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Objective To investigate the effect of standardized nursing intervention after transjugular intrahepatic portosystemic shunt (TIPS). Methods Totally 66 patients undergoing TIPS for liver cirrhosis were randomly divided into the observation group and the control group, with 33 cases in each group. Patients in both control and observation groups received routine care after surgery, and those in the observation group were given standardized nursing interventions. The patient’s quality of life was evaluated by 36-item short-form (SF-36) questionnaire. The incidence of postoperative complications and rate of satisfaction with postoperative nursing were compared between groups. Results The scores of Social Function, Physical Function, Mental Health Status and General Health dimension in the observation group were higher than those in the control group after treatment (P＜0. 01) . The incidence of postoperative complications such as pyrexia, abdominal bleeding, hepatic encephalopathy and development of thrombus was lower in the observation group than that in the control group, but with no significant difference (P＞0. 05). The satisfaction rate was 90. 91%(30/31)in the observation group, which was higher than 72. 73%(24/33) in the control group (P＜0. 05). Conclusion The standardized nursing intervention is potentially effective to reduce the risk of postoperative complications and improve the quality of life after TIPS. (目的 探讨经颈静脉肝内门体静脉分流(TIPS)术后规范化护理措施的实施效果。方法 选取2021年1月—12月医院收治的66例肝硬化门静脉高压症患者为研究对象, 随机分为观察组和对照组, 各33例。对照组采用常规护理, 并及时对患者反馈的信息进行记录; 观察组在对照组基础上实施规范化护理干预。对比两组患者生活质量和并发症发生情况, 评估患者满意度。结果 观察组患者SF-36量表社会功能、生理功能、精神状况和总体健康维度评分均高于对照组, 差异有统计学意义(P＜0. 01)。观察组术后发热、术后腹腔内出血、肝性脑病、血栓形成的发生均低于对照组, 但差异无统计学意义(P＞0. 05)。观察组护理满意度90. 91%(30/31), 高于对照组的 72. 73%(24/33), 差异有统计学意义(P＜0. 05)。结论 TIPS术后规范化护理措施能减少并发症的发生风险, 进一步提高患者的生活质量。)

采用氢氧化钠作为变性剂，乙二醛(G)和尿素(U)作为原料合成的乙二醛-尿素(GU)树脂作为改性剂，制备改性花生蛋白胶黏剂，以提高花生蛋白胶黏剂的耐水性。在单因素实验确定GU树脂改性剂合成的最佳条件的基础上，采用正交实验对改性花生蛋白胶黏剂制备工艺条件进行优化，并通过胶合性能测试、傅里叶变换红外光谱和差示扫描量热仪，对胶黏剂的结构和胶合性能进行分析。结果显示：GU树脂改性剂合成的优化条件为乙二醛与尿素摩尔比1.4∶ 1，反应温度80 ℃，总反应时间3.5 h；最优的改性花生蛋白胶黏剂制备工艺条件为碱处理pH 10.4、花生蛋白粉质量70 g（200 mL蒸馏水）、改性剂与碱处理花生蛋白质量比16∶ 84、反应时间3 h，在此条件下制备的改性花生蛋白胶黏剂的胶合强度大于GB/T 9846—2004中对Ⅱ类胶合板的要求（≥0.7 MPa），固体含量较碱处理花生蛋白胶黏剂降低，储存期延长。傅里叶变换红外光谱结果表明，氢氧化钠可使花生蛋白变性并暴露出更多的反应基团，GU树脂与碱处理花生蛋白形成了酯键，亲水基团减少，从而增加了耐水性；差示扫描量热仪结果表明，改性后的花生蛋白胶黏剂吸热起始峰温度和峰值温度均升高，热稳定性提高。 To improve the water resistance of peanut protein adhesive, the modified peanut protein adhesive was prepared using NaOH as denaturant and glyoxal-urea (GU) resin synthesized from glyoxal (G) and urea (U) as modifier. On the basis of single factor experiment to determine the optimal GU resin synthesis conditions, the preparation conditions of modified peanut protein adhesive were optimized using orthogonal experiment, and the structure and adhesive properties of the adhesive were analyzed by bonding performance tests, Fourier transform infrared spectroscopy and differential scanning calorimetry. The results showed that the optimal GU resin synthesis conditions were obtained as follows: molar ratio of glyoxal to urea 1.4∶ 1,reaction temperature 80 ℃,and total reaction time 3.5 h.The optimal preparation conditions of modified peanut protein adhesive were obtained as follows: peanut protein powder 70 g (dissolved in 200 mL distilled water),NaOH treatment pH 10.4, mass ratio of GU to NaOH treated peanut protein 16∶ 84, and reaction time 3 h.Under the optimal conditions, the adhesive strength of the modified peanut protein adhesive was greater than required the for Class II plywood (≥ 0.7 MPa) in GB/T 9846-2004,and had lower solid content and longer storage life compared with NaOH treated peanut protein adhesive. Fourier transform infrared spectroscopy results showed that NaOH could denature peanut protein and expose more reactive groups, resulting in the formation of ester bond between GU resin and NaOH treated peanut protein and fewer hydrophilic groups,so the water resistance increased.Differential scanning calorimetry results showed that the heat absorption onset peak temperature and peak temperature of modified peanut protein adhesive were higher, so the thermal stability increased.

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BACKGROUND: Most of the biomechanical studies on kyphosis have focused on trunk muscle strength and sagittal plane balance, and little has been reported on the biomechanical response within the spine during kyphosis. OBJECTIVE: To investigate the biomechanical response of the spine during postural kyphosis by simulating the process of postural kyphosis. METHODS: A three-dimensional finite element model of the normal thoracolumbar segment (T1-S1 segment) was established by using the finite element method. 10 groups of pure bending loads from 1.15-11.52 N·m were applied using a three-point force system on T1, T6, and T12 vertebrae to simulate the process of postural kyphosis in normal humans. The relationship between the loads and Cobb angle and the biomechanical responses of vertebrae, ribs, and intervertebral discs were analyzed. RESULTS AND CONCLUSION: (1) During postural kyphosis, the Cobb angle size of T1-T12 segments was linearly related to the load size. (2) The maximum stresses on the vertebrae, ribs, and intervertebral discs increased with increasing load. (3) Under the action of 11.52 N·m moment, the maximum stresses on the vertebral body, ribs, and intervertebral disc were found in the front of the T6 vertebral body, the rib head of the 10th pair of ribs, and the right posterior side of the intervertebral disc of the T5-T6 segments. (4) The results of this study suggest that postural kyphosis leads to increased stress on the vertebrae, ribs, and discs, with the most significant increase in stress on the anterior side of the T6 vertebrae, at the rib head of the 10th pair of ribs, and on the anterior side of the disc at the T5-T6 segment, as well as on the posterior side, which may increase the risk of injury to the vertebrae, ribs, and discs, which provides a biomechanical basis for the design of kyphosis orthoses. [ABSTRACT FROM AUTHOR]

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Copyright of Chinese Journal of Tissue Engineering Research / Zhongguo Zuzhi Gongcheng Yanjiu is the property of Chinese Journal of Tissue Engineering Research and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Pancreatogenic diabetes is a type of diabetes secondary to pancreatic exocrine disease, and it was officially named by American Diabetes Association in 2014. Chronic pancreatitis and pancreatic cancer are the most common causes of pancreatogenic diabetes. The pathogenesis of this disease remains unclear, and there is still a lack of systematic treatment regimens, which leads to the extremely high misdiagnosis rate of pancreatogenic diabetes in China and globally. In addition, studies have shown that compared with patients with type 2 diabetes, patients with pancreatogenic diabetes tend to have higher risks of death and readmission, which brings great challenges to the health and clinical treatment of patients. Therefore, the comprehensive understanding and early accurate identification and diagnosis of pancreatogenic diabetes are of great significance in reducing the disability and mortality rates of this disease. This article elaborates on the possible pathogenesis of pancreatogenic diabetes. [ABSTRACT FROM AUTHOR]

Objective：To study the clinical effects of dental floss traction assisted submucosal dissection and IT knife assisted disposable mucosal dissection knife in the treatment of early gastric horn cancer and precancerous lesions. Methods：One hundred and forty-six patients with early gastric horn cancer and precancerous lesions admitted from December 2015 to August 2023 were included as study subjects. They were divided into two groups according to the treatment plan：dental floss traction group (n=73)and IT knife group (n=73). The time of operation and lesion dissection, muscularis injury, surgical effect, and postoperative complications in the two groups were evaluated and compared. Results：The number of muscularis injury and the use of hemostatic clips were significantly reduced in the dental floss traction group compared to the IT knife group (P < 0.05). There was no significant difference in the whole lesion resection rate, R0 resection rate, curative resection rate, margin involvement rate, and perioperative complication rate (postoperative bleeding and perforation) between the two groups (P > 0.05). Univariate analysis showed that floss traction - assisted submucosal dissection with disposable mucosal dissection knife was effective in reducing muscularis injury (OR=0.37, 95%CI：0.18- 0.74, P=0.006). Conclusion：The use of dental floss assisted endoscopic submucosal dissection for early gastric horn cancer and precancerous lesions is particularly effective. It can significantly reduce the damage to the muscularis propria and ensure the safety and effectiveness of the procedure. [ABSTRACT FROM AUTHOR]

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An enhanced method for the detection of defective drainage pipes based on the YOLO v5l-Im algorithm was proposed. This method aims to address the low accuracy, high false detection, and leakage rate of the YOLO v5l (You Only Look Once version 5 large) algorithm for the detection of defective images of drainage pipes with small targets, few samples, and complex backgrounds. There are three enhancements. Initially, the Focal-EIoU (focal embedding intersection over union) loss function is suggested, which significantly enhances the detection model's performance. Secondly, the shallow feature map in the backbone network is fused into BiFPN (bidirectional feature pyramid network) to increase the prediction layer for small targets, improving the detection effect of the detection model on small target defects and lowering the likelihood of defect misdetection and omission. Lastly, YOLO v5l introduces CA (coordinate attention) mechanism to lessen the interference of redundant background information and enhance the model's sensitivity to the image's region of interest. The value of mAP (mean average precision) showes improvements of 2. 0, 2. 9, and 5. 9 percentage points, respectively, among the three improvements. The test findings indicate that the YOLO v5l-Im model suggested in this work obtains a mAP value of 92. 1%, which is 6. 5 percentage points higher than the 85. 5% of the original model after fusing the three effective modifications. It is evident that the enhancements significantly increase the YOLO v5l's capacity to identify flaws in drainage pipes. [ABSTRACT FROM AUTHOR]

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高速窄带电力线通信（HNPLC）多用户实时动态频谱管理（DSM）是确保HNPLC满足泛在感知终端接入性能需求的极佳选择。采用子载波分组和实时选取一种最优调制方式的方法,既显著提升了多用户传输的可靠性和传输速率,又有效减少了信令和资源开销。线上实验证明,所述HNPLC多用户实时DSM使系统的传输速率提升至传统方法的5倍多,可满足实用化需求。

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The cast-in-place tunnel structure of the north shore project of Dalian Bay subsea tunnel serves as the north exit of the entire tunnel and is constructed by in-situ cast-in-place technology. Based on engineering examples, this paper introduces the practical application of temperature control measures for mass concrete with cast-in-place tunnels, including concrete mix design, raw material temperature control, concrete production and preparation, mold temperature control, reducing temperature stress through circulation cooling water pipe and intelligent temperature control, and later curing to reduce the risk of concrete cracking. It provides reference for the construction of similar large volume high performance concrete in the future. [ABSTRACT FROM AUTHOR]

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