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| 1 | Minimally invasive surgery for gastric cancer: A comparison between robotic, laparoscopic and open surgery显示文摘AIM To investigate the role of minimally invasive surgery for gastric cancer and determine surgical, clinical, and oncological outcomes.METHODS This is a propensity score-matched case-control study, comparing three treatment arms: robotic gastrectomy(RG), laparoscopic gastrectomy(LG), open gastrectomy(OG). Data collection started after sharing a specific study protocol. Data were recorded through a tailored and protected web-based system. Primary outcomes: harvested lymph nodes, estimated blood loss, hospital stay, complications rate. Among the secondary outcomes, there are: operative time, R0 resections, POD of mobilization, POD of starting liquid diet and soft solid diet. The analysis includes the evaluation of type and grade of postoperative complications. Detailed information of anastomotic leakages is also provided.RESULTS The present analysis was carried out of 1026 gastrectomies. To guarantee homogenous distribution of cases, patients in the RG, LG and OG groups were 1:1:2 matched using a propensity score analysis with a caliper = 0.2. The successful matching resulted in a total sample of 604 patients(RG = 151; LG = 151; OG = 302). The three groups showed no differences in all baseline patients characteristics, type of surgery(P = 0.42) and stage of the disease(P = 0.16). Intraoperative blood loss was significantly lower in the LG(95.93 ± 119.22) and RG(117.91 ± 68.11) groups compared to the OG(127.26 ± 79.50, P = 0.002). The mean number of retrieved lymph nodes was similar between the RG(27.78 ± 11.45), LG(24.58 ± 13.56) and OG(25.82 ± 12.07) approach. A benefit in favor of the minimally invasive approaches was found in the length of hospital stay(P < 0.0001). A similar complications rate was found(P = 0.13). The leakage rate was not different(P = 0.78) between groups.CONCLUSION Laparoscopic and robotic surgery can be safely performed and proposed as possible alternative to open surgery. The main highlighted benefit is a faster postoperative functional recovery. | Amilcare Parisi Daniel Reim Felice Borghi Ninh T Nguyen Feng Qi Andrea Coratti Fabio Cianchi Maurizio Cesari Francesca Bazzocchi Orhan Alimoglu Johan Gagnière Graziano Pernazza Simone D'Imporzano Yan-Bing Zhou Juan-Santiago Azagra Olivier Facy Steven T Brower Zhi-Wei Jiang Lu Zang Arda Isik Alessandro Gemini Stefano Trastulli Alexander Novotny Alessandra Marano Tong Liu Mario Annecchiarico Benedetta Badii Giacomo Arcuri Andrea Avanzolini Metin Leblebici Denis Pezet Shou-Gen Cao Martine Goergen Shu Zhang Giorgio Palazzini Vito D'Andrea Jacopo Desiderio | 2017 | World Journal of Gastroenterology2017，23，13： | 17 |
| 2 | Treatment strategies in obstructed defecation and fecal incontinence显示文摘妨碍的澄清(OD ) 和大便失禁(FI ) 正在质问临床的问题,它通常在颜色的实践被遇到表面的外科医生和胃的肠学。这些混乱社会上并且心理上地沮丧病人并且极大地损害他们生命的质量。位于下面解剖并且 pathophysiological 变化是复杂的,不完全地经常理解并且不能总是被决定。作为后果,许多医药、外科、行为的途径被描述了,没有灵丹妙药。在过去的十年,在一理解和在肛门直肠的生理学实验室(ARP ) 的评估的合理、类似的方法的混乱,辐射学研究,和新外科的技术导致了有希望的结果这些进展。在这简短评论,我们在妨碍的澄清和大便失禁的临床、治疗学的方面上讨论治疗策略和最近的更改。 | Marat Khaikin Steven D Wexner | 2006 | World Journal of Gastroenterology2006，12，20： | 15 |
| 3 | Current status of laparoscopy for the treatment of rectal cancer显示文摘Surgery for rectal cancer in complex and entails many challenges.While the laparoscopic approach in general and specific to colon cancer has been long proven to have short term benefits and to be oncologically safe,it is still a debatable topic for rectal cancer.The attempt to benefit rectal cancer patients with the known advantages of the laparoscopic approach while not compromising their oncologic outcome has led to the conduction of many studies during the past decade.Herein we describe our technique for laparoscopic proctectomy and assess the current literature dealing with short term outcomes,immediate oncologic measures(such as lymph node yield and specimen quality) and long term oncologic outcomes of laparoscopic rectal cancer surgery.We also briefly evaluate the evolving issues of robotic assisted rectal cancer surgery and the current innovations and trends in the minimally invasive approach to rectal cancer surgery. | Noam Shussman Steven D Wexner | 2014 | World Journal of Gastroenterology2014，20，41： | 13 |
| 4 | 水浸胁迫下植被高光谱遥感识别模型对比分析显示文摘随着全球气候变暖,我国洪涝灾害发生的频率及影响范围都不断增加。通过野外模拟试验,研究植被(玉米、甜菜)在水浸胁迫下的光谱变化特征,以构建高光谱遥感模型对水涝灾害范围进行监测。试验于2008年5月—8月在英国诺丁汉大学Sutton Bonington校区(52.8°N,1.2°W)进行,每周采集一次样本并在室内测量其光谱数据。试验结果表明植被光谱在550,800~1 300nm区域反射率都稍有降低,而在680nm区域反射率则略微增大。选取NDVI,SIPI,PRI,SRPI,GNDVI及R800*R550/R680共六个植被指数识别水浸胁迫下的植被,研究表明,指数SIPI与R800*R550/R680对水浸胁迫玉米比较敏感,而指数SIPI,PRI及R800*R550/R680对水浸胁迫甜菜比较敏感。为寻找最优的识别模型,计算对照与水浸胁迫植被指数之间的归一化均值距离并进行对比分析,发现植被指数R800*R550/R680的归一化均值距离在胁迫早期即大于其他指数的距离,说明该指数识别水浸胁迫植被的能力优于其他指数,且具有较强的敏感性与稳健性。因此,可以利用该指数快速地提取水浸面积,为救灾减灾决策提供信息支持。 | 蒋金豹 Michael D Steven 何汝艳 蔡庆空 | 2013 | 光谱学与光谱分析2013，33，11： | 11 |
| 5 | Phase angle obtained by bioelectrical impedance analysis independently predicts mortality in patients with cirrhosis显示文摘AIM To evaluate the prognostic value of the phase angle(PA)obtained from bioelectrical impedance analysis(BIA) for mortality prediction in patients with cirrhosis. METHODS In total, 134 male cirrhotic patients prospectively completed clinical evaluations and nutritional assessment by BIA to obtain PAs during a 36-mo follow-up period. Mortality risk was analyzed by applying the PA cutoff point recently proposed as a malnutrition marker(PA ≤ 4.9°) in Kaplan-Meier curves and multivariate Cox regression models. RESULTS The patients were divided into two groups according to the PA cutoff value(PA > 4.9°, n = 73; PA ≤ 4.9°, n = 61). Weight, height, and body mass index were similar in both groups, but patients with PAs > 4.9° were younger and had higher mid-arm muscle circumference, albumin, and handgrip-strength values and lower severe ascites and encephalopathy incidences, interleukin(IL)-6/IL-10 ratios and C-reactive protein levels than did patients with PAs ≤ 4.9°(P ≤ 0.05). Forty-eight(35.80%) patients died due to cirrhosis, with a median of 18 mo(interquartile range, 3.3-25.6 mo) follow-up until death. Thirty-one(64.60%) of these patients were from the PA ≤ 4.9° group. PA ≤ 4.9° significantly and independently affected the mortality model adjusted for Model for End-Stage Liver Disease score and age(hazard ratio = 2.05, 95%CI: 1.11-3.77, P = 0.021). In addition, Kaplan-Meier curves showed that patients with PAs ≤ 4.9° were significantly more likely to die. CONCLUSION In male patients with cirrhosis, the PA ≤ 4.9° cutoff was associated independently with mortality and identified patients with worse metabolic, nutritional, and disease progression profiles. The PA may be a useful and reliable bedside tool to evaluate prognosis in cirrhosis. | Giliane Belarmino Maria Cristina Gonzalez Raquel S Torrinhas Priscila Sala Wellington Andraus Luiz Augusto Carneiro D'Albuquerque Rosa Maria R Pereira Valéria F Caparbo Graziela R Ravacci Lucas Damiani Steven B Heymsfield Dan L Waitzberg | 2017 | World Journal of Hepatology2017，9，7： | 11 |
| 6 | Neutropenic enterocolitis显示文摘Neutropenic colitis is a severe condition usually affecting immunocompromised patients. Its exact pathogenesis is not completely understood. The main elements in disease onset appear to be intestinal mucosal injury together with neutropenia and the weakened immune system of the afflicted patients. These initial conditions lead to intestinal edema, engorged vessels, and a disrupted mucosal surface, which becomes more vulnerable to bacterial intramural invasion. Chemotherapeutic agents can cause direct mucosal injury(mucositis) or can predispose to distension and necrosis, thereby altering intestinal motility. This article aims to review current concepts regarding neutropenic colitis' pathogenesis, diagnosis, and management. | Fabio G Rodrigues Giovanna Dasilva Steven D Wexner | 2017 | World Journal of Gastroenterology2017，23，1： | 10 |
| 7 | 静脉血栓栓塞症的抗血栓治疗:美国《胸科学》杂志指南显示文摘包括深静脉血栓和肺栓塞在内的静脉血栓栓塞症是癌症患者的主要并发症,发生率为4%~20%,并且是常见的潜在致命性急症。本文介绍了美国《胸科学》杂志指南中VET的抗血栓治疗的部分内容,其以第9版《美国胸内科医师学会循证临床实践指南》中的《静脉血栓栓塞症的抗血栓治疗:抗血栓治疗和阻止血栓形成》一文为参照,基于静脉血栓栓塞症治疗的Ⅲ期试验的发表年份,对口服抗凝剂(达比加群、利伐沙班、阿哌沙班、依度沙班)进行先后阐述(但是这一排序并不是指南专家组对药剂的优劣排序),以为临床医生提供参考。 | Kearon C Akl EA Ornelas J Blaivas A Jimenez D Bounameaux H Huisman M King CS MorrisT Sood N Stevens SM Vintch JRE Wells P Woller SC Moores CL 本刊编辑部 | 2016 | 中国全科医学2016，19，9： | 10 |
| 8 | 试论《哈尼阿培聪坡坡》所载各迁徙阶段的历史分期显示文摘《哈尼阿培聪坡坡》是哈尼族最重要的迁徙史诗,长期以来一直为研究哈尼族的学者所重视,但是诗中所载各迁徙阶段的历史分期问题一直没有得到很好的解决。文章尝试运用新的证据为该史诗断代。据国内史学界研究,哈尼人最迟已于唐朝年间到达红河地区,这一研究成果成为笔者为该史诗断代的基点。通过史诗所述谷哈密查时期哈尼人学会'烧石化水'、'造犁铸剑'这一重要信息,结合昆明地区最早出现炼铁技术的史学研究成果,笔者初步判断哈尼人在谷哈密查的生活年代当为西汉末年到东汉末年。之后运用了三尖叉、轺车、父子连名制、南中大姓及哈尼在那妥、石七生活期间的社会氛围等相关资料为断代结果做进一步的论证,以确保断代的科学性。 | 李力路 Steven D Lord | 2008 | 红河学院学报2008，6，6： | 9 |
| 9 | 一种基于LMI的H_-/H_∞故障检测观测器优化设计方法显示文摘针对线性时不变动态系统,构造一个线性全阶输出观测器,获得包括扰动、噪声、建模误差等未知输入信号和故障信号的残差动态特性,选用残差对故障信号的H-指数描述其对故障的灵敏度,用残差对未知信号的H∞范数表示其对不确定因素的鲁棒性,将故障检测观测器的设计描述为一个优化问题。研究了基于线性矩阵不等式的故障检测观测器设计,给出了求解最优观测器增益的方法,并证明了该解存在的条件。实践结果表明,应用该方法所设计的故障检测观测器灵敏度高,对干扰信号具有强鲁棒性。 | 彭涛 桂卫华 STEVEN X D 吴敏 李昊 | 2004 | 中南大学学报(自然科学版)2004，35，4： | 9 |
| 10 | Idiopathic fistula-in-ano显示文摘Fistula-in-ano is the most common form of perineal sepsis.Typically,a fistula includes an internal opening,a track,and an external opening.The external opening might acutely appear following infection and/or an abscess,or more insiduously in a chronic manner.Management includes control of infection,assessment of the fistulous track in relation to the anal sphincter muscle,and finally,definitive treatment of the fistula.Fistulotomy was the most commonly used mode of management,but concerns about post-fistulotomy incontinence prompted the use of sphincter preserving techniques such as advancement flaps,fibrin glue,collagen fistula plug,ligation of the intersphincteric fistula track,and stem cells.Many descriptive and comparative studies have evaluated these different techniques with variable outcomes.The lack of consistent results,level I evidence,or long-term follow-up,as well as the heterogeneity of fistula pathology has prevented a definitive treatment algorithm.This article will review the most commonly available modalities and techniques for managing idiopathic fistula-in-ano. | Sherief Shawki Steven D Wexner | 2011 | World Journal of Gastroenterology2011，17，28： | 7 |
| 11 | 利用大豆光谱特征判定地下封存CO_2泄漏显示文摘碳捕捉与储存(carbon capture and storage,CCS)技术可以减少CO2气体排放,从而减缓全球气候变暖。但把CO2液化后进行地质封存具有泄漏的风险,如何大面积、快速、高效地监测CO2泄漏点是一个技术难题。该文通过野外模拟试验,以大豆为试验对象,研究了地下储存的CO2轻微泄漏对地表植被及其遥感特征的影响。大豆在2008年6月4日播种,自7月4日开始CO2气体以1L/min的速度持续注入土壤中,每天测量土壤中CO2体积分数(土壤中CO2气体占土壤中总气体体积含量的百分比)、每周测量1次大豆叶片的SPAD值、光谱数据。试验结果表明,当土壤中CO2体积分数小于15%时,对照(CK)与CO2泄漏胁迫大豆SPAD值无显著性差异(P>0.1),当土壤中CO2体积分数大于等于15%时,CK与CO2泄漏胁迫大豆SPAD值具有极显著性差异(P<0.001),随着胁迫进行大豆会早熟、落叶,甚至枯死。利用连续统去除法对大豆的光谱数据进行处理,发现随着土壤中CO2体积分数的增大,在绿光区的光谱反射率逐渐增大,而其他波段则无明显变化规律。根据CO2泄漏胁迫下大豆的光谱变化特征,设计采用面积植被指数Area(510~590nm)(510~590nm光谱曲线所包围的面积)识别遭受CO2泄漏胁迫的大豆。结果表明,当土壤中CO2体积分数大于等于15%时,Area(510~590nm)指数可以较好地识别出遭受胁迫的大豆,且具有较高的可区分性及稳定性,但当土壤中CO2体积分数小于15%时,该指数在整个生育期内无法准确识别出遭受胁迫的大豆。该研究结果对未来地表生态评估、高光谱遥感监测CO2泄漏点具有重要意义与应用价值。 | 蒋金豹 Michael D Steven 何汝艳 蔡庆空 陈云浩 徐谨 | 2013 | 农业工程学报2013，29，12： | 7 |
| 12 | Selecting suitable solid organ transplant donors: Reducing the risk of donor-transmitted infections显示文摘Selection of the appropriate donor is essential to a successful allograft recipient outcome for solid organ transplantation. Multiple infectious diseases have been transmitted from the donor to the recipient via transplantation. Donor-transmitted infections cause increased morbidity and mortality to the recipient. In recent years, a series of high-profile transmissions of infections have occurred in organ recipients prompt-ing increased attention on the process of improving the selection of an appropriate donor that balances the shortage of needed allografts with an approach that mitigates the risk of donor-transmitted infection to the recipient. Important advances focused on improving donor screening diagnostics, using previously excluded high-risk donors, and individualizing the selection of allografts to recipients based on their prior infection history are serving to increase the donor pool and improve outcomes after transplant. This article serves to review the relevant literature surrounding this topic and to provide a suggested approach to the selection of an appropriate solid organ transplant donor. | Christopher S Kovacs Jr Christine E Koval David van Duin Amanda Guedes de Morais Blanca E Gonzalez Robin K Avery Steven D Mawhorter Kyle D Brizendine Eric D Cober Cyndee Miranda Rabin K Shrestha Lucileia Teixeira Sherif B Mossad | 2014 | World Journal of Transplantation2014，4，2： | 7 |
| 13 | 大洋钻探对洋底以下生命的探索显示文摘对ODP采集的沉积物样品的地球化学研究揭示,在全世界所有的大洋底以下都发现了细菌活动,洋底沉积物中的生物圈可能构成了地球生物数量的1/3,该生物圈通过调节海洋沉积物的成岩作用和大洋玄武岩的风化,影响到长期的全球生物地球化学循环。DSDP最早提出了海洋沉积物中细菌活动性的证据,ODP的一系列航次提供了各种不同环境下深部生物圈细菌群落以及细菌参与的地球化学过程纪录。ODP201是第一个专门致力于研究洋底以下生命的大洋钻探航次,它记录了从富有机质的边缘沉积到贫有机质的开阔海沉积环境的洋底以下细菌活动性和细菌群落的连续性,201航次还揭示,古海洋环境对现在正活跃于深海沉积物中的原核生物群落造成了影响。 | Steven D'Hondt 朱毅杰 | 2003 | 地球科学进展2003，18，5： | 6 |
| 14 | What every gastroenterologist needs to know about common anorectal disorders显示文摘Anorectal complaints are very common and are caused by a variety of mostly benign anorectal disorders.Many anorectal conditions may be successfully treated by primary care physicians in the outpatient setting,but patients tend not to seek medical attention due to embarrassment or fear of cancer.As a result,patients frequently present with advanced disease after experiencing significant decreases in quality of life.A number of patients with anorectal complaints are referred to gastroenterologists.However,gastroenterologists' knowledge and experience in approaching these conditions may not be sufficient.This article can serve as a guide to gastroenterologists to recognize,evaluate,and manage medically or non-surgically common benign anorectal disorders,and to identify when surgical referrals are most prudent.A review of the current literature is performed to evaluate comprehensive clinical pearls and management guidelines for each topic.Topics reviewed include hemorrhoids,anal fissures,anorectal fistulas and abscesses,and pruritus ani. | Moonkyung Cho Schubert Subbaramiah Sridhar Robert R Schade Steven D Wexner | 2009 | World Journal of Gastroenterology2009，15，26： | 5 |
| 15 | 腹腔镜外科学基础认证项目简介及其对中国外科医师的意义显示文摘腹腔镜外科学基础(FLS)项目是普通外科中第1个经过验证的操作和认知考核项目.FLS由美国胃肠内镜外科医师协会(SAGES)开发并得到美国外科医学委员会(ABS)的支持.ABS要求所有拟参加普通外科医师执业资格考试前必须通过FLS考试.在美国,普通外科医师执业资格考试是取得执业资格的第一步.本文回顾了FLS项目在美国取得的成功经验,并就该项目在中国推广标准化腹腔镜外科技术中的应用和获益进行了介绍. | Linda P Zhang Samuel R G Finlayson Allan Okrainec Steven D Schwaitzberg | 2014 | 中华消化外科杂志2014，13，9： | 5 |
| 16 | Dyslipidemia management in primary prevention of cardiovascular disease:Current guidelines and strategies显示文摘Cardiovascular disease is the leading cause of death in the United States. In 2010, the Centers for Disease Control and Prevention estimated that $444 billion was spent on cardiovascular diseases alone, about $1 of every $6 spent on health care. As life expectancy continues to increase, this annual cost will also increase, making costeffective primary prevention of cardiovascular disease highly desirable. Because of its role in development of atherosclerosis and clinical events, dyslipidemia management is a high priority in cardiovascular prevention. Multiple major dyslipidemia guidelines have been published around the world recently, four of them by independent organizations in the United States alone. They share the goal of providing clinical guidance on optimal dyslipidemia management, but guidelines differ in their emphasis on pharmacotherapy, stratification of groups, emphasis on lifestyle modification, and use of a fixed target or percentage reduction in low density lipoprotein cholesterol. This review summarizes eight major guidelines for dyslipidemia management and considers the basis for their recommendations. Our primary aim is to enhance understanding of dyslipidemia management guidelines in patient care for primary prevention of future cardiovascular risk. | Aditya D Hendrani Tolulope Adesiyun Renato Quispe Steven R Jones Neil J Stone Roger S Blumenthal Seth S Martin | 2016 | World Journal of Cardiology2016，8，2： | 5 |
| 17 | 地下储存CO_2泄漏胁迫下地表植被光谱变化特征及识别研究显示文摘随着全球气候变暖,减少温室气体排放成为全世界所关注的问题,而碳捕捉与储存(carbon captureand storage,CCS)技术可以减少温室气体CO2排放量,但储存在地下的CO2有泄漏的风险。本工作的目的是通过野外模拟实验,研究地表植被(甜菜)在CO2轻微泄漏胁迫下其叶片叶绿素含量、水分含量及光谱变化特征,结果表明CO2泄漏胁迫的甜菜叶绿素与叶片含水量明显降低,叶片反射率在550nm减小,而在680nm增大。设计了比值指数R550/R680进行识别CO2泄漏胁迫的甜菜,发现该指数能够在胁迫发生7天后识别出胁迫的甜菜,且该指数具有较强的敏感性、稳健性及识别能力。研究结果对于未来CCS项目选址、地表生态监测评估、遥感监测CO2泄漏点等都具有重要的现实意义与应用价值。 | 陈云浩 蒋金豹 Michael D Steven 宫阿都 李一凡 | 2012 | 光谱学与光谱分析2012，32，7： | 5 |
| 18 | Adherence to surveillance endoscopy following hospitalization for index esophageal variceal hemorrhage显示文摘AIM To investigate patient adherence to surveillance endoscopy after index esophageal variceal hemorrhage and the extent to which adherence influences outcomes.METHODS We reviewed the records of patients with cirrhosis admitted to the medical intensive care unit between 2000 and 2014 for first time esophageal variceal hemorrhage treated with endoscopic variceal ligation who were subsequently discharged and scheduled for surveillance endoscopy at our medical center. Demographic and clinical data were obtained through the medical records, including etiology of cirrhosis, completion of variceal obliteration, attendance at surveillance endoscopy, zip code of primary residence, distance from home to hospital, insurance status, rehospitalization for variceal hemorrhage, beta-blocker at discharge, pharmacologically treated psychiatric disorder, and transplant free survival. RESULTS Of 99 consecutive survivors of esophageal variceal bleeding, the minority(33) completed variceal obliteration and fewer(12) adhered to annual surveillance. Completion of variceal obliteration was associated with fewer rehospitalizations for variceal rebleeding(27% vs 56%, P = 0.0099) and when rehospitalizations occurred, they occurred later in those who had completed obliteration(median 259 d vs 207 d, P = 0.0083). Incomplete adherence to endoscopic surveillance was associated with more rehospitalizations for variceal rebleeding compared to those fully adherent to annual endoscopic surveillance(51% vs 17%, P = 0.0328). Those adherent to annual surveillance were more likely to be insured privately or through Medicare compared to those who did not attend post-hospital discharge endoscopy(100% vs 63%, P = 0.0119).CONCLUSION Most patients do not complete variceal obliteration after index esophageal variceal hemorrhage and fewer adhere to endoscopic surveillance, particularly the uninsured and those insured with Medicaid. | Brendan T Everett Steven D Lidofsky | 2018 | World Journal of Gastrointestinal Surgery2018，10，4： | 4 |
| 19 | Status review of mercury control options for coal-fired power plants显示文摘 | John H Pavlish Everett A Sondreal Michael D Mann Edwin S Olson Kevin C Galbreath Dennis L Laudal Steven A Benson | 2003 | Fuel Processing Technology2003，，2： | 4 |
| 20 | 两跳MIMO中继系统通信性能分析的研究进展显示文摘描述了两跳MIMO(Multiple-input and Multiple-output)中继系统模型,概述了中继通用的转发策略以及系统性能分析常涉及到的信道模型和信源发射方案,详细介绍了两跳MIMO中继系统通信性能分析国内外的研究进展,通过一个具体的例子比较了不同发射策略系统的性能,最后探讨和展望了两跳MIMO中继系统下一步的研究方向。MIMO中继系统的性能分析为MIMO中继系统的工程应用提供了有价值的理论参考。 | 李光平 杨亮 冯久超 Steven D Blostein | 2011 | 电讯技术2011，51，8： | 4 |
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