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| 1 | Biosynthesis of dichloroimines in the tropical marine sponge Stylotella aurantium显示文摘 | Jamie SS Parul R Mary JG | 1997 | Tetrahedron Letter1997，38，45： | 1 |
| 2 | Direct Determination of Moisture in Powder Milk Using Near Infrared Spectroscopy显示文摘 | NAGARAJAN R SINGH PARUL MEHROTRA RANJANA | 2006 | Journal of Automated Methods & Management in Chemistry2006，，3： | 1 |
| 3 | Biosynthesis of dichloroimines in the tropical marine sponge Stylotella aurantium 显示文摘 | Jamie SS Parul R Mary JG | 1997 | Tetrahedron Lett1997，38，45： | 1 |
| 4 | Direct deter- mination of moisture in powder milk using near infrared spectroscopy 显示文摘 | Nagarajan R Singh Parul Mehrotra Ranjana | 2006 | Journal of Automated Methods & Man- agement in Chemistry2006，，3： | 1 |
| 5 | Direct deter- mination of moisture in powder milk using near infrared spectroscopy 显示文摘 | Nagarajan R Singh Parul Mehrotra Ranjana | 2006 | Journal of Automated Methods & Man- agement in Chemistry2006，，3： | 1 |
| 6 | Topographyguided eustomized laser-assisted subepithelial keratectomy for the treatment of postkeratoplasty astigmatism显示文摘 | Madhavan S R David P SO'Brart Parul Patel | 2006 | Journal of Cataract & Refractive Surgery2006，32，6： | 1 |
| 7 | Evidence of oligonucleotides containing 8-hydroxy-2'-deoxyguanosine in human urine显示文摘 | PARUL R PUTH J NALINI M JOSEPH L | 2007 | Free Rad Biol Med2007，42，4： | 1 |
| 8 | High-risk histomorphological features in retinoblastoma and their association with p63 ex pression: An Indian experience显示文摘 | Seema R Parul S Nita K | 2014 | Indian J Ophthalmol2014，62，11： | 1 |
| 9 | Whipple’s operation with a modified centralization concept:A model in low-volume Caribbean centers显示文摘Conventional data suggest that complex operations,such as a pancreaticoduodenectomy(PD),should be limited to high volume centers.However,this is not practical in small,resource-poor countries in the Caribbean.In these settings,patients have no option but to have their PDs performed locally at low volumes,occasionally by general surgeons.In this paper,we review the evolution of the concept of the high-volume center and discuss the feasibility of applying this concept to low and middle-income nations.Specifically,we discuss a modification of this concept that may be considered when incorporating PD into low-volume and resource-poor countries,such as those in the Caribbean.This paper has two parts.First,we performed a literature review evaluating studies published on outcomes after PD in high volume centers.The data in the Caribbean is then examined and we discuss the incorporation of this operation into resource-poor hospitals with modifications of the centralization concept.In the authors’opinions,most patients who require PD in the Caribbean do not have realistic opportunities to have surgery in high-volume centers in developed countries.In these settings,their only options are to have their operations in the resource-poor,low-volume settings in the Caribbean.However,post-operative outcomes may be improved,despite low-volumes,if a modified centralization concept is encouraged. | Shamir O Cawich Neil W Pearce Vijay Naraynsingh Parul Shukla Rahul R Deshpande | 2022 | World Journal of Clinical Cases2022，10，22： | 1 |
| 10 | 尼泊尔农村地区孕期妇女补充维生素A对青春期前儿童肺功能的影响:一项随机、双盲、安慰剂对照的队列研究显示文摘 | William Checkly Keith P West Robert Wise Matthew R Baldwin Steven C LeClerq Lee Wu Parul Christian Joanne Tielsch Subaran Khatry Alfred Sommer 张喆庆 | 2009 | 营养健康新观察2009，0，3： | 0 |
| 11 | Rescue from complications after pancreaticoduodenectomies at a low-volume Caribbean center:Value of tailored peri-pancreatectomy protocols显示文摘BACKGROUND Pancreaticoduodenectomy(PD)is a technically complex operation,with a re-latively high risk for complications.The ability to rescue patients from post-PD complications is as a recognized quality measure.Tailored protocols were instituted at our low volume facility in the year 2013.AIM To document the rate of rescue from post-PD complications with tailored protocols in place as a measure of quality.METHODS A retrospective audit was performed to collect data from patients who experienced major post-PD complications at a low volume pancreatic surgery unit in Trinidad and Tobago between January 1,2013 and June 30,2023.Stan-dardized definitions from the International Study Group of Pancreatic Surgery were used to define post-PD complications,and the modified Clavien-Dindo classification was used to classify post-PD complications.RESULTS Over the study period,113 patients at a mean age of 57.5 years(standard deviation[SD]±9.23;range:30-90;median:56)underwent PDs at this facility.Major complications were recorded in 33(29.2%)patients at a mean age of 53.8 years(SD:±7.9).Twenty-nine(87.9%)patients who experienced major morbidity were salvaged after aggre-ssive treatment of their complication.Four(3.5%)died from bleeding pseudoaneurysm(1),septic shock secondary to a bile leak(1),anastomotic leak(1),and myocardial infarction(1).There was a significantly greater salvage rate in patients with American Society of Anesthesiologists scores≤2(93.3%vs 25%;P=0.0024).CONCLUSION This paper adds to the growing body of evidence that volume alone should not be used as a marker of quality for patients requiring PD.Despite low volumes at our facility,we demonstrated that 87.9%of patients were rescued from major complications.We attributed this to several factors including development of rescue protocols,the competence of the pancreatic surgery teams and continuous,and adaptive learning by the entire institution,cul-minating in the development of tailored peri-pancreatectomy protocols. | Shamir O Cawich Elijah Dixon Parul J Shukla Shailesh V Shrikhande Rahul R Deshpande Fawwaz Mohammed Neil W Pearce Wesley Francis Shaneeta Johnson Johann Bujhawan | 2024 | World Journal of Gastrointestinal Surgery2024，16，3： | 0 |
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