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Galley Gadgets
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《城市漫步(GBA版)》 2023年第3期33-33,共1页
is it a bird?Is it a plane?No,it kind of looks like a waffle maker,but doesn't have the classic ridges that make waffles.This cooking gadget can make pancakes,steaks,baozi,toasted sandwiches and pretty much anythi... is it a bird?Is it a plane?No,it kind of looks like a waffle maker,but doesn't have the classic ridges that make waffles.This cooking gadget can make pancakes,steaks,baozi,toasted sandwiches and pretty much anything else.While putting a name on this all-in-one device certainly isn't the easiest,we still thought its practicality made it a worthy addition to this month's Galley Gadgets. 展开更多
关键词 COOKING SANDWICH galle
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执照更新中经验反馈对核电厂老化管理实践的影响
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作者 杨晓蕾 张鲁山 +2 位作者 崔涛 孟凡江 石秀强 《腐蚀与防护》 CAS CSCD 北大核心 2024年第1期104-109,共6页
通用老化经验报告(GALL报告)是美国核管会(NRC)发布的用于指导核电厂运行执照更新审查的技术文件,是核电厂开展老化管理和运行许可证延续等工作的重要依据。2010年发布第2版GALL报告后,NRC于2011~2016年间先后发布了10份ISG文件,基于执... 通用老化经验报告(GALL报告)是美国核管会(NRC)发布的用于指导核电厂运行执照更新审查的技术文件,是核电厂开展老化管理和运行许可证延续等工作的重要依据。2010年发布第2版GALL报告后,NRC于2011~2016年间先后发布了10份ISG文件,基于执照更新审查过程中新的经验反馈对GALL报告的内容进行更新和补充讨论。通过对10份ISG文件的深入调研,全面分析了其变更内容,对其涉及的老化管理新对象、新技术和新要求进行总结,并对GALL报告在执照更新中的经验反馈对我国核电厂老化管理实践的影响进行初步评价,为我国核电厂日常老化管理、定期安全审查和运行许可证延续申请等工作提供有力的技术支撑和经验参考。 展开更多
关键词 执照更新 经验反馈 GALL报告 老化和寿命管理
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Laparoscopic management of remnant gall bladder with stones: Lessons from a tertiary care centre's experience
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作者 Gilbert Samuel Jebakumar Jeevanandham Muthiah +8 位作者 Loganathan Jayapal R.Santhosh Kumar Siddhesh Tasgaonkar K.S.Santhosh Anand J.K.A.Jameel Sudeepta Kumar Swain K.J.Raghunath Prasanna Kumar Reddy Tirupporur Govindaswamy Balachandar 《Laparoscopic, Endoscopic and Robotic Surgery》 2024年第1期27-33,共7页
Objective:Laparoscopic cholecystectomy is currently the gold standard for treating symptomatic gallstone disease.Despite its success,approximately 10%of patients may experience persistent biliary symptoms,leading to t... Objective:Laparoscopic cholecystectomy is currently the gold standard for treating symptomatic gallstone disease.Despite its success,approximately 10%of patients may experience persistent biliary symptoms,leading to the post-cholecystectomy syndrome.A remnant gallbladder with cystic duct or bile duct stones is one of the causes of this syndrome.The objective of this study was to shed light on the clinical manifestations,evaluation,therapeutic strategies,and outcomes associated with laparoscopic management of symptomatic remnant gallbladders.Methods:This was a retrospective study,conducted over a five-year period(January 2017 to December 2022)at Apollo Hospitals in South India.All patients who underwent laparoscopic completion cholecystectomy for a remnant gall bladder were included.The following data were collected:patient demographics,symptoms,preoperative investigations,intraoperative details and post operative outcomes.Results:In total,36 patients were included and analysed.The majority of patients were male(25,69.4%),with a mean age of 50.7±12.1 years.The most common presentation was pain in the upper abdomen or right upper quadrant region(24,66.7%).The laparoscopic approach was attempted in all patients,with a success rate of 94.4%.Two patients required conversion to open surgery.Cholecystoenteric fistula to the colon was observed in one patient.Choledocholithiasis was observed in 7 patients(19.4%),and stone clearance was successfully achieved using endoscopic retrograde cholangiopancreatography in all patients preoperatively.Conclusion:Incomplete gall bladder removal either intentionally or unintentionally leaves a remnant gall bladder that is at risk for stone formation and infection.Patients who have this clinical entity with symptoms require a redo or complete cholecystectomy,a complex procedure associated with certain risks.This study highlights the feasibility and safety of laparoscopic completion cholecystectomy for the management of remnant gallbladder with cystic duct or bile duct stones. 展开更多
关键词 Remnant gall bladder Stump cholecystitis Subtotal cholecystectomy Laparoscopic completion cholecystectomy
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Galley Gadgets
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《城市漫步(上海版、英文)》 2022年第11期25-25,共1页
The World Cup is almost upon us and although the tourname nt in China is synonymous with failure to qualify,there is one other thing that always goes hand in hand with the beautiful game...beer.
关键词 BEAUTIFUL SYNONYM galle
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Galley Gadgets
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《城市漫步(GBA版)》 2022年第10期23-23,共1页
You've just moved to China or youVe just moved into a new apartment and you're shocked to see it.Sitting there in all its glory,a black shiny dishwasher.You open it up and see there's lots of space,you cou... You've just moved to China or youVe just moved into a new apartment and you're shocked to see it.Sitting there in all its glory,a black shiny dishwasher.You open it up and see there's lots of space,you could not wash the dishes for days and still look like a respectable person. 展开更多
关键词 moved BLACK galle
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EXPLORING THE INEXPLICABLE Pearl Lam Galleries'New Group Exhibition Gets into the Minds of Young Artists
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作者 Zoey Zha 《城市漫步(上海版、英文)》 2017年第7期38-39,共2页
From now through late August,Pearl Lam Galleries lends itself to a dynamic group exhibition featuring artwork from 18 emerging Chinese artists,each of whom are grappling with the concept of‘the Inexplicable’.
关键词 PEARL galle EXHIBITION
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Evolutionary timescale of chalcidoid wasps inferred from over one hundred mitochondrial genomes
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作者 Jia-Chen Zhu Hui Xiao +8 位作者 Pu Tang Xiao-Fei Li Xuan-Kun Li Chao-Dong Zhu Qiong Wu Jin-Hua Xiao Cornelis van Achterberg Da-Wei Huang Xue-Xin Chen 《Zoological Research》 SCIE CAS CSCD 2023年第3期467-482,共16页
Chalcidoidea is one of the most biologically diverse groups among Hymenoptera.Members are characterized by extraordinary parasitic lifestyles and extensive host ranges,among which several species attack plants or serv... Chalcidoidea is one of the most biologically diverse groups among Hymenoptera.Members are characterized by extraordinary parasitic lifestyles and extensive host ranges,among which several species attack plants or serve as pollinators.However,higher-level chalcidoid relationships remain controversial.Here,we performed mitochondrial phylogenomic analyses for major clades(18out of 25 families)of Chalcidoidea based on 139 mitochondrial genomes.The compositional heterogeneity and conflicting backbone relationships in Chalcidoidea were assessed using various datasets and tree inferences.Our phylogenetic results supported the monophyly of 16families and polyphyly of Aphelinidae and Pteromalidae.Our preferred topology recovered the relationship(Mymaridae+(Signiphoridae+Leucospidae)+(Chalcididae+((Perilampidae+Eucharitidae)+remaining Chalcidoidea))).The monophyly of Agaonidae and Sycophaginae was rejected,while the gall-associated((Megastigmidae+Ormyridae)+(Ormocerinae+Eurytomidae))relationship was supported in most results.A six-gene inversion may be a synapomorphy for most families,whereas other derived gene orders may introduce confusion in phylogenetic signals at deeper nodes.Dating estimates suggested that Chalcidoidea arose near the Jurassic/Cretaceous boundary and that two dynamic shifts in diversification occurred during the evolution of Chalcidoidea.We hypothesized that the potential codiversification between chalcidoids and their hosts may be crucial for accelerating the diversification of Chalcidoidea.Ancestral state reconstruction analyses supported the hypothesis that gallinducers were mainly derived from parasitoids of gallinducers,while other gall-inducers were derived from phytophagous groups.Taken together,these findings advance our understanding of mitochondrial genome evolution in the major interfamilial phylogeny of Chalcidoidea. 展开更多
关键词 Mitochondrial genome CHALCIDOIDEA Compositional heterogeneity Divergence time Evolution of host and gall associations
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Identification of genes associated with gall bladder cell carcinogenesis:Implications in targeted therapy of gall bladder cancer
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作者 Ishita Ghosh Ruma Dey Ghosh Soma Mukhopadhyay 《World Journal of Gastrointestinal Oncology》 SCIE 2023年第12期2053-2063,共11页
Gall bladder cancer(GBC)is becoming a very devastating form of hepatobiliary cancer in India.Every year new cases of GBC are quite high in India.Despite recent advanced multimodality treatment options,the survival of ... Gall bladder cancer(GBC)is becoming a very devastating form of hepatobiliary cancer in India.Every year new cases of GBC are quite high in India.Despite recent advanced multimodality treatment options,the survival of GBC patients is very low.If the disease is diagnosed at the advanced stage(with local nodal metastasis or distant metastasis)or surgical resection is inoperable,the prognosis of those patients is very poor.So,perspectives of targeted therapy are being taken.Targeted therapy includes hormone therapy,proteasome inhibitors,signal transduction and apoptosis inhibitors,angiogenesis inhibitors,and immunotherapeutic agents.One such signal transduction inhibitor is the specific short interfering RNA(siRNA)or short hairpin RNA(shRNA).For developing siRNAmediated therapy shRNA,although several preclinical studies to evaluate the efficacy of these key molecules have been performed using gall bladder cells,many more clinical trials are required.To date,many such genes have been identified.This review will discuss the recently identified genes associated with GBC and those that have implications in its treatment by siRNA or shRNA. 展开更多
关键词 Gall bladder cancer Gene biomarker Targeted therapy siRNA mediated therapy PROGNOSIS Advanced therapy of gall bladder cancer
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Isolated traumatic gallbladder injury: A case report
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作者 Dong-Liang Liu Jun-Yong Pan +3 位作者 Tian-Cong Huang Cheng-Zong Li Wen-Du Feng Gao-Xiong Wang 《World Journal of Gastrointestinal Surgery》 SCIE 2023年第11期2639-2645,共7页
BACKGROUND Isolated gallbladder injury(GI)(IGI)directly induced by abdominal trauma is rare.Symptoms,indications,and imaging examinations of IGI are frequently non-specific,posing tremendous diagnostic challenges,whic... BACKGROUND Isolated gallbladder injury(GI)(IGI)directly induced by abdominal trauma is rare.Symptoms,indications,and imaging examinations of IGI are frequently non-specific,posing tremendous diagnostic challenges,which are simple to overlook and may have severe implications.Improving doctors'understanding of gallbladder injury(GI)facilitates early detection and decreases the likelihood of severe consequences,including death.CASE SUMMARY We report a case of IGI caused by blunt violence(after falling from three meters with the umbilicus as the stress point)and performed laparoscopic repair of the gallbladder rupture,which helps clinicians understand IGI and reduce the severe consequences of delayed diagnosis.Through extensive medical history and dynamic abdominal ultrasound evaluation,doctors can identify GI early and begin surgery,thereby decreasing the devastating repercussions of delayed diagnosis.CONCLUSION This article aims to improve clinicians'understanding of IGI and propose a method for the diagnosis and treatment of GI. 展开更多
关键词 Isolated gallbladder injury Blunt abdominal trauma Gall bladder trauma Case report
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WMSN图像节点低内存小波变换方法研究 被引量:3
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作者 陆明洲 刘志强 +3 位作者 沈明霞 刘龙申 杨晓静 周波 《农业机械学报》 EI CAS CSCD 北大核心 2014年第4期289-293,188,共6页
基于Le Gall 5/3滤波器提出了一种逐行小波变换方法,处理器从图像节点SD卡逐行读出图像信息,完成多级变换后将变换结果行写入SD卡。该方法 SRAM内存需求低,且仅涉及定点整数乘法、加法及移位操作。应用所提方法对一幅256像素×256... 基于Le Gall 5/3滤波器提出了一种逐行小波变换方法,处理器从图像节点SD卡逐行读出图像信息,完成多级变换后将变换结果行写入SD卡。该方法 SRAM内存需求低,且仅涉及定点整数乘法、加法及移位操作。应用所提方法对一幅256像素×256像素仔猪灰度图像进行小波变换实验,结果表明,该方法以合理的定点运算代价换取了3.968 KB的SRAM开销以及8.718 s的时间开销。为基于小波变换的WMSN节点图像压缩奠定了基础,使农业生产图像在低带宽WMSN上高效传输成为可能。 展开更多
关键词 多媒体传感器网络 图像压缩 低内存 逐行小波变换 Le GALL 5 3滤波器
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基于GAL器件的步进电机控制器的研究与设计 被引量:5
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作者 臧利林 贾磊 丁新 《电子技术应用》 北大核心 2004年第4期28-30,共3页
介绍了利用阵列逻辑器件GAL16V8对三相六拍步进电机实现控制的方法及其电路设计。通过计算机和编程器对GAL进行编程,可以满足各种控制要求。该电路简单,工作稳定可靠,编程灵活方便。
关键词 GAL器件 步进电机 控制器 GALl6V8 三相六拍 阵列逻辑器件
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Study on Breeding of Rice Gall Midge (Orseolia oryzae) 被引量:1
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作者 卢家仕 何龙飞 +3 位作者 徐晶 覃芳 黄敏 韦素美 《Plant Diseases and Pests》 CAS 2011年第5期34-37,共4页
[ Objective ] The paper is to explore the breeding of rice gall midge. [ Method ] The morphological characteristics, living habits, breeding method and resistance identification of rice gall midge are introduced. [ Re... [ Objective ] The paper is to explore the breeding of rice gall midge. [ Method ] The morphological characteristics, living habits, breeding method and resistance identification of rice gall midge are introduced. [ Result] TN1 can be used as feedstuff to feed rice gall midge, and water should be sprayed to keep moisture during the breeding process. The damage caused by mice, rice planthopper, ants and spiders during the breeding process should be paid attention, mice and ants can be controlled by water insulation method, rice planthopper and spiders can be controlled by tap water rinsing method and artificial capture method, respec- tively. [ Conlcusion] The study provides reference for further study on rice gall midge. 展开更多
关键词 Rice gall midge Morphological characteristics Living habits Breeding method Resistance identification China
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美国核电厂GALL报告解读 被引量:13
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作者 龚嶷 窦一康 《核安全》 2014年第2期88-94,共7页
GALL报告是美国NRC颁布的用于指导审查核电厂执照更新申请的技术文件,它采用表单化形式,从具体的构筑物与部件层面出发,详细记录了材料、环境、老化效应与机理、老化管理大纲间逐一对应的关系。基于文献调研与分析,从开发背景、发展历... GALL报告是美国NRC颁布的用于指导审查核电厂执照更新申请的技术文件,它采用表单化形式,从具体的构筑物与部件层面出发,详细记录了材料、环境、老化效应与机理、老化管理大纲间逐一对应的关系。基于文献调研与分析,从开发背景、发展历史、内容框架、应用情况等方面介绍了GALL报告的基本信息,应是我国对该文件的首次全面解读,对我国建立核电厂老化管理大纲及有关核电厂延寿的核安全监管法规具有重要参考价值。 展开更多
关键词 核电厂 老化管理 GALL报告 执照更新申请 执照更新申请审查
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好玩的熊猫版AIBO机器狗
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作者 曲永涛 《电脑与电信》 2002年第6期30-30,共1页
日本当地时间4月18日下午,东京银座SONY大楼处,SONY娱乐有限公司和太阳树软饮料公司共同推出熊猫AIBO ERS-311 LATT机器狗。组织此次活动的承办方还邀请香港TVCF著名时装模特Gaile Lai小姐穿上中国传统服装,一同出席在东京都市区举办的... 日本当地时间4月18日下午,东京银座SONY大楼处,SONY娱乐有限公司和太阳树软饮料公司共同推出熊猫AIBO ERS-311 LATT机器狗。组织此次活动的承办方还邀请香港TVCF著名时装模特Gaile Lai小姐穿上中国传统服装,一同出席在东京都市区举办的宣传推广活动。并采用抽签方式从参与智力测验活动人群中抽取(?)001份小礼品赠与获奖者。 展开更多
关键词 机器狗 AIBO 都市区 智力测验 吉曲 galle
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Isolation and Preliminary Identification of Antibacterial Active Substances of Antagonistic Actinomycetes against Peach Crown Gall(Agrobacterium tumefaciens) 被引量:1
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作者 季敬霖 马焕普 刘志民 《Plant Diseases and Pests》 CAS 2011年第3期1-5,共5页
[ Objective ] The paper was to isolate and preliminarily identify the antibacterial active substances of antagonistic actinomyeete strain G19 obtained from the soil highly affected by peach crown gall (Agrobacterium ... [ Objective ] The paper was to isolate and preliminarily identify the antibacterial active substances of antagonistic actinomyeete strain G19 obtained from the soil highly affected by peach crown gall (Agrobacterium tumefaciens). [ Method] The antibacterial substances of antagonistic actinomycete strain G19 were ex- tracted using protein precipitation method, then isolated and purified using high performance liquid chromatography and medium-pressure preparative chromatogra- phy. Its molecular weight was determined by MALDI-TOFMS method, and the related functional groups were verified through chemical color reaction. [ Result] Seven peptide portions were produced from the antibacterial substances of antagonistic actinomycete strain G19 with the molecular weights of 900 - 1 300 Da after isolation and purification. It could be also inferred that it contained Cys, and carried with H2O and Na+. Color reaction of functional groups verified that the sub- stance was polypeptide containing glycosyl. [ Conclusion] The result provided basis for the final definition of the structure of antibacterial substances in antagonistic actinomycete strain G19. 展开更多
关键词 Peach crown gall ACTINOMYCETES Antibacterial peptides China
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One-step palliative treatment method for obstructive jaundice caused by unresectable malignancies by percutaneous transhepatic insertion of an expandable metallic stent 被引量:29
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作者 Hiroshi Yoshida Yasuhiro Mamada +10 位作者 Nobuhiko Taniai Yoshiaki Mizuguchi Tetsuya Shimizu Shigeki Yokomuro Takayuki Aimoto Yoshiharu Nakamura Eiji Uchida Yasuo Arima Manabu Watanabe Eiichi Uchida Takashi Tajiri 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第15期2423-2426,共4页
AIM: To describe a simple one-step method involving percutaneous transhepatic insertion of an expandable metal stent (EMS) used in the treatment of obstructive jaundice caused by unresectable malignancies. METHODS... AIM: To describe a simple one-step method involving percutaneous transhepatic insertion of an expandable metal stent (EMS) used in the treatment of obstructive jaundice caused by unresectable malignancies. METHODS: Fourteen patients diagnosed with obstructive jaundice due to unresectable malignancies were included in the study. The malignancies in these patients were a result of very advanced carcinoma or old age. Percutaneous transhepatic cholangiography was performed under ultrasonographic guidance. After a catheter with an inner metallic guide was advanced into the duodenum, an EMS was placed in the common bile duct, between a point 1 cm beyond the papilla of Vater and the entrance to the hepatic hilum. In cases where it was difficult to span the distance using just a single EMS, an additional stent was positioned. A drainage catheter was left in place to act as a hemostat. The catheter was removed after resolution of cholestasis and stent patency was confirmed 2 or 3 d post-procedure. RESULTS: One-step insertion of the EMS was achieved in all patients with a procedure mean time of 24.4 min. Out of the patients who required 2 EMS, 4 needed a procedure time exceeding 30 min. The mean time for removal of the catheter post-procedure was 2.3 d. All patients died of malignancy with a mean follow-up time of 7.8 mo. No stent-related complication or stent obstruction was encountered. CONCLUSIONS: One-step percutaneous transhepaticinsertion of EMS is a simple procedure for resolving biliary obstruction and can effectively improve the patient's quality of life. 展开更多
关键词 Expandable metallic stent Bile duct carcinoma Gall bladder carcinoma Pancreatic carcinoma Gastric carcinoma Obstructive jaundice
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Surgical outcome of carcinosarcoma of the gall bladder:A review 被引量:13
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作者 Takehiro Okabayashi Zhao-Li Sun +1 位作者 Robert A Montgomery Kazuhiro Hanazaki 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第39期4877-4882,共6页
Carcinosarcoma,which comprises less than one percent of all gall bladder neoplasms,is characterized by the presence of variable proportions of carcinomatous and sarcomatous elements.Recently,several reports have descr... Carcinosarcoma,which comprises less than one percent of all gall bladder neoplasms,is characterized by the presence of variable proportions of carcinomatous and sarcomatous elements.Recently,several reports have described patients suffering from carcinosarcoma of the gall bladder.However,there are no large studies regarding the clinicopathologic features,therapeutic management,and surgical outcome of this disease because the number of patients who undergo resection of gall bladder carcinosarcoma at a single institution is limited.A Medline search was performed using the keywords 'gall bladder' and 'carcinosarcoma'.Additional articles were obtained from references within the papers identified by the Medline search.Optimal adjuvant chemotherapy and/or radiotherapy protocols for carcinosarcoma of the gall bladder have not been established.Curative surgical resection offers the only chance for long-term survival from this disease.The outcome of 36 patients who underwent surgical resection for carcinosarcoma of the gall bladder was poor;the 3-year overall survival rate was only 31.0% and the median survival time was 7.0 mo.Since the postoperative prognosis of carcinosarcoma of the gall bladder is worse than that of adenocarcinoma,new adjuvant chemotherapies and/or radiation techniques are essential for improvement of surgical outcome. 展开更多
关键词 Gall bladder CARCINOSARCOMA Spindle cell carcinoma SURGERY OUTCOME
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Endoscopic management of acute cholangitis in elderly patients 被引量:15
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作者 Naresh Agarwal Barjesh Chander Sharma Shiv K Sarin 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第40期6551-6555,共5页
AIM: To evaluate clinical presentation, etiology, compli-cations and response to treatment in elderly patients with acute cholangitis.METHODS: Demographics, etiology of biliary obstruc-tion, clinical features, complic... AIM: To evaluate clinical presentation, etiology, compli-cations and response to treatment in elderly patients with acute cholangitis.METHODS: Demographics, etiology of biliary obstruc-tion, clinical features, complications and associated systemic diseases of 175 patients with acute cholangitis were recorded. Endoscopic biliary drainage was performed using nasobiliary drain or stent. The complications related to ERCP, success of biliary drainage, morbidity, mortality and length of hospital stay were evaluated. RESULTS: Of 175 patients, 52 aged ≥ 60 years (groupⅠ, age < 60 years; group Ⅱ, age ≥ 60 years) and 105 were men. Fever was present in 38 of 52 patients of group Ⅱ compared to 120 of 123 in groupⅠ. High fever (fever ≥ 38.0℃) was more common in groupⅠ(118/120 vs 18/38). Hypotension (5/123 vs 13/52), altered sensorium (3/123 vs 19/52), peritonism (22/123 vs 14/52), renal failure (5/123 vs 14/52) and associated comorbid diseases (4/123 vs 21/52) were more common in group Ⅱ. Biliopancreatic malignancy was a common cause of biliary obstruction in group Ⅱ (n = 34) and benign diseases in groupⅠ(n = 120). Indications for biliary drainage were any one of the following either singly or in combination: a fever of ≥ 38.0℃ (n = 136), hypotension (n = 18), peritonism (n = 36), altered sensorium (n = 22), and failure to improve within 72 h of conservative management (n = 22). High grade fever was more common indication of biliary drainage in groupⅠand hypotension, altered sensorium, peritonism and failure to improve within 72 h of conservative management were more common indications in group Ⅱ. Endoscopic biliary drainage was achieved in 172 patients (nasobiliary drain: 56 groupⅠ, 24 group Ⅱ, stent: 64 groupⅠ, 28 group Ⅱ) without any significant age related difference in the success rate. Abdominalpain, fever, jaundice, hypotension, altered sensorium, peritonism and renal failure improved after median time of 5 d in 120 patients in groupⅠ(2-15 d) compared to 10 d in 47 patients of group Ⅱ (3-20 d). Normalization of leucocyte count was seen after a median time of 7 d (3-20 d) in 120 patients in groupⅠcompared to 15 d (5-26 d) in 47 patients in group Ⅱ. There were no ERCP related complications in either group. Five patients (carcinoma gallbladder n = 3, CBD stones n = 2) died in group Ⅱ and they had undergone biliary drainage after failure of response to conservative management for 72 h. There was a higher mortality in patients in group Ⅱ despite successful biliary drainage (0/120 vs 5 /52). Length of hospital stay was longer in group Ⅱ patients (16.4 ± 5.6, 7-30 d) than in groupⅠpatients (8.2 ± 2.4, 7-20 d).CONCLUSION: Elderly patients with acute cholangitis have a high incidence of severe cholangitis, concomitant medical illnesses, hypotension, altered sensorium, peritonism, renal failure and higher mortality even after successful biliary drainage. 展开更多
关键词 Acute cholangitis Endoscopic biliary drainage Endoscopic retrograde cholangio-pancreatography Common bile duct stones Carcinoma gall bladder
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Outcome of gall bladder polypoidal lesions detected by transabdominal ultrasound scanning: A nine year experience 被引量:23
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作者 D Chattopadhyay R Lochan +2 位作者 S Balupuri BR Gopinath KS Wynne 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第14期2171-2173,共3页
AIM: To determine the outcome of polypoidal lesions within the gall bladder (PLG) diagnosed by trans-abdominal scanning.METHODS: A nine-year (1993-2002) retrospective casenote review of all patients who underwent ultr... AIM: To determine the outcome of polypoidal lesions within the gall bladder (PLG) diagnosed by trans-abdominal scanning.METHODS: A nine-year (1993-2002) retrospective casenote review of all patients who underwent ultrasound scanning after referral to a single Upper GI Surgeon at a District General Hospital was conducted. Patients who were diagnosed with a PLG were included in our study. A database was constructed and patient details, investigations including ultrasound scan (USS) findings, treatment and histology and final diagnosis were recorded. RESULTS: Twenty-three (out of 651) patients were diagnosed pre-operatively by USS to have a polyp-likegall bladder lesion (PLG). Post cholecystectomy histological examination revealed 12 gallstones, 7 cholesterol polyps, 3 adenocarcinomas within polyps and 1 normal gall bladder. The specificity of USS in the diagnosis of PLG was 92.3%. All the true polyps were malignant. Overall USS had 66.66% sensitivity and 100% specificity in the pre-operative suspicion of malignancy. Using size greater than 10 mm as measured on USS as a cut-off, we find 100% sensitivity and 86.95% specificity with a positive predictive value of 50% in the diagnosis of malignancy in PLG.CONCLUSION: A large number of PLG are in fact calculi within diseased gall bladder. In cases of gall bladder polyps more then 10 mm in size on USS further imaging (crosssectional and/or EUS) is indicated prior to surgery. This will help in the optimal management of patients and avoid histological surprises. 展开更多
关键词 Polypoidal lesion in gall bladder Malignant polyps
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Pharmacognostic studies of insect gall of Quercus infectoria Olivier(Fagaceae) 被引量:4
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作者 Savitri Shrestha Vasuki Srinivas Kaushik +3 位作者 Ravi Shankara Birur Eshwarappa Sundara Rajan Subaramaihha Latha Muuaiah Ramanna Dhananjaya Bhadrapura Lakkappa 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2014年第1期35-39,共5页
Objective:To study the detailed pharmacognostic profile of galls of Quercus infectoria Olivier(Q.infectoria olivier)(Fagaceae),an important medicinal plant used in the Indian system of medicine.Methods:Samples of gall... Objective:To study the detailed pharmacognostic profile of galls of Quercus infectoria Olivier(Q.infectoria olivier)(Fagaceae),an important medicinal plant used in the Indian system of medicine.Methods:Samples of galls of Q.infectoria were studied by macroscopical,microscopical,physiochemical,phytochemical.fluorescence analysis and othjer methods for standardization as recommended by WHO.Results:Macroscopically,the crude drug is globose with horny appearances on external surface(1.4-2.3 cm in length and 1-1.5 cm in diameter),with greyish-brown to brownish-black in colour externally and dark brown buff colored.Surface is smooth with numerous horny protuberances giving rough touch,and witfi unpleasant odour.Microscopically,a wide zone of radially elongated parenchyma cells between upper and lower epidermis were found.The vascular strands were present at all places and radially elongated sclerides touched the lower epidermis.In physico-chemical studies,the moisture,total ash,acid insoluble ash,alcohol soluble,water soluble,petroleum ether,chloroform extractive value and tannin content were found to be 2.790,5.020,0.110,38.780,41.210,0.402,1.590 and 49.200 percentage respectively.Prcliminary phytochemical screening showed the presence of phenols,flavonoids,steroids,triterpenes,tannins,saponins and alkaloids.Cooclusions:The results of the present study serve as a valuable source of information and provide suitable standards for identification of this medicinally important plant drug material for future investigations and applications. 展开更多
关键词 QUERCUS infectoria GALL EXTRACTS Traditional medicine Pharmacognostic study Microscopic studies.
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