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| 1 | 澳大利亚临床共识指南:儿童卒中的诊断和急性期处理显示文摘卒中是导致儿童死亡的十大原因之一,幸存的致残患儿将面临几十年的残疾生活,给患儿及其家庭带来了巨大负担。由于安全性和有效性的证据有限,以及诊断的延误,目前卒中患儿无法接受再灌注治疗。儿童卒中诊断和急性期处理的澳大利亚临床共识指南,旨在最大限度地减少临床诊疗中的不确定性,并记录与成人卒中不同的危险因素、病因和假性卒中情况的最佳证据。临床问题的阐述来自于对2007年至2017年数据库的系统检索,但仅限于英语和儿科研究。该指南应用SIGN方法和国家健康与医学研究委员会系统对证据进行筛选和分类,通过推荐、评估、发展和评价系统(GRADE系统)对推荐进行强弱分级。该指南提供了60多项基于证据的推荐,以帮助参与院前和急症处理的临床医师快速识别儿童卒中,选择最合适的初步检查方案来确定诊断、明确病因,并选择最恰当的干预措施以挽救脑组织、预防复发。同时,指南也提供了颅内压和先天性心脏病管理方面的推荐。该指南的实施需要将院前和急诊系统重组,包括建立区域性卒中网络,建立儿科卒中疾病编码,快速MRI,以及对能够提供再灌注治疗的初级儿科卒中中心进行认证。该指南能够审核治疗的基准时间线,获得急性期的干预措施及预后判断。它还将促进澳大利亚儿童卒中登记的发展,并与国际登记处建立数据联系,以便准确收集卒中发病率、治疗和结果相关的数据。 | Medley TL Miteff C Andrews I Ware T Cheung M Monagle P Mandelstam S Wray A Pridmore C Troedson C Dale RC Fahey M Sinclair A Walsh P Stojanovski S Macka MT 徐佳丽(译) 吴川杰(译) 肖潇(译) 吕俊萱(译) 张博维(译) 吉训明(译) | 2019 | 中国脑血管病杂志2019，16，4： | 9 |
| 2 | Nationwide trends and predictors of inpatient mortality in 83884 transjugular intrahepatic portosystemic shunt显示文摘AIM: To evaluate and validate the national trends and predictors of in-patient mortality of transjugular intrahepatic portosystemic shunt(TIPS) in 15 years.METHODS: Using the National Inpatient Sample which is a part of Health Cost and Utilization Project, we identified a discharge-weighted national estimate of 83884 TIPS procedures performed in the United States from 1998 to 2012 using international classification of diseases-9 procedural code 39.1. The demographic, hospital and co-morbility data were analyzed using a multivariant analysis. Using multi-nominal logistic regression analysis, we determined predictive factors related to increases in-hospital mortality. Comorbidity measures are in accordance to the Comorbidity Software designed by the Agency for Healthcare Research and Quality.RESULTS: Overall, 12.3% of patients died during hospitalization with downward trend in-hospitalmortality with the mean length of stay of 10.8 ± 13.1 d. Notable, African American patients(OR = 1.809 vs Caucasian patients, P < 0.001), transferred patients(OR = 1.347 vs non-transferred, P < 0.001), emergency admissions(OR = 3.032 vs elective cases, P < 0.001), patients in the Northeast region(OR = 1.449 vs West, P < 0.001) had significantly higher odds of inhospital mortality. Number of diagnoses and number of procedures showed positive correlations with in-hospital death(OR = 1.249 per one increase in number of procedures). Patients diagnosed with acute respiratory failure(OR = 8.246), acute kidney failure(OR = 4.359), hepatic encephalopathy(OR = 2.217) and esophageal variceal bleeding(OR = 2.187) were at considerably higher odds of in-hospital death compared with ascites(OR = 0.136, P < 0.001). Comorbidity measures with the highest odds of in-hospital death were fluid and electrolyte disorders(OR = 2.823), coagulopathy(OR = 2.016), and lymphoma(OR = 1.842).CONCLUSION: The overall mortality of the TIPS procedure is steadily decreasing, though the length of stay has remained relatively constant. Specific patient ethnicity, location, transfer status, primary diagnosis and comorbidities correlate with increased odds of TIPS in-hospital death. | Edward Wolfgang Lee Andrew Kuei Sammy Saab Ronald W Busuttil Francisco Durazo Steven-Huy Han Mohamed M El-Kabany Justin P Mc Williams Stephen T Kee | 2016 | World Journal of Gastroenterology2016，22，25： | 7 |
| 3 | Percutaneous transluminal angioplasty balloons for endoscopic ultrasound-guided pancreatic duct interventions显示文摘BACKGROUND Endoscopic ultrasound(EUS)-guided main pancreatic duct(PD)access may be used when conventional endoscopic retrograde cholangiopancreatography(ERCP)techniques fail.The use of a percutaneous transluminal angioplasty balloon(PTAB),originally developed for vascular interventions,can be used to facilitate transmural(e.g.,transgastric)PD access and to dilate high-grade pancreatic strictures.AIM To describe the technique,efficacy,and safety of PTABs for EUS-guided PD interventions.METHODS Patients who underwent EUS with use of a PTAB from March 2011 to August 2021 were retrospectively identified from a tertiary care medical center supply database.PTABs included 3-4 French angioplasty catheters with 3-4 mm balloons designed to use over a 0.018-inch guidewire.The primary outcome was technical success.Secondary outcomes included incidence of adverse events(AEs)and need for early reintervention.RESULTS A total of 23 patients were identified(48%female,mean age 55.8 years).Chronic pancreatitis was the underlying etiology in 13(56.5%)patients,surgically altered anatomy(SAA)with stricture in 7(30.4%),and SAA with post-operative leak in 3(13.0%).Technical success was achieved in 20(87%)cases.Overall AE rate was 26%(n=6).All AEs were mild and included 1 pancreatic duct leak,2 cases of post-procedure pancreatitis,and 3 admissions for post-procedural pain.No patients required early re-intervention.CONCLUSION EUS-guided use of PTABs for PD access and/or stricture management is feasible with an acceptable safety profile and can be considered in patients when conventional ERCP cannulation fails. | Jad P AbiMansour Barham K Abu Dayyeh Michael J Levy Andrew C Storm John A Martin Bret T Petersen Ryan J Law Mark D Topazian Vinay Chandrasekhara | 2022 | World Journal of Gastrointestinal Endoscopy2022，14，8： | 2 |
| 4 | Redicting Business Failure: A Macroeconomic Perspective 显示文摘 | Rose Peter S Andrews Wesley T Giroux Gary A P | 1982 | Journal of Accounting Auditing and Finance1982，，1： | 1 |
| 5 | Development and evaluation of the automotive seating discomfort questionnaire显示文摘 | Smith D R Andrews D M Wawrow P T | 2006 | International Journal of Industrial Ergonomics2006，36，2： | 1 |
| 6 | Condition monitoring of wind turbines: Techniques and methods显示文摘 | FAUSTO P G M ANDREW M T JESUS M P P | 2012 | Renewable Energy2012，46，： | 1 |
| 7 | Pregnancy after endometrial ablation:English literature review and case report显示文摘 | Jenny SY Mrcog T Andrew P | 2006 | J Minimally Invasive Gynecol2006，13，2： | 1 |
| 8 | U Itrastmetaral Location of bcl-2 protein 显示文摘 | MONAGHAN P ROBERTSON D ANDREW T | 1992 | J H istochem Cytochem1992，40，： | 1 |
| 9 | Ge- netic diversity within the morphological species Giardia intes tinalis and its relationship to host origin显示文摘 | MONIS P T ANDREWS R H MAYRHOFER G | 2003 | Infect Genet Evol2003，3，1： | 1 |
| 10 | Analysis of capacity fade in a lithium ion battery 显示文摘 | ANDREW T S CHARLES E H PALPH E W EDWARD P G | | Journal of Power Sources0，150，4： | 1 |
| 11 | TCR V beta 3^+ and V beta 6^+ CTL recognize tumor-associated antigens related to HER2/neu expression in HLA-A2^+ ovarian cancers显示文摘 | Peoples G E Yoshino I Douville C C Andrews J V Goedegebuure P S Eberlein T J | 1994 | J Immunol1994，152，： | 1 |
| 12 | Heme deficiency is asso- elated with senescence and causes suppression of N-Methyl-D-As- partate receptor subunits expression in primary cortical neurons显示文摘 | Chernova T Nicotera P Andrew G | 2006 | Mol Pharmaeol2006，69，： | 1 |
| 13 | Material removal model for chemical-mechanical polishing considering wafer flexibility and edge effects显示文摘 | Jongwon Seok Cyriaque P Sukam Andrew T Kim | 2004 | Wear2004，257，56： | 1 |
| 14 | Stabilization of thin films of pyrethrins and allethrin显示文摘 | Miskus R P Andrews T L | 1972 | J Agric Food Chem1972，20，： | 1 |
| 15 | Threedimensional High-resolution Second-harmonic Generation Imaging of Endogenous Structural Proteins in Biological Tissues 显示文摘 | CAMPAGNOLA P J ANDREW C M MARK T | 2002 | Biophys J2002，81，1： | 1 |
| 16 | Comparing functional assessments of wetlands to measurements of soil characteristics and nitrogen processing显示文摘 | Jordan T E Andrews M P Szuch R P | 2007 | Wetlands2007，27，： | 1 |
| 17 | Characterization of the pharmacokinetics of human recombinant erythropoietin in blood and brain when administered immediately after lateral fluid percussion brain injury and its pharmacodynamic effects on IL-1beta and MIP-2 in rats显示文摘 | Lieutaud T Andrews P J Rhodes J K | 2008 | J Neurotrauma2008，25，10： | 1 |
| 18 | Natural otolith microstructure patterns reveal precise homingto natal incubation sites by sockeye salmon(oncorhynchus Nerka)显示文摘 | Quinn T P Eric C V Andrew P H | 1999 | Can J Zool1999，77，： | 1 |
| 19 | Bench- scale testing of surfactant - modified reverse osmosis/nanofiltration membranes显示文摘 | Michelle C W John T P Andrew Z | 1998 | Desalination1998，115，： | 1 |
| 20 | The challenge to keep global warming below 2℃显示文摘 | Peters G P Andrew R M Boden T | 2013 | Nature Climate Change(2012)2013，，3： | 1 |
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