Objective:To observe the clinical effect of high suspension and low incision(HSLI)surgery on mixed haemorrhoids,compared with Milligan-Morgan haemorrhoidectomy.Methods:A multi-centre,randomized,singleblind,non-inferio...Objective:To observe the clinical effect of high suspension and low incision(HSLI)surgery on mixed haemorrhoids,compared with Milligan-Morgan haemorrhoidectomy.Methods:A multi-centre,randomized,singleblind,non-inferiority clinical trial was performed.Participants with mixed haemorrhoids from Xiyuan Hospital of China Academy of Chinese Medical Sciences,Beijing Rectum Hospital,Air Force Medical Center of People's Liberation Army of China,and Puyang Hospital of Traditional Chinese Medicine were enrolled from September 2016 to March 2018.By using a blocked randomization scheme,participants were assigned to two groups.The experimental group was treated with HSLI,while the control group was treated with Milligan-Morgan haemorrhoidectomy.The primary outcome was the clinical effect evaluated at 12 weeks after operation.The secondary outcomes included the number of haemorrhoids treated during the operation,pain scores,use of analgesics,postoperative oedema,wound healing,incidence of anal stenosis,anorectal manometry after operation,as well as surgical duration,length of stay and total hospitalization expenses.A safety evaluation was also conducted.Results:In total,246 eligible participants were enrolled,with 123 cases in each group.There was no significant difference in the clinical effect between the two groups(100.00% vs.99.19%,P>0.05).Compared with the control group,the number of external haemorrhoids treated during the operation and the pain scores after operation were significantly reduced in the experimental group(P<0.05 or P<0.01);the patient number with wound healing at 2 weeks after operation and the functional length of anal canal at 12 weeks after operation were significantly increased in the experimental group(P<0.05).There was no significant difference in the incidence of anal stenosis,the numbers of patients using analgesics and patients with postoperative oedema between the two groups after operation(P>0.05).The surgical duration and length of stay in the experimental group were significantly longer than th展开更多
目的研究中前足骨折不同内固定方式的临床疗效。方法回顾性分析首都医科大学附属北京潞河医院收治的通过可吸收螺钉进行内固定的中前足骨折患者33例的临床资料并将其纳入观察组,另将同期通过钛合金螺钉进行内固定的33例中前足骨折患者...目的研究中前足骨折不同内固定方式的临床疗效。方法回顾性分析首都医科大学附属北京潞河医院收治的通过可吸收螺钉进行内固定的中前足骨折患者33例的临床资料并将其纳入观察组,另将同期通过钛合金螺钉进行内固定的33例中前足骨折患者纳为对照组。记录比较2组围术期指标,通过Maryland足踝功能评分、美国足踝外科协会(American Orthopaedic Foot and Ankle Surgery Association,AOFAS)踝与后足评分评估2组术前及术后3个月足踝功能情况,检测2组炎症因子[降钙素原(procalcitonin,PCT)、白细胞介素6(interleukin-6,IL-6)、C反应蛋白(C-reactive protein,CRP)]水平,观察比较2组并发症发生情况。结果观察组手术时间、住院时间、骨折愈合时间显著小于对照组(t=3.492、2.607、7.581,P<0.05)。术后3个月,2组Maryland评分、AOFAS评分较术前高(P<0.05),且观察组高于对照组(t=3.034、3.041,P<0.05)。术后3个月,2组PCT、IL-6、CRP水平较术前低(P<0.05),且观察组低于对照组(t=3.816、10.315、10.050,P<0.001)。2组并发症总发生率比较无统计学意义(χ^(2)=2.747,P=0.099)。结论可吸收螺钉内固定用于中前足骨折手术疗效显著,能够促进骨折及足踝功能恢复,减轻患者炎症反应,且安全性较高,值得临床应用与推广。展开更多
在锂离子电池(LIBs)和钠离子电池(SIBs)中,设计同时适用的负极材料,使其具有高倍率性能和超长循环寿命是亟需解决的工作。本文采用静电纺丝技术和硫化工程技术成功制备了一种均匀分布在N,S-掺杂炭纳米纤维上的MoO_(2)/MoS_(2)异质结构(M...在锂离子电池(LIBs)和钠离子电池(SIBs)中,设计同时适用的负极材料,使其具有高倍率性能和超长循环寿命是亟需解决的工作。本文采用静电纺丝技术和硫化工程技术成功制备了一种均匀分布在N,S-掺杂炭纳米纤维上的MoO_(2)/MoS_(2)异质结构(MoO_(2)/MoS_(2)@NSC)。其中一维炭骨架作为导电框架可缩短Li^(+)/Na^(+)的扩散途径;炭纳米纤维中N/S杂原子的掺杂引入了丰富的活性位点,显著增强了离子扩散动力学。此外,在MoO_(2)相中通过原位形成的MoS_(2)纳米片强化了异质界面,MoO_(2)和MoS_(2)之间异质界面的构建使得Li^(+)/Na^(+)的快速传输成为实现高效储能的关键。因此,作为LIBs负极材料时,MoO_(2)/MoS_(2)@NSC电极在5.0 A g^(−1)的电流密度下循环2000圈后,仍具有640 mAh g^(−1)的优异放电比容量,每圈的容量衰减率仅为0.002%;在10.0 A g^(−1)的高电流密度下可达到614 mAh g^(−1)的放电比容量。对于SIBs,在2.0 A g^(−1)的电流密度下循环2000圈后其可逆容量仍能达到242 mAh g^(−1)。本工作采用一种新颖的界面调控策略来合理地设计负极材料,从而提高Li^(+)/Na^(+)储存动力学,实现超长寿命的循环性能。展开更多
AIM:To analyze the distribution of fibrovascular proliferative membranes(FVPMs)in proliferative diabetic retinopathy(PDR)patients that treated with pars plana vitrectomy(PPV),and to evaluate the outcomes separately.ME...AIM:To analyze the distribution of fibrovascular proliferative membranes(FVPMs)in proliferative diabetic retinopathy(PDR)patients that treated with pars plana vitrectomy(PPV),and to evaluate the outcomes separately.METHODS:This was a retrospective and cross-sectional study.Consecutive 25-gauge(25-G)PPV cases operated for PDR from May 2018 to April 2020.According to the FVPMs images outlined after operations,subjects were assigned into three groups:arcade type group,juxtapapillary type group,and central type group.All patients were followed up for over one year.General characteristics,operation-related variables,postoperative parameters and complications were recorded.RESULTS:Among 103 eyes recruited,the FVPMs distribution of nasotemporal and inferiosuperioral was significantly different(both P<0.01),with 95(92.23%)FVPMs located in the nasal quadrants,and 74(71.84%)in the inferior.The eyes with a central FVPM required the longest operation time,with silicon oil used in most patients,generally combined with tractional retinal detachment(RD)and rhegmatogenous RD,the worst postoperative bestcorrected visual acuity(BCVA)and the highest rates of recurrent RD(all P<0.05).FVPM type,age of onset diabetes mellitus,preoperative BCVA,and combined with tractional RD and rhegmatogenous RD were significantly associated with BCVA improvement(all P<0.05).Compared with the central type group,the arcade type group had higher rates of BCVA improvement.CONCLUSION:FVPMs are more commonly found in the nasal and inferior mid-peripheral retina in addition to the area of arcade vessels.Performing 25-G PPV for treating PDR eyes with central FVPM have relatively worse prognosis.展开更多
Background Asthma is a significant chronic health problem worldwide. Management aims at disease control by reducing functional impairment and exacerbations and improving quality of life (QoL). We report a multi-center...Background Asthma is a significant chronic health problem worldwide. Management aims at disease control by reducing functional impairment and exacerbations and improving quality of life (QoL). We report a multi-center study to survey asthma control and QoL in four cities in the Pearl River Delta. Methods The conjoint survey involved ten Hong Kong pediatric hospitals/units, two Shenzhen hospitals, two Macao hos-pitals, and two Guangzhou hospitals on asthma control (using Asthma Control Test) and QoL (Pediatric Allergic Disease Quality of Life Questionnaire, PADQLQ). Acceptability of a treatment is graded as very good/good/fair/poor. Results Good asthma control was only reported in 80% subjects in Hong Kong, but higher in sister cities (85–94%, P<0.001). Allergic rhinitis, 'incense burning', and 'smoker in family' were prevalent among the four cities. Logistic regres-sion showed better control of asthma was associated with better PADQLQ (B=?0.029, P < 0.001), better acceptability of bronchodilator (B=?1.488, P = 0.025), negatively with 'smoker in family' (B=?0.83, P = 0.015) and various PADQLQ domains. Conversely, worse PADQLQ was associated with allergic rhinitis severity (B=4.77, P <0.001), poor control of asthma (B=7.56, P <0.001), increased frequency of traditional Chinese medicine use (B=1.7, P < 0.05), increased fre-quency of bronchodilator usage (B=1.05, P < 0.05), 'smoker in family' (B=4.05, P < 0.05), and incense burning at home (B=3.9, P < 0.05). Conclusions There are some clinical and cultural differences among the four southern Chinese cities within the Guangdong province. This study identifies potentially modifiable environmental and treatment factors associated with poor asthma control and QoL for health-care interventions. Having a smoker in the family is independently associated with poor asthma control and QoL.展开更多
Potassium-ion batteries(PlBs)are considered as the promising alternative of lithium-ion batteries,due to their abundance natural resources,high cost-effectiveness,and similar working principle.With the development of ...Potassium-ion batteries(PlBs)are considered as the promising alternative of lithium-ion batteries,due to their abundance natural resources,high cost-effectiveness,and similar working principle.With the development of PIBs,due to the larger ionic radius of potassium compared to that of lithium,the urgent demand of suitable anode materials with steady structure and fast carrier diffusion is of primary importance.展开更多
BACKGROUND: Anemia is prevalent in patients undergoing transcatheter aortic valve replacement(TAVR) and has been linked to impaired outcomes after the procedure. Few studies have evaluated the impact of anemia and new...BACKGROUND: Anemia is prevalent in patients undergoing transcatheter aortic valve replacement(TAVR) and has been linked to impaired outcomes after the procedure. Few studies have evaluated the impact of anemia and new ischemic lesions post TAVR.METHODS: We prospectively enrolled 158 patients who received TAVR in our center. Anemia was defined according to the World Health Organization criteria as hemoglobin <12 g/dL in women and <13 g/dL in men. All patients underwent diffusion-weighted magnetic resonance imaging(DW-MRI) procedure before and within 4–7 days after TAVR. RESULTS: Anemia was present in 85(53.8%) patients who underwent TAVR, and 126(79.7%) patients had 718 new DW-MRI positive lesions with a mean of 4.54±5.26 lesions per patient. The incidence of new ischemic lesions was 81.2% in patients with anemia versus 78.1% in patients without anemia(P=0.629). Moreover, anemic patients had bigger total volume/lesions in the anterior cerebral artery/middle cerebral artery(ACA/MCA) and MCA regions compared to the non-anemic patients(31.89±55.78 mm^(3) vs. 17.08±37.39 mm^(3), P=0.049;and 54.54±74.72 mm^(3) vs. 33.75±46.03 mm^(3), P=0.034). Anemia was independently associated with the volume/lesion in the ACA/MCA(β=16.796, 95% confidence interval [95% CI] 2.001 to 31.591, P=0.026) and in the MCA zone(β=0.020, 95% CI 0.001 to 0.040, P=0.041). CONCLUSIONS: Patients with pre-procedural anemia may have bigger total volume/lesions in the ACA/MCA and MCA regions compared to the non-anemic patients. Whether the consequences of bigger total volume/lesions impact neurological and cognitive outcomes remains to be investigated.展开更多
To control land surface subsidence caused the underground mineral exploitation and the catastrophic phenomena such as serious damage of buildings, waterbodies, cultivated lands, railways, bridges caused by land subsid...To control land surface subsidence caused the underground mineral exploitation and the catastrophic phenomena such as serious damage of buildings, waterbodies, cultivated lands, railways, bridges caused by land subsidence, bed separation grouting technology of overburden is put forward. To provide theoretical support for the technology, the characteristics and the mechanics mechanism of mining overburden from layer-split to formation of bed separation are studied. On the basis of elastic sheet board theory, calculation formula of rock sheet deflection is presented, and the mechanics criteria of the separation formation and the calculation formula of bed separation volume are set up. Finally, the applications and technics of bed separation grout technology of mining overburden to control land subsidence in china are introduced.展开更多
基金Supported by the Capital Featured Clinical Application and Promotion Project(No.Z151100004015082)Basic Research Business Fees Independent Selection Project of China Academy of Chinese Medical Sciences(No.ZZ0908002)Cultivation Project of National Natural Science Foundation of China in Xiyuan Hospital,China Academy of Chinese Medical Sciences(No.XY20-16)。
文摘Objective:To observe the clinical effect of high suspension and low incision(HSLI)surgery on mixed haemorrhoids,compared with Milligan-Morgan haemorrhoidectomy.Methods:A multi-centre,randomized,singleblind,non-inferiority clinical trial was performed.Participants with mixed haemorrhoids from Xiyuan Hospital of China Academy of Chinese Medical Sciences,Beijing Rectum Hospital,Air Force Medical Center of People's Liberation Army of China,and Puyang Hospital of Traditional Chinese Medicine were enrolled from September 2016 to March 2018.By using a blocked randomization scheme,participants were assigned to two groups.The experimental group was treated with HSLI,while the control group was treated with Milligan-Morgan haemorrhoidectomy.The primary outcome was the clinical effect evaluated at 12 weeks after operation.The secondary outcomes included the number of haemorrhoids treated during the operation,pain scores,use of analgesics,postoperative oedema,wound healing,incidence of anal stenosis,anorectal manometry after operation,as well as surgical duration,length of stay and total hospitalization expenses.A safety evaluation was also conducted.Results:In total,246 eligible participants were enrolled,with 123 cases in each group.There was no significant difference in the clinical effect between the two groups(100.00% vs.99.19%,P>0.05).Compared with the control group,the number of external haemorrhoids treated during the operation and the pain scores after operation were significantly reduced in the experimental group(P<0.05 or P<0.01);the patient number with wound healing at 2 weeks after operation and the functional length of anal canal at 12 weeks after operation were significantly increased in the experimental group(P<0.05).There was no significant difference in the incidence of anal stenosis,the numbers of patients using analgesics and patients with postoperative oedema between the two groups after operation(P>0.05).The surgical duration and length of stay in the experimental group were significantly longer than th
文摘目的研究中前足骨折不同内固定方式的临床疗效。方法回顾性分析首都医科大学附属北京潞河医院收治的通过可吸收螺钉进行内固定的中前足骨折患者33例的临床资料并将其纳入观察组,另将同期通过钛合金螺钉进行内固定的33例中前足骨折患者纳为对照组。记录比较2组围术期指标,通过Maryland足踝功能评分、美国足踝外科协会(American Orthopaedic Foot and Ankle Surgery Association,AOFAS)踝与后足评分评估2组术前及术后3个月足踝功能情况,检测2组炎症因子[降钙素原(procalcitonin,PCT)、白细胞介素6(interleukin-6,IL-6)、C反应蛋白(C-reactive protein,CRP)]水平,观察比较2组并发症发生情况。结果观察组手术时间、住院时间、骨折愈合时间显著小于对照组(t=3.492、2.607、7.581,P<0.05)。术后3个月,2组Maryland评分、AOFAS评分较术前高(P<0.05),且观察组高于对照组(t=3.034、3.041,P<0.05)。术后3个月,2组PCT、IL-6、CRP水平较术前低(P<0.05),且观察组低于对照组(t=3.816、10.315、10.050,P<0.001)。2组并发症总发生率比较无统计学意义(χ^(2)=2.747,P=0.099)。结论可吸收螺钉内固定用于中前足骨折手术疗效显著,能够促进骨折及足踝功能恢复,减轻患者炎症反应,且安全性较高,值得临床应用与推广。
文摘在锂离子电池(LIBs)和钠离子电池(SIBs)中,设计同时适用的负极材料,使其具有高倍率性能和超长循环寿命是亟需解决的工作。本文采用静电纺丝技术和硫化工程技术成功制备了一种均匀分布在N,S-掺杂炭纳米纤维上的MoO_(2)/MoS_(2)异质结构(MoO_(2)/MoS_(2)@NSC)。其中一维炭骨架作为导电框架可缩短Li^(+)/Na^(+)的扩散途径;炭纳米纤维中N/S杂原子的掺杂引入了丰富的活性位点,显著增强了离子扩散动力学。此外,在MoO_(2)相中通过原位形成的MoS_(2)纳米片强化了异质界面,MoO_(2)和MoS_(2)之间异质界面的构建使得Li^(+)/Na^(+)的快速传输成为实现高效储能的关键。因此,作为LIBs负极材料时,MoO_(2)/MoS_(2)@NSC电极在5.0 A g^(−1)的电流密度下循环2000圈后,仍具有640 mAh g^(−1)的优异放电比容量,每圈的容量衰减率仅为0.002%;在10.0 A g^(−1)的高电流密度下可达到614 mAh g^(−1)的放电比容量。对于SIBs,在2.0 A g^(−1)的电流密度下循环2000圈后其可逆容量仍能达到242 mAh g^(−1)。本工作采用一种新颖的界面调控策略来合理地设计负极材料,从而提高Li^(+)/Na^(+)储存动力学,实现超长寿命的循环性能。
基金Supported by the Program for Qinhuangdao Self-financing Science and Technology Plan of 2008 (No.201805A143).
文摘AIM:To analyze the distribution of fibrovascular proliferative membranes(FVPMs)in proliferative diabetic retinopathy(PDR)patients that treated with pars plana vitrectomy(PPV),and to evaluate the outcomes separately.METHODS:This was a retrospective and cross-sectional study.Consecutive 25-gauge(25-G)PPV cases operated for PDR from May 2018 to April 2020.According to the FVPMs images outlined after operations,subjects were assigned into three groups:arcade type group,juxtapapillary type group,and central type group.All patients were followed up for over one year.General characteristics,operation-related variables,postoperative parameters and complications were recorded.RESULTS:Among 103 eyes recruited,the FVPMs distribution of nasotemporal and inferiosuperioral was significantly different(both P<0.01),with 95(92.23%)FVPMs located in the nasal quadrants,and 74(71.84%)in the inferior.The eyes with a central FVPM required the longest operation time,with silicon oil used in most patients,generally combined with tractional retinal detachment(RD)and rhegmatogenous RD,the worst postoperative bestcorrected visual acuity(BCVA)and the highest rates of recurrent RD(all P<0.05).FVPM type,age of onset diabetes mellitus,preoperative BCVA,and combined with tractional RD and rhegmatogenous RD were significantly associated with BCVA improvement(all P<0.05).Compared with the central type group,the arcade type group had higher rates of BCVA improvement.CONCLUSION:FVPMs are more commonly found in the nasal and inferior mid-peripheral retina in addition to the area of arcade vessels.Performing 25-G PPV for treating PDR eyes with central FVPM have relatively worse prognosis.
文摘Background Asthma is a significant chronic health problem worldwide. Management aims at disease control by reducing functional impairment and exacerbations and improving quality of life (QoL). We report a multi-center study to survey asthma control and QoL in four cities in the Pearl River Delta. Methods The conjoint survey involved ten Hong Kong pediatric hospitals/units, two Shenzhen hospitals, two Macao hos-pitals, and two Guangzhou hospitals on asthma control (using Asthma Control Test) and QoL (Pediatric Allergic Disease Quality of Life Questionnaire, PADQLQ). Acceptability of a treatment is graded as very good/good/fair/poor. Results Good asthma control was only reported in 80% subjects in Hong Kong, but higher in sister cities (85–94%, P<0.001). Allergic rhinitis, 'incense burning', and 'smoker in family' were prevalent among the four cities. Logistic regres-sion showed better control of asthma was associated with better PADQLQ (B=?0.029, P < 0.001), better acceptability of bronchodilator (B=?1.488, P = 0.025), negatively with 'smoker in family' (B=?0.83, P = 0.015) and various PADQLQ domains. Conversely, worse PADQLQ was associated with allergic rhinitis severity (B=4.77, P <0.001), poor control of asthma (B=7.56, P <0.001), increased frequency of traditional Chinese medicine use (B=1.7, P < 0.05), increased fre-quency of bronchodilator usage (B=1.05, P < 0.05), 'smoker in family' (B=4.05, P < 0.05), and incense burning at home (B=3.9, P < 0.05). Conclusions There are some clinical and cultural differences among the four southern Chinese cities within the Guangdong province. This study identifies potentially modifiable environmental and treatment factors associated with poor asthma control and QoL for health-care interventions. Having a smoker in the family is independently associated with poor asthma control and QoL.
基金financially supported by the National Natural Science Foundation of China (Nos.52070194, 52073309 and 51902347)the Natural Science Foundation of Hunan Province (No.2020JJ5741)
文摘Potassium-ion batteries(PlBs)are considered as the promising alternative of lithium-ion batteries,due to their abundance natural resources,high cost-effectiveness,and similar working principle.With the development of PIBs,due to the larger ionic radius of potassium compared to that of lithium,the urgent demand of suitable anode materials with steady structure and fast carrier diffusion is of primary importance.
基金funded by Zhejiang Province Science and Technology Department Key R&D Program(2018C03084,2021C03097).
文摘BACKGROUND: Anemia is prevalent in patients undergoing transcatheter aortic valve replacement(TAVR) and has been linked to impaired outcomes after the procedure. Few studies have evaluated the impact of anemia and new ischemic lesions post TAVR.METHODS: We prospectively enrolled 158 patients who received TAVR in our center. Anemia was defined according to the World Health Organization criteria as hemoglobin <12 g/dL in women and <13 g/dL in men. All patients underwent diffusion-weighted magnetic resonance imaging(DW-MRI) procedure before and within 4–7 days after TAVR. RESULTS: Anemia was present in 85(53.8%) patients who underwent TAVR, and 126(79.7%) patients had 718 new DW-MRI positive lesions with a mean of 4.54±5.26 lesions per patient. The incidence of new ischemic lesions was 81.2% in patients with anemia versus 78.1% in patients without anemia(P=0.629). Moreover, anemic patients had bigger total volume/lesions in the anterior cerebral artery/middle cerebral artery(ACA/MCA) and MCA regions compared to the non-anemic patients(31.89±55.78 mm^(3) vs. 17.08±37.39 mm^(3), P=0.049;and 54.54±74.72 mm^(3) vs. 33.75±46.03 mm^(3), P=0.034). Anemia was independently associated with the volume/lesion in the ACA/MCA(β=16.796, 95% confidence interval [95% CI] 2.001 to 31.591, P=0.026) and in the MCA zone(β=0.020, 95% CI 0.001 to 0.040, P=0.041). CONCLUSIONS: Patients with pre-procedural anemia may have bigger total volume/lesions in the ACA/MCA and MCA regions compared to the non-anemic patients. Whether the consequences of bigger total volume/lesions impact neurological and cognitive outcomes remains to be investigated.
基金Foundation item:Key Project of Natural Seien6e Foundation of China(No:50434020 and NO:50274044)Key Project of Science Foundation of Shandong Province(No:Z20031:02)
文摘To control land surface subsidence caused the underground mineral exploitation and the catastrophic phenomena such as serious damage of buildings, waterbodies, cultivated lands, railways, bridges caused by land subsidence, bed separation grouting technology of overburden is put forward. To provide theoretical support for the technology, the characteristics and the mechanics mechanism of mining overburden from layer-split to formation of bed separation are studied. On the basis of elastic sheet board theory, calculation formula of rock sheet deflection is presented, and the mechanics criteria of the separation formation and the calculation formula of bed separation volume are set up. Finally, the applications and technics of bed separation grout technology of mining overburden to control land subsidence in china are introduced.
