医学数据网格及其相关中间件的研究与实现

研究医学数据网格,以满足共享分布式异构医学图像等医学数据资源、医学仪器等医疗资源的需要,设计了医学数据网格的体系结构,研究了医学数据标准化,设计和实现了医学应用数据库,探究了资源管理、注册查找、工作流管理,以及数据管理和安全问题。实践证明,该网格研究系统GADITMER可以有效地促进临床辅助诊断和流行病学研究的发展。

Applied research on reliable increase measures of CNC lathes

According to the reliable data of sixteen CNC lathes, each reliable index of the serial CNC lathes is evaluated before tackling and after tackling. According to the failure analysis, reliable improvement measures of the serial CNC lathes are put forward.

Development of practical postprocessor for 5-axis machine tool with non-orthogonal rotary axes

In order to develop a practical postprocessor for 5-axis machine tool,the general equations of numerically controlled(NC) data for 5-axis configurations with non-orthogonal rotary axes were exactly expressed by the inverse kinematics,and a windows-based postprocessor written with Visual Basic was developed according to the proposed algorithm.The developed postprocessor is a general system suitable for all kinds of 5-axis machines with orthogonal and non-orthogonal rotary axes.Through implementation of the developed postprocessor and verification by a cutting simulation and machining experiment,the effectiveness of the proposed algorithm is confirmed.Compatibility is improved by allowing exchange of data formats such as rotational total center position(RTCP) controlled NC data,vector post NC data,and program object file(POF) cutter location(CL) data,and convenience is increased by adding the function of work-piece origin offset.Consequently,a practical post-processor for 5-axis machining is developed.

Gastrointestinal stromal tumors:Thirty years experience of an Institution

AIM:To report our experience of gastrointestinal stromal tumors (GISTs) during the last 29 years. METHODS:Thirty two cases of GIST referred to our Institution from the 1st January 1981 to the 10th June 2010 were reviewed. Metastases,recurrence and survival data were collected in relation to age,history,clinical presentation,location,size,resection margins and cellular features. RESULTS:Mean age was 63.7 years (range,40-90) and incidence was slightly higher in males (56%). R0 resection was performed in 90.7% of cases,R1 in 6.2% (2 cases) and R2 in 3.1% (one case). Using Fletcher's classification 8/32 (25%) had high risk,9/32 (28%) intermediate and 15/32 (47%) low risk tumors. Follow-up varied from 1 mo to 29 years,with a median of 8 years; overall survival was 75% (24/32),disease-free survival was 72% and tumor-related mortality was 9.3%. Three patients with high risk GIST were treated with imatinib mesylate:one developed a recurrence after 36 mo,and 2 are free from disease at 41 mo. CONCLUSION:Surgical treatment remains the gold standard therapy for resectable GISTs. Pathological and biological features of the neoplasm represent the most important factors predicting the prognosis.

Predictors of neoadjuvant chemotherapy for triple-negative breast cancer:a meta-analysis with 723 cases

Objective: Neoadjuvant chemotherapy (NAC) was increasingly used as a systemic therapy for triple-negative breast cancer (TNBC). The pathological complete response (PCR) rates of neoadjuvant chemotherapy in TNBC were higher than other types of breast cancer with fluctuate data. Predictors to identify which subgroup TNBC was more likely to achieve PCR in neoadjuvant chemotherapy would give us some hints on how to improve outcomes of TNBC patients. The meta-analysis was conducted to contrast the prognostic function of some clinicopathological parameters in the PCR rates of neoadjuvant chemotherapy for TNBC. Methods: Studies were selected from the PubMed database. The relevant parameters to PCR rates in TNBC group were recorded. Review Manager and MIX were used to estimate prognostic function of some biological markers and clinicopathological parameters in PCR rates of TNBC. Results: The analysis included 6 studies with 723 patients, the aggregate PCR rate was 27.9% in TNBC group. The association of lymph nodes metastasis, Ki-67 expression, p53 expression and CK5/6 expression with PCR rate of TNBC was investigated in the analysis, and the odds ratios were 0.50, 9.87, 1.17 and 0.53 respectively. Conclusion: This meta-analysis demonstrated that Ki-67 expression and lymph nodes metastasis were predictors of PCR rate for TNBC in neoadjuvant chemotherapy, while p53 and CK5/6 expression could not be confirmed for the prognostic function.

Comparison of numerical simulations and experiments in conical gas–solid spouted bed

Flow behavior of gas and particles in conical spouted beds is experimentally studied and simulated using the twofluid gas-solid model with the kinetic theory of granular flow.The bed pressure drop and fountain height are measured in a conical spouted bed of 100 mm I.D.at different gas velocities.The simulation results are compared with measurements of bed pressure drop and fountain height.The comparison shows that the drag coefficient model used in cylindrical beds under-predicted bed pressure drop and fountain height in conical spouted beds due to the partial weight of particles supported by the inclined side walls.It is found that the numerical results using the drag coefficient model proposed based on the conical spouted bed in this study are in good agreement with experimental data.The present study provides a useful basis for further works on the CFD simulation of conical spouted bed.

Five-year major clinical outcomes between first-generation ana second- generation drug-eluting stents in acute myocardial infarction patients underwent percutaneous coronary intervention

Background There were limited data comparing the major clinical outcomes between first-generation （1G）-drug eluting stentts （DES） and second-generation （2G）-DES in patients with acute myocardial infarction （AMI） after percutaneous coronary intervention （PCI） during very long follow-up periods. We thought to investigate the comparative efficacy and safety of 2G-DES compared with 1G-DES in AMI patients during 5-year follow-up periods. Method A total of 1016 eligible AMI patients who underwent PCI with 1G-DES [paclitaxel-, sirolimus-, 1G-zotarolimus-eluting stent （endeavor~ or endeavor sprintS）, n = 554] or 2G-DES [2G-zotarolimus （endeavor resolute~）- or everolimus-eluting stent, n = 462] were enrolled. The primary endpoint was the occurrence of major adverse cardiac events （MACE） defined as total death, non-fatal myocardial infarction （MI）, target lesion revascularization （TLR）, target vessel revascularization （TVR）, non-target vessel revascularization （Non-TVR） and the secondary endpoint was stem thrombosis （ST） at 5 years. Results Two propensity score-ma- tched （PSM） groups （232 pairs, n = 464, C-statistic = 0.802） were generated. During the 5-year follow-up period, the cumulative incidence of TLR [hazard ratio （HR）： 3.133; 95% confidence interval （CI）： 1.539-6.376; P = 0.002], TVR （HR： 3.144; 95% CI： 1.59645.192; P = 0.001） and total revascularization rate （FIR： 1.874; 95% CI： 1.086-3.140; P = 0.023） were significantly higher in 1G-DES compared with 2G-DES after PSM. However, the incidence of total death, non-fatal MI and ST were similar between the two groups. Conclusion In this single-center and all-comers registry, 2G-DES＇s superiorities for TLR, TVP, and total revascularization in AMI patients suggested during 5-year clinical follow-up periods.

Extrathyroidal Implantation of Thyroid Hyperplastic/neoplastic Cells after Endoscopic Thyroid Surgery

Objective To report a case of the implantation of thyroid hyperplastic or neoplastic tissue after endoscopic thyroidectomy and discuss this complication in aspects of prevalence, pathogenesis, protection, and therapies. Methods A systematic search of literature from the PubMed database was conducted for identifying eligible studies on implantation of thyroid hyperplastic or neoplastic cells after endoscopic thyroid surgery. Results Overall, 5 reported cases on patients suffering from endoscopic thyroid surgery with implantation of thyroid hyperplastic or neoplastic cells were included in the systematic review. Conclusions Unskilled surgeons, rough intraoperative surgical treatment, scarification or rupture of tumor, contamination of instruments, chimney effect, aerosolization of tumor cells may be associated with the implantation after endoscopic thyroidectomy. To minimize the risk of such complication, we should be more meticulous and strict the endoscopic surgery indications.

Donor safety and remnant liver volume in living donor liver transplantation

AIM:To evaluate the relationship between donor safety and remnant liver volume in right lobe living donor liver transplantation(LDLT).METHODS:From July 2001 to January 2009,our liver transplant centers carried out 197 LDLTs.The clinical data from 151 cases of adult right lobe living donors(not including the middle hepatic vein) were analyzed.The conditions of the three groups of donors were well matched in terms of the studied parameters.The donors' preoperative data,intraoperative and postoperative data were calculated for the three groups:Group 1 remnant liver volume(RLV) < 35%,group 2 RLV 36%-40%,and group 3 RLV > 40%.Comparisons included the different remnant liver volumes on postoperative liver function recovery and the impact of systemic conditions.Correlations between remnant liver volume and post-operative complications were also analyzed.RESULTS:The donors' anthroposomatology data,op-eration time,and preoperative donor blood test indicators were calculated for the three groups.No significant differences were observed between the donors' gender,age,height,weight,and operation time.According to the Chengdu standard liver volume formula,the total liver volume of group 1 was 1072.88 ± 131.06 mL,group 2 was 1043.84 ± 97.11 mL,and group 3 was 1065.33 ± 136.02 mL.The three groups showed no statistically significant differences.When the volume of the remnant liver was less than 35% of the total liver volume,the volume of the remnant had a significant effect on the recovery of liver function and intensive care unit time.In addition,the occurrence of complications was closely related to the remnant liver volume.When the volume of the remnant liver was more than 35% of the total liver volume,the remnant volume change had no significant effect on donor recovery.CONCLUSION:To ensure donor safety,the remnant liver volume should be greater than the standard liver volume(35%) in right lobe living donor liver transplantation.

Abstraction of Data Elements of Clinical Symptoms in Chinese Medicine

This report analyzes the existing problems in terminology referring to clinical symptoms of traditional Chinese medicine(TCM)from the viewpoint of data sharing and elaborates the necessity of establishing a standard directory of clinical data elements of TCM.We evaluated the principles and methods of data element extraction according to the status quo of the clinical information system and characteristics of symptoms for TCM and consequently proposed a three-layer model for optimal extraction.

Design of Environmental Monitoring and Control System for Large-scale Pig House with Fermentation Bed

The design and assembly of environmental monitoring and control system for large-scale pig house with fermentation bed helped to solve the problem of environmental automatic control in piggery.The sensors would monitor the temperature,humidity,light,wind direction,wind speed,CO2,NH3and other parameters.On-line real-time data collection was achieved.The expert system was constructed to control the temperature in piggery below 30℃,to control the air and mattress humidities higher than 65%.Under the conditions of different season or different wind speed,even in day and night,the control actuators were different.The actuators included fanning wet curtain,lighting,micro spraying,spraying,propeller fan,electric aluminum alloy shutter and spraying systems on the roof.The actuators were integrated,and they control the piggery environment simultaneously.The system also designed the remote video monitor interface,parameter-monitoring curved interface and operation interface,which provided a good man-machine interface.

Antioxidant therapy in the management of acute,chronic and post-ERCP pancreatitis:A systematic review

We systematically reviewed the clinical trials which recruited antioxidants in the therapy of pancreatitis and evaluated whether antioxidants improve the outcome of patients with pancreatitis. Electronic bibliographic databases were searched for any studies which investigated the use of antioxidants in the management of acute pancreatitis （AP） or chronic pancreatitis （CP） and in the prevention of post-endoscopic retrograde cholangio-pancreatography （post-ERCP） pancreatitis （PEP） up to February 2009. Twenty-two randomized, placebo-controlled, clinical trials met our criteria and were included in the review. Except for a cocktail of antioxidants which showed improvement in outcomes in three different clinical trials, the results of the administration of other antioxidants in both AP and CP clinical trials were incongruent and heterogeneous.Furthermore, antioxidant therapy including allopurinol and N-acetylcysteine failed to prevent the onset of PEP in almost all trials. In conclusion, the present data do not support a benefit of antioxidant therapy alone or in combination with conventional therapy in the management of AP, CP or PER Further double blind, randomized, placebo-controlled clinical trials with large sample size need to be conducted.

Endostar combined GC in the treatment of advanced non-small cell lung cancer:a case report

A 43-year-old female with a 3-month history of paroxysmal irritating cough presented progressive chest tightness and shortness of breath.Laboratory data showed elevated carcino-embryonic antigen(CEA).Further imaging studies revealed a soft tissue mass shadow was in right middle lobe lung with mediastinal and sub-carinal lymph nodes enlarged.Biopsy diagnosis:moderately and poorly differentiated adenocarcinoma of the lung.Clinical diagnosis:central non-small cell lung cancer(NSCLC) of right middle lobe(CIVT4N2M1),lung adenocarcinoma G2-3,malignant pleural effusion,pericardial effusion,hilar and mediastina lymph node metastases.After 4 cycles of endostar plus GC therapy,imaging studies revealed showed soft tissue mass in right middle lobe disappeared,and evaluation of short-term result was complete remission(CR).PFS has been seven months till now.Therefore,this report provided strong evidence that endostatin combined GC treatment for advanced NSCLC is safe and effective,which can prolong survival and improve quality of life.

Experimental and Kinetic Study of Selective Catalytic Reduction of NO with NH_3 over CuO/Al_2O_3/Cordierite Catalyst

The CuO/γ-Al2O3/cordierite catalyst, after being sulfated by sulfur dioxide (SO2) at 673 K, exhibits high activities for selective catalytic reduction (SCR) of nitrogen oxide (NO) with ammonia (NH3) at 573-723 K. The intrinsic kinetics of SCR of NO with NH3 over CuO/γ-Al2O3/cordierite catalyst has been measured in a fixed-bed reactor in the absence of internal and external diffusions. The experimental results show that the reaction rate can be quantified by a first-order expression with activation energy Eá of 94.01 kJ·mol-1 and the corresponding p re-exponential factor A′ of 3.39×108 cm3·g-1·s-1 when NH3 is excessive. However, when NH3 is not enough, an E ley-Rideal kinetic model based on experimental data is derived with Ea of 105.79 kJ·mol-1, the corresponding A of 2 .94×109 cm3·g-1·s-1, heat of adsorption-Hads of 87.90 kJ·mol-1 and the corresponding Aads of 9.24 cm3·mol-1. The intrinsic kinetic model obtained was incorporated in a 3D mathematical model of monolithic reactor, and the agreement of the prediction with experimental data indicates that the present kinetic model is adequate for the reac-tor design and engineering scale-up.

Best Practices and Innovative Scenarios of Integrated Patient Data Management to Improve Continuity of Care and Scientific Research

Clinical data have strong features of complexity and multi-disciplinarity. Clinical data are generated both from the documentation of physicians＇ interactions with the patient and by diagnostic systems. During the care process, a number of different actors and roles （physicians, specialists, nurses, etc.） have the need to access patient data and document clinical activities in different moments and settings. Thus, data sharing and flexible aggregation based on different users＇ needs have become more and more important for supporting continuity of care at home, at hospitals, at outpatient clinics. In this paper, the authors identify and describe needs and challenges for patient data management at provider level and regional- （or inter-organizational-） level, because nowadays sharing patient data is needed to improve continuity and quality of care. For each level, the authors describe state-of-the-art Information and Communication Technology solutions to collect, manage, aggregate and share patient data. For each level some examples of best practices and solution scenarios being implemented in the Italian Healthcare setting are described as well.

Teat Length and Lactation Period as A Predisposition Factor of Subclinical Mastitis in Dairy Cattle in Bandung, Indonesia

In order to improve the practical approach to clinical diagnosis of subclinical mastitis, 72 dairy cattle from KPSBU Lembang Bandung Regency was used in this research. The purpose of this research was to study the correlation between udder length and lactation period with the profile of subclinical mastitis. Lactation period data was collected from interviews with farmers. Subclinical mastitis testing by IPB-1 Mastitis Test reagent and udder length measured using measuring tape （cm）. Data was analyzed using Duncan test and logistic regression. The highest correlation of subclinical mastitis occurred to dairy cattle with average udder length of 7.5 cm and was in the third and forth lactation period. This result shows that udder length and lactation period of dairy cattle is a predisposing factor for subclinical mastitis. This finding is important to improve the milking management as well as a way to diagnose subclinical mastitis.

Fault diagnosis of rocket engine ground testing bed with self-organizing maps(SOMs)

To solve the fault diagnosis problem of liquid propellant rocket engine ground testing bed,a fault diagnosis approach based on self-organizing map(SOM)is proposed.The SOM projects the multidimensional ground testing bed data into a two-dimensional map.Visualization of the SOM is used to cluster the ground testing bed data.The out map of the SOM is divided to several regions.Each region is represented for one fault mode.The fault mode of testing data is determined according to the region of their labels belonged to.The method is evaluated using the testing data of a liquid-propellant rocket engine ground testing bed with sixteen fault states.The results show that it is a reliable and effective method for fault diagnosis with good visualization property.

Fast MR Spectroscopic Imaging Technologies and Data Reconstruction Methods

MRSI plays a more and more important role in clinical application. In this paper,we compare several fast MRSI technologies and data reconstruction methods. For the conventional phase encoding MRSI,the data reconstruction using FFT is simple. But the data acquisition is very time consuming and thus prohibitive in clinical settings. Up to now,the MRSI technologies based on echo-planar, spiral trajectories and sensitivity encoding are the fastest in data acquisition,but their data reconstruction is complex. EPSI reconstruction uses shift of odd and even echoes. Spiral SI uses gridding FFT. SENSE-SI,a new approach to reducing the acquisition time,uses the distinct spatial sensitivities of the individual coil elements to recover the missing encoding information. These improvements in data acquisition and image reconstruction provide a potential value of metabolic imaging as a clinical tool.

THE RESEARCH OF MANUFACTURING TOOLS(FIXTURES) PLANNING FOR ARMOURED FLEXIBLE CONVEYOR (AFC) USING CAD TECHNIQUE

The deepth and width of CAD application in coal mining equipments need promote furtherly. The information stream method is applied as the main clue to deal with the related technology and problems in research of manufacturing tools (Fixtures) planning for AFC (mining scraper bars conveyor) using CAD technique.