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Robot-assisted trans-gastric drainage and debridement of walled-off pancreatic necrosis using the EndoWrist stapler for the da Vinci Xi:A case report

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World Journal of Clinical Cases 2019年第12期7卷 1461-1466页

作者： Luca Morelli Niccolò Furbetta Desirée Gianardi Matteo Palmeri Gregorio Di Franco Matteo Bianchini Gianni Stefanini Simone Guadagni Giulio Di Candio General Surgery Unit Department of Translational Research and New Technologies in Medicine and Surgery University of Pisa Pisa 56124 Italy EndoCAS (Center for Computer Assisted Surgery) University of Pisa Pisa 56124 Italy

BACKGROUND Walled-off pancreatic necrosis (WOPN) is a late complication of acute pancreatitis. The management of a WOPN depends on its location and on patient's symptoms. Trans-gastric drainage and debridement of WOPN represents an important surgical treatment option for selected patients. The da Vinci surgical System has been developed to allow an easy, minimally invasive and fast surgery, also in challenging abdominal procedures. We present here a case of a WOPN treated with a robotic trans-gastric drainage using the da Vinci Xi. CASE SUMMARY A 63-year-old man with an episode of acute necrotizing pancreatitis was referred to our center. Six wk after the acute episode the patient developed a walled massive fluid collection, with an extensive pancreatic necrosis, causing obstruction of the gastrointestinal tract. The patient underwent a robotic transgastric drainage and debridement of the WOPN performed with the da Vinci Xi platform. Firstly, an anterior ideal gastrotomy was carried out, guided by intraoperative ultrasound (US)-scan using the TilePro? function. Then, through the gastrotomy, the best location for drainage on the posterior gastric wall was again US-guided identified. The anastomosis between the posterior gastric wall and the walled-off necrosis wall was carried out with the new EndoWrist stapler with vascular cartridge. Debridement and washing of the cavity through the anastomosis were performed. Finally, the anterior gastrotomy was closed and the cholecystectomy was performed. The postoperative course was uneventful and a post-operative computed tomography-scan showed the collapse of the fluid collection. CONCLUSION In selected cases of WOPN the da Vinci Surgical System can be safely used as a valid surgical treatment option.

关键词： Case report da Vinci Xi EndoWrist stapler Walled-off pancreatic necrosis TilePro Minimally-invasive surgery

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Plasma pharmacological study on da Huang Zhe Chong capsule on platelet aggregation of normal person

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Journal of Central South University of Technology 2005年第Z1期12卷 326-330页

作者： WANG Dong-sheng CHEN Fang-ping XIAO Chang-jiang HE Shi-lin FU Bin LI Xin CAO Xing-yu CHEN Yan XIE Qin-zhi Department of Traditional Chinese Medicine Xiangya Hospital Central South University Changsha 410008 China Department of Traditional Chinese Medicine Xiangya Hospital Central South University Changsha 410008 China Department of Traditional Chinese Medicine Xiangya Hospital Central South University Changsha 410008 China Department of Traditional Chinese Medicine Xiangya Hospital Central South University Changsha 410008 China Department of Traditional Chinese Medicine Xiangya Hospital Central South University Changsha 410008 China Department of Traditional Chinese Medicine Xiangya Hospital Central South University Changsha 410008 China Department of Traditional Chinese Medicine Xiangya Hospital Central South University Changsha 410008 China Department of Traditional Chinese Medicine Xiangya Hospital Central South University Changsha 410008 China Department of Traditional Chinese Medicine Xiangya Hospital Central South University Changsha 410008 China

Objective To develop a plasma pharmacological method evaluates the effect of da Huang Zhe Chong capsule on platelet aggregation and its mechanism, which is a representative Traditional Chinese Medicine Patent Prescription Promoting blood circulation by removing blood stasis. Methods Platelets specimens from healthy volunteers made serum and plasma with medicine, while platelet PRP were separated, which were divided into 8groups,i.e. auto-serum, allo-serum, serum with da Huang Zhe Chong capsule , serum with aspirin, auto-plasma, plasma with da Huang Zhe Chong capsule, plasma with aspirin, every group added to serum and plasma to hatch. After ADP and adrenalin were added into the specimens and hatched, the effects of specimens on platelet aggregation were observed. Results After ADP adrenalin were added, all the serum groups did not present platelet aggregation,while all the plasma group presented platelet aggregation. P1, P5, Pmax, t and TM have no significant difference (P＞0. 05) between auto-plasma group and allo-plasma group induced by ADP and adrenalin. P1, P5, t and Pmax have significant differences (P＜0. 01) and TM decreased significantly (P＜0. 05) comparing plasma group with da Huang Zhe Chong capsule and plasma group of aspirin to allo-plasma group. P1, t and Pmax have significant difference (P＜0.05), and P5 and TM are simulate comparing plasma group with da Huang Zhe Chong capsule to plasma group of aspirin. P1, P5, t and Pmax have significant differences (P＜0. 01), P1, TM have also significant(P＜0. 05), comparing plasma group of da Huang Zhe Chong capsule with plasma of aspirin to allo-plasma group induced by adrenalin. P1 ,P5 and Pmax have significant differences (P＜0.05), and t and Pmax are simulate comparing plasma group with da Huang Zhe Chong capsule with plasma group of aspirin. Conclusion The serum pharmacological study is inappropriate to study platelet aggregation in vitro. The plasma pharmacological study is inappropriate to study platelet aggrega

关键词： da Huang Zhe Chong capsule plasma pharmacology platelet aggregation

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THE STRUCTURES OF YIYELIANGWANOSIDE Ⅶ AND Ⅷ FROM THE BARK OF NOTHOPANAX da VIDII(FRANCH)HARMS

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Chinese Chemical Letters 1993年第2期4卷 133-136页

作者： Shi Shan YU De Quan YU Xiao Tian LIANG Institute of Materia Medica,Chinese Academy of Medical Sciences,Beijing,China,100050

Twonew oleanane type saponins wereisolated from the alcoholic extract of the bark of Nothopanax davidii(Franch)Harms(Araliaceae).Their structures have been determined on th e basis of spectral and chemical data as 3-O-β-(2',4'-O-diacetyl)-D-xylopyranosyl-3β-hydroxyolean-12-ene- 28,29-dioic acid-28-O-[α-L-rhamnopyranosyl(1-4)-β-D-glucopyranosyl(1-6)-β-D-glucopyranosyl] ester(1),named yiyeliangwanoside Ⅷ;3-O-β-(3'-O-acetyl)-D-xylopyranosyl-3β-hydroxyolean-12- ene-28,29-dioic acid-28-O-[O-L-rhamnopyranosyl(1-4)-β-D-glucopyranosyl(1-6)-β-D- glucopyranosyl] ester(Ⅱ),named yiyeliangwanoside Ⅷ.

关键词： FROM THE BARK OF NOTHOPANAX da VIDII THE STRUCTURES OF YIYELIANGWANOSIDE AND GIC FAB da

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开闭所da的分布式设计

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电网技术 2004年第2期28卷 68-70页

作者：张鹰周敬嵩曹建伟湖州电力局浙江省湖州市313000

对城市开闭所配电自动化(da)的分布式设计进行了详细介绍,归纳了主要设计原则,并就关键问题进行了探讨。通过与集中组屏式设计相比,指出采用分布式设计实现开闭所的配电自动化将成为配电自动化技术发展的方向。

关键词：配电自动化系统配电网 da 分布式设计电力系统城市开闭所

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(da)/（dN）与K1间关系的探讨

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金属学报 1978年第2期14卷 111-117页

作者：陈篪北京钢铁研究院

本文证明我们所建议的关系: （da/dN）-C[（△K）2-K22/K12-（△K）2]p能够很好地表达R=(Kmin/Kmax)=常数时（da/dN）随△K的全部变化,其中P值在1左右,C约在3×10-3—10-2毫米/周之间。

关键词： da K1 dN

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Modulation by desensitized nicotinic receptors on metabolism of da in striatum derived from the hemiparkinsonian model

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中国应用生理学杂志 2016年第6期32卷 487-493页

作者： Fu-rong HAN Hai WANG Department of Pharmacy Beijing Tongren HospitalCapital Medicine University Cardiovascular Drug Research Center Academy of Military Medical Sciences Cardiovascular Drug Research Center Thadweik Academy of Medicine

Objective: The purpose of this study was to investigate the effects of desensitized nicotinic receptors(n ACh Rs) on striatal dopaminergic system in the hemiparkinsonian rats treated with 6-hydroxydopamine(6-OHda). Methods: We examined the effects of desensitized n ACh Rs on the levels of dopamine(da) and its metabolites, m RNA expression of dopamine receptor D1,D2 and monoamine oxidase B(MAO-B) in the striatum of 6-OHda-lesioned rats using high-performance liquid chromatography and reverse transcription-polymerase chain reaction. Results: The results showed that n ACh Rs desensitization following repeated nicotine stimulation could reverse significantly the decrease of striatal da and its metabolites levels and the increase in da turnover in lesioned side striatum of hemiparkinsonian rats. Dopamine D1 receptor m RNA expression increased significantly, whereas dopamine D2 receptor m RNA expression remained unchanged in lesioned side striatum of nicotine-treated rats compared to 6-OHda-lesioned rats when n ACh Rs were desensitized. Meanwhile, nicotine-treated rats displayed a significant decrease in MAO-B m RNA expression in lesioned side striatum compared to 6-OHda-lesioned rats after n ACh Rs desensitization. Conclusion: These results suggest that n ACh Rs desensitization could promote da level, upregulate dopamine D1 receptor expression and downregulate MAO-B expression in striatum of hemiparkinsonian rats.

关键词：烟碱受体帕金森病代谢产物纹状体 da 多巴胺D2受体模型逆转录聚合酶链反应

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Expression and correlation of 5-HT, da, IL-6, and TNF-α in rats with CIA and depression

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TMR Pharmacology Research 2021年第3期1卷 22-28页

作者： Nuerxiati·Tabushi Cong shan Meng Yan Nadire·Kaheman Luo li The First Affiliated Hospital of Xinjiang Medical University UrumchiXinjiang830011 Xinjiang Medical University UrumchiXinjiang830011

Background:Tomeasure the expression and correlation of 5-HT(5-hydroxytryptamine),da(Dopamine),IL-6,and TNF-αin the brain tissue and serum of rats in a model of collagen-induced arthritis(CIA)with depression,and to explore the pathogenesis of rheumatoid arthritis with ***:After one week ofnormal feeding,80 Wistar rats were randomly divided into 4 groups of 20 rats each including a blank group,CIA group,depression group,and a model *** modeling,the rats were subjected to sucrose consumption,tail suspension experiments for behavioral measurements,synovial tissue pathology,and enzyme-linked immunosorbent assay to measure the levels of 5-HT,da,IL-6,and TNF-αin the brain tissue and ***:①Comparison of 5-HT and da levels:Compared with the blank group,the levels of 5-HT and da in the brain were lower in the model group,depression group,and CIA *** levels of 5-HT in the model group were significantly lower compared with those in the depression and CIA group(Pda and 5-HT in serum were significantly lower in the depression group comparedwith the blank group,model group,and CIA group,and were significantly lower in the model group compared with the CIA group(P<0.05).②Comparison of IL-6 and TNF-αlevels:Compared with the blank group,IL-6 and TNF-αexpression in the brain of the model group,depression group,and CIA group were significantly increased,whereas IL-6 levels were increased in the model group compared with the CIA ***-αwas significantly increased in the model group compared with the depression and CIA group.(P<0.05).Compared with the blank group,the serum levels of IL-6 and TNF-αwere significantly increased in the model group,depression grop,and CIA group,whereas IL-6 and TNF-αlevels were significantly increased in the model group compared with the CIA group(P<0.05).③Correlation analysis:IL-6 in the blood exhibited a positive correlation with ***-αin the blood had a negative correlation with 5-HT in the b

关键词： rheumatoid arthritis depression 5-HT da IL-6 TNF-α

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力竭运动及恢复期大鼠纹状体5-HT、da及其代谢物浓度的动态变化研究

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中国应用生理学杂志 2011年第4期27卷 432-436页

作者：杨东升刘晓莉乔德才北京师范大学体育与运动学院北京100875 浙江工业大学体育科学研究所杭州310014

目的:观察一次性力竭运动过程及恢复期大鼠纹状体细胞外液中多巴胺(da)和5-羟色胺(5-HT)及其代谢物浓度的动态变化规律。方法:采用活体微透析结合毛细管电泳-激光诱导技术,连续观察清醒大鼠在一次性力竭运动过程及恢复期纹状体细胞外液... 详细信息

目的:观察一次性力竭运动过程及恢复期大鼠纹状体细胞外液中多巴胺(da)和5-羟色胺(5-HT)及其代谢物浓度的动态变化规律。方法:采用活体微透析结合毛细管电泳-激光诱导技术,连续观察清醒大鼠在一次性力竭运动过程及恢复期纹状体细胞外液中酪氨酸(Tyr)、5-HT、5-羟吲哚乙酸(5-HIAA)、色氨酸(Trp)和da浓度的动态变化。结果:大鼠纹状体细胞外液中Trp、5-HT、5-HIAA水平运动初期均未见显著变化(P>0.05),运动后期、力竭及恢复期均显著高于安静水平(Pda、Tyr水平在运动后期、力竭及恢复期显著高于安静水平(Pda/5-HT运动初期显著升高(Pda和5-HT的动态变化具有阶段性特征,运动疲劳过程中状体内da和5-HT两种神经递质的代谢水平均显著增强,而其中以5-HT的作用占优。

关键词：力竭运动大鼠纹状体 da 5-HT 清醒动物

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The Interventions of Pietro da Cortona in the Crypt of Santa Maria in Via Lata in Rome, Studied through a Morphometric Three-Dimensional Survey

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Open Journal of Civil Engineering 2014年第2期4卷 92-101页

作者： Lorenzo Pio Massimo Martino Dipartimento Patrimonio Architettonico Urbanistico Università degli Studi “Mediterranea” di Reggio Calabria Via Salita Melissari Feo di Vito Reggio Calabria Italy

Twenty years after the last archaeological researches and surveys, a new investigation has been carried out on the basement in the church of Santa Maria in Via Lata in Rome. The study has employed three-dimensional surveys with laser scanning methodology and has focused both on archaeological and architectural issues. Indeed, the present layout of the basement derives from a XVII century remodelling of early Christian and medieval spaces planned by Pietro da Cortona. The architect gave a unique setting and composition to the underground spaces, different in shapes and building materials, thanks to the refinement of his baroque language. Though he worked in small spaces with static problems connected to the foundations and to the loads of the church rising above, and with poor lighting and extreme dampness, Pietro da Cortona put skilfully together “modern” elements with ancient or historical pre-existences. The study focuses on Berrettini’s design process through a three-dimensional analysis with CAD systems, starting from the new XVII century fa?ade and from the articulated distribution of routes that led to the intimate underground interiors. Metrical processing gave the possibility to improve the knowledge about room geometry and to confirm the interpretations put forward by major scholars such as Krautheimer and Cavazzi.

关键词： Laser Scanner 3D Pietro da Cortona History of Architecture Santa Maria in Via Lata Rome

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DETECTION OF FOREST FIRE IN da HINGGAN LING REGION BY METEOROLOGICAL SATELLITE

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Acta meteorologica Sinica 1989年第4期3卷 562-568页

作者：章基嘉张青山赁常恭刘诚董超华 State Meteorological Administration Beijing Satellite Meteorology Center State Meteorological AdministrationBeijing

From May 6 to June 2,1987,a huge forest fire broke out and raged for 28 days in da Hinggan Ling region in far Northeast China,causing heavy loss of life and property,which claims the biggest forest fire disaster in Chinese *** fire drew attention of the whole of China and was also concerned by many other *** were the meteorological satellites used in the detection of the forest fire?This paper elaborates the principles and methods of the fire detection using meteorological satellites,so that to sum up the experience and to increase the ability of forest fire detection.

关键词： DETECTION OF FOREST FIRE IN da HINGGAN LING REGION BY METEOROLOGICAL SATELLITE than high da

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