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Exploring the evolution and trade-offwithin a socio-ecological system in karst regions:A case study of Huanjiang County,China
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作者 Jing Tan Li Peng +2 位作者 Wenxin Wu Huijuan Zhang Chao Tang 《Geography and Sustainability》 2025年第3期160-171,共12页
Economic development,food security,and ecological preservation are important issues encountered by karst re-gions.Faced with complex natural and social dynamics,we attempted to explore how interdependence within socio... Economic development,food security,and ecological preservation are important issues encountered by karst re-gions.Faced with complex natural and social dynamics,we attempted to explore how interdependence within socio-ecological system(SES)shaped sustainability in this region.A SES framework was constructed and three scenarios were predesigned:economic priority scenario,food security scenario,and ecological protection sce-nario.The System Dynamics model was used to simulate and forecast the evolution across various scenarios within the SES from 2005 to 2035.Through the Production-Possibility Frontiers in combined scenarios,trade-offpotential was identified and quantified.The results showed that the decoupling between social and ecological subsystems can be weaken in economic priority scenario,while coupling between them can be strengthen in food security scenario and ecological protection scenario.Within the SES,combined scenario analyses further suggest that the rocky desertification rate and the urban-rural income ratio exhibit the least trade-offpotential and inten-sity in combined economic priority scenario and ecological protection scenario,and the Soil Conservation and Food Supply demonstrate the least trade-offpotential and intensity in combined economic priority scenario and food security scenario.We can conclude the ecological engineering plays a significant role in alleviating trade-offs within the SES,but the effectiveness is limited.In light of intertwined socio-ecological challenges,combining ecological engineering with adaptive adjustments is a crucial strategy to enhance SES resilience and promote sustainable development in the South China Karst. 展开更多
关键词 socio-ecological system System dynamics Production-possibility frontier Non-linear trade-off Combined scenario Karst region
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Comparing trans-oral endoscopic thyroidectomy vestibular approach and trans-areolar approaches regarding postoperative infections and swallowing difficulty
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作者 Hyder Mirghani 《World Journal of Clinical Cases》 2026年第1期21-27,共7页
BACKGROUND Due to the increasing rate of thyroid nodules diagnosis,and the desire to avoid the unsightly cervical scar,remote thyroidectomies were invented and are increasingly performed.Transoral endoscopic thyroidec... BACKGROUND Due to the increasing rate of thyroid nodules diagnosis,and the desire to avoid the unsightly cervical scar,remote thyroidectomies were invented and are increasingly performed.Transoral endoscopic thyroidectomy vestibular approach and trans-areolar approaches(TAA)are the two most commonly used remote approaches.No previous meta-analysis has compared postoperative infections and swallowing difficulties among the two procedures.AIM To compared the same among patients undergoing lobectomy for unilateral thyroid carcinoma/benign thyroid nodule.METHODS We searched PubMed MEDLINE,Google Scholar,and Cochrane Library from the date of the first published article up to August 2025.The term used were transoral thyroidectomy vestibular approach,trans areolar thyroidectomy,scarless thyroidectomy,remote thyroidectomy,infections,postoperative,inflammation,dysphagia,and swallowing difficulties.We identified 130 studies,of them,30 full texts were screened and only six studies were included in the final meta-analysis.RESULTS Postoperative infections were not different between the two approaches,odd ratio=1.33,95%confidence interval:0.50-3.53,theχ2 was 1.92 and the P-value for overall effect of 0.57.Similarly,transient swallowing difficulty was not different between the two forms of surgery,with odd ratio=0.91,95%confidence interval:0.35-2.40;theχ2 was 1.32,and the P-value for overall effect of 0.85.CONCLUSION No significant statistical differences were evident between trans-oral endoscopic Mirghani H.Infections and swallowing difficulty in scarless thyroidectomy WJCC https://www.wjgnet.com 2 January 6,2026 Volume 14 Issue 1 thyroidectomy vestibular approach and trans-areolar approach regarding postoperative infection and transient swallowing difficulties.Further longer randomized trials are needed. 展开更多
关键词 Trans-oral endoscopic thyroidectomy vestibular approach Trans-areolar approaches Postoperative Infections swallowing difficulty
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Socio-ecological insights into the development of agrarian professionals 被引量:1
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作者 Mirlaine R.Freitas Stella V.B.G.Matias +1 位作者 Renato L.G.Macedo Nelson Venturin 《Chinese Journal of Population,Resources and Environment》 2013年第4期352-356,共5页
There is a lack of information about the factors responsible for the effectiveness of environmental policies in Brazilian agriculture.This study aimed at identifying the perception and practices of agrarian profession... There is a lack of information about the factors responsible for the effectiveness of environmental policies in Brazilian agriculture.This study aimed at identifying the perception and practices of agrarian professionals.The data analysis was carried out using a survey and methodological approaches focusing on environmental complexity and categorization of environmental actions.Quantitative analysis was based on descriptive statistics.Atmospheric problems were perceived as the main problems for the current and next two generations,while hydrological problems were indicated as those deserving most urgent solutions.On the other hand,the main developed actions and those planned to be carried out were classified within the responsibility category.Because of the reductionist perceptions,introduction of the concept of a socio-ecological system is indicated by means of methodological interventions during the development of agrarian professionals;also,in order to stimulate actions related to the competence and citizenship category,a methodological intervention focusing on resilience thinking is proposed.Typical actions of individuals with either reductionist or complex conceptions of the environment can be captured and,therefore,educational strategies can be traced based on the profiles obtained. 展开更多
关键词 ENVIRONMENTAL perception ENVIRONMENTAL complexity CATEGORIZATION of ENVIRONMENTAL practices agrarian PROFESSIONALS RESILIENCE THINKING socio-ecological system
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Applying the Socio-Ecological Model to barriers to implementation of ACL injury prevention programs: A systematic review 被引量:1
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作者 DRima L.Bogardus Ryan J.Martin +1 位作者 Alice R.Richman Anthony S.Kulas 《Journal of Sport and Health Science》 SCIE 2019年第1期8-16,共9页
Background: Preventing anterior cruciate ligament(ACL) injuries is important to avoid long-term adverse health consequences. Identifying barriers to implementation of these prevention programs is crucial to reducing t... Background: Preventing anterior cruciate ligament(ACL) injuries is important to avoid long-term adverse health consequences. Identifying barriers to implementation of these prevention programs is crucial to reducing the incidence of these injuries. Our purpose was to identify barriers of implementation for ACL injury prevention programs and suggest mechanisms for reducing the barriers through application of a SocioEcological Model(SEM).Methods: Studies investigating ACL prevention program effectiveness were searched in Medline via PubMed and the Cochrane Library, and a subsequent review of the references of the identified articles, yielded 15 articles total. Inclusion criteria encompassed prospective controlled trials, published in English, with ACL injuries as the primary outcome. Studies were independently appraised by 2 reviewers for methodological quality using the PEDro scale. Barriers to implementation were identified when reported in at least 2 separate studies. A SEM was used to suggest ways to reduce the identified barriers.Results: Five barriers were identified: motivation, time requirements, skill requirements for program facilitators, compliance, and cost. The SEM suggested ways to minimize the barriers at all levels of the model from the individual through policy levels.Conclusion: Identification of barriers to program implementation and suggesting how to reduce them through the SEM is a critical first step toward enabling ACL prevention programs to be more effective and ultimately reducing the incidence of these injuries. 展开更多
关键词 Anterior CRUCIATE LIGAMENT INJURY PREVENTION Barriers to IMPLEMENTATION NEUROMUSCULAR training programs socio-ecological Model Sports INJURY PREVENTION
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Socio-ecological determinants of dengue prevention practices:A cross-sectional study among wet market traders in a selected district in Perak, Malaysia
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作者 N.I.K.Kamaruddin Salmiah bt Md Said +1 位作者 H.Kadir Shahar P.Y.Lim 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2021年第12期555-563,共9页
Objective: To determine the level of dengue prevention practices among wet market traders in a Malaysian district and their associated socio-ecological factors including individual, relationships, community and societ... Objective: To determine the level of dengue prevention practices among wet market traders in a Malaysian district and their associated socio-ecological factors including individual, relationships, community and societal factors.Methods: A cross-sectional study involving 246 wet market traders was conducted in a district in Perak state in northwest Malaysia between September 2018 to June 2019. Participants were selected through stratified sampling from four wet markets in Hilir Perak district. Data on dengue prevention practices and associated socioecological characteristics were collected using a validated interviewbased questionnaire. The data were analyzed using SPSS version 25. Multiple logistic regression was performed to identify socioecological determinants of dengue prevention practices among wet market traders in Hilir Perak District.Results: From the total number of respondents, 78% had high dengue prevention practices. Higher dengue prevention practices were associated with owners of wet market shoplots compared to employed workers(adjusted OR 4.18, 95% CI 1.78, 9.85), high perceived susceptibility(adjusted OR 6.93, 95% CI 3.02, 15.92), high familial support(adjusted OR 3.65, 95% CI 1.25, 10.64), and high perceived dengue prevention and control laws and regulations(adjusted OR 3.24, 95% CI 1.44, 7.32).Conclusions: Dengue prevention practices were associated not only with individual determinants but also with other determinants from relationships to societal level which must be considered in planning or evaluating current dengue control programs. 展开更多
关键词 DENGUE Aedes breeding socio-ecological factors Health belief Wet market
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Computational Stochastic Investigations for the Socio-Ecological Dynamics with Reef Ecosystems
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作者 Thongchai Botmart Zulqurnain Sabir +4 位作者 Afaf S.Alwabli Salem Ben Said Qasem Al-Mdallal Maria Emilia Camargo Wajaree Weera 《Computers, Materials & Continua》 SCIE EI 2022年第12期5589-5607,共19页
The motive of this work is to present a computational design using the stochastic scaled conjugate gradient(SCG)neural networks(NNs)called as SCGNNs for the socio-ecological dynamics(SED)with reef ecosystems and conse... The motive of this work is to present a computational design using the stochastic scaled conjugate gradient(SCG)neural networks(NNs)called as SCGNNs for the socio-ecological dynamics(SED)with reef ecosystems and conservation estimation.The mathematical descriptions of the SED model are provided that is dependent upon five categories,macroalgae M(v),breathing coral C(v),algal turf T(v),the density of parrotfish P(v)and the opinion of human opinion X(v).The stochastic SCGNNs process is applied to formulate the SEDmodel based on the sample statistics,testing,accreditation and training.Three different variations of the SED have been provided to authenticate the stochastic SCGNNs performance through the statics for training,accreditation,and testing are 77%,12%and 11%,respectively.The obtained numerical performances have been compared with the Runge-Kutta approach to solve the SEDmodel.The reduction of mean square error(MSE)is used to investigate the numericalmeasures through the SCGNNs for solving the SED model.The precision of the SCGNNs is validated through the comparison of the results and the absolute error performances.The reliability of the SCGNNs is performed by using the correlation values,state transitions(STs),error histograms(EHs),MSE measures and regression analysis. 展开更多
关键词 socio-ecological state conservation estimation neural networks reef ecosystems scaled conjugate gradient numerical study
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A Socio-Ecological Model to Assess Tuberculosis in Migrant Farmworkers in the US-Mexico Border Region
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作者 Amit U. Raysoni 《Occupational Diseases and Environmental Medicine》 2022年第2期132-147,共16页
The migrant and seasonal farmworker toiling in the fields and orchards of the United States of America surmounts innumerable problems daily. Some of these problems pertain to the overall health of the farmworker in ad... The migrant and seasonal farmworker toiling in the fields and orchards of the United States of America surmounts innumerable problems daily. Some of these problems pertain to the overall health of the farmworker in addition to the various occupational hazards that he or she faces. This research paper focuses on Tuberculosis infection—both latent and active—in the migrant farmworkers in the United States with a special focus on the US-Mexico border. Using the Socio-Ecological Model as a theoretical framework, the TB health issues faced by this group are studied. The various determinants of health at every level of the Socio-Ecological Model are cogitated upon and culturally appropriate interventions are suggested. This research paper corroborates the fact that health issues facing mobile communities like migrant farmworkers require a synergistic approach by various stakeholders spanning the length and breadth of the Americas. 展开更多
关键词 TUBERCULOSIS Migrant Farmworkers socio-ecological Model US-Mexico Border
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Novel cardiac biomarkers and multiple-marker approach in the early detection,prognosis,and risk stratification of cardiac diseases 被引量:1
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作者 Syed Faqeer Hussain Bokhari Muhammad Umais +8 位作者 Syed Muhammad Faizan Sattar Umair Mehboob Asma Iqbal Maaz Amir Danyal Bakht Khawar Ali Abdul Haseeb Hasan Muhammad Arsham Javed Wahidullah Dost 《World Journal of Cardiology》 2025年第7期11-52,共42页
Cardiovascular diseases(CVDs)remain the leading cause of morbidity and mortality worldwide,necessitating innovative diagnostic and prognostic strategies.Traditional biomarkers like C-reactive protein,uric acid,troponi... Cardiovascular diseases(CVDs)remain the leading cause of morbidity and mortality worldwide,necessitating innovative diagnostic and prognostic strategies.Traditional biomarkers like C-reactive protein,uric acid,troponin,and natriuretic peptides play crucial roles in CVD management,yet they are often limited by sensitivity and specificity constraints.This narrative review critically examines the emerging landscape of cardiac biomarkers and advocates for a multiple-marker approach to enhance early detection,prognosis,and risk stratification of CVD.In recent years,several novel biomarkers have shown promise in revolutionizing CVD diagnostics.Gamma-glutamyltransferase,microRNAs,endothelial microparticles,placental growth factor,trimethylamine N-oxide,retinol-binding protein 4,copeptin,heart-type fatty acid-binding protein,galectin-3,growth differentiation factor-15,soluble suppression of tumorigenicity 2,fibroblast growth factor 23,and adrenomedullin have emerged as significant indicators of CV health.These biomarkers provide insights into various pathophysiological processes,such as oxidative stress,endothelial dysfunction,inflammation,metabolic disturbances,and myocardial injury.The integration of these novel biomarkers with traditional ones offers a more comprehensive understanding of CVD mechanisms.This multiple-marker approach can improve diagnostic accuracy,allowing for better risk stratification and more personalized treatment strategies.This review underscores the need for continued research to validate the clinical utility of these biomarkers and their potential incorporation into routine clinical practice.By leveraging the strengths of both traditional and novel biomarkers,precise therapeutic plans can be developed,thereby improving the management and prognosis of patients with CVDs.The ongoing exploration and validation of these biomarkers are crucial for advancing CV care and addressing the limitations of current diagnostic tools. 展开更多
关键词 Cardiac biomarkers Multiple-marker approach Cardiovascular disease diagnosis Risk stratification Prognostic indicators
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Induced pluripotent stem cell-related approaches to generate dopaminergic neurons for Parkinson's disease
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作者 Ling-Xiao Yi Hui Ren Woon +3 位作者 Genevieve Saw Li Zeng Eng King Tan Zhi Dong Zhou 《Neural Regeneration Research》 SCIE CAS 2025年第11期3193-3206,共14页
The progressive loss of dopaminergic neurons in affected patient brains is one of the pathological features of Parkinson's disease,the second most common human neurodegenerative disease.Although the detailed patho... The progressive loss of dopaminergic neurons in affected patient brains is one of the pathological features of Parkinson's disease,the second most common human neurodegenerative disease.Although the detailed pathogenesis accounting for dopaminergic neuron degeneration in Parkinson's disease is still unclear,the advancement of stem cell approaches has shown promise for Parkinson's disease research and therapy.The induced pluripotent stem cells have been commonly used to generate dopaminergic neurons,which has provided valuable insights to improve our understanding of Parkinson's disease pathogenesis and contributed to anti-Parkinson's disease therapies.The current review discusses the practical approaches and potential applications of induced pluripotent stem cell techniques for generating and differentiating dopaminergic neurons from induced pluripotent stem cells.The benefits of induced pluripotent stem cell-based research are highlighted.Various dopaminergic neuron differentiation protocols from induced pluripotent stem cells are compared.The emerging three-dimension-based brain organoid models compared with conventional two-dimensional cell culture are evaluated.Finally,limitations,challenges,and future directions of induced pluripotent stem cell–based approaches are analyzed and proposed,which will be significant to the future application of induced pluripotent stem cell-related techniques for Parkinson's disease. 展开更多
关键词 dopaminergic neurons induced pluripotent stem cells Parkinson's disease stem cell approaches
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Ensemble Deep Learning Approaches in Health Care:A Review 被引量:1
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作者 Aziz Alotaibi 《Computers, Materials & Continua》 2025年第3期3741-3771,共31页
Deep learning algorithms have been rapidly incorporated into many different applications due to the increase in computational power and the availability of massive amounts of data.Recently,both deep learning and ensem... Deep learning algorithms have been rapidly incorporated into many different applications due to the increase in computational power and the availability of massive amounts of data.Recently,both deep learning and ensemble learning have been used to recognize underlying structures and patterns from high-level features to make predictions/decisions.With the growth in popularity of deep learning and ensemble learning algorithms,they have received significant attention from both scientists and the industrial community due to their superior ability to learn features from big data.Ensemble deep learning has exhibited significant performance in enhancing learning generalization through the use of multiple deep learning algorithms.Although ensemble deep learning has large quantities of training parameters,which results in time and space overheads,it performs much better than traditional ensemble learning.Ensemble deep learning has been successfully used in several areas,such as bioinformatics,finance,and health care.In this paper,we review and investigate recent ensemble deep learning algorithms and techniques in health care domains,medical imaging,health care data analytics,genomics,diagnosis,disease prevention,and drug discovery.We cover several widely used deep learning algorithms along with their architectures,including deep neural networks(DNNs),convolutional neural networks(CNNs),recurrent neural networks(RNNs),and generative adversarial networks(GANs).Common healthcare tasks,such as medical imaging,electronic health records,and genomics,are also demonstrated.Furthermore,in this review,the challenges inherent in reducing the burden on the healthcare system are discussed and explored.Finally,future directions and opportunities for enhancing healthcare model performance are discussed. 展开更多
关键词 Deep learning ensemble learning deep ensemble learning deep learning approaches for health care health care
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Enhancing perianal disease management with integrated physical and psychological approaches
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作者 Uchenna E Okpete Haewon Byeon 《World Journal of Clinical Cases》 SCIE 2025年第2期59-63,共5页
This article provides a comprehensive analysis of the study by Hou et al,focusing on the complex interplay between psychological and physical factors in the postoperative recovery(POR)of patients with perianal disease... This article provides a comprehensive analysis of the study by Hou et al,focusing on the complex interplay between psychological and physical factors in the postoperative recovery(POR)of patients with perianal diseases.The study sheds light on how illness perception,anxiety,and depression significantly influence recovery outcomes.Hou et al developed a predictive model that demonstrated high accuracy in identifying patients at risk of poor recovery.The article explores the critical role of pre-operative psychological assessment,highlighting the need for mental health support and personalized recovery plans in enhancing POR quality.A multidisciplinary approach,integrating mental health professionals with surgeons,anesthesiologists,and other specialists,is emphasized to ensure comprehensive care for patients.The study’s findings serve as a call to integrate psychological care into surgical practice to optimize outcomes for patients with perianal diseases. 展开更多
关键词 Perianal disease Post-operative recovery ANXIETY DEPRESSION Pain management Emotional well-being Multidisciplinary approach
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Application of Health Action Process Approach Theory in Patients with Type D Personality Psoriasis
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作者 Qian Sun Jing Wang +3 位作者 Yachun Yao Xue Hu Yi Liu Jingjing Liu 《Journal of Biosciences and Medicines》 2025年第2期67-77,共11页
Objective: To explore the effect of Health Action Process Approach (HAPA) theory in patients with type D personality psoriasis. Methods: A total of 66 patients with type D personality psoriasis admitted to the dermato... Objective: To explore the effect of Health Action Process Approach (HAPA) theory in patients with type D personality psoriasis. Methods: A total of 66 patients with type D personality psoriasis admitted to the dermatology department of a top-three hospital in Jingzhou City from November 2022 to July 2023 were selected and divided into control group and test group with 33 cases in each group by random number table method. The control group received routine health education, and the experimental group received health education based on the HAPA theory. Chronic disease self-efficacy scale, hospital anxiety and depression scale and skin disease quality of life scale were used to evaluate the effect of intervention. Results: After 3 months of intervention, the scores of self-efficacy in experimental group were higher than those in control group (P P Conclusion: Health education based on the theory of HAPA can enhance the self-efficacy of patients with type D personality psoriasis, relieve negative emotions and improve their quality of life. 展开更多
关键词 Health Action Process approach Theory Type D Personality PSORIASIS SELF-EFFICACY Negative Emotions Quality of Life
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Exploring Adolescents’Social Anxiety,Physical Activity,and Core Self-Evaluation:A Latent Profile and Mediation Approach
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作者 Huazhe Wan Wenying Huang +1 位作者 Wen Zhang Chang Hu 《International Journal of Mental Health Promotion》 2025年第10期1611-1626,共16页
Background:Social anxiety is prevalent among adolescents and severely impacts their mental health and social functioning.This study aims to explore the underlying mechanisms and subgroup differences in adolescent soci... Background:Social anxiety is prevalent among adolescents and severely impacts their mental health and social functioning.This study aims to explore the underlying mechanisms and subgroup differences in adolescent social anxiety to provide a theoretical basis for targeted interventions.Methods:3025 Chinese adolescents(Meanage=13.91±1.60 years;47%male)completed self-report measures of physical activity,core self-evaluation,and social anxiety.Variable-centered analyses employed PROCESS Model 4 with 5000 bootstrap samples;covariates were gender,grade,and place of residence.Person-centered analyses used latent profile analysis in Mplus 8.3 to identify subgroups based on social anxiety item profiles.Results:Variable-centered analyses showed that physical activity had a significant negative association with social anxiety(β=−0.224,p<0.001)and a significant positive association with core self-evaluation(β=0.471,p<0.001);core self-evaluation partially mediated this relationship,accounting for 30%of the total effect.Person-centered analyses revealed an optimal two-profile solution:a low social anxiety profile(89.6%)and a high social anxiety profile(10.4%).The high social anxiety profile reported significantly lower physical activity and lower core self-evaluation than the low social anxiety profile.Conclusions:This study integrates variable-centered and person-centered evidence,identifies physical activity and core self-evaluation as key modifiable factors in reducing social anxiety,providing a theoretical basis for targeted and differentiated interventions. 展开更多
关键词 ocial anxiety physical activity core self-evaluation latent profile analysis variable-centered approach person-centered approach
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Chyle leak following root of mesentery dissection in pancreaticoduodenectomy with inferior infracolic superior mesenteric artery first approach
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作者 Prabir Maharjan Sujan Regmee +5 位作者 Spandan D Adhikari Rabin Pahari Roshan Ghimire Dhiresh K Maharjan Suman K Shrestha Prabin B Thapa 《World Journal of Clinical Cases》 SCIE 2025年第8期8-14,共7页
BACKGROUND The root of mesentery dissection is one of the critical maneuvers,especially in borderline resectable pancreatic head cancer.Intra-abdominal chyle leak(CL)including chylous ascites may ensue in up to 10%of ... BACKGROUND The root of mesentery dissection is one of the critical maneuvers,especially in borderline resectable pancreatic head cancer.Intra-abdominal chyle leak(CL)including chylous ascites may ensue in up to 10%of patients after pancreatic resections.Globally recognized superior mesenteric artery(SMA)first approaches are invariably performed.The mesenteric dissection through the inferior infracolic approach has been discussed in this study emphasizing its post-operative impact on CL which is the cornerstone of this study.AIM To assess incidence,risk factors,clinical impact of CL following root of mesentery dissection,and the different treatment modalities.METHODS This is a retrospective study incorporating the patients who underwent dissection of the root of mesentery with inferior infracolic SMA first approach pancreat-oduodenectomy for the ventral body and uncinate mass of pancreas in the Department of Gastrointestinal and General Surgery of Kathmandu Medical College and Teaching Hospital from January 1,2021 to February 28,2024.Intraop-erative findings and postoperative outcomes were analyzed.RESULTS In three years,ten patients underwent root of mesentery dissection with inferior infracolic SMA first approach pancreatoduodenectomy.The mean age was 67.6 years with a male-to-female ratio of 4:5.CL was seen in four patients.With virtue of CL,Clavien-Dindo grade Ⅱ or higher morbidity was observed in four patients.Two patients had a hospital stay of more than 20 days with the former having a delayed gastric emptying and the latter with long-term total parenteral nutrition requirement.The mean operative time was 330 minutes.Curative resection was achieved in 100%of the patients.The mean duration of the intensive care unit and hospital stay were 2.55±1.45 days and 15.7±5.32 days,respectively.CONCLUSION Root of mesentery dissection with lymphadenectomy and vascular resection correlated with occurrence of CL.After complete curative resection,these were managed with total parenteral nutrition without adversely impacting outcome. 展开更多
关键词 Chyle leak Chylous ascites Clavien-Dindo Pancreatoduodenectomy Root of mesentery dissection Superior mesenteric artery first approach Total parenteral nutrition Uncinate mass Vascular resection Ventral body mass
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Clinical study on the efficacy of laparoscopic hepatectomy via the retroperitoneal approach for treating liver tumors
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作者 Zhen-Hao Fei Xing-Fu Duan +3 位作者 Li-Hong Feng Ze-Ning Wang Ye-Sheng Chen Zhi-Wei Sun 《World Journal of Hepatology》 2025年第12期140-147,共8页
BACKGROUND Laparoscopic hepatectomy has been widely accepted for the treatment of liver tumors.Compared with open surgery,it provides a reduced hospital stay,less intraoperative blood loss,less trauma,and fewer incisi... BACKGROUND Laparoscopic hepatectomy has been widely accepted for the treatment of liver tumors.Compared with open surgery,it provides a reduced hospital stay,less intraoperative blood loss,less trauma,and fewer incisional infections,without affecting tumor outcomes.However,lesions in the right lobe of the liver are deep and obstructed by the ribs,making exposure difficult and increasing the degree of surgical difficulty;thus,liver tumors in the deep right lobe pose technical challenges in standard laparoscopic surgery.AIM To investigate the safety and efficacy of laparoscopic retroperitoneal partial hepatectomy for liver tumors.METHODS The clinical data of 72 patients who underwent laparoscopic retroperitoneal partial hepatectomy for liver tumors between January 2018 and December 2024 at the First People’s Hospital of Yunnan Province were analyzed.Of the 72 patients included,34 were male and 38 were female,with ages ranging from 34 years to 72 years(median age,45 years).The tumors were all located in the right lobe of the liver,with 30 cases in segment S6,27 cases in segment S7,and 15 cases in segment S8;the mean tumor diameter was 7.5±3.4 cm.The postoperative tumor indices,liver function,and postoperative complications were analyzed to evaluate the clinical efficacy of laparoscopic partial hepatectomy via the retroperitoneal approach.RESULTS The surgeries were successfully completed in all patients,and conversion to open surgery was required in 10 patients.The mean operative time,blood loss,drain retention time,and length of postoperative hospital stay were 140±30 minutes,150±46 mL,3.8±1.2 days,and 8.3±5.3 days,respectively.Liver function tests returned to normal in all patients within two weeks of surgery.Fifteen patients developed atelectasis and pleural effusion and were managed with incision and drainage and antibiotics.Two patients developed uncomplicated minimal ascites,and the remaining patients had no perioperative complications,such as abdominal hemorrhage,infection,liver failure,bile leakage,and other adverse events.All patients were successfully treated.CONCLUSION Laparoscopic retroperitoneal partial hepatectomy is a safe and effective approach for right hepatic space-occupying lesions,particularly in segments S6,S7,and S8,with fewer postoperative complications,less trauma,and faster recovery times.This procedure provides a new surgical access for resection of deep tumors in the right lobe of the liver and has clear clinical implications. 展开更多
关键词 Liver tumor Retroperitoneal approach LAPAROSCOPY Partial hepatectomy
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An Exploration of IELTS Writing Teaching Based on the Production-Oriented Approach
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作者 Meng Xiong 《Journal of Contemporary Educational Research》 2025年第7期93-97,共5页
In response to the common problems in college English writing teaching,such as the separation of learning and application,students’low interest in writing,and difficulties in expression,this paper,based on the theore... In response to the common problems in college English writing teaching,such as the separation of learning and application,students’low interest in writing,and difficulties in expression,this paper,based on the theoretical framework of the production-oriented approach(POA)proposed by Professor Wen Qiufang,designed and implemented a set of IELTS writing teaching plan.This plan takes“motivating,enabling,and assessing”as the core teaching process,and selects typical IELTS argumentative essay topics(such as food diversity)to create real communication scenarios.In the motivating stage,diverse inputs are used to stimulate students’interest and expose their language weaknesses;in the enabling stage,language knowledge,viewpoint generation,and text structure are focused on for targeted input and training;in the assessing stage,a combination of teacher-student cooperation and peer evaluation is adopted to guide students to identify and correct deficiencies in language use.The research results show that the POA model can effectively enhance students’writing interest,active learning awareness,and writing ability,particularly in overcoming vocabulary poverty and material shortages,as well as improving language accuracy and expression richness.This provides an operational theoretical basis and practical path for improving the teaching effect of IELTS writing. 展开更多
关键词 Production-oriented approach IELTS writing Teaching practice
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Robot-assisted hemihepatectomy is superior to laparoscopic hemihepatectomy through dorsal approach:A propensity score-matched study(with videos)
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作者 Kun Wang Dong-Dong Xie +4 位作者 Jin Peng Chao-Bo Chen Yang Yue Ya-Juan Cao De-Cai Yu 《Hepatobiliary & Pancreatic Diseases International》 2025年第2期164-169,共6页
Background:Dorsal approach is the potentially effective strategy for minimally invasive liver resection.This study aimed to compare the outcomes between robot-assisted and laparoscopic hemihepatectomy through dorsal a... Background:Dorsal approach is the potentially effective strategy for minimally invasive liver resection.This study aimed to compare the outcomes between robot-assisted and laparoscopic hemihepatectomy through dorsal approach.Methods:We compared the patients who underwent robot-assisted hemihepatectomy(Rob-HH)and who had laparoscopic hemihepatectomy(Lap-HH)through dorsal approach between January 2020 and December 2022.A 1:1 propensity score-matching(PSM)analysis was performed to minimize bias and confounding factors.Results:Ninety-six patients were included,41 with Rob-HH and 55 with Lap-HH.Among them,58 underwent left hemihepatectomy(LHH)and 38 underwent right hemihepatectomy(RHH).Compared with LapHH group,patients with Rob-HH had less estimated blood loss(median:100.0 vs.300.0 m L,P=0.016),lower blood transfusion rates(4.9%vs.29.1%,P=0.003)and postoperative complication rates(26.8%vs.54.5%,P=0.016).These significant differences consistently existed after PSM and in the LHH subgroups.Furthermore,robot-assisted LHH was associated with decreased Pringle duration(45 vs.60 min,P=0.047).RHH subgroup analysis showed that compared with Lap-RHH,Rob-RHH was associated with less estimated blood loss(200.0 vs.400.0 m L,P=0.013).No significant differences were found in other perioperative outcomes among pre-and post-PSM cohorts,such as Pringle duration,operative time,and hospital stay.Conclusions:The dorsal approach was a safe and feasible strategy for hemi-hepatectomy with favorable outcomes under robot-assisted system in reducing intraoperative blood loss,transfusion,and postoperative complications. 展开更多
关键词 Dorsal approach Robot-assisted system LAPAROSCOPY Anatomic hepatectomy Propensity score-matched
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Untargeted metabolomics as a tool to assess the impact of dietary approaches on pig gut health:a review
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作者 Li-Hsuan Chen Nuria Canibe +1 位作者 Mihai Victor Curtasu Mette Skou Hedemann 《Journal of Animal Science and Biotechnology》 2025年第6期2539-2562,共24页
Metabolomics utilizes advanced analytical profiling techniques to comprehensively measure small molecules in cells,tissues,and biological fluids.Nutritional metabolomics studies in pigs have reported changes in hundre... Metabolomics utilizes advanced analytical profiling techniques to comprehensively measure small molecules in cells,tissues,and biological fluids.Nutritional metabolomics studies in pigs have reported changes in hundreds of metabolites across various sample types,including plasma,serum,urine,digesta,and feces,following dietary interventions.These findings can help identify biomarkers of gastrointestinal functionality and beyond,as well as investigate mechanistic interactions between diet,host,microbiome,and metabolites.This review aims to summarize the current literature on nutritional metabolomics in pigs and its use to investigate how different dietary approaches impact the gut health of pigs.Here,we critically assessed and categorized the impact of the main macronutrients-carbohydrates,proteins,and fats—along with feed additives such as amino acids,bile acids,and probiotics,as well as feeding strategies like creep feeding,milk replacer introduction,and time-restricted feeding,on the pig metabolome.Additionally,we discuss the potential modes of action of the key affected metabolites on pig gut health. 展开更多
关键词 Dietary approach Gut health PIGLETS Untargeted metabolomics
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Machine-learning-assisted Materials Genome Approach for Designing High-performance Thermosetting Polyimides
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作者 Wan-Xun Feng Song-Qi Zhang +6 位作者 Yin-Yi Xu Xiang-Fei Ye Xin-Yao Xu Li-Quan Wang Jia-Ping Lin Chun-Hua Cai Lei Du 《Chinese Journal of Polymer Science》 2025年第10期1718-1729,共12页
Enhancing the mechanical properties is crucial for polyimide films,but the mechanical properties(Young's modulus,tensile strength,and elongation at break)mutually constrain each other,complicating simultaneous enh... Enhancing the mechanical properties is crucial for polyimide films,but the mechanical properties(Young's modulus,tensile strength,and elongation at break)mutually constrain each other,complicating simultaneous enhancement via traditional trial-and-error methods.In this work,we proposed a materials genome approach to design and screen phenylethynyl-terminated polyimides for films with enhanced mechani-cal properties.We first established machine learning models to predict Young's modulus,tensile strength,and elongation at break to explore the chemical space containing thousands of candidate structures.The accuracies of the machine learning models were verified by molecular dynamics simulations on screened polyimides and experimental testing on three representative polyimide films.The performance advantages of the best-selected polyimides were analyzed by comparing well-known polyimides based on molecular dynamics simulations,and the structural rationale was revealed by"gene"analysis and feature importance evaluation.This work provides a cost-effective strategy for designing polyimide films withenhancedmechanical properties. 展开更多
关键词 Materials genome approach Machine learning Mechanical property POLYIMIDE
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Research on the Application of the Production-Oriented Approach in Teaching Chinese Culture as a Foreign Language
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作者 Wenjun Niu 《Journal of Contemporary Educational Research》 2025年第1期275-281,共7页
In recent years,the production-oriented approach has been applied in the field of teaching Chinese as a foreign language,providing a new perspective for language and cultural instruction.Currently,several issues exist... In recent years,the production-oriented approach has been applied in the field of teaching Chinese as a foreign language,providing a new perspective for language and cultural instruction.Currently,several issues exist in cultural teaching,such as the lack of in-depth cultural input,insufficient training in cross-cultural communication skills,and the over-stylization of cultural teaching in the classroom.The production-oriented approach offers a solution to these challenges.This paper seeks to introduce the production-oriented method into the teaching of Chinese culture as a foreign language,using silk culture as a case study for teaching design.The aim is to implement cultural teaching through a new instructional model and to promote the spread of Chinese silk culture. 展开更多
关键词 Production-oriented approach Cultural teaching Silk culture Teaching design
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