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w********e
发帖数: 275 | 3 若是大亨的话，还会在乎这点儿差价？不过，谢谢楼上的回复 |
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k***5
发帖数: 583 | 5 支架的问题是会复发，就算是用最新的close stent也会有这个问题。必须长期服药控
制血脂。
bypass会好些，但手术更复杂，风险更大。所以要医生做评估选择做哪个。 |
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m*****a
发帖数: 2160 | 6 谷歌一下，For patients without health insurance, total costs are typically $
11,000-$41,000 or more, depending on the type of stent and length of
hospital stay.
为啥没有健康保险？？
在国内做会远远要便宜，但是推荐让美国医生判断需不需要做，因为国内过度使用支架
有一点点普遍 |
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T*R
发帖数: 36302 | 7 Ft, there is clinical pathway for Heart Attack. Even a small community
hospital here can do emergent cathlab and stent placement.
You can say you have to wait 4 hours for fever or abdominal pain, but
definitely not Chest Pain or Heart Attack.
Hou had been waiting one hour to get ambulance arrive, and it happened in a
rich community in suburb of BeiJing |
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t********6
发帖数: 348 | 8 So what does this mean for Bing cashback users? Well, until July 30th at 9:0
0 pm PST, it’s business as usual, with cashback offers still living within
Bing. After that, Bing cashback will discontinue, though you will have a yea
r to redeem any cashback you have earned through your cashback account consi
stent with the cashback Terms and Conditions. In addition, Microsoft will pr
ovide 12 months of customer support to ensure a smooth transition. |
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s****l
发帖数: 10462 | 9 查了一下 PAD，看上去症状很象，尤其是下面这第一个手术（疏通）描述的就是我父亲
做的。没有做第二个中描述的搭桥。
1，For a minority of patients the above recommendations and treatments aren'
t enough, and minimally invasive treatment or surgery may be needed.
Minimally invasive procedures consist of angioplasty or stent placement (as
is done in the heart for CAD) or clot-removal treatment. They are
nonsurgical and are performed by making a small incision through which a
catheter is inserted to reach the blocked artery. A tiny balloon is inflated
insid |
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c******e
发帖数: 1581 | 10 好。
EW 也是买了一家东部的小公司获得THV关键技术，为了fund its clinical trials, EW
sold it stent business to CR Bard.走到今天不易。MDT 刚买了个小公司，还需时
日与之抗衡，STJ 也有相关产品。BSX 就算了，快破产了。
EW 去年有一 2：1 split. 你的$20/share 当时应该是$40多，这是近几年的底。我印
象EW 很少下50。
EW 在 on sale list 上排首位，潜在买家有些，但我看只有JNJ 有可能。之所以拖这
么久，一则JNJ被 Tylenol recall 困扰，二则 EW is quite pricy now. 大牛可看看M
&A plays in this field. |
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k**********4
发帖数: 16092 | 11 for one thing, they are beating their old competitor such as abbott vascular
in the stent market
cldx, |
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c******e
发帖数: 56 | 12 来自主题: Immigration版 - 急求审稿 方向：
Polymer/bio-nanopatterning
Biointerfaces
Protein adsorption on surfaces
Drug-eluting stent (in vitro & in vivo evaluation)
Drug release
Optical fiber biosensors (fabrication and test)
Surface enhanced Raman scattering (SERS)
Cancer research by FTIR
Thanks for your time and consideration!
Pls send me msg if you need, thanks!
Good luck for everyone's GC application and paper submission! |
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s*******b
发帖数: 1012 | 13 Update: Gone
------------------------------------
攒485 RP
key word：Stent placement， internal jugular vein stenosis， case report
有兴趣的请站内，附简单背景 (no guarantee) |
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l****z
发帖数: 29846 | 14 Obamacare’s Hierarchy of Privilege
No one who favors the law wants to be bound by it.
By Mark Steyn
On his radio show the other day, Hugh Hewitt caught me by surprise and asked
me about running for the United States Senate from New Hampshire. My
various consultants, pollsters, PACs, and exploratory committees haven’t
fine-tuned every detail of my platform just yet, but I can say this without
a doubt: I will not vote for any “comprehensive” bill, whether on
immigration, health care, or anything ... 阅读全帖 |
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x******y
发帖数: 6946 | 15 听意思计划是父母准备去急症，医院不能拒收你，急症一般付不起最后是政府，纳税人和医院合伙买单。 唉，Illinois也不知道还能付得起这些高额帐单不
如果我没搞错的话， ER 处理的是emergency, 比如你这个植入stent之类的心血管手术
可以等上三五天没问题吧， 那就不是这边医院认为的emergency了 |
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a**e
发帖数: 5094 | 16 你前面说的是EP,不是stent吧，估计急诊没人做 |
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t*****M
发帖数: 597 | 17 不是看他的血管直径比普通人大多少，因为这个差距有可能是天生的有可能是一个
adaptive的结果，但是可以看到的是没有atherosclerosis，下图是需要上stent的病人 |
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s********s
发帖数: 772 | 18 Bypass 这种治疗方式应该还没过时啊？
不然就是Angioplasty
或者放stent吧
好像bypass是给严重的冠心病患者的 |
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H********g
发帖数: 43926 | 19 他那个paper是用一种生物降解材料做个耳朵形状的骨架，然后把牛软骨细胞放到骨架
上长，老鼠提供营养。结果可以长出来一个耳朵形状的软骨结构。这个实验说明这种材
料做的骨架加上软骨细胞可以用来制造软骨组织，拿来做整形用。我看这个paper还是
算靠谱的。比如说要隆鼻子，就不用从关节上砍块软骨，可以取点细胞来做一个鼻梁。
当然这个鼻梁会不会一直长一直长，让人变成一个皮诺曹，那就不一定了。
This study evaluates the feasibility of growing tissue-engineered cartilage
in the shape of a human ear using chondrocytes seeded onto a synthetic
biodegradable polymer fashioned in the shape of a 3-year-old child's auricle
. A polymer template was formed in the shape of a human auricle using a
nonwoven m... 阅读全帖 |
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R*o
发帖数: 3781 | 20 A Commendable But Mistaken Zeal
Talbot and Crampton assure us that "The sovereignty of God is ... the most b
asic principle of Calvinism ... the foundation upon which all [including Chr
istianity itself] is built." 10 Boettner agrees: "The basic principle of Cal
vinism is the sovereignty of God." 11 Such fervor for God's sovereignty is c
ommendable. However, in order to make certain that everything is under His c
ontrol to the extent that it must be in order for their doctrine to be consi
stent,... 阅读全帖 |
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j*******7
发帖数: 6300 | 22 语言的起源
在考虑不同的文化，国家，种族之前，我们需要考虑各种人类语言的特别现象，因
为前者是以后者为基础。无论一般语言的起源，或者各种语言的起源，进化论的理论家
都无法提出一个使人可信的进化模式。圣经记载比进化论者所发展出来的任何东西都更
合乎实际。
在前一章中，我们在论到人性，尤其是人的自我意识时，曾简短的讨论到人的语
言与动物所发出之声音有别。那唯一能解释人能以抽象，象征，及用符号思维，交谈的
原因是，它是上帝创造的恩赐。人是依上帝的形像造的，而这就必须有神人之间交通的
工具，因此，人与人之间也需要。
那就是说，上帝计划要对人说话。而上帝也盼望人以赞美及借着对他人作见证响
应。这就是上帝赋予人语言能力的崇高目的及功能。『耶和华对他说：谁造人的口呢﹖
谁使人口哑、耳聋、目明、眼瞎呢﹖岂不是我─耶和华吗﹖现在去吧，我必赐你口才，
指教你所当说的话。』出 4:11-12但是依照进化论者的猜想，人是怎样获得这项能力的
呢?这在所有想象进化步骤中最重要的步骤，被认为是在地质年代中十分近代，使动物
变成人的步骤，对进化论者说，仍然完全笼罩在神秘之中。那不能信服的辛普生(
George Gay... 阅读全帖 |
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O*****c
发帖数: 679 | 23 发信人: leuning (none), 信区: Macromolecules
标 题: Re: Should 高分子 be avoided as a career choice in USA?
发信站: BBS 未名空间站 (Tue Jul 7 23:21:37 2009, 美东)
drug delivery never worked: FDA haven't approved any drug delivery drug via
oral intake yet. Polymer used in stent, skin patches to retain drugs
indeed. But these are medical devices. Only a few polymer chemists employed
there. Company such as medtronic is not that stable.
solar-cell不是加州有很多stat-ups : most of them haven't received series B
funding yet, the |
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c*******n
发帖数: 1648 | 24 现在工业界做BIO大多都是搞STENT的，真的很多。
多少就要买多少. |
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w***i
发帖数: 175 | 28 更加狗血的是，还真有人把前女朋友介绍给同事去接盘。广大的接盘男们信心大振。
大侠牛B, 大学未毕业就发了三篇paper,其中包括science
UCLA alumnus Randy Schekman, a professor of molecular and cell biology at UC
Berkeley, has won the 2013 Nobel Prize in physiology or medicine for his
role in figuring out how proteins are secreted and transported in human
cells.
He shares the prize with James E. Rothman of Yale University and Thomas C. S
üdhof of Stanford University for solving the mystery of how the cell
organizes its transport system.
Schekman became the... 阅读全帖 |
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d**j
发帖数: 240 | 29 这还需要吐脏字啊？呵呵。
你看最新一期的nejm Article，共5篇
Stenting and Medical Therapy for Atherosclerotic Renal-Artery Stenosis
第1作者兼Christopher J. Cooper, M.D.,.*********************[email protected].
Mitral-Valve Repair versus Replacement for Severe Ischemic Mitral
Regurgitation
共20个作者，第5作者兼 Annetine C. Gelijns, Ph.D. a**************[email protected].
Unexpected Abrupt Increase in Left Ventricular Assist Device Thrombosis
第1作者兼Randall C. Starling, M.D., M.P.H.,............. s*****[email protected].
A Randomized Trial of Prolonged C... 阅读全帖 |
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t*****1
发帖数: 6 | 30 首先谢谢您的回复！
西医关于冠心病的治疗是这样的：轻的病人会给予药物治疗(血小板抗凝，降脂，及交
感神经受体阻断)， 急性心肌梗塞，或有严重心绞痛并有超过70%冠状动脉狭窄的病人
，会用介入，用气囊撑开后再放支架(STENT)以减少狭窄程度。在气囊撑开的过程中，
会损伤血管内皮细胞，导致血管平滑肌细胞增生。其直接后果是导致支架内侧再度狭窄
(因为增生的血管平滑肌细胞迁移至支架腔内)， 病人会再度产生心绞(胸闷，压榨痛，
气喘 等症状)痛甚至心梗。
西医后来用抗癌药物涂在支架上来解决血管平滑肌细胞增生及支架内狭窄，但病人必须
的吃两种血小板抗凝药至少一年以上。这是因为，血管平滑肌细胞增生是机体对于损伤
的反应，抑制了血管平滑肌细胞增生，减轻了血管再度狭窄的程度，但同时延缓了内皮
的修复，而暴露的内皮下组织可导致血小板凝集及血栓形成(严重的可导致急性心梗！)
所以，我在考虑中药内有无可能，抑制血管平滑肌细胞过度增生但同时又不过度延缓血
管的修复。
谢谢大家！ |
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b*o
发帖数: 47 | 31 Just my personal opinion:
Tissue Engineering: extracellular signals and cell differentiation, especially
stem cell differentiation. Langer had a new paper about stem cell tissue
engineering - just wondersing why it took him so long to work on this.
Drug Delivery: for applications, pulmonary insulin will be the next big
commericization after the drug-releasing stent. But for basic research, cell
surface receptors and intracellular trafficking.
Once a senior dd professor said in a AAPS meeting: th |
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l*****g
发帖数: 556 | 32 drug delivery never worked: FDA haven't approved any drug delivery drug via
oral intake yet. Polymer used in stent, skin patches to retain drugs
indeed. But these are medical devices. Only a few polymer chemists employed
there. Company such as medtronic is not that stable.
solar-cell不是加州有很多stat-ups : most of them haven't received series B
funding yet, therefore no large scale hiring for polymer chemist yet. People
working for these startup feel their positions are unstable. Some of these
comp |
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J*****n
发帖数: 179 | 33 各位大侠，
本人的research background 如下： biodegradable polymers, the stability and
degradation; polyurethane foam; polymer blends, extrusion and injection
molding; biomedical devices used in drug eluting stent.
如果哪个大侠接到文章review但没时间或者其他因素的，可以转给我啊。我的邮箱是：
z*********[email protected]
谢谢 |
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J*****n
发帖数: 179 | 34 来自主题: Macromolecules版 - 求文献 各位大侠，
小弟要下载这篇文献，但就是要交费，不晓得哪位大侠能免费的下载，帮忙一下。我也
不知道要拿什么来酬谢的，我若能帮上忙的，一定尽力而为
一下是这个文献的链接
http://www.aspbs.com/JBN/contents_jbn2014106.htm
第二篇
Improved Biocompatibility of Poly(lactic-co-glycolic acid) and Poly-L-Lactic
Acid Blended with Nanoparticulate Amorphous Calcium Phosphate in Vascular
Stent Applications
谢谢大侠 |
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k*****a
发帖数: 1518 | 35 【 以下文字转载自 JobHunting 讨论区 】
【 原文由 cambcloud 所发表 】
这个很难说的，可能主要跟你的课题有关。生物医学工程主要包括Mechanical
engineering，Chemical Engineering和Electrical Engineering部分，ME涉及流体(血栓
形成机理)，固体(骨头，关节替代)，医学器件设计(血管支架, or stent design),医学
仪器等。
这个领域的就业，个人意见，很窄的. |
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r***l
发帖数: 9084 | 36 我就知道关于血管心脏还有心血管相关的医疗器械(stent什么的)的生物计算还是有一
定市场的. |
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y********u
发帖数: 348 | 38 other people can not help you,
Youd did not show the paper of stent and what you should analyze in the
abaqus?
Abaqus is not so diffcult, if you want to study, you should be see the
doculment (help section) by youself.
It is easy to build 3D model, but it is diffcult to analyze it. |
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d******i
发帖数: 4222 | 39 i think it should be stent. |
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d**********g
发帖数: 1823 | 40 （一） 绿卡很重要。
别以为我在说废话， 看看版上有多少人问：
我是应该继续呆在现单位等着办绿卡，还是跳槽以后再开始办？
现在大公司排绿卡， 要不要去START UP?
140公司不肯加急， 我还要跳槽吗？
公司不肯出降级的钱， 我还要降级吗？
.....
你就知道不是所有人都这么想。
对于机械的职位，特别是传统制造业，很多不需要高学历，甚至高中生就可以做。
机械的范围太广了。 有些看似完全不相关的领域， 机械工程师干的活儿差不多。
譬如设计医疗仪器的STENT导管的， 可能以前是通下水道的。
造飞机的，和做玩具的， 也区别不大。
所以没有绿卡找工作的时候，我是广面撒网，有OFFER就谢天谢地。
现在只申请感兴趣的公司，居然很多也有回音. |
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s****8
发帖数: 8 | 41 An AFA male was admitted for CP r/o MI with cocaine abuse and suicidal
attempt. HE had h/o NSTEMI and stents placement recently. The CP was
constant for several days and pressure-like, which improved with activity.
He did take his asa and plavix etc. No ischemic changes on EKG. CK. CKMB
were both elevated and troponin negative X1. He was chest pain free after
pain meds and nitro paste given. The second set enzymes showed the same
thing so he was transferred to psych thereafter.
Later that day, p |
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x******g
发帖数: 42 | 42 June 26, 2009 (Lafayette, Louisiana) — An interventional cardiologist who
implanted stents in patients who did not need them has been sentenced to 10
years in federal prison for healthcare fraud. Dr Mehmood Patel, formerly of
Our Lady of Lourdes Hospital and Lafayette General Hospital in Louisiana,
was convicted on 51 counts of billing private and government health insurers
for unnecessary medical procedures and received the maximum sentence.
Our Lady of Lourdes Hospital and Lafayette General Ho |
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d******e
发帖数: 2541 | 43 basically what you mentioned same as my father's experience.
one thing: in US, 颈动脉支架usually done by vascular surgeon rather than
neurosurgeon, in mainland, it's different?
I remember, in Bejing, Fuwai Hospital also has vascular surgeon majored on
cervical endartectomy--bypass on carotid artery or instal stent.
dok |
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u***e
发帖数: 611 | 44 春哥是说CABG时间太长，所以不适合吗？在有cath的年代肯定是先cath了。在现在来说
CABG的indication主要是2条以上的冠脉病变，左冠脉主干病变，还有弥漫性病变。很
多研究表明CABG在降低死亡率上比PCI优越，我想没有cath，心梗诊断确诊的情况下应
该开胸搭桥吧，但我对手术的时间选择不是太清楚，在cath年代一般是cath后要过几天
，没有见过急诊手术的。
现在CABG大部分是不停跳的吧，我以前在国内轮转心外就有一个外科医生做不停跳搭桥
做的很好，有经验的外科医生，大概2-3个小时可以拿下了？
我喜欢CABG，stent再狭窄的几率太高。 |
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d******u
发帖数: 10 | 45 Thanks!!!! Your explaination is so clear. His Bicarb is normal 25mmol/L,
Creatinine 1mg/dL, eGFR>60. But he had a history of MI, and got stent placed
. |
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r********1
发帖数: 451 | 46 请教版内的各位大师能人们
本人45岁，39岁发现子宫肌瘤，当时5cm。因为当时刚做完剖腹产，不想再做手术，所
以保守治疗。吃了一段时间低剂量避孕药，月经正常后没有再吃。肌瘤慢慢长大。3年
前7cm。仍然不想手术。这两年长的比较快，夜尿频繁，于是决定手术。决定切除肌瘤
，但是如果有任何异常就子宫全切。今年8月3日做的手术。结果腹腔打开，医生发现肌
瘤非常大，整个子宫就露了一个小头，其他部分包括宫颈都在肌瘤下面。糟糕的是输尿
管因肌瘤压迫distorted. 妇科医生叫来了肿瘤医生，也叫了urologist， 但是
urologist在做手术，所以没来。妇科医生和肿瘤医生商量后决定一定要urologist在场
才切除子宫，所以把腹腔缝合了。妇科医生告诉我他以前从来没有遇到过这样的情况的
。医生告诉我下次手术时urologist要insert stents 进输尿管，为了避免损伤输尿管
。对了，肌瘤是良性的。
我的问题是这种情况是不是一定要urologist在场？这个妇科医生的决定是正确的吗？
因为白挨了一刀，心里不大舒服。其实我个人还是觉得我的妇科医生是不错的。但是很
多朋友都说这个应该是... 阅读全帖 |
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g****i
发帖数: 2269 | 47 JCAHO在我们医院检查，搞的人心惶惶。２人跟一个护士，穷追乱问。科里的INSULIN打开
后贴了个标签，但是没有写日期，所有的insulin都不得不扔掉。其实过期前肯定用完了
。还问如果病人觉得有问题，怎么向JCAHO报告，manager赶紧开个紧急会议，告诉我们在
入院手册的xx页有个８００电话。
问很多操作的rationale。如果病人是从ER or ICU转来的，在ER or ICU发生过什么情况
，很多细节。拔sheath（就是right or left groin的catheter,cath lab里放stent时留
下的）时也紧跟着，害的我们的护士手都有点哆嗦。 |
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c*******l
发帖数: 769 | 48 OR Nurse 2009
OR Nurse 2009 presents concise, up-to-the-minute clinical and practical
information in a reader-friendly format, to help busy perioperative nurses
keep pace with the changes in their field. The journal also includes current
technological and product advances in areas such as endovascular stenting,
laparoscopy, sterilization, and more.
Geographic Eligibility: USA
http://168forums.tradepub.com/free/orn/
只需要地址是真的，其他像名字，医院，职位什么的都可以自己发挥了。 |
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c********e
发帖数: 598 | 49 Nurse As Patient Advocate: Nurse Should
Have Questioned Why No Order Was Written.
The patient’s coronary artery stent
occluded ten days after he was discharged
from the hospital after cardiac
catheterization.
He sued the hospital for professional
negligence. The Court of Appeals
of Texas ruled that the patient’s
lawyers’ nursing expert witness report
did correctly state the legal standard of
care for the hospital’s discharge nurse,
overruling a lower court judge’s opinion
to the contrary.
Nurse |
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