AIM:To prospectively assess the eff icacy and safety of stapled trans-anal rectal resection(STARR) compared to standard conservative treatment,and whether preoperative symptoms and findings at defecography and anorect...AIM:To prospectively assess the eff icacy and safety of stapled trans-anal rectal resection(STARR) compared to standard conservative treatment,and whether preoperative symptoms and findings at defecography and anorectal manometry can predict the outcome of STARR.METHODS:Thirty patients(Female,28;age:51 ± 9 years) with rectocele or rectal intussusception,a defecation disorder,and functional constipation were submitted for STARR.Thirty comparable patients(Female,30;age 53 ± 13 years),who presented with symptoms of rectocele or rectal intussusception and were treated with macrogol,were assessed.Patients were interviewed with a standardized questionnaire at study enrollment and 38 ± 18 mo after the STARR procedure or during macrogol treatment.A responder was def ined as an absence of the Rome Ⅲ diagnostic criteria for functional constipation.Defecography and rectoanal manometry were performed before and after the STARR procedure in 16 and 12 patients,respectively.RESULTS:After STARR,53% of patients were responders;during conservative treatment,75% were responders.After STARR,30% of the patients reported the use of laxatives,17% had intermittent anal pain,13% had anal leakage,13% required digital facilitation,6% experienced defecatory urgency,6% experienced fecal incontinence,and 6% required re-intervention.During macrogol therapy,23% of the patients complained of abdominal bloating and 13% of borborygmi,and 3% required digital facilitation.No preoperative symptom,defecographic,or manometric finding predicted the outcome of STARR.Post-operative defecography showed a statistically significant reduction(P < 0.05) of the rectal diameter and rectocele.The postoperative anorectal manometry showed that anal pressure and rectal sensitivity were not significantly modified,and that rectal compliance was reduced(P = 0.01).CONCLUSION:STARR is not better and is less safe than macrogol in the treatment of defecation disorders.It could be considered as an alternative therapy in patients unresponsive to macrogol.展开更多
In this article, based on the analysis of the current environmental situation in Russia and other countries, as well as of the problem of recycling plastic waste in the Russian Federation （RF）, the authors clearly s...In this article, based on the analysis of the current environmental situation in Russia and other countries, as well as of the problem of recycling plastic waste in the Russian Federation （RF）, the authors clearly show the effectiveness of investments in the processing of polymer debris on the example of polyethylene terephthalate （PET） waste （granulates, flakes）. In the frame of case study of social and environmental investment project on creating enterprise that will engage in collection, recycling, and sale of the consumer PET packaging in Russia, the authors demonstrate the economic feasibility of the creation of such kind of enterprises taking into account market conditions and the features of the existing system of taxation in Russia. The realization of the project will also help in solving environmental and social problems of large cities, in particular, will create more jobs （in terms of 6% of unemployment rate in the country）. The study also identifies the main obstacles in the way of waste recycling in Russia, and the recommendations for improvement of normative base of the industry are given.展开更多
A microfluidic approach to generate hydrogel microstructures inside microchannels for controlled encapsulation of single cells was developed. The method was based,on a modified microscope projection photolithography w...A microfluidic approach to generate hydrogel microstructures inside microchannels for controlled encapsulation of single cells was developed. The method was based,on a modified microscope projection photolithography which allowed for the photopolymerization of poly（ethylene glycol） diacrylate （PEGDA） inside microchannels. Uniformsized hydrogel microstmctures （-50 pan in diameter） were generated one by one with determined positions to encapsulate single cells without losing the viability. Cells of interest could be identified by any kinds of visible labels to be selectively encapsulated inside the formed hydrogel microstructures. Large-scale encapsulation of single cells was achieved with a relatively high efficiency of 80% and the viability of encapsulated cells could be guaranteed by removing the dead cells identified with Trypan blue. This method is simple, fast and convenient to pattern the microchannels with single cells for a wide range of cell-based applications. For demonstration, two intracellular enzyme assays of carboxylesterase were performed to investigate the distribution of enzyme concentrations and the kinetic information within the encapsulated single HepG2 cells.展开更多
文摘AIM:To prospectively assess the eff icacy and safety of stapled trans-anal rectal resection(STARR) compared to standard conservative treatment,and whether preoperative symptoms and findings at defecography and anorectal manometry can predict the outcome of STARR.METHODS:Thirty patients(Female,28;age:51 ± 9 years) with rectocele or rectal intussusception,a defecation disorder,and functional constipation were submitted for STARR.Thirty comparable patients(Female,30;age 53 ± 13 years),who presented with symptoms of rectocele or rectal intussusception and were treated with macrogol,were assessed.Patients were interviewed with a standardized questionnaire at study enrollment and 38 ± 18 mo after the STARR procedure or during macrogol treatment.A responder was def ined as an absence of the Rome Ⅲ diagnostic criteria for functional constipation.Defecography and rectoanal manometry were performed before and after the STARR procedure in 16 and 12 patients,respectively.RESULTS:After STARR,53% of patients were responders;during conservative treatment,75% were responders.After STARR,30% of the patients reported the use of laxatives,17% had intermittent anal pain,13% had anal leakage,13% required digital facilitation,6% experienced defecatory urgency,6% experienced fecal incontinence,and 6% required re-intervention.During macrogol therapy,23% of the patients complained of abdominal bloating and 13% of borborygmi,and 3% required digital facilitation.No preoperative symptom,defecographic,or manometric finding predicted the outcome of STARR.Post-operative defecography showed a statistically significant reduction(P < 0.05) of the rectal diameter and rectocele.The postoperative anorectal manometry showed that anal pressure and rectal sensitivity were not significantly modified,and that rectal compliance was reduced(P = 0.01).CONCLUSION:STARR is not better and is less safe than macrogol in the treatment of defecation disorders.It could be considered as an alternative therapy in patients unresponsive to macrogol.
文摘In this article, based on the analysis of the current environmental situation in Russia and other countries, as well as of the problem of recycling plastic waste in the Russian Federation （RF）, the authors clearly show the effectiveness of investments in the processing of polymer debris on the example of polyethylene terephthalate （PET） waste （granulates, flakes）. In the frame of case study of social and environmental investment project on creating enterprise that will engage in collection, recycling, and sale of the consumer PET packaging in Russia, the authors demonstrate the economic feasibility of the creation of such kind of enterprises taking into account market conditions and the features of the existing system of taxation in Russia. The realization of the project will also help in solving environmental and social problems of large cities, in particular, will create more jobs （in terms of 6% of unemployment rate in the country）. The study also identifies the main obstacles in the way of waste recycling in Russia, and the recommendations for improvement of normative base of the industry are given.
基金supported by the National Natural Science Foundation of China (20935002 & 90813015)
文摘A microfluidic approach to generate hydrogel microstructures inside microchannels for controlled encapsulation of single cells was developed. The method was based,on a modified microscope projection photolithography which allowed for the photopolymerization of poly（ethylene glycol） diacrylate （PEGDA） inside microchannels. Uniformsized hydrogel microstmctures （-50 pan in diameter） were generated one by one with determined positions to encapsulate single cells without losing the viability. Cells of interest could be identified by any kinds of visible labels to be selectively encapsulated inside the formed hydrogel microstructures. Large-scale encapsulation of single cells was achieved with a relatively high efficiency of 80% and the viability of encapsulated cells could be guaranteed by removing the dead cells identified with Trypan blue. This method is simple, fast and convenient to pattern the microchannels with single cells for a wide range of cell-based applications. For demonstration, two intracellular enzyme assays of carboxylesterase were performed to investigate the distribution of enzyme concentrations and the kinetic information within the encapsulated single HepG2 cells.
