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VATS,THE PAST Historical perspective The application of thoracoscopy can be traced back to nearly one hundred years ago,when Dr.Jacobaeus(1910)first reported his experiences in the diagnosis and treatment of pleural effusions by tho-racoscope in1909.Most patients who needed to un-dergo thoracoscopy at that time suffered from pul-monary tuberculosis(TB)(“the era of enthusiasm”)(Cutler,1933),and was rarely performed after the development of chemotherapy for patients with TB after the195…  相似文献   
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Prevotella bivia is associated with pelvic inflammatory disease. A 77-year-old man developed a rapidly growing chest wall abscess due to P. Bivia within days. He underwent surgical resection of the infected area; his postoperative course was un-eventful. This is the first case of chest wall abscess due to P. Bivia infection. Its correct diagnosis cannot be underestimated be-cause fulminam infections can occur in aged or immunocompromised patients if treated incorrectly. Prompt, appropriate surgical management, and antibiotic therapy affect treatment outcome.  相似文献   
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Actinomycosis is an uncommon disease, which is usually manifested as cervicofacial infection and related to poor oral hygiene or compromised immune function. Pulmonary actinomycosis is rare, but its diagnosis is changing due to its variable presentation and the similarity in appearance to other intrapulmonary diseases. Here we report an 80-year-old man with a solitary pulmonary nodule over the left upper lobe. Pulmonary neoplasm was highly suspected in this patient and thus resection of the mass was undertaken through video-assisted thoracic surgery (VATS). Histopathological examination demonstrated this patient had an Actinomyeces infection. While the application of VATS in patients with pulmonary actinomycosis has rarely been reported in literature, we conclude that VATS is valuable for the diagnosis and treatment of patients with undetermined pulmonary nodule(s).  相似文献   
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INTRODUCTION OF ACUTE LUNG IN- JURY/ACUTE RESPIRATORY DISTRESS SYN- DROME (ALI/ARDS) Acute lung injury (ALI) and its more severe form, the acute respiratory distress syndrome (ARDS) are syndromes of acute respiratory failure, which was defined by radiological (bilateral lung field infiltrates) and physiological (the ratio of arterial oxygen pres- sure and the inspiratory oxygen concentration, Pa O 2 /Fi O2≤300 mmHg for ALI and ≤200 mmHg for ARDS) criteria in…  相似文献   
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The purposes of this study were twofold: (1) to verify whether or not gender and interpersonal relationships influence the variance of psychosomatic symptoms in Taiwanese adolescents; and (2) to examine the moderating role of gender between interpersonal relationships and psychosomatic symptoms in Taiwanese adolescents. The present study adopted data from the Taiwan Education Panel Survey (TEPS) using a stratified-random methodology. Results indicated that: (1) gender accounts for a significant amount of variance of psychosomatic symptoms; (2) interpersonal relationships account for a significant amount of variance in psychosomatic symptoms over and above gender; and (3) gender moderates the associations of mother-adolescent and teacher-student relationships and psychosomatic symptoms, whereas it does not moderate the associations between father-adolescent, sibling, or peer relationships or psychosomatic symptoms.  相似文献   
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