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221.
M Bassiouny B E Hirsch R H Kelly D B Kamerer S P Cass 《The American journal of otology》1992,13(6):552-555
The diagnosis and management of perilymphatic fistula has received considerable attention in recent years. Despite the use of sophisticated technology, the diagnosis of perilymphatic fistula continues to rest primarily upon clinical suspicion and the exclusion of other disorders. In addition, the confirmation of a perilymphatic fistula during surgical exploration is usually based upon the subjective observation of fluid pooling in niches of the middle ear. A sensitive and objective laboratory test for identifying perilymph in the middle ear would be a useful adjunct for the diagnosis and management of perilymphatic fistula. The objective of this paper is to demonstrate the potential utility of beta 2 (beta 2) transferrin assay in the diagnosis of perilymphatic fistula. To accomplish this objective, we confirmed that beta 2 transferrin is present in living human perilymph and is absent in the normal or inflamed middle ear. In addition, the utility of beta 2 transferrin assay in the diagnosis of cerebrospinal fluid otorrhea is presented. 相似文献
222.
Evaluating the clinical nurse specialist. A review 总被引:7,自引:0,他引:7
This paper reviews evaluative studies on the role of clinical nurse specialists and aims to describe and categorise research according to the methods used. By using the structure, process and outcome framework a clear pattern of research development and evidence emerges. It appears that significant benefits accrue for patients from the contribution of nurse specialists, but more experimental studies with combined methods should now be applied to this area. 相似文献
223.
Sandra De sa Souza Christopher Lobo Promad Sarode 《Indian journal of otolaryngology and head and neck surgery》1991,43(4):180-185
Two hundred and eighty five patients presenting with profound bilateral sensorineural hearing loss from 1987 to 1989, were
subjected to a detailed history, pure tone audiogram, aided audiogram, Brain Stem Evoked Response Audiometry, Electrocochleography,
Cochlear Nerve Test, and Tomograms of the temporal bones. All the data collected was subsequently analysed. 相似文献
224.
225.
Steven M Kawut Darren B Taichman Vivek N Ahya Sandra Kaplan Christine L Archer-Chicko Stephen E Kimmel Harold I Palevsky 《Liver transplantation》2005,11(9):1107-1111
It is not known whether patients with pulmonary arterial hypertension associated with portal hypertension (portopulmonary hypertension (PPHTN) have different disease characteristics from those of patients with other forms of pulmonary arterial hypertension. We performed a retrospective cohort study of patients with PPHTN and patients with pulmonary arterial hypertension that was idiopathic, familial, or associated with anorexigen use (IPAH) to determine whether hemodynamics or survival were different between these groups. We included consecutive patients who underwent initial pulmonary artery catheterization and vasodilator testing at our center between January 1997 and May 2001 and who were followed until January 2004. Patients with PPHTN (N = 13) had a higher cardiac index and lower pulmonary vascular resistance than patients with IPAH (N = 33) (P < or = 0.001). Right atrial pressure and pulmonary artery pressure were similar between the groups. Patients with PPHTN had a higher risk of death in multivariate analysis (hazard ratio: [HR] = 2.8, 95% CI 1.04-7.4; P = 0.04). These findings were not affected by adjustment for differences in laboratory values, hemodynamics, or therapy. In conclusion, patients with PPHTN have a higher risk of death than that of patients with IPAH, despite having a higher cardiac index and lower pulmonary vascular resistance. Future studies of the specific mechanisms of and therapy for pulmonary arterial hypertension should focus on the distinctions between the different forms of this disease. 相似文献
226.
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228.
Proper timing of surgery for gallstone pancreatitis 总被引:23,自引:0,他引:23
229.
230.
Anita E. Kelly Matthew E. Coenen Benjamin L. Johnston 《Journal of traumatic stress》1995,8(1):161-169
One hundred six undergraduate (83 women and 23 men) completed surveys concerning their most traumatic life event, the feedback they received following their disclosure of the event to others, and how they felt after the disclosure. Results indicated that the better they felt after disclosure, the less disturbed they were by thoughts of the event at the time of the study. In addition, the more personal the trauma was, the worse they felt after their disclosure, and the more disturbed they were about the trauma. However, no significant relation existed between the positivity (e.g., supportiveness) of their confidant's feedback and their present degree of disturbance. Implications for understanding the complex relation between confiding traumatic events and resolving feelings surrounding those events were discussed. 相似文献