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Sarcopenia adversely impacts clinical outcomes in patients undergoing pancreaticoduodenectomy: A systematic review and meta-analysis

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World Journal of Gastrointestinal Surgery 2024年第6期16卷 1857-1870页

作者： Qi-Hui Zhang Jin-Dong Ma Yan-Min Lu Run-Nan Zhang Zhong-Hua Zhao Ya-Tong Li qiang-pu chen Department of Clinical Nutrition Binzhou Medical University HospitalBinzhou 256603Shandong ProvinceChina Department of Hepatobiliary Surgery Binzhou Medical University HospitalBinzhou 256603Shandong ProvinceChina

BACKGROUND Sarcopenia is a syndrome marked by a gradual and widespread reduction in skeletal muscle mass and strength,as well as a decline in functional ability,which is associated with malnutrition,hormonal changes,chronic inflammation,distur-bance of intestinal flora,and exercise *** is a com-monly employed clinical intervention for conditions such as pancreatic head cancer,ampulla of Vater cancer,and cholangiocarcinoma,among others,with a notably high rate of postoperative *** is frequent in patients undergoing ***,data regarding the effects of sarcopenia in patients undergoing pancreaticoduodenectomy(PD)are both limited and *** pubMed,Cochrane Library,Web of Science,and Embase databases were screened for studies published from the time of database inception to June 2023 that described the effects of sarcopenia on the outcomes and complications of *** researchers independently assessed the quality of the data extracted from the studies that met the inclusion ***-analysis using RevMan 5.3.5 and Stata 14.0 software was *** and funnel plots were used,respectively,to demonstrate the outcomes of the sarcopenia group vs the non-sarcopenia group after PD and to evaluate potential publication *** Sixteen studies encompassing 2381 patients were included in the *** patients in the sarcopenia group(n=833)had higher overall postoperative complication rates[odds ratio(OR)=3.42,95%confidence interval(CI):1.95-5.99,P<0.0001],higher Clavien-Dindo class≥Ⅲ major complication rates(OR=1.41,95%CI:1.04-1.90,P=0.03),higher bacteremia rates(OR=4.46,95%CI:1.42-13.98,P=0.01),higher pneumonia rates(OR=2.10,95%CI:1.34-3.27,P=0.001),higher pancreatic fistula rates(OR=1.42,95%CI:1.12-1.79,P=0.003),longer hospital stays(OR=2.86,95%CI:0.44-5.28,P=0.02),higher mortality rates(OR=3.17,95%CI:1.55-6.50,P=0.002),and worse overall survival(hazard ratio=2.81,95%CI:1.4

关键词： Pancreaticoduodenectomy Sarcopenia Postoperative complications Length of stay Meta-analysis

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Repair of the portal vein using a hepatic ligamentum teres patch for laparoscopic pancreatoduodenectomy: A case report

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World Journal of Clinical Cases 2019年第18期7卷 2879-2887页

作者： qiang Wei qiang-pu chen Qing-Hai Guan Wen-Tao Zhu Department of Hepatobiliary Surgery and Clinical Nutrition Center Binzhou Medical University Hospital

BACKGROUND Laparoscopic pancreatoduodenectomy (LPD) has been developed gradually with the advances in surgical laparoscopic techniques. It is technically challenging to perform LPD with portal vein resection and reconstruction. CASE SUMMARY A 71-year-old female patient was diagnosed with distal cholangiocarcinoma. After preoperative examination and rigorous preoperative preparation, the patient underwent LPD using 3D laparoscopy on July 17, 2018. During the surgery, we found that the tumor invaded the right wall of the portal vein;thus, pancreaticoduodenectomy combined with partial portal vein wall resection was performed. The defect of the portal vein wall was approximately 2.5 cm × 1.0 cm. The hepatic ligamentum teres was excised by laparoscopy and then recanalized in vitro. Following recanalization, the hepatic ligamentum teres was cut longitudinally and then trimmed into vascular patches that were then used to reconstruct the defect of the portal vein through 3D laparoscopy. The operative time was 560 min, and intraoperative blood loss was 100 mL. The duration of the blood occlusion time was 63 min. No blood transfusion was required. The patient underwent enhanced recovery after surgery procedures after the operation. The patient was discharged on postoperative day 11. Follow-up for 6 months after discharge showed no stenosis of the portal vein and good patency of blood flow. CONCLUSION It is safe and feasible to use the hepatic ligamentum teres patch to repair portal vein in LPD. However, the long-term patency of this technique for venous reconstruction requires further investigation.

关键词： Hepatic ligamentum teres patch Laparoscopic pancreatoduodenectomy Portal vein repair Case report

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Impact of enhanced recovery after surgery programs on pancreatic surgery:A meta-analysis

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World Journal of Gastroenterology 2018年第15期24卷 1666-1678页

作者： Hai-Bin Ji Wen-Tao Zhu qiang Wei Xiao-Xiao Wang Hai-Bin Wang qiang-pu chen Department of Hepatobiliary Surgery Affiliated Hospital of Binzhou Medical UniversityBinzhou 256603Shandong ProvinceChina Department of Hepatobiliary Surgery Clinical Nutrition Support CenterAffiliated Hospital of Binzhou Medical University Clinical Nutrition and Metabolism Key Laboratory of Shandong Province Binzhou 256603Shandong ProvinceChina

AIM To evaluate the impact of enhanced recovery after surgery(ERAS) programs on postoperative complications of pancreatic surgery. METHODS Computer searches were performed in databases(including pubM ed, Cochrane Library and Embase) for randomized controlled trials or case-control studies describing ERAS programs in patients undergoing pancreatic surgery published between January 1995 and August 2017. Two researchers independently evaluated the quality of the studies' extracted data that met the inclusion criteria and performed a metaanalysis using Rev Man5.3.5 software. Forest plots, demonstrating the outcomes of the ERAS group vs the control group after pancreatic surgery, and funnel plots were used to evaluate potential publication *** Twenty case-control studies including 3694 patients, published between January 1995 and August 2017, were selected for the meta-analysis. This study included the ERAS group(n = 1886) and the control group(n = 1808), which adopted the traditional perioperative management. Compared to the control group, the ERAS group had lower delayed gastric emptying rates [odds ratio(OR) = 0.58, 95% confidence interval (CI): 0.48-0.72, P < 0.00001], lower postoperative complication rates(OR = 0.57, 95%CI: 0.45-0.72, P < 0.00001), particularly for the mild postoperative complications(Clavien-Dindo Ⅰ-Ⅱ)(OR = 0.71, 95%CI: 0.58-0.88, P = 0.002), lower abdominal infection rates(OR = 0.70, 95%CI: 0.54-0.90, P = 0.006), and shorter postoperative length of hospital stay(PLOS)(WMD =-4.45, 95%CI:-5.99 to-2.91, P < 0.00001). However, there were no significant differences in complications, such as, postoperative pancreatic fistulas, moderate to severe complications(Clavien-Dindo Ⅲ-Ⅴ), mortality, readmission and unintended reoperation, in both *** The perioperative implementation of ERAS programs in pancreatic surgery is safe and effective, can decrease postoperative complication rates, and can promote recovery for patients.

关键词： Pancreatic surgery Enhanced recovery after surgery Postoperative complication Meta-analysis

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Enteral nutrition and acute pancreatitis

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World Journal of Gastroenterology 2001年第2期7卷 185-192页

作者： qiang pu chen Department of Heptobiliary Surgery, The Affiliated Hospital of Binzhou Medical College, Binzhou 256603, Shandong Province, China Department of Hepatobiliary Surgery The Affiliated Hospital of Binzhou Medical College 661 2nd Huanghe Rd Binzhou 256603 Shandong Province China. drcqp@***

INTRODUCTIONAcute pancreatitis (AP) is a common severe illness of the digestive tract with variable involvement of other regional tissues and / or remote organ sysems[1-3],Mild disease is associated with minimal organ dysfunction and rapid recovery ,while severe disease is associated with multiple organ system failure and local complications such as necrosis , abscess , fistulas and pseudocyst formation [4-6].

关键词： Enteral Nutrition Acute Disease Humans Pancreatitis Parenteral Nutrition

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Improvement of inflammatory response and gastrointestinal function in perioperative of cholelithiasis by Modified Xiao-cheng-Qi decoction

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World Journal of Clinical Cases 2023年第4期11卷 830-843页

作者： Bao-Fang Sun Fan Zhang qiang-pu chen qiang Wei Wen-Tao Zhu Hai-Bin Ji Xing-Yuan Zhang Department of Hepatobiliary Surgery Binzhou Medical University HospitalBinzhou 256603Shandong ProvinceChina

BACKGROUND In the perioperative period of biliary surgery,various factors can induce the release of a large number of inflammatory factors,leading to an imbalance in proinflammatory and anti-inflammatory responses and resulting in gastrointestinal(GI)*** Recovery After Surgery protocols in biliary surgery have been shown to reduce the stress response and accelerate postoperative *** is crucial to reduce the inflammatory response and promote the recovery of GI function after biliary surgery,both of which are the basis and key for perioperative care and postoperative *** To better understand the effects of Modified Xiao-cheng-Qi decoction(MXD)on inflammatory response and GI function in the perioperative management of cholelithiasis and their *** This was a prospective randomized placebo-controlled trial,in which 162 patients who received biliary tract surgery were randomly assigned to three groups:MXD group,XD group,and placebo-control *** observed parameters included frequency of bowel sounds,time of first flatus and defecation,time of diet,and amount of activity after *** serum levels of C-reactive protein(CRP),interleukin(IL)-6,IL-10,serum amyloid A protein(SAA),and substance P were measured by the enzyme-linked immunosorbent ***,the spearman correlation coefficient was used to analyze the relationship between the indicators of GI function and *** Compared to the placebo-control,improvements in GI function were observed in the MXD groups including reduced incidence of nausea,vomiting,and bloating;and earlier first exhaust time,first defecation time,and feeding time after surgery(P<0.05).On the 1st and 2nd d after surgery,IL-6,CRP and SAA levels in MXD group were lower than that in placebo control,but substance P level was higher,compared to the control(P<0.05).Functional diarrhea occurred in both MXD and XD groups without any other adverse effects,toxic reactions,and allergic re

关键词： Modified Xiao-cheng-qi Decoction Cholelithiasis Inflammatory response Gastrointestinal function Enhanced Recovery After Surgery Perioperative

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Research on aiming methods for small sample size shooting tests of two-dimensional trajectory correction fuse

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Defence Technology（防务技术） 2024年第3期33卷 506-517页

作者： chen Liang qiang Shen Zilong Deng Hongyun Li Wenyang pu Lingyun Tian Ziyang Lin School of Mechatronical Engineering Beijing Institute of TechnologyBeijing 100081China

The longitudinal dispersion of the projectile in shooting tests of two-dimensional trajectory corrections fused with fixed canards is extremely large that it sometimes exceeds the correction ability of the correction fuse *** impact point easily deviates from the target,and thus the correction result cannot be readily ***,the cost of shooting tests is considerably high to conduct many tests for data *** address this issue,this study proposes an aiming method for shooting tests based on small sample *** proposed method uses the Bootstrap method to expand the test data;repeatedly iterates and corrects the position of the simulated theoretical impact points through an improved compatibility test method;and dynamically adjusts the weight of the prior distribution of simulation results based on Kullback-Leibler divergence,which to some extent avoids the real data being"submerged"by the simulation data and achieves the fusion Bayesian estimation of the dispersion *** experimental results show that when the simulation accuracy is sufficiently high,the proposed method yields a smaller mean-square deviation in estimating the dispersion center and higher shooting accuracy than those of the three comparison methods,which is more conducive to reflecting the effect of the control algorithm and facilitating test personnel to iterate their proposed structures and algorithms.;in addition,this study provides a knowledge base for further comprehensive studies in the future.

关键词： Two-dimensional trajectory correction fuse Small sample size test Compatibility test KL divergence Fusion bayesian estimation

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In situ anchoring in carbon matrix of Bi_(2)O_(2)CO_(3) as a high-performance anode material for Li-ion batteries

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Rare Metals 2024年第8期43卷 3634-3646页

作者： pu-qiang He Jun Guo Hui Huang Zhong-cheng Guo Faculty of Metallurgy and Energy Engineering Kunming University of Science and TechnologyKunming 650093China Research Center of Metallurgical Electrode Materials Engineering Technology Kunming 650106China Kunming Hendera Science and Technology Co. Ltd.Kunming 650106China

Bismuth-based anode materials have been regarded as promising Li-ion batteries due to their high theoretical ***,their low conductivity and associated volume expansion inhabited their *** this work,Bi_(2)O_(2)CO_(3)@C composites were successfully synthesized by in situ anchoring of flower-like Bi_(2)O_(2)CO_(3) nanosheets on a carbon-based substrate via *** unique composited structure of Bi_2O_(2)-CO_(3)@C leads to a stable specific capacity of 547 mAh·g^(-1)after 100 cycles at a current density of 0.1 A·g^(-1).Notably,it demonstrates excellent rate capability with a specific capacity of 210 mAh·g^(-1)at 5 A·g^(-1).After 550 cycles at a current density of 0.5 A·g^(-1),a high reversible capacity of nearly 400 mAh·g^(-1)was ***,in situ X-ray diffraction measurements clearly demonstrate the conversion between Bi and Li_(3)Bi during alloying/dealloying,confirming the good electrochemical reversibility of the materials for Li *** reaction kinetics of Bi_(2)O_(2)CO_(3)@C were further investigated using galvanostatic intermittent titration ***,Bi_2O_(2)-CO_(3)@C exhibited excellent long-term stability,maintaining its high reversible capacity for over 200 cycles at a current density of 0.5 A·g^(-1)in a full cell configuration using Li_(1.20)Mn_(0.54)Ni_(0.13)Co_(0.13)O_(2) as the cathode *** result further underscores its promising potential for lithium-ion *** work may provide inspiration for the design of alloy-type negative electrode materials for high-performance rechargeable batteries.

关键词： Bi_(2)O_(2)CO_(3) Composite materials Anode materials Full batteries

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A comparison of cross-correlation-based and phasecorrelation-based image registration algorithms for optical coherence tomographic angiography

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Chinese Optics Letters 2024年第7期22卷 19-28页

作者： Yurui pu Chaoliang chen School of Electronic Science&Engineering Southeast UniversityNanjing 210096China

A large field of view is in high demand for disease diagnosis in clinical applications of optical coherence tomography(OCT)and OCT angiography(OCTA)*** to limits on the optical scanning range,the scanning speed,or the data processing speed,only a relatively small region could be acquired and processed for most of the current clinical OCT systems at one time and could generate a mosaic image of multiple adjacent small-region images with registration algorithms for disease *** this work,we investigated performing cross-correlation(instead of phase-correlation)in the workflow of the Fourier–Mellin transform(FMT)method(called dual-cross-correlation-based translation and rotation registration,DCCTRR)for calculating translation and orientation offsets and compared its performance to the FMT method used on OCTA images *** phantom and in vivo experiments were implemented for comparisons,and the results quantitatively demonstrate that DCCTRR can align OCTA images with a lower overlap rate,which could improve the scanning efficiency of large-scale imaging in clinical applications.

关键词： optical coherence tomography optical coherence tomographic angiography:image registration cross-correlation phase-correlation.

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Real-time Energy Management Method for Electric-hydrogen Hybrid Energy Storage Microgrids Based on DP-MPC

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CSEE Journal of Power and Energy Systems 2024年第1期10卷 324-336页

作者： Qi Li Xueli Zou Yuchen pu Weirong chen School of Electrical Engineering Southwest Jiaotong UniversityChengdu 611756China

With the increasing presence of intermittent energy resources in microgrids,it is difficult to precisely predict the output of renewable resources and their load *** order to realize the economical operations of the system,an energy management method based on a model predictive control(MPC)and dynamic programming(DP)algorithm is *** method can reasonably distribute the energy of the battery,fuel cell,electrolyzer and external grid,and maximize the output of the distributed power supply while ensuring the power balance and cost optimization of the *** on an ultra-shortterm forecast,the output power of the photovoltaic array and the demand power of the system load are *** offline global optimization of traditional dynamic programming is replaced by the repeated rolling optimization in a limited period of time to obtain power values of each unit in the energy storage *** with the traditional DP,MILP-MPC and the logic based real-time management method,the proposed energy management method is proved to be feasible and effective.

关键词： Electric-hydrogen hybrid energy economic energy management improved dynamic programming microgrid model predictive control

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Micromechanics of Thermal Conductive Composites:Review,Developments and Applications

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Acta Mechanica Solida Sinica 2024年第2期37卷 215-237页

作者： Guannan Wang Yulin Huang Mengyuan Gao qiang chen Department of Civil Engineering Zhejiang UniversityHangzhou310058China Center for Balance Architecture Zhejiang UniversityHangzhou310007China School of Mechanical Engineering Xi’an Jiaotong UniversityXi’an710049China

Micromechanics investigations of composites with fiber-shaped reinforcement are extensively applied in the engineering design and theoretical analysis of thermal composites in the aerospace engineering and high-tech *** this paper,a critical review of various classical micromechanics approaches is provided based on the classification framework and the development of micromechanics *** numerical micromechanics tools have been developed to overcome limitations through exactly/approximately solving the internal governing equations of *** connections and limitations of those models are also investigated and discussed,based on which three recently developed numerical or semi-analytical models are explained,including finite-element micromechanics,finite-volume direct averaging micromechanics,and locally exact homogenization theory,as well as machine learning *** it is almost inevitable to mention the interfacial effects on thermal behavior of fibrous composites,we review the new mathematical relations that interrupt the original continuity conditions due to the existence of interphase/interface within unit *** speaking,the interphase/interface is demonstrated to play a significant role in influencing the effective coefficients and localized thermal *** present work also briefly reviews the application of micromechanics tools in emerging engineered woven composites,natural fibrous composites,and ablative thermal protection *** is demonstrated that sophisticated micromechanics tools are always demanded for investigating the effective and localized responses of thermal fibrous composites.

关键词： Micromechanics models Thermal fibrous composites Microstructural detail-free models Semi-analytical and numerical methods Interfacial effects Woven composites Natural composites

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