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Modified stapled hemorrhoidopexy for lower postoperative stenosis: A five-year experience

World Journal of Gastrointestinal Surgery 2024年第9期16卷 2787-2795页

作者： Yu-Hong Liu Tzu-Chiao Lin Chao-Yang Chen ta-Wei Pu Division of Colon and Rectal Surgery Department of SurgeryTri-Service General HospitalNational Defense Medical CenterTaipei 105TaiwanChina Division of Colon and Rectal Surgery Department of SurgeryTri-Service General Hospital Songshan BranchNational Defense Medical CenterTaipei 105TaiwanChina

BACKGROUND Stapled hemorrhoidopexy(SH)is currently a widely accepted method for treating the prolapse of internal *** anal stenosis is a critical complication of SH.A remedy for this involves the removal of the circumferential staples of the anastomosis,followed by the creation of a hand-sewn *** studies have reported modified SH procedures to improve *** hypothesized that our modified SH technique may help reduce complications of anal stenosis after *** To compare outcomes of staple removal at the 3-and 9-o’clock positions during modified SH in patients with mixed *** This was a single-center,retrospective,observational *** with grade III or IV hemorrhoids who underwent standard or modified SH at our colorectal center between January 1,2015,and January 1,2020,were *** operation time,blood loss,length of hospital stay,and incidence of minor or major complic-ations were *** Patients with grade III or IV hemorrhoids who underwent standard or modified SH at our colorectal center between January 1,2015 and January 1,2020,were *** time,blood loss,length of hospital stay,and incidence of minor or major complications were *** investigated 187 patients(mean age,50.9 years)who had undergone our modified SH and 313 patients(mean age,53.0 years)who had undergone standard *** the modified SH group,54%of patients had previously undergone surgical intervention for hemorrhoids,compared with the 40.3%of patients in the standard SH *** modified SH group included five(2.7%)patients with anal stenosis,while 21(6.7%)patients in the standard SH group had complications of anal *** was a significant relationship between the rate of postoperative anal stenosis and the modified SH:0.251(0.085-0.741)and 0.211(0.069-0.641)in multiple regression *** modified SH technique is a safe surgical method for advanced grade hemorrhoids and might result in

关键词： Anal canal Hemorrhoids Prolapse Stapled hemorrhoidopexy Postoperative anal stenosis Modified stapled hemorrhoidopexy

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A Retrospective Analysis of Intoxicated Patients Admitted to the Intensive Care Unit: A Single-Institution Assessment in the Post-Pandemic Period

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Journal of Biosciences and Medicines 2024年第3期12卷 159-167页

作者： Müge Arikan Abdullah Yeşilkaya Büşra Nur taşdelen İbrahim Özyiğit Department of Anesthesia and Intensive Care Faculty of Medicine Karabuk University Karabuk Turkey

Background: The aim of this study was to evaluate the clinical and epidemiological characteristics of patients with acute intoxication admitted to the Intensive Care Unit (ICU). Material and Methods: An observational retrospective study was conducted on intoxicated patients who admitted to ICU between January 2022 and January 2024. Data were collected from the patients medical records. The demographic characteristics, causes of intoxications, clinical parameters, the mean stay in the ICU, treatment modalities and prognosis were recorded. Results: A total of 2875 critically ill patients were admitted during the study period, and 109 (3.79%) of them were acute intoxications. Their mean of ages was 38.09 ± 12.29. The female-to-male ratio was 1.37/1. Drugs were found to be the primary cause (62.39%) of intoxications, and analgesics, antidepressants, and antibiotics were the most frequent agents. Suicidal attempts were present in 66 patients, most of them were female (62.13%) and between 17 - 24 years (40.91%). The other common causes of intoxications were carbon monoxide (CO) (22.02%), methyl/ethyl alcohol (8.26%) and mushroom (5.50%). The mean stay in the ICU was 2.69 ± 0.89 days. Mechanical ventilation was applied to 10 of our patients. Renal replacement therapy was required in 6 patients. Despite all treatments, 6 of our patients died, and we found the mortality rate to be 5.50%. Conclusion: Intoxications were more frequent in young female patients and drugs were the most common cause with suicidal intent. Unfortunately, CO poisoning continues to be a very important problem in our city. These findings provided significant information about the characteristics of intoxications in Karabuk.

关键词： Intoxication Intensive Care Unit Suicidal Mortality

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中国地理学的行为革命及其理论内涵

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地理研究 2024年第9期43卷 2259-2270页

作者：柴彦威塔娜北京大学城市与环境学院北京100871 华东师范大学地理信息科学教育部重点实验室上海200241 华东师范大学地理科学学院上海200241 自然资源部超大城市自然资源时空大数据分析应用重点实验室上海200241

流动性社会与高质量发展对中国地理学的理论创新提出了新的要求。在积极响应中国式现代化转型中的规划与治理需求过程中,中国地理学迫切需要对中国城乡社会的微观过程与行为机理进行刻画与解释,构建具有中国特色、指导中国社会建设的行... 详细信息

流动性社会与高质量发展对中国地理学的理论创新提出了新的要求。在积极响应中国式现代化转型中的规划与治理需求过程中,中国地理学迫切需要对中国城乡社会的微观过程与行为机理进行刻画与解释,构建具有中国特色、指导中国社会建设的行为地理学研究范式。本文在借鉴西方地理学从计量革命走向行为革命的范式转型路径的基础上,提出中国地理学行为革命的理论框架,并讨论了行为革命对中国社会经济发展现实需求的意义和对中国地理学学科建设的贡献。行为革命立足于建立基于人的地理学解释框架,关注“时空间中的人”这一主体,构建以时空间行为交互与整合为核心的研究新范式,从个体行为与行为交互两个维度探索行为过程的机理解释,并引入新技术、新方法建立多维整合的混合研究路径,最终建立人地互动的决策支持系统。

关键词：行为地理学行为革命时空间行为中国社会转型中国地理学

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Chalcogen heteroatoms doped nickel-nitrogen-carbon single-atom catalysts with asymmetric coordination for efficient electrochemical CO_(2)reduction

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Chinese Journal of Catalysis 2024年第9期64卷 54-65页

作者： Jialin Wang Kaini Zhang ta Thi Thuy Ng Yiqing Wang Yuchuan Shi Daixing Wei Chung-Li Dong Shaohua Shen International Research Center for Renewable Energy State Key Laboratory of Multiphase Flow in Power EngineeringXi'an Jiaotong UniversityXi'an 710049ShaanxiChina Department of Physics Tamkang UniversityNew Taipei City 25137TaiwanChina

The electronic configuration of central metal atoms in single-atom catalysts(SACs)is pivotal in electrochemical CO_(2)reduction reaction(eCO_(2)RR).Herein,chalcogen heteroatoms(e.g.,S,Se,and Te)were incorporated into the symmetric nickel-nitrogen-carbon(Ni-N4-C)configuration to obtain Ni-X-N3-C(X:S,Se,and Te)SACs with asymmetric coordination presented for central Ni *** these obtained Ni-X-N3-C(X:S,Se,and Te)SACs,Ni-Se-N3-C exhibited superior eCO_(2)RR activity,with CO selectivity reaching~98%at-0.70 V versus reversible hydrogen electrode(RHE).The Zn-CO_(2)battery integrated with Ni-Se-N3-C as cathode and Zn foil as anode achieved a peak power density of 1.82 mW cm-2 and maintained remarkable rechargeable stability over 20 ***-situ spectral investigations and theoretical calculations demonstrated that the chalcogen heteroatoms doped into the Ni-N4-C configuration would break coordination symmetry and trigger charge redistribution,and then regulate the intermediate behaviors and thermodynamic reaction pathways for eCO_(2)***,for Ni-Se-N3-C,the introduced Se atoms could significantly raise the d-band center of central Ni atoms and thus remarkably lower the energy barrier for the rate-determining step of*COOH formation,contributing to the promising eCO_(2)RR performance for high selectivity CO production by competing with hydrogen evolution reaction.

关键词： Electrochemical CO_(2)reduction reaction Chalcogen heteroatoms Single-atom catalysts Asymmetric coordination CO production

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城市空间利用对外来人口城市归属感的影响——以上海为例

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人文地理 2024年第1期39卷 93-100,172页

作者：李若铭塔娜华东师范大学地理科学学院上海200241 华东师范大学地理信息科学教育部重点实验室上海200241 自然资源部超大城市自然资源时空大数据分析应用重点实验室上海200241

基于2017年上海郊区居民活动与出行调查数据,本文分析了外来人口城市空间利用与归属感的总体特征和群体差异,并对不同居留时长外来人口的城市空间利用对城市归属感的影响进行了探讨。结果表明:(1)上海郊区外来人口的城市归属感一般,但... 详细信息

基于2017年上海郊区居民活动与出行调查数据,本文分析了外来人口城市空间利用与归属感的总体特征和群体差异,并对不同居留时长外来人口的城市空间利用对城市归属感的影响进行了探讨。结果表明:(1)上海郊区外来人口的城市归属感一般,但城市归属感随居留时间延长而提升。(2)城市空间利用中,中心城区与社区活动时长对其城市归属感存在显著正向影响。(3)城市空间利用对外来人口城市归属感的影响存在显著的群体差异,中心城区活动有利于新来者和适应者的城市归属感提升,郊区新城活动对新来者和适应者的影响相反,长期居留者归属感与城市空间利用的关系不显著。(4)社区主客观建成环境对提升外来人口城市归属感也具有显著影响。

关键词：居留时长外来人口城市归属感不同城市空间活动时长上海

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Methionine sources and genotype affect embryonic intestinal development,antioxidants,tight junctions,and growth-related gene expression in chickens

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Animal Nutrition 2024年第1期16卷 218-230页

作者： James K.Lugata Sawadi F.Ndunguru Gebrehaweria K.Reda Xénia E.Ozsváth Eszter Angyal Levente Czeglédi Gabriella Gulyás Renáta Knop János Oláh Zoltán Mészár Rita Varga Brigitta Csernus Csaba Szabó Department of Animal Nutrition and Physiology Faculty of Agriculture and Food Sciences and Environmental ManagementUniversity of DebrecenDebrecenHungary Department of Animal Husbandry Faculty of Agriculture and Food Sciences and Environmental ManagementUniversity of DebrecenDebrecenHungary Faculty of Agriculture and Food Sciences and Environmental Management Doctoral School of Animal ScienceUniversity of DebrecenDebrecenHungary Institutes for Agricultural Research and Educational Farm University of DebrecenDebrecenHungary Department of Anatomy Histology and EmbryologyFaculty of MedicineUniversity of DebrecenDebrecenHungary Department of Evolutionary Zoology and Human Biology Faculty of Science and TechnologyUniversity of DebrecenDebrecenHungary

Methionine(Met)is an essential and first limiting amino acid in the poultry diet that plays a significant role in chicken embryonic development and *** present study examined the effect of in ovo injection of DL-Met and L-Met sources and genotypes on chicken embryonic-intestinal development and *** eggs of the two genotypes,TETRA-SL layer hybrid(TSL)—commercial layer hybrid and Hungarian Partridge colored hen breed(HPC)—a native genotype,were randomly distributed into four treatments for each *** treatment groups include the following:1)control non-injected eggs(NoIn);2)saline-injected(SaIn);3)DL-Met injected(DLM);and 4)L-Met injected(LM).The in ovo injection was carried out on 17.5 d of embryonic development;after hatching,eight chicks per group were sacrificed,and the jejunum was extracted for *** results showed that both DLM and LM groups had enhanced intestinal development as evidenced by increased villus width,villus height,and villus area(Ptathione(GSH)content,glutathione S-transferase 3 alpha(GST3),occludin(OCLN)gene expression and increased villus height to crypt depth ratio in the TSL genotype than the LM group(Ptase 1(SOD1),and GST3 genes than the TSL genotype(P<0.05).In conclusion,these findings showed that in ovo injection of Met enhanced intestinal development,and function,with genotypes responding differently under normal *** also influenced the expression of intestinal antioxidants,tight junction,and growth-related genes.

关键词： DL-Methionine L-Methionine In ovo injection Intestinal development Poultry

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Treatment of benign rectal stricture caused by repeated anal insertion by endoscopy and balloon dilation:A case report

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World Journal of Gastrointestinal Endoscopy 2024年第2期16卷 91-97页

作者： Shih-Hung Liu Jung-Cheng Kang Je-Ming Hu Chao-Yang Chen Kuan-Hsun Lin ta-Wei Pu Department of Surgery Tri-Service General HospitalNational Defense Medical CenterTaipei 114Taiwan Division of Colon and Rectal Surgery Department of SurgeryTaiwan Adventist HospitalTaipei 105Taiwan Division of Colon and Rectal Surgery Department of SurgeryTri-Service General HospitalNational Defense Medical CenterTaipei 114Taiwan Division of Thoracic Surgery Department of SurgeryTri-Service General HospitalNational Defense Medical CenterTaipei 114Taiwan Division of Colon and Rectal Surgery Department of SurgerySongshan BranchTri-Service General HospitalNational Defense Medical CenterTaipei 105Taiwan

BACKGROUND Benign rectal strictures can be categorized as primary(disease-related)and secondary(surgical anastomosis-related).Secondary strictures arise from surgical complications,whereas primary strictures have diverse etiologies,including various inflammatory *** strictures are usually managed by surgery and *** present an unusual etiology of benign rectal stricture caused by the repeated insertion of foreign objects into the rectum for sexual purposes,resulting in rectal injury and subsequent chronic *** SUMMARY A 53-year-old man presented to the outpatient clinic of the Colorectal Surgery Department with symptoms of chronic constipation and bloody *** patient previously experienced rectal injury due to foreign object insertion for sexual *** revealed benign circumferential narrowing of the *** underwent treatment by endoscopic argon plasma coagulation and balloon dilation and follow-up as an outpatient for 4 months.A colonoscopy at the end of the follow-up period revealed no evidence of rectal stricture *** A history of rectal injury,followed by chronic inflammation,should be considered in patients with benign rectal *** with endoscopic argon plasma coagulation and balloon dilation can prevent the need for surgical resection of benign rectal strictures.

关键词： Chronic rectal inflammation Colonoscopy Benign rectal stricture Foreign body insertion Rectal injury Case report

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基于集合卡尔曼滤波的帽儿山森林多源LAI产品重建及融合校正方法

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浙江农林大学学报 2024年第4期41卷 841-849页

作者：包塔娜范文义东北林业大学林学院黑龙江哈尔滨150040 东北林业大学森林生态系统可持续经营教育部重点实验室黑龙江哈尔滨150040

【目的】现有叶面积指数(LAI)产品大多存在分辨率低、数据异常和精度低等问题,难以满足某些应用需求。因此,本研究提出一种多源LAI数据的融合方法,以减少不同来源数据的差异并提高产品精度。【方法】以帽儿山实验林场的阔叶林和针叶林... 详细信息

【目的】现有叶面积指数(LAI)产品大多存在分辨率低、数据异常和精度低等问题,难以满足某些应用需求。因此,本研究提出一种多源LAI数据的融合方法,以减少不同来源数据的差异并提高产品精度。【方法】以帽儿山实验林场的阔叶林和针叶林区域为研究区,基于2017年的MODIS、VIIRS和PROBA-V的LAI产品,利用多年LAI数据作为先验知识建立LAI背景库修正低质量数据,对3种LAI数据集进行混合像元分解的降尺度处理,基于Sentinel-2反射率产品耦合集合卡尔曼滤波(EnKF)算法、LAI动态模型和辐射传输模型进行数据同化,最后对同化后的3种LAI数据进行赋权融合,使用实测数据进行精度评价。【结果】在阔叶林,同化后的MODIS、VIIRS和PROBA-V LAI与实测数据的相关系数分别为0.59、0.56和0.62,比原始数据提升了0.57、0.52和0.57;均方根误差分别为0.37、0.31和0.14,比原始数据减小了1.23、1.69和1.06。在针叶林,同化后的MODIS、VIIRS和PROBA-V LAI与实测数据的相关系数分别为0.59、0.49和0.56,比原始数据提升了0.52、0.30和0.40;均方根误差分别为0.24、0.28和0.19,比原始数据减小了1.22、0.67和1.35。通过融合方法,阔叶林LAI和针叶林LAI的相关系数分别为0.83和0.76,比同化后数据的相关性更高;均方根误差分别为0.15和0.13,比同化后数据的误差更小。【结论】通过数据同化提升了3种LAI产品精度,融合后LAI较同化后单一LAI具有更高的精度和可靠性。

关键词：叶面积指数(LAI) MODIS VIIRS PROBA-V 重建集合卡尔曼滤波(EnKF) 数据融合

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Petrographic and Geochemical Characteristics of the Granitoids in the South of Godé (North of the Square Degree of Léo-Burkina Faso, West Africa)

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International Journal of Geosciences 2024年第2期15卷 106-118页

作者： Adama Ouédraogo Yaméogo Hubert Gounwendmanaghré Zongo Pascal Ouiya Omar Akonyiré Abraham Seydoux Traoré Saga Sawadogo Séta Naba Unité de Formation et de Recherche en Sciences et Technologies Département des Sciences de la Vie et de la Terre Université Norbert Zongo Koudougou Burkina Faso Unité de Formation et de Recherche en Sciences de la Vie et de la Terre Laboratoire Géosciences et Environnement (LaGE) Départe-ment des Sciences de la Terre Université Joseph Ki-Zerbo Ouaga Burkina Faso Ecole Supérieure d’Ingénieries Université de Fada N’gourma Fada N’Gourma Burkina Faso Ecole Normale Supérieure (ENS)/Institut des Sciences et de Technologie (IST) Ouaga Burkina Faso

South of Godé, in the central-western region of Burkina Faso, granitoids of Paleoproterozoic age are similar to those of the Man/Leo shield. This study focused on the petrographic and geochemical characteristics of these granitoids, with the following results: 1) The tonalite that outcrops in the south-west of the study area belongs to the TTG group or first generation granitoids. They are most often ribboned at outcrop and have a geochemical signature close to that of Archean TTGs. Tonalite has a metaluminous character and the REE spectrum indicates that it may be derived from partial melting of basic magmatic rocks. 2) Biotite granites have no outcrop structure. They are weakly metaluminous to peraluminous and potassic to highly potassic. Their rare earth spectra indicate that they may be derived from the partial melting of TTG granitoids. 3) Geotectonic diagrams show that the granitoids studied to the south of Godé were emplaced in an active tectonic context similar to that of present-day subduction zones.

关键词： Burkina Faso Godé Man/Leo Shield Petrography Geochemistry Partial Melting Geotectonic Setting

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Influence of Hemoglobin S Haplotypes on the Responses to Hydroxyurea Treatment in Children with Sickle Cell Disease in Abidjan, Côte d’Ivoire

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Open Journal of Genetics 2024年第1期14卷 1-12页

作者： Mireille Aye-Yayo Vincent Yapo Boidy Kouakou Missa Louis Adjé Adia Eusèbe Adjambri Ebah Hermance Kassi taïratou Kamagate Duni Sawadogo Hematology Unit Central Laboratory of the Teaching Hospital of Yogoupon Abidjan C&#244te d’Ivoire Hematology and Cell Biology Unit Laboratory of Biological Sciences Department of Pharmacy Felix Houphouet Boigny University Abidjan C&#244te d’Ivoire Molecular Biology Unit Center for Diagnostic and Research on AIDS and Other Infectious Diseases (CeDReS) Teaching Hospital of Treichville Abidjan C&#244te d’Ivoire Clinical Hematology Unit Teaching Hospital of Yogoupon Abidjan C&#244te d’Ivoire

Background: In Côte d’Ivoire so far, the circulating haplotypes have been inferred on the phenotypic profiling of SCD patients. The impact of the circulating haplotypes on the use of Hydroxyurea has not been assessed yet. Therefore the objective of this study is to identify in Abidjan the HbS haplotypes that modulate HU treatment responses. Methods: In a cross-sectional descriptive and analytical study, children aged 5 to 15 years with SCD, and carrying the hemoglobin phenotypes SSFA2 and SFA2, were recruited into a HU treatment cohort. Various parameters on the haplotypes and the outcomes of the treatment were analyzed. Results: Thirty nine children with SCD were included. The phenotypic profile of the cohort was 86.6% of SSFA2 and 15.4% of SFA2. Three haplotypes were found, the Benin haplotype, the Senegal haplotype, and an atypical one. The participants belonged to three genotypes, Benin/atypical (64.1%), Benin/Senegal (33.3%) and Senegal/Senegal (2.6%). Overall, HU treatment was successful in all haplotypes with 12 out of 39 patients failing treatment after 12 months in the Benin haplotype group. The association between HU treatment success and the Benin haplotype was found in terms of the decrease in the number of white blood cells and the students missing class. Conclusion: The study revealed that inferring haplotype based on the phenotypic profile could be inaccurate. The proportion of atypical haplotype that were not previously described in Côte d’Ivoire was high. All the haplotypes seemed to be associated with HU treatment success but some patients with Benin haplotype did not respond well.

关键词： Sickle Cell Disease Children Haplotype Hydroxyurea Côte d’Ivoire

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