Objective: To study the importance of percutaneous radiofrequency ablation (PRFA) guided by ultrasound for inoperable recurrent hepatocellular carcinoma.Methods: Forty-seven patients with inoperable recurrent hepatoce...Objective: To study the importance of percutaneous radiofrequency ablation (PRFA) guided by ultrasound for inoperable recurrent hepatocellular carcinoma.Methods: Forty-seven patients with inoperable recurrent hepatocellular carcinoma underwent percutaneous radiofrequency ablation (PRFA) under ultrasond between October 1999 and July 2001. Twenty-four patients had single recurrent tumor and 23 patients had multiple lesions. Twelve patients had single lesion with less than 3.5 cm in diameter. All patients were followed up to examine the value of AFP, MRI or CT after PRFA. Kaplan-Meier estimation was used to analyze the survival rate.Results: The 1-, 2- and 3-year survival rate in single lesion group was 65.2%, 37.5% and 37.5% respectively. The survival rate of 1 and 2 years was 41.7% and 19.5% in the multiple lesions group. The 1-, 2-and 3-year survival rate in single lesion groups with less than 3.5 cm in diameter was 83.3%, 51.4% and 51.4% respectively.Conclusion: PRFA is one of the important comprehensive methods for recurrent hepatocellular carcinoma. According to the size, number and recurrent time, PRFA can be performed separately or combined with transcatheter arterial chemoembolization for inoperable recurrent hepatocellular carcinoma. This method can control the recurrence and increase the survival rate effectively. Key words recurrence - hepatocellular cacinoma - radiofrequency ablation展开更多
AIM: To compare the results for endoscopic ultrasound (EUS)-guided drainage of clear fluid pancreatic pseudocysts with the results for abscess drainage. METHODS: All patients referred for endoscopic drainage of a flui...AIM: To compare the results for endoscopic ultrasound (EUS)-guided drainage of clear fluid pancreatic pseudocysts with the results for abscess drainage. METHODS: All patients referred for endoscopic drainage of a fluid collection were prospectively included. The outcome was recorded. RESULTS: Altogether 26 pseudocysts or abscesses were treated in 25 (6 female) patients. One endoscopist performed the procedures. Non-infected pseudocysts were present in 15 patients and 10 patients had infected fluid collections. The cyst size ranged between 28 cm × 13 cm and 5 cm × 5 cm. The EUS drainage was successful in 94% of the pseudocysts and in 80% of the abscesses (P = 0.04). The complication rate in pseudocysts was 6% and in abscesses was 30% (P = 0.02). Recurrence of a pseudocyst occurred in one patient (4%) after 6 mo; the patient was successfully retreated. CONCLUSION: EUS-guided drainage of pseudocysts is associated with a higher success rate and a lower complication rate compared with abscess drainage.展开更多
Modern automotive petrol engine performance is significantly affected by effective tune-up. Current practice of engine tune-up relies on the experience of the automotive engineer, and tune-up is usually done by trial-...Modern automotive petrol engine performance is significantly affected by effective tune-up. Current practice of engine tune-up relies on the experience of the automotive engineer, and tune-up is usually done by trial-and-error method and then the vehicle engine is run on the dynamometer to show the actual engine performance. Obviously the current practice involves a large amount of time and money, and then may even fail to tune up the engine optimally because a formal performance model of the engine has not been determined yet. With an emerging technique, Support Vector Machines (SVM), the approximate per- formance model of a petrol vehicle engine can be determined by training the sample engine performance data acquired from the dynamometer. The number of dynamometer tests for an engine tune-up can therefore be reduced because the estimated engine performance model can replace the dynamometer tests to a certain extent. In this paper, the construction, validation and accuracy of the model are discussed. The study showed that the predicted results agree well with the actual test results. To illustrate the significance of the SVM methodology, the results were also compared with that regressed using multilayer feedforward neural networks.展开更多
This paper is preliminary information on some empirical findings based on an analysis of Thailand's macroeconomic data. The purpose of the study is to quantify social-economic well-being development with special emph...This paper is preliminary information on some empirical findings based on an analysis of Thailand's macroeconomic data. The purpose of the study is to quantify social-economic well-being development with special emphasis on poverty. The maximum entropy bootstrap was presented that did not require the property of stationarity. Moreover, the methodology was stratified both the ergodic theorem and the central limit theorem. Thailand's GINI index and Thailand-Japan's volume of trade data cover the 14-year period from 1998 to 2011. There is a statistically significant negative non-linear relationship between endogenous Thailand's GINI index and exogenous Thailand-Japan's volume of trade. The results confirmed that every lagged one percent increase in Thailand-Japan's volume of trade influenced by a decrease of Thailand's GINI index coefficient 0.039 percent with the asymmetric around 0-almost closed to range condition -0.034824348 at 2.5%.展开更多
To explore the clinical efficacy and possible mechanism of Tai Ji Quan for post-stroke depression(PSD),literature related to Tai Ji Quan and PSD were retrieved from China National Knowledge Infrastructure(CNKI),Wanfan...To explore the clinical efficacy and possible mechanism of Tai Ji Quan for post-stroke depression(PSD),literature related to Tai Ji Quan and PSD were retrieved from China National Knowledge Infrastructure(CNKI),Wanfang Academic Journal Full-text Database(Wanfang),Chongqing VIP Database(CQVIP),China Biology Medicine Disc(CBM),and PubMed,screened and then summarized.The results showed that Tai Ji Quan could effectively improve the depression and quality of life of stroke patients,and there were differences in the clinical efficacy among different training programs.Tai Ji Quan has the characteristics of“regulating mind”,“regulating breath”,and“regulating body”.It may achieve the effect of“combined physique-spirit treatment”by improving social psychology,increasing the level of neurotrophin,regulating neuroendocrine,reducing inflammatory factors,and regulating neural circuits.展开更多
文摘Objective: To study the importance of percutaneous radiofrequency ablation (PRFA) guided by ultrasound for inoperable recurrent hepatocellular carcinoma.Methods: Forty-seven patients with inoperable recurrent hepatocellular carcinoma underwent percutaneous radiofrequency ablation (PRFA) under ultrasond between October 1999 and July 2001. Twenty-four patients had single recurrent tumor and 23 patients had multiple lesions. Twelve patients had single lesion with less than 3.5 cm in diameter. All patients were followed up to examine the value of AFP, MRI or CT after PRFA. Kaplan-Meier estimation was used to analyze the survival rate.Results: The 1-, 2- and 3-year survival rate in single lesion group was 65.2%, 37.5% and 37.5% respectively. The survival rate of 1 and 2 years was 41.7% and 19.5% in the multiple lesions group. The 1-, 2-and 3-year survival rate in single lesion groups with less than 3.5 cm in diameter was 83.3%, 51.4% and 51.4% respectively.Conclusion: PRFA is one of the important comprehensive methods for recurrent hepatocellular carcinoma. According to the size, number and recurrent time, PRFA can be performed separately or combined with transcatheter arterial chemoembolization for inoperable recurrent hepatocellular carcinoma. This method can control the recurrence and increase the survival rate effectively. Key words recurrence - hepatocellular cacinoma - radiofrequency ablation
基金Supported by The Health and Medical Care Executive Board of the Vstra Gtaland Region, Sweden
文摘AIM: To compare the results for endoscopic ultrasound (EUS)-guided drainage of clear fluid pancreatic pseudocysts with the results for abscess drainage. METHODS: All patients referred for endoscopic drainage of a fluid collection were prospectively included. The outcome was recorded. RESULTS: Altogether 26 pseudocysts or abscesses were treated in 25 (6 female) patients. One endoscopist performed the procedures. Non-infected pseudocysts were present in 15 patients and 10 patients had infected fluid collections. The cyst size ranged between 28 cm × 13 cm and 5 cm × 5 cm. The EUS drainage was successful in 94% of the pseudocysts and in 80% of the abscesses (P = 0.04). The complication rate in pseudocysts was 6% and in abscesses was 30% (P = 0.02). Recurrence of a pseudocyst occurred in one patient (4%) after 6 mo; the patient was successfully retreated. CONCLUSION: EUS-guided drainage of pseudocysts is associated with a higher success rate and a lower complication rate compared with abscess drainage.
文摘Modern automotive petrol engine performance is significantly affected by effective tune-up. Current practice of engine tune-up relies on the experience of the automotive engineer, and tune-up is usually done by trial-and-error method and then the vehicle engine is run on the dynamometer to show the actual engine performance. Obviously the current practice involves a large amount of time and money, and then may even fail to tune up the engine optimally because a formal performance model of the engine has not been determined yet. With an emerging technique, Support Vector Machines (SVM), the approximate per- formance model of a petrol vehicle engine can be determined by training the sample engine performance data acquired from the dynamometer. The number of dynamometer tests for an engine tune-up can therefore be reduced because the estimated engine performance model can replace the dynamometer tests to a certain extent. In this paper, the construction, validation and accuracy of the model are discussed. The study showed that the predicted results agree well with the actual test results. To illustrate the significance of the SVM methodology, the results were also compared with that regressed using multilayer feedforward neural networks.
文摘This paper is preliminary information on some empirical findings based on an analysis of Thailand's macroeconomic data. The purpose of the study is to quantify social-economic well-being development with special emphasis on poverty. The maximum entropy bootstrap was presented that did not require the property of stationarity. Moreover, the methodology was stratified both the ergodic theorem and the central limit theorem. Thailand's GINI index and Thailand-Japan's volume of trade data cover the 14-year period from 1998 to 2011. There is a statistically significant negative non-linear relationship between endogenous Thailand's GINI index and exogenous Thailand-Japan's volume of trade. The results confirmed that every lagged one percent increase in Thailand-Japan's volume of trade influenced by a decrease of Thailand's GINI index coefficient 0.039 percent with the asymmetric around 0-almost closed to range condition -0.034824348 at 2.5%.
文摘To explore the clinical efficacy and possible mechanism of Tai Ji Quan for post-stroke depression(PSD),literature related to Tai Ji Quan and PSD were retrieved from China National Knowledge Infrastructure(CNKI),Wanfang Academic Journal Full-text Database(Wanfang),Chongqing VIP Database(CQVIP),China Biology Medicine Disc(CBM),and PubMed,screened and then summarized.The results showed that Tai Ji Quan could effectively improve the depression and quality of life of stroke patients,and there were differences in the clinical efficacy among different training programs.Tai Ji Quan has the characteristics of“regulating mind”,“regulating breath”,and“regulating body”.It may achieve the effect of“combined physique-spirit treatment”by improving social psychology,increasing the level of neurotrophin,regulating neuroendocrine,reducing inflammatory factors,and regulating neural circuits.