Coronary subclavian steal syndrome (CSSS) has been recognized lately as an unusual clinical entity,giving rise to angina but rarely causing an acute coronary syndrome (ACS). The prerequisites for the appearance of CSS...Coronary subclavian steal syndrome (CSSS) has been recognized lately as an unusual clinical entity,giving rise to angina but rarely causing an acute coronary syndrome (ACS). The prerequisites for the appearance of CSSS are both a patent left internal mammary artery (LIMA) graft and severe stenosis of the left subclavian artery (LSA). However,LSA is often overlooked in the diagnostic evaluation of patients with angina,who have underwent coronary artery bypass grafting (CABG). We report an unusual case of non-ST-segment elevation myocardial infarction (NSTEMI) caused by subtotal occlusion of proximal LSA.展开更多
BACKGROUND We report a rare case of numbness in the right hand,finally diagnosed as bilateral common carotid artery common trunk with aberrant right subclavian artery combined with right subclavian steal syndrome and ...BACKGROUND We report a rare case of numbness in the right hand,finally diagnosed as bilateral common carotid artery common trunk with aberrant right subclavian artery combined with right subclavian steal syndrome and explain the cause of these diseases.CASE SUMMARY The patient was a 65-year-old woman.She complained of dizziness,numbness and weakness of the right hand for 6 mo.She was diagnosed with bilateral common carotid artery common trunk with aberrant right subclavian artery combined with right subclavian steal syndrome by ultrasound,enhanced computed tomography,computed tomography angiography and other examinations.Considering the surgical risks,the patient refused the aberrant right subclavian artery stent implantation and was discharged.We hypothesize that these two kinds of deformity and right subclavian steal syndrome may not occur by accident and result from multiple malformations.CONCLUSION Bilateral common carotid artery common trunk with aberrant right subclavian artery combined with right subclavian steal syndrome is rare.This case reminds interventional radiologists of the possibility of these abnormalities before surgery.展开更多
In the year of 1768,the country was sent into a nation wide panic by a sorcery case named"soul stealing"in China,to which the emperor,officials and civilians at that time all responded differently.Based on t...In the year of 1768,the country was sent into a nation wide panic by a sorcery case named"soul stealing"in China,to which the emperor,officials and civilians at that time all responded differently.Based on the"soul stealing"case,this paper gives an analysis of the political environment and the bureaucratic system to explore the motives driven by power involved in the proceedings of the case,and in doing so the paper attempts to provide insights into the implications of the ancient power system that makes possible the abuse of authority.展开更多
在黑盒场景下,使用模型功能窃取方法生成盗版模型已经对云端模型的安全性和知识产权保护构成严重威胁。针对扰动和软化标签(变温)等现有的模型窃取防御技术可能导致模型输出中置信度最大值的类别发生改变,进而影响原始任务中模型性能的...在黑盒场景下,使用模型功能窃取方法生成盗版模型已经对云端模型的安全性和知识产权保护构成严重威胁。针对扰动和软化标签(变温)等现有的模型窃取防御技术可能导致模型输出中置信度最大值的类别发生改变,进而影响原始任务中模型性能的问题,提出一种基于暗知识保护的模型功能窃取防御方法,称为DKP(defending against model stealing attacks based on Dark Knowledge Protection)。首先,利用待保护的云端模型对测试样本进行处理,以获得样本的初始置信度分布向量;然后,在模型输出层之后添加暗知识保护层,通过分区变温调节softmax机制对初始置信度分布向量进行扰动处理;最后,得到经过防御的置信度分布向量,从而降低模型信息泄露的风险。使用所提方法在4个公开数据集上取得了显著的防御效果,尤其在博客数据集上使盗版模型的准确率降低了17.4个百分点,相比之下对后验概率进行噪声扰动的方法仅能降低约2个百分点。实验结果表明,所提方法解决了现有扰动、软化标签等主动防御方法存在的问题,在不影响测试样本分类结果的前提下,通过扰动云端模型输出的类别概率分布特征,成功降低了盗版模型的准确率,实现了对云端模型机密性的可靠保障。展开更多
基金supported by grants from National Key R&D Program of China (2016 YFC1300304)
文摘Coronary subclavian steal syndrome (CSSS) has been recognized lately as an unusual clinical entity,giving rise to angina but rarely causing an acute coronary syndrome (ACS). The prerequisites for the appearance of CSSS are both a patent left internal mammary artery (LIMA) graft and severe stenosis of the left subclavian artery (LSA). However,LSA is often overlooked in the diagnostic evaluation of patients with angina,who have underwent coronary artery bypass grafting (CABG). We report an unusual case of non-ST-segment elevation myocardial infarction (NSTEMI) caused by subtotal occlusion of proximal LSA.
基金Supported by Fujian Province Medical Innovation Project,No.2016-CXB-13
文摘BACKGROUND We report a rare case of numbness in the right hand,finally diagnosed as bilateral common carotid artery common trunk with aberrant right subclavian artery combined with right subclavian steal syndrome and explain the cause of these diseases.CASE SUMMARY The patient was a 65-year-old woman.She complained of dizziness,numbness and weakness of the right hand for 6 mo.She was diagnosed with bilateral common carotid artery common trunk with aberrant right subclavian artery combined with right subclavian steal syndrome by ultrasound,enhanced computed tomography,computed tomography angiography and other examinations.Considering the surgical risks,the patient refused the aberrant right subclavian artery stent implantation and was discharged.We hypothesize that these two kinds of deformity and right subclavian steal syndrome may not occur by accident and result from multiple malformations.CONCLUSION Bilateral common carotid artery common trunk with aberrant right subclavian artery combined with right subclavian steal syndrome is rare.This case reminds interventional radiologists of the possibility of these abnormalities before surgery.
基金supported by the Key Discipline of Administrative Law Project of Shanghai University of Political Science and Law at Colleges and Universities sponsored by the Central Finance
文摘In the year of 1768,the country was sent into a nation wide panic by a sorcery case named"soul stealing"in China,to which the emperor,officials and civilians at that time all responded differently.Based on the"soul stealing"case,this paper gives an analysis of the political environment and the bureaucratic system to explore the motives driven by power involved in the proceedings of the case,and in doing so the paper attempts to provide insights into the implications of the ancient power system that makes possible the abuse of authority.
文摘在黑盒场景下,使用模型功能窃取方法生成盗版模型已经对云端模型的安全性和知识产权保护构成严重威胁。针对扰动和软化标签(变温)等现有的模型窃取防御技术可能导致模型输出中置信度最大值的类别发生改变,进而影响原始任务中模型性能的问题,提出一种基于暗知识保护的模型功能窃取防御方法,称为DKP(defending against model stealing attacks based on Dark Knowledge Protection)。首先,利用待保护的云端模型对测试样本进行处理,以获得样本的初始置信度分布向量;然后,在模型输出层之后添加暗知识保护层,通过分区变温调节softmax机制对初始置信度分布向量进行扰动处理;最后,得到经过防御的置信度分布向量,从而降低模型信息泄露的风险。使用所提方法在4个公开数据集上取得了显著的防御效果,尤其在博客数据集上使盗版模型的准确率降低了17.4个百分点,相比之下对后验概率进行噪声扰动的方法仅能降低约2个百分点。实验结果表明,所提方法解决了现有扰动、软化标签等主动防御方法存在的问题,在不影响测试样本分类结果的前提下,通过扰动云端模型输出的类别概率分布特征,成功降低了盗版模型的准确率,实现了对云端模型机密性的可靠保障。
