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| 1 | Can emergency physicians perform extended compression ultrasound for the diagnosis of lower extremity deep vein thrombosis?显示文摘BACKGROUND:Current point-of-care ultrasound protocols in the evaluation of lower extremity deep vein thrombosis (DVT) can miss isolated femoral vein clots.Extended compression ultrasound (ECUS) includes evaluation of the femoral vein from the femoral vein/deep femoral vein bifurcation to the adductor canal.Our objective is to determine if emergency physicians (EPs) can learn ECUS for lower extremity DVT evaluation after a focused training session.METHODS:Prospective study at an urban academic center.Participants with varied ultrasound experience received instruction in ECUS prior to evaluation.Two live models with varied levels of difficult sonographic anatomy were intentionally chosen for the evaluation.Each participant scanned both models.Pre-and post-study surveys were completed.RESULTS:A total of 96 ultrasound examinations were performed by 48 participants (11 attendings and 37 residents).Participants' assessment scores averaged 95.8% (95% CI 93.3%-98.3%) on the easier anatomy live model and averaged 92.3% (95% CI 88.4%-96.2%) on the difficult anatomy model.There were no statistically significant differences between attendings and residents.On the model with easier anatomy,all but 1 participant identified and compressed the proximal femoral vein successfully,and all participants identified and compressed the mid and distal femoral vein.With the difficult anatomy,97.9% (95% CI93.8%-102%) identified and compressed the proximal femoral vein,whereas 93.8% (95% CI 86.9%-100.6%) identified and compressed the mid femoral vein,and 91.7% (95% CI83.9%-99.5%) identified and compressed the distal femoral vein.CONCLUSION:EPs at our institution were able to perform ECUS with good reproducibility after a focused training session. | Elaine Situ-LaCasse Helpees Guirguis Lucas Friedman Asad E.Patanwala Seth E.Cohen Srikar Adhikari | 2019 | World Journal of Emergency Medicine2019,10,4: | 6 |
| 2 | 营养不良:实验室指标vs营养评估显示文摘营养不良是患者并发症发生率和病死率的一项独立危险因素,并造成医疗费用的增高。然而,由于对营养不良没有一个统一的定义,也没有一个标准的营养不良筛查/诊断方法,导致全世界各地的医生对营养不良在认识上十分混乱,各地的临床实践也有着各不相同的标准。作为营养不良的危险因素,炎症的作用近期已被证实。组织学上,一些血清蛋白如白蛋白和前白蛋白被广泛用于监测患者的营养状态。然而,目前的研究热点是采用恰当的营养状态体格检查(NFPE)来诊断营养不良。目前认为,实验室指标本身不太可靠,只能作为NFPE的一个补充。今后的研究中需要筛选出一些诊断营养不良的血清生物学标志物,这些标志物必须是不受炎症状态影响且具有无创及价格相对低廉的优势。然而,一个完全的NFPE在营养不良的诊断中具有无可替代的作用。 | Shishira Bharadwaj Shaiva Ginoya Parul Tandon Tushar D.Gohel John Guirguis Hiren Vallabh Andrea Jevenn Ibrahim Hanouneh | 2016 | Gastroenterology Report2016,4,4: | 5 |
| 3 | Continuous plane block catheter analgesia for postoperative pain control in renal transplant显示文摘 | Farag E Guirguis MN Helou M | 2014 | Journal of Anesthesia2014,29,1: | 1 |
| 4 | Pharmacokinetics of celecoxib in the presence and absence of interferon-induced acute inflammation in the rat:application of a novel HPLC assayp显示文摘 | Guirguis M S Sattari S Jamali F | 2001 | J Pharm Sci2001,4,1: | 1 |
| 5 | Experimental study and model calculations of metal combustion in AL/AP underwater explosives显示文摘 | Miller P J Guirguis R H | 1993 | Mat Res Soc Symp Proc1993,296,: | 1 |
| 6 | Analysis of p53 and Bcl-2 protein expression in the nontumorigenic, pretumorigenic, and tumorigenic kerotinocytic hyperproliferative lesions 显示文摘 | Hussein MR AL-Badaiwy ZH Guirgui MN | 2004 | J Cutan Pathol2004,31,10: | 1 |
| 7 | Laparoscopic surgical management of ectopic pregnancy:a district general hospital experience显示文摘 | Olagundoye V Adeghe J Guirguis M | 2000 | J Obstet Gynaecol2000,20,6: | 1 |
| 8 | A mechanism for ignition of high-temperature gaseous nitromethane-the key role of the nitro group in chemical explosives显示文摘 | Hsu D Bogan D | 1985 | Combustion and Flame1985,61,: | 1 |
| 9 | Continuous plane block catheter analgesia for postoperative pain control in renal transplant显示文摘 | Farag E Guirguis MN Helou M | 2014 | Journal of Anesthesia2014,29,1: | 1 |
| 10 | Improvements in patient-reported outcomes associated with an intervention to enhance quality of care for rural patients with type 2 diabetes: Results of a controlled trial显示文摘 | Maddigan SL Majumdar SR Guirguis LM Lewanczuk RZ Lee TK Toth EL Johnson JA | 2004 | Diabetes Care2004,27,6: | 1 |
| 11 | The trajectory of religious coping across time in response to the diagno- sis of breast cancer 显示文摘 | Gall TL Guirguis - Younger M Charbon- neau C | 2009 | Pscho - Oncology2009,18,11: | 1 |
| 12 | Impact of central nervous system (CNS) prophylaxis on the incidence and risk factors for CNS relapse in patients with diffuse large B-cell lymphoma treated in the rituximab era: a single centre experience and review of the literature显示文摘 | Guirguis HR Cheung MC Mahrous M | 2012 | Br J Haematol2012,159,1: | 1 |
| 13 | Experimental study and model calculations of metal combustion in Al/AP underwater explosives显示文摘 | Miller P J Guirguis R H | 1993 | Mat Res Soc Syrup Proc1993,296,: | 1 |
| 14 | Enhancing ant/m- icrobial activity for ehitosan by adding jojoba liquid wax 显示文摘 | Guirguis OW Abd Elkader MF Nasrat AA | 2013 | Materials' Lett2013,93,15: | 1 |
| 15 | Multi-temporal change of Lake Brullus, Egypt,from 1983 to 1991 显示文摘 | | 1996 | International Journal of Remote Sensing1996,17,15: | 1 |
| 16 | Advantages of using tetrahydrofuran-water as mobile phases in the quantitation of cyclosporin A in monkey and rat plasma by liquid chromatography-tandem mass spectromtry显示文摘 | Li AC Li Y Guirguis MS | 2007 | Journal of Pharmaceutical and Biomedical Analysis2007,43,1: | 1 |
| 17 | Peanut curd in the manufacture of processed cheeselike spread显示文摘 | ABDEL BAKY A A EL-NESHA WY A A | 1985 | Dairy Industries International1985,50,: | 1 |
| 18 | Bispectral index monitoring (BIS) as a guide for intubation without neuromuscular blockade in of- rice-based pediatric general anesthesia : a retrospective evaluation 显示文摘 | Messieha ZS Guirguis S Hanna S | 2011 | Anesth Ping2011,58,1: | 1 |
| 19 | Meningococcal septicemia post adenotonsillectomy in a child:case report 显示文摘 | Guirguis Mark Berkowitz Robert G | 2001 | International Journal of Pediatric Otorhinolaryngology2001,,57: | 1 |
| 20 | Multi-temporal change of Lake Brullus,Egypt,from 1983 to 1991显示文摘 | Guirguis S K | 1996 | International Journal of Remote Sensing1996,17,15: | 1 |