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| 1 | Intensivist-based deep sedation using propofol for pediatric outpatient flexible bronchoscopy显示文摘AIM To evaluate the safety and efficacy of sedating pediatric patients for outpatient flexible bronchoscopy.METHODS A retrospective chart review was conducted for all children, age 17 years or under who underwent flexible bronchoscopy under deep sedation in an outpatient hospital-based setting. Two sedation regimens were used; propofol only or ketamine prior to propofol. Patients were divided into three age groups; infants(less than 12 mo), toddlers(1-3 years) and children(4-17 years). Demographics, indication for bronchoscopy, sedative dosing, sedation and recovery time and adverse events were reviewed.RESULTS Of the total 458 bronchoscopies performed, propofol only regimen was used in 337(74%) while propofol and ketamine was used in 121(26%). About 99% of the procedures were successfully completed. Children in the propofol + ketamine group tend to be youngerand have lower weight compared to the propofol only group. Adverse events including transient hypoxemia and hypotension occurred in 8% and 24% respectively. Median procedure time was 10 min while the median discharge time was 35 min. There were no differences in the indication of the procedure, propofol dose, procedure or recovery time in either sedative regimen. When compared to other age groups, infants had a higher incidence of hypoxemia.CONCLUSION Children can be effectively sedated for outpatient flexible bronchoscopy with high rate of success. This procedure should be performed under vigilance of highly trained providers. | Kamal Abulebda Samer Abu-Sultaneh Sheikh Sohail Ahmed Elizabeth A S Moser Renee C McKinney Riad Lutfi | 2017 | World Journal of Critical Care Medicine2017，6，4： | 8 |
| 2 | Nonalcoholic fatty liver disease is associated with benign gastrointestinal disorders显示文摘AIM:To explore associations between nonalcoholic fatty liver disease(NAFLD)and benign gastrointestinal and pancreato-biliary disorders.METHODS:Patient demographics,diagnoses,and hospital outcomes from the 2010 Nationwide Inpatient Sample were analyzed.Chronic liver diseases were identified using International Classification of Diseases,the 9thRevision,Clinical Modification codes.Patients with NAFLD were compared to those with other chronic liver diseases for the endpoints of total hospital charges,disease severity,and hospital mortality.Multivariable stepwise logistic regression analyses to assess for the independent association of demographic,comorbidity,and diagnosis variables with the event of NAFLD(vs other chronic liver diseases)were also performed.RESULTS:Of 7800441 discharge records,32347(0.4%)and 271049(3.5%)included diagnoses of NAFLD and other chronic liver diseases,respectively.NAFLD patients were younger(average 52.3 years vs55.3 years),more often female(58.8%vs 41.6%),less often black(9.6%vs 18.6%),and were from higher income areas(23.7%vs 17.7%)compared to counterparts with other chronic liver diseases(all P<0.0001).Diabetes mellitus(43.4%vs 28.9%),hypertension(56.9%vs 47.6%),morbid obesity(36.9%vs 8.0%),dyslipidemia(37.9%vs 15.6%),and the metabolic syndrome(28.75%vs 8.8%)were all more common among NAFLD patients(all P<0.0001).The average total hospital charge($39607 vs$51665),disease severity scores,and intra-hospital mortality(0.9%vs6.0%)were lower among NALFD patients compared to those with other chronic liver diseases(all P<0.0001).Compared with other chronic liver diseases,NAFLD was significantly associated with diverticular disorders[OR=4.26(3.89-4.67)],inflammatory bowel diseases[OR=3.64(3.10-4.28)],gallstone related diseases[OR=3.59(3.40-3.79)],and benign pancreatitis[OR=2.95(2.79-3.12)]on multivariable logistic regression(all P<0.0001)when the latter disorders were the principal diagnoses on hospital discharge.Similar relationships were observed when the latter disorders were associated diagnoses on hospital discharge.CONCLUSION:NAFLD is associated with diverticular,inflammatory bowel,gallstone,and benign pancreatitis disorders.Compared with other liver diseases,patients with NAFLD have lower hospital charges and mortality. | Srinevas K Reddy Min Zhan H Richard Alexander Samer S El-Kamary | 2013 | World Journal of Gastroenterology2013，19，45： | 4 |
| 3 | Coordinating Expertise in Soft- ware Development Teams显示文摘 | SAMER F LEE S | 2000 | Management Science2000，46，12： | 1 |
| 4 | Compensation of axle-generator errors due to wheel slip and slide显示文摘 | SAMER S GEORGE E NASR B | 2002 | IEEE Transaction on Vehicular Technology2002，51，3： | 1 |
| 5 | Evaluation of E-learning program versus traditional lecture instruction for undergraduate nursing students in a faculty of nursing显示文摘 | Abdelaziz M Samer Kamel S Karam O | 2011 | Teaching and Learning in Nursing2011，6，2： | 1 |
| 6 | A map matching approach fqr train positioning part I: Development and analysis显示文摘 | SAMER S | 2000 | IEEE Transaction of Vehicle Technology2000，49，2： | 1 |
| 7 | A map mathing approach for train positioning part II: Application and experimentation显示文摘 | SAMER S | 2000 | IEEE Transaction of Vehicle Technology2000，49，2： | 1 |
| 8 | Optimizaiton of a long- period grating-based Mach-Zehnder interferometer for temperature measurement 显示文摘 | Samer K Abi K B Tong S | 2007 | Optics Communications2007，272，1： | 1 |
| 9 | Learning control algorithms for tracking slowly varying trajectories显示文摘 | Samer W G V Saab S Mickle M H | 1997 | IEEE Trans Syst Man Cybern B1997，27，3： | 1 |
| 10 | Coordinating expertise in software development teams显示文摘 | SAMER F LEE S | 2000 | Management Science2000，，12： | 1 |
| 11 | Hasan want is new in shoulder and elbowsurgery 显示文摘 | Gary M Gartsman Samer S | 2005 | JBJS2005，87，： | 1 |
| 12 | The use of vaterite as a trap for metallic ions in water study of eopper/vaterite and manganese/ vaterite systems显示文摘 | SAMER A ELIAS S NAJAT N A | 2009 | Leha1:ese Science ]ournal2009，10，2： | 1 |
| 13 | Role of membranes and activated carbon in the removal of endocrine disruptors and pharmaceuticals显示文摘 | Snyder S A Samer A Redding A M | | 0，，1： | 1 |
| 14 | Pomegranate and type 2 diabetes显示文摘 | Saleem B Samer S Ziyad A | 2013 | Nutrition Research2013，33，5： | 1 |
| 15 | The Metabolic Syndrome in older individuals:Prevalence and Prediction of Cardiovascular Events显示文摘 | Angelo S Christopher HM Samer S | 2005 | Diabetes Care2005，28，4： | 1 |
| 16 | Aggressiveness propensity index for driving behavior at signalized intersections显示文摘 | Samer H Hamdar Hani S Mahmassani Roger B Chen | 2008 | Accident Analysis and Prevention2008，40，： | 1 |
| 17 | Overview of therapies for prevention of restenosis after coronary interventions显示文摘 | Samer M G Philip Huber Neal A S | 2001 | Pharmacol Therapeut2001，92，： | 1 |
| 18 | Elevated aortic pulse wave velocity, a marker of arterial stiffness, Predicts cardiovascular events in well-functioning older adults 显示文摘 | Kim Sutton T Samer S Najjar Robert M | 2005 | Circulation2005，111，6： | 1 |
| 19 | A Map Matching Approach for Train Positioning,Part Ⅰ:Development and Analysis显示文摘 | Samer S Saab | 2000 | IEEE Transactions on Vehicular Technology2000，49，2： | 1 |
| 20 | A Map Matching Approach for Train Positioning,Part Ⅱ:Application and Experimentation显示文摘 | Samer S Saab | 2000 | IEEE Transactions on Vehicular Technology2000，49，2： | 1 |
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