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Can patients determine the level of their dysphagia?

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World Journal of Gastroenterology 2017年第6期23卷 1038-1043页

作者： Hafiz Hamad Ashraf Joanne palmer Harry richard Dalton Carolyn Waters Thomas luff Madeline Strugnell Iain Alexander Murray Departments of Gastroenterology Royal Cornwall Hospital NHS Trust research and Development Royal Cornwall Hospital NHS Trust Clinical Imaging Royal Cornwall Hospital NHS Trust

To determine if patients can localise dysphagia level determined endoscopically or radiologically and association of gender, age, level and *** review of consecutive patients presenting to dysphagia hotline between March 2004 and March 2015 was carried out. Demographics, clinical history and investigation findings were recorded including patient perception of obstruction level (pharyngeal, mid sternal or low sternal) was documented and the actual level of obstruction found on endoscopic or radiological examination (if any) was noted. All patients with evidence of obstruction including oesophageal carcinoma, peptic stricture, Schatzki ring, oesophageal pouch and cricopharyngeal hypertrophy were included in the study who had given a perceived level of dysphagia. The upper GI endoscopy reports (barium study where upper GI endoscopy was not performed) were reviewed to confirm the distance of obstructing lesion from central incisors. A previously described anatomical classification of oesophagus was used to define the level of obstruction to be upper, middle or lower oesophagus and this was compared with patient perceived *** thousand six hundred and sixty-eight patients were included, 42.0% of who were female, mean age 70.7 ± 12.8 years old. Of those with obstructing lesions, 726 gave a perceived level of dysphagia: 37.2% had oesophageal cancer, 36.0% peptic stricture, 13.1% pharyngeal pouches, 10.3% Schatzki rings and 3.3% achalasia. Twenty-seven point five percent of patients reported pharyngeal level (upper) dysphagia, 36.9% mid sternal dysphagia and 25.9% lower sternal dysphagia (9.5% reported multiple levels). The level of obstructing lesion seen on diagnostic testing was upper (17.2%), mid (19.4%) or lower (62.9%) or combined (0.3%). When patients localised their level of dysphagia to a single level, the kappa statistic was 0.245 (p r agreement. 48% of patients reporting a single level of dysphagia

关键词： Deglutition disorders Oesophageal stenosis Oesophageal neoplasm Gastroscopy Fluoroscopy patient perception pharyngeal pouch

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电子电话

世界科学译刊 1979年第5期 59-62页

作者： p.p.luff 沈品石钱维光

电子学革命已渗入电话系统各部门,但仍有少数部件受其影响尚浅,其中之一就是电话机本身。集成电路电话的问世已为期不远了。

关键词：电话电信电子电话机话筒传声器电话局通话网络电话号码按钮音频信号信号电流

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测定泥盆系泥岩储集岩物性的岩心

四川石油普查 1991年第1期 83-92页

作者： luff.,DL 文健

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数字病理学

经济导报（医药技术） 2008年第3期 20-23页

作者： ronald D. luff Quest Diagnostjcs公司

数字成像系统提供的智能和灵活性改善了全球临床试验的质量和一致性。ronald D．

关键词：病理学数字成像系统临床试验一致性

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视网膜脱离的处理：非眼科专业医生指南

英国医学杂志中文版 2008年第5期11卷 294-299页

作者： Hyong Kwon Kang A J luff 徐玉梅(译) Eye Unit Southampton University Hospital NHS TrustSouthampton SO16 6YD

视网膜脱离的发病率为每年1：10000，有以下因素存在时发病率更高：近视、白内障手术、外伤、既往视网膜脱离病史和家族史;大多数视网膜脱离可通过手术成功复位，但及时诊断和治疗是视力恢复的关键;闪光感和眼前出现浮游物是玻璃体后脱... 详细信息

视网膜脱离的发病率为每年1：10000，有以下因素存在时发病率更高：近视、白内障手术、外伤、既往视网膜脱离病史和家族史;大多数视网膜脱离可通过手术成功复位，但及时诊断和治疗是视力恢复的关键;闪光感和眼前出现浮游物是玻璃体后脱离的症状，往往先于视网膜脱离的发生;在所有出现急性视力异常的患者都应考虑视网膜脱离发生的可能，并应迅速转诊出现视力降低或视野缺损等伴随症状时，应立即转诊.

关键词：视网膜脱离白内障手术指南医生眼科玻璃体后脱离伴随症状视力恢复

猫比目鱼肌的神经交叉重建后肌感受器的神经分布

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广东解剖学通报 1989年第2期 157-157页

作者： M.C.Ip A.r.luff U.proske

Cregory等最近报导了把切断的肌神经放回肌肉任其生长或与邻肌交叉放置,产生了肌梭和腱器的正常反应模式的很大部份溃烂。本文观察了比目鱼肌的神经自身重建和交叉重建的肌感受器结构,以图发现说明其功能紊乱的异常结构。用伸趾长肌的... 详细信息

Cregory等最近报导了把切断的肌神经放回肌肉任其生长或与邻肌交叉放置,产生了肌梭和腱器的正常反应模式的很大部份溃烂。本文观察了比目鱼肌的神经自身重建和交叉重建的肌感受器结构,以图发现说明其功能紊乱的异常结构。用伸趾长肌的神经接到8块

关键词：比目鱼肌自身重建神经分布肌感受器