AIM:To investigate perception of natural orifice transluminal endoscopic surgery(NOTES)as a potential technique for appendectomy.METHODS:One hundred patients undergoing endoscopy and 100 physicians were given a questi...AIM:To investigate perception of natural orifice transluminal endoscopic surgery(NOTES)as a potential technique for appendectomy.METHODS:One hundred patients undergoing endoscopy and 100 physicians were given a questionnaire describing in detail the techniques of NOTES and laparoscopic appendectomy.They were asked about the reasons for their preference,choice of orifice,and extent of complication risk they were willing to accept.RESULTS:Fifty patients(50%)and only 21 physicians(21%)preferred NOTES(P<0.001).Patients had previously heard of NOTES less frequently(7%vs73%,P<0.001)and had undergone endoscopy more frequently(88%vs 36%,P<0.001)than physicians.Absence of hernia was the most common reason for NOTES preference in physicians(80%vs 44%,P= 0.003),whereas reduced pain was the most common reason in patients(66%vs 52%).Physicians were more likely to refuse NOTES as a novel and unsure technique(P<0.001)and having an increased risk of infection(P<0.001).The preferred access site in both groups was colon followed by stomach,with vagina being rarely preferred.In multivariable modeling,those with high-school education[odds ratio(OR):2.68,95% confidence interval(CI):1.23-5.83]and prior colonoscopy(OR:2.10,95%CI:1.05-4.19)were more likely to prefer NOTES over laparoscopic appendectomy.There was a steep decline in NOTES preference with increased rate of procedural complications.Male patients were more likely to consent to their wives vaginal NOTES appendectomy than male physicians(P=0.02).CONCLUSION:The preference of NOTES for appendectomy was greater in patients than physicians and was related to reduced pain and absence of hernia rather than lack of scarring.展开更多
Valeo, involved in engine cooling fan system design for many years, is interested in noise prediction tools for axial fans. Thus, this paper describes a two-part study of tonal noise computation. The first part deals ...Valeo, involved in engine cooling fan system design for many years, is interested in noise prediction tools for axial fans. Thus, this paper describes a two-part study of tonal noise computation. The first part deals with the prediction of tonal noise using analytical models. As for the second part, it describes a hybrid approach for predicting tonal noise where the sources are extracted from an Unsteady Reynolds-Averaged Naviers-Stocks (URANS) simulation and then propagated into the far, free field using the Ffowcs Williams and Hawkings' acoustic analogy. The computational domain is meshed with 46 million polyhedral elements and the simulation takes into account the exact geometry of the rotor blades, the stator blades and the shroud. The results from the first part show that analytical models can be used for comparisons between different fan geometries, but are unable to provide accurate noise predictions compared to experimental results. The simulation shows non-periodic blade loading over a whole fan revolution, and different blade loading between the blades. This introduces some bias in the assessment of the acoustic performance of the fan. Overall, the results from the hybrid method are in accordance with the experimental results.展开更多
This paper considers a correlated risk model with thinning-dependence structure. The au- thors investigate the optimal proportional reinsurance that maximizes the adjustment coefficient and the optimal proportional re...This paper considers a correlated risk model with thinning-dependence structure. The au- thors investigate the optimal proportional reinsurance that maximizes the adjustment coefficient and the optimal proportional reinsurance under mean variance principle for the proposed model. The au- thors derive the optimal solutions and the numerical illustrations to show the impact of the dependence among the classes of business on the optimal reinsurance arrangements.展开更多
In this paper,we are concerned with the asymptotic behavior,as u→∞,of P{sup_t∈|0,T|X_u(t)>u},where X_u(t),t∈|0,T|,u>0 is a family of centered Gaussian processes with continuous trajectories.A key application...In this paper,we are concerned with the asymptotic behavior,as u→∞,of P{sup_t∈|0,T|X_u(t)>u},where X_u(t),t∈|0,T|,u>0 is a family of centered Gaussian processes with continuous trajectories.A key application of our findings concerns P{sup_t∈|0,T|(X(t)+g(t))>u},as u→∞,for X a centered Gaussian process and g some measurable trend function.Further applications include the approximation of both the ruin time and the ruin probability of the Brownian motion risk model with constant force of interest.展开更多
This paper studies the complete monotonicity of the probability of ruin in the the classical risk model and the classical risk model that is perturbed by a diffusion. As a byproduct, the authors give an alternative p...This paper studies the complete monotonicity of the probability of ruin in the the classical risk model and the classical risk model that is perturbed by a diffusion. As a byproduct, the authors give an alternative proof to a result on the optimal dividend problem due to Loeffen (2008).展开更多
基金Supported by Grant NT 11234-3 of the Czech Ministry of Healththe Institutional Research Plan AV0Z10300504
文摘AIM:To investigate perception of natural orifice transluminal endoscopic surgery(NOTES)as a potential technique for appendectomy.METHODS:One hundred patients undergoing endoscopy and 100 physicians were given a questionnaire describing in detail the techniques of NOTES and laparoscopic appendectomy.They were asked about the reasons for their preference,choice of orifice,and extent of complication risk they were willing to accept.RESULTS:Fifty patients(50%)and only 21 physicians(21%)preferred NOTES(P<0.001).Patients had previously heard of NOTES less frequently(7%vs73%,P<0.001)and had undergone endoscopy more frequently(88%vs 36%,P<0.001)than physicians.Absence of hernia was the most common reason for NOTES preference in physicians(80%vs 44%,P= 0.003),whereas reduced pain was the most common reason in patients(66%vs 52%).Physicians were more likely to refuse NOTES as a novel and unsure technique(P<0.001)and having an increased risk of infection(P<0.001).The preferred access site in both groups was colon followed by stomach,with vagina being rarely preferred.In multivariable modeling,those with high-school education[odds ratio(OR):2.68,95% confidence interval(CI):1.23-5.83]and prior colonoscopy(OR:2.10,95%CI:1.05-4.19)were more likely to prefer NOTES over laparoscopic appendectomy.There was a steep decline in NOTES preference with increased rate of procedural complications.Male patients were more likely to consent to their wives vaginal NOTES appendectomy than male physicians(P=0.02).CONCLUSION:The preference of NOTES for appendectomy was greater in patients than physicians and was related to reduced pain and absence of hernia rather than lack of scarring.
文摘Valeo, involved in engine cooling fan system design for many years, is interested in noise prediction tools for axial fans. Thus, this paper describes a two-part study of tonal noise computation. The first part deals with the prediction of tonal noise using analytical models. As for the second part, it describes a hybrid approach for predicting tonal noise where the sources are extracted from an Unsteady Reynolds-Averaged Naviers-Stocks (URANS) simulation and then propagated into the far, free field using the Ffowcs Williams and Hawkings' acoustic analogy. The computational domain is meshed with 46 million polyhedral elements and the simulation takes into account the exact geometry of the rotor blades, the stator blades and the shroud. The results from the first part show that analytical models can be used for comparisons between different fan geometries, but are unable to provide accurate noise predictions compared to experimental results. The simulation shows non-periodic blade loading over a whole fan revolution, and different blade loading between the blades. This introduces some bias in the assessment of the acoustic performance of the fan. Overall, the results from the hybrid method are in accordance with the experimental results.
基金supported by the Research Fund for the Doctorial Program of Higher Education under Grant No.20093201110013Science and Technology Foundation of Fujian Education Department under Grant Nos.JA11208 and JB07153
文摘This paper considers a correlated risk model with thinning-dependence structure. The au- thors investigate the optimal proportional reinsurance that maximizes the adjustment coefficient and the optimal proportional reinsurance under mean variance principle for the proposed model. The au- thors derive the optimal solutions and the numerical illustrations to show the impact of the dependence among the classes of business on the optimal reinsurance arrangements.
基金supported by Swiss National Science Foundation (Grant No. 200021166274)the National Science Centre (Poland) (Grant No. 2015/17/B/ST1/01102) (2016–2019)
文摘In this paper,we are concerned with the asymptotic behavior,as u→∞,of P{sup_t∈|0,T|X_u(t)>u},where X_u(t),t∈|0,T|,u>0 is a family of centered Gaussian processes with continuous trajectories.A key application of our findings concerns P{sup_t∈|0,T|(X(t)+g(t))>u},as u→∞,for X a centered Gaussian process and g some measurable trend function.Further applications include the approximation of both the ruin time and the ruin probability of the Brownian motion risk model with constant force of interest.
基金supported by the National Natural Science Foundation of China under Grant No.11171179the Research Fund for the Doctoral Program of Higher Education of China under Grant No.20093705110002
文摘This paper studies the complete monotonicity of the probability of ruin in the the classical risk model and the classical risk model that is perturbed by a diffusion. As a byproduct, the authors give an alternative proof to a result on the optimal dividend problem due to Loeffen (2008).