Objective: To explore the change and feasibility of surgical techniques of laparoscopic transhiatal(TH)-lower mediastinal lymph node dissection(LMLND) for adenocarcinoma of the esophagogastric junction(AEG)according t...Objective: To explore the change and feasibility of surgical techniques of laparoscopic transhiatal(TH)-lower mediastinal lymph node dissection(LMLND) for adenocarcinoma of the esophagogastric junction(AEG)according to Idea, Development, Exploration, Assessment, and Long-term follow-up(IDEAL) 2a standards.Methods: Patients diagnosed with AEG who underwent laparoscopic TH-LMLND were prospectively included from April 14, 2020, to March 26, 2021. Clinical and pathological information as well as surgical outcomes were quantitatively analyzed. Semistructured interviews with the surgeon after each operation were qualitatively analyzed.Results: Thirty-five patients were included. There were no cases of transition to open surgery, but three cases involved combination with transthoracic surgery. In qualitative analysis, 108 items under three main themes were detected: explosion, dissection, and reconstruction. Revised instruction was subsequently designed according to the change in surgical technique and the cognitive process behind it. Three patients had anastomotic leaks postoperatively, with one classified as Clavien-Dindo Ⅲa.Conclusions: The surgical technique of laparoscopic TH-LMLND is stable and feasible;further IDEAL 2b research is warranted.展开更多
A weakly 2-primal ring is a common generalization of a semicommutative ring, a 2-primal ring and a locally 2-primal ring. In this paper, we investigate Ore extensions over weakly 2-primal rings. Let α be an endomorph...A weakly 2-primal ring is a common generalization of a semicommutative ring, a 2-primal ring and a locally 2-primal ring. In this paper, we investigate Ore extensions over weakly 2-primal rings. Let α be an endomorphism and δ an α- derivation of a ring R. We prove that （1） If R is an （α, δ）-compatible and weakly 2-primal ring, then R[x; α, δ] is weakly semicommutative; （2） If R is （α, δ）-compatible, then R is weakly 2-primal if and only if R[x; α, δ] is weakly 2-primal.展开更多
By performing density functional theory plus U calculations, we systematically study the structural, electronic, and magnetic properties of U02 under uniaxial tensile strain. The results show that the ideal tensile st...By performing density functional theory plus U calculations, we systematically study the structural, electronic, and magnetic properties of U02 under uniaxial tensile strain. The results show that the ideal tensile strengths along the [100], [110], and [111] directions are 93.6, 2Z7, and 16.4 GPa at strains of 0.44, 0.24, and 0.16, respectively. After electronic-structure investigation for tensile stain along the [001] direction, we find that the strong mixed ionic/covalent character of U-O bond is weakened by the tensile strain and there will occur an insulator to metal transition at strain over 0.30.展开更多
基金supportedbyBeijing Municipal Administration of Hospitals(No.DFL20181103)Beijing Hospitals Authority Innovation Studio of Young Staff Funding Support(No.202123).
文摘Objective: To explore the change and feasibility of surgical techniques of laparoscopic transhiatal(TH)-lower mediastinal lymph node dissection(LMLND) for adenocarcinoma of the esophagogastric junction(AEG)according to Idea, Development, Exploration, Assessment, and Long-term follow-up(IDEAL) 2a standards.Methods: Patients diagnosed with AEG who underwent laparoscopic TH-LMLND were prospectively included from April 14, 2020, to March 26, 2021. Clinical and pathological information as well as surgical outcomes were quantitatively analyzed. Semistructured interviews with the surgeon after each operation were qualitatively analyzed.Results: Thirty-five patients were included. There were no cases of transition to open surgery, but three cases involved combination with transthoracic surgery. In qualitative analysis, 108 items under three main themes were detected: explosion, dissection, and reconstruction. Revised instruction was subsequently designed according to the change in surgical technique and the cognitive process behind it. Three patients had anastomotic leaks postoperatively, with one classified as Clavien-Dindo Ⅲa.Conclusions: The surgical technique of laparoscopic TH-LMLND is stable and feasible;further IDEAL 2b research is warranted.
基金The NSF(11071097,11101217)of Chinathe NSF(BK20141476)of Jiangsu Province
文摘A weakly 2-primal ring is a common generalization of a semicommutative ring, a 2-primal ring and a locally 2-primal ring. In this paper, we investigate Ore extensions over weakly 2-primal rings. Let α be an endomorphism and δ an α- derivation of a ring R. We prove that （1） If R is an （α, δ）-compatible and weakly 2-primal ring, then R[x; α, δ] is weakly semicommutative; （2） If R is （α, δ）-compatible, then R is weakly 2-primal if and only if R[x; α, δ] is weakly 2-primal.
基金Supported by the National Natural Science Foundation of China under Grant Nos 11104170 and 51071032
文摘By performing density functional theory plus U calculations, we systematically study the structural, electronic, and magnetic properties of U02 under uniaxial tensile strain. The results show that the ideal tensile strengths along the [100], [110], and [111] directions are 93.6, 2Z7, and 16.4 GPa at strains of 0.44, 0.24, and 0.16, respectively. After electronic-structure investigation for tensile stain along the [001] direction, we find that the strong mixed ionic/covalent character of U-O bond is weakened by the tensile strain and there will occur an insulator to metal transition at strain over 0.30.
基金The research was supported by the National Natural Science Foundation of China(11461010)the Guangxi Science Research and Technology Development Project(1599005-2-13)the Scientific Research Fund of Guangxi Education Department(KY2015ZD075)
