Major complications of adult right lobe living liver donors

BACKGROUND：The right lobe of the liver is generally preferred for living donor liver transplantation in adult patients with end-stage liver disease.It is important to know the preoperative factors relating to the major postoperative complications.We therefore evaluated the possible risk factors for predicting postoperative complications in right lobe liver donors.METHODS：Data from 378 donors who had undergone right lobe hepatectomy at our center were evaluated retrospectively. The factors we evaluated induded donor age, gender, body mass index （BMI）, remnant liver volume, operation time, history of previous abdominal surgery, inclusion of the middle hepatic vein and variations in the portal and bile systems. RESUEI＇S： Of the 378 donors, 219 were male and 159 female. None of the donors died, but 124 （32.8%） donors experienced complications including major complications （Clavien scores III and IV） in 27 （7.1%）. Univariate analysis showed that complica- tions were significantly associated with male gender and higher BMI （P〈0.05）, but not with donor age, remnant liver volume, operation time, graft with middle hepatic vein, variations in the portal and bile systems and previous abdominal surgery （P〉0.05）. Multivariate logistic regression analysis showed that major complications were significantly associated with male gender （P=0.005） and higher BMI （P=0.029）. Moreover, the Chi- square test showed that there were significant relationships between major complications and male gender （P=0.010,Z2=6.614, df=l） and BMI 〉25 kg/m2 （P=-0.031, Z2=8.562, df-1）. Of the 96 male donors with BMI 〉25 kg/m2, 14 （14.6%） with major complications had significantly smaller mean remnant liver volume than those （82, 85.4%） without major complications （32.50%± 4.45% vs 34.63%±3.11%, P=0.029）.CONCLUSION： Male donors with BMI 〉25 kg/m2 and a remnant liver volume 〈32.50% had a significantly increased risk for major complications.

A Coverage-Aware Unequal Clustering Protocol with Load Separation for Ambient Assisted Living Based on Wireless Sensor Networks

Ambient Assisted Living(AAL) is becoming an important research field. Many technologies have emerged related with pervasive computing vision, which can give support for AAL. One of the most reliable approaches is based on wireless sensor networks(WSNs). In this paper, we propose a coverage-aware unequal clustering protocol with load separation(CUCPLS) for data gathering of AAL applications based on WSNs. Firstly, the coverage overlap factor for nodes is introduced that accounts for the degree of target nodes covered. In addition, to balance the intra-cluster and inter-cluster energy consumptions, different competition radiuses of CHs are computed theoretically in different rings, and smaller clusters are formed near the sink. Moreover, two CHs are selected in each cluster for load separation to alleviate the substantial energy consumption difference between a single CH and its member nodes. Furthermore, a backoff waiting time is adopted during the selection of the two CHs to reduce the number of control messages employed. Simulation results demonstrate that the CUCPLS not only can achieve better coverage performance, but also balance the energy consumption of a network and prolong network lifetime.

Is low postoperative cholesterol level really an independent risk factor of adverse outcomes after living donor liver transplantation?

To the Editor:We read with great interest the article by Yang et al.[1]evaluating the effects of postoperative serum total cholesterol(s TC)changes on early allograft dysfunction and survival after living donor liver transplantation(LDLT).By the multivariate regression analysis,they showed that patients with s TC<1.42 mmol/L on postoperative day 3 had 4.08-fold and 2.72-fold greater risks of

Epidemiological Investigation of Risk Factors of the Pregnant Women with Early Spontaneous Abortion in Beijing

Objective： To determine the risk factors of the pregnant women with early spontaneous abortion in Beijing. Methods： A total of 34,417 cases of pregnant women were participated in the survey from January 2000 to December 2013. A questionnaire was informed to each woman. The content of questionnaire includes four parts： general condition, obstetrical history, past history and family history, and living environment and habits. The mental condition was evaluated with Self-Rating Anxiety Scale（SAS） and Self-Rating Depression Scale（SDS）. Results： A total of 32,296 questionnaires were collected. The spontaneous abortion rate in the total sample was 3.0%. There was no significant difference between the normal pregnancy group and spontaneous abortion group in terms of general condition, obstetrical and past history（P〉0.05）. Significant differences between the two groups were found in terms of decoration during pregnancy, keeping pets, near mobile communication base station within 100 m around the residence, drinking during pregnancy, having a cold during pregnancy and SAS（P〈0.05）. Having a cold during pregnancy, decoration during pregnancy, near mobile communication base station within 100 m around the residence, keeping pets and high SAS were determined the independent risk factors of spontaneous abortion by Logistic regression analysis. Conclusions： Having a cold during pregnancy, decoration, keeping pets, near mobile communication base station within 100 m around the residence and high SAS are the independent risk factors of spontaneous abortion in Beijing.