Objective: The aim of the study was to investigate the value of minimally invasive video-assisted thyroidectomy for thyroid benign adenoma. Methods: From June 2003 to June 2007, 128 cases of thyroid tumors, includin...Objective: The aim of the study was to investigate the value of minimally invasive video-assisted thyroidectomy for thyroid benign adenoma. Methods: From June 2003 to June 2007, 128 cases of thyroid tumors, including 123 cases of adenoma and 5 cases of carcinoma, were performed by Miccoli's endoscopic thyroidectomy. The surgical techniques and the clinical outcomes with respect to pathologic results, duration of operation, postoperative drainage, pain, cosmetic results and complications of endoscopic thyroid surgery via the neck approach were retrospectively summarized. Results: NI the patients underwent minimally invasive endoscope-assisted thyroidectomy successfully. Five cases of carcinoma revealed by frozen section. In which, 3 papillary carcinoma cases underwent subtotal thyroidectomy of disease-side in video-assisting, whereas the other 2 cases with follicular and medullary carcinoma underwent conventional total thyroidectomy of disease-side combined with subtotal thyroidectomy of the opposite-side. The transient hoarseness occurred in one patient and recovered well one week later, and the other patients recovered successfully without any complications. Conclusion: Minimally invasive video-assisted thyroidectomy for thyroid adenoma is safe and reliable. This procedure offers a shorter incision, less invasion and better cosmetic results as compared with conventional thyroidectomy.展开更多
When designing an arctic cargo ship, it is necessary to consider multiple stochastic factors. This paper evaluates the merits of a simulation-based probabilistic design method specifically developed to deal with this...When designing an arctic cargo ship, it is necessary to consider multiple stochastic factors. This paper evaluates the merits of a simulation-based probabilistic design method specifically developed to deal with this challenge. The outcome of the paper indicates that the incorporation of simulations and probabilistic design parameters into the design process enables more informed design decisions. For instance, it enables the assessment of the stochastic transport capacity of an arctic ship, as well as of its long-term ice exposure that can be used to determine an appropriate level of ice-strengthening. The outcome of the paper also indicates that significant gains in transport system cost-efficiency can be obtained by extending the boundaries of the design task beyond the individual vessel. In the case of industrial shipping, this allows for instance the consideration of port-based cargo storage facilities allowing for temporary shortages in transport capacity and thus a reduction in the required fleet size / ship capacity.展开更多
In order to evaluate and integrate travel time reliability and capacity reliability of a road network subjected to ice and snowfall conditions,the conceptions of travel time reliability and capacity reliability were d...In order to evaluate and integrate travel time reliability and capacity reliability of a road network subjected to ice and snowfall conditions,the conceptions of travel time reliability and capacity reliability were defined under special conditions.The link travel time model(ice and snowfall based-bureau public road,ISB-BPR) and the path choice decision model(elastic demand user equilibrium,EDUE) were proposed.The integrated reliability was defined and the model was set up.Monte Carlo simulation was used to calculate the model and a numerical example was provided to demonstrate the application of the model and efficiency of the solution algorithm.The results show that the intensity of ice and snowfall,the traffic demand and supply,and the requirements for level of service(LOS) have great influence on the reliability of a road network.For example,the reliability drops from 65% to 5% when the traffic demand increases by 30%.The comprehensive performance index may be used for network planning,design and maintenance.展开更多
This paper is intended to determine physical parameters describing volumetric heat capacity and thermal conductivity of sea ice in u quasi-linear thermodynamic system using field observations. The quasi-linear thermod...This paper is intended to determine physical parameters describing volumetric heat capacity and thermal conductivity of sea ice in u quasi-linear thermodynamic system using field observations. The quasi-linear thermodynamic system of sea ice with unknown physical parameters is described, and the existence and uniqueness of its solution is proved. Then the physical parameters are taken as control variable, temperature devi- ations as objective function, and a parameter identification model is established. The existence of its optimal solution is discussed. To solve the identification model, a new algorithm containing genetic algorithm, Hooke- Jeeves algorithm and semi-implicit finite difference scheme is constructed. The physical parameters are calculated using the obser- vations measured at Nella Fjord around Zhongshan Station, Antarctic in CHINARE 2006. For comparability and consistency with other works, a new internationM standard named TEOS-10 is used. To examine the validity of the identified results, another sim- ulation for temperature profiles in different measurement period is operated. Numerical results show that better simulations of temperature distribution are possible with the identified parameters than EC1993. Therefore not only the identified parameters can be applied in sea ice modeling, but also this study can enrich and supplement observations of sea ice.展开更多
文摘Objective: The aim of the study was to investigate the value of minimally invasive video-assisted thyroidectomy for thyroid benign adenoma. Methods: From June 2003 to June 2007, 128 cases of thyroid tumors, including 123 cases of adenoma and 5 cases of carcinoma, were performed by Miccoli's endoscopic thyroidectomy. The surgical techniques and the clinical outcomes with respect to pathologic results, duration of operation, postoperative drainage, pain, cosmetic results and complications of endoscopic thyroid surgery via the neck approach were retrospectively summarized. Results: NI the patients underwent minimally invasive endoscope-assisted thyroidectomy successfully. Five cases of carcinoma revealed by frozen section. In which, 3 papillary carcinoma cases underwent subtotal thyroidectomy of disease-side in video-assisting, whereas the other 2 cases with follicular and medullary carcinoma underwent conventional total thyroidectomy of disease-side combined with subtotal thyroidectomy of the opposite-side. The transient hoarseness occurred in one patient and recovered well one week later, and the other patients recovered successfully without any complications. Conclusion: Minimally invasive video-assisted thyroidectomy for thyroid adenoma is safe and reliable. This procedure offers a shorter incision, less invasion and better cosmetic results as compared with conventional thyroidectomy.
基金Supported by the MAROFF Competence Building ProjectFunded by the Research Council of Norway on "Holistic Risk-Based Design For Sustainable Arctic Sea Transport"
文摘When designing an arctic cargo ship, it is necessary to consider multiple stochastic factors. This paper evaluates the merits of a simulation-based probabilistic design method specifically developed to deal with this challenge. The outcome of the paper indicates that the incorporation of simulations and probabilistic design parameters into the design process enables more informed design decisions. For instance, it enables the assessment of the stochastic transport capacity of an arctic ship, as well as of its long-term ice exposure that can be used to determine an appropriate level of ice-strengthening. The outcome of the paper also indicates that significant gains in transport system cost-efficiency can be obtained by extending the boundaries of the design task beyond the individual vessel. In the case of industrial shipping, this allows for instance the consideration of port-based cargo storage facilities allowing for temporary shortages in transport capacity and thus a reduction in the required fleet size / ship capacity.
基金Project(E200940) supported by the Natural Science Foundation of Heilongjiang Province, ChinaProject(2009GC20008020) supported by the Technology Research and Development Program of Shandong Province, China
文摘In order to evaluate and integrate travel time reliability and capacity reliability of a road network subjected to ice and snowfall conditions,the conceptions of travel time reliability and capacity reliability were defined under special conditions.The link travel time model(ice and snowfall based-bureau public road,ISB-BPR) and the path choice decision model(elastic demand user equilibrium,EDUE) were proposed.The integrated reliability was defined and the model was set up.Monte Carlo simulation was used to calculate the model and a numerical example was provided to demonstrate the application of the model and efficiency of the solution algorithm.The results show that the intensity of ice and snowfall,the traffic demand and supply,and the requirements for level of service(LOS) have great influence on the reliability of a road network.For example,the reliability drops from 65% to 5% when the traffic demand increases by 30%.The comprehensive performance index may be used for network planning,design and maintenance.
文摘This paper is intended to determine physical parameters describing volumetric heat capacity and thermal conductivity of sea ice in u quasi-linear thermodynamic system using field observations. The quasi-linear thermodynamic system of sea ice with unknown physical parameters is described, and the existence and uniqueness of its solution is proved. Then the physical parameters are taken as control variable, temperature devi- ations as objective function, and a parameter identification model is established. The existence of its optimal solution is discussed. To solve the identification model, a new algorithm containing genetic algorithm, Hooke- Jeeves algorithm and semi-implicit finite difference scheme is constructed. The physical parameters are calculated using the obser- vations measured at Nella Fjord around Zhongshan Station, Antarctic in CHINARE 2006. For comparability and consistency with other works, a new internationM standard named TEOS-10 is used. To examine the validity of the identified results, another sim- ulation for temperature profiles in different measurement period is operated. Numerical results show that better simulations of temperature distribution are possible with the identified parameters than EC1993. Therefore not only the identified parameters can be applied in sea ice modeling, but also this study can enrich and supplement observations of sea ice.