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91.
目的:探讨腹腔镜下胆道镜经胆囊管行胆道探查取石术(LTCBDE)的可行性以及安全性。方法:124 例胆囊合并胆总管结石 患者,根据手术方式分为LTCBDE 组和腹腔镜胆总管切开取石T管引流术(LCTD组),各62 例,比较两组的手术情况、疗效及安 全性。结果:LTCBDE 的手术时间、术后引流时间、肛门排气时间、术后住院时间及补液量较LCTD 组显著减少(P<0.05);LTCBDE 组并发症发生率及复发率分别为3.23%、1.61%,显著低于LCTD 组的20.97%、11.29%(P<0.05)。结论:LTCBDE 创伤小、患者痛 苦少、术后恢复快、并发症少且复发率低,是治疗胆囊结石合并胆总管结石的一种安全可行的微创治疗手段,值得在临床中推广 应用。  相似文献   
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Recombinant human erythropoietin (rhEPO) has been used clinically to alleviate cancer- and chemotherapy-related anemia. However, recent clinical trials have reported that rhEPO also may adversely impact disease progression and survival. The expression of functional EPO receptors (EPOR) has been demonstrated in many human cancer cells where, at least in vitro, rhEPO can stimulate cell growth and survival and may induce resistance to selected therapies.  相似文献   
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Bean common mosaic potyvirus (BCMV) is an important seed borne pathogen of French bean. Differential inoculation with bean common mosaic virus at cotylodonary trifoliate leaf stage and pre-flowering stage of crop growth revealed that cotyledonary leaf infection favored maximum disease expression. Under immunosorbent electron microscopy (ISEM) the virus particles of filamentous structure having a diameter of 750 nm (l) and 15 nm (w) were observed. These particles gave positive precipitin tests with polyclonal antiserum of Potato virus Y.  相似文献   
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Abstract: Cultural evidence suggests that sooty shearwater (Puffinus griseus) chicks have been harvested by Rakiura Māori on islands in southern New Zealand since prehistoric times. Concerns exist that modern harvests may be impacting sooty shearwater abundance. We modeled human-related and ecological determinants of harvest (total no. of individuals harvested) of sooty shearwater chicks on 11 islands and examined the relationship between shearwater abundance and harvesting rates (chicks/hr) and harvester behavior throughout the harvesting season. Models best explaining variation in harvest between harvesting areas (manu), for both the early and late parts of the harvesting season, included harvester-days (included in all models with change in deviance information criteria [ΔDIC], ΔDIC < 8.36 and ΔDIC < 11.5, for the early and late periods, respectively). Other harvest determinants included shearwater density, size of the manu, and number of people helping harvesters (all included in the top 5 models within ΔDIC = 2.25 for the late period). Areas harvested by several families under a common-property harvesting system had higher harvest intensity for their size (24% points higher, 95% credible interval 11–36%) than those managed as an exclusive resource for one family. The slowest harvesters spent more time harvesting but on average only harvested 36% (95% credible interval 15–65%) and 34% (95% credible interval 12–63%) of the harvest taken by the fastest harvesters during the early and late periods, respectively. Our results highlight the possibility of elevated harvest intensity as the population of harvesters increases. However, our models suggested that a corresponding reduction in harvesting rate at low prey densities during the most productive period could potentially regulate harvest intensity. Future research will integrate these results into prospective shearwater demographic models to assess the utility of a range of harvesting strategies in ensuring harvest sustainability.  相似文献   
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Abstract: Common reed (Phragmites australis) forms dense stands with deep layers of residual organic matter that negatively affects plant diversity and possibly habitat use by wetland birds. We sought to determine whether seasonal relative abundance and species richness of birds varied among 3 habitat types in Great Lakes coastal wetland complexes recently invaded by common reed. We used fixed-distance point counts to determine species relative abundances and species richness in edge and interior locales within common reed, cattail (Typha spp.), and meadow marsh habitats of various sizes during 2 summers (2001 and 2002) and 1 autumn (2001) at Long Point, Lake Erie, Ontario, Canada. We found that total relative abundance and species richness of birds were greater in common reed habitat compared to cattail or meadow marsh habitats. However, we also found that relative abundance of marsh-nesting birds was greater in meadow marsh habitat than in cattail and common reed during summer. Lastly, we found that, irrespective of habitat type, habitat edges had higher total relative abundance and species richness of birds than did habitat interiors. Our results show that common reed provides suitable habitat for a diversity of landbirds during summer and autumn but only limited habitat for many marsh-nesting birds during summer. Based on these results, we recommend restoration of meadow marsh habitat through reduction of common reed in Great Lakes wetlands where providing habitat for breeding marsh-nesting birds is an objective. Managers also might consider reducing the size of nonnative common reed stands to increase edge effect and use by birds, possibly including wetland birds.  相似文献   
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