AIM: Intrabiliary rupture (IBR) is a common and serious compli-cation of hepatic hydatid cyst. The incidence varies from 1% to 25%. The treatment of IBR is still controversial. We aimed to design an algorithm for the ...AIM: Intrabiliary rupture (IBR) is a common and serious compli-cation of hepatic hydatid cyst. The incidence varies from 1% to 25%. The treatment of IBR is still controversial. We aimed to design an algorithm for the treatment of hepatic hydatidosis with IBR by reviewing our cases.METHODS: Eight cases of IBR were analyzed retrospectively.Patients were evaluated according to age, sex, clinical findings, cyst number and stage, abdominal ultrasonography and CT-scan, surgical methods, complica-tions, results and coincidental diseases.RESULTS: Female/male ratio was 1/7. Mean age was 52.12±18.26 years (range 24-69 years). Right upper quadrant pain, flatulence, palpable hepatic mass were symptoms common in all patients. Cholestatic jaundice was found in four cases. In all patients, cyst evacuation and omento-plasty were performed, followed by either choledochod-uodenostomy, T-tube drainage, intracavitary suturing of the orifice, two cases in each. Whereas in two patients diagnosed post-operatively percutaneous drainage of biliary collection or ERCP and sphincteroplasty were added. Morbidity and hospital stay were higher in these cases.CONCLUSION: When the diagnosis of IBR can be done pre-or intra-operatively, morbidity decreases. If a biliary fistula is seen post-operatively, endoscopic procedures such as ERCP, sphincteroplasty or nasobiliary drainage can be applied.展开更多
Parallel machine scheduling problems, which are important discrete optimization problems, may occur in many applications. For example, load balancing in network communication channel assignment, parallel processing in...Parallel machine scheduling problems, which are important discrete optimization problems, may occur in many applications. For example, load balancing in network communication channel assignment, parallel processing in large-size computing, task arrangement in flexible manufacturing systems, etc., are multiprocessor scheduling problem. In the traditional parallel machine scheduling problems, it is assumed that the problems are considered in offline or online environment. But in practice, problems are often not really offline or online but somehow in-between. This means that, with respect to the online problem, some further information about the tasks is available, which allows the improvement of the performance of the best possible algorithms. Problems of this class are called semi-online ones. In this paper, the semi-online problem P2|decr|lp (p>1) is considered where jobs come in non-increasing order of their processing times and the objective is to minimize the sum of the lp norm of every machine’s load. It is shown that LS algorithm is optimal for any lp norm, which extends the results known in the literature. Furthermore, randomized lower bounds for the problems P2|online|lp and P2|decr|lp are presented.展开更多
文摘AIM: Intrabiliary rupture (IBR) is a common and serious compli-cation of hepatic hydatid cyst. The incidence varies from 1% to 25%. The treatment of IBR is still controversial. We aimed to design an algorithm for the treatment of hepatic hydatidosis with IBR by reviewing our cases.METHODS: Eight cases of IBR were analyzed retrospectively.Patients were evaluated according to age, sex, clinical findings, cyst number and stage, abdominal ultrasonography and CT-scan, surgical methods, complica-tions, results and coincidental diseases.RESULTS: Female/male ratio was 1/7. Mean age was 52.12±18.26 years (range 24-69 years). Right upper quadrant pain, flatulence, palpable hepatic mass were symptoms common in all patients. Cholestatic jaundice was found in four cases. In all patients, cyst evacuation and omento-plasty were performed, followed by either choledochod-uodenostomy, T-tube drainage, intracavitary suturing of the orifice, two cases in each. Whereas in two patients diagnosed post-operatively percutaneous drainage of biliary collection or ERCP and sphincteroplasty were added. Morbidity and hospital stay were higher in these cases.CONCLUSION: When the diagnosis of IBR can be done pre-or intra-operatively, morbidity decreases. If a biliary fistula is seen post-operatively, endoscopic procedures such as ERCP, sphincteroplasty or nasobiliary drainage can be applied.
基金Project supported by the National Natural Science Foundation of China (Nos. 10271110 10301028) and the Teaching and Research Award Program for Outstanding Young Teachers in Higher Education Institutions of MOE+2 种基金 China Project supported by the National Natural Science Foundation of China (Nos. 10271110 10301028) and the Teaching and Research Award Program for Outstanding Young Teachers in Higher Education Institutions of MOE China
文摘Parallel machine scheduling problems, which are important discrete optimization problems, may occur in many applications. For example, load balancing in network communication channel assignment, parallel processing in large-size computing, task arrangement in flexible manufacturing systems, etc., are multiprocessor scheduling problem. In the traditional parallel machine scheduling problems, it is assumed that the problems are considered in offline or online environment. But in practice, problems are often not really offline or online but somehow in-between. This means that, with respect to the online problem, some further information about the tasks is available, which allows the improvement of the performance of the best possible algorithms. Problems of this class are called semi-online ones. In this paper, the semi-online problem P2|decr|lp (p>1) is considered where jobs come in non-increasing order of their processing times and the objective is to minimize the sum of the lp norm of every machine’s load. It is shown that LS algorithm is optimal for any lp norm, which extends the results known in the literature. Furthermore, randomized lower bounds for the problems P2|online|lp and P2|decr|lp are presented.
