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| 1 | Relative importance of enterochromaffin cell hyperplasia, anxiety, and depression in postinfectious IBS显示文摘 | Simon P Dunlop David Jenkins Keith R Neal Robin C Spiller | 2003 | Gastroenterology2003,,6: | 2 |
| 2 | Changes in efficiency and resource utilization after increasing experience with double balloon enteroscopy显示文摘AIM:To investigate changes in efficiency and resource utilization as a single endoscopist's experience increased with each subsequent 100 double balloon enteroscopy(DBE) procedures.METHODS:We reviewed consecutive DBE procedures performed by a single endoscopist at our center over 4 years.DBE was employed when the clinician deemed the procedure was needed for disease management.The approach(oral,anal or both) was chosen based on suspected location of the target lesion.All DBE was performed in a standard endoscopy room with a portable fluoroscopy unit.Fluoroscopy was used to aid in shortening the small intestine and reducing bowel loops.For oral DBE,measurements were taken from the incisors.For anal DBE,measurements were taken from the anal verge.Enteroscopy continued until the target lesion was reached,until the entire small intestine was examined,or until no further progress was deemed possible.The length of small intestine examined(cm),procedure duration(min),and fluoroscopy time(s) were analyzed for sequential groups of 100 DBE.Sub-groups of diagnostic and therapeutic procedures were analyzed using multivariable linear regression.RESULTS:802 consecutive DBE procedures were analyzed.For oral DBE,median [interquartile range(IQR)] length of small bowel examined was 230.8 cm(range:210-248 cm) and for anal DBE was 143.5 cm(range:100-180 cm).No significant increase in length examined was noted for either the oral or anal approach with advancing position in series.In terms of duration of procedure,the median(IQR) for oral DBE was 86 min(range:71-105 min) and for anal DBE was 81.3 min(range:67-105 min).When comparing by the position in series,there was a significant(P value < 0.001) decrease in procedure duration for both upper and lower procedures with increasing experience.Median(IQR) time of exposure to fluoroscopy for oral DBE was 190 s(114-275) compared to anal DBE which was 196.4 s(312-128).This represented a significant(P value < 0.001) decrease in the amount of fluoroscopy used with increasing position in series.For both oral and anal DBE,fluoroscopy time was reduced by greater than 50% over the course of 802 total procedures performed.Sub-group analysis was conducted on therapeutic and diagnostic groups.Out of 802 procedures,a total of 434 were considered therapeutic.Argon plasma coagulation was by far the most common therapeutic intervention performed.There was no evidence of a difference in length examined or fluoroscopy exposure among oral DBE for diagnostic and therapeutic procedures,P = 0.91 and P = 0.32 respectively.The median(IQR) for length was 235 cm(range:178-280 cm) for diagnostic vs 230 cm(range:180-275 cm) for therapeutic procedures;additionally,fluoroscopy time median(IQR) was 180 s(range:110-295 s) and 162 s(range:102-263 s) for no intervention and intervention.However,there was a significant difference in procedure duration among oral DBE(P < 0.001).The median(IQR) was 80 min(range:60-97 min) and 94 min(range:77-110 min) for diagnostic and therapeutic interventions respectively.CONCLUSION:For a single endoscopist,increased DBE experience with number of performed procedures is associated with increased efficiency and decreased resource utilization. | Neal C Patel William C Palmer Kanwar R Gill David Cangemi Nancy Diehl Mark E Stark | 2013 | World Journal of Gastrointestinal Endoscopy2013,5,3: | 2 |
| 3 | The Moon 35 years after Apollo: What's left to learn? 显示文摘 | Neal C R | 2009 | Chem Erde2009,69,1: | 1 |
| 4 | Near Shannon limit performance of low density parity check codes 显示文摘 | MACKAY D J C NEAL R M | 1997 | Electronics Letters1997,33,6: | 1 |
| 5 | Near Shannon limit performance of low density parity check codes 显示文摘 | Mackay D J C Neal R M | 1996 | Electronics Letters1996,33,6: | 1 |
| 6 | Near Shannon limit performance of low density parity check codes显示文摘 | MACKAY D J C and NEAL R M | 1996 | Electronics Letters1996,32,18: | 1 |
| 7 | Near Shannon limint performance of low density parity check codes显示文摘 | MACKAY D J C NEAL R M | 1996 | Electronic Letters1996,32,: | 1 |
| 8 | Henoch-Schonlein purpura follow- ing hepatitis B vaccination 显示文摘 | Chave T Neal C Camp R | 2003 | J Dermatol Treat2003,14,3: | 1 |
| 9 | Near Shannon limit performance of low-density parity-check codes 显示文摘 | MacKay D J C Neal R M | 1996 | Electron1996,32,: | 1 |
| 10 | Near Shannon limit performance of low density parity check codes显示文摘 | MACKAY D J C NEAL R M | 1997 | Electronics Letters1997,33,: | 1 |
| 11 | The moon 35 years after Apollo: What's left to learn?显示文摘 | Neal C R | 2009 | Chemie der Erde - Geochemistry2009,69,1: | 1 |
| 12 | Do aspirin andstatins prevent severe sepsis显示文摘 | Sanchez M A Thomas C B O′Neal H R | 2012 | Curr Opin Infect Dis2012,25,3: | 1 |
| 13 | Near Shannon Limit Performance of Low Density Parity Check Codes显示文摘 | MacKay D J C Neal R M | 1997 | Electronics Letters1997,33,6: | 1 |
| 14 | Anaerobic methane oxidation on the Amazon shelf显示文摘 | Neal E B Aller R C | 1995 | Geochimica et Cosmochimica Acta1995,59,18: | 1 |
| 15 | Enterocyle TLR4 medi- ates phago-cytosis and translocation of bacteria across the intes- tinal barrier 显示文摘 | Neal MD Leaphart C Levy R | 2006 | J Immunol2006,176,5: | 1 |
| 16 | Ultraviolet sunscreens in Gymnodinium sanguineum (Dinophyceae): mycosporine-like amino acids protect against inhibition of photosynthesis显示文摘 | NEALE P J BANASZAK A JARRIEL C R | 1998 | Journal of Phycology1998,34,: | 1 |
| 17 | Arithmetic coding for data Compression显示文摘 | WITTEN I H NEAL R CLEAR J C | | 0,,06: | 1 |
| 18 | Diurnal and longer term patterns in carbon dioxide and calcite saturation for the River Kennet,south-eastern England显示文摘 | Neal C Watts C Williams R J | 2002 | Science of The Total Environment2002,,: | 1 |
| 19 | Near Shannon limit peflbrm- ance of low density parity check codes 显示文摘 | MacKay D J C Neal R M | 1996 | Electronics letters1996,32,18: | 1 |
| 20 | Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection: a randomised controlled trial显示文摘 | Dileep N Lobo Kate A Bostock Keith R Neal Alan C Perkins Brain J Rowlands Simon P Allison | 2002 | The Lancet . 2002 (9320)2002,,9320: | 1 |