BACKGROUND There have been numerous efforts to lower the limit of minimum graft size to meet the metabolic demand of recipients in adult-to-adult living donor liver transplantation(LDLT).We experienced a successful ca...BACKGROUND There have been numerous efforts to lower the limit of minimum graft size to meet the metabolic demand of recipients in adult-to-adult living donor liver transplantation(LDLT).We experienced a successful case of LDLT using a verysmall-for-size graft without portal flow modulation such as splenectomy or portocaval shunt.CASE SUMMARY A 49-year-old man(weighing 91 kg)suffering hepatocellular carcinoma accompanied with hepatitis B virus related cirrhosis underwent LDLT.The one and only voluntary donor was his 17-year-old daughter whose body weight was 50 kg with a body mass index(BMI)of 18.3.The procured right liver graft was 411 g with a real graft-to-recipient weight ratio(GRWR)of 0.41%,the smallest to be reported in the literature.Both the recipient and donor had an uneventful recovery and were discharged on days 15 and 8,respectively,with normal liver function.The father and daughter have had no complication so far and are still in good health with normal liver function 81 mo after LDLT.CONCLUSION Satisfactory outcomes can be achieved in LDLT with a GRWR as low as 0.41%even without using portal flow modulation in highly selected patients.展开更多
BACKGROUND The drug interaction between warfarin and rifampicin is widely known,but there are still some difficulties in managing the combination of the two drugs.CASE SUMMARY A patient with brucellosis received stric...BACKGROUND The drug interaction between warfarin and rifampicin is widely known,but there are still some difficulties in managing the combination of the two drugs.CASE SUMMARY A patient with brucellosis received strict monitoring from a Chinese pharmacist team during combination of warfarin and rifampicin.The dose of warfarin was increased to 350%in 3 mo before reaching the lower international normalized ratio treatment window.No obvious adverse reaction occurred during the drugadjustment period.This is the first case report of long-term combined use of rifampicin and warfarin in patients with brucellosis and valve replacement in China based on the Chinese lower warfarin dose and international normalized ratio range.CONCLUSION Anticoagulation for valve replacement in Chinese patients differs from that in other races.Establishment of a pharmacist clinic provides vital assistance in warfarin dose adjustment.展开更多
The combination of online or semi-online with deterioration jobs has never been researched in scheduling problems. In this paper, two semi-online parallel machine scheduling problems with linear deterioration processi...The combination of online or semi-online with deterioration jobs has never been researched in scheduling problems. In this paper, two semi-online parallel machine scheduling problems with linear deterioration processing time are considered. In the first problem, it is assumed that the deterioration rates of jobs are known in an interval, that is, bj ∈[0, α], where 0 〈α≤ 1 and bj denotes the linear deterioration rate. In the second problem, it is assumed that the largest deterioration rate of jobs is known in advance, that is, b = max1≤j≤n {bj }. For each of the two problems, a heuristic MBLS algorithm is worked out and its worst-case ratio is analyzed. At the same time, the worst-case ratio of the list （LS） algorithm is investigated and it is proved that all the ratios are tight.展开更多
Background: Binary as well as polytomous logistic models are widely used for estimating odds ratios when the exposure of prime interest assumes unordered multiple levels under matched pairs case-control design. In our...Background: Binary as well as polytomous logistic models are widely used for estimating odds ratios when the exposure of prime interest assumes unordered multiple levels under matched pairs case-control design. In our previous studies, we have shown that the use of a polytomous logistic model for estimating cumulative odds ratios when the outcome (response) variable is ordinal (in addition to being polytomous) under matched pairs case-control design. The cumulative odds ratios were estimated based on separate fitting of the model at each of the cutpoint level as compared to less than equal to that level. In this paper we propose an alternative method of estimating the cumulative odds ratios and reanalyze the Los Angeles Endometrial Cancer data in the context of dose levels of conjugated oestrogen exposure and development of endometrial cancer under the matched pair case-control design. Methods: In the present study, the cumulative logit model is fitted using a single multinomial logit model for the data. For this, the full maximum likelihood estimation procedure is adopted. A test for equality of the cumulative odds ratios across the exposure levels is proposed. Results: The analysis revealed that there is a strong evidence of risk for developing endometrial cancer due to oestrogen exposure above each of the three dose level as compared to less than equal to that level. The estimated values at the three cutpoint levels were found to be 6.17, 3.60 and 5.16 respectively. Conclusions: The odds of developing endometrial cancer are very high for the users of any amount of oestrogen, even if it is the least dose, as compared to the non-users.展开更多
目的用血缘一致性(identity by descent,IBD)型式计算乱伦案件的似然比。方法先用相同的数字表示家系成员中IBD的等位基因以组成IBD型式,然后用先验概率乘以非IBD等位基因频率得出各个IBD型式概率。将家系的所有IBD型式概率相加即可得...目的用血缘一致性(identity by descent,IBD)型式计算乱伦案件的似然比。方法先用相同的数字表示家系成员中IBD的等位基因以组成IBD型式,然后用先验概率乘以非IBD等位基因频率得出各个IBD型式概率。将家系的所有IBD型式概率相加即可得到乱伦案不同假设下的家系概率,比较不同家系概率计算似然比。结果获得了父女乱伦和全同胞乱伦案的IBD型式及这两种案例的似然比计算公式。结论阐明了基于IBD型式计算乱伦案似然比的方法。展开更多
文摘BACKGROUND There have been numerous efforts to lower the limit of minimum graft size to meet the metabolic demand of recipients in adult-to-adult living donor liver transplantation(LDLT).We experienced a successful case of LDLT using a verysmall-for-size graft without portal flow modulation such as splenectomy or portocaval shunt.CASE SUMMARY A 49-year-old man(weighing 91 kg)suffering hepatocellular carcinoma accompanied with hepatitis B virus related cirrhosis underwent LDLT.The one and only voluntary donor was his 17-year-old daughter whose body weight was 50 kg with a body mass index(BMI)of 18.3.The procured right liver graft was 411 g with a real graft-to-recipient weight ratio(GRWR)of 0.41%,the smallest to be reported in the literature.Both the recipient and donor had an uneventful recovery and were discharged on days 15 and 8,respectively,with normal liver function.The father and daughter have had no complication so far and are still in good health with normal liver function 81 mo after LDLT.CONCLUSION Satisfactory outcomes can be achieved in LDLT with a GRWR as low as 0.41%even without using portal flow modulation in highly selected patients.
文摘BACKGROUND The drug interaction between warfarin and rifampicin is widely known,but there are still some difficulties in managing the combination of the two drugs.CASE SUMMARY A patient with brucellosis received strict monitoring from a Chinese pharmacist team during combination of warfarin and rifampicin.The dose of warfarin was increased to 350%in 3 mo before reaching the lower international normalized ratio treatment window.No obvious adverse reaction occurred during the drugadjustment period.This is the first case report of long-term combined use of rifampicin and warfarin in patients with brucellosis and valve replacement in China based on the Chinese lower warfarin dose and international normalized ratio range.CONCLUSION Anticoagulation for valve replacement in Chinese patients differs from that in other races.Establishment of a pharmacist clinic provides vital assistance in warfarin dose adjustment.
文摘The combination of online or semi-online with deterioration jobs has never been researched in scheduling problems. In this paper, two semi-online parallel machine scheduling problems with linear deterioration processing time are considered. In the first problem, it is assumed that the deterioration rates of jobs are known in an interval, that is, bj ∈[0, α], where 0 〈α≤ 1 and bj denotes the linear deterioration rate. In the second problem, it is assumed that the largest deterioration rate of jobs is known in advance, that is, b = max1≤j≤n {bj }. For each of the two problems, a heuristic MBLS algorithm is worked out and its worst-case ratio is analyzed. At the same time, the worst-case ratio of the list （LS） algorithm is investigated and it is proved that all the ratios are tight.
文摘Background: Binary as well as polytomous logistic models are widely used for estimating odds ratios when the exposure of prime interest assumes unordered multiple levels under matched pairs case-control design. In our previous studies, we have shown that the use of a polytomous logistic model for estimating cumulative odds ratios when the outcome (response) variable is ordinal (in addition to being polytomous) under matched pairs case-control design. The cumulative odds ratios were estimated based on separate fitting of the model at each of the cutpoint level as compared to less than equal to that level. In this paper we propose an alternative method of estimating the cumulative odds ratios and reanalyze the Los Angeles Endometrial Cancer data in the context of dose levels of conjugated oestrogen exposure and development of endometrial cancer under the matched pair case-control design. Methods: In the present study, the cumulative logit model is fitted using a single multinomial logit model for the data. For this, the full maximum likelihood estimation procedure is adopted. A test for equality of the cumulative odds ratios across the exposure levels is proposed. Results: The analysis revealed that there is a strong evidence of risk for developing endometrial cancer due to oestrogen exposure above each of the three dose level as compared to less than equal to that level. The estimated values at the three cutpoint levels were found to be 6.17, 3.60 and 5.16 respectively. Conclusions: The odds of developing endometrial cancer are very high for the users of any amount of oestrogen, even if it is the least dose, as compared to the non-users.
文摘目的用血缘一致性(identity by descent,IBD)型式计算乱伦案件的似然比。方法先用相同的数字表示家系成员中IBD的等位基因以组成IBD型式,然后用先验概率乘以非IBD等位基因频率得出各个IBD型式概率。将家系的所有IBD型式概率相加即可得到乱伦案不同假设下的家系概率,比较不同家系概率计算似然比。结果获得了父女乱伦和全同胞乱伦案的IBD型式及这两种案例的似然比计算公式。结论阐明了基于IBD型式计算乱伦案似然比的方法。
