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Comparing short-term outcomes of robot-assisted and conventional laparoscopic total mesorectal excision surgery for rectal cancer in elderly patients

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World Journal of Gastrointestinal Surgery 2024年第5期16卷 1271-1279页

作者： Hao yang Gang yang Wen-ya wu Fang Wang Xue-Quan yao Xiao-Yu wu The Affiliated Hospital of Nanjing University of Chinese Medicine Nanjing University of Chinese MedicineNanjing 210029Jiangsu ProvinceChina Department of Surgical Oncology The Affiliated Hospital of Nanjing University of Chinese MedicineNanjing 210029Jiangsu ProvinceChina

BACKGROUND Da Vinci Robotics-assisted total mesorectal excision(TME)surgery for rectal cancer is becoming more widely used.There is no strong evidence that roboticassisted surgery and laparoscopic surgery have similar outcomes in elderly patients with TME for rectal cancer.AIM To determine the improved oncological outcomes and short-term efficacy of robot-assisted surgery in elderly patients undergoing TME surgery.METHODS A retrospective study of the clinical pathology and follow-up of elderly patients who underwent TME surgery at the Department of Gastrointestinal Oncology at the Affiliated Hospital of Nanjing University of Chinese Medicine was conducted from March 2020 through September 2023.The patients were divided into a robotassisted group(the R-TME group)and a laparoscopic group(the L-TME group),and the short-term efficacy of the two groups was compared.RESULTS There were 45 elderly patients(≥60 years)in the R-TME group and 50 elderly patients(≥60 years)in the L-TME group.There were no differences in demographics,conversion rates,or postoperative complication rates.The L-TME group had a longer surgical time than the R-TME group[145(125,187.5)vs 180(148.75,206.25)min,P=0.005),and the first postoperative meal time in the L-TME group was longer than that in the R-TME(4 vs 3 d,P=0.048).Among the sex and body mass index(BMI)subgroups,the R-TME group had better out-comes than did the L-TME group in terms of operation time(P=0.042)and intraoperative assessment of bleeding(P=0.042).In the high BMI group,catheter removal occurred earlier in the R-TME group than in the L-TME group(3 vs 4 d,P=0.001),and autonomous voiding function was restored.CONCLUSION The curative effect and short-term efficacy of robot-assisted TME surgery for elderly patients with rectal cancer are similar to those of laparoscopic TME surgery;however,robotic-assisted surgery has better short-term outcomes for individuals with risk factors such as obesity and pelvic stenosis.Optimizing the learning curve can shorten the operation time,reduce the

关键词： Robotic surgery Laparoscopy Rectal cancer Total mesorectal excision Elderly

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In-situ SEM characterization of fracture mechanism of TiB/Ti-2Al-6Sn titanium matrix composites after electroshocking treatment

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Rare Metals 2024年第6期43卷 2805-2818页

作者： ya-ya wu Jian Zhou Guo-Lei Han yan Wen Zhou Wang Li-Qiang Wang Wei-Jie Lv Le-Chun Xie Lin Hua Hubei Key Laboratory of Advanced Technology for Automotive Components Wuhan University of Technology Hubei Collaborative Innovation Center for Automotive Components Technology Faculty of Materials and Manufacturing Beijing University of Technology State Key Laboratory of Metal Matrix Composites School of Materials Science and EngineeringShanghai Jiao Tong University

In this article,in-situ scanning electron microscope characterization of the tensile properties of TiB/Ti-2Al-6Sn titanium matrix composite(TMC) was conducted before and after electroshocking treatment(EST).After EST,the tensile strength increased by 113.2 MPa.The effect of EST on the tensile strength and fracture behavior of TiB was investigated using in-situ characterization of the fracture morphology and crack propagation path of the matrix and TiB.Before EST,TiB fracture introduced cracks that extended into the matrix,resulting in material failure.After EST,the refined TiB improved the bearing capacity of the matrix,thereby improving TMC strength.Moreover,after EST,the cracks were introduced into the matrix,and resulting the fracture of matrix first.With an increase in the external load,cracks in the matrix were observed to propagate to TiB,and the refined TiB was fractured,detached,and pulled out,resulting in the formation of pores.Analyzing the propagation path of the main crack after EST showed that the deflection angle of the main crack increased.The micro structure of the fracture surface indicated that the fracture of the matrix was plastic,whereas that of TiB was brittle.After EST,the size and area of the dimples increased,confirming the increase in plasticity.The results revealed that the comprehensive mechanical properties of TiB/Ti-2Al-6Sn improved after EST.Hence,EST is an efficient method for tailoring the micro structures and mechanical properties of TMCs.

关键词： TiB/Ti-2Al-6Sn In-situ microstructure characterization Tensile properties Reinforcement Electroshocking treatment (EST)

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Impact of body mass index on adverse kidney events in diabetes mellitus patients: A systematic-review and meta-analysis

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World Journal of Clinical Cases 2024年第3期12卷 538-550页

作者： Jing-Fang Wan yan Chen Tian-Hua yao ya-Zhou wu Huan-Zi Dai Department of Nephrology Army Medical UniversityChongqing 400042China Department of Nephrology Chongqing Western HospitalChongqing 400052China Health Statistics Army Medical UniversityChongqing 400038China Department of Nephrology Daping HospitalArmy Medical UniversityChongqing 400042China

BACKGROUND The incidence of chronic kidney disease among patients with diabetes mellitus(DM)remains a global concern.Long-term obesity is known to possibly influence the development of type 2 diabetes mellitus.However,no previous meta-analysis has assessed the effects of body mass index(BMI)on adverse kidney events in patients with DM.AIM To determine the impact of BMI on adverse kidney events in patients with DM.METHODS A systematic literature search was performed on the PubMed,ISI Web of Science,Scopus,Ovid,Google Scholar,EMBASE,and BMJ databases.We included trials with the following characteristics:(1)Type of study:Prospective,retrospective,randomized,and non-randomized in design;(2)participants:Restricted to patients with DM aged≥18 years;(3)intervention:No intervention;and(4)kidney adverse events:Onset of diabetic kidney disease[estimated glomerular filtration rate(eGFR)of<60 mL/min/1.73 m2 and/or microalbuminuria value of≥30 mg/g Cr],serum creatinine increase of more than double the baseline or end-stage renal disease(eGFR<15 mL/min/1.73 m2 or dialysis),or death.RESULTS Overall,11 studies involving 801 patients with DM were included.High BMI(≥25 kg/m2)was significantly associated with higher blood pressure(BP)[systolic BP by 0.20,95%confidence interval(CI):0.15–0.25,P<0.00001;diastolic BP by 0.21 mmHg,95%CI:0.04–0.37,P=0.010],serum albumin,triglycerides[standard mean difference(SMD)=0.35,95%CI:0.29–0.41,P<0.00001],low-density lipoprotein(SMD=0.12,95%CI:0.04–0.20,P=0.030),and lower high-density lipoprotein(SMD=–0.36,95%CI:–0.51 to–0.21,P<0.00001)in patients with DM compared with those with low BMIs(<25 kg/m2).Our analysis showed that high BMI was associated with a higher risk ratio of adverse kidney events than low BMI(RR:1.22,95%CI:1.01–1.43,P=0.036).CONCLUSION The present analysis suggested that high BMI was a risk factor for adverse kidney events in patients with DM.

关键词： Obesity Body mass index Diabetes mellitus Adverse kidney events Systematic-review Meta-analysis

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TBtools-II: A “one for all, all for one” bioinformatics platform for biological big-data mining

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Molecular Plant 2023年第11期16卷 1733-1742页

作者： Chengjie Chen ya wu Jiawei Li Xiao Wang Zaohai Zeng Jing Xu Yuanlong Liu Junting Feng Hao Chen Yehua He Rui Xia State Key Laboratory for Conservation and Utilization of Subtropical Agro-Bioresources College of HorticultureSouth China Agricultural UniversityGuangzhouGuangdong 510640China Key Laboratory of Biology and Germplasm Enhancement of Horticultural Crops in South China Ministry of Agriculture and Rural AffairSouth China Agricultural UniversityGuangzhouGuangdong 510640China Guangdong Laboratory for Lingnan Modern Agriculture South China Agricultural UniversityGuangzhouGuangdong 510640China Guangdong Key Laboratory of Non-human Primate Research Guangdong-Hongkong-Macao Institute of CNS RegenerationJinan UniversityGuangzhouGuangdong 510632China State Key Laboratory of Crop Stress Adaptation and Improvement Henan Joint International Laboratory for Crop Multi-Omics ResearchSchool of Life SciencesHenan UniversityKaifeng 475004China Key Laboratory of Genetic Improvement of Bananas Sanya Research InstituteState Key Laboratory of Tropical Crop BreedingInstitute of Tropical Bioscience and BiotechnologyChinese Academy of Tropical Agricultural SciencesHaikouHainan 571101China College of Agronomy Hunan Agricultural UniversityChangsha 410128China

Since the official release of the stand-alone bioinformatics toolkit TBtools in 2020,its superior functionality in data analysis has been demonstrated by its widespread adoption by many thousands of users and references in more than 5000 academic articles.Now,TBtools is a commonly used tool in biological laboratories.Over the past 3 years,thanks to invaluable feedback and suggestions from numerous users,we have optimized and expanded the functionality of the toolkit,leading to the development of an upgraded version—TBtools-II.In this upgrade,we have incorporated over 100 new features,such as those for comparative genomics analysis,phylogenetic analysis,and data visualization.Meanwhile,to better meet the increasing needs of personalized data analysis,we have launched the plugin mode,which enables users to develop their own plugins and manage their selection,installation,and removal according to individual needs.To date,the plugin store has amassed over 50 plugins,with more than half of them being independently developed and contributed by TBtools users.These plugins offer a range of data analysis options including co-expression network analysis,single-cell data analysis,and bulked segregant analysis sequencing data analysis.Overall,TBtools is now transforming from a stand-alone software to a comprehensive bioinformatics platform of a vibrant and cooperative community in which users are also developers and contributors.By promoting the theme“one for all,all for one”,we believe that TBtools-II will greatly benefit more biological researchers in this big-data era.

关键词： TBtools-ll plugin biological big data BSA-seq

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Enhancing thermal conductivity of silicone rubber composites by insitu constructing SiC networks:A finite-element study based on first principles calculation

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Nano Research 2023年第1期16卷 1430-1440页

作者： Dongliang Ding Shiyu Zhang Haoyu Liang Xu Wang ya wu Yuanming Ye Zhenguo Liu Qiuyu Zhang Guangzhao Qin yanhui Chen School of Chemistry and Chemical Engineering Shaanxi Key Laboratory of Macromolecular Science and TechnologyKey Laboratory of Special Functional and Smart Polymer Materials of Ministry of Industry and Information TechnologyNorthwestern Polytechnical UniversityXi’an 710072China Shenzhen Research Institute of Northwestern Polytechnical University Shenzhen 518057China State Key Laboratory of Advanced Design and Manufacturing for Vehicle Body College of Mechanical and Vehicle EngineeringHunan UniversityChangsha 410082China Queen Mary University of London Engineering School Northwestern Polytechnical UniversityXi’an 710072China Institute of Flexible Electronics Northwestern Polytechnical UniversityXi’an 710072China Ningbo Institute of Northwestern Polytechnical University Ningbo 315103China

Polymer composites as thermal interface materials have been widely used in modern electronic equipment.In this work,we report a novel method to prepare highly through-plane thermally conductive silicone rubber(SR)composites with vertically aligned silicon carbide fibers(VA-SiCFs)entangled by SiC nanowires(SiCNWs)networks.First,a series of carbon fibers(CFs)skeletons were fabricated in sequence of coating poor thermally conductive polyacrylonitrile-based CFs with polydopamine,icetemplated assembly,and freeze-drying processes.Furthermore,VA-SiCFs networks,i.e.,long-range continuous SiCFs-SiCNWs networks,based on the prepared CFs skeletons,were in-situ obtained via template-assisted chemical vapor deposition method.The thermal conductivity enhancement mechanism of VA-SiCFs networks on its SR composites was also intensively studied by finite element simulation,based on the first principles investigation of SiC,and Foygel’s theory.The in-situ grown VA-SiCFs networks possess high intrinsic thermal conductivity without the thermal interface between fillers,acting as the high-efficiency through-plane long-range continuous thermal conduction path,in which the SiCNWs were the in-plane“thermal spreader”.The VA-SiCFs/SR composites reached a high through-plane thermal conductivity,2.13 W/(m·K),at the filler loading of 15 vol.%,which is 868.2%,and 249.2%higher than that of pure SR sample,and random-CFs@polydopamine(PDA)/SR composites at the same content,respectively.The VA-SiCFs/SR composites also exhibited good electrical insulation performance and excellent dimensional stability,which guaranteed the stable interfacial heat transfer of high-power density electronic devices.

关键词： silicon carbide fibers silicon carbide nanowires silicone rubber composites through-plane thermal conductivity first principles

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Semi-analytical and computational investigation of different dust loading structures affecting the performance of a fibrous air filter

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Particuology 2014年第2期12卷 60-65页

作者： Bin Xu ya wu Pengyi Cui Department of Environmental Engineering Tongji University State Key Laboratory of Pollution Control and Resource Reuse Tongji University

In this study, a semi-analytical model was developed to illustrate the relationship between filtration performance （filtration efficiency and pressure drop） and dust loading under two different particle deposit structures based on theoretical analysis and computational fluid dynamic （CFD） technology. Under the compact deposit structure, within the practical parameter ranges （fiber diameter, air velocity, dust loading mass）, a slight efficiency enhancement （∽10%） occurred at the most penetration particle size （MPPS） and pressure drop increased significantly （∽100%） in response to the solidity increase from 5% to 15%. However, under the dendritic particle deposit structure, both filtration efficiency （∽40%） and pressure drop （4600%） increased significantly with the same solidity increase due to the larger air velocity and swerve change between fibers.

关键词： Particle filtrationDeposition structureLiquid droplet filtrationFilter dust loading

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合浦盆地西部地区地下水水化学特征及形成机制

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环境科学 2024年第1期45卷 194-206页

作者：陈雯吴亚张宏鑫刘怀庆中国地质调查局武汉地质调查中心武汉430205

北海市是地下水支撑社会经济发展的典型滨海城市,研究该区水化学特征及形成机制,对服务水资源科学管理和海岸带生态环境保护具有重要意义.通过北海市合浦盆地西部地区地下水调查、水样采集与分析,综合运用水化学和同位素理论和方法揭示... 详细信息

北海市是地下水支撑社会经济发展的典型滨海城市,研究该区水化学特征及形成机制,对服务水资源科学管理和海岸带生态环境保护具有重要意义.通过北海市合浦盆地西部地区地下水调查、水样采集与分析,综合运用水化学和同位素理论和方法揭示了控制地下水水质的主要水文地球化学过程.结果表明,地下水具有低pH值和低矿化度的显著特征.孔隙水水化学类型以硝酸型水为主,Na^(+)和Cl^(-)浓度沿径流方向明显增加;裂隙水以Ca-HCO_(3)、Ca-Cl·HCO_(3)、Ca·Na-HCO_(3)和Na-Cl·HCO_(3)型为主.地下水受大气降水补给,水文地球化学过程主要受到水岩相互作用、阳离子交换作用和人类活动的综合影响.Na+、K^(+)和Cl^(-)主要来源于蒸发盐岩和硅酸盐岩,Ca^(2+)、Mg^(2+)、HCO_(3)^(-)和SO_(4)^(2-)主要来自碳酸盐岩和蒸发盐岩矿物的溶解,NO_(3)-主要来源于人类活动.建议在硝酸型水出现的区域及时进行地下水污染防治,避免水质进一步恶化.

关键词：地下水水化学水文地球化学过程硝酸型水合浦盆地

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回顾与前瞻:学校冲突解决教育国际研究40年

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全球教育展望 2024年第5期53卷 47-63页

作者：沈晓敏吴亚华东师范大学课程与教学研究所上海200062 华东师范大学国际与比较教育研究所上海200062

全球范围内频发的校园冲突、欺凌和暴力问题使得冲突解决教育成为国际研究热点。通过对1983—2022年Web of Science核心合集数据库中556篇文献的可视化分析,发现学校冲突解决教育研究文献自20世纪60年代起步,到20世纪90年代末进入了快... 详细信息

全球范围内频发的校园冲突、欺凌和暴力问题使得冲突解决教育成为国际研究热点。通过对1983—2022年Web of Science核心合集数据库中556篇文献的可视化分析,发现学校冲突解决教育研究文献自20世纪60年代起步,到20世纪90年代末进入了快速增长阶段;核心研究主题可被聚类为学校冲突解决教育的价值研究、内容研究和途径研究三方面;而道德推脱、心理健康和人际交往成为近二十年的研究前沿。鉴于40年来国际研究的经验可知,学校冲突解决教育建基于多学科跨领域研究,冲突解决能力有赖多渠道合力培养,冲突解决教育实践需通过有计划、监管和资助的项目加以推进。冲突解决教育重要而迫切,要真正落实必须从观念、方法到制度各层面加大研究和实践的支持和保障。

关键词：冲突解决教育校园冲突校园欺凌同伴调解核心素养

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Charged ultrafine particle filtration through vehicular cabin air filters

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Particuology 2016年第5期14卷 1-5页

作者： Bin Xu Yu Gong ya wu Department of Environmental Engineering Tongji University 1239 Siping Road Shanghai 200092 China Shanghai Key Laboratory of Atmospheric Particle Pollution and Prevention (LAP3) Shanghai 200433 China

Understanding the effectiveness of cabin air filters is important for assessing human exposure to ultra- fine particles （UFPs） of vehicular origin. The filtration efficiency of vehicular UFPs with electric charges was investigated for different electric charge characteristics （charge state, charge polarity）. The average filtration efficiency increased ~10% as the electric charge state on the particles changed in distribution from lightly charged to highly charged. The enhancement of filtration efficiency due to electric charge was different at various filter-face air velocities. As electric charges increased, the filtration efficiency increased 12% and 9% at low air velocity （0.1 m/s） and high air velocity （0.S m/s）, respectively. The filter fiber material poses somewhat effect on the filtration efficiency change due to the electric charge. The effects of filter usage and charge polarity on filtration efficiency due to the electric charge were negligi- ble. A coefficient was empirically derived and successfully accounts for the electric charge effect on UFP filtratinn efficiency.

关键词： Particle filtration Electric charge Filtration efficiency Vehicular particle

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我国牛肉价格波动影响因素研究——基于VAR模型的实证分析

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饲料研究 2024年第9期47卷 178-182页

作者：吴鸭珠江苏商贸职业学院江苏南通226011

为保证牛肉价格合理稳定、推动牛肉市场持续健康发展,文章基于2011年12月—2022年12月中国畜牧业月度数据,以内部传导和外部冲击为视角,选取玉米价格、生产者预期、犊牛价格、国家政策构建VAR模型,实证检验我国牛肉价格波动影响因素及... 详细信息

为保证牛肉价格合理稳定、推动牛肉市场持续健康发展,文章基于2011年12月—2022年12月中国畜牧业月度数据,以内部传导和外部冲击为视角,选取玉米价格、生产者预期、犊牛价格、国家政策构建VAR模型,实证检验我国牛肉价格波动影响因素及程度。结果显示,玉米价格、生产者预期、犊牛价格、国家政策均可对牛肉价格造成影响。其中,玉米价格可通过内部传导机制对我国牛肉价格波动产生显著影响,且稳定贡献率在8%左右;国家政策可通过外部冲击机制对我国牛肉价格波动形成显著影响,贡献率为15%;前期牛肉价格可显著影响后期牛肉市场价格。因此,文章提出降低肉牛产业饲料成本、加大肉牛产业政府财政支持力度、完善牛肉价格波动市场监管体系的建议,以期为稳定牛肉价格、促进畜牧产业可持续发展提供参考。

关键词：牛肉价格波动 VAR模型供给侧改革格兰杰因果检验

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