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Minimally invasive spleen-preserving distal pancreatectomy: Does splenic vessel preservation have better postoperative outcomes? A systematic review and meta-analysis

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Hepatobiliary & Pancreatic Diseases International 2015年第4期14卷 346-353页

作者： Fady Elabbasy Rahul Gadde Mena M Hanna danny sleeman Alan Livingstone danny Yakoub Division of Surgical Oncology Department of Surgery Sylvester Comprehensive Cancer Center University of Miami-Miller School of Medicine

BACKGROUND： Minimally invasive spleen-preserving distal pancreatectomy （SPDP） can be performed with either splenic vessel preservation （SVP） or resection [Warshaw procedure （WP）]. The aim of this study was to evaluate the postoperative clinical outcomes of patients undergoing both methods. DATA SOURCES： Database search of PubMed, Embase, Scopus, Cochrane, and Google Scholar was performed （2000-2014）; key bibliographies were reviewed. Qualified studies compar- ing patients undergoing SPDP with either SVP or WP, and as- sessing postoperative complications were included. Calculated pooled risk ratio （RR） with the corresponding 95% confidence interval （CI） by random effects methods were used in the meta-analyses. RESULTS： The search yielded 215 studies, of which only 14 observational studies met our selection criteria. The studies included 943 patients in total; 652 （69%） underwent SVP and 291 （31%） underwent WP. Overall, there was a lower incidence of splenic infarction （RR=0.17; 95% Ch 0.09-0.33; P〈0.001）, gastric varices （RR=0.16; 95% Ch 0.05-0.51; P=0.002）, and intra/postoperative splenectomy （RR=0.20; 95% Ch 0.08-0.49; P〈0.001） in the SVP group. There was no difference in in- cidence of pancreatic fistula （WP vs SVP, 23.6% vs 22.9%;P=0.37）, length of hospital stay, operative time or blood loss. There was moderate cross-study heterogeneity. CONCLUSIONS： SVP is a safe, efficient and feasible technique that may be used to preserve the spleen. WP may be more suit- able for large tumors dose to the splenic hilum or those associ- ated with splenomegaly. Randomized clinical trials are justified to examine the long-term benefits of SVP-SPDP.

关键词： splenic infarction spleen-preserving distal pancreatectomy splenic vessel preservation Warshaw procedure gastric varices

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Biliary-colonic fistula caused by cholecystectomy bile duct injury

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Hepatobiliary & Pancreatic Diseases International 2013年第4期12卷 443-445页

作者： Francisco Igor B Macedo Victor J Casillas James S Davis Joe U Levi danny sleeman Dewitt Daughtry Family Department of Surgery University of Miami Miller School of Medicine and Ryder Trauma Center/Jackson Memorial HospitalMiami Florida USA Department of Radiology University of Miami Miller School of Medicine and Ryder Trauma Center/Jackson Memorial HospitalMiami Florida USA

Biliary-colonic fistula is a rare complication after laparoscopic cholecystectomy. We present a case of post-cholecystectomy iatrogenic biliary injury that resulted in a fistula between the common hepatic duct and large bowel. Magnetic resonance cholangiopancreatography provided good visualization of injury even with concurrent normal level of alkaline phosphatase. Radiologic findings and surgical management of this condition are discussed in detail.

关键词： cholecystectomy magnetic resonance imaging biliary tract disease

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MOF-mediated synthesis of novel PtFeCoNiMn high-entropy nanoalloy as bifunctional oxygen electrocatalysts for zinc-air battery

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Nano Research 2024年第6期17卷 5288-5297页

作者： Mingkuan Xie Xin Xiao Duojie Wu Cheng Zhen Chunsheng Wu Wenjuan Wang Hao Nian Fayan Li Meng danny Gu Qiang Xu Shenzhen Key Laboratory of Micro/Nano-Porous Functional Materials(SKLPM) Shenzhen 518055China Department of Chemistry Southern University of Science and TechnologyShenzhen 518055China Department of Materials Science and Engineering Southern University of Science and TechnologyShenzhen 518055China SUSTech-Kyoto University Advanced Energy Materials Joint Innovation Laboratory(SKAEM-JIL) Shenzhen 518055China Key University Laboratory of Highly Efficient Utilization of Solar Energy and Sustainable Development of Guangdong Southern University of Science and TechnologyShenzhen 518055China Eastern Institute for Advanced Study Eastern Institute of TechnologyNingbo 315200China

High-entropy alloy(HEA)-based materials are expected to be promising oxygen electrocatalysts due to their exceptional properties.The electronic structure regulation of HEAs plays a pivotal role in enhancing their elctrocatalytic ability.Herein,PtFeCoNiMn nanoparticles(NPs)with subtle lattice distortions are constructed on metal-organic framework-derived nitrogen-doped carbon by an ultra-rapid Joule heating process.Thanks to the modulated electronic structure and the inherent cocktail effect of HEAs,the as-synthesized PtFeCoNiMn/NC exhibits superior bifunctional electrocatalytic performance with a positive half-wave potential of 0.863 V vs.reversible hydrogen electrode(RHE)for oxygen reduction reaction and a low overpotential of 357 mV at 10 mA·cm^(-2)for oxygen evolution reaction.The assembled quasi-solid-state zinc-air battery using PtFeCoNiMn/NC as air electrode shows a high peak power density of 192.16 mW·cm^(-2),low charge−discharge voltage gap,and excellent durability over 500 cycles at 5 mA·cm^(-2).This work demonstrates an effective route for rational design of bifunctional nanostructured HEA electrocatalysts with favorable electronic structures,and opens up a fascinating directions for energy storage and conversion,and beyond.

关键词： oxygen reduction reaction oxygen evolution reaction high-entropy nano-alloy zinc-air battery

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Why Young Americans Stand With Gaza

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Beijing Review 2024年第19期67卷 28-29页

作者： danny Haiphong the United States

Scenes from college campuses across the U.S.have shocked the world.From Columbia University to the University of Texas at Austin,riot police and other heavily-armed security forces have been deployed to suppress encampments of peaceful pro-Palestine demonstrators.Hundreds of students and professors have been arrested.Politicians and college administrators have threatened to call the National Guard to break up the encampments.

关键词： Austin peace Guard

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Investigation of contact behavior on a model of the dual-mobility artificial hip joint for Asians in different inner liner thicknesses

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World Journal of Orthopedics 2024年第4期15卷 321-336页

作者： Taufiq Hidayat Muhammad Imam Ammarullah Rifky Ismail Eko Saputra M danny Pratama Lamura Chethan K N Athanasius Priharyoto Bayuseno J Jamari Department of Mechanical Engineering Universitas Muria KudusKudus 59352Central JavaIndonesia Department of Mechanical Engineering Universitas DiponegoroSemarang 50275Central JavaIndonesia Undip Biomechanics Engineering&Research Centre Universitas DiponegoroSemarang 50275Central JavaIndonesia Center for Biomechanics Biomaterials Biomechatronics and Biosignal Processing Universitas DiponegoroSemarang 50275Central JavaIndonesia Department of Mechanical Engineering Politeknik Negeri SemarangSemarang 50275Central JavaIndonesia Department of Aeronautical and Automobile Engineering Manipal Institute of TechnologyManipalManipal Academy of Higher EducationManipal 576104KarnatakaIndia

BACKGROUND The four components that make up the current dual-mobility artificial hip joint design are the femoral head,the inner liner,the outer liner as a metal cover to prevent wear,and the acetabular cup.The acetabular cup and the outer liner were constructed of 316L stainless steel.At the same time,the inner liner was made of ultra-high-molecular-weight polyethylene(UHMWPE).As this new dual-mobility artificial hip joint has not been researched extensively,more tribological research is needed to predict wear.The thickness of the inner liner is a significant component to consider when calculating the contact pressure.AIM To make use of finite element analysis to gain a better understanding of the contact behavior in various inner liner thicknesses on a new model of a dual-mobility artificial hip joint,with the ultimate objective of determining the inner liner thickness that was most suitable for this particular type of dual-mobility artificial hip joint.METHODS In this study,the size of the femoral head was compared between two diameters(28 mm and 36 mm)and eight inner liner thicknesses ranging from 5 mm to 12 mm.Using the finite element method,the contact parameters,including the maximum contact pressure and contact area,have been evaluated in light of the Hertzian contact theory.The simulation was performed statically with dissipated energy and asymmetric behavior.The types of interaction were surface-to-surface contact and normal contact behavior.RESULTS The maximum contact pressures in the inner liner(UHMWPE)at a head diameter of 28 mm and 36 mm are between 3.7-13.5 MPa and 2.7-10.4 MPa,respectively.The maximum von Mises of the inner liner,outer liner,and acetabular cup are 2.4–11.4 MPa,15.7–44.3 MPa,and 3.7–12.6 MPa,respectively,for 28 mm head.Then the maximum von Mises stresses of the 36 mm head are 1.9-8.9 MPa for the inner liner,9.9-32.8 MPa for the outer liner,and 2.6-9.9 MPa for the acetabular cup.A head with a diameter of 28 mm should have an inner liner with a thickness of 12 mm.Whereas the head dia

关键词： Contact behavior Contact pressure Finite element analysis Dual-mobility Artificial hip joint

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Pointing Fingers,Missing Solutions

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Beijing Review 2024年第24期67卷 24-24页

作者： danny Haiphong 不详

It is no secret that drug addiction is a major problem in the United States.When it comes to opioids,the crisis has become increasingly deadly.Over 112,000 fatal overdoses occurred in the U.S.in 2023.The potent synthetic opioid,fentanyl,is now a household name for its role in aggravating overdoses in the country to such a historic scale.However,the causes for the spike in both the use of fentanyl and its deadly consequences have been obscured by the rampant politicization of the issue.In recent years,U.S.political elites have attempted to explain away the crisis by blaming a convenient scapegoat:China.

关键词： consequences convenient attempted

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Open Scrotal Trauma Complicated by Testicular Evisceration: An Unusual Injury after a Brawl in 2 Cases

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Open Journal of Urology 2024年第5期14卷 282-289页

作者： Atangana Cédric Paterson Savom Eric Patrick Tim Fabrice Dikongue Diwondi Audrey Ngapanya Youssofa Etobe Cécile Akoa Manga Ismael Fodoung Wamba danny Bang Guy Aristide Faculty of Medicine and Biomedical Sciences University of Yaounde I Yaound&#233 Cameroon Department of Surgery General Hospital Yaounde Yaounde Cameroon Department of Visceral Surgery Yaound&#233 Central Hospital Yaounde Cameroon Faculty of Health Sciences University of Bamenda Bamenda Cameroon Department of Surgery Yaound&#233 University Hospital Yaounde Cameroon

Background: Scrotal trauma is a rare injury, and can compromise reproductive function. If in closed trauma, a morphological assessment of the lesion is usually necessary before treatment, in open trauma otherwise, namely in the case of testicular evisceration, surgical exploration is the rule. Objective: To present the management of open scrotal trauma. Case Presentation: These were two adults aged 42 and 63, admitted for post-traumatic testicular evisceration. One of the patients presented with signs of infection due to a diagnosis delay. Management consisted on surgical exploration, with scrotal debridement and testicular reintegration. The evolution was favourable. Conclusion: Open scrotal trauma is a rare lesion that can cause testicular evisceration. It requires surgical exploration, which should be systematic.

关键词： Scrotal Trauma Testicular Evisceration Infection Surgical Exploration

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空客时刻

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商业周刊（中文版） 2024年第4期 10-14页

作者： Siddharth Philip Anthony Palazzo Julie Johnsson Charlotte Ryan danny Lee Mary Schlangenstein 晴川(译) 不详

●对手波音正因737Max的质量问题而深陷泥沼,借此时机,空客已开始规划全新机型,以期在未来数十年里称霸业内1987年初,法国南部某机场内上演了不同寻常的一幕。当时还是王储的查尔斯王子站在一个登机扶梯上,轻轻地将一个超大瓶内的香槟... 详细信息

●对手波音正因737Max的质量问题而深陷泥沼,借此时机,空客已开始规划全新机型,以期在未来数十年里称霸业内1987年初,法国南部某机场内上演了不同寻常的一幕。当时还是王储的查尔斯王子站在一个登机扶梯上,轻轻地将一个超大瓶内的香槟洒在空客SE A320喷气机的机头上,他的妻子戴安娜王妃看着这一切,脸上带着她标志性的似显困惑的微笑。随后,现场激光华彩、干冰升腾,为1400名到场嘉宾开启了一场奢华庆典——毕竟,那是在80年代。

关键词：法国南部 A320 空客

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Characterization and modeling of the temperature-dependent thermal conductivity in sintered porous silicon-aluminum nanomaterials

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Nano Research 2022年第6期15卷 5663-5670页

作者： danny Kojda Tommy Hofmann Natalia Gostkowska-Lekner Klaus Habicht Department Dynamics and Transport in Quantum Materials Helmholtz-Zentrum Berlin für Materialien und Energie GmbHBerlin D-14109Germany Institute of Physics and Astronomy University of PotsdamPotsdam D-14476Germany

Nanostructured silicon and silicon-aluminum compounds are synthesized by a novel synthesis strategy based on spark plasma sintering(SPS)of silicon nanopowder,mesoporous silicon(pSi),and aluminum nanopowder.The interplay of metal-assisted crystallization and inherent porosity is exploited to largely suppress thermal conductivity.Morphology and temperaturedependent thermal conductivity studies allow us to elucidate the impact of porosity and nanostructure on the macroscopic heat transport.Analytic electron microscopy along with quantitative image analysis is applied to characterize the sample morphology in terms of domain size and interpore distance distributions.We demonstrate that nanostructured domains and high porosity can be maintained in densified mesoporous silicon samples.In contrast,strong grain growth is observed for sintered nanopowders under similar sintering conditions.We observe that aluminum agglomerations induce local grain growth,while aluminum diffusion is observed in porous silicon and dispersed nanoparticles.A detailed analysis of the measured thermal conductivity between 300 and 773 K allows us to distinguish the effect of reduced thermal conductivity caused by porosity from the reduction induced by phonon scattering at nanosized domains.With a modified Landauer/Lundstrom approach the relative thermal conductivity and the scattering length are extracted.The relative thermal conductivity confirms the applicability of Kirkpatrick’s effective medium theory.The extracted scattering lengths are in excellent agreement with the harmonic mean of log-normal distributed domain sizes and the interpore distances combined by Matthiessen’s rule.

关键词： thermal conductivity mesoporous silicon porosity spark plasma sintering nanoscale modeling

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在诊断 choledochal 包囊的磁性的回声 cholangiopancreatography 的角色: 盒子系列和评论

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World Journal of Radiology 2013年第8期5卷 304-312页

作者： Vikas Y Sacher James S Davis danny sleeman Javier Casillas Department of Surgery University of Miami Department of Radiology University of Miami

AIM:To determine the merits of magnetic resonance cholangiopancreatography(MRCP) as the primary diagnostic test for choledochal cysts(CC’s).METHODS:Between 2009 and 2012,patients who underwent MRCP for perioperative diagnosis were identified.Demographic information,clinical characteristics,and radiographic findings were recorded.MRCP results were compared with intraoperative findings.A PubMed search identified studies published between 1996-2012,employing MRCP as the primary preoperative imaging and comparing results with either endoscopic retrograde cholangiopancreatography(ERCP) or operative findings.Detection rates for CC’s and abnormal pancreaticobiliary junction(APBJ) were calculated.In addition detection rates for clinically related biliary pathology like choledocholithiasis and cholangiocarcinomas in patients diagnosed with CC’s were also evaluated.RESULTS:Eight patients were identified with CC’s.Six patients out of them had typeⅣCC’s,1 had type I and 1 had a new variant of choledochal cyst with confluent dilatation of the common bile duct(CBD) and cystic duct.Seven patients had an APBJ and 3 of those had a long common-channel.Gallstones were found in 2 patients,1 had a CBD stone,and 1 pancreatic-duct stone was also detected.In all cases,MRCP successfully identified the type of CC’s,as well as APBJ with ductal stones.From analyzing the literature,we found that MRCP has 96%-100% detection rate for CC’s.Additionally,we found that the range for sensitivity,specificity,and diagnostic accuracy was 53%-100%,90%-100% and 56%-100% in diagnosing APBJ.MRCP’s detection rate was 100% for choledocholithiasis and 87% for cholangiocarcinomas with concurrent CC’s.CONCLUSION:After initial ultrasound and computed tomography scan,MRCP should be the next diagnostic test in both adult and pediatric patients.ERCP should be reserved for patients where therapeutic intervention is needed.

关键词： Magnetic resonance cholangiopancreatography Choledochal cyst Abnormal pancreaticobiliary junction Diagnostic test Choledocholithiasis Cholangiocarcinomas

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