Endoscopic submucosal dissection(ESD) has allowed the achievement of histologically curative en bloc resection of gastrointestinal neoplasms regardless of size,permitting the resection of previously non-resectable tum...Endoscopic submucosal dissection(ESD) has allowed the achievement of histologically curative en bloc resection of gastrointestinal neoplasms regardless of size,permitting the resection of previously non-resectable tumors.The ESD technique for treatment of early gastric cancer has spread rapidly in Japan and a few other Asian countries due to its excellent eradication rate compared to endoscopic mucosal resection.Although numerous electrosurgical knives have been developed for ESD,technical difficulties and high complication rates(bleeding and perforation) have limited their use worldwide.We developed the grasping type scissor forceps(GSF) to resolve such ESD-related problems.Our animal and preliminary clinical studies showed that ESD using GSF is a safe(no intraoperative complication) and technically efficient(curative en bloc resection rate 92%) method for dissection of early gastrointestinal tumors.The use of GSF is a promising option for performing ESD on early stage GI tract tumors both safely and effectively.展开更多
On the basis of introducing the fundamental theory and the basic analysis steps of the sub model method, the strength of the new engine complex assembly structure was analyzed according to the properties of the engin...On the basis of introducing the fundamental theory and the basic analysis steps of the sub model method, the strength of the new engine complex assembly structure was analyzed according to the properties of the engine structures, some of the key parts of the engine were analyzed with refined mesh by sub model method and the error of the FEM solution was estimated by the extrapolation method. The example showed that the sub model can not only analyze the comlex structures without the restriction of the software and hardware of the computers, but get the more precise analysis result also. This method is more suitable for the strength analysis of the complex assembly structure.展开更多
A simple method for the determination of Sc, Y and Ln in carbonate at sub μg·g -1 levels by ICP MS with inter elements matrix matched technique was developed. A series of matrix matched standard so...A simple method for the determination of Sc, Y and Ln in carbonate at sub μg·g -1 levels by ICP MS with inter elements matrix matched technique was developed. A series of matrix matched standard solution were prepared by adopting the normalized concentration values, which were calculated the statistic average compositions of reference values of REEs in carbonate standard reference materials. The matrix effects of Ca and Mg on REEs were studied in detail and the results show that the matrix effect of Ca and Mg can be ignored when the dilution factors are more than 1000. The combination of 115 In and 103 Rh as internal standard was selected to compensate the drift of analytical signals. The method proposed was applied to the analysis of ultra trace REEs in carbonate references materials GSR 6, GSR 12 and real samples.展开更多
This study investigates the health implications of sharing a shisha (hookah) mouthpiece during smoking, with a focus on tuberculosis (TB) and hepatitis prevalence in Sub Saharan Africa. It examines shisha smoking beha...This study investigates the health implications of sharing a shisha (hookah) mouthpiece during smoking, with a focus on tuberculosis (TB) and hepatitis prevalence in Sub Saharan Africa. It examines shisha smoking behavior patterns and associated risks of disease transmission among those sharing a common mouthpiece. Through literature review and empirical data analysis, the research highlights epidemiological factors driving TB and hepatitis transmission within the context of shisha smoking in Sub Saharan Africa. Exploring cultural, social, and behavioral determinants influencing shisha mouthpiece sharing, the study offers insights into interventions and public health strategies. It emphasizes the need for targeted health education campaigns, policy interventions, and community-based initiatives to promote safer smoking practices. Immediate coordinated public health interventions, including educational campaigns and regulatory measures, are recommended. Collaboration among healthcare professionals, policymakers, and communities is essential. These insights deepen the understanding of challenges posed by communal shisha smoking in Sub Saharan Africa, laying the groundwork for evidence-based interventions to reduce TB and hepatitis transmission and enhance overall health outcomes in the region. This research underscores the urgency of addressing the risks associated with shisha smoking, aiming to mitigate disease transmission and improve population health in Sub Saharan Africa.展开更多
Background: Sub arachnoid block (SAB) performed by traditional landmark palpation technique can be inaccurate. This problem is exacerbated by altered patient anatomy due to obesity and age-related changes. A pre-proce...Background: Sub arachnoid block (SAB) performed by traditional landmark palpation technique can be inaccurate. This problem is exacerbated by altered patient anatomy due to obesity and age-related changes. A pre-procedural ultrasound scan of the lumbar spine has been shown to be of benefit in guiding lumbar epidural insertion in obstetric patients. Information on the use of real-time ultrasound (RUS) guided SAB, to date, been limited. This study compared RUS guided SAB to traditional landmark guided technique in patients undergoing spinal anesthesia for different surgical procedures. Methods: This was a prospective, single center, comparative observational study conducted in the department of anesthesiology at our center. 560 patients who underwent spinal anesthesia either by landmark based technique or real-time ultrasound-guided methods. The primary outcome was the first attempt success rate of dural puncture when employing the two methods. Results: Baseline characteristics were similar in the two study groups. The first attempt success rate of dural puncture in landmark guided group was 64.3% compared to 72.6% in the ultrasound guided group. This difference was not statistically significant. The procedure performance time was significantly shorter with landmark palpation compared to use of real-time ultrasound guided method. Conclusion: Use of RUS-guided technique does not significantly improve the first attempt success rate of SAB dural puncture during spinal anesthesia compared to the traditional landmark-guided technique.展开更多
In order to solve the problem of ambiguous acquisition of BOC signals caused by its property of multiple peaks,an unambiguous acquisition algorithm named reconstruction of sub cross-correlation cancellation technique(...In order to solve the problem of ambiguous acquisition of BOC signals caused by its property of multiple peaks,an unambiguous acquisition algorithm named reconstruction of sub cross-correlation cancellation technique(RSCCT)for BOC(kn,n)signals is proposed.In this paper,the principle of signal decomposition is combined with the traditional acquisition algorithm structure,and then based on the method of reconstructing the correlation function.The method firstly gets the sub-pseudorandom noise(PRN)code by decomposing the local PRN code,then uses BOC(kn,n)and the sub-PRN code cross-correlation to get the sub cross-correlation function.Finally,the correlation peak with a single peak is obtained by reconstructing the sub cross-correlation function so that the ambiguities of BOC acquisition are removed.The simulation shows that RSCCT can completely eliminate the side peaks of BOC(kn,n)group signals while maintaining the narrow correlation of BOC,and its computational complexity is equivalent to sub carrier phase cancellation(SCPC)and autocorrelation side-peak cancellation technique(ASPeCT),and it reduces the computational complexity relative to BPSK-like.For BOC(n,n),the acquisition sensitivity of RSCCT is 3.25 dB,0.81 dB and 0.25 dB higher than binary phase shift keying(BPSK)-like,SCPC and ASPeCT at the acquisition probability of 90%,respectively.The peak to average power ratio is 1.91,3.0 and 3.7 times higher than ASPeCT,SCPC and BPSK-like at SNR=–20 dB,respectively.For BOC(2n,n),the acquisition sensitivity of RSCCT is 5.5 dB,1.25 dB and 2.69 dB higher than BPSK-like,SCPC and ASPeCT at the acquisition probability of 90%,respectively.The peak to average power ratio is 1.02,1.68 and 2.12 times higher than ASPeCT,SCPC and BPSK-like at SNR=–20 dB,respectively.展开更多
The system of(1+1)-coupled Drinfel’d-Sokolov-Wilson equations describes the surface gravity waves travelling horizontally on the seabed.The objective of the present research is to construct a new variety of analytica...The system of(1+1)-coupled Drinfel’d-Sokolov-Wilson equations describes the surface gravity waves travelling horizontally on the seabed.The objective of the present research is to construct a new variety of analytical solutions for the system.The invariants are derived with the aid of Killing form by using the optimal algebra classification via Lie symmetry approach.The invariant solutions involve time,space variables,and arbitrary constants.Imposing adequate constraints on arbitrary constants,solutions are represented graphically to make them more applicable in designing sea models.The behavior of solutions shows asymptotic,bell-shaped,bright and dark soliton,bright soliton,parabolic,bright and kink,kink,and periodic nature.The constructed results are novel as the reported results[26,28,29,30,33,38,42,49]can be deduced from the results derived in this study.The remaining solutions derived in this study,are absolutely different from the earlier findings.In this study,the physical character of analytical solutions of the system could aid coastal engineers in creating models of beaches and ports.展开更多
文摘Endoscopic submucosal dissection(ESD) has allowed the achievement of histologically curative en bloc resection of gastrointestinal neoplasms regardless of size,permitting the resection of previously non-resectable tumors.The ESD technique for treatment of early gastric cancer has spread rapidly in Japan and a few other Asian countries due to its excellent eradication rate compared to endoscopic mucosal resection.Although numerous electrosurgical knives have been developed for ESD,technical difficulties and high complication rates(bleeding and perforation) have limited their use worldwide.We developed the grasping type scissor forceps(GSF) to resolve such ESD-related problems.Our animal and preliminary clinical studies showed that ESD using GSF is a safe(no intraoperative complication) and technically efficient(curative en bloc resection rate 92%) method for dissection of early gastrointestinal tumors.The use of GSF is a promising option for performing ESD on early stage GI tract tumors both safely and effectively.
文摘On the basis of introducing the fundamental theory and the basic analysis steps of the sub model method, the strength of the new engine complex assembly structure was analyzed according to the properties of the engine structures, some of the key parts of the engine were analyzed with refined mesh by sub model method and the error of the FEM solution was estimated by the extrapolation method. The example showed that the sub model can not only analyze the comlex structures without the restriction of the software and hardware of the computers, but get the more precise analysis result also. This method is more suitable for the strength analysis of the complex assembly structure.
文摘A simple method for the determination of Sc, Y and Ln in carbonate at sub μg·g -1 levels by ICP MS with inter elements matrix matched technique was developed. A series of matrix matched standard solution were prepared by adopting the normalized concentration values, which were calculated the statistic average compositions of reference values of REEs in carbonate standard reference materials. The matrix effects of Ca and Mg on REEs were studied in detail and the results show that the matrix effect of Ca and Mg can be ignored when the dilution factors are more than 1000. The combination of 115 In and 103 Rh as internal standard was selected to compensate the drift of analytical signals. The method proposed was applied to the analysis of ultra trace REEs in carbonate references materials GSR 6, GSR 12 and real samples.
文摘This study investigates the health implications of sharing a shisha (hookah) mouthpiece during smoking, with a focus on tuberculosis (TB) and hepatitis prevalence in Sub Saharan Africa. It examines shisha smoking behavior patterns and associated risks of disease transmission among those sharing a common mouthpiece. Through literature review and empirical data analysis, the research highlights epidemiological factors driving TB and hepatitis transmission within the context of shisha smoking in Sub Saharan Africa. Exploring cultural, social, and behavioral determinants influencing shisha mouthpiece sharing, the study offers insights into interventions and public health strategies. It emphasizes the need for targeted health education campaigns, policy interventions, and community-based initiatives to promote safer smoking practices. Immediate coordinated public health interventions, including educational campaigns and regulatory measures, are recommended. Collaboration among healthcare professionals, policymakers, and communities is essential. These insights deepen the understanding of challenges posed by communal shisha smoking in Sub Saharan Africa, laying the groundwork for evidence-based interventions to reduce TB and hepatitis transmission and enhance overall health outcomes in the region. This research underscores the urgency of addressing the risks associated with shisha smoking, aiming to mitigate disease transmission and improve population health in Sub Saharan Africa.
文摘Background: Sub arachnoid block (SAB) performed by traditional landmark palpation technique can be inaccurate. This problem is exacerbated by altered patient anatomy due to obesity and age-related changes. A pre-procedural ultrasound scan of the lumbar spine has been shown to be of benefit in guiding lumbar epidural insertion in obstetric patients. Information on the use of real-time ultrasound (RUS) guided SAB, to date, been limited. This study compared RUS guided SAB to traditional landmark guided technique in patients undergoing spinal anesthesia for different surgical procedures. Methods: This was a prospective, single center, comparative observational study conducted in the department of anesthesiology at our center. 560 patients who underwent spinal anesthesia either by landmark based technique or real-time ultrasound-guided methods. The primary outcome was the first attempt success rate of dural puncture when employing the two methods. Results: Baseline characteristics were similar in the two study groups. The first attempt success rate of dural puncture in landmark guided group was 64.3% compared to 72.6% in the ultrasound guided group. This difference was not statistically significant. The procedure performance time was significantly shorter with landmark palpation compared to use of real-time ultrasound guided method. Conclusion: Use of RUS-guided technique does not significantly improve the first attempt success rate of SAB dural puncture during spinal anesthesia compared to the traditional landmark-guided technique.
基金supported by the National Science Foundation of China(61561016 61861008+4 种基金 11603041)the Guangxi Natural Science Foundation Project(2018JJA170090)the Innovation Project of Guet Graduate Education(2018YJCX19 2018YJCX31)Guangxi Key Laboratory of Precision Navigation Technology and Application,Guilin University of Electronic Technology(DH201707)
文摘In order to solve the problem of ambiguous acquisition of BOC signals caused by its property of multiple peaks,an unambiguous acquisition algorithm named reconstruction of sub cross-correlation cancellation technique(RSCCT)for BOC(kn,n)signals is proposed.In this paper,the principle of signal decomposition is combined with the traditional acquisition algorithm structure,and then based on the method of reconstructing the correlation function.The method firstly gets the sub-pseudorandom noise(PRN)code by decomposing the local PRN code,then uses BOC(kn,n)and the sub-PRN code cross-correlation to get the sub cross-correlation function.Finally,the correlation peak with a single peak is obtained by reconstructing the sub cross-correlation function so that the ambiguities of BOC acquisition are removed.The simulation shows that RSCCT can completely eliminate the side peaks of BOC(kn,n)group signals while maintaining the narrow correlation of BOC,and its computational complexity is equivalent to sub carrier phase cancellation(SCPC)and autocorrelation side-peak cancellation technique(ASPeCT),and it reduces the computational complexity relative to BPSK-like.For BOC(n,n),the acquisition sensitivity of RSCCT is 3.25 dB,0.81 dB and 0.25 dB higher than binary phase shift keying(BPSK)-like,SCPC and ASPeCT at the acquisition probability of 90%,respectively.The peak to average power ratio is 1.91,3.0 and 3.7 times higher than ASPeCT,SCPC and BPSK-like at SNR=–20 dB,respectively.For BOC(2n,n),the acquisition sensitivity of RSCCT is 5.5 dB,1.25 dB and 2.69 dB higher than BPSK-like,SCPC and ASPeCT at the acquisition probability of 90%,respectively.The peak to average power ratio is 1.02,1.68 and 2.12 times higher than ASPeCT,SCPC and BPSK-like at SNR=–20 dB,respectively.
文摘The system of(1+1)-coupled Drinfel’d-Sokolov-Wilson equations describes the surface gravity waves travelling horizontally on the seabed.The objective of the present research is to construct a new variety of analytical solutions for the system.The invariants are derived with the aid of Killing form by using the optimal algebra classification via Lie symmetry approach.The invariant solutions involve time,space variables,and arbitrary constants.Imposing adequate constraints on arbitrary constants,solutions are represented graphically to make them more applicable in designing sea models.The behavior of solutions shows asymptotic,bell-shaped,bright and dark soliton,bright soliton,parabolic,bright and kink,kink,and periodic nature.The constructed results are novel as the reported results[26,28,29,30,33,38,42,49]can be deduced from the results derived in this study.The remaining solutions derived in this study,are absolutely different from the earlier findings.In this study,the physical character of analytical solutions of the system could aid coastal engineers in creating models of beaches and ports.
