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| 1 | 闪光对于减轻静脉置管痛的作用:一项前瞻性随机安慰剂对照研究显示文摘背景尽管静脉置管时的疼痛经常让人备受困扰,但通常都是在没有任何镇痛措施下进行静脉置管的。临床上曾尝试用一些药物和非药物方法来减轻静脉置管的疼痛,但结果各异。本研究拟评价一次闪光对于减轻静脉置管痛的效果。方法90例拟择期行腹腔镜胆囊切除术的ASAⅠ~Ⅱ级的成年患者(15~60岁),随机分为3组,每组30例,组1为对照组;组2为分散注意力组,即在非优势手的手背静脉进行置管前给患者照相而不使用闪光;组3为闪光组,静脉置管前照相并且使用闪光;在照相后立即使用18G的穿刺针进行静脉置管。结果每组均有2例患者首次静脉穿刺失败,在数据分析中即予以剔除,闪光组疼痛的发生率为50%(28例中14例发生),其他2组为100%(28例全部发生),通过视觉模拟评分评估的疼痛严重程度分散注意力组和闪光组显著低于对照组,而闪光组也显著低于分散注意力组。结论静脉置管前使用闪光是一种减轻疼痛的安全而简单有效的方法。 | Anil Agarwal GhanshvamYadav Devendra Gupta Manish Tandon Prabhat Kumar Singh Uttam Singh 吴志林(译) | 2009 | 麻醉与镇痛2009，，3： | 1 |
| 2 | Analysis of problems,complications,avoidance and management with transanal pull-through fou Hirschsprung' s disease显示文摘 | Akshay Pratap Devendra Kumar Gupta Vikal Chandra Shakya | 2007 | J Pediatr Surg2007，42，： | 1 |
| 3 | Clinical outcomes for nasopharyngeal cancer with intracranial extension after taxanebased induction chemotherapy and concurrent chemo-radiotherapy in the modern era显示文摘Objective:To evaluate the survival outcomes for a cohort of nasopharyngeal cancer with intracranial extension(ICE)treated with induction chemotherapy(ICT)followed by chemo-intensity-modulated radiotherapy(CTRT)at a tertiary cancer center.Methods:We retrospectively analyzed 45 patients with histologically proven,non-metastatic NPC with ICE treated at our institute between October 2008 and October 2016.Patients were classified as minor ICE or major ICE,based on the extent of ICE.All the patients received 2-3 cycles of a taxane-based ICT regimen followed by CTRT.Radiotherapy was delivered with'riskadapted'intensity-modulated radiotherapy(IMRT)technique in all patients.Results:After a median follow up of 45 months(range:8-113 months),the estimated 5-year DFS,LRFS,DMFS,and OS of the entire cohort was 58%,82%,67%and 74%respectively.On multivariate analysis,histological subtype was an independent predictor of LRFS,and age was an independent predictor of DFS.The extent of ICE showed only a trend towards worse DFS(P=0.06).None of the factors significantly predicted for DMFS or OS.Gender,N-stage,and response to ICT did not significantly affect any of the outcomes.Grade 2 or worse subcutaneous fibrosis was seen in 22%of patients and grade 2 or worse xerostomia was seen in 24%of patients at last follow up.Thirty-three percent of the patients developed clinical hypothyroidism at last follow up.None of the patients experienced any neurological or vascular complications.Conclusions:Taxane-based induction chemotherapy followed by chemo-intensity modulated radiotherapy resulted in excellent locoregional control and survival with acceptable toxicities in patients of nasopharyngeal cancer with intracranial extension.Distant metastasis continues to be the predominant problem in these patients. | Sarbani Ghosh-Laskar Avinash Pilar Carlton Johnny Kumar Prabhash Amit Joshi Jai Prakash Agarwal Tejpal Gupta Ashwini Budrukkar Vedang Murthy Monali Swain Vanita Noronha Vijay Maruthi Patil Prathamesh Pai Deepa Nair Devendra Arvind Chaukar Shivakumar Thiagarajan Gouri Pantvaidya Anuja Deshmukh Pankaj Chaturvedi Sudhir Nair Anil D’Cruz | 2020 | World Journal of Otorhinolaryngology-Head and Neck Surgery2020，6，1： | 1 |
| 4 | Portal teratoma causing obstructive jaundice in children: a rarity显示文摘 | Deepak Bagga Bibekanand Jindal Bikash Kumar Naredi Devendra Kumar Yadav Samir Kant Acharya Rajiv Mahato Kusum Gupta | 2012 | Journal of Pediatric Surgery2012，，7： | 1 |
| 5 | Analysis of problems,complications,avoidance and management with transanal pull-through fou Hirschsprung,s disease显示文摘 | Akshay Pratap Devendra Kumar Gupta Vikal Chandra Shakya | 2007 | J Pediatr Surg2007，42，： | 1 |
| 6 | Aromatic cyclolinear phos-phazene polyimides based on a novel bis-spiro-substitutedcyclotriphosphazene diamine 显示文摘 | Devendra Kumar Alka D Gupta | 1995 | Macromolecules1995，28，： | 1 |
| 7 | Analysis of problems, complications, avoidance and management with transanal pull-through fou Hirschsprung's disease 显示文摘 | Akshay Pratap Devendra Kumar Gupta Vikal Chandra Shakya | 2007 | J Pediatr Surg2007，42，： | 1 |
| 8 | Aromatic cyclolinear phos- phazene polyimides based on a novel bis-spiro- substituted cyclotriphosphazene diamine 显示文摘 | Devendra Kumar Alka D Gupta | 1995 | Macromolecules1995，28，18： | 1 |
| 9 | An efficient analytical technique for fractional partial differential equations occurring in ion acoustic waves in plasma显示文摘In this work,we apply an efficient analytical algorithm namely homotopy perturbation Sumudu transform method(HPSTM)to find the exact and approximate solutions of linear and nonlinear time-fractional regularized long wave(RLW)equations.The RLW equations describe the nature of ion acoustic waves in plasma and shallow water waves in oceans.The derived results are very significant and imperative for explaining various physical phenomenons.The suggested method basically demonstrates how two efficient techniques,the Sumudu transform scheme and the homotopy perturbation technique can be integrated and applied to find exact and approximate solutions of linear and nonlinear time-fractional RLW equations.The nonlinear expressions can be simply managed by application of He’s polynomials.The result shows that the HPSTM is very powerful,efficient,and simple and it eliminates the round-off errors.It has been observed that the proposed technique can be widely employed to examine other real world problems. | Amit Goswami Jagdev Singh Devendra Kumar Sumit Gupta Sushila | 2019 | Journal of Ocean Engineering and Science2019，4，2： | 0 |
| 10 | Role of subjective visual vertical in patients with posterior canal benign paroxysmal positional vertigo as a prognostic marker after canalith repositioning maneuver显示文摘Objective:To study the potential role of subjective visual vertical(SVV)as a prognostic marker for canalith repositioning maneuver(CRM)in patients with posterior canal benign paroxysmal positional vertigo(PC-BPPV)for the Indian population.Methods:SVV was examined in 30 patients with PC-BPPV before and after canalith repositioning maneuver and after complete resolution of PC-BPPV.Study parameters included the mean of 10 angular tilt readings and direction of deviation,which were compared before and after CRM and following complete resolution of PC-BPPV.Results:The angle of SVV tilt was greater and deviated towards the affected ear before CRM in all patients,which decreased significantly shortly after CRM and continued to decrease after complete resolution of PC-BPPV(p<0.0001).Conclusions:SVV can be used to test utricular dysfunction in PC-BPPV.The angle of tilt improves in response to CRM,which may be used as a prognostic marker in patients with PC-BPPV receiving CRM. | Sanjeev Saxena Bhaumik Patel Ravi Roy Himanshu Swami Sanajit Kumar Singh Sunil Goyal Rajeev Chugh Devendra Kumar Gupta Sween Banger Mahesh Ravanikutty Sneha Yadav | 2022 | Journal of Otology2022，17，3： | 0 |
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