This work explores three patterns of occupants’ control of window blinds and the potential influence on daylight performance of an office room in a tropical climate. In this climate, windows are frequently obstructe...This work explores three patterns of occupants’ control of window blinds and the potential influence on daylight performance of an office room in a tropical climate. In this climate, windows are frequently obstructed by curtains to avoid glare, despite the daylighting and the exterior view. The consequences are obstructed outside view, poor daylight quality and dependency on artificial lighting. This paper assesses the impact on available daylight using parametric analysis based on daylighting dynamic computer simulations using Grasshopper and Daysim software, combining WWR （window-to-wall ratio） （40% and 80%）, SVF （sky view factor） （small and large） and occupant behavior （active, intermediate and passive users）. The user patterns are based in an office buildings survey that identifies preferences concerning daylight use and control of shading devices. The daylight performance criteria combine UDI （useful daylight illuminance） （500-5,000 lux） and illuminance uniformity distribution. Results confirm the impact of occupant behavior on daylighting performance. The optimum combination of external shading devices, high SVF and high window size results in a useful daylighting for 1/3 of the time for passive users and 2/3 for active users.展开更多
Objective Small cell carcinoma(SCC) is mostly found in the lungs. It is extremely rare in the gastric remnant. Here, we report a case and review the literature in order to improve the diagnosis and treatment of SCC of...Objective Small cell carcinoma(SCC) is mostly found in the lungs. It is extremely rare in the gastric remnant. Here, we report a case and review the literature in order to improve the diagnosis and treatment of SCC of the gastric remnant.Methods We report a case of SCC of the gastric remnant in a 71-year-old male Chinese patient who presented with epigastric pain, acid regurgitation, and belching and who underwent Billroth II gastrectomy more than 38 years ago.Results Physical examination showed no obvious abnormalities. Laboratory data were within normal limits, except for anemia. Pathology of the mass showed a protruded tumor measuring 5.0 × 5.0 × 2.5 cm at the anastomotic edge of the gastric remnant that infiltrated through the full wall of the stomach; this was confirmed by immunohistochemical staining for cytokeratin [CK(-)], leukocyte common antigen(LCA)(+), synaptophysin(+), CD56(+), and Ki-67(+ > 50%).Conclusion SCC of the gastric remnant is extremely rare, although the pathology, symptoms, diagnosis, treatment, and prognosis of SCC are similar to those of gastric SCC. Although the standard treatment of SCC of the gastric remnant remains unclear, effective surgical resection and subsequent multiagent chemotherapy should be performed for long-term survival. Our case shows the efficacy of tegafurgimeracil-oteracil-potassium capsule chemotherapy. Examination of a large series is required to determine the optimal treatment strategy for SCC of the gastric remnant.展开更多
文摘This work explores three patterns of occupants’ control of window blinds and the potential influence on daylight performance of an office room in a tropical climate. In this climate, windows are frequently obstructed by curtains to avoid glare, despite the daylighting and the exterior view. The consequences are obstructed outside view, poor daylight quality and dependency on artificial lighting. This paper assesses the impact on available daylight using parametric analysis based on daylighting dynamic computer simulations using Grasshopper and Daysim software, combining WWR （window-to-wall ratio） （40% and 80%）, SVF （sky view factor） （small and large） and occupant behavior （active, intermediate and passive users）. The user patterns are based in an office buildings survey that identifies preferences concerning daylight use and control of shading devices. The daylight performance criteria combine UDI （useful daylight illuminance） （500-5,000 lux） and illuminance uniformity distribution. Results confirm the impact of occupant behavior on daylighting performance. The optimum combination of external shading devices, high SVF and high window size results in a useful daylighting for 1/3 of the time for passive users and 2/3 for active users.
文摘Objective Small cell carcinoma(SCC) is mostly found in the lungs. It is extremely rare in the gastric remnant. Here, we report a case and review the literature in order to improve the diagnosis and treatment of SCC of the gastric remnant.Methods We report a case of SCC of the gastric remnant in a 71-year-old male Chinese patient who presented with epigastric pain, acid regurgitation, and belching and who underwent Billroth II gastrectomy more than 38 years ago.Results Physical examination showed no obvious abnormalities. Laboratory data were within normal limits, except for anemia. Pathology of the mass showed a protruded tumor measuring 5.0 × 5.0 × 2.5 cm at the anastomotic edge of the gastric remnant that infiltrated through the full wall of the stomach; this was confirmed by immunohistochemical staining for cytokeratin [CK(-)], leukocyte common antigen(LCA)(+), synaptophysin(+), CD56(+), and Ki-67(+ > 50%).Conclusion SCC of the gastric remnant is extremely rare, although the pathology, symptoms, diagnosis, treatment, and prognosis of SCC are similar to those of gastric SCC. Although the standard treatment of SCC of the gastric remnant remains unclear, effective surgical resection and subsequent multiagent chemotherapy should be performed for long-term survival. Our case shows the efficacy of tegafurgimeracil-oteracil-potassium capsule chemotherapy. Examination of a large series is required to determine the optimal treatment strategy for SCC of the gastric remnant.
