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Efficacy and safety of endoscopic submucosal dissection for early gastric cancer and precancerous lesions in elderly patients

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World Journal of Gastrointestinal Surgery 2024年第2期16卷 511-517页

作者： wen-Si xu Hui-Yu Zhang Shuang Jin Qi Zhang Hong-Dan Liu Ming-Tao Wang Bo Zhang Department of Gastroenterology The Third Affiliated Hospital of Qiqihar Medical UniversityQiqihar 161099Heilongjiang ProvinceChina

BACKGROUND With advancements in the development of endoscopic technologies,the endo-scopic submucosal dissection(ESD)has been one of the gold-standard therapies for early gastric *** To investigate the efficacy and safety ESD in the treatment of early gastric cancer and precancerous lesions in the elderly *** Seventy-eight elderly patients with early gastric cancer and precancerous lesions admitted to the Third Affiliated Hospital of Qiqihar Medical University were se-lected and classified into two groups according to the different surgical therapies they received between January 2021 and June *** them,39 patients treated with ESD were included in an experimental group,and 39 patients treated with endoscopic mucosal resection(EMR)were included in a control *** compared the basic intraoperative conditions,postoperative short-term recovery,long-term recovery effects and functional status of gastric mucosa between the two groups;the basic intraoperative conditions included lesion resection,intra-operative bleeding and operation time;the postoperative short-term recovery assessment indexes were length of hospital stay and incidence of surgical complic-ations;and the long-term recovery assessment indexes were the recurrence rate at 1 year postoperatively and the survival situation at 1 year and 3 years postoper-atively;and we compared the preoperative and predischarge serum pepsinogen I(PG I)and PG II levels and PG I/PG II ratio in the two groups before surgery and *** The curative resection rate and the rate of en bloc resection were higher in the experimental group than in the control *** intraoperative bleeding volume was higher in the experimental group than in the control *** operation time was longer in the experimental group than that in the control group,and the rate for base residual focus was lower in the experimental group than that of the control group,and the differences were all statistically signifi

关键词： Endoscopic submucosal dissection Endoscopic mucosal resection Early gastric cancer Serum pepsinogen Elderly

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Thickening progression mechanism of silica fume-oil well cement composite system at high temperatures

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Petroleum Science 2024年第4期21卷 2793-2805页

作者： Hang Zhang Miao-Miao Hu Peng-Peng Li Guo-Qing Liu Qing-Lu Chang Jie Cao Ming Liu wen-Hua xu Xiu-Jian Xia Jin-Tang Guo School of Chemical Engineering and Technology Tianjin University Zhejiang Institute of Tianjin University Haihe Laboratory of Sustainable Chemical Transformations CNPC Engineering Technology R&D Company Limited

This work studied the thickening progression mechanism of the silica fume-oil well cement composite system at high temperatures(110-180.C) in order to provide a theoretical guidance for the rational application of silica fume in the cementing engineering. Results showed that silica fume seldom affected the thickening progression of oil well cement slurry at 110-120.C, but when temperature reached above130.C, it would aggravate the bulging degree of thickening curves and significantly extend the thickening time, meanwhile causing the abnormal “temperature-based thickening time reversal” and“dosage-based thickening time reversal” phenomena in the range of 130-160.C and 170-180.C respectively. At 130-160.C, the thickening time of oil well cement slurry was mainly associated with the generation rate of calcium hydroxide(CH) crystal. The introduced silica fume would be attracted to the cement minerals' surface that were hydrating to produce CH and agglomerate together to form an“adsorptive barrier” to hinder further hydration of the inner cement minerals. This “adsorptive barrier”effect strengthened with the rising temperature which extended the thickening time and caused the occurrence of the “temperature-based thickening time reversal” phenomenon. At 170-180.C, the pozzolanic activity of silica fume significantly enhanced and considerable amount of C-S-H was generated, thus the “temperature-based thickening time reversal” vanished and the “dosage-based thickening time reversal” was presented.

关键词： Silica fume Oil well cement Thickening time reversal Pozzolanic reaction Adsorptive barrier CH and C−S−H

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Innovative integration of lung ultrasound and wearable monitoring for predicting pulmonary complications in colorectal surgery:A prospective study

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World Journal of Gastrointestinal Surgery 2024年第8期16卷 2649-2661页

作者： Chen Lin Pei-Pei Wang Zi-Yan Wang Guo-Ru Lan Kai-wen xu Chun-Hua Yu Bin Wu Department of General Surgery Peking Union Medical College HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100730China School of Medicine Tsinghua UniversityBeijing 100084China Department of Anesthesiology Peking Union Medical College HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100730China Department of Clinical Laboratory Peking Union Medical College HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100730China

BACKGROUND Postoperative pulmonary complications(PPCs)are common in patients who undergo colorectal *** have focused on how to accurately diagnose and reduce the incidence of *** ultrasound has been proven to be useful in preoperative monitoring and postoperative care after cardiopulmonary ***,lung ultrasound has not been studied in abdominal surgeries and has not been used with wearable devices to evaluate the influence of postoperative ambulation on the incidence of *** To investigate the relationship between lung ultrasound scores,PPCs,and postoperative physical activity levels in patients who underwent colorectal *** In this prospective observational study conducted from November 1,2019 to August 1,2020,patients who underwent colorectal surgery underwent daily bedside ultrasonography from the day before surgery to postoperative day(POD)*** ultrasound scores and PPCs were recorded and analyzed to investigate their *** bracelets measured the daily movement distance for 5 days post-surgery,and the correlation between postoperative activity levels and lung ultrasound scores was *** Thirteen cases of PPCs was observed in the cohort of 101 *** mean(standard deviation)peak lung ultrasound score was 5.32(2.52).Patients with a lung ultrasound score of≥6 constituted the high-risk ***-risk lung ultrasound scores were associated with an increased incidence of PPCs after colorectal surgery(logistic regression coefficient,1.715;odds ratio,5.556).Postoperative movement distance was negatively associated with the lung ultrasound scores[Spearman’s rank correlation coefficient(r),-0.356,P<0.05].CONCLUSION Lung ultrasound effectively evaluates pulmonary condition post-colorectal *** ambulation and respiratory exercises in the initial two PODs will reduce PPCs and optimize postoperative care in patients undergoing colorectal surgery.

关键词： Colorectal cancer Pulmonary complications Lung ultrasound Wearable devices Respiratory exercises

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Relationship between plasma risperidone concentrations and clinical features in chronic schizophrenic patients in China

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World Journal of Psychiatry 2024年第4期14卷 523-532页

作者： Jing-wen xu Xiao-Bo Guan xue-Ying Wang Yang Feng Qi Zhang Jun-Juan Zhu Jian-Hua Chen Department of Medicine Shanghai No.3 Mental Health Center of Civil AdministrationShanghai 200435China The Fourth Sick Ward Shanghai No.3 Mental Health Center of Civil AdministrationShanghai 200435China Shanghai Mental Health Center Shanghai Jiao Tong University School of MedicineShanghai Key Laboratory of Psychotic DisordersShanghai 200030China The First Sick Ward Shanghai No.3 Mental Health Center of Civil AdministrationShanghai 200435China

BACKGROUND Prior studies have noted great variability in the plasma levels of risperidone(RIS).Plasma concentrations of RIS and its active moiety are highly variable and depend on absorption,metabolism,and other predictors of metabolic dysregulation;however,these factors are poorly understood and the association between metabolic change and change in psychopathology is *** To ascertain the characteristics of chronic schizophrenic patients treated with RIS,and to assess their relationship with plasma RIS *** This was a descriptive cross-sectional study of 50 patients with a diagnosis of schizophrenic psychosis treated with RIS in a psychiatric *** plasma concentrations of RIS and its metabolite 9-hydroxyrisperidone were determined by high performance liquid *** patients’demographic and clinical characteristics,and psychopathologies were assessed,and the associations between clinical variables and plasma levels of RIS were *** Male patients received higher doses of RIS than female ones,but plasma concentrations of RIS and risperidone+9-hydroxyrisperidone(active moiety)were higher in female *** and the mean scores of the general psychopathology subscale of the Positive and Negative Syndrome Scale(PANSS)were significantly positively correlated with plasma concentrations of risperidone+9-hydroxyrisperidone adjusted for weight and dose in all 50 *** male subjects,we found a statistically significant positive correlation between the concentrations of risperidone+9-hydroxyrisperidone in plasma/(dose×kg)and age,mean PANSS negative subscale scores,mean PANSS general psychopathology subscale scores,and mean PANSS total *** Long-term use of RIS should be closely monitored in older patients and females to minimize the risk of high concentrations which could induce side effects.

关键词： Antipsychotics Risperidone 9-hydroxyrisperidone Plasma drug concentration monitoring Chronic schizophrenia

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Nomogram predicting the prognosis of primary liver cancer after radiofrequency ablation combined with transcatheter arterial chemoembolization

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World Journal of Gastrointestinal Surgery 2024年第8期16卷 2630-2639页

作者： Hai-Hua Shen Yu-Rong Hong wen xu Lei Chen Jun-Min Chen Zhi-Gen Yang Cai-Hong Chen Department of Ultrasound Hangzhou Linping Hospital of Traditional Chinese MedicineHangzhou 311106Zhejiang ProvinceChina Department of Ultrasound The Second Affiliated HospitalZhejiang University School of MedicineHangzhou 310009Zhejiang ProvinceChina Department of Nursing Hangzhou Linping Hospital of Traditional Chinese MedicineHangzhou 311106Zhejiang ProvinceChina

BACKGROUND The incidence and mortality rates of primary hepatocellular carcinoma(HCC)are high,and the conventional treatment is radiofrequency ablation(RFA)with transcatheter arterial chemoembolization(TACE);however,the 3-year survival rate is still ***,there are no visual methods to effectively predict their *** To explore the factors influencing the prognosis of HCC after RFA and TACE and develop a nomogram prediction *** Clinical and follow-up information of 150 patients with HCC treated using RFA and TACE in the Hangzhou Linping Hospital of Traditional Chinese Medicine from May 2020 to December 2022 was retrospectively collected and *** examined their prognostic factors using multivariate logistic regression and created a nomogram prognosis prediction model using the R software(version 4.1.2).Internal verification was performed using the bootstrapping *** prognostic efficacy of the nomogram prediction model was evaluated using the concordance index(CI),calibration curve,and receiver operating characteristic RESULTS Of the 150 patients treated with RFA and TACE,92(61.33%)developed recurrence and *** regression analysis identified six variables,and a predictive model was *** internal validation results of the model showed a CI of *** correction curve trend of the prognosis prediction model was always near the diagonal,and the mean absolute error before and after internal validation was *** area under the curve of the prediction model after internal verification was 0.882[95%confidence interval(95%CI):0.820-0.945],with a specificity of 0.828 and sensitivity of *** to the Hosmer-Lemeshow test,χ^(2)=3.552 and P=*** predictive model demonstrated a satisfactory calibration,and the decision curve analysis demonstrated its clinical *** The prognosis of patients with HCC after RFA and TACE is affected by several *** developed prediction model ba

关键词： Nomogram Primary liver cancer Radiofrequency ablation Transcatheter arterial chemoembolization Prognosis Influencing factors Decision curve analysis

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Transformation of marginal zone lymphoma into high-grade B-cell lymphoma expressing terminal deoxynucleotidyl transferase:A case report

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World Journal of Clinical Cases 2024年第15期12卷 2655-2663页

作者： Zhi-Min Fan Dao-Lei Wu Neng-wen xu Li Ye Li-Ping Yan Lin-Jie Li Jun-Yu Zhang Department of Hematology Lishui Municipal Central HospitalLishui 323000Zhejiang ProvinceChina Department of Ophthalmology Lishui Municipal Central HospitalLishui 323000Zhejiang ProvinceChina Department of General Practice Lishui Municipal Central HospitalLishui 323000Zhejiang ProvinceChina Department of Pathology Lishui Municipal Central HospitalLishui 323000Zhejiang ProvinceChina

BACKGROUND High-grade B-cell lymphoma(HGBL)is an unusual malignancy that includes myelocytomatosis viral oncogene(MYC),B-cell lymphoma-2(BCL-2),and/or BCL-6 rearrangements,termed double-hit or triple-hit lymphomas,and HGBL-not otherwise specific(HGBL-NOS),which are morphologically characteristic of HGBL but lack MYC,BCL-2,or BCL-6 *** is partially transformed by follicular lymphoma and other indolent lymphoma,with few cases of marginal zone lymphoma(MZL)*** often has a poor prognosis and intensive therapy is currently mainly advocated,but there is no good treatment for these patients who cannot tolerate *** SUMMARY We reported a case of MZL transformed into HGBL-NOS with TP53 mutation and terminal deoxynucleotidyl transferase *** analysis revealed the gene expression profile was identical in the pre-and post-transformed tissues,suggesting that the two diseases are homologous,not secondary *** chemotherapy was ineffective and the side effect was severe,so we tried combination therapy including venetoclax and *** patient tolerated treatment well,and reached partial *** patient had recurrence of hepatocellular carcinoma and died of multifunctional organ *** survived for 12 months after *** Venetoclax combined with obinutuzumab might improve the survival in some HGBL patients,who are unsuitable for chemotherapy.

关键词： Marginal zone lymphoma High-grade B-cell lymphoma Terminal deoxynucleotidyl transferase Venetoclax TP53 mutation Case report

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基于门槛效应模型的医药制造业研究人员比重对研发投入创新效果的影响

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中国现代应用药学 2024年第7期41卷 990-995页

作者：徐玉萍徐文山东中医药大学药学院济南250355

目的研究医药制造业研发人力队伍中研究人员的比重不同对研发投入与创新绩效关系的影响。方法采用2011—2017年中国医药制造业省际面板数据为样本,以研究人员比重为门槛变量,建立面板门槛回归模型,探讨研发投入与创新绩效关系中是否存... 详细信息

目的研究医药制造业研发人力队伍中研究人员的比重不同对研发投入与创新绩效关系的影响。方法采用2011—2017年中国医药制造业省际面板数据为样本,以研究人员比重为门槛变量,建立面板门槛回归模型,探讨研发投入与创新绩效关系中是否存在门槛效应。结果在以研究人员比重为门槛变量时,医药制造业研发投入与专利申请量和新产品销售收入2种创新绩效之间都存在显著的门槛效应。随着研究人员比重增加,研发投入对专利申请量的促进作用有所下降,对新产品销售收入的促进作用呈现先上升后下降的趋势。当研发人力队伍中研究人员的比重>35.182%且≤38.950%时,研发投入对2种创新绩效都可达到最优的产出效果。结论医药制造业研发人力队伍中研究人员的比重控制在>35.182%且≤38.950%时研发团队的创新效率更高,研发投入对创新绩效的促进作用更加显著。

关键词：医药制造业研发投入研究人员比重创新绩效门槛回归

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文化认知语言学初探

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外国语文 2024年第5期40卷 1-16页

作者：文旭西南大学外国语学院重庆400715

文化认知语言学是探讨语言与文化认知之间相互作用的跨学科领域,也是认知语言学的最新发展。本文尝试构建文化认知语言学的学科体系,分析文化如何影响和塑造人类认知,以及文化认知如何影响语言结构与使用。本文首先论述认知语言学的文... 详细信息

文化认知语言学是探讨语言与文化认知之间相互作用的跨学科领域,也是认知语言学的最新发展。本文尝试构建文化认知语言学的学科体系,分析文化如何影响和塑造人类认知,以及文化认知如何影响语言结构与使用。本文首先论述认知语言学的文化视角,解释文化认知这一核心概念,然后阐释文化认知语言学的理论基础,最后论述文化认知语言学的研究目标和主要研究话题。通过论述与举例说明,本文初步构建了文化认知语言学这一新兴学科领域。

关键词：文化认知语言学认知语言学文化认知文化语言学

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Association between tobacco exposure and bladder cancer recurrence:A systematic review and meta-analysis

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World Journal of Methodology 2024年第2期14卷 145-157页

作者： Lei Xiang Qi-Qi Xie Si-Si xu wen-Jie Ruan Dong-Hui xu Yao-Yao Gan Jia Zuo wen-Jun xu Zhi-Peng Li Department of Rehabilitation Medicine First Affiliated Hospital of Zhengzhou UniversityZhengzhou 450052Henan ProvinceChina School of Medicine Taizhou UniversityTaizhou 318000Zhejiang ProvinceChina

BACKGROUND However,the connection between smoking and the prognosis of patients with bladder cancer remains *** To determine whether smoking is linked to the recurrence and progression of bladder *** As of July 20,2022,relevant English-language research was identified by searching PubMed,the Web of Science,and the Cochrane *** pooled the available data from the included studies using a random effects *** analysis and sensitivity analysis were also *** A total of 12 studies were included in this *** combined analysis revealed that tobacco exposure was associated with a significantly greater recurrence rate than nonsmoking status[odd ratios(OR)=1.76,95%CI:1.84-2.93],and the progression of bladder cancer was significantly greater in smokers than in nonsmokers(OR=1.21,95%CI:1.02-1.44).Stratified analysis further revealed that current smokers were more likely to experience relapse than never-smokers were(OR=1.85,95%CI:1.11-3.07).Former smokers also had a greater risk of relapse than did never-smokers(OR=1.73,95%CI:1.09-2.73).Subgroup analysis indicated that non-Caucasians may be more susceptible to bladder cancer recurrence than Caucasians are(OR=2.13,95%CI:1.74-2.61).CONCLUSION This meta-analysis revealed that tobacco exposure may be a significant risk factor for both the recurrence and progression of bladder cancer.

关键词： Smoking Bladder Cancer Recurrence Progress

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分步构建面向数字经济的友好型税收体系

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国际税收 2024年第4期 25-31页

作者：许文中国财政科学研究院

数字经济对税收的影响是逐步显现的,需客观认识数字经济对税收的影响。从现实看,税收与数字经济之间存在着不适配问题,但尚未引发对税收制度和税收征管制度的根本性改革要求。从发展趋势看,如果数字经济成为未来的主导经济形态,则存在... 详细信息

数字经济对税收的影响是逐步显现的,需客观认识数字经济对税收的影响。从现实看,税收与数字经济之间存在着不适配问题,但尚未引发对税收制度和税收征管制度的根本性改革要求。从发展趋势看,如果数字经济成为未来的主导经济形态,则存在着顺应数字经济模式对税收制度和税收征管制度进行根本性改革的可能性。因此,应基于数字经济发展状况,按照有利于促进数字经济的公平竞争、运行效率和创新发展的要求,分步推进适应数字经济发展的税收改革,逐步构建数字经济友好型税收体系。

关键词：数字经济经济数字化税收制度税收征管

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