Targeted poverty alleviation is a unique approach adopted in China to help achieve the vision of a moderately prosperous society in all aspects and the"Chinese Dream".Industrial development as a means of pov...Targeted poverty alleviation is a unique approach adopted in China to help achieve the vision of a moderately prosperous society in all aspects and the"Chinese Dream".Industrial development as a means of poverty alleviation is an integral part of the"Five-pronged Poverty Alleviation Measures"Project of targeted poverty alleviation,and a critical foundation for other poverty alleviation measures.In this study,a comprehensive evaluation method was used to measure farmers'livelihood based on the framework of sustainable livelihood.Specifically,the effects of industrial development on farmers'livelihood capital were estimated by employing the propensity score matching combined with the difference-in-differences(PSM-DID)approach.Findings suggest that industrial development had a significantly positive effect on the livelihood capital of farmers.Industrial development can significantly enhance farmers'human,social and financial capital,while it cannot significantly affect the natural and physical capital.Industrial development had heterogeneous effects on farmers'livelihood capital,more efficiently impacting on the non-poor than the poor.The effects on farmers'livelihood capital varied across regions,with Guizhou experiencing a larger effect than Sichuan.However,the effect was insignificant for farmers in Gansu.To improve farmers'livelihood capital,it is necessary to take measures to strengthen their human capital,promote the innovation of financial products,and make good use of their social capital;it is also essential to strengthen the support of industrial development to the poor.展开更多
目的探索3D打印导航胆道软、硬镜等内镜精准治疗胆石症的临床实践效果。方法选择2018年5月至2019年7月间263例需内镜手术治疗的胆石症患者的临床资料进行回顾性分析,根据是否采用3D打印导航技术分为两组,观察组(n=131):进行薄层CT扫描...目的探索3D打印导航胆道软、硬镜等内镜精准治疗胆石症的临床实践效果。方法选择2018年5月至2019年7月间263例需内镜手术治疗的胆石症患者的临床资料进行回顾性分析,根据是否采用3D打印导航技术分为两组,观察组(n=131):进行薄层CT扫描和三维可视化重建、打印胆道数字模型,应用于术前手术评估、模拟,制订手术方案,术中引导内镜精准取石;对照组(n=132):按传统内镜手术方案治疗,未应用3D打印技术。两组均经内镜观察和术中造影、术后超声、CT检查,确定术中取石效果,对比分析3D打印的使用价值。结果与对照组比较,观察组手术时间和住院时间无统计学差异(P>0.05);观察组术中出血量减少[2(2,5)mL vs 4(2,5)mL,P=0.001],有统计学差异但无临床意义;两组术后残石率无统计学差异[0.8%(1/131)vs 3.0%(4/132),P=0.179]。观察组术后结石复发率降低[2.3%(3/131)vs 12.9%(17/132),χ2=10.492,P=0.002]。对照组消化道出血1例,经保守治疗后痊愈。所有病例未发现胆瘘、胆道损伤、术中大出血及围术期死亡等严重并发症。结论3D打印应用于导航内镜下碎石取石术,可减少结石复发,且不会增加手术时间,是数字技术应用于胆石症精准治疗的一种安全有效的方式。展开更多
基金supported by the National Natural Science Foundation of China(72003185 and 71661147001)。
文摘Targeted poverty alleviation is a unique approach adopted in China to help achieve the vision of a moderately prosperous society in all aspects and the"Chinese Dream".Industrial development as a means of poverty alleviation is an integral part of the"Five-pronged Poverty Alleviation Measures"Project of targeted poverty alleviation,and a critical foundation for other poverty alleviation measures.In this study,a comprehensive evaluation method was used to measure farmers'livelihood based on the framework of sustainable livelihood.Specifically,the effects of industrial development on farmers'livelihood capital were estimated by employing the propensity score matching combined with the difference-in-differences(PSM-DID)approach.Findings suggest that industrial development had a significantly positive effect on the livelihood capital of farmers.Industrial development can significantly enhance farmers'human,social and financial capital,while it cannot significantly affect the natural and physical capital.Industrial development had heterogeneous effects on farmers'livelihood capital,more efficiently impacting on the non-poor than the poor.The effects on farmers'livelihood capital varied across regions,with Guizhou experiencing a larger effect than Sichuan.However,the effect was insignificant for farmers in Gansu.To improve farmers'livelihood capital,it is necessary to take measures to strengthen their human capital,promote the innovation of financial products,and make good use of their social capital;it is also essential to strengthen the support of industrial development to the poor.
文摘目的探索3D打印导航胆道软、硬镜等内镜精准治疗胆石症的临床实践效果。方法选择2018年5月至2019年7月间263例需内镜手术治疗的胆石症患者的临床资料进行回顾性分析,根据是否采用3D打印导航技术分为两组,观察组(n=131):进行薄层CT扫描和三维可视化重建、打印胆道数字模型,应用于术前手术评估、模拟,制订手术方案,术中引导内镜精准取石;对照组(n=132):按传统内镜手术方案治疗,未应用3D打印技术。两组均经内镜观察和术中造影、术后超声、CT检查,确定术中取石效果,对比分析3D打印的使用价值。结果与对照组比较,观察组手术时间和住院时间无统计学差异(P>0.05);观察组术中出血量减少[2(2,5)mL vs 4(2,5)mL,P=0.001],有统计学差异但无临床意义;两组术后残石率无统计学差异[0.8%(1/131)vs 3.0%(4/132),P=0.179]。观察组术后结石复发率降低[2.3%(3/131)vs 12.9%(17/132),χ2=10.492,P=0.002]。对照组消化道出血1例,经保守治疗后痊愈。所有病例未发现胆瘘、胆道损伤、术中大出血及围术期死亡等严重并发症。结论3D打印应用于导航内镜下碎石取石术,可减少结石复发,且不会增加手术时间,是数字技术应用于胆石症精准治疗的一种安全有效的方式。
