Retroperitoneal duodenal perforation as a result of endoscopic biliary sphincterotomy is a rare complication, but it is associated with a relatively high mortality risk, if left untreated. Recently, several endoscopic...Retroperitoneal duodenal perforation as a result of endoscopic biliary sphincterotomy is a rare complication, but it is associated with a relatively high mortality risk, if left untreated. Recently, several endoscopic techniques have been described to close a variety of perforations. In this case report, we describe the closure of a persistent sphincterotomy-related duodenal perforation by using a covered self-expandable metallic biliary (CEMB) stent. A 61-year-old Greek woman underwent an endoscopic retrograde cholangiopancreatography (ERCP) and sphincterotomy for suspected choledo-cholithiasis, and a retroperitoneal duodenal perforation (sphincterotomy-related) occurred. Despite initial conservative management, the patient underwent a laparotomy and drainage of the retroperitoneal space. After that, a high volume duodenal fistula developed. Six weeks after the initial ERCP, the patient underwent a repeat endoscopy and placement of a CEMB stent with an indwelling nasobiliary drain. The fistula healed completely and the stent was removed two weeks later. We suggest the transient use of CEMB stents for the closure of sphincterotomy-related duodenal perforations. They can be placed either during the initial ERCP or even later if there is radiographic or clinical evidence that the leakage persists.展开更多
AIM: The sphincter of Oddi (SO) plays an important role in delivery of bile into the duodenum. To establish whether vasoactive intestinal polypeptide (VIP) and nitric oxide (NO) were involved in phasic contractile act...AIM: The sphincter of Oddi (SO) plays an important role in delivery of bile into the duodenum. To establish whether vasoactive intestinal polypeptide (VIP) and nitric oxide (NO) were involved in phasic contractile activity of the rabbit SO stimulated by cholecystokinin-octapeptide (CCK-8). METHODS: Isolated SO muscle rings were cleaned of fat and mounted horizontally on two small L-shaped hooks one of which was connected to a force transducer for the measurement of isometric tension.The experiments were carried out in a thermostatically controlled (37±0.2℃) organ bath (5 mL) containing Krebs solution.The organ fluid was gassed with 95% O2 and 50 mL/L CO2 to keep the pH at 7.40±0.05. Contractile responses to CCK-8 (1 μmol/L) were evaluated in the presence and absence of NG-nitro-L-arginine (LNNA), an inhibitor of NO synthase (100 μmol/L), and (p-chloro-D-Phe6-Leu17)-VIP (VlPa, 30 μmol/L), a VIP receptor antagonist. RESULTS: CCK-8 stimulated the phasic activity of the SO. NO synthase inhibition increased the frequency and amplitude of contractions with a slight increase in developed tension. Pre-incubation with VlPa also attenuated this CCK-8 effect. The combined application of LNNA and VlPa abolished the phasic activity of the muscle rings with a marked increase in tension in response to CCK-8. CONCLUSION: VIP and NO together contribute to an increase in phasic activity of SO.展开更多
Accurately detecting the arrival time of a channel wave in a coal seam is very important for in-seam seismic data processing. The arrival time greatly affects the accuracy of the channel wave inversion and the compute...Accurately detecting the arrival time of a channel wave in a coal seam is very important for in-seam seismic data processing. The arrival time greatly affects the accuracy of the channel wave inversion and the computed tomography （CT） result. However, because the signal-to-noise ratio of in-seam seismic data is reduced by the long wavelength and strong frequency dispersion, accurately timing the arrival of channel waves is extremely difficult. For this purpose, we propose a method that automatically picks up the arrival time of channel waves based on multi-channel constraints. We first estimate the Jaccard similarity coefficient of two ray paths, then apply it as a weight coefficient for stacking the multi- channel dispersion spectra. The reasonableness and effectiveness of the proposed method is verified in an actual data application. Most importantly, the method increases the degree of automation and the pickup precision of the channel-wave arrival time.展开更多
For an arbitrary tensor(multi-index array) with linear constraints at each direction,it is proved that the factors of any minimal canonical tensor approximation to this tensor satisfy the same linear constraints for t...For an arbitrary tensor(multi-index array) with linear constraints at each direction,it is proved that the factors of any minimal canonical tensor approximation to this tensor satisfy the same linear constraints for the corresponding directions.展开更多
Perforation is one of the most serious complications of endoscopic sphincterotomy (ES) necessitating immediate surgical intervention. We present a case of successful management of such a complication with endoclipping...Perforation is one of the most serious complications of endoscopic sphincterotomy (ES) necessitating immediate surgical intervention. We present a case of successful management of such a complication with endoclipping. A85-year-old woman developed duodenal perforation after ES. The perforation was identified early and its closure was achieved using three metallic clips in a single session.There was no procedure-related morbidity or complications and our patient was discharged from hospital 10 d later.Endoclipping of duodenal perforation induced by ES is a safe, effective and alternative to surgery treatment.展开更多
The performance bound of cognitive radio systems is analyzed.We use opportunistic spectrum effi-ciency(OSE)as the performance metric,and point out that the maximum achievable OSE can be used toevaluate the maximum val...The performance bound of cognitive radio systems is analyzed.We use opportunistic spectrum effi-ciency(OSE)as the performance metric,and point out that the maximum achievable OSE can be used toevaluate the maximum value that the introduction of secondary users can add to the conventional wirelesssystems.Based on assumptions of the PU s traffic model and some reasonable approximations,the ex-pression of OSE is obtained and the maximum achievable OSE is derived by solving an optimization prob-lem.The results are verified by computer simulation.展开更多
2015.5 Recent price movement After trending higher from midMarch through the end of April,values for NY futures and the A Index turned lower in May.Chinese prices have been stable,while Indian and Pakistani prices inc...2015.5 Recent price movement After trending higher from midMarch through the end of April,values for NY futures and the A Index turned lower in May.Chinese prices have been stable,while Indian and Pakistani prices increased.Prices for the nearby July contract(NY futures)met resistance near 68 cents/展开更多
Using Cobb-Douglas production function and Solow Residual, this study establishes a discriminant index to measure the intensive index of coal-production at the section-level, so as to analyze the transfer trend of the...Using Cobb-Douglas production function and Solow Residual, this study establishes a discriminant index to measure the intensive index of coal-production at the section-level, so as to analyze the transfer trend of the growth pattern of Jiangsu＇s coal-production since 1990s. The research shows that the transition of coal production in Jiangsu Province has mainly experienced three phases, which are the quick transition phase from extensive growth to intensive growth （from 1990 to 1994）, the fluctuation phase （from 1995 to 1999）, and the transition back phase from intensive growth to extensive growth （from 2000 to 2003）. On the whole, the coal production in Jiangsu Province nowadays is still featured by extensive growth pattern and largely dependent upon capital inputs. Finally, from the aspect of the technology progress, improving the qualities of labor, changing product structures and improving enterprise management, this study puts forward suggestions on how to transfer the growth pattern of Jiangsu＇s coal-production into intensive type.展开更多
Energy Management System （EnMS）, benefiting enterprises with energy conservation through the PDCA cycle, has been widely valued and applied by domestic and overseas enterprises. Based on the experience on the constr...Energy Management System （EnMS）, benefiting enterprises with energy conservation through the PDCA cycle, has been widely valued and applied by domestic and overseas enterprises. Based on the experience on the construction and implementation of energy management system, the paper systematically analyzes the construction ideas and development requirements of EnMS standards system, aiming to broaden/he coverage of EnMS and its technical indicator system, strengthen the systematicness and comprehensiveness and provide standardized tools and methods for all users.展开更多
Self-cancellation of modules having the finite exchange property is introduced. If a right R-module M has the finite exchange property, it is shown that M has selfcancellation if and only if EndR(M) is a strongly sepa...Self-cancellation of modules having the finite exchange property is introduced. If a right R-module M has the finite exchange property, it is shown that M has selfcancellation if and only if EndR(M) is a strongly separative ring. Using this result,some new characterizations of strong separativity are obtained.展开更多
In the paper, a novel practical approach to construct a composite indicator （CI） is pro- posed. The key idea is to decide the weights of sub-indicators in constructing a composite indicator by maximizing the sum of ...In the paper, a novel practical approach to construct a composite indicator （CI） is pro- posed. The key idea is to decide the weights of sub-indicators in constructing a composite indicator by maximizing the sum of squared correlations between the CI and sub-indicators. The CI obtained in this fashion has the maximum sum of squared correlations among all linear estimators. In addition, the simple, exact and explicit solutions of weights are proposed under the condition of non-negative irreducible matrix. Moreover, under this particular condition, the proposed method will become the principal component analysis. For illustration purpose, the proposed novel approach is utilized to cal- culate Sustainable Energy Index and Human Development Index which are two often-used cases to compare models in the literatures. The results the methods of Hatefi, et al. （2010） and Zhou all sub-indicators＇ correlations. show that the power of the proposed method outweigh et al. （2007） in terms of the sum of absolute values of展开更多
We study a supergravity D-term chaotic inflationary model, in the context of the braneworld scenario, in particular we consider the Randal1-Sundrum model type 2. Using the latest release from the combination of WMAP9,...We study a supergravity D-term chaotic inflationary model, in the context of the braneworld scenario, in particular we consider the Randal1-Sundrum model type 2. Using the latest release from the combination of WMAP9, eCMB, BAO, and Ho, we show that the inflation observables depend only on the number ore-folds N. We also derive all known spectrum inflationary parameters, which are widely consistent with WMAP9 data for a particular choice of values N specially for the scalar spectral index ns and the ratio r. However, the running of the scalar spectral index dns/dlnk is now excluded from the range given by the latest observational measurements.展开更多
文摘Retroperitoneal duodenal perforation as a result of endoscopic biliary sphincterotomy is a rare complication, but it is associated with a relatively high mortality risk, if left untreated. Recently, several endoscopic techniques have been described to close a variety of perforations. In this case report, we describe the closure of a persistent sphincterotomy-related duodenal perforation by using a covered self-expandable metallic biliary (CEMB) stent. A 61-year-old Greek woman underwent an endoscopic retrograde cholangiopancreatography (ERCP) and sphincterotomy for suspected choledo-cholithiasis, and a retroperitoneal duodenal perforation (sphincterotomy-related) occurred. Despite initial conservative management, the patient underwent a laparotomy and drainage of the retroperitoneal space. After that, a high volume duodenal fistula developed. Six weeks after the initial ERCP, the patient underwent a repeat endoscopy and placement of a CEMB stent with an indwelling nasobiliary drain. The fistula healed completely and the stent was removed two weeks later. We suggest the transient use of CEMB stents for the closure of sphincterotomy-related duodenal perforations. They can be placed either during the initial ERCP or even later if there is radiographic or clinical evidence that the leakage persists.
基金Supported by The Wellcome Trust (Grant No. 022618),by the Hungarian Scientific Research Fund (D42188, T43066 and T042589)and by the GVOP-3.2.2.-2004-07-0001/3.0
文摘AIM: The sphincter of Oddi (SO) plays an important role in delivery of bile into the duodenum. To establish whether vasoactive intestinal polypeptide (VIP) and nitric oxide (NO) were involved in phasic contractile activity of the rabbit SO stimulated by cholecystokinin-octapeptide (CCK-8). METHODS: Isolated SO muscle rings were cleaned of fat and mounted horizontally on two small L-shaped hooks one of which was connected to a force transducer for the measurement of isometric tension.The experiments were carried out in a thermostatically controlled (37±0.2℃) organ bath (5 mL) containing Krebs solution.The organ fluid was gassed with 95% O2 and 50 mL/L CO2 to keep the pH at 7.40±0.05. Contractile responses to CCK-8 (1 μmol/L) were evaluated in the presence and absence of NG-nitro-L-arginine (LNNA), an inhibitor of NO synthase (100 μmol/L), and (p-chloro-D-Phe6-Leu17)-VIP (VlPa, 30 μmol/L), a VIP receptor antagonist. RESULTS: CCK-8 stimulated the phasic activity of the SO. NO synthase inhibition increased the frequency and amplitude of contractions with a slight increase in developed tension. Pre-incubation with VlPa also attenuated this CCK-8 effect. The combined application of LNNA and VlPa abolished the phasic activity of the muscle rings with a marked increase in tension in response to CCK-8. CONCLUSION: VIP and NO together contribute to an increase in phasic activity of SO.
基金supported by the National Major Scientific and Technological Special Project during the 13th Five-year Plan Period(No.2016ZX05045003-005)
文摘Accurately detecting the arrival time of a channel wave in a coal seam is very important for in-seam seismic data processing. The arrival time greatly affects the accuracy of the channel wave inversion and the computed tomography （CT） result. However, because the signal-to-noise ratio of in-seam seismic data is reduced by the long wavelength and strong frequency dispersion, accurately timing the arrival of channel waves is extremely difficult. For this purpose, we propose a method that automatically picks up the arrival time of channel waves based on multi-channel constraints. We first estimate the Jaccard similarity coefficient of two ray paths, then apply it as a weight coefficient for stacking the multi- channel dispersion spectra. The reasonableness and effectiveness of the proposed method is verified in an actual data application. Most importantly, the method increases the degree of automation and the pickup precision of the channel-wave arrival time.
基金supported by the Russian Fund for Basic Research (RFBR grant 08-01-00115,RFBR/DFG grant 09-01-91332,RFBR grant 09-01-12058)Priority Research Programme of Department of Mathematical Sciences of Russian Academy of Sciences
文摘For an arbitrary tensor(multi-index array) with linear constraints at each direction,it is proved that the factors of any minimal canonical tensor approximation to this tensor satisfy the same linear constraints for the corresponding directions.
文摘Perforation is one of the most serious complications of endoscopic sphincterotomy (ES) necessitating immediate surgical intervention. We present a case of successful management of such a complication with endoclipping. A85-year-old woman developed duodenal perforation after ES. The perforation was identified early and its closure was achieved using three metallic clips in a single session.There was no procedure-related morbidity or complications and our patient was discharged from hospital 10 d later.Endoclipping of duodenal perforation induced by ES is a safe, effective and alternative to surgery treatment.
基金Supported by the National Basic Research Program of China (2007CB310608)DoCoMo--Tsinghua Cooperation Project and Tsinghua Basic Research Foundation (JC2007050)
文摘The performance bound of cognitive radio systems is analyzed.We use opportunistic spectrum effi-ciency(OSE)as the performance metric,and point out that the maximum achievable OSE can be used toevaluate the maximum value that the introduction of secondary users can add to the conventional wirelesssystems.Based on assumptions of the PU s traffic model and some reasonable approximations,the ex-pression of OSE is obtained and the maximum achievable OSE is derived by solving an optimization prob-lem.The results are verified by computer simulation.
文摘2015.5 Recent price movement After trending higher from midMarch through the end of April,values for NY futures and the A Index turned lower in May.Chinese prices have been stable,while Indian and Pakistani prices increased.Prices for the nearby July contract(NY futures)met resistance near 68 cents/
文摘Using Cobb-Douglas production function and Solow Residual, this study establishes a discriminant index to measure the intensive index of coal-production at the section-level, so as to analyze the transfer trend of the growth pattern of Jiangsu＇s coal-production since 1990s. The research shows that the transition of coal production in Jiangsu Province has mainly experienced three phases, which are the quick transition phase from extensive growth to intensive growth （from 1990 to 1994）, the fluctuation phase （from 1995 to 1999）, and the transition back phase from intensive growth to extensive growth （from 2000 to 2003）. On the whole, the coal production in Jiangsu Province nowadays is still featured by extensive growth pattern and largely dependent upon capital inputs. Finally, from the aspect of the technology progress, improving the qualities of labor, changing product structures and improving enterprise management, this study puts forward suggestions on how to transfer the growth pattern of Jiangsu＇s coal-production into intensive type.
文摘Energy Management System （EnMS）, benefiting enterprises with energy conservation through the PDCA cycle, has been widely valued and applied by domestic and overseas enterprises. Based on the experience on the construction and implementation of energy management system, the paper systematically analyzes the construction ideas and development requirements of EnMS standards system, aiming to broaden/he coverage of EnMS and its technical indicator system, strengthen the systematicness and comprehensiveness and provide standardized tools and methods for all users.
文摘Self-cancellation of modules having the finite exchange property is introduced. If a right R-module M has the finite exchange property, it is shown that M has selfcancellation if and only if EndR(M) is a strongly separative ring. Using this result,some new characterizations of strong separativity are obtained.
基金supported by National Natural Science Foundation of China under Grant No.71003100the Fundamental Research Funds for the Central Universitiesthe Research Funds of Renmin University of China under Grant No.11XNK027
文摘In the paper, a novel practical approach to construct a composite indicator （CI） is pro- posed. The key idea is to decide the weights of sub-indicators in constructing a composite indicator by maximizing the sum of squared correlations between the CI and sub-indicators. The CI obtained in this fashion has the maximum sum of squared correlations among all linear estimators. In addition, the simple, exact and explicit solutions of weights are proposed under the condition of non-negative irreducible matrix. Moreover, under this particular condition, the proposed method will become the principal component analysis. For illustration purpose, the proposed novel approach is utilized to cal- culate Sustainable Energy Index and Human Development Index which are two often-used cases to compare models in the literatures. The results the methods of Hatefi, et al. （2010） and Zhou all sub-indicators＇ correlations. show that the power of the proposed method outweigh et al. （2007） in terms of the sum of absolute values of
文摘We study a supergravity D-term chaotic inflationary model, in the context of the braneworld scenario, in particular we consider the Randal1-Sundrum model type 2. Using the latest release from the combination of WMAP9, eCMB, BAO, and Ho, we show that the inflation observables depend only on the number ore-folds N. We also derive all known spectrum inflationary parameters, which are widely consistent with WMAP9 data for a particular choice of values N specially for the scalar spectral index ns and the ratio r. However, the running of the scalar spectral index dns/dlnk is now excluded from the range given by the latest observational measurements.
