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基层医院使用双极电凝进行完全性腹腔镜下全子宫切除术148例临床分析

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中国内镜杂志 2012年第6期18卷 653-656页

作者：曾华李芳良湖南省娄底市娄星区人民医院湖南娄底417000

目的探讨基层医院应用双极电凝完成完全性腹腔镜下全子宫切除术的可行性和安全性。方法 2009年1月～2011年1月在该院就诊有全子宫切除手术指征的患者,分为腔镜组和开腹组。其中腔镜组148例采用双极电凝进行完全性腹腔镜下全子宫切除术,... 详细信息

目的探讨基层医院应用双极电凝完成完全性腹腔镜下全子宫切除术的可行性和安全性。方法 2009年1月～2011年1月在该院就诊有全子宫切除手术指征的患者,分为腔镜组和开腹组。其中腔镜组148例采用双极电凝进行完全性腹腔镜下全子宫切除术,开腹组145例采用腹式全子宫切除术。观察两组手术成功率、手术时间、术中出血量、术中及术后并发症、术后恢复情况及住院时间等指标。结果患者均顺利完成全子宫切除术。其中腔镜组切除子宫重量平均(289±20)g;手术时间平均(85.2±10.3)min;术中出血量平均(65.±720.1)mL;肛门排气时间平均(26.5±4.6)h;出院时间平均(5.±31.2)d;术后阴道排液时间平均(13.±51.4)d;均无严重并发症发生。开腹组切除子宫重量平均(80±20)g;手术时间平均(83.3±9.1)min;术中出血量平均(93.6±22.4)mL;肛门排气时间平均(36.5±4.7)h;出院时间平均(8.3±1.3)d;术后阴道排液时间平均(15.±51.5)d;术后并发症率1.4%,为2例切口感染。两组相比手术时间和术后并发症相当,差异无显著性(P>0.05);而腔镜手术能有效减少术中出血量,并能促进术后恢复(P<0.05)。结论基层医院应用双极电凝进行完全性腹腔镜下全子宫切除术是安全可行的,与传统的开腹手术相比,腹腔镜手术创伤小,术后恢复快。

关键词：完全性腹腔镜全子宫切除术双极电凝基层医院

Efficient OpenMP Based Z-curve Encoding and Decoding Algorithms

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Computers, Materials & Continua 2025年第1期82卷 1313-1327页

作者： Zicheng Zhou Shaowen Sun Teng liang Mengjuan li Fengling Xia School of Electronic Science and Engineering University of Electronic Science and Technology of ChinaChengdu611731China Faculty of Information Engineering and Automation Kunming University of Science and TechnologyKunming650500China School of Communications Information Engineering Yunnan Communications Vocational and Technical CollegeKunming650500China library Yunnan Normal UniversityKunming650500China Faculty of Civil Aviation and Aeronautics Kunming University of Science and TechnologyKunming650500China

Z-curve’s encoding and decoding algorithms are primely important in many Z-curve-based *** bit interleaving algorithm is the current state-of-the-art algorithm for encoding and decoding *** simple,its efficiency is hindered by the step-by-step coordinate shifting and bitwise *** tackle this problem,we first propose the efficient encoding algorithm LTFe and the corresponding decoding algorithm LTFd,which adopt two optimization methods to boost the algorithm’s efficiency:1)we design efficient lookup tables(LT)that convert encoding and decoding operations into table-lookup operations;2)we design a bit detection mechanism that skips partial order of a coordinate or a Z-value with consecutive 0s in the front,avoiding unnecessary iterative *** propose order-parallel and point-parallel OpenMP-based algorithms to exploit the modern multi-core *** results on discrete,skewed,and real datasets indicate that our point-parallel algorithms can be up to 12.6×faster than the existing algorithms.

关键词： Z-curve lookup table OpenMP bit detection mechanism

Combined anisotropic and cyclic constitutive model for laser powder bed fusion fabricated aluminum alloy

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Chinese Journal of Aeronautics 2025年第1期38卷 165-184页

作者： Fei-Fan li Jihong ZHU Weihong ZHANG Shifeng WEN Jingwen SONG Jun MA Gang fang State IJR Center of Aerospace Design and Additive Manufacturing School of Mechanical EngineeringNorthwestern Polytechnical UniversityXi’an 710072China Research&Development Institute of Northwestern Polytechnical University in Shenzhen Shenzhen 518063China School of Materials Science and Engineering Northwestern Polytechnical UniversityXi'an 710072China Department of Mechanical and Industrial Engineering Norwegian University of Science and TechnologyTrondheim 7491Norway State Key Laboratory of Tribology in Advanced Equipment Department of Mechanical EngineeringTsinghua UniversityBeijing 100084China

This study presents new methods to effectively model the anisotropic yielding and hardening behavior of laser powder bed fusion fabricated aluminum alloy under both monotonic and cyclic loading *** proposed model combines the yield surface-interpolation method to accurately describe the anisotropic hardening rates in various directions,with the Chaboche kinematic hardening rule to precisely reflect the cyclic *** numerical implementation of the combined anisotropic and cyclic constitutive model,a fully implicit stress integration algorithm based on return mapping method is ***,the multiple parameters associated with the model are categorized and identified in an uncoupled *** isotropic and cyclic hardening parameters are determined by an inverse method,and the stability of the optimization outcomes is validated by applying different starting points for the ***,the back-stress effect on the identification of anisotropic parameters associated with the stress invariant-based Hill48 yield function is considered for the first *** consideration leads to an improved prediction accuracy compared to the identification of anisotropic parameters without considering back-stress *** combined anisotropic and cyclic constitutive model,along with the calibrated parameters,are proven capable of accurately reproducing the intricate deformation behavior of laser powder bed fusion fabricated AlSi10Mg.

关键词： Constitutive models Anisotropy Kinematic hardening Laser powder bed fusion Aluminum alloys

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六朝文化研究续议

东南文化 2010年第1期 62-68页

作者：李良芳胡阿祥南京大学历史学系江苏南京210093

熟悉基本文献资料,利用文物考古资料,把握相关理论与学说,并且妥善处理"致知"与"致用"的关系,是拓宽加深六朝文化的基础研究与应用研究中值得重视的几个方面。

关键词：基本文献资料文物考古资料理论学说经世致用

Different Acupuncture Therapies for Postherpetic Neuralgia:An Overview of Systematic Reviews and Meta-analysis

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Chinese Journal of Integrative Medicine 2025年第1期31卷 55-67页

作者： XIA Yun-fan SUN Ruo-han li Shi-min WANG Yi-yi li Rong-rong fang Jian-qiao The Third Clinical Medical College of Zhejiang Chinese Medical University Hangzhou310000China Department of Rehabilitation Medicine Hangzhou Third People’s Hospital Affiliated to Zhejiang Chinese Medical UniversityHangzhou310000China Department of Acupuncture the Third Affiliated Hospital of Zhejiang Chinese Medical UniversityHangzhou310000China

Background: Postherpetic neuralgia(PHN) is the most common complication of herpes zoster infection and affects patients' quality of life. Acupuncture therapy is regarded as a competitive method of treatment for analgesia. Objective: To summarize evidence from systematic reviews(SRs) and evaluate the effectiveness and safety of different acupuncture therapies for treating PHN. Methods: Eight electronic databases were searched from their inception to August 5, 2022, including 4 international electronic databases(PubMed, EMBASE, the Cochrane library, and Web of Science) and 4 Chinese databases(Chinese Biomedical Database, China National Knowledge Infrastructure, VIP Database and Wanfang Database).Methodological quality was assessed by A Measurement Tool to Assess Systematic Reviews 2(AMSTAR 2).The Risk of Bias in Systematic Review(ROBIS) tool was used to assess the risk of bias in SRs. Evidence level was assessed by the Grading of Recommendations Assessment, Development, and Evaluation(GRADE)approach. Results: Totally, 7 SRs were included, including 128 studies and 9,792 patients. In AMSTAR 2, most of the SRs were of low or critically low levels since they had more than 1 critical deficiency. In ROBIS, 1 SR(14.29%)was rated as high risk, and the other 6(85.71%) were rated as low risk. In the GRADE system, 9 outcomes(28.13%)were valued as high level, 5(15.63%) as moderate level, 1(3.13%) as low, and 17(53.13%) as very low. In the effectiveness of acupuncture therapy, the group "moxibustion vs. original medical treatment" [mean difference(MD)=–1.44, 95% confidence interval(CI): –1.80 to –1.08, I2=99%, P<0.00001] was of the highest heterogeneity and the group "bloodletting vs. original medical treatment"(MD=–2.80, 95% CI: –3.14 to –2.46, I2=0, P<0.00001)was of the lowest heterogeneity. Six SRs have reported the safety of their studies and no serious events were shown in the treatment and control groups. Conclusions: Acupuncture therapy seems to be effective in treating PH

关键词： acupuncture postherpetic neuralgia systematic review Chinese medicine

“One stone, two birds”: Salt template enabling porosity engineering and single metal atom coordinating toward high-performance zinc-ion capacitors

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Journal of Energy Chemistry 2025年第1期100卷 637-645页

作者： Chunliu Zhu Huanyu liang Ping li Chenglong Qiu Jingyi Wu Jingwei Chen Weiqian Tian Yue Zhu Zhi li Huanlei Wang School of Materials Science and Engineering Ocean University of ChinaQingdao 266100ShandongChina Department of Chemical and Materials Engineering University of AlbertaAlberta T6G 2V4EdmontonCanada

Zinc-ion hybrid capacitors (ZIHCs) have received increasing attention as energy storage devices owing to their low cost,high safety,and environmental ***,their progress has been hampered by low energy and power density,as well as unsatisfactory long-cycle stability,mainly due to the lack of suitable electrode *** this context,we have developed manganese single atoms implanted in nitrogen-doped porous carbon nanosheets (MnSAs/NCNs) using a metal salt template method as cathodes for *** metal salt serves a dual purpose in the synthesis process:It facilitates the uniform dispersion of Mn atoms within the carbon matrix and acts as an activating agent to create the porous *** applied in ZIHCs,the MnSAs/NCNs electrode demonstrates exceptional performance,including a high capacity of 203 m Ah g^(-1),an energy density of 138 Wh kg^(-1)at 68 W kg^(-1),and excellent cycle stability with 91%retention over 10,000 *** calculations indicate that the introduced Mn atoms modulate the local charge distribution of carbon materials,thereby improving the electrochemical *** work demonstrates the significant potential of carbon materials with metal atoms in zinc-ion hybrid capacitors,not only in enhancing electrochemical performance but also in providing new insights and methods for developing high-performance energy storage devices.

关键词： Zinc ion hybrid capacitors Cathodes Carbon materials Heteroatoms Single atoms

Comprehensive recovery of rare earth elements and gypsum from phosphogypsum:A wastewater free process combining gravity separation and hydrometallurgy

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Journal of Rare Earths 2025年第2期43卷 362-370页

作者： Jialin Qing Dapeng Zhao li Zeng Guiqing Zhang liang Zhou Jiawei Du Qinggang li Zuoying Cao Shengxi Wu School of Metallurgy and Environment Central South University Key Laboratory of Metallurgical Separation Science and Engineering of Non-ferrous Metals Industry Central South University National Engineering Laboratory for Efficient Utilization of Refractory Non-ferrous Metals Resources Central South University

Comprehensive utilization of phosphogypsum（PG） has attracted much attention,especially for the recovery of rare earth elements（REEs） and gypsum due to the issues of stockpile,environmental pollution,and waste of associated *** utilization methods suffered the issues of low REEs leaching efficiency,huge amount of CaSO4saturated wastewater and high recovery *** solve these issues,this study investigated the occurrence of REEs in PG and the leaching of *** results show that REEs in PG are in the forms of（1） REEs mineral inclusions,（2） REEs isomorphous substitution of Ca2+in gypsum lattice,（3） dispersed soluble REEs *** leaching results demonstrate that（1） the dissolution of gypsum matrix is the control factor of REEs leaching;（2） H2SO4is a promising leachant considering the recycle of leachate;（3） the gypsum matrix suffers a recrystallization during the acid leaching and releases the soluble REEs from PG to aqueous *** the recovery of the undissolved REEs mineral inclusions,wet sieving concentrated 37.1 wt% of the REEs in a 10.7 wt% mass,increasing REEs content from 309 to 1071 ***,a green process combining gravity separation and hydrometallurgy is *** process owns the merits of wastewater free,considerable REEs recovery（about 10% increase compared with traditional processes）,excellent gypsum purification（>95 wt%CaSO4·2H2O,with lical leaching）.

关键词： Gravity separation Phosphogypsum Rare earths Recrystallization reinforcement Wastewater free

Advances in the Development of Gradient Scaffolds Made of Nano‑Micromaterials for Musculoskeletal Tissue Regeneration

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Nano-Micro Letters 2025年第3期17卷 455-500页

作者： Lei fang Xiaoqi lin Ruian Xu Lu liu Yu Zhang Feng Tian Jiao Jiao li Jiajia Xue Beijing Laboratory of Biomedical Materials Beijing University of Chemical TechnologyBeijing 100029People’s Republic of China State Key Laboratory of Organic‑Inorganic Composites Beijing University of Chemical TechnologyBeijing 100029People’s Republic of China School of Biomedical Engineering Faculty of Engineering and ITUniversity of Technology SydneySydneyNSW 2007Australia

The intricate hierarchical structure of musculoskeletal tissues,including bone and interface tissues,necessitates the use of complex scaffold designs and material structures to serve as tissue-engineered *** has led to growing interest in the development of gradient bone scaffolds with hierarchical structures mimicking the extracellular matrix of native tissues to achieve improved therapeutic *** on the anatomical characteristics of bone and interfacial tissues,this review provides a summary of current strategies used to design and fabricate biomimetic gradient scaffolds for repairing musculoskeletal tissues,specifically focusing on methods used to construct compositional and structural gradients within the *** latest applications of gradient scaffolds for the regeneration of bone,osteochondral,and tendon-to-bone interfaces are ***,the current progress of testing gradient scaffolds in physiologically relevant animal models of skeletal repair is discussed,as well as the challenges and prospects of moving these scaffolds into clinical application for treating musculoskeletal injuries.

关键词： Gradient scaffolds Musculoskeletal tissues Advanced manufacturing Biomaterials Tissue regeneration

Synthesis of intermetallic PtCo fuel cell catalysts from bimetallic core@shell structured nanoparticles

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Journal of Energy Chemistry 2025年第2期101卷 1-6页

作者： Le Zhang Lei Tong Shuai li Chang-Song Ma Kun-Ze Xue Hai-Wei liang Hefei National Research Center for Physical Sciences at the Microscale Department of Chemistry University of Science and Technology of China

The high activity and stability of intermetallic PtCo nanocatalysts toward oxygen reduction reaction make them a top candidate as low-Pt cathode catalysts in proton exchange membrane fuel cells（PEMFCs）.However,forming intermetallic structures typically requires high-temperature annealing,posing a challenge for achieving well-size control and highly ordered *** we report the design and synthesis of bimetallic co re@shell structured precursors for affording high-performance intermetallic PtCo *** fabrication of the core@shell precursor involves using a molecular ligand containing both sulfur and oxygen donors to selectively bind with Pt colloidal nanoparticles as the core and chelate Co ions as the *** high-temperature annealing,the ligand transforms into carbon coatings around alloy nanoparticles,preventing particle sintering;meanwhile,Co ions in the shell can easily diffuse into the Pt core,which helps to increase the thermodynamic driving force for forming intermetallic *** benefits enable us to obtain the catalyst with finely dispersed nanoparticles（～3.5 nm）and a high ordering degree of 72%.With 0.1 mgPt/cm2cathode loading,the catalyst delivers superior performance and durability in PEMFCs,showing an initial mass activity of 0.56 A/mgPt,an initial power density of 1.05 W/cm2at 0.67 V（H2-air）,and a voltage loss of 26 mV at 0.8 A/cm2after the accelerated durability test.

关键词： Bimetallic structure Fuel cells Intermetallic PtCo Oxygen reduction reaction