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The current methods for treatment of giant gastric bezoars mainly include chemical dissolution, endoscopic fragmentation, and surgical removal, which often have limited curative effects or generate multiple adverse events. Therefore, there is an urgent need to find new methods to overcome such a dilemma. The aim of this study was to evaluate the safety, efficacy, and feasibility of a novel guidewire-based tangential sawing fragmentation (GTSF) technique to treat giant gastric bezoars.This retrospective single-center study was performed in the Department of Gastroenterology and Hepatology, Sichuan Academy of Medical SciencesSichuan Provincial People's Hospital. Ten patients with giant bezoars were consecutively enrolled from December 8, 2019 to April 8, 2021. We treated the 10 patients with the GTSF technique, recorded the GTSF procedure, and followed the patients with gastroscopy 2 weeks after the procedure.All patients were successfully treated by the GTSF technique, and the giant bezoar was broken into small pieces (2 cm in diameter). The average operation time was 21.73 minutes, and the average fragmentation time was 8.06 minutes. Ten patients treated with the GTSF technique attained satisfactory treatment results, with no acute adverse events or alimentary canal injury during the procedure, and no bezoar residue remained as shown by gastroscopy 2 weeks after the procedure.The GTSF technique is a safe, effective, and feasible method for removing giant bezoars and can be considered as an alternative treatment of this disease.

BackgroundEvidence has shown that deep learning computer aided detection (CADe) system achieved high overall detection accuracy for polyp detection during colonoscopy.AimThe detection performance of CADe system on non-polypoid laterally spreading tumors (LSTs) and sessile serrated adenomas/polyps (SSA/Ps), with higher risk for malignancy transformation and miss rate, has not been exclusively investigated.MethodsA previously validated deep learning CADe system for polyp detection was tested exclusively on LSTs and SSA/Ps. 1451 LST images from 184 patients were collected between July 2015 and January 2019, 82 SSA/Ps videos from 26 patients were collected between September 2018 and January 2019. The per-frame sensitivity and per-lesion sensitivity were calculated.Results(1) For LSTs image dataset, the system achieved an overall per-image sensitivity and per-lesion sensitivity of 94.07% (1365/1451) and 98.99% (197/199) respectively. The per-frame sensitivity for LST-G(H), LST-G(M), LST-NG(F), LST-NG(PD) was 93.97% (343/365), 98.72% (692/701), 85.71% (324/378) and 85.71% (6/7) respectively. The per-lesion sensitivity of each subgroup was 100.00% (71/71), 100.00% (64/64), 98.31% (58/59) and 80.00% (4/5). (2) For SSA/Ps video dataset, the system achieved an overall per-frame sensitivity and per-lesion sensitivity of 84.10% (15883/18885) and 100.00% (42/42), respectively.ConclusionsThis study demonstrated that a local-feature-prioritized automatic CADe system could detect LSTs and SSA/Ps with high sensitivity. The per-frame sensitivity for non-granular LSTs and small SSA/Ps should be further improved.

Recent empirical and theoretical studies have shown that magnitude and direction of biodiversity effects on ecosystem functioning can shifts over time. Here, we used species richness and plant abundance (total individual plant stem density) as proxies for species diversity and aboveground biomass for productivity. We used an analytical approach combining both chronosequence and 6 year of vegetation monitoring in a subalpine ecosystem as a model system to assess temporal species richness–abundance–aboveground biomass relationships at different successional stages and spatial scales. We observed that both species richness and plant aboveground biomass increased rapidly early in succession after land abandonment, then after 10 years of abandonment reached a steady state. We found that the relationship between species richness and plant abundance with aboveground biomass was strengthening over successional time. In all successional stages, species richness had stronger positive effects as compared with plant abundance on plant aboveground biomass. Species richness was linearly correlated with aboveground biomass, whereas plant abundance showed a humped-back relationship with aboveground biomass across all successional stages. Our results showed an increase in the effect of plant diversity over time, and a combination of both plant species richness and abundance is correlated with plant productivity throughout successional time, knowledge that maybe important to managing ecological restoration and conservation. Copyright © 2016 John Wiley & Sons, Ltd.

The measured diffusion coefficient and soil-water characteristic curve (SWCC) of remolded loess were used to modify the Mualem model for increasing its accuracy. The obtained results show that the goodness of fit between the Mualem model and the variable parameter-modified Mualem method comparing with the test results was not high. The saturation of 0.65 was introduced as the boundary to divide the curve of the measured diffusion coefficient into two segments. When the segmentation method combined with the variable parameter method was used to modify the Mualem model, the fitting correlation coefficient was increased to 0.921–0.998. The modified parameters Ko and L corresponding to remolded loess were calculated for different dry densities. Based on the exponential function between Ko and dry density and the linear relation between L and dry density, the segmentally modified Mualem model was established for remolded loess by considering variation in dry density. The results of the study can be used for directly determining the unsaturated infiltration coefficient and for indirectly determining the SWCC through diffusion coefficient.

The paper is about designing fusion tracking system based on multi-sensor information processing which combined with data fusion. It solves the multiple sensor nodes collaborative work problems of the target tracking system, which makes wireless sensor networks can process a large number of instantaneous data in time. Its practicability becomes strong after practicing and simulating.

In recent years, numerous studies have evaluated the effect of plant function diversity on ecosystem functions Such as productivity and soil nutrient status. We performed a redundancy analysis (RDA) to examine the relationship between plant functional diversity, productivity and soil nitrogen in a chronosequence of abandoned fields in sub-alpine meadow in the eastern part of the Tibet Plateau, China. We found that along the secondary succession sequence, legume richness and aboveground biomass significantly increased and both were positively correlated with total species richness (S) and aboveground biomass (T-bio). This pattern suggests that legume richness increases community productivity. In addition, we found that total aboveground biomass, legume and grass richness were positively correlated with soil microbial nitrogen (MBN), the ratio of microbial nitrogen to soil total nitrogen (MBN/TN) and the ratio of soil organic carbon and soil total nitrogen (C/N), whereas they were negatively correlated with soil total nitrogen (TN), organic carbon (C(org)), and microbial carbon (MBC). Contrary to our predictions grasses Such as Stipa grandis, Scirpus tripueter, Koeleria cristata were more closely associated with MBN, MBN/TN than legumes such as Oxytropis ochrocephala, Thermopsis lanceolate and Astragalus polycladus. The late-successional grass Kobresio humilis had a stronger positive correlation with NH(4)-N as compared to the legumes and NO(3)-N was not associated with any legume species. This suggests that the grasses and legumes have a synergetic positive influence on the ecosystem properties, especially nitrogen. Therefore, in this N-limited, plant community diversity of both legumes and grasses has a strong influence on ecosystem changes during succession. (C) 2009 Elsevier B.V. All rights reserved.

The mega-size containership viability was analyzed by considering different service networks for different ship sizes: hub-and-spoke and multi-port-calling (MPC) networks for mega-size containerships and conventional ships. A model was proposed, which quantifies the economies of scale in operating large containerships and constructs models for ship routing under different service networks. A sensitivity analysis was conducted to test the effect of feeder costs and the results analyzed to determine optimal containership size with respect to different operational scenarios. Throughout model applications for Asia-Europe and Asia-North America trades, the mega-size containership is competitive in all scenarios for Asia-Europe, while it is viable for Asia-North America only when the feeder costs are low.

The present study aimed to compare the clinical value of multi-band mucosectomy (MBM) versus endoscopic mucosal resection (EMR) for the treatment of patients with early-stage esophageal cancer. Between January 2011 and December 2012, 68 patients with early-stage esophageal cancer who underwent MBM and EMR were enrolled into the present study. The curative resection rate, duration of surgery, complications and follow-up records were retrospectively analyzed. Of the 68 patients included, 33 were treated with MBM and 35 with EMR. There was no significant difference in the rate of complete resection between the MBM and EMR groups (P>0.05). The mean duration of surgery in the MBM group was statistically lower than that in the EMR group (P0.05). Esophageal cancer reoccurred in 2 patients treated with MBM and 1 patient treated with EMR during the follow-up period (range, 3–24 months). Overall, MBM can be considered a better surgical option for the management of patients with early-stage esophageal cancer, as it offers higher histological curative resection rates and improved safety. However, further studies and a larger follow-up period are required to confirm the long-term curative effect.

Plants from different functional groups show distinct response to nitrogen (N) addition, however, the patterns and underlying mechanisms across the natural N availability gradient remain unexplored. In present studies, effects of soil N fertility on aboveground N pools and production were examined, and the N: P stoichiometry was compared among forbs, graminoids, and legumes on an alpine grassland located in northeast of Qinghai-Tibet Plateau. Mean N: P ratios of the whole community in 2008 and 2009 were 9. 83 and 11.57, respectively, indicating that the sub-alpine grassland was mainly N-limited. The partial redundancy analysis (partial RDA) showed that the biomass percentage of forbs increased, while those of legumes and graminoids decreased with the soil N availability. It suggested that legumes and graminoids were more competitive than forbs in the natural N-limited grassland, which may be due to the N2-fixation ability and high nutrient use efficiency, respectively. Under the projected increasing N deposition, the vegetation tended to shift from graminoids and legumes to forbs. Significant relationships were found between the percentage of legumes biomass and N: P (phosphorus) ratio for the whole community and non-legumes, indicating that legumes could improve the community N status as well as non-legumes N status on the alpine grassland.

Gill morphologies of two subspecies of Gymnocypris przewalskii (Gymnocypris przewalskii przewalskii and Gymnocypris przewalskii ganzihonensis) in different habitats were analyzed under scanning electron microscope. Results indicated that G. p. przewalskii had numerous long and dense-lined gill rakers while G. p. ganzihonensis had few short and scatter-lined gill rakers. There were no significant differences in distance between gill filaments (DBF) and distance gill lamella (DBL) between the two subspecies, but gill filaments of G. p. przewalskii were longer than in G. p. ganzihonensis. The electron microscopic study indicated that the pavement epithelium cells of G. p. przewalskii were well defined as irregular ovals, but were hexagonal in G. p. ganzihonensis. Moreover, G. p. przewalskii had more chloride cells than G. p. ganzihonensis, and mucous cells were only found on the surface of gill filaments of G. p. przewalskii. The morphological differences between the two subspecies of G. przewalskii are adaptations to their corresponding diets and habitats.该研究比较观察青海湖裸鲤(

To explore the influence of nonylphenol (NP) on the neural behavioral development of filial generation rats exposed via placenta.On the first day of the pregnancy, the SD rats were divided into four groups, and orally administered with NP at doses of 0, 50, 100 and 200 mg/kg on gestational day 9 approximately 15 respectively. The offspring rats of each groups were examined to observe the impact of NP on the early physiological, neurobehavioral development. The changes of filial generation body weight (from generation day 1 to 28) were measured. Brain tissues were stained with Hematoxylin-eosin and Congo red to observe with optical microscope.In contrast to the control group, the early physiological markers (pinna detachment, hair growth, tooth growth and eye opening) and the early neurobehavioral development indices (surface righting, air righting, acoustic startle and visual placing) were significantly delayed in the groups of NP 200mg/kg dose (P0.05). The developing time of physiological markers decreased from (4.5 +/- 0.8, 5.2 +/- 0.8, 12.7 +/- 1.4, 16.0 +/- 1.7) d to (3.6 +/- 0.5, 3.6 +/- 0.5, 11.1 +/- 1.1, 12.7 +/- 1.3) d while neurobehavioral developing time decreased from (6.5 +/- 0.8, 11.3 +/- 0.5, 11.2 +/- 1.0, 20.2 +/- 1.0) d to (5.1 +/- 0.4, 8.3 +/- 0.5, 9.3 +/- 0.5, 9.3 +/- 0.5) d (P0.05 or P0.01). The body weights of filial generation rats were decreased obviously from 1 st day to 28th day. Histopathological examination displayed that hippocampal neurons had congestion and oedema in the group of 100, 200 mg/kg dose.Exposures to NP during gestation might impair the neurobehavioral development of F1 rats significantly.

To observe the curative effect of combined treatment of extremities tissue separating manipulation (ETSM) and acupuncture on cerebral infarction (CI).CI patients were randomly divided into 3 groups. Group A was treated with drug-therapy only, Group B was treated with drug-therapy plus acupuncture and Group C was treated with drug-therapy plus ETSM and acupuncture. All patients were treated for 15 successive days for evaluating curative effect.The cured-markedly effective rate, total effective rate and nerve function deficit score after treatment was 28.6% , 71.4% and 17.57 +/- 1.51 scores in Group A, 48.4%, 80.6% and 13.97 +/- 1.38 scores in Group B, and 81.3%, 93.7% and 11.00 +/- 1.51 scores in Group C, respectively. Significant difference was shown in comparison of Group A with Group B, also in comparison of Group C with Group A and B (All P0.05).ETSM combined acupuncture has a good therapeutic effect on CI.