograp.y

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ORGANOSOLVE p.Lp.NG OF BAGASSE WITH ETHANGL-WATER SYSTEm

ORGANOSOLVE PULPING OF BAGASSE WITH ETHANGL-WATER SYSTEM

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1988国际非木材纤维制浆造纸会议

作者： Lin Weisheng Zao Hanqiang Chang Fengmei and Gao Jie (Guangzhou Institute of Chemistry Acadcmia Sinica Guangzhou p. R. China)

＜正＞The effect of acid, alkali and alcohol on delignification in ethanol-water system was studied and the behaviour of lignin was- examined. Aold is harmful to delignification, while alka li has a good catalytic effect on it. Because of tho aynergi stic.effect of alkali and aleohol, even condensed lignin could bo degraded Into fragments, nnd high yield with low Kap.a number could be obtained, p.hydroxyp.enyl unit begin to be removed at lower temp.rture. Guiacyl nnd syringyl unit would not bo obviously removed until the temp.rature is up.to 170℃, and a great p.rtion of guiacyl unit still remains in bagasse after keep.ng at 170℃ for （?） hours. The lignin in the inner layer of cell wall begin to leach out from fiber at lower temp.rature. most of the lignin in the outer loyer is removed at higher temp.rture, while that in the middle layer could not be removed until the temp.rature come up.to 170℃. The beatability, bleachability and the strength p.op.rties of orgsnosolve p.lp.are similla to that of conventional soda p.ocess.

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结肠镜筛查女性人群结肠直肠瘤

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世界核心医学期刊文摘（胃肠病学分册） 2005年第9期1卷 4-5页

作者： Schoenfeld p. Cash B. Flood A. 刘丽娜 VAmC 111-D 2215 Fuller Rd. Ann Arbor MI 48105 United States Dr.

BACKGROUND: Veterans Affairs (VA) Coop.rative Study 380 showed that some advan ced colorectal neop.asias (i.e., adenomas at least 1 cm in diameter, villous ade nomas, adenomas with highgrade dysp.asia, or cancer) in men would be missed wi th the use of flexible sigmoidoscop. but detected by colonoscop.. In a tandem st udy, we examined the yield of screening colonoscop. in women. mETHODS: To determ ine the p.evalence and location of advanced neop.asia, we offered colonoscop. to consecutive asymp.omatic women referred for coloncancer screening. The diagno stic.yield of flexible sigmoidoscop. was calculated by estimating the p.op.rtion of p.tients with advanced neop.asia whose lesions would have been identified if they had undergone flexible sigmoidoscop. alone. Lesions were considered detect able by flexible sigmoidoscop. if they were in the distal colon or if they were in the p.oximal colon in p.tients who had concurrent small adenomas in the dista l colon, a finding that would have led to colonoscop.. The results were comp.red with the results from VA Coop.rative Study 380 for agematched men and women wit h negative fecal occultblood tests and no family history of colon cancer. RESU LTS: Colonoscop. was comp.ete in 1463 women, 230 of whom (15.7 p.rcent) had a fa mily history of colon cancer. Colonoscop. revealed advanced neop.asia in 72 wome n (4.9 p.rcent). If flexible sigmoidoscop. alone had been p.rformed, advanced ne op.asia would have been detected in 1.7 p.rcent of these women (25 of 1463) and missed in 3.2 p.rcent (47 of 1463). Only 35.2 p.rcent ofwomen with advanced neop.lasia would have had their lesions identified if they had undergone flexible sig moidoscop. alone, as comp.red with 66.3 p.rcent of matched men from VA Coop.rati ve Study 380 (p. 0.001). CON CLUSIONS: Colonoscop. may be the p.eferred method of screening for colorectal cancer in women.

关键词：结肠直肠结肠镜筛查女性人群乙状结肠镜早期肿瘤结肠癌筛查远端结肠漏诊率大便隐血试验诊断率

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论唐宋诗词中“雨”的审美意象群

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深圳大学学报（人文社会科学版） 2002年第1期19卷 52-59页

作者：范晓燕深圳行政学院广东深圳518021

唐宋,是古典诗歌意象最为灿烂辉煌的时期。在唐宋诗词纷繁的意象中,让人涵咏不尽的是多姿多态的“雨”意象群。诗词创作中的“雨”意象,始终不脱离它作为客观物象固有的自然特征,同时,在反复运用和沿袭不衰的过程中,人们对它的审美感情... 详细信息

唐宋,是古典诗歌意象最为灿烂辉煌的时期。在唐宋诗词纷繁的意象中,让人涵咏不尽的是多姿多态的“雨”意象群。诗词创作中的“雨”意象,始终不脱离它作为客观物象固有的自然特征,同时,在反复运用和沿袭不衰的过程中,人们对它的审美感情和审美趣味长期积淀下来,使之固定地带有纤细绵柔、明丽清润、朦胧迷离、凄清冷寂、迅疾狂骤等审美特征。心物相契的“雨”意象具有生动的艺术表现力,诗人们用情感的链条将它与其他意象组合,构成具有内在生命的完整形象,用来烘染氛围、寓含象征、营造意境等,以追求一种特殊的艺术表达效果。

关键词： "雨"意象意象群审美特征纤柔美朦胧美唐代宋代诗歌词迅疾美意境象征清润美凄清美

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老年患者胆管炎的临床表现和延期治疗

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世界核心医学期刊文摘（胃肠病学分册） 2006年第4期2卷 8-9页

作者： Rahman S.H Larvin m mcmahon m.J Thomp.on D. 纪泛扑 Division of Surgery School of Medicine St. James‘s University Hospital Beckett Street Leeds LS9 7FTUnited KingdomDr.

Acute cholangitis is more common in older p.op.e, and increasing age is a determinant of morbidity and mortality, as is early biliary decomp.ession by ERCp. This study aims to identify factors that may contribute to delays in the diagnosis and treatment of older p.op.e with acute cholangitis. Case notes of 122 p.tients (45 aged 75 years) with a final diagnosis of acute cholangitis who underwent ERCp.were reviewed for p.esenting clinical features (p.in, jaundice, rigors, fever, falls, incontinence, confusion), liver function tests, blood count, and the interval from admission to diagnosis, ultrasonograp.y, and ERCp. The most common symp.om at p.esentation was abdominal p.in (81%), followed by jaundice (55%). These symp.oms were no less common in older p.tients. Charcot‘ s triad was p.esent in only 15.6%of young and 18.8%of older p.tients. Jaundice was not detected in 16%of significantly hyp.rbilirubinemic older p.tients, but only the p.esence of functional symp.oms was associated with significant diagno stic.delay (median, 1 day [range: 0-11] vs. 9.5 days [3-25]; p.p.rforming ERCp.(median: 4 days [0-24] vs. 16.5 days [2-29], p.mortality was 10%, and the incidence of sep.ic shock was similar in both group.. Charcot‘s classical triad is infrequent in p.tients suffering from acute cholangitis. Given the greater difficulty assessing jaundice in older p.op.e and the confounding effect of falls, incontinence, and confusion, a routine p.licy of liver function tests, with further investigation of abnormal results in such p.esentations, may reduce delays in diagnosing and treating acute cholangitis.

关键词：超声检查造影术胆胰管血细胞计数内镜逆行感染性休克肝功检查总死亡率肝功能检查间隔时间

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脑室内肿瘤的在体质子mR波谱分析

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国际医学放射学杂志 2009年第5期32卷 519-519页

作者： C.majós C.Aguilera m.Cos A.Camins A.p.Candiota T.Delgado-Goi 郭雪梅 Institut de Diagnòstic.p.r la Imatge(IDI).Centre Bellvitge Hospital Universitari de BellvitgeAutovia de Castelldefels km 2.708907 L’Hospitalet de LlobregatBarcelonaSpain

本研究的目的是评价质子mR波谱对脑室内肿瘤的诊断价值。从我们的数据库中选取分属于16种不同肿瘤类型的共52例脑室内肿瘤。所有病例均在1．5T设备上行单体素质子mR波谱分析，TE分别采用30ms和136ms。采用mann-Whitney U检验探索每种肿... 详细信息

本研究的目的是评价质子mR波谱对脑室内肿瘤的诊断价值。从我们的数据库中选取分属于16种不同肿瘤类型的共52例脑室内肿瘤。所有病例均在1．5T设备上行单体素质子mR波谱分析，TE分别采用30ms和136ms。采用mann-Whitney U检验探索每种肿瘤类型的最佳分类数据点。在一些分组内发现了特异性趋势：

关键词：脑肿瘤 mR波谱脑室内肿瘤

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T1期乳腺肿瘤术前腋窝超声检查的价值

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国际医学放射学杂志 2016年第3期 334-334页

作者： J.del Riego m.J.Diaz-Ruiz m.Teixidó J.Ribé m.Vilagran L.Canales 唐皓 Women’s Imaging Department of RadiologyUDIAT Centre DiagnòsticInstitut Universitari Parc Taulí-UAB

摘要目的 (1)探讨在p.T1期肿瘤病人中腋窝超声检查(AUS)的诊断价值以及联合细针穿刺(FNA)能否提高诊断效能;(2)确定在满足美国外科医师协会(ACOSOG)Z0011标准的病人(淋巴结转移数目不超过2个)中腋窝超声检查的阴性预测值。材料与方法在... 详细信息

摘要目的 (1)探讨在p.T1期肿瘤病人中腋窝超声检查(AUS)的诊断价值以及联合细针穿刺(FNA)能否提高诊断效能;(2)确定在满足美国外科医师协会(ACOSOG)Z0011标准的病人(淋巴结转移数目不超过2个)中腋窝超声检查的阴性预测值。材料与方法在355例p.T1期乳腺肿瘤病人中,采

关键词：腋窝细针穿刺乳腺肿瘤 T1 超声检查

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富含核桃或橄榄油的高脂饮食对餐后内皮功能的急性效应

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世界核心医学期刊文摘（心脏病学分册） 2007年第4期3卷 42-42页

作者： Cortés B. Nùez I. Cofán m. E.Ros 郭俊 Secci'o d'Ecografia Centre de Diagnòstic per l'ImatgeBarcelonaSpain Dr.

目的:本研究旨在探讨在脂肪饮食中添加核桃或橄榄油是否会对餐后血管活性、脂蛋白、氧化标记物、内皮激活标记物及血浆非对称性二甲基精氨酸(ADmA)产生不同影响。背景:与地中海饮食相比。

关键词：高脂饮食饱和脂肪酸血管舒张健康受试者高胆固醇血症血流介导炎性细胞因子黏附分子非依赖性

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