When the synthetic aperture focusing technology (SAFT) is used for the detection of the concrete, the signal-to-noise ratio (SNR) and detection depth are not satisfactory. Therefore, the application of SAFT is usu...When the synthetic aperture focusing technology (SAFT) is used for the detection of the concrete, the signal-to-noise ratio (SNR) and detection depth are not satisfactory. Therefore, the application of SAFT is usually limited. In this paper, we propose an improved SAFT technique for the detection of concrete based on the pulse compression technique used in the Radar domain. The proposed method first transmits a linear frequency modulation (LFM) signal, and then compresses the echo signal using the matched filtering method, after which a compressed signal with a narrower main lobe and higher SNR is obtained. With our improved SAFT, the compressed signals are manipulated in the imaging process and the image contrast is improved. Results show that the SNR is improved and the imaging resolution is guaranteed compared with the conventional short-pulse method. From theoretical and experimental results, we show that the proposed method can suppress noise and improve imaging contrast, and can also be used to detect multiple defects in concrete.展开更多
High Resolution Wide Swath (HRWS) Synthetic Aperture Radar (SAR) often suffers from low Signal-to-Noise Ratio (SNR) due to small transmitting antenna, especially in phased array antenna systems. Digital Beam Forming (...High Resolution Wide Swath (HRWS) Synthetic Aperture Radar (SAR) often suffers from low Signal-to-Noise Ratio (SNR) due to small transmitting antenna, especially in phased array antenna systems. Digital Beam Forming (DBF) based on Single Input and Multiple Output (SIMO) achieves receiving array gain at the cost of increasing data rate. This letter proposes a new HRWS SAR method, which employs intra-pulse null steering to get receiving gain in elevation and decrease the data rate, and Multiple Input and Multiple Output (MIMO) using Space-Time Block Coding (STBC) in azimuth to get transmitting gain and receiving array gain simultaneously. The feasibility is verified by deduction and simulations.展开更多
There are some problems in the vascular prostheses, which influence the health of the patients. This paper aims to the radial compliance of three kinds of vascular prostheses and the pig's carotid based on the dynami...There are some problems in the vascular prostheses, which influence the health of the patients. This paper aims to the radial compliance of three kinds of vascular prostheses and the pig's carotid based on the dynamic-simulated condition. The radial compliance of knitted structure vascular prostheses with crimps ranged from 2.52% to 0.94%/100 mmHg, which was superior to e-FFFE and woven prostheses', ranged from 0.73% to 0.31%/100 mmHg and from 0.81% to 0.22%/100 mmHg. But comparing with the radial compliance of pig's carotid, ranged from 7.21% to 10.04% /100 mmHg, there was a big gap between them. And also the trend of the radial compliance of vascular prostheses was different from the real pig's carotid. There is a lot of work left to improve the radial compliance, not only to change the vascular prostheses' compliance, but also to meet with the real vascular.展开更多
1 Introduction Early detection and diagnosis of stable coronary artery disease (SCAD) is essential for proactive secondary prevention of myocardial infarction (MI), control of disease progress, and reduction of mo...1 Introduction Early detection and diagnosis of stable coronary artery disease (SCAD) is essential for proactive secondary prevention of myocardial infarction (MI), control of disease progress, and reduction of mortality. Clinical decision-making in modem medicine is increasingly dependent on cardiovascular imaging techniques. 2012 ACCF/AHA/ACP/AATS/ PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease has been issued by American Heart Association (AHA). European Society of Cardiology (ESC) has issued 2013 ESC guidelines on the management of stable coronary artery disease.展开更多
AIM:To investigate recurrent variceal hemorrhage and long-term survival rates of patients treated with partial proximal splenorenal venous shunt.METHODS:Patients with variceal hemorrhage who were treated with small-di...AIM:To investigate recurrent variceal hemorrhage and long-term survival rates of patients treated with partial proximal splenorenal venous shunt.METHODS:Patients with variceal hemorrhage who were treated with small-diameter proximal splenorenal venous shunt in Ruijin Hospital between 1996 and 2009 were included in this study.Shunt diameter was determined before operation using Duplex Doppler ultrasonography.Peri-operative and long-term results in term of rehemorrhage,encephalopathy and mortality were followed up.RESULTS:Ninety-eight patients with Child A and B variceal hemorrhage received small-diameter proximal splenorenal venous shunt with a diameter of 7-10 mm.After operation,the patients’mean free portal pressure (P<0.01)and the flow rate of main portal vein(P< 0.01)decreased significantly compared with that before operation.The rates of rebleeding and mortality were 6.12%(6 cases)and 2.04%(2 cases),respectively.Ninety-one patients were followed up for 7 mo-14 years (median,48.57 mo).Long-term rates of rehemorrhage and encephalopathy were 4.40%(4 cases)and 3.30% (3 cases),respectively.Thirteen patients(14.29%)died mainly due to progressive hepatic dysfunction.Fiveand ten-year survival rates were 82.12%and 71.24%,respectively.CONCLUSION:Small-diameter proximal splenorenal venous shunt affords protection against variceal rehemorrhage with a low occurrence of encephalopathy in patients with normal liver function.展开更多
In Europe, very small forest areas can be considered to be old-growth, and they are mainly located in Eastern Europe. The typical structures of old growth forests infrequently occur in Mediterranean mountainous enviro...In Europe, very small forest areas can be considered to be old-growth, and they are mainly located in Eastern Europe. The typical structures of old growth forests infrequently occur in Mediterranean mountainous environments, since they have been affected by human activities for centuries. This study focused on a remote and almost pure Italian maple stand located in southern Italy, which has not been managed for long time due to its inaccessibility. The effects of natural evolution on the forest stand were evaluated through the analysis of the spatial and chronological structure and the regeneration patterns, then estimating the amounts and quality of deadwood occurrence. Across the whole stand, all the trees with DBH (diameter at breast height) larger than 50 cm (LLT, large living trees) were measured (DBH and height) and age was also determined through a dendrochronological approach. The diameters observed ranged between 50 and 145 cm with ages of 12o to ~5o years. The Latham index calculated for trees within the sample plot highlighted a multilayered canopy with a dominant layer of largeliving trees (age 〉 120 years). The size-class distribution of stems had a reverse-J shape, and basal area was 52 m2 ha-1. Deadwood was exclusively constituted by standing dead trees and CWD and its volume was on average 31 m3 ha-1. Pure Italian maple forests are generally rare in Europe, and it was unexpected to find a forest stand characterized by a so complex structure with old growth attributes. The study of complex forest stand, even if small, could give precious information on the forest evolution, clarifying also diverse auto-ecological traits of tree species that usually are not common in our forests.展开更多
Over the years, the use of transradial approach (TRA) for carotid artery stenting (CAS) with distal embolic protection has been recognized as a valid alternative to the conventional femoral approach, improving the...Over the years, the use of transradial approach (TRA) for carotid artery stenting (CAS) with distal embolic protection has been recognized as a valid alternative to the conventional femoral approach, improving the outcomes compared to carotid endoatherectomy.0-33 Indeed, despite the femoral artery remains the conventional access site for the endovascular treatment of supraoartic vessels, concomitant anatomical variations and/or peripheral vascular disease could complicate the cannulation of such arteries. Moreover, the TRA has been related with a lower incidence of bleeding complications and a shorter bed rest after the interventional procedure.展开更多
Regulation of streamflow by a reservoir creates a flow regime much different from the preimpoundment period flow regime. Hydro-Electric Projects(HEPs) commissioned in the Western Ghat regions of the Kerala State, Indi...Regulation of streamflow by a reservoir creates a flow regime much different from the preimpoundment period flow regime. Hydro-Electric Projects(HEPs) commissioned in the Western Ghat regions of the Kerala State, India during the last four decades caused considerable changes in the flow regimes of the rivers of the Kerala State in southwest India. In this paper, the Indicators of Hydrologic Alteration(IHA) approach proposed by Richter et al.(1996) is used to analyze flow regime changes in the Periyar and Muvattupuzha Rivers, due to the construction of the Idukki(1976), Idamalayar(1987) and Lower Periyar(1997) HEPs in the high ranges of the Western Ghats. Normal rainfall years(annual rainfall values within mean ± 0.75 standard deviation limits) are only considered in the analysis to focus on hydrologic alterations due to human activities. The mean hydrologic alteration in the Periyar River(deviation from the pre-development hydrologic indicator values) after commissioning of three HEPs is 35%. Inter-basin water transfer after power generation from the Idukki HEP resulted in a higher discharge in the adjacent Muvattupuzha River, leading to considerable changes in the hydroenvironment(mean hydrologic alterations varying between 57 to 63%). IHA parameters showing hydrologic alterations above the 67 th Percentile werefurther analyzed. For each of the pre-construction hydrologic parameters ± 1 standard deviation from the mean is set as the upper and lower management target limits. The values of each IHA parameter beyond these targets are considered as nonattainment. Considerable hydrologic alterations are observed, especially for low flows in both basins. Inter-basin transfer induced larger changes in flow parameters compared to intra-basin regulations. The study shows that under a proper water release and diversion scheme, the non-attainment of IHA parameters(values fall beyond the target limits) can be reduced. The findings of the study will be greatly beneficial to regional water management and restoration of an eco-environmental system in the humid tropical region.展开更多
AIM:To verify whether arterial-phase contrast-enhanced ultrasonography(CEUS) of tumor parenchymal tissue is useful for evaluation of anti-angiogenesis agents.METHODS:Rabbits with liver tumor were subjected to CEUS,and...AIM:To verify whether arterial-phase contrast-enhanced ultrasonography(CEUS) of tumor parenchymal tissue is useful for evaluation of anti-angiogenesis agents.METHODS:Rabbits with liver tumor were subjected to CEUS,and images of the nodular maximal diameter in vascular phase were recorded.Image analysis was performed to plot the time intensity curve(TIC) at the tumor parenchyma,which set the diameter of the region of interest of intensity measurement.The TIC was calculated to obtain the time to peak intensity(TPI) and the magnitude of PI.Rabbits were randomly assigned to a treatment group with sorafenib and a control group.Two weeks later,the same ultrasound examination was repeated followed by pathological testing to assess the effect of sorafenib on the liver tumor.RESULTS:In four rabbits in the treatment group,the rate of change of tumor size was decreased comparedwith that of the control(the rate 2.3 vs 7.9,P = 0.02).The TPI of the treatment group elongated significantly(the rate 3.1 vs 1.1,P = 0.07 for SonoVue,2.0 vs 0.88,P = 0.09 for Sonazoid).The magnitude of PI showed no significant changes.In pathological examination,capillary diameters in the treatment group were significantly smaller than those in the control group(26.4 vs 42.8 μm,P = 0.013).CONCLUSION:Analysis of the TIC in the arterial phase of tumor tissue could evaluate the efficacy of antiangiogenesis drug treatment in liver tumor.展开更多
In this paper, we have investigated theoretically the high harmonic generation form helium atom in long wavelength driving regime at 2000 nm through solving time-dependent Schr6dinger equation. By adding a second harm...In this paper, we have investigated theoretically the high harmonic generation form helium atom in long wavelength driving regime at 2000 nm through solving time-dependent Schr6dinger equation. By adding a second harmonic pulse (1000 nm) and a UV attosecond pulse (200 nm) to the driving field, an efficient method for picking out and enhancing ionization path to generate high-yield supercontinuum harmonics is realized, and then an isolated sub-100 as pulse with a bandwidth of 190 eV is significantly obtained.展开更多
Objective: To study the causes and value of the pseudo-occlusion of the anastoraotic pathway between celiac and superior mesenteric arteries. Methods: 15 patients including 12 patients with hepatocellular carcinoma an...Objective: To study the causes and value of the pseudo-occlusion of the anastoraotic pathway between celiac and superior mesenteric arteries. Methods: 15 patients including 12 patients with hepatocellular carcinoma and 3 patients with hepatic hemangioma underwent superior mesenteric arteriography (SMA) and celiac arteriography (CA) in interventional therapy. The angiographic features of the 15 cases were dynamically observed by 2 experienced radiologists in double-blind manner. Results: Similar interpretations were given by the 2 radiologists. In CA, pseudo-occlusion occurred at the bifurcation of the common hepatic artery and the celiac artery in 8 cases, at the bifurcation of the common hepatic artery and the gastroduodenal artery in 6 cases and at the bifurcation of the right hepatic artery and the celiac artery in 1 case. No occlusion was found in SMA and the angiographic wire and catheter could pass easily through the occluded regions seen in CA. Conclusion: Pseudo occlusion of the anastomotic pathway between the superior mesenteric and celiac arteries is rare phenomenon. Its cause was not identified in our cases. It may result from the hemodynamic change or abnormality of the hepatic artery. It is very important to understand the existence of pseudo-occlusion in order to guide the catheterization in interventional therapy.展开更多
A possibility of the efficient use of rotary percussive drilling to provide drilling smaller diameter holes(40–70 mm) both in mining and prospecting is disclosed herein. A new construction designed for the nipple thr...A possibility of the efficient use of rotary percussive drilling to provide drilling smaller diameter holes(40–70 mm) both in mining and prospecting is disclosed herein. A new construction designed for the nipple thread connection is described. The relative amplitude variation, change of power pulse time and energy in their propagation throughout the drilling tool are determined. A possibility of the efficient power pulse transfer along the drill string to the rock destruction tools with new nipple connections which allow automating the make-up and breakout system of drill pipe was supported by experiments.展开更多
Background and aims:Hepatic encephalopathy is a common complication encountered in patients with liver cirrhosis.Hepatic encephalopathy is not reflected in the current liver transplant allocation system.Correlation wa...Background and aims:Hepatic encephalopathy is a common complication encountered in patients with liver cirrhosis.Hepatic encephalopathy is not reflected in the current liver transplant allocation system.Correlation was sought between hepatic encephalopathy with findings detected on radiographic imaging studies and the patient’s clinical profile.Methods:A retrospective analysis was conducted of patients with cirrhosis,who presented for liver transplant evaluation in 2009 and 2010.Patients with hepatocellular carcinoma,ejection fraction less than 60%and who had a TIPS(transjugular intrahepatic portosystemic shunting)procedure or who did not complete the evaluation were excluded.Statistical analysis was performed and variables found to be significant on univariate analysis(P<0.05)were analysed by a multivariate logistic regression model.Results:A total of 117 patients met the inclusion criteria and were divided into a hepatic encephalopathy group(n=58)and a control group(n=59).Univariate analysis found that a smaller portal vein diameter,smaller liver antero-posterior diameter,liver nodularity and use of diuretics or centrally acting medications showed significant correlation with hepatic encephalopathy.This association was confirmed for smaller portal vein,use of diuretics and centrally acting medications in the multivariate analysis.Conclusion:A decrease in portal vein diameter was associated with increased risk of encephalopathy.Identifying patients with smaller portal vein diameter may warrant screening for encephalopathy by more advanced psychometric testing,and more aggressive control of constipation and other factors that may precipitate encephalopathy.展开更多
基金supported by the National Natural Science Foundation of China(No.11074273)the ministry of water resources'special funds for scientific research on public causes(No.201301061)
文摘When the synthetic aperture focusing technology (SAFT) is used for the detection of the concrete, the signal-to-noise ratio (SNR) and detection depth are not satisfactory. Therefore, the application of SAFT is usually limited. In this paper, we propose an improved SAFT technique for the detection of concrete based on the pulse compression technique used in the Radar domain. The proposed method first transmits a linear frequency modulation (LFM) signal, and then compresses the echo signal using the matched filtering method, after which a compressed signal with a narrower main lobe and higher SNR is obtained. With our improved SAFT, the compressed signals are manipulated in the imaging process and the image contrast is improved. Results show that the SNR is improved and the imaging resolution is guaranteed compared with the conventional short-pulse method. From theoretical and experimental results, we show that the proposed method can suppress noise and improve imaging contrast, and can also be used to detect multiple defects in concrete.
文摘High Resolution Wide Swath (HRWS) Synthetic Aperture Radar (SAR) often suffers from low Signal-to-Noise Ratio (SNR) due to small transmitting antenna, especially in phased array antenna systems. Digital Beam Forming (DBF) based on Single Input and Multiple Output (SIMO) achieves receiving array gain at the cost of increasing data rate. This letter proposes a new HRWS SAR method, which employs intra-pulse null steering to get receiving gain in elevation and decrease the data rate, and Multiple Input and Multiple Output (MIMO) using Space-Time Block Coding (STBC) in azimuth to get transmitting gain and receiving array gain simultaneously. The feasibility is verified by deduction and simulations.
文摘There are some problems in the vascular prostheses, which influence the health of the patients. This paper aims to the radial compliance of three kinds of vascular prostheses and the pig's carotid based on the dynamic-simulated condition. The radial compliance of knitted structure vascular prostheses with crimps ranged from 2.52% to 0.94%/100 mmHg, which was superior to e-FFFE and woven prostheses', ranged from 0.73% to 0.31%/100 mmHg and from 0.81% to 0.22%/100 mmHg. But comparing with the radial compliance of pig's carotid, ranged from 7.21% to 10.04% /100 mmHg, there was a big gap between them. And also the trend of the radial compliance of vascular prostheses was different from the real pig's carotid. There is a lot of work left to improve the radial compliance, not only to change the vascular prostheses' compliance, but also to meet with the real vascular.
文摘1 Introduction Early detection and diagnosis of stable coronary artery disease (SCAD) is essential for proactive secondary prevention of myocardial infarction (MI), control of disease progress, and reduction of mortality. Clinical decision-making in modem medicine is increasingly dependent on cardiovascular imaging techniques. 2012 ACCF/AHA/ACP/AATS/ PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease has been issued by American Heart Association (AHA). European Society of Cardiology (ESC) has issued 2013 ESC guidelines on the management of stable coronary artery disease.
文摘AIM:To investigate recurrent variceal hemorrhage and long-term survival rates of patients treated with partial proximal splenorenal venous shunt.METHODS:Patients with variceal hemorrhage who were treated with small-diameter proximal splenorenal venous shunt in Ruijin Hospital between 1996 and 2009 were included in this study.Shunt diameter was determined before operation using Duplex Doppler ultrasonography.Peri-operative and long-term results in term of rehemorrhage,encephalopathy and mortality were followed up.RESULTS:Ninety-eight patients with Child A and B variceal hemorrhage received small-diameter proximal splenorenal venous shunt with a diameter of 7-10 mm.After operation,the patients’mean free portal pressure (P<0.01)and the flow rate of main portal vein(P< 0.01)decreased significantly compared with that before operation.The rates of rebleeding and mortality were 6.12%(6 cases)and 2.04%(2 cases),respectively.Ninety-one patients were followed up for 7 mo-14 years (median,48.57 mo).Long-term rates of rehemorrhage and encephalopathy were 4.40%(4 cases)and 3.30% (3 cases),respectively.Thirteen patients(14.29%)died mainly due to progressive hepatic dysfunction.Fiveand ten-year survival rates were 82.12%and 71.24%,respectively.CONCLUSION:Small-diameter proximal splenorenal venous shunt affords protection against variceal rehemorrhage with a low occurrence of encephalopathy in patients with normal liver function.
基金partially developed within the scope of research project LIFE+2013 "PAN LIFE Project-Natura 2000 Action Programme.Life+Nature-2013-LIFE13 NAT/IT/001075
文摘In Europe, very small forest areas can be considered to be old-growth, and they are mainly located in Eastern Europe. The typical structures of old growth forests infrequently occur in Mediterranean mountainous environments, since they have been affected by human activities for centuries. This study focused on a remote and almost pure Italian maple stand located in southern Italy, which has not been managed for long time due to its inaccessibility. The effects of natural evolution on the forest stand were evaluated through the analysis of the spatial and chronological structure and the regeneration patterns, then estimating the amounts and quality of deadwood occurrence. Across the whole stand, all the trees with DBH (diameter at breast height) larger than 50 cm (LLT, large living trees) were measured (DBH and height) and age was also determined through a dendrochronological approach. The diameters observed ranged between 50 and 145 cm with ages of 12o to ~5o years. The Latham index calculated for trees within the sample plot highlighted a multilayered canopy with a dominant layer of largeliving trees (age 〉 120 years). The size-class distribution of stems had a reverse-J shape, and basal area was 52 m2 ha-1. Deadwood was exclusively constituted by standing dead trees and CWD and its volume was on average 31 m3 ha-1. Pure Italian maple forests are generally rare in Europe, and it was unexpected to find a forest stand characterized by a so complex structure with old growth attributes. The study of complex forest stand, even if small, could give precious information on the forest evolution, clarifying also diverse auto-ecological traits of tree species that usually are not common in our forests.
文摘Over the years, the use of transradial approach (TRA) for carotid artery stenting (CAS) with distal embolic protection has been recognized as a valid alternative to the conventional femoral approach, improving the outcomes compared to carotid endoatherectomy.0-33 Indeed, despite the femoral artery remains the conventional access site for the endovascular treatment of supraoartic vessels, concomitant anatomical variations and/or peripheral vascular disease could complicate the cannulation of such arteries. Moreover, the TRA has been related with a lower incidence of bleeding complications and a shorter bed rest after the interventional procedure.
基金financial support by Kerala State Council for Science Technology and Environment, Government of Kerala
文摘Regulation of streamflow by a reservoir creates a flow regime much different from the preimpoundment period flow regime. Hydro-Electric Projects(HEPs) commissioned in the Western Ghat regions of the Kerala State, India during the last four decades caused considerable changes in the flow regimes of the rivers of the Kerala State in southwest India. In this paper, the Indicators of Hydrologic Alteration(IHA) approach proposed by Richter et al.(1996) is used to analyze flow regime changes in the Periyar and Muvattupuzha Rivers, due to the construction of the Idukki(1976), Idamalayar(1987) and Lower Periyar(1997) HEPs in the high ranges of the Western Ghats. Normal rainfall years(annual rainfall values within mean ± 0.75 standard deviation limits) are only considered in the analysis to focus on hydrologic alterations due to human activities. The mean hydrologic alteration in the Periyar River(deviation from the pre-development hydrologic indicator values) after commissioning of three HEPs is 35%. Inter-basin water transfer after power generation from the Idukki HEP resulted in a higher discharge in the adjacent Muvattupuzha River, leading to considerable changes in the hydroenvironment(mean hydrologic alterations varying between 57 to 63%). IHA parameters showing hydrologic alterations above the 67 th Percentile werefurther analyzed. For each of the pre-construction hydrologic parameters ± 1 standard deviation from the mean is set as the upper and lower management target limits. The values of each IHA parameter beyond these targets are considered as nonattainment. Considerable hydrologic alterations are observed, especially for low flows in both basins. Inter-basin transfer induced larger changes in flow parameters compared to intra-basin regulations. The study shows that under a proper water release and diversion scheme, the non-attainment of IHA parameters(values fall beyond the target limits) can be reduced. The findings of the study will be greatly beneficial to regional water management and restoration of an eco-environmental system in the humid tropical region.
文摘AIM:To verify whether arterial-phase contrast-enhanced ultrasonography(CEUS) of tumor parenchymal tissue is useful for evaluation of anti-angiogenesis agents.METHODS:Rabbits with liver tumor were subjected to CEUS,and images of the nodular maximal diameter in vascular phase were recorded.Image analysis was performed to plot the time intensity curve(TIC) at the tumor parenchyma,which set the diameter of the region of interest of intensity measurement.The TIC was calculated to obtain the time to peak intensity(TPI) and the magnitude of PI.Rabbits were randomly assigned to a treatment group with sorafenib and a control group.Two weeks later,the same ultrasound examination was repeated followed by pathological testing to assess the effect of sorafenib on the liver tumor.RESULTS:In four rabbits in the treatment group,the rate of change of tumor size was decreased comparedwith that of the control(the rate 2.3 vs 7.9,P = 0.02).The TPI of the treatment group elongated significantly(the rate 3.1 vs 1.1,P = 0.07 for SonoVue,2.0 vs 0.88,P = 0.09 for Sonazoid).The magnitude of PI showed no significant changes.In pathological examination,capillary diameters in the treatment group were significantly smaller than those in the control group(26.4 vs 42.8 μm,P = 0.013).CONCLUSION:Analysis of the TIC in the arterial phase of tumor tissue could evaluate the efficacy of antiangiogenesis drug treatment in liver tumor.
基金Supported by the Natural Science Foundation of Hubei Province under Grant No.2008CDB317
文摘In this paper, we have investigated theoretically the high harmonic generation form helium atom in long wavelength driving regime at 2000 nm through solving time-dependent Schr6dinger equation. By adding a second harmonic pulse (1000 nm) and a UV attosecond pulse (200 nm) to the driving field, an efficient method for picking out and enhancing ionization path to generate high-yield supercontinuum harmonics is realized, and then an isolated sub-100 as pulse with a bandwidth of 190 eV is significantly obtained.
文摘Objective: To study the causes and value of the pseudo-occlusion of the anastoraotic pathway between celiac and superior mesenteric arteries. Methods: 15 patients including 12 patients with hepatocellular carcinoma and 3 patients with hepatic hemangioma underwent superior mesenteric arteriography (SMA) and celiac arteriography (CA) in interventional therapy. The angiographic features of the 15 cases were dynamically observed by 2 experienced radiologists in double-blind manner. Results: Similar interpretations were given by the 2 radiologists. In CA, pseudo-occlusion occurred at the bifurcation of the common hepatic artery and the celiac artery in 8 cases, at the bifurcation of the common hepatic artery and the gastroduodenal artery in 6 cases and at the bifurcation of the right hepatic artery and the celiac artery in 1 case. No occlusion was found in SMA and the angiographic wire and catheter could pass easily through the occluded regions seen in CA. Conclusion: Pseudo occlusion of the anastomotic pathway between the superior mesenteric and celiac arteries is rare phenomenon. Its cause was not identified in our cases. It may result from the hemodynamic change or abnormality of the hepatic artery. It is very important to understand the existence of pseudo-occlusion in order to guide the catheterization in interventional therapy.
基金supported by the research Grant within the framework of the Federal Target Program ‘Scientific and Academic Staff of Innovative Russia’ during the years of 2009–2013competitive activity 1.3.1. ‘Research conducted by young researchers, Ph.D. holders’, the project theme ‘Research of power pulse interaction in a drilling tool and in rock mass in underground borehole drilling’
文摘A possibility of the efficient use of rotary percussive drilling to provide drilling smaller diameter holes(40–70 mm) both in mining and prospecting is disclosed herein. A new construction designed for the nipple thread connection is described. The relative amplitude variation, change of power pulse time and energy in their propagation throughout the drilling tool are determined. A possibility of the efficient power pulse transfer along the drill string to the rock destruction tools with new nipple connections which allow automating the make-up and breakout system of drill pipe was supported by experiments.
文摘Background and aims:Hepatic encephalopathy is a common complication encountered in patients with liver cirrhosis.Hepatic encephalopathy is not reflected in the current liver transplant allocation system.Correlation was sought between hepatic encephalopathy with findings detected on radiographic imaging studies and the patient’s clinical profile.Methods:A retrospective analysis was conducted of patients with cirrhosis,who presented for liver transplant evaluation in 2009 and 2010.Patients with hepatocellular carcinoma,ejection fraction less than 60%and who had a TIPS(transjugular intrahepatic portosystemic shunting)procedure or who did not complete the evaluation were excluded.Statistical analysis was performed and variables found to be significant on univariate analysis(P<0.05)were analysed by a multivariate logistic regression model.Results:A total of 117 patients met the inclusion criteria and were divided into a hepatic encephalopathy group(n=58)and a control group(n=59).Univariate analysis found that a smaller portal vein diameter,smaller liver antero-posterior diameter,liver nodularity and use of diuretics or centrally acting medications showed significant correlation with hepatic encephalopathy.This association was confirmed for smaller portal vein,use of diuretics and centrally acting medications in the multivariate analysis.Conclusion:A decrease in portal vein diameter was associated with increased risk of encephalopathy.Identifying patients with smaller portal vein diameter may warrant screening for encephalopathy by more advanced psychometric testing,and more aggressive control of constipation and other factors that may precipitate encephalopathy.