Background: Sub arachnoid block (SAB) performed by traditional landmark palpation technique can be inaccurate. This problem is exacerbated by altered patient anatomy due to obesity and age-related changes. A pre-proce...Background: Sub arachnoid block (SAB) performed by traditional landmark palpation technique can be inaccurate. This problem is exacerbated by altered patient anatomy due to obesity and age-related changes. A pre-procedural ultrasound scan of the lumbar spine has been shown to be of benefit in guiding lumbar epidural insertion in obstetric patients. Information on the use of real-time ultrasound (RUS) guided SAB, to date, been limited. This study compared RUS guided SAB to traditional landmark guided technique in patients undergoing spinal anesthesia for different surgical procedures. Methods: This was a prospective, single center, comparative observational study conducted in the department of anesthesiology at our center. 560 patients who underwent spinal anesthesia either by landmark based technique or real-time ultrasound-guided methods. The primary outcome was the first attempt success rate of dural puncture when employing the two methods. Results: Baseline characteristics were similar in the two study groups. The first attempt success rate of dural puncture in landmark guided group was 64.3% compared to 72.6% in the ultrasound guided group. This difference was not statistically significant. The procedure performance time was significantly shorter with landmark palpation compared to use of real-time ultrasound guided method. Conclusion: Use of RUS-guided technique does not significantly improve the first attempt success rate of SAB dural puncture during spinal anesthesia compared to the traditional landmark-guided technique.展开更多
Necrotizing scleritis is the most severe form of scleritis with a significant threat to vision and globe integrity. It can be infectious, surgically induced necrotizing scleritis (SINS) or systemic autoimmune associat...Necrotizing scleritis is the most severe form of scleritis with a significant threat to vision and globe integrity. It can be infectious, surgically induced necrotizing scleritis (SINS) or systemic autoimmune associated. We report a case of necrotizing scleritis associated with 5-fluorouracil (5-FU) at the site of sub tenon’s block in a patient with previous trabeculectomy. To our knowledge, this is the first reported case of necrotizing scleritis associated with 5-FU. This may implicate alternative approaches to local anaesthetic techniques when using adjunctive 5-FU.展开更多
The new features of H. 264 video coding standard make the motion estimation module much more time consuming than before. Especially, the motion search is required for each of the 4 modes for inter prediction. In order...The new features of H. 264 video coding standard make the motion estimation module much more time consuming than before. Especially, the motion search is required for each of the 4 modes for inter prediction. In order to reduce the computational complexity, we analyze the statistics of results of motion estimation, such as the continuity of best modes of blocks in successive frames and the chance to give up a sub-partition mode （smaller than 16 × 16） after integer-pixel motion estimation, from which we suggest to make mode prediction based on the motion information of the previous frame and skip sub-pixel motion estimation in subpartition mode selectively. According to the experimental result, the proposed algorithm can save 75 % of the computational time with a slight degradation （0.03 dB） on PSNR compared with the pseudocode of fast search motion estimation in JM12.2.展开更多
脉冲噪声是影响电力线通信性能的最主要因素。为了提升极化码在电力线信道的性能,文章提出了分段循环冗余校验码辅助串行抵消列表比特翻转(segmented CRC aid SCL-bit flip,SCA-SCL-BF)译码算法,并在加性高斯白噪声(additive white gaus...脉冲噪声是影响电力线通信性能的最主要因素。为了提升极化码在电力线信道的性能,文章提出了分段循环冗余校验码辅助串行抵消列表比特翻转(segmented CRC aid SCL-bit flip,SCA-SCL-BF)译码算法,并在加性高斯白噪声(additive white gaussian noise,AWGN)信道和电力线信道下进行了仿真。在构造关键集合时引入Rate1子块,避免了全集搜索的复杂度;根据关键集合中比特的位置进行分段,每段翻转一比特,可以实现多比特翻转。仿真结果表明,SCA-SCL-BF算法的性能相较于公开文献中性能在信噪比(signal-to-noiseratios,SNR)大于0dB时有显著提升。该算法对于提升电力线传输性能有重要意义。展开更多
针对等矩柱状投影(equirectangular projection,ERP)全景视频多功能视频编码(versatile video coding,VVC)帧内编码复杂度过高的问题,提出一种编码单元(coding unit,CU)快速划分算法。根据ERP采样特性,将编码帧分为不同纬度区域。基于...针对等矩柱状投影(equirectangular projection,ERP)全景视频多功能视频编码(versatile video coding,VVC)帧内编码复杂度过高的问题,提出一种编码单元(coding unit,CU)快速划分算法。根据ERP采样特性,将编码帧分为不同纬度区域。基于不同纬度区域CU四叉树深度的分布特性和相邻CU的相关性,对当前CU的划分模式进行提前终止决策;利用梯度差异评估当前CU纹理特性,跳过冗余的水平或垂直划分模式。针对纹理模糊CU,通过纬度采样权重加权的二次比较,判断是否跳过垂直划分模式;利用二维哈尔小波变换系数评估当前CU子块间的差异,判断是否跳过三叉树划分模式。实验结果表明,在全帧内模式下,与VVC官方测试平台相比,所提算法能节省43.85%的编码时间,码率仅增加0.85%,视频质量没有明显下降。展开更多
AIM:To investigate the effect of hyaluronidase use on the quality of sub-Tenon's anaesthesia for phacoemulsification.· METHODS:This was a randomized,double-blind clinical trial which was conducted at Nikookar...AIM:To investigate the effect of hyaluronidase use on the quality of sub-Tenon's anaesthesia for phacoemulsification.· METHODS:This was a randomized,double-blind clinical trial which was conducted at Nikookari Eye Hospital for 5 months.Forty-two eyes of candidates for phacoemulsification under sub-Tenon's anaesthesia were randomly allocated to two equal groups and received either 2 mL of lidocaine 2% solution with(LH),or without(L) addition of hyaluronidase(150IU/mL).Akinesia was assessed 15 minutes after sub-Tenon's injection.Patients and surgeon's satisfaction,as well as the postoperative pain(the visual analogue scale,VAS) were investigated after operation.The contingency tables(including the Chi-square or Fisher's exact tests,when appropriate) and parametric analysis(the independent samples t test) were used for statistical analysis.· RESULTS:Complete akinesia(33.3% vs 4.8%,P =0.04),as well as the patients(85.7% vs 57.1%,P =0.04)and surgeon's satisfaction(87.5% vs 52.4%,P =0.02) were significantly more frequent in LH than in L group.The mean VAS was significantly lower in the same group(1.90±1.45 vs 3.00±1.55,P =0.04).· CONCLUSION:Addition of hyaluronidase to lidocaine solution for sub-Tenon's anesthesia significantly improves the ocular akinesia,enhances the intra-operative patients and surgeons' satisfaction,and attenuates the postoperative pain.·展开更多
Gravity data have been processed in the Douala sedimentary sub-basin in a section consisting of a set of 116 gravity data points located between latitudes 3°03'N and 4°06'N and longitudes 9°00&#...Gravity data have been processed in the Douala sedimentary sub-basin in a section consisting of a set of 116 gravity data points located between latitudes 3°03'N and 4°06'N and longitudes 9°00'E and 10°00'E. The established Bouguer anomaly fields and the Residual anomaly fields, extracted by upward continuation at an optimum height of 30 km, were both characterized by considerably high positive anomalies. These anomalies showed many ring-like positive gravity anomaly contour lines in the study region. Gravity gradients were analysed using the multi-scale horizontal derivative of the vertical derivative (MSHDVD) method, and this excluded the existence of fault lines across this region. Amplitude spectrum was used to estimate the potential field source at a depth of about 4.8 km. The ideal body theory capable of handling sparse data contaminated with noise was applied along a 50.2 km WWS-EEN profile to determine a density contrast of 0.266 g/cm3. Using these results as constraints, 2.5 D modelling carried out along this profile presented two major blocks with density contrast of 0.266 g/cm3. The first block is probably an intrusive igneous body with a density of about 2.77 g/cm3 , having an average thickness of about 26 km with its top and base lying at depths of about 4.25 km and 30.25 km respectively. The second block is likely a pillar of igneous material, located at a depth of about 10.77 km with a density of about 2.77 g/cm3 whose base goes deep down beyond the crust-mantle boundary. These results support previous findings that there are similarities between the Douala sedimentary sub-basin and the coastal sedimentary basin of Mauritania-Senegal and thus foster the suggestions of a more extensive movement that would have affected the whole of the West African coast.展开更多
文摘Background: Sub arachnoid block (SAB) performed by traditional landmark palpation technique can be inaccurate. This problem is exacerbated by altered patient anatomy due to obesity and age-related changes. A pre-procedural ultrasound scan of the lumbar spine has been shown to be of benefit in guiding lumbar epidural insertion in obstetric patients. Information on the use of real-time ultrasound (RUS) guided SAB, to date, been limited. This study compared RUS guided SAB to traditional landmark guided technique in patients undergoing spinal anesthesia for different surgical procedures. Methods: This was a prospective, single center, comparative observational study conducted in the department of anesthesiology at our center. 560 patients who underwent spinal anesthesia either by landmark based technique or real-time ultrasound-guided methods. The primary outcome was the first attempt success rate of dural puncture when employing the two methods. Results: Baseline characteristics were similar in the two study groups. The first attempt success rate of dural puncture in landmark guided group was 64.3% compared to 72.6% in the ultrasound guided group. This difference was not statistically significant. The procedure performance time was significantly shorter with landmark palpation compared to use of real-time ultrasound guided method. Conclusion: Use of RUS-guided technique does not significantly improve the first attempt success rate of SAB dural puncture during spinal anesthesia compared to the traditional landmark-guided technique.
文摘Necrotizing scleritis is the most severe form of scleritis with a significant threat to vision and globe integrity. It can be infectious, surgically induced necrotizing scleritis (SINS) or systemic autoimmune associated. We report a case of necrotizing scleritis associated with 5-fluorouracil (5-FU) at the site of sub tenon’s block in a patient with previous trabeculectomy. To our knowledge, this is the first reported case of necrotizing scleritis associated with 5-FU. This may implicate alternative approaches to local anaesthetic techniques when using adjunctive 5-FU.
基金Sponsored by the National Natural Science Foundation of China(60772066)
文摘The new features of H. 264 video coding standard make the motion estimation module much more time consuming than before. Especially, the motion search is required for each of the 4 modes for inter prediction. In order to reduce the computational complexity, we analyze the statistics of results of motion estimation, such as the continuity of best modes of blocks in successive frames and the chance to give up a sub-partition mode （smaller than 16 × 16） after integer-pixel motion estimation, from which we suggest to make mode prediction based on the motion information of the previous frame and skip sub-pixel motion estimation in subpartition mode selectively. According to the experimental result, the proposed algorithm can save 75 % of the computational time with a slight degradation （0.03 dB） on PSNR compared with the pseudocode of fast search motion estimation in JM12.2.
文摘脉冲噪声是影响电力线通信性能的最主要因素。为了提升极化码在电力线信道的性能,文章提出了分段循环冗余校验码辅助串行抵消列表比特翻转(segmented CRC aid SCL-bit flip,SCA-SCL-BF)译码算法,并在加性高斯白噪声(additive white gaussian noise,AWGN)信道和电力线信道下进行了仿真。在构造关键集合时引入Rate1子块,避免了全集搜索的复杂度;根据关键集合中比特的位置进行分段,每段翻转一比特,可以实现多比特翻转。仿真结果表明,SCA-SCL-BF算法的性能相较于公开文献中性能在信噪比(signal-to-noiseratios,SNR)大于0dB时有显著提升。该算法对于提升电力线传输性能有重要意义。
文摘针对等矩柱状投影(equirectangular projection,ERP)全景视频多功能视频编码(versatile video coding,VVC)帧内编码复杂度过高的问题,提出一种编码单元(coding unit,CU)快速划分算法。根据ERP采样特性,将编码帧分为不同纬度区域。基于不同纬度区域CU四叉树深度的分布特性和相邻CU的相关性,对当前CU的划分模式进行提前终止决策;利用梯度差异评估当前CU纹理特性,跳过冗余的水平或垂直划分模式。针对纹理模糊CU,通过纬度采样权重加权的二次比较,判断是否跳过垂直划分模式;利用二维哈尔小波变换系数评估当前CU子块间的差异,判断是否跳过三叉树划分模式。实验结果表明,在全帧内模式下,与VVC官方测试平台相比,所提算法能节省43.85%的编码时间,码率仅增加0.85%,视频质量没有明显下降。
文摘AIM:To investigate the effect of hyaluronidase use on the quality of sub-Tenon's anaesthesia for phacoemulsification.· METHODS:This was a randomized,double-blind clinical trial which was conducted at Nikookari Eye Hospital for 5 months.Forty-two eyes of candidates for phacoemulsification under sub-Tenon's anaesthesia were randomly allocated to two equal groups and received either 2 mL of lidocaine 2% solution with(LH),or without(L) addition of hyaluronidase(150IU/mL).Akinesia was assessed 15 minutes after sub-Tenon's injection.Patients and surgeon's satisfaction,as well as the postoperative pain(the visual analogue scale,VAS) were investigated after operation.The contingency tables(including the Chi-square or Fisher's exact tests,when appropriate) and parametric analysis(the independent samples t test) were used for statistical analysis.· RESULTS:Complete akinesia(33.3% vs 4.8%,P =0.04),as well as the patients(85.7% vs 57.1%,P =0.04)and surgeon's satisfaction(87.5% vs 52.4%,P =0.02) were significantly more frequent in LH than in L group.The mean VAS was significantly lower in the same group(1.90±1.45 vs 3.00±1.55,P =0.04).· CONCLUSION:Addition of hyaluronidase to lidocaine solution for sub-Tenon's anesthesia significantly improves the ocular akinesia,enhances the intra-operative patients and surgeons' satisfaction,and attenuates the postoperative pain.·
文摘Gravity data have been processed in the Douala sedimentary sub-basin in a section consisting of a set of 116 gravity data points located between latitudes 3°03'N and 4°06'N and longitudes 9°00'E and 10°00'E. The established Bouguer anomaly fields and the Residual anomaly fields, extracted by upward continuation at an optimum height of 30 km, were both characterized by considerably high positive anomalies. These anomalies showed many ring-like positive gravity anomaly contour lines in the study region. Gravity gradients were analysed using the multi-scale horizontal derivative of the vertical derivative (MSHDVD) method, and this excluded the existence of fault lines across this region. Amplitude spectrum was used to estimate the potential field source at a depth of about 4.8 km. The ideal body theory capable of handling sparse data contaminated with noise was applied along a 50.2 km WWS-EEN profile to determine a density contrast of 0.266 g/cm3. Using these results as constraints, 2.5 D modelling carried out along this profile presented two major blocks with density contrast of 0.266 g/cm3. The first block is probably an intrusive igneous body with a density of about 2.77 g/cm3 , having an average thickness of about 26 km with its top and base lying at depths of about 4.25 km and 30.25 km respectively. The second block is likely a pillar of igneous material, located at a depth of about 10.77 km with a density of about 2.77 g/cm3 whose base goes deep down beyond the crust-mantle boundary. These results support previous findings that there are similarities between the Douala sedimentary sub-basin and the coastal sedimentary basin of Mauritania-Senegal and thus foster the suggestions of a more extensive movement that would have affected the whole of the West African coast.
