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| 1 | The Chinese Society of Clinical Oncology(CSCO):Clinical guidelines for the diagnosis and treatment of gastric cancer,2021显示文摘There exist differences in the epidemiological characteristics,clinicopathological features,tumor biological characteristics,treatment patterns,and drug selections between gastric cancer patients from the Eastern and Western countries.The Chinese Society of Clinical Oncology(CSCO)has organized a panel of senior experts specializing in all sub-specialties of gastric cancer to compile a clinical guideline for the diagnosis and treatment of gastric cancer since 2016 and renews it annually.Taking into account regional differences,giving full consideration to the accessibility of diagnosis and treatment resources,these experts have conducted expert consensus judgment on relevant evidence and made various grades of recommendations for the clinical diagnosis and treatment of gastric cancer to reflect the value of cancer treatment and meeting health economic indexes in China.The 2021 CSCO Clinical Practice Guidelines for Gastric Cancer covers the diagnosis,treatment,follow-up,and screening of gastric cancer.Based on the 2020 version of the CSCO Chinese Gastric Cancer guidelines,this updated guideline integrates the results ofmajor clinical studies from China and overseas for the past year,focused on the inclusion of research data from the Chinese population for more personalized and clinically relevant recommendations.For the comprehensive treatment of non-metastatic gastric cancer,attentions were paid to neoadjuvant treatment.The value of perioperative chemotherapy is gradually becoming clearer and its recommendation level has been updated.For the comprehensive treatment of metastatic gastric cancer,recommendations for immunotherapy were included,and immune checkpoint inhibitors fromthird-line to the first-line of treatment for different patient groups with detailed notes are provided. | Feng-Hua Wang Xiao-Tian Zhang Yuan-Fang Li Lei Tang Xiu-Juan Qu Jie-Er Ying Jun Zhang Ling-Yu Sun Rong-Bo Lin Hong Qiu Chang Wang Miao-Zhen Qiu Mu-Yan Cai QiWu Hao Liu Wen-Long Guan Ai-Ping Zhou Yu-Jing Zhang Tian-Shu Liu Feng Bi Xiang-Lin Yuan Sheng-Xiang Rao Yan Xin Wei-Qi Sheng Hui-Mian Xu Guo-Xin Li Jia-Fu Ji Zhi-Wei Zhou Han Liang Yan-Qiao Zhang Jing Jin Lin Shen Jin Li Rui-Hua Xu | 2021 | Cancer Communications2021,41,8: | 97 |
| 2 | Exploring the optimal operation time for patients with hypertensive intracerebral hemorrhage: tracking the expression and progress of cell apoptosis of prehematomal brain tissues显示文摘背景高血压的 intracerebral 出血( HICH )是有高病态的严重疾病, mortality.Timely ,通过外科的过程的 hematoma 的移动可以有效地减少第二等的 injuries.However ,长在如此的 surgery.In 的合适的预定上有争论这研究,我们由在 onset.Methods 的不同阶段期间在 perihematomal 大脑区域观察病理学的变化为 HICH 病人探索了最佳的操作时间大脑织物的 25 个标本, | ZHANG Xin-qing ZHANG Zhi-min YIN Xiao-liang ZHANG Kun CAI Hui LING Feng | 2010 | Chinese Medical Journal2010,,10: | 78 |
| 3 | New eolian red clay sequence on the western Chinese Loess Plateau linked to onset of Asian desertification about 25 Ma ago显示文摘The expansion of inland Asia deserts has considerably influenced the environmental, social and economic activities in Asia. Aridification of inland Asia, especially timing of the initiation of Asian desertification, is a contentious topic in paleoclimatology. Late Cenozoic eolian loess-red clay sequences on the Chinese Loess Plateau, which possess abundant paleoclimatic and paleo-environmental information, can be regarded as an indicator of inland Asia desertification. Here we present a detailed magnetostratigraphic investigation of a new red clay sequence about 654 m in Zhuanglang located at the western Chinese Loess Plateau. Sedimentological, geochemical, mineralogical, and quartz morphological lines of evidence show that the red clay is of eolian origin. Magnetostratigraphic correlations indicate that this core sequence spans from 25.6 to 4.8 Ma, and typical eolian red clay appears as early as 25 Ma. This extends the lower limit of the red clay on the Chinese Loess Plateau from the previously thought early Miocene back into the late Oligocene. This new red clay record further implies that the inland Asia desertification was initiated at least by the late Oligocene. This sequence provides a unique high-resolution geological record for understanding the inland Asia desertification process since the late Oligocene. | QIANG XiaoKe AN ZhiSheng SONG YouGui CHANG Hong SUN YouBin LIU WeiGuo AO Hong DONG JiBao FU ChaoFeng WU Feng LU FengYan CAI YanJun ZHOU WeiJian CAO JunJi XU XinWen AI Li | 2011 | Science China Earth Sciences2011,54,1: | 73 |
| 4 | Helicobacter pylori infection and risk of gastric cancer in Changle County,Fujian Province,China显示文摘AIM To evaluate the effects of Helicobacterpylori infection and other environmental factorson the development of gastric cancer.METHODS A population-based case-controlstudy was conducted in Changle County,FujianProvince.The primary gastric cancer cases werehistologically confirmed or diagnosed by surgerybetween,January 1996 and March 1998.Healthycontrols were randomly selected and matched byage,sex,and neighborhood of residence.Atotal of 101 pairs were included in the study.Specially trained interviewers conducted face-to-face interviews with the subjects according toa standardized questionnaire.Helicobacterpylori infections were measured by serum IgGantibody to Helicobacter pylori.ConditionalLogistic Regression analysis was used.RESULTS The presence of IgG antibody toHelicobacter pylori was 63.7% in studysubjects,56.0% in patients with cardiac cancer,and 60.5% in patients with non-cardiac gastriccancer.The risk factors of gastric cancer inChangle County were identified such as loweducational level[OR=3.864;95% confidenceinterval(95% CI)1.604-9.311],lowconsumption of fresh vegetables(OR=4.925;95%Cl 1.356-17.885),high intake of fish sauce(OR=10.587;95% Cl 2.821-39.738),unscheduled meals(OR=4.254;95%Cl 1.445- 12.552),and Helicobacter pylori infection(OR=3.453;95%Cl 0.901-13.224).CONCLUSION Helicobacter pylori infectionmay be important in the etiology of gastriccancer,but major risk factors other thanHelicobacter pylori are responsible for the highgastric morbidity in Changle County. | Lin Cai Shun Zhang Yu Zuo Feng Zhang | 2000 | World Journal of Gastroenterology2000,6,3: | 74 |
| 5 | Spectrum and antimicrobial resistance of common pathogenic bacteria isolated from patients with acute exacerbation of chronic obstructive pulmonary disease in mainland of China显示文摘 | YE Feng HE Li-xian CAI Bo-qiang WEN Fu-qiang CHEN Bai-yi Mangunnegoro Hadiarto CHEN Rong-chang YUAN Jin-ping SUN Hong-li | 2013 | Chinese Medical Journal2013,,12: | 55 |
| 6 | Inhibiting Effects of Achyranthes Bidentata Polysaccharide and Lycium Barbarum Polysaccharide on Nonenzyme Glycation in D-galactose Induced Mouse Aging Model显示文摘To investigate the inhibiting effects and mechanism of achyranthes bidentata polysaccharide (ABP) and lycium barbarum polysaccharide (LBP) on nonenzyme glycation in D-galactose induced mouse aging model. Methods Serum AGE levels were determined by AGE-ELISA, MTT method was used to determine lymphocyte proliferation, IL-2 activity was determined by a bioassay method. Spontaneous motor activity was used to detect mouse's neuromuscular movement, latency of step-through method was used to examine learning and memory abilities of mouse, colormetric assay was used to determine hydroxyproline concentration in mouse skin, pyrogallol autoxidation method was used to determine superoxide dismutase (SOD) activity of erythrocytes. Results Decreased levels of serum AGE, hydroxyproline concentration in mouse skin and spontaneous motor activity in D-galactose mouse aging model were detected after treated with ABP or LBP, while lymphocyte proliferation and IL-2 activity, learning and memory abilities,SOD activity of erythrocytes, were enhanced. Conclusions ABP and LBP could inhibit nonenzyme glycation in D-galactose induced mouse aging model in vivo and ABP has a better inhibiting effect than LBP. | HONG-BIN DENG, DA-PENG CUI, JIAN-MING JIANG, YAN-CHUN FENG,NIAN-SHENG CAI, AND DIAN-DONG LIInstitute of Medicinal Biotechnology, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100050, China | 2003 | Biomedical and Environmental Sciences2003,16,3: | 33 |
| 7 | The willow genome and divergent evolution from poplar after the common genome duplication显示文摘 | Xiaogang Dai Quanjun Hu Qingle Cai Kai Feng Ning Ye Gerald A Tuskan Richard Milne Yingnan Chen Zhibing Wan Zefu Wang Wenchun Luo Kun Wang Dongshi Wan Mingxiu Wang Jun Wang Jianquan Liu Tongming Yin | 2014 | Cell Research2014,24,10: | 28 |
| 8 | Expression of the Grifola frondosa Trehalose Synthase Gene and Improvement of Drought-Tolerance in Sugarcane (Saccharum officinarum L.)显示文摘海藻糖是在生物结构的稳定作为杀虫撒布剂工作并且在有机体提高应力公差到不能生活的压力的葡萄糖的非减少的 disaccharide。我们这里报导 Grifola frondosa 海藻糖 synthase (TSase ) 的表示为在甘蔗(Saccharum officinarum L.) 改进干旱忍耐的基因。transgene 的表示在 CaMVSSS 倡导者的二个双人脚踏车拷贝的控制下面并且由 Agrobacterium tumefaciens EHA105 转了进甘蔗。转基因的植物积累了海藻糖的高水平,直到 8.805-12.863 mg/g 新鲜重量,而它在无法发现的水平 innontransgenic 植物是在场的。转基因的植物与 Escherichia coliTPS (trehalose-6-phosphatesynthase ) 转变了或 TPP (trehalose-6-phosphate 磷酸酶) 严重地被阻碍并且让根,这被报导了词法改变。有趣地,我们的转基因的甘蔗植物没在这块地里有明显的词法变化和没有生长抑制。海藻糖累积 in35S-35S:TSase 植物导致了增加的干旱忍耐,由干旱和干旱显示出生理的索引例如界限浇 / 释放水,质膜渗透, malondialdehyde 内容, and b 满足的叶绿素,和草皮的活动和切除叶子的邮政部门的率。这些结果建议与 TSase 基因转变的转基因的植物能积累海藻糖的高水平并且提高了忍耐到干旱。 | Shu-Zhen Zhang Ben-Peng Yang Cui-Lian Feng Ru-Kai Chen Jing-Ping Luo Wen-Wei cai Fei-Hu Liu | 2006 | Journal of Integrative Plant Biology2006,48,4: | 24 |
| 9 | Hydrogen peroxide-induced changes in intracellular pH of guard cells precede stomatal closure显示文摘Epidermal bioassay demonstrated that benzylamine, a membrane-permeable weak base, can mimick hydrogen peroxide (H2O2) to induce stomatal closure, and butyric acid, a membrane-permeable weak acid, can partly abolish the H2O2-induced stomatal closure. Confocal pH mapping with the probe 5-(and-6)- carboxy seminaphthorhodafluor- 1 - acetoxymethylester (SNARF-1-AM) revealed that H2O2 leads to rapid changes in cytoplasmic and vacuolar pH in guard cells of Viola faba L, i. e. alkalinization of cytoplasmic areas occur red in parallel with a decrease of the vacuolar pH, and that butyric acid pretreatment can abolish alkalinization of cytoplasmic areas and acidification of vacuolar areas of guard cells challenged with H2O2. These results imply that the alkalinization of cytoplasm via efflux of cytosol protons into the vacuole in guard cells challenged with H2O2 is important at an early stage in the signal cascade leading to stomatal closure. | ZHANG XIAO, FA CAI DONG, JUN FENG GAO, CHUN PENG SONG (Department of Biology, Henan University, Kaifeng 475001, China) (College of Life Sciences, Northwest Sci-Tech University of Agriculture and Forestry, Yangling 712100, China) | 2001 | Cell Research2001,11,1: | 24 |
| 10 | Optimization of regularization parameter of inversion in particle sizing using light extinction method显示文摘In particle sizing by light extinction method, the regularization parameter plays an important role in applying regularization to find the solutionto ill-posed inverse problems. We combine the generalized cross-validation (GCV) and L-curve criteria with the Twomey-NNLS algorithmin parameter optimization. Numerical simulation and experimental validation show that the resistance of the newly developed algorithms tomeasurement errors can be improved leading to stable inversion results for unimodal particle size distribution. | Mingxu Su Feng Xu Xiaoshu Cai Kuanfang Ren Jianqi Shen | 2007 | China Particuology2007,5,4: | 22 |
| 11 | Spinal surgeons' learning curve for lumbar microendoscopic discectomy: a prospective study of our first 50 and latest 10 cases显示文摘背景 Microendoscopic discectomy ( MED )是为腰部的圆盘形成疝从外科允许快速的恢复的最低限度地侵略的操作,但是因为大多数外科医生避免它 curve.We 在针的 surgeons'learning curve.Methods 的阶段评估了腰部的 MED 的有效性和安全的长学习,在很少医院里代替了传统的开的外科从2002年6月接待 MED 到2003年2月的五十个病人各被划分成十的按年代先后的组: A-E.The 控制组 F 是十 | RONG Li-min XIE Pei-gen SHI De-hai DONG Jian-wen LIU Bin FENG Feng CAI Dao-zhang | 2008 | Chinese Medical Journal2008,,21: | 23 |
| 12 | Coastal erosion in China under the condition of global climate change and measures for its prevention显示文摘The general characteristics of coastal erosion in China are described in terms of the regional geography, the form of erosion, the causes of erosion, and the challenges we are facing. The paper highlights the relationship between coastal erosion and sea level rises, storm waves and tides, and the influence of global climate changes on coastal erosion along the coastal zone of China. The response of the risk of coastal erosion in China to climate changes has obvious regional diversity. Research into and the forecasting of the effects of climate changes on coastal erosion are systemic work involving the natural environment, social economy, and alongshore engineering projects in the global system. Facing global warming and continual enhancement of coastal erosion, suggestions for basic theoretical study, prevention technology, management system assurance, and strengthening the legal system are presented here. | Feng Cai Xianze Su Jianhui Liu Bing Li Gang Lei | 2009 | Progress in Natural Science:Materials International2009,19,4: | 23 |
| 13 | Hepatic resection: an analysis of the impact of operative and perioperative factors on morbidity and mortality rates in 2008 consecutive hepatectomy cases显示文摘背景 Hepatectomy 是一种标准肝的外科的技术。hepatectomy 的安全在外科的技术与改进一致被改进了。分析的这研究起作用并且与 hepatectomy.Methods 联系的 pedoperative 因素经历了在 1986 年 1 月和 2005 年 12 月之间的连续 hepatectomies 的 2008 个病人的一个总数回顾地被调查。诊断基于病理学的调查结果被做。分别地,恶意的结果和良性的肝疾病要求切除术的条件占了 58.5% 和 41.2% 。主要的肝癌症说明了 76.1% 恶意的肿瘤,当 hilar cholangiocarcinomas 占了 6.7% 时。Hemangiomas (41.7%) 和 hepatolithiasis (29.6%) 良性的条件是最普通的。微波同轴的凝结在 236 个我们的肝切除术案例中被使用。全面手术后的复杂并发症率是 14.44% ,哪个 12.54% 切除术为主要的肝癌症被执行, 16.40% 为第二等的肝癌症,并且 16.32% 为 hepatolithiasis。全面医院死亡是 0.55% ,并且那为恶意的肝疾病是 0.51% 。高死亡(2.53%) 为 hilar cholangiocarcinomas (在 79 种情况中的二死亡) 与广泛的肝切除术被联系。微波同轴的凝结前切除术,分级的孩子呸,操作时间,停留的手术后的长度,和外科手术前的浆液白朊铺平是病态的独立预言者。血损失,分级的孩子呸,操作时间和外科手术前的浆液白朊水平是死亡的独立预言者。结论 Hepatectomy 能与低病态和死亡安全地被执行,如果它与最佳的 perioperative 管理和创新外科的技术被执行。 | HUANG Zhi-qiang XU Li-ning YANG Tao ZHANG Wen-zhi HUANG Xiao-qiang CAI Shou-wang ZHANG Ai-qun FENG Yu-quan ZHOU Ning-xin DONG Jia-hong | 2009 | Chinese Medical Journal2009,,19: | 23 |
| 14 | Lubricating a bright future:Lubrication contribution to energy saving and low carbon emission显示文摘Both the academic society and the industry are hunting for new energy forms for the future.However,the world should not forget the conventional technologies that contribute to the sustainable society by technical innovations.Among them,lubrication plays a significant role in energy saving and in low CO2emission by increasing the fuel efficiency and by prolonging the service life of machines.With the advance of novel synthetic approaches,and nanoscience and technologies,novel lubrication oils and additives and their formulations are being developed to reduce friction and wear,and novel surface treatment routes and surface coatings are invented and provide more efficient lubrication.These technologies create tremendous chances for machines to work more efficiently with low energy consumption.Here we review the recent progresses and challenges associated with some novel lubrication techniques that include novel surface treatment(such as texturing,high-performance nanocomposite coatings,adapting coating),tribology design(solid and liquid lubrication),energy-conserving engine oil and novel lubricants and formula(such as ionic liquids,low S,P content additives)which are to be adopted to enhance the fuel efficiency to achieve energy saving and low carbon emission.There is increased demand to replace fossil lubricants by degradable green lubricants.Specially designed coatings can reduce drag significantly during navigation of both airplanes and ships.All these aspects will be also reviewed in the paper. | CAI MeiRong GUO RuiSheng ZHOU Feng LIU WeiMin | 2013 | Science China(Technological Sciences)2013,56,12: | 22 |
| 15 | Genome-wide analysis of the WRKY transcription factor gene family in Gossypium raimondii and the expression of orthologs in cultivated tetraploid cotton显示文摘WRKY proteins are members of a family of transcription factors in higher plants that function in plant responses to various physiological processes.We identified 120 candidate WRKY genes from Gossypium raimondii with corresponding expressed sequence tags in at least one of four cotton species,Gossypium hirsutum,Gossypium barbadense,Gossypium arboreum,and G.raimondii.These WRKY members were anchored on 13 chromosomes in G.raimondii with uneven distribution.Phylogenetic analysis showed that WRKY candidate genes can be classified into three groups,with 20 members in group I,88 in group II,and 12 in group III.The88 genes in group II were further classified into five subgroups,groups IIa–e,containing 7,16,37,15,and 13 members,respectively.We characterized diversity in amino acid residues in the WRKY domain and/or other zinc finger motif regions in the WRKY proteins.The expression patterns of WRKY genes revealed their important roles in diverse functions in cotton developmental stages of vegetative and reproductive growth and stress response.Structural and expression analyses show that WRKY proteins are a class of important regulators of growth and development and play key roles in response to stresses in cotton. | Caiping Cai Erli Niu Hao Du Liang Zhao Yue Feng Wangzhen Guo | 2014 | The Crop Journal2014,2,Z1: | 23 |
| 16 | Early kidney injury during long-term adefovir dipivoxil therapy for chronic hepatitis B显示文摘AIM: To evaluate urine β2-microglobulin(β2-M), retinol-binding protein(RBP) excretion, and renal impairment with adefovir dipivoxil(ADV) for chronic hepatitis B. METHODS: We enrolled 165 patients with chronic hepatitis B infection who were treated with ADV monotherapy(n = 90) or ADV plus lamivudine combination therapy(n = 75). An additional 165 chronic hepatitis B patients treated with entecavir were recruited as controls. We detected serum creatinine, urine β2-M, and RBP levels, and estimated the glomerular filtration rate(e GFR) at the initiation of antiviral therapy and every 6 mo for a period of five years. RESULTS: Urine β2-M abnormalities were observed in patients during the first(n = 3), second(n = 7), third(n = 11), fourth(n = 16), and fifth(n = 21) year of ADV treatment. Urinary RBP abnormalities were observed in patients during the first(n = 2), second(n = 8), third(n = 12), fourth(n = 15), and fifth(n = 22) year of ADV treatment. e GFR decreased 20%-30% from baseline in 20 patients, 30%-50% in 12 patients, and > 50% in 3 patients during the five years of treatment. Further analysis indicated that decreases in e GFR of ≥ 30% relative to the baseline level correlated significantly with urine RBP and β2-M abnormalities. In contrast, both serum creatinine and e GFR remained stable in patients treated with entecavir, and only one of these patients developed a urine β2-M abnormality, and two developed urine RBP abnormalities during the five years of treatment. CONCLUSION: Urine RBP and β2-M are biomarkers of renal injury during long-term ADV treatment for chronic hepatitis B, and indicate when treatment should be switched to entecavir. | Hong-Yu Jia Feng Ding Jian-Yang Chen Jiang-Shan Lian Yi-Min Zhang Lin-Yan Zeng Dai-Rong Xiang Liang Yu Jian-Hua Hu Guo-Dong Yu Huan Cai Ying-Feng Lu Lin Zheng Lan-Juan Li Yi-Da Yang | 2015 | World Journal of Gastroenterology2015,21,12: | 22 |
| 17 | Current status of diagnosis and treatment of bladder cancer in China-Analyses of Chinese Bladder Cancer Consortium database显示文摘Objective:To investigate current status of diagnosis and treatment of bladder cancer in China.Methods:A database was generated by Chinese Bladder Cancer Consortium(CBCC).From January 2007 to December 2012,14,260 cases from 44 CBCC centers were included.Data of diagnosis,treatment and pathology were collected.Results:The average age was 63.5 year-old and most patients were male(84.3%).The most common histologic types were urothelial carcinoma(91.4%),adenocarcinoma(1.8%),and squamous carcinoma(1.9%).According to 1973 and 2004 WHO grading system,42.0%,41.0%,and 17.0% of patients were grade 1,2,and 3,and 16.0%,48.7%,and 35.3% of patients were papillary urothelial neoplasms of low malignant potential,low,and high grade,respectively.Non-muscle invasive bladder cancer(NMIBC)and muscle invasive bladder cancer(MIBC)were 25.2% and 74.1%,respectively(0.8% not clear).Carcinoma in situ was only 2.4%.Most patients were diagnosed by white-light cystoscopy with biopsy(74.3%).Fluorescence and narrow band imaging cystoscopy had additional detection rate of 1.0% and 4.0%,respectively.Diagnostic transurethral resection(TUR)provided detection rate of 16.9%.Most NMIBCs were treated with TUR(89.2%).After initial TUR,2.6%accepted second TUR,and 45.7%,69.9%,and 58.7% accepted immediate,induced,and maintenance chemotherapy instillation,respectively.Most MIBCs were treated with radical cystectomy(RC,59.7%).Laparoscopic RCs were 35.1%,while open RC 63.4%.Extended and standard pelvic lymph node dissection were 7% and 66%,respectively.Three most common urinary diversions were orthotopic neobladder(44%),ileal conduit(31%),and ureterocutaneostomy(23%).Only 2.3% of patients accepted neo-adjuvant chemotherapy and only 18%of T3 and T4 patients accepted adjuvant chemotherapy.Conclusion:Disease characteristics are similar to international reports,while differences of diagnosis and treatment exist.This study can provide evidences for revisions of the guideline on bladder cancer in China. | Kaiwen Li Tianxin Lin 无 Wei Xue Xin Mu Enci Xu Xu Yang Fubao Chen Guangyong Li Lulin Ma Guoliang Wang Chaozhao Liang Haoqiang Shi Ming Li Mao Tang Xueyi Xue Yisong Lv Yaoliang Deng Chengyang Li Zhiwen Chen Xiaozhou Zhou Fengshuo Jin Xudong Liu Jinxin Wei Lei Shi Xin Gou Weiyang He Liqun Zhou Lin Cai Baiye Jin Guanghou Fu Xiangbo Kong Hongyan Sun Ye Tian Lang Feng Tiejun Pan Yiyi Wu Dongwen Wang Hailong Hao Benkang Shi Yaofeng Zhu Qiang Wei Ping Han Changli Wu Dawei Tian Zhangqun Ye Zheng Liu Zhiping Wang Junqiang Tian Lin Qi Minfeng Chen Wei Li Jinchun Qi Gongxian Wang Longlong Fu Zhaolin Sun Guangheng Luo Zhoujun Shen Zhaowei Zhu Jinchun Xing Zhun Wu Dong Wei Xin Chen Yanqun Na Hongfeng Guo Chunxi Wang Zhihua Lu Chuize Kong Yang Liu Jin Yang Jianyun Hu Xin Gao Jielin Li Changjun Yin Pu Li Shan Chen Zhen Du Jiongming Li Yongji Yan Xu Zhang Shuang Huang Fangjian Zhou Zhiling Zhang Yinghao Sun Shuxiong Zeng Song Cen Jiaquan Zhou Hanzhong Li Jin Wen Jian Huang | 2015 | Asian Journal of Urology2015,2,2: | 21 |
| 18 | Post-pancreaticoduodenectomy hemorrhage:risk factors, managements and outcomes显示文摘BACKGROUND: Post-pancreaticoduodenectomy(PD) hemorrhage(PPH) is an uncommon but serious complication. This retrospective study analyzed the risk factors, managements and outcomes of the patients with PPH.METHODS: A total of 840 patients with PD between 2000 and2010 were retrospectively analyzed. Among them, 73 patients had PPH: 19 patients had early PPH and 54 had late PPH.The assessment included the preoperative history of disease,pancreatic status and surgical techniques. Other postoperative complications were also evaluated.RESULTS: The incidence of PPH was 8.7%(73/840). There were no independent risk factors for early PPH. Male gender(OR=4.40, P0.02), diameter of pancreatic duct(OR=0.64,P0.01), end-to-side invagination pancreaticojejunostomy(OR=5.65, P0.01), pancreatic fistula(OR=2.33, P0.04)and intra-abdominal abscess(OR=12.19, P0.01) were the independent risk factors for late PPH. Four patients with early PPH received conservative treatment and 12 were treated surgically. As for patients with late PPH, the success rate of medical therapy was 27.8%(15/54). Initial endoscopy was operated in 12 patients(22.2%), initial angiography in 19(35.2%),and relaparotomy in 15(27.8%). Eventually, PPH resulted in 19 deaths. The main causes of death were multiple organ failure,hemorrhagic shock, sepsis and uncontrolled rebleeding.CONCLUSIONS: Careful and ongoing observation of hemorrhagic signs, especially within the first 24 hours after PD or within the course of pancreatic fistula or intra-abdominal abscess, is recommended for patients with PD and a prompt management is necessary. Although endoscopy and angiography are the standard procedures for the management of PPH,surgical approach is still irreplaceable. Aggressive prevention of hemorrhagic shock and re-hemorrhage is the key to treat PPH. | Jian Feng Yong-Liang Chen Jia-Hong Dong Ming-Yi Chen Shou-Wang Cai Zhi-Qiang Huang | 2014 | Hepatobiliary & Pancreatic Diseases International2014,13,5: | 21 |
| 19 | NONLINEAR HYDRODYNAMIC RESPONSE OF MARINE CABLE-BODY SYSTEM UNDER RANDOM DYNAMIC EXCITATIONS显示文摘Three-dimensional motion equations of a marine Tethered Remotely Operated Vehicle (TROV) system with large elastic deformation and snap loads are formulated using the lumped parameter model. This formulation is simple and quite general in solving a wide range of offshore-related cable and pipeline problems using only three degrees of translational freedom for each computational nodes. The model is convenient in dealing with non-uniform features of the cable with low or even zero tension. The snap load that would damaged the sling is predicted by computing the dynamic tension and the instant configuration of the cable. This investigation may help avoid resonance, extend the cable life, reduce the test expense and avoid operating accidents. | ZHU Ke-qiang ZHENG Dao-chang CAI Ying YU Chun-ling WANG Rong LIU Yong-lin ZHANG Feng | 2009 | Journal of Hydrodynamics2009,21,6: | 20 |
| 20 | Differentiation of Renal Oncocytoma and Renal Clear Cell Carcinoma Using Relative CT Enhancement Ratio显示文摘 | An Ren Feng Cai Yan-Ning Shang En-Sen Ma Zhen-Guo Huang Wu Wang Yan Lu Xue-Zhe Zhang | 2015 | Chinese Medical Journal2015,,2: | 20 |