Malignant gastroduodenal obstruction can occur in up to 20%of patients with primary pancreatic,gastric or duodenal carcinomas.Presenting symptoms include nausea,vomiting,abdominal distention,pain and decreased oral in...Malignant gastroduodenal obstruction can occur in up to 20%of patients with primary pancreatic,gastric or duodenal carcinomas.Presenting symptoms include nausea,vomiting,abdominal distention,pain and decreased oral intake which can lead to dehydration, malnutrition,and poor quality of life.Endoscopic stent placement has become the primary therapeutic modality because it is safe,minimally invasive,and a cost-effective option for palliation.Stents can be successfully deployed in the majority of patients. Stent placement appears to lead to a shorter time to symptomatic improvement,shorter time to resumption of an oral diet,and shorter hospital stays as compared with surgical options.Recurrence of the obstructive symptoms resulting from stent occlusion,due to tumor ingrowth or overgrowth,can be successfully treated with repeat endoscopic stent placement in the majority of the cases.Both endoscopic stenting and surgical bypass are considered palliative treatments and,to date,no improvement in survival with either modality has been demonstrated.A tailored therapeutic approach,taking into consideration patient preferences and involving a multidisciplinary team including the therapeutic endoscopist,surgeon,medical oncologist, radiation therapist,and interventional radiologist, should be considered in all cases.展开更多
Partial Reconfigurable FPGAs （Field Programmable Gate Array） allow tasks to be placed and removed dynamically at runtime. One of the challenging problems is the placement of modules on reconfigurable resources. Seve...Partial Reconfigurable FPGAs （Field Programmable Gate Array） allow tasks to be placed and removed dynamically at runtime. One of the challenging problems is the placement of modules on reconfigurable resources. Several modules placement techniques have been introduced in the literature to solve the temporal placement problem. This paper presents a temporal placement approach that manages the resources of a reconfigurable device. In fact, the authors＇ contribution focuses on introducing a new temporal placement algorithm that aims to minimize the communication cost between modules. Results show an important improvement in communication cost compared with other approaches.展开更多
文摘Malignant gastroduodenal obstruction can occur in up to 20%of patients with primary pancreatic,gastric or duodenal carcinomas.Presenting symptoms include nausea,vomiting,abdominal distention,pain and decreased oral intake which can lead to dehydration, malnutrition,and poor quality of life.Endoscopic stent placement has become the primary therapeutic modality because it is safe,minimally invasive,and a cost-effective option for palliation.Stents can be successfully deployed in the majority of patients. Stent placement appears to lead to a shorter time to symptomatic improvement,shorter time to resumption of an oral diet,and shorter hospital stays as compared with surgical options.Recurrence of the obstructive symptoms resulting from stent occlusion,due to tumor ingrowth or overgrowth,can be successfully treated with repeat endoscopic stent placement in the majority of the cases.Both endoscopic stenting and surgical bypass are considered palliative treatments and,to date,no improvement in survival with either modality has been demonstrated.A tailored therapeutic approach,taking into consideration patient preferences and involving a multidisciplinary team including the therapeutic endoscopist,surgeon,medical oncologist, radiation therapist,and interventional radiologist, should be considered in all cases.
文摘Partial Reconfigurable FPGAs （Field Programmable Gate Array） allow tasks to be placed and removed dynamically at runtime. One of the challenging problems is the placement of modules on reconfigurable resources. Several modules placement techniques have been introduced in the literature to solve the temporal placement problem. This paper presents a temporal placement approach that manages the resources of a reconfigurable device. In fact, the authors＇ contribution focuses on introducing a new temporal placement algorithm that aims to minimize the communication cost between modules. Results show an important improvement in communication cost compared with other approaches.
