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    题名 作者 年代 出处 被引量
1角色促销:商品化权的另一种诠释显示文摘我国知识产权法学界对“商品化”的概念界定是一种误译。“角色商品化”和“商品化权”分别是对英文“charactermerchandising”和“merchandisingright”的误译,它们的本意仅是“角色促销”和“利用角色进行促销的权利”。“商品化权”的设置没有必要,也不需要专门立法;取而代之,我国只需适当地延伸我国现有知识产权法和人格权保护法即可。研究者应深入、正确理解世界范围内的相关立法和实践活动,避免夸大相关问题的严重性,从而避免我国立法实践中的弯路。刘银良 2006法学2006,,8:45
2名词定义试拟:被遗忘权(Right to Be Forgotten)显示文摘“被遗忘权”(Right to Be Forgotten)也被称为“删除的权利”(The Right to Erasure),是隐私权在互联网时代延伸出来的一种新的权利类型。最早关注到这一方面问题的是著名记者、隐私权专家帕卡德(Vance Packard),1967年1月他在《纽约时报》发表的文章《不能告诉计算机》中写道:吴飞 2014新闻与传播研究2014,21,7:39
3Different treatment strategies and molecular features between right-sided and left-sided colon cancers显示文摘The colon is derived from the embryological midgut and hindgut separately,with the right colon and left colon having different features with regards to both anatomical and physiological characteristics.Cancers located in the right and left colon are referred to as right colon cancer(RCC) and left colon cancer(LCC),respectively,based on their apparent anatomical positions.Increasing evidence supports the notion that not only are there differences in treatment strategies when dealing with RCC and LCC,but molecular features also vary between them,not to mention the distinguishing clinical manifestations.Disease-free survival after radical surgery of both RCC and LCC are similar.In the treatment of RCC,the benefit gained from adjuvant FOLFIRI chemotherapy is superior,or at least similar,to LCC,but inferior to LCC if FOLFOX regimen is applied.On the other hand,metastatic LCC exhibits longer survival than that of RCC in a palliative chemotherapy setting.For KRAS wild-type cancers,LCC benefits more from cetuximab treatment than RCC.Moreover,advanced LCC shows a higher sensitivity to bevacizumab treatment in comparison with advanced RCC.Significant varieties exist at the molecular level between RCC and LCC,which may serve as the cause of all apparent differences.With respect to carcinogenesis mechanisms,RCC is associated with known gene types,such as MMR,KRAS,BRAF,and mi RNA-31,while LCC is associated with CIN,p53,NRAS,mi RNA-146 a,mi RNA-147 b,and mi RNA-1288.Regarding protein expression,RCC is related to GNAS,NQO1,telomerase activity,P-PDH,and annexin A10,while LCC is related to Topo I,TS,and EGFR.In addition,separated pathways dominate progressionto relapse in RCC and LCC.Therefore,RCC and LCC should be regarded as two heterogeneous entities,with this heterogeneity being used to stratify patients in order for them to have the optimal,current,and novel therapeutic strategies in clinical practice.Additional research is needed to uncover further differences between RCC and LCC.Hong Shen Jiao Yang Qing Huang Meng-Jie Jiang Yi-Nuo Tan Jian-Fei Fu Li-Zhen Zhu Xue-Feng Fang Ying Yuan 2015World Journal of Gastroenterology2015,21,21:33
4Ius和right的词义变迁谈两大法系权利概念的历史演进显示文摘一、问题的提出:罗马法上有权利概念吗? “权利”可谓一个老生常谈的话题,但是作为一个独立的概念,“权利”是否从来就有呢?我们的考察从古代法学的最完善形态——罗马法——开始。李中原 2008中外法学2008,20,4:29
5食管癌临床指南和共识的质量评价显示文摘目的评价食管癌临床指南和共识的方法学质量和报告质量。方法计算机检索PubMed、EMbase、Web of Science、CBM、WanFang Data和CNKI数据库,同时补充检索GIN、NICE、NGC和医脉通网站,搜集食管癌相关的临床指南和共识,检索时限均从建库至2018年8月。由2位评价员按照纳入与排除标准独立筛选文献和提取资料后,采用AGREEⅡ和RIGHT工具对纳入指南的质量进行评价。结果共纳入食管癌指南和共识26个。AGREEⅡ各领域平均得分分别为:范围和目的 49.63%、参与人员25.16%、制订严谨性23.42%、清晰性49.25%、应用性16.91%和编辑独立性21.07%;RIGHT评价条目中报告率最高的条目为5(84.62%),其次为1a(80.77%)、1c(65.38%)、13a(65.38%)、4(61.54%),其余条目报告率均在50%以下。亚组分析结果显示:基于循证医学方法制订的指南和共识在AGREEⅡ的6个领域和RIGHT评分平均得分均高于基于专家意见或综述等制订的指南和共识;国外指南和共识在AGREEⅡ的3个领域(制订严谨性、清晰性、编辑独立性)和RIGHT评分平均得分均高于国内指南和共识。结论食管癌临床指南和共识的方法学质量和报告质量均偏低,尤其是我国指南和共识更低,需进一步提高。建议指南制订者参考AGREEⅡ和RIGHT等标准,制订出高质量的指南并推广应用,更好地规范化食管癌的诊疗。邵丽华 张秋宁 田金徽 杨震 罗宏涛 刘锐锋 廖亦然 耿一超 王小虎 杨克虎 2020中国循证医学杂志2020,20,5:23
62017年中国大陆期刊发表的临床实践指南的报告质量评价显示文摘目的评价2017年中国大陆期刊发表的临床实践指南(以下简称指南)的报告质量。方法计算机检索CNKI、CBM和WanFang Data数据库,同时补充检索医脉通数据库,检索时限均为2017年1月1日至2017年12月31日。由2名评价员独立筛选文献并交叉核对,采用实践指南报告工具RIGHT清单对纳入指南的报告质量进行评价。结果最终纳入107篇指南,RIGHT清单总的报告率为34.8%±0.1%。在RIGHT的7大领域中,基本信息领域(56.8%)的报告率最高,评审和质量保证领域(9.3%)的报告率最低。相比之下,中国科学引文数据库(Chinese Science Citation Database,CSCD)收录的指南对RIGHT清单条目的平均报告率低于非CSCD指南[MD=-0.73,95%CI(-0.78,-0.68)];中华医学会系列杂志(Chinese Medical Association,CMA)发表的指南对RIGHT清单条目的平均报告率高于非中华医学会系列杂志发表的指南[MD=2.30,95%CI(2.26,2.34)];由各类学会或协会制订的指南对RIGHT清单条目平均报告率低于非学会或协会制订的指南[MD=-3.78,95%CI(-3.83,-3.73)];中医领域指南对RIGHT清单条目平均报告率高于西医领域指南[MD=21.94,95%CI(21.91,21.97)]。结论 2017年中国大陆期刊发表的指南报告质量总体不佳,尤其体现在评审和质量保证、资助与利益冲突声明和管理、指南获取途径及局限性等其他方面的报告。建议指南制订者严格按照国际标准进行指南的制订和报告,从而提高临床实践指南的质量。杨钦博 周奇 黄天相 高霞 陈煜 张先卓 杨楠 张静怡 陈耀龙 2019中国循证医学杂志2019,19,11:20
7Split liver transplantation: Current developments显示文摘In 1988, Rudolf Pichlmayr pioneered split liver transplantation(SLT), enabling the transplantation of one donor liver into two recipients-one pediatric and one adult patient. In the same year, Henri Bismuth and colleagues performed the first full right/full left split procedure with two adult recipients. Both splitting techniques were rapidly adopted within the transplant community. However, a SLT is technically demanding, may cause increased perioperative complications, and may potentially transform an excellent deceased donor organ into two marginal quality grafts. Thus, crucial evaluation of donor organs suitable for splitting and careful screening of potential SLT recipients is warranted. Furthermore, the logistic background of the splitting procedure as well as the organ allocation policy must be adapted to further increase the number and the safety of SLT. Under defined circumstances, in selected patients and at experienced transplant centers, SLT outcomes can be similar to those obtained in full organ LT. Thus, SLT is an important tool to reduce the donor organ shortage and waitlist mortality, especially for pediatric patients and small adults. The present review gives an overview of technical aspects, current developments, and clinical outcomes of SLT.Christina Hackl Katharina M Schmidt Caner Süsal Bernd Dohler Martin Zidek Hans J Schlitt 2018World Journal of Gastroenterology2018,24,47:20
82015年中国临床实践指南的报告质量分析显示文摘目的评价2015年中国大陆期刊发表的临床实践指南(以下简称指南)的报告质量。方法计算机检索CBM、WanFang Data、CNKI和VIP数据库,搜集中国大陆公开发表的指南,检索时间从2015年1月1日至2015年12月31日。由2名研究者独立筛选文献、提取资料,采用国际实践指南报告标准(RIGHT)评价指南的报告质量,最后采用Excel软件进行统计分析。结果最终纳入74部指南。发现在RIGHT的7大领域中,基本信息和背景领域的报告质量尚可;在证据和推荐意见领域问题较少;在评审和质量保证、资金资助与利益冲突声明和管理、其他方面三个领域存在很多不足。结论 2015年中国大陆期刊发表的报告质量偏低,指南的充分报告率亟待提高,建议指南制定者严格按照国际标准进行指南的制定和报告,从而提高临床实践指南的质量。令娟 王明霞 王琪 王小琴 姚亮 卢存存 田金徽 陈耀龙 杨克虎 2018中国循证医学杂志2018,18,7:19
9脑卒中临床实践指南和专家共识的质量评价与优化建议显示文摘目的评价脑卒中临床实践指南和专家共识的方法学质量和报告质量。方法计算机检索PubMed、CBM、WanFang Data和CNKI数据库,同时手工检索医脉通、NICE、GIN、SIGN、WHO、WSO主要指南网站,搜集脑卒中相关指南和共识,检索时限均从2019年1月1日至2019年12月31日。由2位评价员独立筛选文献、提取基本资料后,采用AGREEⅡ和RIGHT工具进行质量评价。结果共纳入脑卒中指南和共识21个。AGREEⅡ6个领域平均得分分别为49.47%、35.98%、34.13%、70.37%、29.96%、44.84%;RIGHT评价条目中报告率最高的条目为1a(100%),其次为4(90.5%)、6(85.7%)、19a(85.7%)、1c(76.2%)、5(76.2%)、13c(71.4%),报告率最低的条目为18a和18b,均为0;亚组分析结果显示:我国制订的指南在参与人员领域的得分低于国外指南,基于循证方法制订的指南和共识在范围和目的、制定严谨性、编辑独立性以及RIGHT评分方面均高于基于专家共识制订。结论脑卒中临床实践指南和专家共识的质量仍需进一步提高,建议指南制订者参照AGREEⅡ和RIGHT标准,制订高质量指南,为临床实践提供规范明确的指导。孟苗苗 罗旭飞 倪小佳 陈耀龙 卢姝亚 蔡业峰 2020中国循证心血管医学杂志2020,12,11:16
102016年中国大陆期刊发表临床实践指南的报告质量评价显示文摘目的使用国际实践指南报告标准(RIGHT)评价2016年中国大陆期刊发表的临床实践指南的报告质量,为中国学者报告指南提供参考。方法计算机检索中国生物医学文献服务系统(CBM)、中国知网(CNKI)和万方数据库(Wan Fang Data),收集期刊公开发表的中国大陆临床实践指南,检索时限为2016年1月1日至2016年12月31日。由2位评价员独立筛选文献,提取资料并交叉核对,用Office Excel 2016软件处理数据。结果共纳入指南79篇。领域1(基本信息)的报告率最高(52.7%),领域5(评审和质量保证)和领域7(其他方面)的报告率最低(6.3%)。79篇指南均报告了条目1a(能否通过题目判断为指南),均未报告条目9a-1(如何遴选参与指南制订的所有贡献者)、条目11b-1(已发表系统评价的检索与评价)、条目11b-2(是否对系统评价进行更新)、条目14a(是否考虑目标人群的价值观和偏好)、条目17(是否经过质量控制程序)和条目18b(推荐意见的传播和实施)。结论 2016年中国大陆期刊指南总体报告质量不佳,建议在以后指南制订过程中参考RIGHT规范对指南进行报告。柯立鑫 王津京 王浩 肖玉洁 王子君 车刚 刘练 童雅婧 罗旭飞 卢存存 母义明 陈耀龙 2018中国循证儿科杂志2018,13,3:16
11Predictors of mortality after transjugular portosystemic shunt显示文摘AIM:To investigate if echocardiographic and hemodynamic determinations obtained at the time of transjugular intrahepatic portosystemic shunt(TIPS)can provide prognostic information that will enhance risk stratification of patients.METHODS:We reviewed medical records of 467 patients who underwent TIPS between July 2003 and December 2011 at our institution.We recorded information regarding patient demographics,underlying liver disease,indication for TIPS,baseline laboratory values,hemodynamic determinations at the time of TIPS,and echocardiographic measurements both before and after TIPS.We recorded patient comorbidities that may affect hemodynamic and echocardiographic determinations.We also calculated Model for Endstage Liver Disease(MELD)score and Child Turcotte Pugh(CTP)class.The following pre-and post-TIPS echocardiographic determinations were recorded:Left ventricular ejection fraction,right ventricular(RV)systolic pressure,subjective RV dilation,and subjective RV function.We recorded the following hemodynamic measurements:Right atrial(RA)pressure before and after TIPS,inferior vena cava pressure before and after TIPS,free hepatic vein pressure,portal vein pressure before and after TIPS,and hepatic venous pressure gradient(HVPG).RESULTS:We reviewed 418 patients with portal hypertension undergoing TIPS.RA pressure increased by a mean ± SD of 4.8 ± 3.9 mmH g(P < 0.001),HVPG decreased by 6.8 ± 3.5 mmH g(P < 0.001).In multivariate linear regression analysis,a higher MELD score,lower platelet count,splenectomy and a higher portal vein pressure were independent predictors of higher RA pressure(R = 0.55).Three variables predicted 3-mo mortality after TIPS in a multivariate analysis:Age,MELD score,and CTP grade C.Change in the RA pressure after TIPS predicted long-term mortality(per 1 mm Hg change,HR = 1.03,95%CI:1.01-1.06,P < 0.012).CONCLUSION:RA pressure increased immediately after TIPS particularly in patients with worse liver function,portal hypertension,emergent TIPS placement and history of splenectomy.The increase in RA pressure after TIPS was associated with increased mortality.Age,splenectomy,MELD score and CTP grade were independent predictors of long-term mortality after TIPS.Mona Ascha Sami Abuqayyas Ibrahim Hanouneh Laith Alkukhun Mark Sands Raed A Dweik Adriano R Tonelli 2016World Journal of Hepatology2016,8,11:13
12Management of the middle hepatic vein and its tributaries in right lobe living donor liver transplantation显示文摘BACKGROUND:Left liver graft from a small donor will not meet the metabolic demands of a larger adult recipient. To overcome the problem of graft size insufficiency,living donor liver transplantation(LDLT) using the right lobe has become a standard method for adult patients. As the drainage of the median sector(segments Ⅴ,Ⅷ and Ⅳ) is mainly by the middle hepatic vein(MHV),the issue of whether the MHV should or should not be taken with the graft or whether the MHV tributaries(Ⅴ5,Ⅴ8) should be reconstructed in the recipient remains to be settled. DATA SOURCES:An English-language literature search was conducted using MEDLINE(1985-2006) on right lobe living donor liver transplantation,middle hepatic vein,vein graft,hepatic venoplasty and other related subjects. RESULTS:Some institutions had proposed their policy for the management of the MHV and its tributaries. Dominancy of the hepatic vein,graft-to-recipient weight ratio,and remnant liver volume as well as the donor-to-recipient body weight ratio,the volume of the donor's right lobe to the recipient's standard liver volume and the size of MHV tributaries are the major elements for the criteria of inclusion of the MHV,while for the policy of MHV tributaries reconstruction,the proportion of congestive area and the diameter of the tributaries are the critical elements. Optimal vein grafts such as recipient's portal vein and hepatic venoplasty technique have been used to obviate hepatic congestion and venous drainage disturbance.CONCLUSIONS:Taking right liver grafts with the MHV trunk(extended right lobe grafts) or performing the MHV tributaries reconstruction in modified right lobe grafts,according to the criteria proposed by the institutions with rich experience,can solve the congestion problem of the right paramedian sector and help to improve the outcomes of the patients. The additional use of optimal vein grafts and hepatic venoplasty also can guarantee excellent venous drainage.Yu, Peng-Fei Wu, Jian Zheng, Shu-Sen 2007Hepatobiliary & Pancreatic Diseases International2007,6,4:11
13Laparoscopic complete mesocolic excision with central vascular ligation in right colon cancer:A comprehensive review显示文摘Aim of the study is to comprehensively review the latest trends in laparoscopic complete mesocolic excision(CME) with central vascular ligation(CVL) for the multimodal management of right colon cancer. Historical and up-to-date anatomo-embryological concepts are analyzed in detail,focusing on the latest studies of the mesenteric organ,its dissection by mesofascial and retrofascial cleavage planes,and questioning the need for a new terminology in colonic resections. The rationale behind Laparoscopic CME with CVL is thoroughly investigated and explained. Attention is paid to the current surgical techniques and the quality of the surgical specimen,yielded through mesocolic,intramesocolic and muscularis propria plane of surgery. We evaluate the impact on long term oncologic outcome in terms of local recurrence,overall and disease-free survival,according to the plane of resection achieved. Conclusions are drawn on the basis of the available evidence,which suggests a pivotal role of laparoscopic CME with CVL in the multimodal management of right sided colonic cancer: performed in the right mesocolic plane of resection,laparoscopic CME with CVL demonstrates better oncologic results when compared to standard non-mesocolic planes of surgery,with all the advantages of laparoscopic techniques,both in faster recovery and better immunological response. The importance of minimally invasive mesoresectional surgery is thus stressed and highlighted as the new frontier for a modern laparoscopic total right mesocolectomy.Luca Maria Siani Gianluca Garulli 2016World Journal of Gastrointestinal Surgery2016,8,2:11
14Clinicopathological features and the outcome of surgical management for adenocarcinoma of the appendix显示文摘AIM:To present a comprehensive analysis of incidence,clinicopathological features,appropriateness of surgical procedures,and survival for adenocarcinoma of the appendix.METHODS:A retrospective case analysis was conducted for the 10-year period 1998-2008.All patients diagnosed with adenocarcinoma of the appendix were analyzed for their demographics details,clinical features,tumor incidence and characteristics,tumor stage,surgical procedures performed,and their survival.RESULTS:Nine thousand three hundred and twentythree patients underwent appendectomies during the study period,and of these,10 (0.1%:8 men and 2 women with a mean age of 53.1 years,age range 21-83 years) were found to have primary adenocarcinoma of the appendix.Appendicular neoplasia was not suspected pre-operatively in any of the patients.Six (60%) patients underwent secondary right hemicolectomy.Four (40%) cases had appendectomy alone,and two of them died,whereas all those who underwent right hemicolectomy are alive and disease free.Five (50%) were reported to have grade 1 disease,three (30%) grade 2,and two (20%) grade 3 with mean survival of 34,48,and 22 mo,respectively.Six (60%) patients presented with advanced disease (Duke's C and D).At the end of follow up (mean period:37.9 mo),eight patients are alive and disease free at the end of follow up.Overall mean survival was 36.3 mo (conf idence interval;16%-56%) with 41.3 and 16 mo for men and women,respectively.Mean survival for those with and without lymph node involvement was 33.6 and 40.2 mo,respectively.Right hemicolectomy gave better results than appendectomy alone,although the difference was not statistically signif icant due to the small number of cases.CONCLUSION:Adenocarcinoma of the appendix is extremely rare neoplasm with varied presentations,and is usually advanced when diagnosed.Right hemicolectomy is the treatment of choice for such tumors.Salman Yousuf Guraya Hamdi Hameed Almaramhy 2011World Journal of Gastrointestinal Surgery2011,3,1:10
15Arrhythmogenic ventricular cardiomyopathy:A paradigm shift from right to biventricular disease显示文摘Arrhythmogenic ventricular cardiomyopathy(AVC) isgenerally referred to as arrhythmogenic right ventricu-lar(RV) cardiomyopathy/dysplasia and constitutesan inherited cardiomyopathy.Affected patients maysuccumb to sudden cardiac death(SCD),ventriculartachyarrhythmias(VTA) and heart failure.Geneticstudies have identified causative mutations in genesencoding proteins of the intercalated disk that lead toreduced myocardial electro-mechanical stability.Theterm arrhythmogenic RV cardiomyopathy is somewhatmisleading as biventricular involvement or isolated leftventricular(LV) involvement may be present and thus abroader term such as AVC should be preferred.The di-agnosis is established on a point score basis accordingto the revised 2010 task force criteria utilizing imagingmodalities,demonstrating fibrous replacement throughbiopsy,electrocardiographic abnormalities,ventricu-lar arrhythmias and a positive family history includingidentification of genetic mutations.Although severarisk factors for SCD such as previous cardiac arrest,syncope,documented VTA,severe RV/LV dysfunctionand young age at manifestation have been identified,risk stratification still needs improvement,especially inasymptomatic family members.Particularly,the roleof genetic testing and environmental factors has to befurther elucidated.Therapeutic interventions include re-striction from physical exercise,beta-blockers,sotalol,amiodarone,implantable cardioverter-defibrillators andcatheter ablation.Life-long follow-up is warranted insymptomatic patients,but also asymptomatic carriersof pathogenic mutations.Ardan M Saguner Corinna Brunckhorst Firat Duru 2014World Journal of Cardiology2014,6,4:10
16Functional changes of the heart and lung in perioperative period of orthotopic liver transplantation显示文摘Objective: To investigate the variation of functions ofthe heart and lung during orthotopic liver transplan-tation (OLT).Methods: Pulmonary artery cannula and right radialartery cannula were indewelled before anaesthesiaand the parameters of hemodynamics in different pe-riods were monitored. Analysis of variance was usedto reveal the variation among the groups. T hypothe-sis test in paired data was used to compare the preop-erative parameters with those in each period duringoperation and after operation respectively, and tocompare the parameters immediately after operationwith those in each period after operation respective-ly.Results: During the operation, heart rate increased,but blood pressure decreased significantly at the be-ginning of no-liver period, increased again in a shortperiod and then increased progressively 12 h after op-eration. Pulmonary artery pressure (PAP) increasedfrom before the no-liver period to 60 h after opera-tion. Pulmonary wedge pressure changed in accord-ance with the variation of PAP. Cardiac output wasmaintained at a high-output level from before opera-tion to 60 h after operation. Systemic vascular resist-ance (SVR) was within the normal limits before op-eration, whereas pulmonary vascular resistance(PVR) was lower than normal. In the no-liver peri-od during the operation, SVR decreased significant-ly. Both SVR and PVR increased progressively andreturned to normal postoperatively.Conclusions: The patients undergoing OLT have ahigh cardiac output and Iow resistance obstacle be-fore and during the operation, and will recover grad-ually after operation. Monitoring hemodynamicsduring the peri-operative period is of significance inthe prevention and treatment of pneumonedema andcardiac functional insufficiency.Shu-Sen Zheng An-Wei Lu Dong-Sheng Huang Qing-Lian Chen Lin-Zhen Xu the Department of Hepatobiliary Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China 2002Hepatobiliary & Pancreatic Diseases International2002,1,3:10
17Comparison of clinical outcomes and postoperative recovery between two open heart surgeries:minimally invasive right subaxillary vertical thoracomy and traditional median sternotomy显示文摘Objective:To compare the clinical outcomes of minimally invasive right subaxillary vertical thoracotomy and traditional median sternotomy through right atrium in treatment of common congenital heart diseases.Methods:Clinical data of 59 cases of common congenital heart diseases treated with minimally invasive right axillary vertical thoracotomv from May,2011 to February,2013 and 77 cases of same diseases with traditional median sternotomy in the past three years were retrospectively analyzed,including atrial septal defect,membranous ventricular septal defect and partial endocardial cushion defect.The results were compared from the two groups,including the time for operation and cardiopulmonary bypass,amount of blood transfusion,postoperative drainage,ventilation time,hospital stay,and prognosis.Results:No severe complications happened in both groups,like deaths or secondery surgery caused by bleeding.No significant differences were in CPB time and postoperative ventilator time between groups(P>0.05),while for all of the operative time,the length of incision,postoperative drainage and hospital stay,minimally invasive right axillary vertical thoracotomy was superior to median sternotomy,with statistically significant differences(P<0.05).In six-month lollowup after operation,no complications of residual deformity and pericardial effusion were found in both groups bv doing echocardiography,but mild pectus carinatum was found in X patients in the traditional median sternotomy group(traditional groupi.whereas patients in another group were well recovered.Conclusions:Minimally invasive right subaxillary vertical thoracotomv for common congenital heart diseases is as safe as traditional median sternotomy,without the increasing incidence of postoperative complications.Additionally,compared with traditional median sternotomy,minimally invasive right subaxillary vertical thoracotomv is better in the aspects of hidden incision,appearance,and postoperative recovery.Chuan-Xian Hu Juan Tan Sheng Chen Hui Ding Zhi-Wei Xu 2014Asian Pacific Journal of Tropical Medicine2014,7,8:10
18执行异议之诉的程序构造显示文摘朱淼蛟 唐学兵 曹慧敏 2006法律适用2006,,9:9
19Laparoscopic vs open extended right hemicolectomy for colon cancer显示文摘AIM:To evaluate the feasibility,safety,and oncologic outcomes of laparoscopic extended right hemicolectomy(LERH)for colon cancer.METHODS:Since its establishment in 2009,the Southern Chinese Laparoscopic Colorectal Surgical Study(SCLCSS)group has been dedicated to promoting patients’quality of life through minimally invasive surgery.The multicenter database was launched by combining existing datasets from members of the SCLCSS group.The study enrolled 220 consecutive patients who were recorded in the multicenter retrospective database and underwent either LERH(n=119)or open extended right hemicolectomy(OERH)(n=101)for colon cancer.Clinical characteristics,surgical outcomes,and oncologic outcomes were compared between the two groups.RESULTS:There were no significant differences in terms of age,gender,body mass index(BMI),history of previous abdominal surgery,tumor location,and tumor stage between the two groups.The blood loss was lower in the LERH group than in the OERH group[100(100-200)mL vs 150(100-200)mL,P<0.0001].The LERH group was associated with earlier first flatus(2.7±1.0 d vs 3.2±0.9 d,P<0.0001)and resumption of liquid diet(3.6±1.0 d vs 4.2±1.0 d,P<0.0001)compared to the OERH group.The postoperative hospital stay was significantly shorter in the LERH group(11.4±4.7 d vs 12.8±5.6 d,P=0.009)than in the OERH group.The complication rate was 11.8%and17.6%in the LERH and OERH groups,respectively(P=0.215).Both 3-year overall survival[LERH(92.0%)vs OERH(84.4%),P=0.209]and 3-year disease-free survival[LERH(84.6%)vs OERH(76.6%),P=0.191]were comparable between the two groups.CONCLUSION:LERH with D3 lymphadenectomy for colon cancer is a technically feasible and safe procedure,yielding comparable short-term oncologic outcomes to those of open surgery.Li-Ying Zhao Pan Chi Wei-Xing Ding Shun-Rong Huang Si-Fen Zhang Kai Pan Yan-Feng Hu Hao Liu Guo-Xin Li 2014World Journal of Gastroenterology2014,20,24:9
20乳腺癌筛查指南方法学质量和报告质量的系统评价显示文摘目的系统评价全球现有乳腺癌筛查指南的方法学质量和报告质量,为我国乳腺癌筛查指南的制订工作提供参考。方法计算机检索PubMed、EMbase、The Cochrane Library、Web of Science、CNKI、CBM、WanFang Data数据库和相关网站,搜集乳腺癌筛查相关指南,检索时限均为建库至2018年2月。由2名研究者独立筛选文献、提取资料,采用AGREEⅡ工具和RIGHT声明对指南的方法学质量和报告质量进行评价。结果共纳入11篇乳腺癌筛查指南,其中5篇(45%)由美国发布。方法学质量评价结果显示:'范围和目的'、'参与人员'、'严谨性'、'清晰性'、'应用性'和'独立性'领域总体评价结果依次是83、48、60、77、53和79分。6篇指南推荐等级为A,5篇为B。报告质量评价结果显示:3篇报告质量高,其指南中,美国2篇、加拿大1篇。结论乳腺癌筛查指南方法学质量和报告质量均欠佳。指南发布数量呈上升趋势,其制订或更新有不断打破国家和地区界限的趋势。循证指南制订方法已逐渐成为各国制订临床指南的共识和趋势。李江 唐威 李霓 王昕 王勇 吕章艳 冯小双 魏锣佩 李鑫 孙鑫 陈万青 代敏 2018中国循证医学杂志2018,18,6:9
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