检索结果-南通市图书馆

Superior rectus/levator complex in acquired anophthalmic socket repaired with spheric implant—a computed tomography scan and topographic study

引用

International Journal of Ophthalmology(English edition) 2024年第8期17卷 1483-1488页

作者： Shaikha Al Eid Hamad M AlSulaiman Sahar M Elkhamary Osama Al Sheikh Alicia Ferrero-Galindo Rajiv Kandekhar Silvana A Schellini Oculoplastic Division King Khaled Eye Specialist HospitalRiyadh 11462Saudi Arabia Radiology Division King Khaled Eye Specialist HospitalRiyadh 11462Saudi Arabia Department of Diagnostic Radiology Mansoura Faculty of MedicineMansoura 35511Egypt university hospital rio hortega Valladolid 47012Spain Research Department King Khaled Eye Specialist HospitalRiyadh 11462Saudi Arabia Ophthalmology Department Medical SchoolState University of Sao PauloBotucatu 18618-687Brazil

AIM:To determine whether the levator palpebrae superioris(LPS)/superior rectus(SR)muscle complex,can influence the position of the upper lid and fornix in acquired anophthalmic ***:This comparative non-randomized and non-interventional study included retrospective data of 21 patients with unilateral acquired anophthalmic sockets repaired with spheric ***-resolution computed tomography(CT)measurements of the LPM/SR muscle complex and clinical topographic position of the upper lid,superior and inferior fornix depth in primary gaze position were *** data were presented as frequency and percentage proportions and quantitative variables comparing the socket measurements with the normal contralateral orbit was statistically analyzed using non-parametric tests considering P0.05,all comparisons).The superior fornix depth was similar in the anophthalmic socket and the contralateral normal orbit(P=0.192)as well the inferior fornix depth(P=0.351).CONCLUSION:Acquired anophthalmic sockets repaired with spheric implants have shorter LPS,thicker SR,and more lagophthalmos than normal *** relationship of the LPS and SR with other orbital structures,associated with passive or active forces acting in the final position of the lids and external ocular prosthesis should be further investigated.

关键词： anophthalmic socket spheric implant levator palpebrae superioris superior rectus lagophthalmos fornix depth

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

Severe morbidity after pancreatectomy is accurately pre dicte d by preoperative pancreatic resection score(PREPARE): A prospective validation analysis from a medium-volume center

引用

Hepatobiliary & Pancreatic Diseases International 2018年第6期17卷 559-565页

作者： Mario Rodriguez-Lopez Francisco J. Tejero-Pintor Baltasar Perez-Saborido Asterio Barrera-Rebollo Martin Bailon-Cuadrado David Pacheco-Sanchez General and Digestive Surgery Department Rio-Hortega University Hospital

Background: Major morbidity in pancreatic surgery remains high. Different scores for predicting complications have been described. Preoperative pancreatic resection(PREPARE) score is based on objective preoperative variables and offers good predictive accuracy for Clavien ≥ III complications. This study aimed to validate this score and analyze other preoperative variables in a prospective study performed in a medium-volume center. Methods: A total of 50 pancreatic resections were included. Preoperative variables were registered and PREPARE was calculated. The main outcome was severe morbidity(Clavien ≥ III) up to 30 days after discharge. The secondary outcomes were length of stay(LOS) and readmission. Statistical validation was performed to compare severe morbidity rate among the scores categories. Association with other preoperative variables(not included in PREPARE) was also tested. Results: Of the 50 pancreatic resections, the severe morbidity was 34.0%, with median LOS of 11 days. Readmission rate was 25.5%. Severe morbidity rates according to PREPARE categories were 18.5% in lowrisk group, 41.7% in intermediate-risk group, and 63.6% in high-risk group, respectively( P = 0.023). The accuracy was 72%(Hosmer–Lemeshow, P = 0.86). ROC curve was obtained both for PREPARE score expressed as incremental values and categorized as the three risk groups, showing an area under curve(AUC) of 0.736(95% CI: 0.586–0.887; P = 0.007) and 0.712(95% CI: 0.555–0.869; P = 0.015), respectively. PREPARE was significant in multivariate analysis. Median LOS was statistically higher as PREPARE category increases(9, 11 and 15 days in low-, intermediate-and high-risk groups, respectively; P = 0.009). Readmission was not associated with any variables. Conclusions: PREPARE behaves as an independent risk factor for severe morbidity after pancreatic surgery. Score validation shows good accuracy prediction. Increasing PREPARE category is also associated with longer LOS.

关键词： Pancreatic surgery Morbidity Complications Preoperative pancreatic resection score Validation

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

Impaired immune reaction and increased lactate and C-reactive protein for early prediction of severe morbidity and pancreatic fistula after pancreatoduodenectomy

引用

Hepatobiliary & Pancreatic Diseases International 2020年第1期19卷 58-67页

作者： Mario Rodriguez-Lopez Francisco J.Tejero-Pintor Martin Bailon-Cuadrado Asterio Barrera-Rebollo Baltasar Perez-Saborido David Pacheco-Sanchez General and Digestive Surgery Department Rio-Hortega University Hospital

Background: Prediction of complications after pancreatoduodenectomy (PD) remains of interest. Blood parameters and biomarkers during rst and second postoperative days (POD1, POD2) may be early indi- cators of complications. Methods: This case-control study included 50 patients. Baseline, POD1 and POD2 values of leukocytes, neutrophils, lymphocytes, platelets, hemoglobin, C-reactive protein (CRP), procalcitonin and arterial lactate were compared between individuals presenting Clavien ≥ III morbidity, pancreatic stula (PF) or clinically relevant PF (CRPF) and those without these morbidities. Common variables reaching signi cance were further analyzed in order to calculate a predictive score. Results: Severe morbidity, PF and CRPF rates were 28.0%, 26.0% and 14.0%, respectively. Patients with severe morbidity had lower leukocytes on POD2 (P=0.04). Patients with PF presented higher CRP on POD2 (P=0.001), higher lactate on POD1 (P=0.007) and POD2 (P=0.008), and lower lymphocytes on POD1 (P=0.007) and POD2 (P=0.008). Patients with CRPF had lower leukocytes and neutrophils on POD1 (P =0.048, P =0.038), lower lymphocytes on POD1 (P =0.001) and POD2 (P =0.003), and higher CRP on POD2 (P =0.001). Baseline parameters and procalcitonin obtained no statistical associations. Score was de ned according to lymphocytes on POD1 riod (lower leukocytes and, particularly, lymphocytes) in response to surgical aggression would favor complications after PD. Likewise, acidosis (higher arterial lactate) could behave as risk factor of PF. An elevated CRP on POD2 is also an early biomarker of PF. Our novel score based on postoperative lymphocyte count and CRP seems reliable

关键词： Pancreatoduodenectomy Morbidity Pancreatic fistula Biomarker Prediction Score

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

Macular atrophy after combined intravitreal triamcinolone and photodynamic therapy to treat choroidal neovascularization

引用

International Journal of Ophthalmology(English edition) 2010年第2期3卷 161-163页

作者： Jose M Ruiz-Moreno Javier A Montero Pedro Amat Francisco Lugo Department of Ophthalmology Albacete Medical SchoolUniversity of Castilla La ManchaSpain Alicante Institute of Ophthalmology Vitreo-Retinal Unit.Spain pio del rio hortega university hospital Ophthalmology UnitValladolidSpain

AIMTo report the appearance of choriocapillaris atrophy after combined high dose intravitreal triamcinolone acetonide (TA) and photodynamic therapy (PDT) to treat choroidal neovascularization (CNV) associated with age... 详细信息

关键词： age related macular degeneration choriocapillaris atrophy intravitreous triamcinolone photodynamic therapy retinal pigment epithelium atrophy

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

Preoperative pancreatic resection score:a preliminary prospective validation from Spain

引用

Hepatobiliary & Pancreatic Diseases International 2016年第6期15卷 667-668页

作者： Mario Rodriguez-Lopez Martin Bailon-Cuadrado Francisco J Tejero-Pintor Baltasar Perez-Saborido Enrique Asensio-Diaz Asterio Barrera-Rebollo General and Digestive Surgery Department Rio Hortega University HospitalDulzaina 247012ValladolidSpain

To the Editor：We read with outstanding interest the article by Celik et al. It is the first external description of the Hamburg＇s preoperative pancreatic resection （PREPARE） score since it was published in 2014 by Uzunoglu et al. According to the latter authors, it is necessary to stratify risk of major morbidity and mortality before performing a pancreatic resection, and PREPARE score is a simple index, validated in a multicenter cohort of patients undergoing this group of technically demanding procedures.

关键词： Preoperative pancreatic resection score

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

Validity of autorefractor based screening method for irregular astigmatism compared to the corneal topography-a cross sectional study

引用

International Journal of Ophthalmology(English edition) 2017年第9期10卷 1412-1418页

作者： Alicia Galindo-Ferreiro Julita De Miguel-Gutierrez Manuel González-Sagrado Alberto Galvez-Ruiz Rajiv Khandekar Silvana Schellini Julio Galindo-Alonso King Khaled Eye Specialist hospital Riyadh 12329SaudiArabia Department of Ophthalmology Rio-Hortega University HospitalValladolid 47012Spain Unit Research Support Rio-Hortega HospitalValladolid 47012Spain Faculdade de Medicina de Botucatu State University of SgoPauloUNESP 18618687Brazil Galindo Clinic Valladolid 47003Spain

AIM：To present a method of screening for irregular astigmatism with an autorefractor and its determinants compared to corneal ***：This cross-sectional validity study was conducted in 2013 at an eye hospital in Spain.A tabletop autorefractor（test 1）was used to measure the refractive status of the anterior surface of the cornea at two corneal meridians of each *** corneal topography（test 2）and Bogan’s classification was used to group eyes into those with regular or no astigmatism（GRI）and irregular astigmatism（GRII）.Test 1 provided a single absolute value for the greatest cylinder difference（Vr）.The receiver operating characteristic（ROC）were plotted for the Vr values measured by test 1 for GRI and GRII *** the basis a Vr value of 1.25 D as cut off,sensitivity,specificity were also ***：The study sample was comprised of 260 eyes（135 patients）.The prevalence of irregular astigmatism was 42%[95%confidence interval（CI）：36,48].Based on test 2,there were 151 eyes in GRI and 109 eyes in *** median Vr was 0.75 D（25%quartile,0.5 D）for GRI and1.75 D（25%quartile,1.25 D）for *** area under curve was 0.171 for GRI and 0.83 for *** sensitivity of test I was 78.1%and the specificity was 76.1%.CONCLUSION：A conventional autorefractor can be effective as a first level screening method to detect irregular corneal astigmatism in places where corneal topography facilities are not available.

关键词： screening irregular astigmatism autorefrac-tot corneal topography cornea validity

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

Extrahepatic right hepatic duct diverticulum: a rare entity

引用

Hepatobiliary & Pancreatic Diseases International 2010年第2期9卷 213-215页

作者： Eduardo SM Fernandes Raquel L Bernardo Moacir M Fernandes Rogério MC Araújo Renato Sebbe Asterio Monte JoséF Coelho Antonio AP Souza Joaquim Ribeiro Filho Department of General Surgery Section of Hepatobiliary Surgery and TransplantationRio de Janeiro Federal University Department of Digestive Surgery and Gastroenterology Pio XII General Hospital

BACKGROUND:Douglas described choledochal cysts in 1852 and Todani proposed an anatomy-based classification in 1977. The classification is the most extensively used,but does not include some rare *** present a case of hepatic duct diverticulum,one of the variations,and discuss its diagnosis and treatment. METHODS:A 57-year-old woman presented with upper abdominal pain and discomfort associated with nausea and *** was finally diagnosed with cholelithiasis and right hepatic duct diverticulum. RESULT:The patient underwent resection of the hepatic duct diverticulum and cholecystectomy,and was asymptomatic 26 months after surgery. CONCLUSIONS:Hepatic duct diverticulum is a rare form of choledochal cyst,not included in Todani’s classification. Todani’s classification including this and other uncommon variations of choledochal cysts must be *** best diagnostic imaging methods and treatment for choledochal cysts must be defined.

关键词： choledochal cysts hepatic duct diverticulum Todani's classification intrahepatic diverticulum

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

Biomechanical diagnostics of the cornea

引用

Eye and Vision 2020年第1期7卷 87-98页

作者： Louise Pellegrino Gomes Esporcatte Marcella Q.Salomão Bernardo T.Lopes Paolo Vinciguerra Riccardo Vinciguerra Cynthia Roberts Ahmed Elsheikh Daniel G.Dawson Renato Ambrósio Jr rio de Janeiro Corneal Tomography and Biomechanics Study Group Rio de JaneiroBrazil Instituto de Olhos Renato Ambrósio Rua Conde de Bonfim 211/712Rio de JaneiroRJ 20520-050Brazil Department of Ophthalmology Hospital São Vicente de PauloRio de JaneiroBrazil Brazilian Study Group of Artificial Intelligence and Corneal Analysis–BrAIN Rio de Janeiro&MaceióBrazil Department of Ophthalmology Federal University of São PauloSão PauloBrazil Instituto Benjamin Constant Rio de JaneiroBrazil School of Engineering University of LiverpoolLiverpool L693GHUK Department of Biomedical Science Humanitas UniversityRozzanoItaly Eye Center Humanitas Clinical and Research CenterRozzanoItaly Department of Ophthalmology Humanitas San Pio X HospitalMilanItaly Department of Ophthalmology and Visual Science Department of Biomedical EngineeringThe Ohio State UniversityColumbusOHUSA School of Biological Science and Biomedical Engineering Beihang UniversityBeijingChina NIHR Biomedical Research Centre for Ophthalmology Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of OphthalmologyLondonUK The university of Florida Department of Ophthalmology GainesvilleFLUSA Department of Ophthalmology Federal University the State of Rio de Janeiro(UNIRIO)Rio de JaneiroBrazil

Corneal biomechanics has been a hot topic for research in contemporary ophthalmology due to its prospective applications in diagnosis,management,and treatment of several clinical conditions,including glaucoma,elective keratorefractive surgery,and different corneal *** clinical biomechanical investigation has become of great importance in the setting of refractive surgery to identify patients at higher risk of developing iatrogenic ectasia after laser vision *** review discusses the latest developments in the detection of corneal ectatic *** developments should be considered in conjunction with multimodal corneal and refractive imaging,including Placido-disk based corneal topography,Scheimpflug corneal tomography,anterior segment tomography,spectral-domain optical coherence tomography(SD-OCT),very-high-frequency ultrasound(VHF-US),ocular biometry,and ocular wavefront *** ocular response analyzer(ORA)and the Corvis ST are non-contact tonometry systems that provide a clinical corneal biomechanical *** recently,Brillouin optical microscopy has been demonstrated to provide in vivo biomechanical *** integration of tomographic and biomechanical data into artificial intelligence techniques has demonstrated the ability to increase the accuracy to detect ectatic disease and characterize the inherent susceptibility for biomechanical failure and ectasia progression,which is a severe complication after laser vision correction.

关键词： Corneal biomechanics Corneal ectasia Corneal imaging

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

Lumen-apposing metal stents for benign gastrointestinal tract strictures: An international multicenter experience

引用

World Journal of Gastrointestinal Endoscopy 2017年第12期9卷 571-578页

作者： Javier Santos-Fernandez Christopher Paiji Mohammad Shakhatreh Irene Becerro-Gonzalez Ramon Sanchez-Ocana Paul Yeaton Jason Samarasena Manuel Perez-Miranda Gastroenterology Department Hospital Universitario Rio Hortega Division of Gastro- enterology and Hepatology University of California -Irvine Section of Gastro- enterology and Hepatology Virginia Tech Carilion School of Medicine and Research Institute

AIM To investigate technical feasibility, outcomes and adverse events of the lumen-apposing metal stent(LAMS) for benign gastrointestinal(GI) tract *** Between July 2015 and January 2017, patients undergoing treatment by LAMS for benign GI strictures at three tertiary referral centers were included in this study. Primary outcomes included technical success, shortterm clinical success, long-term clinical success, and adverse events. Short-term clinical success was defined as symptom resolution at 30 d after stent placement. Longterm clinical success was defined by symptom resolution at 60 d in patients who continued to have indwelling stent, or continued symptom resolution at 30 d after elective stent *** A total of 21 patients(mean age 62.6 years, 47.6% males) underwent placement of LAMS for benign GI strictures. A 15 mm × 10 mm LAMS was placed in 16 patients, a 10 mm × 10 mm LAMS was placed in 2 patients, and a 16 mm × 30 mm LAMS was placed in 3 patients. Technical success was obtained in all cases. Short-term clinical success was achieved in 19 out of 21 cases(90.5%), and long-term clinical success was achieved in 12 out of 18(66.7%). Mean(range) stent indwell time was 107.2(28-370) d. After a mean(range) dwell time of 104.3(28-306) d, 9 LAMSs were removed due to the following complications: ulceration at stent site(n = 1), angulation(n = 2), migration(n = 4) and stricture overgrowth(n = 2). Migration occurred in 4 cases(19.0%), and it was associated with stricture resolution in one case. Median(range) follow-up period was 119(31-422) d. CONCLUSION Utilization of LAMS for benign strictures has shown to be technically feasible and safe, but adverse events highlight the need for further study of its indications.

关键词： Endoscopy Stent Gastrointestinal diseases Stricture Biomedical technology

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

Idiopathic orbital lipogranuloma

引用

International Journal of Ophthalmology(English edition) 2017年第3期10卷 494-496页

作者： Laila AlGhafri Alicia Galindo-Ferreiro Azza Maktabi Sahar M ElKhamary Alberto Galvez-Ruiz Hind M Alkatan Silvana Schellini King Khaled Eye Specialist hospital Riyadh 11462 Saudi Arabia Department of Ophthalmology Rio Hortega University Hos- pital Valladolid 47012 Spain Diagnostic Imaging Department King K_haled Eye Specialist Hospital Riyadh 11462 Saudi Arabia Department of Diagnostic Radiology Mansoura Faculty of Medicine Cairo 35516 Egypt Departments of Ophthalmology & Pathology King Saud University Medical City Riyadh 12372 Saudi Arabia Department of Ophthalmology Faculdade de Medicina de Botucatu - UNESP Sao Paulo 18618-970 Brasil

Dear Editor,We are writing this letter to present a very rare case of idiopathic orbital *** is a granulomatous inflammatory soft tissue reaction,consisting of lipid deposition and/or an oil-like substance commonly

关键词： orbital Idiopathic letter writing granuloma appearance hematoxylin paraffin extremely lipid

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：