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| 1 | Operative complications and economic outcomes of cholecystectomy for acute cholecystitis显示文摘BACKGROUND Recent management of acute cholecystitis favors same admission(SA)or emergent cholecystectomy based on overall shorter hospital stay and therefore cost savings.We adopted the practice of SA cholecystectomy for the treatment of acute cholecystitis at our tertiary care center and wanted to evaluate the economic benefit of this practice.We hypothesized that the existence of complications,particularly among patients with a higher degree of disease severity,during SA cholecystectomy could negate the cost savings.AIM To compare complication rates and hospital costs between SA vs delayed cholecystectomy among patients admitted emergently for acute cholecystitis.METHODS Under an IRB-approved protocol,complications and charges for were obtained for SA,later after conservative management(Delayed),or elective cholecystectomies over an 8.5-year period.Patients were identified using the acute care surgery registry and billing database.Data was retrieved via EMR,operative logs,and Revenue Cycle Operations.The severity of acute cholecystitis was graded according to the Tokyo Guidelines.TG18 categorizes acute cholecystitis by Grades 1,2,and 3 representing mild,moderate,and severe,respectively.Comparisons were analyzed withχ2,Fisher’s exact test,ANOVA,ttests,and logistic regression;significance was set at P<0.05.RESULTS Four hundred eighty-six(87.7%)underwent a SA while 68 patients(12.3%)received Delayed cholecystectomy.Complication rates were increased after SA compared to Delayed cholecystectomy(18.5%vs 4.4%,P=0.004).The complication rates of patients undergoing delayed cholecystectomy was similar to the rate for elective cholecystectomy(7.4%,P=0.35).Mortality rates were 0.6%vs 0%for SA vs Delayed.Patients with moderate disease(Tokyo 2)suffered more complications among SA while none who were delayed experienced a complication(16.1%vs 0.0%,P<0.001).Total hospital charges for SA cholecystectomy were increased compared to a Delayed approach($44500±$59000 vs$35300±$16700,P=0.019).The relative risk of developing a complication was 4.2x[95%confidence interval(CI):1.4-12.9]in the SA vs Delayed groups.Among eight patients(95%CI:5.0-12.3)with acute cholecystitis undergoing SA cholecystectomy,one patient will suffer a complication.CONCLUSION Patients with Tokyo Grade 2 acute cholecystitis had more complications and increased hospital charges when undergoing SA cholecystectomy.This data supports a selective approach to SA cholecystectomy for acute cholecystitis. | Christopher P Rice Krishnamurthy B Vaishnavi Celia Chao Daniel Jupiter August B Schaeffer Whitney R Jenson Lance W Griffin William J Mileski | 2019 | World Journal of Gastroenterology2019，25，48： | 8 |
| 2 | A rapid dehydration leaf assay reveals stomatal response differences in grapevine genotypes显示文摘A simple and reliable way of phenotyping plant responses to dehydration was developed.Fully-developed leaves were detached and placed in a closed plastic box containing a salt solution to control the atmospheric water potential in the container.Three hours of dehydration(weight loss of the leaf)was optimal for measuring changes in stomatal response to dehydration.Application of the plant hormone abscisic acid(ABA)prior to leaf detachment decreased the amount of water loss,indicating that the assay was able to detect differences based on a stomatal response to dehydration.Five different Vitis genotypes(V.riparia,V.champinii,V.vinifera cv.Shiraz,V.vinifera cv.Grenache and V.vinifera cv.Cabernet Sauvignon)with known differences in drought tolerance were screened for their dehydration response and the results obtained corresponded to previous reports of stomatal responses in the vineyard.Significant differences in stomatal density along with differences in the amount and rate of water lost indicate differences in dehydration sensitivity among the genotypes screened.Differences in stomatal response to ABA were also detected.Shiraz had the lowest stomatal density and the highest ABA sensitivity among the genotypes screened,yet Shiraz lost the most amount of water,indicating that it was the least sensitive to dehydration.Despite having the highest stomatal density and intermediate stomatal sensitivity to ABA,V.riparia lost the smallest amount of water,indicating that it was the most sensitive to dehydration.The assay presented here represents a simple and reliable phenotyping method for plant responses to leaf dehydration. | Daniel W Hopper Ryan Ghan Grant R Cramer | 2014 | Horticulture Research2014，1，1： | 2 |
| 3 | 2009年南极冰穹A的双色天光背景统计和分析显示文摘天光背景是天文台址的一个重要指标。利用2009年位于南极冰穹A的CSTAR望远镜两个波段的观测数据,对南极冰穹A的天光背景进行了统计和分析。结果表明约74%的g波段天光背景的ADU值小于每像素100/s;90.5%的r波段的天光背景的ADU值小于每像素100/s。在不考虑大气消光的情况下,定标后的结果为2009年冰穹A的观测数据中天光背景亮度的中值:g波段为19.9 mag/arcsec2,r波段为20.1 mag/arcsec2。 | 宗伟凯 付建宁 牛家树 Ashley Michael C B 宫雪非 Lawrence J S 刘强 Luong-Van Daniel Pennypacker C R Storey John W V 王灵芝 王力帆 杨惠根 袁祥岩 York Donald G 朱镇熹 | 2014 | 天文研究与技术2014，11，1： | 2 |
| 4 | Involement of C - Abl tyrosine kinase in lipopolysaccharide- induced macrophage activation 显示文摘 | Le Quan Daniel R Chung S W | 1998 | J Immunnol1998，160，： | 2 |
| 5 | Autologous mesenchymal stem cells for the treatment of secondary progressive multiple sclerosis: an open-label phase 2a proof-of-concept study显示文摘 | Peter Connick Madhan Kolappan Charles Crawley Daniel J Webber Rickie Patani Andrew W Michell Ming-Qing Du Shi-Lu Luan Daniel R Altmann Alan J Thompson Alastair Compston Michael A Scott David H Miller Siddharthan Chandran | 2012 | Lancet Neurology2012，，2： | 2 |
| 6 | Postpartum Subclinical Hypocalcaemia and Effects on Ovarian Function and Uterine Involution in a Dairy Herd 显示文摘 | Kamgarpour R C W Daniel D C Fenwick | 1999 | Vet J1999，158，： | 1 |
| 7 | Relay-based deployment concepts for wireless and mobile broadband radio显示文摘 | PABST R BERNHARD W H DANIEL S C | 2004 | IEEE Communication Magazine2004，42，9： | 1 |
| 8 | Catalytic combustion of methane on Co/MgO:characterisation of active cobalt sites显示文摘 | Ulla M A Spretz R Lombardo E Daniell W Knozinger H | | 0，，： | 1 |
| 9 | Global update on the susceptibility of human influenza viruses to neuraminidase inhibitors, 2012-2013显示文摘 | Meijer A Rebelo-de-Andrade H Correia V Besselaar T Drager-Dayal R Fry A Gregory V Gubareva L Kageyama T Laekenby A Lo J Odagiri T Pere- yaslov D Siqueira M M Takashita E Tashiro M Wang D Wong S Zhang W Daniels R S Hurt A C | 2014 | An- tiviral Research2014，110，： | 1 |
| 10 | Adult attachment,social self-efficiency,self-disclosure,loneliness,and subsequent depression for freshman college student:a longitudinal study显示文摘 | Daniel W R Robyn A Z | 2005 | Journal of Counseling Psychology2005，52，4： | 1 |
| 11 | A mechanism for zinc toxicity in neuroblastoma cells显示文摘 | Daniels W M U Hendricks J Salie R | 2004 | Metabolic Brain Disease2004，19，12： | 1 |
| 12 | The chemistry of graphene oxide 显示文摘 | Daniel R Dreyer Sungjin Park Christopher W Bielawski | 2010 | Chem Soe Rev2010，39，1： | 1 |
| 13 | Twenty years of inten- sive fertilization and competing vegetation suppression in loblolly pine plantations: Impacts on soil C,N, and microbial biomass显示文摘 | Sami W R Daniel M Bruce B | 2010 | Soil Biology & Biochemistry2010，42，5： | 1 |
| 14 | Suppression of allergic immune responses to house dust mite (HDM) in rats exposed to 2,3,7,8-TCDD显示文摘 | Luebke R W Copeland C B Daniels M | 2001 | Toxicol Sci2001，62，1： | 1 |
| 15 | Nitrous oxide (N2O): The dominant ozone-depleting substance emitted in the 21st century显示文摘 | Ravishankara A R Daniel J S Portmann R W | 2009 | Science2009，326，5949： | 1 |
| 16 | Traumatic carotid-rosenthal fistula treated with Jostent Graftmaster显示文摘Traumatic injuries of the carotid artery may result in severe morbidity and mortality. The most common location of carotid artery injury is the cavernous segment, which may result in fistulous connection to the cavernous sinus and ophthalmic veins, which in turn lead to pressure symptoms in the ipsilateral orbit. Unlike the commonly reported direct traumatic carotid-cavernous fistula, we describe an unusual case of a 38-year-old man presented with a traumatic brain injury led to a fistula connection between the cavernous carotid artery and the ipsilateral basal vein of Rosenthal, with eventual drainage to the straight and transverse sinuses. The basal vein of Rosenthal is usually formed from confluence of anterior and middle cerebral veins deep in the Sylvian fissure and drain the insular cortex and the cerebral peduncles to the vein of Galen. Immediate endovascular deployment of a covered stent in the cavernous carotid artery allowed sealing the laceration site. Three months follow up showed a non-focal neurological examination and healed carotid laceration over the covered stent. | Hesham Allam R Charles Callison Daniel Scodary Aws Alawi Daniel W Hogan Amer Alshekhlee | 2014 | World Journal of Radiology2014，6，12： | 1 |
| 17 | Behavior and design of large openings in reinforced concrete beams 显示文摘 | Nasser K W Acavalos A Daniel H R | 1967 | ACI Journal1967，64，1： | 1 |
| 18 | Opportunities for growth regulation of amenity grass显示文摘 | Daniels R W Sugelen S K | 1996 | Pesticide Science1996，47，： | 1 |
| 19 | Gene therapy of lung cancer 显示文摘 | Daniel J C Smythe W R | 2003 | Semin Surg Oncol2003，21，3： | 1 |
| 20 | The effect of CeO2 structure on the activity of supported pd catalysts used for methane steam reforming显示文摘 | Craciun R Daniell W Knozinger H | 2002 | Appl Catal A-Gen2002，230，12： | 1 |
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