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Combined application of the preclosure technique and traction approach facilitates endoscopic full-thickness resection of gastric submucosal tumors
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作者 Qing-Qing Zu Yan You +4 位作者 Ai-Zhi Chen Xiu-Rong Wang Si-Han Zhang Feng-Lin Chen Miao Liu 《World Journal of Gastrointestinal Surgery》 2025年第3期79-86,共8页
BACKGROUND Gastrointestinal submucosal tumors(SMTs)mostly grew in the lumen,but also some of the lesions were extraluminal,in which the stomach was the most co-mmon site.Gastrointestinal stromal tumor account for a la... BACKGROUND Gastrointestinal submucosal tumors(SMTs)mostly grew in the lumen,but also some of the lesions were extraluminal,in which the stomach was the most co-mmon site.Gastrointestinal stromal tumor account for a large proportion of SMT.Due to the deep lesion location of gastric SMT,endoscopic submucosal dissection related techniques are difficult to operate,while endoscopic full-thickness rese-ction(EFTR)has been widely used in clinical practice because it is less invasive and can preserve the physiological structure and function of the stomach.Ho-wever,complete closure of the gastrectomy site after EFTR is critical.If the closure is incomplete,it may cause peritonitis,late perforation and other conditions,and even require further surgical intervention.Although there are currently a number of suture devices and techniques that can be used to promote closure,they have the problem of requiring additional equipment or being inconvenient to use.Although metal clips are widely used,their effectiveness depends on the size and tension of the defect.Therefore,an effective and convenient endoscopic closure technique is urgently needed to solve the closure problem of gastric SMTs after treatment.AIM To investigate the effect of combined application of the preclosure technique and dental floss traction in gastric wound closure following EFTR.METHODS In this study,the data of 94 patients treated for gastric SMTs at the Gastrointestinal Endoscopy Center of the Affiliated Union Hospital of Fujian Medical University from April 2022 to May 2023 were retrospectively analyzed.The patients were divided into a preclosure group(54 patients)and a non-preclosure group(40 patients)on the basis of the timing of wound closure with titanium clips after dental floss traction-assisted EFTR.Each patient in the preclosure group had their wounds preclosed with titanium clips after subtotal lesion resection,whereas each patient in the non-preclosure group had their wounds closed with titanium clips after total lesion resection.The lesion size,wound closure time,number of titanium clips used,incidence of postoperative complications,and postoperative hospitalization time were compared between the two groups.RESULTS The wound closure time was significantly shorter in the preclosure group than in the non-preclosure group(6.69±2.109 minutes vs 11.65±3.786 minutes,P<0.001).The number of titanium clips used was significantly lower in the preclosure group(8.93±2.231)than in the non-preclosure group(12.05±4.495)(P<0.001).There was no sig-nificant difference between the two groups in terms of the need for an indwelling gastric tube or the length of postoperative hospital stay(6.41±1.31 vs 6.13±1.06 days).For all patients in the preclosure group and the non-preclosure group,resection was completed successfully without bleeding,abdominal pain,abdominal distension,or other postoperative complications.CONCLUSION Application of the preclosure technique combined with dental floss traction can be used intraoperatively to effectively close the surgical wound in patients undergoing EFTR,reliably preventing the tumor from falling into the peritoneal cavity. 展开更多
关键词 Gastric submucosal tumor Dental floss traction Endoscopic full-thickness resection Preclosure technique
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Brushing, Flossing Stave Off Diabetes
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作者 Deena Beasley 欧阳倩芳 《当代外语研究》 2002年第4期1-2,共2页
人类对人体奥秘的探索与了解尚处初级阶段。本文提出的一个问题就让我们感到新奇与愕然。洁齿与口腔卫生有助于抑制糖尿病: Gum(齿龈)disease may even be more important than obesity or age as a factorin the onset of diabetes in ... 人类对人体奥秘的探索与了解尚处初级阶段。本文提出的一个问题就让我们感到新奇与愕然。洁齿与口腔卫生有助于抑制糖尿病: Gum(齿龈)disease may even be more important than obesity or age as a factorin the onset of diabetes in adults。 上句可译:就诱发成年人糖尿病的因素而言,齿龈疾病也许比肥胖和年龄这两个因素更为重要。 因此,我们有必要认识:the importance of prevention and early treatment ofgum disease in people who are at risk of developing diabetes。 本文对inflammation([医]炎症,发炎)提出了一个颇有原创性的观点:…heart disease has a substantial inflammatory component。】 展开更多
关键词 flossing Stave Off Diabetes BRUSHING 糖尿病
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Effect of endoscopic full-thickness resection assisted by distal serosal turnover with floss traction for gastric submucosal masses
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作者 Tian-Wen Liu Xiao-Feng Lin +3 位作者 Shu-Ting Wen Jing-Yi Xu Zhao-Li Fu Shu-Min Qin 《World Journal of Clinical Cases》 SCIE 2024年第16期2738-2744,共7页
BACKGROUND Complex and high-risk surgical complications pose pressing challenges in the clinical implementation and advancement of endoscopic full-thickness resection(EFTR).Successful perforation repair under endoscop... BACKGROUND Complex and high-risk surgical complications pose pressing challenges in the clinical implementation and advancement of endoscopic full-thickness resection(EFTR).Successful perforation repair under endoscopy,thereby avoiding surgical intervention and postoperative complications such as peritonitis,are pivotal for effective EFTR.AIM To investigate the effectiveness and safety of EFTR assisted by distal serosal inversion under floss traction in gastric submucosal tumors.METHODS A retrospective analysis of patients with gastric and duodenal submucosal tumors treated with EFTR assisted by the distal serosa inversion under dental floss traction from January 2023 to January 2024 was conducted.The total operation time,tumor dissection time,wound closure time,intraoperative bleeding volume,length of hospital stay and incidence of complications were analyzed.RESULTS There were 93 patients,aged 55.1±12.1 years.Complete tumor resection was achieved in all cases,resulting in a 100% success rate.The average total operation time was 67.4±27.0 min,with tumor dissection taking 43.6±20.4 min.Wound closure times varied,with gastric body closure time of 24.5±14.1 min and gastric fundus closure time of 16.6±8.7 min,showing a significant difference(P<0.05).Intraoperative blood loss was 2.3±4.0 mL,and average length of hospital stay was 5.7±1.9 d.There was no secondary perforation after suturing in all cases.The incidence of delayed bleeding was 2.2%,and the incidence of abdominal infection was 3.2%.No patient required other surgical intervention during and after the operation.CONCLUSION Distal serosal inversion under dental-floss-assisted EFTR significantly reduced wound closure time and intraoperative blood loss,making it a viable approach for gastric submucosal tumors. 展开更多
关键词 Endoscopic full-thickness resection Serosa inversion Dental floss traction Gastric submucosal tumor Auxiliary technology
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Influence of storage duration and processing on chromatic attributes and flavonoid content of moxa floss 被引量:2
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作者 Min Yee Lim Jian Huang +2 位作者 Bai-xiao Zhao Hui-qin Zou Yong-hong Yan 《Journal of Integrative Medicine》 SCIE CAS CSCD 2016年第1期69-76,共8页
OBJECTIVE: Moxibustion is an important traditional Chinese medicine therapy using heat from ignited moxa floss for disease treatment. The purpose of the present study is to establish a reproducible method to assess t... OBJECTIVE: Moxibustion is an important traditional Chinese medicine therapy using heat from ignited moxa floss for disease treatment. The purpose of the present study is to establish a reproducible method to assess the color of moxa floss, discriminate the samples based on chromatic coordinates and explore the relationship between chromatic coordinates and total flavonoid content (TFC). METHODS: Moxa floss samples of different storage years and production ratios were obtained from a moxa production factory in Henan Province, China. Chromatic coordinates (L*, a* and b*) were analyzed with an ultraviolet-visible spectrophotometer and the chroma (C*) and hue angle (h~) values were calculated. TFC was determined by a colorimetric method. Data were analyzed with correlation, principal component analysis (PCA). RESULTS: Significant differences in the chromatic values and TFC were observed among samples of different storage years and production ratios. Samples of higher production ratio displayed higher chromatic characteristics and lower TFC. Samples of longer storage years contained higher TFC. Preliminary separation of moxa floss production ratio was obtained by means of color feature maps developed using L*-a* or L*-b* as coordinates. PCA allowed the separation of the samples from their storage years and production ratios based on their chromatic characteristics and TFC. CONCLUSION: The use of a colorimetric technique and CIELAB coordinates coupled with chemometrics can be practical and objective for discriminating moxa floss of different storage years and production ratios. The development of color feature maps could be used as a model for classifying the color grading of moxa floss. 展开更多
关键词 moxa floss MOXIBUSTION COLOR total flavonoid content quality control
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走进开源开发(第二讲)——开源开发的动力
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作者 秦文学 李宁 《开放系统世界》 2006年第2期104-107,共4页
开源开发的动力主要可归结为信念与理想的驱使、自我价值的表达、与商业软件抗衡的决心,以及磨练技术的愿望.希望有效地工作、为了找到更好的工作和赢利等目的。
关键词 开源开发 商业软件 开放源代码 FLOSS软件 操作系统
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George Eliot's Feminism in The Mill on the Floss
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作者 张荣 《海外英语》 2014年第24期219-220,共2页
George Eliot(1819-1880)is an outstanding female writer in Victorian Age.Virginia Woolf,a feminist pioneer,once praised her as"the pride and paragon of the female".However,her feminism is ambivalent.On the on... George Eliot(1819-1880)is an outstanding female writer in Victorian Age.Virginia Woolf,a feminist pioneer,once praised her as"the pride and paragon of the female".However,her feminism is ambivalent.On the one hand,she dares to challenge the male-dominated society and supports women’s rights to receive education and freedom of love and marriage.On the other hand,she emphasizes that women should make self-sacrifice to help men achieve their goals.Based on The Mill on the Floss and studies of previous scholars,this thesis tries to analyze George Eliot’s ambivalent feminism.Thus it is beneficial for readers to observe and think about women’s future. 展开更多
关键词 GEORGE ELIOT FEMINISM The MILL on the Floss
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Floss release, seed fall and germination of kapok seeds (<i>Ceiba pentandra</i>) in an urban environment
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作者 Alfan A. Rija Abubakari Said +1 位作者 Julius Mwita Kuruthumu A. Mwamende 《Open Journal of Ecology》 2013年第6期423-430,共8页
The tropical forest kapok tree occurs widely in urban environments, dispersing thousands of floss during the fruiting season. However, its seedlings are rarely seen around human settlements, raising questions on what ... The tropical forest kapok tree occurs widely in urban environments, dispersing thousands of floss during the fruiting season. However, its seedlings are rarely seen around human settlements, raising questions on what factorsmight be limiting its recruitment. We examined the pattern of floss release, seed fall post-dispersal and influences of watering frequency on germination ofCeiba pentandraseeds. Evening,overall, was associated with a significantlyhigher rate and quantity of floss release (p= 0.0001) than were mid-day and morning, correlating well with the speed of wind across the day (rh = 0.666,p= 0.001). Mean dispersal quantity differed significantly between the individual sampled trees, in which the highest dispersal was recorded from trees located in relatively open areas and the lowest was recorded in closed stand trees. Seed fall was higher within100 mdistances than seed fall farther away from dispersing trees, depending on the microsites and weather conditions. Germination started on day 5 onwards and only 15.67% of sown seeds germinated. Watering frequency strongly influenced seed germination while local human activities determined fate of dispersed seeds. We conclude that recruitment ofC. pentandraspecies in the study area may have been limited by environmental and human factors operating at various local and spatial scales. 展开更多
关键词 Ceiba Pentandra Floss RELEASE and SEED FALL Human Impacts Plant Recruitment Urban Environments
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Do Dental Self-Care Habits Correlate with Oral Health?
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作者 Am H. Eliasson Georgia G. Rogers +1 位作者 Mariam D. Kashani Marina N. Vernalis 《Journal of Health Science》 2014年第9期428-435,共8页
Research evidence substantiating benefits of dental self-care habits is surprisingly limited. This study evaluated associations between dental self-care behaviors and oral health, specifically toothbrushing, flossing,... Research evidence substantiating benefits of dental self-care habits is surprisingly limited. This study evaluated associations between dental self-care behaviors and oral health, specifically toothbrushing, flossing, rinsing, chewing xylitol gum, and diet. Soldiers recently deployed to Iraq and Afghanistan had dental examinations and answered questionnaires on dental self-care habits. The DoD Oral Health and Readiness Classification System was used to categorize oral health (see manuscript for definitions). Correlations were assessed between self-care habits and dental classification. Of 266 soldiers, 43 (16%) were Class 1 (excellent), 191 (72%) Class 2 (acceptable), 18 (7%) Class 3 (poor), and 14 (5%) Class 4 (unknown). Only 63% of soldiers brushed twice or more per day and only half flossed once or more per day. Dental classification improved with toothbrushing (P = 0.05) and adherence to a Mediterranean diet (P = 0.04). Flossing trended toward correlation (P = 0.11). Dental classification did not correlate with mouth rinse or xylitol chewing gum. These research findings help fill an evidence gap that toothbrushing and flossing in addition to a healthful eating pattem are associated with improved oral health. 展开更多
关键词 Dental self-care oral health TOOTHBRUSHING demal floss diet.
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Maggie's Dream and George Eliot's Concept of"Unconscious"
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作者 GAO Xiao-ling 《Sino-US English Teaching》 2013年第9期736-742,共7页
This paper is to explore Maggie's dream in The Mill on the Floss (1980) and how it both discloses the complicated inner world of the protagonist and forecasts the plot development. In this episode, Maggie has to be... This paper is to explore Maggie's dream in The Mill on the Floss (1980) and how it both discloses the complicated inner world of the protagonist and forecasts the plot development. In this episode, Maggie has to be faced with all the important relations of her life, each making different claims on her conscience. It is also the critical moment when Maggie achieves sober self-knowledge, therefore coming to the hardest decision in the choice between family, love and friendship. It juxtaposes illusion and reality through multiple levels of overlapping in images and scenes, which illustrates how unconscious feelings work effect on Maggie's conscious action. This episode is typical of George Eliot's literary presentation of unconscious, which not only reveals her keen observation of human psyche, but also demonstrates the general achievement of the 19th century psychologists in the related field. 展开更多
关键词 George Eliot The Mill on the Floss Maggie DREAM UNCONSCIOUS
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The Use of Floss in Medical Faculties of Inner Mongolia Medical University in 2017
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作者 Cong Chen Lijuan Shang +11 位作者 Li Jiang Huichao Zhang Xin Wei Xinrong Liu Zeyu Lu Zhenduo Zhang Liying Gao Yuan Chen Yaxuan Hou Qingxia Wang Ming Jia Juan Sun 《Open Journal of Epidemiology》 2020年第3期195-202,共8页
<strong>Purpose:</strong> The aim of the present study was to determine the degree of using floss and the demographic characteristics of medical faculties of Inner Mongolia Medical University. <strong&g... <strong>Purpose:</strong> The aim of the present study was to determine the degree of using floss and the demographic characteristics of medical faculties of Inner Mongolia Medical University. <strong>Materials and Methods:</strong> Participants completed the questionnaire in the classroom. These participants came from the medical faculties of Chinese Medicine and Western Medicine. These participants were interviewed to determine the demographic characteristics. Non-flossors responded according to their reasons for not flossing. <strong>Results:</strong> A total of 3481 effective data were available for analysis. The floss prevalence was 17.21%, which was lower by 5.72% for students living in rural areas, when compared to students living in urban areas. The largest proportion of non-flossing participants in rural areas answered, “I do not know what a floss is”, while participants in urban answered, “I do not want to use it”. The largest proportion of answered flossing frequency was less than once a month. <strong>Conclusion:</strong> The present study indicates that the prevalence of using floss in medical faculties in Inner Mongolia Medical University was higher, when compared to that in Sichuan province, China, but lower than that in other countries. Although the students use floss, more than one-third of students use floss less than once a month, which is close to “never”. The prevalence in rural areas is lower than those in urban areas. Male not only comprises the total number of prevalence, but also has a frequency greater than that in females. The emphasis on using floss should be improved in medical students. 展开更多
关键词 Floss Oral Health Behavior REGION Medical Students
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A Feministic Duality Insight into the The Mill on the Floss
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作者 马培培 李潇洒 《疯狂英语(理论版)》 2016年第3期222-224,共3页
The novel The Mill on the Floss is a semi-autobiography which has much value in exploring Eliot's special feministic view.The change of Maggie's personality in her growing up process and her choice in kinship ... The novel The Mill on the Floss is a semi-autobiography which has much value in exploring Eliot's special feministic view.The change of Maggie's personality in her growing up process and her choice in kinship and romantic relatiomhip reveals the duality of Eliot's feminism.On the one hand,she holds that women should have self-consciousness and the bisexual dualism holds little ground.On the other hand,Eliot also advocates women's serf-denial,obedience and serf-sacrifice in lfie.This essay aims to analyze the duality of Eliot's feministic viewpoint in comideration of the social background in Victorian Age and point out the the implicit feminism view in the fate of Maggie. 展开更多
关键词 The Mill on the Floss FEMINISM DUALITY
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Safety Concerns about the Application of Moxa 被引量:5
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作者 李军 赵百孝 《Journal of Acupuncture and Tuina Science》 2010年第3期145-148,共4页
Objective: To discuss the safety issues of moxibustion therapy in view of moxibustion materials. Methods: The analyses and assessment were performed based on the survey carried out on the use of moxa, modem and anci... Objective: To discuss the safety issues of moxibustion therapy in view of moxibustion materials. Methods: The analyses and assessment were performed based on the survey carried out on the use of moxa, modem and ancient records, modem studies, and clinical applications. Results: Moxa has been used as both a medicine and a food for a long history in China. Regarding moxibustion specifically, moxa has been proven to be the optimum choice for moxibustion therapy, through practices and experiments by doctors from different generations. No records have shown any sideor adverse-effects of moxa applied in moxibustion therapy. Conclusion: Moxa has been used in multiple ways for several thousands of years by Chinese people. As the main material for moxibustion therapy, its safety has been proven by documents and clinical practices. 展开更多
关键词 MOXA Moxibustion Therapy Moxa Floss Moxa Cone Moxa Stick Moxibustion Materials
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