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Spleen-preserving distal pancreatectomy from multi-port to reducedport surgery approach

World Journal of Gastrointestinal Surgery 2023年第7期15卷 1501-1511页

作者： Ching-Lung Hsieh tung-sheng tsai Cheng-Ming Peng Teng-Chieh Cheng Yi-Jui Liu Department of Computer Science and Information Engineering Feng Chia UniversityTaichung 40724TaiwanChina Department of Surgery Chung Shan Medical University HospitalTaichung 40201TaiwanChina PhD Program of Electrical and Communications Engineering Feng Chia UniversityTaichung 40724Taiwan School of Medicine Chung Shan Medical UniversityTaichung 40201Taiwan Da Vinci Minimally Invasive Surgery Center Chung Shan Medical University HospitalTaichung 40201Taiwan Department of Automatic Control Engineering Feng Chia UniversityTaichung 407Taiwan

BACKGROUND Minimally invasive pancreatic surgery via the multi-port approach has become a primary surgical method for distal pancreatectomy(DP)due to its advantages of lower wound pain and superior cosmetic *** studies have applied reduced-port techniques for DP in an attempt to enhance cosmetic outcomes due to the minimally invasive *** recent review studies have compared multi-port laparoscopic DP(LDP)and multi-port robotic DP(RDP);most of these studies concluded multi-port RDP is more beneficial than multi-port LDP for spleen ***,there have been no comprehensive reviews of the value of reduced-port LDP and reduced-port *** To search for and review the studies on spleen preservation and the clinical outcomes of minimally invasive DP that compared reduced-port DP surgery with multi-port DP *** The PubMed medical database was searched for articles published between 2013 and *** search terms were implemented using the following Boolean search algorithm:(“distal pancreatectomy”OR“left pancreatectomy”OR“peripheral pancreatic resection”)AND(“reduced-port”OR“single-site”OR“single-port”OR“dual-incision”OR“single-incision”)AND(“spleen-preserving”OR“spleen preservation”OR“splenic preservation”).A literature review was conducted to identify studies that compared the perioperative outcomes of reduced-port LDP and reduced-port *** Fifteen articles published in the period from 2013 to 2022 were retrieved using three groups of search *** studies were added after manually searching the related ***,10 papers were selected after removing case reports(n=3),non-English language papers(n=1),technique papers(n=1),reviews(n=1),and animal studies(n=1).The common items were defined as items reported in more than five papers,and data on these common items were extracted from all *** ten studies included a total of 337 patients(females/males:231/106)who underwent *** total,166 patients(females/male

关键词： Minimally invasive surgery Robotic distal pancreatectomy Laparoscopic distal pancreatectomy Spleen preservation Reduced-port Multi-port

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Chinese herbal medicine decreases incidence of hepatocellular carcinoma in diabetes mellitus patients with regular insulin management

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World Journal of Gastrointestinal Oncology 2024年第3期16卷 716-731页

作者： Hsiang-Chun Lai Ju-Chien Cheng Hei-tung Yip Long-Bin Jeng sheng-Teng Huang Graduate Institute of Chinese Medicine School of Chinese MedicineCollege of Chinese MedicineChina Medical UniversityTaichung 404328TaiwanChina Department of Medical Laboratory Science and Biotechnology China Medical UniversityTaichung 404TaiwanChina Management Office for Health Data China Medical University HospitalTaichung 404327TaiwanChina Organ Transplantation Center China Medical University HospitalTaichung 40447TaiwanChina Department of Chinese Medicine China Medical University HospitalSchool of Chinese MedicineChina Medical UniversityTaichung 40447TaiwanChina

BACKGROUND Type 2 diabetes mellitus(DM)is an independent risk factor for hepatocellular carcinoma(HCC),while insulin is a potent *** a new therapeutic modality for preventing insulin users from developing HCC is a critical goal for *** To investigate whether regular herbal medicine use can decrease HCC risk in DM patients with regular insulin *** We used data acquired from the Taiwan,Chinaese National Health Insurance research database between 2000 and *** identified patients with DM who were prescribed insulin for>3 *** herb user group was further defined as patients prescribed herbal medication for DM for>3 months per annum during RESULTS We initially enrolled 657144 DM patients with regular insulin use from 2000 to *** these,46849 patients had used a herbal treatment for DM,and 140547 patients were included as the matched control *** baseline variables were similar between the herb users and *** patients with regular herb use had a 12%decreased risk of HCC compared with the control group[adjusted hazard ratio(aHR)=0.88,95%CI=0.80–0.97].The cumulative incidence of HCC in the herb users was significantly lower than that of the *** with a herb use of>5 years cumulatively exhibited a protective effect against development of HCC(aHR=0.82,Psheng Shen Qi Wan plus Dan Shen was the most frequent combination of herbs and *** This large-scale retrospective cohort study reveals th

关键词： Hepatocellular carcinoma Diabetes mellitus Insulin Herb Taiwan,Chinaese National health insurance research database

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Concurrent occurrence of adenocarcinoma and urothelial carcinoma of the prostate gland:A case report

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World Journal of Clinical Cases 2024年第26期12卷 5952-5959页

作者： Jhe Yuan Hsu Yi sheng Lin Li Hua Huang Tang Yi Tsao Chao Yu Hsu Yen Chuan Ou Min Che tung Division of Urology Department of SurgeryTungs'Taichung MetroHarbor HospitalTaichung 435403Taiwan Department of Pathology Tungs'Taichung MetroHarbor HospitalTaichung 435403Taiwan

BACKGROUND Adenocarcinoma is the most common subtype of prostate *** urothelial carcinoma(UC)typically originates from the prostatic *** concurrent occurrence of adenocarcinoma and UC of the prostate gland is *** SUMMARY We present the case of an 82-year-old male patient with simultaneous adenocarcinoma and UC of the prostate *** patient underwent a transrectal ultrasound-guided biopsy,and the pathology test revealed ***,transurethral laser prostatectomy was performed,and the pathology test indicated adenocarcinoma of the prostate with a Gleason score of 3+4 and highgrade ***,the patient was treated with androgen deprivation therapy,systemic chemotherapy,and *** resonance imaging performed during follow-up revealed a prostate tumor classified as cT2cN1M0,stage ***,the patient underwent robotic-assisted radical prostatectomy and bilateral pelvic lymph node *** final pathology test of the prostate gland revealed acinar-type adenocarcinoma,Gleason pattern 4+3,pT2N0M0,and high-grade *** patient regularly presented to the clinic for postoperative follow-up *** did not experience any urinary *** According to our literature review,this is the first reported case of coexisting adenocarcinoma and UC of the prostate gland.

关键词： Adenocarcinoma Urothelial carcinoma Prostate Coexist Case report

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Composite laminar membranes for electricity generation from water evaporation

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Nano Research 2024年第1期17卷 307-311页

作者： Xiao Wang Gang Yuan Han Zhou Yu Jiang Shuo Wang Jiaojiao Ma Chongyang Yang sheng Hu State Key Laboratory of Physical Chemistry of Solid Surfaces Collaborative Innovation Center of Chemistry for Energy Materials(iChEM)College of Chemistry and Chemical EngineeringXiamen UniversityXiamen 361005China Innovation Laboratory for Sciences and Technologies of Energy Materials of Fujian Province(IKKEM) Xiamen 361005China Pen-tung Sah Institute of Micro-Nano Science and Technology Xiamen UniversityXiamen 361005China

Harvesting clean energy from water evaporation has been extensively investigated due to its *** achieve high efficiency,energy conversion materials should contain multiple features which are difficult to be simultaneously obtained from single-component *** we use composite laminar membranes assembled by nanosheets of graphene oxide and mica,and find a sustained power density induced by water evaporation that is two orders of magnitude larger than that from membranes made by either of the *** power output is attributed to selective proton transport driven by water evaporation through the interlayer nanochannels in the *** process relies on the synergistic effects from negatively charged and hydrophilic mica surfaces that are important for proton selectivity and water transport,and the tunable electrical conductivity of graphene oxide that provides optimized internal *** demonstrated composite membranes offer a strategy of enhancing power generation by combining the advantages from each of their components.

关键词： graphene oxide mica water evaporation electrical double layer surface charge ion selectivity

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Characterization of solid particles sampled from condensates in boiling water reactor

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Nuclear Science and Techniques 2016年第2期27卷 141-148页

作者： Yu-Hung Shih tung-Jen Wen Liang-Cheng Chen Tsuey-Lin tsai Chemistry Division Institute of Nuclear Energy Research

The growth, activation and deposition of corrosion products are the primary sources of radiation buildup on the surface of out-of-core piping in nuclear power plants. The buildup of radiation can have negative effects on the performance of the facility and cause harm to staff during maintenance outages for refueling. This paper reports on the crystalline and amorphous structures of corrosion products sampled in the boiling water reactors in nuclear power plants of Kuo-sheng and identified using an acid dissolving technique. X-ray diffraction, scanning electron microprobe and inductively coupled plasmaatomic emission spectroscopy were used to analyze the samples. The results indicate that the quantity of amorphous iron oxide at inlet of the condensate demineralizer in Unit 2 is higher than that in Unit 1. The proportion of crystalline to amorphous corrosion products can affect the efficiency of removal. Thus, these results can be used to explain the difference in removal efficiency of condensate demineralizers in different units. Moreover, the iron oxide structures with various properties were observed in different operational periods. It is probable that the higher proportion of amorphous structures with a smaller particle size would reduce efficiency in the removal of condensate demineralization in Unit 2.

关键词：沸水反应堆电感耦合等离子体原子发射光谱法固体颗粒采样无定形结构表征凝聚腐蚀产物

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Application of STEEP and Interpretive Structural Modeling in the Design Imagery of Taiwan Public Ceramic Relief Murals

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Journal of Contemporary Educational Research 2024年第5期8卷 117-127页

作者： Chuan-Chin Chen Jiann-sheng Jiang Shaolei Zhou Graduate Institute of Cultural and Creative Design Tung-Fang Design UniversityKaohsiung 83044Taiwan ProvinceChina Department of Art and Design Shaoguan UniversityShaoguan 512000Guangdong ProvinceChina

Ceramic relief mural is a contemporary landscape art that is carefully designed based on human nature,culture,and architectural wall space,combined with social customs,visual sensibility,and *** may also become the main axis of ceramic art in the *** public ceramic relief murals(PCRM)are most distinctive with the PCRM pioneered by Pan-Hsiung Chu of Meinong Kiln in *** addition to breaking through the limitations of traditional public ceramic murals,Chu leveraged local culture and *** theme of art gives PCRM its unique style and innovative value throughout the Taiwan *** study mainly analyzes and understands the design image of public ceramic murals,taking Taiwan PCRM’s design and creation as the scope,and applies STEEP analysis,that is,the social,technological,economic,ecological,and political-legal environments are analyzed as core factors;eight main important factors in the artistic design image of ceramic murals are ***,interpretive structural modeling(ISM)is used to establish five levels,analyze the four main problems in the main core factor area and the four main target results in the affected factor area;and analyze the problem points and target points as well as their causal *** is expected to sort out the relationship between these factors,obtain the hierarchical relationship of each factor,and provide a reference basis and research methods.

关键词： Interpretive structural modeling(ISM) STEEP analysis Public ceramic relief murals(PCRM)

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Application of Choquet Integral-Importance-Performance Analysis and TOPSIS Methods in Approaching the Preference Factors of Calligraphy and Seal Engraving Imagery

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Journal of Contemporary Educational Research 2024年第5期8卷 276-288页

作者： Yu Hsuan Chang Jiann sheng Jiang Min Min Lin Graduate Institute of Cultural and Creative Design Tung-Fang Design UniversityKaohsiung 83044Taiwan ProvinceChina Department of Art and Design Shaoguan UniversityShaoguan 512000Guangdong ProvinceChina

Classical Chinese characters,presented through calligraphy,seal engraving,or painting,can exhibit different aesthetics and essences of Chinese characters,making them the most important asset of the Chinese *** and seal engraving,as two closely related systems in traditional Chinese art,have developed through the *** to changes in lifestyle and advancements in modern technology,their original functions of daily writing and verification have gradually ***,they have increasingly played a significant role in commercial *** study utilizes the Evaluation Grid Method(EGM)and the Analytic Hierarchy Process(AHP)to research the key preference factors in the application of calligraphy and seal engraving *** from the traditional 5-point equal interval semantic questionnaire,this study employs a non-equal interval semantic questionnaire with a golden ratio scale,distinguishing the importance ratio of adjacent semantic meanings and highlighting the weighted emphasis on visual ***,the study uses Importance-Performance Analysis(IPA)and Technique for Order Preference by Similarity to Ideal Solution(TOPSIS)to obtain the key preference sequence of calligraphy and seal engraving ***,the Choquet integral comprehensive evaluation is used as a reference for IPA *** is hoped that this study can provide cultural imagery references and research methods,injecting further creativity into industrial design.

关键词： Evaluation Grid Method Analytic Hierarchy Process Calligraphy Seal engraving Importance-Performance Analysis Choquet integral TOPSIS

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配合间隙对直线共轭内啮合齿轮泵流场特性的影响

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农业机械学报 2024年第2期55卷 442-449页

作者：陈鼎张杨叶绍干盛精厦门理工学院机械与汽车工程学院厦门361024 厦门大学萨本栋微米纳米科学技术研究院厦门361021

直线共轭内啮合齿轮泵是液压系统中的关键组件,因其高效的压力输送特性而广泛应用于工程领域。本文采用计算流体动力学模拟方法对直线共轭内啮合齿轮泵进行研究,分析轴向间隙和径向间隙对齿轮泵泄漏和流场的影响。研究结果表明:配合间... 详细信息

直线共轭内啮合齿轮泵是液压系统中的关键组件,因其高效的压力输送特性而广泛应用于工程领域。本文采用计算流体动力学模拟方法对直线共轭内啮合齿轮泵进行研究,分析轴向间隙和径向间隙对齿轮泵泄漏和流场的影响。研究结果表明:配合间隙的变化对齿轮泵的流场特性产生广泛影响,轴向间隙是引发泄漏的主要因素,约占总泄漏量的80%;当轴向间隙由0.03 mm增加到0.07 mm后,输出流量减少20.81%,平均压力下降33.15%,空化产生的气体体积分数增加0.021;而设置相同径向间隙后,输出流量仅下降0.69%,平均压力下降2.76%,空化产生的气体体积分数增加0.005。此外,导致泵内流速变化的主要配合间隙是轴向间隙,适当减小轴向间隙可提升泵内的流体速度,从而提升泵的整体效率。

关键词：直线共轭内啮合齿轮泵泄漏流场特性配合间隙

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Variations of Microbial Communities and the Contents and Isotopic Compositions of Total Organic Carbon and Total Nitrogen in Soil Samples during Their Preservation

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Acta Geologica Sinica(English Edition) 2009年第1期83卷 114-120页

作者： TAO Qianye LI Yume WANG Guo＇an QIAO Yuhui LIU tung-sheng College of Earth Science Graduate University of the Chinese Academy of Sciences Beijing 100049 China College of Resource and Environmental Sciences China Agricultural University Beijing 100094 China Institute of Geology and Geophysics the Chinese Academy of Sciences Beijing 100029 China

Semi-sealed preservation of soil samples at different moisture of 4% and 23 %, respectively, was simulated to observe the variations of soil microbial communities and determine the contents and isotopic compositions of the total organic carbon and total nitrogen on the 7th and 30th day, respectively. The results show that during preservation, the quantity of microbial communities tended to increase first and then decrease, with a wider variation range at higher moisture （23%）. At the moisture content of 23 %, the microbial communities became more active on the 7th day, but less after 30 days, and their activity was stable with little fluctuation at the moisture content of 4%. However, there were no significant changes in the contents and isotopic compositions of the total organic carbon and total nitrogen. During preservation, the responses of soil microbes to the environment are more sensitive to changes in the total nitrogen and organic carbon contents. It is thus suggested that the variations of microbial communities have not exerted remarkable impacts on the isotope compositions of the total nitrogen and total organic carbon.

关键词： BIOLOG carbon isotope nitrogen soil microbe

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Improvement of lenvatinib-induced nephrotic syndrome after adaptation to sorafenib in thyroid cancer:A case report

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World Journal of Clinical Cases 2020年第20期8卷 4883-4894页

作者： Che Hseuh Yang Kuo tung Chen Yi sheng Lin Chao Yu Hsu Yen Chuan Ou Min Che tung Division of Urology Department of SurgeryTungs'Taichung MetroHarbor HospitalTaichung City 435403Taiwan Division of General Surgery Department of SurgeryTungs'Taichung MetroHarbor HospitalTaichung City 435403Taiwan

BACKGROUND Target therapy is licensed by United States Food and Drug Administration on certain *** sorafenib and lenvatinib are tyrosine kinase inhibitor and indicated on radioactive iodine(RAI)-refractory differentiated thyroid cancer(DTC).Lenvatinib is more effective in cancers'control than sorafenib,but causes more nephrotoxicity than sorafenib *** case is the second published case about the serial adaptions from lenvatinib to sorafenib for improving the proteinuria and,meanwhile,achieving the therapeutic *** SUMMARY A 56-year-old man suffered from bilateral edematous lower extremities after 1-mo prescription of lenvatinib of 20 mg/d for RAI-refractory *** from this symptom,he also developed *** laboratory showed grade-3 proteinuria(estimated 24-h urine protein:9993 mg),hypoalbuminemia and ***-vascular endothelial growth factor(VEGF)therapyinduced nephrotic syndrome was *** reduced dosage of lenvatinib of 10 mg/d and related symptomatic drugs,limited improvement was observed in both adverse effects and caner *** this condition,we substituted sorafenib of 400 mg/d for lenvatinib of 10 mg/*** a 5-mo prescription,not only hypertension and peripheral edema were greatly improved,but also proteinuria was improved from grade three to grade one(estimated 24-h urine protein:962 mg).At the same time the cancer control was achieved,judged from computed tomography and laboratory evidence[thyroglobulin(Tg)before prescription of sorafenib:354.7 ng/m L;Tg after prescription of sorafenib:108.9 ng/m L].CONCLUSION Adaption from lenvatinib to sorafenib is a feasible method to improve the antiVEGF therapy-induced nephrotic syndrome and achieve the therapeutic goal at the same time.

关键词： Molecular targeted therapy/methods Receptors Vascular endothelial growth factor/drug effects Vascular endothelial growth factor/therapeutic use Vascular endothelial growth factor A/drug effects Nephrotic syndrome/drug therapy Case report

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