AIM To prospectively investigate the efficacy and safety of clipflap assisted endoscopic submucosal dissection(ESD) for gastric tumors.METHODS From May 2015 to October 2016, we enrolled 104 patients with gastric cance...AIM To prospectively investigate the efficacy and safety of clipflap assisted endoscopic submucosal dissection(ESD) for gastric tumors.METHODS From May 2015 to October 2016, we enrolled 104 patients with gastric cancer or adenoma scheduled for ESD at Shiga University of Medical Science Hospital. We randomized patients into two subgroups using the minimization method based on location of the tumor(upper, middle or lower third of the stomach), tumor size(< 20 mm or > 20 mm) and ulcer status: ESD using an endoclip(the clip-flap group) and ESD without an endoclip(the conventional group). Therapeutic efficacy(procedure time) and safety(complication: Gastrointestinal bleeding and perforation) were assessed. RESULTS En bloc resection was performed in all patients. Four patients had delayed bleeding(3.8%) and two had perforation(1.9%). No significant differences in en bloc resection rate(conventional group: 100%, clip flap group: 100%), curative endoscopic resection rate(conventional group: 90.9%, clip flap group: 89.8%, P = 0.85), procedure time(conventional group: 70.8 ± 46.2 min, clip flap group: 74.7 ± 53.3 min, P = 0.69), area of resected specimen(conventional group: 884.6 ± 792.1 mm^2, clip flap group: 1006.4 ± 1004.8 mm^2, P = 0.49), delayed bleeding rate(conventional group: 5.5%, clip flap group: 2.0%, P = 0.49), or perforation rate(conventional group: 1.8%, clip flap group: 2.0%, P = 0.93) were found between the two groups. Lessexperienced endoscopists did not show any differences in procedure time between the two groups.CONCLUSION For patients with early-stage gastric tumors, the clipflap method has no advantage in efficacy or safety compared with the conventional method.展开更多
Background:There is a lack of data for the standardized ileal digestibility(SID) of fat and fatty acids in national feed databases.In addition,it is important to specify the procedures used for fat analyses.Therefore,...Background:There is a lack of data for the standardized ileal digestibility(SID) of fat and fatty acids in national feed databases.In addition,it is important to specify the procedures used for fat analyses.Therefore,an experiment was conducted to 1) determine the apparent ileal digestibility(AID) and SID of fat and fatty acids in ten different oil sources for growing pigs and to develop prediction equations for SID of fat based on fatty acid composition;and 2) compare the effect of the fat extraction methods on the calculated values for endogenous loss and digestibility of fat.Methods:Twenty-two barrows(initial body weight:32.1 ± 2.3 kg) were surgically fitted with a T-cannula in the distal ileum,and allotted to 1 of 11 experimental diets in a 4-period Youden Square design.A fat-free diet was formulated using cornstarch,soy protein isolate and sucrose.Ten oil-added diets were formulated by adding 6% of dietary oil sources to the fat-free diet at the expense of cornstarch.All diets contained 26% sugar beet pulp and 0.40% chromic oxide.Results:The endogenous loss of ether extract(EE) was lower than that of acid-hydrolyzed fat(AEE;P < 0.01).There were significant differences in the AID and SID of fat and saturated fatty acids across the dietary oil sources(P < 0.05).The SID of AEE for palm oil was lower than that of sunflower oil,corn oil,canola oil,rice oil and flaxseed oil(P < 0.01).The AID and SID of fat ranged from 79.65% to 86.97% and from 91.14% to 99.18%.Although the AID of EE was greater than that of AEE(P < 0.01),there was no significant difference in SID of EE and AEE except for palm oil.The ratio of unsaturated to saturated fatty acids(U/S) had a positive correlation with SID of fat(P < 0.05),whereas C16:0 and long chain saturated fatty acids(LSFA) were significant negatively correlated with SID of fat(P < 0.01).The best-fit equation to predict SID of fat was SID AEE = 102.75-0.15 × LSFA-0.74 × C18:0-0.03 × C18:1(Adjusted coefficient of determination = 0.88,P < 0.01).Conclusions:When calculating the SID of fat,the EE content of the samples can be analyzed using the direct extraction method,whereas the acid hydrolysis procedure should be used to determine the AID of fat.Fat digestibility of dietary oils was affected by their fatty acid composition,especially by the contents of C16:0,LSFA and U/S.展开更多
Background: Grain legumes represent a valuable energy source in pig diets due to their high starch content. The present study was conducted to determine the content and apparent ileal digestibility(AID) of starch i...Background: Grain legumes represent a valuable energy source in pig diets due to their high starch content. The present study was conducted to determine the content and apparent ileal digestibility(AID) of starch in different grain legume cultivars for pigs by means of both a polarimetric and enzymatic method for starch determination.Methods: Three experiments were conducted with six barrows each which were fitted with ileal T-cannulas. In total, 18 diets including six different cultivars of faba beans(Vicia faba L.) and peas(Pisum sativum L.), five different cultivars of lupins(Lupinus luteus L., Lupinus angustifolius L.), and one diet with a soybean meal(SBM) were fed.Results: The starch content of faba beans and peas was greater(P &lt; 0.05) when determined polarimetrically than enzymatically(438 vs. 345 g/kg dry matter(DM) in faba beans and 509 vs. 390 g/kg DM in peas, respectively).Considerable lower starch contents were obtained in lupins and SBM, with 82 and 48 g/kg DM(analyzed polarimetrically) and &lt;1.1 and 3 g/kg DM(analyzed enzymatically), respectively. Mean values for contents of neutral detergent fiber(NDF) and acid detergent fiber(ADF) in grain legumes ranged from 111 and 79 g/kg DM in peas to248 and 207 g/kg DM in lupins, respectively. Contents of condensed tannins in the colored flowered faba bean cultivars ranged from 2.1 to 7.4 g/kg DM. The AID of starch was greater(P &lt; 0.05) in pea than in faba bean cultivars,and using the polarimetric starch determination method resulted in greater(P &lt; 0.05) digestibility values than using enzymatic starch analysis(84 vs. 80% in faba beans and 86 vs. 83% in peas). Moreover, AID of starch differed(P &lt; 0.05)within pea cultivars and starch digestibility in faba beans decreased linearly(P &lt; 0.05) as the content of condensed tannins increased. However, there was no relationship between contents of NDF and ADF and AID of starch in pea and faba bean cultivars.Conclusion: Both contents and AID of starch in grain legumes can vary as influenced by the analytical method used for starch determination. Generally, starch digestibility is greater when measured by polarimetric rather than enzymatic methods.展开更多
This paper presents a novel robust S transform algorithm based on the clipping method to process signals corrupted by impulsive noise.The proposed algorithm is introduced to determine the clipping threshold value acco...This paper presents a novel robust S transform algorithm based on the clipping method to process signals corrupted by impulsive noise.The proposed algorithm is introduced to determine the clipping threshold value according to the characteristics of the signal samples.Signals in various impulsive noise models are considered to illustrate that the robust S transform can achieve better performance than the standard S transform.Moreover,mean square errors for instantaneous frequency estimation of the robust S transform are compared with that of the standard S transform,showing that the robust S transform can achieve significantly improved instantaneous frequency estimation for the signals in impulsive noise.展开更多
BACKGROUND We recently developed a new endoscopic closure technique using only conventional endo-clips for colorectal lesions.Little is known about the feasibility of the endoscopic mucosa-submucosa clip closure metho...BACKGROUND We recently developed a new endoscopic closure technique using only conventional endo-clips for colorectal lesions.Little is known about the feasibility of the endoscopic mucosa-submucosa clip closure method for gastric lesions.AIM To elucidate the efficacy of the endoscopic mucosa-submucosa clip closure method after gastric endoscopic submucosal dissection(ESD).METHODS Twenty-two patients who underwent gastric ESD and mucosa-submucosa clip closure were included in this study.In this method,endo-clips are placed at the edges of a mucosal defect.Additional endo-clips are then applied in the same way to facilitate reduction of the defect size.Additional endo-clips are applied to both sides of the mucosal defect.Complete closure can be achieved.We have also developed a“location score”and“closure difficulty index”for assessment purposes.RESULTS Complete closure was achieved in 68.2%of the patients(15/22).The location score in the failure group was significantly larger than that in the complete closure group(P=0.023).The closure difficulty index in the failure group was significantly higher than that in the complete closure group(P=0.007).When the cutoff value of the closure difficulty index was set at 99,the high closure difficulty index predicted failure with a sensitivity of 57.1%,specificity of 100%,and accuracy of 86.3%.CONCLUSION The endoscopic mucosa-submucosa clip closure method was unreliable after gastric ESD,especially in cases with a high closure difficulty index.展开更多
Owing to the fact that the wind speed and direction of typhoon vary rapidly with time and space in typhoon fetch; the nearer to the typhoon eye the greater the wind velocity, and the shorter the wind fetch the smaller...Owing to the fact that the wind speed and direction of typhoon vary rapidly with time and space in typhoon fetch; the nearer to the typhoon eye the greater the wind velocity, and the shorter the wind fetch the smaller the wind time,as a result,the more difficult for the wind wave to fully grow. Hence.in typhoon wave numerical calculation it is impossible to use the model for a fully grown wave spectrum. Lately, the author et at. presented a CHGS method for numerical forecasting of typhoon waves, where a model for the growing wave spectrum was set up (see Eq. (2) in the text). The model involves a parameter indicating the growing degree of wind wave, i. e. ,the mean wave age β. When βvalue is small, the wave energy is chiefly concentrated near the peak frequency, so that the spectral peak gets high and steep; with the increase of β the spectral shape gradually gets lower and gentler; when β=Ⅰ, the wave fully grows, the growing spectrum becomes a fully grown P-M spectrum. The model also shows a spectral “overshooting” phenomenon within the “balance zone”.展开更多
With the rapid development of economy and constant improvement of social market economy system, the trade between countries is becoming more frequent and the competition is more intensified. As the main body of econom...With the rapid development of economy and constant improvement of social market economy system, the trade between countries is becoming more frequent and the competition is more intensified. As the main body of economy market, enterprises' competition is also expanding and strengthening, and fierce competition makes the disadvantaged enterprise withdrawal and also promotes the new enterprise. But the growing enterprise wants to grow sturdily, which is affected by many factors. It needs to face many challenges and cope with various problems. Some problems may not be in place, and they can not find any guidance examples, and this needs enterprise to analyze and choose. Slightly careless, emerging enterprises will be nipped in the cradle. This paper analyzes the operation management mode for the growing enterprise, based on this, it finds out the operation concept and proper operation mode suitable for the long-term development of enterprise, inorder to provide help for relevant stat^t:展开更多
Aiming at the problem of high temperature and even demagnetization failure of permanent magnet (PM) due to PM eddy current loss in PM synchronous high-speed motors, this paper proposes a technique to lessen PM eddy cu...Aiming at the problem of high temperature and even demagnetization failure of permanent magnet (PM) due to PM eddy current loss in PM synchronous high-speed motors, this paper proposes a technique to lessen PM eddy current loss by cutting the angle of PM poles to change the shape of PM structure. Firstly, an analysis is conducted on the mechanism of PM synchronous high-speed motor eddy current loss production, the theoretical analytical model of PM eddy current loss is deduced, and it is theoretically proved that the magnetic pole shaving angle can reduce PM eddy current loss. Then, a 25 KW surface-type PM synchronous high-speed motor as an object, using two-dimensional time-step finite element method (FEM) to model and analyze PM eddy current loss. The results show that the smaller the PM pole shaving angle, the less its eddy current loss will be, it is possible to minimize the pole shaving angle of eddy current loss by 9.8% compared to the unshaved angle. Finally, the temperature field of the PM is calculated using a finite element method, and the outcomes demonstrate that the maximum temperature of the PM with a magnetic pole shaving angle can be reduced by about 5% compared with the unshaved angle.展开更多
Numerous approaches have been developed to quantify forest structure modules.A variety has measured each as part of stand attributes.This study was carried out in managed mixed stands in northern Iran.The objective wa...Numerous approaches have been developed to quantify forest structure modules.A variety has measured each as part of stand attributes.This study was carried out in managed mixed stands in northern Iran.The objective was to quantify stand structure and its variation before and after tree marking through the Gini index and structural triangle method.A full sampling inventory was taken in 2004 and 2014 at the beginning and end of a period,before and after tree marking operations in five stands.The results indicate that the Gini index was 39.5,62.2,43.0,82.0 and 74.0%forⅠ,Ⅱ,Ⅲ,ⅣandⅤstands respectively.Furthermore,approximate structural diameters were determined as a large category forⅠ,Ⅱ,ⅢandⅤstands while standⅡhad an intermediate-large class pre-tree marking to an intermediate-small class post-tree marking.The paired t-test results were not significant for tree numbers and growing stock changes for all species,and for beech,hornbeam,and velvet maple before and after tree harvesting in the whole stand.Therefore,the Gini index and the structural triangle method can be used for natural stand modeling,structural diversity designation,and for management practices in nature-oriented forestry strategies.展开更多
文摘AIM To prospectively investigate the efficacy and safety of clipflap assisted endoscopic submucosal dissection(ESD) for gastric tumors.METHODS From May 2015 to October 2016, we enrolled 104 patients with gastric cancer or adenoma scheduled for ESD at Shiga University of Medical Science Hospital. We randomized patients into two subgroups using the minimization method based on location of the tumor(upper, middle or lower third of the stomach), tumor size(< 20 mm or > 20 mm) and ulcer status: ESD using an endoclip(the clip-flap group) and ESD without an endoclip(the conventional group). Therapeutic efficacy(procedure time) and safety(complication: Gastrointestinal bleeding and perforation) were assessed. RESULTS En bloc resection was performed in all patients. Four patients had delayed bleeding(3.8%) and two had perforation(1.9%). No significant differences in en bloc resection rate(conventional group: 100%, clip flap group: 100%), curative endoscopic resection rate(conventional group: 90.9%, clip flap group: 89.8%, P = 0.85), procedure time(conventional group: 70.8 ± 46.2 min, clip flap group: 74.7 ± 53.3 min, P = 0.69), area of resected specimen(conventional group: 884.6 ± 792.1 mm^2, clip flap group: 1006.4 ± 1004.8 mm^2, P = 0.49), delayed bleeding rate(conventional group: 5.5%, clip flap group: 2.0%, P = 0.49), or perforation rate(conventional group: 1.8%, clip flap group: 2.0%, P = 0.93) were found between the two groups. Lessexperienced endoscopists did not show any differences in procedure time between the two groups.CONCLUSION For patients with early-stage gastric tumors, the clipflap method has no advantage in efficacy or safety compared with the conventional method.
基金supported by National Natural Science Foundation of China(31972597)National Key R&D Program of China(2021YFD1300202)S&T Program of Hebei(199A7310H).
文摘Background:There is a lack of data for the standardized ileal digestibility(SID) of fat and fatty acids in national feed databases.In addition,it is important to specify the procedures used for fat analyses.Therefore,an experiment was conducted to 1) determine the apparent ileal digestibility(AID) and SID of fat and fatty acids in ten different oil sources for growing pigs and to develop prediction equations for SID of fat based on fatty acid composition;and 2) compare the effect of the fat extraction methods on the calculated values for endogenous loss and digestibility of fat.Methods:Twenty-two barrows(initial body weight:32.1 ± 2.3 kg) were surgically fitted with a T-cannula in the distal ileum,and allotted to 1 of 11 experimental diets in a 4-period Youden Square design.A fat-free diet was formulated using cornstarch,soy protein isolate and sucrose.Ten oil-added diets were formulated by adding 6% of dietary oil sources to the fat-free diet at the expense of cornstarch.All diets contained 26% sugar beet pulp and 0.40% chromic oxide.Results:The endogenous loss of ether extract(EE) was lower than that of acid-hydrolyzed fat(AEE;P < 0.01).There were significant differences in the AID and SID of fat and saturated fatty acids across the dietary oil sources(P < 0.05).The SID of AEE for palm oil was lower than that of sunflower oil,corn oil,canola oil,rice oil and flaxseed oil(P < 0.01).The AID and SID of fat ranged from 79.65% to 86.97% and from 91.14% to 99.18%.Although the AID of EE was greater than that of AEE(P < 0.01),there was no significant difference in SID of EE and AEE except for palm oil.The ratio of unsaturated to saturated fatty acids(U/S) had a positive correlation with SID of fat(P < 0.05),whereas C16:0 and long chain saturated fatty acids(LSFA) were significant negatively correlated with SID of fat(P < 0.01).The best-fit equation to predict SID of fat was SID AEE = 102.75-0.15 × LSFA-0.74 × C18:0-0.03 × C18:1(Adjusted coefficient of determination = 0.88,P < 0.01).Conclusions:When calculating the SID of fat,the EE content of the samples can be analyzed using the direct extraction method,whereas the acid hydrolysis procedure should be used to determine the AID of fat.Fat digestibility of dietary oils was affected by their fatty acid composition,especially by the contents of C16:0,LSFA and U/S.
基金supported by the H.W.Schaumann Stiftung(Hamburg,Germany)
文摘Background: Grain legumes represent a valuable energy source in pig diets due to their high starch content. The present study was conducted to determine the content and apparent ileal digestibility(AID) of starch in different grain legume cultivars for pigs by means of both a polarimetric and enzymatic method for starch determination.Methods: Three experiments were conducted with six barrows each which were fitted with ileal T-cannulas. In total, 18 diets including six different cultivars of faba beans(Vicia faba L.) and peas(Pisum sativum L.), five different cultivars of lupins(Lupinus luteus L., Lupinus angustifolius L.), and one diet with a soybean meal(SBM) were fed.Results: The starch content of faba beans and peas was greater(P &lt; 0.05) when determined polarimetrically than enzymatically(438 vs. 345 g/kg dry matter(DM) in faba beans and 509 vs. 390 g/kg DM in peas, respectively).Considerable lower starch contents were obtained in lupins and SBM, with 82 and 48 g/kg DM(analyzed polarimetrically) and &lt;1.1 and 3 g/kg DM(analyzed enzymatically), respectively. Mean values for contents of neutral detergent fiber(NDF) and acid detergent fiber(ADF) in grain legumes ranged from 111 and 79 g/kg DM in peas to248 and 207 g/kg DM in lupins, respectively. Contents of condensed tannins in the colored flowered faba bean cultivars ranged from 2.1 to 7.4 g/kg DM. The AID of starch was greater(P &lt; 0.05) in pea than in faba bean cultivars,and using the polarimetric starch determination method resulted in greater(P &lt; 0.05) digestibility values than using enzymatic starch analysis(84 vs. 80% in faba beans and 86 vs. 83% in peas). Moreover, AID of starch differed(P &lt; 0.05)within pea cultivars and starch digestibility in faba beans decreased linearly(P &lt; 0.05) as the content of condensed tannins increased. However, there was no relationship between contents of NDF and ADF and AID of starch in pea and faba bean cultivars.Conclusion: Both contents and AID of starch in grain legumes can vary as influenced by the analytical method used for starch determination. Generally, starch digestibility is greater when measured by polarimetric rather than enzymatic methods.
基金supported by the National Natural Science Foundation of China(6110216461272224)the Scientific Research Fund of Hangzhou Normal University(2011QDL021)
文摘This paper presents a novel robust S transform algorithm based on the clipping method to process signals corrupted by impulsive noise.The proposed algorithm is introduced to determine the clipping threshold value according to the characteristics of the signal samples.Signals in various impulsive noise models are considered to illustrate that the robust S transform can achieve better performance than the standard S transform.Moreover,mean square errors for instantaneous frequency estimation of the robust S transform are compared with that of the standard S transform,showing that the robust S transform can achieve significantly improved instantaneous frequency estimation for the signals in impulsive noise.
文摘BACKGROUND We recently developed a new endoscopic closure technique using only conventional endo-clips for colorectal lesions.Little is known about the feasibility of the endoscopic mucosa-submucosa clip closure method for gastric lesions.AIM To elucidate the efficacy of the endoscopic mucosa-submucosa clip closure method after gastric endoscopic submucosal dissection(ESD).METHODS Twenty-two patients who underwent gastric ESD and mucosa-submucosa clip closure were included in this study.In this method,endo-clips are placed at the edges of a mucosal defect.Additional endo-clips are then applied in the same way to facilitate reduction of the defect size.Additional endo-clips are applied to both sides of the mucosal defect.Complete closure can be achieved.We have also developed a“location score”and“closure difficulty index”for assessment purposes.RESULTS Complete closure was achieved in 68.2%of the patients(15/22).The location score in the failure group was significantly larger than that in the complete closure group(P=0.023).The closure difficulty index in the failure group was significantly higher than that in the complete closure group(P=0.007).When the cutoff value of the closure difficulty index was set at 99,the high closure difficulty index predicted failure with a sensitivity of 57.1%,specificity of 100%,and accuracy of 86.3%.CONCLUSION The endoscopic mucosa-submucosa clip closure method was unreliable after gastric ESD,especially in cases with a high closure difficulty index.
基金The research reported was supported by the National Natural Science Foundation of China.
文摘Owing to the fact that the wind speed and direction of typhoon vary rapidly with time and space in typhoon fetch; the nearer to the typhoon eye the greater the wind velocity, and the shorter the wind fetch the smaller the wind time,as a result,the more difficult for the wind wave to fully grow. Hence.in typhoon wave numerical calculation it is impossible to use the model for a fully grown wave spectrum. Lately, the author et at. presented a CHGS method for numerical forecasting of typhoon waves, where a model for the growing wave spectrum was set up (see Eq. (2) in the text). The model involves a parameter indicating the growing degree of wind wave, i. e. ,the mean wave age β. When βvalue is small, the wave energy is chiefly concentrated near the peak frequency, so that the spectral peak gets high and steep; with the increase of β the spectral shape gradually gets lower and gentler; when β=Ⅰ, the wave fully grows, the growing spectrum becomes a fully grown P-M spectrum. The model also shows a spectral “overshooting” phenomenon within the “balance zone”.
文摘With the rapid development of economy and constant improvement of social market economy system, the trade between countries is becoming more frequent and the competition is more intensified. As the main body of economy market, enterprises' competition is also expanding and strengthening, and fierce competition makes the disadvantaged enterprise withdrawal and also promotes the new enterprise. But the growing enterprise wants to grow sturdily, which is affected by many factors. It needs to face many challenges and cope with various problems. Some problems may not be in place, and they can not find any guidance examples, and this needs enterprise to analyze and choose. Slightly careless, emerging enterprises will be nipped in the cradle. This paper analyzes the operation management mode for the growing enterprise, based on this, it finds out the operation concept and proper operation mode suitable for the long-term development of enterprise, inorder to provide help for relevant stat^t:
文摘Aiming at the problem of high temperature and even demagnetization failure of permanent magnet (PM) due to PM eddy current loss in PM synchronous high-speed motors, this paper proposes a technique to lessen PM eddy current loss by cutting the angle of PM poles to change the shape of PM structure. Firstly, an analysis is conducted on the mechanism of PM synchronous high-speed motor eddy current loss production, the theoretical analytical model of PM eddy current loss is deduced, and it is theoretically proved that the magnetic pole shaving angle can reduce PM eddy current loss. Then, a 25 KW surface-type PM synchronous high-speed motor as an object, using two-dimensional time-step finite element method (FEM) to model and analyze PM eddy current loss. The results show that the smaller the PM pole shaving angle, the less its eddy current loss will be, it is possible to minimize the pole shaving angle of eddy current loss by 9.8% compared to the unshaved angle. Finally, the temperature field of the PM is calculated using a finite element method, and the outcomes demonstrate that the maximum temperature of the PM with a magnetic pole shaving angle can be reduced by about 5% compared with the unshaved angle.
基金conducted by support of research credit(No:89034)from the University of Tehran
文摘Numerous approaches have been developed to quantify forest structure modules.A variety has measured each as part of stand attributes.This study was carried out in managed mixed stands in northern Iran.The objective was to quantify stand structure and its variation before and after tree marking through the Gini index and structural triangle method.A full sampling inventory was taken in 2004 and 2014 at the beginning and end of a period,before and after tree marking operations in five stands.The results indicate that the Gini index was 39.5,62.2,43.0,82.0 and 74.0%forⅠ,Ⅱ,Ⅲ,ⅣandⅤstands respectively.Furthermore,approximate structural diameters were determined as a large category forⅠ,Ⅱ,ⅢandⅤstands while standⅡhad an intermediate-large class pre-tree marking to an intermediate-small class post-tree marking.The paired t-test results were not significant for tree numbers and growing stock changes for all species,and for beech,hornbeam,and velvet maple before and after tree harvesting in the whole stand.Therefore,the Gini index and the structural triangle method can be used for natural stand modeling,structural diversity designation,and for management practices in nature-oriented forestry strategies.