肝胆胰疾病是消化系统常见病、多发病,部分肝胆胰疾病诊治棘手,并发症发生率高。随着微创诊疗设备和器械的研发,各种内镜腹腔镜技术的开展,使大多数肝胆胰疾病通过微创技术得到诊治。中医药在肝胆胰围手术期有着重要的协同作用,能够有...肝胆胰疾病是消化系统常见病、多发病,部分肝胆胰疾病诊治棘手,并发症发生率高。随着微创诊疗设备和器械的研发,各种内镜腹腔镜技术的开展,使大多数肝胆胰疾病通过微创技术得到诊治。中医药在肝胆胰围手术期有着重要的协同作用,能够有效加速患者康复。笔者领衔的胆胰疾病中西医结合治疗中心团队掌握了多种内镜技术和腹腔镜技术,总结了多年来治疗肝胆胰疾病积累的成功经验,提出了SELECT理念(Spyglass+ERCP+Laparoscopy+EUS+Choledochoscopy+Traditional Chinese medicine,SELECT),根据不同的肝胆胰疾病特点,选用最优化的多镜组合微创治疗方式,围手术期结合中医药治疗,实现了中西医结合治疗肝胆胰疾病的微创化、个体化、精准化。展开更多
急性胰腺炎(AP)是常见的消化系统疾病之一,随着科技的进步,其治疗理念也随之改变,越来越多的微创技术应用于AP,尤其是对重症急性胰腺炎(SAP)的微创治疗。目前微创治疗AP的方式繁多,尚未有明确的研究报道某种技术占据明显优势。中西医结...急性胰腺炎(AP)是常见的消化系统疾病之一,随着科技的进步,其治疗理念也随之改变,越来越多的微创技术应用于AP,尤其是对重症急性胰腺炎(SAP)的微创治疗。目前微创治疗AP的方式繁多,尚未有明确的研究报道某种技术占据明显优势。中西医结合治疗AP的疗效已经得到广泛认可。近年来,作者团队在中西医结合微创治疗AP方面,积累了丰富的经验并创新性的提出SELECT诊疗理念(Spyglass+ERCP+Laparoscopy+EUS+Choledochoscopy+Traditional Chinese medicine,SELECT),根据AP的严重程度及病因,选择最佳的多镜联合方式,同时结合中医药治疗,实现中西医结合微创治疗AP的优势。现基于SELECT理念,就SAP各个临床分期中的微创治疗方式进行阐述。展开更多
A hybrid conceptual design approach was introduced in this study to develop a conceptual design of oil palm polymer composite automotive crash box(ACB). A combination of theory of inventive problem solving(TRIZ), morp...A hybrid conceptual design approach was introduced in this study to develop a conceptual design of oil palm polymer composite automotive crash box(ACB). A combination of theory of inventive problem solving(TRIZ), morphological charts and biomimetics was applied where the foremost requirements in terms of the material characteristics, function specifications, force identification, root cause analysis, geometry profile and design selection criteria were considered. The strategy was to use creations of nature to inspire five innovative conceptual designs of the ACB structure and the AHP method was applied to perform the pairwise analysis of selecting the best ACB conceptual design. A new conceptual design for a composite ACB was conceived bearing in mind the properties of natural fibre, unlike those of conventional materials such as steel alloys and aluminium alloys. The design with the highest ranking(26.6 %) was chosen as the final conceptual design, which was the one with a honeycomb structure for the outermost profile, reinforced with a spider web structure inside the part, supported by fibre foam structure extracted from the woodpecker sponge tissue at the centre to maximize the energy absorption capability. The new design could solve the problem of bending collapse which is a major cause of failure to absorb maximum impact energy for ACB during collision. However, the final conceptual design will still need several modifications for production and assembly purposes, which will be completed in a further study.展开更多
文摘肝胆胰疾病是消化系统常见病、多发病,部分肝胆胰疾病诊治棘手,并发症发生率高。随着微创诊疗设备和器械的研发,各种内镜腹腔镜技术的开展,使大多数肝胆胰疾病通过微创技术得到诊治。中医药在肝胆胰围手术期有着重要的协同作用,能够有效加速患者康复。笔者领衔的胆胰疾病中西医结合治疗中心团队掌握了多种内镜技术和腹腔镜技术,总结了多年来治疗肝胆胰疾病积累的成功经验,提出了SELECT理念(Spyglass+ERCP+Laparoscopy+EUS+Choledochoscopy+Traditional Chinese medicine,SELECT),根据不同的肝胆胰疾病特点,选用最优化的多镜组合微创治疗方式,围手术期结合中医药治疗,实现了中西医结合治疗肝胆胰疾病的微创化、个体化、精准化。
文摘急性胰腺炎(AP)是常见的消化系统疾病之一,随着科技的进步,其治疗理念也随之改变,越来越多的微创技术应用于AP,尤其是对重症急性胰腺炎(SAP)的微创治疗。目前微创治疗AP的方式繁多,尚未有明确的研究报道某种技术占据明显优势。中西医结合治疗AP的疗效已经得到广泛认可。近年来,作者团队在中西医结合微创治疗AP方面,积累了丰富的经验并创新性的提出SELECT诊疗理念(Spyglass+ERCP+Laparoscopy+EUS+Choledochoscopy+Traditional Chinese medicine,SELECT),根据AP的严重程度及病因,选择最佳的多镜联合方式,同时结合中医药治疗,实现中西医结合微创治疗AP的优势。现基于SELECT理念,就SAP各个临床分期中的微创治疗方式进行阐述。
基金Project(6369107)supported by the Ministry of Higher Education,Malaysia
文摘A hybrid conceptual design approach was introduced in this study to develop a conceptual design of oil palm polymer composite automotive crash box(ACB). A combination of theory of inventive problem solving(TRIZ), morphological charts and biomimetics was applied where the foremost requirements in terms of the material characteristics, function specifications, force identification, root cause analysis, geometry profile and design selection criteria were considered. The strategy was to use creations of nature to inspire five innovative conceptual designs of the ACB structure and the AHP method was applied to perform the pairwise analysis of selecting the best ACB conceptual design. A new conceptual design for a composite ACB was conceived bearing in mind the properties of natural fibre, unlike those of conventional materials such as steel alloys and aluminium alloys. The design with the highest ranking(26.6 %) was chosen as the final conceptual design, which was the one with a honeycomb structure for the outermost profile, reinforced with a spider web structure inside the part, supported by fibre foam structure extracted from the woodpecker sponge tissue at the centre to maximize the energy absorption capability. The new design could solve the problem of bending collapse which is a major cause of failure to absorb maximum impact energy for ACB during collision. However, the final conceptual design will still need several modifications for production and assembly purposes, which will be completed in a further study.
