AIM:To present a series of cases with symptomatic acute extensive portal vein(PV)and superior mesenteric vein(SMV)thrombosis after splenectomy treated by transjugular intrahepatic approach catheter-directed thrombolys...AIM:To present a series of cases with symptomatic acute extensive portal vein(PV)and superior mesenteric vein(SMV)thrombosis after splenectomy treated by transjugular intrahepatic approach catheter-directed thrombolysis. METHODS:A total of 6 patients with acute extensive PV-SMV thrombosis after splenectomy were treated by transjugular approach catheter-directed thrombolysis. The mean age of the patients was 41.2 years.After access to the portal system via the transjugular approach,pigtail catheter fragmentation of clots, local urokinase injection,and manual aspiration thrombectomy were used for the initial treatment of PV-SMV thrombosis,followed by continuous thrombolytic therapy via an indwelling infusion catheter in the SMV,which was performed for three to six days. Adequate anticoagulation was given during treatment, throughout hospitalization,and after discharge. RESULTS:Technical success was achieved in all 6 patients.Clinical improvement was seen in these patients within 12-24 h of the procedure.No complications were observed.The 6 patients were discharged 6-14 d(8±2.5 d)after admission.The mean duration of follow-up after hospital discharge was 40±16.5 mo.Ultrasound and contrast-enhanced computed tomography confirmed patency of the PV and SMV,and no recurrent episodes of PV-SMV thrombosis developed during the follow-up period. CONCLUSION:Catheter-directed thrombolysis via transjugular intrahepatic access is a safe and effective therapy for the management of patients with symptomatic acute extensive PV-SMV thrombosis.展开更多
In micro-blogging contexts such as Twitter,the number of content producers can easily reach tens of thousands,and many users can participate in discussion of any given topic.While many users can introduce diversity,as...In micro-blogging contexts such as Twitter,the number of content producers can easily reach tens of thousands,and many users can participate in discussion of any given topic.While many users can introduce diversity,as not all users are equally influential,it makes it challenging to identify the true influencers,who are generally rated as being interesting and authoritative on a given topic.In this study,the influence of users is measured by performing random walks of the multi-relational data in micro-blogging:retweet,reply,reintroduce,and read.Due to the uncertainty of the reintroduce and read operations,a new method is proposed to determine the transition probabilities of uncertain relational networks.Moreover,we propose a method for performing the combined random walks for the multi-relational influence network,considering both the transition probabilities for intra-and inter-networking.Experiments were conducted on a real Twitter dataset containing about 260 000 users and 2.7million tweets,and the results show that our method is more effective than TwitterRank and other methods used to discover influencers.展开更多
The Saharan areas and in particular the isolated sites are characterized by low levels of population, in dispersed cores, which suffer from serious problems of water supply for consumption and the irrigation. The phot...The Saharan areas and in particular the isolated sites are characterized by low levels of population, in dispersed cores, which suffer from serious problems of water supply for consumption and the irrigation. The photovoltaic pumping systems (PV) are an ideal solution for these problems. Despite the presence of several photovoltaic pumping systems (PVPS) projects, data acquisition system is still missing in most cases. In this work, the authors will present the PVPS installed at the unit of research in renewable energies in Saharan medium (URERMS, Algeria). This system will enable us to better analyze the performances ofa photovoltaic pumping system in Saharan medium. The principal elements of the chain of the photovoltaic pumping system are: a photovoltaic generator, the power conditioning system, a motor-driven pump immersed group, an electric wiring, a hydraulic infrastructure which comprises a water tank.展开更多
Heart failure (HF), a complex clinical syndrome due to structural or functional disorder of the heart, is a major global health issue, with a prevalence of over 5.8 million in the USA alone, and over 23 million worl...Heart failure (HF), a complex clinical syndrome due to structural or functional disorder of the heart, is a major global health issue, with a prevalence of over 5.8 million in the USA alone, and over 23 million worldwide. As a leading cause of hospitalizations among patients aged 65 years or older, HF is a major consumer of healthcare resources, creating a substantial strain on the healthcare system. This paper discusses the epidemiology of HF, financial impact, and multifaceted predicaments in end-stage HF care. A search was conducted on the U.S National Library of Medicine website (www.pubmed.gov) using keywords such as end-stage heart failure, palliative care, ethical dilemmas. Despite the poor prognosis of HF (worse than that for many cancers), many HF patients, caregivers, and clinicians are unaware of the poor prognosis. In addition, the unpredictable clinical trajectory of HF complicates the planning of end-of-life care, such as palliative care and hospice, leading to underutilization of such resources. In conclusion, ethical dilemmas in end-stage HF are numerous, embroiling not only the patient, but also the caregiver, healthcare team, and society.展开更多
Many websites use verification codes to prevent users from using the machine automatically to register,login,malicious vote or irrigate but it brought great burden to the enterprises involved in internet marketing as ...Many websites use verification codes to prevent users from using the machine automatically to register,login,malicious vote or irrigate but it brought great burden to the enterprises involved in internet marketing as entering the verification code manually.Improving the verification code security system needs the identification method as the corresponding testing system.We propose an anisotropic heat kernel equation group which can generate a heat source scale space during the kernel evolution based on infinite heat source axiom,design a multi-step anisotropic verification code identification algorithm which includes core procedure of building anisotropic heat kernel,settingwave energy information parameters,combing outverification codccharacters and corresponding peripheral procedure of gray scaling,binarizing,denoising,normalizing,segmenting and identifying,give out the detail criterion and parameter set.Actual test show the anisotropic heat kernel identification algorithm can be used on many kinds of verification code including text characters,mathematical,Chinese,voice,3D,programming,video,advertising,it has a higher rate of 25%and 50%than neural network and context matching algorithm separately for Yahoo site,49%and 60%for Captcha site,20%and 52%for Baidu site,60%and 65%for 3DTakers site,40%,and 51%.for MDP site.展开更多
In accordance with the principle of similarity in geology and topography, the Vs^30 (the average shear-velocity down to a 30m depth below the surface) approximation of sites is acquired by correlation between Vs^30 ...In accordance with the principle of similarity in geology and topography, the Vs^30 (the average shear-velocity down to a 30m depth below the surface) approximation of sites is acquired by correlation between Vs^30 and slopes after calculating the maximum slope of topography using the 30-sec Chinese Mainland DEM (Digital Elevation Model) data set. Site-amplification factors are then quantified with Vs^30 and applied to the ShakeMap system developed by this study to revise ground-motion amplitudes on bedrock estimated from empirical relationships. Finally, the distribution of ground motion parameters on the surface is obtained. This article also introduces the calculation process, calculation models of the ShakeMap systems and related software systems. In conclusion, certain examples indicate that the ShakeMap system is feasible in the Chinese Mainland.展开更多
基金Supported by Grant from the National Scientific FoundationCommittee of China,30670606 from Chinese PLA Scientific Foundation of the Eleventh-Five programme,06MA263
文摘AIM:To present a series of cases with symptomatic acute extensive portal vein(PV)and superior mesenteric vein(SMV)thrombosis after splenectomy treated by transjugular intrahepatic approach catheter-directed thrombolysis. METHODS:A total of 6 patients with acute extensive PV-SMV thrombosis after splenectomy were treated by transjugular approach catheter-directed thrombolysis. The mean age of the patients was 41.2 years.After access to the portal system via the transjugular approach,pigtail catheter fragmentation of clots, local urokinase injection,and manual aspiration thrombectomy were used for the initial treatment of PV-SMV thrombosis,followed by continuous thrombolytic therapy via an indwelling infusion catheter in the SMV,which was performed for three to six days. Adequate anticoagulation was given during treatment, throughout hospitalization,and after discharge. RESULTS:Technical success was achieved in all 6 patients.Clinical improvement was seen in these patients within 12-24 h of the procedure.No complications were observed.The 6 patients were discharged 6-14 d(8±2.5 d)after admission.The mean duration of follow-up after hospital discharge was 40±16.5 mo.Ultrasound and contrast-enhanced computed tomography confirmed patency of the PV and SMV,and no recurrent episodes of PV-SMV thrombosis developed during the follow-up period. CONCLUSION:Catheter-directed thrombolysis via transjugular intrahepatic access is a safe and effective therapy for the management of patients with symptomatic acute extensive PV-SMV thrombosis.
基金supported by National Natural Science Foundation of China under Grants No. 60933005, No. 91124002under Grants No. 012505, No. 2011AA010702, No. 2012AA01A401, No. 2012AA01A402 (863 program)+1 种基金under Grant No.2011A010 (242)NSTM under Grants No.2012BAH38B04, No.2012BAH38B06
文摘In micro-blogging contexts such as Twitter,the number of content producers can easily reach tens of thousands,and many users can participate in discussion of any given topic.While many users can introduce diversity,as not all users are equally influential,it makes it challenging to identify the true influencers,who are generally rated as being interesting and authoritative on a given topic.In this study,the influence of users is measured by performing random walks of the multi-relational data in micro-blogging:retweet,reply,reintroduce,and read.Due to the uncertainty of the reintroduce and read operations,a new method is proposed to determine the transition probabilities of uncertain relational networks.Moreover,we propose a method for performing the combined random walks for the multi-relational influence network,considering both the transition probabilities for intra-and inter-networking.Experiments were conducted on a real Twitter dataset containing about 260 000 users and 2.7million tweets,and the results show that our method is more effective than TwitterRank and other methods used to discover influencers.
文摘The Saharan areas and in particular the isolated sites are characterized by low levels of population, in dispersed cores, which suffer from serious problems of water supply for consumption and the irrigation. The photovoltaic pumping systems (PV) are an ideal solution for these problems. Despite the presence of several photovoltaic pumping systems (PVPS) projects, data acquisition system is still missing in most cases. In this work, the authors will present the PVPS installed at the unit of research in renewable energies in Saharan medium (URERMS, Algeria). This system will enable us to better analyze the performances ofa photovoltaic pumping system in Saharan medium. The principal elements of the chain of the photovoltaic pumping system are: a photovoltaic generator, the power conditioning system, a motor-driven pump immersed group, an electric wiring, a hydraulic infrastructure which comprises a water tank.
文摘Heart failure (HF), a complex clinical syndrome due to structural or functional disorder of the heart, is a major global health issue, with a prevalence of over 5.8 million in the USA alone, and over 23 million worldwide. As a leading cause of hospitalizations among patients aged 65 years or older, HF is a major consumer of healthcare resources, creating a substantial strain on the healthcare system. This paper discusses the epidemiology of HF, financial impact, and multifaceted predicaments in end-stage HF care. A search was conducted on the U.S National Library of Medicine website (www.pubmed.gov) using keywords such as end-stage heart failure, palliative care, ethical dilemmas. Despite the poor prognosis of HF (worse than that for many cancers), many HF patients, caregivers, and clinicians are unaware of the poor prognosis. In addition, the unpredictable clinical trajectory of HF complicates the planning of end-of-life care, such as palliative care and hospice, leading to underutilization of such resources. In conclusion, ethical dilemmas in end-stage HF are numerous, embroiling not only the patient, but also the caregiver, healthcare team, and society.
基金The national natural science foundation(61273290,61373147)Xiamen Scientific Plan Project(2014S0048,3502Z20123037)+1 种基金Fujian Scientific Plan Project(2013HZ0004-1)FuJian provincial education office A-class project(-JA13238)
文摘Many websites use verification codes to prevent users from using the machine automatically to register,login,malicious vote or irrigate but it brought great burden to the enterprises involved in internet marketing as entering the verification code manually.Improving the verification code security system needs the identification method as the corresponding testing system.We propose an anisotropic heat kernel equation group which can generate a heat source scale space during the kernel evolution based on infinite heat source axiom,design a multi-step anisotropic verification code identification algorithm which includes core procedure of building anisotropic heat kernel,settingwave energy information parameters,combing outverification codccharacters and corresponding peripheral procedure of gray scaling,binarizing,denoising,normalizing,segmenting and identifying,give out the detail criterion and parameter set.Actual test show the anisotropic heat kernel identification algorithm can be used on many kinds of verification code including text characters,mathematical,Chinese,voice,3D,programming,video,advertising,it has a higher rate of 25%and 50%than neural network and context matching algorithm separately for Yahoo site,49%and 60%for Captcha site,20%and 52%for Baidu site,60%and 65%for 3DTakers site,40%,and 51%.for MDP site.
基金sponsored by the Basic Scientific Research Business Special,Institute of Geophysics,China Earthquake Administration (BQJB08B24)
文摘In accordance with the principle of similarity in geology and topography, the Vs^30 (the average shear-velocity down to a 30m depth below the surface) approximation of sites is acquired by correlation between Vs^30 and slopes after calculating the maximum slope of topography using the 30-sec Chinese Mainland DEM (Digital Elevation Model) data set. Site-amplification factors are then quantified with Vs^30 and applied to the ShakeMap system developed by this study to revise ground-motion amplitudes on bedrock estimated from empirical relationships. Finally, the distribution of ground motion parameters on the surface is obtained. This article also introduces the calculation process, calculation models of the ShakeMap systems and related software systems. In conclusion, certain examples indicate that the ShakeMap system is feasible in the Chinese Mainland.