AIM: To investigate the clinical outcome of double balloon enteroscopy (DBE)-assisted endoscopic retrograde cholangiopancreatography (DB-ERCP) in patients with altered gastrointestinal anatomy. METHODS: Between Septem...AIM: To investigate the clinical outcome of double balloon enteroscopy (DBE)-assisted endoscopic retrograde cholangiopancreatography (DB-ERCP) in patients with altered gastrointestinal anatomy. METHODS: Between September 2006 and April 2011, 47 procedures of DB-ERCP were performed in 28 patients with a Roux-en-Y total gastrectomy (n = 11), Billroth Ⅱ gastrectomy (n = 15), or Roux-en-Y anastomosis with hepaticojejunostomy (n = 2). DB-ERCP was performed using a short-type DBE combined with several technical innovations such as using an endoscope attachment, marking by submucosal tattooing,selectively applying contrast medium, and CO2 insufflations. RESULTS: The papilla of Vater or hepaticojejunostomy site was reached in its entirety with a 96% success rate (45/47 procedures). There were no significant differences in the success rate of reaching the blind end with a DBE among Roux-en-Y total gastrectomy (96%), Billroth Ⅱ reconstruction (94%), or pancreatoduodenectomy (100%), respectively (P = 0.91). The total successful rate of cannulation and contrast enhancement of the target bile duct in patients whom the blind end was reached with a DBE was 40/45 procedures (89%). Again, there were no significant differences in the success rate of cannulation and contrast enhancement of the target bile duct with a DBE among Roux-en-Y total gastrectomy (88 %), Billroth Ⅱ reconstruction (89%), or pancreatoduodenectomy (100%), respectively (P = 0.67). Treatment was achieved in all 40 procedures (100%) in patients whom the contrast enhancement of the bile duct was successful. Common endoscopic treatments were endoscopic biliary drainage (24 procedures) and extraction of stones (14 procedures). Biliary drainage was done by placement of plastic stents. Stones extraction was done by lithotomy with the mechanical lithotripter followed by extraction with a basket or by the balloon pull-through method. Endoscopic sphincterotomy was performed in 14 procedures with a needle precutting knife using a guidewire. The mean total duration of the procedure was 93.6 ± 6.8 min and the mean time required to reach the papilla was 30.5 ± 3.7 min. The mean time required to reach the papilla tended to be shorter in Billroth Ⅱ reconstruction (20.9 ± 5.8 min) than that in Roux-en-Y total gastrectomy (37.1 ± 4.9 min) but there was no significant difference (P = 0.09). A major complication occurred in one patient (3.5%); perforation of the long limb in a patient with Billroth Ⅱ anastomosis.CONCLUSION: Short-type DBE combined with several technical innovations enabled us to perform ERCP in most patients with altered gastrointestinal anatomy.展开更多
The aim of the study is to conduct comprehensive experiments and developments of innovative technologies to produce the oil extract of amaranth for their application as food additives in the food industry. To achieve ...The aim of the study is to conduct comprehensive experiments and developments of innovative technologies to produce the oil extract of amaranth for their application as food additives in the food industry. To achieve the aim, the following tasks were identified： （I） study the physicochemical, biochemical properties and the composition of amaranth seeds; （2） improving the methods for producing the oil extract of amaranth. This article is devoted to complex research of processes of manufacture of vegetable oils. Authors have developed scientific bases of improvement and an intensification of technological processes for production of oil from amaranth seeds. The authors have developed a new technology for extracting of oil from amaranth seeds using hexane as a solvent. The proposed method provides to obtain oil without great technical effort and keeps it all the nutrients that promote the highest taste of the product and with little labor and time costs.展开更多
The development of new fabrication techniques for capacitors with high storage capabilities, called super capacitors, requires appropriated equipment in order to obtain the device＇s electric behaviours. There is seve...The development of new fabrication techniques for capacitors with high storage capabilities, called super capacitors, requires appropriated equipment in order to obtain the device＇s electric behaviours. There is several equipment to perform this analysis operating with alternating or continuum voltage. However, the elevated cost of this equipment makes purchasing it impossible in many laboratories. In this work, we present the development and construction of a low-cost impedance spectrometer that allows for the analysis of the capacitor＇s electric behaviour without taking too much time. The analysis is performed by alternating voltage and current measurements as a function of the frequency in the range of 0.001 Hz to 100 kHz. The capacitance and electric behaviour of some commercial capacitors are shown in this work, thereby proving the efficiency of the developed equipment.展开更多
Equipment manufacturing industry is an important symbol to measure the industrial strength, scientific and technological innovation ability and international competitiveness of a country or region. Firstly, this paper...Equipment manufacturing industry is an important symbol to measure the industrial strength, scientific and technological innovation ability and international competitiveness of a country or region. Firstly, this paper analyzes the development status of equipment manufacturing industry in Shanghai, and then uses DEA to analyze the efficiency of technology innovation capability of equipment manufacturing industry in Shanghai. The results show that the equipment manufacturing industry in Shanghai has stronger overall drawing ability, and besides, the technology innovation ability of the transportation equipment manufacturing industry is weak, other equipment manufacturing sub industries have relatively strong ability of technological innovation. This paper analyzes the shortcomings of the transportation equipment manufacturing industry and gives guidance and puts forward corresponding suggestions and measures.展开更多
文摘AIM: To investigate the clinical outcome of double balloon enteroscopy (DBE)-assisted endoscopic retrograde cholangiopancreatography (DB-ERCP) in patients with altered gastrointestinal anatomy. METHODS: Between September 2006 and April 2011, 47 procedures of DB-ERCP were performed in 28 patients with a Roux-en-Y total gastrectomy (n = 11), Billroth Ⅱ gastrectomy (n = 15), or Roux-en-Y anastomosis with hepaticojejunostomy (n = 2). DB-ERCP was performed using a short-type DBE combined with several technical innovations such as using an endoscope attachment, marking by submucosal tattooing,selectively applying contrast medium, and CO2 insufflations. RESULTS: The papilla of Vater or hepaticojejunostomy site was reached in its entirety with a 96% success rate (45/47 procedures). There were no significant differences in the success rate of reaching the blind end with a DBE among Roux-en-Y total gastrectomy (96%), Billroth Ⅱ reconstruction (94%), or pancreatoduodenectomy (100%), respectively (P = 0.91). The total successful rate of cannulation and contrast enhancement of the target bile duct in patients whom the blind end was reached with a DBE was 40/45 procedures (89%). Again, there were no significant differences in the success rate of cannulation and contrast enhancement of the target bile duct with a DBE among Roux-en-Y total gastrectomy (88 %), Billroth Ⅱ reconstruction (89%), or pancreatoduodenectomy (100%), respectively (P = 0.67). Treatment was achieved in all 40 procedures (100%) in patients whom the contrast enhancement of the bile duct was successful. Common endoscopic treatments were endoscopic biliary drainage (24 procedures) and extraction of stones (14 procedures). Biliary drainage was done by placement of plastic stents. Stones extraction was done by lithotomy with the mechanical lithotripter followed by extraction with a basket or by the balloon pull-through method. Endoscopic sphincterotomy was performed in 14 procedures with a needle precutting knife using a guidewire. The mean total duration of the procedure was 93.6 ± 6.8 min and the mean time required to reach the papilla was 30.5 ± 3.7 min. The mean time required to reach the papilla tended to be shorter in Billroth Ⅱ reconstruction (20.9 ± 5.8 min) than that in Roux-en-Y total gastrectomy (37.1 ± 4.9 min) but there was no significant difference (P = 0.09). A major complication occurred in one patient (3.5%); perforation of the long limb in a patient with Billroth Ⅱ anastomosis.CONCLUSION: Short-type DBE combined with several technical innovations enabled us to perform ERCP in most patients with altered gastrointestinal anatomy.
文摘The aim of the study is to conduct comprehensive experiments and developments of innovative technologies to produce the oil extract of amaranth for their application as food additives in the food industry. To achieve the aim, the following tasks were identified： （I） study the physicochemical, biochemical properties and the composition of amaranth seeds; （2） improving the methods for producing the oil extract of amaranth. This article is devoted to complex research of processes of manufacture of vegetable oils. Authors have developed scientific bases of improvement and an intensification of technological processes for production of oil from amaranth seeds. The authors have developed a new technology for extracting of oil from amaranth seeds using hexane as a solvent. The proposed method provides to obtain oil without great technical effort and keeps it all the nutrients that promote the highest taste of the product and with little labor and time costs.
文摘The development of new fabrication techniques for capacitors with high storage capabilities, called super capacitors, requires appropriated equipment in order to obtain the device＇s electric behaviours. There is several equipment to perform this analysis operating with alternating or continuum voltage. However, the elevated cost of this equipment makes purchasing it impossible in many laboratories. In this work, we present the development and construction of a low-cost impedance spectrometer that allows for the analysis of the capacitor＇s electric behaviour without taking too much time. The analysis is performed by alternating voltage and current measurements as a function of the frequency in the range of 0.001 Hz to 100 kHz. The capacitance and electric behaviour of some commercial capacitors are shown in this work, thereby proving the efficiency of the developed equipment.
文摘Equipment manufacturing industry is an important symbol to measure the industrial strength, scientific and technological innovation ability and international competitiveness of a country or region. Firstly, this paper analyzes the development status of equipment manufacturing industry in Shanghai, and then uses DEA to analyze the efficiency of technology innovation capability of equipment manufacturing industry in Shanghai. The results show that the equipment manufacturing industry in Shanghai has stronger overall drawing ability, and besides, the technology innovation ability of the transportation equipment manufacturing industry is weak, other equipment manufacturing sub industries have relatively strong ability of technological innovation. This paper analyzes the shortcomings of the transportation equipment manufacturing industry and gives guidance and puts forward corresponding suggestions and measures.
