This paper puts forword 11 cartographic generalization operator models and introduces their mathematical definitions,and thus a precise mathematical form and quantitative description has been given to these formerly l...This paper puts forword 11 cartographic generalization operator models and introduces their mathematical definitions,and thus a precise mathematical form and quantitative description has been given to these formerly limited qualitative concepts.The meaning of mathematical definition of operators for cartographic generalization and the application prospect in computer_aided cartography (CAC) is stated.ract The Jurassic strata in Jingyan of Sichuan containing the Mamenchinsaurus fauna are dealt with and divided in this paper. The Mamenchisaurus fossils contained there are compared in morphological features and stratigraphically with other types of the genus on by one. The comprehensive analysis show that the Mamenchisaurus fauna of Jingyan appeared in the early Late Jurassic and is primitive in morphology. The results of the morphological identification and stratigraphical study agree with each other. Their evolutionary processes in different apoches of the Late Jurassic also made clear. Key words Jingyan, Sichuan, Mamenchisaurus Fauna, stratigraphy, evolution展开更多
It is known that there exist obivious differences between the two most commonly used definitions of fractional derivatives-Riemann-Liouville (R-L) definition and Caputo definition. The multiple definitions of fracti...It is known that there exist obivious differences between the two most commonly used definitions of fractional derivatives-Riemann-Liouville (R-L) definition and Caputo definition. The multiple definitions of fractional derivatives in fractional calculus have hindered the application of fractional calculus in rheology. In this paper, we clarify that the R-L definition and Caputo definition are both rheologically imperfect with the help of mechanical analogues of the fractional element model (Scott-Blair model). We also clarify that to make them perfect rheologically, the lower terminals of both definitions should be put to ∞. We further prove that the R-L definition with lower terminal a →∞ and the Caputo definition with lower terminal a →∞ are equivalent in the differentiation of functions that are smooth enough and functions that have finite number of singular points. Thus we can define the fractional derivatives in rheology as the R-L derivatives with lower terminal a →∞ (or, equivalently, the Caputo derivatives with lower terminal a →∞) not only for steady-state processes, but also for transient processes. Based on the above definition, the problems of composition rules of fractional operators and the initial conditions for fractional differential equations are discussed, respectively. As an example we study a fractional oscillator with Scott-Blair model and give an exact solution of this equation under given initial conditions.展开更多
BACKGROUND Sessile serrated adenomas(SSAs)are important premalignant lesions that are difficult to detect during colonoscopy due to poor definition,concealment by mucous caps,and flat appearance.High definition(HD)col...BACKGROUND Sessile serrated adenomas(SSAs)are important premalignant lesions that are difficult to detect during colonoscopy due to poor definition,concealment by mucous caps,and flat appearance.High definition(HD)colonoscopy may uniquely aid in the detection of these inconspicuous lesions compared to standard definition(SD)colonoscopes.In the absence of existing clinical guidelines to obligate the use of HD colonoscopy for colorectal cancer screening in average-risk patients,demonstrating the benefit of HD colonoscopy on SSA detection rate(SSADR)may help strengthen the evidence to recommend its use in all settings.AIM To evaluate the benefit of HD colonoscopy compared to SD colonoscopy on SSADR in average-risk patients undergoing screening colonoscopy.METHODS Data from screening colonoscopies for patients aged 50-76 years two years before and two years after the transition from SD colonoscopy to HD colonoscopy at our large,academic teaching center were collected.Patients with symptoms of colorectal disease,positive occult blood test,history of colon polyps,cancer,polyposis syndrome,inflammatory bowel disease or family history of colon cancer or polyps were excluded.Patients whose endoscopists did not perform colonoscopies both before and after scope definition change were also excluded.Differences in individual endoscopist SSADR,average SSADR,and overall SSADR with SD colonoscopy vs HD colonoscopy were also evaluated for significance.RESULTS A total of 3657 colonoscopies met eligibility criteria with 2012 colonoscopies from the SD colonoscopy period and 1645 colonoscopies from the HD colonoscopy period from a pool of 11 endoscopists.Statistically significant improvements of 2.30%in mean SSADR and 2.53%in overall SSADR were noted with HD colonoscopy(P=0.00028 and P=0.00849,respectively).On the individual level,three endoscopists experienced statistically significant benefit with HD colonoscopy(+5.74%,P=0.0056;+4.50%,P=0.0278;+4.84%,P=0.03486).CONCLUSION Our study suggests that HD colonoscopy statistically significantly improves sessile serrated adenoma detection rate in the screening of average risk patients during screening colonoscopy.By improving the detection and removal of these lesions,adoption of HD colonoscopy may reduce the significant premalignant burden of sessile serrated adenomas.展开更多
The adaptability of features definition to applications is an essential condition for implementing feature based design. This paper makes attempt to present a hierarchical definition structure of features. The propos...The adaptability of features definition to applications is an essential condition for implementing feature based design. This paper makes attempt to present a hierarchical definition structure of features. The proposed scheme divides feature definition into application level, form level and geometric level, and provides links between different levels with feature semantics interpretation and enhanced geometric face adjacent graph. respectively. The results not only enable feature definition to abate from the specific dependence and become more extensive, but also provide a theoretical foundation for establishing the concurrent feature based design process model.展开更多
During the last two decades fractional calculus has been increasingly applied to physics, especially to rheology.It is well known that there are obivious differences between Riemann-Liouville (R-L) definition and Capu...During the last two decades fractional calculus has been increasingly applied to physics, especially to rheology.It is well known that there are obivious differences between Riemann-Liouville (R-L) definition and Caputo definition,which are the two most commonly used definitions of fractional derivatives.The multiple definitions of fractional derivatives have hindered the application of fractional calculus in rheology.In this paper,we clarify that the R-L definition and Caputo definition are both Theologically unreasonable with the help of the mechanical analogues of the fractional element model.We also find that to make them more reasonable Theologically,the lower terminals of both definitions should be put to—∞.We further prove that the R-L definition with lower terminal—∞and the Caputo definition with lower terminal—∞are equivalent in the differentiation of functions that are smooth enough and functions that have finite number of singular points.Thus we can define the fractional derivatives in rheology as the R-L derivatives with lower terminal—∞(or,equivalently,the Caputo derivatives with lower terminal—∞) not only for steady-state processes,but also for transient processes.展开更多
BACKGROUND:A number of definitions have been used for delayed gastric emptying(DGE) after pancreatoduodenectomy and the reported rates varied widely.The International Study Group of Pancreatic Surgery(ISGPS) definitio...BACKGROUND:A number of definitions have been used for delayed gastric emptying(DGE) after pancreatoduodenectomy and the reported rates varied widely.The International Study Group of Pancreatic Surgery(ISGPS) definition is the current standard but it is not used universally.In this comprehensive review,we aimed to determine the acceptance rate of ISGPS definition of DGE,the incidence of DGE after pancreatoduodenectomy and the effect of various technical modifications on its incidence.DATA SOURCE:We searched PubM ed for studies regarding DGE after pancreatoduodenectomy that were published from 1 January 1980 to 1 July 2015 and extracted data on DGE definition,DGE rates and comparison of DGE rates among different technical modifications from all of the relevant articles.RESULTS:Out of 435 search results,178 were selected for data extraction.The ISGPS definition was used in 80% of the studies published since 2010 and the average rates of DGE and clinically relevant DGE were 27.7%(range:0-100%;median:18.7%) and 14.3%(range:1.8%-58.2%;median:13.6%),respectively.Pylorus preservation or retrocolic reconstruction were not associated with increased DGE rates.Although pyloric dilatation,Braun’s entero-enterostomy and Billroth Ⅱ reconstruction were associated with significantly lower DGE rates,pyloric ring resection appears to be most promising with favorable results in 7 out of 10 studies.CONCLUSIONS:ISGPS definition of DGE has been used in majority of studies published after 2010.Clinically relevant DGE rates remain high at 14.3% despite a number of proposed surgical modifications.Pyloric ring resection seems to offer the most promising solution to reduce the occurrence of DGE.展开更多
In nature, to realize the smooth motion for different speeds, the continuous gait transition is usually required for the quadrupeds. Thus, the gait simulation of quadrupeds is a requisite step to obtain the stable and...In nature, to realize the smooth motion for different speeds, the continuous gait transition is usually required for the quadrupeds. Thus, the gait simulation of quadrupeds is a requisite step to obtain the stable and energy-efficient gait for the walking machines. In this paper, the definitions of the two gait parameters, phasic difference and duty factor are presented, which can determine the gait of the quadrupeds. Then, several typical gaits of the quadrupeds are analyzed such that the seven standard gaits and corresponding parameters are summarized. Additionally, the variance law of the two parameters, which determine the relationship of gait transition, is analyzed. Furthermore, the quadruped gait derivative spectrum (QGDS) is proposed and the gait definition of the quadrupeds is presented. To minimize the power consumption, the choice criterion of gait, the optimal gait in terms of the motion speed, duty factory, and power consumption for the walking machines, is developed. Last, the continuous variance of the gait is implemented by the simulation of the gait transition from walk to trot, which evaluate the choice criterion and transition of gait.展开更多
In this paper,we review the creation,evolution and application of wetland definitions.Varying wetlands are found from the tundra to the tropics and on every continent except Antarctica in the planet.Wetlands have many...In this paper,we review the creation,evolution and application of wetland definitions.Varying wetlands are found from the tundra to the tropics and on every continent except Antarctica in the planet.Wetlands have many distinguishing features,the most notable of which are water presence,unique soil conditions,and biota that are adapted to or tolerant of saturated soils.Many wetland definitions have been developed by scientists,U.S.federal agencies,and the Ramsar Convention for both scientific and regulatory purposes.Wetlands are not easily defined but a well-conceived,science-based definition of wetlands is important for scientists and resource managers to understand the nature of wetlands and/or to use and protect wetlands.A scientific definition is the basis for wetland classification.Developing an effective wetland classification system requires a well-conceived,science-based definition and clearly explicit guidance on the appropriate use of various wetland indicators to verify the presence of wetlands on the ground.Based on a well-accepted wetland definition,both wetland classification and inventory further provide needed information and a working frame for wise use and management of wetlands.展开更多
This study analyzes the impact of the winter North Pacific Oscillation(NPO) on the surface air temperature(SAT)variations over Eurasia and North America based on six different NPO indices. Results show that the in...This study analyzes the impact of the winter North Pacific Oscillation(NPO) on the surface air temperature(SAT)variations over Eurasia and North America based on six different NPO indices. Results show that the influences of the winter NPO on the SAT over Eurasia and North America are sensitive to the definition of the NPO index. The impact of the winter NPO on the SAT variations over Eurasia(North America) is significant(insignificant) when the anticyclonic anomaly associated with the NPO index over the North Pacific midlatitudes shifts westward and pronounced northerly wind anomalies appear around Lake Baikal. By contrast, the impact of the winter NPO on the SAT variations over Eurasia(North America)is insignificant(significant) when the anticyclonic anomaly over the North Pacific related to the NPO index shifts eastward and the associated northerly wind anomalies to its eastern flank extend to North America. The present study suggests that the NPO definition should be taken into account when analyzing the impact of the winter NPO on Eurasian and North American SAT variations.展开更多
Tolerance is almost ubiquitous during the whole product lift cycle and is imperative for seamless integration of CAD and CAM. Based on the mathematical definition of tolerance, a 3D tolerancing system, 3DTS, is presen...Tolerance is almost ubiquitous during the whole product lift cycle and is imperative for seamless integration of CAD and CAM. Based on the mathematical definition of tolerance, a 3D tolerancing system, 3DTS, is presented with its design prin- ciple, system architecture and key functions. The following functional modules, tolerance modeling, semantics interpretation, 3D tolerance analysis, are described in detail. To make the tolerancing system robust and efficient, many techniques such as hierar- chical tolerance representation, rule-based evaluation and non-intersection determination of tolerance zone have been devised. Tested by many samples, this system shows good robustness and practicability.展开更多
Tolerance is imperative for seamless integration of CAD/CAM(Computer Aided Disign/Computer Aided Manufacture) which is just a text attribute and has no semantics in present CAD systems. There are many tolerance types,...Tolerance is imperative for seamless integration of CAD/CAM(Computer Aided Disign/Computer Aided Manufacture) which is just a text attribute and has no semantics in present CAD systems. There are many tolerance types, the relations between which are very complicated. In addition, the different principles of tolerance make study of tolerance difficult; and there may be various meanings or interpretation for the same type of tolerance because of the literal definition. In this work, latest unambiguous mathematical definition was applied to study, explain and clarify: (1) the formation and representation of tolerance zone, and (2) the formation and representation of variational elements; after which, the mathematical models of symmetry of different tolerance principles and different interpretations were derived. An example is given to illustrate the application of these models in tolerance analysis.展开更多
AIM:To investigate the rates of polyp detection in a mixed risk population using standard definition (SDC) vs high definition colonoscopes (HDC).METHODS:This was a retrospective cohort comparative study of 3 colonosco...AIM:To investigate the rates of polyp detection in a mixed risk population using standard definition (SDC) vs high definition colonoscopes (HDC).METHODS:This was a retrospective cohort comparative study of 3 colonoscopists who each consecutively performed 150 SDC (307,200 pixel) and 150 HDC (792,576 pixels) in a community teaching hospital.RESULTS:A total of 900 colonoscopies were evaluated (mean age 56,46.8% men),450 with each resolution.Polyps of any type were detected in 46.0% of patients using SDC and 43.3% with HDC (P=0.42).There was no significant difference between the overall number of polyps,HDC (397) and SDC (410),detected among all patients examined,(P=0.73).One or more adenomatous polyps were detected in 24.2% of patients with HDC and 24.9% of patients with SDC colonoscopy (P=0.82).There was no significant difference between HDC (M=0.41) and SDC (M=0.42) regarding adenomatous polyp (P=0.88) or advanced adenoma (P=0.56) detection rate among all patients examined.CONCLUSION:HDC did not improve yield of adenomatous polyp,advanced adenoma or overall polyp detection in a population of individuals with mixed risk for colorectal cancer.展开更多
Since Murakami defined early gastric cancer(EGC) as a "carcinoma limited to the gastric mucosa and/or submucosa regardless of the lymph node status", several authors have focused on the most influential hist...Since Murakami defined early gastric cancer(EGC) as a "carcinoma limited to the gastric mucosa and/or submucosa regardless of the lymph node status", several authors have focused on the most influential histopathological parameters for predicting the development of lymph node metastases by considering the lymph node status as an important prognostic factor. A few authors have also considered the depth of invasion as one of the keys to explaining the existence of subgroups of patients affected by EGC with poor prognoses. In any case, EGC is still considered an initial phase of tumor progression with good prognosis. The introduction of modern endoscopic devices has allowed a precise diagnosis of early lesions, which can lead to improved definitions of tumors that can be radically treated with endoscopic mucosal resection or endoscopic submucosal dissection(ESD). Given the widespread use of these techniques, the Japanese Gastric Cancer Association( JGCA) identified in 2011 the standard criteria that should exclude the presence of lymph node metastases. At that time, EGCs with nodal involvement should have been asserted as no longer fitting the definition of an early tumor. Some authors have also demonstrated that the morphological growth pattern of a tumor, according to Kodama's classification, is one of the most important prognostic factors, thereby suggesting the need to report it in histopathological drafts. Notwithstanding the acquired knowledge regarding the clinical behavior of EGC, Murakami's definition is still being used. This definition needs to be upgraded according to the modern staging of the disease so that the appropriate treatment would be selected.展开更多
AIM To compare high definition white light endoscopy and bright narrow band imaging for colon polyps' detection rates. METHODS Patients were randomised to high definition white light endoscopy(HD-WLE) or the brigh...AIM To compare high definition white light endoscopy and bright narrow band imaging for colon polyps' detection rates. METHODS Patients were randomised to high definition white light endoscopy(HD-WLE) or the bright narrow band imaging(b NBI) during withdrawal of the colonoscope. Polyps identified in either mode were characterised using b NBI with dual focus(b NBI-DF) according to the Sano's classification. The primary outcome was to compare adenoma detection rates(ADRs) between the two arms. The secondary outcome was to assess the negative predictive value(NPV) in differentiating adenomas from hyperplastic polyps for diminutive rectosigmoid lesions.RESULTS A total of 1006 patients were randomised to HD-WLE(n = 511) or b NBI(n = 495). The mean of adenoma per patient was 1.62 and 1.84, respectively. The ADRs in b NBI and HD-WLE group were 37.4% and 39.3%, respectively. When adjusted for withdrawal time(OR = 1.19, 95%CI: 1.15-1.24, P < 0.001), the use of b NBI was associated with a reduced ADR(OR = 0.69, 95%CI: 0.52-0.92). Nine hundred and thirty three polyps(86%) in both arms were predicted with high confidence. The sensitivity(Sn), specificity(Sp), positive predictive value and NPV in differentiating adenomatous from non-adenomatous polyps of all sizes were 95.9%, 87.2%, 94.0% and 91.1% respectively. The NPV in differentiating an adenoma from hyperplastic polyp using b NBI-DF for diminutive rectal polyps was 91.0%.CONCLUSION ADRs did not differ between b NBI and HD-WLE, however HD-WLE had higher ADR after adjustment of withdrawal time. b NBI surpassed the PIVI threshold for diminutive polyps.展开更多
The liver is the most frequent site of metastasis in colorectal cancer with up to a quarter of patients having liver metastases at the time of initial diagnosis and a further third subsequently developing liver lesion...The liver is the most frequent site of metastasis in colorectal cancer with up to a quarter of patients having liver metastases at the time of initial diagnosis and a further third subsequently developing liver lesions.Patients who present with metastatic liver disease after treatment of the primary(termed metachronous disease)receive care focused on this new metastatic disease.In contrast,the management of patients who present with colorectal cancer and concurrent liver展开更多
Myocardial infarction(MI)is defined as myocardial cell death due to prolonged myocardial ischemia.Clinically,troponin rise and/or fall have become the“defining feature of MI”according to the universal definition of ...Myocardial infarction(MI)is defined as myocardial cell death due to prolonged myocardial ischemia.Clinically,troponin rise and/or fall have become the“defining feature of MI”according to the universal definition of MI(UD-MI).Takotsubo syndrome(TS)and TS-related disease conditions also cause troponin elevation with typical rise and/or fall pattern but through a mechanism other than coronary ischemia.By strict application of the clinical diagnostic criteria for type-1 MI,type-2 MI,type-3 MI,and MI with non-obstructive coronary arteries according to the UD-MI including the fourth one published recently,TS and most of the 26 other causes of troponin elevation mentioned in the fourth UD-MI may erroneously be classified as MI.The existing evidence argues for the case that TS by itself is not a MI.Hyper-activation of the autonomic-sympathetic nervous system including local cardiac sympathetic hyper-activation and disruption with nor-epinephrine churn and spillover is the most probable cause of TS.This autonomic neuro-cardiogenic(ANCA)mechanism results in myocardial“cramp”(stunning),the severity and duration of which depend on the degree of the sympathetic-hyperactivation and nor-epinephrine spillover.The myocardial cramp may squeeze the cytosolic free troponin pools causing mild to moderate troponin elevation in TS and TS-related disease conditions.This ANCA syndrome,which has hitherto been enveloped by the UD-MI over more than one decade,may occur in acute,recurrent,and chronic forms.In this critical review,the controversies of UD-MI,evidence for ANCA syndrome,and a hypothetical mechanism for the troponin elevation in ANCA syndrome are provided.展开更多
Benefiting from advances in feature technology for design and manufacture can not be expected before a formal methodology is established. This paper makes attempt to establish a definition formalism of machining featu...Benefiting from advances in feature technology for design and manufacture can not be expected before a formal methodology is established. This paper makes attempt to establish a definition formalism of machining features in design for manufacturability from two aspects: formal definition and manufacturability analysis. Some definitions for machining feature based upon the selection and sequencing of material removal operations for component in accordance with the design geometry are presented and a framework of feature based design for manufacturability is outlined correspondingly. The proposed scheme contributes to several aspects of feature based CAD/CAM integration, especially to encourage potentially a more generic approach to the automation of design.展开更多
This paper is about the philosophical and methodological foundation of artificial intelligence (AI). After discussing what is a good "working definition", "intelligence" is defined as "the abi...This paper is about the philosophical and methodological foundation of artificial intelligence (AI). After discussing what is a good "working definition", "intelligence" is defined as "the ability for an information processing system to adapt to its environment with insuffcient knowledge and resources". Applying the definition to a reasoning system, we get the major components of Non-Axiomatic Reasoning System (NARS) , which is a symbolic logic implemented in a computer system, and has many interesting ...展开更多
文摘This paper puts forword 11 cartographic generalization operator models and introduces their mathematical definitions,and thus a precise mathematical form and quantitative description has been given to these formerly limited qualitative concepts.The meaning of mathematical definition of operators for cartographic generalization and the application prospect in computer_aided cartography (CAC) is stated.ract The Jurassic strata in Jingyan of Sichuan containing the Mamenchinsaurus fauna are dealt with and divided in this paper. The Mamenchisaurus fossils contained there are compared in morphological features and stratigraphically with other types of the genus on by one. The comprehensive analysis show that the Mamenchisaurus fauna of Jingyan appeared in the early Late Jurassic and is primitive in morphology. The results of the morphological identification and stratigraphical study agree with each other. Their evolutionary processes in different apoches of the Late Jurassic also made clear. Key words Jingyan, Sichuan, Mamenchisaurus Fauna, stratigraphy, evolution
基金supported by the National Natural Science Foundation of China (10972117)
文摘It is known that there exist obivious differences between the two most commonly used definitions of fractional derivatives-Riemann-Liouville (R-L) definition and Caputo definition. The multiple definitions of fractional derivatives in fractional calculus have hindered the application of fractional calculus in rheology. In this paper, we clarify that the R-L definition and Caputo definition are both rheologically imperfect with the help of mechanical analogues of the fractional element model (Scott-Blair model). We also clarify that to make them perfect rheologically, the lower terminals of both definitions should be put to ∞. We further prove that the R-L definition with lower terminal a →∞ and the Caputo definition with lower terminal a →∞ are equivalent in the differentiation of functions that are smooth enough and functions that have finite number of singular points. Thus we can define the fractional derivatives in rheology as the R-L derivatives with lower terminal a →∞ (or, equivalently, the Caputo derivatives with lower terminal a →∞) not only for steady-state processes, but also for transient processes. Based on the above definition, the problems of composition rules of fractional operators and the initial conditions for fractional differential equations are discussed, respectively. As an example we study a fractional oscillator with Scott-Blair model and give an exact solution of this equation under given initial conditions.
文摘BACKGROUND Sessile serrated adenomas(SSAs)are important premalignant lesions that are difficult to detect during colonoscopy due to poor definition,concealment by mucous caps,and flat appearance.High definition(HD)colonoscopy may uniquely aid in the detection of these inconspicuous lesions compared to standard definition(SD)colonoscopes.In the absence of existing clinical guidelines to obligate the use of HD colonoscopy for colorectal cancer screening in average-risk patients,demonstrating the benefit of HD colonoscopy on SSA detection rate(SSADR)may help strengthen the evidence to recommend its use in all settings.AIM To evaluate the benefit of HD colonoscopy compared to SD colonoscopy on SSADR in average-risk patients undergoing screening colonoscopy.METHODS Data from screening colonoscopies for patients aged 50-76 years two years before and two years after the transition from SD colonoscopy to HD colonoscopy at our large,academic teaching center were collected.Patients with symptoms of colorectal disease,positive occult blood test,history of colon polyps,cancer,polyposis syndrome,inflammatory bowel disease or family history of colon cancer or polyps were excluded.Patients whose endoscopists did not perform colonoscopies both before and after scope definition change were also excluded.Differences in individual endoscopist SSADR,average SSADR,and overall SSADR with SD colonoscopy vs HD colonoscopy were also evaluated for significance.RESULTS A total of 3657 colonoscopies met eligibility criteria with 2012 colonoscopies from the SD colonoscopy period and 1645 colonoscopies from the HD colonoscopy period from a pool of 11 endoscopists.Statistically significant improvements of 2.30%in mean SSADR and 2.53%in overall SSADR were noted with HD colonoscopy(P=0.00028 and P=0.00849,respectively).On the individual level,three endoscopists experienced statistically significant benefit with HD colonoscopy(+5.74%,P=0.0056;+4.50%,P=0.0278;+4.84%,P=0.03486).CONCLUSION Our study suggests that HD colonoscopy statistically significantly improves sessile serrated adenoma detection rate in the screening of average risk patients during screening colonoscopy.By improving the detection and removal of these lesions,adoption of HD colonoscopy may reduce the significant premalignant burden of sessile serrated adenomas.
文摘The adaptability of features definition to applications is an essential condition for implementing feature based design. This paper makes attempt to present a hierarchical definition structure of features. The proposed scheme divides feature definition into application level, form level and geometric level, and provides links between different levels with feature semantics interpretation and enhanced geometric face adjacent graph. respectively. The results not only enable feature definition to abate from the specific dependence and become more extensive, but also provide a theoretical foundation for establishing the concurrent feature based design process model.
基金supported by NSFC under the grant number 10972117
文摘During the last two decades fractional calculus has been increasingly applied to physics, especially to rheology.It is well known that there are obivious differences between Riemann-Liouville (R-L) definition and Caputo definition,which are the two most commonly used definitions of fractional derivatives.The multiple definitions of fractional derivatives have hindered the application of fractional calculus in rheology.In this paper,we clarify that the R-L definition and Caputo definition are both Theologically unreasonable with the help of the mechanical analogues of the fractional element model.We also find that to make them more reasonable Theologically,the lower terminals of both definitions should be put to—∞.We further prove that the R-L definition with lower terminal—∞and the Caputo definition with lower terminal—∞are equivalent in the differentiation of functions that are smooth enough and functions that have finite number of singular points.Thus we can define the fractional derivatives in rheology as the R-L derivatives with lower terminal—∞(or,equivalently,the Caputo derivatives with lower terminal—∞) not only for steady-state processes,but also for transient processes.
文摘BACKGROUND:A number of definitions have been used for delayed gastric emptying(DGE) after pancreatoduodenectomy and the reported rates varied widely.The International Study Group of Pancreatic Surgery(ISGPS) definition is the current standard but it is not used universally.In this comprehensive review,we aimed to determine the acceptance rate of ISGPS definition of DGE,the incidence of DGE after pancreatoduodenectomy and the effect of various technical modifications on its incidence.DATA SOURCE:We searched PubM ed for studies regarding DGE after pancreatoduodenectomy that were published from 1 January 1980 to 1 July 2015 and extracted data on DGE definition,DGE rates and comparison of DGE rates among different technical modifications from all of the relevant articles.RESULTS:Out of 435 search results,178 were selected for data extraction.The ISGPS definition was used in 80% of the studies published since 2010 and the average rates of DGE and clinically relevant DGE were 27.7%(range:0-100%;median:18.7%) and 14.3%(range:1.8%-58.2%;median:13.6%),respectively.Pylorus preservation or retrocolic reconstruction were not associated with increased DGE rates.Although pyloric dilatation,Braun’s entero-enterostomy and Billroth Ⅱ reconstruction were associated with significantly lower DGE rates,pyloric ring resection appears to be most promising with favorable results in 7 out of 10 studies.CONCLUSIONS:ISGPS definition of DGE has been used in majority of studies published after 2010.Clinically relevant DGE rates remain high at 14.3% despite a number of proposed surgical modifications.Pyloric ring resection seems to offer the most promising solution to reduce the occurrence of DGE.
文摘In nature, to realize the smooth motion for different speeds, the continuous gait transition is usually required for the quadrupeds. Thus, the gait simulation of quadrupeds is a requisite step to obtain the stable and energy-efficient gait for the walking machines. In this paper, the definitions of the two gait parameters, phasic difference and duty factor are presented, which can determine the gait of the quadrupeds. Then, several typical gaits of the quadrupeds are analyzed such that the seven standard gaits and corresponding parameters are summarized. Additionally, the variance law of the two parameters, which determine the relationship of gait transition, is analyzed. Furthermore, the quadruped gait derivative spectrum (QGDS) is proposed and the gait definition of the quadrupeds is presented. To minimize the power consumption, the choice criterion of gait, the optimal gait in terms of the motion speed, duty factory, and power consumption for the walking machines, is developed. Last, the continuous variance of the gait is implemented by the simulation of the gait transition from walk to trot, which evaluate the choice criterion and transition of gait.
基金funded by the National Nat-ural Science Foundation of China(No.40830535andNo.40871089)
文摘In this paper,we review the creation,evolution and application of wetland definitions.Varying wetlands are found from the tundra to the tropics and on every continent except Antarctica in the planet.Wetlands have many distinguishing features,the most notable of which are water presence,unique soil conditions,and biota that are adapted to or tolerant of saturated soils.Many wetland definitions have been developed by scientists,U.S.federal agencies,and the Ramsar Convention for both scientific and regulatory purposes.Wetlands are not easily defined but a well-conceived,science-based definition of wetlands is important for scientists and resource managers to understand the nature of wetlands and/or to use and protect wetlands.A scientific definition is the basis for wetland classification.Developing an effective wetland classification system requires a well-conceived,science-based definition and clearly explicit guidance on the appropriate use of various wetland indicators to verify the presence of wetlands on the ground.Based on a well-accepted wetland definition,both wetland classification and inventory further provide needed information and a working frame for wise use and management of wetlands.
基金supported by the National Natural Science Foundation of China(Grant Nos.41605050,41605031,41530425,41775080,and 41661144016)the Young Elite Scientists Sponsorship Program by the China Association for Science and Technology(Grant No.2016QNRC001)the China Postdoctoral Science Foundation(Grant No.2017T100102)
文摘This study analyzes the impact of the winter North Pacific Oscillation(NPO) on the surface air temperature(SAT)variations over Eurasia and North America based on six different NPO indices. Results show that the influences of the winter NPO on the SAT over Eurasia and North America are sensitive to the definition of the NPO index. The impact of the winter NPO on the SAT variations over Eurasia(North America) is significant(insignificant) when the anticyclonic anomaly associated with the NPO index over the North Pacific midlatitudes shifts westward and pronounced northerly wind anomalies appear around Lake Baikal. By contrast, the impact of the winter NPO on the SAT variations over Eurasia(North America)is insignificant(significant) when the anticyclonic anomaly over the North Pacific related to the NPO index shifts eastward and the associated northerly wind anomalies to its eastern flank extend to North America. The present study suggests that the NPO definition should be taken into account when analyzing the impact of the winter NPO on Eurasian and North American SAT variations.
基金Project supported by the National Natural Science Foundation of China (Nos. 50505046 and 50275136) and the Defense TechnologyFoundation of National Key Laboratory (No. 51489020104JW0401),China
文摘Tolerance is almost ubiquitous during the whole product lift cycle and is imperative for seamless integration of CAD and CAM. Based on the mathematical definition of tolerance, a 3D tolerancing system, 3DTS, is presented with its design prin- ciple, system architecture and key functions. The following functional modules, tolerance modeling, semantics interpretation, 3D tolerance analysis, are described in detail. To make the tolerancing system robust and efficient, many techniques such as hierar- chical tolerance representation, rule-based evaluation and non-intersection determination of tolerance zone have been devised. Tested by many samples, this system shows good robustness and practicability.
文摘Tolerance is imperative for seamless integration of CAD/CAM(Computer Aided Disign/Computer Aided Manufacture) which is just a text attribute and has no semantics in present CAD systems. There are many tolerance types, the relations between which are very complicated. In addition, the different principles of tolerance make study of tolerance difficult; and there may be various meanings or interpretation for the same type of tolerance because of the literal definition. In this work, latest unambiguous mathematical definition was applied to study, explain and clarify: (1) the formation and representation of tolerance zone, and (2) the formation and representation of variational elements; after which, the mathematical models of symmetry of different tolerance principles and different interpretations were derived. An example is given to illustrate the application of these models in tolerance analysis.
基金Supported by Cleveland Clinic Florida Institution Review Committee
文摘AIM:To investigate the rates of polyp detection in a mixed risk population using standard definition (SDC) vs high definition colonoscopes (HDC).METHODS:This was a retrospective cohort comparative study of 3 colonoscopists who each consecutively performed 150 SDC (307,200 pixel) and 150 HDC (792,576 pixels) in a community teaching hospital.RESULTS:A total of 900 colonoscopies were evaluated (mean age 56,46.8% men),450 with each resolution.Polyps of any type were detected in 46.0% of patients using SDC and 43.3% with HDC (P=0.42).There was no significant difference between the overall number of polyps,HDC (397) and SDC (410),detected among all patients examined,(P=0.73).One or more adenomatous polyps were detected in 24.2% of patients with HDC and 24.9% of patients with SDC colonoscopy (P=0.82).There was no significant difference between HDC (M=0.41) and SDC (M=0.42) regarding adenomatous polyp (P=0.88) or advanced adenoma (P=0.56) detection rate among all patients examined.CONCLUSION:HDC did not improve yield of adenomatous polyp,advanced adenoma or overall polyp detection in a population of individuals with mixed risk for colorectal cancer.
文摘Since Murakami defined early gastric cancer(EGC) as a "carcinoma limited to the gastric mucosa and/or submucosa regardless of the lymph node status", several authors have focused on the most influential histopathological parameters for predicting the development of lymph node metastases by considering the lymph node status as an important prognostic factor. A few authors have also considered the depth of invasion as one of the keys to explaining the existence of subgroups of patients affected by EGC with poor prognoses. In any case, EGC is still considered an initial phase of tumor progression with good prognosis. The introduction of modern endoscopic devices has allowed a precise diagnosis of early lesions, which can lead to improved definitions of tumors that can be radically treated with endoscopic mucosal resection or endoscopic submucosal dissection(ESD). Given the widespread use of these techniques, the Japanese Gastric Cancer Association( JGCA) identified in 2011 the standard criteria that should exclude the presence of lymph node metastases. At that time, EGCs with nodal involvement should have been asserted as no longer fitting the definition of an early tumor. Some authors have also demonstrated that the morphological growth pattern of a tumor, according to Kodama's classification, is one of the most important prognostic factors, thereby suggesting the need to report it in histopathological drafts. Notwithstanding the acquired knowledge regarding the clinical behavior of EGC, Murakami's definition is still being used. This definition needs to be upgraded according to the modern staging of the disease so that the appropriate treatment would be selected.
文摘AIM To compare high definition white light endoscopy and bright narrow band imaging for colon polyps' detection rates. METHODS Patients were randomised to high definition white light endoscopy(HD-WLE) or the bright narrow band imaging(b NBI) during withdrawal of the colonoscope. Polyps identified in either mode were characterised using b NBI with dual focus(b NBI-DF) according to the Sano's classification. The primary outcome was to compare adenoma detection rates(ADRs) between the two arms. The secondary outcome was to assess the negative predictive value(NPV) in differentiating adenomas from hyperplastic polyps for diminutive rectosigmoid lesions.RESULTS A total of 1006 patients were randomised to HD-WLE(n = 511) or b NBI(n = 495). The mean of adenoma per patient was 1.62 and 1.84, respectively. The ADRs in b NBI and HD-WLE group were 37.4% and 39.3%, respectively. When adjusted for withdrawal time(OR = 1.19, 95%CI: 1.15-1.24, P < 0.001), the use of b NBI was associated with a reduced ADR(OR = 0.69, 95%CI: 0.52-0.92). Nine hundred and thirty three polyps(86%) in both arms were predicted with high confidence. The sensitivity(Sn), specificity(Sp), positive predictive value and NPV in differentiating adenomatous from non-adenomatous polyps of all sizes were 95.9%, 87.2%, 94.0% and 91.1% respectively. The NPV in differentiating an adenoma from hyperplastic polyp using b NBI-DF for diminutive rectal polyps was 91.0%.CONCLUSION ADRs did not differ between b NBI and HD-WLE, however HD-WLE had higher ADR after adjustment of withdrawal time. b NBI surpassed the PIVI threshold for diminutive polyps.
文摘The liver is the most frequent site of metastasis in colorectal cancer with up to a quarter of patients having liver metastases at the time of initial diagnosis and a further third subsequently developing liver lesions.Patients who present with metastatic liver disease after treatment of the primary(termed metachronous disease)receive care focused on this new metastatic disease.In contrast,the management of patients who present with colorectal cancer and concurrent liver
文摘Myocardial infarction(MI)is defined as myocardial cell death due to prolonged myocardial ischemia.Clinically,troponin rise and/or fall have become the“defining feature of MI”according to the universal definition of MI(UD-MI).Takotsubo syndrome(TS)and TS-related disease conditions also cause troponin elevation with typical rise and/or fall pattern but through a mechanism other than coronary ischemia.By strict application of the clinical diagnostic criteria for type-1 MI,type-2 MI,type-3 MI,and MI with non-obstructive coronary arteries according to the UD-MI including the fourth one published recently,TS and most of the 26 other causes of troponin elevation mentioned in the fourth UD-MI may erroneously be classified as MI.The existing evidence argues for the case that TS by itself is not a MI.Hyper-activation of the autonomic-sympathetic nervous system including local cardiac sympathetic hyper-activation and disruption with nor-epinephrine churn and spillover is the most probable cause of TS.This autonomic neuro-cardiogenic(ANCA)mechanism results in myocardial“cramp”(stunning),the severity and duration of which depend on the degree of the sympathetic-hyperactivation and nor-epinephrine spillover.The myocardial cramp may squeeze the cytosolic free troponin pools causing mild to moderate troponin elevation in TS and TS-related disease conditions.This ANCA syndrome,which has hitherto been enveloped by the UD-MI over more than one decade,may occur in acute,recurrent,and chronic forms.In this critical review,the controversies of UD-MI,evidence for ANCA syndrome,and a hypothetical mechanism for the troponin elevation in ANCA syndrome are provided.
文摘Benefiting from advances in feature technology for design and manufacture can not be expected before a formal methodology is established. This paper makes attempt to establish a definition formalism of machining features in design for manufacturability from two aspects: formal definition and manufacturability analysis. Some definitions for machining feature based upon the selection and sequencing of material removal operations for component in accordance with the design geometry are presented and a framework of feature based design for manufacturability is outlined correspondingly. The proposed scheme contributes to several aspects of feature based CAD/CAM integration, especially to encourage potentially a more generic approach to the automation of design.
文摘This paper is about the philosophical and methodological foundation of artificial intelligence (AI). After discussing what is a good "working definition", "intelligence" is defined as "the ability for an information processing system to adapt to its environment with insuffcient knowledge and resources". Applying the definition to a reasoning system, we get the major components of Non-Axiomatic Reasoning System (NARS) , which is a symbolic logic implemented in a computer system, and has many interesting ...