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Objective To evaluate the efficacy and safety of preoperative oral gabapentin in preventing postoperative Catheter-Related Bladder Discomfort (CRBD) in surgical patients. Methods Randomized controlled trials in which gabapentin was used for the prevention of CRBD in surgical patients with transurethral catheterization were evaluated. The primary outcome was the incidence of moderate-to-severe CRBD at 0, 1, 2, and 6 h after surgery, and secondary outcomes included the incidence of any grade CRBD, postoperative pain, and adverse events. Pooled risk ratios (RRs) and mean difference (MD), 95% confidence intervals (CIs), and P values were estimated using fixed and random effects statistical models. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was used to rate the levels of certainty for key results. Results A total of 6 randomized controlled trials involving 679 participants were included in the meta-analysis. Gabapentin significantly reduced the risk of moderate-to-severe level of certainty was moderate to low. Systematic Review Registration https//www.crd.york.ac.uk/prospero/#recordDetails, identifier CRD42021228171.Incisional hernia represents a common and potentially serious complication of open abdominal surgery, with up to 20% of all patients undergoing laparotomy subsequently developing an incisional hernia. This incidence increases to as much as 35% for laparotomies performed in high-risk patients and emergency procedures. A rarely used technique for enabling closure of large ventral hernias with loss of domain is preoperative progressive pneumoperitoneum (PPP), which uses intermittent insufflation to gradually stretch the contracted abdominal wall muscles, increasing the capacity of the abdominal cavity and allowing viscera to re-establish right of domain. This assists in tension-free closure of giant hernias which may otherwise be considered inoperable. This technique may be used on its own, or in conjunction with preoperative Botulinum Toxin A to confer paralysis to the lateral oblique muscles. These two complementary techniques, are changing the way complex hernias are managed.Background Our aim was to compare the bowel function and oncologic outcomes following these two treatment modalities. Materials and methods This was a single-center study with 67 patients included between 2009 and 2018. learn more A total of 32 patients underwent total mesorectal excision (TME) group and 35 transanal local excisions (LE) ± chemoradiation. We performed a case-matched analysis we matched the patients by age, cancer stage, and comorbidities. Duration of operation, postoperative complications, length of hospital stay, and long-term functional and oncological outcomes were compared. We calculated oncological outcomes using Kaplan-Meier Cox diagrams. In addition, we used a low anterior resection syndrome (LARS) score for the bowel function assessment. Results Mean operation time in the LE group was 58.8 ± 45 min compared with the TME group that was 121.1 ± 42 min (p = 0.032). Complications were seen in 5.7% in LE group and 15.62% in TME group (p = 0.043). ~85.2% of the patients had no LARS in LE group compared with 54.5% in TME group (p = 0.018). Minor LARS was 7.4% in LE group compared with 31.8% in TME group (p = 0.018); major LARS was 7.4 and 13.7%, respectively (p = 0.474). Hospital stay was 2.77 days in LE group compared with 9.21 days in TME group (p = 0.036). The overall survival was 68.78 months in LE group compared with 74.81 months in TME group (p = 0.964). Conclusion Our results of a small sample size showed that local excision ± chemoradiation is a rather safe method for early rectal cancer compared with gold standard treatment. In addition, better bowel function is preserved with less postoperative complications and shorter hospital stays.Purpose The aims of this study were to combine CT images with Ki-67 expression to distinguish various subtypes of lung adenocarcinoma and to pre-operatively predict the Ki-67 expression level based on CT radiomic features. Methods Data from 215 patients with 237 pathologically proven lung adenocarcinoma lesions who underwent CT and immunohistochemical Ki-67 from January 2019 to April 2021 were retrospectively analyzed. The receiver operating curve (ROC) identified the Ki-67 cut-off value for differentiating subtypes of lung adenocarcinoma. A chi-square test or t-test analyzed the differences in the CT images between the negative expression group (n = 132) and the positive expression group (n = 105), and then the risk factors affecting the expression level of Ki-67 were evaluated. Patients were randomly divided into a training dataset (n = 165) and a validation dataset (n = 72) in a ratio of 73. A total of 1,316 quantitative radiomic features were extracted from the Analysis Kinetics (A.K.) software. Radiomic e non-invasive lung adenocarcinomas from invasive lung adenocarcinomas. It is feasible and reliable to pre-operatively predict the expression level of Ki-67 in lung adenocarcinomas based on CT radiomic features, as a non-invasive biomarker to predict the degree of malignant invasion of lung adenocarcinoma, and to evaluate the prognosis of the tumor.Background Liver transplantation (LT) is considered a contraindication in patients with a history of hepatocellular carcinoma (HCC) rupture because ruptured HCCs are classified as T4 in the current American Joint Committee on Cancer TNM system. This study aimed to assess living donor liver transplantation (LDLT) in these patients and elucidate the factors that may have affected their outcomes. Methods Data of patients with a history of ruptured HCC who underwent LDLT between January 1999 and December 2019 were retrospectively reviewed. Results Among 789 patients who underwent LDLT for HCC, five (0.64%) had a history of HCC rupture. Three patients (60%) were treated with transarterial chemoembolization (TACE) or transarterial embolization (TAE) for hemostasis, and two patients (40%) achieved spontaneous hemostasis. One of two patients who achieved spontaneous hemostasis underwent surgical resection and LT at 1 week and 6 years after the rupture, respectively. The other patient underwent LT 2 days after the rupture. Four patients (80%) survived for >5 years, while two patients (40%) experienced recurrence and succumbed during the median follow-up duration of 85.3 months (range, 12.4-182.7). The recurrence first developed at 4.3 and 17.0 months after LT; these patients were managed well using surgical resection for peritoneal seeding and TACE for intrahepatic HCC. Conclusion LDLT can be considered a treatment method even in patients with a history of HCC rupture after full evaluation of tumor biology and risk of recurrence.Non-destructive testing of low-density and organic foreign bodies is the main challenge for food safety control. Terahertz time-domain spectroscopy (THz-TDS) and imaging technologies were applied to explore the feasibility of detection for insect foreign bodies in the finishing tea products. THz-TDS of tea leaves and foreign bodies of insects demonstrated significant differences in terms of time domain and frequency signals in the range of 0.3-1.0 THz. These signals were corrected by the use of adaptive iteratively reweighted penalized least squares (AirPLS), asymmetric least squares (AsLS), and baseline estimation and de-noising using sparsity (BEADS) for reducing baseline drift and enhancing effective spectral information. The K-nearest neighbor (KNN) and partial least squares discrimination analysis (PLS-DA) models showed the best performance after AirPLS correction with the prediction accuracy of 98 and 100%, respectively. In addition, the locations and outlines of insect bodies could be clearly presented via the THz-TDS image. These results suggested that THz-TDS spectroscopy and imaging provide an alternative tool for the detection of insect foreign bodies in finishing tea products.Carbohydrate counting is essential for well-controlled blood glucose in people with type 1 diabetes, but to perform it precisely is challenging, especially for Thai foods. Consequently, we developed a deep learning-based system for automatic carbohydrate counting using Thai food images taken from smartphones. The newly constructed Thai food image dataset contained 256,178 ingredient objects with measured weight for 175 food categories among 75,232 images. These were used to train object detector and weight estimator algorithms. After training, the system had a Top-1 accuracy of 80.9% and a root mean square error (RMSE) for carbohydrate estimation of less then 10 g in the test dataset. Another set of 20 images, which contained 48 food items in total, was used to compare the accuracy of carbohydrate estimations between measured weight, system estimation, and eight experienced registered dietitians (RDs). System estimation error was 4%, while estimation errors from nearest, lowest, and highest carbohydrate among RDs were 0.7, 25.5, and 7.6%, respectively. The RMSE for carbohydrate estimations of the system and the lowest RD were 9.4 and 10.2, respectively. The system could perform with an estimation error of less then 10 g for 13/20 images, which placed it third behind only two of the best performing RDs RD1 (15/20 images) and RD5 (14/20 images). Hence, the system was satisfactory in terms of accurately estimating carbohydrate content, with results being comparable with those of experienced dietitians.Background and Aims Little is known about diet-related inflammation in chronic obstructive pulmonary disease (COPD). In this study, we aimed to explore the association between COPD and dietary inflammatory index (DII) scores in adults over 40 years old. Methods Data were obtained from the 2013 to 2018 National Health and Nutrition Examination Survey (NHANES). In the present study, 9,929 participants were included and analyzed. The DII score was calculated and divided into tertiles. Logistic regression analysis was performed to determine the odds ratios of DII tertiles. Results Participants were categorized into COPD (565, 5.69%) and non-COPD groups (9,364, 94.31%) according to interview information. COPD individuals had higher DII scores than non-COPD individuals (0.429 ± 1.809 vs. -0.191 ± 1.791, p less then 0.001). The highest DII score tertile included 46.55% of COPD individuals was associated with lower family incomes and education and a higher smoking rate (p less then 0.01). The odds ratios (95% CIs) of COPD according to logistic regression were 0.709 (0.512-0.982) for T1 and 0.645 (0.475-0.877) for T2 of the DII score (p = 0.011). Conclusion Higher DII scores were positively correlated with COPD in participants over 40 years old. These results further support that diet can be used as an intervention strategy for COPD management.The attention of the Chinese government on nutrition, exercise, and health refers to the attention degree of the Central Government to the nutrition, exercise, and health of Chinese nationals and reflects whether Central Government attach importance to Chinese nationals’ nutrition, exercise and health or not and the distribution of resources, which influence the physical quality and health level of Chinese nationals. Based on the attention theory and attention distribution proposed by Herbert Simon, Dai Kai, et al., this study took 43 Central Government Work Reports from 1978 to 2020 as research samples, used literature reviews, and textual analysis methods, and applied the Nvivo12.0 software to conduct qualitative and quantitative analyses about the contents of the Central Government Work Report concerning the nutrition, exercise, and health of Chinese nationals. This research found the following (1) There has been a relatively huge overall change in the attention of the Central Government, that is, the level of attention, to the nutrition, exercise, and health of Chinese nationals from 1978 to 2020, and the policies related to nutrition, exercise and health of Chinese nationals issued by the Central Government have been growing faster.