Objective： To evaluate the efficacy of dynamic multi-slice spiral computed tomography （MSCT） for providing quantitative information about blood flow patterns of solitary pulmonary nodules （SPNs）. Methods： Sevent...Objective： To evaluate the efficacy of dynamic multi-slice spiral computed tomography （MSCT） for providing quantitative information about blood flow patterns of solitary pulmonary nodules （SPNs）. Methods： Seventy-eight patients with SPNs （diameter 〈 4 cm; 68 malignant; 10 active inflammatory） were underwent multi-location dynamic contrast material-enhanced serial CT （nonionic contrast material was administrated via the antecubital vein at a rate of 4 mLJs by using an autoinjector, 4 × 5 mm or 4 × 2.5 mm transverse scanning mode with stable table were performed）. Sixteen series CT scans （16 scans each for the first and second series and one scan each for the rest series） were obtained during 9 min scanning period. Precontrast and postcontrast attenuation on every scan was recorded. Perfusion, peak height and ratio of peak height of the SPN to that of the aorta were calculated. Perfusion was calculated from the maximum gradient of the time-attenuation curve and the peak height of the aorta. Results： No statistically significant difference in the peak height was found between malignant （35.79 ± 10.76 Hu） and active inflammatory （39.76 ± 4.59 Hu） （t = 1.148, P = 0.255 〉 0.05）. SPN-to-aorta ratio （14.27% ± 4.37） and perfusion value （30.18 mL/min/100 g ± 9.58） in malignant SPNs were significantly lower than those of active inflammatory （18.51% ± 2.71, 63.44 mL/min/100 g ± 43.87） （t = 2.978, P = 0.004 〈 0.05; t = 5.590, P 〈 0.0001）. Conclusion： The quantitative information about blood flow patterns of malignant and active inflammatory SPNs is different. SPN-to-aorta ratio and perfusion value are helpful in differentiating malignant nodules from active inflammatory.展开更多
The treatment of isolated segmental, sectoral and right hepatic bile duct injuries is controversial. Nineteen patients were treated over a 26-year period. Group one was comprised of 4 patients in whom the injury was p...The treatment of isolated segmental, sectoral and right hepatic bile duct injuries is controversial. Nineteen patients were treated over a 26-year period. Group one was comprised of 4 patients in whom the injury was primarily repaired during the original surgery; 3 over a T-tube, 1 with a Roux-en-Y. These patients had an uneventful recovery. The second group consisted of 5 patients in whom the duct was ligated; 4 developed infection, 3 of which required drainage and biliary repair. Two patients had good long-term outcomes; the third developed a late anastomotic stricture requiring further surgery. The fourth patient developed a small bile leak and pain which resolved spontaneously. The fifth patient developed complications from which he died. The third group was comprised of 4 patients referred with biliary peritonitis; all underwent drainage and lavage, and developed biliary fistulae, 3 of which resolved spontaneously, 1 required Roux-en-γ repair, with favorable outcomes. The fourth group consisted of 6 patients with biliary fistulae. Two patients, both with an 8-wk history of a fistula, underwent Roux-en-γ repair. Two others also underwent a Roux-en-γ repair, as their fistulae showed no signs of closure. The remaining 2 patients had spontaneous closure of their biliary fistulae. A primary repair is a reasonable alternative to ligature of injured duct. Patients with ligated ducts may develop complications. Infected ducts require further surgery. Patients with biliary peritonitis must be treated with drainage and lavage. There is a 50% chance that a biliary fistula will close spontaneously. In cases where the biliary fistula does not close within 6 to 8 wk, a Roux-en-γ anastomosis should be considered.展开更多
The Greenland Sea,Iceland Sea,and Norwegian Sea (GIN seas) form the main channel connecting the Arctic Ocean with other Oceans,where significant water and energy exchange take place,and play an important role in globa...The Greenland Sea,Iceland Sea,and Norwegian Sea (GIN seas) form the main channel connecting the Arctic Ocean with other Oceans,where significant water and energy exchange take place,and play an important role in global climate change.In this study steric sea level,associated with temperature and salinity,in the GIN seas is examined based on analysis of the monthly temperature and salinity fields from Polar science center Hydrographic Climatology (PHC3.0).A method proposed by Tabata et al.is used to calculate steric sea level,in which,steric sea level change due to thermal expansion and haline contraction is termed as the thermosteric component (TC) and the halosteric component (SC),recpectively.Total steric sea level (TSSL) change is the sum of TC and SC.The study shows that SC is making more contributions than TC to the seasonal change of TSSL in the Greenland Sea,whereas TC contributes more in the Norwegian and the Iceland Seas.Annual variation of TSSL is larger than 50 mm over most regions of the GIN Seas,and can be larger than 200 mm at some locations such as 308 mm at 76.5 N,12.5 E and 246 mm at 77.5 N,17.5 W.展开更多
An overview of significant new developments in water efficiency is presented in this paper. The areas covered will be legislative, regulatory, new programs or program wrinkles, new products, and new studies on the eff...An overview of significant new developments in water efficiency is presented in this paper. The areas covered will be legislative, regulatory, new programs or program wrinkles, new products, and new studies on the effectiveness of conservation programs. Examples include state and local level efficiency regulations in Texas; the final results of the national submetering study for apartments in the US; the US effort to adopt the IWA protocols for leak detection; new water efficient commercial products such as ET irrigation controllers, new models of efficient clothes washers, and innovative toilet designs.展开更多
文摘Objective： To evaluate the efficacy of dynamic multi-slice spiral computed tomography （MSCT） for providing quantitative information about blood flow patterns of solitary pulmonary nodules （SPNs）. Methods： Seventy-eight patients with SPNs （diameter 〈 4 cm; 68 malignant; 10 active inflammatory） were underwent multi-location dynamic contrast material-enhanced serial CT （nonionic contrast material was administrated via the antecubital vein at a rate of 4 mLJs by using an autoinjector, 4 × 5 mm or 4 × 2.5 mm transverse scanning mode with stable table were performed）. Sixteen series CT scans （16 scans each for the first and second series and one scan each for the rest series） were obtained during 9 min scanning period. Precontrast and postcontrast attenuation on every scan was recorded. Perfusion, peak height and ratio of peak height of the SPN to that of the aorta were calculated. Perfusion was calculated from the maximum gradient of the time-attenuation curve and the peak height of the aorta. Results： No statistically significant difference in the peak height was found between malignant （35.79 ± 10.76 Hu） and active inflammatory （39.76 ± 4.59 Hu） （t = 1.148, P = 0.255 〉 0.05）. SPN-to-aorta ratio （14.27% ± 4.37） and perfusion value （30.18 mL/min/100 g ± 9.58） in malignant SPNs were significantly lower than those of active inflammatory （18.51% ± 2.71, 63.44 mL/min/100 g ± 43.87） （t = 2.978, P = 0.004 〈 0.05; t = 5.590, P 〈 0.0001）. Conclusion： The quantitative information about blood flow patterns of malignant and active inflammatory SPNs is different. SPN-to-aorta ratio and perfusion value are helpful in differentiating malignant nodules from active inflammatory.
文摘The treatment of isolated segmental, sectoral and right hepatic bile duct injuries is controversial. Nineteen patients were treated over a 26-year period. Group one was comprised of 4 patients in whom the injury was primarily repaired during the original surgery; 3 over a T-tube, 1 with a Roux-en-Y. These patients had an uneventful recovery. The second group consisted of 5 patients in whom the duct was ligated; 4 developed infection, 3 of which required drainage and biliary repair. Two patients had good long-term outcomes; the third developed a late anastomotic stricture requiring further surgery. The fourth patient developed a small bile leak and pain which resolved spontaneously. The fifth patient developed complications from which he died. The third group was comprised of 4 patients referred with biliary peritonitis; all underwent drainage and lavage, and developed biliary fistulae, 3 of which resolved spontaneously, 1 required Roux-en-γ repair, with favorable outcomes. The fourth group consisted of 6 patients with biliary fistulae. Two patients, both with an 8-wk history of a fistula, underwent Roux-en-γ repair. Two others also underwent a Roux-en-γ repair, as their fistulae showed no signs of closure. The remaining 2 patients had spontaneous closure of their biliary fistulae. A primary repair is a reasonable alternative to ligature of injured duct. Patients with ligated ducts may develop complications. Infected ducts require further surgery. Patients with biliary peritonitis must be treated with drainage and lavage. There is a 50% chance that a biliary fistula will close spontaneously. In cases where the biliary fistula does not close within 6 to 8 wk, a Roux-en-γ anastomosis should be considered.
基金funded by the National Natural Science Foundation of China (40806072)the National Science And Technology Supporting Plan (2007BAC03A0606)
文摘The Greenland Sea,Iceland Sea,and Norwegian Sea (GIN seas) form the main channel connecting the Arctic Ocean with other Oceans,where significant water and energy exchange take place,and play an important role in global climate change.In this study steric sea level,associated with temperature and salinity,in the GIN seas is examined based on analysis of the monthly temperature and salinity fields from Polar science center Hydrographic Climatology (PHC3.0).A method proposed by Tabata et al.is used to calculate steric sea level,in which,steric sea level change due to thermal expansion and haline contraction is termed as the thermosteric component (TC) and the halosteric component (SC),recpectively.Total steric sea level (TSSL) change is the sum of TC and SC.The study shows that SC is making more contributions than TC to the seasonal change of TSSL in the Greenland Sea,whereas TC contributes more in the Norwegian and the Iceland Seas.Annual variation of TSSL is larger than 50 mm over most regions of the GIN Seas,and can be larger than 200 mm at some locations such as 308 mm at 76.5 N,12.5 E and 246 mm at 77.5 N,17.5 W.
文摘An overview of significant new developments in water efficiency is presented in this paper. The areas covered will be legislative, regulatory, new programs or program wrinkles, new products, and new studies on the effectiveness of conservation programs. Examples include state and local level efficiency regulations in Texas; the final results of the national submetering study for apartments in the US; the US effort to adopt the IWA protocols for leak detection; new water efficient commercial products such as ET irrigation controllers, new models of efficient clothes washers, and innovative toilet designs.
