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几项儿童脓胸处理方法的比较:引流、使用纤维蛋白溶解物或外科手术

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世界核心医学期刊文摘（儿科学分册） 2005年第4期1卷 50-51页

作者： Gates R. L. hogan M. Weinstein s. Arca M. J. 肖莉 Division of Pediatric surgery Children's Hosp. Ohio State Univ. Columbus OH United States

背景:目前儿童脓胸的治疗包括胸腔插管造口术或联合以下辅助疗法——纤维蛋白溶解物滴注法,影像辅助的胸腔镜手术(VATs)或者经皮胸腔切开术。以上方法均有成功的病例报道,VATs因其住院时间短而被推荐为最好的方法。方法:对2000年2月至2... 详细信息

背景:目前儿童脓胸的治疗包括胸腔插管造口术或联合以下辅助疗法——纤维蛋白溶解物滴注法,影像辅助的胸腔镜手术(VATs)或者经皮胸腔切开术。以上方法均有成功的病例报道,VATs因其住院时间短而被推荐为最好的方法。方法:对2000年2月至2002年6月间并发于肺炎的胸腔积液患儿情况进行制表分析。

关键词：胸腔切开术外科手术纤维蛋白溶解患儿情况胸腔镜手术胸腔积液造口术胸导管 Wallis 辅助疗法

Free electron lasers driven by plasma accelerators:status and near-term prospects

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High Power Laser science and Engineering 2021年第4期9卷 112-126页

作者： C.Emma J.Van Tilborg R.Assmann s.Barber A.Cianchi s.Corde M.E.Couprie R.D'Arcy M.Ferrario A.F.Habib B.Hidding M.J.hogan C.B.schroeder A.Marinelli M.Labat R.Li J.Liu A.Loulergue J.Osterhoff A.R.Maier B.W.J.Mc Neil W.Wang sLAC National Accelerator Laboratory Menlo ParkCA 94025USA BELLA Center Lawrence Berkeley National LaboratoryBerkeleyCA 94720USA Deutsches Elektronen-synchrotron DEsY 22607 HamburgGermany INFN-LNF 00044 FrascatiItaly LOA ENSTA ParisCNRSEcole PolytechniqueInstitut Polytechnique de Paris91762 PalaiseauFrance synchrotron sOLEIL L'Orme des MerisiersSaint-Aubin91192 Gif-sur-YvetteFrance scottish Centre for the Application of Plasma-Based Accelerators sCAPA Department of PhysicsUniversity of StrathclydeScottish Universities Physics Alliance SUPAGlasgow G11XQUK shanghai Institute of Optics and Fine Mechanics Chinese Academy of SciencesShanghai 201800China Department of Physics University of StrathclydeScottish Universities Physics Alliance SUPAGlasgow G1IXQUK Cockcroft Institute Warrington WA44ADUK

Owing to their ultra-high accelerating gradients,combined with injection inside micrometer-scale accelerating wakefield buckets,plasma-based accelerators hold great potential to drive a new generation of free-electron lasers(FELs).Indeed,the first demonstration of plasma-driven FEL gain was reported recently,representing a major milestone for the *** groups around the world are pursuing these novel light sources,with methodology varying in the use of wakefield driver(laser-driven or beam-driven),plasma structure,phase-space manipulation,beamline design,and undulator technology,among *** paper presents our best attempt to provide a comprehensive overview of the global community efforts towards plasma-based FEL research and development.

关键词： plasma accelerators free electron lasers novel light sources

severe Musculoskeletal Injuries in Children during Play

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Open Journal of Orthopedics 2022年第11期12卷 393-399页

作者： soumahoro Ibrahim Akobé Achié Jean Régis Krah Koffi Léopold Kouassi Kouamé Jean-Eric Bénié Adoubs Célestin Kouassi Aya Adelaïde natacha Ochou Jr Pierre Germain Digbeu Ogou Kevin Elie Traoré Ibrahim Traoré Abdoul Massandjé Norah soro Zolopégué Marcel Blé Gbalé Yannick Akpro sédy Louess De Randolphe Kodo Michel Orthopaedics-Traumatology Department of the University Hospital of Bouaké (Cô te d’Ivoire)/Alassane Ouattara University Bouake Ivoiry Coast Paediatric surgery Unit of the CHU of Bouaké (Cô te d’Ivoire)/Alassane Ouattara University Bouake Ivoiry Coast

Introduction: Musculoskeletal injuries are common in children but rarely severe. Their treatment varies according to the type of injury observed. The aim was to describe the epidemiological and therapeutic aspects of severe musculoskeletal injuries in children during play. Patients and Methods: This was a retrospective descriptive study conducted in the Orthopaedic-Traumatology Department and the Paediatric surgery Unit of the University Hospital of Bouaké between January 2018 and December 2020. It concerned patients less than 16 years of age hospitalised for more than 24 hours for a musculoskeletal trauma following a gambling accident. The variables studied were epidemiological and therapeutic. Results: A total of 53 patients were collected. The frequency was 2.9%. The mean age was 9 ± 3.99 years. There were 38 (71.7%) boys and 15 (28.3%) girls. The sex ratio was 2.5. The patients were attending school in 79.3% (n = 42). The circumstances of occurrence were dominated by falls during play accidents (n = 35;66%). Football was observed in 93.5% (n = 49). The thoracic limb (n = 35;66%) was the preferred site of these injuries. The injuries were closed (86.7%) with a predominance of forearm fractures (n = 22;41.6%). The average hospital stay was 2.8 ± 1.4 days. Most of the patients were treated orthopedically (n = 37;69.9%). The evolution was favourable without complications. Conclusion: Musculoskeletal injuries during play were infrequent (2.9%). The circumstances were dominated by falls during play. The injuries were mainly closed fractures, most of which were treated orthopedically.

关键词： Children Fractures Musculoskeletal Trauma Orthopaedic Treatment

PUT IT OUT Citywide Indoor smoking Ban Comes to shanghai in March 2017

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城市漫步（上海版、英文） 2016年第12期 11-11页

作者： William Lee Lauren hogan 不详

The Municipal People's Congress passed an amendment last month that will ban smoking in public places,effective starting March *** will make shanghai the second city to ban smoking in public places after Beijing implemented similar legislation in 2015一the strict・est smoking ban ever implemented in China thus fan This announcement follows the indoor smoking ban at both shanghai airports.

关键词： starting strict passed

16岁以上肝硬化患者的评估和管理：NICE指南概要

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英国医学杂志中文版 2017年第7期20卷 402-404页

作者： P Harrison B J hogan L Floros health London,UK 马莉杨红 Kings College Hospital London SE5 9RS UK Guys's & st Thomas' Hospitals NHs Foundation Trust London UK National Guideline Centre Royal College of Physicians London NW14LE UK 北京协和医院消化科

肝硬化的临床识别困难，特别是代偿期肝硬化患者大多无症状，诊断难度更大。关于哪些患者需要进行肝硬化检查，选择何种检查方法，英格兰和威尔士地区的临床实践缺乏统一。因此我们推出本指南，旨在为临床提供帮助，包括肝硬化的诊断、... 详细信息

肝硬化的临床识别困难，特别是代偿期肝硬化患者大多无症状，诊断难度更大。关于哪些患者需要进行肝硬化检查，选择何种检查方法，英格兰和威尔士地区的临床实践缺乏统一。因此我们推出本指南，旨在为临床提供帮助，包括肝硬化的诊断、将有失代偿风险的患者及时转诊给专科医师，以及肝硬化患者的管理——包括监测和治疗并发症等方面。

关键词：肝硬化患者评估方法临床识别临床分析

自嵌入行为:自嵌入软组织异物的放射学处理方式

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国际医学放射学杂志 2010年第6期 578-579页

作者： A.s.Young W.E.shiels II J.W.Murakami B.D.Coley M.J.hogan 赵学媛 Department of Radiology and Children's Radiological Institute Nationwide Children's Hospital700 Children's DrColumbusOH 43201

目的报道一系列自嵌入行为(sEB),论证影像引导下异物取出术(IGFBR)对于治疗嵌入软组织内异物(sTFBs)的有效性和临床作用,并且评价影像医师在sEB临床处理中

关键词：异物自嵌入放射学

Osteoarticular Lesions of the shoulder Girdle by Hippopotamus Bite: Highly septic Lesion

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Open Journal of Orthopedics 2024年第2期14卷 114-121页

作者： Jr Pierre Germain Ochou Achié Jean Régis Akobe Yao Aboh Ganyn Robert Arnaud Assere Kouamé Jean-Eric Kouassi Adelaïde Aya natacha Kouassi Ibrahim soumahoro Zolopégué Marcel soro sédi Loues De Randolphe Akpro Gbalé Yannick Blé Kouamé Innocent M’bra Loukou Blaise Yao Bada Juste Léopold Niaorésery Koffi Léopold Krah Michel Kodo Department of Orthopaedic and Traumatological surgery Bouaké University Hospital Bouaké Ivory Coast Raoul Follereau Institute Manikro Centre Bouaké Ivory Coast

Hippopotamus bites are rare in medical consultations, despite several studies exposing their aggressive character. A case of a hippopotamus bite on the shoulder of a fisherman has been reported. In addition to the osteoarticular aspect representing a therapeutic problem, the infectious aspect was marked by sepsis, with a death in less than 48 hours. Based on this observation, a protocol for the initial management of large animal bites was submitted.

关键词： Bite Hippopotamus septic shock

自体外周血干细胞移植成功治疗硬化性黏液水肿

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世界核心医学期刊文摘（皮肤病学分册） 2006年第1期2卷 31-32页

作者： Lacy M.Q hogan W.J Gertz M.A 李晓莉 Division of Hematology and Internal Medicine Department of Internal Medicine Mayo Clinic 200 First St SW Rochester MN 55905 United StatesDr

Background: scleromyxedema is a rare chronic fibromucinous disorder that can have devastating clinical manifestations, including sclerosis of the skin with progressive pharyngeal and upper airway involvement, resulting in high mortality due to respiratory complications. Herein we describe a novel therapeutic approach. Because autologous hematopoietic stem cell transplantation is effective in other plasma cell proliferative disorders, it may be effective in this setting. Observations: We retrospectively evaluated 6 patients who were offered highdose chemotherapy with stem cell rescue as treatment for scleromyxedema. One heavily pretreated patient was unable to mobilize stem cells. The remaining 5 patients mobilized stem cells and underwent successful transplantation. There was no treatment-related mortality. Hematologic responses were seen in 4 patients, including 2 complete remissions and 2 partial remissions, and all 4 had improvement in extracutaneous manifestations. All 4 patients subsequently had relapse of the monocl onal protein, and 3 developed skin relapses at 14, 37, and 45 months. Conclusion s: High-dose chemotherapy with stem cell rescue is feasible for patients with s cleromyxedema and, although not curative, offers durable remission in most patie nts. This therapy should be considered before treatment with alkylating agents o r other treatments that could adversely affect the ability to collect stem cells .

关键词：硬化性黏液水肿大剂量化疗皮肤硬化增生性疾病单克隆蛋白烷化剂呼吸道并发症黏蛋白皮肤症状

结肠测压是排便障碍患儿盲肠造瘘术成功的预测因子

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世界核心医学期刊文摘（儿科学分册） 2006年第9期2卷 41-42页

作者： Van Den Berg M.M. hogan M. Caniano D.A. H.M. Mousa 刘凯 Childrens Hospital Division of Pediatric GastroenterologyColumbusOH 43205United States

Purpose:The aim of this study was to define the predictive value of colonic manometry and contrast enema before cecostomy placement in children with defecation disorders. Methods:Medical records,contrast enema,and colonic manometry studies were reviewed for 32 children with defecation disorders who underwent cecostomy placement between 1999 and 2004. Diagnoses included idiopathic constipation (n=13),Hirschsprung’s disease (n=2),cerebral palsy (n=1),imperforate anus (n=6),spinal abnormality (n=6),and anal with spinal abnormality (n =4). Contrast enemas were evaluated for the presence of anatomic abnormalities and the degree of colonic dilatation. Colonic manometry was considered normal when high-amplitude propagating contractions (HAPC) occurred from proximal to distal colon. Clinical success was defined as normal defecation frequency with no or occasional fecal incontinence. Results:Colonic manometry was done on 32 and contrast enema on 24 patients before cecostomy. At follow-up,25 patients (78% ) fulfilled the success criteria. Absence of HAPC throughout the colon was related to unsuccessful outcome (P=0.03). Colonic response with normal HAPC after bisacodyl administration was predictive of success (P=0.03). Presence of colonic dilatation was not associated with colonic dysmotility. Conclusion:Colonic manometry is helpful in predicting the outcome after cecostomy. Patients with generalized colonic dysmotility are less likely to benefit from use of antegrade enemas via cecostomy. Normal colonic response to bisacodyl predicts favorable outcome.

关键词：排便障碍造瘘术盲肠造瘘结肠运动肛门闭锁医疗记录大便失禁造影术预测价值肠造瘘口