目的构建基于Triangle模型的下肢静脉溃疡(venous leg ulcer,VLU)患者分层分级管理方案并评价其应用效果。方法于2024年1—4月采用文献回顾、小组讨论、专家会议方法构建包含低、中、高危分层标准及各级管理措施的方案,并选取于2024年5...目的构建基于Triangle模型的下肢静脉溃疡(venous leg ulcer,VLU)患者分层分级管理方案并评价其应用效果。方法于2024年1—4月采用文献回顾、小组讨论、专家会议方法构建包含低、中、高危分层标准及各级管理措施的方案,并选取于2024年5—6月入院的36例患者为对照组,2024年7—8月入院的36例VLU患者为观察组,对照组给予患者常规治疗及护理管理措施,并为患者实施常规健康教育;观察组在对照组的基础上,实施基于Triangle模型的VLU患者分层分级管理。比较2组患者干预前、干预后溃疡面积、溃疡愈合效果、溃疡愈合总有效率、治疗依从性和自我管理能力。结果干预后,观察组的溃疡面积显著小于对照组(P<0.05)、溃疡愈合效果显著优于对照组(P<0.05);观察组的溃疡愈合总有效率为86.11%,高于对照组的63.89%,2组比较差异有统计学意义(P<0.05);观察组的治疗依从性和自我管理能力显著优于对照组(P<0.05)。结论本研究构建的基于Triangle模型的VLU患者分层分级管理方案能够为患者提供科学有效的管理,促进患者溃疡愈合,提高患者的治疗依从性和自我管理能力。展开更多
This study mainly focuses on the triangle bounded L⁃algebras and triangle ideals.Firstly,the definition of triangle bounded L⁃algebras is presented,and several examples with different conditions are outlined along wit...This study mainly focuses on the triangle bounded L⁃algebras and triangle ideals.Firstly,the definition of triangle bounded L⁃algebras is presented,and several examples with different conditions are outlined along with an exploration of their properties.Moreover,we investigate the structure of triangle bounded L⁃algebra with a special condition.Secondly,we define the concept of triangle ideals of triangle bounded L⁃algebra and explore the connection between the triangle ideals of triangle bounded L⁃algebra L and the ideals of bounded L⁃algebra E(L).In addition,we classified and studied various classes of triangle ideals,including Stonean triangle ideals,extended Stonean triangle ideals,and lattice ideals,and by introducing the notion of Stonean triangle bounded L algebras,we examine the relationship between Stonean triangle bounded L⁃algebras and Stonean triangle ideals.Finally,we investigate the interrelationships among these various types of triangle ideals.展开更多
This research aims to understand the causes of fraud through the approach of the Fraud Triangle Theory,which includes three main factors:pressure,opportunity,rationalization.By using the Systematic Literature Review m...This research aims to understand the causes of fraud through the approach of the Fraud Triangle Theory,which includes three main factors:pressure,opportunity,rationalization.By using the Systematic Literature Review method from various relevant international journals,it analyzed systematically to identify patterns,trends,and theoretical contributions to efforts in detecting and preventing fraud.The results of this study show that the three factors in the Fraud Triangle Theory significantly contribute to the occurrence of fraud.Opportunity as the most dominant factor is caused by weak internal control systems and lack of oversight.In addition,economic pressure,and a permissive organizational environment,as well as the rationalization processes by individuals,also increase the tendency for a person to commit fraud.These findings emphasize the need for a comprehensive approach in fraud prevention strategies,through ethical values,the establishment of an organizational culture with integrity,and the implementation of more effective internal control and oversight.展开更多
BACKGROUND Among the rapidly developing single-incision laparoscopic cholecystectomy(LC)techniques,transumbilical single-incision LC is increasingly replacing the traditional LC,with advantages of minimal invasion,sli...BACKGROUND Among the rapidly developing single-incision laparoscopic cholecystectomy(LC)techniques,transumbilical single-incision LC is increasingly replacing the traditional LC,with advantages of minimal invasion,slight postoperative pain,faster recovery.Despite the advantages mentioned above,the currently available specialized single-port laparoscopic instruments are hindered by high costs and limited applications,challenging their widespread use in medical facilities.AIM To design a two-point lifting/retracting(TPLR)technique for transumbilical single-port LC(TUSPLC)based on the anatomical features of the Calot's triangle(or cystohepatic triangle)and investigate its surgical feasibility.METHODS The clinical data of 103 patients who underwent TUSPLC utilizing the TPLR technique in the Department of Hepatobiliary Surgery at our hospital between June 2023 and June 2024 were retrospectively analyzed.The patient cohort included 82 cases of cholelithiasis,11 cases of gallbladder polyps,6 cases of concurrent gallstones and polyps,and 4 cases of gallbladder adenomyomatosis.RESULTS All the surgical procedures were conducted using standard laparoscopic instruments.Surgery was successful in 98(95.14%)patients using the TPLR method,which effectively exposed the Calot's triangle during surgery.The operative time ranged from 35 to 70 minutes,with an average of 42.4±26.8 minutes.In 3 cases,an additional operative port was required below the xiphoid process,and 2 cases were converted to conventional three-port LC.No complications such as abdominal pain,fever,bile leakage,hemorrhage,or incisional infection were noted postoperatively.No discernible surgical scars were observed at the 2-week postoperative reexamination.Additionally,a 3-month follow-up period revealed no complications.CONCLUSION The TPLR technique,developed based on the anatomical features of the Calot's triangle,facilitates exposure of the Calot's triangle during surgery.It is a simple,safe,feasible,and cost-effective method,and a promising approach for single-port LC.展开更多
Unraveling the precise mineralization age is vital to understand the geodynamic setting and ore-forming mechanism of the sediment-hosted Pb-Zn deposit;this has long been a challenge.The Sichuan-Yunnan-Guizhou(SYG)tria...Unraveling the precise mineralization age is vital to understand the geodynamic setting and ore-forming mechanism of the sediment-hosted Pb-Zn deposit;this has long been a challenge.The Sichuan-Yunnan-Guizhou(SYG)triangle in the southwestern margin of the Yangtze Block is a globally recognized carbonate-hosted Pb-Zn metallogenic province and also an essential part of the South China low-temperature metallogenic domain.This region has>30 million tons(Mt)Zn and Pb resources and shows the enrichment of dispersed metals,such as Ga,Ge,Cd,Se,and Tl.During the past 2 decades,abundant data on mineralization ages of Pb-Zn deposits within the SYG triangle have been documented based on various radioisotopic dating methods,resulting in significant progress in understanding the geodynamic background and ore formation of Pb-Zn deposits hosted in sedimentary rocks at SYG triangle.This paper provides a comprehensive summary of the geochronological results and Pb-Sr isotopic data regarding Pb-Zn deposits in the SYG triangle,which identified two distinct Pb-Zn mineralization periods influencing the dynamic processes associated with the expansion and closure of the Paleo-Tethys Ocean in the western margin of the Yangtze Block.The predominant phase of Pb-Zn mineralization at SYG triangle spanned from the Middle Triassic to Early Jurassic(226-191 Ma),which was intensely correlated with the large-scale basin fluid transport triggered by the closure of the Paleo-Tethys Ocean and Indosinian orogeny.The secondary Pb-Zn mineralization phase occurred during the Late Devonian to Late Carboniferous and was controlled by extensional structures associated with the expansion of the Paleo-Tethys Ocean.Further investigation is necessary to clarify the occurrence and potential factors involved in the Pb-Zn mineralization events during the Late Devonian to Late Carboniferous.展开更多
文摘目的构建基于Triangle模型的下肢静脉溃疡(venous leg ulcer,VLU)患者分层分级管理方案并评价其应用效果。方法于2024年1—4月采用文献回顾、小组讨论、专家会议方法构建包含低、中、高危分层标准及各级管理措施的方案,并选取于2024年5—6月入院的36例患者为对照组,2024年7—8月入院的36例VLU患者为观察组,对照组给予患者常规治疗及护理管理措施,并为患者实施常规健康教育;观察组在对照组的基础上,实施基于Triangle模型的VLU患者分层分级管理。比较2组患者干预前、干预后溃疡面积、溃疡愈合效果、溃疡愈合总有效率、治疗依从性和自我管理能力。结果干预后,观察组的溃疡面积显著小于对照组(P<0.05)、溃疡愈合效果显著优于对照组(P<0.05);观察组的溃疡愈合总有效率为86.11%,高于对照组的63.89%,2组比较差异有统计学意义(P<0.05);观察组的治疗依从性和自我管理能力显著优于对照组(P<0.05)。结论本研究构建的基于Triangle模型的VLU患者分层分级管理方案能够为患者提供科学有效的管理,促进患者溃疡愈合,提高患者的治疗依从性和自我管理能力。
基金Sponsored by Foreign Expert Program of China(Grant No.DL2023041002L)Yulin City Industry University Research Project(Grant No.CXY-2022-59).
文摘This study mainly focuses on the triangle bounded L⁃algebras and triangle ideals.Firstly,the definition of triangle bounded L⁃algebras is presented,and several examples with different conditions are outlined along with an exploration of their properties.Moreover,we investigate the structure of triangle bounded L⁃algebra with a special condition.Secondly,we define the concept of triangle ideals of triangle bounded L⁃algebra and explore the connection between the triangle ideals of triangle bounded L⁃algebra L and the ideals of bounded L⁃algebra E(L).In addition,we classified and studied various classes of triangle ideals,including Stonean triangle ideals,extended Stonean triangle ideals,and lattice ideals,and by introducing the notion of Stonean triangle bounded L algebras,we examine the relationship between Stonean triangle bounded L⁃algebras and Stonean triangle ideals.Finally,we investigate the interrelationships among these various types of triangle ideals.
文摘This research aims to understand the causes of fraud through the approach of the Fraud Triangle Theory,which includes three main factors:pressure,opportunity,rationalization.By using the Systematic Literature Review method from various relevant international journals,it analyzed systematically to identify patterns,trends,and theoretical contributions to efforts in detecting and preventing fraud.The results of this study show that the three factors in the Fraud Triangle Theory significantly contribute to the occurrence of fraud.Opportunity as the most dominant factor is caused by weak internal control systems and lack of oversight.In addition,economic pressure,and a permissive organizational environment,as well as the rationalization processes by individuals,also increase the tendency for a person to commit fraud.These findings emphasize the need for a comprehensive approach in fraud prevention strategies,through ethical values,the establishment of an organizational culture with integrity,and the implementation of more effective internal control and oversight.
文摘BACKGROUND Among the rapidly developing single-incision laparoscopic cholecystectomy(LC)techniques,transumbilical single-incision LC is increasingly replacing the traditional LC,with advantages of minimal invasion,slight postoperative pain,faster recovery.Despite the advantages mentioned above,the currently available specialized single-port laparoscopic instruments are hindered by high costs and limited applications,challenging their widespread use in medical facilities.AIM To design a two-point lifting/retracting(TPLR)technique for transumbilical single-port LC(TUSPLC)based on the anatomical features of the Calot's triangle(or cystohepatic triangle)and investigate its surgical feasibility.METHODS The clinical data of 103 patients who underwent TUSPLC utilizing the TPLR technique in the Department of Hepatobiliary Surgery at our hospital between June 2023 and June 2024 were retrospectively analyzed.The patient cohort included 82 cases of cholelithiasis,11 cases of gallbladder polyps,6 cases of concurrent gallstones and polyps,and 4 cases of gallbladder adenomyomatosis.RESULTS All the surgical procedures were conducted using standard laparoscopic instruments.Surgery was successful in 98(95.14%)patients using the TPLR method,which effectively exposed the Calot's triangle during surgery.The operative time ranged from 35 to 70 minutes,with an average of 42.4±26.8 minutes.In 3 cases,an additional operative port was required below the xiphoid process,and 2 cases were converted to conventional three-port LC.No complications such as abdominal pain,fever,bile leakage,hemorrhage,or incisional infection were noted postoperatively.No discernible surgical scars were observed at the 2-week postoperative reexamination.Additionally,a 3-month follow-up period revealed no complications.CONCLUSION The TPLR technique,developed based on the anatomical features of the Calot's triangle,facilitates exposure of the Calot's triangle during surgery.It is a simple,safe,feasible,and cost-effective method,and a promising approach for single-port LC.
基金supported by the National Natural Science Foundation of China(92162218,42302101,42202099)the Guizhou Provincial Natural Science Foundation(ZK[2023]477)。
文摘Unraveling the precise mineralization age is vital to understand the geodynamic setting and ore-forming mechanism of the sediment-hosted Pb-Zn deposit;this has long been a challenge.The Sichuan-Yunnan-Guizhou(SYG)triangle in the southwestern margin of the Yangtze Block is a globally recognized carbonate-hosted Pb-Zn metallogenic province and also an essential part of the South China low-temperature metallogenic domain.This region has>30 million tons(Mt)Zn and Pb resources and shows the enrichment of dispersed metals,such as Ga,Ge,Cd,Se,and Tl.During the past 2 decades,abundant data on mineralization ages of Pb-Zn deposits within the SYG triangle have been documented based on various radioisotopic dating methods,resulting in significant progress in understanding the geodynamic background and ore formation of Pb-Zn deposits hosted in sedimentary rocks at SYG triangle.This paper provides a comprehensive summary of the geochronological results and Pb-Sr isotopic data regarding Pb-Zn deposits in the SYG triangle,which identified two distinct Pb-Zn mineralization periods influencing the dynamic processes associated with the expansion and closure of the Paleo-Tethys Ocean in the western margin of the Yangtze Block.The predominant phase of Pb-Zn mineralization at SYG triangle spanned from the Middle Triassic to Early Jurassic(226-191 Ma),which was intensely correlated with the large-scale basin fluid transport triggered by the closure of the Paleo-Tethys Ocean and Indosinian orogeny.The secondary Pb-Zn mineralization phase occurred during the Late Devonian to Late Carboniferous and was controlled by extensional structures associated with the expansion of the Paleo-Tethys Ocean.Further investigation is necessary to clarify the occurrence and potential factors involved in the Pb-Zn mineralization events during the Late Devonian to Late Carboniferous.
