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Fertility outcome analysis after modified laparoscopic microsurgical tubal anastomosis
null
《医学前沿(英文)》 2011年 第5卷 第3期 页码 310-314 doi: 10.1007/s11684-011-0152-8
Modified laparoscopic microsurgical tubal anastomosis is an alternative for microsurgical anastomosis via laparotomy to reverse sterilization in women with renewed child wish. The current study aims to evaluate the fertility outcome after modified laparoscopic microsurgical tubal anastomosis. A retrospective study was performed. Fifty-eight women who underwent modified laparoscopic microsurgical tubal anastomosis were monitored to investigate the fertility outcome and characteristics of this new technology. Of the 58 patients, the cumulative pregnancy rate (PR) in the 42 patients with follow-up data was 23.8% (10/42), 57.1% (24/42), 66.7% (28/42), and 73.8% (31/42) within 6, 12, 24, and 36 months after surgery, respectively. The intrauterine PR was 69.0% (29/42). Two patients (4.8%) had ectopic pregnancies that occurred within 24 months of surgery; three cases ended in spontaneous abortion. The delivery rate was 83.9% (26/31). The length of operating time was 1.2±0.3 h, with a range of 1.0–2.5 h (60–145 min), and the mean time was approximately 75 min. The blood loss was relatively small, between 10 and 50 ml with an average amount of 22 ml. Thus, the modified laparoscopic tubal anastomosis is a highly successful procedure and a viable alternative to open abdominal microsurgical approaches. Compared with the traditional laparoscopic tubal sterilization reversal, this modified approach has three advantages: (1) less invasive approach via a trocar reduction; (2) remodeling of tube is better performing tied together after 3–4 sutures; and (3) faster operating time.
李长东,冯颖,陈素文,聂东云,李坚,张为远
《中国工程科学》 2014年 第16卷 第5期 页码 20-23
为了探讨宫腔镜和腹腔镜手术治疗剖宫产瘢痕妊娠(CSP)的指证及技术要点。回顾性地分析了首都医科大学附属北京妇产医院2013 年1 月—2013 年12 月收治的72 例CSP患者的治疗情况。所有患者入院后行血清人绒毛膜促性腺激素(HCG)测定和三维彩超检查。根据局部病灶范围、HCG结果和多普勒B超血流结果,术前选择性行子宫动脉栓塞介入治疗或甲氨蝶呤治疗后,进一步行宫腔镜、腹腔镜或宫腹联合手术治疗。结果显示,30 例采用超声监测下宫腔镜CSP病灶切除术,12 例采用腹腔镜监护下宫腔镜CSP病灶切除术,30 例采用宫腹腔镜联合CSP病灶切除+剖宫产瘢痕修补术,均收到了良好的治疗效果。术中出血量为(83±57)mL,术后肛门排气时间为(20±6.6)h,阴道流血时间为(3.2±4.8)d,血清HCG降至正常时间为(8.6±3.9)d,出院时间为(3.2±2.0)d。患者术后病理诊断与术前的CSP诊断符合率达到100 %。研究得出,有剖宫产史的妇女再次妊娠时,有发生CSP的可能。超声或腹腔镜监护下宫腔镜CSP病灶切除术是治疗CSP的有效措施,病灶切除确切,创伤小;宫、腹腔镜CSP病灶切除+剖宫产瘢痕修补术在切除病灶,对后续有生育要求患者同时修复剖宫产瘢痕处解剖学异常,降低了再次妊娠时CSP和子宫破裂、胎盘植入等产科并发症的风险。
Regulatory issues for genetically modified animals
Perry Bradbury HACKETT
《农业科学与工程前沿(英文)》 2020年 第7卷 第2期 页码 188-203 doi: 10.15302/J-FASE-2019307
Precision genetics and breeding have the potential to meet the agricultural needs and goals of the world in the 21st century. These needs include increasing the efficiency of production of animals and improving their products with minimal impact on the environment. The USA is the major innovator in genomic science and the acknowledged leader in formulating policies to regulate genetic applications in medicine and agriculture. However, governments worldwide have been exceedingly reluctant to support the introduction of genetically modified (GM) animals into agriculture. Regulatory policies have stagnated due to legal guidelines that could not anticipate the needs and solutions that are evident today. This must change if we are to maintain planetary integrity. I propose a new, market-based regulatory model for GM livestock that has both a strong scientific foundation and has worked for 10000 years. The model is similar to that for information technology in which specific algorithms drive computer and cell phone applications. Genome engineers write genetic algorithms that drive the traits in biological organisms. Accordingly, GM products should be viewed in terms of their use and public benefit rather than by limitations to the genetic programing coming from a few highly vocal groups. Genetic algorithms (Genapps) of the 21st century will include not only introduction of synthetic genes, but also complete natural and synthetic biochemical pathways to produce agricultural products that are maximally efficient, healthy to humans and animals, and sustainable in an era of changing climates while avoiding environmental degradation.
Tuned reactive power dispatch through modified differential evolution technique
S. BISWAS (RAHA), N. CHAKRABORTY
《能源前沿(英文)》 2012年 第6卷 第2期 页码 138-147 doi: 10.1007/s11708-012-0188-8
关键词: reactive power dispatch (RPD) modified differential evolution (MDE) differential evolution algorithm with localizations around the best vector (DELB)
Current progress on natural orifice transluminal endoscopic surgery (NOTES)
null
《医学前沿(英文)》 2012年 第6卷 第2期 页码 187-194 doi: 10.1007/s11684-012-0198-2
Natural orifice transluminal endoscopic surgery (NOTES) has received considerable interest in recent years as a novel surgical technique. Here, we aim to review the current progress on NOTES, particularly focusing on the advantages and complications related to NOTES, the recent advances of surgical approaches, new instruments for closure of the natural orifice incision, and the newly developed platform for NOTES. Finally, we make a prediction of the conceivable applications of NOTES on human subjects.
关键词: natural orifice transluminal endoscopic surgery (NOTES) laparotomy laparoscopy
Approaching the binding between Cu(II) and aerobic granules by a modified titration and µ-XRF
Hongwei LUO,Longfei WANG,Zhonghua TONG,Hanqing YU,Guoping SHENG
《环境科学与工程前沿(英文)》 2016年 第10卷 第2期 页码 362-367 doi: 10.1007/s11783-015-0803-0
关键词: aerobic granules Cu(II) modified titration µ-XRF analysis
Kinetics and thermodynamics of the phosphine adsorption on the modified activated carbon
Bingnan REN
《化学科学与工程前沿(英文)》 2011年 第5卷 第2期 页码 203-208 doi: 10.1007/s11705-010-0571-0
关键词: adsorption PH3 activated carbon kinetics thermodynamics
Removing phosphorus from aqueous solutions by using iron-modified corn straw biochar
Fenglin LIU,Jiane ZUO,Tong CHI,Pei WANG,Bo YANG
《环境科学与工程前沿(英文)》 2015年 第9卷 第6期 页码 1066-1075 doi: 10.1007/s11783-015-0769-y
关键词: iron-modified biochar phosphorus removal agricultural waste agricultural runoff
Immobilization of penicillin G acylase onto amino-modified silica hydrogel
Weibing Dong, Huining HE, Junbo Gong, Victor C. YANG,
《化学科学与工程前沿(英文)》 2010年 第4卷 第1期 页码 87-90 doi: 10.1007/s11705-009-0298-y
关键词: gravimetric amino-modified efficient Amino-modified amoxicillin
Phosphorous removal from wastewater by lanthanum modified Y zeolites
Weikang ZHANG, Ye TIAN
《化学科学与工程前沿(英文)》 2015年 第9卷 第2期 页码 209-215 doi: 10.1007/s11705-014-1448-4
关键词: phosphate removal wastewater lanthanum impregnation Y zeolites
Outdoor aging of road asphalt and SBS modified asphalt
Li XIANG, Juan TU, Jian CHENG, Guohe QUE
《化学科学与工程前沿(英文)》 2011年 第5卷 第1期 页码 35-42 doi: 10.1007/s11705-010-0551-4
关键词: asphalt SBS modified road asphalt outdoor aging ultraviolet
ZHANG Dalin, QIU Suizheng, SU Guanghui, JIA Dounan
《能源前沿(英文)》 2007年 第1卷 第2期 页码 174-180 doi: 10.1007/s11708-007-0022-x
Gold modified cobalt-based Fischer-Tropsch catalysts for conversion of synthesis gas to liquid fuels
Alan J. McCue, Jura Aponaviciute, Richard P.K. Wells, James A. Anderson
《化学科学与工程前沿(英文)》 2013年 第7卷 第3期 页码 262-269 doi: 10.1007/s11705-013-1334-5
Yanhui ZHAN, Jianwei LIN, Yanling QIU, Naiyun GAO, Zhiliang ZHU
《环境科学与工程前沿(英文)》 2011年 第5卷 第1期 页码 65-75 doi: 10.1007/s11783-010-0277-z
关键词:
bilayer
Chengyuan SU, Weiguang LI, Yong WANG
《环境科学与工程前沿(英文)》 2013年 第7卷 第4期 页码 503-511 doi: 10.1007/s11783-012-0477-9
关键词: direct fast black acid-thermal modified sepiolite adsorption response surface methodology
标题 作者 时间 类型 操作
Tuned reactive power dispatch through modified differential evolution technique
S. BISWAS (RAHA), N. CHAKRABORTY
期刊论文
Approaching the binding between Cu(II) and aerobic granules by a modified titration and µ-XRF
Hongwei LUO,Longfei WANG,Zhonghua TONG,Hanqing YU,Guoping SHENG
期刊论文
Kinetics and thermodynamics of the phosphine adsorption on the modified activated carbon
Bingnan REN
期刊论文
Removing phosphorus from aqueous solutions by using iron-modified corn straw biochar
Fenglin LIU,Jiane ZUO,Tong CHI,Pei WANG,Bo YANG
期刊论文
Immobilization of penicillin G acylase onto amino-modified silica hydrogel
Weibing Dong, Huining HE, Junbo Gong, Victor C. YANG,
期刊论文
Outdoor aging of road asphalt and SBS modified asphalt
Li XIANG, Juan TU, Jian CHENG, Guohe QUE
期刊论文
Estimation of thermodynamic properties of the ternary molten salt system, LiF-NaF-BeF2, by the modified
ZHANG Dalin, QIU Suizheng, SU Guanghui, JIA Dounan
期刊论文
Gold modified cobalt-based Fischer-Tropsch catalysts for conversion of synthesis gas to liquid fuels
Alan J. McCue, Jura Aponaviciute, Richard P.K. Wells, James A. Anderson
期刊论文
Adsorption of humic acid from aqueous solution on bilayer hexadecyltrimethyl ammonium bromide-modified
Yanhui ZHAN, Jianwei LIN, Yanling QIU, Naiyun GAO, Zhiliang ZHU
期刊论文