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Paulo Cezar Galv?o do Amaral Euler de Medeiros ázaro Filho Thales Delmondes Galv?o Ettinger Eric Junior Galeno Egydio José de Magalh?es Neto Fabrício Mascarenhas Edvaldo Fahel 《JSLS, Journal of the Society of Laparoendoscopic Surgeons》2006,10(3):355-358
BACKGROUND: Randomized studies demonstrate that laparoscopic appendectomy yields better results compared with open techniques. We sought to identify factors that determine an extended hospital stay among patients undergoing laparoscopic appendectomy. METHODS: This was a prospective study including 669 patients undergoing laparoscopic appendectomy. We analyzed variables that can predict the length of hospital stay. RESULTS: Of 669 patients undergoing laparoscopic appendectomy, 141 stayed in the hospital for > or = 5 days (Group 1), and 97 stayed in the hospital for < or = 1 day after surgery (Group 2). The univariate analysis demonstrated that fever (P<0.0001), nausea and vomiting (P=0.060), leukocytosis (P<0.0001), gangrened or perforated intraoperative appearance of the appendix (P<0.0001), and appendix position behind the ileocecal junction (P<0.001) were related to a longer hospital stay. The multivariate analysis through logistical regression showed that the factors independently and significantly associated with an extended hospital stay were presurgical fever, appendix position behind the ileocecal junction, and intraoperative gangrened or perforated appearance of the appendix. CONCLUSION: Fever, appearance, and position of the appendix are factors related to an extended hospital stay. 相似文献
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Intra-amniotic inflammation in human gastroschisis: possible aetiology of postnatal bowel dysfunction 总被引:1,自引:0,他引:1
John J. Morrison Lecturer/Senior Registrar Nigel Klein Consultant † Lyn S. Chitty Consultant Gabriella Kocjan Consultant Denise Walshe Laboratory Assistant † Mark Goulding Laboratory Assistant † Michael P. Geary Research Fellow Agostino Pierro Consultant § Charles H. Rodeck Professor 《BJOG : an international journal of obstetrics and gynaecology》1998,105(11):1200-1204
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选择南方热区某特种部队战士52人,分两组分别口服5mgVitB1和VitB2,收集4h尿液,用荧光法进行负荷试验。结果:VitB1组,所测29人中,15人缺乏,9人不足,2人正常,3人充裕;VitB2组,所测23人中,11人缺乏,12人不足,反映该部队全年约5%的发病是由于VitB1、VitB2缺乏不足所致。其原因为膳食摄入不够 相似文献
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观察了小鼠暴露在不同海拔梯度下脑含水量改变及其与脑水肿的关系。实验结果表明,小鼠由低海拔区快速进入高海拔区后脑组织的湿干比值和含水量均有增高(P<001),以进入高海拔区后的第7d为最高峰。组织学观察表明,此时脑神经细胞肿胀,胞浆内有空泡变性,胶质细胞和微血管周围有明显空晕。以上结果揭示,由低海拔区快速进入高海拔区后可致脑水肿形成。 相似文献
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The Effects of Na~+/Ca~(2+) exchange (NCX) on the Repolarization of Canine Ventricular Myocyte-Potential Arrhythmogenic Effect of NCX during a Mis-matched Repolarization and Relaxation Xiamen Zhongshan Hospital, Xiamen Medical College, Xiamen University@巩燕$Visiting scholar of cardiac arrhythmia research institute,university hospital of Oklahoma!U.S.A
@王焱
@BELA Szabo$Basic cardiac research laboratory,cardiac arrhythmia research institute,university hospital of Oklahoma!… 相似文献
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John McMahon RMN BA Scottish Home Health Department Nursing Research Fellow Staff Nurse Barry T Jones BSc PhD Senior Lecturer 《Journal of advanced nursing》1992,17(2):173-186
Despite being constantly cited as a critical intervening variable in the recovery from alcohol problems, there is a paucity of literature on client motivation. This paper reviews the current literature which impacts on motivation and its importance in treatment and develops in a stepwise manner the revised expectancy/motivation hypothesis, tentatively explaining both motivation and denial as a natural process in behavioural change. Because of the revised expectancy/motivation hypothesis' distinctly defined stages which closely relate to the process of nursing and the qualitative and quantitative measurement it entails which the nursing process demands, it offers a particularly appropriate model for treatment within nurse practice. 相似文献
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Terry Kwong MB BS FRACP Senior Fellow Elsa Valderrama MD Assistant Professor of Pediatric Pathology Carole Paley MD Assistant Professor of Pediatrics Norman Ilowite MD Associate Professor of Pediatrics 《Seminars in arthritis and rheumatism》1994,23(6)
Childhood sarcoidosis is a rare disorder with protean manifestations. The case of a child with prolonged fever, hepatosplenomegaly, pancytopenia, and systemic necrotizing vasculitis manifesting as fever, rash and skin infarctions, digital pregangrene, and foot drop is reported. This is the first case of systemic necrotizing vasculitis reported in sarcoidosis. The fulminant course of the disease required treatment with intravenous pulsed cyclophosphamide and high doses of corticosteroids. The spectrum of vasculitis in childhood and adult sarcoidosis is reviewed. 相似文献