嗜铬细胞瘤危相三例

嗜铬细胞瘤危相属于急症,相对少见,以危相表现就诊者容易误诊,死亡率高,北京协和医院2001年1月至2007年1月收治3例嗜铬细胞瘤危相患者,手术均获得成功,现报告如下。

Analysis of conflict factors between pedestrians and right-turning vehicles at signalized intersections

Due to the fact that there is no protected signal phase for right turns at most signalized intersections, the conflict between pedestrians and right-turning vehicles is one of the most common conflict types for pedestrians. A pedestrian safety analysis of the common right-turn mode at four-phase signalized intersections is presented. Relative risk is used as a measure of the effect of behaviors. The analysis mainly includes five pedestrian factors that affect the conflict process between pedestrians and right-turning vehicles. Pedestrians tend to have a higher risk of being involved in conflicts in the following six situations: crossing with others, running over the crossing, entering the intersection, being near the exit lane, crossing in the middle or at the end of a green light when the right-turn lane is shared, crossing at the beginning of a green light or red period when the right-turn lane is exclusive. It is easier for pedestrians to get priority when crossing the street in the following situations: running over a crossing, entering the intersection, being near the entrance lane, and not using the crosswalk. However, pedestrians are more inclined to yield to right-turning vehicles when pedestrians are crossing in the middle of the green light time. Some measures to alleviate the conflict are put forward according to the conclusion. Video observations also indicate that a clear pedestrian waiting area must be marked for both pedestrian safety and right-turning vehicle efficiency at major flat intersections, particularly when the arms cover the lateral dividing strips.

TBM tunneling in mixed-face ground: Problems and solutions

Mixed-face ground encountered in Tunnel Boring Machine(TBM) tunneling presents great challenges and may trigger potential hazards without warning. A detailed understanding of such unfavorable conditions is therefore critical to a successful bored tunnel. In this paper, we firstly present a brief review of the definition, classification and the factors related to mixed-face conditions. Secondly, for a better understanding of this topic, we investigate the main difficulties and problems involved in TBM tunnelling under mixed-face ground with detailed cases. Thirdly, from the viewpoint of rock-machine interaction, we give some suggestions on the corresponding mitigation measurements from three categories:(i) selection of TBM type and modification of TBM,(ii) condition of ground and(iii) optimization of TBM operation.

The Resources, an Essential Element in the Relationship Between Public and Private

This paper＇s objective is to examine the relationship between public and private sectors through the mechanisms of public intervention in the market. With the financial and economic crisis of 2008, there has been a coordination of states （G20） for the implementation of affirmative action in order to support the international financial system. Our hypothesis is that resource dependence is the basis of all interactions between the public and private sectors. The fact that the public sector bails out private sector activity shows that it is beneficial to citizens through employment and taxes repaid by the company and all this contributes to social stability. Here we develop an argument in two phases. The first is to revisit the question of the relationship between the state and the market. The second part develops the hypothesis by focusing on the interdependence of resources. The theory of resource dependence often applied to international relations and inter-organizational business has allowed us to highlight the correlation between public and private sectors

Research on the corporate crisis early warning factors based on the GRA

By decomposing complex issues into factors at all levels, Grey Relativity Analysis （GRA） can effectively calculate the degree the main factors affect the goal value, and overcome the problems that the traditional mathematical statistics have such as big samples, heavy computation, and inconsistency between quantitative results and qualitative analysis. So it becomes one kind of simple, convenient and distinctive systematic analysis method. GRA is applied to corporate crisis early warning analysis. The paper through the GRA the half of this quantitative approach, explores the correlation degree among the corporate crisis early warning factors, in order to find the importance sequence of instance enterprise early warning crisis factors by calculation so as to provide a theoretical foundation for the prevention and decrease of the instance enterprise crisis.

Interactions between CagA and smoking in gastric cancer

AIM: To examine the interactions between cytotoxinassociated gene (CagA) positive Helicobacter pylori infection and smoking in non-cardiac gastric cancer.METHODS: A case-control study (257 cases and 514 frequency-matched controls) was conducted from September 2008 to July 2010 in Xi’an,China.Cases were newly diagnosed,histologically confirmed non-cardiac cancer.Controls were randomly selected from similar communities to the cases and were further matched by sex and age (± 5 years).A face-to-face interview was performed by the investigators for each participant.Data were obtained using a standardized questionnaire that included questions regarding known or suspected lifestyle and environmental risk factors of gastric cancer.A 5 mL sample of fasting venous blood was taken.CagA infection was serologically detected by enzymelinked immunosorbent assays.RESULTS: Smoking and CagA infection were statistically significant risk factors of non-cardiac cancer.CagA was categorized in tertiles,and the odds ratio (OR) was 12.4 (95% CI: 6.1-20.3,P = 0.003) for CagA after being adjusted for confounding factors when the highexposure category was compared with the low-exposure category.Smokers had an OR of 5.4 compared with subjects who never smoked (95% CI: 2.3-9.0,P = 0.002).The OR of non-cardiac cancer was 3.5 (95% CI: 1.8-5.3) for non-smokers with CagA infection,3.5 (95% CI: 1.9-5.1) for smokers without CagA infection,and 8.7 (95% CI: 5.1-11.9) for smokers with CagA infection compared with subjects without these risk factors.After adjusting for confounding factors,the corresponding ORs of non-cardiac cancer were 3.2 (95% CI: 1.5-6.8),2.7 (95% CI: 1.3-4.9) and 19.5 (95% CI: 10.3-42.2),respectively.There was a multiplicative interaction between smoking and CagA,with a synergistic factor of 2.257 (Z = 2.315,P = 0.021).CONCLUSION: These findings support a meaningful interaction between CagA and smoking for the risk of gastric cancer which may have implications for its early detection.

Predicting Corporate Failure and Global Financial Crisis： Theory and Implications

The purpose of this paper is to discuss corporate failure issues in the context of the global financial crisis. After considering some key issues, the paper shows how relevant these issues are relevant in the present financial fiasco. It is clear that corporate failure brings untold hardships to all stakeholders. Again the problem of predicting corporate failure in the midst of the financial contagion could be overcome with sound risk management structure in place. The discussion mainly focuses on corporate failure within the context of the global financial distress. To the best of our knowledge this study is the first of its kind, which provides conceptual insights on predicting corporate failure and the global financial distress.

The Efficiency and Productivity Analyses of the Turkish Banking Sector After the Restructuring Program

After the 2001 economic crisis, the banking sector restructuring program （BSRP） has been designed for the establishment of a stronger financial framework and the improvement of competition in the Turkish banking sector. The program constitutes the policies for solving specific problems such as the mismanaged assets of some banks and the recovery of regulating and supervising of the sector. This study aims to analyze the efficiency and productivity changes in the Turkish banking sector during 2002-2009. During this period the Banking Sector Restructuring Program has been applied. The data envolepment analysis （DEA） is conducted for the efficiency measurement under the production and intermediation approaches and it is observed that the efficiency of banks increased for both approaches. The mean efficiency values for the intermediation approach are higher than the values for the production approach, indicating a better functioning in financial intermediation as compared to their operational performance. The Malmquist index based on the intermediation approach is calculated to determine the productivity of the banking sector. It is observed that the productivity of banks increased during the period and the increase resulted mainly from investments in technology.

Cowbirds, conservation, and coevolution: potential misconceptions and directions for future research

Avian brood parasitism is a model system for studies of coevolution and ecological interactions between parasites and their hosts. However, recent work may have led to misconceptions concerning the Brown-headed Cowbird (Molothrus ater), the most widely studied brood parasitic bird in the world, and its effects on host species. Potential misconceptions about this species that could affect management issues are as follows: cowbird populations are increasing; cowbirds are relatively new to North America; recently exposed hosts are defenseless against parasitism; cowbirds have caused widespread declines of songbirds; and cowbird control is always effective in increasing the size of endangered host populations. Potential coevolutionary misconceptions are that cowbirds are typically 'host tolerant'; cowbirds evict host nestmates; and the mafia effect is widespread. It is important to clarify these issues because such misconceptions could hinder our understanding of parasite-host interactions, and thus obscure the direction of basic research and of management efforts taken to limit cowbird impacts on endangered species. We discuss these issues and suggest future research directions to enhance our understanding of this fascinating species.

Research on the Relationship between New Risk Factors and Traditional Risk Factors and Its Interaction with Natural Disasters： A Case Study between Population Urbanization and Natural Disasters in County-Level Administrative Units in China

Traditional risk factors fall into four categories： natural disasters, public health, accidents during production and social security. The four types of risks are called as public safety issues by the government of China. New risk factors are the ones that are connected to human discoveries and more attention to them, which is called locking risk. What is more, such risk factors will continue to emerge with the development of human society. Currently, traditional risk factors have not been eliminated, while new risks have emerged gradually. There are countless relations between new risks and global climatic changes. Therefore, figuring out the relationship between new risks, global climatic changes as well as natural disasters is of great importance. This study takes China as an example. The population data at county level in China in 1991, 2000 and 2009 （including rural population, urban population and total population of three） were selected. By calculating the urbanization rate of the population, the rate of urbanization at county level in China in three years was drawn. And it is superimposed with the disaster zoning in China to analyze the correlation between population changes and natural disasters and reveal the magnitude of disaster effects caused by population urbanization. It can provide the basis for the disaster chain risk assessment under the gnidanee of the regional law of China＇s natural disaster chain and lay the foundation for the study of the relationship between new risk factors and traditional risk factors. So, risks governance can be perfectly combined with developing the green economy during the development of human society, and ultimately, the goal of harmony between human and nature can be achieved.

Delays to Large Construction Projects in Ghana： A Risk Overview

Delay to large scale projects, which is as a result of actions or inactions of some project stakeholders, is becoming a global phenomena and Ghana is no exception. The objective of the research is to identify, rate and rank the most significant risk factors that causes delay on projects and examine the social impact of these delays to recommend modalities to help mitigate these risk factors. The study adopted quantitative methods with the distribution of 144 questionnaires to built environment professionals receiving a response rate of 75.7%. The instrument listed 58 common factors under eight categories that contribute to the causes of delay for respondents to rate. Analysis of data non-parametric test revealed that client, contractor, material and finance category factors significantly resulted in the schedule delay of large infrastructural projects. The survey analysis revealed that micro-factors that result in delays to large construction projects are time constraint, cost overrun, payment problems, dispute and litigation. The research recommended the following modalities to minimize such delays： availability of resources, improved communication and coordination, proper scope definition and feasibilities, utilization of modern technology, appropriate application of technologically based systems and competent project management＇s structures.

The Influence of Market and Company Characteristics on Voluntary Disclosure

In this paper, the determinants of the voluntary disclosure level of firms have been investigated during a period of deep financial crisis. Two disclosure indexes used as dependent variables are proposed： a global index based on both quantitative and qualitative disclosure and a solely quantitative voluntary index. Firstly, the explanatory variables have been selected taking into account the main contributions of international literature. In addition, some specific variables have been introduced in order to take into account the peculiarities of Italian market system and the ongoing financial crisis. A positive relationship has been found among the global voluntary disclosure （GVD） and the number of employees, the dividend policy, and the presence of independent directors on the board. On the contrary, a negative correlation with respect to the percentage of the firm＇s outstanding shares held by directors （not independent） exists. With reference to the quantitative voluntary disclosure （QVD） index, there is a positive correlation with the number of employees, the dividend policy, the market floating, and the incidence of intangible assets. Moreover, such （quantitative） a disclosure is different depending on the industrial membership sector.

Managing Pension Funds in Zimbabwe： Ethical Issues and Challenges

This article is motivated by the predicament that hit pensioners in Zimbabwe following the introduction of the multi-currency system. Zimbabwe experienced economic woes which rendered the Zimbabwean dollar worthless and consequently necessitating a switch to stable currencies. The pension assets and liabilities were invested in the local currency before the currency reform, and the result of the multi-currency system was a mismatch of the assets and liabilities of the pension funds financial position which led to paltry pension benefits. The nature of pension funds places a great responsibility on the stakeholders who are involved in running these schemes and therefore ensuring that reasonable expectation by beneficiaries is met. The article focuses on the core aspects surrounding the structure and managing of pension funds in Zimbabwe. The researcher investigated the roles of important stakeholders in the Zimbabwean pension industry, namely, government, trustees, investment managers, and actuaries. The article further delves into the ethical issues and challenges faced by those managing Zimbabwean pension funds. The researcher conducted a total of 30 personal interviews to collect primary data from professionals in the Zimbabwean pension industry which were split as follows： 10 trustees, 10 investment managers, and 10 actuarial consultants. Secondary data were also used in this study and it comprised of journals, newspaper articles, investment reports, and textbooks. The researcher recommends that pension funds develop sound corporate governance mechanisms that will encourage the best ethical practices among all of their stakeholders. The findings provide evidence for a need to empower pension fund trustees through training and introduction of a pension protection scheme. In addition, the current regulatory system needs to be reviewed to capture the changing economic environment upon which pensions funds operate.

《生化危机5:惩罚》红毯首映礼 生化女郎cosplay引人瞩目

近日北京气温不断回暖、春意渐浓．春季档的电影抢滩战役也正式打响．而《生化危机5：惩罚》定档3月17日的消息无疑给今年的春季档投放了一颗重磅炸弹。3月13FI晚。《生化危机5：惩罚》在北京双井UME国际影城举办了红毯首映礼。2011年快乐女声全国亚军洪辰，内地著名演员宋宁、齐溪、高虎、程媛嫒、唐艺昕、李斯羽、王一楠、王亚彬、王紫碹、叶项明。以及知名导演谢东粲纷纷亮相影院为这部生化新作拉拢人气。活动现场到处都充满着生化元素．特别是两名“生化女郎”现场cospalv十分惹眼。