检索结果-南通市图书馆

Outcomes and efficacy of magnetic resonance imaging-compatible sacral nerve stimulator for management of fecal incontinence: A multi-institutional study

引用

World Journal of Radiology 2024年第2期16卷 32-39页

作者： Binit Katuwal Amy Thorsen Kunal Kochar Ryba Bhullar Ray King Ernesto Raul Drelichman Vijay K Mittal Jasneet Singh Bhullar Department of Surgery Ascension Providence HospitalMichigan State University College of Human MedicineSouthfieldMI 48075United States Department of Colon and Rectal surgery Alina Health Abbott Northwestern HospitalMinneapolisMN 55407United States Colon and Rectal Surgery Advocate Illinois MasonicPark RidgeIL 60068United States Volunteer Student Department of ResearchAscension Providence HospitalSouthfieldMI 48075United States Colon and Rectal Surgery University of WisconsinMadisonWI 53715United States General and Colorectal Surgery Ascension Providence HospitalMichigan State University College of Human MedicineSouthfieldMI 48075United States Department of Surgery Department of Medical EducationAscension Providence HospitalMichigan State University College of Human MedicineSouthfieldMI 48075United States

BACKGROUND Fecal incontinence(FI)is an involuntary passage of fecal matter which can have a significant impact on a patient’s quality of *** modalities of treatment exist for *** nerve stimulation is a well-established treatment for *** the increased need of magnetic resonance imaging(MRI)for diagnostics,the In-terStim which was previously used in sacral nerve stimulation was limited by MRI *** MRI-compatible InterStim was approved by the United States Food and Drug Administration in August 2020 and has been widely *** To evaluate the efficacy,outcomes and complications of the MRI-compatible *** Data of patients who underwent MRI-compatible Medtronic InterStim placement at UPMC Williamsport,University of Minnesota,Advocate Lutheran General Hospital,and University of Wisconsin-Madison was pooled and *** demographics,clinical features,surgical techniques,complications,and outcomes were *** the Reporting of Observational studies in Epidemiology(STROBE)cross-sectional reporting guidelines were *** Seventy-three patients had the InterStim *** mean age was 63.29±12.2 ***-seven(78.1%)patients were females and forty-two(57.5%)patients had *** addition to incontinence,overlapping symptoms included diarrhea(23.3%),fecal urgency(58.9%),and urinary incontinence(28.8%).Fifteen(20.5%)patients underwent Peripheral Nerve Evaluation before proceeding to definite implant ***-two(43.8%)patients underwent rechargeable InterStim ***(4.1%)patients needed removal of the *** of the external lead connection was observed in 7(9.6%)patients after the stage I *** explanation for one patient was due to ***(9.6%)patients had other complications like nerve pain,hematoma,infection,lead fracture,and *** mean follow-up was 6.62±3.5 ***-eight(93.2%)patients reported significant improvement of symptoms on

关键词： Fecal incontinence Sacral nerve stimulation InterStim Magnetic resonance imaging Sacral neuromodulation

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

"Commissural drop"wiring technique facilitates catheter crossing of severely stenotic aortic valve

引用

Chinese Medical Journal 2021年第2期134卷 245-246页

作者： Yu Du Paul Sorajja Miho Fukui Go Hashimoto Aisha Ahmed Mario Gössl Valve Science Center Minneapolis Heart Institute FoundationAbbott Northwestern HospitalMN 55407USA Department of Cardiology Beijing Anzhen HospitalCapital Medical UniversityBeijing 100029China

To the Editor:An 82-year-old man with symptomatic severe calcific aortic valve stenosis(peak velocity:5.19 m/s;mean gradient:78.0 mmHg;aortic valve area:0.48 cm2)underwent transfemoral transcatheter aortic valve *** the procedure,a 0.035-inch straight-tip glide wire(Terumo,Somerset,NJ,USA)supported by a 6 Fr Judkins Right 4(JR4)coronary catheter(Medtronic,minneapolis,mn,USA)were used to cross the severely stenotic aortic ***,the JR4 catheter could not pass the aortic valve because the wire crossed the aortic valve in the left/right coronary commissure creating an unfavorable angle and limited pushability for the *** of switching to a differently shaped catheter(eg,an Amplatz left 1 catheter),we advanced the glide wire and therefore the more supportive portion of the wire further through the aortic ***,both wire and JR4 catheter dropped into the non/left coronary commissure,allowing the JR4 catheter to cross the valve ***,a 34 mm self-expanding Evolut R valve(Medtronic)was implanted,and the patient was discharged uneventfully(Figure 1A-E and Supplementary Video 1,http://***/CM9/A353["Commissural drop"wiring technique.]).

关键词： catheter valve Figure

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

Effect of an educational intervention and parental vaccine refusal forms on childhood vaccination rates in a clinic with a large Somali population

引用

Family Medicine and Community Health 2017年第3期5卷 188-192页

作者： Diane J.Madlon-Kay Emily R.Smith University of Minnesota Medical Center Family Medicine Residency Program 2020 E.28th StreetMinneapolisMN 55407USA North Memorial Family Medicine Residency Program 1020 W Broadway AveMinneapolisMN 55411USA

Objective:The purpose of this study is to improve vaccination rates at a clinic with a large Somali population,and many vaccine hesitant *** study evaluated the effectiveness of some new materials for vaccine hesitant ***:Educational sessions were given to providers and staff to give“talking points”and to introduce a vaccine refusal *** reviews were done for notes from 50 random well child visits per month of children less than six years old for 7 months before and after the ***:Before the intervention,44% of Somali children who needed shots did not get them at their well child ***,34% of the Somali children did not get their needed *** non-Somali children,16.8% did not get needed shots before the intervention,and 12.7% did not get needed shots after the intervention(P=0.07).The MMR was the most frequent vaccine *** the intervention,29 parents signed the vaccine refusal ***:The“talking points”and vaccine refusal form were associated with improve-ments in immunization rates in this challenging patient population that were not statistically *** form use was not well documented,so its true value requires further study.

关键词： Vaccination immunization MMR Somali

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

肥厚型心肌病猝死预防：肥厚型心肌病患者除颤器置入

引用

中华心血管病杂志 2009年第4期37卷 297-302页

作者： Barry J Maron Paolo Spirito minneapolis mn 55407 Hypertrophic Cardiomyopathy Center Minneapolis Heart Institute Foundation Division di Cardiologia Ente Ospedaliero Ospodali Galliera

从50年前认识到肥厚型心肌病（HCM）起，对HCM患者猝死危险已有了充分的认识和足够的重视。HCM是青年人（包括受训运动员）猝死最常见的原因。置入性心脏除颤器（ICD）起初用于治疗缺血性心脏病，近几年用于HCM心原性猝死的预防。临床IC... 详细信息

从50年前认识到肥厚型心肌病（HCM）起，对HCM患者猝死危险已有了充分的认识和足够的重视。HCM是青年人（包括受训运动员）猝死最常见的原因。置入性心脏除颤器（ICD）起初用于治疗缺血性心脏病，近几年用于HCM心原性猝死的预防。临床ICD置人增加很快，是改变HCM青年患者病程的主要治疗手段。

关键词：肥厚型心肌病心原性猝死心脏除颤器置入预防病患缺血性心脏病 HCM

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

COVID-19 and venous thromboembolism: Known and unknown for imaging decisions

引用

World Journal of Radiology 2021年第3期13卷 64-74页

作者： Love Patel Darshan Gandhi Emily Westergard Michael Ornes Matthew Lillyblad Nedaa Skeik Division of Hospital Medicine Abbott Northwestern HospitalAllina HealthMinneapolisMN 55407United States Department of Radiology Northwestern Memorial HospitalNorthwestern University Feinberg School of MedicineChicagoIL 60611United States Department of Graduate Medical Education Abbott Northwestern HospitalMinneapolisMN 55408United States Department of Pharmacy Abbott Northwestern HospitalAllina HealthMinneapolisMN 55407United States minneapolis Heart Institute Abbott Northwestern HospitalAllina HealthMinneapolisMN 55407United States

As we continue to fight against the current coronavirus disease-2019(COVID-19)pandemic,healthcare professionals across the globe are trying to answer questions surrounding how to best help patients with the up-to-date available science while awaiting the development of new therapies and mass *** early in the pandemic,studies indicated a heightened risk of venous thromboembolism(VTE)in COVID-19 infected *** have been differing expert opinions about how to assess pretest probability of VTE in this patient *** has been partly due to the high prevalence of respiratory failure in this patient population and the use of D-dimer as a prognostic test which is also frequently elevated in patients with COVID-19 in absence of *** experts have argued for an approach similar to usual care with testing if clinical suspicion is high *** have argued for more routine screening at different points of *** have even suggested empiric therapeutic anticoagulation in moderate to severely ill COVID-19 *** the following article,we review and summarize the most current literature in hopes of assisting clinicians in decision making and guidance for when to be concerned for VTE in COVID-19 *** also discuss research gaps and share pathways currently being used within our institution.

关键词： COVID-19 Venous thromboembolism Computed tomography scan Anticoagulation Point of care ultrasound

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

Challenges in hyperglycemia management in critically ill patients with COVID-19

引用

World Journal of Critical Care Medicine 2022年第4期11卷 219-227页

作者： Rajesh Kethireddy Darshan Gandhi Asim Kichloo Love Patel Division of Hospital Medicine Abbott Northwestern HospitalAllina HealthMinneapolisMN 55407United States Department of Diagnostic Radiology University of Tennessee Health Science CenterMemphisTN 38103United States Internal Medicine Central Michigan University School of MedicineMt PleasantMI 48859United States

Hyperglycemia is commonly associated with adverse outcomes especially in patients requiring intensive care unit *** from the corona virus disease 2019(COVID-19)pandemic indicates that individuals with diabetes appear to be at similar risk for COVID-19 infection to those without diabetes but are more likely to experience increased morbidity and *** proposed hypothesis for hyperglycemia in COVID-19 include insulin resistance,critical illness hyperglycemia(stress-induced hyperglycemia)secondary to high levels of hormones like cortisol and catecholamines that counteract insulin action,acute cytokine storm and pancreatic cell *** patients are more likely to have severe hyperglycemic complications including diabetic ketoacidosis and hyperosmolar hyperglycemic *** of hyperglycemia in COVID-19 is often complicated by use of steroids,prolonged total parenteral or enteral nutrition,frequent acute hyperglycemic events,and restrictions with fluid management due to acute respiratory distress *** managing hyperglycemia special attention should be paid to mode of insulin delivery,frequency of glucose monitoring based on patient and caregiver safety thereby minimizing exposure and conserving personal protective *** this article we describe the pathophysiology of hyperglycemia,challenges encountered in managing hyperglycemia,and review some potential solutions to address them.

关键词： Hyperglycemia COVID-19 Critical care Diabetes Diabetic ketoacidosis

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

Kratom induced severe cholestatic liver injury histologically mimicking primary biliary cholangitis: A case report

引用

World Journal of Hepatology 2020年第10期12卷 863-869页

作者： Darshan Gandhi Kriti Ahuja Alexis Quade Kenneth P Batts Love Patel Department of Radiology Northwestern Memorial HospitalNorthwestern University Feinberg School of MedicineChicagoIL 60611United States Department of Internal Medicine Maulana Azad Medical CollegeNew Delhi 110002DelhiIndia Internal Medicine-Pediatrics University of California-San Diego and Rady Children's Hospital San DiegoSan DiegoCA 92103United States Department of Pathology Abbott Northwestern HospitalAllina HealthMinneapolisMN 55407United States Division of Hospital Medicine Abbott Northwestern HospitalAllina HealthMinneapolisMN 55407United States

BACKGROUND Kratom is a psychoactive substance that is isolated from the plant Mitragyna *** leaves can be chewed fresh or dried,smoked,or infused similar to herbal *** plant leaves have been used by natives of Southeast Asia for *** substance has been used for its stimulant activity at low doses,and as an opium substitute at higher doses due to a morphine like *** SUMMARY A 37-year-old female with a history of depression and obesity(body mass index:32)presented to emergency room with a week-long history of nausea,decreased appetite,fatigue,and two days of *** admission bilirubin was markedly *** condition was thought to be due to consumption of Kratom 2 wk before onset of *** biopsy showed changes mimicking primary biliary ***’s symptoms and jaundice improved *** The use of Kratom has been on the rise in recent years across the United States and *** case reports have associated adverse health impact of Kratom-containing products including death due to its ability to alter levels of *** a few case reports have highlighted the hepatotoxic effects of *** fewer reports exist describing the detailed histopathological changes.

关键词： Case report Kratom Cholestasis Liver injury Mitragyna speciosa Cholangitis Substance induced injury

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

中、重度一氧化碳中毒后的心肌损伤与远期死亡率

引用

世界核心医学期刊文摘（心脏病学分册） 2006年第6期2卷 4-5页

作者： Henry C. R. Satran D. Lindgren B. T.D. Henry 杜媛(译) 马超(校) 不详 minneapolis Heart Institute Foundation 920 E 28th St Minneapolis MN 55407 United States

Context: Carbon monoxide(CO) poisoning is a common cause of toxicological morbidity and mortality. Myocardial injury is a frequent consequence of moderate to severe CO poisoning. While the in- hospital mortality for these patients is low, the long- term outcome of myocardial injury in this setting is unknown. Objective: To determine the association between myocardial injury and long- term mortality in patients following moderate to severe CO poisoning. Design, Setting, and Participants: Prospective cohort study of 230 consecutive adult patients treated for moderate to severe CO poisoning with hyperbaric oxygen and admitted to the Hennepin County Medical Center, a regional center for treatment of CO poisoning, between January 1, 1994, and January 1, 2002. Follow- up was through November 11, 2005. Main Outcome Measure: All- cause mortality. Results: Myocardial injury(cardiac troponin I level ≥ 0.7 ng/mL or creatine kinase- MB level ≥ 5.0 ng/mL and/or diagnostic electrocardiogram changes) occurred in 85(37% ) of 230 patients. At a median follow- up of 7.6 years(range: in- hospital only to 11.8 years), there were 54 deaths(24% ). Twelve of those deaths(5% ) occurred in the hospital as a result of a combination of burn injury and anoxic brain injury(n=8) or cardiac arrest and anoxic brain injury(n=4). Among the 85 patients who sustained myocardial injury from CO poisoning, 32(38% ) eventually died compared with 22(15% ) of 145 patients who did not sustain myocardial injury(adjusted hazard ratio, 2.1; 95% confidence interval, 1.2- 3.7; P=.009). Conclusion: Myocardial injury occurs frequently in patients hospitalized for moderate to severe CO poisoning and is a significant predictor of mortality.

关键词：一氧化碳(CO)中毒重度CO中毒远期死亡率心肌损伤中毒后前瞻性队列研究高压氧治疗成年患者院内死亡率远期结果

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

心脏磁共振成像在肥厚型心肌病诊断中的应用

引用

世界核心医学期刊文摘（心脏病学分册） 2006年第1期2卷 40-41页

作者： Rickers C. Wilke N. M. Jerosch-Herold M. B.J. Maron 刘少伟 Dr. minneapolis Heart Institute Foundation 920 E 28th St. Minneapolis MN 55407 United States

Background-Two-dimensional echocardiography is currently the standard test for the clinical diagnosis of hypertrophic cardiomyopathy(HCM). The present study was undertaken to determine whether cardiac MRI(CMR) affords greater accuracy than echocardiography in establishing the diagnosis and assessing the magnitude of left ventricular(LV) hypertrophy in HCM. Methods and Results-Forty-eight patients(age 34±16 years) suspected of having HCM(or with a confirmed diagnosis) were imaged by both echocardiography and CMR to assess LV wall thickness in 8 anatomic segments(total n=384 segments) and compared in a blinded fashion. Maximum LV thickness was similar by echocardiography(21.7±9.1 mm) and CMR(22.5±9.6 mm; P=0.21). However, in 3(6%) of the 48 patients, echocardiography did not demonstrate LV hypertrophy, and CMR identified otherwise undetected areas of wall thickening in the anterolateral LV free wall(17 to 20 mm), which resulted in a new diagnosis of HCM. In the overall study group, compared with CMR, echocardiography also underestimated the magnitude of hypertrophy in the basal anterolateral free wall(by 20±6%; P=0001), as well as the presence of extreme LV wall thickness(≥30 mm) in 10%of patients(P< 0.05). Conclusions-CMR is capable of identifying regions of LV hypertrophy not readily recognized by echocardiography and was solely responsible for diagnosis of the HCM phenotype in an important minority of patients. CMR enhances the assessment of LV hypertrophy, particularly in the anterolateral LV free wall, and represents a powerful supplemental imaging test with distinct diagnostic advantages for selected HCM patients.

关键词：肥厚型心肌病心脏磁共振临床诊断磁共振成像二维超声心动图室壁厚度解剖断面标准检测肥厚程度 MR检查

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

中度至重度一氧化碳中毒后的心肌损伤和长期死亡率

引用

世界核心医学期刊文摘（神经病学分册） 2006年第5期2卷 2-3页

作者： Henry C.R Satran D Lindgren B T.D. Henry 江山 minneapolis Heart Institute Foundation 920 E 28th St Minneapolis MN 55407 United StatesDr.

Context: Carbon monoxide (CO) poisoning is a common cause of toxicological morbidity and mortality. Myocardial injury is a frequent consequence of moderate to severe CO poisoning. While the in-hospital mortality for these patients is low, the long-term outcome of myocardial injury in this setting is unknown. Objective: To determine the association between myocardial injury and long-term mortality in patients following moderate to severe CO poisoning. Design, Setting, and Participants: Prospective cohort study of 230 consecutive adult patients treated for moderate to severe CO poisoning with hyperbaric oxygen and admitted to the Hennepin County Medical Center, a regional center for treatment of CO poisoning, between January 1, 1994, and January 1, 2002. Follow-up was through November 11, 2005. Main Outcome Measure: All-cause mortality. Results: Myocardial injury (cardiac troponin I level ≥ 0.7 ng/mL or creatine kinase-MB level ≥ 5.0 ng/mL and/or diagnostic electrocardiogram changes) occurred in 85 (37% ) of 230 patients. At a median follow-up of 7.6 years (range: in-hospital only to 11.8 years), there were 54 deaths (24% ). Twelve of those deaths (5% ) occurred in the hospital as a result of a combination of burn injury and anoxic brain injury (n=8)or cardiac arrest and anoxic brain injury (n=4). Among the 85 patients who sustained myocardial injury from CO poisoning, 32 (38% ) eventually died compared with 22 (15% ) of 145 patients who did not sustain myocardial injury (adjusted hazard ratio, 2.1; 95% confidence interval, 1.2- 3.7; P=.009). Conclusion: Myocardial injury occurs frequently in patients hospitalized for moderate to severe CO poisoning and is a significant predictor of mortality.

关键词：一氧化碳(CO)中毒重度CO中毒住院死亡率心肌损伤中度中毒后中毒患者心肌肌钙蛋白I 高压氧治疗脑缺氧损伤

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

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：