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Clinical features and prognostic factors of duodenal neuroendocrine tumours:A comparative study of ampullary and nonampullary regions

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World Journal of Gastrointestinal Oncology 2024年第3期16卷 907-918页

作者： Sa Fang yu-peng shi Lu Wang Shuang Han Yong-Quan shi Department of Gastroenterology Honghui HospitalXi’an Jiaotong UniversityXi'an 710054Shanxi ProvinceChina Department of Gastroenterology The Second Affiliated Hospital of Xi’an Jiaotong UniversityXi’an 710032Shaanxi ProvinceChina Department of Gastroenterology Xijing Hospital Affiliated to Air Force Medical UniversityXi'an 710032Shaanxi ProvinceChina

BACKGROUND Duodenal neuroendocrine tumours(DNETs)are rare ***,the incidence of DNETs has been increasing in recent years,especially as an incidental finding during endoscopic ***,there is no consensus regarding the ideal treatment of *** there are few studies on the clinical features and survival analysis of *** To analyze the clinical characteristics and prognostic factors of patients with duodenal neuroendocrine *** The clinical data of DNETs diagnosed in the First Affiliated Hospital of Air Force Military Medical University from June 2011 to July 2022 were ***-docrine tumours located in the ampulla area of the duodenum were divided into the ampullary region group;neuroendocrine tumours in any part of the duo-denum outside the ampullary area were divided into the nonampullary region *** a retrospective study,the clinical characteristics of the two groups and risk factors affecting the survival of DNET patients were *** Twenty-nine DNET patients were *** male to female ratio was 1:1.9,and females comprised the *** ampullary region group accounted for 24.1%(7/29),while the nonampullary region group accounted for 75.9%(22/29).When diagnosed,the clinical symptoms of the ampullary region group were mainly abdominal pain(85.7%),while those of the nonampullary region groups were mainly abdominal distension(59.1%).There were differences in the composition of staging of tumours between the two groups(Fisher's exact probability method,P=0.001),with nonampullary stage II tumours(68.2%)being the main stage(P<0.05).After the diagnosis of DNETs,the survival rate of the ampullary region group was 14.3%(1/7),which was lower than that of 72.7%(16/22)in the nonampullary region group(Fisher's exact probability method,P=0.011).The survival time of the ampullary region group was shorter than that of the nonampullary region group(P<0.000).The median survival time of the ampullary

关键词： Duodenum Neuroendocrine Tumour Ampullary Nonampullary Clinical features Prognostic

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Neutral Territory:Cultural Space in Hawthorne’s Travel Writing

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Cultural and Religious Studies 2024年第7期12卷 428-433页

作者： LI Fan peng shi-yu Wuhan Institute of Technology WuhanChina

The emphasis on the combination of physical space and metaphorical space is a major feature of Hawthorne’s *** paper analyzes cultural space in Hawthorne’s travel writing,centering on his works The Old Manse and The Marble Faun from the perspective of neutral *** old manse and Rome carry different cultural metaphors,each reflecting a complex and subtle narrative ***,Hawthorne transforms the old manse into Thoreauesque cabin,where American is affected by“sleepiness”and gains spiritual *** the national level,Hawthorne creates an allegorical Italy as borderland to explore the existence of American civilization.

关键词： Nathaniel Hawthorne neutral philosophy cultural space travel writing

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Clinical characteristics of acute non-varicose upper gastrointestinal bleeding and the effect of endoscopic hemostasis

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World Journal of Clinical Cases 2024年第9期12卷 1597-1605页

作者： Xiao-Juan Wang yu-peng shi Li Wang Ya-Ni Li Li-Juan Xu yue Zhang Shuang Han Department of Gastroenterology Honghui Hospital Affiliated to Medicine College of Xi’an Jiaotong UniversityXi'an 710054Shaanxi ProvinceChina

BACKGROUND Acute non-variceal upper gastrointestinal bleeding(ANVUGIB)constitutes a prevalent emergency within Gastroenterology,encompassing 80%-90%of all gastrointestinal hemorrhage *** condition is distinguished by its abrupt onset,swift progression,and notably elevated mortality *** To gather clinical data from patients with ANVUGIB at our hospital in order to elucidate the clinical characteristics specific to our institution and analyze the therapeutic effectiveness of endoscopic *** We retrospectively retrieved the records of 532 patients diagnosed with ANVUGIB by endoscopy at our hospital between March 2021 and March 2023,utilizing our medical record *** pertaining to general patient information,etiological factors,disease outcomes,and other relevant variables were meticulously collected and *** Among the 532 patients diagnosed with ANVUGIB,the male-to-female ratio was 2.91:1,with a higher prevalence among ***,43.6%of patients presented with black stool as their primary complaint,while 27.4%had hematemesis as their initial *** admission,17%of patients exhibited both hematemesis and black stool,while most ANVUGIB patients primarily complained of overt gastrointestinal *** routine blood examinations at admission revealed that 75.8%of patients had anemia,with 63.4%experiencing moderate to severe anemia,and 1.5%having extremely severe anemia(hemoglobin<30 g/L).With regard to etiology,53.2%of patients experienced bleeding without a definitive trigger,24.2%had a history of using gastric mucosa-irritating medications,24.2%developed bleeding after alcohol consumption,2.8%attributed it to improper diet,1.7%to emotional excitement,and 2.3%to fatigue preceding the bleeding ***-induced ANVUGIB was more prevalent in the elderly than middle-aged and young individuals,while bleeding due to alcohol consumption showed the opposite ***,diet-related bleeding was more common

关键词： Acute non-varicose upper gastrointestinal bleeding Clinical characteristics Cause of disease Endoscopic homeostatic therapy

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A Kind of Edge Detection Algorithm with Edge-Preserving Characteristics

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Journal of Harbin Institute of Technology(New Series) 2013年第2期20卷 86-89页

作者： Zheng Dou peng-yu shi yun Lin Institute of Information and Communications Engineering Harbin Engineering University Unit 92493 of People's Libration Army

Traditional Sobel algorithm is deeply influenced by Gaussian noise,therefore,before boundary extraction,mean filter should be done. But the filtering process is always over-smooth images'details of certain directions,so that images'edges will not be extracted correctly. Aiming at this problem,this paper puts forward a detection algorithm based on edge-preserving characteristics,by matching edge mould of different directions to definite edge preserving directions. Instead of the mean filter process,this algorithm improves the performance of traditional algorithms,and provides the simulation results. The experiment results prove that this algorithm preserves more images'edge information when canceling noise.

关键词： variance measure image fusion wavelet transformation multi-resolution analysis

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^(18)F-FDGPET/CT对偶发性进展期结直肠腺瘤的诊断价值

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中国临床医学影像杂志 2024年第6期35卷 423-427页

作者：徐妮娜彭雨诗唐栋戚正伟丁建平唐坤杭州师范大学附属医院放射科浙江杭州310000 温州医科大学附属第一医院核医学科浙江温州325000 浙江大学医学院附属邵逸夫医院消化内科浙江杭州310000

目的:^(18)F-FDGPET/CT最大标准摄取值(SUVmax)与进展期结直肠腺瘤的关系尚不明确。本研究旨在探讨^(18)F-FDGPET/CT的SUVmax鉴别进展期及非进展期结直肠腺瘤的能力。方法:回顾性分析153例经^(18)F-FDGPET/CT偶然发现的结直肠腺瘤患者... 详细信息

目的:^(18)F-FDGPET/CT最大标准摄取值(SUVmax)与进展期结直肠腺瘤的关系尚不明确。本研究旨在探讨^(18)F-FDGPET/CT的SUVmax鉴别进展期及非进展期结直肠腺瘤的能力。方法:回顾性分析153例经^(18)F-FDGPET/CT偶然发现的结直肠腺瘤患者的资料,根据癌化风险分为进展期和非进展期结直肠腺瘤两组。术前PET/CT测量病灶的SUVmax,采用受试者工作特性(ROC)曲线分析确定两组的最佳截断值。纳入常规的临床特征,采用Logistic回归模型进行单因素和多因素分析确定独立危险因素。结果:进展期和非进展期两组结直肠腺瘤患者的SUVmax分别为8.61±4.01、5.02±2.00,差异有统计学意义(P<0.05),Logistic多因素回归分析显示SUVmax、CEA、CA125和隐血是预测进展期结直肠腺瘤的独立危险因素。单SUVmax检测的曲线下面积(AUC)为0.810,SUVmax联合CEA、CA125及隐血检测的AUC为0.879。结论:基于^(18)F-FDGPET/CT成像的SUVmax是预测进展期结直肠腺瘤的独立危险因素,可以作为一种无创的定量诊断工具,有助于术前指导治疗策略的制定。

关键词：结直肠肿瘤正电子发射断层显像计算机体层摄影术氟脱氧葡萄糖F18

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Electrochemistry and In-situ Spectroelectrochemistry Studies of Carbazole and 9-Ethylcarbazole

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Chinese Chemical Letters 2005年第12期16卷 1621-1624页

作者： Zi Pin ZHANG Bao Kang JIN yu peng TIAN shi Jun WANG School of Chemistry and Chemical Engineering Anhui University Hefei 230039

Mechanisms of electron transfer of carbazole （CZ） and 9-ethylcarbazole （ECZ） were studied by electrochemistry and in-situ spectroelectrochemistry. The result indicated that the electrochemical reaction mechanism of ECZ was the same as that of CZ. Both of them undergo ECE process： the initial step is removal of one electron to generate very reactive cation radical, this species then proceeded by deprotonation-coupling reaction to form the corresponding dimer, which was oxidized continuously.

关键词： Carbazole in-situ spectroelectrochemistry cation radical

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Optimal Cooperative Secondary Control for Islanded DC Microgrids via a Fully Actuated Approach

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IEEE/CAA Journal of Automatica Sinica 2024年第2期11卷 405-417页

作者： Yi yu Guo-Ping Liu Yi Huang peng shi IEEE Shenzhen Key Laboratory of Control Theory and Intelligent Systems Southern University of Science and TechnologyShenzhen 518055China School of Electrical Engineering and Automation Wuhan UniversityWuhan 430072China School of Electrical and Mechanical Engineering the University of AdelaideSA 5005Australia Research and Innovation Centre Obuda University1034 BudapestHungary

DC-DC converter-based multi-bus DC microgrids(MGs) in series have received much attention, where the conflict between voltage recovery and current balancing has been a hot topic. The lack of models that accurately portray the electrical characteristics of actual MGs while is controller design-friendly has kept the issue active. To this end, this paper establishes a large-signal model containing the comprehensive dynamical behavior of the DC MGs based on the theory of high-order fully actuated systems, and proposes distributed optimal control based on this. The proposed secondary control method can achieve the two goals of voltage recovery and current sharing for multi-bus DC MGs. Additionally, the simple structure of the proposed approach is similar to one based on droop control, which allows this control technique to be easily implemented in a variety of modern microgrids with different configurations. In contrast to existing studies, the process of controller design in this paper is closely tied to the actual dynamics of the MGs. It is a prominent feature that enables engineers to customize the performance metrics of the system. In addition, the analysis of the stability of the closed-loop DC microgrid system, as well as the optimality and consensus of current sharing are given. Finally, a scaled-down solar and battery-based microgrid prototype with maximum power point tracking controller is developed in the laboratory to experimentally test the efficacy of the proposed control method.

关键词： DC microgrids distributed control high-order fully actuated system approach linear quadratic regulator microgrid modeling secondary control

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Promoted surface charge density from interlayer Zn–N_(4) configuration in carbon nitride for enhanced CO_(2) photoreduction

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Nano Research 2024年第4期17卷 2400-2409页

作者： Xianjin shi yu Huang Gangqiang Zhu Wei peng Meijuan Chen State Key Laboratory of Loess and Quaternary Geology(SKLLQG) Key Laboratory of Aerosol Chemistry and PhysicsInstitute of Earth EnvironmentChinese Academy of SciencesXi’an 710061China Center of Excellence in Quaternary Science and Global Change Chinese Academy of SciencesXi’an 710061China University of Chinese Academy of Sciences Beijing 100049China School of Physics and Information Technology Shaanxi Normal UniversityXi’an 710062China School of Human Settlements and Civil Engineering Xi’an Jiaotong UniversityXi’an 710049China

The solar-driven reduction of CO_(2) into valuable products is a promising method to alleviate global environmental problems and energy ***,the low surface charge density limits the photocatalytic conversion performance of CO_(2).Herein,a polymeric carbon nitride(PCN)photocatalyst with Zn single atoms(Zn1/CN)was designed and synthesized for CO_(2) *** results of the CO_(2) photoreduction studies show that the CO and CH_(4) yields of Zn1/CN increased fivefold,reaching 76.9 and 22.9μmol/(g·h),respectively,in contrast to the unmodified ***+plasma-etched X-ray photoelectron spectroscopy and synchrotron radiation-based X-ray absorption fine structure results reveal that Zn single atom is mainly present in the interlayer space of PCN in the Zn–N_(4) *** characterizations indicate that the interlayer Zn–N_(4) configuration can amplify light absorption and establish an interlayer charge transfer ***-assisted Kelvin probe force microscopy confirms that more photogenerated electrons are delivered to the catalyst surface through interlayer Zn–N_(4) configuration,which increases its surface charge ***,in-situ infrared spectroscopy combined with density functional theory calculation reveals that promoted surface charge density accelerates key intermediates(*COOH)conversion,thus achieving efficient CO_(2) *** work elucidates the role of internal single atoms in catalytic surface reactions,which provides important implications for the design of single-atom catalysts.

关键词： single-atom catalysts photocatalytic CO_(2)reduction interlayer modification charge transfer dynamics surface charge density

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Reoxidation of liquid steel and evolution of inclusions during protective atmosphere electroslag remelting of Ce-containing heat-resistant stainless steel

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Journal of Iron and Steel Research International 2024年第8期31卷 1923-1935页

作者： yu Zhao Cheng-bin shi shijun Wang peng Ren Jing Li State Key Laboratory of Advanced Metallurgy University of Science and Technology Beijing(USTB)Beijing 100083China

The evolution of Ce-containing inclusions and its correlation with the reoxidation of liquid steel during protective atmosphere electroslag remelting(ESR)of heat-resistant steel were *** reoxidation of liquid steel took place during the ESR,resulting in the oxygen pickup from 0.0014 to 0.0053 wt.%.The inclusions in the consumable electrode,liquid metal pool and remelted ingot are Ce_(2)O_(2)S and Ce_(2)O,inclusions *** inclusions in the remelted ingot are originated from three ways:(I)the original inclusions from the electrode;(Il)the newly formed Ce_(2)O_(2)S and Ce_(2)O_(3) inclusions in the liquid metal pool by reoxidation remaining still in remelted ingot;(IlI)the newly generated Ce2O2S and Ce_(2)O_(3) inclusions during cooling and solidification of liquid *** relative proportions of Ce_(2)O_(3) inclusions in liquid metal pool and remelted ingot are 41% and 76.5%,*** inclusions ranging from 2 to 5μm in the remelted ingot take up 55%,followed by the inclusions smaller than 2μm(43%of total inclusions).The number proportion of the Ce_(2)0,inclusions in the liquid metal pool which were removed by floating up into slag is 1.96×10-5%.

关键词： Non-metallic inclusion Electroslag remelting Rare earth cerium Reoxidation Inclusion evolution

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Evaluation of Burden Descent Model for Burden Distribution in Blast Furnace

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Journal of Iron and Steel Research International 2016年第8期23卷 765-771页

作者： Ping ZHOU peng-yu shi Yan-po SONG Kai-le TANG Dong FU Chenn Q.ZHOU School of Energy Science and Engineering Central South University Center for Innovation through Visualization and Simulation Purdue University Calumet

Mathematical models for burden descending process have been applied to obtain whole burden structures in blast furnace,whereas the accuracy of those burden descent models has not been sufficiently *** evaluation method based on timeline burden profiles was established to quantitatively evaluate the error between experimental and modeled burden *** existing burden descent models were utilized to describe the burden structure of a 1/20 scaled warm blast *** modeling conditions including initial burden profile,descending volumes in each time interval,and normalized descending velocity distribution were determined via special image processing *** burden structures were evaluated combined with the published experimental *** is found that all the models caught the main profile of the burden ***,the improved nonuniform descent model（Model IV）shows the highest level of precision especially when burden descends with unstable velocity distribution ***,the traditional nonuniform descent model（Model III）may also be desirable to model the burden descending process when the burden descending velocity presents a linear ***,the uniform descent model（Model I）might be the first option for roughly predicting burden structure.

关键词： burden descending descent normalized utilized scaled sufficiently modeled desirable quantitatively

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