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Abstract: Complex chromosome rearrangements (CCRs) are defined as structural abnormalities involving more than two chromosome breaks, coupled with exchanges of chromosomal segments. Information on CCRs in plants is limited. In [...]

Objective: This meta-analysis aimed to compare short-term outcomes between robotic liver resection (RLR) and laparoscopic liver resection (LLR) using data collected from propensity score-matched studies., Methods: The PubMed, Cochrane Library, and Embase databases were searched to collect propensity score-matched studies comparing RLR and LLR. Relevant data were extracted and analyzed. Odds ratios (ORs) and standardized mean differences (SMDs) with 95% confidence intervals (CIs) were calculated using fixed-effect or random-effect models. Meta-regression analysis was performed for primary outcome measures. Subgroup analyses and sensitivity analyses were performed for outcomes exhibiting high heterogeneity. Quality of evidence was evaluated using the Grading of Recommendations, Assessment, Development and Evaluation framework., Results: Twenty-two propensity score-matched studies were included to comprise 5272 patients (RLR group, 2422 cases; LLR group, 2850 cases). Intraoperative blood loss (SMD=-0.31 ml, 95% CI -0.48 to -0.14; P =0.0005), open conversion (OR=0.46, 95% CI 0.37-0.58; P <0.0001), and severe complications (OR=0.76, 95% CI 0.61-0.95; P =0.02) were significantly lower in the RLR group. Operation time, odds of use, and duration of Pringle maneuver, length of hospital stay, and odds of intraoperative blood transfusion, overall complications, R0 resection, reoperation, 30-day readmission, 30-day mortality, and 90-day mortality did not significantly differ between the groups. Further subgroup and sensitivity analyses suggested that the results were stable. Meta-regression analysis did not suggest a correlation between primary outcomes and study characteristics. The quality of evidence for the primary outcomes was medium or low, while that for the secondary outcomes was medium, low, or very low., Conclusion: Although some short-term outcomes are similar between RLR and LLR, RLR is superior in terms of less blood loss and lower odds of open conversion and severe complications. In the future, RLR may become a safe and effective replacement for LLR., (Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.)

Objectives: In this study, we investigated the sex differences in the impact of perceived parental rejection on various health-risk behaviors and the moderation of resilience on the relations between perceived parental rejection and health-risk behaviors. Methods: Cross-sectional data of 730 college-attending emerging adults were analyzed with Poisson and negative binomial models. Results: Maternal rejection predicted drug use and aggressive behavior for men and binge drinking, drug use, and aggressive behavior for women; paternal rejection predicted drug use for women. Resilience buffered the negative association of maternal rejection to drug use and the relation of paternal rejection to aggressive behavior in men. Resilience enhanced the association between maternal rejection and drug use but buffered the association between paternal rejection and drug use in women. Conclusions: Parental rejection was associated with health-risk behavior, whereas resilience may attenuate such a relationship. Prevention and intervention programs should consider sex-specific needs.