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Minimally invasive pelvic exenteration for primary or recurrent locally advanced rectal cancer:A glimpse into the future

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World Journal of Gastrointestinal Surgery 2024年第7期16卷 1960-1964页

作者： Dimitrios Kehagias charalampos Lampropoulos Ioannis Kehagias Department of General Surgery General University Hospital of PatrasPatras 26504Greece Intensive Care Unit Saint Andrew’s General HospitalPatras 26335Greece Division of Bariatric and Metabolic Surgery Department of SurgeryUniversity of PatrasPatras 26504Greece

Surgeons have grappled with the treatment of recurrent and T4b locally advanced rectal cancer(LARC)for many *** main objectives are to increase the overall survival and quality of life of the patients and to mitigate postoperative ***,pelvic exenteration(PE)with or without neoadjuvant treatment is a curative treatment when negative resection margins are *** traditional open approach has been favored by many ***,the technological advancements in minimally invasive surgery have radically changed the surgical *** studies have demonstrated promising results in postoperative complications and oncological outcomes after robotic or laparoscopic PE.A recent retrospective study entitled“Feasibility and safety of minimally invasive multivisceral resection for T4b rectal cancer:A 9-year review”was published in the World Journal of Gastrointestinal *** we read this article with great interest,we decided to delve into the latest data regarding the benefits and risks of minimally invasive PE for ***,the small number of suitable patients,limited surgeon experience,and steep learning curve are hindering the establishment of minimally invasive PE.

关键词： Locally advanced rectal cancer Pelvic exenteration Multivisceral resection Minimally invasive surgical procedures Robotic surgical procedures

Outage Analysis of Optimal UAV Cooperation with IRS via Energy Harvesting Enhancement Assisted Computational Offloading

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Computer Modeling in Engineering & Sciences 2024年第2期138卷 1885-1905页

作者： Baofeng Ji Ying Wang Weixing Wang Shahid Mumtaz charalampos Tsimenidis School of Information Engineering Henan University of Science and TechnologyLuoyang471000China Research and Innovation Center of Intelligent System Longmen LaboratoryLuoyang471000China State Key Laboratory of Complex Electromagnetic Environment Effects on Electronics and Information System(CEMEE) Luoyang471000China Sustainable Digital Communications and Energy Systems(DIGCOM)Group Nottingham Trent UniversityNottinghamUK

The utilization of mobile edge computing(MEC)for unmanned aerial vehicle(UAV)communication presents a viable solution for achieving high reliability and low latency *** study explores the potential of employing intelligent reflective surfaces(IRS)andUAVs as relay nodes to efficiently offload user computing tasks to theMEC server system ***,the user node accesses the primary user spectrum,while adhering to the constraint of satisfying the primary user peak interference ***,the UAV acquires energy without interrupting the primary user’s regular communication by employing two energy harvesting schemes,namely time switching(TS)and power splitting(PS).The selection of the optimal UAV is based on the maximization of the instantaneous signal-to-noise ***,the analytical expression for the outage probability of the system in Rayleigh channels is derived and *** study investigates the impact of various system parameters,including the number of UAVs,peak interference power,TS,and PS factors,on the system’s outage performance through *** proposed system is also compared to two conventional benchmark schemes:the optimal UAV link transmission and the IRS link *** simulation results validate the theoretical derivation and demonstrate the superiority of the proposed scheme over the benchmark schemes.

关键词： Unmanned aerial vehicle(UAV) intelligent reflective surface(IRS) energy harvesting computational offloading outage probability

Organic-inorganic hybrid piezotronic bipolar junction transistor for pressure sensing

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Microsystems & Nanoengineering 2024年第3期10卷 229-244页

作者： Emad Iranmanesh Zihao Liang Weiwei Li Congwei Liao Shunyu Jin Chuan Liu Kai Wang Shengdong Zhang charalampos Doumanidis Gehan A.J.Amaratunga Hang Zhou Guangdong Provincial Key Laboratory of In-Memory Computing Chips School of Electronic and Computer EngineeringPeking University Shenzhen Graduate SchoolShenzhen 518055P.R.China School of Mechanical Engineering Guangdong Technion-Israel Institute of TechnologyShantou 515063P.R.China State Key Laboratory of Microelectronics Device and Integrated Technology Institute of MicroelectronicsChinese Academy of SciencesBeijing 100029P.R.China Hefei National Research Center for Physical Sciences at the Microscale University of Science and Technology of ChinaHefei 23000PR China School of Electronics and Information Technology Sun Yat-sen UniversityNo.132 East Waihuan RoadGuangzhou 510006P.R.China Department of Mechanical Aerospaceand Biomedical EngineeringUniversity of South AlabamaShelby Hall3128MobileAL 36688USA Electrical Engineering Division Department of EngineeringUniversity of Cambridge9 JJ Thomson AvenueCambridge CB30FAUnited Kingdom Zhejiang University International CampusHainingChina

With the rapid development of the Internet of Things(IoTs),wearable sensors are playing an increasingly important role in daily monitoring of personal health and *** signal-to-noise-ratio has become the most critical performance factor to *** enhance it,on the one hand,good sensing materials/devices have been employed;on the other hand,signal amplification and noise reduction circuits have been ***,most of these devices and circuits work in an active sampling mode,requiring frequent data acquisition and hence,entailing high-power *** this scenario,a flexible and wearable event-triggered sensor with embedded signal amplification without an external power supply is of great ***,we report a flexible two-terminal piezotronic n-p-n bipolar junction transistor(PBJT)that acts as an autonomous and highly sensitive,current-and/or voltage-mediated pressure *** PBJT is formed by two back-to-back piezotronic diodes which are defined as emitter-base and collectorbase *** force exertion on the emitter side,as a result of the piezoelectric effect,the emitter-base diode is forward biased while the collector-base diode is reverse *** to the inherent BJT amplification effect,the PBJT achieves record-high sensitivities of 139.7 kPa^(-1)(current-based)and 88.66 kPa^(-1)(voltage-based)in sensing *** PBJT also has a fast response time of<110 ms under exertion of dynamic stimuli ranging from a flying butterfly to a gentle finger ***,the PBJT advances the state of the art not only in terms of sensitivity but also in regard to being self-driven and autonomous,making it promising for pressure sensing and other IoT applications.

关键词： bipolar transistor IoT

Gestational diabetes mellitus may predispose to metabolic dysfunction-associated steatotic liver disease

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World Journal of Hepatology 2024年第5期16卷 860-862页

作者： charalampos Milionis Ioannis Ilias Eftychia Koukkou Department of Endocrinology Diabetes and MetabolismElena Venizelou General HospitalAthens 11521Greece Department of Endocrinology Hippocration General HospitalAthens GR-11527Greece

The development of type 2 diabetes mellitus is a major contributing factor to the worldwide health burden of metabolic dysfunction-associated steatotic liver disease(MASLD).Insulin resistance,subclinical inflammation,dyslipidemia,obesity,and hypertension are all factors in this reciprocal interaction that contribute to the development of MASLD,which includes hepatocellular carci-noma,advanced fibrosis/cirrhosis,and non-alcoholic steatohepatitis(NASH).A new risk factor for MASLD/NASH that affects the course of the disease independently throughout life is gestational diabetes mellitus(GDM).Women with a history of GDM had a higher chance of developing NASH,according to a recent study that used a large-scale *** the precise etiology is yet unknown,temporary disruption of pancreatic beta cell activity during pregnancy may set off systemic inflammation,affecting distant organs including the *** screening and management strategies are crucial in mitigating MASLD progression and preventing adverse cardiovascular events in affected individuals.

关键词： Metabolic dysfunction-associated steatotic liver disease Type 2 diabetes mellitus Non-alcoholic steatohepatitis Gestational diabetes mellitus Cardiovascular disease

Translation and cross-cultural adaptation of the Kidney Transplant Questionnaire 25 to Greek

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World Journal of Transplantation 2024年第2期14卷 148-154页

作者： Vasileios Koutlas Eirini Tzalavra Vasileios Tatsis charalampos Pappas Stavroula Vovlianou Stefanos Bellos Anila Duni Eleni Stamellou Konstantinos I Tsamis Michail Mitsis Evangelia Dounousi Department of Surgery and Kidney Transplant Unit University Hospital of IoanninaIoannina 45500EpirusGreece Department of Surgery Faculty of MedicineSchool of Health SciencesUniversity of IoanninaIoannina 45110EpirusGreece Department of Nephrology University Hospital of IoanninaIoannina 45500EpirusGreece Department of Nephrology General Hospital of KavalaKavala 65500Greece Department of Physiology Faculty of MedicineSchool of Health SciencesUniversity of IoanninaIoannina 45110EpirusGreece Department of Nephrology Faculty of MedicineSchool of Health SciencesUniversity of IoanninaIoannina 45110EpirusGreece

BACKGROUND Kidney transplantation leads to continuous improvement in the survival rates of kidney transplant recipients(KTRs)and has been established as the treatment of choice for patients with end-stage kidney ***-related quality of life(HRQoL)has become an important outcome *** is highly important to develop reliable methods to evaluate HRQoL with disease-specific *** To translate the disease-specific instrument Kidney Transplant Questionnaire 25(KTQ-25)to the Greek language and perform a cross-cultural *** The translation and adaptation of the original English version of the KTQ-25 to the Greek language were performed based on the International Quality of Life RESULTS Eighty-four KTRs(59 males;mean age 53.5±10.7 years;mean estimated glomerular filtration rate 47.7±15.1 mL/min/1.73 m2;mean transplant vintage 100.5±83.2 months)completed the Greek version of the KTQ-25 and the 36-item Short-Form Health Survey,and the results were used to evaluate the reliability of the Greek *** Cronbach alpha coefficients for all the KTQ-25 dimensions were satisfactory(physical symptoms=0.639,fatigue=0.856,uncertainty/fear=0.661,appearance=0.593,emotions=0.718,total score=0.708).The statistically significant correlation coefficients among the KTQ-25 dimensions ranged from 0.226 to *** correlation coeffi-cients of the KTQ-25 dimensions with the SF-36 physical component summary(PCS)ranged from 0.196 to 0.550;the correlation coefficients of the KTQ-25 with the SF-36 mental component summary(MCS)ranged from 0.260 to 0.655;and the correlation coefficients of the KTQ-25 with the total scores with the SF-36 PCS and MCS were 0.455 and 0.613,*** According to the findings,the Greek version of the KTQ-25 is valid and reliable for administration among kidney transplant patients in Greece.

关键词： Kidney Transplant Questionnaire 25 Kidney transplantation Kidney transplant recipients Health-related quality of life Quality of life

Future clinical prospects of C-peptide testing in the early diagnosis of gestational diabetes

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World Journal of Experimental Medicine 2024年第1期14卷 13-21页

作者： charalampos Milionis Ioannis Ilias Anastasia Lekkou Evangelia Venaki Eftychia Koukkou Department of Endocrinology Diabetesand Metabolism‘Elena Venizelou’General HospitalAthens 11521Greece

Gestational diabetes is typically diagnosed in the late second or third trimester of *** is one of the most common metabolic disorders among expectant mothers,with potential serious short-and long-term complications for both maternal and offspring health.C-peptide is secreted from pancreatic beta-cells into circulation in equimolar amounts with *** is a useful biomarker to estimate the beta-cell function because it undergoes negligible hepatic clearance and consequently it has a longer half-life compared to *** induces increased insulin resistance due to physiological changes in hormonal and metabolic *** compensation by islet beta-cells results in *** standard oral glucose tolerance test at 24-28 wk of gestation sets the *** evidence from prospective studies indicates a link between early pregnancy C-peptide levels and the risk of subsequent gestational *** C-peptide levels and surrogate glycemic indices at the beginning of pregnancy could prompt appropriate strategies for secondary prevention.

关键词： C-peptide Gestational diabetes Secondary prevention Pregnancy Clinical laboratory techniques

A numerical study of prestressed high strength steel tubular members

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Frontiers of Structural and Civil Engineering 2020年第1期14卷 10-22页

作者： Michaela GKANTOU Marios THEOFANOUS charalampos BANIOTOPOULOS Department of Civil Engineering Liverpool John Moores UniversityLiverpool L33AFUK Department of Civil Engineering University of BirminghamBirmingham B152TTUK

The structural behavior of prestressed high strength steel(HSS)tubular members is investigated through the execution of advanced finite element *** models are developed and validated against published experimental data on HSS tubular members subjected to different levels of initial prestress and loaded either in tension or *** effect of the presence or absence of grouting on the strength and ductility of the members is also *** numerically replicate the structural response recorded in the tests,some key modeling features including the employed numerical solver,the adopted material models and the element types warrant careful *** developing of the finite element models,the numerically generated ultimate loads,the corresponding failure modes and the full load-deformation curves are compared to the experimental ones,indicating a successful *** anticipated,prestressing enhances the load-bearing capacity for the tensile members,whereas it is detrimental for the compressive ones.A series of parametric studies is performed to assess the influence of key factors on the structural response of prestressed HSS members and the obtained results are *** guidance for tensile and compressive prestressed tubular members is also provided.

关键词： finite element prestressing tubular members grout high strength steel

Fracturing process and effect of fracturing degree onwave velocity of a crystalline rock

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Journal of Rock Mechanics and Geotechnical Engineering 2017年第5期9卷 797-806页

作者： charalampos Saroglou Vasileios Kallimogiannis Department of Geotechnical Engineering School of Civil Engineering National Technical University of Athens Athens Greece

The present paper investigates the effect of fracturing degree on P-and S-wave velocities in *** deformation of intact brittle rocks under loading conditions is characterized by a microcracking procedure,which occurs due to flaws in their microscopic structure and propagates through the intact rock,leading to shear *** fracturing process is of fundamental significance as it affects the mechanical properties of the rock and hence the wave *** order to determine the fracture mechanism and the effect of fracturing degree,samples were loaded at certain percentages of peak strength and ultrasonic wave velocity was recorded after every *** fracturing degree was recorded on the outer surface of the sample and quantified by the use of the indices P;（traces of joints/m）,P;（traces of joints/m;） and P;（length of fractures/m;）.It was concluded that the wave velocity decreases exponentially with increasing fracturing ***,the fracturing degree is described adequately with the proposed ***,other parameters concerning the fracture characteristics,rock type and scale influence were found to contribute to the velocity decay and need to be investigated further.

关键词： Wave velocity Fracturing Crack initiation Damage Granite

Role of endoscopy in the management of acute diverticular bleeding

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World Journal of Gastroenterology 2008年第13期14卷 1981-1983页

作者： charalampos Pilichos Emmanouil Bobotis Department of Digestive Endoscopy Sismanogleion General Hospital Athens 15126 Greece Department of Surgery Sismanogleion General Hospital Athens 15126 Greece

Colonic diverticulosis is one of the most common causes of lower gastrointestinal bleeding. Endoscopy is not only a useful diagnostic tool for localizing the bleeding site, but also a therapeutic modality for its management. To date, haemostatic methods have included adrenaline injection, mechanical clipping, thermal and electrical coagulation or combinations of them. The results of all published data are herein reviewed.

关键词： Diverticulosis Colon Bleeding Endoscopy Therapy