检索结果-南通市图书馆

Frontiers in research on maternal diabetes-induced neural tube defects:Past,present and future

World Journal of Diabetes 2012年第12期3卷 196-200页

作者： Shyamasundar Sukanya Boon Huat Bay Samuel Sam Wah Tay S Thameem Dheen Department of Anatomy Yong Loo Lin School of MedicineNational University of SingaporeSingapore 117597Singapore

Diabetes mellitus rightly regarded as a silent-epidemic is continually on the rise and estimated to have a global prevalence of 6.4 % as of *** during pregnancy is a well known risk factor for congenital anomalies in various organ systems that contribute to neonatal mortality,including cardiovascular,gastrointestinal,genitourinary and neurological systems,among which the neural tube defects are frequently *** the last two to three decades,several groups around the world have focussed on identifying the molecular cues and cellular changes resulting in altered gene expression and the morphological defects and in diabetic *** recent years,the focus has gradually shifted to looking at pre-programmed changes and activation of epigenetic mechanisms that cause altered gene *** several theories such as oxidative stress,hypoxia,and apoptosis triggered due to hyperglycemic conditions have been proposed and proven for being the cause for these defects,the exact mechanism or the link between how high glucose can alter gene expression/transcriptome and activate epigenetic mechanisms is largely *** preconceptual control of diabetes,(i.e.,managing glu-cose levels during pregnancy),and in utero therapies has been proposed as an effective solution for managing diabetes during pregnancy,the impact that a fluctuating glycemic index can have on foetal development has not been evaluated in detail.A tight glycemic control started before pregnancy has shown to reduce the incidence of congenital abnormalities in diabetic *** the other hand,a tight glycemic control after organogenesis and embryogenesis have begun may prove insufficient to prevent or reverse the onset of congenital *** importance of determining the extent to which glycemic levels in diabetic mothers should be regulated is critical as foetal hypoglycemia has also been shown to be ***,the major question remaining is if this whole issue is neg

关键词： Maternal diabetes Congenital anomalies Neural tube defects Hyperglycemia Hypoxia Oxidative stress Neural stem cells Epigenetics Epigenome

来源：

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

Utility of fluorescent cholangiography during laparoscopic cholecystectomy: A systematic review

引用

World Journal of Gastroenterology 2015年第25期21卷 7877-7883页

作者： Antonio Pesce Gaetano Piccolo Gaetano La Greca Stefano Puleo Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia" University of Catania Department of Surgery University of Catania

AIM: To verify the utility of fluorescent cholangiography for more rigorous identification of the extrahepatic biliary ***: MEDLINE and Pub Med searches were performed using the key words "fluorescent cholangiography", "fluorescent angiography", "intraoperative fluorescent imaging", and "laparoscopic cholecystectomy" in order to identify relevant articles published in English, French, German, and Italian during the years of 2009 to 2014. Reference lists from the articles were reviewed to identify additional pertinent articles. For studies published in languages other than those mentioned above, all available information was collected from their English abstracts. Retrieved manuscripts(case reports, reviews, and abstracts) concerning the application of fluorescent cholangiography were reviewed by the authors, and the data were extracted using a standardized collection tool. Data were subsequently analyzed with descriptive statistics. In contrast to classic meta-analyses, statistical analysis was performed where the outcome was calculated as the percentages of an event(without comparison) in pseudo-cohorts of observed ***: A total of 16 studies were found that involved fluorescent cholangiography during standard laparoscopic cholecystectomies(n = 11), singleincision robotic cholecystectomies(n = 3), multiport robotic cholecystectomy(n = 1), and single-incision laparoscopic cholecystectomy(n = 1). Overall, these preliminary studies indicated that this novel technique was highly sensitive for the detection of important biliary anatomy and could facilitate the prevention of bile duct injuries. The structures effectively identified before dissection of Calot's triangle included the cystic duct(CD), the common hepatic duct(CHD), the common bile duct(CBD), and the CD-CHD junction. A review of the literature revealed that the frequenciesof detection of the extrahepatic biliary system ranged from 71.4% to 100% for the CD, 33.3% to 100% for the CHD, 50%

关键词： Extrahepatic biliary system Laparoscopiccholecystectomy Bile duct injury Biliary anomalies Fluorescent cholangiography

来源：

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

Laparoscopic cholecystectomy for a left-sided gallbladder

引用

World Journal of Gastroenterology 2013年第35期19卷 5925-5928页

作者： Mazen E Iskandar Agnes Radzio Merab Krikhely I Michael Leitman Department of Surgery Albert Einstein College of Medicine-Beth Israel Medical Center

Cholecystectomy is a common *** in the anatomy of the biliary system are common but an abnormal location of the gallbladder is much *** frequent pre-operative imaging,the aberrant location of the gallbladder is commonly discovered at *** article presents a case of a patient with the gallbladder located to the left of the falciform ligament in the absence of situs inversus totalis that presented with right upper quadrant pain.A laparoscopic cholecystectomy was performed and it was noted that the cystic duct originated from the right *** presence of a left sided gall bladder is often associated with various biliary,portal venous and other anomalies that might lead to intra-operative *** spectrum of unusual positions and anatomical gallbladder abnormalities is reviewed in order to facilitate elective and emergent cholecystectomy as well as other hepatobiliary *** proper identification of the anatomy,minimally invasive approaches are still considered safe.

关键词： Left sided gallbladder Laparoscopic chole-cystectomy Sinistroposition of the gallbladder Situs inversus Bile duct anomaly Liver anomalies Portal vein anomaly Liver transplant

来源：

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

Left Circumflex Artery as a Terminal Extension of Right Coronary Artery

引用

Chinese Medical Journal 2015年第12期128卷 1703-1703页

作者： Sait Demirkol Turgay Celik Cengiz Ozturk Mustafa Aparci Murat Unlu Atila lyisoy Department of Cardiology School of Medicine Gulhane Military Medical Academy Ankara Turkey Department of Cardiology Etimesgut Military Hospital Ankara Turkey

To the Editor： Coronary artery anomalies are usually detected incidentally during diagnostic coronary angiography or computed tomography examinations. The failure to visualize a coronary artery in its usual location ... 详细信息

关键词： anomalies

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Choledochocele with pancreas divisum:A rare cooccurrence diagnosed on magnetic resonance cholangiopancreatography

引用

World Journal of Radiology 2013年第7期5卷 264-266页

作者： Yashwant Patidar Nitesh Agarwal Shailesh Gupta Ankur Arora Amar Mukund S Rajesh Department of Radiology Institute of Liver and Biliary Sciences New Delhi 110070 India

We report a case of a 42-year-old male with symptomatic choledochocele and incidental pancreas divisum diagnosed with magnetic resonance cholangiopancreatography (MRCP). Small choledochocele is rare congenital malformation associated with non-specific symptoms and a delay in diagnosis. The coexistence of choledochocele and pancreas divisum is extremely rare with only two case reports published in literature. In both cases MRCP failed to diagnose any biliary or pancreatic abnormality. This case suggests that the patients with recurrent abdominal pain and pancreas divisum should not be presumed to be suffering from pancreatitis. Careful evaluated for additional anomalies in the biliary tree should be sought for refractory symptoms. MRCP is a useful one-stop-shop for diagnosing pancreatic and biliary ductal anomalies.

关键词： Choledochocele Pancreas divisum Magnetic resonance cholangiopan-creatography Pancreaticand biliary ductal anomalies Pancreatitis

来源：

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

WARMER WINTER IN EASTERN CHINA AND EL NIO

引用

Chinese Science Bulletin 1989年第21期34卷 1801-1805页

作者：李崇银 LASG Institute of Atmospheric Physics Academia Sinica Beijing 100080 PRC

I. INTRODUCTION There have been many studies with relation to the influences of El Nino event on the climate anomalies in China. But most of them are some analyses in relation to the

关键词： warmer winter El Nino anomalies of the weather climate

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Alternate Technique for Doing Laparoscopic Cholecystectomy in Situs Inversus

引用

Surgical Science 2013年第10期4卷 448-452页

作者： Vikrant Singh Zahur Hussain Shadilal Kachroo Vanita Gupta Harbinder Singh Mukesh Kumar Barinder Kumar Acharya Shree Chander College of Medical Sciences Jammu India Government Medical College Jammu India

A 45-year-old female with known situs inversus totalis presented with left-sided abdominal discomfort. Chest X-ray, abdominal ultrasonography and CT scan confirmed the diagnosis of a gallstone, as well as, situs inversus;Laparoscopic cholecystectomy was safely performed with mirror image of standard 4 ports. Callots triangle dissection was done with epigastric working port by surgeon, but gallbladder fossa dissection was done by surgical assistant from midclavicular port as main working port. Laparoscopic surgeon should be careful for view of reversed relationships and also for existence of other anomalies.

关键词： Situs Inversus Totalis Laparoscopic Cholecystectomy anomalies

来源：

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

A Short Term Review of Operated Cases in the Plastic Surgery Unit at the Komfo Anokye Teaching Hospital, Kumasi, Ghana

引用

Modern Plastic Surgery 2013年第3期3卷 100-103页

作者： Pius Agbenorku Paa Ekow Hoyte-Williams Isaac Kofi Omari Reconstructive Plastic Surgery & Burns Unit Department of Surgery Komfo Anokye Teaching Hospital Kumasi Ghana

Introduction: Surgical problems are of much disturbance to the world and should therefore be given serious attention. The prevalence of these surgical problems, has made plastic surgery become a broadly relevant and acceptable way for addressing problems like injuries, congenital anomalies, surgical infections and malignancies among others. Aim: This study is to quantify and characterize surgical procedures done in the plastic surgery theatre located in the new Accident and Emergency (A & E) Building of KATH. Materials and Methods: Data were obtained from the Operation Register/Theatre Books in the plastic surgery theatre at the A & E Centre on cases operated on from October 1, 2009 to September 30, 2012. Data entry, presentation and analysis were done using Statistical Package for the Social Sciences (SPSS) 20.0 version. Results: Adults formed the majority of patients who sought for plastic surgery with a percentage of 70.3%. The male patients also outnumbered the females recording (61.5%) out of the total number of patients. Most of the cases recorded were acquired cases (93.2%). Reconstructive surgery was the commonest operation performed (30%);in 53.8% cases general anaesthesia was used. Conclusion: Among all the procedures used reconstructive surgery was the commonest surgery performed in the unit and general anaesthesia was the most type of anaesthesia used for the operations.

关键词： Reconstructive Plastic Surgery Congenital anomalies Injuries Surgical Operations Short-Term Review

来源：

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

Rare case of coronary to pulmonary vein fistula with coronary steal phenomenon

引用

World Journal of Cardiology 2014年第7期6卷 682-684页

作者： Emad A Barsoum Faisal B Saiful Deepak Asti Rewais Morcus Georges Khoueiry James Lafferty Donald A McCord Department of Medicine Staten Island University HospitalNew YorkNY 10305United States Division of Cardiology Staten Island University HospitalNew YorkNY 10305United States

Coronary artery fistulas are abnormal connections between coronary artery territories and cardiac chambers or major vessels,most of them are *** with coronary artery fistula can be asymptomatic or present with different symptoms like *** computed tomography(CT)is one of the best modalities for *** present an elderly patient that presented with angina symptoms,non invasive stress test was positive for ischemic heart disease,coronary angiogram could not reveal any obstructive lesions,but an abnormal branch of the left descending coronary artery(LAD),cardiac CT showed fistula that connect left anterior descending coronary artery to left superior pulmonary *** case is extremely rare as most of the reported cases were fistulas between LAD and pulmonary artery,but in our case the fistula between LAD and left superior pulmonary *** addition,our patients’symptoms resolved with anti-ischemic medical treatment without any surgical intervention.

关键词： Coronary artery fistula Coronary artery anomalies in adult Coronary artery disease

来源：

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

Implications of the presence of an aberrant right hepatic artery in patients undergoing pancreaticoduodenectomy

引用

World Journal of Gastrointestinal Surgery 2014年第1期6卷 9-13页

作者： Ashwin Rammohan Ravichandran Palaniappan Anbalagan Pitchaimuthu Kamalakannan Rajendran Senthil Kumar Perumal Kesavan Balaraman Ravi Ramasamy Jeswanth Sathyanesan Manoharan Govindan The Institute of Surgical Gastroenterology and Liver Transplantation Centre for GI Bleed Division of HPB diseases Stanley Medical College Hospital

AIM:To analyze the differences in outcomes and the clinical impact following pancreatoduodenectomy(PD)in patients with and without aberrant right hepatic artery(aRHA).METHODS:All patients undergoing PD between January 2008 and December 2012 were divided into two groups,one with aRHA and the other *** groups were compared to identify differences in the intraoperative variables,the oncological clearance and the postoperative morbidity,mortality and hospital ***:A total of 225 patients underwent PD,of which 43(19.1%)patients were found to have eitheraccessory or replaced right hepatic arteries(aRHA group).The aRHA was preserved in 79%of the *** was no significant difference in the intraoperative blood loss but operative time was prolonged,reflecting the complexity of the procedure[420±44(240-540)min vs 480±45(300-600)min,P<0.05)].There were no differences in the incidence of postoperative complications(pancreatic leak,pancreatic fistula,delayed gastric emptying and mortality)and hospital *** clearance in the form of positive resection margins[13(7.1%)vs 3(6.9%)]and lymph node yield were also similar in the two ***:An aRHA is found in approximately one fifth of patients undergoing *** is technically possible in most patients and can increase the operative complexity but does not negatively affect the safety or oncological outcomes of the procedure.

关键词： Pancreatoduodenectomy Aberrant right hepatic artery Arterial anomalies Outcomes

来源：

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

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：