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73篇 您的检索式:作者名="IRVING P M"
    题名 作者 年代 出处 被引量
1Risk-adjustment in hepatobiliarypancreatic surgery显示文摘AIM: The present study evaluates the performance of the POSSUM, the American Society of Anesthetists (ASA),APACHE and Childs classification in predicting mortality and morbidity in hepatopancreaticobiliary (HPB) surgery.We describe especially the limitations and advantages of risk in stratifying the patients.METHODS: We investigated 177 randomly chosen patients undergoing eledive complex HPB surgery in a single institution with a total of 71 pre-operative and intra-operative risk factors.Primary endpoint was in-hospital mortality and morbidity.Ordered logistic regression analysis was used to identify individual predictors of operative morbidity and mortality.RESULTS: The operative mortality in the series was 3.95% .This compared well with the p-POSSUM and APACHE predicted mortality of 4.31% and 4.29% respectively. Postoperative complications amounted to 45% with 24 (13.6%)patients having a major adverse event. On multivariate analysis the pre-operative POSSUM physiological score (OR = 1.18,P = 0.009) was superior in predicting complications compared to the ASA (P = 0.108), APACHE (P = 0.117)or Childs classification (P = 0.136). In addition, serum sodium, creatinine, international normalized ratio (INR),pulse rate, and intra-operative blood loss were independent risk factors. A combination of the POSSUM variables and INR offered the optimal combination of risk factors for risk prognostication in HPB surgery.CONCLUSION: Morbidity for elective HPB surgery can be accurately predicted and applied in everyday surgical practice as an adjunct in the process of informed consent and for effective allocation of resources for intensive and high-dependency care facilities.Hemant M Kocher Paris P Tekkis Palepu Gopal Ameet G Patel Simon Cottam Irving S Benjamin 2005World Journal of Gastroenterology2005,11,16:3
2Plug in to grid computing显示文摘M Irving G Taylor P Hobson 0,,:1
3For The Record: A Single Amino Acid Substitution Affects Substrate Specificity In Cysteine Proteinases From Fasciola Hepatica显示文摘Smooker P M Whisstock J C Irving J A 2008Protein Sci2008,9,12:1
4Corrosion Pit Size Distribution and Fatigue Lives--a Study of the EIFS Technique for Fatigue Design in the Presence of Corrosion 显示文摘MEDVED J J BRETON M IRVING P E 2006International Journal of Fatigue2006,26,1:1
5Corrosion pit size distributions and fatigue lives-a study of the EIFS technique for fatigue design in the presence of corrosion显示文摘Medved J J Breton M Irving P E 2004Int J Fatigue2004,26,:1
6Formation of platelet-leukocyte aggregates in inflammatory bowel disease显示文摘IRVING P M MACEY M G SHAH U 2004Inflamm Bowel Dis2004,10,:1
7Serpins in prokaryotes显示文摘IRVING J A STEENBAKKERS P J LESK A M 2002Mol Biol Evol2002,19,:1
8Expression and characterization of infectious bursal disease virus polyprotein in yeast 显示文摘Jagadish M N Vaughan P R Irving R A 1990Gene1990,95,:1
9Overvicw of observational studies of low- dose helical eomputed Iomography screening for lung eancer显示文摘Manser R L Irving L B DE Campo M P 2005Respirology2005,10,1:1
10Corrosion Pit Size Distributions and Fatigue Lives-A Study of the EIFS Technique for Fatigue Design in the Presence of Corrosion 显示文摘MEDVED J J BRETON M IRVING P E 2004Int J Fatigue2004,26,:1
11Expression and characterization of infectious bursal disease virus polyprotein in yeast 显示文摘Jagadish M N Vaughan P R Irving R A 1990Gene1990,95,:1
12Genetic algorithm for supply restoration and optimal load shedding in power system distribution networks 显示文摘Luan W P Irving M R Daniel J S 2002Generation Transmission and Distribution IEE Proceedings2002,2,149:1
13Serpins in prokaryotes 显示文摘Irving J A Steenbakkers P J Lesk A M 2002Mol Biol Evol2002,19,11:1
14Expression and characterization of infectious bursal disease virus polyprotein in yeast显示文摘Jagadish M N Vaughan P R Irving R A 1990Gene1990,95,2:1
15The effect of variable amplitude loading on stress distribution within a cylindrical contact subjected to fretting fatigue显示文摘 IRVING P E 2006Tribology International2006,39,2:1
16Expression and characterization of infectious bursal disease virus polyprotein in yeast显示文摘Jagadish M N Vaughan P R Irving R A 1990Gene1990,95,:1
17Corroison pit size distributions and fatigue lives--a study of the EIFS technique for fatigue design in the presence of corrosion显示文摘Medved J J Breton M Irving P E 2004International Journal of Fatigue2004,26,:1
18Genetic algorithm for supply restoration and optimal load shedding in power system distribution networks 显示文摘Luan W P Irving M R Daniel J S 2002IEEE Trans on Power Delivery2002,149,2:1
19An inte- grated approach to the determination and consequences of residual stress on the fatigue performance of welded air- craft struetures显示文摘Edwards L Fitzpatrick M E Irving P E 2006Journal of ASTM International2006,3,2:1
20Corrosion pit size distributions and fatigue lives-a study of the EIFS technique for fatigue design in the presence of corrosion 显示文摘Medved J J Breton A M Irving P E 2004International Journal of Fatigue2004,26,1:1
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