Background and objective:Immediate breast reconstruction not only reduces the number of surgeries for patients after mastectomy but also decreases psychological and physical trauma,making it increasingly popular.Howev...Background and objective:Immediate breast reconstruction not only reduces the number of surgeries for patients after mastectomy but also decreases psychological and physical trauma,making it increasingly popular.However,there is currently no consensus on the integration of post-mastectomy radiotherapy(PMRT)with reconstruction techniques.This review evaluates the impact of PMRT on complications following immediate breast reconstruction,providing guidance for clinical treatment decisions.Methods:PubMed,Web of Science,Embase,and other databases were searched for studies published in the past 15 years on outcomes of implant-based breast reconstruction in the context of radiotherapy to identify articles for analysis.RevMan 5.4 software was used to analyze the risks of seroma,infection,wound dehiscence,flap necrosis,implant exposure,capsule contracture,and reconstruction failure.Results:A total of 1l relevant studies were included,comprising 6323 cases of immediate breast reconstruction.It was found that breasts receiving postoperative irradiation had a significantly increased risk of complications,with statistically significant differences in seroma(P=0.004),infection(P<0.00001),wound dehiscence(P=0.04),implant exposure(P<0.00001),capsule contracture(P<0.00001),and reconstruction failure(P<0.00001).There was no statistically significant difference in flap necrosis(P=0.88).Conclusion:The results indicate that postoperative radiotherapy significantly increases the risk of complications for patients undergoing immediate implant-based reconstruction.Preventive measures may be taken in advance with the assistance of healthcare providers if necessary.展开更多
Renewable energy sources(RESs)are rapidly devel-oping and their substitution for traditional power generation poses significant challenges to the frequency regulation in power systems.The load damping factor D charact...Renewable energy sources(RESs)are rapidly devel-oping and their substitution for traditional power generation poses significant challenges to the frequency regulation in power systems.The load damping factor D characterizes the active power of load that changes with power system frequency,which is an important factor influencing the frequency response.However,the value of D is small,resulting in the limitation in frequency regulation of the power system.This paper proposes a parallel-type load damping factor controller to enhance load damping factor by utilizing static var generators(SVGs)in substations.Additionally,it discusses the configuration method for the relevant parameters of the controller,evaluates its frequen-cy regulation capability,investigates the impact of large-scale application of the controller on static and dynamic loads,and conducts a comprehensive evaluation of the impact of the damping factor control process on the voltage stability of the main grid.The large-scale application of the proposed controller can significantly improve the frequency regulation capability,and almost have no influence on the working status of the load.It can also significantly improve the dynamic performance of system frequency.The proposed controller can provide technical support for the frequency regulation of new power systems with high proportion of RESs.展开更多
文摘Background and objective:Immediate breast reconstruction not only reduces the number of surgeries for patients after mastectomy but also decreases psychological and physical trauma,making it increasingly popular.However,there is currently no consensus on the integration of post-mastectomy radiotherapy(PMRT)with reconstruction techniques.This review evaluates the impact of PMRT on complications following immediate breast reconstruction,providing guidance for clinical treatment decisions.Methods:PubMed,Web of Science,Embase,and other databases were searched for studies published in the past 15 years on outcomes of implant-based breast reconstruction in the context of radiotherapy to identify articles for analysis.RevMan 5.4 software was used to analyze the risks of seroma,infection,wound dehiscence,flap necrosis,implant exposure,capsule contracture,and reconstruction failure.Results:A total of 1l relevant studies were included,comprising 6323 cases of immediate breast reconstruction.It was found that breasts receiving postoperative irradiation had a significantly increased risk of complications,with statistically significant differences in seroma(P=0.004),infection(P<0.00001),wound dehiscence(P=0.04),implant exposure(P<0.00001),capsule contracture(P<0.00001),and reconstruction failure(P<0.00001).There was no statistically significant difference in flap necrosis(P=0.88).Conclusion:The results indicate that postoperative radiotherapy significantly increases the risk of complications for patients undergoing immediate implant-based reconstruction.Preventive measures may be taken in advance with the assistance of healthcare providers if necessary.
基金funded by the State Grid Corporation of China(No.SGJSSZ00KJS2310831)"Research and application of key technologies for load flexibility resource mining and power grid regulation driven by industrial Internet".
文摘Renewable energy sources(RESs)are rapidly devel-oping and their substitution for traditional power generation poses significant challenges to the frequency regulation in power systems.The load damping factor D characterizes the active power of load that changes with power system frequency,which is an important factor influencing the frequency response.However,the value of D is small,resulting in the limitation in frequency regulation of the power system.This paper proposes a parallel-type load damping factor controller to enhance load damping factor by utilizing static var generators(SVGs)in substations.Additionally,it discusses the configuration method for the relevant parameters of the controller,evaluates its frequen-cy regulation capability,investigates the impact of large-scale application of the controller on static and dynamic loads,and conducts a comprehensive evaluation of the impact of the damping factor control process on the voltage stability of the main grid.The large-scale application of the proposed controller can significantly improve the frequency regulation capability,and almost have no influence on the working status of the load.It can also significantly improve the dynamic performance of system frequency.The proposed controller can provide technical support for the frequency regulation of new power systems with high proportion of RESs.
