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134篇 您的检索式:作者名="Alan R M"
    题名 作者 年代 出处 被引量
1急性下呼吸道感染儿童的维生素D摄入显示文摘目的明确维生素D(Vit D)摄入是否与儿童急性下呼吸道感染(ALRI)相关。方法比较因毛细支气管炎或肺炎入院的5岁以下儿童和非配对、无呼吸道感染的同龄对照组儿童之间Vit D摄入的差别。197例儿童的看护人完成了问卷调查,内容包括人口统计变量、ALRI危险因素和饮食。评估ALRI与Vit D摄入及其他危险因素的相关性。结果 ALRI组儿童的平均Vit D摄入为每日48 IU/kg,对照组为每日60 IU/kg。当控制年龄、民族、社会经济地位、北部地区居住、母乳喂养、免疫接种和接触吸烟等因素时,Vit D每日摄入<80 IU/kg的儿童患ALRI的可能性比每日摄入≥80 IU/kg的儿童高4倍(OR=4.9;95%CI:1.5~16.4)。结论为了避免罹患ALRI等疾病,5岁以下儿童可能需要摄入比现在推荐量更高的Vit D剂量。因毛细支气管炎和肺炎是年幼儿童住院的最常见原因,增加Vit D的补充可能有重要的公共卫生保健意义。Karen S Leis J Dayre McNally Matthew R Montgomery Koravangattu Sankaran Chandima Karunanayake Alan M Rosenberg 马丽亚(译) 2012中国当代儿科杂志2012,14,1:25
2Randomized trial in malignant biliary obstruction:Plastic vs partially covered metal stents显示文摘AIM:To compare efficacy and complications of par-tially covered self-expandable metal stent(pcSEMS)to plastic stent(PS)in patients treated for malignant,infrahilar biliary obstruction.METHODS:Multicenter prospective randomized clinical trial with treatment allocation to a pcWallstent(SEMS)or a 10 French PS.Palliative patients aged≥18,for infrahilar malignant biliary obstruction and a Karnofsky performance scale index>60%from 6 participating North American university centers.Primary endpoint was time to stent failure,with secondary outcomes of death,adverse events,Karnofsky performance score and short-form-36 scale administered on a three-monthly basis for up to 2 years.Survival analyses were performed for stent failure and death,with Cox proportional hazards regression models to determine significant predictive characteristics.RESULTS:Eighty-five patients were accrued over 37mo,42 were randomized to the SEMS group and 83patients were available for analyses.Time to stent failure was 385.3±52.5 d in the SEMS and 153.3±19.8 d in the PS group,P=0.006.Time to death did not differ between groups(192.3±23.4 d for SEMS vs211.5±28.0 d for PS,P=0.70).The only significant predictor was treatment allocation,relating to the time to stent failure(P=0.01).Amongst other measured outcomes,only cholangitis differed,being more common in the PS group(4.9%vs 24.5%,P=0.029).The small number of patients in follow-up limits longitudinal assessments of performance and quality of life.From an initially planned 120 patients,only 85 patients were recruited.CONCLUSION:Partially covered SEMS result in a longer duration till stent failure without increased complication rates,yet without accompanying measurable benefits in survival,performance,or quality of life.Peter L Moses Khalid M AlNaamani Alan N Barkun Stuart R Gordon Roger D Mitty M Stanley Branch Thomas E Kowalski Myriam Martel Viviane Adam 2013World Journal of Gastroenterology2013,19,46:6
3Continuous wound infusion of local anaesthetic agents following colorectal surgery:Systematic review and meta-analysis显示文摘AIM:To provide a specifi c review and meta-analysis of the available evidence for continuous wound infusion of local anaesthetic agents following midline laparoto-my for major colorectal surgery. METHODS: Medline, Embase, trial registries, conference proceedings and article reference lists were searched to identify randomised, controlled trials of continuous wound infusion of local anaesthetic agents following colorectal surgery. The primary outcomes were opioid consumption, pain visual analogue scores (VASs), return to bowel function and length of hospital stay. Weighted mean difference were calculated for continuous outcomes. RESULTS: Five trials containing 542 laparotomy wounds were eligible for inclusion. There was a sig- nificant decrease in post-operative pain VAS at rest on day 3 (weighted mean difference: -0.43; 95% CI: -0.81 to -0.04; P = 0.03) but not on post-operative day 1 and 2. Local anaesthetic infusion was associated with a signifi cant reduction in pain VAS on movement on all three post-operative days (day 1 weighted mean difference: -1.14; 95% CI: -2.24 to -0.041; P = 0.04, day 2 weighted mean difference: -0.97, 95% CI: -1.91to -0.029; P = 0.04, day 3 weighted mean difference: -0.61; 95% CI: 1.01 to -0.20; P = 0.0038). Local an- aesthetic wound infusion was associated with a signifi - cant decrease in total opioid consumption (weighted mean difference: -40.13; 95% CI: -76.74 to -3.53; P = 0.03). There was no signifi cant decrease in length of stay (weighted mean difference: -20.87; 95% CI: -46.96 to 5.21; P = 0.12) or return of bowel function (weighted mean difference: -9.40; 95% CI: -33.98 to 15.17; P = 0.45). CONCLUSION: The results of this systematic re- view and meta-analysis suggest that local anaesthetic wound infusion following laparotomy for major color- ectal surgery is a promising technique but do not pro- vide conclusive evidence of benefi t. Further research is required including cost-effectiveness analysis.Alan Karthikesalingam Stewart R Walsh Sheraz R Markar Umar Sadat Tjun Y Tang Charles M Malata 2008World Journal of Gastroenterology2008,14,34:4
4Use of buffeting and other means to improve results of problem atic pesticides in a fast and easy method for residue analysis of fruits and vegetables 显示文摘STEVEN J L KATEIINA M ALAN R L 2005JAOAC Int2005,88,2:1
5Seismic fragility assessment of SMA-bar restrained multi-span continuous highway bridge isolated by different laminated rubber bearings in medium to strong seismic risk zones显示文摘Alan M S Bhuiyan M A R Billah A H M 2012Bulletin of Earthquake Engineering2012,10,6:1
6Lake-Type Controls on Petroleum Source Rock Potential in Nonmarine Basins显示文摘Alan R Carroll Kevin M Bohacs 2001AAPG Bulletin2001,85,2:1
7Transformation of Arabidopsis thaliana with Agrobacterium tumefaciens 显示文摘Alan M Lloyd Arlene R Barnason Stephen O Rog- ers 1986Science1986,234,:1
83D reconstruction of the carotid artery from two views using a single centerline显示文摘Kenneth R H Alan M W Peter B N 2004International Congress Series2004,,:1
9The double di- amond modelInternational competitiveness: Canada's experience 显示文摘RUGMAN ALAN M JOSEPH R etc 1993Management International Review1993,,33:1
10Estimates of the elasticities of substitution between imports and home goods for the United States显示文摘Clinton R S Robert M S Alan V D 0,,03:1
11查看详情显示文摘Lehotay S J Kate(r)ina M Alan R L 0,,02:1
12Convergence properties of the softassign quadratic assignment algorithm 显示文摘ANAND R ALAN Y ERIC M 1999Neural Computation1999,11,:1
13Mercury(11) immobilized on car-bon nanotubes: synthesis, characterization and redox properties 显示文摘ALAN M B MIAO W COLIN L R 2000Langmuir2000,16,14:1
14Spread of metals through an invertebrate food chain as influenced by a plant that hyperaccumulates nickel显示文摘Lynsey R Peterson Victoria Trivett Alan J M Baker 2003Chemoecology2003,,13:1
15Obesitygene variant and elite endurance performance显示文摘Moore Geoffrey E Shuldiner Alan R Zmuda J0seph M Ferrell Robert E Mccole Steve D Hagberg James M 2001Metabolism Clinical and Experimental2001,50,12:1
16Effect of Sur- face Finish on Gear Tooth Friction 显示文摘Britton R D Elcoate C D Alanou M P 2000Journal of tribology2000,122,1:1
17Complementarities and Spillovers in Mergers: an Empirical Investigation Using Patent Data显示文摘Alan C M Gordon C R 2011Eco- nomics of Innovation and New Technology2011,20,3:1
18Vertically Unstable Pelvic Fractures Fixed with Percutaneous Iliosacral Screws: Does Posterior Injury Pattern Predict Fixation Failure?显示文摘Damian R Griffin Adam J Starr Charles M Reinert Alan L Jones Shelly Whitlock 2006Journal of Orthopaedic Trauma ( Suppl)2006,,1:1
19Evaluating the reliability of automated collision notification systems显示文摘Mohan R Akella Chaewon Bang Rob Beutner Eric M Delmelle Rajan Batta Alan Blatt Peter A Rogerson Glenn Wilson 2002Accident Analysis and Prevention2002,,3:1
20显示文摘 KATELINA M ALAN R L 2005J AOAC International2005,88,2:1
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