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2024年8月中国甲乙丙类传染病疫情动态概要

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疾病监测 2024年第9期 1096-1097页

作者： division of Infectious Disease, Chinese Center for Disease Control and Prevention 中国疾病预防控制中心传染病预防控制处

2024年8月（2024年8月1日0:00至8月31日24:00），全国（不含香港、澳门特别行政区和台湾省，下同）共报告法定传染病719 686例，死亡2 366例。与上月相比，报告发病数下降15.9%，死亡数减少65例。甲类传染病报告发病6例，为鼠疫（2例）...

2024年8月（2024年8月1日0:00至8月31日24:00），全国（不含香港、澳门特别行政区和台湾省，下同）共报告法定传染病719 686例，死亡2 366例。与上月相比，报告发病数下降15.9%，死亡数减少65例。甲类传染病报告发病6例，为鼠疫（2例）和霍乱（4例），报告死亡1例，为鼠疫死亡病例。

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Isolated rectal diverticulum complicating with rectal prolapse and outlet obstruction: Case report

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World Journal of Gastroenterology 2005年第48期11卷 7697-7699页

作者： Chuang-Wei Chen, Shu-Wen Jao, Huang-Jen Lai, Ying-Chun Chill, Jung-Cheng Kang, division of Colon and Rectal surgery, Department of surgery Department of Radiology, Tri-Service general Hospital, Taipei, Taiwan, China division of Colon and Rectal surgery Department of Surgery Tri-Service General Hospital No. 325 Cheng-Gong Road Section 2 Taipei Taiwan China.

The occurrence of rectal diverticula is very rare, with only sporadic reports in the literature since 1911. Symptomatic rectal diverticula are encountered even less *** of these complicated events range from conservative treatments to major surgical *** present a hitherto unreported occurrence of isolated rectal diverticulum complicated with rectal prolapse and outlet obstruction. Delorme's procedure resulted in subsidence of symptoms and resolution of the diverticulum. It provides a minimal invasive surgical technique to successfully address the reported malady.

关键词： Rectal diverticula Rectal prolapse Delorme'sprocedure

Effects of TCMP-1 on the changes of platelet endothelial cell adhesion molecule-1 expression in acute edematous pancreatitis

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Hepatobiliary & Pancreatic Diseases International 2004年第2期3卷 311-315页

作者： Hong-Kai Gao, Zong-Guang Zhou, Tao He, You-Qin Chen, Fang-Hai Han and Cun Wang Chengdu, ChinaDepartment of general surgery & division of Diges- tive surgery, West China Hospital, Sichuan University, Chengdu 610041 , China Department of general surgery & division of Digestive surgery West China Hospital Sichuan University Chengdu 610041 China. zhou767@***

BACKGROUND: Traditional Chinese medicine is a potent agent in the management of clinical and experimental acute pancreatitis (AP), but the molecular mechanism of its the- rapeutic action is unclear. Numerous experimental and clinical studies have shown that platelet endothelial cell ad- hesion molecule-1 (PECAM-1) is pivotal to leukocyte re- cruitment, which results in microcirculatory injury during inflammation, but its role in acute pancreatitis is poorly un- derstood. We investigated the effects of a compound of tra- ditional Chinese medicine pancreatitis-1 (TCMP-1) on the changes of platelet endothelial cell adhesion molecule-1 (PECAM-1) expression on polymorphonuclear leukocytes (PMNs) in acute edematous pancreatitis (AEP). METHODS: The model of acute pancreatitis was estab- lished by subcutaneous injection of caerulein, and TCMP-1 treated groups were given TCMP-1 by catheterization from mouth to stomach (20 ml/kg) immediately after first time subcutaneous injection of caerulein. The changes of expres- sion of PECAM-1 on leukocytes from the blood of the splenic vein and inferior vena cava were determined by flow cytometry. RESULTS: In the AEP group, expression of PECAM-1 on PMNs was not significantly different between pancreatic microcirculation and systemic circulation at AEP2h and AEP4h time point. Then from AEP4h time point to AEP8h time point, expression of PECAM-1 was up-regulated in systemic circulation while it was down-regulated in pancre- atic microcirculation and was significantly different be- tween pancreatic microcirculation and systemic circulation at AEP8h time point (P<0.05). In the TCMP-1 treated group, compared with the AEP group, expression of PE-CAM-1 on PMNs decreased in different levels between pan- creatic microcirculation and systemic circulation and was of significant difference at AEP8h time point (P <0.05). CONCLUSION: Inhibition of PECAM-1 expression on PMNs may prevent PMNs from transmigration through the endo- thelium and may be on

关键词： acute pancreatitis platelet endothelial cell adhesion molecule-1 Chinese medicine

机器人手术系统辅助甲状腺和甲状旁腺手术临床实践指南(2024版)

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中华外科杂志 2024年第9期62卷 805-817页

作者：中国医师协会外科医师分会甲状腺外科专家工作组中国研究型医院学会甲状腺疾病专业委员会中国医疗保健国际交流促进会普通外科学分会田文贺青卿朱见李超王丹不详解放军总医院第一医学中心普通外科北京100853 联勤保障部队第九六○医院甲状腺乳腺外科济南250031 联勤保障部队第九六○医院济南250031 四川省肿瘤医院

机器人外科是智能精准微创外科发展的成果,应用于甲状腺外科领域,取得了良好临床效果。我国《机器人手术系统辅助甲状腺和甲状旁腺手术专家共识(2016版)》的发布对机器人辅助甲状腺和甲状旁腺手术的规范化开展与临床推广起到了重要作用... 详细信息

机器人外科是智能精准微创外科发展的成果,应用于甲状腺外科领域,取得了良好临床效果。我国《机器人手术系统辅助甲状腺和甲状旁腺手术专家共识(2016版)》的发布对机器人辅助甲状腺和甲状旁腺手术的规范化开展与临床推广起到了重要作用。随着临床实践的深入、微创理念的更新、机器人平台更新换代和技术不断改进,机器人甲状腺和甲状旁腺外科得到了进一步发展,尤其在适应证拓展、机器人外科医师培训和团队建设方面有了较大进步。在2016版专家共识的基础上,结合近年发表的相关论著及临床研究,专家组撰写了《机器人手术系统辅助甲状腺和甲状旁腺手术临床实践指南(2024版)》,从手术团队培养、手术适应证、术前评估、患者体位和空间建立、甲状腺腺叶切除步骤、颈部淋巴结清扫技巧等方面进行了总结推荐,并对再次手术、甲状旁腺手术及术后并发症的防治等方面提出了合理建议,以期更好地指导临床实践。

关键词：甲状腺疾病甲状旁腺疾病机器人甲状腺手术机器人甲状旁腺手术双侧腋窝乳晕入路机器人外科医师智能精准微创外科指南

Role of laparoscopic subtotal cholecystectomy in the treatment of complicated cholecystitis

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Hepatobiliary & Pancreatic Diseases International 2006年第4期5卷 584-589页

作者： Wu Ji, Ling-Tang Li and Jie-Shou Li Research Institute of general surgery, Nanjing general Hospital of Nanjing PLA Command Area, Nanjing 210002, China Research Institute of general surgery Nanjing General Hospital of Nanjing PLA Command Area Nanjing 210002 China.

BACKGROUND: Laparoscopic cholecystectomy (LC) has become the 'gold standard' in treating benign gallbladder diseases. Increasing laparoscopic experience and techniques have made laparoscopic subtotal cholecystectomy (LSC) a feasible option in more complex procedures. In recent years, few studies with a few cases of LSC have reported good results in patients with various types of cholecystitis. This study was designed to evaluate the feasibility, indications, characteristics and benefits of LSC in patients with complicated cholecystitis. METHODS: Altogether, 3485 patients were scheduled to receive LC during the past 4 years at our institute. Among them, 168 patients with various complicated forms of cholecystitis were treated by LSC. Meanwhile, the other 3317 patients who received standard LC were enrolled as the control group. Perioperative data from the two groups were collected and retrospectively analyzed. RESULTS: In the LSC group, 135 patients suffered from acute calculic cholecystitis, 18 from chronic calculic cholecystitis with cirrhotic portal hypertention, and 15 from chronic calculic atrophy cholecystitis with severe fibrosis. These patients constituted 4.8% of the total patients who underwent LC (168/3485) in the same period at our institute. In 122 patients, the cystic duct and artery were clipped before division. In another 46 patients, the gallbladder was initially incised at Hartmann's pouch. Five patients (3.0%) were converted to open subtotal cholecystectomy. The median operation time for LSC was 65.5±15.2 minutes, estimated operative blood loss was 71.5±15.5 ml, and the time to resume diet was 20.4±6.3 hours. Thirteen patients (7.7%) had local complications. The mean postoperative hospital stay was 4.2±2.6 days. In the LC group, 2887 had chronic calculic cholecystitis, 312had acute calculic cholecystitis, 47 had chronic calculic atrophy cholecystitis, and 71 had polypus. Seventeen patients (0.5%) were converted to open cholecystectomy. The median o

关键词： laparoscopic cholecystectomy cholecystitis cirrhotic portal hypertension complication bile duct injury

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肾动脉狭窄腔内治疗护理规范专家共识

军事护理 2024年第5期41卷 1-5页

作者：国际血管联盟中国分部护理专业委员会邹秋红李海燕植艳茹胡智飞陆清声不详海军军医大学第一附属医院血管外科解放军总医院第一医学中心血管外科

目的形成《肾动脉狭窄腔内治疗护理规范专家共识》(以下简称《共识》),规范肾动脉狭窄患者腔内治疗的护理。方法以循证证据为基础,结合临床实践经验,形成共识初稿。邀请48名血管外科及相关领域医护专家,对初稿进行修改及完善,形成共识... 详细信息

目的形成《肾动脉狭窄腔内治疗护理规范专家共识》(以下简称《共识》),规范肾动脉狭窄患者腔内治疗的护理。方法以循证证据为基础,结合临床实践经验,形成共识初稿。邀请48名血管外科及相关领域医护专家,对初稿进行修改及完善,形成共识终稿。结果本共识包括肾动脉狭窄术前专科护理评估、危险因素干预、术前准备、术后并发症的预防及护理、出院前健康教育等。结论本《共识》具有一定的科学性及实用性,可为肾动脉狭窄腔内治疗规范化护理提供实践依据。

关键词：肾动脉狭窄腔内治疗护理专家共识

Rare Earth Metals in Light Alloys

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Journal of Rare Earths 1997年第1期15卷 46-62页

作者： ( division of general and Inorganic Chemistry and Metallurgy, Department of Chemistry, University of Genova, I 16146 Genova, Italy )

A review of crystallochemical thermodynamic and phase diagram data of Mg RE and Al RE based systems is presented. On the basis also of their possible applications, special attention is given to the Mg rich and Al rich alloys and to the effects of rare earth additions on their properties. A summary of the experimental work carried out by our research group on several binary and ternary alloys is reported: that is Mg RE, Al RE, and Mg RE RE′ and Al RE RE′ with two different rare earth metals. A number of regularities observed in the formation and in the crystallochemistry of binary and ternary Mg rich or Al rich phases are summarised and discussed. Their application to a fine planning of alloys having a well defined structure is suggested.

关键词： Rare earth alloys Mg based alloys Al based alloys Light alloys

Site-specific conjugation of bifunctional chelator BAT to mouse IgG1 Fab~1 fragment

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Acta Pharmacologica Sinica 2006年第2期27卷 237-241页

作者： Jun LI~1 Xue-hao WANG Xiao-ming WANG Zhao-lai CHEN division of Hepatic surgery.Department of surgery,the First Affiliated Hospital of Nanjing Medical University and Jiangsu Province Hospital.Nanjing 210029.China division of Hepatic surgery Department of Surgery the First Affiliated Hospital of Nanjing Medical University and Jiangsu Province Hospital Nanjing China

Aim:To perform a site-specific conjugation of Fab’ fragments of a mouse mono-clonal antibody(MoAb)B43(of IgG1subtype)to a bifunctional chelator 6-[p-(bromoacetamido)benzyl]-1,4,8,11-tetraazacyclotetradecane-N,N′,N″,N′″-tetraacetic acid(BAT)via the thiol groups in the hinge distal to the antigen-binding site of the Fab~***:B43 was cleaved using a simple 2-step ***,stable F(ab~1)2was produced by pepsin ***~1 with tree thiol in thehinge region was then obtained by cysteine reduction of F(ab~1)***,a site-specific conjugation of Fab~1 to thiol-specific BAT was performed in a ***:The Fab~1 fragment had approximately 1.8 free thiol groups permolecule after cysteine *** conjugation efficiency and the chemicalyield were approximately 1.28 moles chelator/Fab′ and 74% of the initial concentra-tion of Fab′,*** F(ab′)2,Fab′ and Fab′-BAT all maintained reason-able antigen-binding properties.67Cu labeling of the conjugate under standardconditions did not impair the immunoreactivity of Fab′-***:This isa simple and efficient method for producing immunoreactive conjugates of Fab′-BAT,which can be used to make radiometal-labeled conjugates for further diag-nostic and therapeutic applications.

关键词： conjugation BAT chelator monoclonal antibody

Heat Treatment, Microstructure and Mechanical Properties of the Squeezing Cast Al-7.8Zn-2.0Mg-1.6Cu-0.15Zr-0.18Sc Alloy

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稀有金属材料与工程 2011年第S3期40卷 82-85页

作者： Tu Qiang, Yang Fubao, Xu Jun, Zhang Zhifeng, Li Daquan Nonferrous Metals Processing division , general Research Institute for Non-ferrous Metals, Beijing 100088, China Gen Res Inst Nonferrous Met Nonferrous Met Proc Div Beijing 100088 Peoples R China

The microstructure of squeezing cast Al-7.8Zn-2.0Mg-1.6Cu-0.15Zr-0.18Sc alloy and those after industrial homogenization treatment and multi-stage solution treatments, were studied by differential scanning calorimetry (DSC), optical microscopy (OM), transmission electron microscope (TEM), scanning electron microscopy with energy dispersive X-ray spectroscopy (TEM-EDX). The results shows that, by complex adding the micro-alloying elements Mn, Sc, Zr, etc ,the microstructure of squeezing casting ingot are fine, uniform, equiaxed, and with the average sizes of 40 μm. The melting point of the non-equilibrium eutectic is 468 ℃ for the casting ingot. After industrial homogenization treatment at 450 ℃ for 24 h, the tensile strength of as-cast alloy is 340-350 MPa and the elongation is 3.5%-4.5%. The multi-stage solution treatment at 465 ℃, 48 h +475 ℃, 8 h +485 ℃, 2 h results in the disappearance of the non-equilibrium eutectics at grain boundary, though some phases containing Fe and Cu can not dissolve completely. After 120 ℃, 24 h aging treatment, the tensile strength is nearly 600 MPa, and the elongation improve to more than 10%.

关键词： squeezing casting homogenization treatment multi-stage solution mechanical properties