BACKGROUND Complex and high-risk surgical complications pose pressing challenges in the clinical implementation and advancement of endoscopic full-thickness resection(EFTR).Successful perforation repair under endoscop...BACKGROUND Complex and high-risk surgical complications pose pressing challenges in the clinical implementation and advancement of endoscopic full-thickness resection(EFTR).Successful perforation repair under endoscopy,thereby avoiding surgical intervention and postoperative complications such as peritonitis,are pivotal for effective EFTR.AIM To investigate the effectiveness and safety of EFTR assisted by distal serosal inversion under floss traction in gastric submucosal tumors.METHODS A retrospective analysis of patients with gastric and duodenal submucosal tumors treated with EFTR assisted by the distal serosa inversion under dental floss traction from January 2023 to January 2024 was conducted.The total operation time,tumor dissection time,wound closure time,intraoperative bleeding volume,length of hospital stay and incidence of complications were analyzed.RESULTS There were 93 patients,aged 55.1±12.1 years.Complete tumor resection was achieved in all cases,resulting in a 100% success rate.The average total operation time was 67.4±27.0 min,with tumor dissection taking 43.6±20.4 min.Wound closure times varied,with gastric body closure time of 24.5±14.1 min and gastric fundus closure time of 16.6±8.7 min,showing a significant difference(P<0.05).Intraoperative blood loss was 2.3±4.0 mL,and average length of hospital stay was 5.7±1.9 d.There was no secondary perforation after suturing in all cases.The incidence of delayed bleeding was 2.2%,and the incidence of abdominal infection was 3.2%.No patient required other surgical intervention during and after the operation.CONCLUSION Distal serosal inversion under dental-floss-assisted EFTR significantly reduced wound closure time and intraoperative blood loss,making it a viable approach for gastric submucosal tumors.展开更多
George Eliot(1819-1880)is an outstanding female writer in Victorian Age.Virginia Woolf,a feminist pioneer,once praised her as"the pride and paragon of the female".However,her feminism is ambivalent.On the on...George Eliot(1819-1880)is an outstanding female writer in Victorian Age.Virginia Woolf,a feminist pioneer,once praised her as"the pride and paragon of the female".However,her feminism is ambivalent.On the one hand,she dares to challenge the male-dominated society and supports women’s rights to receive education and freedom of love and marriage.On the other hand,she emphasizes that women should make self-sacrifice to help men achieve their goals.Based on The Mill on the Floss and studies of previous scholars,this thesis tries to analyze George Eliot’s ambivalent feminism.Thus it is beneficial for readers to observe and think about women’s future.展开更多
The tropical forest kapok tree occurs widely in urban environments, dispersing thousands of floss during the fruiting season. However, its seedlings are rarely seen around human settlements, raising questions on what ...The tropical forest kapok tree occurs widely in urban environments, dispersing thousands of floss during the fruiting season. However, its seedlings are rarely seen around human settlements, raising questions on what factorsmight be limiting its recruitment. We examined the pattern of floss release, seed fall post-dispersal and influences of watering frequency on germination ofCeiba pentandraseeds. Evening,overall, was associated with a significantlyhigher rate and quantity of floss release (p= 0.0001) than were mid-day and morning, correlating well with the speed of wind across the day (rh = 0.666,p= 0.001). Mean dispersal quantity differed significantly between the individual sampled trees, in which the highest dispersal was recorded from trees located in relatively open areas and the lowest was recorded in closed stand trees. Seed fall was higher within100 mdistances than seed fall farther away from dispersing trees, depending on the microsites and weather conditions. Germination started on day 5 onwards and only 15.67% of sown seeds germinated. Watering frequency strongly influenced seed germination while local human activities determined fate of dispersed seeds. We conclude that recruitment ofC. pentandraspecies in the study area may have been limited by environmental and human factors operating at various local and spatial scales.展开更多
<strong>Purpose:</strong> The aim of the present study was to determine the degree of using floss and the demographic characteristics of medical faculties of Inner Mongolia Medical University. <strong&g...<strong>Purpose:</strong> The aim of the present study was to determine the degree of using floss and the demographic characteristics of medical faculties of Inner Mongolia Medical University. <strong>Materials and Methods:</strong> Participants completed the questionnaire in the classroom. These participants came from the medical faculties of Chinese Medicine and Western Medicine. These participants were interviewed to determine the demographic characteristics. Non-flossors responded according to their reasons for not flossing. <strong>Results:</strong> A total of 3481 effective data were available for analysis. The floss prevalence was 17.21%, which was lower by 5.72% for students living in rural areas, when compared to students living in urban areas. The largest proportion of non-flossing participants in rural areas answered, “I do not know what a floss is”, while participants in urban answered, “I do not want to use it”. The largest proportion of answered flossing frequency was less than once a month. <strong>Conclusion:</strong> The present study indicates that the prevalence of using floss in medical faculties in Inner Mongolia Medical University was higher, when compared to that in Sichuan province, China, but lower than that in other countries. Although the students use floss, more than one-third of students use floss less than once a month, which is close to “never”. The prevalence in rural areas is lower than those in urban areas. Male not only comprises the total number of prevalence, but also has a frequency greater than that in females. The emphasis on using floss should be improved in medical students.展开更多
文摘BACKGROUND Complex and high-risk surgical complications pose pressing challenges in the clinical implementation and advancement of endoscopic full-thickness resection(EFTR).Successful perforation repair under endoscopy,thereby avoiding surgical intervention and postoperative complications such as peritonitis,are pivotal for effective EFTR.AIM To investigate the effectiveness and safety of EFTR assisted by distal serosal inversion under floss traction in gastric submucosal tumors.METHODS A retrospective analysis of patients with gastric and duodenal submucosal tumors treated with EFTR assisted by the distal serosa inversion under dental floss traction from January 2023 to January 2024 was conducted.The total operation time,tumor dissection time,wound closure time,intraoperative bleeding volume,length of hospital stay and incidence of complications were analyzed.RESULTS There were 93 patients,aged 55.1±12.1 years.Complete tumor resection was achieved in all cases,resulting in a 100% success rate.The average total operation time was 67.4±27.0 min,with tumor dissection taking 43.6±20.4 min.Wound closure times varied,with gastric body closure time of 24.5±14.1 min and gastric fundus closure time of 16.6±8.7 min,showing a significant difference(P<0.05).Intraoperative blood loss was 2.3±4.0 mL,and average length of hospital stay was 5.7±1.9 d.There was no secondary perforation after suturing in all cases.The incidence of delayed bleeding was 2.2%,and the incidence of abdominal infection was 3.2%.No patient required other surgical intervention during and after the operation.CONCLUSION Distal serosal inversion under dental-floss-assisted EFTR significantly reduced wound closure time and intraoperative blood loss,making it a viable approach for gastric submucosal tumors.
文摘George Eliot(1819-1880)is an outstanding female writer in Victorian Age.Virginia Woolf,a feminist pioneer,once praised her as"the pride and paragon of the female".However,her feminism is ambivalent.On the one hand,she dares to challenge the male-dominated society and supports women’s rights to receive education and freedom of love and marriage.On the other hand,she emphasizes that women should make self-sacrifice to help men achieve their goals.Based on The Mill on the Floss and studies of previous scholars,this thesis tries to analyze George Eliot’s ambivalent feminism.Thus it is beneficial for readers to observe and think about women’s future.
文摘The tropical forest kapok tree occurs widely in urban environments, dispersing thousands of floss during the fruiting season. However, its seedlings are rarely seen around human settlements, raising questions on what factorsmight be limiting its recruitment. We examined the pattern of floss release, seed fall post-dispersal and influences of watering frequency on germination ofCeiba pentandraseeds. Evening,overall, was associated with a significantlyhigher rate and quantity of floss release (p= 0.0001) than were mid-day and morning, correlating well with the speed of wind across the day (rh = 0.666,p= 0.001). Mean dispersal quantity differed significantly between the individual sampled trees, in which the highest dispersal was recorded from trees located in relatively open areas and the lowest was recorded in closed stand trees. Seed fall was higher within100 mdistances than seed fall farther away from dispersing trees, depending on the microsites and weather conditions. Germination started on day 5 onwards and only 15.67% of sown seeds germinated. Watering frequency strongly influenced seed germination while local human activities determined fate of dispersed seeds. We conclude that recruitment ofC. pentandraspecies in the study area may have been limited by environmental and human factors operating at various local and spatial scales.
文摘<strong>Purpose:</strong> The aim of the present study was to determine the degree of using floss and the demographic characteristics of medical faculties of Inner Mongolia Medical University. <strong>Materials and Methods:</strong> Participants completed the questionnaire in the classroom. These participants came from the medical faculties of Chinese Medicine and Western Medicine. These participants were interviewed to determine the demographic characteristics. Non-flossors responded according to their reasons for not flossing. <strong>Results:</strong> A total of 3481 effective data were available for analysis. The floss prevalence was 17.21%, which was lower by 5.72% for students living in rural areas, when compared to students living in urban areas. The largest proportion of non-flossing participants in rural areas answered, “I do not know what a floss is”, while participants in urban answered, “I do not want to use it”. The largest proportion of answered flossing frequency was less than once a month. <strong>Conclusion:</strong> The present study indicates that the prevalence of using floss in medical faculties in Inner Mongolia Medical University was higher, when compared to that in Sichuan province, China, but lower than that in other countries. Although the students use floss, more than one-third of students use floss less than once a month, which is close to “never”. The prevalence in rural areas is lower than those in urban areas. Male not only comprises the total number of prevalence, but also has a frequency greater than that in females. The emphasis on using floss should be improved in medical students.
