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| 1 | Open abdomen in gastrointestinal surgery:Which technique is the best for temporary closure during damage control?显示文摘AIM To compare the 3 main techniques of temporary closure of the abdominal cavity,vacuum assisted closure(vacuum-assisted closure therapy- VAC),Bogota bag and Barker technique,in damage control surgery.METHODS After systematic review of the literature,33 articles were selected to compare the efficiency of the three procedures.Criteria such as cost,infections,capacity of reconstruction of the abdominal wall,diseases associated with the technique,among others were analyzed.RESULTS The Bogota bag and Barker techniques present as advantage the availability of material and low cost,what is not observed in the VAC procedure.The VAC technique is the most efficient,not only because it reduces the tension on the boarders of the lesion,but also removes stagnant fluids and debris and acts at cellular level increasing cell proliferation and division.Bogota bag presents the higher rates of skin laceration and evisceration,greater need for a stent for draining fluids and wash-ups,higher rates of intestinal adhesion to the abdominal wall.The Barker technique presents lack of efficiency in closing the abdominal wall and difficulty on maintaining pressure on the dressing.The VAC dressing can generate irritation and dermatitis when the drape is applied,in addition to pain,infection and bleeding,as well as toxic shock syndrome,anaerobic sepsis and thrombosis.CONCLUSION The VAC technique,showed to be superior allowing a better control of liquid on the third space,avoiding complications such as fistula with small mortality,low infection rate,and easier capability on primary closure of the abdominal cavity. | Marcelo A F Ribeiro Junior Emily Alves Barros Sabrina Marques de Carvalho Vinicius Pereira Nascimento José Cruvinel Neto Alexandre Zanchenko Fonseca | 2016 | World Journal of Gastrointestinal Surgery2016，8，8： | 9 |
| 2 | Concordance of non-invasive mechanical and serum tests for liver fibrosis evaluation in chronic hepatitis C显示文摘AIM To determine the sensitivity and specificity of liver stiffness measurement(LSM) and serum markers(SM) for liver fibrosis evaluation in chronic hepatitis C.METHODS Between 2012 and 2014,81 consecutive hepatitis C virus(HCV) patients had METAVIR score from liver biopsy compared with concurrent results from LSM [transient elastography(TE) [FibroS can~/ARFI technology(Virtual Touch~)] and SM [FIB-4/aspartate aminotransferase-toplatelet ratio index(APRI)].The diagnostic performance of these tests was assessed using receiver operating characteristic curves.The optimal cut-off levels of each test were chosen to define fibrosis stages F ≥ 2,F ≥ 3 and F = 4.The Kappa index set the concordance analysis.RESULTS Fifty point six percent were female and the median age was 51 years(30-78).Fifty-six patients(70%) weretreatment-na?ve.The optimal cut-off values for predicting F ≥ 2 stage fibrosis assessed by TE were 6.6 kP a,for acoustic radiation force impulse(ARFI) 1.22 m/s,for APRI 0.75 and for FIB-4 1.47.For F ≥ 3 TE was 8.9 kP a,ARFI was 1.48 m/s,APRI was 0.75,and FIB-4 was 2.For F = 4,TE was 12.2 kP a,ARFI was 1.77 m/s,APRI was 1.46,and FIB-4 was 3.91.The APRI could not distinguish between F2 and F3,P = 0.92.The negative predictive value for F = 4 for TE and ARFI was 100%.Kappa index values for F ≥ 3 METAVIR score for TE,ARFI and FIB-4 were 0.687,0.606 and 0.654,respectively.This demonstrates strong concordance between all three screening methods,and moderate to strong concordance between them and APRI(Kappa index = 0.507).CONCLUSION Given the costs and accessibility of LSM methods,and the similarity with the outcomes of SM,we suggest that FIB-4 as well as TE and ARFI may be useful indicators of the degree of liver fibrosis.This is of particular importance to developing countries. | Denise C Paranaguá-Vezozzo Adriana Andrade Daniel F C Mazo Vinicius Nunes Ana L Guedes Taisa G Ragazzo Renata Moutinho Lucas S Nacif Suzane K Ono Venancio A F Alves Flair J Carrilho | 2017 | World Journal of Hepatology2017，9，8： | 7 |
| 3 | NEW TOXOPLASMA GONDII GENOTYPES ISOLATED FROM FREE-RANGE CHICKENS FROM THE FERNANDO DE NORONHA, BRAZIL: UNEXPECTED FINDINGS显示文摘 | Dubey J P Rajendran C Costa D G C Ferreira L R Kwok O C H Qu D Su C Marvulo M F V Alves L C Mota R A Silva J C R | 2010 | The Journal of Parasitology2010，，4： | 2 |
| 4 | Identification of molecular phenotypes in canine mammary carcinomas with clinical irnplications: application of the human classification 显示文摘 | Gama A Alves A Schmitt F | 2008 | Virchows Arch2008，453，： | 1 |
| 5 | Positive solu- tions for a quasilinear elliptic equations of Kirchhoff type显示文摘 | Alves C O Correa F J S A Ma T F | 2005 | Comput Math Appl2005，4，： | 1 |
| 6 | Trends of HIV - 1 and HIV - 2 prevalence among pregnant women in Guinea- Bissau, West Africa: possible effect of the civil war 1998 1999显示文摘 | Mansson F Alves A Silva ZJ | 2007 | Sex Transm Infect2007，83，6： | 1 |
| 7 | Occur- rence and diversity of integrons and beta-lactarnase genes among ampicillin-resistant isolates from estuarine waters 显示文摘 | HENRIQUES I S FONSECA F ALVES A | 2006 | Res Microbiol2006，157，10： | 1 |
| 8 | Quantitative analyses of kidney injury molecule -1messenger RNA in kidney transplant recipients with graft dysfunc-tion显示文摘 | Nogare A L Joelsons G Pedroso J A Veronese F J Gonalves L F Manfro R C | 2010 | Transplant Proc2010，42，： | 1 |
| 9 | End-to-end joining of tubes by plastic instability 显示文摘 | Alves L M Silva C M A Martins P A F | 2014 | Journal of Materials Processing Technology2014，214，9： | 1 |
| 10 | Salivary gland tumors in children and adolescents: a clinicopathologic and immunohistochemical study of fiftythree cases显示文摘 | da Cruz Perez DE Pires F R Alves F A | | Int J Pediatr Otorhinolaryngol 200 10，68，7： | 1 |
| 11 | Is exercise training an effective therapy targeting endothelial dysfunc- tion and vascular wall inflammation? 显示文摘 | RIBEIRO F ALVES A J DUART | 2010 | International Journal of Cardiology2010，141，3： | 1 |
| 12 | Positive Solutions for a Quasilinear Elliptic Equation of Kirchhoff Type 显示文摘 | ALVES C O CORREA F J S A MAT F | 2005 | Comput Math Appl2005，49，： | 1 |
| 13 | p63: A novel myoepithelial cell marker in canine mammary tissues 显示文摘 | Gama A Alves A Gartner F | 2003 | Vet Pathol2003，40，： | 1 |
| 14 | A novel myoepithelial cell marker in canine mammary tissues显示文摘 | Gama A Alves A Gartner F | 2003 | Vet Pathol2003，40，： | 1 |
| 15 | New 1D-2D magnetic sensors for applied electromagnetic engineering 显示文摘 | Alves F Bensalah A D | 2007 | Journal of Materials Processing Technology2007，181，： | 1 |
| 16 | Cold expansion and reduction of thin- walled PVC tubes using a die显示文摘 | Alves L M Martins P A F | 2009 | Journal of Materials Processing Technology2009，209，9： | 1 |
| 17 | Electro-osmosis of viscoelastic fluids and prediction of electro-elastic flow instabilities in a cross slot using a finite-volume method显示文摘 | AFONSO A M PINHO F T ALVES M A | 2012 | Journal of NonNewtonian Fluid Mechanics2012，，： | 1 |
| 18 | Cream cheese as a symbiotic food carrier using B ifidobacterium animalis B b‐12 and L actobacillus acidophilus L a‐5 and inulin显示文摘 | Larissa L Alves Neila S P S Richards Paula Mattanna Diego F Andrade Adriano P S Rezer Liana I G Milani Adriano G Cruz José A F Faria | 2012 | Int J Dairy Technol2012，，1： | 1 |
| 19 | Influence of weathering and gamma irradiation on the me- chanical and ballistic behavior of UHMWPE composite ar- mor显示文摘 | Dos Santos Alves A L Nascimento L F C Suarez J C M | 2005 | Polym Test2005，24，1： | 1 |
| 20 | The influence of the dispersion technique on the characteristics of the W-Cu powders and on the sintering behavior显示文摘 | da ALVES F C da PEREIRA A G S GOMES U U | 2003 | Powder Technology2003，134，12： | 1 |
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