Objective To study direct cortical electrical stimulation technique for the recording of motor evoked potentials under general anesthesia in central sulcus lesions. Methods The largest N20-P25 response was recorded fr...Objective To study direct cortical electrical stimulation technique for the recording of motor evoked potentials under general anesthesia in central sulcus lesions. Methods The largest N20-P25 response was recorded from postcentral gyrus by intraoperative monitoring of cortical motor evoked potentials in 10 patients with intracranial lesions near or in the central area. The muscles of upper extremity in all patients were activated by delivering stimulus to cortical areas continuously. Moving the cortical electrodes forward, the largest P20-N25 response, SEP phase reversal,was obtained as a motor center stimulus. In this site of cortex, a short train stimulation elicited reproducible muscle action potentials that could be observed from the oscilloscope without averaging.Results MEPs can be recorded, pre-and post-operatively, without motor deficits of upper limbs in all patients.Conclusion This technique seems to be preferable for intraoperative localization of motor evoked potentials in central sulcus lesions under total intravenous anesthesia.展开更多
The main purpose of this study is to develop a mathematical model for calculating the probability of money laundering process, by monitoring the behavior of the client using 70 indicators of money laundering. The scie...The main purpose of this study is to develop a mathematical model for calculating the probability of money laundering process, by monitoring the behavior of the client using 70 indicators of money laundering. The scientific method used in this study (received from the Modern Criminology) has great investigative power and it is widely applicable. Hopefully the practical application of this study will increase greatly the probability of detection and punishment of the clients who are implicated in the process of money laundering. In particular, this study will be useful for banks, Financial Intelligence Unit (FIU) of Albania, Department of Economic Crime at the Ministry of Domestic Affairs and Albanian State Intelligence Service (SIS). Also, the investigation of money laundering will be a useful tool to detect other crimes, such as drug trafficking, human trafficking, illegal arms trade, etc. The prevention of money laundering is simultaneously a powerful strike against terrorism both on national and international levels.展开更多
With the development of the times, all kinds of competition, higher education gradually grow into the community center from the margins of society; the quality of higher education is becoming a major issue of concern....With the development of the times, all kinds of competition, higher education gradually grow into the community center from the margins of society; the quality of higher education is becoming a major issue of concern. Monitoring and protecting the quality of higher education is now the main topic of higher education reform and development. Quality is the lifeline of university development, improving the quality of teaching is the eternal theme of higher education, and undergraduate education is the main and basic higher education. Therefore, improving the quality of undergraduate teaching is essential to enhance the quality of teaching in Higher Education.展开更多
Hepato-pancreato-biliary(HPB) tumors are common in China. However, these tumors are often diagnosed at intermediate/advanced stages because of the lack of a systemic surveillance program in China. This situation creat...Hepato-pancreato-biliary(HPB) tumors are common in China. However, these tumors are often diagnosed at intermediate/advanced stages because of the lack of a systemic surveillance program in China. This situation creates many technical challenges for surgeons and increases the incidence of postoperative complications. Therefore, Dr. Xiao-Ping Chen has made many important technical improvements, such as Chen's hepatic portal occlusion method, the anterior approach for liver resection of large HCC tumors, the modified technique of Belghiti's liver-hanging maneuver, inserting biliary-enteric anastomosis technique, and invaginated pancreaticojujunostomy with transpancreatic U-sutures. These techniques are simple, practical, and easy to learn. Owing to these advantages, complicated surgical procedures can be simplified, and the curative effects are greatly improved. These improved techniques have been widely applied in China and will benefit many additional patients. In this review, we introduce our experience of surgically treating intermediate/advanced hepatocellular carcinoma(HCC), hilar cholangiocarcinoma(HC), and pancreatic carcinoma, mainly focusing on technical innovations established by Dr. Chen in HPB surgery.展开更多
Numerous scientific challenges arise when designing a soil monitoring network (SMN), especially when assessing large areas and several properties that are driven by numerous controlling factors of various origins and ...Numerous scientific challenges arise when designing a soil monitoring network (SMN), especially when assessing large areas and several properties that are driven by numerous controlling factors of various origins and scales. Different broad approaches to the establishment of SMNs are distinguished. It is essential to establish an adequate sampling protocol that can be applied rigorously at each sampling location and time. We make recommendations regarding the within-site sampling of soil. Different statistical methods should be associated with the different types of sampling design. We review new statistical methods that account for different sources of uncertainty. Except for those parameters for which a consensus exists, the question of testing method harmonisation remains a very difficult issue. The establishment of benchmark sites devoted to harmonisation and inter-calibration is advocated as a technical solution. However, to our present knowledge, no study has addressed crucial scientific issues such as how many calibration sites are necessary and how to locate them.展开更多
基金Science and Technology Committee of Shanghai, China (024119019).
文摘Objective To study direct cortical electrical stimulation technique for the recording of motor evoked potentials under general anesthesia in central sulcus lesions. Methods The largest N20-P25 response was recorded from postcentral gyrus by intraoperative monitoring of cortical motor evoked potentials in 10 patients with intracranial lesions near or in the central area. The muscles of upper extremity in all patients were activated by delivering stimulus to cortical areas continuously. Moving the cortical electrodes forward, the largest P20-N25 response, SEP phase reversal,was obtained as a motor center stimulus. In this site of cortex, a short train stimulation elicited reproducible muscle action potentials that could be observed from the oscilloscope without averaging.Results MEPs can be recorded, pre-and post-operatively, without motor deficits of upper limbs in all patients.Conclusion This technique seems to be preferable for intraoperative localization of motor evoked potentials in central sulcus lesions under total intravenous anesthesia.
文摘The main purpose of this study is to develop a mathematical model for calculating the probability of money laundering process, by monitoring the behavior of the client using 70 indicators of money laundering. The scientific method used in this study (received from the Modern Criminology) has great investigative power and it is widely applicable. Hopefully the practical application of this study will increase greatly the probability of detection and punishment of the clients who are implicated in the process of money laundering. In particular, this study will be useful for banks, Financial Intelligence Unit (FIU) of Albania, Department of Economic Crime at the Ministry of Domestic Affairs and Albanian State Intelligence Service (SIS). Also, the investigation of money laundering will be a useful tool to detect other crimes, such as drug trafficking, human trafficking, illegal arms trade, etc. The prevention of money laundering is simultaneously a powerful strike against terrorism both on national and international levels.
文摘With the development of the times, all kinds of competition, higher education gradually grow into the community center from the margins of society; the quality of higher education is becoming a major issue of concern. Monitoring and protecting the quality of higher education is now the main topic of higher education reform and development. Quality is the lifeline of university development, improving the quality of teaching is the eternal theme of higher education, and undergraduate education is the main and basic higher education. Therefore, improving the quality of undergraduate teaching is essential to enhance the quality of teaching in Higher Education.
文摘Hepato-pancreato-biliary(HPB) tumors are common in China. However, these tumors are often diagnosed at intermediate/advanced stages because of the lack of a systemic surveillance program in China. This situation creates many technical challenges for surgeons and increases the incidence of postoperative complications. Therefore, Dr. Xiao-Ping Chen has made many important technical improvements, such as Chen's hepatic portal occlusion method, the anterior approach for liver resection of large HCC tumors, the modified technique of Belghiti's liver-hanging maneuver, inserting biliary-enteric anastomosis technique, and invaginated pancreaticojujunostomy with transpancreatic U-sutures. These techniques are simple, practical, and easy to learn. Owing to these advantages, complicated surgical procedures can be simplified, and the curative effects are greatly improved. These improved techniques have been widely applied in China and will benefit many additional patients. In this review, we introduce our experience of surgically treating intermediate/advanced hepatocellular carcinoma(HCC), hilar cholangiocarcinoma(HC), and pancreatic carcinoma, mainly focusing on technical innovations established by Dr. Chen in HPB surgery.
文摘Numerous scientific challenges arise when designing a soil monitoring network (SMN), especially when assessing large areas and several properties that are driven by numerous controlling factors of various origins and scales. Different broad approaches to the establishment of SMNs are distinguished. It is essential to establish an adequate sampling protocol that can be applied rigorously at each sampling location and time. We make recommendations regarding the within-site sampling of soil. Different statistical methods should be associated with the different types of sampling design. We review new statistical methods that account for different sources of uncertainty. Except for those parameters for which a consensus exists, the question of testing method harmonisation remains a very difficult issue. The establishment of benchmark sites devoted to harmonisation and inter-calibration is advocated as a technical solution. However, to our present knowledge, no study has addressed crucial scientific issues such as how many calibration sites are necessary and how to locate them.