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| 1 | Accuracy of abdominal auscultation for bowel obstruction显示文摘AIM:To investigate the accuracy and inter-observer variation of bowel sound assessment in patients with clinically suspected bowel obstruction.METHODS:Bowel sounds were recorded in patients with suspected bowel obstruction using a Littmann® Electronic Stethoscope. The recordings were processed to yield 25-s sound sequences in random order on PCs. Observers,recruited from doctors within the department,classified the sound sequences as either normal or pathological. The reference tests for bowel obstruction were intraoperative and endoscopic findings and clinical follow up. Sensitivity and specificity were calculated for each observer and compared between junior and senior doctors. Interobserver variation was measured using the Kappa statistic.RESULTS:Bowel sound sequences from 98 patients were assessed by 53(33 junior and 20 senior) doctors. Laparotomy was performed in 47 patients,35 of whom had bowel obstruction. Two patients underwent colorectal stenting due to large bowel obstruction. The median sensitivity and specificity was 0.42(range:0.19-0.64) and 0.78(range:0.35-0.98),respectively. T h e re wa s n o s i g n i f i c a n t d i ffe re n c e i n a cc u ra c y between junior and senior doctors. The median frequency with which doctors classified bowel sounds as abnormal did not differ significantly between patients with and without bowel obstruction(26% vs 23%,P = 0.08). The 53 doctors made up 1378 unique pairs and the median Kappa value was 0.29(range:-0.15-0.66).CONCLUSION:Accuracy and inter-observer agreement was generally low. Clinical decisions in patients with possible bowel obstruction should not be based on auscultatory assessment of bowel sounds. | Birger Michael Breum Bo Rud Thomas Kirkegaard Tyge Nordentoft | 2015 | World Journal of Gastroenterology2015，21，34： | 4 |
| 2 | Relationship between postoperative erythromycin breath test and early morbidity in liver transplant recipients显示文摘 | Schmidt LE Rasmussen A Kirkegaard P | 2003 | Transplantation2003，76，2： | 3 |
| 3 | The Coming Resolution of the European Crisis显示文摘Doom and gloom about the euro abounds. An increasing number of commentators and economists, including here at the Peterson Institute, have begun to question whether the common currency can survive.The economic and financial problems in the euro area are clearly | C.Fred Bergsten Jacob Funk Kirkegaard | 2012 | China's Foreign Trade2012，，3： | 2 |
| 4 | Stable soil organic matter: A comparison of C : N : P : S ratios in Australian and other world soils显示文摘 | Kirkby C A Kirkegaard J A Richardson A E | 2011 | Geoderma2011，163，34： | 1 |
| 5 | A review of trends ha wheat yield responses to conservation cropping ha Australia 显示文摘 | Kirkegaard J A | 1995 | Australian Journal of Experimental Agriculture1995，35，： | 1 |
| 6 | Prevalence and characteristics of dental anxiety in Danish Adults显示文摘 | Birn H Kirkegaard E | 1993 | Communitv Dent Oral Epidemiol1993，21，： | 1 |
| 7 | AKT activation predicts outcome in breast cancer patients treated with tamoxifen显示文摘 | Kirkegaard T Witton CJ McGlynn LM | 2005 | J Pathol2005，207，2： | 1 |
| 8 | Offshoring, outsourcing, and production relocation: Labor-market effects in the OECD countries and developing Asia 显示文摘 | KIRKEGAARD J F | 2008 | Singapore Economic Review2008，，12： | 1 |
| 9 | Pituitary - thyroid axis in critical illness显示文摘 | Faber J Kirkegaard C Rasmussen B | 1987 | J Clin Endocrinol Metab1987，65，2： | 1 |
| 10 | Prevalence and characteristics of dental anxiety in Danish adults 显示文摘 | R Moore H Bim E Kirkegaard | 1993 | Community Dent Oral Epidemiol1993，21，5： | 1 |
| 11 | Acute Addisonian erisis in a patient with systemic lupus erythematosus and secondary antiphospholipid syndrome 显示文摘 | JAKOBSEN AS CVITANICH VB KIRKEGAARD BC | 2007 | Ugeskr Laeger2007，169，23： | 1 |
| 12 | Altered serum levels of thyroxine,triiodothyronines and diiodothyronines in endogenous depression显示文摘 | Kirkegaard C Faber J | 1981 | Aeta Endocrinol(Copenh)1981，96，2： | 1 |
| 13 | The role of thyroid hormones in dep ression显示文摘 | Kirkegaard C Faber J | 1998 | Eur J Endocrinology1998，138，1： | 1 |
| 14 | Changes in microbial biomass and organic matter levels during the first year of medi- fled tillage and stubble management practices on a red earth显示文摘 | Gupta V V S R Roper MM Kirkegaard J A | 1994 | Australian Journal of Soil Research1994，32，： | 1 |
| 15 | In - depth analysis of the membrane and cytosolic proteome of red blood cells 显示文摘 | Pasini EM Kirkegaard M Mortensen P | 2006 | Blood2006，108，3： | 1 |
| 16 | The cultivation of Acartia tonsa Dana for use as live food source for marine fish larvae显示文摘 | Stottrup J G Richardsen K Kirkegaard E | 1986 | Aquaculture1986，52，： | 1 |
| 17 | Role of histamine and antihistamines in the nose显示文摘 | Mygind N Secher C Kirkegaard J | 1983 | Eur J Respir Dis Suppl1983，128，1： | 1 |
| 18 | Program System for Analysing Positron Lifetime Spectra and Angular Correlation Curves 显示文摘 | Kirkegaard P Eldrop M Mogensen O E | 1981 | Computer Physics Communications1981，23，3： | 1 |
| 19 | The thyroid hormones in depression 显示文摘 | Kirkegaard C Faber J | 1998 | Eur J Endocrinology1998，138，： | 1 |
| 20 | Program System for Analyzing Positron Lifetime Spectra and Angle Correlation Curves显示文摘 | Kirkegaard P Eldrup M Mogensen O | 1981 | Comp Phys Comm1981，23，： | 1 |
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