AIM:To determine the incidence and factors responsible for anastomotic leaks and stricture following anterior resection(AR)and its subsequent management.METHODS:Retrospective analysis of data from 108 patients with re...AIM:To determine the incidence and factors responsible for anastomotic leaks and stricture following anterior resection(AR)and its subsequent management.METHODS:Retrospective analysis of data from 108 patients with rectal carcinoma who underwent AR or low anterior resection(LAR)to identify the various preoperative,operative,and post operative factors that might have influence on anastomotic leaks and strictures.RESULTS:There were 68 males and 40 females with an average of 47 years(range 21-75 years).The median distance of the tumor from the anal verge was 8 cm(range 3-15 cm).Sixty(55.6%)patients underwent handsewn anastomosis and 48(44.4%)were stapled.The median operating time was 3.5 h(range2.0-7.5 h).Sixteen(14.6%)patients had an anastomotic leak.Among these,11 patients required reexploration and five were managed expectantly.The anastomotic leak rate was similar in patients with and without diverting stoma(8/60,13.4%with stoma and 8/48;16.7%without stoma).In 15(13.9%)patients,resection margins were positive for malignancy.Ninteen(17.6%)patients developed anastomotic strictures at a median duration of 8 mo(range 3-20 mo).Among these,15 patients were successfully managed with per-anal dilatation.On multivariate analysis,advance age(>60 years)was the only risk factor for anastomotic leak(P=0.004).On the other hand,anastomotic leak(P=0.00),mucin positive tumor(P =0.021),and lower rectal growth(P=0.011)were found as risk factors for the development of an anastomotic stricture.CONCLUSION:Advance age is a risk factor for an anastomotic leak.An anastomotic leak,a mucin-secreting tumor,and lower rectal growth predispose patients to develop anastomotic strictures.展开更多
The primary objective of this work is to explore how drivers react to flashing green at signalized intersections. Through video taping and data procession based on photogrammetry, the operating speeds of vehicles befo...The primary objective of this work is to explore how drivers react to flashing green at signalized intersections. Through video taping and data procession based on photogrammetry, the operating speeds of vehicles before and after the moment when flashing green started was compared using paired-samples T-test. The critical distances between go and stop decisions was defined through cumulative percentage curve. The boundary of dilemma zone was determined by comparing stop distance and travel distance.Amber-running violation was analyzed on the basis of the travel time to the stop line. And finally, a logistic model for stop and go decisions was constructed. The results shows that the stopping ratios of the first vehicles of west-bound and east-bound approaches are 41.3% and 39.8%, respectively; the amber-light running violation ratios of two approaches are 31.6% and 25.4%, respectively;the operating speed growth ratios of first vehicles selecting to cross intersection after the moment when flashing green started are26.7% and 17.7%, respectively; and the critical distances are 48 m and 46 m, respectively, which are close to 44 m, the boundary of dilemma zone. The developed decision models demonstrate that the probability of go decision is higher when the distance from the stop line is shorter or operating speed is higher. This indicates that flashing green is an effective way to enhance intersection safety,but it should work together with a strict enforcement. In addition, traffic signs near critical distance and reasonable speed limitation are also beneficial to the safety of intersections.展开更多
Carbon-fiber reinforced polymer composites have been widely used to achieve the light-weighted design and high performance due to superior performance. Internal defects in the composite materials are the main factors ...Carbon-fiber reinforced polymer composites have been widely used to achieve the light-weighted design and high performance due to superior performance. Internal defects in the composite materials are the main factors that determine their performance,which makes reliable and effective detection methods of internal defects essential. Nondestructive testing(NDT)methods are the most widely-used way due to their tremendous advantages. Though the theoretical background is found,experimental results could be quite complicated and confusing,especially for composite materials with complex defects characteristics. In this paper,experimental study on internal defects in composite materials based on the time of flight(ToF)are investigated. The Gaussian echo model and the parameter estimation methods are established to build a theoretical model for measurements. Then,the distance amplitude correction(DAC)method is proposed to effectively improve the signal-to-noise ratio(SNR)and to reduce distortion of the signal during measurements. Finally,the ToF is adopted to determine depth of internal defects. Experiment study is conducted to investigate the porosity defects and the anti-impact performance of composite materials,as well as defects in objects with various thicknesses. Experimental results show that the proposed method is quite helpful for obtaining the intuition and deep understanding of internal defects,thus contributing to the determination of product performance and its improvement.展开更多
High-frequency S-wave seismogram envelopes of microearthquakes broaden with increasing travel distance,a phenomenon known as S-wave envelope broadening. Multiple forward scattering and diffraction for the random inhom...High-frequency S-wave seismogram envelopes of microearthquakes broaden with increasing travel distance,a phenomenon known as S-wave envelope broadening. Multiple forward scattering and diffraction for the random inhomogeneities along the seismic ray path are the main causes of S-wave envelope broadening,so the phenomenon of S-wave envelope broadening is used to study the inhomogeneity of the medium. The peak delay time of an S-wave,which is defined as the time lag from the direct S-wave onset to the maximum amplitude arrival of its envelope,is accepted to quantify S-wave envelope broadening. 204 small earthquake records in Changbaishan Tianchi volcano were analyzed by the S-wave envelope broadening algorithm. The results show that S-wave envelope broadening in the Changbaishan Tianchi volcano is obvious,and that the peak delay time of S-wave has a positive correlation with the hypocenter distance and frequency of the S-wave. The relationships between the S-wave peak delay time and the hypocenter distance for different frequency bands were obtained using the statistics method. The results are beneficial to the understanding of the S-wave envelope broadening phenomena and the quantitative research on the inhomogeneities of the crust medium in the Changbaishan Tianchi volcano region.展开更多
Human activity has been shown to influence how animals assess the risk of predation, but we know little about the spatial scale of such impacts. We quantified how vigilance and flight behavior in mule deer Odocoileus ...Human activity has been shown to influence how animals assess the risk of predation, but we know little about the spatial scale of such impacts. We quantified how vigilance and flight behavior in mule deer Odocoileus hemionus varied with distance from an area of concentrated human activity--a subalpine field station. An observer walked trails at various distances away from the station looking for deer. Upon encounter, the observer walked toward the focal animal and noted the distance at which it alerted and directed its attention to the approaching human (Alert Distance; AD), and the distance at which it fled (Flight Initiation Distance;. FID). AD and FID both increased nonlinearly with distance from the center of the field station, reaching pla- teaus around 250 m and 750 m, respectively. Deer also tended to flee by stotting or running, rather than by walking, when far from the station but they walked away when near the station. These results indicate that deer perceive lower risk near a focused area of human activity, and that vigilance and flight behaviors respond on somewhat different spatial scales. The concept of a spatial "human footprint" on behavior may be useful for understanding how human activities affect wildlife展开更多
Recently-developed capabilities for tracking the movements of individual birds over the course of a year or longer has provided increasing evidence for consistent individual differences in migration schedules and dest...Recently-developed capabilities for tracking the movements of individual birds over the course of a year or longer has provided increasing evidence for consistent individual differences in migration schedules and destinations. This raises questions about the relative importance of individual consistency versus flexibility in the evolution of migration strategies, and has implications for the ability of populations to respond to climatic change. Using geolocators, we tracked the migrations of Scopoli's shearwaters Calonectris diomedea breeding in Linosa (Italy) across three years, and analysed timing and spatial aspects of their movements. Birds showed remarkable variation in their main wintering destination along the western coast of Africa. We found significant individual consistency in the total distance traveled, time spent in transit, and time that individuals spent in the win- tering areas. We found extensive sex differences in scheduling, duration, distances and destinations of migratory journeys. We also found sex differences in the degree of individual consistency in aspects of migration behaviour. Despite strong evidence for individual consistency, which indicates that migration journeys from the same bird tended to be more similar than those of dif- ferent birds, there remained substantial intra-individual variation between years. Indeed, we also found clear annual differences in departure dates, return dates, wintering period, the total distance traveled and re^rn routes from wintering grounds back to the colony. These findings show that this population flexibly shifts migration schedules as well as routes between years in response to direct or indirect effects of heterogeneity in the environment, while maintaining consistent individual migration strategies [Current Zoology 60 (5): 631-641, 2014].展开更多
文摘AIM:To determine the incidence and factors responsible for anastomotic leaks and stricture following anterior resection(AR)and its subsequent management.METHODS:Retrospective analysis of data from 108 patients with rectal carcinoma who underwent AR or low anterior resection(LAR)to identify the various preoperative,operative,and post operative factors that might have influence on anastomotic leaks and strictures.RESULTS:There were 68 males and 40 females with an average of 47 years(range 21-75 years).The median distance of the tumor from the anal verge was 8 cm(range 3-15 cm).Sixty(55.6%)patients underwent handsewn anastomosis and 48(44.4%)were stapled.The median operating time was 3.5 h(range2.0-7.5 h).Sixteen(14.6%)patients had an anastomotic leak.Among these,11 patients required reexploration and five were managed expectantly.The anastomotic leak rate was similar in patients with and without diverting stoma(8/60,13.4%with stoma and 8/48;16.7%without stoma).In 15(13.9%)patients,resection margins were positive for malignancy.Ninteen(17.6%)patients developed anastomotic strictures at a median duration of 8 mo(range 3-20 mo).Among these,15 patients were successfully managed with per-anal dilatation.On multivariate analysis,advance age(>60 years)was the only risk factor for anastomotic leak(P=0.004).On the other hand,anastomotic leak(P=0.00),mucin positive tumor(P =0.021),and lower rectal growth(P=0.011)were found as risk factors for the development of an anastomotic stricture.CONCLUSION:Advance age is a risk factor for an anastomotic leak.An anastomotic leak,a mucin-secreting tumor,and lower rectal growth predispose patients to develop anastomotic strictures.
基金Project(51208451)supported by the National Natural Science Foundation of ChinaProject(10KJB580004)supported by the Natural Science Foundation for Colleges and Universities of Jiangsu Province,ChinaProject supported by the New Century Talents Project of Yangzhou University,China
文摘The primary objective of this work is to explore how drivers react to flashing green at signalized intersections. Through video taping and data procession based on photogrammetry, the operating speeds of vehicles before and after the moment when flashing green started was compared using paired-samples T-test. The critical distances between go and stop decisions was defined through cumulative percentage curve. The boundary of dilemma zone was determined by comparing stop distance and travel distance.Amber-running violation was analyzed on the basis of the travel time to the stop line. And finally, a logistic model for stop and go decisions was constructed. The results shows that the stopping ratios of the first vehicles of west-bound and east-bound approaches are 41.3% and 39.8%, respectively; the amber-light running violation ratios of two approaches are 31.6% and 25.4%, respectively;the operating speed growth ratios of first vehicles selecting to cross intersection after the moment when flashing green started are26.7% and 17.7%, respectively; and the critical distances are 48 m and 46 m, respectively, which are close to 44 m, the boundary of dilemma zone. The developed decision models demonstrate that the probability of go decision is higher when the distance from the stop line is shorter or operating speed is higher. This indicates that flashing green is an effective way to enhance intersection safety,but it should work together with a strict enforcement. In addition, traffic signs near critical distance and reasonable speed limitation are also beneficial to the safety of intersections.
文摘Carbon-fiber reinforced polymer composites have been widely used to achieve the light-weighted design and high performance due to superior performance. Internal defects in the composite materials are the main factors that determine their performance,which makes reliable and effective detection methods of internal defects essential. Nondestructive testing(NDT)methods are the most widely-used way due to their tremendous advantages. Though the theoretical background is found,experimental results could be quite complicated and confusing,especially for composite materials with complex defects characteristics. In this paper,experimental study on internal defects in composite materials based on the time of flight(ToF)are investigated. The Gaussian echo model and the parameter estimation methods are established to build a theoretical model for measurements. Then,the distance amplitude correction(DAC)method is proposed to effectively improve the signal-to-noise ratio(SNR)and to reduce distortion of the signal during measurements. Finally,the ToF is adopted to determine depth of internal defects. Experiment study is conducted to investigate the porosity defects and the anti-impact performance of composite materials,as well as defects in objects with various thicknesses. Experimental results show that the proposed method is quite helpful for obtaining the intuition and deep understanding of internal defects,thus contributing to the determination of product performance and its improvement.
基金sponsored by the National Key Technology R&D Program (2006BAC01B04)the Joint Earthquake Science Foundation (A08026,A07138),China
文摘High-frequency S-wave seismogram envelopes of microearthquakes broaden with increasing travel distance,a phenomenon known as S-wave envelope broadening. Multiple forward scattering and diffraction for the random inhomogeneities along the seismic ray path are the main causes of S-wave envelope broadening,so the phenomenon of S-wave envelope broadening is used to study the inhomogeneity of the medium. The peak delay time of an S-wave,which is defined as the time lag from the direct S-wave onset to the maximum amplitude arrival of its envelope,is accepted to quantify S-wave envelope broadening. 204 small earthquake records in Changbaishan Tianchi volcano were analyzed by the S-wave envelope broadening algorithm. The results show that S-wave envelope broadening in the Changbaishan Tianchi volcano is obvious,and that the peak delay time of S-wave has a positive correlation with the hypocenter distance and frequency of the S-wave. The relationships between the S-wave peak delay time and the hypocenter distance for different frequency bands were obtained using the statistics method. The results are beneficial to the understanding of the S-wave envelope broadening phenomena and the quantitative research on the inhomogeneities of the crust medium in the Changbaishan Tianchi volcano region.
文摘Human activity has been shown to influence how animals assess the risk of predation, but we know little about the spatial scale of such impacts. We quantified how vigilance and flight behavior in mule deer Odocoileus hemionus varied with distance from an area of concentrated human activity--a subalpine field station. An observer walked trails at various distances away from the station looking for deer. Upon encounter, the observer walked toward the focal animal and noted the distance at which it alerted and directed its attention to the approaching human (Alert Distance; AD), and the distance at which it fled (Flight Initiation Distance;. FID). AD and FID both increased nonlinearly with distance from the center of the field station, reaching pla- teaus around 250 m and 750 m, respectively. Deer also tended to flee by stotting or running, rather than by walking, when far from the station but they walked away when near the station. These results indicate that deer perceive lower risk near a focused area of human activity, and that vigilance and flight behaviors respond on somewhat different spatial scales. The concept of a spatial "human footprint" on behavior may be useful for understanding how human activities affect wildlife
文摘Recently-developed capabilities for tracking the movements of individual birds over the course of a year or longer has provided increasing evidence for consistent individual differences in migration schedules and destinations. This raises questions about the relative importance of individual consistency versus flexibility in the evolution of migration strategies, and has implications for the ability of populations to respond to climatic change. Using geolocators, we tracked the migrations of Scopoli's shearwaters Calonectris diomedea breeding in Linosa (Italy) across three years, and analysed timing and spatial aspects of their movements. Birds showed remarkable variation in their main wintering destination along the western coast of Africa. We found significant individual consistency in the total distance traveled, time spent in transit, and time that individuals spent in the win- tering areas. We found extensive sex differences in scheduling, duration, distances and destinations of migratory journeys. We also found sex differences in the degree of individual consistency in aspects of migration behaviour. Despite strong evidence for individual consistency, which indicates that migration journeys from the same bird tended to be more similar than those of dif- ferent birds, there remained substantial intra-individual variation between years. Indeed, we also found clear annual differences in departure dates, return dates, wintering period, the total distance traveled and re^rn routes from wintering grounds back to the colony. These findings show that this population flexibly shifts migration schedules as well as routes between years in response to direct or indirect effects of heterogeneity in the environment, while maintaining consistent individual migration strategies [Current Zoology 60 (5): 631-641, 2014].