Fibrin glue is widely used in clinical practice and plays an important role in reducing postoperative complications.We report a case of a 65-year-old man, whose common bile duct was injured by fibrin glue, with a hist...Fibrin glue is widely used in clinical practice and plays an important role in reducing postoperative complications.We report a case of a 65-year-old man, whose common bile duct was injured by fibrin glue, with a history of failed laparoscopic cholecystectomy and open operation for uncontrolled laparoscopic bleeding.In view of thepersistent liver dysfunction, xanthochromia and skin itching, the patient was admitted to us for further management.Ultrasound, computed tomography, and magnetic resonance cholangiopancreatography(MRCP) revealed multiple stones in the common bile duct, and liver function tests confirmed the presence of obstructive jaundice and liver damage.Endoscopic retrograde cholangiopancreatography was unsuccessfully performed to remove choledocholithiasis, but a small amount of tissue was removed and pathologically confirmed as calcified biliary mucosa.This was followed by open surgery for suspicious cholangiocarcinoma.There was no evidence of cholangiocarcinoma, but the common bile duct wall had a defect of 8 mm × 10 mm at Calot's triangle.A hard, grid-like foreign body was removed, which proved to be solid fibrin glue.Subsequently, the residual choledocholithiasis was removed by a choledochoscopic procedure, and the common bile duct deletion was repaired by liver round ligament with T-tube drainage.Six months later, endoscopy was performed through the T-tube fistula and showed a well-repaired bile duct wall.Eight months later, MRCP confirmed no bile duct stenosis.A review of reported cases showed that fibrin glue is widely used in surgery, but it can also cause organ damage.Its mechanism may be related to discharge reactions.展开更多
The catalytic graphitization of thermal plastic phenolic-formaldehyde resin with the aid of ferric nitrate （FN） was studied in detail. The morphologies and structural features of the products including onion-like ca...The catalytic graphitization of thermal plastic phenolic-formaldehyde resin with the aid of ferric nitrate （FN） was studied in detail. The morphologies and structural features of the products including onion-like carbon nanoparticles and bamboo-shaped carbon nanotubes were investigated by transmission electron microscopy （TEIVI）, high-resolution transmission electron microscopy （HRTEM）, X-ray diffraction and Raman spectroscopy measurements. It was found that with the changes of loading content of FN and residence time at 1000℃, the products exhibited various morphologies. The TEM images showed that bamboo-shaped carbon nanotube consisted of tens of bamboo sticks and onion-like carbon nanoparticle was made up of quasi-spherically concentrically closed carbon nanocages.展开更多
Length-biased data are often encountered in observational studies, when the survival times are left-truncated and right-censored and the truncation times follow a uniform distribution. In this article, we propose to a...Length-biased data are often encountered in observational studies, when the survival times are left-truncated and right-censored and the truncation times follow a uniform distribution. In this article, we propose to analyze such data with the additive hazards model, which specifies that the hazard function is the sum of an arbitrary baseline hazard function and a regression function of covariates. We develop estimating equation approaches to estimate the regression parameters. The resultant estimators are shown to be consistent and asymptotically normal. Some simulation studies and a real data example are used to evaluate the finite sample properties of the proposed estimators.展开更多
文摘Fibrin glue is widely used in clinical practice and plays an important role in reducing postoperative complications.We report a case of a 65-year-old man, whose common bile duct was injured by fibrin glue, with a history of failed laparoscopic cholecystectomy and open operation for uncontrolled laparoscopic bleeding.In view of thepersistent liver dysfunction, xanthochromia and skin itching, the patient was admitted to us for further management.Ultrasound, computed tomography, and magnetic resonance cholangiopancreatography(MRCP) revealed multiple stones in the common bile duct, and liver function tests confirmed the presence of obstructive jaundice and liver damage.Endoscopic retrograde cholangiopancreatography was unsuccessfully performed to remove choledocholithiasis, but a small amount of tissue was removed and pathologically confirmed as calcified biliary mucosa.This was followed by open surgery for suspicious cholangiocarcinoma.There was no evidence of cholangiocarcinoma, but the common bile duct wall had a defect of 8 mm × 10 mm at Calot's triangle.A hard, grid-like foreign body was removed, which proved to be solid fibrin glue.Subsequently, the residual choledocholithiasis was removed by a choledochoscopic procedure, and the common bile duct deletion was repaired by liver round ligament with T-tube drainage.Six months later, endoscopy was performed through the T-tube fistula and showed a well-repaired bile duct wall.Eight months later, MRCP confirmed no bile duct stenosis.A review of reported cases showed that fibrin glue is widely used in surgery, but it can also cause organ damage.Its mechanism may be related to discharge reactions.
基金supported by the National Natural Science Foundation of China (Nos. 50572003 and 50972004)the State Key Basic Research Program of China (No.2006CB9326022006)
文摘The catalytic graphitization of thermal plastic phenolic-formaldehyde resin with the aid of ferric nitrate （FN） was studied in detail. The morphologies and structural features of the products including onion-like carbon nanoparticles and bamboo-shaped carbon nanotubes were investigated by transmission electron microscopy （TEIVI）, high-resolution transmission electron microscopy （HRTEM）, X-ray diffraction and Raman spectroscopy measurements. It was found that with the changes of loading content of FN and residence time at 1000℃, the products exhibited various morphologies. The TEM images showed that bamboo-shaped carbon nanotube consisted of tens of bamboo sticks and onion-like carbon nanoparticle was made up of quasi-spherically concentrically closed carbon nanocages.
基金Supported by the MOE Project of Key Research Institute of Humanities and Social Sciences at Universities(16JJD910002)supported by the State Key Program of National Natural Science Foundation of China(71331006)+3 种基金the State Key Program in the Major Research Plan of National Natural Science Foundation of China(91546202)National Center for Mathematics and Interdisciplinary Sciences(NCMIS)Key Laboratory of RCSDS,AMSS,CAS(2008DP173182)Innovative Research Team of Shanghai University of Finance and Economics(IRTSHUFE13122402)
文摘Length-biased data are often encountered in observational studies, when the survival times are left-truncated and right-censored and the truncation times follow a uniform distribution. In this article, we propose to analyze such data with the additive hazards model, which specifies that the hazard function is the sum of an arbitrary baseline hazard function and a regression function of covariates. We develop estimating equation approaches to estimate the regression parameters. The resultant estimators are shown to be consistent and asymptotically normal. Some simulation studies and a real data example are used to evaluate the finite sample properties of the proposed estimators.
