AIM To evaluate the efficacy of endoscopic ultrasoundguided fine needle aspiration(EUS-FNA) of pancreatic head cancer when pushing(push method) or pulling the echoendoscope(pull method).METHODS Overall, 566 pancreatic...AIM To evaluate the efficacy of endoscopic ultrasoundguided fine needle aspiration(EUS-FNA) of pancreatic head cancer when pushing(push method) or pulling the echoendoscope(pull method).METHODS Overall, 566 pancreatic cancer patients had their first EUS-FNA between February 2001 and December 2017. Among them, 201 who underwent EUS-FNA for pancreatic head lesions were included in this study. EUS-FNA was performed by the push method in 85 patients, the pull method in 101 patients and both the push and pull methods in 15 patients. After propensity score matching(age, sex, tumor diameter, and FNA needle), 85 patients each were stratified into the push and pull groups. Patient characteristics and EUSFNA-related factors were compared between the two groups.RESULTS Patient characteristics were not significantly different between the two groups. The distance to lesion was significantly longer in the push group than in the pull group(13.9 ± 4.9 mm vs 7.0 ± 4.9 mm, P < 0.01). The push method was a significant factor influencing the distance to lesion(≥ median 10 mm)(P < 0.01). Additionally, tumor diameter ≥ 25 mm(OR = 1.91, 95%CI: 1.02-3.58, P = 0.043) and the push method(OR = 1.91, 95%CI: 1.03-3.55, P = 0.04) were significant factors contributing to the histological diagnosis of malignancy.CONCLUSION The pull method shortened the distance between the endoscope and the lesion and facilitated EUS-FNA of pancreatic head cancer. The push method contributed to the histological diagnosis of pancreatic head cancer using EUS-FNA specimens.展开更多
The reaction of earth to pull-out process of frictional rock bolts was here modeled by the distinct element method (DEM). Ten frictional bolts were prepared;the expanding shells of five bolts included convex edges and...The reaction of earth to pull-out process of frictional rock bolts was here modeled by the distinct element method (DEM). Ten frictional bolts were prepared;the expanding shells of five bolts included convex edges and the others had the shells with concave bits. The strength of bolts was measured by applying a standard pull-out test;the results confirmed that the strength of shells with convex edges was remarkably more than the strength of other shells. Furthermore, a two-dimensional DEM model of the test was developed by a particle flow code;the obtained results showed that the reaction of rock particles to the contacts occurring between the convex edges and earth was considerably more than those of the concave bits. In the other words, the convex edges transferred the pull-out force into a large area of the surrounded rock, causing these bolts to have the highest resistance against earth movements.展开更多
文摘AIM To evaluate the efficacy of endoscopic ultrasoundguided fine needle aspiration(EUS-FNA) of pancreatic head cancer when pushing(push method) or pulling the echoendoscope(pull method).METHODS Overall, 566 pancreatic cancer patients had their first EUS-FNA between February 2001 and December 2017. Among them, 201 who underwent EUS-FNA for pancreatic head lesions were included in this study. EUS-FNA was performed by the push method in 85 patients, the pull method in 101 patients and both the push and pull methods in 15 patients. After propensity score matching(age, sex, tumor diameter, and FNA needle), 85 patients each were stratified into the push and pull groups. Patient characteristics and EUSFNA-related factors were compared between the two groups.RESULTS Patient characteristics were not significantly different between the two groups. The distance to lesion was significantly longer in the push group than in the pull group(13.9 ± 4.9 mm vs 7.0 ± 4.9 mm, P < 0.01). The push method was a significant factor influencing the distance to lesion(≥ median 10 mm)(P < 0.01). Additionally, tumor diameter ≥ 25 mm(OR = 1.91, 95%CI: 1.02-3.58, P = 0.043) and the push method(OR = 1.91, 95%CI: 1.03-3.55, P = 0.04) were significant factors contributing to the histological diagnosis of malignancy.CONCLUSION The pull method shortened the distance between the endoscope and the lesion and facilitated EUS-FNA of pancreatic head cancer. The push method contributed to the histological diagnosis of pancreatic head cancer using EUS-FNA specimens.
文摘The reaction of earth to pull-out process of frictional rock bolts was here modeled by the distinct element method (DEM). Ten frictional bolts were prepared;the expanding shells of five bolts included convex edges and the others had the shells with concave bits. The strength of bolts was measured by applying a standard pull-out test;the results confirmed that the strength of shells with convex edges was remarkably more than the strength of other shells. Furthermore, a two-dimensional DEM model of the test was developed by a particle flow code;the obtained results showed that the reaction of rock particles to the contacts occurring between the convex edges and earth was considerably more than those of the concave bits. In the other words, the convex edges transferred the pull-out force into a large area of the surrounded rock, causing these bolts to have the highest resistance against earth movements.
