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排序方式: 共有1038条查询结果,搜索用时 154 毫秒
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Alyssa M. Civantos Yasmeen Byrnes Changgee Chang Aman Prasad Kevin Chorath Seerat K. Poonia Carolyn M. Jenks Andrs M. Bur Punam Thakkar Evan M. Graboyes Rahul Seth Samuel Trosman Anni Wong Benjamin M. Laitman Brianna N. Harris Janki Shah Vanessa Stubbs Garret Choby Qi Long Christopher H. Rassekh Erica Thaler Karthik Rajasekaran 《Head & neck》2020,42(7):1597-1609
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Coronavirus disease 2019 has undoubtedly impacted the health care system while causing lasting and profound implications for medical education. Senior medical students seeking exposure to the field of otolaryngology now find themselves in the challenging position of obtaining the experiences to make an informed decision on a future specialty. Virtual electives using comprehensive online material, discussion, and videos as well as the advent of telemedicine may be potential solutions to increase exposure to otolaryngology. While incorporating opportunities for authentic patient interactions is still a challenge, it is crucial that the academic otolaryngology community prioritize seeking solutions for interested medical students. 相似文献
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Gary M. Freedman MD Barbara L. Fowble MD Tianyu Li MS E. Shelley Hwang MD MPH Naomi Schechter MD Karthik Devarajan PhD Penny R. Anderson MD Elin R. Sigurdson MD PhD Lori J. Goldstein MD Richard J. Bleicher MD 《The breast journal》2014,20(4):358-363
We examine risk of positive nonsentinel axillary nodes (NSN) and ≥4 positive nodes in patients with 1–2 positive sentinel nodes (SN) by age and tumor subtype approximated by ER, PR, and Her2 receptor status. Review of two institutional databases demonstrated 284 women undergoing breast conservation between 1997 and 2008 for T1‐2 tumors and 1 (229) or 2 (55) positive SN followed by completion dissection. The median number of SN and total axillary nodes removed were 2 (range 1–10) and 14 (range 6–37), respectively. The rate of positive NSNs (p = 0.5) or ≥4 positive nodes (p = 0.6) was not associated with age. NSN were positive in 36% of luminal A, 26% of luminal B, 21% of TN and 38% of Her2+ (p = 0.4). Four or more nodes were present in 17% of luminal A, 13% luminal of B, 0% of TN and 29% of Her2+ (p = 0.1). Microscopic extracapsular extension was significantly associated with having NSNs positive (55% versus 24%, p < 0.0001) and with having total ≥4 nodes positive (33% versus 7%, p < 0.0001). In a population that was largely eligible for ACOSOG Z0011, the risk of positive NSN or ≥4 positive nodes did not vary significantly by age. The TN subgroup had the lowest risk of both positive NSN or ≥4 positive nodes. Several high risk groups with >15% risk for having ≥4 positive nodes were identified. Further data is needed to confirm that ACOSOG Z0011 results are equally applicable to all molecular phenotypes. 相似文献
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Gordon Cook A John Ashcroft Guy Pratt Rakesh Popat Karthik Ramasamy Martin Kaiser Matthew Jenner Sarah Henshaw Rachel Hall Jonathan Sive Simon Stern Matthew Streetly Ceri Bygrave Richard Soutar Neil Rabin Graham H Jackson the United Kingdom Myeloma Forum 《British journal of haematology》2020,190(2):e83-e86
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Po-Chang Chiang Karthik Nagapudi Peter W. Fan Jia Liu 《Journal of pharmaceutical sciences》2019,108(1):109-119
With the rising cost of drug research, “do more with less” has become a new emphasis in the pharmaceutical industry. Consequently, the early analysis of pharmacokinetic/pharmacodynamic, efficacy, and safety parameters for a new drug target is critical for ensuring informed decision-making as soon as possible during the drug discovery process. When absorption, distribution, metabolism, and excretion properties of compounds are suboptimal which is especially true during the early stages of drug discovery, obtaining the desired exposure can be challenging via the most common routes (oral, intravenous). Therefore, subcutaneous (SC) injection is often explored as an alternate route of delivery. Although SC injection is used widely in the industry, information about how to model and predict the absorption of drugs administered via SC injection is not readily available. In the current research, we analyzed the absorption behavior of 12 model compounds covering a wide range of physicochemical properties following SC injection. We introduced a compound-specific parameter, the absorption factor from single SC injections of suspension doses of each compound, to aid in modeling and predicting of drug absorption profiles. The pharmacokinetic models derived in this study are capable of describing and predicting the absorption properties of SC injection for individual compounds. 相似文献