Peak load and wind energy emission pressure rise more as wind energy penetration keeps growing,which affects the stabilization of the PS(power system).This paper suggests integrated optimal dispatching of thermal powe...Peak load and wind energy emission pressure rise more as wind energy penetration keeps growing,which affects the stabilization of the PS(power system).This paper suggests integrated optimal dispatching of thermal power generators and BESS(battery energy storage system)taking wind energy emission grading punishment and deep peak clipping into consideration.Firstly,in order to minimize wind abandonment,a hierarchical wind abandonment penalty strategy based on fuzzy control is designed and introduced,and the optimal grid-connected power of wind energy is determined as a result of minimizing the peak cutting cost of the system.Secondly,considering BESS and thermal power,the management approach of BESS-assisted virtual peak clipping of thermal power generators is aimed at reducing the degree of deep peak clipping of thermal power generators and optimizing the output of thermal power generators and the charging and discharging power of BESS.Finally,Give an example of how this strategy has been effective in reducing abandonment rates by 0.66% and 7.46% individually for different wind penetration programs,and the daily average can reduce the peak clipping power output of thermal power generators by 42.97 and 72.31 MWh and enhances the effect and economy of system peak clipping.展开更多
Aiming at the problem of high temperature and even demagnetization failure of permanent magnet (PM) due to PM eddy current loss in PM synchronous high-speed motors, this paper proposes a technique to lessen PM eddy cu...Aiming at the problem of high temperature and even demagnetization failure of permanent magnet (PM) due to PM eddy current loss in PM synchronous high-speed motors, this paper proposes a technique to lessen PM eddy current loss by cutting the angle of PM poles to change the shape of PM structure. Firstly, an analysis is conducted on the mechanism of PM synchronous high-speed motor eddy current loss production, the theoretical analytical model of PM eddy current loss is deduced, and it is theoretically proved that the magnetic pole shaving angle can reduce PM eddy current loss. Then, a 25 KW surface-type PM synchronous high-speed motor as an object, using two-dimensional time-step finite element method (FEM) to model and analyze PM eddy current loss. The results show that the smaller the PM pole shaving angle, the less its eddy current loss will be, it is possible to minimize the pole shaving angle of eddy current loss by 9.8% compared to the unshaved angle. Finally, the temperature field of the PM is calculated using a finite element method, and the outcomes demonstrate that the maximum temperature of the PM with a magnetic pole shaving angle can be reduced by about 5% compared with the unshaved angle.展开更多
BACKGROUND Hem-o-lock clip,a versatile and reliable non-absorbable tissue clip,has gained widespread acceptance in laparoscopic surgeries for vessel ligation and tissue approximation.Its efficacy and safety have been ...BACKGROUND Hem-o-lock clip,a versatile and reliable non-absorbable tissue clip,has gained widespread acceptance in laparoscopic surgeries for vessel ligation and tissue approximation.Its efficacy and safety have been well-documented.CASE SUMMARY This case report describes the occurrence of a bronchopleural fistula following the application of the Hem-o-lock clip for the treatment of a lobar bronchial stump after lobectomy.CONCLUSION This case underscores the importance of exercising caution when using the Hem-o-lock clip for the management of non-vascular tissues during thoracic surgery.展开更多
BACKGROUND Laparoscopic cholecystectomy(LC)and laparoscopic common bile duct exploration(LCBDE)are widely used in gallbladder and biliary tract diseases.During these procedures,vessels or tissues are commonly ligated ...BACKGROUND Laparoscopic cholecystectomy(LC)and laparoscopic common bile duct exploration(LCBDE)are widely used in gallbladder and biliary tract diseases.During these procedures,vessels or tissues are commonly ligated using clips.However,postoperative migration of clips to the common bile duct(CBD)or Ttube sinus tract is an overlooked complication of laparoscopic biliary surgery.Previously,most reported cases of postoperative clip migration involved metal clips,with only a few cases involving Hem-o-lok clips and review of the literature.CASE SUMMARY This report describes two cases in which Hem-o-lok clips migrated into the CBD and the T-tube sinus tract following laparoscopic surgery.Case 1 is a 68-year-old female admitted due to abdominal discomfort,and two Hem-o-lok clips were found to have migrated into the CBD 17 months after LC and LCBDE with T-tube drainage,and were removed using a stone extraction balloon.The patient was discharged smoothly after recovery.Case 2 is a 74-year-old male who underwent LC and LCBDE with T-tube drainage and laparoscopic biliary tract basket stone extraction.Nine weeks postoperatively,following T-tube removal,a Hem-o-lok clip was found in the sinus tract,and was extracted from the T-tube sinus tract.The patient recovered smoothly postoperatively.This study also reviews the literature from 2013 to July 2024 on using Hem-o-lok clips in LC and/or LCBDE treatment of gallbladder and biliary diseases and the postoperative migration of these clips into the CBD,T-tube sinus tract,or duodenum.CONCLUSION In patients with a history of LC and/or LCBDE,clip migration should be considered as a differential diagnosis.展开更多
Plain reservoirs are shallow, and have low dams and widespread water surfaces.Therefore, wind-wave-induced damage to the dam is one of the important factors affecting the safety of the reservoir.To improve upon unsati...Plain reservoirs are shallow, and have low dams and widespread water surfaces.Therefore, wind-wave-induced damage to the dam is one of the important factors affecting the safety of the reservoir.To improve upon unsatisfactory plain reservoir wave-clipping schemes, a numerical method is proposed to predict and analyze waves in the reservoir in the presence of artificial islands, constructed from dredged sediment.The MIKE21 SW model is applied to a specific plain reservoir for finding the optimal artificial island parameters.The simulated wave height attenuation results are seen to agree well with empirically predicted values.Thus, the validity and reliability of the numerical model are established.Artificial islands at suitable locations in the reservoir can attenuate the wave heights by approximately 10%e30%, which justifies the efficacy of the clipping scheme making use of dredging and island construction.展开更多
With advances in endoscopic technologies,endoscopic clips have been used widely and successfully in the treatment of various types of oesophageal perforations,anastomosis leakages and fistulas. Our aim was to summariz...With advances in endoscopic technologies,endoscopic clips have been used widely and successfully in the treatment of various types of oesophageal perforations,anastomosis leakages and fistulas. Our aim was to summarize the experience with two types of clips: The through-the-scope(TTS) clip and the over-the-scope clip(OTSC). We summarized the results of oesophageal perforation closure with endoscopic clips. We processed the data from 38 articles and 127 patients using PubM ed search. Based on evidence thus far,it can be stated that both clips can be used in the treatment of early(< 24 h),iatrogenic,spontaneous oesophageal perforations in the case of limited injury or contamination. TTS clips are efficacious in the treatment of 10 mm lesions,while bigger(< 20 mm) lesions can be treated successfully with OTSC clips,whose effectiveness is similar to that of surgical treatment. However,the clinical success rate is significantly lower in the case of fistulas and in the treatment of anastomosis insufficiency. Tough prospective randomized multicentre trials,which produce the largest amount of evidence,are still missing. Based on experience so far,endoscopic clips represent a possible therapeutic alternative to surgery in the treatment of oesophageal perforations under well-defined conditions.展开更多
Prompt diagnosis and therapy of aneurysms are critical for patients with nontraumatic subarachnoid hemorrhage (SAH).The aim of our study was to assess the clinical usefulness of multislice computed tomography angiog...Prompt diagnosis and therapy of aneurysms are critical for patients with nontraumatic subarachnoid hemorrhage (SAH).The aim of our study was to assess the clinical usefulness of multislice computed tomography angiography (CTA) in the surgical and endovascular treatment of intracranial aneurysms.A total of 195 cases with 206 intracranial aneurysms underwent CTA.Fifty (24%) aneurysms underwent surgical clipping while 156 (76%) aneurysms underwent endovascular coiling.In the five missed aneurysms at digital substraction angiography and the nine aneurysms with mass intracerebral hematomas,surgical treatment was successfully performed based on 16-slice CTA alone,and the other 36 aneurysms were clipped on the main basis of the CTA.The intraoperative findings correlated well with the CTA findings and all aneurysms were clipped successfully.Sixteen-slice CTA image information has been shown to determine the choice of aneurysm therapy and assist the surgical and endovascular treatment of intracranial aneurysms.展开更多
Predicting how human activity will influence the response of alpine grasslands to future warming has many uncertainties.In this study, a field experiment with controlled warming and clipping was conducted in an alpine...Predicting how human activity will influence the response of alpine grasslands to future warming has many uncertainties.In this study, a field experiment with controlled warming and clipping was conducted in an alpine meadow at three elevations(4313 m, 4513 m and 4693 m) in Northern Tibet to test the hypothesis that clipping would alter warming effect on biomass production.Open top chambers(OTCs) were used to increase temperature since July,2008 and the OTCs increased air temperature by approximately 0.9o C ~ 1.8o C during the growing in2012.Clipping was conducted three times one year during growing season and the aboveground parts of all live plants were clipped to approximately 0.01 m in height using scissors since 2009.Gross primary production(GPP) was calculated from the Moderate-Resolution Imaging Spectroradiometer GPP algorithm and aboveground plant production was estimated using the surface-measured normalized difference vegetation index in 2012.Warming decreased the GPP, aboveground biomass(AGB) and aboveground net primary production(ANPP) at all three elevations when clipping was not applied.In contrast, warming increased AGB at all three elevations, GPP at the two lower elevations and ANPP at the two higher elevations when clipping was applied.These findings show that clipping reduced the negative effect of warming on GPP, AGB and ANPP, suggesting that clipping may reduce the effect of climate warming on GPP, AGB and ANPP in alpine meadows on the Tibetan Plateau, and therefore, may be a viable strategy for mitigating the effects of climate change on grazing and animal husbandry on the Tibetan Plateau.展开更多
Orthogonal frequency division multiplex/offset QAM (OFDM/OQAM) has been proven to be a promising multi-carrier modulation (MCM) technique for the transmission of signals over multipath fading channels. However, OFDM/O...Orthogonal frequency division multiplex/offset QAM (OFDM/OQAM) has been proven to be a promising multi-carrier modulation (MCM) technique for the transmission of signals over multipath fading channels. However, OFDM/OQAM has also the intrinsic disadvantage of high peak-to-average-power ratio (PAPR) that should be alleviated. This paper focuses on the reduction of the clipping noise and out-of band radiation caused by the clipping process. The basic principle is to estimate the clipping noise and then eliminate it from the received signal. Analysis and simulation results show that, with one time iteration, the proposed method can effectively improve the bit error ratio (BER) performance.展开更多
AIM To determine if prophylactic clipping of post-polypectomy endoscopic mucosal resection(EMR) mucosal defects of large,flat,right sided polyps prevents perforations.METHODS IRB approved review of all colonoscopies,a...AIM To determine if prophylactic clipping of post-polypectomy endoscopic mucosal resection(EMR) mucosal defects of large,flat,right sided polyps prevents perforations.METHODS IRB approved review of all colonoscopies,and prospective data collection of grasp and snare EMR performed by 2 endoscopists between January 1,2010 and March 31,2014 in a community ambulatory endoscopy center.The study consisted of two phases.In the first phase,all right-sided,flat polyps greater than or equal to 1.2 cm in size were removed using the grasp and snare technique.Clipping was done at the discretion of the endoscopist.In the second phase,all mucosal defects were closed using resolution clips.Phase 2 of the study was powered to detect a statistically significant difference in perforation rate with 148 EMRs,if less than or equal to 2 perforations occurred.RESULTS In phase 1 of the study,2121 colonoscopies were performed.Seventy-five patients had 95 large polyps removed.There were 4 perforations in 95 polypectomies(4.2%).The perforations occurred in polyps ranging in size from 1.5 cm to 2.5 cm.In phase 2,there were 2464 colonoscopies performed.One hundred and sixteen patients had 151 large polyps removed,and all mucosal defects were clipped.There were no perforations(P=0.0016).There were no post-polypectomy hemorrhages in either phase.An average of 2.15 clips were required to close the mucosal defects.The median time to perform the polypectomy and clipping was 13 min,and the median procedure duration was 40 min.Five percent of all patients undergoing colonoscopy in our community based,ambulatory endoscopy center had flat,right sided polyps greater than or equal to 1.2 cm in size.CONCLUSION Prophylactic clipping of the mucosal resection defect of large,right-sided,flat polyps reduces the incidence of perforation.展开更多
Blood samples have traditionally been used as the main source of DNA for genetic analysis. How-ever, this source can be difficult in terms of collection, transportation, and long-term storage. In this study, we invest...Blood samples have traditionally been used as the main source of DNA for genetic analysis. How-ever, this source can be difficult in terms of collection, transportation, and long-term storage. In this study, we investigated whether human nail clippings could be used as a source of DNA for SNP genotyping, null-allele detection, and whole-genome amplification. From extracted nail DNA, we achieved amplicons up to a length of ~400 bp and >96% concordance for SNP genotyping and 100% concordance for null-allele detection compared to DNA derived from matched blood sam-ples. For whole-genome amplification, OmniPlex performed better than Multiple Displacement Amplification with a success rate of 89.3% and 76.8% for SNP genotyping and null-allele detection, respectively. Concordance was ~98% for both methods. When combined with OmniPlex whole-genome amplification, human nail clippings could potentially be used as an alternative to whole blood as a less invasive and more convenient source of DNA for genotyping studies.展开更多
A new algorithm for clipping line segments by a rectangular window on rectangular coordinate system is presented in this paper. The algorithm is very different to the other line clipping algorithms. For the line segme...A new algorithm for clipping line segments by a rectangular window on rectangular coordinate system is presented in this paper. The algorithm is very different to the other line clipping algorithms. For the line segments that cannot be identified as completely inside or outside the window by simple testings, this algorithm applies affine transformations (the shearing transformations) to the line segments and the window, and changes the slopes of the line segments and the shape of the window. Thus, it is clear for the line segment to be outside or inside of the window. If the line segments intersect the window, the algorithm immediately (no solving equations) gets the intersection points. Having applied the inverse transformations to the intersection points, the algorithm has the final results. The algorithm is successful to avoid the complex classifications and computations. Besides, the algorithm is effective to simplify the processes of finding the intersection points. Comparing to some classical algorithms, the algorithm of this paper is faster for clipping line segments and more efficient for calculations.展开更多
Early physiotherapy was given to 124 patients with ruptured or unruptured cerebral aneurysms who were treated by surgical clipping or endovascular embolization.Patients were divided into four groups according to their...Early physiotherapy was given to 124 patients with ruptured or unruptured cerebral aneurysms who were treated by surgical clipping or endovascular embolization.Patients were divided into four groups according to their Hunt and Hess grade at admission and aneurysm treatment modality: Group 1,Hunt and Hess grade≤II and surgical clipping;Group 2,Hunt and Hess grade≤II and endovascular embolization;Group 3,Hunt and Hess grade≥III and surgical clipping;Group 4,Hunt and Hess grade≥III and endovascular embolization.Level of consciousness was evaluated using the Glasgow Coma Scale,functional status using the Glasgow Outcome Scale,level of the mobility using the Mobility Scale for acute stroke patients,and independence in activities of daily living using the Barthel Index.After early physiotherapy,the level of consciousness and functional status improved significantly in Groups 1,3,and 4;mobility improved significantly in all groups;and independence in activities of daily living improved significantly in Groups 1 and 3.At discharge, Groups 1 and 2 had better functional status than Groups 3 and 4.Level of consciousness,functional status,mobility and independence in activities of daily living improved after early physiotherapy. These findings suggest that early physiotherapy improved the prognosis of patients with cerebral aneurysms who were treated by surgical clipping or endovascular embolization.Patients with a worse clinical status at presentation had a poorer functional status at discharge.The outcome of physiotherapy was not affected by whether surgical clipping or endovascular embolization was chosen for treatment of the aneurysm.展开更多
基金supported by Jilin Province Higher Education Teaching Reform Research Project in 2021(JLJY202186163419).
文摘Peak load and wind energy emission pressure rise more as wind energy penetration keeps growing,which affects the stabilization of the PS(power system).This paper suggests integrated optimal dispatching of thermal power generators and BESS(battery energy storage system)taking wind energy emission grading punishment and deep peak clipping into consideration.Firstly,in order to minimize wind abandonment,a hierarchical wind abandonment penalty strategy based on fuzzy control is designed and introduced,and the optimal grid-connected power of wind energy is determined as a result of minimizing the peak cutting cost of the system.Secondly,considering BESS and thermal power,the management approach of BESS-assisted virtual peak clipping of thermal power generators is aimed at reducing the degree of deep peak clipping of thermal power generators and optimizing the output of thermal power generators and the charging and discharging power of BESS.Finally,Give an example of how this strategy has been effective in reducing abandonment rates by 0.66% and 7.46% individually for different wind penetration programs,and the daily average can reduce the peak clipping power output of thermal power generators by 42.97 and 72.31 MWh and enhances the effect and economy of system peak clipping.
文摘Aiming at the problem of high temperature and even demagnetization failure of permanent magnet (PM) due to PM eddy current loss in PM synchronous high-speed motors, this paper proposes a technique to lessen PM eddy current loss by cutting the angle of PM poles to change the shape of PM structure. Firstly, an analysis is conducted on the mechanism of PM synchronous high-speed motor eddy current loss production, the theoretical analytical model of PM eddy current loss is deduced, and it is theoretically proved that the magnetic pole shaving angle can reduce PM eddy current loss. Then, a 25 KW surface-type PM synchronous high-speed motor as an object, using two-dimensional time-step finite element method (FEM) to model and analyze PM eddy current loss. The results show that the smaller the PM pole shaving angle, the less its eddy current loss will be, it is possible to minimize the pole shaving angle of eddy current loss by 9.8% compared to the unshaved angle. Finally, the temperature field of the PM is calculated using a finite element method, and the outcomes demonstrate that the maximum temperature of the PM with a magnetic pole shaving angle can be reduced by about 5% compared with the unshaved angle.
文摘BACKGROUND Hem-o-lock clip,a versatile and reliable non-absorbable tissue clip,has gained widespread acceptance in laparoscopic surgeries for vessel ligation and tissue approximation.Its efficacy and safety have been well-documented.CASE SUMMARY This case report describes the occurrence of a bronchopleural fistula following the application of the Hem-o-lock clip for the treatment of a lobar bronchial stump after lobectomy.CONCLUSION This case underscores the importance of exercising caution when using the Hem-o-lock clip for the management of non-vascular tissues during thoracic surgery.
基金Supported by Shenzhen Science and Technology Program Project,No.JCYJ20220530145006013.
文摘BACKGROUND Laparoscopic cholecystectomy(LC)and laparoscopic common bile duct exploration(LCBDE)are widely used in gallbladder and biliary tract diseases.During these procedures,vessels or tissues are commonly ligated using clips.However,postoperative migration of clips to the common bile duct(CBD)or Ttube sinus tract is an overlooked complication of laparoscopic biliary surgery.Previously,most reported cases of postoperative clip migration involved metal clips,with only a few cases involving Hem-o-lok clips and review of the literature.CASE SUMMARY This report describes two cases in which Hem-o-lok clips migrated into the CBD and the T-tube sinus tract following laparoscopic surgery.Case 1 is a 68-year-old female admitted due to abdominal discomfort,and two Hem-o-lok clips were found to have migrated into the CBD 17 months after LC and LCBDE with T-tube drainage,and were removed using a stone extraction balloon.The patient was discharged smoothly after recovery.Case 2 is a 74-year-old male who underwent LC and LCBDE with T-tube drainage and laparoscopic biliary tract basket stone extraction.Nine weeks postoperatively,following T-tube removal,a Hem-o-lok clip was found in the sinus tract,and was extracted from the T-tube sinus tract.The patient recovered smoothly postoperatively.This study also reviews the literature from 2013 to July 2024 on using Hem-o-lok clips in LC and/or LCBDE treatment of gallbladder and biliary diseases and the postoperative migration of these clips into the CBD,T-tube sinus tract,or duodenum.CONCLUSION In patients with a history of LC and/or LCBDE,clip migration should be considered as a differential diagnosis.
基金supported by the National Key Research and Development Program of China(Grants No.2016YFC0401603,2016YFC0401605,and 2016YFC0401607)the Central Public-interest Scientific Institution Basal Research Fund(Grants No.Y717012 and Y718007)
文摘Plain reservoirs are shallow, and have low dams and widespread water surfaces.Therefore, wind-wave-induced damage to the dam is one of the important factors affecting the safety of the reservoir.To improve upon unsatisfactory plain reservoir wave-clipping schemes, a numerical method is proposed to predict and analyze waves in the reservoir in the presence of artificial islands, constructed from dredged sediment.The MIKE21 SW model is applied to a specific plain reservoir for finding the optimal artificial island parameters.The simulated wave height attenuation results are seen to agree well with empirically predicted values.Thus, the validity and reliability of the numerical model are established.Artificial islands at suitable locations in the reservoir can attenuate the wave heights by approximately 10%e30%, which justifies the efficacy of the clipping scheme making use of dredging and island construction.
文摘With advances in endoscopic technologies,endoscopic clips have been used widely and successfully in the treatment of various types of oesophageal perforations,anastomosis leakages and fistulas. Our aim was to summarize the experience with two types of clips: The through-the-scope(TTS) clip and the over-the-scope clip(OTSC). We summarized the results of oesophageal perforation closure with endoscopic clips. We processed the data from 38 articles and 127 patients using PubM ed search. Based on evidence thus far,it can be stated that both clips can be used in the treatment of early(< 24 h),iatrogenic,spontaneous oesophageal perforations in the case of limited injury or contamination. TTS clips are efficacious in the treatment of 10 mm lesions,while bigger(< 20 mm) lesions can be treated successfully with OTSC clips,whose effectiveness is similar to that of surgical treatment. However,the clinical success rate is significantly lower in the case of fistulas and in the treatment of anastomosis insufficiency. Tough prospective randomized multicentre trials,which produce the largest amount of evidence,are still missing. Based on experience so far,endoscopic clips represent a possible therapeutic alternative to surgery in the treatment of oesophageal perforations under well-defined conditions.
基金supported by grant of Changzhou science and technology projects of social development (No. CS2007203)
文摘Prompt diagnosis and therapy of aneurysms are critical for patients with nontraumatic subarachnoid hemorrhage (SAH).The aim of our study was to assess the clinical usefulness of multislice computed tomography angiography (CTA) in the surgical and endovascular treatment of intracranial aneurysms.A total of 195 cases with 206 intracranial aneurysms underwent CTA.Fifty (24%) aneurysms underwent surgical clipping while 156 (76%) aneurysms underwent endovascular coiling.In the five missed aneurysms at digital substraction angiography and the nine aneurysms with mass intracerebral hematomas,surgical treatment was successfully performed based on 16-slice CTA alone,and the other 36 aneurysms were clipped on the main basis of the CTA.The intraoperative findings correlated well with the CTA findings and all aneurysms were clipped successfully.Sixteen-slice CTA image information has been shown to determine the choice of aneurysm therapy and assist the surgical and endovascular treatment of intracranial aneurysms.
基金funded by the National Natural Science Foundation of China(Grant No.41171084)the Natural Science Foundation of Tibet Autonomous Region(Response of species richness and aboveground biomass to warming in the alpine meadows of Tibet)
文摘Predicting how human activity will influence the response of alpine grasslands to future warming has many uncertainties.In this study, a field experiment with controlled warming and clipping was conducted in an alpine meadow at three elevations(4313 m, 4513 m and 4693 m) in Northern Tibet to test the hypothesis that clipping would alter warming effect on biomass production.Open top chambers(OTCs) were used to increase temperature since July,2008 and the OTCs increased air temperature by approximately 0.9o C ~ 1.8o C during the growing in2012.Clipping was conducted three times one year during growing season and the aboveground parts of all live plants were clipped to approximately 0.01 m in height using scissors since 2009.Gross primary production(GPP) was calculated from the Moderate-Resolution Imaging Spectroradiometer GPP algorithm and aboveground plant production was estimated using the surface-measured normalized difference vegetation index in 2012.Warming decreased the GPP, aboveground biomass(AGB) and aboveground net primary production(ANPP) at all three elevations when clipping was not applied.In contrast, warming increased AGB at all three elevations, GPP at the two lower elevations and ANPP at the two higher elevations when clipping was applied.These findings show that clipping reduced the negative effect of warming on GPP, AGB and ANPP, suggesting that clipping may reduce the effect of climate warming on GPP, AGB and ANPP in alpine meadows on the Tibetan Plateau, and therefore, may be a viable strategy for mitigating the effects of climate change on grazing and animal husbandry on the Tibetan Plateau.
文摘Orthogonal frequency division multiplex/offset QAM (OFDM/OQAM) has been proven to be a promising multi-carrier modulation (MCM) technique for the transmission of signals over multipath fading channels. However, OFDM/OQAM has also the intrinsic disadvantage of high peak-to-average-power ratio (PAPR) that should be alleviated. This paper focuses on the reduction of the clipping noise and out-of band radiation caused by the clipping process. The basic principle is to estimate the clipping noise and then eliminate it from the received signal. Analysis and simulation results show that, with one time iteration, the proposed method can effectively improve the bit error ratio (BER) performance.
文摘AIM To determine if prophylactic clipping of post-polypectomy endoscopic mucosal resection(EMR) mucosal defects of large,flat,right sided polyps prevents perforations.METHODS IRB approved review of all colonoscopies,and prospective data collection of grasp and snare EMR performed by 2 endoscopists between January 1,2010 and March 31,2014 in a community ambulatory endoscopy center.The study consisted of two phases.In the first phase,all right-sided,flat polyps greater than or equal to 1.2 cm in size were removed using the grasp and snare technique.Clipping was done at the discretion of the endoscopist.In the second phase,all mucosal defects were closed using resolution clips.Phase 2 of the study was powered to detect a statistically significant difference in perforation rate with 148 EMRs,if less than or equal to 2 perforations occurred.RESULTS In phase 1 of the study,2121 colonoscopies were performed.Seventy-five patients had 95 large polyps removed.There were 4 perforations in 95 polypectomies(4.2%).The perforations occurred in polyps ranging in size from 1.5 cm to 2.5 cm.In phase 2,there were 2464 colonoscopies performed.One hundred and sixteen patients had 151 large polyps removed,and all mucosal defects were clipped.There were no perforations(P=0.0016).There were no post-polypectomy hemorrhages in either phase.An average of 2.15 clips were required to close the mucosal defects.The median time to perform the polypectomy and clipping was 13 min,and the median procedure duration was 40 min.Five percent of all patients undergoing colonoscopy in our community based,ambulatory endoscopy center had flat,right sided polyps greater than or equal to 1.2 cm in size.CONCLUSION Prophylactic clipping of the mucosal resection defect of large,right-sided,flat polyps reduces the incidence of perforation.
文摘Blood samples have traditionally been used as the main source of DNA for genetic analysis. How-ever, this source can be difficult in terms of collection, transportation, and long-term storage. In this study, we investigated whether human nail clippings could be used as a source of DNA for SNP genotyping, null-allele detection, and whole-genome amplification. From extracted nail DNA, we achieved amplicons up to a length of ~400 bp and >96% concordance for SNP genotyping and 100% concordance for null-allele detection compared to DNA derived from matched blood sam-ples. For whole-genome amplification, OmniPlex performed better than Multiple Displacement Amplification with a success rate of 89.3% and 76.8% for SNP genotyping and null-allele detection, respectively. Concordance was ~98% for both methods. When combined with OmniPlex whole-genome amplification, human nail clippings could potentially be used as an alternative to whole blood as a less invasive and more convenient source of DNA for genotyping studies.
文摘A new algorithm for clipping line segments by a rectangular window on rectangular coordinate system is presented in this paper. The algorithm is very different to the other line clipping algorithms. For the line segments that cannot be identified as completely inside or outside the window by simple testings, this algorithm applies affine transformations (the shearing transformations) to the line segments and the window, and changes the slopes of the line segments and the shape of the window. Thus, it is clear for the line segment to be outside or inside of the window. If the line segments intersect the window, the algorithm immediately (no solving equations) gets the intersection points. Having applied the inverse transformations to the intersection points, the algorithm has the final results. The algorithm is successful to avoid the complex classifications and computations. Besides, the algorithm is effective to simplify the processes of finding the intersection points. Comparing to some classical algorithms, the algorithm of this paper is faster for clipping line segments and more efficient for calculations.
文摘Early physiotherapy was given to 124 patients with ruptured or unruptured cerebral aneurysms who were treated by surgical clipping or endovascular embolization.Patients were divided into four groups according to their Hunt and Hess grade at admission and aneurysm treatment modality: Group 1,Hunt and Hess grade≤II and surgical clipping;Group 2,Hunt and Hess grade≤II and endovascular embolization;Group 3,Hunt and Hess grade≥III and surgical clipping;Group 4,Hunt and Hess grade≥III and endovascular embolization.Level of consciousness was evaluated using the Glasgow Coma Scale,functional status using the Glasgow Outcome Scale,level of the mobility using the Mobility Scale for acute stroke patients,and independence in activities of daily living using the Barthel Index.After early physiotherapy,the level of consciousness and functional status improved significantly in Groups 1,3,and 4;mobility improved significantly in all groups;and independence in activities of daily living improved significantly in Groups 1 and 3.At discharge, Groups 1 and 2 had better functional status than Groups 3 and 4.Level of consciousness,functional status,mobility and independence in activities of daily living improved after early physiotherapy. These findings suggest that early physiotherapy improved the prognosis of patients with cerebral aneurysms who were treated by surgical clipping or endovascular embolization.Patients with a worse clinical status at presentation had a poorer functional status at discharge.The outcome of physiotherapy was not affected by whether surgical clipping or endovascular embolization was chosen for treatment of the aneurysm.