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1急性脊髓损伤患者治疗的临床操作指南:关于MRI基线在临床治疗决策与结果预测中作用的几点建议(英文)显示文摘The objective of this guideline is to outline the role of magnetic resonance imaging(MRI) in clinical decision making and outcome prediction in patients with traumatic spinal cord injury(SCI).Methods A systematic review of the literature was conducted to address key questions related to the use of MRI in patients with traumatic SCI.This review focused on longitudinal studies that controlled for baseline neurologic status.A multidisciplinary Guideline Development Group(GDG) used this information,their clinical expertise,and patient input to develop recommendations on the use of MRI for SCI patients.Based on GRADE(Grading of Recommendation,Assessment,Development and Evaluation),a strong recommendation is worded as ' we recommend,' whereas a weaker recommendation is indicated by 'we suggest.' Results Based on the limited available evidence and the clinical expertise of the GDG,our recommendations were:(1) 'We suggest that MRI be performed in adult patients with acute SCI prior to surgical intervention,when feasible,to facilitate improved clinical decision-making'(quality of evidence,very low) and(2) 'We suggest that MRI should be performed in adult patients in the acute period following SCI,before or after surgical intervention,to improve prediction of neurologic outcome '(quality of evidence,low).Conclusions These guidelines should be implemented into clinical practice to improve outcomes and prognostication for patients with SCI.Fehlings MG Martin AR Tetreault LA Aarabi B Anderson P Arnold PM Brodke D Burns AS Chiba K Dettori JR Furlan JC Hawryluk G Holly LT Howley S Jeji T Kalsi-Ryan S Kotter M Kurpad S Kwon BK Marino RJ Massicotte E Merli G Middleton JW Nakashima H Nagoshi N Palmieri K Singh A Skelly AC Tsai EC Vaccaro A Wilson JR Yee A Harrop JS 2017中华神经外科疾病研究杂志2017,16,6:8
2ConservativeapproachinPeutz-JeghersSyndrome:Single-balloon enteroscopyandsmallbowelpolypectomy显示文摘AIM: To assess the usefulness of the balloon assisted enteroscopy in preventing surgical intervention in pa-tients with Peutz-Jeghers syndrome (PJS) having a small bowel large polyps. METHODS: Seven consecutive asymptomatic pts(age 15-38 years) with PJS have been collected; six under-went polypectomy using single balloon enteroscopy(Olympus SIF Q180) with antegrade approach using push and pull technique. SBE system consists of the SIF-Q180 enteroscope, an overtube balloon control unit(OBCU Olympus Balloon Control Unit) and a dispos-able silicone splinting tube with balloon(ST-SB1). All procedures were performed under general anesthesia. Previously all pts received wireless capsule endos-copy(WCE). Prophylactic polypectomy was reservedmainly in pts who had polyps > 15 mm in diameter. The balloon is inflated and deflated by a balloon control unit with a safety pressure setting range from-6.0 kPa to +5.4 kPa. Informed consent has been obtained from pts or parents for each procedure.RESULTS: Six pts underwent polypectomy of small bowel polyps; in 5 pts a large polyp > 15 mm(range 20-50 mm in diameter) was resected; in 1 patient with WCE negative, SBE was performed for previous surgi-cal resection of gastrointestinal stromal tumors. In 2 pts endoscopic clips were placed due to a polypectomy. No surgical complication have been reported. SBE with resection of small bowel large polyps in PJS pts was useful to avoid gastrointestinal bleeding and emergency laparotomy due to intestinal intussuscep-tions. No gastrointestinal tumors were found in sub-sequent enteroscopic surveillance in all seven pts. In order surveillance, all pts received WCE, upper en-doscopy, ileocolonoscopy every 2 years. No pts had extraintestinal malignant lesions. SBE was performed when WCE was positive for significant polyps(> 15 mm).CONCLUSION: The effective of prophylactic polyp-ectomy of small bowel large polyps(> 15 mm) could be the first line treatment for conservative approach in management of PJS patients.Torroni F Romeo E Rea F De Angelis P Foschia F Faraci S Federici di Abriola G Contini AC Caldaro T Dall’Oglio L 2014World Journal of Gastrointestinal Endoscopy2014,6,7:7
3Endoscopic transnasal craniotomy and the resection of craniopharyngioma显示文摘OBJECTIVES/HYPOTHESIS: To describe the utility of a large transnasal craniotomy and its reconstruction in the surgicalmanagement of patients with craniopharyngioma. STUDY DESIGN: Observational retrospective cohort study. METHODS:Retrospective review of patients treated in an academic neurosurgery/rhinology practice between 2000 and 2007.Stamm AC Vellutini E Harvey RJ Nogeira JF Herman DR 2008中国神经肿瘤杂志2008,6,3:5
4卒中介入治疗培训指南:国际多学会共识文件显示文摘1背景 缺血性卒中是全球人口死亡和残疾的首要原因。很多急性大血管闭塞(emergent large vesselocclusion,ELVO)患者都会遗留长期残疾。事实上,这些颅内大动脉闭塞经常会导致大面积脑损伤,进而造成患者死亡或严重致残。Lavine SD Cockroft K Hoh B Bambakidis N Khalessi AA Woo H Riina H Siddiqui A Hirsch JA Chong W Rice H Wenderoth J Mitchell P Coulthard A Signh TJ Phatorous C Khangure M Klurfan P ter Brugge K Iancu D Gunnarsson T Pongpech S Rodesch G Soderman M Taylor A Krings T Orbach D Picard L Suh DC Zheng HQ Jansen O Muto M Szikora I Pierot L Brouwer P Gralla J Renowden S Andersson T Fiehler J Turjman F White P Januel AC Spelle L Kulcsar Z Chapot R Biondi A Dima S Taschner C Szajner M Krajina A Sakai N Matsumaru Y Yoshknura S Ezura M Fujinaka T Iihara K Ishii A Higashi T Hirohata M Hyodo A Ito Y Kawanishi M Kiyosue H Kobayashi E Kobayashi S Kuwayama N Matsumoto Y Miyachi S Murayama Y Nagata I Nakahara I Nemoto S Niimi Y Oishi H Satomi J Satow T Sugiu K Tanaka M Terada T Yamagami H Diaz O Lylyk P Jayaraman MV Patsalides A Gandhi CD Lee SK Abruzzo T Albani B Ansari SA Arthur AS Baxter BW Bulsara KR Chen M Almandoz JE Fraser JF Heck DV Hetts SW Hussain MS Klucznik RP Leslie-Mawzi TM Mack WJ McTaggart RA Meyers PM Mocco J Prestigiacomo CA Pride GL Rasmussen PA Starke RM Sunenshine PJ Tarr RW Frei DF Pabo M Nogueira RG Zaidat OO Jovin T Linfante I Yavagal D Liebeskind D Novakovic R Pongpech S 许岩 孙瑞 郭芮兵 2017国际脑血管病杂志2017,25,5:2
5Biological insights into TCRγδ+ and TCRαβ+ intraepithelial lymphocytes provided by serial analysis of gene expression显示文摘Shires J Theodoridis E Hayday AC 2001Immunity2001,15,3:2
6Doxycycline plus streptomycin versus ciprofloxacin plus rifampicin in spinal brucellosis显示文摘Alp E Koc RK Durak AC 2006BMC Infect Dis2006,72,6:1
7Neutrophil CD64 expression : distinguishing acute inflammatory autoimmune disease from systemic infections显示文摘Allen E Bakke AC Purtzer MZ 2002Ann Rheum Dis2002,61,6:1
8Activation of toll-like receptor (TLR) 2, TLRA, and TLR9 in the mammalian cornea induces MyD88-dependent corneal inflammation 显示文摘Johnson AC Heinzel FP Diaconu E Sun Y Hise AG Golenbock D 2005Invest Ophthalmol Vis Sci2005,46,2:1
9Nonpeptide AVE 0991 is an angiotensin-(1-7) receptor Mas agonist in the mouse kidney显示文摘Pinheiro SVB Simes e Silva AC Sampaio WO 2004Hypertension2004,44,:1
10Lingual nerve damage after mandibular third molar surgery:a randomized clinical trial显示文摘Gomes AC Vasconcelos BC de Oliveira e Silva ED 2005J Oral Maxillofac Surg2005,63,10:1
11Neural mechanisms underlying melodic perception and memory for pitch 显示文摘Zatorre RJ Evans AC M eye E 1994J Neurosci1994,14,:1
12Changes in plasma creatine kinase activity throughout 10 suc- cessive days of judo training显示文摘HUBNER-WOZNIAK E STUPNICKI R HACKNEY AC 1996Biol Sports Warsaw1996,13,3:1
13Sonographic features of decidualized ovarian endometriosis suspicious for malignancy显示文摘Fruscella E Testa AC Ferrandina G 2004Ultrasound Obstet Gynecol2004,24,5:1
14Triple therapy with clarithromycin, amoxicillin and omeprazole for Helicobacter pylori eradication in children and adolescents 显示文摘Kawakami E Ogata SK Portorreal AC 2001Arq Gastroenterol2001,38,3:1
15Neutrophil CD64 expres?sion: distinguishing acute inflammatory autoimmune disease from systemic infections显示文摘Allen E Bakke AC Purtzer MZ 2002Ann Rheum Dis2002,61,6:1
16Procalcitonin strip test in the early detection of severe acute pancreatitis显示文摘Kyl(a)np(a)(a)-B(ac)k ML Takala A Kemppainen E 0,,02:1
17Cestode infeslations: hydatid disease and cysticercosis显示文摘Brunetti E White AC Jr 2012Infect Dis Clin North Am2012,26,2:1
18Elevation of Systemic Oxygen Delivery in the Treatment of Critically Ill Patients显示文摘Hayes MA Timmins AC Yau E 1994N Engl J Med1994,330,24:1
19Prevention of distal embolization during coronary angioplasty in saphenous vein grafts and native vessels using porous filter protection显示文摘Grube E Gerckens U Yeung AC 0,,:1
20SKP2 is required for ubiquitin-mediated degradation of the CDK inhibitor p27显示文摘Carrano AC Eytan E Hershko A 1999Nat Cell Bio11999,1,4:1
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