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| 1 | Management of distal humeral coronal shear fractures显示文摘Coronal shear fractures of the distal humerus are rare,complex fractures that can be technically challenging to manage. They usually result from a low-energy fall and direct compression of the distal humerus by the radial head in a hyper-extended or semi-flexed elbow or from spontaneous reduction of a posterolateral subluxation or dislocation. Due to the small number of soft tissue attachments at this site, almost all of these fractures are displaced. The incidence of distal humeral coronal shear fractures is higher among women because of the higher rate of osteoporosis in women and the difference in carrying angle between men and women. Distal humeral coronal shear fractures may occur in isolation, may be part of a complex elbow injury, or may be associated with injuries proximal or distal to the elbow. An associated lateral collateral ligament injury is seen in up to 40% and an associated radial head fracture is seen in up to 30% of these fractures. Given the complex nature of distal humeral coronal shear fractures, there is preference for operative management. Operative fixation leads to stable anatomic reduction, restores articular congruity, and allows initiation of early range-of-motion movements in the majority of cases. Several surgical exposure and fixation techniques are available to reconstruct the articular surface fol owing distal humeral coronal shear fractures. The lateral extensile approach and fixation with countersunk headless compression screws placed in an anterior-to-posterior fashion are commonly used. We have found a two-incision approach(direct anterior and lateral) that results in less soft tissue dissection and better outcomes than the lateral extensile approach in our experience. Stiffness, pain, articular incongruity, arthritis, and ulnohumeral instability may result if reduction is non-anatomic or if fixation fails. | Shahram S Yari Nathan L Bowers Miguel A Craig Lee M Reichel | 2015 | World Journal of Clinical Cases2015，3，5： | 15 |
| 2 | National trends in resection of the distal pancreas显示文摘AIM:To investigate national trends in distal pancreatectomy(DP) through query of three national patient care databases.METHODS:From the Nationwide Inpatient Sample(NIS,2003-2009),the National Surgical Quality Improvement Project(NSQIP,2005-2010),and the Surveillance Epidemiology and End Results(SEER,2003-2009) databases using appropriate diagnostic and procedural codes we identified all patients with a diagnosis of a benign or malignant lesion of the body and/or tail of the pancreas that had undergone a partial or distal pancreatectomy.Utilization of laparoscopy was defined in NIS by the International Classification of Diseases,Ninth Revision correspondent procedure code;and in NSQIP by the exploratory laparoscopy or unlisted procedure current procedural terminology codes.In SEER,patients were identified by the International Classification of Diseases for Oncology,Third Edition diagnosis codes and the SEER Program Code Manual,third edition procedure codes.We analyzed the databases with respect to trends of inpatient outcome metrics,oncologic outcomes,and hospital volumes in patients with lesions of the neck and body of the pancreas that underwent operative resection.RESULTS:NIS,NSQIP and SEER identified 4242,2681 and 11 082 DP resections,respectively.Overall,laparoscopy was utilized in 15%(NIS) and 27%(NSQIP).No significant increase was seen over the course of the study.Resection was performed for malignancy in 59%(NIS) and 66%(NSQIP).Neither patient Body mass index nor comorbidities were associated with operative approach(P = 0.95 and P = 0.96,respectively).Mortality(3% vs 2%,P = 0.05) and reoperation(4% vs 4%,P = 1.0) was not different between laparoscopy and open groups.Overall complications(10% vs 15%,P < 0.001),hospital costs [44 741 dollars,interquartile range(IQR) 28 347-74 114 dollars vs 49 792 dollars,IQR 13 299-73 463,P = 0.02] and hospital length of stay(7 d,IQR 4-11 d vs 7 d,IQR 6-10,P < 0.001) were less when laparoscopy was utilized.One and two year survival after resection for malignancy were unchanged over the course of the study(ductal adenocarinoma 1-year 63.6% and 2-year 35.1%,P = 0.53;intraductal papillary mucinous neoplasm and nueroendocrine 1-year 90% and 2-year 84%,P = 0.25).The majority of resections were performed in teaching hospitals(77% NIS and 85% NSQIP),but minimally invasive surgery(MIS) was not more likely to be used in teaching hospitals(15% vs 14%,P = 0.26).Hospitals in the top decile for volume were more likely to be teaching hospitals than lower volume deciles(88% vs 43%,P < 0.001),but were no more likely to utilize MIS at resection.Complication rate in teaching and the top decile hospitals was not significantly decreased when compared to non-teaching(15% vs 14%,P = 0.72) and lower volume hospitals(14% vs 15%,P = 0.99).No difference was seen in the median number of lymph nodes and lymph node ratio in N1 disease when compared by year(P = 0.17 and P = 0.96,respectively).CONCLUSION:There appears to be an overall underutilization of laparoscopy for DP.Centralization does not appear to be occurring.Survival and lymph node harvest have not changed. | Armando Rosales-Velderrain Steven P Bowers Ross F Goldberg Tatyan M Clarke Mauricia A Buchanan John A Stauffer Horacio J Asbun | 2012 | World Journal of Gastroenterology2012，18，32： | 8 |
| 3 | 围孕期补充叶酸和/或多种维生素预防神经管缺陷显示文摘1背景
神经管缺陷(NTDs)是在脑和脊索发育过程中形成的先天性畸形,包括无脑儿(颅骨、表面皮肤和脑组织全部或部分缺失)、脊柱裂(脊柱未闭合造成的脊索、脊膜分别或同时突出或暴露;有些病例合并脑积水)和脑膨出(脑膜疝,脑组织位于颅骨外,表面被正常或萎缩皮肤覆盖). | Lumnley J Watson L Watson M Bower C 陈晓军 丰有吉 | 2005 | 生殖与避孕2005，25，7： | 3 |
| 4 | Prevalence and use of clinical pathways in 23 countries -an international survey by the European pathway association显示文摘 | Vanhaecht K Bollmann M Bower K | 2006 | Journal of Integrated Care Pathways2006，，9： | 1 |
| 5 | The influence of recent life experience on the health of college freshmen显示文摘 | Marx M B Garring T F Bowers F R | 1975 | Journal of psychosomatic research1975，，19： | 1 |
| 6 | Disease and community structure : the importance of host- regulation in a host-host-pathogen model 显示文摘 | BEGON M BOWERS R G KADIANAKIS N | 1992 | Am Nat1992，139，： | 1 |
| 7 | A numerical model for thermohydromechanical coupling in fractured rock 显示文摘 | Bower K M Zyvoloski G A | 1997 | International Journal of Rock Mechanics and Mining Sciences1997，34，8： | 1 |
| 8 | Platinum silicide fusion bonding显示文摘 | ISMAIL M S BOWER R W | 1991 | Electronics Letters1991，27，13： | 1 |
| 9 | Diseases of cultured Japanese scallops (Patinopecten yessoensis ) in British Columbia, Canada 显示文摘 | Bower S M Blackbourn J Meyer G R | 1992 | Aquaculture1992，107，： | 1 |
| 10 | Germination inhibitor from Eucalyptus pulverulenta显示文摘 | Bolte M L Bowers J Crow W D | 2003 | Agric Biol Chem2003，48，2： | 1 |
| 11 | Cephalopod paralarvae assemblages in Hawaiian Islands waters 显示文摘 | BOWER J R PSEKI M YOUNG R E | 1999 | Marine Ecology Progress Series1999，185，2： | 1 |
| 12 | Customer power, strate- gic investment, and the failure of leading firms 显示文摘 | Christensen C M Bower J L | 1996 | Strategic Management Journal1996，17，3： | 1 |
| 13 | How Inclusive Leadership Can Help Your Practice Adapt to Change显示文摘 | BOWERS K W ROBERTSON M PARCHMAN M L | 2012 | Family Practice Man- agement2012，19，1： | 1 |
| 14 | Aircraft route op- timization for formation flight 显示文摘 | Xu J S Ning S A Bower G C Kroo I M | 2014 | Journal of Aircraft2014，51，2： | 1 |
| 15 | Facing up to the ongoing challenge of Kaposi's sarcoma显示文摘 | Robey RC Bower M | 2015 | Curr Opin Infect Dis2015，28，1： | 1 |
| 16 | Sulfiredoxin re- dox-sensitive interaction with S100A4 and non-muscle myosin IIA regulates cancer cell motility 显示文摘 | Bowers RR Manevich Y Townsend D M | 2012 | Biochemistry2012，51，39： | 1 |
| 17 | Foamedasphalt Paving Mixtures:Preparation of Design Mixes and Treatment of Test Specimens显示文摘 | Ruckel PJ Acott S M Bowering R H | 1983 | Transportation Research Record1983，911，： | 1 |
| 18 | Lymph nodes involved by multicentric Castleman disease among HIV-positive individuals are often involved by Kaposi sarcoma显示文摘 | Naresh KN Rice A J Bower M | 2008 | Am J Surg Pathol2008，32，7： | 1 |
| 19 | Disruptive Technologies:Catching the Wave显示文摘 | C M Christensen | 1995 | Harvard Business Review1995，，12： | 1 |
| 20 | Acquired and innate resistance to the haemoflagellate Cryptobia salmositica in sockeye salmon (Oncorhynchus nerka) 显示文摘 | Bower S M Evelyn T P | 1988 | Dev Comp Immunol1988，12，： | 1 |
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