AIM:To investigate the outcomes,as well as risk factors for 6-wk mortality,in patients with early rebleeding after endoscopic variceal band ligation (EVL) for esophageal variceal hemorrhage (EVH).METHODS:Among 817 EVL...AIM:To investigate the outcomes,as well as risk factors for 6-wk mortality,in patients with early rebleeding after endoscopic variceal band ligation (EVL) for esophageal variceal hemorrhage (EVH).METHODS:Among 817 EVL procedures performed for EVH between January 2007 and December 2008,128 patients with early rebleeding,defined as rebleeding within 6 wk after EVL,were enrolled for analysis.RESULT:The rate of early rebleeding after EVL for acute EVH was 15.6% (128/817).The 5-d,6-wk,3-mo,and 6-mo mortality rates were 7.8%,38.3%,55.5%,and 58.6%,respectively,in these early rebleeding patients.The use of beta-blockers,occurrence of hypovolemic shock,and higher model for end-stage liver disease (MELD) score at the time of rebleeding were independent predictors for 6-wk mortality.A cut-off value of 21.5 for the MELD score was found with an area under ROC curve of 0.862 (P < 0.001).The sensitivity,specificity,positive predictive value,and negative predictive value were 77.6%,81%,71.7%,and 85.3%,respectively.As for the 6-mo survival rate,patients with a MELD score ≥ 21.5 had a significantly lower survival rate than patients with a MELD score < 21.5 (P < 0.001).CONCLUSION:This study demonstrated that the MELD score is an easy and powerful predictor for 6-wk mortality and outcomes of patients with early rebleeding after EVL for EVH.展开更多
In this paper,we try to discuss the conjecture which says that infinitesimal Ⅱ-isome try of surface is infintesimal Ⅰ -isometry. i. e, infinitesimal rigid.Under some weakly suppositions of Guass curvature,some new ...In this paper,we try to discuss the conjecture which says that infinitesimal Ⅱ-isome try of surface is infintesimal Ⅰ -isometry. i. e, infinitesimal rigid.Under some weakly suppositions of Guass curvature,some new results are worked out They are generalizations of known theories.展开更多
In this paper we construct a new time-periodic solution of the vacuum Einstein's field equations, this solution possesses physical singularities, i.e., the norm of the solution's Riemann curvature tensor takes...In this paper we construct a new time-periodic solution of the vacuum Einstein's field equations, this solution possesses physical singularities, i.e., the norm of the solution's Riemann curvature tensor takes the infinity at some points. We show that this solution is intrinsically time-periodic and describes a time-periodic universe with the "time-periodic physical singularity". By calculating the Weyl scalars of this solution, we investigate new physical phenomena and analyze new singularities for this universal model.展开更多
文摘AIM:To investigate the outcomes,as well as risk factors for 6-wk mortality,in patients with early rebleeding after endoscopic variceal band ligation (EVL) for esophageal variceal hemorrhage (EVH).METHODS:Among 817 EVL procedures performed for EVH between January 2007 and December 2008,128 patients with early rebleeding,defined as rebleeding within 6 wk after EVL,were enrolled for analysis.RESULT:The rate of early rebleeding after EVL for acute EVH was 15.6% (128/817).The 5-d,6-wk,3-mo,and 6-mo mortality rates were 7.8%,38.3%,55.5%,and 58.6%,respectively,in these early rebleeding patients.The use of beta-blockers,occurrence of hypovolemic shock,and higher model for end-stage liver disease (MELD) score at the time of rebleeding were independent predictors for 6-wk mortality.A cut-off value of 21.5 for the MELD score was found with an area under ROC curve of 0.862 (P < 0.001).The sensitivity,specificity,positive predictive value,and negative predictive value were 77.6%,81%,71.7%,and 85.3%,respectively.As for the 6-mo survival rate,patients with a MELD score ≥ 21.5 had a significantly lower survival rate than patients with a MELD score < 21.5 (P < 0.001).CONCLUSION:This study demonstrated that the MELD score is an easy and powerful predictor for 6-wk mortality and outcomes of patients with early rebleeding after EVL for EVH.
文摘In this paper,we try to discuss the conjecture which says that infinitesimal Ⅱ-isome try of surface is infintesimal Ⅰ -isometry. i. e, infinitesimal rigid.Under some weakly suppositions of Guass curvature,some new results are worked out They are generalizations of known theories.
基金supported by National Natural Science Foundation of China (Grant No.10971190) and the Qiu-Shi Professor Fellowship from Zhejiang University,China
文摘In this paper we construct a new time-periodic solution of the vacuum Einstein's field equations, this solution possesses physical singularities, i.e., the norm of the solution's Riemann curvature tensor takes the infinity at some points. We show that this solution is intrinsically time-periodic and describes a time-periodic universe with the "time-periodic physical singularity". By calculating the Weyl scalars of this solution, we investigate new physical phenomena and analyze new singularities for this universal model.
