BACKGROUND At present,laparoscopic cholecystectomy(LC)is the main surgical treatment for gallstones.But,after gallbladder removal,there are many complications.Therefore,it is hoped to remove stones while preserving th...BACKGROUND At present,laparoscopic cholecystectomy(LC)is the main surgical treatment for gallstones.But,after gallbladder removal,there are many complications.Therefore,it is hoped to remove stones while preserving the function of the gallbladder,and with the development of endoscopic technology,natural orifice transluminal endoscopic surgery came into being.AIM To compare the quality of life,perioperative indicators,adverse events after LC and transgastric natural orifice transluminal endoscopic gallbladder-preserving surgery(EGPS)in patients with gallstones.METHODS Patients who were admitted to The First Affiliated Hospital of Xinjiang Medical University from 2020 to 2022 were retrospectively collected.We adopted propen-sity score matching(1:1)to compare EGPS and LC patients.RESULTS A total of 662 cases were collected,of which 589 cases underwent LC,and 73 cases underwent EGPS.Propensity score matching was performed,and 40 patients were included in each of the groups.In the EGPS group,except the gastr-ointestinal defecation(P=0.603),the total score,physical well-being,mental well-being,and gastrointestinal digestion were statistically significant compared with the preoperative score after surgery(P<0.05).In the LC group,except the mental well-being,the total score,physical well-being,gastrointestinal digestion,the gastrointestinal defecation was statistically significant compared with the preoperative score after surgery(P<0.05).When comparing between groups,gastrointestinal defecation had significantly difference(P=0.002)between the two groups,there was no statistically significant difference in the total postoperative score and the other three subscales.In the surgery duration,hospital stay and cost,LC group were lower than EGPS group.The recurrence factors of gallstones after EGPS were analyzed:and recurrence was not correlated with gender,age,body mass index,number of stones,and preoperative score.CONCLUSION Whether EGPS or LC,it can improve the patient’s symptoms,and the EGPS has less impact on the patient’s defecation.It needed to,prospective,multicenter,long-term follow-up,large-sample related studies to prove.展开更多
Nature is an information sourcebook of behaviour, function, colour and shape which can inspire visual design and invention. Studying the form and functional characteristics of a natural object can provide inspiration ...Nature is an information sourcebook of behaviour, function, colour and shape which can inspire visual design and invention. Studying the form and functional characteristics of a natural object can provide inspiration for product design and help to improve the marketability of manufactured products. The inspiration can be triggered either by direct observation or captured by three-dimensional （3D） digitising techniques to obtain superficial information （geometry and colour）. An art designer often creates a concept in the form of a two-dimensional （2D） sketch while engineering methods lead to a point cloud in 3D. Each has its limitations in that the art designer commonly lacks the knowledge to build a final product from a 2D sketch and the engi- neering designer＇s 3D point clouds may not be very beautiful. We propose a method for Product Design from Nature （PDN）, coupling aesthetic intent and geometrical characteristics, exploring the interactions between designers and nature＇s systems in PDN. We believe that this approach would considerably reduce the lead time and cost of product design from nature.展开更多
Tourism is an important economic sector globally contributing to economic development of many countries.Though the tourism sector has been credited with the creation of millions of jobs to populations’worldwide,there...Tourism is an important economic sector globally contributing to economic development of many countries.Though the tourism sector has been credited with the creation of millions of jobs to populations’worldwide,there has been wide-ranging apprehension on its capacity to improve the populaces’quality of life.This study therefore sought to establish whether the nature of jobs created had an influence on quality of life of employees working in the STMES found in Mombasa County,Kenya.A mixed methods research design using the embedded approach was adopted.Primary data was collected using researcher administered semi-structured questionnaires and semi-structured interviews.The target population was the 1572 employees in the SMTEs.Probability Proportional to Size Sampling was used for the SMTEs employees where a total of 464 employees formed the sample size while purposive sampling was used for interview respondents.Linear regression was used to analyse quantitative data while tables were used for data presentation.The nature of employment had a statically significant effect on employees’quality of life(R=0.881;P=0.000;V=0.804).This finding has implications for developing a regulatory framework that would enable SMTEs create productive employment in that,it is a wake-up call to the government to re-look at the implementation of the economic blue print(Vision 2030)and identify functional implementation strategies it can use to ensure its’overall goal of providing a high quality of life for citizens is achieved.展开更多
John Keats, a good observer and interpreter of Mother Nature, makes a life-time quest for the beauty of nature and themeaning of life in his poems. Likewise, Tagore, a world-renowned Indian poet, is also a nature-wors...John Keats, a good observer and interpreter of Mother Nature, makes a life-time quest for the beauty of nature and themeaning of life in his poems. Likewise, Tagore, a world-renowned Indian poet, is also a nature-worshiper and writes under thedeep influence of European Romanticism.This paper is to explore the similarities and differences of the two poets' contemplationupon life and death in their view of nature, focusing on Ode to a Nightingale by Keats and Fruit-Gathering by Tagore, aiming tobetter understand the two great poet's poetics in a comparative dimension.展开更多
Emily Dickenson’s poems have long enjoyed considerable acclaims from critics and common readers for her delicate and profound writing of life and death,love,nature,etc.Her short poem“My Life had stood—a Loaded Gun...Emily Dickenson’s poems have long enjoyed considerable acclaims from critics and common readers for her delicate and profound writing of life and death,love,nature,etc.Her short poem“My Life had stood—a Loaded Gun”is one receiving relatively few academic discussion.Among the rather few existent studies,many discuss Dickenson’s feminist ideas,religious bewilderment,literary creation views or even personal feeling in this poem.This article,instead,gives an interpretation of this poem from an ecocritical perspective.It points out that Emily Dickenson in this poem expresses her condemnation on human’s cruelty and indiffer?ence to nature.After a thorough interpretation of Dickenson’s reflection on human-nature relationship in this poem,the article fur?ther explores Dickenson’s attitudes toward nature through her personal writing background and clues in her other works to support this interpretation.展开更多
基金The study was reviewed and approved by The First Affiliated Hospital of Xinjiang Medical University Institutional Review Board(No.K202311-33).
文摘BACKGROUND At present,laparoscopic cholecystectomy(LC)is the main surgical treatment for gallstones.But,after gallbladder removal,there are many complications.Therefore,it is hoped to remove stones while preserving the function of the gallbladder,and with the development of endoscopic technology,natural orifice transluminal endoscopic surgery came into being.AIM To compare the quality of life,perioperative indicators,adverse events after LC and transgastric natural orifice transluminal endoscopic gallbladder-preserving surgery(EGPS)in patients with gallstones.METHODS Patients who were admitted to The First Affiliated Hospital of Xinjiang Medical University from 2020 to 2022 were retrospectively collected.We adopted propen-sity score matching(1:1)to compare EGPS and LC patients.RESULTS A total of 662 cases were collected,of which 589 cases underwent LC,and 73 cases underwent EGPS.Propensity score matching was performed,and 40 patients were included in each of the groups.In the EGPS group,except the gastr-ointestinal defecation(P=0.603),the total score,physical well-being,mental well-being,and gastrointestinal digestion were statistically significant compared with the preoperative score after surgery(P<0.05).In the LC group,except the mental well-being,the total score,physical well-being,gastrointestinal digestion,the gastrointestinal defecation was statistically significant compared with the preoperative score after surgery(P<0.05).When comparing between groups,gastrointestinal defecation had significantly difference(P=0.002)between the two groups,there was no statistically significant difference in the total postoperative score and the other three subscales.In the surgery duration,hospital stay and cost,LC group were lower than EGPS group.The recurrence factors of gallstones after EGPS were analyzed:and recurrence was not correlated with gender,age,body mass index,number of stones,and preoperative score.CONCLUSION Whether EGPS or LC,it can improve the patient’s symptoms,and the EGPS has less impact on the patient’s defecation.It needed to,prospective,multicenter,long-term follow-up,large-sample related studies to prove.
文摘Nature is an information sourcebook of behaviour, function, colour and shape which can inspire visual design and invention. Studying the form and functional characteristics of a natural object can provide inspiration for product design and help to improve the marketability of manufactured products. The inspiration can be triggered either by direct observation or captured by three-dimensional （3D） digitising techniques to obtain superficial information （geometry and colour）. An art designer often creates a concept in the form of a two-dimensional （2D） sketch while engineering methods lead to a point cloud in 3D. Each has its limitations in that the art designer commonly lacks the knowledge to build a final product from a 2D sketch and the engi- neering designer＇s 3D point clouds may not be very beautiful. We propose a method for Product Design from Nature （PDN）, coupling aesthetic intent and geometrical characteristics, exploring the interactions between designers and nature＇s systems in PDN. We believe that this approach would considerably reduce the lead time and cost of product design from nature.
文摘Tourism is an important economic sector globally contributing to economic development of many countries.Though the tourism sector has been credited with the creation of millions of jobs to populations’worldwide,there has been wide-ranging apprehension on its capacity to improve the populaces’quality of life.This study therefore sought to establish whether the nature of jobs created had an influence on quality of life of employees working in the STMES found in Mombasa County,Kenya.A mixed methods research design using the embedded approach was adopted.Primary data was collected using researcher administered semi-structured questionnaires and semi-structured interviews.The target population was the 1572 employees in the SMTEs.Probability Proportional to Size Sampling was used for the SMTEs employees where a total of 464 employees formed the sample size while purposive sampling was used for interview respondents.Linear regression was used to analyse quantitative data while tables were used for data presentation.The nature of employment had a statically significant effect on employees’quality of life(R=0.881;P=0.000;V=0.804).This finding has implications for developing a regulatory framework that would enable SMTEs create productive employment in that,it is a wake-up call to the government to re-look at the implementation of the economic blue print(Vision 2030)and identify functional implementation strategies it can use to ensure its’overall goal of providing a high quality of life for citizens is achieved.
文摘John Keats, a good observer and interpreter of Mother Nature, makes a life-time quest for the beauty of nature and themeaning of life in his poems. Likewise, Tagore, a world-renowned Indian poet, is also a nature-worshiper and writes under thedeep influence of European Romanticism.This paper is to explore the similarities and differences of the two poets' contemplationupon life and death in their view of nature, focusing on Ode to a Nightingale by Keats and Fruit-Gathering by Tagore, aiming tobetter understand the two great poet's poetics in a comparative dimension.
文摘The annual "Natural" Cup International T-shirt Design Competition, supervised by China Association for Science and Technology, China National Textile
文摘Emily Dickenson’s poems have long enjoyed considerable acclaims from critics and common readers for her delicate and profound writing of life and death,love,nature,etc.Her short poem“My Life had stood—a Loaded Gun”is one receiving relatively few academic discussion.Among the rather few existent studies,many discuss Dickenson’s feminist ideas,religious bewilderment,literary creation views or even personal feeling in this poem.This article,instead,gives an interpretation of this poem from an ecocritical perspective.It points out that Emily Dickenson in this poem expresses her condemnation on human’s cruelty and indiffer?ence to nature.After a thorough interpretation of Dickenson’s reflection on human-nature relationship in this poem,the article fur?ther explores Dickenson’s attitudes toward nature through her personal writing background and clues in her other works to support this interpretation.
