期刊文献+
共找到9,699篇文章
< 1 2 250 >
每页显示 20 50 100
Overlap吻合与π吻合在全腹腔镜全胃切除术中的应用
1
作者 李锋 彭德伟 +2 位作者 李文艺 何静 黄金向 《郑州大学学报(医学版)》 CAS 北大核心 2024年第4期531-536,共6页
目的:比较Overlap吻合与π吻合在全腹腔镜全胃切除术(TLTG)中的应用效果。方法:选择2019年2月至2022年2月在成都市第五人民医院行TLTG的胃癌患者98例,根据食管空肠吻合方式分为Overlap吻合组(n=56)和π吻合组(n=42)。比较两组围手术期指... 目的:比较Overlap吻合与π吻合在全腹腔镜全胃切除术(TLTG)中的应用效果。方法:选择2019年2月至2022年2月在成都市第五人民医院行TLTG的胃癌患者98例,根据食管空肠吻合方式分为Overlap吻合组(n=56)和π吻合组(n=42)。比较两组围手术期指标(手术时间、吻合时间、术中出血量、淋巴结清扫数目、术后肛门排气时间、术后拔除引流管时间、术后住院时间、肿瘤上缘至食管切缘距离),吻合口相关并发症(吻合口出血、吻合口狭窄、吻合口漏)与随访并发症(吻合口溃疡、倾倒综合征、反流性食管炎、营养不良)发生情况,以及术前与术后3个月整体营养状况主观评估量表(PG-SGA)评分与营养状况客观指标(血红蛋白、白蛋白、总蛋白)水平的变化。结果:Overlap吻合组手术时间[(230.36±25.12)min vs(205.58±20.43)min]、吻合时间[(43.22±6.15)min vs(27.45±5.36)min]均长于π吻合组(P<0.05);两组吻合口相关并发症、随访并发症发生率及术前、术后3个月PG-SGA量表评分与营养状况客观指标水平的变化差异均无统计学意义(P>0.05)。结论:Overlap吻合和π吻合在TLTG术中各有优势,π吻合可缩短手术时间和吻合时间。 展开更多
关键词 胃癌 全腹腔镜全胃切除术 overlap吻合 π吻合 并发症 营养状况
下载PDF
Overlapping approach Proton Pump Inhibitors/Nux vomica-Heel as new intervention for gastro-esophageal reflux management:Delphi consensus study
2
作者 Edda Battaglia Luciano Bertolusso +2 位作者 Marco Del Prete Marco Monzani Marco Astegiano 《World Journal of Gastroenterology》 SCIE CAS 2024年第18期2467-2478,共12页
BACKGROUND Gastro-esophageal reflux disease(GERD)may affect the upper digestive tract;up to 20%of population in Western nations are affected by GERD.Antacids,histamine H2-receptor antagonists,and Proton Pump Inhibitor... BACKGROUND Gastro-esophageal reflux disease(GERD)may affect the upper digestive tract;up to 20%of population in Western nations are affected by GERD.Antacids,histamine H2-receptor antagonists,and Proton Pump Inhibitors(PPIs)are considered the referring medications for GERD.Nevertheless,PPIs must be managed carefully because their use,especially chronic,could be linked with some adverse effects.An effective and safe alternative pharmacological tool for GERD is needed.After the identification of potentially new medications to flank PPIs,it is mandatory to revise and improve good clinical practices even through a consensus process.AIM To optimize diagnosis and treatment guidelines for GERD through a consensus based on Delphi method.METHODS The availability of clinical studies describing the action of the multicomponent/multitarget medication Nux vomica-Heel,subject of the consensus,is the basic prerequisite for the consensus itself.A modified Delphi process was used to reach a consensus among a panel of Italian GERD specialists on the overlapping approach PPIs/Nux vomica-Heel as a new intervention model for the management of GERD.The Voting Consensus group was composed of 49 Italian Medical Doctors with different specializations:Gastroenterology,otolaryngology,geriatrics,and general medicine.A scientific committee analyzed the literature,determined areas that required investigation(in agreement with the multiple-choice questionnaire results),and identified two topics of interest:(1)GERD disease;and(2)GERD treatment.Statements for each of these topics were then formulated and validated.The Delphi process involved two rounds of questioning submitted to the panel experts using an online platform.RESULTS According to their routinary GERD practice and current clinical evidence,the panel members provided feedback to each questionnaire statement.The experts evaluated 15 statements and reached consensus on all 15.The statements regarding the GERD disease showed high levels of agreement,with consensus ranging from 70%to 92%.The statements regarding the GERD treatment also showed very high levels of agreement,with consensus ranging from 90%to 100%.This Delphi process was able to reach consensus among physicians in relevant aspects of GERD management,such as the adoption of a new approach to treat patients with GERD based on the overlapping between PPIs and Nux vomica-Heel.The consensus was unanimous among the physicians with different specializations,underlying the uniqueness of the agreement reached to identify in the overlapping approach between PPIs and Nux vomica-Heel a new intervention model for GERD management.The results support that an effective approach to deprescribe PPIs through a progressive decalage timetable(reducing PPIs administration to as-needed use),should be considered.CONCLUSION Nux vomica-Heel appears to be a valid opportunity for GERD treatment to favor the deprescription of PPIs and to maintain low disease activity together with the symptomatology remission. 展开更多
关键词 Gastro-esophageal reflux disease Proton Pump Inhibitors CONSENSUS Nux vomica-Heel overlapPING Decalage
下载PDF
Large-Scale Multi-Objective Optimization Algorithm Based on Weighted Overlapping Grouping of Decision Variables
3
作者 Liang Chen Jingbo Zhang +2 位作者 Linjie Wu Xingjuan Cai Yubin Xu 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第7期363-383,共21页
The large-scale multi-objective optimization algorithm(LSMOA),based on the grouping of decision variables,is an advanced method for handling high-dimensional decision variables.However,in practical problems,the intera... The large-scale multi-objective optimization algorithm(LSMOA),based on the grouping of decision variables,is an advanced method for handling high-dimensional decision variables.However,in practical problems,the interaction among decision variables is intricate,leading to large group sizes and suboptimal optimization effects;hence a large-scale multi-objective optimization algorithm based on weighted overlapping grouping of decision variables(MOEAWOD)is proposed in this paper.Initially,the decision variables are perturbed and categorized into convergence and diversity variables;subsequently,the convergence variables are subdivided into groups based on the interactions among different decision variables.If the size of a group surpasses the set threshold,that group undergoes a process of weighting and overlapping grouping.Specifically,the interaction strength is evaluated based on the interaction frequency and number of objectives among various decision variables.The decision variable with the highest interaction in the group is identified and disregarded,and the remaining variables are then reclassified into subgroups.Finally,the decision variable with the strongest interaction is added to each subgroup.MOEAWOD minimizes the interactivity between different groups and maximizes the interactivity of decision variables within groups,which contributed to the optimized direction of convergence and diversity exploration with different groups.MOEAWOD was subjected to testing on 18 benchmark large-scale optimization problems,and the experimental results demonstrate the effectiveness of our methods.Compared with the other algorithms,our method is still at an advantage. 展开更多
关键词 Decision variable grouping large-scale multi-objective optimization algorithms weighted overlapping grouping direction-guided evolution
下载PDF
Overlapping infections of Mycobacterium canariasense and Nocardia farcinica in an immunocompetent patient:A case report
4
作者 Hai-Yan Huang Kun-Peng Bu +1 位作者 Jin-Wei Liu Jing Wei 《World Journal of Clinical Cases》 SCIE 2024年第12期2079-2085,共7页
BACKGROUND Infections by non-tuberculous mycobacteria(NTM)have become more common in recent years.Mycobacterium canariasense(M.canariasense)was first reported as an opportunistic pathogen in 2004,but there have been v... BACKGROUND Infections by non-tuberculous mycobacteria(NTM)have become more common in recent years.Mycobacterium canariasense(M.canariasense)was first reported as an opportunistic pathogen in 2004,but there have been very few case reports since then.Nocardia is a genus of aerobic and Gram-positive bacilli,and these species are also opportunistic pathogens and in the Mycobacteriales order.Conventional methods for diagnosis of NTM are inefficient.Metagenomic next-generation sequencing(mNGS)can rapidly detect many pathogenic microorganisms,even rare species.Most NTM and Nocardia infections occur in immunocompromised patients with atypical clinical symptoms.There are no previous reports of infection by M.canariasense and Nocardia farcinica(N.farcinica),especially in immunocompetent patients.This case report describes an immunocompetent 52-year-old woman who had overlapping infections of M.canariasense,N.farcinica,and Candida parapsilosis(C.parapsilosis)based on mNGS.CASE SUMMARY A 52-year-old woman presented with a productive cough and chest pain for 2 wk,and recurrent episodes of moderate-grade fever for 1 wk.She received antibiotics for 1 wk at a local hospital,and experienced defervescence,but the productive cough and chest pain persisted.We collected samples of a lung lesion and alveolar lavage fluid for mNGS.The lung tissue was positive for M.canariasense,N.farcinica,and C.parapsilosis,and the alveolar lavage fluid was positive for M.canariasense.The diagnosis was pneumonia,and application of appropriate antibiotic therapy cured the patient.CONCLUSION Etiological diagnosis is critical for patients with infectious diseases.mNGS can identify rare and novel pathogens,and does not require a priori knowledge. 展开更多
关键词 overlapping infection Mycobacterium canariasense Nocardia farcinica Metagenomic next-generation sequencing technology Case report
下载PDF
Autoimmune hepatitis-primary biliary cholangitis overlap syndrome complicated by various autoimmune diseases:A case report
5
作者 Yu-Jie Qin Ting Gao +2 位作者 Xing-Nian Zhou Ming-Liang Cheng Hong Li 《World Journal of Clinical Cases》 SCIE 2024年第6期1174-1181,共8页
BACKGROUND Autoimmune hepatitis(AIH)and primary biliary cholangitis(PBC)are two common clinical autoimmune liver diseases,and some patients have both diseases;this feature is called AIH-PBC overlap syndrome.Autoimmune... BACKGROUND Autoimmune hepatitis(AIH)and primary biliary cholangitis(PBC)are two common clinical autoimmune liver diseases,and some patients have both diseases;this feature is called AIH-PBC overlap syndrome.Autoimmune thyroid disease(AITD)is the most frequently overlapping extrahepatic autoimmune disease.Immunoglobulin(IgG)4-related disease is an autoimmune disease recognized in recent years,characterized by elevated serum IgG4 levels and infiltration of IgG4-positive plasma cells in tissues.CASE SUMMARY A 68-year-old female patient was admitted with a history of right upper quadrant pain,anorexia,and jaundice on physical examination.Laboratory examination revealed elevated liver enzymes,multiple positive autoantibodies associated with liver and thyroid disease,and imaging and biopsy suggestive of pancreatitis,hepatitis,and PBC.A diagnosis was made of a rare and complex overlap syndrome of AIH,PBC,AITD,and IgG4-related disease.Laboratory features improved on treatment with ursodeoxycholic acid,methylprednisolone,and azathioprine.CONCLUSION This case highlights the importance of screening patients with autoimmune diseases for related conditions. 展开更多
关键词 overlap syndrome Autoimmune hepatitis Primary biliary cholangitis Primary sclerosing cholangitis Autoimmune thyroid disease Case report
下载PDF
Novel method for extraction of ship target with overlaps in SAR image via EM algorithm
6
作者 CAO Rui WANG Yong 《Journal of Systems Engineering and Electronics》 SCIE CSCD 2024年第4期874-887,共14页
The quality of synthetic aperture radar(SAR)image degrades in the case of multiple imaging projection planes(IPPs)and multiple overlapping ship targets,and then the performance of target classification and recognition... The quality of synthetic aperture radar(SAR)image degrades in the case of multiple imaging projection planes(IPPs)and multiple overlapping ship targets,and then the performance of target classification and recognition can be influenced.For addressing this issue,a method for extracting ship targets with overlaps via the expectation maximization(EM)algorithm is pro-posed.First,the scatterers of ship targets are obtained via the target detection technique.Then,the EM algorithm is applied to extract the scatterers of a single ship target with a single IPP.Afterwards,a novel image amplitude estimation approach is pro-posed,with which the radar image of a single target with a sin-gle IPP can be generated.The proposed method can accom-plish IPP selection and targets separation in the image domain,which can improve the image quality and reserve the target information most possibly.Results of simulated and real mea-sured data demonstrate the effectiveness of the proposed method. 展开更多
关键词 expectation maximization(EM)algorithm image processing imaging projection plane(IPP) overlapping ship tar-get synthetic aperture radar(SAR)
下载PDF
The Practical Path of Labor Curriculum in Compulsory Education in China from the Perspective of Overlapping Influence Domain Theory
7
作者 Yihan Yan Long Peng 《Journal of Contemporary Educational Research》 2024年第7期252-257,共6页
Since the new curriculum reform,labor education has gradually shed its marginalized position in the“five educations,”and the labor curriculum has become an independent course officially separated from comprehensive ... Since the new curriculum reform,labor education has gradually shed its marginalized position in the“five educations,”and the labor curriculum has become an independent course officially separated from comprehensive practical activity courses.Exploring the practical path of labor curriculum in compulsory education in China has become the primary task of labor education in China.Based on the practical situation of labor curriculum in compulsory education in China,drawing on the theory of overlapping influence domains,and from the perspective of collaborative education among family,school,and community,this paper proposes a curriculum practical path of“school-led”family-school-community collaboration and a curriculum practical path guided by“student-centered”sentiment,in order to provide references for the practice of labor curriculum in compulsory education in China. 展开更多
关键词 overlapping influence domain theory Compulsory education Labor curriculum
下载PDF
Overlap吻合术式在腹腔镜结直肠手术重建中的临床研究
8
作者 孙景毅 张涛 《全科医学临床与教育》 2024年第6期518-521,共4页
目的研究腹腔镜结直肠手术重建中运用侧侧吻合(Overlap)术式的临床价值。方法选择2022年1月至2023年2月期间龙游县人民医院收治的102例结直肠癌患者为研究对象,均行腹腔镜结直肠癌根治术,以吻合术式不同将其分为两组,其中行功能性端端... 目的研究腹腔镜结直肠手术重建中运用侧侧吻合(Overlap)术式的临床价值。方法选择2022年1月至2023年2月期间龙游县人民医院收治的102例结直肠癌患者为研究对象,均行腹腔镜结直肠癌根治术,以吻合术式不同将其分为两组,其中行功能性端端吻合为对照组(n=51),采用Overlap吻合术式则为观察组(n=51),比较两组患者的围术期指标、炎症指标以及术后并发症发生情况,术后随访12个月,评价两组患者生活质量。结果观察组患者的术后住院、进食、手术以及排气时间均短于对照组,差异均有统计学意义(t分别=5.26、3.49、3.43、3.55,P均<0.05);观察组术后3 d的C反应蛋白(CRP)、白细胞介素-6(IL-6)以及肿瘤坏死因子-α(TNF-α)水平均低于对照组,差异均有统计学意义(t分别=13.14、15.79、12.49,P均<0.05);观察组患者的并发症发生率明显低于对照组,差异有统计学意义(χ^(2)=15.86,P<0.05);两组3、6、9、12个月的生活质量评分比较,差异均无统计学意义(t分别=0.19、0.50、0.60、0.62,P均>0.05)。结论在腹腔镜结直肠癌根治术中,通过采用Overlap吻合术式,不仅可以缩短手术时间,恢复胃肠道功能,还可以减少术后并发症,并且对患者生活质量无明显影响,可以作为有效且安全的一种吻合方式。 展开更多
关键词 腹腔镜结直肠癌根治术 侧侧吻合 功能性端端吻合
下载PDF
Pseudo-Semi-Overlap Functions-Based Fuzzy Rough Sets Applied to Image Edge Extraction
9
作者 Ran Yin Minge Chen +2 位作者 Yu Liu Yafei Zhao Jianwei Li 《Journal of Applied Mathematics and Physics》 2024年第7期2347-2366,共20页
As an extension of overlap functions, pseudo-semi-overlap functions are a crucial class of aggregation functions. Therefore, (I, PSO)-fuzzy rough sets are introduced, utilizing pseudo-semi-overlap functions, and furth... As an extension of overlap functions, pseudo-semi-overlap functions are a crucial class of aggregation functions. Therefore, (I, PSO)-fuzzy rough sets are introduced, utilizing pseudo-semi-overlap functions, and further extended for applications in image edge extraction. Firstly, a new clustering function, the pseudo-semi-overlap function, is introduced by eliminating the symmetry and right continuity present in the overlap function. The relaxed nature of this function enhances its applicability in image edge extraction. Secondly, the definitions of (I, PSO)-fuzzy rough sets are provided, using (I, PSO)-fuzzy rough sets, a pair of new fuzzy mathematical morphological operators (IPSOFMM operators) is proposed. Finally, by combining the fuzzy C-means algorithm and IPSOFMM operators, a novel image edge extraction algorithm (FCM-IPSO algorithm) is proposed and implemented. Compared to existing algorithms, the FCM-IPSO algorithm exhibits more image edges and a 73.81% decrease in the noise introduction rate. The outstanding performance of (I, PSO)-fuzzy rough sets in image edge extraction demonstrates their practical application value. 展开更多
关键词 Pseudo-Semi-overlap Functions Fuzzy Rough Set Fuzzy Mathematical Morphology Image Edge Extraction
下载PDF
Overlap吻合术对腹腔镜胃癌消化道重建和并发症及患者生活质量的影响 被引量:2
10
作者 管佳佳 朱磊磊 +3 位作者 骆杰 傅军 杭群 朱冰 《临床与病理杂志》 CAS 2023年第2期295-301,共7页
目的:研究完全腹腔镜胃癌根治术联合overlap吻合术对消化道重建、并发症及患者生活质量的影响。方法:选取2019年6月至2021年12月于蚌埠医学院第一附属医院接受诊治的110例胃癌患者为研究对象。根据不同手术方式分为对照组(传统腹腔镜胃... 目的:研究完全腹腔镜胃癌根治术联合overlap吻合术对消化道重建、并发症及患者生活质量的影响。方法:选取2019年6月至2021年12月于蚌埠医学院第一附属医院接受诊治的110例胃癌患者为研究对象。根据不同手术方式分为对照组(传统腹腔镜胃癌根治术,n=60)与观察组(完全腹腔镜胃癌根治术联合overlap吻合术,n=50),比较2组手术疗效及并发症,并采用胃肠道生活质量表(Gastrointestinal Quality of Life,GIQLI)评估生活质量。结果:观察组手术全程用时、消化道重建用时、总失血量均少于对照组(均P<0.05);2组肿瘤大小、淋巴结清扫数比较差异均无统计学意义(均P>0.05)。观察组术后排气时间、流食进食时间、下地时间均少于对照组(均P<0.05);2组住院时间差异无统计学意义(P>0.05)。观察组术后并发症总发生率低于对照组(P<0.05)。随访6个月,2组GIQLI各维度得分及总分均高于出院当天(均P<0.05),观察组GIQLI各维度得分及总分均高于对照组(均P<0.05)。结论:完全腹腔镜胃癌根治术联合overlap吻合术能有效重建消化道,减少并发症,改善生活质量。 展开更多
关键词 胃癌 完全腹腔镜根治术 overlap吻合术 消化道重建 并发症 生活质量
下载PDF
改良Overlap吻合术在SiewertⅡ、Ⅲ型食管胃结合部腺癌全腹腔镜消化道重建中的临床应用价值 被引量:1
11
作者 王云鹏 王新刚 +5 位作者 魏秋亚 黄伟芃 侯琳琳 雍桃 刘杰 樊勇 《兰州大学学报(医学版)》 2023年第11期55-60,共6页
目的探讨改良Overlap吻合术与传统管型吻合术在腹腔镜下SiewertⅡ、Ⅲ型食管胃结合部腺癌全胃切除术后消化道重建中的临床应用价值。方法回顾性分析2018年1月—2021年10月兰州大学第二医院普外科收治的125例SiewertⅡ、Ⅲ型食管胃结合... 目的探讨改良Overlap吻合术与传统管型吻合术在腹腔镜下SiewertⅡ、Ⅲ型食管胃结合部腺癌全胃切除术后消化道重建中的临床应用价值。方法回顾性分析2018年1月—2021年10月兰州大学第二医院普外科收治的125例SiewertⅡ、Ⅲ型食管胃结合部腺癌患者的临床资料,患者均完成腹腔镜下全胃切除术+D2淋巴结清扫,其中50例患者消化道重建采用改良Overlap吻合术进行食管空肠吻合,75例患者行管型吻合器吻合。比较两种吻合术手术相关及临床效果指标的差异。结果改良Overlap吻合组与管型吻合器吻合组在术后通气时间、术后首次进食时间、淋巴结清扫数及术中出血量等差异无统计学意义(P>0.05);两组患者手术总时间、消化道重建时间、术后并发症总发生率(吻合口出血)等方面差异具有统计学意义(P<0.05)。结论改良Overlap吻合术可以在全腹腔镜下完成,操作视野良好,步骤简便可行,术后并发症少,具有较高的安全性,具有临床应用推广价值。 展开更多
关键词 食管胃结合部腺癌 腹腔镜检查 腹腔镜胃切除术 ROUX-EN-Y吻合术 改良overlap吻合术 食管空肠吻合
下载PDF
An overlap syndrome involving autoimmune hepatitis and systemic lupus erythematosus in childhood 被引量:7
12
作者 Yusuf Usta Figen Gurakan +1 位作者 Zuhal Akcoren Seza Ozen 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第19期2764-2767,共4页
We report a 12 years old female patient with an overlap syndrome involving autoimmune hepatitis (AIH) and systemic lupus erythematosus (SLE). The patient presented with jaundice, hepatosplenomegaly, malaise, polya... We report a 12 years old female patient with an overlap syndrome involving autoimmune hepatitis (AIH) and systemic lupus erythematosus (SLE). The patient presented with jaundice, hepatosplenomegaly, malaise, polyarthralgia, arthritis and butterfly rash on the face. Laboratory tests revealed severe liver dysfunction, Coombs positive hemolytic anemia and a positive ANA/ anti-dsDNA test. Renal biopsy showed class IIA kidney disease, while liver biopsy showed chronic hepatitis with severe inflammatory activity. The patient satisfied the international criteria for both SLE and AIH. Clinical symptoms and laboratory findings of SLE improved with high dose treatment with corticosteroids and azathioprine, however, remission of the liver disease could not be achieved. Repeat biopsy of the liver after three years of therapy revealed ongoing chronic hepatitis with high level of inflammatory activity. The present case indicates that children with liver dysfunction and SLE should be investigated for AIH. There is much diagnostic and therapeutic dilemma in patients with AIH-SLE overlap syndrome. 展开更多
关键词 Autoimmune hepatitis Systemic lupus erythematosus overlap syndrome and treatment
下载PDF
全腹腔镜全胃切除术食管空肠π形吻合与overlap吻合临床效果比较 被引量:1
13
作者 刘金生 吴燕 +2 位作者 张宁 陈演 彭小梅 《中国现代手术学杂志》 2023年第4期275-281,共7页
目的探讨食管空肠π形吻合与overlap吻合行全腹腔镜全胃切除术后消化道重建的临床效果。方法选取2018年6月至2021年6月在我院行全腹腔镜全胃切除术的102例胃癌患者行回顾性分析,按消化道重建吻合方式分为π形吻合组及overlap吻合组,各5... 目的探讨食管空肠π形吻合与overlap吻合行全腹腔镜全胃切除术后消化道重建的临床效果。方法选取2018年6月至2021年6月在我院行全腹腔镜全胃切除术的102例胃癌患者行回顾性分析,按消化道重建吻合方式分为π形吻合组及overlap吻合组,各51例。比较两组患者围术期相关指标、术后营养状况、生活质量、并发症及预后。结果两组手术时间、术中出血量、切口长度、术后首次排气及恢复进食时间、住院时间比较均无统计学差异(P>0.05),而π形吻合组吻合时间短于overlap吻合组(P<0.05)。两组患者术后3个月Alb、Hb、PAB、TP、RBC、球蛋白及铁蛋白等营养指标及QLQ-C30评分均明显改善(P<0.05),但两组间各营养指标及QLQ-C30评分比较均无统计学差异(P>0.05)。π形吻合组及overlap吻合组术后早、晚期并发症发生率分别为15.69%和21.57%、9.80%和7.84%,组间比较均无统计学差异(P>0.05)。术后均随访6~36个月,π形吻合组和overlap吻合组死亡率分别为27.45%和31.37%,两组患者平均生存时间无统计学差异(χ^(2)=0.367,P=0.545)。结论全腹腔镜全胃切除术中采用食管空肠π形吻合与overlap吻合技术行Roux-en-Y吻合均可有效改善患者的营养状况及生存质量,安全性较高,可作为消化道重建的选择方式之一。 展开更多
关键词 全腹腔镜全胃切除术 ROUX-EN-Y吻合术 π形吻合 overlap吻合 营养状况
下载PDF
Thermal decomposition kinetics of basic carbonate cobalt nanosheets obtained from spent Li-ion batteries:Deconvolution of overlapping complex reactions 被引量:3
14
作者 Hossein EBRAHIMZADE Gholam Reza KHAYATI Mahin SCHAFFIE 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2018年第6期1265-1274,共10页
A new non-isothermal method of kinetic analysis was employed to investigate the thermal decomposition kinetic modeling of the basic carbonate cobalt nanosheets(n-BCoC) synthesized from spent lithium-ion batteries(L... A new non-isothermal method of kinetic analysis was employed to investigate the thermal decomposition kinetic modeling of the basic carbonate cobalt nanosheets(n-BCoC) synthesized from spent lithium-ion batteries(LIBs). Fraser–Suzuki function was applied to deconvoluting overlapping complex processes from the overall differential thermal curves obtained under the linear heating rate conditions, followed by the kinetic analysis of the discrete processes using a new kinetic analysis method. Results showed that the decomposition of n-BCo C in air occurred through two consecutive reactions in the 136-270 ℃ temperature intervals. Decomposition started by hydroxide component(Co(OH)2) decomposition until to 65% and simultaneously carbonate phase decarbonation began. The process was continued by CO2 evolution and finally carbonate cobalt nanosheets have been produced. The reaction mechanism of the whole process can be kinetically characterized by two successive reactions: a phase boundary contracting reaction followed by an Avrami-Erofeev equation. Mechanistic information obtained by the kinetic study was in good agreement with FT-IR(Fourier transform infrared spectroscopy) and SEM(scanning electron microscopy) results. 展开更多
关键词 kinetic modeling basic carbonate cobalt nanosheets (n-BCoC) overlapping reactions spent lithium-ion battery
下载PDF
全腹腔镜全胃切除术中食管空肠overlap吻合术安全性和有效性的Meta分析
15
作者 黄宗圆 曾爱明 +2 位作者 刘森 梁树芬 闫慧明 《海南医学院学报》 CAS 2023年第8期603-611,共9页
目的:系统评价和比较全腹腔镜全胃切除术中overlap食管空肠吻合术和传统食管空肠吻合术治疗胃癌的安全性和有效性,为临床实践提供循证医学证据。方法:通过计算机检索国内外数据库PubMed、Embase、Cochrane Library、Web of Science、知... 目的:系统评价和比较全腹腔镜全胃切除术中overlap食管空肠吻合术和传统食管空肠吻合术治疗胃癌的安全性和有效性,为临床实践提供循证医学证据。方法:通过计算机检索国内外数据库PubMed、Embase、Cochrane Library、Web of Science、知网、万方、维普,检索时限为各大数据库建库至2022年1月。获得相关文献,逐步筛选,纳入符合条件的研究,采用Cochrane ROB偏倚风险评估工具和NOS量表对文章进行质量评价,提取高质量文献中所需数据,最后通过Review Manager 5.3软件进行Meta分析。结果:最终纳入11项研究,包括1 398例患者,其中有566例接受overlap吻合术的患者和832例接受传统吻合术的患者。结果表明,overlap吻合术和传统吻合术在手术时间(MD=0.63,95%CI=7.22,8.48,P=0.88)、术后首次排气时间(MD=-0.13,95%CI=0.43,0.18,P=0.42)、术后首次进食时间(MD=0.02,95%CI=0.33,0.37,P=0.91)、吻合口漏(OR=1.38,95%CI=0.73,2.63,P=0.32)、术后住院时间(MD=-0.16,95%CI=0.82,0.51,P=0.64)方面无显著差异(均P>0.05)。与传统吻合术相比,overlap吻合术吻合时间较长(MD=5.60,95%CI=0.59,10.62,P=0.03)、吻合口出血发生率较高(OR=2.48,95%CI=1.08,5.69,P=0.03)、术中出血量较少(MD=-6.42,95%CI=10.28,-2.56,P=0.001)、吻合口狭窄发生率较低(OR=0.17,95%CI=0.06,0.46,P=0.000 6)。结论:overlap食管空肠吻合术是一种安全、有效、预后佳的手术方式,有望成为全腹腔镜全胃切除术中食管空肠吻合标准术式。 展开更多
关键词 胃癌 全腹腔镜全胃切除术 食管空肠吻合术 overlap吻合术 META分析
下载PDF
Irritable bowel syndrome:Epidemiology,overlap disorders,pathophysiology and treatment 被引量:4
16
作者 Kai-Yue Huang Feng-Yun Wang +3 位作者 Mi Lv Xiang-Xue Ma Xu-Dong Tang Lin Lv 《World Journal of Gastroenterology》 SCIE CAS 2023年第26期4120-4135,共16页
Irritable bowel syndrome (IBS) is a common chronic gastrointestinal disease with a significant impact on patients’ quality of life and a high socioeconomic burden. And the understanding of IBS has changed since the r... Irritable bowel syndrome (IBS) is a common chronic gastrointestinal disease with a significant impact on patients’ quality of life and a high socioeconomic burden. And the understanding of IBS has changed since the release of the Rome Ⅳ diagnosis in 2016. With the upcoming Rome Ⅴ revision, it is necessary to review the results of IBS research in recent years. In this review of IBS, we can highlight future concerns by reviewing the results of IBS research on epidemiology, overlap disorders, pathophysiology, and treatment over the past decade and summarizing the latest research. 展开更多
关键词 Irritable bowel syndrome overlap PATHOPHYSIOLOGY Treatment
下载PDF
Overlap吻合法在完全腹腔镜根治性右半结肠切除术中的应用
17
作者 姚敏泉 姜宇朋 +2 位作者 孙大壮 王元宇 牟一平 《浙江临床医学》 2023年第12期1741-1743,共3页
目的探讨完全腹腔镜根治性右半结肠切除术中采用Overlap吻合法行回结肠吻合的可行性。方法回顾性分析2020年6月至2022年12月于桐乡市第一人民医院胃肠外科接受完全腹腔镜根治性右半结肠切除+Overlap法行回结肠侧侧吻合术的32例右半结肠... 目的探讨完全腹腔镜根治性右半结肠切除术中采用Overlap吻合法行回结肠吻合的可行性。方法回顾性分析2020年6月至2022年12月于桐乡市第一人民医院胃肠外科接受完全腹腔镜根治性右半结肠切除+Overlap法行回结肠侧侧吻合术的32例右半结肠癌患者及接受腹腔镜辅助根治性右半结肠切除+体外吻合法行回结肠端侧吻合术的30例右半结肠癌患者的临床资料,分别记录患者的手术时间、回结肠吻合时间、术中出血量、淋巴结清扫数目、切口长度、术后24 h疼痛评分、术后肛门排气时间、术后并发症和住院天数等围手术期资料。结果全部患者成功实施腹腔镜根治性右半结肠切除术。两组患者的性别、年龄、BMI指数、肿瘤部位、cTNM分期等差异无统计学意义(P>0.05)。与体外吻合组相比,Overlap吻合组的平均回结肠吻合时间稍长,但差异无统计学意义(P>0.05);两组手术时间、术中出血量、淋巴结清扫数目、术后住院天数相比差异均无统计学意义(均P>0.05);切口长度、术后24 h疼痛评分、术后肛门排气时间相比差异有统计学意义(均P<0.05)。Overlap吻合组1例患者术后出现淋巴漏,经禁食、营养等对症治疗后治愈;体外吻合组1例患者术后出现切口感染,经换药、引流后切口愈合。Overlap吻合组1例患者、体外吻合组2例患者出现术后肠梗阻,经禁食、胃肠减压、营养等对症支持治疗后治愈。两组各有1例患者术后出现肺部感染,经抗感染、化痰、雾化等治疗后好转。结论完全腹腔镜根治性右半结肠切除术中采用Overlap吻合法行回结肠吻合安全可行,切口小、疼痛轻、术后肠道功能恢复快,具有良好的临床应用前景。 展开更多
关键词 完全腹腔镜 腹腔镜辅助 结肠癌 overlap 回结肠吻合
下载PDF
An Imbalanced Dataset and Class Overlapping Classification Model for Big Data 被引量:1
18
作者 Mini Prince P.M.Joe Prathap 《Computer Systems Science & Engineering》 SCIE EI 2023年第2期1009-1024,共16页
Most modern technologies,such as social media,smart cities,and the internet of things(IoT),rely on big data.When big data is used in the real-world applications,two data challenges such as class overlap and class imba... Most modern technologies,such as social media,smart cities,and the internet of things(IoT),rely on big data.When big data is used in the real-world applications,two data challenges such as class overlap and class imbalance arises.When dealing with large datasets,most traditional classifiers are stuck in the local optimum problem.As a result,it’s necessary to look into new methods for dealing with large data collections.Several solutions have been proposed for overcoming this issue.The rapid growth of the available data threatens to limit the usefulness of many traditional methods.Methods such as oversampling and undersampling have shown great promises in addressing the issues of class imbalance.Among all of these techniques,Synthetic Minority Oversampling TechniquE(SMOTE)has produced the best results by generating synthetic samples for the minority class in creating a balanced dataset.The issue is that their practical applicability is restricted to problems involving tens of thousands or lower instances of each.In this paper,we have proposed a parallel mode method using SMOTE and MapReduce strategy,this distributes the operation of the algorithm among a group of computational nodes for addressing the aforementioned problem.Our proposed solution has been divided into three stages.Thefirst stage involves the process of splitting the data into different blocks using a mapping function,followed by a pre-processing step for each mapping block that employs a hybrid SMOTE algo-rithm for solving the class imbalanced problem.On each map block,a decision tree model would be constructed.Finally,the decision tree blocks would be com-bined for creating a classification model.We have used numerous datasets with up to 4 million instances in our experiments for testing the proposed scheme’s cap-abilities.As a result,the Hybrid SMOTE appears to have good scalability within the framework proposed,and it also cuts down the processing time. 展开更多
关键词 Imbalanced dataset class overlapping SMOTE MAPREDUCE parallel programming OVERSAMPLING
下载PDF
International Standardization of Blockchain and Distributed Ledger Technology:Overlaps,Gaps and Challenges 被引量:1
19
作者 Xiangjuan Jia Jing Xu +3 位作者 Mengwei Han Qing Zhang Lu Zhang Xiaofeng Chen 《Computer Modeling in Engineering & Sciences》 SCIE EI 2023年第11期1491-1523,共33页
As one of the most concerned digital technologies in recent years,blockchain and distributed ledger technology are an important driving force for a new round of technological development.It is currently in the process... As one of the most concerned digital technologies in recent years,blockchain and distributed ledger technology are an important driving force for a new round of technological development.It is currently in the process of accelerating its evolution and maturity,and has gradually integrated with other digital technologies.It has been applied in many industries,providing decentralized solutions for various industries,realizing innovative storage models,and building a new trust system.As blockchain technology is officially incorporated into China’s new information infrastructure category,the application fields of blockchain have expanded rapidly,gradually extending from the financial field and government affairs to other fields in the real economy.At the same time,with the continuous development of the globalized economy,blockchain technology will also have a profound impact on international technological and economic development.Therefore,for the healthy and orderly development and real implementation of the blockchain industry,standardize the application of blockchain,effectively break through the cognitive and technical barriers between different countries,industries and systems on a global scale,prevent application risks,the development of the global blockchain industry needs standardization basis,which is particularly important and urgent.A sound standard system is an important key to the successful development of technology,and formulating the right standard at the right time for technology development helps ensure the ease of use and interoperability of the technology.From the perspective of international standardization,this article first introduces the general situation of ISO,ITU-T,IEEE,W3C and other international standardization organizations,and sorts out the status quo of the blockchain standardization working groups of mainstream international standardization organizations.All blockchain-related standards under development have been analyzed for the characteristics of international blockchain technology standards and industry application standards.Through data analysis,the overlaps,differences and conflicts in the field of international blockchain standard formulation are sorted out,and suggestions for blockchain standardization work in the application and development of blockchain technology standardization by international organizations and industries are put forward.The plans and layouts of future international standards are summarized to help the development of the international standardization of blockchain. 展开更多
关键词 ISO ITU-T IEEE blockchain distributed ledger technology international standard standardization status overlapS GAPS CHALLENGES
下载PDF
Set pair three-way overlapping community discovery algorithm for weighted social internet of things 被引量:1
20
作者 Chunying Zhang Jing Ren +3 位作者 Lu Liu Shouyue Liu Xiaoqi Li Liya Wang 《Digital Communications and Networks》 SCIE CSCD 2023年第1期3-13,共11页
There are many problems in Social Internet of Things(IoTs),such as complex topology information,different degree of association between nodes and overlapping communities.The idea of set pair information grain computin... There are many problems in Social Internet of Things(IoTs),such as complex topology information,different degree of association between nodes and overlapping communities.The idea of set pair information grain computing and clustering is introduced to solve the above problems so as to accurately describe the similarity between nodes and fully explore the multi-community structure.A Set Pair Three-Way Overlapping Community Discovery Algorithm for Weighted Social Internet of Things(WSIoT-SPTOCD)is proposed.In the local network structure,which fully considers the topological information between nodes,the set pair connection degree is used to analyze the identity,difference and reverse of neighbor nodes.The similarity degree of different neighbor nodes is defined from network edge weight and node degree,and the similarity measurement method of set pair between nodes based on the local information structure is proposed.According to the number of nodes'neighbors and the connection degree of adjacent edges,the clustering intensity of nodes is defined,and an improved algorithm for initial value selection of k-means is proposed.The nodes are allocated according to the set pair similarity between nodes and different communities.Three-way community structures composed of a positive domain,boundary domain and negative domain are generated iteratively.Next,the overlapping node set is generated according to the calculation results of community node membership.Finally,experiments are carried out on artificial networks and real networks.The results show that WSIoT-SPTOCD performs well in terms of standardized mutual information,overlapping community modularity and F1. 展开更多
关键词 Social internet of things Set pair analysis K-MEANS Local information structure overlapping community
下载PDF
上一页 1 2 250 下一页 到第
使用帮助 返回顶部