Objectives:To access the effectiveness of our modified right-ventricular overhauling procedure on tricuspid valve(TV)growth in patients with pulmonary atresia with intact ventricular septum(PAIVS).Methods:We retrospec...Objectives:To access the effectiveness of our modified right-ventricular overhauling procedure on tricuspid valve(TV)growth in patients with pulmonary atresia with intact ventricular septum(PAIVS).Methods:We retrospectively reviewed 21 patients with PAIVS who underwent modified right ventricular overhauling(mRVoh)between 2008 and 2019 at two institutions.Our mRVoh consisted of wide resection of hypertrophied infundibular and trabecular muscle,peeling off fibrotic endocardial tissue in the right ventricle(RV)cavity,surgical pulmonary valvotomy,and Blalock-Taussig shunt or banding of ductus arteriosus under cardiopulmonary bypass.The TV annulus sizes were measured and analyzed using echocardiography before and after mRVoh.Results:No mortalities were observed during a median follow-up of 3 years(interquartile range:1.3–4.7 years)of follow-up were noted.mRVoh was performed at a median age of 163.5 days(range:21–560 days),including seven neonates and two infants(<60 days).During follow-up,the median TV annular z-score increased significantly from−2.24 to−1.15 before and after mRVoh(p=0.004).In ten patients with a prior history of percutaneous interventions for RV outflow tract(RVOT)widening at least 6 months before mRVoh,the TV annular z-score significantly changed during the period after mRVoh(−2.03 to−1.61,p=0.028)compared with the period before mRVoh(−2.51→–2.03,p=0.575)after percutaneous intervention only.Conclusions:mRVoh in PAIVS patients was positively associated with TV annular growth,and it was more effective than percutaneous RVOT widening interventions without mRVoh.展开更多
The purpose of this research was to develop a new approach in determination of overhaul and maintenance cost of loading equipment in surface mining. Two statistical models including univariate exponential regression (...The purpose of this research was to develop a new approach in determination of overhaul and maintenance cost of loading equipment in surface mining. Two statistical models including univariate exponential regression (UER) and multivariate linear regression (MLR) were used in this study. Loading equipment parameters such as bucket capacity, machine weight, engine power, boom length, digging depth, and dumping height were considered as variables. The results obtained by models and mean absolute error rate indicate that these models can be applied as the useful tool in determination of overhaul and maintenance cost of loading equipment. The results of this study can be used by the decision-makers for the specific surface mining operations.展开更多
THE East African nation of Ethiopia is hoping to inaugurate its first and very own city rail system in 2015. The Addis Ababa Light Railway Transit. being constructed with loans obtained mainly from the Export-Import B...THE East African nation of Ethiopia is hoping to inaugurate its first and very own city rail system in 2015. The Addis Ababa Light Railway Transit. being constructed with loans obtained mainly from the Export-Import Bank of China, is hugely anticipated to ease the chronic transportation woes of Ethiopia＇s congested capital.展开更多
文摘Objectives:To access the effectiveness of our modified right-ventricular overhauling procedure on tricuspid valve(TV)growth in patients with pulmonary atresia with intact ventricular septum(PAIVS).Methods:We retrospectively reviewed 21 patients with PAIVS who underwent modified right ventricular overhauling(mRVoh)between 2008 and 2019 at two institutions.Our mRVoh consisted of wide resection of hypertrophied infundibular and trabecular muscle,peeling off fibrotic endocardial tissue in the right ventricle(RV)cavity,surgical pulmonary valvotomy,and Blalock-Taussig shunt or banding of ductus arteriosus under cardiopulmonary bypass.The TV annulus sizes were measured and analyzed using echocardiography before and after mRVoh.Results:No mortalities were observed during a median follow-up of 3 years(interquartile range:1.3–4.7 years)of follow-up were noted.mRVoh was performed at a median age of 163.5 days(range:21–560 days),including seven neonates and two infants(<60 days).During follow-up,the median TV annular z-score increased significantly from−2.24 to−1.15 before and after mRVoh(p=0.004).In ten patients with a prior history of percutaneous interventions for RV outflow tract(RVOT)widening at least 6 months before mRVoh,the TV annular z-score significantly changed during the period after mRVoh(−2.03 to−1.61,p=0.028)compared with the period before mRVoh(−2.51→–2.03,p=0.575)after percutaneous intervention only.Conclusions:mRVoh in PAIVS patients was positively associated with TV annular growth,and it was more effective than percutaneous RVOT widening interventions without mRVoh.
文摘The purpose of this research was to develop a new approach in determination of overhaul and maintenance cost of loading equipment in surface mining. Two statistical models including univariate exponential regression (UER) and multivariate linear regression (MLR) were used in this study. Loading equipment parameters such as bucket capacity, machine weight, engine power, boom length, digging depth, and dumping height were considered as variables. The results obtained by models and mean absolute error rate indicate that these models can be applied as the useful tool in determination of overhaul and maintenance cost of loading equipment. The results of this study can be used by the decision-makers for the specific surface mining operations.
文摘THE East African nation of Ethiopia is hoping to inaugurate its first and very own city rail system in 2015. The Addis Ababa Light Railway Transit. being constructed with loans obtained mainly from the Export-Import Bank of China, is hugely anticipated to ease the chronic transportation woes of Ethiopia＇s congested capital.
