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Search Result (311)
Perioperative Precision Medicine
Review Article
Open Access
Impact of intestinal immunologic barrier dysfunction on perioperative complications
Wenxin Shi
Wenxin Shi
Department of Pathology, Faculty of Medical Imaging, Naval Medical University, Shanghai 200082, China.
,
Yajun Hu
Yajun Hu
Department of Pathology, Faculty of Medical Imaging, Naval Medical University, Shanghai 200082, China.
,
Jin Lan
Jin Lan
Department of Pathology, Faculty of Medical Imaging, Naval Medical University, Shanghai 200082, China.
,
Jun Xiong
Jun Xiong
xiongjun2001@163.com
Department of Pathology, Faculty of Medical Imaging, Naval Medical University, Shanghai 200082, China.
,
Zhiyong Li
Zhiyong Li
zhiyongli@smmu.edu.cn
Department of Pathology, Faculty of Medical Imaging, Naval Medical University, Shanghai 200082, China.
2025 Jun;3(2):54-70
https://doi.org/10.61189/629158xrbqam
Article Preview PDF CITE

Shi WX, Hu YJ, Lan J, Xiong J, Li ZY. Impact of intestinal immunologic barrier dysfunction on perioperative complications. Perioper Precis Med. 2025 Jun; 3 (2): 54-70. doi: 10.61189/629158xrbqam.

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Article Preview
Intestinal barrier dysfunction plays a critical role in perioperative complications, especially in the circumstances where immunologic barrier is damaged. This paper reviews the structure of the intestinal immunologic barrier, its interaction with intestinal microbiota, and its effects on intestinal epithelial cells. It emphasizes the key role of the intestinal immunologic barrier in maintaining intestinal homeostasis and explains how its dysfunction increases the risk of infection, anastomotic leakage, gastrointestinal motility disorders, and systemic inflammatory response syndrome during the perioperative period.
Progress in Medical Education
Review Article
Open Access
Exploring the path of high-quality employment in medical colleges and universities through party building leadership
Shangping Fang
Shangping Fang
20180041@wnmc.edu.cn
School of Anesthesiology, Wannan Medical College, Wuhu 241002, Anhui Province, China.
,
Chao Zhang
Chao Zhang
School of Anesthesiology, Wannan Medical College, Wuhu 241002, Anhui Province, China.
2025 Apr;1(1):55-62
https://doi.org/10.61189/729042rpxfdv
Article Preview PDF CITE

Fang SP, Zhang C. Exploring the path of high-quality employment in medical colleges and universities through party building leadership. Prog Med Educ. 2025 Apr; 1(1): 55-62. doi: 10.61189/729042rpxfdv

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Article Preview

Employment is the cornerstone of people's livelihood and a vital component of talent cultivation in higher educa-tion institutions. In the pursuit of the "Healthy China 2030" initiative, medical colleges and universities are com-mitted to ensuring high-quality and comprehensive employment for their students by strengthening Party-building efforts. This approach aims to enhance students' employability, secure favorable employment rates, and align their career development with societal needs. This article explores the significance of Party-building in guiding college students towards proactive employment. It provides a comprehensive analysis of the current employment landscape in medical colleges and universities, identifying key challenges and opportunities. In response to these challenges, the article offers targeted recommendations on how Party-building initiatives within these institutions can foster high-quality and full employment for medical students. By integrating ideological guidance, skill en-hancement, and strategic training reforms, the proposed measures aim to support medical graduates in making informed career choices and securing suitable employment, thereby contributing to the advancement of health-care and societal well-being.

Progress in Medical Devices
Review Article
Open Access
Research process on deep learning methods for heart sounds classification
Weifeng Wu
Weifeng Wu
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
,
Yongqian Zhang
Yongqian Zhang
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
,
Qianfeng Xu
Qianfeng Xu
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
,
Jiuzhou Zhao
Jiuzhou Zhao
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
,
Rongguo Yan
Rongguo Yan
yanrongguo@usst.edu.cn
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
2023 Sept;1(2):55-64
https://doi.org/10.61189/473511cbaive
Article Preview PDF CITE

Wu WF, Zhang YQ, Xu QF, et al. Research process on deep learning methods for heart sounds classification. Prog Med Devices. 2023 Sept;1(2):55-64. doi: 10.61189/473511cbaive.

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Article Preview

Cardiovascular diseases are still the primary threats to people's health around the world. Automatic heart sound classification technology, as a fast and efficient means for diagnosis and treatment, is of great clinical significance. With the rapid development of artificial intelligence technology, deep learning algorithms are widely used in automatic heart sound classification. This paper reviewed the key technologies related to the automatic classification of heart sounds in recent years, including heart sound denoising, segmentation, feature extraction, and classification recognition. The classification and recognition technologies related to deep learning are presented in detail, with a focus on the application and development of convolutional neural network and recurrent neural network, as well as various combination models for heart sound classification in the past five years.

Progress in Medical Devices
Review Article
Open Access
Gait prediction for lower limb exoskeleton robots based on real-time adaptive Kalman filtering
Haonan Geng
Haonan Geng
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
,
Xudong Guo
Xudong Guo
guoxd@usst.edu.cn
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
,
Fengqi Zhong
Fengqi Zhong
CloudSemi, Pudong New Area, Shanghai 200120, China.
,
Haibo Lin
Haibo Lin
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
,
Guojie Zhang
Guojie Zhang
LingYuan Iron and Steel CO., LTD, Lingyuan 122500, Liaoning Province, China.
,
Qin Zhang
Qin Zhang
Medical Engineering Department of Northern Jiangsu People’s Hospital, Yangzhou 225001, Jiangsu Province, China.
,
Jiaheng Chen
Jiaheng Chen
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
2025 Mar;3(1):57-65
https://doi.org/10.61189/164995qvdasw
Article Preview PDF CITE

Geng HN, Guo XD, Zhong FQ, Lin HB, Zhang GJ, Zhang Q, Chen JH. Gait prediction for lower limb exoskeleton robots based on real-time adaptive Kalman filtering. Prog Med Devices. 2025 Mar;3(1): 57-65. doi: 10.61189/164995qvdasw

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Article Preview

This paper presents a gait prediction method for lower limb exoskeleton robots using a real-time adaptive Kalman filtering algorithm. The exoskeleton robot targets two user groups: individuals with impaired lower limb motor function requiring rehabilitation training, where the device aids in muscle exercise during walking to facilitate recovery, and healthy individuals using it as a wearable assistive device. To enhance movement intention prediction and improve human-machine coordination, this study focuses on the gait prediction algorithm for walking assistance in healthy users and proposes a gait prediction control strategy based on normal gait orientation. The control system utilizes a microcontroller and Raspberry Pi as its core, enabling functional mode selection through multi-sensor data fusion and effective control of the robot via Bluetooth communication. By comparing the original model algorithm with the proposed real-time updating Kalman filter algorithm, the latter demonstrates feasibility, achieving a prediction error within 1°. This validates the model’s effectiveness in real-time gait prediction.

Perioperative Precision Medicine
Perspective
Open Access
Modern trends in perinatal and obstetric anesthesia: The dual challenges of risk management and resource optimization
Dezhi Guo
Dezhi Guo
Department of Anesthesiology, The First Naval Hospital of Southern Theater Command, Zhanjiang 524005, Guangdong, China.
,
Jingjing Lu
Jingjing Lu
Clinical College of Traditional Chinese Medicine, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu, China.
,
Limin Wei
Limin Wei
weilimin19860914@163.com
Liaocheng People's Hospital, Liaocheng 252000, Shandong, China.
,
Wenyi Wang
Wenyi Wang
w.wang.mk@juntendo.ac.jp
Juntendo University, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
2026 Mar;4(1):57-61
https://doi.org/10.61189/056184yqnaiu
Article Preview PDF CITE

Guo DZ, Lu JJ, Wei LM, Wang WY. Modern trends in perinatal and obstetric anesthesia: The dual challenges of risk management and resource optimization. Perioper Precis Med. 2026 Mar; 4 (1): 57-61. doi: 10.61189/056184yqnaiu

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Supplementary File Article Preview

Obstetric and perinatal anesthesia, while crucial for maternal and neonatal health, carries inherent risks that necessitate careful management and resource optimization to ensure patient safety. Improvements in anesthesia methods, ultrasound-assisted blocks, multimodal analgesia and accelerated rehabilitation protocols have enabled individualized and precise control of postoperative pain to be achieved more readily. Risk analysis, dynamic observation, and personalized intervention can all significantly lower the rates of hypotension, nausea and vomiting, and nerve injury. International practice variations highlight how resource availability—including staffing levels and expertise—and adherence to clinical guidelines profoundly impact maternal and neonatal outcomes, underscoring that scientific resource optimization is essential for ensuring safety and enhancing efficiency. This perspective discusses the current trends in perinatal anesthesia, focusing on risk minimization and resource utilization. By synthesizing recent advancements and practice variations, we aim to offer a conceptual framework and valuable insights for clinicians making management decisions.

Perioperative Precision Medicine
Perspective
Open Access
Rapid anesthesia assessment and clinical emergency management in emergency surgery
Songxiao Yang
Songxiao Yang
Department of Radiation Oncology, The First Affiliated Hospital of Hainan Medical University, Haikou 570100, Hainan, China.
,
Ping Zhou
Ping Zhou
ping.zhou@muhn.edu.cn
Radiotherapy Department II, Key Laboratory of Emergency and Trauma of Ministry of Education, The First Affiliated Hospital, The First Clinical College, Hainan Medical University, Haikou 570100, Hainan, China.
2026 Mar;4(1):62-66
https://doi.org/10.61189/891717grkkpo
Article Preview PDF CITE

Yang SX, Zhou P. Rapid anesthesia assessment and clinical emergency management in emergency surgery. Perioper Precis Med. 2026 Mar; 4 (1): 62-66. doi: 10.61189/891717grkkpo

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Supplementary File Article Preview

Emergency surgery anesthesia is performed in an extremely time-critical and high-risk setting, where delayed or inaccurate assessment may lead to severe perioperative complications. Patients often present with hemodynamic instability, limited preoperative information, and complex comorbidities, creating major challenges for anesthesiologists to rapidly evaluate airway, circulation, and physiological reserve. Although multiple assessment tools exist, conventional approaches remain fragmented and insufficient for dynamic, real-time decision-making in emergency contexts. There is a clear need for an integrated rapid anesthesia assessment framework that combines advanced monitoring, intelligent decision support, and team-based coordination. This perspective article systematically analyzes rapid assessment models that integrate multimodal point-of-care ultrasound, artificial intelligence–assisted regulation, and closed-loop clinical decision support system (CDSS) protocols. Key applications in perioperative airway management, hemodynamic and respiratory assessment, and risk stratification for special populations, including elderly and pediatric patients, are discussed. We further summarize the rapid titration and hemodynamic advantages of novel anesthetic agents in emergency induction, the role of CDSS and closed-loop communication in clinical emergency management, and the optimization of team collaboration using standardized tools such as Situation–Background–Assessment–Recommendation. Ethical and legal considerations, including informed consent, presumed consent, and proxy decision-making in time-sensitive scenarios, are also addressed. Overall, integrated rapid assessment strategies supported by technology, interdisciplinary teamwork, and ethical safeguards may substantially enhance the safety, efficiency, and clinical outcomes of anesthesia management in emergency surgery, providing a practical framework for future perioperative practice and multicenter validation.

Perioperative Precision Medicine
Review Article
Open Access
Research progress of frontier image processing in medical endoscopes
Jinjing Wu
Jinjing Wu
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
,
Yang Yuan
Yang Yuan
School of Computer Science and Artificial Intelligence, Changzhou University, Jiangsu 213164, China.
,
Long Liu
Long Liu
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
,
Haipo Cui
Haipo Cui
h_b_cui@163.com
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
,
Tianying Xu
Tianying Xu
School of Anesthesiology, Second Military Medical University/Naval Medical University, Shanghai 200433, China.
,
Miao Zhou
Miao Zhou
Department of Anesthesiology, the Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, Nanjing Medical University, Nanjing 210009, Jiangsu, China.
,
Zhanheng Chen
Zhanheng Chen
chenzhanheng17@mails.ucas.ac.cn
School of Anesthesiology, Second Military Medical University/Naval Medical University, Shanghai 200433, China.
,
Bing Xu
Bing Xu
mzxubing1992@163.com
School of Anesthesiology, Second Military Medical University/Naval Medical University, Shanghai 200433, China.
2023 Sept;1(2):62-77
https://doi.org/10.61189/663074tcakcn
Article Preview PDF CITE

Wu JJ, Yuan Y, Liu L, et al. Research progress of frontier image processing in medical endoscopes. Perioper Precis Med. 2023 Sept;1(2):62-77. doi: 10.61189/663074tcakcn.

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Article Preview
In the modern medical diagnosis, digital medical images can provide physicians with a more accurate, visualized, and three-dimensional view of various tissues. These images assist in predicting, diagnosing, and treating diseases. However, medical images are highly susceptible to noise contamination from the influence of imaging equipment and the capture process, which poses a significant challenge in the analysis of medical images. This review summarizes the image processing technologies applied in endoscopy, such as image denoising, image deblurring, image enhancement, and image segmentation, involving traditional computational models and deep learning algorithms used in these technologies. Additionally, the clinical applications of these techniques are also discussed.
Perioperative Precision Medicine
Review Article
Open Access
Research progress of sphingosine 1-phosphate receptor 3 in the cardiovascular system
Yangmengna Gao
Yangmengna Gao
School of Anesthesiology, Wannan Medical College, Wuhu 241002, Anhui, China; Anesthesia Laboratory and Training Center, Wannan Medical College, Wuhu 241002, Anhui, China.
,
Ran Yuan
Ran Yuan
School of Anesthesiology, Wannan Medical College, Wuhu 241002, Anhui, China; Anesthesia Laboratory and Training Center, Wannan Medical College, Wuhu 241002, Anhui, China.
,
Kecheng Zhai
Kecheng Zhai
School of Anesthesiology, Wannan Medical College, Wuhu 241002, Anhui, China; Anesthesia Laboratory and Training Center, Wannan Medical College, Wuhu 241002, Anhui, China.
,
Hui Su
Hui Su
School of Anesthesiology, Wannan Medical College, Wuhu 241002, Anhui, China; Anesthesia Laboratory and Training Center, Wannan Medical College, Wuhu 241002, Anhui, China.
,
Renke Sun
Renke Sun
School of Anesthesiology, Wannan Medical College, Wuhu 241002, Anhui, China; Anesthesia Laboratory and Training Center, Wannan Medical College, Wuhu 241002, Anhui, China.
,
Shangping Fang
Shangping Fang
20180041@wnmc.edu.cn
School of Anesthesiology, Wannan Medical College, Wuhu 241002, Anhui, China; Anesthesia Laboratory and Training Center, Wannan Medical College, Wuhu 241002, Anhui, China.
2024 Jun;2(2):64-72
https://doi.org/10.61189/076009mwdtns
Article Preview PDF CITE
Gao YMN, Yuan R, Zhai KC, et al. Research progress of sphingosine 1-phosphate receptor 3 in the cardiovascular system. Perioper Precis Med. 2024 Jun;2(2):64-72. doi: 10.61189/076009mwdtns. 
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Article Preview
Sphingosine 1-phosphate receptor 3 (S1PR3) is one of the five receptors of sphingosine 1-phosphate, actively participating in physiological processes such as angiogenesis and endothelial cell differentiation. Widely expressed in various tissue cells such as muscle cells, immune cells, lymphocytes, endothelial cells, and fibroblasts, S1PR3 has garnered increasing attention in research, showcasing its involvement in various pathophysiological processes and its important role in the body’s inflammatory and immune responses. In the cardiovascular system, S1PR3 is involved in many pathophysiological processes, including angiogenesis, maintaining vascular permeability, lymphocyte transport, and physiological function of the heart. Moreover, it also plays a regulatory role in the treatment of cardiovascular diseases, such as heart ischemia/reperfusion, atherosclerosis, and cardiac fibrosis. S1PR3 also plays a crucial role in evaluation and treatment during the cardiovascular system in perioperative period and has a powerful therapeutic effect in sepsis. Regulators related to S1PR3 exhibit therapeutic potential in clinical treatments of cardiovascular diseases. This article aims to explore the role and research progress of S1PR3 in the cardiovascular system.
Progress in Medical Devices
Review Article
Open Access
Research progress on biliary stents
Qi Zhang
Qi Zhang
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
,
Haipo Cui
Haipo Cui
h_b_cui@163.com
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
,
Yan Zhang
Yan Zhang
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
,
Hexuan Jiang
Hexuan Jiang
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
2023 Sept;1(2):65-74
https://doi.org/10.61189/031576vfjfax
Article Preview PDF CITE

Zhang Q, Cui HP, Zhang Y, et al. Research progress on biliary stents. Prog Med Devices. 2023 Sept;1(2):65-74. doi: 10.61189/031576vfjfax.

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Article Preview

Bile duct stenosis is a common condition in gastroenterology and hepatobiliary surgery and can be divided into benign stenosis and malignant stenosis according to different etiologies. The implantation of a gall stent into the site of the stenosis or obstruction is currently an important means of treating the bile duct stenosis. Biliary stents encompass two main types: plastic stents and metal stents. In recent years, biodegradable biliary stents and drug-eluting stents have also emerged. The material and structure of biliary stents have an important influence on their performance. In this paper, the research progress on biliary stent implantation technology in the treatment of biliary stenosis is reviewed. Besides, the advantages and disadvantages of biliary stents made from different materials and structures, along with their respective indications are summarized, and the development trend of degradable biliary stents is prospected.

Progress in Medical Devices
Review Article
Open Access
Research progress on intestinal anastomosis technology and related devices
Yilong Chen
Yilong Chen
Shanghai Institute for Minimally Invasive Therapy, School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
,
Lin Mao
Lin Mao
linmao@usst.edu.cn
Shanghai Institute for Minimally Invasive Therapy, School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
,
Zijie Zhou
Zijie Zhou
Shanghai Institute for Minimally Invasive Therapy, School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
,
Chengli Song
Chengli Song
Shanghai Institute for Minimally Invasive Therapy, School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China.
2025 Mar;3(1):66-76
https://doi.org/10.61189/314845qnicsc
Article Preview CITE

Yilong Chen, Lin Mao, Zijie Zhou, Chengli Song. Research progress on intestinal anastomosis technology and related devices. Prog Med Devices 2025 Mar; 3(1) : 66-76. doi: 10.61189/314845qnicsc

Article Preview

This review comprehensively examines current intestinal anastomosis techniques. Traditional manual suturing methods, including intermittent and continuous sutures, provide high flexibility but but vary in infection risk and operation time. Continuous suturing is particularly effective in reducing operative time and infection risk. Suture materials include non-absorbable sutures, absorbable sutures, and natural materials, with absorbable sutures the most preferred for intestinal anastomosis. Mechanical anastomosis has gained widespread adoption, featuring both linear and circular metal staplers. Linear staplers are simple to operate, while circular staplers better align with physiological structures. Materials used in staplers include non-degradable metals (e.g., titanium, titanium alloy) and biodegradable anastomosis (e.g., magnesium alloy). Metal nail anastomosis often results in fewer complications than manual suturing in specific surgeries. Magnetic pressure anastomosis, relying on magnet attraction, has been successfully applied in clinical scenarios following extensive research. The adhesive-based approach involves medical adhesives such as cyanoacrylate and fibrin glue, offering auxiliary support for anastomosis. Energy tissue welding encompasses laser and radio frequency energy tissue welding. While laser welding poses a risk of thermal damage, radio frequency welding offers significant advantages, including faster, seamless anastomosis with reduced complications. The support method for intestinal anastomosis is a novel concept, involving the addition of support materials to the original anastomosis. It can be divided into composite and simple support methods. The simple support method, as evidenced by the "degradable internal scaffold method for digestive tract anastomosis" developed by Cai et al. in China, has demonstrated promising results in animal experiments. In conclusion, selecting the appropriate intestinal anastomosis technique depends on clinical scenarios to optimize surgical outcomes and reduce complications. The diverse technological advancements reviewed here present valuable opportunities for enhancing the quality and safety of intestinal surgery.

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