目的探讨腹腔镜经腹膜前疝修补术(TAPP)横断疝囊技术治疗老年GilbertⅡ、Ⅲ型疝的效果。方法回顾性分析126例老年GilbertⅡ、Ⅲ型疝患者的临床资料,根据术式分为疝囊横断组(n=62)与疝囊完全剥离组(n=64),比较2组患者手术时间、术中出血...目的探讨腹腔镜经腹膜前疝修补术(TAPP)横断疝囊技术治疗老年GilbertⅡ、Ⅲ型疝的效果。方法回顾性分析126例老年GilbertⅡ、Ⅲ型疝患者的临床资料,根据术式分为疝囊横断组(n=62)与疝囊完全剥离组(n=64),比较2组患者手术时间、术中出血量、术后住院时间及术后血肿、急性疼痛、慢性疼痛、尿潴留、切口感染、睾丸萎缩、疝复发情况。结果疝囊横断组手术时间显著短于完全剥离组(P<0.05);2组患者术后第1 d、第2 d及第7 d VAS评分比较差异无统计学意义(P>0.05),2组患者术后第7 d VAS评分与第1 d比较差异有统计学意义(P<0.05);2组患者术中出血量、术后住院时间及术后急性疼痛、慢性疼痛、尿潴留、切口感染、睾丸萎缩、疝复发情况比较无统计学意义(P>0.05)。结论在老年GilbertⅡ、Ⅲ型疝的TAPP术中,疝囊横断技术可有效缩短手术时间、降低术后血肿风险,具有临床推广价值。展开更多
Gilbert’s syndrome(GS)is a common hereditary condition characterized by mild increases in serum bilirubin levels due to inherited defects in bilirubin metabolism.This review,based on peer-reviewed articles spanning f...Gilbert’s syndrome(GS)is a common hereditary condition characterized by mild increases in serum bilirubin levels due to inherited defects in bilirubin metabolism.This review,based on peer-reviewed articles spanning from 1977 to January 2024 and sourced through the PubMed platform,provides an overview of current knowledge regarding GS.Early studies primarily focused on defining the clinical and genetic characteristics of the syndrome.More recent research has delved into the genetic mechanisms underlying the reduced expression of bilirubin UDP-glucuronosyltransferase,significantly enhancing our understanding of the pathogenesis of GS.Recent studies have also investigated clinical implications of GS,including its association with metabolic associated steatotic liver disease,cardiovascular disease,mental health and mortality risk,highlighting the complex interplay between genetic factors,bilirubin metabolism,and clinical outcomes.展开更多
Magnetic films with low Gilbert damping are crucial for magnonic devices,which provide a promising platform forrealizing ultralow-energy devices.In this study,low Gilbert damping and coercive field were observed in Bi...Magnetic films with low Gilbert damping are crucial for magnonic devices,which provide a promising platform forrealizing ultralow-energy devices.In this study,low Gilbert damping and coercive field were observed in Bi/In-dopedyttrium iron garnet(BiIn:YIG)thin films.The BiIn:YIG(444)films were deposited onto different substrates using pulsedlaser deposition.Low coercivity(<1 Oe)with saturation magnetization of 125.09 emu/cc was achieved along the in-planedirection of BiIn:YIG film.The values of Gilbert damping and inhomogeneous broadening of ferromagnetic resonance inBiIn:YIG films were obtained to be as low as 4.05×10^(-4)and 5.62 Oe,respectively.In addition to low damping,the giantFaraday rotation angles(up to 2.9×10^(4)deg/cm)were also observed in the BiIn:YIG film.By modifying the magneticstructure and coupling effect between Bi^(3+)and Fe^(3+)of Bi:YIG,doped In^(3+)plays a key role on variation of the magneticproperties.The low damping and giant Faraday effect made the BiIn:YIG film an appealing candidate for magnonic andmagneto-optical devices.展开更多
The two-year"Masterpieces in Miniature"tour across seven major museums in China has fully demonstrated the role of museums as grand platforms for intercultural dialogue and the blending of world civilization...The two-year"Masterpieces in Miniature"tour across seven major museums in China has fully demonstrated the role of museums as grand platforms for intercultural dialogue and the blending of world civilizations.This tour has successully opened a new chapter in cultural exchanges between China and the UK,contributing to global museum collaboration and the mutual enrichment of world civilizations.展开更多
文摘目的探讨腹腔镜经腹膜前疝修补术(TAPP)横断疝囊技术治疗老年GilbertⅡ、Ⅲ型疝的效果。方法回顾性分析126例老年GilbertⅡ、Ⅲ型疝患者的临床资料,根据术式分为疝囊横断组(n=62)与疝囊完全剥离组(n=64),比较2组患者手术时间、术中出血量、术后住院时间及术后血肿、急性疼痛、慢性疼痛、尿潴留、切口感染、睾丸萎缩、疝复发情况。结果疝囊横断组手术时间显著短于完全剥离组(P<0.05);2组患者术后第1 d、第2 d及第7 d VAS评分比较差异无统计学意义(P>0.05),2组患者术后第7 d VAS评分与第1 d比较差异有统计学意义(P<0.05);2组患者术中出血量、术后住院时间及术后急性疼痛、慢性疼痛、尿潴留、切口感染、睾丸萎缩、疝复发情况比较无统计学意义(P>0.05)。结论在老年GilbertⅡ、Ⅲ型疝的TAPP术中,疝囊横断技术可有效缩短手术时间、降低术后血肿风险,具有临床推广价值。
文摘Gilbert’s syndrome(GS)is a common hereditary condition characterized by mild increases in serum bilirubin levels due to inherited defects in bilirubin metabolism.This review,based on peer-reviewed articles spanning from 1977 to January 2024 and sourced through the PubMed platform,provides an overview of current knowledge regarding GS.Early studies primarily focused on defining the clinical and genetic characteristics of the syndrome.More recent research has delved into the genetic mechanisms underlying the reduced expression of bilirubin UDP-glucuronosyltransferase,significantly enhancing our understanding of the pathogenesis of GS.Recent studies have also investigated clinical implications of GS,including its association with metabolic associated steatotic liver disease,cardiovascular disease,mental health and mortality risk,highlighting the complex interplay between genetic factors,bilirubin metabolism,and clinical outcomes.
基金supported by the National Key Research and Development Program of China(Grant No.2023YFE0201000)the National Science Fund for Distinguished Young Scholars(Grant No.52225201)+2 种基金the National Natural Science Foundation of China(Grant Nos.52372004 and 52072085)the Fundamental Research Funds for the Central Universities(Grant Nos.2023FRFK06001 and HIT.BRET.2022001)Heilongjiang Touyan Innovation Team Program.
文摘Magnetic films with low Gilbert damping are crucial for magnonic devices,which provide a promising platform forrealizing ultralow-energy devices.In this study,low Gilbert damping and coercive field were observed in Bi/In-dopedyttrium iron garnet(BiIn:YIG)thin films.The BiIn:YIG(444)films were deposited onto different substrates using pulsedlaser deposition.Low coercivity(<1 Oe)with saturation magnetization of 125.09 emu/cc was achieved along the in-planedirection of BiIn:YIG film.The values of Gilbert damping and inhomogeneous broadening of ferromagnetic resonance inBiIn:YIG films were obtained to be as low as 4.05×10^(-4)and 5.62 Oe,respectively.In addition to low damping,the giantFaraday rotation angles(up to 2.9×10^(4)deg/cm)were also observed in the BiIn:YIG film.By modifying the magneticstructure and coupling effect between Bi^(3+)and Fe^(3+)of Bi:YIG,doped In^(3+)plays a key role on variation of the magneticproperties.The low damping and giant Faraday effect made the BiIn:YIG film an appealing candidate for magnonic andmagneto-optical devices.
文摘The two-year"Masterpieces in Miniature"tour across seven major museums in China has fully demonstrated the role of museums as grand platforms for intercultural dialogue and the blending of world civilizations.This tour has successully opened a new chapter in cultural exchanges between China and the UK,contributing to global museum collaboration and the mutual enrichment of world civilizations.
