大跨度斜拉桥拉索索管定位计算

根据泸州泰安长江大桥的工程实践,阐述了斜拉索垂度计算的重要性,对主塔及梁段索管定位进行了分析和计算,最后通过实例给予复核,对同类型桥梁的索管放样有一定的参考价值。

悬索桥锚碇索管安装施工技术

大连南部滨海大道工程主桥锚体从结构受力和功能上可分为锚块、散索鞍支墩、前锚室三个主要部分组成。其中锚块主要承受锚固系统传递的主缆索股拉力。索股连接刚性拉杆并直接穿过锚块,锚固于锚块后锚碇钢板上,索管为锚固系统刚性拉杆套管。索管空间位置的准确定位关系到锚拉杆次应力的大小,也关系到主缆轴力的精确传递,为保证拉杆方向与相应索股方向一致,需将前后锚面索管中心精确定位。本文详细地介绍了索管的加工、安装及测量调整等关键技术。本工程索管为国内目前最长,其安装方法较以往也有所创新,对今后类似工程具有借鉴意义。

关于斜拉索预埋管测量放样参数的修正

在斜拉桥施工中,通过计算发现,设计图纸提供的索管倾角未考虑斜拉索自重产生的垂度的影响,如不予以修正,拉索外侧钢铰线外护套将与预埋管相抵触,发生摩擦,从而影响索力,必须对拉索预埋管测量放样参数予以修正。其次主梁采用悬臂施工,斜拉索预埋管放样参数还应考虑主梁预拱度的影响。

A continued study on the bisoprolol and isosorbide dinitrate transdermal patches:cardiovascular protection in spontaneously hypertensive rats

The objective of the present study is to examine cardiovascular protective action of a newly developed transdermal patch by incorporating bisoprolol and isosorbide dinitrate in spontaneously hypertensive rats. As the combination therapy with these two synergistic drugs at low doses through a suitable form of administration could provide optimal therapeutic benefit, we further evaluated the effects of a 42 d period of anti-hypertensive treatment in spontaneously hypertensive rats. Rats were divided into the following five groups： control （blank patch）, bisoprolol fumarate tablets （BP-FT, 20.0 mg/kg, i.g.）, bisoprolol transdermal patch （BP-TP, 20.0 mg/kg）, isosorbide dinitrate transdermal patch （ISDN-TP, 20.0 mg/kg）, and the combination of BP and ISDN in a transdermal patch at low doses （8 and 12 mg/kg, respectively）. The effects of treatment were evaluated via biochemical indicators related to cardiovascular protection, structure and function. The combination therapy had synergistic anti-hypertensive effects and significantly reduced blood pressure with the benefit of controlling blood pressure variability compared to BP-FT and BP-TP. The combined treatment also reduced heart rate as well as BP-FT and BP-TP, while ISDN-TP had no evident effects on blood pressure, heart rate, and cardiovascular protection. Combination therapy was superior to BP-TP and BP-FT at increasing blood atrial natriuretic peptide and nitric oxide, while also reducing cardiac hydroxyproline and endothelin-1 with no difference in blood endothelin-1 and cardiac malondialdehyde levels. Cardiovascular remodeling differed among the groups, with the combination therapy reducing cardiac hypertrophy and the aortic media/lumen ratio. The consequential improvements in relaxation in response to cumulative concentrations of acetylcholine may explain the associated improvement in endothelial function. Combi- nation treatment with a transdermal patch exhibited a synergistic therapeutic effect. Such favorable cardiovascular effects with nitric oxide donors and β-blockade combination through a transdermal patch may provide long-term cardiovascular protection during anti-hypertensive treatment.

关于斜拉索预埋管测量放样参数的修正

在斜拉桥施工中,通过计算发现,设计图纸提供的索管倾角未考虑斜拉索自重产生的垂度的影响,如不予以修正,拉索外侧钢铰线外护套将与预埋管相抵触,发生摩擦,从而影响索力,必须对拉索预埋管测量放样参数予以修正。其次主梁采用悬臂施工,斜拉索预埋管放样参数还应考虑主梁预拱度的影响。

Management of acquired bronchobiliary fistula:A systematic literature review of 68 cases published in 30 years

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.

Three initial diets for management of mild acute pancreatitis:A meta-analysis

AIM:To compare non-liquid and clear-liquid diets,and to assess whether the latter is the optimal treatment for mild acute pancreatitis.METHODS:The Cochrane Library,PUBMED,EMBASE,EBM review databases,Science Citation Index Expanded,and several Chinese databases were searched up to March 2011.Randomized controlled trials(RCTs) that compared non-liquid with clear-liquid diets in patients with mild acute pancreatitis were included.A meta-analysis was performed using available evidence from RCTs.RESULTS:Three RCTs of adequate quality involving a total of 362 participants were included in the final analysis.Compared to liquid diet,non-liquid diet significantly decreased the length of hospitalization [mean difference(MD):1.18,95% CI:0.82-1.55;P﹤0.00001] and total length of hospitalization(MD:1.31,95% CI:0.45-2.17;P = 0.003).The subgroup analysis showed solid diet was more favorable than clear liquid diet in the length of hospitalization,with a pooled MD being-1.05(95% CI:-1.43 to-0.66;P﹤0.00001).However,compared with clear liquid diet,both soft and solid diets did not show any significant differences for recurrence of pain after re-feeding,either alone [relative risk(RR):0.95;95% CI:0.51-1.87;P = 0.88] and(RR:1.22;95% CI:0.69-2.16;P = 0.49),respectively,or analyzed together as non-liquid diet(RR:0.80;95% CI:0.47-1.36;P = 0.41).CONCLUSION:The non-liquid soft or solid diet did not increase pain recurrence after re-feeding,compared with the clear-liquid diet.The non-liquid diet reduced hospitalization.

Prognostic value of the ratio between prosthesis area and indexed annulus area measured by MultiSlice-CT for transcatheter aortic valve implantation procedures

Background Postprocedural aortic regurgitations following transcatheter aortic valve implantation （TAVI） procedures remain an is- sue. Benefit of oversizing strategies to prevent them isn＇t well established. We compared different level of oversizing in our cohort of con- secutive patients to address if severe oversizing compared to normal sizing had an impact on post-procedural outcomes. Methods From January 2010 to August 2013, consecutive patients were referred for TAVI with preoperative Multislice-CT （MSCT） and the procedures were achieved using Edwards Sapien~ or Corevalve devices~. Retrospectively, according to pre-procedural MSCT and the valve size, pa- tients were classified into three groups： normal, moderate and severe oversizing; depending on the ratio between the prosthesis area and the annulus area indexed and measured on MSCT. Main endpoint was mid-term mortality and secondary endpoints were the Valve Academic Research Consortium （VARC-2） endpoints. Results Two hundred and sixty eight patients had a MSCT and underwent TAVI procedure, with mainly Corevalve~. While all-cause and cardiovascular mortality rates were similar in all groups, post-procedural new pacemaker （PM） implantation rate was significantly higher in the severe oversizing group （P = 0.03）, while we observed more in-hospital congestive heart-failure （P = 0.02） in the normal sizing group. There was a trend toward more moderate to severe aortic regurgitation （AR） in the normal sizing group （P = 0.07）. Conclusions Despite a higher rate of PM implantation, oversizing based on this ratio reduces aortic leak with lower rates of post-procedural complications and a similar mid-term survival.

Retrieval-balloon-assisted enterography in post-pancreaticoduodenectomy endoscopic retrograde cholangiopancreatography

This case reports an application of conventional duodenoscope in a post pancreaticoduodenectomy patient with the help of retrieval balloon assisted enterography.The 56-year-old woman had pancreaticoduodenectomy with Child reconstruction 9 mo ago because of pancreatic adenocarcinoma and now there are recurrent enlarged lymph nodes in the anastomotic stoma of hepaticojejunostomy.Considering the patient's late-stage cancer,a plastic stent was then successfully placed there to drainage.The main challenge in this case was the extremely long afferent loop and blind cannulation through the anastomotic stoma of hepaticojejunostomy.Retrieval balloon assisted enterography is very helpful for duodenoscope going through the reconstructed intestinal tract and for the cannulation.After two weeks,the patient remained free of painful symptoms and free of fever.Liver function improved well.Four months after the placement of stent,the patient died of cachexia without jaundice,fever and abdominal pain according to her daughter's statement.

Analyzing claims by game theory and claim cost

In managing an international project, claims are very important. In this paper, a complete information dynamic game model is designed; with the Nash equilibrium values, the huge influence of claim cost on claim strategy is testified and the importance of claims to both sides of a contract especially the contractor is elucidated. Claim chances are also discussed with game theory. At last, from the angle of a repeated game and by comparison with Pareto optimization and Nash equilibrium values, it is concluded that the best payoff can be obtained with a honest attitude and through cooperation between companies.

Comparative study of omeprazole, lansoprazole, pantoprazole and esomeprazole for symptom relief in patients with reflux esophagitis

AIM: To clarify whether there is any difference in the symptom relief in patients with reflux esophagitis following the administration of four Proton pump inhibitors (PPIs). METHODS: Two hundred and seventy-four patients with erosive reflux esophagitis were randomized to receive 8 wk of 20 mg omeprazole (n = 68), 30 mg of lansoprazole (n = 69), 40 mg of pantoprazole (n = 69), 40 mg of esomeprazole (n = 68) once a day in the morning. Daily changes in heartburn and acid reflux symptoms in the first 7 d of administration were assessed using a six-point scale (0: none; 1: mild; 2: mild-moderate; 3: moderate; 4: moderate-severe; 5: severe). RESULTS: The mean heartburn score in patients treated with esomeprazole more rapidly decreased than those receiving other PPI. Complete resolution of heartburn was also more rapid in patients treated with esomeprazole for 5 d compared with omeprazole (P = 0.0018, P = 0.0098, P = 0.0027, P = 0.0137, P = 0.0069, respectively), lansoprazole (P = 0.0020, P = 0.0046, P = 0.0037, P = 0.0016, P = 0.0076, respectively), and pantoprazole (P = 0.0006, P = 0.0005, P = 0.0009, P = 0.0031, P = 0.0119, respectively). There were no significant differences between the four groups in the rate of endoscopic healing of reflux esophagitis at week 8. CONCLUSION: Esomeprazole may be more effective than omeprazole, lansoprazole, and pantoprazole for the rapid relief of heartburn symptoms and acid reflux symptoms in patients with reflux esophagitis.

Instruments for Analysis of Knowledge Management in Operators Companies of Metropolitan Transport Systems

This research aimed to determine instruments for analysis of knowledge management in operators companies of metropolitan transport systems. How much the goal was an exploratory research, how much the procedure was a literature search, how much as nature was an applied research, and how much as approach was qualitative research？ The following instruments were identified and selected： （a） the methodology for the analysis of metropolitan transport systems; （b） the knowledge management maturity model （Siemens）; and （c） Documentation and Information Centre. The simulation, using the tools in the knowledge management to analyze the Company Metropolitan of S^io Paulo--METRO, identified the need for improvements in eight areas and the problems： （1） rethink the knowledge management area; （2） develop new knowledge management policies; （3） define responsibilities in knowledge management area; （4） implement new knowledge management processes; （5） explore new ways and structures of knowledge; （6） consider the internal and external actors in knowledge management actions; （7） expand the dissemination of the collaborative culture; and （8） integrate in the knowledge management area current and future initiatives. The analysis shows that the transposition of the current situation to the desired situation for the company can be obtained with the implementation of an Information and Documentation Centre. The conclusion is that this set of tools allows to characterize, evaluate, and model the knowledge management in this business.

Discussions and Recommendations for Supervision of Vegetable Quality and Safety in Miyun County

Vegetable is a pillar industry of agriculture in Miyun County. Improving vegetable quality and ensuring consumers rest assured in consumption are essential for promoting increase of agricultural efficiency and farmers＇ income, and also the necessity for promoting sustainable development of vegetable industry. This paper elaborated current situations of vegetable production and quality and safety in Miyun County, summarized practice and exploration in supervision of vegetable quality and safety, and came up with recommendations for reinforcing supervision of vegetable quality and safety in view of weak points.

Ecological risk assessment of the Gannan Plateau,northeastern Tibetan Plateau

Desertification, soil salinization and grassland degradation are the major environmental hazards faced by the Gannan Plateau, northeastern Tibetan Plateau. Ecological risk assessment plays an important role in formulating environmental management strategies yet little attention to this region. In this study, we established an ecological risk assessment index system based on 30 evaluation indices in the categories of hydrometeorology, ecological environment, ground surface disturbance, and society and economy for the Gannan Plateau. An entropy method was used to calculate an index weight,and subsequently the matter-element method was used together with extension theory to establish a matter-element extension model of ecological risk. We assessed the ecological risk in this region by calculating the degree of association between index layer, system layer and target layer, and the cumulative ecological risk index. The degrees of ecological risk for the counties of the region were determined by using Arc GIS which would represent a spatial heterogeneity of the risk grade in production. Our results showed that the areas of high ecological risk were in Zhouqu County and Zhuoni County, and others were of low risk(Hezuo City, Diebu County, Xiahe County and Lintan County) or intermediate risk(Maqu County). The results of the assessment were in accord with the actual observed situation. Thus, our ecological risk assessment index system is appropriate for this region and suggests that high risk counties need a priori ecological protection. Such research could provide a technological support which would potentially prevent or reduce disasters by establishing an ecological barrier to promote the sustainable development of Gannan Plateau.

Colorectal cancer surveillance in inflammatory bowel disease: The search continues

Patients with infl ammatory bowel disease (IBD) are at increased risk for colorectal cancer (CRC). Risk factors for the development of CRC in the setting of IBD include disease duration, anatomic extent of disease, age at time of diagnosis, severity of inflammation, family history of colon cancer, and concomitant primary sclerosing cholangitis. The current surveillance strategy of surveillance colonoscopy with multiple random biopsies most likely reduces morbidity and mortality associated with IBD-related CRC. Unfortunately, surveillance colonoscopy also has severe limitations including high cost, sampling error at time of biopsy, and interobserver disagreement in histologically grading dysplasia. Furthermore, once dysplasia is detected there is disagreement about its management. Advances in endoscopic imaging techniques are already underway, and may potentially aid in dysplasia detection and improve overall surveillance outcomes. Management of dysplasia depends predominantly on the degree and focality of dysplasia, with the mainstay of management involving either proctocolectomy or continued colonoscopic surveillance. Lastly, continued research into additional chemopreventive agents may increase our arsenal in attempting to reduce the incidence of IBD-associated CRC.

Identity-Based Encryption with Keyword Search from Lattice Assumption

Public key encryption scheme with keyword search （PEKS） enables us to search the encrypted data in a cloud server with a keyword, and no one can obtain any infor- mation about the encrypted data without the trapdoor corresponding to the keyword. The PEKS is useful to keep the management of large data storages secure such as those in a cloud. In this paper, to protect against quantum computer attacks, we present a lattice-based identity-based encryption scheme with key- word search. We have proved that our scheme can achieve ciphertext indistinguishability in the random oracle model, and our scheme can also achieve trapdoor security. In particular, our scheme can designate a unique tester to test and return the search results, therefore it does not need a secure channel. To the best of our knowledge, our scheme is the first iden- tity-based encryption scheme with keyword search from lattice assumption.

Prediction of hepatocellular carcinoma development by aminotransferase to platelet ratio index in primary biliary cholangitis

AIM To investigate the usefulness of aspartate aminotransferase to platelet ratio index(APRI) in predicting hepatocellular carcinoma(HCC) risk in primary biliary cholangitis(PBC).METHODS We identified PBC patients between 2000 and 2015 by searching the electronic medical database of a tertiary center. The hazard ratio(HR) of HCC with different risk factors was determined by Cox proportional hazards model. RESULTS One hundred and forty-four PBC patients were recru-ited. Patients were diagnosed at a median age of 57.8 years [interquartile range(IQR): 48.7-71.5 years), and 41(28.5%) patients had cirrhosis at baseline. The median follow-up duration was 6.9 years(range: 1.0-26.3 years). Twelve patients developed HCC, with an incidence rate of 10.6 cases per 1000 patient-years. The overall 5-, 10-and 15-year cumulative incidences of HCC were 2.3% 95%CI: 0%-4.8%), 8.4%(95%CI: 1.8%-14.5%) and 21.6%(6.8%-34.1%), respectively. Older age(HR = 1.07), cirrhosis(HR = 4.38) and APRI at 1 year after treatment(APRI-r1) > 0.54(HR = 3.94) were independent factors for HCC development. APRI-r1, when combined with treatment response, further stratified HCC risk(log rank P < 0.05). The area under receiver operating curve of APRI-r1 in predicting HCC was 0.77(95%CI: 0.64-0.88).CONCLUSION APRI-r1 can be used to predict the development of HCC in PBC patients. Combination of APRI-r1 with treatment response can further stratify the HCC risk.

Left atrial area index predicts adverse cardiovascular events in patients with unstable angina pectoris

Background The left atrial size has been considered as a useful marker of adverse cardiovascular outcomes. However, it is not well known whether left atrial area index （LAAI） has predictive value for prognosis in patients with unstable angina pectoris （UAP）. This study was aimed to assess the association between LAAI and outcomes in UAP patients. Methods We enrolled a total of 391 in-hospital patients diag- nosed as UAP. Clinical and echocardiographic data at baseline were collected. The patients were followed for the development of ad- verse cardiovascular （CV） events, including hospital readmission for angina pectoris, acute myocardial infarction （AMI）, congestive heart failure （CHF）, stroke and all-cause mortality. Results During a mean follow-up time of 26.3±8.6 months, 98 adverse CV events occurred （84 hospital readmission for angina pectoris, four AMI, four CHF, one stroke and five all-cause mortality）. In a multivariate Cox model, LAAI [OR： 1.140, 95% CI： 1.01±1.279, P = 0.026], diastolic blood pressure （OR： 0.976, 95% CI： 0.956-0.996, P = 0.020） and pulse pressure （OR 1.020, 95% CI： 1.007-1.034, P = 0.004） were independent predictors for adverse CV events in UAP patients. Conclusions LAAI is a predictor of adverse CV events independent of clinical and other echocardiographic parameters in UAP patients.

QUALITATIVE REASONING BY COMPUTING WITH WORDS IN HERRERA-MARTíNEZ’S LINGUISTIC MODEL

Most of modern systems for information retrieval, fusion and management have to deal with more and more qualitative information （by linguistic labels） besides information expressed quantitatively （by numbers）, since human reports are better and easier expressed in natural language than with numbers. In this paper, Herrera-Martfnez＇s 2-Tuple linguistic representation model is extended for reasoning with uncertain and qualitative information in Dezert-Smarandache Theory （DSmT） framework, in order to overcome the limitations of current approaches, i.e., the lack of precision in the final results of linguistic information fusion according to 1-Tuple representation （ q1 ）- The linguistic information which expresses the expert＇s qualitative beliefs is expressed by means of mixed 2 Tuples （equidistant linguistic labels with a numeric biased value）. Together with the 2-Tuple representation model, some basic operators are presented to carry out the fusion operation among qualitative information sources. At last, through simple example how 2-Tuple qualitative DSmT-based （q2 DSmT） fusion rules can be used for qualitative reasoning and fusion under uncertainty, which advantage is also showed by comparing with other methods.

Global Memory Net and the development of digital image information management system: Experience and practice

Global Memory Net (GMNet) is intended to be an effective gateway to the world cultural, historical, and heritage image collections from selected academic educational and research partners in the world. Much of these unique collections of great value to education and research are not currently accessible due to distance, form, and technical barriers. This project is to find new ways to enable users to access and exploit these significant research collections via global network. As GMNet is ending its first 5-year phase in October 2005, it has contributed substantially to the community building in digital library development by ac- commodating numerous collaborators and technical staff from various parts of the world to spend 3 to 5 months as a full-member of the GMNet team in Boston. They have come from different parts of China—such as Sichuan, Hainan, Shanghai and Xi’an; Croatia; and Hanoi, Vietnam. In addition to contribute to the overall system development and enhancement of system function- alities, they have brought valuable sample image collections of their own institutions/countries, and actually developed prototype collections as a part of GMNet. This paper describes the exciting and productive experience of the first of this visiting research group in developing the GMNet’s Version 2.0 PHP-based system under Prof. Chen’s overall supervision. It also describes both the system’s technical level structure—user/Web-based application/data, and complex functionalities with multi-collection, multi-lingual, multi-modal searching capabilities; system management capabilities; as well as provisions for user uploads and retrieval for our own projects. This Version 2.0 system is built on the Linux/Apache/PHP/MySQL platform. What is described in this paper is an actual case which has formed a base for further new development by others in the research group. It demonstrates fully the value of the synergistic collaboration among global partners for universal digital library development. More information can be found in http://www.memorynet.org/.