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| 1 | Total pancreatectomy: Short- and long-term outcomes at a high-volume pancreas center显示文摘AIM To identify the current indications and outcomes of total pancreatectomy at a high-volume center. METHODS A single institutional retrospective study of patients undergoing total pancreatectomy from 1995 to 2014 was performed.RESULTS One hundred and three patients underwent totalpancreatectomy for indications including: Pancreatic ductal adenocarcinoma(n = 42, 40.8%), intraductal papillary mucinous neoplasms(n = 40, 38.8%), chronic pancreatitis(n = 8, 7.8%), pancreatic neuroendocrine tumors(n = 7, 6.8%), and miscellaneous(n = 6, 5.8%). The mean age was 66.2 years, and 59(57.3%) were female. Twenty-four patients(23.3%) underwent a laparoscopic total pancreatectomy. Splenic preservation and portal vein resection and reconstruction were performed in 24(23.3%) and 18 patients(17.5%), respectively. The 90 d major complications, readmission, and mortality rates were 32%, 17.5%, and 6.8% respectively. The 1-, 3-, 5-, and 7-year survival for patients with benign indications were 84%, 82%, 79.5%, and 75.9%, and for malignant indications were 64%, 40.4%, 34.7% and 30.9%, respectively.CONCLUSION Total pancreatectomy, including laparoscopic total pancreatectomy, appears to be an appropriate option for selected patients when treated at a high-volume pancreatic center and through a multispecialty approach. | Hazem M Zakaria John A Stauffer Massimo Raimondo Timothy A Woodward Michael B Wallace Horacio J Asbun | 2016 | World Journal of Gastrointestinal Surgery2016，8，9： | 3 |
| 2 | Using quality improvement methods to increase use of pain prevention strategies for childhood vaccination显示文摘AIM To increase evidence-based pain prevention strategy use during routine vaccinations in a pediatric primary care clinic using quality improvement methodology.METHODS Specific intervention strategies(i.e.,comfort positioning,nonnutritive sucking and sucrose analgesia,distraction) were identified,selected and introduced in three waves,using a Plan-Do-Study-Act framework.System-wide change was measured from baseline to post-intervention by:(1) percent of vaccination visits during which an evidence-based pain prevention strategy was reported as being used; and(2) caregiver satisfaction ratings following the visit.Additionally,self-reported staff and caregiver attitudes and beliefs about pain prevention were measured at baseline and 1-year post-intervention to assess for possible long-term cultural shifts.RESULTS Significant improvements were noted post-intervention.Use of at least one pain prevention strategy was documented at 99% of patient visits and 94% of caregivers were satisfied or very satisfied with the pain prevention care received.Parents/caregivers reported greater satisfaction with the specific pain prevention strategy used [t(143) = 2.50,P ≤ 0.05],as well as greater agreement that the pain prevention strategies used helped their children's pain [t(180) = 2.17,P ≤ 0.05] and that they would be willing to use the same strategy again in the future [t(179) = 3.26,P ≤ 0.001] as compared to baseline.Staff and caregivers also demonstrated a shift in attitudes from baseline to 1-year post-intervention.Specifically,staff reported greater agreement that the pain felt from vaccinations can result in harmful effects [2.47 vs 3.10; t(70) =-2.11,P ≤ 0.05],less agreement that pain from vaccinations is 'just part of the process' [3.94 vs 3.23; t(70) = 2.61,P ≤ 0.05],and less agreement that parents expect their children to experience pain during vaccinations [4.81 vs 4.38; t(69) = 2.24,P ≤ 0.05].Parents/caregivers reported more favorable attitudes about pain prevention strategies for vaccinations across a variety of areas,including safety,cost,time,and effectiveness,as well as less concern about the pain their children experience with vaccination [4.08 vs 3.26; t(557) = 6.38,P ≤ 0.001],less need for additional pain prevention strategies [3.33 vs 2.81; t(476) = 4.51,P ≤ 0.001],and greater agreement that their doctors' office currently offers pain prevention for vaccinations [3.40 vs 3.75; t(433) =-2.39,P ≤ 0.05].CONCLUSION Quality improvement methodology can be used to help close the gap in implementing pain prevention strategies during routine vaccination procedures for children. | Jennifer Verrill Schurman Amanda D Deacy Rebecca J Johnson Jolynn Parker Kristi Williams Dustin Wallace Mark Connelly Lynn Anson Kevin Mroczka | 2017 | World Journal of Clinical Pediatrics2017，6，1： | 3 |
| 3 | 用可调式涡轮增压技术降低排放并改善扭矩特性显示文摘目前,欧洲80%的轿车柴油机已采用涡轮增压。随着排放标准的日益严格,在不久的将来,涡轮增压机型有望接近100%。目前的一个主要热点是在高速柴油机上采用可调式涡轮增压技术(VGT)。在一台1.8L直喷式柴油机上做了大量的稳态试验研究,旨在对可调式涡轮增压发动机与配置带放气阀增压器的基准发动机进行比较,以观其潜在的益处。在欧洲试验循环中对排放产物十分重视的部分负荷工况下,分别控制可调增压器的叶片位置和废气再循环(EGR)阀的位置,以优化排放指标。在不牺牲固定式增压发动机的燃油耗、烟度的前提下,在一些间断工况点测得的NO_X减少到45%。在满足最高爆发压力、烟度和涡轮前温度限制条件下,可调增压发动机与装有固定增压基准发动机相比最大扭矩提高了10%。 | Hawley J G Wallace F J Cox A 栾敏 董复兴 | 2000 | 国外内燃机2000，，3： | 3 |
| 4 | Hepatic artery infusion chemotherapy: gastroduodenal complications显示文摘 | Chuang VP Wallace S Stroehlein J | 1981 | AJR1981，137，2： | 2 |
| 5 | Singular value decomposition of wintertimes sea surface temperature and 500-mb height anomalies 显示文摘 | Wallace J M Smith C Bretherton C S | 1992 | J Climate1992，5，3： | 2 |
| 6 | Broadband magnetic microwave abso-rbers:fundamental limitations显示文摘 | Wallace J L | 1993 | IEEE Trans Magn1993，29，6： | 2 |
| 7 | An analysis of multiple staging management strategies for carcinoma of the esophagus: computed tomography, endoscopic ultrasound, positron emission tomography, and thoracoscopy/laparoscopy显示文摘 | Michael B Wallace Paul J Nietert Craig Earle Mark J Krasna Robert H Hawes Brenda J Hoffman Carolyn E Reed | 2002 | The Annals of Thoracic Surgery2002，，4： | 2 |
| 8 | 显示文摘 | Wilk G D Wallace R M Anthony J M | 2001 | Journal of Applied Physics2001，89，10： | 2 |
| 9 | Preliminary studies on the cryopreservation of gilthead seabream (Sparusaurata) embryos显示文摘 | Cabrita E Robles V Wallace J C | 2006 | Aquaculture2006，25，24： | 1 |
| 10 | Synthesis and antimitotic/cytotoxic activity of hemiasterlin analogues 显示文摘 | Nieman J A Coleman J E Wallace D J | 2003 | J Nat Prod2003，66，： | 1 |
| 11 | The case efor student as customer显示文摘 | Wallace J B | 1999 | Quality Progress1999，32，： | 1 |
| 12 | Evaporation from sparse crops - an energy combination theory 显示文摘 | Shuttleworth W J Wallace J S | 1985 | Quarterly Journal of the Royal Meteorological Society1985，，111： | 1 |
| 13 | Origin and evolution of a submarine large igneous province: The Kerguelen plateau and Broken ridge, southem Indian ocean显示文摘 | Frey F A Coffin M F Wallace P J | 2000 | Earth and Planetary Science Letters2000，176，： | 1 |
| 14 | New Generation NSAIDs: The Benefit Without the Risk显示文摘 | WALLACE J L CHIN B C | 1997 | Drugs Today1997，33，： | 1 |
| 15 | Intra-arterial thrombolysis of embolic proximal middle cerebral artery occlusion from presumed arterial myxoma显示文摘 | Bekavac I Hanna J P Wallace RC | 1997 | Neurology1997，49，： | 1 |
| 16 | The mechanism of passage of endogenous urea through the rumen wall and the role of ureolytic epithelial bacteria in the urea flux显示文摘 | Cheng K J Wallace R J | 1979 | British Journal of Nutrition1979，42，： | 1 |
| 17 | Immunohistochemistry of matrix metalloproteinases in reprefusion injury to rat brain:Activation of MMP-9 linked to stromelysin-1 and microglia in cell cultures显示文摘 | Rosenberg GA Cunnigham LA Wallace J | 2001 | Brain Research2001，893，： | 1 |
| 18 | Role of angiography following aneurysm surgery显示文摘 | MACDONALD R L WALLACE M C KESTLE J R | 1993 | J Neurosurg1993，79，： | 1 |
| 19 | Board-invited review:intrauterine growth retardation:implications for the animalsciences显示文摘 | Wu G Bazer F W Wallace J M | 2006 | J Anim Sci2006，84，9： | 1 |
| 20 | Hypoxia-induc- ible factor-l-dependent regulation of the multidrug resistance ( MDR1 ) gene显示文摘 | Comerford K M Wallace T J Karhausen J | 2002 | Cancer Res2002，1562，12： | 1 |
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