Introduction: Resection of malignant pelvic tumors has long been considered to be associated with higher postoperative mortality and morbidity than resection of malignant limb tumors. We compared the postoperative adv...Introduction: Resection of malignant pelvic tumors has long been considered to be associated with higher postoperative mortality and morbidity than resection of malignant limb tumors. We compared the postoperative adverse events of pelvic tumor surgery and limb tumor surgery using a national inpatient database. Methods: We identified patients who underwent surgery for primary musculoskeletal malignant tumors of the pelvis or limbs between July and December in 2007- 2010 using the Japanese Diagnosis Procedure Combination inpatient database. We calculated the risk-adjusted odds ratio for the occurrence of postoperative complications following pelvic tumor surgery with reference to limb tumor surgery using a multivariable logistic regression analysis. Results: Of 3255 eligible patients, 3116 underwent limb tumor surgery and 139 underwent pelvic tumor surgery. In-hospital mortality was 0.6% and 0.7% and postoperative complication rates were 8.2% and 18.7%, respectively. The rate of blood transfusion and duration of anesthesia over 480 min were higher in the pelvic tumor group. Blood transfusion volume and duration of anesthesia were independently associated with worse outcomes, but there was no significant association between tumor location and occurrence of postoperative complications (odds ratio 1.18, 95% confidence interval 0.73 - 1.88, p = 0.502). Conclusions: Blood transfusion volume and duration of anesthesia were significant predictors of outcome. Our data demonstrate that the higher morbidity rate after pelvic tumor resection could result from the larger blood transfusion volume and longer anesthesia duration.展开更多
Currently, endoscopic submucosal dissection(ESD) and laparoscopic gastrectomy(LG) have become widely accepted and increasingly play important roles in the treatment of gastric cancer. Data from an administrative datab...Currently, endoscopic submucosal dissection(ESD) and laparoscopic gastrectomy(LG) have become widely accepted and increasingly play important roles in the treatment of gastric cancer. Data from an administrative database associated with the diagnosis procedure combination(DPC) system have revealed some circumstances of ESD and LG in Japan. Some studiesdemonstrated that medical costs or length of stay of patients receiving ESD for gastric cancer had become significantly reduced while length of hospitalization and costs were significantly increased in older patients. With respect to LG, some recent reports have shown that this has been a cost-beneficial treatment for patients compared with open gastrectomy while simultaneous LG and cholecystectomy is a safe procedure for patients with both gastric cancer and gallbladder stones. These epidemiological studies using the administrative database in the DPC system closely reflect clinical circumstances of endoscopic and surgical treatment for gastric cancer in Japan. However, DPC database does not contain detailed clinical data such as histological types and lesion size of gastric cancer. The link between the DPC database and another detailed clinical database may be vital for future research into endoscopic and laparoscopic treatments for gastric cancer.展开更多
The paper firstly analyses disadvantages in the traditional Web database systems. And then it puts forward a simplified framework called database-oriented Web framework (DOWF). In this framework, the pages and the dat...The paper firstly analyses disadvantages in the traditional Web database systems. And then it puts forward a simplified framework called database-oriented Web framework (DOWF). In this framework, the pages and the data are all managed by database system. In order to get keywords or search a special page, which the users accessed before, users access the static pages by common script procedure (CSP), and access the dynamic pages by functional script procedure (FSP) and CSP. The article expounds the method how to implement DOWF in details. The paper also analyses the mechanism of a DOWF site by implementing a prototype system. At last, the article gives the features of DOWS in search, in security, in reuse of pages and in offline waiting, etc. Key words database-oriented - Web framework - common script procedure (CSP) - functional script procedure (FSP) CLC number TP 391 Foundation item: Supported by Natural Science Foundation of Jiangsu Province (BK2003030).Biography: ZHU Qiao-ming (1963-), male, professor, research direction: Web information processing chinses information processing.展开更多
The journal of Meteorological and Environmental Research [ISSN: 2152-3940] has been included and stored by the following famous databases: CA, CABI, CSA, EBSCO, UPD, AGRIS, EA, Chinese Science and Technology Periodica...The journal of Meteorological and Environmental Research [ISSN: 2152-3940] has been included and stored by the following famous databases: CA, CABI, CSA, EBSCO, UPD, AGRIS, EA, Chinese Science and Technology Periodical Database, and CNKI, as well as Library of Congress, United States.展开更多
文摘Introduction: Resection of malignant pelvic tumors has long been considered to be associated with higher postoperative mortality and morbidity than resection of malignant limb tumors. We compared the postoperative adverse events of pelvic tumor surgery and limb tumor surgery using a national inpatient database. Methods: We identified patients who underwent surgery for primary musculoskeletal malignant tumors of the pelvis or limbs between July and December in 2007- 2010 using the Japanese Diagnosis Procedure Combination inpatient database. We calculated the risk-adjusted odds ratio for the occurrence of postoperative complications following pelvic tumor surgery with reference to limb tumor surgery using a multivariable logistic regression analysis. Results: Of 3255 eligible patients, 3116 underwent limb tumor surgery and 139 underwent pelvic tumor surgery. In-hospital mortality was 0.6% and 0.7% and postoperative complication rates were 8.2% and 18.7%, respectively. The rate of blood transfusion and duration of anesthesia over 480 min were higher in the pelvic tumor group. Blood transfusion volume and duration of anesthesia were independently associated with worse outcomes, but there was no significant association between tumor location and occurrence of postoperative complications (odds ratio 1.18, 95% confidence interval 0.73 - 1.88, p = 0.502). Conclusions: Blood transfusion volume and duration of anesthesia were significant predictors of outcome. Our data demonstrate that the higher morbidity rate after pelvic tumor resection could result from the larger blood transfusion volume and longer anesthesia duration.
文摘Currently, endoscopic submucosal dissection(ESD) and laparoscopic gastrectomy(LG) have become widely accepted and increasingly play important roles in the treatment of gastric cancer. Data from an administrative database associated with the diagnosis procedure combination(DPC) system have revealed some circumstances of ESD and LG in Japan. Some studiesdemonstrated that medical costs or length of stay of patients receiving ESD for gastric cancer had become significantly reduced while length of hospitalization and costs were significantly increased in older patients. With respect to LG, some recent reports have shown that this has been a cost-beneficial treatment for patients compared with open gastrectomy while simultaneous LG and cholecystectomy is a safe procedure for patients with both gastric cancer and gallbladder stones. These epidemiological studies using the administrative database in the DPC system closely reflect clinical circumstances of endoscopic and surgical treatment for gastric cancer in Japan. However, DPC database does not contain detailed clinical data such as histological types and lesion size of gastric cancer. The link between the DPC database and another detailed clinical database may be vital for future research into endoscopic and laparoscopic treatments for gastric cancer.
文摘The paper firstly analyses disadvantages in the traditional Web database systems. And then it puts forward a simplified framework called database-oriented Web framework (DOWF). In this framework, the pages and the data are all managed by database system. In order to get keywords or search a special page, which the users accessed before, users access the static pages by common script procedure (CSP), and access the dynamic pages by functional script procedure (FSP) and CSP. The article expounds the method how to implement DOWF in details. The paper also analyses the mechanism of a DOWF site by implementing a prototype system. At last, the article gives the features of DOWS in search, in security, in reuse of pages and in offline waiting, etc. Key words database-oriented - Web framework - common script procedure (CSP) - functional script procedure (FSP) CLC number TP 391 Foundation item: Supported by Natural Science Foundation of Jiangsu Province (BK2003030).Biography: ZHU Qiao-ming (1963-), male, professor, research direction: Web information processing chinses information processing.
文摘The journal of Meteorological and Environmental Research [ISSN: 2152-3940] has been included and stored by the following famous databases: CA, CABI, CSA, EBSCO, UPD, AGRIS, EA, Chinese Science and Technology Periodical Database, and CNKI, as well as Library of Congress, United States.
