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第十一届北京分析测试学术报告会暨展览会(BCEIA 2005)

作者： JeanPierre ABID Loc DAYON JeanOlivier GAMBY Jacques JOSSERAND hoang tram lam Niels LION Andrea LIONELLO Christophe ROUSSEL Hubert H.GIRAULT Laboratoire d’ Electrochimie Physique et Analytique Ecole Polytechnique Federale de Lausanne

Proteomics involves the analysis of the protein contents of a biological *** large number of proteins involved and the very large concentration range represents a major analytical *** this lecture,we shall emphasize t...

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CPTPP对越南经济的影响 ——基于纺织业案例的研究

CPTPP对越南经济的影响 ——基于纺织...

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作者： lam NGOC tram 浙江大学

学位级别：硕士

During the past decades,the discussion of economic integration has extensively emphasized in the national economic agendas of many countries all over the world,particularly as a means for enhancing economic development and boosting sustainable economic *** liberalization has been strongly advocated in developing countries as a means of catch up with the developed *** a consequence,several mega regional trade agreements have emerged as a direct response for this phenomenon and also a common approach for governments to promote economic *** much attention and expectation,the Comprehensive and Progressive Agreement for Trans-Pacific Partnership（CPTPP）is a demanding standard and large-scale Free Trade Agreement that targets to incorporate the economies of the Asia-Pacific region with 11 participants: Vietnam,Singapore,Brunei Darussalam,Malaysia,Japan,Australia,New Zealand,Canada,Mexico,Peru,and *** paper,hence,discusses potential impacts that the CPTPP can put on Vietnam’s economy and anticipate how this trade agreement can have influence on the policy-making *** paper examines the theory of Customs Union which deals with tariff barriers among countries and its rooted meaning for the current trend of bilateral and multilateral free trade agreements at both regional and global *** FTA diffusion framework describing what the actual driven-forces for nations to pursuit FTAs will be *** literature has shown Vietnam’s benefits in economic growth by forming multilateral as well as intra-regional free trade *** addition,through a case study of Vietnam’s textile industry with a performance assessment of big enterprises,these results help estimate preliminary opportunities and challenges the country would encounter within the full implementation of CPTPP.

关键词： Free Trade Agreement CPTPP Vietnam Textile Industry

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A Comparison of Perioperative Blood Transfusions and Other Complications Following Transverse Rectus Abdominis Myocutaneous Flaps versus Deep Inferior Epigastric Perforator Flaps

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Surgical Science 2017年第3期8卷 145-153页

作者： Rajith A. Amaratunga Bishoy Soliman Thomas C. lam Department of Plastic and Reconstructive Surgery Westmead Hospital Sydney Australia

Objective: Abdominal based free flaps such as the Transverse Rectus Abdominis Myocutaneous (tram) flap and Deep Inferior Epigastric Perforator (DIEP) flap are essential tools in the reconstructive armamentarium post mastectomy. These reconstructions are often prolonged, complex and associated with complications. This study aims to compare the complication rate, particularly focusing on perioperative transfusions, between tram and DIEP flaps performed by the senior author in our tertiary referral centre. Methods: A retrospective review was conducted of one hundred and seven consecutive tram and DIEP flaps from 2000 to 2014. The two groups were analysed for demographics, preoperative risk factors and post-operative complications including blood transfusions, haematomas, flap losses, redo-anastomoses, flap infections, abdominal wound sequelae and non-surgical complications. Results: Sixty-three patients underwent 67 free/muscle sparing tram flaps and 35 patients underwent 40 DIEP flaps. There were no statistically significant differences in patient demographics or preoperative risk factors between the two groups. Five tram flap cases (7.9%) required transfusion whilst no DIEP flap cases required transfusion. This difference was not found to be statistically significant (p = 0.16). However, free/muscle-sparing tram flaps were found to have a significantly higher overall complication rate compared to DIEP flaps (23.8% vs. 5.7%, p = 0.02). Conclusion: The current study demonstrated no difference in perioperative transfusion requirement between tram and DIEP cases. There was however a significantly higher rate of overall complications associated with tram flaps warranting the authors to conclude that care be taken when opting for this reconstructive method.

关键词： Breast Reconstruction DIEP tram Complications

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