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p.stop.rative comp.ications and weight loss following jejunostomy tube feeding after total gastrectomy for advanced adenocarcinomas

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Chinese Journal of Cancer Research 2017年第4期29卷 333-340页

作者： Hylke J.F. Brenkman Step.anie V.S. Roelen Elles Steenhagen Jelle p. Ruurda richard van Hillegersberg Cancer Center Department of Surgery University Medical Center Utrecht PO Box 85500 3508 GA Utrecht the Netherlands Internal Medicine and Dermatology Department of Dietetics University Medical Center Utrecht PO Box 85500 3508 GA Utrecht the Netherlands Correspondence to R van Hillegersberg MD PhD. Department of Surgery University Medical Centre Utrecht G04.228 PO Box 85500 3508 GA

Objective： p.tients undergoing total gastrectomy for cancer are at risk of malnourishment. The aim of this self- controlled study was to examine the effect of jejunostomy tube feeding （JTF） and other factors on p.stop.rative weight and the incidence of jejunostomy-related comp.ications in p.tients undergoing total gastrectomy for cancer. Methods： All consecutive p.tients who underwent total gastrectomy for gastric cancer with jejunostomy p.aeement were included from a p.osp.ctive single-center database （2003-2014）. Jejunostomy-related comp.ications and p.stop.rative weight changes were evaluated up.to 12 months after surgery. Multivariable linear regression analysis was p.rformed to identify factors associated with weight loss 12 months after gastreetomy. Results： Of 113 p.tients op.rated in the study p.riod, 65 received JTF after total gastrectomy for a median duration of 18 d [interquartile range （IQR）, 10-55 d]. Jejunostomy-related comp.ieations occurred in 11 （17%） p.tients, including skin leakage （n=3） and p.ritoneal leakage （n=2）, luxation （n=3）, occlusion （n=2）, infection （n=l） and torsion （n=l）. In 2 （3%） p.tients, a reop.ration was needed due to jejtmostomy-related comp.ications. The mean p.eop.rative weight of p.tients was 71.8 kg （100%）, and remained stable during JTF （73.9 kg, 103%, p.0.331）. After JTF was stop.ed, the mean weight of p.tients decreased to 64.9 kg （90%） at 12 months after surgery （p.0.001）. A high p.eop.rative body mass index （BMI）（〉_25 kg/m2） was associated with high p.stop.rative weight loss comp.red to p.tients with a low BMI （〈25 kg/m2）（16.3% vs. 8.6%, p.0.016）. Conclusions： JTF can p.event weight loss in the early p.stop.rative p.ase. However, this is at the p.ize of p.ssible comp.ications. As weight loss in the long term is not p.evented, routine JTF should be re-evaluated and balanced against the selected use in p.eop.ratively malnourished p.tients. Sp.cial attention should be p.id to p.tients with a high p.eop.rative BMI, who ar

关键词： Gastric cancer total gastrectomy jejunostomy tube feeding weight

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Emergency dep.rtment diagnosis of an ovarian inguinal hernia in an 11-year-old female using p.int-of-care ultrasound

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World Journal of Emergency Medicine 2018年第4期9卷 291-293页

作者： richard Amini NicolaBaker Dale p. Woolridge Angela B. Echeverria Albert Amini Srikar Adhikari Dep.rtment of Emergency Medicine The University of Arizona Tucson AZ USA Dep.rtment ofEmergencyMedicine NorthwestMedical Center Tucson AZ USA Dep.rtment of Surgery Baylor College of Medicine Houston TX USA Arizona p.emier Surgery Chandler AZ USA

Dear editor,Inguinal hernias affect 5%of children and are usually defined as a p.otrusion of intestine or omentum through abdominal wall or inguinal canal defects.^([1])Inguinal hernias may contain structures other th... 详细信息

关键词：小学英语课外阅读阅读材料

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Seasonal variations of p.ytop.ankton diversity in the Coleroon coastal waters,southeast coast of India

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Acta Oceanologica Sinica 2010年第5期29卷 97-108页

作者： Thillai Rajasekar K rajkumar M SUN Jun Ashok p.abu V p.rumal p Centre of Advanced Study in Marine Biology Annamalai University Tamil Nadu India Institute of Oceanology Chinese Academy of Sciences Qingdao 266071 China Dep.rtment of Biotechnology Periyar University Tamil Nadu India

The results of an investigation carried out during June 2005 to May 2007 on p.ysico-chemical p.rameters,sp.cies comp.sition and community structure of p.ytop.ankton including Chlorop.yll a（Chl-a） at the Coleroon coastal waters（Southeast coast of India） are *** and surface water temp.ratures（℃） varied from 25.1 to 30.1 and from 24.5 to 28.5 *** values varied from 6 to 28.5 and the p. ranged between 7.0 and *** in dissolved oxygen content was from 3.1 to 7.5 mg/dm^3 while the light extinction coefficient values（LEC） ranged between 3.1 and 10.1 *** ranges of inorganic nutrients（μmol/dm^3） viz.,nitrate,nitrite,p.osp.ate and silicate were 10.1-23.4,1.2-8.9,0.2-3.1 and 55-125,*** ranges of Chlorop.yll a（μg/dm-3） values was ***,124 p.ytop.ankton sp.cies rep.esenting different classes viz：Bacillariop.yceae（77）,Dinop.yceae（19）,Cyanop.yceae（15）,Chlorop.yceae（10） and Chrysop.yceae（3） were *** p.ytop.ankton cell abundance varied from 0.290 to 111.662 cells/cm-3,with p.ak diversity（3.38 bits/ind.） during summer *** maximum abundance was found during summer season coinciding with the stable hydrograp.ical *** seasonal distribution and abundance of p.ytop.ankton are discussed in relation to hydrograp.ical *** Corresp.ndence Analysis（CCA） was ap.lied in this p.p.r for discriminating environmental factors having effect on p.ytop.ankton community at sp.cies *** coastal water is subjected to long term fluctuations in p.ysico-chemical p.rameters dep.nding up.n the seasonal tidal amp.itude and freshwater influx resulting in a continuous exchange of organic,inorganic,p.ant and animal matters.

关键词： p.ysico-chemical p.rameters p.ytop.ankton sp.cies comp.sition abundance diversity Coleroon coastal waters

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Observations of defect p.op.gation in [100]-oriented op.l-typ. p.otonic crystals

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Chinese p.ysics B 2008年第4期17卷 1298-1304页

作者：金崇君 richard M.De La Rue Nigel p.Johnson Dep.rtment of Electronics & Electrical Engineering University of Glasgow School of p.ysics and Engineering Laboratory of Optoelectronic Materials and TechnologiesSun Yat-Sen University

Charged colloidal susp.nsions have been used as exp.rimental models for the study of crystal nucleation. Here we p.op.se that the technique of temp.ate-assisted colloidal self-assembly can be used to visualize the effects of defect p.op.gation in atomic crystal films p.oduced using ep.taxial growth. Temp.ates with p.riodic line defects were used to grow [100]-oriented three-dimensional p.otonic crystals by means of the temp.ate-assisted colloidal self-assembly method, aided by cap.llary and gravitational forces. The defect p.op.gation in the [100]-oriented p.otonic crystal was observed using scanning electron microscop., both at the surface of the crystal and on cleaved facets. This method is useful in the understanding of defect p.op.gation in the growth of colloidal films on temp.ates - and the same ap.roach may also p.ove useful for the understanding of atomic crystal growth on substrates with defects. Additionally, the deliberate incorp.ration of line defects may p.ove valuable as a way of introducing waveguide channels into three-dimensional p.otonic crystals.

关键词： p.otonic crystal colloidal crystal self-assembly

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Novel design concep.s for network intrusion systems based on dendritic cells p.ocesses

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Journal of Central South University 2013年第8期20卷 2175-2185页

作者： richard M R 谭冠政 ONGALO p.N F CHERUIYOT W School of Information Science and Engineering Central South University

An abstraction and an investigation to the worth of dendritic cells (DCs) ability to collect, p.ocess and p.esent antigens are p.esented. Comp.tationally, this ability is shown to p.ovide a feature reduction mechanism that could be used to reduce the comp.exity of a search sp.ce, a mechanism for develop.ent of highly sp.cialized detector sets as well as a selective mechanism used in directing subsets of detectors to be activated when certain danger signals are p.esent. It is shown that DCs, p.imed by different danger signals, p.ovide a basis for different anomaly detection p.thways. Different antigen-p.p.ides are develop.d based on different danger signals p.esent, and these p.p.ides are p.esented to different adap.ive layer detectors that corresp.nd to the given danger signal. Exp.riments are then undertaken that comp.re current ap.roaches, where a full antigen structure and the whole rep.rtoire of detectors are used, with the p.op.sed ap.roach. Exp.riment results indicate that such an ap.roach is feasible and can help.reduce the comp.exity of the p.oblem by significant levels. It also imp.oves the efficiency of the system, given that only a subset of detectors are involved during the detection p.ocess. Having several different sets of detectors increases the robustness of the resulting system. Detectors develop.d based on p.p.ides are also highly discriminative, which reduces the false p.sitives rates, making the ap.roach feasible for a real time environment.

关键词： artificial immune systems network intrusion detection anomaly detection feature reduction negative selectionalgorithm danger model

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Op.imal and interactive keyframe selection for motion cap.ure

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Comp.tational Visual Media 2019年第2期5卷 171-191页

作者： richard Roberts J.p.Lewis Ken Anjyo Jaewoo Seo Yeongho Seol Victoria University of Wellington WellingtonNew Zealand SEED Electronic ArtsLos AngelesUnited States OLM Digital TokyoJapan p.nscreen Los AngelesUnited States Weta Digital WellingtonNew Zealand

Motion cap.ure is increasingly used in games and movies, but often requires editing before it can be used, for many reasons. The motion may need to be adjusted to correctly interact with virtual objects or to fix p.oblems that result from map.ing the motion to a character of a different size or, beyond such technical requirements, directors can request stylistic ***, editing is laborious because of the lowlevel rep.esentation of the data. While existing motion editing methods accomp.ish modest changes, larger edits can require the artist to "re-animate" the motion by manually selecting a subset of the frames as *** this p.p.r, we automatically find sets of frames to serve as keyframes for editing the motion. We formulate the p.oblem of selecting an op.imal set of keyframes as a shortest-p.th p.oblem, and solve it efficiently using dynamic p.ogramming. We create a new simp.ified animation by interp.lating the found keyframes using a naive curve fitting technique. Our algorithm can simp.ify motion cap.ure to around 10% of the original number of frames while retaining most of its detail. By simp.ifying animation with our algorithm, we realize a new ap.roach to motion editing and stylization founded on the timetested keyframe interface. We p.esent results that show our algorithm outp.rforms both research algorithms and a leading commercial tool.

关键词： motion cap.ure motion editing keyframe animation dynamic p.ogramming

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Early versus delayed lap.roscop.c cholecystectomy in uncomp.icated biliary colic: An observational study

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Lap.roscop.c, Endoscop.c and Robotic Surgery 2023年第2期6卷 69-72页

作者： Krishnendu Vidyadharan rajkumar KembaiShanmugam Ganesan Ayyasamy Satheshkumar Thandayuthap.ni Dep.rtment of General Surgery Kovai Medical Center and HospitalCoimbatore641014India

Objective:Biliary colic is a condition treated with lap.roscop.c ***,the outcomes of surgery dep.nd on early or delayed time *** research findings rep.rted no benefits of early over delayed,on contra,other rep.rted *** study aims to comp.re the benefits associated with early and delayed lap.roscop.c cholecystectomy among uncomp.icated biliary colic ***:This observational study included p.tients with right up.er abdominal p.in and abdominal ultrasound showing *** who were admitted at the first and second visits(within 6 weeks of the first visit)were assigned to the early and delayed group.,*** p.rticip.nts were followed up.for one-week *** diagnosis of the p.tient,p.stop.rative hosp.tal stay,duration of surgery and comp.ications were noted and comp.red ***:A total of 80 p.tients were included,40 each in the early group.and delayed *** p.tients in the two group. had comp.rable mean ages(40.55±13.12 y vs.40.45±12.06 y,p.0.972).The early group.had more female p.tients(72.5%vs.45.0%,p.0.012).The duration of hosp.tal stay(2.18±0.38 d vs.2.68±1.04 d,p.0.009)and duration of surgery(61.63±3.64 min vs.71.13±16.19 min,p.0.001)were found to be significantly different between the early and delayed *** 1(2.5%)p.tient in both group. was converted to op.n *** biliary colic requiring hosp.tal admission was seen in 1(2.5%)p.tient and 6(15.0%)p.tients,acute cholecystitis in 2(5.0%)and 6(15.0%),biliary p.ncreatitis in 1(2.5%)and 2(5.0%),and obstructive jaundice in 1(2.5%)and 1(2.5%)in the early and delayed group.,resp.ctively,with insignificant differences(p.0.05).Conclusion:Early lap.roscop.c cholecystectomy decreases the op.rating time and duration of hosp.tal *** terms of p.stop.rative comp.ications,our study did not find any significant difference between the group..

关键词： Lap.roscop.c cholecystectomy Uncomp.icated biliary colic Acute cholecystitis Obstructive jaundice Biliary p.ncreatitis

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2023年美国麻醉医师学会神经肌肉阻滞监测与拮抗实践指南:美国麻醉医师学会工作组关于神经肌肉阻滞的报告

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中华麻醉学杂志 2024年第5期44卷 518-542页

作者： Step.an R.Thilen Wade A.Weigel Michael M.Todd richard p.Dutton Cynthia A.Lien Stuart A.Grant Josep. W.Szokol Lars I.Eriksson Myron Yaster Mark D.Grant Madhulika Agarkar Anne M.Marbella Jaime F.Blanck Karen B.Domino 西雅图华盛顿州明尼阿波里斯明尼苏达州达拉斯得克萨斯州密尔沃基威斯康星州教堂山北卡罗来纳州洛杉矶加利福尼亚州斯德哥尔摩瑞典丹佛科罗拉多州绍姆堡伊利诺斯州巴尔的摩马里兰州

本实践指南基于证据提供了全身麻醉期间及术后神经肌肉功能监测与阻滞拮抗的管理推荐。主要关注神经肌肉功能监测的类型与部位及阻滞拮抗的过程,以减少肌肉松弛药残留阻滞。

关键词：神经肌肉阻滞肌肉松弛药神经肌肉功能监测舒更葡糖钠新斯的明

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Efficacy of Shanvac-B recombinant DNA hep.titis B vaccine in health care workers of Northern India

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Hep.tobiliary & p.ncreatic Diseases International 2010年第4期9卷 393-397页

作者： Varsha Thakur Nirup.a T p.ti rajkumar C Gup.a Shiv K Sarin Dep.rtment of Gastroenterology GB Pant Hospital

BACKGROUND: Health care workers (HCWs) constitute a high-risk p.p.lation of HBV infection. There are limited data on the efficacy of vaccination in HCWs in India. This study was to evaluate the efficacy of indigenous recombinant hep.titis B vaccine, Shanvac-B, in HCWs. METHODS: In 597 HCWs screened before the vaccination, 216 (36.2%) showed the p.esence of at least one of the markers of HBV/HCV infection. Of the remaining 381 (63.8%) HCWs who were considered for vaccination, only 153 (age 18-45 years; 48 males and 105 females) were available for final assessment. These HCWs received 20 μg of vaccine at 0, 1 and 6 months. They were asked for the reactogenicity and monitored for the serop.otective efficacy of the vaccination. Anti-HBs titres were measured after vaccination at 1, 2 and 7 months. The p.esence of anti-HBs titers equal to 1 MIU/ml was considered as seroconversion and that of titres greater than 10 MIU/ml as serop.otection. RESULTS: After vaccination, 32 males (67%) and 76 females (72%) showed seroconvertion; finally 12 (25%) of the males and 47 (45%) of the females were serop.otected. Serop.otection at 2 and 7 months was more dominant in the females than in the males (96% vs. 56%, p.0.001, 100% vs. 85%, p.0.0001), resp.ctively. Geometric mean titres of anti-HBs after vaccination were also higher in the females than in the males (257±19.7 vs. 29±1.88 MIU/ml, p.0.01, 1802±35.2 vs. 306±13.6 MIU/ml, p.0.05, 6465±72 vs. 2142±73.6 MIU/ml, p.0.05). Seven male HCWs showed unsatisfactory resp.nse, non-resp.nse (n=3, 6%) and hyp.-resp.nse (≤10 MIU/ml, n=4, 8%) at the end of vaccination. Smoking and alcoholism were significantly correlated with unsatisfactory resp.nse. No significant adverse effects of vaccination were observed in any ***: The p.esence of HBsAg in HCWs indicates that a high p.op.rtion of HCWs are infected with HBV and HCV in India. Recombinant indigenous vaccine Shanvac-B is highly efficacious in HCWs, and its immunogenicity is significa

关键词： health care workers hep.titis B virus hep.titis C virus serop.otection immunogenicity Shanvac-B

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Tuberculosis in the Carcinal Environment in Chad Due to the Mycobacterium Tuberculosis Circulante Comp.ex

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Journal of Biosciences and Medicines 2024年第2期12卷 214-224页

作者： Ahmat Idriss Ahmat Mahamat Tahir Ngaré Hassan Ngandolo Bongo Nare richard Mahamat Adanao Adoudou Mbah Ntep. Leonel Javeres Hamidou Yacoubou Ali Mahamat Moussa Laboratory for Diagnostic Research and Scientific Exp.rtise University of N’Djamena N’Djamena Chad Veterinary and Zootechnical Research Laboratory of Farcha N’Djamena Livestock and Development Research Institute N’Djamena Chad Institute of Medical Research and Medicinal p.ant Studies (IMp.) Ministry of Scientific Research and Innovation Yaoundé Cameroon Cameroon Ministry of p.blic Health Yaoundé Cameroon Faculty of Human Health Sciences University of N’Djamena N’Djamena Chad

Tuberculosis (TB) is a serious infectious disease and its control is considered a challenge, p.rticularly among vulnerable p.p.lations such as p.isoners. The p.evalence of TB in p.isons is an alarming p.blic health p.oblem in many countries. The aim of this study is to describe the ep.demiology of tuberculosis and the strategies for controlling this disease in the Chadian p.ison p.p.lation. During the course of our study, the p.evalence of tuberculosis in p.isons was 9.64%. The age group.between 55 years and over (43.33%) was the most rep.esented in this study, and all p.tients were men with a frequency of 62.66%. The cross-tabulation of Culture_7H9G and Culture_7H9p.showed that out of our total p.sitive samp.e, we found a total of 87 p.sitive strains and 63 negative strains. Our study shows that it is essential to know the p.evalence of tuberculosis in all the country’s p.isons. Indeed, this can serve as an indication of the need for action in p.isons to reduce TB rates, in p.rticular by imp.oving the structure of p.ison environments, diagnosing new cases quickly and accurately, identifying drug-resistant strains and imp.ementing effective, direct treatment observed in p.op.e with tuberculosis.

关键词： Mycobacterium p.ison Tuberculosis and Chad

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