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Roux-en-Y reconstruction does not require gastric decompression after radical distal gastrectomy

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World Journal of Gastroenterology 2012年第3期18卷 251-256页

作者： Cheng-Jueng Chen Tsang-Pai Liu Jyh-Cherng Yu Sheng-Der Hsua Tsai-Yuan hsieh Heng-Cheng Chu Chung-Bao hsieh Teng-Wei Chen, De-Chuan Chan Division of General Surgery Tri-Service General Hospital National Defense Medical Center 11490 Taipei Taiwan China Department of Surgery Mackay Memorial Hospital Mackay Medicine Nursing and Management College Peitou 10449 Taipei Taiwan China Division of Gastroenterology Tri-Service General Hospital National Defense Medical Center 11490 Taipei Taiwan China

AIM: To determine whether routine nasogastric (NG) decompression benefitted patients undergoing radical gastric surgery. METHODS: Between January 1998 and December 2008, 519 patients who underwent distal gastrectomy for gastric cancer were retrospectively divided into 2 time-period cohorts; those treated with Billroth Ⅱ (BⅡ) reconstruction in the first 6 years and those with Roux-en-Y (RY) reconstruction in the last 5 years. In the latter group, the patients were further divided into 2 subgroups; with and without nasogastric ***: Postoperatively, there were no significant differences in the number of anastomotic leaks between the 3 groups. In the tubeless RY group, time to semiliquid diet was significantly shorter than in the other 2 groups (4.4 d ± 1.4 d vs 7.2 d ± 1.3 d and 5.9 d ± 1.2 d, P = 0.005). The length of postoperative stay was significantly increased in patients with BⅡ reconstruction compared with patients with RY reconstruction with/without NG decompression (15.4 d ± 4.3 d in BⅡ group vs 12.6 d ± 3.1 d in decompressed RY and 11.4 d ± 3.4 d in the tubeless RY group, P = 0.035). The postoperative pneumonia rate was lowest in the tubeless group and highest in the BⅡ group (1.4% vs 4.6%, P = 0.01). Severe sore throat was noted in 59 (20.7%) members of the BⅡ group, 18 (17.4%) members of the decompressed RY group and 6 (4.2%) members of the tubeless RY group. Fewer patients in the tubeless group complained of severe sore throat (P = 0.001). CONCLUSION: This study provides support for abandoning routine NG decompression in patients undergoing subtotal gastrectomy with Roux-en-Y gastrojejunostomy.

关键词：胃癌减压空肠远端无内胎时间周期患者半流体

Applying DEA AR Model to Evaluating Leisure Hotels Pricing Efficiency 18th

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Applying DEA AR Model to Evaluating Leisure Hotels Pricing E...

Quality of life and symptom distress after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy

第18届工业工程与工程管理国际学术会议

作者： Li-Hsin Wang ling-Feng hsieh Shen-Fei Huang Department of Hospitality Management Chung Hua University Department of Transportation Technology and Logistics Management Chung Hua University Department of Technology Management Chung Hua University

ISBN: (纸本)9781612844497

This paper is applying the DEA to get the pricing efficiency between customer satisfactions and corporate brand image. This paper utilizes triangular Data Envelopment Analysis (DEA) to evaluate the efficiency and amount of improvement. Moreover, the original DEA has weakness in the corresponding items compared with other DMUs. Therefore, we apply other DEA AR model in this paper in order to get the accuracy price efficiency for 10 leisure hotels.

关键词： Customers’ satisfactions, Pricing Analysis, DEA Assurance Region (AR) model, Leisure hotels, Brand image

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World Journal of Clinical Cases 2022年第32期10卷 11775-11788页

作者： Ya-Fen Wang Ting-Yao Wang Tzu-Ting Liao Meng-Hung Lin Tzu-Hao Huang Meng-Chiao hsieh Vincent Chin-Hung Chen Li-Wen Lee Wen-Shih Huang Chao-Yu Chen Cancer Center Chang Gung Memorial HospitalChiayiTaiwan Division of Hematology and Oncology Department of Internal MedicineChang Gung Memorial HospitalChiayiTaiwan Division of Case Management Cancer CenterChang Gung Memorial HospitalChiayiTaiwan Health Information and Epidemiology Laboratory Chang Gung Memorial HospitalChiayiTaiwan Division of General Surgery Department of SurgeryChang Gung Memorial HospitalChiayiTaiwan Division of Colorectal Surgery Department of SurgeryChang Gung Memorial HospitalChiayiTaiwan Department of Psychiatry Chang Gung Memorial HospitalChiayi and Chang Gung UniversityTaoyuanTaiwan Department of Diagnostic Radiology Chang Gung Memorial HospitalChiayiTaiwanCollege of MedicineChang Gung UniversityTaoyuanTaiwan Department of Obstetrics and Gynecology Chang Gung Memorial HospitalChiayiTaiwan Department of Early Childhood Care and Education Shu-Zen Junior College of Medicine and ManagementKaohsiungTaiwanDepartment of Early Childhood Care and EducationShu-Zen Junior College of Medicine and ManagementKaohsiungTaiwan

BACKGROUND Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy(CRS/HIPEC)for peritoneal surface malignancy can effectively control the disease,however it is also associated with adverse effects which may affect quality of life(QoL).AIM To investigate early perioperative QoL after CRS/HIPEC,which has not been discussed in *** This single institution,observational cohort study enrolled patients who received CRS/*** assessed QoL using the Taiwan residents version of the MD Anderson Symptom Inventory(MDASI-T)and European Organization Research and Treatment of Cancer Core Quality of Life Questionnaire(EORTC QLQ-C30).Participants completed the questionnaires before CRS/HIPEC(S1),at the first outpatient follow-up(S2),and 3 mo after CRS/HIPEC(S3).RESULTS Fifty-eight patients were *** was no significant perioperative difference in global health *** changes in physical and role functioning scores decreased at S2,and fatigue and pain scores increased at S2 but returned to baseline at *** regression analysis showed that age and performance status were significantly correlated with *** the MDASI-T questionnaire,distress/feeling upset and lack of appetite had the highest scores at S1,compared to fatigue and distress/feeling upset at S2,and fatigue and lack of appetite at *** leading interference items were working at S1 and S2 and activity at ***-T scores were significantly negatively correlated with the EORTC QLQ-C30 *** QoL and symptom severity improved or returned to baseline in most categories within 3 mo after CRS/*** findings can help with preoperative consultation and perioperative care.

关键词： Cytoreductive surgery Hyperthermic intraperitoneal chemotherapy Peritoneal carcinomatosis Quality of life Symptom distress Perioperative care

Tribological properties of electroless Ni-P-SiC composite coatings in rolling/sliding contact under boundary lubrication

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Journal of University of Science and Technology Beijing 2007年第2期14卷 167-172页

作者： Wei-Long Liu Shu-Hue hsieh Shen-Jenn Hwang Ting-Kan Tsai Wen-Jauh Chen Department of Materials Science and Engineering Formosa University Huwei China Taipei Department of Mechanical Design Engineering Formosa University Huwei China Taipei Department of Materials Engineering Pingtung University of Science and Technology Pingtung China Taipei

Ni-P-SiC composite coatings were prepared under a given bath composition and operation parameters of electroless plating. The tribological properties of the Ni-P-SiC composite coatings after annealing at 400℃ for 1 h were tested in rolling/sliding contact under boundary lubrication condition using a two-roller tribometer. The measurement contained friction coefficient, contact surface temperature, contact electrical resistance, and wear rate of the Ni-P-SiC composite coatings under various slide to roll ratios, loads, and rolling speeds. For the simultaneous examination of the effect of the chosen parameters on the tribological properties of the Ni-P-SiC composite coatings, an orthogonal regression experimental design method was used.

关键词： Ni-P-SiC composite coating rolling-sliding friction wear two-roller test

Multiple primary malignancies including colon, stomach, lung, breast, and liver cancer： a case report and literature review

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Chinese Medical Journal 2009年第24期122卷 3091-3093页

作者： Nien-Chih Hu Shih-Chung hsieh Tong-Jong Chen Jun-Yih Chang Department of Family Medicine Shin Kong Wu Ho-Su Memorial Hospital Taipei 111 Taiwan China Department of Internal Medicine Shin Kong Wu Ho-Su Memorial Hospital Taipei 111 Taiwan China Department of Pathology Shin Kong Wu Ho-Su Memorial Hospital Taipei 111 Taiwan China

Multiple primary malignancies in a single patient are relatively rare but have increase in frequency in recent decades. This may be a result of medical advancements in diagnostic and therapeutic strategies, a possible effect of new carcinogens in the industrial environment, and longer life span allowing another primary cancer to develop. Among those with multiple primary malignancies, double cancer is commonly seen, while triple cancers occur in 0.5% of patients, and quadruple or quintuple cancers occur in only less than 0.1% of the population.

关键词： multiple primary malignancies, quadruple cancer quintuple cancer

Computerized geometric features of carpal bone for bone age estimation

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Chinese Medical Journal 2007年第9期120卷 767-770页

作者： Chi-Wen hsieh Tai-Lang Jong Yi-Hong Chou Chui-Mei Tiu Department of Physics National Central University Chungli Taiwan China Department of Electrical Engineering National Tsing-Hua University Hsinchu Taiwan China Department of Radiology Taipei Veterans General Hospital Taipei 112 Taiwan China

Background Bone age development is one of the significant indicators depicting the growth status of children. However, bone age assessment is an heuristic and tedious work for pediatricians. We developed a computerized bone age estimation system based on the analysis of geometric features of carpal bones. Methods The geometric features of carpals were extracted and analyzed to judge the bone age of children by computerized shape and area description. Four classifiers, linear, nearest neighbor, back-propagation neural network, and radial basis function neural network, were adopted to categorize bone age. Principal component and discriminate analyses were employed to improve assorting accuracy. Results The hand X-ray films of 465 boys and 444 girls served as our database. The features were extracted from carpal bone images, including shape, area, and sequence. The proposed normalization area ratio method was effective in bone age classification by simulation. Besides, features statistics showed similar results between the standard of the Greulich and Pyle atlas and our database. Conclusions The bone area has a higher discriminating power to judge bone age. The ossification sequence of trapezium and trapezoid bones between Taiwan Residents and the atlas of the GP method is quite different. These results also indicate that carpal bone assessment with classification of neural networks can be correct and practical.

关键词： carpal bones bone age neural networks

Prognostic factors of short-term outcomes of intravitreal ranibizumab in diabetic macular edema

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International Journal of Ophthalmology(English edition) 2017年第5期10卷 765-771页

作者： I-An Lai Wei-Cherng Hsu Chung-May Yang Yi-Ting hsieh Department of Ophthalmology Taipei Tzu Chi HospitalBuddhist Tzu Chi Medical Foundation New Taipei 231Taiwan China School of Medicine Tzu Chi University Hualien 970 Taiwan Department of Ophthalmology National Taiwan University Hospital Taipei 10002 Taiwan China

AIM：To evaluate the prognostic factors for short-term visual and anatomical improvement of intravitreal ranibizumab（IVR） for diabetic macular edema（DME）.METHODS：Fifty-one eyes from 35 patients that received three consecutive monthly IVR for DME with moderate visual loss were retrospectively recruited; all cases had their baseline best-corrected visual acuity（BCVA） between 20/400 and 20/40. BCVA and central subfield thickness（CST） at baseline and month 3 were collected. Linear mixed models were used to evaluate the prognostic factors for visual and anatomical improvement at month ***：Younger age, poorer baseline BCVA and proliferative diabetic retinopathy（PDR） were correlated with better visual improvement at month 3（P=0.002, 0.0001 and 0.007, respectively）. Thicker CST and the presence of subretinal fluid at baseline were correlated with a greater reduction in CST（P〈0.0001 and P=0.018, respectively）. The presence of epiretinal membrane or previous posterior subtenon injection of triamcinolone acetonide（PSTA） were associated with a smaller reduction in CST（P=0.029 and 0.018, respectively）, but had no significant effects in visual improvement at month 3（P〉0.05 for both）.CONCLUSION：For eyes with DME and moderate visual loss, those with younger age, poorer baseline BCVA or PDR tend to have better visual improvement after three consecutive monthly IVR. Epiretinal membrane or previous PSTA result in less resolution of CST, but do not significantly affect visual improvement.

关键词： diabetic macular edema anti-vascular endothelial growth factor ranibizumab diabetic retinopathy epiretinal membrane

物权法争议问题之挑战常鹏翱教授《物权法的“希尔伯特问题”》之启发

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中外法学 2023年第2期35卷 406-424页

作者：谢在全东吴大学中国台湾

物权法面临诸多争议问题,其中债权物权化是早已存在者,至今争议未歇,因债权物权化仍须受物权法定主义之限制,故法院于裁判上对某种债权创设物权效力时,就其物权化之要件事实及其效果,严密予以确定,不许以违反诚信原则、权利滥用原则等... 详细信息

物权法面临诸多争议问题,其中债权物权化是早已存在者,至今争议未歇,因债权物权化仍须受物权法定主义之限制,故法院于裁判上对某种债权创设物权效力时,就其物权化之要件事实及其效果,严密予以确定,不许以违反诚信原则、权利滥用原则等一般条款,任意冲破物权法定主义之框架限制;至电子科技之快速发展,带来数据新型资产之定位及信息革命对公示机制之冲击效应,则为物权法之新挑战。对于前者,于未及立法规范前,习惯法、判例法之运用,当为最佳因应之道;对于后者,登记技术之创新,讲求低成本、高效率,不重在如实反映物权状态,然因物权公示内容之正确性,恰可降低交易之信息成本,实现资产有效配置之法律重要任务,故信息革命对公示机制之变革力道,似仍须有法律之配套,方能展现。

关键词：物权法债权物权化商业思维信息革命法学方法

考古学文化功能研究的战略性起点——戈登·威利的《秘鲁维鲁河谷的史前聚落形态》译介

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东南文化 2015年第4期 6-14页

作者：谢银玲陈淳复旦大学文物与博物馆学系上海200433

20世纪中叶,考古学逐渐发展成一门以人为本的人文学科。美国考古学家戈登·威利在维鲁河谷首先采用的聚落形态研究,标志了考古学范式的重大变革。维鲁河谷项目通过对不同时期建筑和遗迹变迁的分析、史前遗址的断代和功能类型的划分、聚... 详细信息

20世纪中叶,考古学逐渐发展成一门以人为本的人文学科。美国考古学家戈登·威利在维鲁河谷首先采用的聚落形态研究,标志了考古学范式的重大变革。维鲁河谷项目通过对不同时期建筑和遗迹变迁的分析、史前遗址的断代和功能类型的划分、聚落形态变迁的研究等,推导出维鲁河谷史前时期社会复杂化的历时过程。这一开创性研究,被誉为考古学史上最重要的方法论突破,自汤姆森三期论创立以来最重要的发明。聚落形态成为考古学文化功能分析的战略性起点,聚落形态的整合分析为考古学家提供了全方位的视野,为考古学透物见人、由器物转向人地关系与社会变迁提供了一条可行的研究途径。但需要注意的是,我们在借鉴西方的理论方法时,应该吃透其原始概念、科学定义和产生背景。

关键词：聚落形态聚落考古学考古学方法戈登·威利《秘鲁维鲁河谷的史前聚落形态》