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Estimation of co-channel interference between cities caused by ducting and turbulence
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作者 杨凯 吴振森 +4 位作者 郭兴 吴家骥 曹运华 屈檀 薛积禹 《Chinese Physics B》 SCIE EI CAS CSCD 2022年第2期293-307,共15页
With the rapid development of the fifth-generation(5 G)mobile communication technology,the application of each frequency band has reached the extreme,causing mutual interference between different modules.Hence,there i... With the rapid development of the fifth-generation(5 G)mobile communication technology,the application of each frequency band has reached the extreme,causing mutual interference between different modules.Hence,there is a requirement for detecting filtering and preventing interference.In the troposphere,over-the-horizon propagation occurs in atmospheric ducts and turbulent media.The effects of both ducting and turbulence can increase the probability of occurrence of long-distance co-channel interference(CCI),in turn,severely affecting the key performance indicators such as system access,handover and drop.In the 5 G era,to ensure communication channels and information security,CCI must be reduced.This paper introduces a scattering parabolic equation algorithm for calculating signal propagation in atmospheric ducts on irregular terrain boundaries.It combines Hitney’s radio physical optical model and Wagner’s nonuniform turbulent scattering model for calculating the tropospheric scattering in an evaporation duct or a surface-based duct.The new model proposes a tropospheric scattering parabolic equation algorithm for various tropospheric duct environments.Finally,as a specific case,the topographical boundaries between several cities in the East China Plain were considered,and the over-the-horizon propagation loss was simulated for various ducting and turbulent environments.The simulation results were used to evaluate whether CCI would occur between cities in a specific environment. 展开更多
关键词 atmospheric duct tropospheric turbulence co-channel interference terrain parabolic equation
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Atmospheric Ducting Effect in Wireless Communications:Challenges and Opportunities 被引量:2
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作者 Fangfang Liu Jiaxi Pan +1 位作者 Xiangwei Zhou Geoffrey Ye Li 《Journal of Communications and Information Networks》 CSCD 2021年第2期101-109,共9页
Atmospheric ducting has a significant impact on electromagnetic wave propagation.Radio signals that are trapped and guided by the atmospheric duct can travel a much longer distance over the horizon with lower attenuat... Atmospheric ducting has a significant impact on electromagnetic wave propagation.Radio signals that are trapped and guided by the atmospheric duct can travel a much longer distance over the horizon with lower attenuation since the signal power does not spread isotropically through the atmosphere.Atmospheric ducting brings both challenges and opportunities to wireless communications.On one hand,the signals propagating in the atmospheric duct may interfere with a receiver far away as remote co-channel interference.On the other hand,a point-to-point link can be established directly through the atmospheric duct to enable beyond line-of-sight communications.In this article,the formation of the atmospheric duct and its effects on radio wave propagation are first overviewed.Then solutions and standardization activities in the 3rd Generation Partnership Project(3GPP)to mitigate atmospheric duct induced remote interference are presented.Finally,the applications and design challenges of atmospheric duct enabled beyond line-of-sight communications are reviewed and future research directions are suggested. 展开更多
关键词 atmospheric duct ducting channel modeling beyond line-of-sight remote interference management
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Diseases of bile duct in children
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作者 Sutha Eiamkulbutr Chomchanat Tubjareon +3 位作者 Anapat Sanpavat Teerasak Phewplung Nimmita Srisan Palittiya Sintusek 《World Journal of Gastroenterology》 SCIE CAS 2024年第9期1043-1072,共30页
Several diseases originate from bile duct pathology.Despite studies on these diseases,certain etiologies of some of them still cannot be concluded.The most common disease of the bile duct in newborns is biliary atresi... Several diseases originate from bile duct pathology.Despite studies on these diseases,certain etiologies of some of them still cannot be concluded.The most common disease of the bile duct in newborns is biliary atresia,whose prognosis varies according to the age of surgical correction.Other diseases such as Alagille syndrome,inspissated bile duct syndrome,and choledochal cysts are also time-sensitive because they can cause severe liver damage due to obstruction.The majority of these diseases present with cholestatic jaundice in the newborn or infant period,which is quite difficult to differentiate regarding clinical acumen and initial investigations.Intraoperative cholangiography is potentially necessary to make an accurate diagnosis,and further treatment will be performed synchronously or planned as findings suggest.This article provides a concise review of bile duct diseases,with interesting cases. 展开更多
关键词 Bile duct CHOLESTASIS Biliary atresia Biliary hypoplasia Biliary imaging Inspissated bile syndrome Choledochal cyst
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Response letter to “Acute cholangitis: Does malignant biliary obstruction vs choledocholithiasis etiology change the outcomes?” with imaging aspects
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作者 Sonay Aydin Baris Irgul 《World Journal of Clinical Cases》 SCIE 2024年第5期1029-1032,共4页
Radiological imaging findings may contribute to the differentiation of malignant biliary obstruction from choledocholithiasis in the etiology of acute cholangitis.
关键词 Malignant biliary obstruction CHOLEDOCHOLITHIASIS Acute cholangitis Dilated bile ducts Magnetic resonance cholangiopancreatography Endoscopic retrograde cholangiopancreatography
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Removal of intrahepatic bile duct stone could reduce the risk of cholangiocarcinoma
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作者 Gowthami Sai Kogilathota Jagirdhar Yatinder Bains Salim Surani 《World Journal of Clinical Cases》 SCIE 2024年第11期1881-1884,共4页
Hepatolithiasis(HL)poses a significant risk for cholangiocarcinoma(CCA)development,with reported incidences ranging from 5%-13%.Risk factors include older age,smoking,hepatitis B infection,and prolonged HL duration.Ch... Hepatolithiasis(HL)poses a significant risk for cholangiocarcinoma(CCA)development,with reported incidences ranging from 5%-13%.Risk factors include older age,smoking,hepatitis B infection,and prolonged HL duration.Chronic inflammation and mechanical stress on the biliary epithelium contribute to CCA pathogenesis.Hepatectomy reduces CCA risk by removing stones and atrophic liver segments.However,residual stones and incomplete removal increase CCA risk.Kim et al identified carbohydrate antigen 19-9,carcinoembryonic antigen,and stone laterality as CCA risk factors,reaffirming the importance of complete stone removal.Nonetheless,challenges remain in preventing CCA recurrence post-surgery.Longer-term studies are needed to elucidate CCA risk factors further. 展开更多
关键词 HEPATOLITHIASIS CHOLANGIOCARCINOMA Biliary stone Common bile duct stone CHOLANGITIS
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Surgically treating a rare and asymptomatic intraductal papillary neoplasm of the bile duct:A case report
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作者 Shen-Zhen Zhu Zhao-Feng Gao +2 位作者 Xiao-Rong Liu Xiao-Guang Wang Fei Chen 《World Journal of Clinical Cases》 SCIE 2024年第2期367-373,共7页
BACKGROUND Intraductal papillary neoplasms of the bile duct(IPNBs)are rare and characterized by papillary growth within the bile duct lumen.IPNB is similar to obstructive biliary pathology.In this report,we present an... BACKGROUND Intraductal papillary neoplasms of the bile duct(IPNBs)are rare and characterized by papillary growth within the bile duct lumen.IPNB is similar to obstructive biliary pathology.In this report,we present an unexpected case of asymptomatic IPNB and consolidate our findings with the relevant literature to augment our understanding of this condition.Integrating relevant literature contributes to a more comprehensive understanding of the disease.CASE SUMMARY A 66-year-old Chinese male patient was admitted to our hospital for surgical intervention after gallstones were discovered during a routine physical examination.Preoperative imaging revealed a lesion on the left side of the liver,which raised the suspicion of IPNB.A laparoscopic left hemihepatectomy was performed,and subsequent histopathological examination confirmed the diagnosis of IPNB.At the 3-mo postoperative follow-up,the patient reported good recovery and no metastasis.IPNB can manifest both latently and asymptomatically.Radical surgical resection is the most effective treatment for IPNB.CONCLUSION Hepatic and biliary masses,should be considered to diagnose IPNB.Prompt surgery and vigilant follow-up are crucial in determining prognosis. 展开更多
关键词 Intraductal papillary neoplasm of the bile duct TUMOR Surgical treatment PROGNOSIS Case report
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Pitfalls in internal jugular vein cannulation
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作者 Deb Sanjay Nag Amlan Swain +2 位作者 Seelora Sahu Bhanu Pratap Swain Merina Sam 《World Journal of Clinical Cases》 SCIE 2024年第10期1714-1717,共4页
Central venous catheter insertion in the internal jugular vein(IJV)is frequently performed in acute care settings,facilitated by its easy availability and increased use of ultrasound in healthcare settings.Despite the... Central venous catheter insertion in the internal jugular vein(IJV)is frequently performed in acute care settings,facilitated by its easy availability and increased use of ultrasound in healthcare settings.Despite the increased safety profile and insertion convenience,it has complications.Herein,we aim to inform readers about the existing literature on the plethora of complications with potentially disastrous consequences for patients undergoing IJV cannulation. 展开更多
关键词 CATHETERIZATION Central venous COMPLICATIONS Thoracic duct Arteriovenous fistula Vocal cord paralysis PNEUMOTHORAX Cardiac tamponade
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Comparison of mismatch repair and immune checkpoint protein profile with histopathological parameters in pancreatic,periampullary/ampullary,and choledochal adenocarcinomas
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作者 Arzu Hazal Aydın Nesrin Turhan 《World Journal of Gastrointestinal Oncology》 SCIE 2024年第3期875-882,共8页
BACKGROUND Pancreatic,periampullary/ampullary,and choledochal adenocarcinomas are aggressive malignancies with a poor prognosis.Immune checkpoint blockade is a promising treatment option for several tumor types.H long... BACKGROUND Pancreatic,periampullary/ampullary,and choledochal adenocarcinomas are aggressive malignancies with a poor prognosis.Immune checkpoint blockade is a promising treatment option for several tumor types.H long terminal repeatassociating 2(HHLA2),which is analogous to programmed death-ligand 1(PDL1),is a recently discovered member of the B7/cluster of differentiation 28 family and is expressed in many malignancies.AIM To analyze the expression of HHLA2 and its association with the pathologic biomarkers that predict sensitivity to immunotherapy.METHODS Ninety-two adenocarcinoma cases located in the pancreas,ampulla,and distal common bile duct were identified.This study assessed 106 pancreaticoduodenectomy and distal/total pancreatectomy samples that were delivered to Ankara City Hospital between 2019 and 2021.Immunohistochemistry was conducted to examine the expression of DNA mismatch repair(MMR),PD-L1,and HHLA2 proteins.RESULTS Patients with high HHLA2 expression had a higher mean age than those with low expression.Low HHLA2 expression was associated with high perineural invasion.HHLA2 expression was low in pathological stage T3(pT)3 cases and high in pathological stage T1,T2,and T4 cases.There was no correlation between HHLA2 expression and the expression of MMR proteins and PD-L1.CONCLUSION Evaluation of HHLA2 expression in microsatellite stable and PD-L1-negative tumors may be useful for predicting the response of individuals to immunotherapy and may serve as a novel therapeutic target for immunotherapy in advanced-stage disease. 展开更多
关键词 H long terminal repeat-associating 2 Programmed death-ligand 1 ADENOCARCINOMA PANCREAS Ampulla of Vater Distal common bile duct
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Removal of intrahepatic bile duct stone could reduce the risk of cholangiocarcinoma: A single-center retrospective study in South Korea
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作者 Tae In Kim Sung Yong Han +1 位作者 Jonghyun Lee Dong Uk Kim 《World Journal of Clinical Cases》 SCIE 2024年第5期913-921,共9页
BACKGROUND Intrahepatic duct(IHD)stones are among the most important risk factors for cholangiocarcinoma(CCC).Approximately 10%of patients with IHD stones develop CCC;however,there are limited studies regarding the ef... BACKGROUND Intrahepatic duct(IHD)stones are among the most important risk factors for cholangiocarcinoma(CCC).Approximately 10%of patients with IHD stones develop CCC;however,there are limited studies regarding the effect of IHD stone removal on CCC development.AIM To investigate the association between IHD stone removal and CCC development.METHODS We retrospectively analyzed 397 patients with IHD stones at a tertiary referral center between January 2011 and December 2020.RESULTS CCC occurred in 36 of the 397 enrolled patients.In univariate analysis,chronic hepatitis B infection(11.1%vs 3.0%,P=0.03),carbohydrate antigen 19-9(CA19-9,176.00 vs 11.96 II/mL,P=0.010),stone located in left or both lobes(86.1%vs 70.1%,P=0.042),focal atrophy(52.8%vs 26.9%,P=0.001),duct stricture(47.2%vs 24.9%,P=0.004),and removal status of IHD stone(33.3%vs 63.2%,P<0.001)were significantly different between IHD stone patients with and without CCC.In the multivariate analysis,CA19-9>upper normal limit,carcinoembryonic antigen>upper normal limit,stones located in the left or both lobes,focal atrophy,and complete removal of IHD stones without recurrence were independent factors influencing CCC development.However,the type of removal method was not associated with CCC risk.CONCLUSION Complete removal of IHD stones without recurrence could reduce CCC risk. 展开更多
关键词 Intrahepatic bile duct stone CHOLANGIOCARCINOMA Percutaneous transhepatic cholangioscopy Endoscopic retrograde cholangiopancreatography Carbohydrate antigen 19-9
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Classification of anatomical morphology of cystic duct and its association with gallstone
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作者 Jia-Hai Zhu Song-Ling Zhao +3 位作者 Qiang Kang Ya Zhu Li-Xin Liu Hao Zou 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第2期307-317,共11页
BACKGROUND Gallstones are common lesions that often require surgical intervention.Laparo-scopic cholecystectomy is the treatment of choice for symptomatic gallstones.Preoperatively,the anatomical morphology of the cys... BACKGROUND Gallstones are common lesions that often require surgical intervention.Laparo-scopic cholecystectomy is the treatment of choice for symptomatic gallstones.Preoperatively,the anatomical morphology of the cystic duct(CD),needs to be accurately recognized,especially when anatomical variations occur in the CD,which is otherwise prone to bile duct injury.However,at present,there is no optimal classification system for CD morphology applicable in clinical practice,and the relationship between anatomical variations in CDs and gallstones remains to be explored.AIM To create a more comprehensive clinically applicable classification of the morphology of CD and to explore the correlations between anatomic variants of CD and gallstones.METHODS A total of 300 patients were retrospectively enrolled from October 2021 to January 2022.The patients were divided into two groups:The gallstone group and the nongallstone group.Relevant clinical data and anatomical data of the CD based on magnetic resonance cholangiopancreatography(MRCP)were collected and analyzed to propose a morphological classification system of the CD and to explore its relationship with gallstones.Multivariate analysis was performed using logistic regression analyses to identify the independent risk factors using variables that were significant in the univariate analysis.RESULTS Of the 300 patients enrolled in this study,200(66.7%)had gallstones.The mean age was 48.10±13.30 years,142(47.3%)were male,and 158(52.7%)were female.A total of 55.7%of the patients had a body mass index(BMI)≥24 kg/m2.Based on the MRCP,the CD anatomical typology is divided into four types:Type I:Linear,type II:n-shaped,type III:S-shaped,and type IV:W-shaped.Univariate analysis revealed differences between the gallstone and nongallstone groups in relation to sex,BMI,cholesterol,triglycerides,morphology of CD,site of CD insertion into the extrahepatic bile duct,length of CD,and angle between the common hepatic duct and CD.According to the multivariate analysis,female,BMI(≥24 kg/m2),and CD morphology[n-shaped:Odds ratio(OR)=10.97,95%confidence interval(95%CI):5.22-23.07,P<0.001;S-shaped:OR=4.43,95%CI:1.64-11.95,P=0.003;W-shaped:OR=7.74,95%CI:1.88-31.78,P=0.005]were significantly associated with gallstones.CONCLUSION The present study details the morphological variation in the CD and confirms that CD tortuosity is an independent risk factor for gallstones. 展开更多
关键词 Cystic duct GALLSTONE CLASSIFICATION ANATOMY Magnetic resonance cholangiopancreatography Risk factor
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Endoscopic ultrasound-guided tissue sampling induced pancreatic duct leak resolved by the placement of a pancreatic stent:A case report
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作者 Ki-Hyun Kim Chang Hwan Park +1 位作者 Eunae Cho Yohan Lee 《World Journal of Clinical Cases》 SCIE 2024年第9期1677-1684,共8页
BACKGROUND Pancreatic ductal leaks complicated by endoscopic ultrasonography-guided tissue sampling(EUS-TS)can manifest as acute pancreatitis.CASE SUMMARY A 63-year-old man presented with persistent abdominal pain and... BACKGROUND Pancreatic ductal leaks complicated by endoscopic ultrasonography-guided tissue sampling(EUS-TS)can manifest as acute pancreatitis.CASE SUMMARY A 63-year-old man presented with persistent abdominal pain and weight loss.Diagnosis:Laboratory findings revealed elevated carbohydrate antigen 19-9(5920 U/mL)and carcinoembryonic antigen(23.7 ng/mL)levels.Magnetic resonance imaging of the pancreas revealed an approximately 3 cm ill-defined space-occupying lesion in the inferior aspect of the head,with severe encasement of the superior mesenteric artery.Pancreatic ductal adenocarcinoma was confirmed after pathological examination of specimens obtained by EUS-TS using the fanning method.Interventions and outcomes:The following day,the patient experienced severe abdominal pain with high amylase(265 U/L)and lipase(1173 U/L)levels.Computed tomography of the abdomen revealed edematous wall thickening of the second portion of the duodenum with adjacent fluid collections and a suspicious leak from either the distal common bile duct or the main pancreatic duct in the head.Endoscopic retrograde cholangiopancreatography revealed dye leakage in the head of the main pancreatic duct.Therefore,a 5F 7 cm linear plastic stent was deployed into the pancreatic duct to divert the pancreatic juice.The patient’s abdominal pain improved immediately after pancreatic stent insertion,and amylase and lipase levels normalized within a week.Neoadjuvant chemotherapy was then initiated.CONCLUSION Using the fanning method in EUS-TS can inadvertently cause damage to the pancreatic duct and may lead to clinically significant pancreatitis.Placing a pancreatic stent may immediately resolve acute pancreatitis and shorten the waiting time for curative therapy.When using the fanning method during EUSTS,ductal structures should be excluded to prevent pancreatic ductal leakage. 展开更多
关键词 Endoscopic ultrasound-guided tissue sampling PANCREATITIS Pancreatic duct leak Pancreatic stent Case report
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Risk factors for recurrence of common bile duct stones after surgical treatment and effect of ursodeoxycholic acid intervention
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作者 Wei-Hong Yuan Zheng Zhang +2 位作者 Qi Pan Bo-Neng Mao Tao Yuan 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第1期103-112,共10页
BACKGROUND Endoscopic retrograde cholangiopancreatography(ERCP)is an accurate diagnostic method for choledocholithiasis and treatment option for stone removal.Additionally,ursodeoxycholic acid(UDCA)can dissolve choles... BACKGROUND Endoscopic retrograde cholangiopancreatography(ERCP)is an accurate diagnostic method for choledocholithiasis and treatment option for stone removal.Additionally,ursodeoxycholic acid(UDCA)can dissolve cholesterol stones and prevent their development and reappearance by lowering the cholesterol concen-tration in bile.Despite these treatment options,there are still patients who experience stone recurrence.The clinical data of 100 patients with choledochal stones who were hospitalized at the Yixing People’s Hospital and underwent ERCP for successful stone extraction between June 2020 and December 2022 were retrospectively collected.According to the post-ERCP treatment plan,100 patients were classified into UDCA(n=47)and control(n=53)groups.We aimed to assess the clinical efficacy and rate of relapse in the two patient populations.We then collected information(basic demographic data,clinical characteristics,and serum biochemical indicators)and determined the factors contributing to relapse using logistic regression analysis.Our secondary goal was to determine the effects of UDCA on liver function after ERCP.Compared to the control group,the UDCA group demonstrated a higher clinical effectiveness rate of 92.45%vs 78.72%(P<0.05).No significant differences were observed in liver function indices,including total bilirubin,direct bilirubin,gamma-glutamyl transpeptidase,alanine aminotransferase,alkaline phosphatase,and aspartate aminotransferase,between the two groups before treatment.After treatment,all liver function indices were significantly reduced.Comparing the control vs UDCA groups,the UDCA group exhibited significantly lower levels of all indices(55.39±6.53 vs 77.31±8.52,32.10±4.62 vs 45.39±5.69,142.32±14.21 vs 189.63±16.87,112.52±14.25 vs 149.36±15.36,122.61±16.00 vs 171.33±22.09,96.98±10.44 vs 121.35±11.57,respectively,all P<0.05).The stone recurrence rate was lower in the UDCA group(13.21%)in contrast with the control group(44.68%).Periampullary diverticula(OR:6.00,95%CI:1.69-21.30),maximum stone diameter(OR:1.69,95%CI:1.01-2.85),stone quantity>3(OR:4.23,95%CI:1.17-15.26),and positive bile culture(OR:7.61,95%CI:2.07-27.91)were independent factors that influenced the relapse of common bile duct stones after ERCP(P<0.05).Furthermore,postoperative UDCA was identified as a preventive factor(OR:0.07;95%CI:0.08-0.09).CONCLUSION The intervention effect of UDCA after ERCP for common bile duct stones is adequate,providing new research directions and references for the prevention and treatment of stone recurrence. 展开更多
关键词 Endoscopic retrograde cholangiopancreatography RECURRENCE Ursodeoxycholic acid Common bile duct stones Clinical effective rate Risk factors
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Comparison of the clinical effects of dual-modality endoscopy and traditional laparotomy for the treatment of intra-and extrahepatic bile duct stones
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作者 Wei Wang Hui Xia Bin Dai 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第3期759-767,共9页
BACKGROUND Bile duct stones(BDSs)may cause patients to develop liver cirrhosis or even liver cancer.Currently,the success rate of surgical treatment for intrahepatic and extrahepatic BDSs is not satisfactory,and there... BACKGROUND Bile duct stones(BDSs)may cause patients to develop liver cirrhosis or even liver cancer.Currently,the success rate of surgical treatment for intrahepatic and extrahepatic BDSs is not satisfactory,and there is a risk of postoperative complic-ations.AIM To compare the clinical effects of dual-modality endoscopy(duodenoscopy and laparoscopy)with those of traditional laparotomy in the treatment of intra-and extrahepatic BDSs.METHODS Ninety-five patients with intra-and extrahepatic BDSs who sought medical services at Wuhan No.1 Hospital between August 2019 and May 2023 were selected;45 patients in the control group were treated by traditional laparotomy,and 50 patients in the research group were treated by dual-modality endoscopy.The following factors were collected for analysis:curative effects,safety(incision infection,biliary fistula,lung infection,hemobilia),surgical factors[surgery time,intraoperative blood loss(IBL)volume,gastrointestinal function recovery time,and length of hospital stay],serum inflammatory markers[tumor necrosis factor(TNF)-α,interleukin(IL)-6,and IL-8],and oxidative stress[glutathione peroxidase(GSH-Px),superoxide dismutase(SOD),malondialdehyde(MDA),and advanced protein oxidation products(AOPPs)].RESULTS The analysis revealed markedly better efficacy(an obviously higher total effective rate)in the research group than in the control group.In addition,an evidently lower postoperative complication rate,shorter surgical duration,gastrointestinal function recovery time and hospital stay,and lower IBL volume were observed in the research group.Furthermore,the posttreatment serum inflammatory marker(TNF-α,IL-6,and IL-8)levels were significantly lower in the research group than in the control group.Compared with those in the control group,the posttreatment GSH-Px,SOD,MDA and AOPPs in the research group were equivalent to the pretreatment levels;for example,the GSH-Px and SOD levels were significantly higher,while the MDA and AOPP levels were lower.CONCLUSION Dual-modality endoscopy therapy(duodenoscopy and laparoscopy)is more effective than traditional laparotomy in the treatment of intra-and extrahepatic BDSs and has a lower risk of postoperative complications;significantly shortened surgical time;shorter gastrointestinal function recovery time;shorter hospital stay;and lower intraop-erative bleeding volume,while having a significant inhibitory effect on excessive serum inflammation and causing little postoperative oxidative stress. 展开更多
关键词 Dual-modality endoscopy Traditional laparotomy Intra-and extrahepatic bile duct stones Clinical efficacy
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Results of Surgical Management of Malignant Obstruction of the Common Bile Duct in Yaoundé
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作者 Eric Patrick Savom Gaël Tsanga Nomo +5 位作者 Richard II Mbele Mahamat Yannick Ekani Boukar Cédric Paterson Atangana Fred Dikongue Dikongue Guy Aristide Bang Arthur Essomba 《Surgical Science》 2024年第4期265-277,共13页
Introduction: In Cameroon, surgery remains the only approach in malignant obstructions of the common bile duct (MOCBD) even in palliative situations. The aim of this work was to describe the modalities of surgical tre... Introduction: In Cameroon, surgery remains the only approach in malignant obstructions of the common bile duct (MOCBD) even in palliative situations. The aim of this work was to describe the modalities of surgical treatment of MOCBD, evaluate the results and detect the factors associated with postoperative morbidity and mortality. Patients and Methods: We conducted an analytical observational study, with retrospective data collection from the files of patients operated upon for MOCBD. This was done in four referral hospitals in the city of Yaoundé for a 42-month period spanning from January 1, 2020 to June 30, 2023. Demographic data, clinical presentation, surgical data, and 30-day postoperative outcomes were collected. Results: We collected 71 files. The sex ratio was 1.4 and the mean age was 56 ± 11 years. Fifty-three (53) patients (74.6%) were overweight or obese and 10 patients (14.1%) were hypertensive. A clinical cholestasis syndrome was present in 69 patients (97.2%). Fifty-five (55) patients (77.5%) had a cancer of the head of the pancreas, 8 patients (11.3%) had an extra-hepatic cholangiocarcinoma and 8 patients (11.3%) had an ampullary adenocarcinoma. Eight (8) resections (11.3%) with curative intent had been carried out and in 63 cases (88.7%), surgery was palliative. Postoperative morbidity was 55.7%, influenced by advanced WHO stage (p = 0.02). Postoperative mortality was 25.7%, associated with a high ASA score (p = 0.01). Conclusion: Pancreatic head cancer is the main etiology of malignant obstructions of the common bile duct in Cameroon. Surgical treatment is most often palliative. Postoperative morbidity and mortality are high, influenced by high WHO and ASA scores. 展开更多
关键词 Malignant Obstruction Common Bile Duct Palliative Treatment MORBIDITY MORTALITY
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Outcomes of liver resection in hepatitis C virus-related intrahepatic cholangiocarcinoma:A systematic review and meta-analysis
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作者 Feng Yi Cheo Kai Siang Chan Vishal G Shelat 《World Journal of Virology》 2024年第1期107-119,共13页
BACKGROUND Cholangiocarcinoma is the second most common primary liver malignancy.Its incidence and mortality rates have been increasing in recent years.Hepatitis C virus(HCV)infection is a risk factor for development ... BACKGROUND Cholangiocarcinoma is the second most common primary liver malignancy.Its incidence and mortality rates have been increasing in recent years.Hepatitis C virus(HCV)infection is a risk factor for development of cirrhosis and cholan-giocarcinoma.Currently,surgical resection remains the only curative treatment option for cholangiocarcinoma.We aim to study the impact of HCV infection on outcomes of liver resection(LR)in intrahepatic cholangiocarcinoma(ICC).AIM To study the outcomes of curative resection of ICC in patients with HCV(i.e.,HCV+)compared to patients without HCV(i.e.,HCV-).METHODS We conducted a systematic review and meta-analysis of randomized controlled trials(RCTs)and observational studies to assess the outcomes of LR in ICC in HCV+patients compared to HCV-patients in tertiary care hospitals.PubMed,EMBASE,The Cochrane Library and Scopus were systematically searched from inception till August 2023.Included studies were RCTs and non-RCTs on patients≥18 years old with a diagnosis of ICC who underwent LR,and compared outcomes between patients with HCV+vs HCV-.The primary outcomes were overall survival(OS)and recurrence-free survival.Secondary outcomes include perioperative mortality,operation duration,blood loss,intrahepatic and extrahepatic recurrence.RESULTS Seven articles,published between 2004 and 2021,fulfilled the selection criteria.All of the studies were retrospective studies.Age,incidence of male patients,albumin,bilirubin,platelets,tumor size,incidence of multiple tumors,vascular invasion,bile duct invasion,lymph node metastases,and stage 4 disease were comparable between HCV+and HCV-group.Alanine transaminase[MD 22.20,95%confidence interval(CI):13.75,30.65,P<0.00001]and aspartate transaminase levels(MD 27.27,95%CI:20.20,34.34,P<0.00001)were significantly higher in HCV+group compared to HCV-group.Incidence of cirrhosis was significantly higher in HCV+group[odds ratio(OR)5.78,95%CI:1.38,24.14,P=0.02]compared to HCV-group.Incidence of poorly differentiated disease was significantly higher in HCV+group(OR 2.55,95%CI:1.34,4.82,P=0.004)compared to HCV-group.Incidence of simultaneous hepatocellular carcinoma lesions was significantly higher in HCV+group(OR 8.31,95%CI:2.36,29.26,P=0.001)compared to HCV-group.OS was significantly worse in the HCV+group(hazard ratio 2.05,95%CI:1.46,2.88,P<0.0001)compared to HCV-group.CONCLUSION This meta-analysis demonstrated significantly worse OS in HCV+patients with ICC who underwent curative resection compared to HCV-patients. 展开更多
关键词 CHOLANGIOCARCINOMA Bile duct cancer Hepatitis C Surgical resection HEPATECTOMY
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Nursing Effect of Rapid Rehabilitation Surgery Concept in Laparoscopic Surgery for Extrahepatic Bile Duct Stones
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作者 Haiying Cheng Linjun Ruan 《Journal of Biosciences and Medicines》 2024年第1期1-6,共6页
Objective: To explore the application value of rapid rehabilitation concept in patients with extrahepatic bile duct stones under laparoscopy during perioperative period. Methods: 90 patients with extrahepatic bile duc... Objective: To explore the application value of rapid rehabilitation concept in patients with extrahepatic bile duct stones under laparoscopy during perioperative period. Methods: 90 patients with extrahepatic bile duct stones treated in our hospital from January 2022 to February 2023 were selected as the research object and randomly divided into the study group and the control group. The control group was given routine care, and the observation group was given rapid surgical rehabilitation care. The postoperative anal exhaust time, first meal time, early activity time, pain time, abdominal drainage tube removal time, hospitalization time and complication rate were compared between the two groups. The independent sample T test was used for the measurement data, and the x<sup>2</sup> test was used for the counting data, and the difference was statistically significant (P Results: The postoperative anal exhaust time, first meal time, early activity time, pain time, abdominal drainage tube removal time and hospitalization time in the study group were shorter than those in the control group (all P Conclusion: The concept of rapid rehabilitation can significantly improve the perioperative nursing effect of patients with extrahepatic bile duct stones and accelerate their rehabilitation, which is worth improving and popularizing. 展开更多
关键词 Rapid Rehabilitation Surgical Nursing LAPAROSCOPY Extrahepatic Bile Duct Stones
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Maintenance and Sudden Change of a Strong Elevated Ducting Event Associated with High Pressure and Marine Low-Level Jet 被引量:2
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作者 Zhichao LIANG Juli DING +2 位作者 Jianfang FEI Xiaoping CHENG Xiaogang HUANG 《Journal of Meteorological Research》 SCIE CSCD 2020年第6期1287-1298,共12页
Capture of a strong elevated ducting event,especially its maintenance and sudden change,is of great value to airborne radar to achieve its beyond-the-line-of-sight detection.However,the knowledge is not easily accessi... Capture of a strong elevated ducting event,especially its maintenance and sudden change,is of great value to airborne radar to achieve its beyond-the-line-of-sight detection.However,the knowledge is not easily accessible over the open ocean and hence very rare.During the Air–Sea Interaction Survey(ASIS)over the western North Pacific(WNP)in May 2016,a strong elevated ducting event with a long-life period and sudden change in its evolution was observed.Measurements from the ASIS,images from the Himawari-8 satellite,reanalysis data from the ECMWF,and Weather Research and Forecasting(WRF)model,were used to analyze the maintenance and sudden change of this strong ducting event,together with the model performance on simulating it.The results showed that the maintenance of strong elevated ducts,with their tops ranging from 750 to 1050 m and average strength of approximately 38 M units,was caused by a strong dry air mass capping over the wet marine atmospheric boundary layer(MABL),together with the subsidence inversion associated with high pressure.The WRF model performs well in simulating them.However,a sudden increase in duct height with a slight decrease of strength was recorded by the subsequent GPS radiosonde,which was finally contributed to the mechanical turbulent inversion and hydrolapse associated with the marine low-level jet(MLLJ).The height of the maximum horizontal wind speed(Umh)of the MLLJ corresponds well with the bottom of the trapping layer.However,these jet-relevant ducts are generally weak and it is difficult to accurately simulate them by using the mesoscale numerical model,since the wind-shear produced eddies are too small to be properly parameterized. 展开更多
关键词 atmospheric ducts elevated ducts marine atmospheric boundary layer(MABL) low-level jet numerical simulation
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Heat stress alleviation for dairy cows housed in an open-sided barn by cooling fan and perforated air ducting(PAD)system 被引量:2
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作者 Xie Lina Wang Chaoyuan +5 位作者 Ding Luyu Gui Zhiyuan Zhang Lu Shi Zhengxiang Li Baoming Jia Chuntao 《International Journal of Agricultural and Biological Engineering》 SCIE EI CAS 2017年第6期1-10,共10页
Curtain-sided barns with circulation fans above stall are commonly used to house dairy cows in China.Many farms equipped with circulation fans are unable to provide appropriate cooling,especially for the naturally ven... Curtain-sided barns with circulation fans above stall are commonly used to house dairy cows in China.Many farms equipped with circulation fans are unable to provide appropriate cooling,especially for the naturally ventilated shed,which can result in decreasing feed intake and milk production.For alleviating heat stress and improving animal comfort,a system consisting of an air cooler and a 30 m perforated air duct(PAD)was integrated to evenly distribute cooling air.The air was cooled by underground water and delivered to targeted zones above stall bed.The system was evaluated in an open sided dairy barn in Tianjin,China.For the stalls equipped with PAD system,air velocity reached above 1.1 m/s at 0.5 m height plane of the stall space,and was more uniformly distributed.Compared to the stalls equipped with circulation fans,the PAD system lowered air temperature by 1.5℃,and increased relative humidity by 8.1%.On average,Temperature Humidity Index(THI)and Equivalent Temperature Index(ETI)were decreased by 0.5 and 0.6,respectively.After a 15 days’operation of the system,rectal temperatures of the treated dairy cows were significantly lowered.The results also showed that the cows under PADs had a higher milk production.These findings suggest the PAD can be an effective cooling alternative for naturally ventilated dairy barns to alleviate heat stress. 展开更多
关键词 dairy cow heat stress perforated air duct cooling fan naturally-ventilated barn
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Environmental Information-Aided Electromagnetic Propagation Testbed for Maritime Communication
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作者 Ting Zhou Yuzhen Wang +3 位作者 Bilian Xu Tianheng Xu Xiaoming Tao Honglin Hu 《China Communications》 SCIE CSCD 2023年第3期302-315,共14页
Maritime channel modeling can be affected by some key time-varying environmental factors.The ducting effect is one of the thorniest factors since it causes anomalous propagation enhancement and severe co-channel inter... Maritime channel modeling can be affected by some key time-varying environmental factors.The ducting effect is one of the thorniest factors since it causes anomalous propagation enhancement and severe co-channel interference.Moreover,the atmospheric attenuation is much more severe in the ocean environment,resulting in shorter coverage distance and more link outage.In this paper,we propose an environmental information-aided electromagnetic propagation testbed.It is based on complex refractivity estimation and improved parabolic equation propagation model,taking into account both ducting effect and atmospheric attenuation.A large-scale temporal and spatial propagation measurement was conducted with meteorological acquisition.We consider practical path loss and ducting conditions to verify the testbed feasibility in these long-distance radio links.The simulation results are in good agreement with the measured data,which further reveal the basic temporal and spatial distribution of ducting effect at 3.5 GHz band. 展开更多
关键词 broadband maritime communication maritime channel ducting effect electromagnetic propagation testbed propagation measurement atmospheric attenuation path loss
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Field implementation of enzyme-induced carbonate precipitation technology for reinforcing a bedding layer beneath an underground cable duct 被引量:2
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作者 Kai Xu Ming Huang +2 位作者 Jiajie Zhen Chaoshui Xu Mingjuan Cui 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2023年第4期1011-1022,共12页
A suitable bearing capacity of foundation is critical for the safety of civil structures.Sometimes foundation reinforcement is necessary and an effective and environmentally friendly method would be the preferred choi... A suitable bearing capacity of foundation is critical for the safety of civil structures.Sometimes foundation reinforcement is necessary and an effective and environmentally friendly method would be the preferred choice.In this study,the potential application of enzyme-induced carbonate precipitation(EICP)was investigated for reinforcing a 0.6 m bedding layer on top of clay to improve the bearing capacity of the foundation underneath an underground cable duct.Laboratory experiments were conducted to determine the optimal operational parameters for the extraction of crude urease liquid and optimal grain size range of sea sands to be used to construct the bedding layer.Field tests were planned based on orthogonal experimental design to study the factors that would significantly affect the biocementation effect on site.The dynamic deformation modulus,calcium carbonate content and longterm ground stress variations were used to evaluate the bio-cementation effect and the long-term performance of the EICP-treated bedding layer.The laboratory test results showed that the optimal duration for the extraction of crude urease liquid is 1 h and the optimal usage of soybean husk powder in urease extraction solution is 100 g/L.The calcium carbonate production rate decreases significantly when the concentration of cementation solution exceeds 0.5 mol/L.The results of site trial showed that the number of EICP treatments has the most significant impact on the effectiveness of EICP treatment and the highest dynamic deformation modulus(Evd)of EICP-treated bedding layer reached 50.55 MPa.The area with better bio-cementation effect was found to take higher ground stress which validates that the EICP treatment could improve the bearing capacity of foundation by reinforcing the bedding layer.The field trial described and the analysis introduced in this paper can provide a practical basis for applying EICP technology to the reinforcement of bedding layer in poor ground conditions. 展开更多
关键词 Enzyme-induced carbonate precipitation (EICP) Plant-based urease Underground cable duct Foundation reinforcement
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