BACKGROUND Traditional esophagogastroduodenoscopy(EGD),an invasive examination method,can cause discomfort and pain in patients.In contrast,magnetically controlled capsule endoscopy(MCE),a noninvasive method,is being ...BACKGROUND Traditional esophagogastroduodenoscopy(EGD),an invasive examination method,can cause discomfort and pain in patients.In contrast,magnetically controlled capsule endoscopy(MCE),a noninvasive method,is being applied for the detection of stomach and small intestinal diseases,but its application in treating esophageal diseases is not widespread.AIM To evaluate the safety and efficacy of detachable string MCE(ds-MCE)for the diagnosis of esophageal diseases.METHODS Fifty patients who had been diagnosed with esophageal diseases were pros-pectively recruited for this clinical study and underwent ds-MCE and conven-tional EGD.The primary endpoints included the sensitivity,specificity,positive predictive value,negative predictive value,and diagnostic accuracy of ds-MCE for patients with esophageal diseases.The secondary endpoints consisted of visualizing the esophageal and dentate lines,as well as the subjects'tolerance of the procedure.RESULTS Using EGD as the gold standard,the sensitivity,specificity,positive predictive value,negative predictive value,and diagnostic accuracy of ds-MCE for esophageal disease detection were 85.71%,86.21%,81.82%,89.29%,and 86%,respectively.ds-MCE was more comfortable and convenient than EGD was,with 80%of patients feeling that ds-MCE examination was very comfortable or comfortable and 50%of patients believing that detachable string v examination was very convenient.CONCLUSION This study revealed that ds-MCE has the same diagnostic effects as traditional EGD for esophageal diseases and is more comfortable and convenient than EGD,providing a novel noninvasive method for treating esophageal diseases.展开更多
The feasibility of using different generations of recycled fine aggregate（RFA） in structural concrete in a chloride environment was evaluated by studying the performance of the RFA and the corresponding concrete. Th...The feasibility of using different generations of recycled fine aggregate（RFA） in structural concrete in a chloride environment was evaluated by studying the performance of the RFA and the corresponding concrete. The different generations of RFA were recycled by following the cycle of ‘concrete-waste concrete-fine aggregate-concrete＇. The properties of three generations of repeatedly recycled fine aggregate（RRFA） were systematically investigated, and we focused on the compressive strength and splitting tensile strength and chloride ion permeability of the related structural concretes with 25%, 75%, and 100% replacement of natural fine aggregates with RFA. The results indicated that the quality of RRFA presents a trend of slow deterioration, but the overall performance of all RRFA still fulfils the quality requirements of recycled fine aggregate for structural concrete. All RRFA concretes achieved the target compressive strength of 40 MPa after 28 days except for the second generation of the recycled aggregate concrete and the third generation of the recycled aggregate concrete with 100% replacement, and all the concrete mixes achieved the target compressive strength after 90 days. The insights obtained in this study demonstrate the feasibility of using at least three generations of RRFA for the production of normal structural concrete with a design service life of 100 years in a chloride environment.展开更多
基金the Science and Technology Commission of Shanghai,No.18DZ1930309.
文摘BACKGROUND Traditional esophagogastroduodenoscopy(EGD),an invasive examination method,can cause discomfort and pain in patients.In contrast,magnetically controlled capsule endoscopy(MCE),a noninvasive method,is being applied for the detection of stomach and small intestinal diseases,but its application in treating esophageal diseases is not widespread.AIM To evaluate the safety and efficacy of detachable string MCE(ds-MCE)for the diagnosis of esophageal diseases.METHODS Fifty patients who had been diagnosed with esophageal diseases were pros-pectively recruited for this clinical study and underwent ds-MCE and conven-tional EGD.The primary endpoints included the sensitivity,specificity,positive predictive value,negative predictive value,and diagnostic accuracy of ds-MCE for patients with esophageal diseases.The secondary endpoints consisted of visualizing the esophageal and dentate lines,as well as the subjects'tolerance of the procedure.RESULTS Using EGD as the gold standard,the sensitivity,specificity,positive predictive value,negative predictive value,and diagnostic accuracy of ds-MCE for esophageal disease detection were 85.71%,86.21%,81.82%,89.29%,and 86%,respectively.ds-MCE was more comfortable and convenient than EGD was,with 80%of patients feeling that ds-MCE examination was very comfortable or comfortable and 50%of patients believing that detachable string v examination was very convenient.CONCLUSION This study revealed that ds-MCE has the same diagnostic effects as traditional EGD for esophageal diseases and is more comfortable and convenient than EGD,providing a novel noninvasive method for treating esophageal diseases.
基金Funded by the National Natural Science Foundation of China(No.51278073)State Key Laboratoryfor GeoMechanics and Deep Underground Engineering,China University of Mining&Technology(No.SKLGDUEK1704)
文摘The feasibility of using different generations of recycled fine aggregate（RFA） in structural concrete in a chloride environment was evaluated by studying the performance of the RFA and the corresponding concrete. The different generations of RFA were recycled by following the cycle of ‘concrete-waste concrete-fine aggregate-concrete＇. The properties of three generations of repeatedly recycled fine aggregate（RRFA） were systematically investigated, and we focused on the compressive strength and splitting tensile strength and chloride ion permeability of the related structural concretes with 25%, 75%, and 100% replacement of natural fine aggregates with RFA. The results indicated that the quality of RRFA presents a trend of slow deterioration, but the overall performance of all RRFA still fulfils the quality requirements of recycled fine aggregate for structural concrete. All RRFA concretes achieved the target compressive strength of 40 MPa after 28 days except for the second generation of the recycled aggregate concrete and the third generation of the recycled aggregate concrete with 100% replacement, and all the concrete mixes achieved the target compressive strength after 90 days. The insights obtained in this study demonstrate the feasibility of using at least three generations of RRFA for the production of normal structural concrete with a design service life of 100 years in a chloride environment.
