effective

摘要： BACKGROUND Three-dimensional(3D) laparoscopic technique has gradually been applied to the treatment of carcinoma in the remnant stomach(CRS), but its clinical efficacy remains controversial.AIM To compare the short-term and long-term results of 3D laparoscopic-assisted gastrectomy(3DLAG) with open gastrectomy(OG) for CRS.METHODS The clinical data of patients diagnosed with CRS and admitted to the First Medical Center of Chinese PLA General Hospital from January 2016 to January 2021 were retrospectively collected. A total of 84 patients who met the inclusion and exclusion criteria were enrolled. All their clinical data were collected and a database was established. All patients were treated with 3DLAG or OG by experienced surgeons and were divided into two groups based on the different surgical methods mentioned above. By using outpatient and telephone follow-up,we were able to determine postoperative survival and tumor status. The postoperative short-term efficacy and 1-year and 3-year overall survival(OS) rates were compared between the two groups.RESULTS Among 84 patients with CRS, 48 were treated with OG and 36 with 3DLAG. All patients successfully completed surgery. There was no significant difference between the two groups in terms of age, gender, body mass index, ASA score,initial disease state(benign or malignant), primary surgical anastomosis method,interval time of carcinogenesis, and tumorigenesis site. Patients in the 3DLAG group experienced less intraoperative blood loss(188.33 ± 191.35 mL vs 305.83 ± 303.66 mL;P =0.045) and smaller incision(10.86 ± 3.18 cm vs 20.06 ± 5.17 cm;P < 0.001) than those in the OG group. 3DLAGC was a more minimally invasive method. 3DLAGC retrieved significantly more lymph nodes than OG(14.0 ± 7.17 vs 10.73 ± 6.82;P = 0.036), whereas the number of positive lymph nodes did not differ between the two groups(1.56 ± 2.84 vs 2.35 ± 5.28;P = 0.413). The complication rate(8.3% vs 20.8%;P = 0.207) and intensive care unit admission rate(5.6% vs 14.5%;P = 0.372) were equivalent between the two groups. In terms of postoperative recovery, the 3DLAGC group had a lower visual analog score, shorter indwelling time of gastric and drainage tubes, shorter time of early off-bed motivation, shorter time of postoperative initial flatus and initial soft diet intake, shorter postoperative hospital stay and total hospital stay, and there were significant differences, showing better short-term efficacy. The 1-year and 3-year OS rates of OG group were 83.2% [95% confidence interval(CI): 72.4%-95.6%] and 73.3%(95%CI: 60.0%-89.5%)respectively. The 1-year and 3-year OS rates of the 3DLAG group were 87.3%(95%CI: 76.4%-99.8%) and 75.6%(95%CI: 59.0%-97.0%), respectively. However, the 1-year and 3-year OS rates were similar between the two groups, which suggested that long-term survival results were comparable between the two groups(P = 0.68).CONCLUSION Compared with OG, 3DLAG for CRS achieved better short-term efficacy and equivalent oncological results without increasing clinical complications. 3DLAG for CRS can be promoted safely and effectively in selected patients.

摘要： BACKGROUND Patients with lupus nephritis(LN)typically undergo long-term treatment with glucocorticoids(GCs)and immunosuppressants.There is a growing demand for optimal therapy with better remission results and fewer side effects.Sustained traditional Chinese medicine(TCM)might be quite valuable for multitarget therapy,reducing the total dosage of GCs and minimizing the side effects of immunosuppressants.AIM To evaluate whether Dan Bai Xiao Formula(DBXF)can reduce the exposure to GCs and cyclophosphamide(CYC)and to assess the efficacy and safety of DBXF for the resolution of proteinuria and hematuria in children with LN.METHODS A 24-wk pilot study was conducted at Beijing Children’s Hospital.Children with active LN were divided into either a TCM group or a control group.Children in the TCM group received DBXF combined with GCs and CYC,and the ones in the control group received GCs and CYC every 4 wk for 24 wk.The primary endpoints of this trial were urinary protein excretion of0.05).The urine red blood cell count and urine protein level were significantly lower in the TCM group than in the control group at weeks 4,12,and 24(P<0.05).Furthermore,patients in the TCM group had a lower proportion of methylprednisolone pulses than those in the control group(1.30±1.41 vs 3.05±2.02,P<0.0001).The ending GC dose was significantly lower in the TCM group than in the control group(P<0.001).Moreover,more hepatic function damage,gastrointestinal adverse effects,and hypertension were observed in the control group than in the TCM group(P<0.05).CONCLUSION The findings suggest that DBXF treatment is effective and safe as a supplementary therapy for LN and is superior to routine GC and CYC therapy.DBXF containing combination treatment possibly results in a faster resolution of proteinuria and hematuria,smoother GC reduction,fewer methylprednisolone pulses,and fewer adverse events.

摘要： The activity concentration of natural radioactivity for soil samples collected from western and mid Libyan regions were measured using HPGe detector. The average activity concentration of 226Ra, 232Th and 40K for ten regions was found to be 51.86 ± 7.14, 75.56 ± 10.95 and 128.98 ± 6.88 Bq/kg respectively. The results obtained for the corresponding nuclides 226Ra and 232Th are above the worldwide average values (35 and 30 Bq/kg) while 40K was smaller than worldwide average (400 Bq/kg). The average outdoor absorbed dose and the annual effective dose rates due to 226Ra, 232Th and 40K were observed to be 21.51 ± 2.93 nGy/h and 0.297 ±.03 mSv/y respectively, which are lower than world average values (60 nGy/h and 0.8 mSv/y). The radium equivalent activity and external hazard indices were found less than the world wide average values.

摘要： Radioactivity is a natural phenomenon present in the universe. So, because of human life solidarity with a habitat, we are permanently in contact, especially through building materials. The objective of this work is the determination of the used cement radioactivity level in the buildings in Cote d'Ivoire. Thus, samples of grey and white cement currently used on Ivorian territory were taken. In order to determine the radioactivity level of this cement, samples were analyzed by using gamma spectrometry chain which contains a NaI (Tl) scintillation detector designed by the German manufacturer LD-DIDACTIC, coupled to a multichannel analyzer (AMC) using a Cassy Lab software. Thus, the specific activity of the primordial radionuclides 226Ra, 232Th and 40K, was able to be determined. The average values obtained are 29.66 Bq/kg, 34.88 Bq/kg and 178.424 Bq/kg respectively for 226Ra, 232Th and 40K. All average values are below the limit values recommended by UNSCEAR. However, we evaluated the radiological parameters such as the equivalent radium activity and the annual effective dose in order to translate the specific activity in terms of harmfulness. Values obtained for these parameters are below those recommended by ICRP and UNSCEAR. These results show that the risk incurred by the use of these different brands of cement is low.

摘要： The self-consistent Kohn-Sham equations for many-electron atoms are solved using the Coulomb wave function Discrete Variable Method (CWDVR). Wigner type functional is used to incorporate correlation functional. The discrete variable method is used for the uniform and optimal spatial grid discretization and solution of the Kohn-Sham equation. The equation is numerically solved using the CWDVR method. First time we have reported the solution of the Kohn-Sham equation on the ground state problem for the many-electronic atoms by the CWDVR method. Our results suggest CWDVR approach shown to be an efficient and precise solution of ground-state energies of atoms. We illustrate that the calculated electronic energies for He, Li, Be, B, C, N and O atoms are in good agreement with other best available values.

摘要： The carrier transport mechanism of Mg/Au ohmic contact for lightly doped β-Ga_2O_3 is investigated. An excellent ohmic contact has been achieved when the sample was annealed at 400 °C and the specific contact resistance is 4.3 × 10-4 Ω·cm2. For the annealed sample, the temperature dependence of specific contact resistance is studied in the range from 300 to 375 K. The specific contact resistance is decreased from 4.3 × 10-4 to 1.59 × 10-4 Ω·cm2 with an increase of test temperature. As combination with the judge of E00, the basic mechanism of current transport is dominant by thermionic emission theory. The effective barrier height between Mg/Au and β-Ga_2O_3 is evaluated to be 0.1 eV for annealed sample by fitting experimental data with thermionic emission model.

摘要： The concentration of Radon in mines varies tremendously according to the country rock, type of mineralization and area. Ventilation is also an important factor. The absence of ventilation in mines tends to allow a higher concentration of Radon to build up. This is very dangerous for the miners work inside. In this present work, the radon gas concentration is practically measured in closed uranium prospect mine located at Gabal (G.) Gattar. CR-39 solid state nuclear track detector technique is used. It is found that the radon concentration is around 80 kBq m-3 and an effective ventilation rates should be applied if there will be further works in the future.

摘要： At present,earthquakes are a serious problem for building.Severe damages and collapses of buildings were caused by earthquakes in different degrees.It is reported that there are more than 68,858 deaths and hundreds of billions RMB losses in the May 12,2008 Great Wenchuan Earthquake[16].So,more attention should be paid to seismic technology.In order to face the challenges of earthquake on building,the seismic retrofitting was put forward,which“is the modification of existing structures to make them more resistant to seismic activity,ground motion,or soil failure due to earthquakes”[2].

摘要： This paper is a study on the compulsion of transformational leadership from the part of the principal of this era when the demography of the students are changing exponentially, when the globe is experiencing massive changes in methods and techniques in educational process but the institutions remain the same as its ethics and operational strategies. The time is eloping when an educational head earns praises due to their prominence and performance in managerial functioning. But this paper tends to focus on several persisting challenges in these educational institutions like huge gap between teacher-student ratio, students’ increasing technological oriented learning, teachers’ lack of knowledge of multimedia class operation, girls’ little rate of enrolment in higher level of education, early marriage of school going girls and ensuring quality education to girls as per the demand of SDG 4 by 2030. This paper fosters the idea that a transformational head of the institution can be successful in this chase of challenges as he involves everyone to activities in order to reach goal. He works with the other members as a team member and thus a challenge of an institution turns to be liability to all.

摘要： Nanostructured, sub-wavelength anti-reflection layers (NALs) have attracted much attention as a new generation of anti-reflection surfaces. Among different designs, sub-wavelength periodic nanostructures are capable of enhancing transmission of coherent light through an interface without inducing scattering. In this work, we have explored a new profile for periodic NALs capable of transmitting IR light with higher efficiency compared to NALs based on a parabolic profile. To achieve high transmission and low diffraction, the profile and pitch of the nanostructured NALs are calculated using a combination of a multi-layer modeling and Rigorous Coupled Wave (RCWA) analysis.