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| 1 | Measures of patient radiation exposure during endoscopic retrograde cholangiography:Beyond fluoroscopy time显示文摘AIM:to determine whether fluoroscope time is a good predictor of patient radiation exposure during endoscopic retrograde cholangiopancreatography.METHODS:this is a prospective observational study of consecutive patients undergoing endoscopic retrograde cholangiopancreatography in a tertiary care setting.Data related to radiation exposure were collected.The following measures were obtained:Fluoroscopy time(FT),dose area product(DAP)and dose at reference point(DOSERP).Coefficients of determination were calculated to analyze the correlation between FT,DAP and DOSRP.Agreement between FT and DAP/DOSRP was assessed using Bland Altman plots.RESULTS:Four hundred sixty-three data sets were obtained.Fluoroscopy time average was 7.3 min.Fluoroscopy related radiation accounted for 86%of the total DAP while acquisition films related radiation accounted for 14%of the DAP.For any given FT there are wide ranges of DAP and DOSERP and the variability in both increases as fluoroscopy time increases.The coefficient of determination(R2)on the non transformed data for DAP and DOSERP versus FT were respectively 0.416 and0.554.While fluoroscopy use was the largest contributor to patient radiation exposure during endoscopic retrograde cholangiography(ERCP),there is a wide variability in DAP and DOSERP that is not accounted for by FT.DAP and DOSERP increase in variability as FT increases.This translates into poor accuracy of FT in predicting DAP and DOSERP at higher radiation doses.CONCLUSION:DAP and DOSERP in addition to FT should be adopted as new ERCP quality measures to estimate patient radiation exposure. | Toufic Kachaamy Edwyn Harrison Rahul Pannala William Pavlicek Michael D Crowell Douglas O Faigel | 2015 | World Journal of Gastroenterology2015，21，6： | 2 |
| 2 | Biomechanical Analysis of Different Techniques in Revision Spinal Instrumentation: Larger Diameter Screws Versus Cement Augmentation显示文摘 | Dirk W. Kiner Christopher D. Wybo William Sterba Yener N. Yeni Stephen W. Bartol Rahul Vaidya | 2008 | Spine2008，，24： | 2 |
| 3 | Prevalence and Clinical Profile of Pancreatic Cancer–Associated Diabetes Mellitus显示文摘 | Rahul Pannala Jeffery B. Leirness William R. Bamlet Ananda Basu Gloria M. Petersen Suresh T. Chari | 2008 | Gastroenterology2008，，： | 2 |
| 4 | Inflammatory response following neutrophil recovery postchemotherapy in a- cute myeloid leukemia cases without evidence of infection: role of homing of neutrophils显示文摘 | Rahul D Pawar Travis Williams Rahul | 2014 | Journal of blood medicine2014，5，5： | 1 |
| 5 | Afferent limb syndrome and delayed GI problems after pancreaticoduodenectomy for pancreatic cancer: single-center, 14-year experience显示文摘 | Rahul Pannala John J. Brandabur Seng-Ian Gan Michael Gluck Shayan Irani David J. Patterson Andrew S. Ross Russell Dorer L. William Traverso Vincent J. Picozzi Richard A. Kozarek | 2011 | Gastrointestinal Endoscopy2011，，2： | 1 |
| 6 | Molecular miscibility and chain dynamics in POSS/polysty rene blends:Control of POSS preferential dispersion states 显示文摘 | Rahul Misra Alp H Alidedeoglu William L Jarrett | 2009 | Polymer2009，50，： | 1 |
| 7 | Physicochemical and Binder Properties of Starch Obtained from Cyperus esculentus显示文摘 | RAHUL VM PHILIP FB WILLIAM MK | 2012 | AAPS Pharm Sci Tech2012，13，2： | 1 |
| 8 | Afferent limb syndrome and delayed GI problems after pancreaticoduodenectomy for pancreatic cancer: single-center, 14-year experience显示文摘 | Rahul Pannala John J. Brandabur Seng-Ian Gan Michael Gluck Shayan Irani David J. Patterson Andrew S. Ross Russell Dorer L. William Traverso Vincent J. Picozzi Richard A. Kozarek | 2011 | Gastrointestinal Endoscopy2011，，2： | 1 |
| 9 | Physicochemical and Binder Properties of Starch Obtained from Cyperus esculentus显示文摘 | RAHUL VM PHILIP FB WILLIAM MK | 2012 | AAPS Pharm Sci Tech2012，13，2： | 1 |
| 10 | Molecular miscibility and chain dynamics in POSS/polystyrene blends: Control of POSS preferential dispersion states显示文摘 | Misra Rahul Alidedeoglu Alp H Jarrett William L | 2009 | Polymer2009，50，13： | 1 |
| 11 | Acute venous thromboembolism in acute pancreatitis based on the severity:a retrospective cohort study显示文摘Objective: Acute pancreatitis (AP) results in systemic inflammatory responses and activates coagulation pathways. We intend to investigate the risk and hospital outcomes of acute venous thromboembolisms (VTE) in patients with AP.Methods: We retrospectively analyzed patients with AP from 2016 to 2019 using the National Inpatient Sample database. Primary outcome was the effect of VTE on the length of stay, inpatient costs, and mortality. Hierarchical multivariate logistic regression models were built using univariate screens.Results: The study included 909,354 weighted discharges with AP. 2.1% of cases had an acute VTE. The length of stay was 5.9 days longer in the hospital of AP patients with VTE compared to AP with no VTE (P <.001). Total hospital charge per patient was $71,914 in patients with VTE compared to AP with no VTE (P < .001). Mortality was higher in AP patients with VTE compared to AP with no VTE (adjusted odds ratio [AOR] 4.2, 95% confidence interval [CI]: 3.4-5.3,P <.001). AP was associated with an increased VTE risk during inpatient stay (AOR 1.06, 95% CI 1.04-1.1,P <.001) There was an increased association of lower and upper extremity deep venous thrombosis with AP without necrosis (AOR 6.9, 95% CI 6.4-7.4,P <.001) and AP with infected necrosis (AOR 12.2, 95% CI 10.6-14.1,P <.001) but not in AP without necrosis (AOR 0.77, 95% CI 0.74-0.81,P <.001).Conclusion: VTE in AP increases length of stay and inpatient costs. The prognosis is poor in such patients, with increased inpatient mortality compared to no VTE. AP with necrosis can increase chances of all VTE subtypes;however, AP without necrosis does not increase upper and lower extremity VTE risk. | Hassam Ali Swethaa Manickam Rahul Pamarthy Muhamad Fahd Farooq William Leland | 2022 | Journal of Pancreatology2022，5，1： | 0 |
| 12 | Critical care practices in the world:Results of the global intensive care unit need assessment survey 2020显示文摘BACKGROUND There is variability in intensive care unit(ICU)resources and staffing worldwide.This may reflect variation in practice and outcomes across all health systems.AIM To improve research and quality improvement measures administrative leaders can create long-term strategies by understanding the nature of ICU practices on a global scale.METHODS The Global ICU Needs Assessment Research Group was formed on the basis of diversified skill sets.We aimed to survey sites regarding ICU type,availability of staffing,and adherence to critical care protocols.An international survey‘Global ICU Needs Assessment’was created using Google Forms,and this was distributed from February 17^(th),2020 till September 23^(rd),2020.The survey was shared with ICU providers in 34 countries.Various approaches to motivating healthcare providers were implemented in securing submissions,including use of emails,phone calls,social media applications,and WhatsApp^(TM).By completing this survey,providers gave their consent for research purposes.This study was deemed eligible for category-2 Institutional Review Board exempt status.RESULTS There were a total 121 adult/adult-pediatrics ICU responses from 34 countries in 76 cities.A majority of the ICUs were mixed medical-surgical[92(76%)].108(89%)were adult-only ICUs.Total 36 respondents(29.8%)were 31-40 years of age,with 79(65%)male and 41(35%)female participants.89 were consultants(74%).A total of 71(59%)respondents reported having a 24-h inhouse intensivist.A total of 87(72%)ICUs were reported to have either a 2:1 or≥2:1 patient/nurse ratio.About 44%of the ICUs were open and 76%were mixed type(medical-surgical).Protocols followed regularly by the ICUs included sepsis care(82%),ventilator-associated pneumonia(79%);nutrition(76%),deep vein thrombosis prophylaxis(84%),stress ulcer prophylaxis(84%),and glycemic control(89%).CONCLUSION Based on the findings of this international,multi-dimensional,needs-assessment survey,there is a need for increased recruitment and staffing in critical care facilities,along with improved patientto-nurse ratios.Future research is warranted in this field with focus on implementing appropriate health standards,protocols and resources for optimal efficiency in critical care worldwide. | Faisal A Nawaz Neha Deo Salim Surani William Maynard Martin L Gibbs Rahul Kashyap | 2022 | World Journal of Critical Care Medicine2022，11，3： | 0 |
| 13 | Nature:研究利用单细胞分析阐明癌症干细胞在脑癌中的关键角色显示文摘近日。来自麻省总医院、博德研究所及哈佛大学的研究人员通过联合研究,在单细胞水平上对脑瘤基因组进行了分析。他们发现。癌症干细胞或许能够诱发少突神经胶质瘤的发生,少突神经胶质瘤是一种缓慢发展但却非常难以治愈的脑癌,相关研究刊登于Nature杂志上。同时研究者还首次在人类脑瘤样本中鉴别出了癌症干细胞及其分化的后代细胞。 | Itay Tirosh, Andrew S. Venteicher, Christine Hebert, Leah E. Escalante, Keren Yizhak, Jonathan M. Fisher, Christopher Rodman, Mariella G. Filbin, Cyril Neftel, Jackson Nyman, Benjamin Izar, Joshua M. Francis, Kenneth J. Livak, Dave Gennert, Rahul Satija, Todd R. Golub, Miguel N. Rivera, Gad Getz, Orit Rozenblatt-Rosen, Bradley E. Bernstein, Aviv Regev Mario L. Suv agrave Andrew S. Venteicher, Christine Hebert, Leah E. Escalante, Keren Yizhak, Mariella G. Filbin, Cyril Neftel, Niyati Desai, Christina C. Luo, Aanand A. Patel, Maristela L. Onozato, Nicolo Riggi, Ravindra Mylvaganam, A. John Iafrate, Matthew P. Frosch, Miguel N. Rivera, Gad Getz, Bradley E. Bernstein, David N. Louis Mario L. Suv agrave Andrew S. Venteicher, Anoop P. Patel, Brian V. Nahed, William T. Curry, Robert L. Martuza Daniel P. Cahill Christopher Mount Michelle Monje Mariella G. Filbin Todd R. Golub Joshua M. Francis Todd R. Golub Aviv Regev | 2017 | 现代生物医学进展2017，17，6： | 0 |
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