Aim: This study evaluates the impact of Enhanced Recovery After Surgery (ERAS) nursing on postoperative complications and quality of life in patients undergoing robot-assisted minimally invasive esophagectomy (RAMIE)....Aim: This study evaluates the impact of Enhanced Recovery After Surgery (ERAS) nursing on postoperative complications and quality of life in patients undergoing robot-assisted minimally invasive esophagectomy (RAMIE). Methods: A total of 150 patients who underwent RAMIE from January 2020 to January 2022 at our hospital were randomly assigned to either the observation group or the control group, with 75 patients in each. The control group received standard perioperative management and nursing care, while the observation group was treated with ERAS nursing strategies. Interventions continued until discharge, and outcomes such as postoperative complications, quality of life, and nutritional status were compared between the groups. Results: The observation group exhibited a significantly lower incidence of postoperative adverse reactions compared to the control group (P ionally, all dimension scores of the Short-Form 36 Health Survey (SF-36), including the total score, were higher in the observation group (P < 0.05). Furthermore, the Nutritional Risk Screening (NRS) scores for impaired nutritional status and disease severity, along with the total NRS score, were significantly lower in the observation group compared to the control group (P Conclusion: Implementing ERAS nursing in the perioperative care of patients undergoing RAMIE is associated with reduced postoperative complications and enhanced postoperative quality of life and nutritional status. .展开更多
We report a high-average-power acousto-optic(AO)Q-switched intracavity frequency-doubled red laser based on a high-efficiency light-emitting-diode(LED)pumped two-rod Nd,Ce:YAG laser module.Under quasi-continuous wave ...We report a high-average-power acousto-optic(AO)Q-switched intracavity frequency-doubled red laser based on a high-efficiency light-emitting-diode(LED)pumped two-rod Nd,Ce:YAG laser module.Under quasi-continuous wave operation conditions,a maximum output power of 1319.08 nm wavelength was achieved at 11.26 W at a repetition rate of 100 Hz.展开更多
We present a design and development of a high-performance light-emitting diode(LED)-side-pumped Nd:YAG rod laser with strong pulse energy,high efficiency,and consistency,very good beam quality,and high uniform pumping...We present a design and development of a high-performance light-emitting diode(LED)-side-pumped Nd:YAG rod laser with strong pulse energy,high efficiency,and consistency,very good beam quality,and high uniform pumping intensity in the active area which reduces the effects of thermal gradient significantly.A five-dimensional 810 nm LED array with a full width of 30 nm at half maximum was intended to achieve high coupling efficiency by putting the LED array as close as possible to the side of the Nd:YAG laser rod for overcoming the large pumped divergence.Under 2.25 J pump energy,maximum single pulse energy of 35.86 mJ with duration of 1.24μs at 1063.68 nm was obtained,equivalent to optical efficiency of 1.59%and a slope efficiency of 2.53%.The laser was set to repeat at a rate of 10 Hz with a beam quality factor of𝑀M^(2)_(x)=2.94 and𝑀M^(2)_(y)=3.35,as well as with the output power stability of<4.1%(root mean square)and<7.3%(peak to peak).To the best of our ability,this is the highest performance for an LED-side-pumped Nd:YAG rod laser oscillator with a 10-mJ-level output ever reported.展开更多
OBJECTIVE:To explore the effect of scraping therapy on the Interleukin-1 (IL-1) levels of rats with lumbar disc herniation (LDH). METHODS: Fifty male rats were devided into a blank group (A), a sham operation group (B...OBJECTIVE:To explore the effect of scraping therapy on the Interleukin-1 (IL-1) levels of rats with lumbar disc herniation (LDH). METHODS: Fifty male rats were devided into a blank group (A), a sham operation group (B), a model group (C), a scraping group (D), and a drug group (E). The rats in the group B were treated with sham operation, and groups C, D and E were made into the LDH model by operation. After operation group C were treated with no interventions, D were given scraping and E were fed with azathioprine Then the IL-1 levels of different groups were detected by enzyme-linked immuno sorbent assay method. And the transplanted coccygeal vertebra discs were observed by pathological section. RESULTS: The IL-1 levels in the groups C, D, and E were significantly higher than those in the groups A and B (all P<0.01), which proved the operationwas successful.The IL-1 levels in the groups D and E at different periods had statistical significance (F= 414.158, P<0.01). The treatment periods and interventions have interation (F=46.613, P<0.01). Multiple comparison results showed that the IL-1 levels in the groups D and E was significantly lower than that in the group C (P<0.01), while the IL-1 levels between the groups D and E had no statistical significance (P>0.05). Moreover, pathological section indicated that immuno-inflammatory response was hardly found in coccygeal vertebra discs in the groups A and B, while local immuno-inflammatory responses of the groups D and E were much lighter than that of the group C. CONCLUSION: Scraping therapy could inhibit the immuno-inflammatory responses in the rats with LDH caused by transplantation of autologous nu cleus pulposus.展开更多
For the accuracy of experimental results, preparing a high quality polished surface and cross-section of the materials for further analysis using electron backscattered diffraction (EBSD), electron probe microanalysis...For the accuracy of experimental results, preparing a high quality polished surface and cross-section of the materials for further analysis using electron backscattered diffraction (EBSD), electron probe microanalysis (EPMA), and scanning probe microscopy (SPM) is extremely important. Broad ion beam (BIB) polishing, a method based on the principle of ion bombardment, has irreplaceable advantages. It makes up for the drawbacks and limitations of traditional polishing methods such as mechanical polishing, electrochemical polishing, and chemical polishing. The ions will not leave the bombardment area during polishing, which makes the BIB method suitable for porous materials. The energy of the ion beam can be adjusted according to the sample to reduce the deformation and strain of the polishing area, especially for fragile, soft, and hard materials. The conditions that need to be controlled during BIB polishing are simple. This paper demonstrated the unique advantages of BIB polishing technology in porous, layered and powder materials characterization through some typical application examples, and guided more researchers to understand and utilize BIB polishing technology in the development of new applications.展开更多
Heterogeneous coarse surface crystallites induced in the industrial Fe-rich nanocrystalline alloy is an obstacle for high-frequency and high-power commercial applications.Herein,the phase,crystal orientation,nanostruc...Heterogeneous coarse surface crystallites induced in the industrial Fe-rich nanocrystalline alloy is an obstacle for high-frequency and high-power commercial applications.Herein,the phase,crystal orientation,nanostructure and magnetic domain evolution of the surface-crystallized Fe-rich alloy were systematically investigated.Microstructure and inverse pole figures analysis confirms that the DOordered dendriticcrystallites bear<001>-oriented fiber texture before and after annealing at the free surface,while ultrafine nanocrystals are randomly oriented in the interior and wheel surface after annealing.As compared to zero magnetic-field-annealing,the transverse magnetic-field-annealing induces weakly oriented fiber texture and relatively uniform dendritic-crystallites at the surface,and uniform anisotropy in the interior and surface,which promotes smooth wall motion at the surface and magnetization rotation in the interior.This synergetic effect reduces the excess loss and leads reduction in dynamic loss at 1.0 T and10 kHz by 36%.展开更多
文摘Aim: This study evaluates the impact of Enhanced Recovery After Surgery (ERAS) nursing on postoperative complications and quality of life in patients undergoing robot-assisted minimally invasive esophagectomy (RAMIE). Methods: A total of 150 patients who underwent RAMIE from January 2020 to January 2022 at our hospital were randomly assigned to either the observation group or the control group, with 75 patients in each. The control group received standard perioperative management and nursing care, while the observation group was treated with ERAS nursing strategies. Interventions continued until discharge, and outcomes such as postoperative complications, quality of life, and nutritional status were compared between the groups. Results: The observation group exhibited a significantly lower incidence of postoperative adverse reactions compared to the control group (P ionally, all dimension scores of the Short-Form 36 Health Survey (SF-36), including the total score, were higher in the observation group (P < 0.05). Furthermore, the Nutritional Risk Screening (NRS) scores for impaired nutritional status and disease severity, along with the total NRS score, were significantly lower in the observation group compared to the control group (P Conclusion: Implementing ERAS nursing in the perioperative care of patients undergoing RAMIE is associated with reduced postoperative complications and enhanced postoperative quality of life and nutritional status. .
基金Nanjing University of Posts and Telecommunications Foundation(Grant Nos.JUH219002 and JUH219007)Key Laboratory of Functional Crystals and Laser Technology,TIPC,CAS Foundation(Grant No.FCLT 202201)。
文摘We report a high-average-power acousto-optic(AO)Q-switched intracavity frequency-doubled red laser based on a high-efficiency light-emitting-diode(LED)pumped two-rod Nd,Ce:YAG laser module.Under quasi-continuous wave operation conditions,a maximum output power of 1319.08 nm wavelength was achieved at 11.26 W at a repetition rate of 100 Hz.
基金supported by Nanjing University of Posts and Telecommunications Foundation(Grant Nos.JUH219002 and JUH219007)Key Laboratory of Functional Crystals and Laser Technology,TIPC,CAS Foundation(Grant No.FCLT 202201).
文摘We present a design and development of a high-performance light-emitting diode(LED)-side-pumped Nd:YAG rod laser with strong pulse energy,high efficiency,and consistency,very good beam quality,and high uniform pumping intensity in the active area which reduces the effects of thermal gradient significantly.A five-dimensional 810 nm LED array with a full width of 30 nm at half maximum was intended to achieve high coupling efficiency by putting the LED array as close as possible to the side of the Nd:YAG laser rod for overcoming the large pumped divergence.Under 2.25 J pump energy,maximum single pulse energy of 35.86 mJ with duration of 1.24μs at 1063.68 nm was obtained,equivalent to optical efficiency of 1.59%and a slope efficiency of 2.53%.The laser was set to repeat at a rate of 10 Hz with a beam quality factor of𝑀M^(2)_(x)=2.94 and𝑀M^(2)_(y)=3.35,as well as with the output power stability of<4.1%(root mean square)and<7.3%(peak to peak).To the best of our ability,this is the highest performance for an LED-side-pumped Nd:YAG rod laser oscillator with a 10-mJ-level output ever reported.
基金Supported by Natural Science Foundation of University in Jiangsu Province (No. 11KJB360003)
文摘OBJECTIVE:To explore the effect of scraping therapy on the Interleukin-1 (IL-1) levels of rats with lumbar disc herniation (LDH). METHODS: Fifty male rats were devided into a blank group (A), a sham operation group (B), a model group (C), a scraping group (D), and a drug group (E). The rats in the group B were treated with sham operation, and groups C, D and E were made into the LDH model by operation. After operation group C were treated with no interventions, D were given scraping and E were fed with azathioprine Then the IL-1 levels of different groups were detected by enzyme-linked immuno sorbent assay method. And the transplanted coccygeal vertebra discs were observed by pathological section. RESULTS: The IL-1 levels in the groups C, D, and E were significantly higher than those in the groups A and B (all P<0.01), which proved the operationwas successful.The IL-1 levels in the groups D and E at different periods had statistical significance (F= 414.158, P<0.01). The treatment periods and interventions have interation (F=46.613, P<0.01). Multiple comparison results showed that the IL-1 levels in the groups D and E was significantly lower than that in the group C (P<0.01), while the IL-1 levels between the groups D and E had no statistical significance (P>0.05). Moreover, pathological section indicated that immuno-inflammatory response was hardly found in coccygeal vertebra discs in the groups A and B, while local immuno-inflammatory responses of the groups D and E were much lighter than that of the group C. CONCLUSION: Scraping therapy could inhibit the immuno-inflammatory responses in the rats with LDH caused by transplantation of autologous nu cleus pulposus.
基金The authors are grateful for financial supports by the Science and Technology Major Project of Ningbo (Grant No. 2015S1001)the Youth Innovation Promotion Association CAS (Grant No. 2016273)+1 种基金the Ningbo Natural Science Foundation (Grant No. 2017A610039)the Ningbo Science and Technology Plan Projects (Grant No. 2017F10015).
文摘For the accuracy of experimental results, preparing a high quality polished surface and cross-section of the materials for further analysis using electron backscattered diffraction (EBSD), electron probe microanalysis (EPMA), and scanning probe microscopy (SPM) is extremely important. Broad ion beam (BIB) polishing, a method based on the principle of ion bombardment, has irreplaceable advantages. It makes up for the drawbacks and limitations of traditional polishing methods such as mechanical polishing, electrochemical polishing, and chemical polishing. The ions will not leave the bombardment area during polishing, which makes the BIB method suitable for porous materials. The energy of the ion beam can be adjusted according to the sample to reduce the deformation and strain of the polishing area, especially for fragile, soft, and hard materials. The conditions that need to be controlled during BIB polishing are simple. This paper demonstrated the unique advantages of BIB polishing technology in porous, layered and powder materials characterization through some typical application examples, and guided more researchers to understand and utilize BIB polishing technology in the development of new applications.
基金supported by the National Key R&D Program of China(No.2021YFB3803000)the National Natural Science Foundation of China(Nos.51801224,51771083,51971005)+1 种基金the Youth Innovation Promotion Association CAS(No.2021294)the Ningbo Natural Science Foundation(Nos.2021J197,202003N4355)。
文摘Heterogeneous coarse surface crystallites induced in the industrial Fe-rich nanocrystalline alloy is an obstacle for high-frequency and high-power commercial applications.Herein,the phase,crystal orientation,nanostructure and magnetic domain evolution of the surface-crystallized Fe-rich alloy were systematically investigated.Microstructure and inverse pole figures analysis confirms that the DOordered dendriticcrystallites bear<001>-oriented fiber texture before and after annealing at the free surface,while ultrafine nanocrystals are randomly oriented in the interior and wheel surface after annealing.As compared to zero magnetic-field-annealing,the transverse magnetic-field-annealing induces weakly oriented fiber texture and relatively uniform dendritic-crystallites at the surface,and uniform anisotropy in the interior and surface,which promotes smooth wall motion at the surface and magnetization rotation in the interior.This synergetic effect reduces the excess loss and leads reduction in dynamic loss at 1.0 T and10 kHz by 36%.
