BACKGROUND This case-control study compared the short-term clinical efficacy of natural orifice specimen extraction surgery(NOSES) using a prolapsing technique and the conventional laparoscopic-assisted approach for l...BACKGROUND This case-control study compared the short-term clinical efficacy of natural orifice specimen extraction surgery(NOSES) using a prolapsing technique and the conventional laparoscopic-assisted approach for low rectal cancer.AIM To further explore the application value of the transanal placement of the anvil and to evaluate the short-term efficacy of NOSES for resecting specimens of low rectal cancer, as well as to provide a theoretical basis for its extensive clinical application.METHODS From June 2015 to June 2018, 108 consecutive laparoscopic-assisted low rectal cancer resections were performed at our center. Among them, 26 specimens were resected transanally using a prolapsing technique(NOSES), and 82 specimens were resected through a conventional abdominal wall small incision(LAP). A propensity score matching method was used to select 26 pairs of matched patients, and their perioperative data were analyzed.RESULTS The baseline data were comparable between the two matched groups. All 52 patients underwent the surgery successfully. The operative time, blood loss,number of harvested lymph nodes, postoperative complication rate,circumferential margin involvement, postoperative follow-up data, and postoperative anal function were not statistically significant. The NOSES group had shorter time to gastrointestinal function recovery(2.6 ± 1.0 d vs 3.4 ± 0.9 d, P= 0.006), shorter postoperative hospital stay(7.1 ± 1.7 d vs 8.3 ± 1.1 d, P = 0.003),lower pain score(day 1: 2.7 ± 1.8 vs 4.6 ± 1.9, day 3: 2.0 ± 1.1 vs 4.1 ± 1.2, day 5: 1.7± 0.9 vs 3.3 ± 1.0, P < 0.001), a lower rate of additional analgesic use(11.5% vs61.5%, P = 0.001), and a higher satisfaction rate in terms of the aesthetic appearance of the abdominal wall after surgery(100% vs 23.1%, P < 0.001).CONCLUSION NOSES for low rectal cancer can achieve satisfactory short-term efficacy and has advantages in reducing postoperative pain, shortening the length of postoperative hospital stay, and improving patients' satisfaction in terms of a more展开更多
Based on Raman-shifted wavelengths of D2 and CHr pumped by third harmonic of Nd:YAG laser, a differential absorption lidar was presented in this paper and had been constructed for probing environmental NO2 concentrati...Based on Raman-shifted wavelengths of D2 and CHr pumped by third harmonic of Nd:YAG laser, a differential absorption lidar was presented in this paper and had been constructed for probing environmental NO2 concentration. NO2 experimental measurements were carried out at Anhui Institute of Optics and Fine Mechanics in Hefei. Some NO2 measurement results were given and discussed.展开更多
Deep-sea sediment is extremely important in marine scientific research,such as that concerning marine geology and microbial communities.The research findings are closely related to the in-situ information of the sedim...Deep-sea sediment is extremely important in marine scientific research,such as that concerning marine geology and microbial communities.The research findings are closely related to the in-situ information of the sediment.One prerequisite for investigations of deep-sea sediment is providing sampling techniques capable of preventing distortion during recovery.As the fruit of such sampling techniques,samplers designed for obtaining sediment have become indispensable equipment,owing to their low cost,light weight,compactness,easy operation,and high adaptability to sea conditions.This paper introduces the research and application of typical deep-sea sediment samplers.Then,a representative sampler recently developed in China is analyzed.On this basis,a review and analysis is conducted regarding the key techniques of various deep-sea sediment samplers,including sealing,pressure and temperature retaining,low-disturbance sampling,and no-pressure drop transfer.Then,the shortcomings in the key techniques for deep-sea sediment sampling are identified.Finally,prospects for the future development of key techniques for deep-sea sediment sampling are proposed,from the perspectives of structural diversification,functional integration,intelligent operation,and high-fidelity samples.This paper summarizes the existing samplers in the context of the key techniques mentioned above,and can provide reference for the optimized design of samplers and development of key sampling techniques.展开更多
AIM: To evaluate the pain relieving effect of intervention with "Lamaze method of colonoscopy" in the process of colonoscopy.METHODS: Five hundred and eighty-five patients underwent colonoscopy were randomly...AIM: To evaluate the pain relieving effect of intervention with "Lamaze method of colonoscopy" in the process of colonoscopy.METHODS: Five hundred and eighty-five patients underwent colonoscopy were randomly divided into three groups, Lamaze group, anesthetic group and control group. Two hundred and twenty-four patients of Lamaze group, the "Lamaze method of colonoscopy" were practiced in the process of colonoscopy. The Lamaze method of colonoscopy is modified from the Lamaze method of childbirth, which helped patients to relieve pain through effective breathing control. One hundred and seventy-eight patients in anesthetic group accepted sedation colonoscopy. For 183 patients in control group, colonoscopy was performed without any intervention. The satisfactory of colon cleaning, intestinal lesions, intubation time, success ratio, pain grading and complications were recorded. All data were statistically analyzed.RESULTS: There were no significant differences at base line of the three groups(P > 0.05). Anesthetic group shows advantage in intubation time than the other two groups(P < 0.05). Lamaze group shows no advantagein intubation time than that in control group(P > 0.05). The anesthetic group showed an apparent advantage in relieving pain(P < 0.01). Therefore, the "Lamaze method of colonoscopy" performed in colonoscopy could relieve pain effectively comparing with control group(P < 0.05). The patients in anesthetic group had the highest incidence of complications(P < 0.05).CONCLUSION: The performance of the "Lamaze method of colonoscopy" in the process of colonoscopy could relieve patients' pain, minimize the incidence of complications, and is worthy promotion in clinical practice.展开更多
BACKGROUND Emergency pancreaticoduodenectomy(EPD)is a rare event for complex periam-pullary etiology.Increased intraoperative blood loss is correlated with poor post-operative outcomes.CASE SUMMARY Two patients underw...BACKGROUND Emergency pancreaticoduodenectomy(EPD)is a rare event for complex periam-pullary etiology.Increased intraoperative blood loss is correlated with poor post-operative outcomes.CASE SUMMARY Two patients underwent EPD using a no-touch isolation technique,in which all arteries supplying the pancreatic head region were ligated and divided before manipulation of the pancreatic head and duodenum.The operative times were 220 and 239 min,and the blood loss was 70 and 270 g,respectively.The patients were discharged on the 14^(th) and 10^(th) postoperative day,respectively.Thirty-two patients underwent EPD for the treatment of neoplastic bleeding.The mean operative time was 361.6 min,and the mean blood loss was 747.3 g.The comp-lication rate was 37.5%.The in-hospital mortality rate was 9.38%.CONCLUSION The no-touch isolation technique is feasible,safe,and effective for reducing intraoperative blood loss in EPD.展开更多
To understand the high yield and efficiency technique in hybrid rice Zhongzheyou No. 1, we conducted the correlation analysis, regression analysis and path analysis of hybrid rice Zhongzheyou No. 1 based on the data o...To understand the high yield and efficiency technique in hybrid rice Zhongzheyou No. 1, we conducted the correlation analysis, regression analysis and path analysis of hybrid rice Zhongzheyou No. 1 based on the data of its ear, grain and weight at different yield levels. From this study, we put forward the high yield and efficiency technique in Zhongzheyou No. 1 .. on the basis of certain effective ear number, filled grains per ear should be mainly targeted with a consideration to 1 000-grain weight.展开更多
Background:Liver transplantation(LT)is the best treatment for patients with hepatocellular carcinoma(HCC).However,the surgical technique needs to be improved.The present study aimed to evaluate the“no-touch”techniqu...Background:Liver transplantation(LT)is the best treatment for patients with hepatocellular carcinoma(HCC).However,the surgical technique needs to be improved.The present study aimed to evaluate the“no-touch”technique in LT.Methods:From January 2018 to December 2019,we performed a prospective randomized controlled trial on HCC patients who underwent LT.The patients were randomized into two groups:a no-touch technique LT group(NT group,n=38)and a conventional LT technique group(CT group,n=46).Operative outcomes and survival in the two groups were analyzed.Results:The perioperative parameters were comparable between the two groups(P>0.05).There was no significant difference between the two groups in disease-free survival(DFS)(P=0.732)or overall survival(OS)(P=0.891).Of 36 patients who were beyond the Hangzhou criteria for LT,the DFS of the patients in the NT group was significantly longer than that in the CT group(median 402 vs.126 days,P=0.025).In 31 patients who had portal vein tumor thrombosis(PVTT),DFS and OS in the NT group were significantly better than those in the CT group(median DFS 420 vs.167 days,P=0.022;2-year OS rate 93.8%vs.66.7%,P=0.043).In 14 patients who had diffuse-type HCCs,DFS and OS were significantly better in the NT group than those in the CT group(median DFS 141 vs.56 days,P=0.008;2-year OS rate 75.0%vs.33.3%,P=0.034).Multivariate analysis showed that for patients with PVTT and diffusetype HCCs,the no-touch technique was an independent favorable factor for OS(PVTT:HR=0.018,95%CI:0.001-0.408,P=0.012;diffuse-type HCCs:HR=0.034,95%CI:0.002-0.634,P=0.024).Conclusions:The no-touch technique improved the survival of patients with advanced HCC compared with the conventional technique.The no-touch technique may provide a new and effective LT technique for advanced HCCs.展开更多
[Objective] The research aimed to understand the high and efficiency technique in intersubspecific hybrid rice Yongyou No.9.[Method] We conducted the correlation analysis,regression analysis and path analysis of inter...[Objective] The research aimed to understand the high and efficiency technique in intersubspecific hybrid rice Yongyou No.9.[Method] We conducted the correlation analysis,regression analysis and path analysis of intersubspecific hybrid rice Yongyou No.9 based on the data of its ear,grain and weight at different yield levels.[Result]The performance of ear,grain and weight in Yongyou No.9 showed significant difference among different yield levels.The enhancement of effective ears would restrain the number of per ear total grains.It was found that the direct contributions of main economic traits to yield were determined to be per ear total grainseffective earseed setting rate1 000-grain weight.[Conclusion]The high-yield and effective cultivation techniques were suggested as follows：on the basis of certain effective ear number,grain number per ear should be mainly focused with a consideration to 1 000-grain weight.展开更多
基金Supported by National Natural Science Foundation of China,No.81500430 and No.U1304802(to Lin XH)Basic and Frontier Technology Research Program of Henan Province,No.162300410101(to Hu JH)+1 种基金Wu Jieping Medical Foundation of Clinical Research Special Fund,No.320.2710.1836(to Hu JH)The Henan Science and Technology Planning Project,No.182102310544(to Lin XH)
文摘BACKGROUND This case-control study compared the short-term clinical efficacy of natural orifice specimen extraction surgery(NOSES) using a prolapsing technique and the conventional laparoscopic-assisted approach for low rectal cancer.AIM To further explore the application value of the transanal placement of the anvil and to evaluate the short-term efficacy of NOSES for resecting specimens of low rectal cancer, as well as to provide a theoretical basis for its extensive clinical application.METHODS From June 2015 to June 2018, 108 consecutive laparoscopic-assisted low rectal cancer resections were performed at our center. Among them, 26 specimens were resected transanally using a prolapsing technique(NOSES), and 82 specimens were resected through a conventional abdominal wall small incision(LAP). A propensity score matching method was used to select 26 pairs of matched patients, and their perioperative data were analyzed.RESULTS The baseline data were comparable between the two matched groups. All 52 patients underwent the surgery successfully. The operative time, blood loss,number of harvested lymph nodes, postoperative complication rate,circumferential margin involvement, postoperative follow-up data, and postoperative anal function were not statistically significant. The NOSES group had shorter time to gastrointestinal function recovery(2.6 ± 1.0 d vs 3.4 ± 0.9 d, P= 0.006), shorter postoperative hospital stay(7.1 ± 1.7 d vs 8.3 ± 1.1 d, P = 0.003),lower pain score(day 1: 2.7 ± 1.8 vs 4.6 ± 1.9, day 3: 2.0 ± 1.1 vs 4.1 ± 1.2, day 5: 1.7± 0.9 vs 3.3 ± 1.0, P < 0.001), a lower rate of additional analgesic use(11.5% vs61.5%, P = 0.001), and a higher satisfaction rate in terms of the aesthetic appearance of the abdominal wall after surgery(100% vs 23.1%, P < 0.001).CONCLUSION NOSES for low rectal cancer can achieve satisfactory short-term efficacy and has advantages in reducing postoperative pain, shortening the length of postoperative hospital stay, and improving patients' satisfaction in terms of a more
基金This work was supported by the National 863 High Technology Research and Development Projects,S,
文摘Based on Raman-shifted wavelengths of D2 and CHr pumped by third harmonic of Nd:YAG laser, a differential absorption lidar was presented in this paper and had been constructed for probing environmental NO2 concentration. NO2 experimental measurements were carried out at Anhui Institute of Optics and Fine Mechanics in Hefei. Some NO2 measurement results were given and discussed.
基金Supported by National Key Research and Development Program of China(Grant No.2016YFC0300502)Hunan Provincial Innovation Foundation For Postgraduate(Grant No.CX2018B658)+2 种基金National Natural Science Foundation of China(Grant Nos.51705145,517779092)Supported by Scientific Research Fund of Hunan Provincial Education Department(Grant No.18B205)Hunan Province Natural Science Foundation(Grant No.2019 JJ50182).
文摘Deep-sea sediment is extremely important in marine scientific research,such as that concerning marine geology and microbial communities.The research findings are closely related to the in-situ information of the sediment.One prerequisite for investigations of deep-sea sediment is providing sampling techniques capable of preventing distortion during recovery.As the fruit of such sampling techniques,samplers designed for obtaining sediment have become indispensable equipment,owing to their low cost,light weight,compactness,easy operation,and high adaptability to sea conditions.This paper introduces the research and application of typical deep-sea sediment samplers.Then,a representative sampler recently developed in China is analyzed.On this basis,a review and analysis is conducted regarding the key techniques of various deep-sea sediment samplers,including sealing,pressure and temperature retaining,low-disturbance sampling,and no-pressure drop transfer.Then,the shortcomings in the key techniques for deep-sea sediment sampling are identified.Finally,prospects for the future development of key techniques for deep-sea sediment sampling are proposed,from the perspectives of structural diversification,functional integration,intelligent operation,and high-fidelity samples.This paper summarizes the existing samplers in the context of the key techniques mentioned above,and can provide reference for the optimized design of samplers and development of key sampling techniques.
基金The Dongguan science and Technology Bureau,No.201350715000809
文摘AIM: To evaluate the pain relieving effect of intervention with "Lamaze method of colonoscopy" in the process of colonoscopy.METHODS: Five hundred and eighty-five patients underwent colonoscopy were randomly divided into three groups, Lamaze group, anesthetic group and control group. Two hundred and twenty-four patients of Lamaze group, the "Lamaze method of colonoscopy" were practiced in the process of colonoscopy. The Lamaze method of colonoscopy is modified from the Lamaze method of childbirth, which helped patients to relieve pain through effective breathing control. One hundred and seventy-eight patients in anesthetic group accepted sedation colonoscopy. For 183 patients in control group, colonoscopy was performed without any intervention. The satisfactory of colon cleaning, intestinal lesions, intubation time, success ratio, pain grading and complications were recorded. All data were statistically analyzed.RESULTS: There were no significant differences at base line of the three groups(P > 0.05). Anesthetic group shows advantage in intubation time than the other two groups(P < 0.05). Lamaze group shows no advantagein intubation time than that in control group(P > 0.05). The anesthetic group showed an apparent advantage in relieving pain(P < 0.01). Therefore, the "Lamaze method of colonoscopy" performed in colonoscopy could relieve pain effectively comparing with control group(P < 0.05). The patients in anesthetic group had the highest incidence of complications(P < 0.05).CONCLUSION: The performance of the "Lamaze method of colonoscopy" in the process of colonoscopy could relieve patients' pain, minimize the incidence of complications, and is worthy promotion in clinical practice.
文摘BACKGROUND Emergency pancreaticoduodenectomy(EPD)is a rare event for complex periam-pullary etiology.Increased intraoperative blood loss is correlated with poor post-operative outcomes.CASE SUMMARY Two patients underwent EPD using a no-touch isolation technique,in which all arteries supplying the pancreatic head region were ligated and divided before manipulation of the pancreatic head and duodenum.The operative times were 220 and 239 min,and the blood loss was 70 and 270 g,respectively.The patients were discharged on the 14^(th) and 10^(th) postoperative day,respectively.Thirty-two patients underwent EPD for the treatment of neoplastic bleeding.The mean operative time was 361.6 min,and the mean blood loss was 747.3 g.The comp-lication rate was 37.5%.The in-hospital mortality rate was 9.38%.CONCLUSION The no-touch isolation technique is feasible,safe,and effective for reducing intraoperative blood loss in EPD.
文摘To understand the high yield and efficiency technique in hybrid rice Zhongzheyou No. 1, we conducted the correlation analysis, regression analysis and path analysis of hybrid rice Zhongzheyou No. 1 based on the data of its ear, grain and weight at different yield levels. From this study, we put forward the high yield and efficiency technique in Zhongzheyou No. 1 .. on the basis of certain effective ear number, filled grains per ear should be mainly targeted with a consideration to 1 000-grain weight.
基金supported by grants from the National Key R&D Program of China(2017ZX10203205-005-004)Research Project of Jinan Microecological Biomedicine Shandong Laboratory(JNL-2022022C)Grant from Health Commission of Zhejiang Province(JBZX-202004)。
文摘Background:Liver transplantation(LT)is the best treatment for patients with hepatocellular carcinoma(HCC).However,the surgical technique needs to be improved.The present study aimed to evaluate the“no-touch”technique in LT.Methods:From January 2018 to December 2019,we performed a prospective randomized controlled trial on HCC patients who underwent LT.The patients were randomized into two groups:a no-touch technique LT group(NT group,n=38)and a conventional LT technique group(CT group,n=46).Operative outcomes and survival in the two groups were analyzed.Results:The perioperative parameters were comparable between the two groups(P>0.05).There was no significant difference between the two groups in disease-free survival(DFS)(P=0.732)or overall survival(OS)(P=0.891).Of 36 patients who were beyond the Hangzhou criteria for LT,the DFS of the patients in the NT group was significantly longer than that in the CT group(median 402 vs.126 days,P=0.025).In 31 patients who had portal vein tumor thrombosis(PVTT),DFS and OS in the NT group were significantly better than those in the CT group(median DFS 420 vs.167 days,P=0.022;2-year OS rate 93.8%vs.66.7%,P=0.043).In 14 patients who had diffuse-type HCCs,DFS and OS were significantly better in the NT group than those in the CT group(median DFS 141 vs.56 days,P=0.008;2-year OS rate 75.0%vs.33.3%,P=0.034).Multivariate analysis showed that for patients with PVTT and diffusetype HCCs,the no-touch technique was an independent favorable factor for OS(PVTT:HR=0.018,95%CI:0.001-0.408,P=0.012;diffuse-type HCCs:HR=0.034,95%CI:0.002-0.634,P=0.024).Conclusions:The no-touch technique improved the survival of patients with advanced HCC compared with the conventional technique.The no-touch technique may provide a new and effective LT technique for advanced HCCs.
基金Supported by Science Program Foundation of Taizhou(091KY01)~~
文摘[Objective] The research aimed to understand the high and efficiency technique in intersubspecific hybrid rice Yongyou No.9.[Method] We conducted the correlation analysis,regression analysis and path analysis of intersubspecific hybrid rice Yongyou No.9 based on the data of its ear,grain and weight at different yield levels.[Result]The performance of ear,grain and weight in Yongyou No.9 showed significant difference among different yield levels.The enhancement of effective ears would restrain the number of per ear total grains.It was found that the direct contributions of main economic traits to yield were determined to be per ear total grainseffective earseed setting rate1 000-grain weight.[Conclusion]The high-yield and effective cultivation techniques were suggested as follows：on the basis of certain effective ear number,grain number per ear should be mainly focused with a consideration to 1 000-grain weight.
