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Myopia is becoming more and more common all over the world, and the incidence of myopia is gradually increasing. Many treatments have been used to prevent and control myopia, including optics, drugs, environment or behavior, but the results are different and lack standardization. At present, many experiments have proved that peripheral defocus technology has a certain effect on myopia control. Based on this technology, three kinds of framed eyeglass lenses with peripheral defocus design, namely defocus incorporated multiple segments(DIMS), highly aspherical lenslets(HAL)and cylindrical annular reactive elements(CARE), are commonly used in medical and optometry institutions in China. These lenses provide not only clear vision in the central area, but also a certain amount of myopic defocus in the periphery to control the progression of myopia. This paper aims to focus on the design principle and myopia prevention and control effect of the above three peripheral defocus lenses, and evaluate their effectiveness in clinical practice.

AIM:To evaluate corrective effect and stability of corneal morphology in patients with moderate to high myopia after 2a treatment of femtosecond laser assisted laser in situ keratomileusis(FS-LASIK)Xtra.METHODS:Retrospective case-control study. A total of 30 cases(58 eyes)Patients with moderate to high myopia combined with astigmatism who planned to undergo refractive surgery in our hospital from August 2019 to August 2020 were included, and different types of surgery were performed respectively based on the relevant index of keratoconus screening in the preoperative corneal topography. They were divided into FS-LASIK group and Xtra group, with 15 cases(29 eyes)in each group. Uncorrected visual acuity(UCVA), best corrected visual acuity(BCVA), spherical equivalent(SE)and the corneal curvature of the anterior and posterior surfaces of different diameters(3, 5 and 7 mm)measured by Sirius three-dimensional corneal topography were observed preoperatively and 3 mo, 1 and 2 a postoperatively.RESULTS: The UCVA of the two groups of patients at different time points after surgery was significantly increased compared with preoperatively(both P0.05). After 2 a postoperatively, residual astigmatism was -0.25-0 D in 25 eyes(86%)of the FS-LASIK Xtra group and 24 eyes(83%)of the FS-LASIK group. The actual corrected SE and expected corrected SE of both groups were positively correlated(both P

Objective By collecting the patient information in the Colon Cancer Database of Peking Union Medical College Hospital since its establishment, we aim to demonstrate the completeness of the clinicopathological characteristics and follow-up data to provide reference for single-center database establishment. Methods We collected 33 surgical patient information entries from the single-center prospective registry database of Colon Cancer at Peking Union Medical College Hospital from January 5, 2016 to May 11, 2022, including demographic characteristics, features of the primary lesion, surgical and pathological information and postoperative complications, and calculated the missing rate of each entry as well as the follow-up data. Results A total of 1682 patients with colon cancer were included in the analysis, in which 981 patients were male and 701 patients were female, with an average age of (62.75±11.97) years. The postoperative complication rate was 15.6% (263/1682). Among the data entries, demographic features such as sex, age, ethnic group as well as the pathologic staging were collected without missing. The relatively high-missing entries were the colonoscopy tumor site with a missing rate of 12.2%, followed by immunohistochemical information of mismatch repair with a missing rate of 8.0%. The missing rate of all 33 entries was distributed in 0-12.2%, of which 81.8% (27/33) were less than 1% and 93.9% (31/33) were less than 5%. As for follow-up data, the percentage of patients with complete missing follow-up was 1.7%, which meant 98.3% patients had available survival data. The 1-year, 2-year, 3-year, 4-year and 5-year follow-up rates of patients enrolled before July 2, 2020 (patients enrolled after this date did not have regular follow-up information in a uniform format due to data migration) were 55.02%, 70.96%, 72.02%, 65.42% and 70.91%, respectively, and the 2-year complete follow-up rate was 19.5%. Conclusion The low rate of missing statistical entries and the high follow-up rate of our center's database has certain reference value for database establishment, but there is still room for improvement in terms of continuous follow-up.

The elementary electronic‐logic‐gates, performing basic logic functions using electric signals as input, act as a building block of modern digital circuits. Intriguingly, the optoelectronic‐logic‐gates (OLGs), composed of optical devices, are emerging as a new logic platform which enables faster and large‐capacity data transmission and processing by using photons as input. However, the strict operation principle of classic optical devices, for example, the unidirectional photoresponse of the photodetector, restricts the functional enrichment of OLGs. Herein, reprogrammable OLGs in a photoelectrochemical (PEC)‐environment are reported by employing gallium‐nitride semiconductor p–n nanowires as photoelectrodes where bidirectional photocurrent is achieved, leading to the demonstration of various binary OLGs including "NOT", "XOR", and "OR". Strikingly, thanks to the versatile tunability of PEC‐photoelectrodes, the logic function of these OLGs is switchable by simply adjusting programming inputs including light intensity, bias voltage, electrolyte condition, and the physicochemical properties of the nanowire surface. Most importantly, unique ternary OLGs, for example, ternary "OR" gates, can also be realized based on binary ones by just tuning their applied bias for higher logic complexity applications, without changing the device architecture. Such reprogrammable binary and ternary OLGs could provide a new avenue toward next‐generation logic circuits for fast computing and data‐processing in the future. [ABSTRACT FROM AUTHOR]

Byline: Jiaolin. Zhou, Bangbo. Zhao, Huizhong. Qiu, Yi. Xiao, Guole. Lin, Huadan. Xue, Yu. Xiao, Beizhan. Niu, Xiyu. Sun, Junyang. Lu, Lai. Xu, Guannan. Zhang, Bin. Wu Context: Retrorectal tumours [...]

Introduction: This study was to compare the prevalence of stoma‐related complications and stoma reversal perioperative complications of patients with low‐lying rectal cancer who received preventative loop ileostomy and those who underwent loop transverse colostomy. Methods: This retrospective single‐center study analyzed the clinicopathologic and surgical data of 288 patients with pathologically proven primary rectal cancer who underwent anterior resection with either preventative loop ileostomy (n = 82) or loop transverse colostomy. To achieve comparability of a propensity score matching method was used to match patients from each group in a 1:2 ratio. Determinants of stoma‐related complications were analyzed by multivariate logistic regression analysis. Results: Forty‐nine (74.3%) patients in the loop ileostomy group experienced stoma‐related complications versus 48.7% in the loop transverse colostomy group (P < 0.01). Irritant dermatitis was the most frequent complication in both groups. The loop ileostomy group had a significantly higher rate (24.24%) of stoma reversal perioperative complications than the loop transverse colostomy group. Multivariate logistic regression analysis showed that ileostomy versus loop transverse colostomy was a significant independent risk for stoma‐related complications and stoma reversal perioperative complications. Furthermore, by Clavien–Dindo classification, patients receiving loop ileostomy had an overall higher rate of complications and stoma reversal perioperative complications versus those undergoing loop transverse colostomy (P < 0.01). The rate of grade II complications was significantly higher in the loop ileostomy group (43.9%) than that of loop transverse colostomy group (13.5%, P < 0.01), whereas the rate of grade I, and grade IIIa and IIIb complications and stoma reversal perioperative complications was comparable between the two groups. Conclusion: The study has demonstrated that loop transverse colostomy is associated with significantly lower rates of stoma‐related complications and stoma reversal perioperative complications compared to loop transverse colostomy. [ABSTRACT FROM AUTHOR]