• Title/Summary/Keyword: MEI

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Risk Factors for Duodenal Stump Leakage after Laparoscopic Gastrectomy for Gastric Cancer

  • Gu, Lihu;Zhang, Kang;Shen, Zefeng;Wang, Xianfa;Zhu, Hepan;Pan, Junhai;Zhong, Xin;Khadaroo, Parikshit Asutosh;Chen, Ping
    • Journal of Gastric Cancer
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    • v.20 no.1
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    • pp.81-94
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    • 2020

  • Purpose: Duodenal stump leakage (DSL) is a potentially fatal complication that can occur after gastrectomy, but its underlying risk factors are unclear. This study aimed to investigate the risk factors and management of DSL after laparoscopic radical gastrectomy for gastric cancer (GC). Materials and Methods: Relevant data were collected from several prospective databases to retrospectively analyze the data of GC patients who underwent Billroth II (B-II) or Rouxen-Y (R-Y) reconstruction after laparoscopic gastrectomy from 2 institutions (Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, and HwaMei Hospital, University of Chinese Academy of Sciences). The DSL risk factors were analyzed using univariate and multivariate analysis regression. Results: A total of 810 patients were eligible for our analysis (426 with R-Y, 384 with B-II with Braun). Eleven patients had DSL (1.36%). Body mass index (BMI), elevated preoperative C-reactive protein (CRP) level, and unreinforced duodenal stump were the independent risk factors for DSL. DSL was diagnosed in 2-12 days, with a median of 8 days. Seven patients received conservative treatment, 3 patients received puncture treatment, and only 1 patient required reoperation. All patients recovered successfully after treatment. Conclusions: The risk factors of DSL were BMI ≥24 kg/㎡, elevated preoperative CRP level, and unreinforced duodenal stump. Nonsurgical treatments for DSL are preferred.

  • https://doi.org/10.5230/jgc.2020.20.e4 인용 PDF KSCI

The Meaning of "Madness" Shown in the Female Narratives in Korean and Chinese Literature - Focused on the Comparative Study of Baek Shin-Ae's "The Diary of A Madman" and Mei Niang's "Before the Operation" (한중 현대여성서사에서 나타나는 '광기' - 백신애의 「광인수기」와 메이냥의 「수술하기 전」비교 고찰을 중심으로)

  • Choi, Eun-Jeong
    • Cross-Cultural Studies
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    • v.19
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    • pp.181-204
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    • 2010

  • This study analyzes the meaning of madness shown in the female narrative, focusing on two novels- "Before the Operation" by Mei Niang and "Madman's Diary" by Baek Shin-Ae. The novel "Before the Operation" reveals women's instinctive desires through an insane woman and brings up a problem of unfair suppression caused by patriarchism. On the other hand, the heroine of "Madman's Diary" shows madness when she is at a crisis to be 'the other' in the patriarchal system. Her madness is caused because she fails to find the meaning of her presence in the system. Interestingly, a woman who departs from moral standards of patriarchy (from "Before the Operation") becomes thefocus of public censure while a man (from "Madman's Diary") who also ignores those standards seems to be a victim. In "Madman's Diary", the man's wife is accused of being mad while he draws sympathy as a victim. This shows that those moral standards have duplicity. At this point, the heroines who continuously adjust themselves to the system express their madness. In other words, the madness implies a stern protest against the moral standards applied differently to men and women. It is unique that the two heroines of the novels become 'sane' when they encounter thematter of 'being a mother'. When it comes to "Madman's Diary", 'being a mother' of the insane woman who becomes 'the other' in the system foretells dismal future. Meanwhile, Mei Niang indicates the way- 'being a mother'- to overcome the dismal future through "Before the Operation". In this case, the mother is not a figure that reproduces the patriarchal power structure, but an independent figure who wants to change it. For that reason, 'being a mother' has the meaning of subversion and resistance.

Estimation of the net energy requirement for maintenance in broilers

  • Liu, Wei;Lin, Chang Hua;Wu, Zheng Ke;Liu, Guo Hua;Yan, Hai Jie;Yang, Hua Ming;Cai, Hui Yi
    • Asian-Australasian Journal of Animal Sciences
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    • v.30 no.6
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    • pp.849-856
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    • 2017

  • Objective: The net energy requirement for the maintenance ($NE_m$) of broilers was determined using regression models by the indirect calorimetry method (ICM) or the comparative slaughter method (CSM). Methods: A $2{\times}4$ factorial arrangement of treatments including the evaluation method (ICM or CSM) and feed intake (25%, 50%, 75%, or 100% of ad libitum recommended) was employed in this experiment. In the ICM, 96 male Arbor Acres (AA) birds aged d 15 were used with 4 birds per replicate and 6 replicates in each treatment. In the CSM, 116 male AA birds aged d 15 were used. Among these 116 birds, 20 were selected as for initial data and 96 were assigned to 4 treatments with 6 replicate cages and 4 birds each. The linear regression between retained energy (RE) and metabolizable energy intake (MEI) or the logarithmic regression between heat production (HP) and MEI were used to calculate the metabolizable or net energy requirement for maintenance ($ME_m$) or $NE_m$, respectively. Results: The evaluation method did not detect any differences in the metabolizable energy (ME), net energy (NE), and NE:ME of diet, and in the MEI, HP, and RE of broilers. The MEI, HP, and RE of broilers decreased (p<0.01) as the feed intake decreased. No evaluation method${\times}$feed intake interaction was observed on these parameters. The $ME_m$ and $NE_m$ estimated from the linear relationship were 594 and 386 kJ/kg of body weight $(BW)^{0.75}/d$ in the ICM, and 618 and 404 kJ/kg of $BW^{0.75}/d$ in the CSM, respectively. The $ME_m$ and $NE_m$ estimated by logarithmic regression were 607 and 448 kJ/kg of $BW^{0.75}/d$ in the ICM, and were 619 and 462 kJ/kg of $BW^{0.75}/d$ in the CSM, respectively. Conclusion: The NEm values obtained in this study provide references for estimating the NE values of broiler diets.

  • https://doi.org/10.5713/ajas.16.0484 인용 PDF KSCI