AIM： TO re-evaluate the recent clinicopathological fea- tures of remnant gastric cancer （RGC） and to develop desirable surveillance programs.METHODS： Between 1997 and 2008, 1149 patients underwent gastrectomy for ...AIM： TO re-evaluate the recent clinicopathological fea- tures of remnant gastric cancer （RGC） and to develop desirable surveillance programs.METHODS： Between 1997 and 2008, 1149 patients underwent gastrectomy for gastric cancer at the Department of Digestive Surgery, Kyoto Prefectural Uni- versity of Medicine, Japan. Of these, 33 patients un- derwent gastrectomy with lymphadenectomy for RGC. Regarding the initial gastric disease, there were 19 patients with benign disease and 14 patients with gas- tric cancer. The hospital records of these patients were reviewed retrospectively. RESULTS： Concerning the initial gastric disease, the RGC group following gastric cancer had a shorter in- terval [P 〈 0.05; gastric cancer vs benign disease： 12 （2-22） vs 30 （4-51） years] and were more frequently reconstructed by Billroth- I procedure than those fol- lowing benign lesions （P 〈 0.001）. Regarding recon- struction, RGC following Billroth-]_l reconstruction showed a longer interval between surgical procedures [P 〈 0.001; Billroth-11 vs Billroth- I ： 32 （5-51） vs 12 （2-36） years] and tumors were more frequently associated with benign disease （P 〈 0.001） than those following Billroth- I reconstruction. In tumor location of RGC, after Billroth- I reconstruction, RGC occurred more fre- quently near the suture line and remnant gastric wall. After Billroth- 1I reconstruction, RGC occurred more fre- quently at the anastomotic site. The duration of follow- up was significantly associated with the stage of RGC （P 〈 0.05）. Patients diagnosed with early stage RGC such as stage Ⅰ-Ⅱ tended to have been followed up almost every second year. CONCLUSION： Meticulous follow-up examination and early detection of RGC might lead to a better prognosis. Based on the initial gastric disease and the procedure of reconstruction, an appropriate follow-up interval and programs might enable early detection of RGC.展开更多
Higher-order Time Domain Finite Element Method (TDFEM) based on the nodal inter- polation is proposed for two-dimensional electromagnetic analysis. The detailed algorithms of the method are presented firstly, and then...Higher-order Time Domain Finite Element Method (TDFEM) based on the nodal inter- polation is proposed for two-dimensional electromagnetic analysis. The detailed algorithms of the method are presented firstly, and then the accuracy, CPU time and memory consumption of the higher-order node-based TDFEM are investigated. The high performance of the presented approach is validated by numerical results of the transient responses of Transverse Electric (TE) field and Transverse Magnetic (TM) field in a rectangular waveguide.展开更多
This paper proposes the least-squares Galerkin finite dement scheme to solve secona-oraer hyperbolic equations. The convergence analysis shows that the method yields the approximate solutions with optimal accuracy in ...This paper proposes the least-squares Galerkin finite dement scheme to solve secona-oraer hyperbolic equations. The convergence analysis shows that the method yields the approximate solutions with optimal accuracy in （L2 （Ω））2 × L2 （Ω） norms. Moreover, the method gets the approximate solutions with second-order accuracy in time increment. A numerical example testifies the efficiency of the novel scheme. Key words Convergence analysis, Galerkin finite element, hyperbolic equations, least-squares, nu- merical example.展开更多
文摘AIM： TO re-evaluate the recent clinicopathological fea- tures of remnant gastric cancer （RGC） and to develop desirable surveillance programs.METHODS： Between 1997 and 2008, 1149 patients underwent gastrectomy for gastric cancer at the Department of Digestive Surgery, Kyoto Prefectural Uni- versity of Medicine, Japan. Of these, 33 patients un- derwent gastrectomy with lymphadenectomy for RGC. Regarding the initial gastric disease, there were 19 patients with benign disease and 14 patients with gas- tric cancer. The hospital records of these patients were reviewed retrospectively. RESULTS： Concerning the initial gastric disease, the RGC group following gastric cancer had a shorter in- terval [P 〈 0.05; gastric cancer vs benign disease： 12 （2-22） vs 30 （4-51） years] and were more frequently reconstructed by Billroth- I procedure than those fol- lowing benign lesions （P 〈 0.001）. Regarding recon- struction, RGC following Billroth-]_l reconstruction showed a longer interval between surgical procedures [P 〈 0.001; Billroth-11 vs Billroth- I ： 32 （5-51） vs 12 （2-36） years] and tumors were more frequently associated with benign disease （P 〈 0.001） than those following Billroth- I reconstruction. In tumor location of RGC, after Billroth- I reconstruction, RGC occurred more fre- quently near the suture line and remnant gastric wall. After Billroth- 1I reconstruction, RGC occurred more fre- quently at the anastomotic site. The duration of follow- up was significantly associated with the stage of RGC （P 〈 0.05）. Patients diagnosed with early stage RGC such as stage Ⅰ-Ⅱ tended to have been followed up almost every second year. CONCLUSION： Meticulous follow-up examination and early detection of RGC might lead to a better prognosis. Based on the initial gastric disease and the procedure of reconstruction, an appropriate follow-up interval and programs might enable early detection of RGC.
基金Supported by National Natural Science Foundation of China (No. 60601024)
文摘Higher-order Time Domain Finite Element Method (TDFEM) based on the nodal inter- polation is proposed for two-dimensional electromagnetic analysis. The detailed algorithms of the method are presented firstly, and then the accuracy, CPU time and memory consumption of the higher-order node-based TDFEM are investigated. The high performance of the presented approach is validated by numerical results of the transient responses of Transverse Electric (TE) field and Transverse Magnetic (TM) field in a rectangular waveguide.
基金This research is supported by the Mathematical Tianyuan Foundation of China under Grant No. 10726032, the National Natural Science Foundation of China under Grant No. 10471099, and the Fundamental Research Funds for the Central Universities.
文摘This paper proposes the least-squares Galerkin finite dement scheme to solve secona-oraer hyperbolic equations. The convergence analysis shows that the method yields the approximate solutions with optimal accuracy in （L2 （Ω））2 × L2 （Ω） norms. Moreover, the method gets the approximate solutions with second-order accuracy in time increment. A numerical example testifies the efficiency of the novel scheme. Key words Convergence analysis, Galerkin finite element, hyperbolic equations, least-squares, nu- merical example.
