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Evaluating effectiveness and safety of combined percutaneous transhepatic gallbladder drainage and laparoscopic cholecystectomy in acute cholecystitis patients:Meta-analysis

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World Journal of Gastrointestinal Surgery 2024年第5期16卷 1407-1419页

作者： Yu Li Wei-Ke xiao xiao-Jun Li Hui-Yuan dong Department of General Surgery No.942 Hospital of PLAYinchuan 750004Ningxia Hui Autonomous RegionChina

BACKGROUND Acute cholecystitis(AC)is a common disease in general *** cholecystectomy(LC)is widely recognized as the"gold standard"surgical procedure for treating *** low-risk patients without complications,LC is the recommended treatment plan,but there is still controversy regarding the treatment strategy for moderate AC patients,which relies more on the surgeon's experience and the medical platform of the visiting *** transhepatic gallbladder puncture drainage(PTGBD)can effectively alleviate gallbladder inflammation,reduce gallbladder wall edema and adhesion around the gallbladder,and create a"time window"for elective *** To compare the clinical efficacy and safety of LC or PTGBD combined with LC for treating AC patients,providing a theoretical basis for choosing reasonable surgical methods for AC *** In this study,we conducted a clinical investigation regarding the combined use of PTGBD tubes for the treatment of gastric cancer patients with *** performed searches in the following databases:PubMed,Web of Science,EMBASE,Cochrane Library,China National Knowledge Infrastructure,and Wanfang *** search encompassed literature published from the inception of these databases to the ***,relevant data were extracted,and a meta-analysis was conducted using RevMan 5.3 *** A comprehensive analysis was conducted,encompassing 24 studies involving a total of 2564 *** patients were categorized into two groups:1371 in the LC group and 1193 in the PTGBD+LC *** outcomes of the meta-analysis revealed noteworthy disparities between the PTGBD+LC group and the LC group in multiple dimensions:(1)Operative time:Mean difference(MD)=17.51,95%CI:9.53-25.49,P<0.01;(2)Conversion to open surgery rate:Odds ratio(OR)=2.95,95%CI:1.90-4.58,P<0.01;(3)Intraoperative bleeding loss:MD=32.27,95%CI:23.03-41.50,P<0.01;(4)Postoperative hospital stay:MD=1.44,95%CI:0.14-2.73,P=0.03;(5)Overall posto

关键词： Acute cholecystitis Laparoscopic cholecystectomy Percutaneous transhepatic gallbladder drainage Metaanalysis Efficacy

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Adjusting oxygen vacancy of VO_(2)·xH_(2)O nanoarray architectures for efficient NH_(4)^(+) storage

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Nano Research 2024年第4期17卷 2646-2654页

作者： Jia’ni Gong Pengfei Bai Jingjing Sun Yanyan Liu Xueying dong Tao Hu Changgong meng Yifu Zhang School of Chemistry Dalian University of TechnologyDalian 116024China School of Chemistry and Materials Sciences CAS Key Laboratory of Materials for Energy ConversionCAS Center for Excellence in NanoscienceUniversity of Science and Technology of ChinaHefei 230026China College of Environmental and Chemical Engineering Dalian UniversityDalian 116622China

Aqueous rechargeable batteries are the promising energy storge technology due to their safety,low cost,and environmental *** ion(NH_(4)^(+))is an ideal charge carrier for such batteries because of its small hydration radius and low molar *** this study,VO_(2)·xH_(2)O with rich oxygen defects(d-HVO)is designed and synthesized,and it exhibits unique nanoarray structure and good electrochemical performances for NH_(4)^(+)*** and calculation results indicate that oxygen defects in d-HVO can enhance the conductivity and diffusion rate of NH_(4)^(+),leading to improved electrochemical *** most significant improvement is observed in d-HVO with 2 mmol thiourea(d-HVO-2)(220 mAh·g^(-1) at 0.1 A·g^(-1)),which has a moderate defect content.A full cell is assembled using d-HVO-2 as the anode and polyaniline(PANI)as the cathode,which shows excellent cycling stability with a capacity retention rate of 80%after 1000 cycles and outstanding power density up to 4540 W·kg^(-1).Moreover,the flexible d-HVO-2||PANI battery,based on quasi-solid electrolyte,shows excellent flexibility under different bending *** study provides a new approach for designing and developing high-performance NH_(4)^(+)storage electrode materials.

关键词： hydrate vanadium dioxide oxygen defects ammonium-ion battery anode material

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Abundance and sources of particulate polycyclic aromatic hydrocarbons and aromatic acids at an urban site in central China

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Journal of Environmental Sciences 2024年第8期142卷 155-168页

作者： Luqi Shang Zhe dong Zihan Li Mingkai Wang Zihan Kong xiao Li Ruiqin Zhang School of Ecology and Environment Zhengzhou UniversityZhengzhou 450001China College of Chemistry Zhengzhou UniversityZhengzhou 450001China Institute of Environmental Sciences Zhengzhou UniversityZhengzhou 450001China

We conducted a simultaneous field study of PM_(2.5)-bound particulate polycyclic aromatic hydrocarbons(PAHs)and aromatic acids(AAs)in a polluted city Zhengzhou to explore the concentration,sources and potential conversion pathways between PAHs and AAs in different *** average concentrations of PM_(2.5),28PAHs and 8AAs during the sampling period were 77μg/m^(3),75 ng/m^(3),and 283 ng/m^(3),*** concentration of both28PAHs and 8AAs were highest in winter and lowest in summer with ratios of 6.3 and 2.3,*** with 5-7 rings were the main components of PAHs(52%),followed by 4rings PAHs(30%)and 2-3 rings PAHs(18%).According to the source appointment results obtained by positive matrix factorization,the main sources of PAHs were combustion and vehicle emissions,which account for 37%and 34%,respectively.8AAs were divided into three groups,including four benzene dicarboxylic acids(B2CAs),three benzene tricarboxylic acids(B3CAs)and one benzene tetracarboxylic acid(B4CA).And interspecies correlation analysis with PM_(2.5)source markers were used to investigate potential *** acid(o-Ph)was the most abundant specie of 8AAs(157 ng/m^(3),55%of 8AAs),which was well correlated with ***,B3CAs and B4CA were highly correlated with sulfate and weakly correlated with levoglucosan,suggesting that secondary formation was their main *** logical oxidation products of PAHs,o-Ph and B3CAs showed good correlations with a number of PAHs,indicating possible photochemical oxidation pathway by *** addition,O_(3),NO_(2),temperature and relative humidity have positive effects on the secondary formation of B3CAs.

关键词： Polycyclic aromatic hydrocarbons Aromatic acids Source appointment Secondary formation

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The Origin of Mesozoic A-type Granitoids,Fujian Province,Southeast China:Insights from Geochronology,Mineralogy and Geochemistry

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Acta Geologica Sinica(English Edition) 2024年第3期98卷 630-640页

作者： XIE Qifeng dong Yunpeng CAI Yuanfeng ZHAI Mingguo xiao Aifang ZHANG Hong Zijin School of Geology and Mining Fuzhou UniversityFuzhou 350108China State Key Laboratory of Continental Dynamics Northwest UniversityXi’an 710069China State Key Laboratory for Mineral Deposits Research Nanjing UniversityNanjing 210023China State Key Laboratory of Lithospheric Evolution Institute of Geology and GeophysicsChinese Academy of SciencesBeijing 100029China

The magma sources,origins and precise forming ages of the miarolite from Qishan and Kuiqi intrusions are still *** results reveal that,miarolites from the Qishan and Kuiqi intrusions yield crystallization ages of~101 and~98 Ma,and they have a high formation temperature(~910℃)and low oxygen fugacity value,indicating crystallization condition at low pressure in the upper crust with temperature of 678℃.The Qishan and Kuiqi miarolites are characterized by enrichment in SiO_(2) and high-K alkali,depletion in Ca and Mg,and belong to the high-K weak peraluminous rock *** samples are enriched in HFSEs(i.e.,Ta,Zr and Hf)and LILEs(i.e.,Ba,P and Sr),depleted in Ba and Sr with the negative anomaly of *** the primitive mantle normalized trace element spider diagram,the samples show a right-inclined‘seagull-type’pattern,combined the ratios of(La/Yb)_(N),10000×Al/Ga,Rb/Nb and Nb/Ta etc.,they were proved to be alkaline A-type *** the characterize of the trace elements,they were derived from clay-rich source accompanied pelite melting,and subjected to K-feldspar crystallization *** values of ε_(Hf)(t)and tDM2 are distributed in the range of-2.8 to 3.3 with~1.2 Ga,and-6.0 to 4.0 with~1.2 Ga,revealing that they were generated from the Mesoproterozoic Cathaysia basement *** comprehensive research reveals the Kuiqi and Qishan intrusions derived from crust-mantle mixing and partial melting of the crust,respectively,resulting from lithospheric extension generated by the Paleo-Pacific Plate subducted into the European-Asian Plate.

关键词： A-type granitoid geochronology extension subduction Mesozoic Southeast China

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A weakly-solvated ether-based electrolyte for fast-charging graphite anode

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Chinese Chemical Letters 2024年第8期35卷 526-532页

作者： xiao Zhu Yanbing Mo Jiawei Chen Gaopan Liu Yonggang Wang xiaoli dong Department of Chemistry and Shanghai Key Laboratory of Molecular Catalysis and Innovative Materials Institute of New EnergyiChEM(Collaborative Innovation Center of Chemistry for Energy Materials)Fudan UniversityShanghai 200433China

Weakly-solvated electrolytes(WSEs)utilizing solvents with weak coordination ability offer advantages for low-potential graphite anode owing to their facile desolvation process and anions-derived inorganic-rich solid electrolyte interphase(SEI)***,these electrolytes face challenges in achieving a balance between the weak solvation affinity and high ionic conductivity,as well as between rigid inorganic-rich SEI and flexible SEI for long-term ***,we introduce 1,3-dioxolane(DOL)and lithium bis(trifluoromethanesulfonyl)-imide(LiTFSI)as functional additives into a WSE based on nonpolar cyclic ether(1,4-dioxane).The well-formulated WSE not only preserves the weakly solvated features and anion-dominated solvation sheath,but also utilizes DOL to contribute organic species for stabilizing the SEI *** from these merits,the optimized electrolyte enables graphite anode with excellent fast-charging performance(210 mAh/g at 5 C)and outstanding cycling stability(600 cycles with a capacity retention of 82.0%at room temperature and 400 cycles with a capacity retention of 80.4%at high temper-ature).Furthermore,the fabricated LiNi_(0.8)Co_(0.1)Mn_(0.1)O_(2)||graphite full cells demonstrate stable operation for 140 cycles with high capacity retention of 80.3%.This work highlights the potential of tailoring solvation sheath and interphase properties in WSEs for advanced electrolyte design in graphite-based lithium-ion batteries.

关键词： Weakly-solvated solvent Bisalt ether-based electrolyte Graphite anode NCM||graphite battery Interfacial optimization

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Azocalixarenes: a scaffold of universal excipients with high efficiency

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Science China Chemistry 2024年第5期67卷 1697-1706页

作者： Yu-Xin Yue Yi-Lin Lin meng-meng Chen Han-Wen Tian Rong Ma Ze-Han Wang Fang-Yuan Chen Yu-Chen Pan dong-Sheng Guo College of Chemistry State Key Laboratory of Elemento-Organic ChemistryKey Laboratory of Functional Polymer Materials(Ministry of Education)Frontiers Science Center for New Organic MatterCollaborative Innovation Center of Chemical Science and Engineering(Tianjin)Nankai UniversityTianjin 300071China

Excipients are important components of pharmaceutical preparations that affect their quality, safety, and efficacy. Macrocyclic receptors are a family of supramolecular excipients with several advantages, including molecular-level protection, small sizes,fast kinetics of host-guest recognition, and modular construction. With the continuous advances in the medical field, personalized and precision medicine requires the development of excipients with low dosages, integrated modifying effects, universality,and controlled release. To meet these requirements, we have developed a new family of macrocyclic excipients based on calixarenes by integrating their covalent(broad chemical design space) and noncovalent(wide range of substrates) ***, azocalixarenes(Azo CAs) were designed, showing high binding affinities to a broad spectrum of active pharmaceutical ingredients(APIs), selectivity to interferents, and responsiveness to hypoxic microenvironments. Due to their highly efficient and controllable recognition, Azo CAs serve as low-dose excipients for 30 APIs. Molecular encapsulation by Azo CAs results in the integrated modification of the physicochemical properties of APIs, including solubility, stability, bioavailability,and biocompatibility. Moreover, Azo CAs can be reduced by azoreductases overexpressed in hypoxic microenvironments,leading to the controlled release of APIs. Collectively, Azo CA excipients have broad application prospects for a series of diseases such as enteritis, arthritis, stroke, cancer, bacterial infection and kidney injury, with diverse therapeutic modalities,including chemotherapy, photodynamic therapy, photothermal therapy, immunotherapy, boron neutron capture therapy, radiotherapy, fluorescence imaging, and their combinations.

关键词： supramolecular chemistry host-guest systems excipient calixarene molecular recognition

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Effect of Acupuncture on Endometrial Blood Flow in Women Undergoing in vitro Fertilization Embryo Transfer: A Single Blind, Randomized Controlled Trial

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Chinese Journal of Integrative Medicine 2024年第1期30卷 10-17页

作者： dong Hao-xu Wu xiao ZHOU Qin HUANG dong-mei ZHANG Ming-min HUANG Guang-ying YANG Wei Department of Integrated Traditional Chinese and Western Medicine Tongji HospitalHuazhong University of Science and TechnologyWuhan(430030)China Department of Obstetrics and Gynecoiogy Tongji HospitalHuazhong University of Science and TechnologyWuhan(430030)China Institute of Integrated Traditional Chinese and Western Medicine Tongji HospitalHuazhong University of Science and TechnologyWuhan(430030)China Department of Reproductive Medicine Tongji HospitalHuazhong University of Science and TechnologyWuhan(430030)China

Objective: To evaluate the effect of manual acupuncture on endometrial blood flow parameters by three-dimensional(3D) power Doppler ultrasound in women undergoing in vitro fertilization embryo transfer(IVF-ET). Methods: Seventy patients undergoing IVF-ET were equally randomized into traditional or sham acupuncture treatment group for totally 4 days(from the day of oocyte aspiration to the day of embryo transfer) of treatment by random envelope method at the Reproductive Medicine Center and Outpatient Department of Integrated Traditional Chinese and Western Medicine, Tongji Hospital, Tongji Medicine College, Huazhong University of Science and Technology from January 2013 to December 2015. Patients in the traditional acupuncture group accepted traditional acupuncture methods with manual acupuncture, and Zhongji(CV3), Qihai(CV 6), Sanyinjiao(SP6), Taichong(LR 3), Tianshu(ST 25), Guilai(ST 29) and Zusanli(ST 36) were chosen. Patients at the sham acupuncture group accepted shallow acupuncture methods at 4 non-meridian points at each shoulder and upper arm. Outcome measures included endometrial ultrasonic indices such as vascularization index(VI), flow index(FI) and vascularization flow index(VFI), endometrial thickness and volume, subendometrial VI(sVI), subendometrial FI(sFI), subendometrial VFI(sVFI), implantation rate, clinical pregnancy rate, abortion rate, live birth rate and number of live births. Results: Finally, 34 patients in the traditional acupuncture group and 35 in the sham acupuncture group completed this trial. VI, FI and VFI of the traditional acupuncture group were significantly higher than those in the sham acupuncture group(P0.05). Conclusions: Manual acupuncture performed after oocyte aspiration and before transplantation improved the endometr

关键词： acupuncture endometrial blood flow endometrial receptivity in vitro fertilization randomized controlled trial

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高超声速飞行器RBF神经网络滑模变结构控制

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电机与控制学报 2016年第5期20卷 103-110页

作者：王建敏董小萌吴云洁北京航空航天大学自动化科学与电气工程学院北京100191 中国科学院空间应用工程与技术中心北京100094 中国空间技术研究院钱学森空间技术实验室北京100094 北京航空航天大学虚拟现实技术与系统国家重点实验室北京100191

针对高超声速飞行器高度非线性及强耦合的特点,提出了一种基于RBF神经网络调参的滑模变结构控制器。滑模变结构控制器能够使高超声速飞行器稳定飞行,但在系统状态到达滑模面后会产生剧烈的抖振现象,不利于工程应用。RBF神经网络在一定... 详细信息

针对高超声速飞行器高度非线性及强耦合的特点,提出了一种基于RBF神经网络调参的滑模变结构控制器。滑模变结构控制器能够使高超声速飞行器稳定飞行,但在系统状态到达滑模面后会产生剧烈的抖振现象,不利于工程应用。RBF神经网络在一定条件下可以任意精度逼近非线性函数,且具有较强的自学习、自适应和自组织能力。将RBF神经网络与滑模变结构控制相结合,一定程度上能够消除滑模控制的抖振问题。在高超声速飞行器的巡航状态下,分别加入高度阶跃指令和速度阶跃指令进行了仿真。仿真结果表明,所设计的RBF神经网络滑模变结构控制器使高超声速飞行器在保证快速性、鲁棒性和抗干扰性的同时,克服了执行机构的抖振问题。

关键词：高超声速飞行器 RBF神经网络滑模变结构控制抖振

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Experimental study of the effects of a multistage pore-throat structure on the seepage characteristics of sandstones in the Beibuwan Basin:Insights into the flooding mode

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Petroleum Science 2024年第2期21卷 1044-1061页

作者： Lei Wang xiao Lei Qiao-Liang Zhang Guang-Qing Yao Bo Sui xiao-Jun Chen Ming-Wei Wang Zhen-Yu Zhou Pan-Rong Wang xiao-dong Peng Zhanjiang Branch China National Offshore Oil Corporation(CNOOC)LimitedZhanjiang524057GuangdongChina Faculty of Earth Resources China University of Geosciences(Wuhan)Wuhan430074HubeiChina School of Resources and Safety Engineering Chongqing UniversityChongqing400044China School of Engineering University of ManchesterManchester M139WJUK Hainan Branch China National Offshore Oil Corporation(CNOOC)LimitedHaikou570311HainanChina

To investigate the relationship between grain sizes, seepage capacity, and oil-displacement efficiency in the Liushagang Formation of the Beibuwan Basin, this study identifies the multistage pore-throat structure as a crucial factor through a comparison of oil displacement in microscopic pore-throat experiments. The two-phase flow evaluation method based on the Li-Horne model is utilized to effectively characterize and quantify the seepage characteristics of different reservoirs, closely relating them to the distribution of microscopic pores and throats. It is observed that conglomerate sandstones at different stages exhibit significant heterogeneity and noticeable differences in seepage capacity, highlighting the crucial role played by certain large pore throats in determining seepage capacity and oil displacement efficiency. Furthermore, it was found that the displacement effects of conglomeratic sandstones with strong heterogeneity were inferior to those of conventional homogeneous sandstone, as evidenced by multiple displacement experiments conducted on core samples with varying granularities and flooding systems. Subsequently, core-based experiments on associated gas flooding after water flooding were conducted to address the challenge of achieving satisfactory results in a single displacement mode for reservoirs with significant heterogeneity. The results indicate that the oil recovery rates for associated gas flooding after water flooding increased by 7.3%-16.4% compared with water flooding alone at a gas-oil ratio of approximately 7000 m^(3)/m^(3). Therefore, considering the advantages of gas flooding in terms of seepage capacity, oil exchange ratio, and the potential for two-phase production, gas flooding is recommended as an energy supplement mode for homogeneous reservoirs in the presence of sufficient gas source and appropriate tectonic angle. On the other hand, associated gas flooding after water flooding is suggested to achieve a more favorable develop

关键词： Beibuwan Basin Multistage pore-throat structure Multistage seepage characteristics Microscopic visualization Heterogeneity Gas/water flooding Flooding mode

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Research and Application of Joint Interpretation Using P-Wave and PS-Wave in Tight Gas Exploration

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Journal of Earth Science 2024年第4期35卷 1402-1406页

作者： dong Wang meng Zhang Jing Wang Dan Chen Yao Zhao Jing Bai BGPInc. China National Petroleum CorporationZhuozhou 072751China Institute of Geophysics Chengdu University of TechnologyChengdu 610059China National Engineering Research Center of Oil and Gas Exploration Computer Software Zhuozhou 072751China

The exploration and development of tight sandstone gas reservoirs are controlled by high-quality river channel sand bodies on a large scale in Sichuan *** order to improve the accu-racy of sand body prediction and characterization,Multi-component exploration technology research has been carried out in Northwest Sichuan ***,based on the array acoustic logging data,a for-ward modeling has been established to analyze the seismic response characteristics of the PS-wave data and P-wave *** result shows that the response characteristics of the P-wave and PS-wave to the sand bodies with different impedance are *** then through the analysis of logging data,the effectiveness of the forward modeling has been *** the sandstone velocity is close to the sur-rounding rocks,the P-wave performs as a weak reflection,which may lead to reduce the identification range of the sand ***,the PS-wave exhibits strong reflection,which can identify this type of sand ***,by comparing and explaining the PS-wave data and P-wave data,and integrat-ing their attributes,the prediction accuracy of sand bodies is *** with the interpreta-tion of a single P-wave,the results can significantly expand the distribution range of sand bodies,lay-ing a foundation for improving the production capacity of single wells and reserve submission.

关键词： multi-component exploration tight gas sand body identification

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