两种吻合方式对食管癌术后抗反流效果的对比研究

食管癌是我国最常见的恶性肿瘤之一,但目前食管癌够治疗效果仍不能令人满意[1]。近年来食管癌发病率逐年上升,根治性手术仍然是食管癌的首选治疗方法[2],但常因术后发生不同程度的胃食管反流而严重影响了患者的生活质量,而且大多数认为是食管切隙手术不可避免的结果。如何采取有效的吻合方式来降低术后食管反流的发生,成为广大胸外科学者研究的焦点。

巴氯芬治疗胃食管反流病疗效分析

胃食管反流病（GERD）是一种常见的消化内科疾病,其发病率在美国可达20%,在我国成人中约为5.77%,高峰发病年龄为40~60岁[1]。患者的主要症状为吞咽困难、上腹痛、腹胀、烧心、反酸等,一些患者可合并夜间呛咳、气管炎、非心源性胸痛、咽喉炎、夜间睡眠呼吸暂停、哮喘等食管外疾病,严重影响患者的生活质量。

Exponential stability and existence of periodic solutions for a class of recurrent neural networks with delays

Both the global exponential stability and the existence of periodic solutions for a class of recurrent neural networks with continuously distributed delays （RNNs） are studied. By employing the inequality α∏k=1^m bk^qk≤1/r ∑qkbk^r＋1/rα^r（α≥0,bk≥0,qk〉0,with ∑k=1^m qk=r-1,r≥1, constructing suitable Lyapunov r k=l k=l functions and applying the homeomorphism theory, a family of simple and new sufficient conditions are given ensuring the global exponential stability and the existence of periodic solutions of RNNs. The results extend and improve the results of earlier publications.

Periodic Solution and Global Stability of a Kind of Nonlinear Differential Equation

In this paper, it is discussed the model of a kind of nonlinear differential, equation d s d t=1-s-x 1s 0δQ 2(m 1s 0sk 1+s 0s-k) d x 1 d t=x 1Q(m 1s 0sk 1+s 0s-k)-x 1-x 2m 2x 1/Qk 2+x 1/Q d x 2 d t=x 2Q m 2x 1/Qk 2+x 1/Q-x 2.It is proved that the system is exist at least one stable periodic solution on under the following condition:m 2x * 2(k 1δ+s 0δ-Qλ 2-x * 2) 2】m 1δk 1(k 2+Q 2λ 2) 2.Furthermore, ifm 2x * 2(k 1δ+s 0δ-Qλ 2-x * 2) 2【m 1δk 1(k 2-Q 2λ 2) 2mold true them equilibrium point (s *,x * 1,x * 2)∈ set Ω is global asymptotic stable.

On the Existence of Periodic Solutions of a Class Nonlinear Differential Systems

One method to show the existence of ω-periodic system is given. This method is based on the ultimately boundedness of the solution of the systems. By using comparing theorem and discussing some one dimensional equations the main results are obtained.

Comparative analysis of perpetual pavement structures based on pavement performance and life cycle cost

Pavement performance and economic efficiency are researched on the perpetual test pavement of Yijiang-Suzhou Express Highway in Jiangsu province, China. Test sections were continuously monitored. The conditions and developing laws of deflection, rutting and cracking are compared among the perpetual pavement with the rich binder layer （RBL）, the perpetual pavement without the RBL, and the conventional semi-rigid asphalt pavement in the past eight years after opening for traffic. Economical evaluation is conducted via life cycle cost analysis （LCCA）. Based on the performance comparison and LCCA analysis, sections with the RBL have good crack resistance, but they are not very satisfactory in the aspect of permanent deformation; the conventional semi-rigid asphalt pavement is the least economic one due to requiring more frequent maintenance. Research results show that the perpetual pavement without RBL is a more appropriate structure for the test site.

Differential Susceptibility SIR Epidemic Model with Time Delay and Pulse Vaccination

Differential susceptibility SIR epidemic models with time delay and pulse vaccination is studied in this paper. We show that there exists an infection-free periodic solution by using the comparison method, which is globally attractive provided that R1 〈 1, and that R2 〉 1 implies the disease is permanent, which means that after some period of time the disease will become endemic.

Effectiveness and Safety of Computer-controlled Periodontal Ligament Injection System in Endodontic Access to the Mandibular Posterior Teeth

Objective To evaluate the effectiveness and safety of a computer-controlled periodontal ligament （PDL） injection system to the local soft tissues as the primary technique in endodontic access to mandibular posterior teeth in patients with irreversible pulpitis. Methods A total of 162 Chinese patients who had been diagnosed with irreversible pulpitis in their mandibular posterior teeth without acute infection or inflammation in the periodontal tissues were enrolled in this clinical study. The patients were divided into 3 groups according to the position of the involved tooth： the premolar group （PM, z2=38）, first molar group （FM, n=66）, and second molar group （SM, n=58）. All the patients received computer-controlled PDL injection with 4% articaine and 1 ＇ 100 000 epinephrine. Immediately after the injection, endodontic access was performed, and the degree of pain during the treatment was evaluated by the patients using Visual Analogue Scale for pain. The success rates were compared among the 3 groups. The responses of local soft tissues were evaluated 3-8 days and 3 weeks after the procedure. Results The overall success rate was 76.5%. There was a significant difference in success rates among the PM, FM, and SM groups （92.1%, 53.0%, 93.1%, respectively; 2 X =34.3, P〈0.01）. Both the PM and SM groups showed higher success rates than that of the FM group （v=l, f=16.73, P〈0.01, v=l, Z = 4.5, X2 2 P〈0.01）. No irreversible adverse effects on the periodontal soft tissues at the injection sites were observed in the follow-up visits in any of the groups. Conclusion The computer-controlled PDL injection system demonstrates both satisfactory anesthetic effects and safety in local soft tissues as primary anesthetic technique in endodontic access to the mandibular posterior teeth in patients with irreversible pulpitis.

The Principle and Method for Delineation of Potential Seismic Sources in Northwest Yunnan

Based on the collection and analysis of achievements of other scholars, and by consulting the results of seismic safety evaluation of engineering sites and field surveys of recent years, the seismotectonic indicators are determined for northwest Yunnan and its vicinity, and then potential seismic sources are further delineated. In practice, the following principles are applied: for areas with strong historical earthquakes, the recurrence principle is used to determine the upper bound magnitude; for areas with distinct seismogenic structure but no historical strong earthquake records, the tectonic analogy principle is used in the light of the size and activity behavior of the structure; for areas where the segmentation of the active fault is well studied, the potential sources will be demarcated more precisely; and for areas with buried fault, the seismicity pattern and geophysical abnormity are used to determine the direction of the major axis of the potential seismic source.

Novel criteria for global exponential stability and periodic solutions of delayed Hopfield neural networks

The global exponentially stability and the existence of periodic solutions of a class of Hopfield neural networks with time delays are investigated. By constructing a novel Lyapunov function, new criteria are provided to guarantee the global exponentially stability of such systems. For the delayed Hopfield neural networks with time-varying external inputs, new criteria are also acquired for the existence and exponentially stability of periodic solutions. The results are generalizations and improvements of some recent achievements reported in the literature on networks with time delays.

Revealing the Invisible： A New Approach for Enhancing Industrial Safety, Reliability and Remaining Life Assessment

Today＇s industry requires more reliable information on the current status of their hard assets; prognosis for continued usability of systems and better predictability of equipment life cycle maintenance. Therefore, an innovative technique for early detection of potential failure and condition monitoring is urgently required by many engineers. This document describes a novel approach to improve industrial equipment safety, reliability and life cycle management. A new field portable instrument called the ＂IMS （indicator of mechanical stresses）＂ utilizes magneto-anisotropic （＂cross＂） transducers to measure anisotropy of magnetic properties in ferromagnetic material. Mechanical stresses including residual stresses in Ferro-magnetic parts, are ＂not visible＂ to most traditional NDT （non-destructive testing） methods; for example, radiography and ultrasonic inspection. Stress build-up can be the first indicator that something is faulty with a structure. This can be the result of a manufacturing defect; or as assets age and fatigue, stress loads can become unevenly distributed throughout the metal. We outline the evaluation of IMS as a fast screening tool to provide structural condition or deterioration feedback in novel applications for pipelines, petrochemical refinery, cranes, and municipal infrastructure.

Another Simple and Elementary Proof of the Classical Isoperimetric Inequality

In this short note we will give another simple and elementary proof of the classical isoperimetric inequality in the Euclidean plane.

食管粘膜剥脱症2例报告

食管粘膜剥脱症临床较为少见,现将我院所见2例报告如下: 例1,男,30岁,本院药师。患者于84年6月8日早餐油炸馍干时,突感食管疼痛,剧烈恶心,呕吐鲜血500毫升,继之呕吐一管状物呈淡红色,长20厘米,质软,悬于口中,被患者用手拔出扯断,遂以食管粘膜剥脱症入院。既往健康。体检:血压120/80毫米汞柱,神清,咽充血,心肺(-),

Existence and global asymptotic stability of positive almost periodic solutions of a two-species competitive system

The asymptotic behavior of an almost periodic competitive system is investigated. By using differential inequality, the module containment theorem and the Lyapunov function, a good understanding of the existence and global asymptotic stability of posi- tive almost periodic solutions is obtained. Finally, an example and numerical simulations are performed for justifying the theoretical results.

The Zero Mach Number Limit of the Three-Dimensional Compressible Viscous Magnetohydrodynamic Equations

This paper is concerned with the zero Mach number limit of the three-dimension- al compressible viscous magnetohydrodynamic equations. More precisely, based on the local existence of the three-dimensional compressible viscous magnetohydrodynamic equa- tions, first the convergence-stability principle is established. Then it is shown that, when the Much number is sufficiently small, the periodic initial value problems of the equations have a unique smooth solution in the time interval, where the incompressible viscous mag- netohydrodynamic equations have a smooth solution. When the latter has a global smooth solution, the maximal existence time for the former tends to infinity as the Much number goes to zero. Moreover, the authors prove the convergence of smooth solutions of the equa- tions towards those of the incompressible viscous magnetohydrodynamic equations with a sharp convergence rate.

ALMOST PERIODIC SOLUTIONS OF LINEAR DIFFERENTIAL EQUATIONS WITH PIECEWISE CONSTANT ARGUMENT

The authors study the existence of almost periodic solutions to differential equations with piecewise constant arguments which found applications in certain biomedical problems.