AIM： To investigate the endoscopic ampullectomy practices of expert biliary endoscopists. METHODS： An anonymous expert biliary endoscopists practices. survey was mailed to 79 to assess ampullectomy RESULTS： Forty s...AIM： To investigate the endoscopic ampullectomy practices of expert biliary endoscopists. METHODS： An anonymous expert biliary endoscopists practices. survey was mailed to 79 to assess ampullectomy RESULTS： Forty six （58%） biliary endoscopists returned the questionnaire. Of these, 63% were in academia and in practice for an average of 16.4 years （± 8.6）. Endoscopists performed an average of 1.1 （± 0.8） ampullectomies per month. Prior to ampullectomy, endoscopic ultrasound was ＂always＂ utilized by 67% of respondents vs ＂sometimes＂ in 31% of respondents. Empiric biliary sphincterotomy was not utilized uniformly, only 26% ＂always＂ and 37% ＂sometimes＂ performed it prior to resection. Fifty three percent reported ＂never＂ performing empiric pancreatic sphincterotomy prior to ampullectomy. Practitioners with high endoscopic retrograde cholangiopancreatography volumes were the most likely to perform a pancreatic sphincterotomy （OR = 10.9; P = 0.09）. Participants overwhelmingly favored ＂always＂ placing a prophylactic pancreatic stent, with 86% placing it after ampullectomy rather than prior to resection （23%）. Argon plasma coagulation was the favored adjunct modality （83%） for removal of residual adenomatous tissue. Practitioners uniformly （100%） preferred follow-up examination to be within 6 mo postmpullectomy.CONCLUSION： Among biliary experts, there is less variation in ampultectomy practices than is reflected in the literature.展开更多
Large comparative studies and multiple prospective randomized control trials (RCTs) have reported equivalence in short and long-term outcomes between the open and laparoscopic approaches for the surgical treatment of ...Large comparative studies and multiple prospective randomized control trials (RCTs) have reported equivalence in short and long-term outcomes between the open and laparoscopic approaches for the surgical treatment of colon cancer which has heralded widespread acceptance for laparoscopic resection of colon cancer. In contrast, laparoscopic total mesorectal excision (TME) for the treatment of rectal cancer has been welcomed with significantly less enthusiasm. While it is likely that patients with rectal cancer will experience the same benefits of early recovery and decreased postoperative pain from the laparoscopic approach, whether the same oncologic clearance, specifically an adequate TME can be obtained is of concern. The aim of the current study is to review the current level of evidence in the literature on laparoscopic rectal cancer surgery with regard to short-term and long-term oncologic outcomes. The data from 8 RCTs, 3 metaanalyses, and 2 Cochrane Database of Systematic Reviews was reviewed. Current data suggests that laparoscopic rectal cancer resection may benefit patients with reduced blood loss, earlier return of bowel function, and shorter hospital length of stay. Concerns that laparoscopic rectal cancer surgery compromises short-term oncologic outcomes including number of lymph nodes retrieved and circumferential resection margin and jeopardizes long-term oncologic outcomes has not conclusively been refuted by the available literature. Laparoscopic rectal cancer resection is feasible but whether or not it compromises short-term or long-term results still needs to be further studied.展开更多
Ethics and morality are old and constantly updated topic. In the modern science and technology rapid development situation, study of ethics of science and technology is relatively backward. The times call for advanced...Ethics and morality are old and constantly updated topic. In the modern science and technology rapid development situation, study of ethics of science and technology is relatively backward. The times call for advanced and reasonable ethics of science-technology. Basic concepts and characteristics of ethics and morals are distinguished and defined in this paper. Three ethic essences of science-technology are abstracted from scientific-technological generation, application, and development. The three-dimension system of basic principles for scientific-technologic ethics is created, as illustrated by the portions given in this paper. The evolution formula of value system is derived, and used for appraising whether the science-technology activity is in all reason. Furthermore, it provides the theory base for quantified management. Finally, it is pointed out that morality and law should be supplemented each other in the science-technology management.展开更多
It is extensively approved that Channel State Information(CSI) plays an important role for synergetic transmission and interference management. However, pilot overhead to obtain CSI with enough precision is a signific...It is extensively approved that Channel State Information(CSI) plays an important role for synergetic transmission and interference management. However, pilot overhead to obtain CSI with enough precision is a significant issue for wireless communication networks with massive antennas and ultra-dense cell. This paper proposes a learning- based channel model, which can estimate, refine, and manage CSI for a synergetic transmission system. It decomposes the channel impulse response into multiple paths, and uses a learning-based algorithm to estimate paths' parameters without notable degradation caused by sparse pilots. Both indoor measurement and outdoor measurement are conducted to verify the feasibility of the proposed channel model preliminarily.展开更多
Through analyzing the effects of water consumption, diameter of solid particle, and flow vefority on the fluidity of high water content material slurry, the relatinnship among the fluidity, the isotropy of the slurry,...Through analyzing the effects of water consumption, diameter of solid particle, and flow vefority on the fluidity of high water content material slurry, the relatinnship among the fluidity, the isotropy of the slurry, and the pumping facilities applied in getway-side backfilling has been found. And the requirment of fluidity of high water content material for the design of getway-side back filling technique is put forward in the paper.展开更多
The electrochemical behavior of X70 pipeline steel in (0.5mol·L-1 Na2CO3+1 mol·L-1 NaHCO3) solution was studied by potentiodynamic polarization and electrochemical impedance spectroscopy (EIS). X-ray photoel...The electrochemical behavior of X70 pipeline steel in (0.5mol·L-1 Na2CO3+1 mol·L-1 NaHCO3) solution was studied by potentiodynamic polarization and electrochemical impedance spectroscopy (EIS). X-ray photoelectron spectroscopy (XPS) and scanning electron microscopy (SEM) were used to analyze the composition and microstructure of the surface film. The results showed that there were two anodic peaks at -600 mV and -350 mV. The surface film formed at -600 mV mainly consisted of ferrous carbonates and ferrous hydroxycarbonates. It had a small reaction resistance. It was metastable and possessed poor protective property. Numerous pits and microcracks existed on the film, which could be the active paths for the initiation of stress corrosion cracking. The surface film formed at -350 mV, mainly consisted of ferric oxides. It has high reaction resistance and offered good protection for the substrate.展开更多
In this essay, I make the claim that the study of religion suffers from an identity crisis that is made all the worse by an inability to effectively navigate not only the many divisions within the field, but also the ...In this essay, I make the claim that the study of religion suffers from an identity crisis that is made all the worse by an inability to effectively navigate not only the many divisions within the field, but also the many ways in which influences external to the realm of scholarship, including media, university administration, and public opinion, represent significant areas of discourse that need to be better integrated into our scholarly work. In conclusion, I argue that a greater attention to the ethical or social value of social theory can go a long way in helping to clarify what is at stake, and perhaps even bridge some of these divides without loosing academic integrity.展开更多
Unethical behavior among university students such as cheating and plagiarism has weakened the character of honesty in education. This fact has challenged those who perceived education as a holistic process of internal...Unethical behavior among university students such as cheating and plagiarism has weakened the character of honesty in education. This fact has challenged those who perceived education as a holistic process of internalizing values and norms that lead to the formation of students＇ moral principles and moral behaviour. Educators have played the role of ensuring the students to internalize and realized moral values and norms. A study of 360 students of the second semester who enrolled at the course of ＂ethical and personal development＂ at Atma Jaya Catholic University in Indonesia showed that unethical behavior such as cheating and plagiarism were rarely done. However, a deep look at the reason the students did academic dishonesty has prompted the permissiveness of student＇s moral life. This study proves that academic integrity among university students is worrisome, and it is worsened by the fact that they were enrolled in the course of ＂ethical and personal development＂. Seriously taking into consideration the strong desire of students to change the culture of academic misconduct, the authors argue that an educational model which is not oriented excessively to cognitive performance is needed. The authors argue that this position has to be practiced in line with the involvement of ＂clean＂ students who are involved as role models in influencing the formation of student awareness and ethical behavior.展开更多
This paper first explores the concepts of values and ethics, utilizing a social work framework. It proceeds to examine various dilemmas involved in communicating with others via social media tools. Historic boundary i...This paper first explores the concepts of values and ethics, utilizing a social work framework. It proceeds to examine various dilemmas involved in communicating with others via social media tools. Historic boundary issues between students and faculty are discussed, as well as emerging dilemmas that are becoming prevalent within electronic communicative networks （e.g., Skype, Facebook, Myspace, Linkedln, Twitter, and Texting）. The need for policy guidelines within academic environments in the use of social media is emphasized, Similar to the National Association of Social Workers （NASW） Code of Ethics, Arizona State University （ASU） is cited as a model in providing some structure regarding staff responsibility and unethical conduct within its academic setting. An enhancement of these guidelines to include electronic communication is recommended. Guidance is necessary to promote responsible communication, as the right to privacy, freedom of speech, and anonymity are all illusions of invulnerability.展开更多
In this paper, a scheme is proposed for performing remote operation on quantum state among multiparty. We use three-particle GHZ state as quantum channels to prepare a state operator, which describes quantum correlati...In this paper, a scheme is proposed for performing remote operation on quantum state among multiparty. We use three-particle GHZ state as quantum channels to prepare a state operator, which describes quantum correlation between states and operations. Based on the special characteristic of the state operator, observers can perform unitary operation on a system that is away from observers. Our studies show this process is deterministic. We further consider remote operation among N spatially distributed observers, and the results show the successful realization of remote operation needs collective participation of N parties, that is, there exists strong correlation among multiparty. In addition, we investigate the case in which observers share a three-particle W state as quantum channels to perform remote operation and studies find this process is probabilistic.展开更多
Nowadays, the landscape paintings dominated by Taoism＇ s thoughts are highly controversial among people in the aspects of theory and practice along with the constantly intensified collision and blending of the easter...Nowadays, the landscape paintings dominated by Taoism＇ s thoughts are highly controversial among people in the aspects of theory and practice along with the constantly intensified collision and blending of the eastern culture and the western culture, and the interaction of arts. In the process of development from the tradition to the modem times, the original source of contemporary landscape paintings＇ artistic spirit should be traced, and the corresponding historical stages should be objectively and rationally analyzed, so that contemporary landscape paintings can better adapt to the present conditions, and then their real existence and creative development can be really realized.展开更多
A novel automatic ultrasonic system used for the inspection of pipeline girth welds is developed, in which a linear phased array transducer using electronic scan is adopted. Optimal array parameters are determined bas...A novel automatic ultrasonic system used for the inspection of pipeline girth welds is developed, in which a linear phased array transducer using electronic scan is adopted. Optimal array parameters are determined based on a mathematical model of acoustic field for linear phased army derived from Huygens＇ principle. The testing method and the system structure are introduced. The experimental results show that the phased array transducer system has the same detectability as that of conventional ultrasonic transducer system, but the system architecture can be simplified greatly, and the testing flexibility and the testing speed can be improved greatly.展开更多
文摘AIM： To investigate the endoscopic ampullectomy practices of expert biliary endoscopists. METHODS： An anonymous expert biliary endoscopists practices. survey was mailed to 79 to assess ampullectomy RESULTS： Forty six （58%） biliary endoscopists returned the questionnaire. Of these, 63% were in academia and in practice for an average of 16.4 years （± 8.6）. Endoscopists performed an average of 1.1 （± 0.8） ampullectomies per month. Prior to ampullectomy, endoscopic ultrasound was ＂always＂ utilized by 67% of respondents vs ＂sometimes＂ in 31% of respondents. Empiric biliary sphincterotomy was not utilized uniformly, only 26% ＂always＂ and 37% ＂sometimes＂ performed it prior to resection. Fifty three percent reported ＂never＂ performing empiric pancreatic sphincterotomy prior to ampullectomy. Practitioners with high endoscopic retrograde cholangiopancreatography volumes were the most likely to perform a pancreatic sphincterotomy （OR = 10.9; P = 0.09）. Participants overwhelmingly favored ＂always＂ placing a prophylactic pancreatic stent, with 86% placing it after ampullectomy rather than prior to resection （23%）. Argon plasma coagulation was the favored adjunct modality （83%） for removal of residual adenomatous tissue. Practitioners uniformly （100%） preferred follow-up examination to be within 6 mo postmpullectomy.CONCLUSION： Among biliary experts, there is less variation in ampultectomy practices than is reflected in the literature.
文摘Large comparative studies and multiple prospective randomized control trials (RCTs) have reported equivalence in short and long-term outcomes between the open and laparoscopic approaches for the surgical treatment of colon cancer which has heralded widespread acceptance for laparoscopic resection of colon cancer. In contrast, laparoscopic total mesorectal excision (TME) for the treatment of rectal cancer has been welcomed with significantly less enthusiasm. While it is likely that patients with rectal cancer will experience the same benefits of early recovery and decreased postoperative pain from the laparoscopic approach, whether the same oncologic clearance, specifically an adequate TME can be obtained is of concern. The aim of the current study is to review the current level of evidence in the literature on laparoscopic rectal cancer surgery with regard to short-term and long-term oncologic outcomes. The data from 8 RCTs, 3 metaanalyses, and 2 Cochrane Database of Systematic Reviews was reviewed. Current data suggests that laparoscopic rectal cancer resection may benefit patients with reduced blood loss, earlier return of bowel function, and shorter hospital length of stay. Concerns that laparoscopic rectal cancer surgery compromises short-term oncologic outcomes including number of lymph nodes retrieved and circumferential resection margin and jeopardizes long-term oncologic outcomes has not conclusively been refuted by the available literature. Laparoscopic rectal cancer resection is feasible but whether or not it compromises short-term or long-term results still needs to be further studied.
文摘Ethics and morality are old and constantly updated topic. In the modern science and technology rapid development situation, study of ethics of science and technology is relatively backward. The times call for advanced and reasonable ethics of science-technology. Basic concepts and characteristics of ethics and morals are distinguished and defined in this paper. Three ethic essences of science-technology are abstracted from scientific-technological generation, application, and development. The three-dimension system of basic principles for scientific-technologic ethics is created, as illustrated by the portions given in this paper. The evolution formula of value system is derived, and used for appraising whether the science-technology activity is in all reason. Furthermore, it provides the theory base for quantified management. Finally, it is pointed out that morality and law should be supplemented each other in the science-technology management.
基金supported by National Basic Research Program of China (NO 2012CB316002)China’s 863 Project (NO 2014AA01A703)+2 种基金National Major Projec (NO. 2014ZX03003002-002)Program for New Century Excellent Talents in University (NCET-13-0321)Tsinghua University Initiative Scientific Research Program (2011THZ02-2)
文摘It is extensively approved that Channel State Information(CSI) plays an important role for synergetic transmission and interference management. However, pilot overhead to obtain CSI with enough precision is a significant issue for wireless communication networks with massive antennas and ultra-dense cell. This paper proposes a learning- based channel model, which can estimate, refine, and manage CSI for a synergetic transmission system. It decomposes the channel impulse response into multiple paths, and uses a learning-based algorithm to estimate paths' parameters without notable degradation caused by sparse pilots. Both indoor measurement and outdoor measurement are conducted to verify the feasibility of the proposed channel model preliminarily.
文摘Through analyzing the effects of water consumption, diameter of solid particle, and flow vefority on the fluidity of high water content material slurry, the relatinnship among the fluidity, the isotropy of the slurry, and the pumping facilities applied in getway-side backfilling has been found. And the requirment of fluidity of high water content material for the design of getway-side back filling technique is put forward in the paper.
基金Supported by State Key Basic Research Plan (G19990650).
文摘The electrochemical behavior of X70 pipeline steel in (0.5mol·L-1 Na2CO3+1 mol·L-1 NaHCO3) solution was studied by potentiodynamic polarization and electrochemical impedance spectroscopy (EIS). X-ray photoelectron spectroscopy (XPS) and scanning electron microscopy (SEM) were used to analyze the composition and microstructure of the surface film. The results showed that there were two anodic peaks at -600 mV and -350 mV. The surface film formed at -600 mV mainly consisted of ferrous carbonates and ferrous hydroxycarbonates. It had a small reaction resistance. It was metastable and possessed poor protective property. Numerous pits and microcracks existed on the film, which could be the active paths for the initiation of stress corrosion cracking. The surface film formed at -350 mV, mainly consisted of ferric oxides. It has high reaction resistance and offered good protection for the substrate.
文摘In this essay, I make the claim that the study of religion suffers from an identity crisis that is made all the worse by an inability to effectively navigate not only the many divisions within the field, but also the many ways in which influences external to the realm of scholarship, including media, university administration, and public opinion, represent significant areas of discourse that need to be better integrated into our scholarly work. In conclusion, I argue that a greater attention to the ethical or social value of social theory can go a long way in helping to clarify what is at stake, and perhaps even bridge some of these divides without loosing academic integrity.
文摘Unethical behavior among university students such as cheating and plagiarism has weakened the character of honesty in education. This fact has challenged those who perceived education as a holistic process of internalizing values and norms that lead to the formation of students＇ moral principles and moral behaviour. Educators have played the role of ensuring the students to internalize and realized moral values and norms. A study of 360 students of the second semester who enrolled at the course of ＂ethical and personal development＂ at Atma Jaya Catholic University in Indonesia showed that unethical behavior such as cheating and plagiarism were rarely done. However, a deep look at the reason the students did academic dishonesty has prompted the permissiveness of student＇s moral life. This study proves that academic integrity among university students is worrisome, and it is worsened by the fact that they were enrolled in the course of ＂ethical and personal development＂. Seriously taking into consideration the strong desire of students to change the culture of academic misconduct, the authors argue that an educational model which is not oriented excessively to cognitive performance is needed. The authors argue that this position has to be practiced in line with the involvement of ＂clean＂ students who are involved as role models in influencing the formation of student awareness and ethical behavior.
文摘This paper first explores the concepts of values and ethics, utilizing a social work framework. It proceeds to examine various dilemmas involved in communicating with others via social media tools. Historic boundary issues between students and faculty are discussed, as well as emerging dilemmas that are becoming prevalent within electronic communicative networks （e.g., Skype, Facebook, Myspace, Linkedln, Twitter, and Texting）. The need for policy guidelines within academic environments in the use of social media is emphasized, Similar to the National Association of Social Workers （NASW） Code of Ethics, Arizona State University （ASU） is cited as a model in providing some structure regarding staff responsibility and unethical conduct within its academic setting. An enhancement of these guidelines to include electronic communication is recommended. Guidance is necessary to promote responsible communication, as the right to privacy, freedom of speech, and anonymity are all illusions of invulnerability.
基金The project supported by the Natural Science Foundation of Jiangxi Province of China under Grant No. 0612006, the Scientific Research Foundation of the Education Department of Jiangxi Province of China under Grant No. [2007]191 and the Science Foundation of East China Jiaotong University under Grant No. 06ZKJC01
文摘In this paper, a scheme is proposed for performing remote operation on quantum state among multiparty. We use three-particle GHZ state as quantum channels to prepare a state operator, which describes quantum correlation between states and operations. Based on the special characteristic of the state operator, observers can perform unitary operation on a system that is away from observers. Our studies show this process is deterministic. We further consider remote operation among N spatially distributed observers, and the results show the successful realization of remote operation needs collective participation of N parties, that is, there exists strong correlation among multiparty. In addition, we investigate the case in which observers share a three-particle W state as quantum channels to perform remote operation and studies find this process is probabilistic.
文摘Nowadays, the landscape paintings dominated by Taoism＇ s thoughts are highly controversial among people in the aspects of theory and practice along with the constantly intensified collision and blending of the eastern culture and the western culture, and the interaction of arts. In the process of development from the tradition to the modem times, the original source of contemporary landscape paintings＇ artistic spirit should be traced, and the corresponding historical stages should be objectively and rationally analyzed, so that contemporary landscape paintings can better adapt to the present conditions, and then their real existence and creative development can be really realized.
文摘A novel automatic ultrasonic system used for the inspection of pipeline girth welds is developed, in which a linear phased array transducer using electronic scan is adopted. Optimal array parameters are determined based on a mathematical model of acoustic field for linear phased army derived from Huygens＇ principle. The testing method and the system structure are introduced. The experimental results show that the phased array transducer system has the same detectability as that of conventional ultrasonic transducer system, but the system architecture can be simplified greatly, and the testing flexibility and the testing speed can be improved greatly.
