BACKGROUND Benign symmetric lipomatosis(BSL)was first described by Brodie in 1846 and defined as Madelung’s disease by Madelung in 1888.At present,about 400 cases have been reported worldwide.Across these cases,surgi...BACKGROUND Benign symmetric lipomatosis(BSL)was first described by Brodie in 1846 and defined as Madelung’s disease by Madelung in 1888.At present,about 400 cases have been reported worldwide.Across these cases,surgical resection remains the recommended treatment.Here we report a case of neck BSL with concomitant thick fatty deposit in the inguinal region,which concealed the signs of a right incarcerated femoral hernia.CASE SUMMARY A 69-year-old male patient was admitted to our hospital with“abdominal pain,abdominal distension,nausea-vomiting and difficult defecation for half a month”.Moreover,he had a mass in the right inguinal region for more than 10 years.An egg-sized neck mass also developed 15 years ago and had developed into a full neck enlargement 1 year later.In addition,the patient had a history of heavy alcohol consumption for more than 40 years.With the aid of computerized tomography scan,the patient was diagnosed with BSL and a low intestinal mechanical obstruction caused by a right inguinal incarcerated hernia.Under general anesthesia,right inguinal incarcerated femoral hernia loosening and tension-free hernia repair was performed.However,this patient did not receive BSL resection.After a 1-year follow-up,no recurrence of the right inguinal femoral hernia was found.Moreover,no increase in fat accumulation was found in the neck or other areas.CONCLUSION Secretive intraperitoneal fat increase may be difficult to detect,but a conservative treatment strategy can be adopted as long as it does not significantly affect the quality-of-life.展开更多
Benign symmetric lipomatosis(BSL) is a rare disease characterized by the presence of multiple, symmetric and nonencapsulated fat masses in the face. neck and other areas. It is commonly seen in middle-aged Caucasian...Benign symmetric lipomatosis(BSL) is a rare disease characterized by the presence of multiple, symmetric and nonencapsulated fat masses in the face. neck and other areas. It is commonly seen in middle-aged Caucasian Mediterranean males, while its etiology is still not clear. The majority of the patients with BSL have a history of alcohol abuse and hepatopathy. BSL of the limbs is very rare. This article reports a unique case of a 60-year-old Chinese woman with involvement of the knees confirmed by the results of magnetic resonance imaging(MR1) and histopathology, which was not described previously in published literatures.展开更多
A51-year-old man from Inner Mongolia, China was admitted to the Department of General Surgery,Beijing Shijitan Hospital on November 28, 2011, with massive thickening of the neck (Figure I A). The patient had undergo...A51-year-old man from Inner Mongolia, China was admitted to the Department of General Surgery,Beijing Shijitan Hospital on November 28, 2011, with massive thickening of the neck (Figure I A). The patient had undergone excision of lipoma like egg size in his double shoulders 18 years before. One year later the tumor rectlrred m situ. The increase of the volume of his neck was observed for over 17 years, and the patient had no history of dyspnea and dysphagia.展开更多
针对逼近理想点排序法(technique for order preference by similarity to ideal solution,TOPSIS)存在的缺陷,提出基于Tanimoto系数和基于对称差的2种改进TOPSIS。改善或解决TOPSIS存在指标相关性问题、特殊样本集合无法比较优劣问题...针对逼近理想点排序法(technique for order preference by similarity to ideal solution,TOPSIS)存在的缺陷,提出基于Tanimoto系数和基于对称差的2种改进TOPSIS。改善或解决TOPSIS存在指标相关性问题、特殊样本集合无法比较优劣问题和样本数据动态变化时产生的逆序现象等缺陷;在稳定性、特异性、敏感性和有效性4方面对经典TOPSIS模型、改进Tanimoto模型和改进对称差模型进行对比验证,给出2种改进模型的适用场景。结果表明,2种方法各具有一定的优势。展开更多
In this paper, we investigate the block Lanczos algorithm for solving large sparse symmetric linear systems with multiple right-hand sides, and show how to incorporate deflation to drop converged linear systems using ...In this paper, we investigate the block Lanczos algorithm for solving large sparse symmetric linear systems with multiple right-hand sides, and show how to incorporate deflation to drop converged linear systems using a natural convergence criterion, and present an adaptive block Lanczos algorithm. We propose also a block version of Paige and Saunders’ MINRES method for iterative solution of symmetric linear systems, and describe important implementation details. We establish a relationship between the block Lanczos algorithm and block MINRES algorithm, and compare the numerical performance of the Lanczos algorithm and MINRES method for symmetric linear systems applied to a sequence of right hand sides with that of the block Lanczos algorithm and block MINRES algorithm for multiple linear systems simultaneously.[WT5,5”HZ]展开更多
The Schmidt method is adopted to investigate the fracture problem of multiple parallel symmetric and permeable finite length mode-III cracks in a functionally graded piezoelectric/piezomagnetic material plane. This pr...The Schmidt method is adopted to investigate the fracture problem of multiple parallel symmetric and permeable finite length mode-III cracks in a functionally graded piezoelectric/piezomagnetic material plane. This problem is formulated into dual integral equations, in which the unknown variables are the displacement jumps across the crack surfaces. In order to obtain the dual integral equations, the displacement jumps across the crack surfaces are directly expanded as a series of Jacobi polynomials. The results show that the stress, the electric displacement, and the magnetic flux intensity factors of cracks depend on the crack length, the functionally graded parameter, and the distance among the multiple parallel cracks. The crack shielding effect is also obviously presented in a functionally graded piezoelectric/piezomagnetic material plane with mul- tiple parallel symmetric mode-III cracks.展开更多
Multiple symmetric lipomas are a rare disease characterized by multiple symmetrical deposits of adipose tissue associated with alcohol abuse.A 68-year-old man was admitted to our hospital for being operated on for a m...Multiple symmetric lipomas are a rare disease characterized by multiple symmetrical deposits of adipose tissue associated with alcohol abuse.A 68-year-old man was admitted to our hospital for being operated on for a mass growth on the neck and back.Based on the patient’s medical history and preoperative magnetic resonance imaging findings,we performed surgical resection.There was no recurrence at one year postoperatively.展开更多
BACKGROUND Madelung’s disease(MD)is a chronic alcoholism-associated metabolic syndrome characterized by symmetrical subcutaneous deposition of adipose tissue in the head,neck,shoulders,back,trunk,and nerve roots of t...BACKGROUND Madelung’s disease(MD)is a chronic alcoholism-associated metabolic syndrome characterized by symmetrical subcutaneous deposition of adipose tissue in the head,neck,shoulders,back,trunk,and nerve roots of the upper and lower limbs.It is relatively rare in Asian individuals and is prone to misdiagnosis.Herein,we report a case of a patient with MD who had undergone surgical management at our hospital,and we discuss the pathogenesis,diagnosis,and treatment of MD.CASE SUMMARY We report a case of MD in a 65-year-old man of Han descent.The patient had multiple,painless progressive masses for more than five years in the neck and more than 30 years in the upper back.Because of neck mobility limitations and progressive cosmetic deformities caused by the masses,he was admitted to our hospital.He drank approximately 500 mL of liquor per day and smoked heavily for more than 30 years.Contrast-enhanced computed tomography of the neck and chest documented abundant unencapsulated,subcutaneous fatty deposits.We prepared a staged operation plan.The patient was diagnosed with MD;he was advised to abstain from alcohol and was followed up regularly.After a 3-month follow-up,no recurrence of fat accumulation was found in the surgical areas.CONCLUSION This report presents a case of surgical treatment for MD to improve clinicians'understanding of the disease.展开更多
文摘BACKGROUND Benign symmetric lipomatosis(BSL)was first described by Brodie in 1846 and defined as Madelung’s disease by Madelung in 1888.At present,about 400 cases have been reported worldwide.Across these cases,surgical resection remains the recommended treatment.Here we report a case of neck BSL with concomitant thick fatty deposit in the inguinal region,which concealed the signs of a right incarcerated femoral hernia.CASE SUMMARY A 69-year-old male patient was admitted to our hospital with“abdominal pain,abdominal distension,nausea-vomiting and difficult defecation for half a month”.Moreover,he had a mass in the right inguinal region for more than 10 years.An egg-sized neck mass also developed 15 years ago and had developed into a full neck enlargement 1 year later.In addition,the patient had a history of heavy alcohol consumption for more than 40 years.With the aid of computerized tomography scan,the patient was diagnosed with BSL and a low intestinal mechanical obstruction caused by a right inguinal incarcerated hernia.Under general anesthesia,right inguinal incarcerated femoral hernia loosening and tension-free hernia repair was performed.However,this patient did not receive BSL resection.After a 1-year follow-up,no recurrence of the right inguinal femoral hernia was found.Moreover,no increase in fat accumulation was found in the neck or other areas.CONCLUSION Secretive intraperitoneal fat increase may be difficult to detect,but a conservative treatment strategy can be adopted as long as it does not significantly affect the quality-of-life.
文摘Benign symmetric lipomatosis(BSL) is a rare disease characterized by the presence of multiple, symmetric and nonencapsulated fat masses in the face. neck and other areas. It is commonly seen in middle-aged Caucasian Mediterranean males, while its etiology is still not clear. The majority of the patients with BSL have a history of alcohol abuse and hepatopathy. BSL of the limbs is very rare. This article reports a unique case of a 60-year-old Chinese woman with involvement of the knees confirmed by the results of magnetic resonance imaging(MR1) and histopathology, which was not described previously in published literatures.
文摘A51-year-old man from Inner Mongolia, China was admitted to the Department of General Surgery,Beijing Shijitan Hospital on November 28, 2011, with massive thickening of the neck (Figure I A). The patient had undergone excision of lipoma like egg size in his double shoulders 18 years before. One year later the tumor rectlrred m situ. The increase of the volume of his neck was observed for over 17 years, and the patient had no history of dyspnea and dysphagia.
文摘针对逼近理想点排序法(technique for order preference by similarity to ideal solution,TOPSIS)存在的缺陷,提出基于Tanimoto系数和基于对称差的2种改进TOPSIS。改善或解决TOPSIS存在指标相关性问题、特殊样本集合无法比较优劣问题和样本数据动态变化时产生的逆序现象等缺陷;在稳定性、特异性、敏感性和有效性4方面对经典TOPSIS模型、改进Tanimoto模型和改进对称差模型进行对比验证,给出2种改进模型的适用场景。结果表明,2种方法各具有一定的优势。
文摘In this paper, we investigate the block Lanczos algorithm for solving large sparse symmetric linear systems with multiple right-hand sides, and show how to incorporate deflation to drop converged linear systems using a natural convergence criterion, and present an adaptive block Lanczos algorithm. We propose also a block version of Paige and Saunders’ MINRES method for iterative solution of symmetric linear systems, and describe important implementation details. We establish a relationship between the block Lanczos algorithm and block MINRES algorithm, and compare the numerical performance of the Lanczos algorithm and MINRES method for symmetric linear systems applied to a sequence of right hand sides with that of the block Lanczos algorithm and block MINRES algorithm for multiple linear systems simultaneously.[WT5,5”HZ]
基金Project supported by the National Natural Science Foundation of China(Nos.11002041 and11272105)the Key Laboratory Opening Funding of Advanced Composites in Special Environment(No.HIT.KLOF.2009032)the Research Fund for the Doctoral Program of Higher Education ofChina(No.20092302110006)
文摘The Schmidt method is adopted to investigate the fracture problem of multiple parallel symmetric and permeable finite length mode-III cracks in a functionally graded piezoelectric/piezomagnetic material plane. This problem is formulated into dual integral equations, in which the unknown variables are the displacement jumps across the crack surfaces. In order to obtain the dual integral equations, the displacement jumps across the crack surfaces are directly expanded as a series of Jacobi polynomials. The results show that the stress, the electric displacement, and the magnetic flux intensity factors of cracks depend on the crack length, the functionally graded parameter, and the distance among the multiple parallel cracks. The crack shielding effect is also obviously presented in a functionally graded piezoelectric/piezomagnetic material plane with mul- tiple parallel symmetric mode-III cracks.
文摘Multiple symmetric lipomas are a rare disease characterized by multiple symmetrical deposits of adipose tissue associated with alcohol abuse.A 68-year-old man was admitted to our hospital for being operated on for a mass growth on the neck and back.Based on the patient’s medical history and preoperative magnetic resonance imaging findings,we performed surgical resection.There was no recurrence at one year postoperatively.
基金the National Natural Science Foundation of China,No.81974581Basic and Applied Research Foundation of Guangdong Province,China,No.2020A1515110407Scientific Research Fund of Guangdong Provincial Bureau of Traditional Chinese Medicine China,No.20211200.
文摘BACKGROUND Madelung’s disease(MD)is a chronic alcoholism-associated metabolic syndrome characterized by symmetrical subcutaneous deposition of adipose tissue in the head,neck,shoulders,back,trunk,and nerve roots of the upper and lower limbs.It is relatively rare in Asian individuals and is prone to misdiagnosis.Herein,we report a case of a patient with MD who had undergone surgical management at our hospital,and we discuss the pathogenesis,diagnosis,and treatment of MD.CASE SUMMARY We report a case of MD in a 65-year-old man of Han descent.The patient had multiple,painless progressive masses for more than five years in the neck and more than 30 years in the upper back.Because of neck mobility limitations and progressive cosmetic deformities caused by the masses,he was admitted to our hospital.He drank approximately 500 mL of liquor per day and smoked heavily for more than 30 years.Contrast-enhanced computed tomography of the neck and chest documented abundant unencapsulated,subcutaneous fatty deposits.We prepared a staged operation plan.The patient was diagnosed with MD;he was advised to abstain from alcohol and was followed up regularly.After a 3-month follow-up,no recurrence of fat accumulation was found in the surgical areas.CONCLUSION This report presents a case of surgical treatment for MD to improve clinicians'understanding of the disease.