To select the location of sewage outlet in the sewage disposal program of Shanghai is a rather comprehensive problem which covers many fields and has great influences. The sewage outlet at Zuyuan, about 10 km away fro...To select the location of sewage outlet in the sewage disposal program of Shanghai is a rather comprehensive problem which covers many fields and has great influences. The sewage outlet at Zuyuan, about 10 km away from Wusongkou, is situated on the south bank of the South Channel in the Yangtze Estuary. In order to determine the water depth which can guaranteed the safe draining of sewage at the outlet, a statistical method is adopted in this paper for the determination of the guarantee rate of safe draining at Zuyuan sewage outlet by means of the characteristics of fluvial process and previous topographic data, and the guaranteed water depth for safe draining is then determined.展开更多
BACKGROUND Mycobacterium tuberculosis(TB)is the causative agent of TB,a chronic granulo-matous illness.This disease is prevalent in low-income countries,posing a significant global health challenge.Gastrointestinal TB...BACKGROUND Mycobacterium tuberculosis(TB)is the causative agent of TB,a chronic granulo-matous illness.This disease is prevalent in low-income countries,posing a significant global health challenge.Gastrointestinal TB is one of the three forms.The disease can mimic other intra-abdominal conditions,leading to delayed diagnosis owing to the absence of specific symptoms.While gastric outlet obs-truction(GOO)remains a frequent complication,its incidence has declined with the advent of proton pump inhibitors and Helicobacter pylori eradication therapy.Gastroduodenal TB can cause upper gastrointestinal hemorrhage,obstruction,and malignancy-like tumors.CASE SUMMARY A 23-year-old male presented with recurrent epigastric pain,distension,nausea,vomiting,and weight loss,prompting a referral to a gastroenterologist clinic.Endoscopic examination revealed distorted gastric mucosa and signs of chronic inflammation.However,treatment was interrupted,possibly owing to vomiting or comorbidities such as human immunodeficiency virus infection or diabetes.Subsequent surgical intervention revealed a dilated stomach and diffuse thickening of the duodenal wall.Resection revealed gastric wall effacement with TB.CONCLUSION Primary gastric TB is rare,frequently leading to GOO.Given its rarity,suspicions should be promptly raised when encountering relevant symptoms,often requiring surgical intervention for diagnosis and treatment.展开更多
The five chemical associations of heavy metals have been extracted continuously using the Tessier extracting method. Results show that Cu, Pb, Fe, Zn and Cr in the sediments are mainly distributed in residual fraction...The five chemical associations of heavy metals have been extracted continuously using the Tessier extracting method. Results show that Cu, Pb, Fe, Zn and Cr in the sediments are mainly distributed in residual fraction, while the major chemical association of Mn is carbonates. Carbonate heavy metals are converted into Fe-Mn oxides in autumn. And in the low tidal flat, after carbonates have changed into ionic heavy metals, some of the elements are transported to the overlying water. Cu, Pb, Fe and Mn have good correlations with each other, and Zn, Cr also show their similarity of chemical behavior in the sediments.展开更多
1.Introduction The urban sewage treatment system,including sewage pipe networks and sewage treatment plants,is an important infrastructure to ensure urban social and economic operation.In the past few decades,due to t...1.Introduction The urban sewage treatment system,including sewage pipe networks and sewage treatment plants,is an important infrastructure to ensure urban social and economic operation.In the past few decades,due to the unremitting efforts of the Chinese government,the construction of China’s urban sewage treatment infrastructure has developed rapidly[1].展开更多
The rapid spread of the coronavirus disease(COVID-19)pandemic in over 200 countries poses a substantial threat to human health.Severe acute respiratory syndrome coronavirus 2(SARS-CoV-2),which causes COVID-19,can be d...The rapid spread of the coronavirus disease(COVID-19)pandemic in over 200 countries poses a substantial threat to human health.Severe acute respiratory syndrome coronavirus 2(SARS-CoV-2),which causes COVID-19,can be discharged with feces into the drainage system.However,a comprehensive understanding of the occurrence,presence,and potential transmission of SARS-CoV-2 in sewers,especially in community sewers,is still lacking.This study investigated the virus occurrence by viral nucleic acid testing in vent stacks,septic tanks,and the main sewer outlets of community where confirmed patients had lived during the early days of the epidemic in Wuhan,China.The results indicated that the risk of long-term emission of SARS-CoV-2 to the environment via vent stacks of buildings was low after confirmed patients were hospitalized.SARS-CoV-2 were mainly detected in the liquid phase,as opposed to being detected in aerosols,and its RNA in the sewage of septic tanks could be detected for only four days after confirmed patients were hospitalized.The surveillance of SARS-CoV-2 in sewage could be a sensitive indicator for the possible presence of asymptomatic patients in the community,though the viral concentration could be diluted more than ten times,depending on the sampling site,as indicated by the Escherichia coli test.The comprehensive investigation of the community sewage drainage system is helpful to understand the occurrence characteristics of SARS-CoV-2 in sewage after excretion with feces and the feasibility of sewage surveillance for COVID-19 pandemic monitoring.展开更多
Rural domestic sewage treatment is an important part of the rural revitalization strategy and a key action to build a livable, livable and beautiful countryside. This paper composes and summarizes the relevant studies...Rural domestic sewage treatment is an important part of the rural revitalization strategy and a key action to build a livable, livable and beautiful countryside. This paper composes and summarizes the relevant studies on rural domestic sewage treatment from the governance techniques and modes of governance subjects and research perspectives, in order to provide reference for the implementation of rural revitalization strategy and rural domestic sewage treatment research and action implementation.展开更多
[Objectives] By reasonable water distribution and air supply to soil, soil water permeability is maintained, and the nutrient conditions of degrading bacteria in soil are improved to effectively prevent soil clogging....[Objectives] By reasonable water distribution and air supply to soil, soil water permeability is maintained, and the nutrient conditions of degrading bacteria in soil are improved to effectively prevent soil clogging. [Methods] Through the innovation and improvement of traditional soil sewage treatment technology, the physical, chemical and biological characteristics of soil for sewage purification are utilized to enhance the pollutant decomposition ability of soil microorganisms and maintain soil water permeability.[Results] It has no secondary pollution, and can effectively remove pollutants such as COD_(Cr), TN, TP, NH_3-N, etc. in sewage. [Conclusions] The operation and maintenance cost is low, and the land can be reused, while water and nutrients can be restored to the land.展开更多
The 20<sup>th</sup> National Congress of the Communist Party of China proposed to promote the improvement of urban and rural living environment and build livable and workable villages and beautiful village...The 20<sup>th</sup> National Congress of the Communist Party of China proposed to promote the improvement of urban and rural living environment and build livable and workable villages and beautiful villages. The development and challenges of rural domestic sewage treatment coexist. Based on the field investigation of 15 administrative villages in 3 districts and counties of Dongying City, there is a big gap between the development status of rural domestic sewage treatment and expectations. Investigate rural domestic sewage treatment cases in-depth, and condense four modes of primitive, developmental, mature and advanced in a variety of different rural domestic sewage treatment models for discussion, among which, the village sewage treatment work under the mature mode has achieved remarkable results, and is at the forefront of the current rural domestic sewage treatment. Through the multi-case analysis method, the practical dilemma of sewage treatment in different models of villages is summarized, and the feasible improvement path is explored, which contributes to the ecological protection and high-quality development of Dongying and the Yellow River Basin.展开更多
Background:Ventricular septal defect(VSD)is the most common congenital heart disease.Transcatheter VSD closure is an effective treatment for patients with muscular and perimembranous VSD.However,there is a limit data ...Background:Ventricular septal defect(VSD)is the most common congenital heart disease.Transcatheter VSD closure is an effective treatment for patients with muscular and perimembranous VSD.However,there is a limit data for outlet VSD,especially impact to the aortic valve leaflet after transcatheter closure.This study aims to assess the outcomes of transcatheter closure of the outlet-type ventricular septal defect(OVSD)after 1 postoperative year.Methods:A retrospective study was performed including 50 patients who underwent transcatheter(n=25)and surgical(n=25)OVSD closure during the exact time frame at two medical centres.Results:The median age and body weight of patients in the transcatheter group were significantly higher than those of patients in the surgical group(7.0 vs.2.8 years;27.0 vs.11.4 kg;p<0.01).The defect size in the surgical group was significantly larger than that in the transcatheter group(5.0 vs.3.0 mm;p<0.01).All OVSD patients have successful transcatheter closure(100%)as effective as surgical closure.Less than small residual shunt was present 20%and 8%immediately after the procedure in the transcatheter and surgical groups(p=0.50),which decreased to 12%and 4%at the 1-year follow-up(p=0.61),respectively.No incidence of complete atrioventricular block and other complications was observed in both groups,and no significant differences were noted in the new onset or worsening of the aortic regurgitation in both groups(p=1.0).Conclusions:Transcatheter treatment could be effectively and safely achieved for OVSD closure at 1-year follow-up.展开更多
BACKGROUND Chemotherapy followed by gastrojejunostomy remains the main treatment for unresectable gastric cancer(GC)in the middle-or lower-third regions with gastric outlet obstruction(GOO).Radical surgery is performe...BACKGROUND Chemotherapy followed by gastrojejunostomy remains the main treatment for unresectable gastric cancer(GC)in the middle-or lower-third regions with gastric outlet obstruction(GOO).Radical surgery is performed as part of a multimodal treatment strategy for selected patients who respond well to chemotherapy.This study describes a case of successful radical resection with completely laparoscopic subtotal gastrectomy after a modified stomach-partitioning gastrojejunostomy(SPGJ)for obstruction relief,in a patient with GOO.CASE SUMMARY During the initial esophagogastroduodenoscopy,an advanced growth was detected in the lower part of the stomach,which caused an obstruction in the pyloric ring.Following this,a computed tomography(CT)scan revealed the presence of lymph node metastases and tumor invasion in the duodenum,but no evidence of distant metastasis was found.Consequently,we performed a modified SPGJ,a complete laparoscopic SPGJ combined with No.4sb lymph node dissection,for obstruction relief.Seven courses of adjuvant capecitabine plus oxaliplatin combined with Toripalimab(programmed death ligand-1 inhibitor)were administered thereafter.A preoperative CT showed partial response;therefore,completely laparoscopic radical subtotal gastrectomy with D2 lymphadenectomy was performed after conversion therapy,and pathological complete remission was achieved.CONCLUSION Laparoscopic SPGJ combined with No.4sb lymph node dissection was an effective surgical technique for initially unresectable GC with GOO.展开更多
BACKGROUND Transoral outlet reduction(TORe)is a minimally invasive endoscopic revision of Roux-en-Y gastric bypass(RYGB)for weight recurrence;however,little has been published on its clinical implementation in the com...BACKGROUND Transoral outlet reduction(TORe)is a minimally invasive endoscopic revision of Roux-en-Y gastric bypass(RYGB)for weight recurrence;however,little has been published on its clinical implementation in the community setting.AIM To characterize the safety and efficacy of TORe in the community setting for adults with weight recurrence after RYGB.METHODS This is a retrospective cohort study of argon plasma coagulation and purse-string suturing for gastric outlet reduction in consecutive adults with weight recurrence after RYGB at a single community center from September 2020 to September 2022.Patients were provided longitudinal nutritional support via virtual visits.The primary outcome was total body weight loss(TBWL)at twelve months from TORe.Secondary outcomes included TBWL at three months and six months;excess weight loss(EWL)at three,six,and twelve months;twelve-month TBWL by obesity class;predictors of twelve-month TBWL;rates of post-TORe stenosis;and serious adverse events(SAE).Outcomes were reported with descriptive statistics.RESULTS Two hundred eighty-four adults(91.9%female,age 51.3 years,body mass index 39.3 kg/m^(2))underwent TORe an average of 13.3 years after RYGB.Median pre-and post-TORe outlet diameter was 35 mm and 8 mm,respectively.TBWL was 11.7%±4.6%at three months,14.3%±6.3%at six months,and 17.3%±7.9%at twelve months.EWL was 38.4%±28.2%at three months,46.5%±35.4%at six months,and 53.5%±39.2%at twelve months.The number of follow-up visits attended was the strongest predictor of TBWL at twelve months(R^(2)=0.0139,P=0.0005).Outlet stenosis occurred in 11 patients(3.9%)and was successfully managed with endoscopic dilation.There was one instance of post-procedural nausea requiring overnight observation(SAE rate 0.4%).CONCLUSION When performed by an experienced endoscopist and combined with longitudinal nutritional support,purse-string TORe is safe and effective in the community setting for adults with weight recurrence after RYGB.展开更多
The hydrodynamic circulation within the marine environment is a complex phenomenon, characterized by the interplay of strong tidal forces, atmospheric influences, and bathymetric features. The physical and hydrodynami...The hydrodynamic circulation within the marine environment is a complex phenomenon, characterized by the interplay of strong tidal forces, atmospheric influences, and bathymetric features. The physical and hydrodynamic attributes of this flow play a pivotal role in promoting vertical mixing of seawater masses, thereby facilitating the integration of their physical and chemical parameters, including nutrients and oxygen. Additionally, they are instrumental in governing the dispersion and diffusion of pollutants originating from urban sewage, contributing to the overall water renewal process and environmental quality. This study investigates the potential impact of anticipated increases in average air temperatures on water column stratification in coastal regions susceptible to these dynamic influences. These areas receive treated urban sewage, and the study aims to assess how these temperature changes might influence the dispersion and mixing of pollutant loads present in these coastal waters.展开更多
In the process of designing a municipal rainwater and sewage pumping station,it is necessary to accurately grasp the design points,reasonably determine the scale of the rainwater and sewage pumping station,scientifica...In the process of designing a municipal rainwater and sewage pumping station,it is necessary to accurately grasp the design points,reasonably determine the scale of the rainwater and sewage pumping station,scientifically select the location and layout,and select materials reasonably.After completing the process design of the municipal rainwater and sewage pumping station and putting it into operation,in order to ensure the normal and stable operation of the pumping station,it is necessary to focus on strengthening the operation and management of diving equipment,cleaning equipment,and electromechanical equipment.The author analyzes the key points and specific design path of the process design of municipal rainwater and sewage pumping stations,and puts forward effective strategies for operation management,hoping to contribute to the scientific design and stable operation of municipal rainwater and sewage pumping stations.展开更多
文摘To select the location of sewage outlet in the sewage disposal program of Shanghai is a rather comprehensive problem which covers many fields and has great influences. The sewage outlet at Zuyuan, about 10 km away from Wusongkou, is situated on the south bank of the South Channel in the Yangtze Estuary. In order to determine the water depth which can guaranteed the safe draining of sewage at the outlet, a statistical method is adopted in this paper for the determination of the guarantee rate of safe draining at Zuyuan sewage outlet by means of the characteristics of fluvial process and previous topographic data, and the guaranteed water depth for safe draining is then determined.
文摘BACKGROUND Mycobacterium tuberculosis(TB)is the causative agent of TB,a chronic granulo-matous illness.This disease is prevalent in low-income countries,posing a significant global health challenge.Gastrointestinal TB is one of the three forms.The disease can mimic other intra-abdominal conditions,leading to delayed diagnosis owing to the absence of specific symptoms.While gastric outlet obs-truction(GOO)remains a frequent complication,its incidence has declined with the advent of proton pump inhibitors and Helicobacter pylori eradication therapy.Gastroduodenal TB can cause upper gastrointestinal hemorrhage,obstruction,and malignancy-like tumors.CASE SUMMARY A 23-year-old male presented with recurrent epigastric pain,distension,nausea,vomiting,and weight loss,prompting a referral to a gastroenterologist clinic.Endoscopic examination revealed distorted gastric mucosa and signs of chronic inflammation.However,treatment was interrupted,possibly owing to vomiting or comorbidities such as human immunodeficiency virus infection or diabetes.Subsequent surgical intervention revealed a dilated stomach and diffuse thickening of the duodenal wall.Resection revealed gastric wall effacement with TB.CONCLUSION Primary gastric TB is rare,frequently leading to GOO.Given its rarity,suspicions should be promptly raised when encountering relevant symptoms,often requiring surgical intervention for diagnosis and treatment.
基金This work is supported by the National Natural Science Focal Projects Foundation of China(Grant No.40131020)the National Natural Science Foundation of China(Grant No.49833030)+2 种基金the Venus Program Foundation for Young Scientists of Shanghai(Grant No.97QA14023)its Tracking Program(Grant No.01QMH1406)the Dawn Program of Shanghai Ecucational Development Foundation.
文摘The five chemical associations of heavy metals have been extracted continuously using the Tessier extracting method. Results show that Cu, Pb, Fe, Zn and Cr in the sediments are mainly distributed in residual fraction, while the major chemical association of Mn is carbonates. Carbonate heavy metals are converted into Fe-Mn oxides in autumn. And in the low tidal flat, after carbonates have changed into ionic heavy metals, some of the elements are transported to the overlying water. Cu, Pb, Fe and Mn have good correlations with each other, and Zn, Cr also show their similarity of chemical behavior in the sediments.
基金funded by the National Key Research and Development Project of China(2021YFC3200700)the Major Consulting Research Project of the Chinese Academy of Engineering(2019-ZD-33).
文摘1.Introduction The urban sewage treatment system,including sewage pipe networks and sewage treatment plants,is an important infrastructure to ensure urban social and economic operation.In the past few decades,due to the unremitting efforts of the Chinese government,the construction of China’s urban sewage treatment infrastructure has developed rapidly[1].
基金funded by the projects of the Major Program of National Natural Science Foundation of China(52091543)Tsinghua University Spring Breeze Fund(20213080026)the Chinese Academy of Engineering(2020-ZD-15).
文摘The rapid spread of the coronavirus disease(COVID-19)pandemic in over 200 countries poses a substantial threat to human health.Severe acute respiratory syndrome coronavirus 2(SARS-CoV-2),which causes COVID-19,can be discharged with feces into the drainage system.However,a comprehensive understanding of the occurrence,presence,and potential transmission of SARS-CoV-2 in sewers,especially in community sewers,is still lacking.This study investigated the virus occurrence by viral nucleic acid testing in vent stacks,septic tanks,and the main sewer outlets of community where confirmed patients had lived during the early days of the epidemic in Wuhan,China.The results indicated that the risk of long-term emission of SARS-CoV-2 to the environment via vent stacks of buildings was low after confirmed patients were hospitalized.SARS-CoV-2 were mainly detected in the liquid phase,as opposed to being detected in aerosols,and its RNA in the sewage of septic tanks could be detected for only four days after confirmed patients were hospitalized.The surveillance of SARS-CoV-2 in sewage could be a sensitive indicator for the possible presence of asymptomatic patients in the community,though the viral concentration could be diluted more than ten times,depending on the sampling site,as indicated by the Escherichia coli test.The comprehensive investigation of the community sewage drainage system is helpful to understand the occurrence characteristics of SARS-CoV-2 in sewage after excretion with feces and the feasibility of sewage surveillance for COVID-19 pandemic monitoring.
文摘Rural domestic sewage treatment is an important part of the rural revitalization strategy and a key action to build a livable, livable and beautiful countryside. This paper composes and summarizes the relevant studies on rural domestic sewage treatment from the governance techniques and modes of governance subjects and research perspectives, in order to provide reference for the implementation of rural revitalization strategy and rural domestic sewage treatment research and action implementation.
文摘[Objectives] By reasonable water distribution and air supply to soil, soil water permeability is maintained, and the nutrient conditions of degrading bacteria in soil are improved to effectively prevent soil clogging. [Methods] Through the innovation and improvement of traditional soil sewage treatment technology, the physical, chemical and biological characteristics of soil for sewage purification are utilized to enhance the pollutant decomposition ability of soil microorganisms and maintain soil water permeability.[Results] It has no secondary pollution, and can effectively remove pollutants such as COD_(Cr), TN, TP, NH_3-N, etc. in sewage. [Conclusions] The operation and maintenance cost is low, and the land can be reused, while water and nutrients can be restored to the land.
文摘The 20<sup>th</sup> National Congress of the Communist Party of China proposed to promote the improvement of urban and rural living environment and build livable and workable villages and beautiful villages. The development and challenges of rural domestic sewage treatment coexist. Based on the field investigation of 15 administrative villages in 3 districts and counties of Dongying City, there is a big gap between the development status of rural domestic sewage treatment and expectations. Investigate rural domestic sewage treatment cases in-depth, and condense four modes of primitive, developmental, mature and advanced in a variety of different rural domestic sewage treatment models for discussion, among which, the village sewage treatment work under the mature mode has achieved remarkable results, and is at the forefront of the current rural domestic sewage treatment. Through the multi-case analysis method, the practical dilemma of sewage treatment in different models of villages is summarized, and the feasible improvement path is explored, which contributes to the ecological protection and high-quality development of Dongying and the Yellow River Basin.
文摘Background:Ventricular septal defect(VSD)is the most common congenital heart disease.Transcatheter VSD closure is an effective treatment for patients with muscular and perimembranous VSD.However,there is a limit data for outlet VSD,especially impact to the aortic valve leaflet after transcatheter closure.This study aims to assess the outcomes of transcatheter closure of the outlet-type ventricular septal defect(OVSD)after 1 postoperative year.Methods:A retrospective study was performed including 50 patients who underwent transcatheter(n=25)and surgical(n=25)OVSD closure during the exact time frame at two medical centres.Results:The median age and body weight of patients in the transcatheter group were significantly higher than those of patients in the surgical group(7.0 vs.2.8 years;27.0 vs.11.4 kg;p<0.01).The defect size in the surgical group was significantly larger than that in the transcatheter group(5.0 vs.3.0 mm;p<0.01).All OVSD patients have successful transcatheter closure(100%)as effective as surgical closure.Less than small residual shunt was present 20%and 8%immediately after the procedure in the transcatheter and surgical groups(p=0.50),which decreased to 12%and 4%at the 1-year follow-up(p=0.61),respectively.No incidence of complete atrioventricular block and other complications was observed in both groups,and no significant differences were noted in the new onset or worsening of the aortic regurgitation in both groups(p=1.0).Conclusions:Transcatheter treatment could be effectively and safely achieved for OVSD closure at 1-year follow-up.
基金Supported by the National Natural Science Foundation of China,No.82072734.
文摘BACKGROUND Chemotherapy followed by gastrojejunostomy remains the main treatment for unresectable gastric cancer(GC)in the middle-or lower-third regions with gastric outlet obstruction(GOO).Radical surgery is performed as part of a multimodal treatment strategy for selected patients who respond well to chemotherapy.This study describes a case of successful radical resection with completely laparoscopic subtotal gastrectomy after a modified stomach-partitioning gastrojejunostomy(SPGJ)for obstruction relief,in a patient with GOO.CASE SUMMARY During the initial esophagogastroduodenoscopy,an advanced growth was detected in the lower part of the stomach,which caused an obstruction in the pyloric ring.Following this,a computed tomography(CT)scan revealed the presence of lymph node metastases and tumor invasion in the duodenum,but no evidence of distant metastasis was found.Consequently,we performed a modified SPGJ,a complete laparoscopic SPGJ combined with No.4sb lymph node dissection,for obstruction relief.Seven courses of adjuvant capecitabine plus oxaliplatin combined with Toripalimab(programmed death ligand-1 inhibitor)were administered thereafter.A preoperative CT showed partial response;therefore,completely laparoscopic radical subtotal gastrectomy with D2 lymphadenectomy was performed after conversion therapy,and pathological complete remission was achieved.CONCLUSION Laparoscopic SPGJ combined with No.4sb lymph node dissection was an effective surgical technique for initially unresectable GC with GOO.
文摘BACKGROUND Transoral outlet reduction(TORe)is a minimally invasive endoscopic revision of Roux-en-Y gastric bypass(RYGB)for weight recurrence;however,little has been published on its clinical implementation in the community setting.AIM To characterize the safety and efficacy of TORe in the community setting for adults with weight recurrence after RYGB.METHODS This is a retrospective cohort study of argon plasma coagulation and purse-string suturing for gastric outlet reduction in consecutive adults with weight recurrence after RYGB at a single community center from September 2020 to September 2022.Patients were provided longitudinal nutritional support via virtual visits.The primary outcome was total body weight loss(TBWL)at twelve months from TORe.Secondary outcomes included TBWL at three months and six months;excess weight loss(EWL)at three,six,and twelve months;twelve-month TBWL by obesity class;predictors of twelve-month TBWL;rates of post-TORe stenosis;and serious adverse events(SAE).Outcomes were reported with descriptive statistics.RESULTS Two hundred eighty-four adults(91.9%female,age 51.3 years,body mass index 39.3 kg/m^(2))underwent TORe an average of 13.3 years after RYGB.Median pre-and post-TORe outlet diameter was 35 mm and 8 mm,respectively.TBWL was 11.7%±4.6%at three months,14.3%±6.3%at six months,and 17.3%±7.9%at twelve months.EWL was 38.4%±28.2%at three months,46.5%±35.4%at six months,and 53.5%±39.2%at twelve months.The number of follow-up visits attended was the strongest predictor of TBWL at twelve months(R^(2)=0.0139,P=0.0005).Outlet stenosis occurred in 11 patients(3.9%)and was successfully managed with endoscopic dilation.There was one instance of post-procedural nausea requiring overnight observation(SAE rate 0.4%).CONCLUSION When performed by an experienced endoscopist and combined with longitudinal nutritional support,purse-string TORe is safe and effective in the community setting for adults with weight recurrence after RYGB.
文摘The hydrodynamic circulation within the marine environment is a complex phenomenon, characterized by the interplay of strong tidal forces, atmospheric influences, and bathymetric features. The physical and hydrodynamic attributes of this flow play a pivotal role in promoting vertical mixing of seawater masses, thereby facilitating the integration of their physical and chemical parameters, including nutrients and oxygen. Additionally, they are instrumental in governing the dispersion and diffusion of pollutants originating from urban sewage, contributing to the overall water renewal process and environmental quality. This study investigates the potential impact of anticipated increases in average air temperatures on water column stratification in coastal regions susceptible to these dynamic influences. These areas receive treated urban sewage, and the study aims to assess how these temperature changes might influence the dispersion and mixing of pollutant loads present in these coastal waters.
文摘In the process of designing a municipal rainwater and sewage pumping station,it is necessary to accurately grasp the design points,reasonably determine the scale of the rainwater and sewage pumping station,scientifically select the location and layout,and select materials reasonably.After completing the process design of the municipal rainwater and sewage pumping station and putting it into operation,in order to ensure the normal and stable operation of the pumping station,it is necessary to focus on strengthening the operation and management of diving equipment,cleaning equipment,and electromechanical equipment.The author analyzes the key points and specific design path of the process design of municipal rainwater and sewage pumping stations,and puts forward effective strategies for operation management,hoping to contribute to the scientific design and stable operation of municipal rainwater and sewage pumping stations.
