AIM:To outline the appropriate diagnostic methods and therapeutic options for acquired bronchobiliary fistula(BBF).METHODS:Literature searches were performed in Medline,EMBASE,PHMC and LWW(January 1980August 2010)usin...AIM:To outline the appropriate diagnostic methods and therapeutic options for acquired bronchobiliary fistula(BBF).METHODS:Literature searches were performed in Medline,EMBASE,PHMC and LWW(January 1980August 2010)using the following keywords:biliobronchial fistula,bronchobiliary fistula,bronchobiliary fistula,biliarybronchial fistula,tracheobiliary fistula,hepatobronchial fistula,bronchopleural fistula,and biliptysis.Further articles were identified through crossreferencing.RESULTS:Sixtyeight cases were collected and reviewed.BBF secondary to tumors(32.3%,22/68),including primary tumors(19.1%,13/68)and hepatic metastases(13.2%,9/68),shared the largest proportion of all cases.Biliptysis was found in all patients,and other symptoms were respiratory symptoms,such as irritating cough,fever(36/68)and jaundice(20/68).Half of the patients were treated by lessinvasive methods such as endoscopic retrograde biliary drainage.Invasive approaches like surgery were used less frequently(41.7%,28/67).The outcome was good at the end of the followup period in 28 cases(range,2 wk to 72 mo),and the recovery rate was 87.7%(57/65).CONCLUSION:The clinical diagnosis of BBF can be established by sputum analysis.Careful assessment of this condition is needed before therapeutic procedure.Invasive approaches should be considered only when noninvasive methods failed.展开更多
Road condition is an important variable to measure in order to decrease road and vehicle operating/maintenance costs, but also to increase ride comfort and traffic safety. By using the built-in vibration sensor in sma...Road condition is an important variable to measure in order to decrease road and vehicle operating/maintenance costs, but also to increase ride comfort and traffic safety. By using the built-in vibration sensor in smart phones, it is possible to collect road roughness data which can be an indicator of road condition up to a level of Class 2 or 3 in a simple and cost efficient way. Since data collection therefore is possible to be done more frequently, one can better monitor roughness changes over time. The continuous data collection can also give early warnings of changes and damage, enable new ways to work in the operational road maintenance management, and can serve as a guide for more accurate surveys for strategic asset management and pavement planning. Collected measurement data are wirelessly transferred by the operator when needed via a web service to an internet mapping server with spatial filtering functions. The measured data can be aggregated in preferred sections, as well as exported to other GlS （geographical information systems） or road management systems. Our conclusion is that measuring roads with smart phones can provide an efficient, scalable, and cost-effective way for road organizations to deliver road condition data.展开更多
This paper presents a description and analysis of the most important models to predict each of the Road User Costs components （Vehicle Operating Costs, Accident Costs and Value of Time） and proposes a model for esti...This paper presents a description and analysis of the most important models to predict each of the Road User Costs components （Vehicle Operating Costs, Accident Costs and Value of Time） and proposes a model for estimating RUC components suitable for the Portuguese road network. These results are part of a research which aimed to obtain a Road User Cost Model to be used as a tool in road management systems. This model is different from other models by the fact that it includes a simple formulation that allows calibration and calculation of cost parameters, for any year, in a simple and fast way, providing trustworthy results. The required data is already available in Portuguese institutions, allowing periodic revision of cost parameters to insure accuracy.展开更多
IEEE 802.16 systems adopt a "semi-dynamic" allocation mechanism of channel quality indicator (CQI) channels.However,low utilization ratio of CQI channels reduces the spectrum efficiency.So we propose an adap...IEEE 802.16 systems adopt a "semi-dynamic" allocation mechanism of channel quality indicator (CQI) channels.However,low utilization ratio of CQI channels reduces the spectrum efficiency.So we propose an adaptive management strategy of CQI channels based on an analysis model named "toy brick model" to improve the efficiency.The simulation results validate the improvement.展开更多
文摘AIM:To outline the appropriate diagnostic methods and therapeutic options for acquired bronchobiliary fistula(BBF).METHODS:Literature searches were performed in Medline,EMBASE,PHMC and LWW(January 1980August 2010)using the following keywords:biliobronchial fistula,bronchobiliary fistula,bronchobiliary fistula,biliarybronchial fistula,tracheobiliary fistula,hepatobronchial fistula,bronchopleural fistula,and biliptysis.Further articles were identified through crossreferencing.RESULTS:Sixtyeight cases were collected and reviewed.BBF secondary to tumors(32.3%,22/68),including primary tumors(19.1%,13/68)and hepatic metastases(13.2%,9/68),shared the largest proportion of all cases.Biliptysis was found in all patients,and other symptoms were respiratory symptoms,such as irritating cough,fever(36/68)and jaundice(20/68).Half of the patients were treated by lessinvasive methods such as endoscopic retrograde biliary drainage.Invasive approaches like surgery were used less frequently(41.7%,28/67).The outcome was good at the end of the followup period in 28 cases(range,2 wk to 72 mo),and the recovery rate was 87.7%(57/65).CONCLUSION:The clinical diagnosis of BBF can be established by sputum analysis.Careful assessment of this condition is needed before therapeutic procedure.Invasive approaches should be considered only when noninvasive methods failed.
文摘Road condition is an important variable to measure in order to decrease road and vehicle operating/maintenance costs, but also to increase ride comfort and traffic safety. By using the built-in vibration sensor in smart phones, it is possible to collect road roughness data which can be an indicator of road condition up to a level of Class 2 or 3 in a simple and cost efficient way. Since data collection therefore is possible to be done more frequently, one can better monitor roughness changes over time. The continuous data collection can also give early warnings of changes and damage, enable new ways to work in the operational road maintenance management, and can serve as a guide for more accurate surveys for strategic asset management and pavement planning. Collected measurement data are wirelessly transferred by the operator when needed via a web service to an internet mapping server with spatial filtering functions. The measured data can be aggregated in preferred sections, as well as exported to other GlS （geographical information systems） or road management systems. Our conclusion is that measuring roads with smart phones can provide an efficient, scalable, and cost-effective way for road organizations to deliver road condition data.
文摘This paper presents a description and analysis of the most important models to predict each of the Road User Costs components （Vehicle Operating Costs, Accident Costs and Value of Time） and proposes a model for estimating RUC components suitable for the Portuguese road network. These results are part of a research which aimed to obtain a Road User Cost Model to be used as a tool in road management systems. This model is different from other models by the fact that it includes a simple formulation that allows calibration and calculation of cost parameters, for any year, in a simple and fast way, providing trustworthy results. The required data is already available in Portuguese institutions, allowing periodic revision of cost parameters to insure accuracy.
基金National High Technology Research and Development Program of China(No.2006AA01Z235)
文摘IEEE 802.16 systems adopt a "semi-dynamic" allocation mechanism of channel quality indicator (CQI) channels.However,low utilization ratio of CQI channels reduces the spectrum efficiency.So we propose an adaptive management strategy of CQI channels based on an analysis model named "toy brick model" to improve the efficiency.The simulation results validate the improvement.
