The Nebraska medical journal最新文献

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Surfactant 表面活性剂
The Nebraska medical journal Pub Date : 2020-01-01 DOI: 10.1007/978-3-319-52090-2_300382
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引用次数: 0
Necrotizing enterocolitis 坏死性小肠结肠炎
The Nebraska medical journal Pub Date : 2018-09-01 DOI: 10.1093/med/9780198759928.003.0007
J. Puntis
{"title":"Necrotizing enterocolitis","authors":"J. Puntis","doi":"10.1093/med/9780198759928.003.0007","DOIUrl":"https://doi.org/10.1093/med/9780198759928.003.0007","url":null,"abstract":"Necrotizing enterocolitis is a common and serous disease predominantly affecting premature newborns, with an incidence, morbidity, and mortality that has remained unchanged for several decades. Around 7% of infants between 500g and 1500g birth weight are affected, with the disease often manifesting with vomiting, bilious aspirates, distended abdomen, and blood in stools around 8–10 days of age. Medical management includes decompression of the gastrointestinal tract via a nasogastric tube, broad-spectrum antibiotics, and bowel ‘rest’ (total parenteral nutrition). Surgical intervention is required for intestinal perforation or ongoing deterioration despite medical management. The pathogenesis is multifactorial and includes genetic predisposition, gastrointestinal immaturity, imbalance in microvascular tone, abnormal intestinal microbiological colonization, and a highly immunoreactive intestinal mucosa. Breast milk feeds appear to confer some degree of protection.","PeriodicalId":76700,"journal":{"name":"The Nebraska medical journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61652374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"Them" and "us". “他们”和“我们”。
The Nebraska medical journal Pub Date : 2015-07-30 DOI: 10.4324/9781351302043-3
J. Dunlap
{"title":"\"Them\" and \"us\".","authors":"J. Dunlap","doi":"10.4324/9781351302043-3","DOIUrl":"https://doi.org/10.4324/9781351302043-3","url":null,"abstract":"","PeriodicalId":76700,"journal":{"name":"The Nebraska medical journal","volume":"60 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70469029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 46
Aortic dissection. 主动脉夹层。
The Nebraska medical journal Pub Date : 2014-01-01 DOI: 10.1055/b-0034-92220
J. Phalen, J. Saigh
{"title":"Aortic dissection.","authors":"J. Phalen, J. Saigh","doi":"10.1055/b-0034-92220","DOIUrl":"https://doi.org/10.1055/b-0034-92220","url":null,"abstract":"ACUTE ASCENDING AORTIC DISSECTION is a serious condition with significant mortality requiring prompt diagnosis and surgical treatment as mortality rates increase hourly without intervention. There are a number of modalities currently used to diagnose aortic dissection, including computed tomography (CT), magnetic resonance imaging (MRI), and transesophageal echocardiography (TEE), each with different strengths and weaknesses in regard to speed, accuracy, and ease of performance. There exists a balance between rapid diagnosis with comprehensive information regarding anatomic detail, vascular branch involvement, false lumen identification, and speed with which the diagnosis can be made to expedite potential surgical treatment. The optimal diagnostic mode for identifying ascending aortic dissection remains controversial. Additionally, the various methods of imaging used to evaluate for aortic dissection all carry potential disadvantages of artifact within the image, complicating the diagnostic process and at times leading to false-positive diagnoses. Managing this balance represents some of the difficulties in identification and treatment of these patients. The authors present a patient who was anesthetized for repair of a suspected ascending aortic dissection based on CT findings, yet subsequent TEE revealed normal anatomy.","PeriodicalId":76700,"journal":{"name":"The Nebraska medical journal","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57829033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Extracorporeal lithotripsy in Nebraska--10 years later. 内布拉斯加州体外碎石术——十年后。
The Nebraska medical journal Pub Date : 1996-12-01
H K Mardis
{"title":"Extracorporeal lithotripsy in Nebraska--10 years later.","authors":"H K Mardis","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76700,"journal":{"name":"The Nebraska medical journal","volume":"81 12","pages":"398"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20003474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A survey of post polio syndrome in Nebraska. 内布拉斯加州脊髓灰质炎后综合症的调查。
The Nebraska medical journal Pub Date : 1996-12-01
D S Diamant, H Hillen
{"title":"A survey of post polio syndrome in Nebraska.","authors":"D S Diamant, H Hillen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76700,"journal":{"name":"The Nebraska medical journal","volume":"81 12","pages":"412-5"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20003477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gene testing for cancer susceptibility. 癌症易感性的基因测试。
The Nebraska medical journal Pub Date : 1996-12-01
G Reiser, G B Schaefer
{"title":"Gene testing for cancer susceptibility.","authors":"G Reiser, G B Schaefer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76700,"journal":{"name":"The Nebraska medical journal","volume":"81 12","pages":"416-8"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20003478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Renal sympathetic nerve discharge mediated by the paraventricular nucleus is altered in STZ induced diabetic rats. STZ诱导的糖尿病大鼠室旁核介导的肾交感神经放电发生改变。
The Nebraska medical journal Pub Date : 1996-12-01
A Y Reynolds, K Zhang, K P Patel
{"title":"Renal sympathetic nerve discharge mediated by the paraventricular nucleus is altered in STZ induced diabetic rats.","authors":"A Y Reynolds,&nbsp;K Zhang,&nbsp;K P Patel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to determine if the renal sympathetic nerve discharge (RSND), mediated by the paraventricular nucleus of the hypothalamus (PVN), is altered in streptozotocin (STZ) induced diabetic rats. Two to three weeks prior to the start of the experiment the diabetic group was treated with a single injection of STZ (65 mg/kg ip) in a 2% solution of cold 0.1 M citrate buffer (pH = 4.5). The control group was injected with the vehicle alone. Bicuculline (BIC) was injected into the PVN in three different doses (0.5, 1.0 & 2.0 nmol) while the RSND was being monitored. BIC is an antagonist of gamma-aminobutyric acid (GABA) which is an inhibitory neurotransmitter that is thought to exert a tonic inhibitory effect on the PVN. Microinjection of BIC produced a significantly lower response of RSND in the diabetic group compared to the control group. Microinjection of BIC produced a 13, 35 and 33% change in RSND in diabetic rats compared to control group in response to 0.5, 1.0, and 2.0 nmol doses, respectively. Mean blood pressure and heart rate were statistically not different between the control and the diabetic groups. However there were tendencies of the blood pressure and heart rate to be blunted upon injection of BIC into PVN in diabetic rats. This study demonstrates that RSND in response to microinjection of BIC in PVN is decreased significantly in anesthetized diabetic rats, indicating that STZ induced diabetic rats have a blunted RSND response to microinjection of BIC. There is also some evidence, although not statistically significant, for a blunted blood pressure and heart rate were diabetics. These findings suggest that there is a reduced endogenous inhibitory influence of GABAergic mechanisms within the PVN involved in regulating renal sympathetic outflow in the diabetic state.</p>","PeriodicalId":76700,"journal":{"name":"The Nebraska medical journal","volume":"81 12","pages":"419-23"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20003479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
C.A.T.C.H.: Community Access to Coordinated Healthcare. C.A.T.C.H:社区获得协调医疗保健。
The Nebraska medical journal Pub Date : 1996-12-01
E M Reichenbach, N Clark, P Lopez, D J Loschen
{"title":"C.A.T.C.H.: Community Access to Coordinated Healthcare.","authors":"E M Reichenbach,&nbsp;N Clark,&nbsp;P Lopez,&nbsp;D J Loschen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76700,"journal":{"name":"The Nebraska medical journal","volume":"81 12","pages":"400-5"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20003475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Current concepts in Guillain-Barré syndrome. 格林-巴罗综合征的当前概念。
The Nebraska medical journal Pub Date : 1996-12-01
D A Franco, R M Bashir
{"title":"Current concepts in Guillain-Barré syndrome.","authors":"D A Franco,&nbsp;R M Bashir","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76700,"journal":{"name":"The Nebraska medical journal","volume":"81 12","pages":"406-11"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20003476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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