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Quantify work load and muscle functional activation patterns in neck-shoulder muscles of female sewing machine operators using surface electromyogram

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Chinese Medical Journal 2011年第22期124卷 3731-3737页

作者： zhang fei-ruo he li-hua wu shan-shan li jing-yun ye kang-pin wang sheng Department of Occupational ＆ Environmental health School of Public Health Peking University Beijing 100191 China

Background Work-related musculoskeletal disorders （WMSDs） have high prevalence in sewing machine operators employed in the garment industry. Long work duration, sustained low level work and precise hand work are the main risk factors of neck-shoulder disorders for sewing machine operators. Surface electromyogram （sEMG） offers a valuable tool to determine muscle activity （internal exposure） and quantify muscular load （external exposure）. During sustained and/or repetitive muscle contractions, typical changes of muscle fatigue in sEMG, as an increase in amplitude or a decrease as a shift in spectrum towards lower frequencies, can be observed. In this paper, we measured and quantified the muscle load and muscular activity patterns of neck-shoulder muscles in female sewing machine operators during sustained sewing machine operating tasks using sEMG. Methods A total of 18 healthy women sewing machine operators volunteered to participate in this study. Before their daily sewing machine operating task, we measured the maximal voluntary contractions （MVC） and 20%MVC of bilateral cervical erector spinae （CES） and upper trapezius （UT） respectively, then the sEMG signals of bilateral UT and CES were monitored and recorded continuously during 200 minutes of sustained sewing machine operating simultaneously which equals to 20 time windows with 10 minutes as one time window. After 200 minutes＇ work, we retest 20%MVC of four neck-shoulder muscles and recorded the sEMG signals. linear analysis, including amplitude probability distribution frequency （APDF）, amplitude analysis parameters such as roof mean square （RMS） and spectrum analysis parameter as median frequency （MF）, were used to calculate and indicate muscle load and muscular activity of bilateral CES and UT. Results During 200 minutes of sewing machine operating, the median load for the left cervical erector spinae （LCES）, right cervical erector spinae （RCES）, left upper trapezius （LUT） and right upper trapezius （RUT） were

关键词： neck-shoulder pain muscle activity pattern surface electromyogram occupational health

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The collective dose equivalent in evaluated region of bone-coal power stations and bone-coal shafts

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Nuclear Science and Techniques 2005年第4期16卷 253-256页

作者： zhang liang JIANG shan KONG ling-li li Ying ye Ji-Da SHI Jin-hua wu Zong-Mei Environmental Monitoring Center Station of Hunan Province Changsha 410004 Environmental Radiation Surveillance Station of Anhui Province Hefei 230061 wuhan Academy of Environmental Science Wuhan 430015 Environmental Monitoring Center Station of Jiangxi Province Nanchang 330029 Environmental Radiation Monitoring Station of Zhejiang Province Hangzhou 310012

During 1991-1993, the radioactivity levels of the bone-coal mines were investigated in Hubei, Hunan, Ji-angxi, Zhejiang and Anhui Provinces, respectively, where the reserve of bone-coal is about 90% of our country’s total reserve. The annual additional collective dose equivalent within 80km evaluated region of bone-coal power stations in Nijiangkou and Anren is 1.7 and 1.9 man·mSv, respectively, and that of Zhuantanyan bone-coal shaft is 1.4 man·mSv. The collective dose equivalent caused by bone-coal cinder brick produced for 25 years in the five prov-inces is 1.6×105 man Sv.

关键词：骨煤环境影响环境保护放射性等级环境监测

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缝纫女工颈肩部肌肉的表面肌电研究

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中华劳动卫生职业病杂志 2011年第3期29卷 171-175页

作者：张非若王生何丽华张颖武珊珊李静芸胡广义叶康平北京大学公共卫生学院 100191 北京市大兴区卫生监督所

目的研究缝纫女工颈肩部工作负荷和肌肉疲劳情况。方法使用表面肌电图技术现场测量并记录18名健康的无肌肉骨骼疾患的缝纫机操作女工日常工作期间200min（每时段10rain，20个时段）双侧颈竖脊肌（CES）和斜方肌上支（UT）的肌电信号。... 详细信息

目的研究缝纫女工颈肩部工作负荷和肌肉疲劳情况。方法使用表面肌电图技术现场测量并记录18名健康的无肌肉骨骼疾患的缝纫机操作女工日常工作期间200min（每时段10rain，20个时段）双侧颈竖脊肌（CES）和斜方肌上支（UT）的肌电信号。现场测定之前，分别测定被测试者双侧CES和UT的最大随意自主收缩和20％最大随意自主收缩（the maximal voluntary contraction, MVC ）时的肌电信号；被测试者工作结束后测量其双侧CES和UT的20％MVC肌电信号。对所获得的肌电信号使用时域指标分析方法进行分析。结果缝纫女工在操作期间的平均工作负荷振幅概率分布函数（APDF）分析表明，左右4NCES均方根值（RM20%MVC）分别为6．78±1．05和6．94±1．12；左右侧UT RMS20%MVC分别为5．68±2．56和6．47±3．22；静力负荷分析结果，被测试者肌肉右侧工作负荷高于左侧；工作后RM20MVC均高于工作前RMs20％。的值，右侧CES和uT的RM20MVC值增量高于左侧；左右颈竖脊肌最大20％MVE值出现在第20时段，左右斜方肌最大20％MVE的值出现在第16时段。结论缝纫女工工作负荷为持续低强度负荷作业，右侧颈肩负荷高于左侧，右侧颈肩肌肉易产生疲劳且疲劳程度高于左侧。

关键词：肌疲劳肌电描记术工作负荷量

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Estimation of the resident’s additional dose in bone-coal mining areas of the five provinces

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Nuclear Science and Techniques 2005年第4期16卷 249-252页

作者： JIANG shan zhang liang ye Ji-Da KONG ling-li li Ying SHI Jin-hua wu Zong-Mei Environmental Radiation Surveillance Station of Anhui Province Hefei 230061 Environmental Monitoring Center Station of Hunan Province Changsha 410004 Environmental Radiation Monitoring Station of Zhejiang Province Hangzhou 310012 wuhan Academy of Environmental Science Wuhan 430015 Environmental Monitoring Center Station of Jiangxi Province Nanchang 330029

This paper introduces the resident’s additional dose in bone-coal mining areas. The increase of the annual additional effective doses accepted by the residents living in the carbide-brick houses, the staffs working in the car-bide-brick houses and the miners working in the bone-coal mining areas of Hubei, Hunan, Jiangxi, Zhejiang and An-hui Provinces is caused by the rising of environmental radioactive level. The investigation of natural background ra-diation in the bone-coal mining areas indicated that both mining and utilizing bone-coal cause the rise of environ-mental radioactive level. The ranges of the annual additional effective dose accepted by the residents, staffs and min-ers is 1.9—6.8 mSv, 0.5—2.0 mSv and 8.2—71 mSv, and with an average of 3.8 mSv, 1 mSv and 40 mSv, respec-tively. The annual additional effective doses accepted by part residents and staffs exceed the dose limit of 1 mSv for public exposure, and part miners exceed the dose limit of 20 mSv for occupational exposure. And the contribution of dose caused by inhaled radon to the total additional effective dose is over 76%.

关键词：骨煤放射性等级碳化物环境影响

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Investigation on natural radionucildes levels in multiple media in bone-coal mine areas of five provinces

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Nuclear Science and Techniques 2005年第4期16卷 244-248页

作者： KONG ling-li zhang liang li Ying ye Ji-Da JIANG shan SHI Jin-hua wu Zong-Mei wuhan Academy of Environmental Science Wuhan 430015 Environmental Monitoring Center Station of Hunan Province Changsha 410004 Environmtental Monitoring Center Station of Jiangxi Province Nanchang 330029 Enviromnental Radiation Monitoring Station of Zhejiang Province Han gzhou 310012 Environmental Radiation Surveillance Station of Anhui Province Hefei 230061

This paper reports methods and results of the investigation of natural radionuclides levels in multiple me-dia in the bone-coal mine areas in Hubei, Hunan, Jiangxi, Zhejiang, and Anhui Provinces. In the studied bone-coal mine areas, the specific activities of 238U and 226Ra in the soil samples were 0.37 and 0.24 Bq/g, respectively; the spe-cific activities of 226Ra in the samples of bone-coal, bone-coal cinder and bone-coal cinder brick (BCCB) were 1.3, 1.4 and 0.9 Bq/g, respectively. In the water samples collected from the bone-coal mine areas, the average concentra-tions of natural uranium and 226Ra were 33μg/L and 58 mBq/L, respectively, while in the water samples collected from outside the bone-coal mine areas, they were 3.4μg/L and 45 mBq/L, respectively. In addition, the specific activi-ties of 238U and 226Ra in air aerosol samples from the bone-coal mine areas were 0.6 and 0.5 mBq/m3, respectively.

关键词：骨煤放射性等级 BCCB 环境影响

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Efficacy and safety of sirolimus early conversion protocol in liver transplant patients with hepatocellular carcinoma:A single-arm, multicenter, prospective study

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hepatobiliary & Pancreatic Diseases International 2022年第2期21卷 106-112页

作者： Ren-Yi Su Sun-Bin ling Qiao-Nan shan Xu-Yong Wei Rui wang Chang-Ku Jia li Zhuang Tian Shen li-Min Ding Zhi-Dan Xu Lai-Bang Luo li-Bo Sun Guang-Ming li Tai-Shi Fang Nan Jiang Kun zhang Zhao-Jie Su Zhi-Hai Peng Ren Lang Tao Jiang Qiang he lin-Sen ye Yang Yang Yu-Ting he Wen-Zhi Guo liu-Gen Lan Xu-Yong Sun Dong Chen Zhi-Shui Chen Da-Wei Zhou Shao-Jun ye Qi-Fa ye Min Tian Jian-hua Shi Bo wang Jiang liu Qian Lu Wei Rao Jin-Zhen Cai Tao Lv Jia-Yin Yang Pu-Sen wang lin Zhong jing-sheng Ma Qi-Gen li sheng-Dong wu Chang-Jiang Lu Cai-De Lu Dong-hua zhang Xuan wang Zi-Qiang li Mu-Jian Teng Jun-Jie li Wen-Tao Jiang Jian-hua li Quan-Bao zhang Ning-Qi Zhu Zheng-Xin wang kang he Qiang Xia Shao-hua Song Zhi-Ren Fu Wei Qiu Guo-Yue Lv Rui-Peng Song Ji-Zhou wang Zheng wang Jian Zhou Gang Chen Ying-Peng Zhao li li Ze-Min Hu Qi-Jie Luo Zhong-Zhou Si Bin Xie Xiao-Shun he Zhi-Yong Guo Shu-Sen Zheng Xiao Xu Department of hepatobiliary and Pancreatic Surgery The Center for Integrated Oncology and Precision MedicineAffiliated Hangzhou First People’s HospitalZhejiang University School of MedicineHangzhou 310006China NHC Key Laboratory of Combined Multi-organ Transplantation Hangzhou 310003China Department of hepatobiliary and Pancreatic Surgery Shulan(Hangzhou)HospitalZhejiang Shuren University School of MedicineHangzhou 310022China Department of hepatobiliary and Pancreatic Surgery The First Affiliated HospitalZhejiang University School of MedicineHangzhou 310003China Department of Transplantation Jiangxi Provincial People’s Hospital Affiliated to Nanchang UniversityNanchang 330006China liver Transplantation Center Beijing You’an HospitalCapital Medical UniversityBeijing 100069China Department of hepatic Surgery National Clinical Research Center for Infectious DiseaseShenzhen Third People’s HospitalThe Second Affiliated Hospital of Southern University of Science and TechnologyShenzhen 518112China Department of General Surgery Xiang’an Hospital of Xiamen UniversityXiamen 361000China Deartment of hepatobiliary and Pancreaticosplenic Surgery Beijing Chaoyang HospitalCapital Medical UniversityBeijing 100020China Department of hepatic Surgery and liver Transplantation Center The Third Affiliated Hospital of Sun Yat-sen UniversityGuangzhou 510630China Department of hepatobiliary and Pancreatic Surgery The First Affiliated Hospital of Zhengzhou UniversityZhengzhou 450052China Department of liver Transplantation The Second Affiliated Hospital of Guangxi Medical UniversityNanning 530000China Institute of Organ Transplantation Tongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China Institute of hepatobiliary Diseases of wuhan University Transplant Center of Wuhan UniversityHubei Key Laboratory of Medical Technology on TransplantationZhongnan Hospital of Wuhan UniversityWuhan 430071China Department of hepatobiliary Surgery The First Affiliated Hos

Mammalian target of rapamycin(m TOR) inhibitor as an attractive drug target with promising antitumor effects has been widely investigated. High quality clinical trial has been conducted in liver transplant(LT) recipients in Western countries. However, the pertinent studies in Eastern world are paucity. Therefore, we designed a clinical trial to test whether sirolimus can improve recurrence-free survival(RFS) in hepatocellular carcinoma(HCC) patients beyond the Milan criteria after LT. This is an open-labeled, single-arm, prospective, multicenter, and real-world study aiming to evaluate the clinical outcomes of early switch to sirolimus-based regimens in HCC patients after LT. Patients with a histologically proven HCC and beyond the Milan criteria will be enrolled. The initial immunosuppressant regimens are center-specifc for the frst 4-6 weeks. The following regimens integrated sirolimus into the regimens as a combination therapy with reduced calcineurin inhibitors based on the condition of patients and centers. The study is planned for 4 years in total with a 2-year enrollment period and a 2-year follow-up. We predict that sirolimus conversion regimen will provide survival benefts for patients particular in the key indicator RFS as well as better quality of life. If the trial is conducted successfully, we will have a continued monitoring over a longer follow-up time to estimate indicator of overall survival. We hope that the outcome will provide better evidence for clinical decision-making and revising treatment guidelines based on Chinese population data.

关键词： Sirolimus Immunosuppressive agents hepatocellular carcinoma liver transplantation Conversion

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Association of Overlapped and Un-overlapped Comorbidities with COVID-19 Severity and Treatment Outcomes: A Retrospective Cohort Study from Nine Provinces in China

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Biomedical and Environmental Sciences 2020年第12期33卷 893-905页

作者： MA Yan ZHU Dong shan CheN Ren Bo SHI Nan Nan liU Si Hong FAN Yi pin wu Gui Hui YANG Pu ye BAI Jiang Feng CheN Hong CheN li Ying FENG Qiao GUO Tuan Mao HOU Yong HU Gui Fen HU Xiao Mei HU yun Hong huaNG Jin huaNG Qiu hua huaNG Shao Zhen JI liang JIN Hai Hao LEI Xiao li Chun Yan li Min Qing li Qun Tang li Xian Yong liU Hong De liU Jin ping liU zhang MA Yu Ting MAO Ya MO liu Fen NA Hui wang jing Wei SONG Fang li SUN sheng wang Dong Ting wang Ming Xuan wang Xiao Yan wang Yin Zhen wang Yu Dong wu Wei wu Lan ping XIAO Yan hua XIE Hai Jun XU Hong Ming XU Shou Fang XUE Rui Xia YANG Chun YANG Kai Jun YUAN sheng li zhang Gong Qi zhang Jin Bo zhang lin Song ZHAO Shu Sen ZHAO Wan Ying ZheNG Kai ZHOU Ying Chun ZHU Jun Teng ZHU Tian Qing zhang hua Min wang Yan ping wang Yong Yan 无 Institute of Basic Research in Clinical Medicine China Academy of Chinese Medical SciencesBeijing 100700China Centre for health Management and Policy Research School of Public HealthCheeloo College of MedicineShandong UniversityJinan 250012ShandongChina Institute of Information on Traditional Chinese Medicine China Academy of Chinese Medical SciencesBeijing 100700China Department of Tuberculosis The Public Health Clinical Center of ChengduChengdu 610066SichuanChina Department of Infectious Disease Shaanxi Infectious Disease HospitalXi'an 610113ShaanxiChina Department of Infectious Disease Yulin Chinese Medicine HospitalYulin 719000ShaanxiChina President's Office The First Hospital of QiqiharQiqihar 161005HeilongjiangChina Department of Traditional Chinese Medicine Shangluo Central HospitalShangluo 726000ShaanxiChina Department of Traditional Chinese Medicine The People's Hospital of QitaiheQitaihe 154603HeilongjiangChina Department of Scientific Research Xianyang Central HospitalXianyang 712000ShaanxiChina Department of traditional Chinese medicine The First Affiliated Hospital of Anhui University of Traditional Chinese MedicineHefei 230012AnhuiChina Department of Infectious Disease Heping Hospital Affiliated to Changzhi Medical CollegeChangzhi 046000ShanxiChina Department of Traditional Chinese Medicine Langfang Hospital of Chinese MedicineLangfang 065000HeibeiChina Department of Traditional Chinese Medicine Xingtai Hospital of Chinese MedicineXingtai 054001HeibeiChina Department of Traditional Chinese Medicine The People's Hospital of Guangxi Zhuang Autonomous RegionNanning 168600GuangxiChina Department of Traditional Chinese Medicine The First People'sHospital of FangchenggangFangchenggang 538001GuangxiChina Department of Traditional Chinese Medicine Mianyang Hospital of Traditional Chinese MedicineMianyang 621000SichuanChina Department of Traditional Chinese Medicine Liuzhou People's HospitalLiuzhou 545006GansuChina Department of Traditional Chinese Medici

Objective Several COVID-19 patients have overlapping comorbidities. The independent role of each component contributing to the risk of COVID-19 is unknown, and how some non-cardiometabolic comorbidities affect the risk of COVID-19 remains *** A retrospective follow-up design was adopted. A total of 1,160 laboratory-confirmed patients were enrolled from nine provinces in China. Data on comorbidities were obtained from the patients’ medical records. Multivariable logistic regression models were used to estimate the odds ratio(OR) and 95% confidence interval(95% CI) of the associations between comorbidities(cardiometabolic or non-cardiometabolic diseases), clinical severity, and treatment outcomes of *** Overall, 158(13.6%) patients were diagnosed with severe illness and 32(2.7%) had unfavorable outcomes. Hypertension(2.87, 1.30–6.32), type 2 diabetes(T2 DM)(3.57, 2.32–5.49),cardiovascular disease(CVD)(3.78, 1.81–7.89), fatty liver disease(7.53, 1.96–28.96), hyperlipidemia(2.15, 1.26–3.67), other lung diseases(6.00, 3.01–11.96), and electrolyte imbalance(10.40, 3.00–26.10)were independently linked to increased odds of being severely ill. T2 DM(6.07, 2.89–12.75), CVD(8.47,6.03–11.89), and electrolyte imbalance(19.44, 11.47–32.96) were also strong predictors of unfavorable outcomes. Women with comorbidities were more likely to have severe disease on admission(5.46,3.25–9.19), while men with comorbidities were more likely to have unfavorable treatment outcomes(6.58, 1.46–29.64) within two *** Besides hypertension, diabetes, and CVD, fatty liver disease, hyperlipidemia, other lung diseases, and electrolyte imbalance were independent risk factors for COVID-19 severity and poor treatment outcome. Women with comorbidities were more likely to have severe disease, while men with comorbidities were more likely to have unfavorable treatment outcomes.

关键词： Comorbidities COVID-19 Severity Gender Age Treatment outcome

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SAPT:a synchrotron-based proton therapy facility in shanghai

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Nuclear Science and Techniques 2023年第10期34卷 36-46页

作者： Man-Zhou zhang De-Ming li li-Ren Shen Hai-Rong zhang Zhi-ling Chen Han-Wen Du Ming Gu Rui li De-kang liu Yue-Hu Pu Jun-Feng Yu Jian-Feng Chen Chu Chen Chun-Long Guo Hao Guo Ge-Yang Jiang Zhi-Qiang Jiang lin Jin Wen-jing li Xiu-Fang li ye lin Ming liu Yong-Hao liu Ya-Juan liu Ming Lv Qing-Ru Mi lian-hua Ouyang Wei-Guo Shi Hang Shu Qi-sheng Tang Kun wang Zhi-shan wang Jun wu Xiao-Bing wu Jia-Qiang Xu Wen-Zhen Xu Chong-Xian Yin Cheng Yu Ren-Xian Yuan Qi-Bing Yuan Hai-Qun zhang Miao zhang Wen-Zhi zhang li-Ying Zhao Wei-Min Zhou Shou-Xian Fang Xi-Dong Sun Zhen-Tang Zhao shanghai Institute of Applied Physics Chinese Academy of SciencesShanghai 201800China shanghai Advanced Research Institute Chinese Academy of SciencesShanghai 201204China APACTRON Particle Equipment Co. Ltd.Shanghai 201815China The Institute of High Energy Physics Chinese Academy of SciencesBeijing 100049China

Because of its excellent dose distribution,proton therapy is becoming increasingly popular in the medical application of cancer treatment.A synchrotron-based proton therapy facility was designed and constructed in *** synchrotron,beam delivery system,and other technical systems were commissioned and reached their expected *** a clinical trial of 47 patients was finished,the proton therapy facility obtained a registration certificate from the National Medical Products *** characteristics of the accelerator and treatment systems are described in this article.

关键词： Proton therapy Synchrotron Slow extraction Gantry Beam delivery system

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Anatomical variation of infra-pyloric artery origination： A prospective multicenter observational study (IPA-Origin)

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Chinese Journal of Cancer Research 2018年第5期30卷 500-507页

作者： Rulin Miao Jianjun Qu Zhengrong li Daguang wang Jiang Yu Weidong Zang Yong li Fenglin liu Jian zhang wu Song Kai ye Su Yan Wei wang Shuangyi Ren Lu Zang Changqing jing li zhang Kuan wang Weihua Fu lin Fan Bin liang Gang Zhao Jun Cai li Yang Jiaming Zhu Jun You Kun Yang Qingxing huang Zhaojian Niu Ning Ning Xingfeng Qiu Gang Ji Feng liang hua huang Chao Gao fei shan Shuangxi li Yongning Jia lianhai zhang Xiangji Ying Yan zhang Zhaode Bu Xiangqian Su Gang Zhao Ziyu li Jiafu Ji Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing) Gastrointestinal Cancer Center Peking University Cancer Hospital & Institute Beijing 100142 China Department of Surgical Oncology Weifang People's Hospital Weifang 261000 China Department of General Surgery the First Affiliated Hospital of Nanchang University Nanchang 330006 China Department of Gastrointestinal Surgery the First Hospital of Jilin University Changehun 130021 China Department of General Surgery Nanfang Hospital Southern Medical University Guangzhou 510515 China Department of Gastrointestinal Cancer Surgery Fujian Provincial Cancer Hospital Fuzhou 350014 China Department of General Surgery Guangdong General Hospital Guangdong Academy of Medical Sciences Guangzhou 510080 China Department of General Surgery Zhongshan Hospital Fudan University Shanghai 200032 China Department of Gastrointestinal Surgery Hangzhou First People's Hospital Hangzhou 310006 China Department of Gastrointestinal Surgery the First Affiliated Hospital Sun Yat-sen University Guangzhou 510080 China Department of Surgical Oncology the Second Affiliated Hospital of Fujian Medical University Quanzhou 362000 China Department of Surgical Oncology Affiliated Hospital of Qinghai University Xining 810001 China Department of Gastrointestinal Surgery Guangdong Provincial Hospital of Chinese Medicine Guangzhou 510120 China Department of General Surgery the Second Hospital of Dalian Medical University Dalian 116023 China Department of General Surgery Shanghai Ruijin Hospital Shanghai Jiaotong University School of Medicine Shanghai 200025 China Department of Gastrointestinal Surgery Shandong Provincial Hospital Affiliated to Shandong University Jinan 250021 China Department of Gastrointestinal Surgery Harbin Medical University Cancer Hospital Harbin 150081 China Department of General Surgery Tianjin Medical University General Hospital Tianjin 300052 China Department of General Surgery the Firs

Objective： Infra-pyloric artery （IPA） is an important anatomical landmark in treatment of gastric cancer and is the key vessel for pylorus-preserving gastrectomy and subgroup of infra-pyloric lymph nodes. However, its anatomical variation is not thoroughly understood. Our study aimed to clarify the origination of the IPA. Methods： We did this prospective, multicenter, open-label, observational study at gastric surgery departments of 34 hospitals in China. Gastric cancer patients aged 18 years or older and scheduled to undergo elective total or distal gastrectomy were assigned. During the surgery, IPA dissecting and exposing the origination point with photographs or video clips were required. The primary outcome was the origination of the IPA. Analysis of variance, χ2 tests and Fisher＇s tests were used to analyze the differences between groups. The study is registered at *** （No. NCT03071237）. Results： Between May 8 and July 31, 2017, 429 patients were assigned for the study, and 419 （97.7%） patients had the IPA dissected and recorded through photograph or video and were included in the primary outcome analysis. The median age was 62 years old, and 73.7% were male. Among the patients, 78.5% received laparoscopic surgery. Single IPA origination was identified in 398 （95.0%） patients, including gastroduodenal artery （GDA） in 154 （36.8%） patients, anterior superior pancreaticoduodenal artery （ASPDA） in 130 （31.0%） patients, and right gastroepiploic artery （RGEA） in 114 （27.2%） patients. Fifteen （3.6%） patients were identified with multiple IPA and 6 （1.4%） patients were identified as IPA absence. The differences in the distribution of surgical approach （P=0.003） and geographic area （P=0.030） were statistically significant. No difference was shown in sex, age, gastrectomy type, tumor location, and clinical T, N and M stage. Conclusions： Our study found that the IPA originates from GDA, ASPDA and RGEA in similar proportions. Laparoscopic surgery may be more

关键词： Infra-pyloric artery origination anatomy gastric cancer

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A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus(2019-nCoV) infected pneumonia(standard version)

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Military Medical Research 2020年第1期7卷 1-22页

作者： Ying-Hui Jin lin Cai Zhen-Shun Cheng Hong Cheng Tong Deng Yi-pin Fan Cheng Fang Di huang Lu-Qi huang Qiao huang Yong Han Bo Hu Fen Hu Bing-Hui li Yi-Rong li Ke liang li-Kai lin li-Sha Luo jing Ma lin-Lu Ma Zhi-Yong Peng yun-Bao Pan Zhen-Yu Pan Xue-Qun Ren Hui-Min Sun Ying wang yun-yun wang Hong Weng Chao-Jie Wei Dong-Fang wu Jian Xia Yong Xiong Hai-Bo Xu Xiao-Mei Yao Yu-Feng Yuan Tai-sheng ye Xiao-Chun zhang Ying-Wen zhang Yin-Gao zhang hua-Min zhang Yan Zhao Ming-Juan Zhao Hao Zi Xian-Tao Zeng Yong-Yan wang Xing-huan wang 无 Center for Evidence-Based and Translational Medicine Zhongnan Hospital of Wuhan UniversityWuhan 430071China Institute of Hospital Management Wuhan UniversityWuhan 430071China Department of Respiratory Medicine Zhongnan Hospital of Wuhan UniversityWuhan 430071China Department of Pharmacy Zhongnan Hospital of Wuhan UniversityWuhan 430071China Institute of Evidence-Based Medicine and Knowledge Translation Henan UniversityKaifeng 475000China China Academy of Chinese Medical Sciences Beijing 100700China China Center for Evidence Based Traditional Chinese Medicine(CCEBTCM) Beijing 100700China Department of Critical Care Medicine Zhongnan Hospital of Wuhan UniversityWuhan 430071China Department of Clinical Laboratory Zhongnan Hospital of Wuhan UniversityWuhan 430071China Department of Infectious Diseases Zhongnan Hospital of Wuhan UniversityWuhan 430071China Division of Medical Affairs Zhongnan Hospital of Wuhan UniversityWuhan 430071China Division of Nursing Affairs Zhongnan Hospital of Wuhan UniversityWuhan 430071China Office of Nosocomial Infection Control Zhongnan Hospital of Wuhan UniversityWuhan 430071China Emergency Center Zhongnan Hospital of Wuhan UniversityWuhan 430071China Department of Radiology Zhongnan Hospital of Wuhan UniversityWuhan 430071China Department of health Research Methods Evidenceand ImpactMcMaster UniversityHamiltonON L8S 4L8Canada Department of Traditional Chinese Medicine Zhongnan Hospital of Wuhan UniversityWuhan 430071China Global health Institute Wuhan UniversityWuhan 430072China the Zhongnan Hospital of wuhan University Novel Coronavirus Management and Research Team Evidence-Based Medicine Chapter of China International Exchange and Promotive Association for Medical and health Care(CPAM)

In December 2019, a new type viral pneumonia cases occurred in wuhan, Hubei Province;and then named "2019 novel coronavirus(2019-nCoV)" by the World health Organization(WHO) on 12 January 2020. For it is a never been experienced respiratory disease before and with infection ability widely and quickly, it attracted the world’s attention but without treatment and control manual. For the request from frontline clinicians and public health professionals of 2019-nCoV infected pneumonia management, an evidence-based guideline urgently needs to be developed. Therefore, we drafted this guideline according to the rapid advice guidelines methodology and general rules of WHO guideline development;we also added the first-hand management data of Zhongnan Hospital of wuhan University. This guideline includes the guideline methodology, epidemiological characteristics, disease screening and population prevention, diagnosis, treatment and control(including traditional Chinese Medicine), nosocomial infection prevention and control, and disease nursing of the 2019-nCoV. Moreover, we also provide a whole process of a successful treatment case of the severe 2019-nCoV infected pneumonia and experience and lessons of hospital rescue for 2019-nCoV infections. This rapid advice guideline is suitable for the first frontline doctors and nurses, managers of hospitals and healthcare sections, community residents, public health persons, relevant researchers, and all person who are interested in the 2019-nCoV.

关键词： 2019 novel coronavirus 2019-nCoV Respiratory disease Pneumonia Infectious diseases Rapid advice guideline Clinical practice guideline Evidence-based medicine

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