|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Passive expansion of sub-maximally dilated transjugular intrahepatic portosystemic shunts and assessment of clinical outcomes显示文摘AIM To assess for passive expansion of sub-maximally dilated transjugular intrahepatic portosystemic shunts(TIPS) and compare outcomes with maximally dilated TIPS.METHODS Polytetrafluoroethylene covered TIPS(Viatorr) from July 2002 to December 2013 were retrospectively reviewed at two hospitals in a single institution. Two hundred and thirty patients had TIPS maximally dilated to 10 mm(m TIPS), while 43 patients who were at increased risk for hepatic encephalopathy(HE), based on clinical evaluation or low pre-TIPS portosystemic gradient(PSG), had 10 mm TIPS sub-maximally dilated to 8 mm(sm TIPS). Group characteristics(age, gender, Model for End-Stage Liver Disease score, post-TIPS PSG and clinical outcomes were compared between groups, including clinical success(ascites or varices), primary patency,primary assisted patency, and severe post-TIPS HE. A subset of fourteen patients with sm TIPS underwent follow-up computed tomography imaging after TIPS creation, and were grouped based on time of imaging(< 6 mo and > 6 mo). Change in diameter and crosssectional area were measured with 3D imaging software to evaluate for passive expansion.RESULTS Patient characteristics were similar between the sm TIPS and m TIPS groups, except for pre-TIPS portosystemic gradient, which was lower in the sm TIPS group(19.4 mm Hg ± 6.8 vs 22.4 mm Hg ± 7.1, P = 0.01). Primary patency and primary assisted patency between sm TIPS and m TIPS was not significantly different(P = 0.64 and 0.55, respectively). Four of the 55 patients(7%) with sm TIPS required TIPS reduction for severe refractory HE, while this occurred in 6 of the 218 patients(3%) with m TIPS(P = 0.12). For the 14 patients with follow-up computed tomography(CT) imaging, the median imaging follow-up was 373 d. There was an increase in median TIPS diameter, median percent diameter change, median area, and median percent area change in patients with CT follow-up greater than 6 mo after TIPS placement compared to follow-up within 6 mo(8.45 mm, 5.58%, 56.04 mm^2, and 11.48%, respectively, P = 0.01).CONCLUSION Passive expansion of sm TIPS does occur but clinical outcomes of sm TIPS and m TIPS were similar. Sub-maximal dilation can prevent complications related to overshunting in select patients. | Michael C Hsu Charles N Weber S William Stavropoulos Timothy W Clark Scott O Trerotola Richard D Shlansky Goldberg Michael C Soulen Gregory J Nadolski | 2017 | World Journal of Hepatology2017，9，12： | 11 |
| 2 | Advances in the treatment of cervical rheumatoid: Less surgery and less morbidity显示文摘Rheumatoid arthritis is a chronic systemic inflammatory disease that often affects the cervical spine.While it was initially thought that cervical involvement was innocuous,natural history studies have substantiated the progressive nature of untreated disease.Over the past 50 years,there has been further elucidation in the pathophysiology of the disease,as well as significant advancements in medical and surgical therapy.The introduction of disease modifying drugs and biologic agents has reduced the amount of patients with advanced stages of the disease needing surgery.Advancement in instrumentation techniques has improved patient outcomes and fusion rates.The introduction of endoscopic approaches for ventral decompression may further lower surgical morbidity.In this review,we give a brief overview of the pertinent positives of the disease.A discussion of historical techniques and the evolution of surgical therapy into the modern era is provided.With improved medical therapies and lessinvasive approaches,we will likely continue to see less advanced cases of disease and less surgical morbidity.Nonetheless,a thorough understanding of the disease is crucial,as its systemic involvement and need for continued medical therapy have tremendous impact on overall complications and outcomes even in patients being seen for standard degenerative disease with comorbid rheumatoid. | Grant W Mallory Sasha R Halasz Michelle J Clarke | 2014 | World Journal of Orthopedics2014，5，3： | 5 |
| 3 | 母猪难产的应对措施显示文摘当今猪生产系统中母猪难产并不常见,所占比例不到1%。母猪临近分娩时,大约每隔30~60分钟需进行产前观察。如果清楚母猪正常分娩过程,母猪出现难产时可第一时间采取相关措施。分娩前要保证分娩环境清洁和干燥(图1);预产期前1~5天将妊娠母猪赶往分娩栏(图2)。 | Singleton W Amass S F Clark L K 朱勇文 | 2012 | 养猪2012，，1： | 4 |
| 4 | Generalized predictive control-part Ⅰ显示文摘 | Clarke D W | 1987 | Automatica1987，23，2： | 2 |
| 5 | Passive Immunization of Channel Catfish (Ictalurus punctatus) against the Ciliated Protozoan Parasite Ichthyophthirius multifiliis by Use of Murine Monoclonal Antibodies显示文摘 | Lin Tian-Long Clark T G Dickerson H W | 1996 | Infection and Immunity1996，64，10： | 2 |
| 6 | Immune response of fish to ciliates显示文摘 | Dickerson H W Clark T G | 1996 | Annu Rev of Fish Dis1996，6，： | 2 |
| 7 | 壳牌对未来车用能源多元化发展趋势的思考显示文摘面对能源短缺和环境污染的双重挑战,交通领域的转型升级不可避免。本文结合未来车用动力系统的发展趋势,对交通运输领域中应用的多种先进动力系统、清洁能源及替代燃料进行综述和评价,包括目前主要使用的传统液态化石燃料即汽、柴油及先进内燃机技术,清洁替代燃料(如生物燃料、天然气合成油(GTL)燃料、电转液(PTL)燃料、液化天然气(LNG)等),以及电气化动力系统(包括混合动力、纯电动和燃料电池)等,并着重讨论液体燃料。壳牌认为没有一种单一的解决方案可以解决复杂的能源问题,未来交通能源结构将呈现多种能源并存的特点,并分别适用于不同的场景。该文还介绍了壳牌近期基于不同政治、经济和社会发展程度提出的3种远景(壳牌“高山”、“海洋”和“天空”远景),提出壳牌对未来车用能源领域转型脱碳发展情景的思考。 | 贾恬 郑彬 Warnecke W Kolbeck A Aradi A Kofod M Clark R Wilbrand K | 2020 | 汽车安全与节能学报2020，11，1： | 2 |
| 8 | Scheduling of vehicles from a central depot to a number of delivery points显示文摘 | CLARK G WRIGHT J W | 1964 | Operations Research1964，12，： | 2 |
| 9 | Multichannel texture analysis using localized spatial filters显示文摘 | Bovic A C Clark C Geisler W S | 1990 | IEEE Transactions on Pattern Analysis and Machine Intelligence1990，12，1： | 2 |
| 10 | Explicit allocation of best-effort packet delivery service显示文摘 | CLARK D FANG W | 1998 | IEEE/ACM Trans on Networking1998，6，4： | 2 |
| 11 | Prediction of the occurrence of slope instability phenomena through GIS-based hazard zonation显示文摘 | CLARK V W RENGERS M T TERLIEN J K | 1997 | Geology Rundsch1997，86，： | 2 |
| 12 | Theory and simulation of high-power microwave generation in a magnetically insulated transmission line oscillator显示文摘 | Lemke R W Clark M C | 1987 | J App Phys1987，62，8： | 2 |
| 13 | Fate of metals in waste combustion systems 显示文摘 | Barton R G Clark W D Seeker W R | 1990 | Combustion Science and Technology1990，74，： | 1 |
| 14 | Ceil contact as an independent factor moduletating cardiac myocytes hypertrophy and survival in long-term primary culture显示文摘 | Clark W A Decker M L Janes D M | 1998 | J Mol Cell Cardiol1998，30，： | 1 |
| 15 | Environment and Development: Sustainability Science 显示文摘 | Kates R W Clark W C Corell R | 2001 | Science2001，，292： | 1 |
| 16 | Multichannel Texture Analysis Using Localized Spatial Filters 显示文摘 | BOVIK A C CLARK M GEISLER W S | 1990 | IEEE Transaction on Pattern Analysis and Machine Intel ligence1990，12，1： | 1 |
| 17 | Investigation of a load-limited, magnetically insulated transmission line oscillator(MILO)显示文摘 | Lemke R W Calico S E Clark M C | 1997 | IEEE Trans Plasma Sci1997，25，2： | 1 |
| 18 | Fixed abrasive diamond wire machining-part Ⅰ:process monitoring and wire tension force显示文摘 | Shih A J Hardin C W Lemaster R L McSpadden S B | 2003 | International Journal Machine Tools & Manufacture2003，43，： | 1 |
| 19 | The relationship between cholesterol and survival in patients with chronic heart failure显示文摘 | Rauckhaus M Clark AL Doehner W | 2003 | Am Coll Cardiol2003，42，15： | 1 |
| 20 | Accumulating Sequence of Ignitions From a Propagating Pulse显示文摘 | Dold J W Short M Clarke J F | 1995 | Combustion and Flame1995，100，3： | 1 |
您所在的机构暂未开通此部分的功能，请联系管理员