BACKGROUND Rare liver tumors(RLTs)have an extremely low likelihood of forming,and some have been recorded only in isolated cases.The lack of normal clinical symptoms in RLTs makes preoperative diagnosis extremely chal...BACKGROUND Rare liver tumors(RLTs)have an extremely low likelihood of forming,and some have been recorded only in isolated cases.The lack of normal clinical symptoms in RLTs makes preoperative diagnosis extremely challenging,which results in frequent misinterpretation.The present case report helps enhance our ability to recognize and treat uncommon liver tumor disorders.CASE SUMMARY We describe four distinct examples of rare liver tumor diseases.These cases were all true cases with no conventional clinical signs or imaging findings.In all patients,hepatic occupancy was discovered on physical examination,which raised the preoperative suspicion of hepatic cancer.All tumors were surgically removed,and postoperative histology and immunohistochemistry were performed to confirm the diagnosis.The first patient had primary hepatic fibrosarcoma.The second case involved a primary hepatic neuroendocrine tumors.These two patients had malignant liver tumors,and both had extremely satisfactory surgical outcomes.The third case involved focal hepatic steatosis,and the fourth case involved a single necrotic nodule in the liver.These two patients had benign liver tumors,but they had already undergone surgery and did not require any postoperative care.CONCLUSION The number of patients with RLTs is small,and the clinical and imaging results are vague.Preoperative diagnosis is challenging,and patients are sometimes mistakenly diagnosed with liver cancer,which leads to unnecessary surgical therapy in certain individuals.展开更多
利什曼原虫的 L ACK抗原是利什曼原虫活性蛋白激酶 C受体同源物 ,是一种新发现的抗原蛋白。我们以本实验室的重组质粒 T- L ACK为模板 ,PCR扩增获得 L ACK基因 ,与真核表达载体 pc DNA3.1(+)定向重组 ,重组质粒经酶切和 PCR分析 ,含有约...利什曼原虫的 L ACK抗原是利什曼原虫活性蛋白激酶 C受体同源物 ,是一种新发现的抗原蛋白。我们以本实验室的重组质粒 T- L ACK为模板 ,PCR扩增获得 L ACK基因 ,与真核表达载体 pc DNA3.1(+)定向重组 ,重组质粒经酶切和 PCR分析 ,含有约 95 0 bp的 L ACK基因 ,成功构建含有 L ACK基因的真核表达重组质粒 pc D-NA3- L ACK。将此重组质粒转染 COS- 7细胞 ,通过 RT- PCR及免疫荧光检测 L ACK基因在真核细胞中的表达。实验结果显示转染了重组质粒的 COS- 7细胞 ,其 RT- PCR及免疫荧光检测均呈阳性反应 ,证实重组质粒 pc DNA3-L ACK能在 COS- 7细胞中有效表达 L ACK蛋白。展开更多
[Objective] Long-term (over 18 years) fertilization experiments were con- ducted to study the responses of crop yields and soil fertility to long-term nutrient lacking at Zhengzhou in China. [Method] The present stu...[Objective] Long-term (over 18 years) fertilization experiments were con- ducted to study the responses of crop yields and soil fertility to long-term nutrient lacking at Zhengzhou in China. [Method] The present study consisted of five treat- ments: 1 CK (no fertilizer or manure), (2) NP (nitrogen and phosphorus fertilizer applied), 31 NK (nitrogen and potassium fertilizer applied), 4 PK (phosphorus and potassium fertilizer applied) and :5 NPK (nitrogen, phosphorus and potassium fertil- izer applied). [Result] Lacking of nitrogen or phosphorus led to a low yield; however, there was no significant difference in grain yields between the NP and NPK treat- ments which maintained a higher yield. Receiving no phosphorus, soil available phosphorus content declined to about 2.5 mg/kg. The concentration of soil ex- changeable potassium remained constant at a level of 60 mg/kg under the treat- ments without potassium fertilizer addition. Soil potassium spontaneous supply ca- pacity fluctuated around 100%.[Conclusion] In fluvo-aquic soil, nitrogen and phos- phorus were two key limiting factors to grain yields, biomass and yield component factors of wheat and maize, while potassium was not. However, potassium defi- ciency may occur in the future if there was still no potassium fertilizer applied.展开更多
This essay put emphasis on the analysis T.S. Eliot's The Waste Land, pointing the masterpiece can be interpreted by three- levels, the person, the society and human race. Eliot also indicated two kinds of people, ...This essay put emphasis on the analysis T.S. Eliot's The Waste Land, pointing the masterpiece can be interpreted by three- levels, the person, the society and human race. Eliot also indicated two kinds of people, the one is just secularized, and the other one is lack of faith in The Waste Land. We can analyze the feeling of protagonist is afraid to live new life, but afraid of death, the important theme is corruption of sex.展开更多
AIM: To study the impact of scleral flap position, under which the posterior chamber intraocular lenses (PC-IOL) were sulcus-fixed by trans-scleral suture, on cornea astigmatism. METHODS: Twenty-six aphakic or catarac...AIM: To study the impact of scleral flap position, under which the posterior chamber intraocular lenses (PC-IOL) were sulcus-fixed by trans-scleral suture, on cornea astigmatism. METHODS: Twenty-six aphakic or cataract eyes were comprised in this prospective noncomparative case series study. Eleven eyes had traumatic cataract removed without sufficient capsular support, 3 had blunt trauma with subluxated traumatic cataract, 8 had undergone vitreoretinal surgery and 4 had congenital cataract removed. The average age was 54 years (range 21-74 years), with 17 men and 7 women. The foldable PC-IOL was fixed in sulcus by trans-scleral suture. The incision for IOL implantation was made 1mm posterior to limbus along the steepest meridian of cornea, while scleral flaps to bury the knots of trans-scleral suture were made along the flattest meridian. All the surgeries were performed by a single doctor (Ma L), and the follow up was at least 13 months (range 13-28 months). The preoperative, 3 months and 1 year postoperative corneal curvature along the steepest and flattest cornea meridian and overall cornea astigmatism were compared. RESULTS: The curvature along the steepest meridian changed from 44.25 +/- 2.22D preoperatively to 44.08 +/- 2.16D at 3 months postoperatively, and 43.65 +/- 5.23D at 1 year postoperatively (P>0.05); the curvature along the flattest meridian changed from 41.24 +/- 2.21D preoperatively to 43.15 +/- 3.94D at 3 months postoperatively, and 42.85 +/- 5.17D at 1 year postoperatively (P<0.05); and the surgery induced astigmatism (SIA) on cornea was calculated by vector analysis, which was 2.42 +/- 2.13D at 3 months postoperatively, and 2.18 +/- 3.42D at 1 year postoperatively, the difference was statistically significant (P<0.05). CONCLUSION: The scleral flap made along the flattest meridian, under which the posterior chamber intraocular lenses (PCIOL) were sulcus-fixed by trans-scleral suture, can steepen the cornea in varying degrees, thus reducing preexisting corneal astigmatism.展开更多
The use of anti-tumor necrosis factor-α therapy for inflammatory bowel disease represents the most important advance in the care of these patients since the publication of the National Co-operative Crohn's disease s...The use of anti-tumor necrosis factor-α therapy for inflammatory bowel disease represents the most important advance in the care of these patients since the publication of the National Co-operative Crohn's disease study thirty years ago. The recommendations of numerous consensus groups worldwide are now supported by a wealth of clinical trials and several meta-analyses. In general, it is suggested that tumor necrosis factor-c~ blockers (TNFBs) are indicated (1) for persons with moderately-severe Crohn's disease or ulcerative colitis (UC) who have failed two or more causes of glucocorticosteroids and an acceptably long cause (8 wk to 12 wk) of an immune modulator such as azathioprine or methotrexate; (2) non-responsive perianal disease; and (3) severe UC not responding to a 3-d to 5-d course of steroids. Once TNFBs have been introduced and the patient is responsive, therapy given by the IV and SC rate must be continued. It remains open to definitive evidence if concomitant immune modulators are required with TNFB maintenance ther- apy, and when or if TNFB may be weaned and discon- tinued. The supportive evidence from a single study on the role of early versus later introduction of TNFB in the course of a patient's illness needs to be confirmed. The risk/benefit profile of TNFB appears to be accept- able as long as the patient is immunized and tested for tuberculosis and viral hepatitis before the initiation of TNFB, and as long as the long-term adverse effects on the development of lymphoma and other tumors do not prone to be problematic. Because the rates of ben- efits to TNFB are modest from a population perspec- tive and the cost of therapy is very high, the ultimate application of use of TNFBs will likely be established by cost/benefit studies.展开更多
An experimental system was set up to measure the temperature, pressure, heat transfer rate and mass flow rate in a semi-open two-phase thermosyphon. The behaviors of a semi-open two-phase thermosyphon during startup, ...An experimental system was set up to measure the temperature, pressure, heat transfer rate and mass flow rate in a semi-open two-phase thermosyphon. The behaviors of a semi-open two-phase thermosyphon during startup, shutdown and lack of water were studied to get complete understanding of its thermal characteristics. The variation of wall temperature, heat-exchange condition and pressure fluctuations of semi-open two-phase thermosyphons showed that the startup of SOTPT needs about 60-70 min; the startup speed of SOTPT is determined by the startup speed of the condensation section; the average pressure in the heat pipe is equal to the environmental pressure usually; the shutdown of SOTPT needs about 30-50min; a semi-open two-phase thermosyphon has good response to lack of water accident.展开更多
AIM To investigate the clinical outcomes of transcatheter aortic valve implantation(TAVI) with the SAPIEN 3 transcatheter heart valve(S3-THV) vs the SAPIEN XT valve(XT-THV).METHODS We retrospectively analyzed 507 pati...AIM To investigate the clinical outcomes of transcatheter aortic valve implantation(TAVI) with the SAPIEN 3 transcatheter heart valve(S3-THV) vs the SAPIEN XT valve(XT-THV).METHODS We retrospectively analyzed 507 patients that underwent TAVI with the XT-THV and 283 patients that received the S3-THV at our institution between March 2010 and December 2015.RESULTS Thirty-day mortality(3.5% vs 8.7%:OR=0.44,P=0.21) and 1-year mortality(25.7% vs 20.1%,P=0.55) were similar in the S3-THV and the XT-THV groups.The rates of both major vascular complication and paravalvular regurgitation(PVR)>1 were almost 4 times lower in the S3-THV group than the XT-THV group(major vascular complication: 2.8% vs 9.9%,P<0.0001:PVR>1: 2.4% vs 9.7%,P<0.0001).However,the rate of new pacemaker implantation was almost twice as high in the S3-THV group(17.3% vs 9.8%,P=0.03).In the S3 group,independent predictors of new permanent pacemaker were pre-procedural RBBB(OR=4.9:P=0.001),pre-procedural PR duration(OR=1.14,P=0.05) and device lack of coaxiality(OR=1.13:P=0.05) during deployment.CONCLUSION The S3-THV is associated to lower rates of major vascular complications and PVR but higher rates of new pacemaker compared to the XT-THV.Sub-optimal visualization of the S3-THV in relation to the aortic valvular complex during deployment is a predictor of new permanent pacemaker.展开更多
BACKGROUND Because immediate implant surgery is not recommended for patients who have been diagnosed with periodontitis,researchers have treated these patients with a variety of methods,including combining orthodontic...BACKGROUND Because immediate implant surgery is not recommended for patients who have been diagnosed with periodontitis,researchers have treated these patients with a variety of methods,including combining orthodontic and periodontal surgeries as well as implantation.However,these treatments cost time and money for the patient.Although it has been reported that temporary implants released a severe gag reflex in 1 case,only a few studies have documented using temporary implants to treat patients diagnosed with severe periodontitis.CASE SUMMARY The patient was a 49-year-old female who was missing the majority of her teeth and had gingival atrophy and severe alveolar bone atrophy.After being diagnosed with severe periodontitis,the patient underwent staged load applied implant restoration therapy.The first load-bearing stage was carried out immediately by inserting temporary Osstem mini implants.Maxillary teeth were extracted by using the guided bone regeneration technique,and lateral maxillary sinus lifting was conducted on both sides.During the second load-bearing stage,temporary implants were removed,and permanent implants were placed.The resin bridge was segmented during the third load-bearing stage.During the fourth load-bearing stage,the permanent prosthesis was positioned in the patient’s mouth.CONCLUSION By conducting the load-bearing treatment in stages,the patient’s mouth contained restorations throughout the procedure,thus guaranteeing basic function and appearance.展开更多
Samples of the cross section microstructures of galvannealed steel sheets that lack alloying were analyzed. X-ray diffraction (XRD) tests were carried out. The study discovers that the deficit of alloying was higher...Samples of the cross section microstructures of galvannealed steel sheets that lack alloying were analyzed. X-ray diffraction (XRD) tests were carried out. The study discovers that the deficit of alloying was higher on both sides of the steel sheet when compared to the center and the thickness of the coating on the sides was also higher than the center. The results of the XRD tests demonstrate that the microstructure of the coating with a lack of alloy is mainly composed of zinc,ζ and δ. They also indicate that the lack of alloying is mainly due to a lower galvannealing temperature and thicker coating. It is shown by the optical micrographs of coating that the δ phase forms first in a discontinuous manner at the interface and then rapidly pushes towards the coating and enlarges.展开更多
This paper contributes about the behaviour of Acoustic Emission (AE) signatures of implanted weld defects of SS 316L materials. Lack of penetration and lack of side fusion defects were implanted in weld bead region of...This paper contributes about the behaviour of Acoustic Emission (AE) signatures of implanted weld defects of SS 316L materials. Lack of penetration and lack of side fusion defects were implanted in weld bead region of the materials. Tungsten Inert Gas Welding (TIG) is adopted to weld the Stainless Steel (SS316L) nuclear grade materials. The material is fabricated with dimensions of 140 × 16 × 10 mm and AE signatures are studied under preload conditions. Mechanical Jig is fabricated to maintain constant load in concentrated weld region. When external load is applied on the weld region, the deformed specimen experiences acoustic emission signals form the weld defect region which are potential source of releasing stress energy. Liner Location Technique (LLT) is adopted for AE singal studies and the generated signal is processed by 2-channel USB—AE node and AE-WIN software. The tests are conducted on two different samples having each defect. A conventional NDT method i.e. X-ray Radiography is conducted on the samples to know the defect ranging and correlated with AE signatures. This study will be helpful to standardize the AE signals for different implanted weld defects of SS 316L materials and it is found that, the parameter “counts vs. amplitude” has given the widest distinction with respect to the type of defects.展开更多
The ongoing spread of HIV after sobering news about the goal “End of AIDS” is not encouraging, apart from regional differences. We focus on the consequences of the two essentially failed HIV prevention strategies in...The ongoing spread of HIV after sobering news about the goal “End of AIDS” is not encouraging, apart from regional differences. We focus on the consequences of the two essentially failed HIV prevention strategies in certain countries. The first failed because the correct messages concerning preventive behavior did not reach the required levels of target populations to interrupt HIV infection chains. There was a lack of appropriate framework conditions for the target populations to engage in the required scale. The additional biomedical strategy “Treatment as Prevention” didn’t achieve the breakthrough as was hoped. The consequences thereof affect the financial burden on societies, which can take several decades. We draw attention to the unbalanced principles of proportionality to which governments are committed, but which are practiced in favor of those vulnerable people;these people abuse their autonomy and contribute to the further spread of HIV at the expense of financial burdens, social and medical care systems;this behavior is tolerated, although the transmission of HIV is mostly preventable. We point to extreme tendencies, such as the chem-sex settings, whose unswayable participants engage in indirect violence against the societies. Another possible consequence of the still uncontrolled spread of HIV is the potential for HIV to increase its virulence.展开更多
Lack of engagement in activities is a common feature of nursing homes residents. As apathy is the most frequent behavioural disturbance, understanding residents’ interests is a milestone for tailored challenging inte...Lack of engagement in activities is a common feature of nursing homes residents. As apathy is the most frequent behavioural disturbance, understanding residents’ interests is a milestone for tailored challenging interventions targeting engagement enhancement. Objective: To depict the activities interests of nursing homes residents. Method: An electronic version of the Test of Interest “TILT” which regroups 40 images of activities has been developed and adapted for the Ipad. Residents were asked to answer by yes or no to the question “are you interested by this activity”, for each activity found interesting, the patient had then to categorize it in either Work/ occupation-Personal-Leisure-Family. Population: A total of 601 residents from 19 nursing homes have completed the survey from March to May 2011. The surveyed nursing homes from the South East of France were comparable of nursing homes figures in France. Results: We interviewed 601 individuals (female, n = 484) aged 85.9 years, out of those, 56% had stayed more than one year in an institution. Nearly half of the population (45.3%) was from 80 - 89 year of age, followed by 36.1% from 90 - 99. The educational background was principally from primary school (36%) and high school (30.8%). Most of the residents were classified has having dementia (35.3%). From the 40 activities presented to each participant, “enjoying a good meal” has been found to be the most interesting activity by 83% of the population followed by “dressing up”, 75.9% and “watching TV”, 75.5%. Female participants reported more interest in place of worship, family pictures and being with grand children then males (p < 0.01). We found that the presence of “dementia” diagnosis” triggered the lack of interest compared to none demented or none cognitively impaired residents (p < 0.01). It was found that participants aged 55 - 69 were more the most interested to do video games (p < 0.05), though this may be interpreted as a positive step toward functional and cognitive rehabilitation program using virtual reality as a mean for intervention.展开更多
文摘BACKGROUND Rare liver tumors(RLTs)have an extremely low likelihood of forming,and some have been recorded only in isolated cases.The lack of normal clinical symptoms in RLTs makes preoperative diagnosis extremely challenging,which results in frequent misinterpretation.The present case report helps enhance our ability to recognize and treat uncommon liver tumor disorders.CASE SUMMARY We describe four distinct examples of rare liver tumor diseases.These cases were all true cases with no conventional clinical signs or imaging findings.In all patients,hepatic occupancy was discovered on physical examination,which raised the preoperative suspicion of hepatic cancer.All tumors were surgically removed,and postoperative histology and immunohistochemistry were performed to confirm the diagnosis.The first patient had primary hepatic fibrosarcoma.The second case involved a primary hepatic neuroendocrine tumors.These two patients had malignant liver tumors,and both had extremely satisfactory surgical outcomes.The third case involved focal hepatic steatosis,and the fourth case involved a single necrotic nodule in the liver.These two patients had benign liver tumors,but they had already undergone surgery and did not require any postoperative care.CONCLUSION The number of patients with RLTs is small,and the clinical and imaging results are vague.Preoperative diagnosis is challenging,and patients are sometimes mistakenly diagnosed with liver cancer,which leads to unnecessary surgical therapy in certain individuals.
文摘利什曼原虫的 L ACK抗原是利什曼原虫活性蛋白激酶 C受体同源物 ,是一种新发现的抗原蛋白。我们以本实验室的重组质粒 T- L ACK为模板 ,PCR扩增获得 L ACK基因 ,与真核表达载体 pc DNA3.1(+)定向重组 ,重组质粒经酶切和 PCR分析 ,含有约 95 0 bp的 L ACK基因 ,成功构建含有 L ACK基因的真核表达重组质粒 pc D-NA3- L ACK。将此重组质粒转染 COS- 7细胞 ,通过 RT- PCR及免疫荧光检测 L ACK基因在真核细胞中的表达。实验结果显示转染了重组质粒的 COS- 7细胞 ,其 RT- PCR及免疫荧光检测均呈阳性反应 ,证实重组质粒 pc DNA3-L ACK能在 COS- 7细胞中有效表达 L ACK蛋白。
基金Support by the Special Fund for Agro-scientific Research in the Public Interest of China(201203030-5)National Natural Science Foundation of China(41201288,41201255,31301284)+2 种基金Key Programs for Science and Technology Development of Henan Province(132102110068)Excellent Youth Science and Technology Foundation of Henan Academy of Agricultural Sciences(2013YQ15)JIRCAS-IARRP collaborative research:Estimation of the Present States of Fertilizer Use and Livestock Production and Their Environmental Load~~
文摘[Objective] Long-term (over 18 years) fertilization experiments were con- ducted to study the responses of crop yields and soil fertility to long-term nutrient lacking at Zhengzhou in China. [Method] The present study consisted of five treat- ments: 1 CK (no fertilizer or manure), (2) NP (nitrogen and phosphorus fertilizer applied), 31 NK (nitrogen and potassium fertilizer applied), 4 PK (phosphorus and potassium fertilizer applied) and :5 NPK (nitrogen, phosphorus and potassium fertil- izer applied). [Result] Lacking of nitrogen or phosphorus led to a low yield; however, there was no significant difference in grain yields between the NP and NPK treat- ments which maintained a higher yield. Receiving no phosphorus, soil available phosphorus content declined to about 2.5 mg/kg. The concentration of soil ex- changeable potassium remained constant at a level of 60 mg/kg under the treat- ments without potassium fertilizer addition. Soil potassium spontaneous supply ca- pacity fluctuated around 100%.[Conclusion] In fluvo-aquic soil, nitrogen and phos- phorus were two key limiting factors to grain yields, biomass and yield component factors of wheat and maize, while potassium was not. However, potassium defi- ciency may occur in the future if there was still no potassium fertilizer applied.
文摘This essay put emphasis on the analysis T.S. Eliot's The Waste Land, pointing the masterpiece can be interpreted by three- levels, the person, the society and human race. Eliot also indicated two kinds of people, the one is just secularized, and the other one is lack of faith in The Waste Land. We can analyze the feeling of protagonist is afraid to live new life, but afraid of death, the important theme is corruption of sex.
基金Government Foundation of Liaoning Province, Shenyang,China(No.20081059,2008860)
文摘AIM: To study the impact of scleral flap position, under which the posterior chamber intraocular lenses (PC-IOL) were sulcus-fixed by trans-scleral suture, on cornea astigmatism. METHODS: Twenty-six aphakic or cataract eyes were comprised in this prospective noncomparative case series study. Eleven eyes had traumatic cataract removed without sufficient capsular support, 3 had blunt trauma with subluxated traumatic cataract, 8 had undergone vitreoretinal surgery and 4 had congenital cataract removed. The average age was 54 years (range 21-74 years), with 17 men and 7 women. The foldable PC-IOL was fixed in sulcus by trans-scleral suture. The incision for IOL implantation was made 1mm posterior to limbus along the steepest meridian of cornea, while scleral flaps to bury the knots of trans-scleral suture were made along the flattest meridian. All the surgeries were performed by a single doctor (Ma L), and the follow up was at least 13 months (range 13-28 months). The preoperative, 3 months and 1 year postoperative corneal curvature along the steepest and flattest cornea meridian and overall cornea astigmatism were compared. RESULTS: The curvature along the steepest meridian changed from 44.25 +/- 2.22D preoperatively to 44.08 +/- 2.16D at 3 months postoperatively, and 43.65 +/- 5.23D at 1 year postoperatively (P>0.05); the curvature along the flattest meridian changed from 41.24 +/- 2.21D preoperatively to 43.15 +/- 3.94D at 3 months postoperatively, and 42.85 +/- 5.17D at 1 year postoperatively (P<0.05); and the surgery induced astigmatism (SIA) on cornea was calculated by vector analysis, which was 2.42 +/- 2.13D at 3 months postoperatively, and 2.18 +/- 3.42D at 1 year postoperatively, the difference was statistically significant (P<0.05). CONCLUSION: The scleral flap made along the flattest meridian, under which the posterior chamber intraocular lenses (PCIOL) were sulcus-fixed by trans-scleral suture, can steepen the cornea in varying degrees, thus reducing preexisting corneal astigmatism.
文摘The use of anti-tumor necrosis factor-α therapy for inflammatory bowel disease represents the most important advance in the care of these patients since the publication of the National Co-operative Crohn's disease study thirty years ago. The recommendations of numerous consensus groups worldwide are now supported by a wealth of clinical trials and several meta-analyses. In general, it is suggested that tumor necrosis factor-c~ blockers (TNFBs) are indicated (1) for persons with moderately-severe Crohn's disease or ulcerative colitis (UC) who have failed two or more causes of glucocorticosteroids and an acceptably long cause (8 wk to 12 wk) of an immune modulator such as azathioprine or methotrexate; (2) non-responsive perianal disease; and (3) severe UC not responding to a 3-d to 5-d course of steroids. Once TNFBs have been introduced and the patient is responsive, therapy given by the IV and SC rate must be continued. It remains open to definitive evidence if concomitant immune modulators are required with TNFB maintenance ther- apy, and when or if TNFB may be weaned and discon- tinued. The supportive evidence from a single study on the role of early versus later introduction of TNFB in the course of a patient's illness needs to be confirmed. The risk/benefit profile of TNFB appears to be accept- able as long as the patient is immunized and tested for tuberculosis and viral hepatitis before the initiation of TNFB, and as long as the long-term adverse effects on the development of lymphoma and other tumors do not prone to be problematic. Because the rates of ben- efits to TNFB are modest from a population perspec- tive and the cost of therapy is very high, the ultimate application of use of TNFBs will likely be established by cost/benefit studies.
文摘An experimental system was set up to measure the temperature, pressure, heat transfer rate and mass flow rate in a semi-open two-phase thermosyphon. The behaviors of a semi-open two-phase thermosyphon during startup, shutdown and lack of water were studied to get complete understanding of its thermal characteristics. The variation of wall temperature, heat-exchange condition and pressure fluctuations of semi-open two-phase thermosyphons showed that the startup of SOTPT needs about 60-70 min; the startup speed of SOTPT is determined by the startup speed of the condensation section; the average pressure in the heat pipe is equal to the environmental pressure usually; the shutdown of SOTPT needs about 30-50min; a semi-open two-phase thermosyphon has good response to lack of water accident.
文摘AIM To investigate the clinical outcomes of transcatheter aortic valve implantation(TAVI) with the SAPIEN 3 transcatheter heart valve(S3-THV) vs the SAPIEN XT valve(XT-THV).METHODS We retrospectively analyzed 507 patients that underwent TAVI with the XT-THV and 283 patients that received the S3-THV at our institution between March 2010 and December 2015.RESULTS Thirty-day mortality(3.5% vs 8.7%:OR=0.44,P=0.21) and 1-year mortality(25.7% vs 20.1%,P=0.55) were similar in the S3-THV and the XT-THV groups.The rates of both major vascular complication and paravalvular regurgitation(PVR)>1 were almost 4 times lower in the S3-THV group than the XT-THV group(major vascular complication: 2.8% vs 9.9%,P<0.0001:PVR>1: 2.4% vs 9.7%,P<0.0001).However,the rate of new pacemaker implantation was almost twice as high in the S3-THV group(17.3% vs 9.8%,P=0.03).In the S3 group,independent predictors of new permanent pacemaker were pre-procedural RBBB(OR=4.9:P=0.001),pre-procedural PR duration(OR=1.14,P=0.05) and device lack of coaxiality(OR=1.13:P=0.05) during deployment.CONCLUSION The S3-THV is associated to lower rates of major vascular complications and PVR but higher rates of new pacemaker compared to the XT-THV.Sub-optimal visualization of the S3-THV in relation to the aortic valvular complex during deployment is a predictor of new permanent pacemaker.
文摘BACKGROUND Because immediate implant surgery is not recommended for patients who have been diagnosed with periodontitis,researchers have treated these patients with a variety of methods,including combining orthodontic and periodontal surgeries as well as implantation.However,these treatments cost time and money for the patient.Although it has been reported that temporary implants released a severe gag reflex in 1 case,only a few studies have documented using temporary implants to treat patients diagnosed with severe periodontitis.CASE SUMMARY The patient was a 49-year-old female who was missing the majority of her teeth and had gingival atrophy and severe alveolar bone atrophy.After being diagnosed with severe periodontitis,the patient underwent staged load applied implant restoration therapy.The first load-bearing stage was carried out immediately by inserting temporary Osstem mini implants.Maxillary teeth were extracted by using the guided bone regeneration technique,and lateral maxillary sinus lifting was conducted on both sides.During the second load-bearing stage,temporary implants were removed,and permanent implants were placed.The resin bridge was segmented during the third load-bearing stage.During the fourth load-bearing stage,the permanent prosthesis was positioned in the patient’s mouth.CONCLUSION By conducting the load-bearing treatment in stages,the patient’s mouth contained restorations throughout the procedure,thus guaranteeing basic function and appearance.
文摘Samples of the cross section microstructures of galvannealed steel sheets that lack alloying were analyzed. X-ray diffraction (XRD) tests were carried out. The study discovers that the deficit of alloying was higher on both sides of the steel sheet when compared to the center and the thickness of the coating on the sides was also higher than the center. The results of the XRD tests demonstrate that the microstructure of the coating with a lack of alloy is mainly composed of zinc,ζ and δ. They also indicate that the lack of alloying is mainly due to a lower galvannealing temperature and thicker coating. It is shown by the optical micrographs of coating that the δ phase forms first in a discontinuous manner at the interface and then rapidly pushes towards the coating and enlarges.
文摘This paper contributes about the behaviour of Acoustic Emission (AE) signatures of implanted weld defects of SS 316L materials. Lack of penetration and lack of side fusion defects were implanted in weld bead region of the materials. Tungsten Inert Gas Welding (TIG) is adopted to weld the Stainless Steel (SS316L) nuclear grade materials. The material is fabricated with dimensions of 140 × 16 × 10 mm and AE signatures are studied under preload conditions. Mechanical Jig is fabricated to maintain constant load in concentrated weld region. When external load is applied on the weld region, the deformed specimen experiences acoustic emission signals form the weld defect region which are potential source of releasing stress energy. Liner Location Technique (LLT) is adopted for AE singal studies and the generated signal is processed by 2-channel USB—AE node and AE-WIN software. The tests are conducted on two different samples having each defect. A conventional NDT method i.e. X-ray Radiography is conducted on the samples to know the defect ranging and correlated with AE signatures. This study will be helpful to standardize the AE signals for different implanted weld defects of SS 316L materials and it is found that, the parameter “counts vs. amplitude” has given the widest distinction with respect to the type of defects.
文摘The ongoing spread of HIV after sobering news about the goal “End of AIDS” is not encouraging, apart from regional differences. We focus on the consequences of the two essentially failed HIV prevention strategies in certain countries. The first failed because the correct messages concerning preventive behavior did not reach the required levels of target populations to interrupt HIV infection chains. There was a lack of appropriate framework conditions for the target populations to engage in the required scale. The additional biomedical strategy “Treatment as Prevention” didn’t achieve the breakthrough as was hoped. The consequences thereof affect the financial burden on societies, which can take several decades. We draw attention to the unbalanced principles of proportionality to which governments are committed, but which are practiced in favor of those vulnerable people;these people abuse their autonomy and contribute to the further spread of HIV at the expense of financial burdens, social and medical care systems;this behavior is tolerated, although the transmission of HIV is mostly preventable. We point to extreme tendencies, such as the chem-sex settings, whose unswayable participants engage in indirect violence against the societies. Another possible consequence of the still uncontrolled spread of HIV is the potential for HIV to increase its virulence.
文摘Lack of engagement in activities is a common feature of nursing homes residents. As apathy is the most frequent behavioural disturbance, understanding residents’ interests is a milestone for tailored challenging interventions targeting engagement enhancement. Objective: To depict the activities interests of nursing homes residents. Method: An electronic version of the Test of Interest “TILT” which regroups 40 images of activities has been developed and adapted for the Ipad. Residents were asked to answer by yes or no to the question “are you interested by this activity”, for each activity found interesting, the patient had then to categorize it in either Work/ occupation-Personal-Leisure-Family. Population: A total of 601 residents from 19 nursing homes have completed the survey from March to May 2011. The surveyed nursing homes from the South East of France were comparable of nursing homes figures in France. Results: We interviewed 601 individuals (female, n = 484) aged 85.9 years, out of those, 56% had stayed more than one year in an institution. Nearly half of the population (45.3%) was from 80 - 89 year of age, followed by 36.1% from 90 - 99. The educational background was principally from primary school (36%) and high school (30.8%). Most of the residents were classified has having dementia (35.3%). From the 40 activities presented to each participant, “enjoying a good meal” has been found to be the most interesting activity by 83% of the population followed by “dressing up”, 75.9% and “watching TV”, 75.5%. Female participants reported more interest in place of worship, family pictures and being with grand children then males (p < 0.01). We found that the presence of “dementia” diagnosis” triggered the lack of interest compared to none demented or none cognitively impaired residents (p < 0.01). It was found that participants aged 55 - 69 were more the most interested to do video games (p < 0.05), though this may be interpreted as a positive step toward functional and cognitive rehabilitation program using virtual reality as a mean for intervention.