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| 1 | 正常人额面QRS电轴的年龄趋势以及对肢体导联QRS波振幅的影响显示文摘目的调查和评估正常人额面QRS电轴的年龄趋势以及对肢体导联QRS波振幅的影响。方法采集5360例(男性3614例、女性1746例,年龄范围18~84岁)正常健康人12导联心电图分为5个年龄组,计算和分析各年龄组额面QRS电轴的中位数以及肢体导联QRS波振幅的中位数和96%的正常范围上、下限。结果随年龄增长,男、女额面QRS中位数电轴一致性地逐渐向左(上)偏移大约27°(从70°偏移到43°,P<0.001)。Ⅰ和aVL导联的R波振幅随年龄增长显著增加(P<0.001),而下壁导联Ⅱ、Ⅲ和aVF的R波振幅随年龄增长显著降低(P>0.001)。肢体导联R波振幅随年龄的变化趋势与额面QRS电轴的年龄趋势相一致。结论正常人额面QRS电轴随年龄增长逐渐向左(上)偏移,呈现明确的年龄趋势。QRS电轴的生理性演变可引起肢体导联QRS波振幅呈现明显的年龄差异。显然,把一个相同的左心室肥大心电图诊断标准应用到不同年龄组人群是不合适的。 | 吴杰 Jan A Kors Peter R Rijnbeek Gerard van Herpen 徐春芳 陆再英 | 2006 | 中华心律失常学杂志2006,10,3: | 8 |
| 2 | Small bowel capsule endoscopy in patients with cardiac pacemakers and implantable cardioverter defibrillators:Outcome analysis using telemetry review显示文摘AIM:To determine if there were any interactions between cardiac devices and small bowel capsules secondary to electromagnetic interference (EMI) in patients who have undergone small bowel capsule endoscopy (SBCE).METHODS:Authors conducted a chart review of 20 patients with a cardiac pacemaker (CP) or implantable cardioverter defibrillator (ICD) who underwent continuous electrocardiographic monitoring during their SBCE from 2003-2008.authors searched for unexplained electrocardiogram (ECG) findings,changes in CP andICD set parameters,any abnormality in transmitted capsule data,and adverse clinical events.RESULTS:There were no adverse events or hemodynamically significant arrhythmias reported.CP and ICD set parameters were preserved.The majority of ECG abnormalities were also found in pre-or post-SBCE ECG tracings and the CP behavior during arrhythmias appeared appropriate.Two patients seemed to have episodes of undersensing by the CP.However,similar findings were documented in ECGs taken outside the time frame of the SBCE.One patient was observed to have a low signal encountered from the capsule resulting in lack of localization,but no images were lost.CONCLUSION:Capsule-induced EMI remains a possibility but is unlikely to be clinically important.CPinduced interference of SBCE is also possible,but is infrequent and does not result in loss of images transmitted by the capsule. | Justin R Cuschieri Mohammed N Osman Richard CK Wong Amitabh Chak Gerard A Isenberg | 2012 | World Journal of Gastrointestinal Endoscopy2012,4,3: | 6 |
| 3 | 中国部分边疆民族地区辍学情况调查显示文摘一、概要 从1986年中国实施9年制义务教育以来,到1992年,小学入学率已达97.95%,初中入学率已达66.91%;并把小学生辍学率控制在2.19%,初中生辍学率控制在5.78%。但是,这一数字是建立在中国不同地区教育发展水平不均衡的基础之上的。截止1991年,中国所有的大城市、70%的中等城市和一半以上的县级市取消了小学升初中的考试,小学毕业生就近升入初中就读。 | 艾一平 孟鸿伟 GERARD A POSTIGLIONE | 1995 | 教育研究1995,16,1: | 6 |
| 4 | Operative vs non-operative management of displaced proximal humeral fractures in the elderly: A systematic review and meta-analysis of randomized controlled trials显示文摘AIM: To perform a systematic review and meta-analysis comparing operative vs non-operative treatment of displaced proximal humerus fractures in elderly patients.METHODS: A systematic literature search was performed using EMBASE and MEDLINE through the OVID interface,CINAHL,the Cochrane Central Register of Controlled Trials(CENTRAL),Proquest,Web of Science,SAE digital library,and Transportation Research Board's TRID database.Searches of conference proceedings were also conducted.All available randomized controlled trials comparing operative vs non-operative management of displaced three- and four-part proximal humerus fractures in elderly patients were included.The primary outcomes measures included physical function,pain,health related quality of life,mortality,and the re-operation rate.RESULTS: Six randomized controlled trials(n = 287) were included.There was no statistically significant difference in function(MD = 1.72,95%CI:-2.90-6.34,P = 0.47),as measured by the Constant score,between the operative and the non-operative treatment groups.There was no statistically significance difference insecondary outcomes of health related quality of life(standardized MD = 0.27,95%CI:-0.05-0.59,P = 0.09),and mortality(relative risk 1.29,95%CI: 0.50-3.35,P = 0.60).Operative treatment had a statistically significant higher re-operation rate(relative risk 4.09,95%CI: 1.50-11.15,P = 0.006),and statistically significant decreased pain(MD = 1.26,95%CI: 0.02-2.49,P = 0.05).CONCLUSION: There is moderate quality evidence to suggest that there is no difference in functional outcomes between the two treatments.Further high quality randomized controlled trials are required to determine if certain subgroup populations benefit from surgical management. | Santa Rabi Nathan Evaniew Sheila A Sprague Mohit Bhandari Gerard P Slobogean | 2015 | World Journal of Orthopedics2015,6,10: | 5 |
| 5 | Performance of the Montreal classification for inflammatory bowel diseases显示文摘AIM:To validate the Montreal classification system for Crohn's disease(CD) and ulcerative colitis(UC) within the Netherlands.METHODS:A selection of 20 de-identified medical records with an appropriate representation of the inflammatory bowel disease(IBD) sub phenotypes were scored by 30 observers with different professions(gastroenterologist specialist in IBD,gastroenterologist in training and IBD-nurses) and experience level with IBD patient care.Patients were classified according to the Montreal classification.In addition,participants were asked to score extra-intestinal manifestations(EIM) and disease severity in CD based on their clinical judgment.The inter-observer agreement was calculated by percentages of correct answers(answers identical to the 'expert evaluation') and Fleiss-kappa(k).Kappa cutoffs:< 0.4-poor; 0.41-0.6-moderate; 0.61-0.8-good; > 0.8 excellent.RESULTS:The inter-observer agreement was excellent for diagnosis(k = 0.96),perianal disease(k = 0.92) and disease location in CD(k = 0.82) and good for age of onset(k = 0.67),upper gastrointestinal disease(k = 0.62),disease behaviour in CD(k = 0.79) and disease extent in UC(k = 0.65).Disease severity in UC was scored poor(k = 0.23).The additional items resulted in a good inter-observer agreement for EIM(k = 0.68) and a moderate agreement for disease severity in CD(k = 0.44).Percentages of correct answers over all Montreal items give a good reflection of the inter-observer agreement(> 80%),except for disease severity(48%-74%).IBD-nurses were significantly worse in scoring upper gastrointestinal disease in CD compared to gastroenterologists(P = 0.008) and gastroenterologists in training(P = 0.040).Observers with less than 10 years of experience were significantly better at scoring UC severity than observers with 10-20 years(P = 0.003) and more than 20 years(P = 0.003) of experience with IBD patient care.Observers with 10-20 years of experience with IBD patient care were significantly better at scoring upper gastrointestinal disease in CD than observers with less than 10 years(P = 0.007) and more than 20 years(P = 0.007) of experience with IBD patient care.CONCLUSION:We found a good to excellent interobserver agreement for all Montreal items except for disease severity in UC(poor). | Lieke M Spekhorst Marijn C Visschedijk Rudi Alberts Eleonora A Festen Egbert-Jan van der Wouden Gerard Dijkstra Rinse K Weersma | 2014 | World Journal of Gastroenterology2014,20,41: | 4 |
| 6 | Coronary physiology assessment in the catheterization laboratory显示文摘Physicians cannot rely solely on the angiographic appearance of epicardial coronary artery stenosis when evaluating patients with myocardial ischemia. Instead, sound knowledge of coronary vascular physiology and of the methods currently available for its characterization can improve the diagnostic and prognostic accuracy of invasive assessment of the coronary circulation, and help improve clinical decision-making. In this article we summarize the current methods available for a thorough assessment of coronary physiology. | Felipe Díez-delhoyo Enrique Gutiérrez-Ibanes Gerard Loughlin Ricardo Sanz-Ruiz María Eugenia Vázquez-álvarez Fernando Sarnago-Cebada Rocío Angulo-Llanos Ana Casado-Plasencia Jaime Elízaga Francisco Fernández Avilés Diáz | 2015 | World Journal of Cardiology2015,7,9: | 2 |
| 7 | Pulmonary complications after esophagectomy显示文摘 | Christopher E Avendano Patrick A Flume Gerard A Silvestri Lydia B King Carolyn E Reed | 2002 | The Annals of Thoracic Surgery2002,,3: | 2 |
| 8 | CotCo2:a cotton growth simulation model for global change显示文摘 | Gerard W W Jeffrey S A Kimball B A | 1994 | Agriculture and Forest Meteorology1994,70,: | 1 |
| 9 | Application of an electronic nose to correlate with descriptive sensory analysis of aged cheddar cheese显示文摘 | DRAKEA M A GERARD P D KLEINHENZ J P | 2003 | Lebensm Wiss U Technol2003,36,: | 1 |
| 10 | Low level occupational benzene exposure and hematological parameters 显示文摘 | Gerard MHS Ludovie van A JohannesJT | 2010 | Chem-Bio In2010,184,: | 1 |
| 11 | Nocturnal 02 enrich- ment room air at high altitude increases daytime 02 saturation without changing Control of ventilation显示文摘 | Mcelroy MK Gerard A Powell FL | 2000 | High Ahit Med Bi- ol2000,1,3: | 1 |
| 12 | Cracking and permeability of concrete under tension显示文摘 | B Gerard D Breysse A Ammouche 0 Houdusse | 1996 | Materi- als and Structures1996,29,3: | 1 |
| 13 | The deep EGS project at Soultz-Sous-Forest ( Alsace, France ) 显示文摘 | Gerard A Genter A Kohl T | 2006 | Geother- mics2006,35,: | 1 |
| 14 | 查看详情显示文摘 | Peprnicek T Kalendova A Pavlova E Simonik J. Duchet J.and Gerard J.F | | 0,,: | 1 |
| 15 | Alginate hydrogels as synthetic extraeellular matrix materials 显示文摘 | Jon A R Gerard M Mooney D J | 1999 | Biomaterials1999,20,: | 1 |
| 16 | Phenolic compounds and antioxidant capacity of georgia-grown blueberries and blackberries显示文摘 | SUBRAMANI S CASIMIR C A GERARD K | 2002 | Agricultural Food Chemistry2002,,50: | 1 |
| 17 | Copper(Ⅱ) and nicker(Ⅱ) complexes of pyridylamido hexadentate ligands:chemical speciation and spectroscopic studies显示文摘 | Jubert C Mohamadou A Gerard C | 2003 | Inorg Chem Comm2003,6,: | 1 |
| 18 | 显示文摘 | Jon A R Gerard M | 1999 | Biomaterials1999,20,: | 1 |
| 19 | Supply chain coordination with revenue-sharing contra- ctst strengths and limitations 显示文摘 | Gerard P Cachon Martin A Lariviere | 2005 | Management Science2005,51,1: | 1 |
| 20 | Microfilamentous microbial communities in the metal-rich and acidic River Tinto,Spain显示文摘 | Lopez-Archilla A I Gerard E Moreira D | | 0,,02: | 1 |