BACKGROUND The incidence of acute myocardial infarction(AMI)is rising,with cardiac rupture accounting for approximately 2%of deaths in patients with acute ST-segment elevation myocardial infarction(STEMI).Ventricular ...BACKGROUND The incidence of acute myocardial infarction(AMI)is rising,with cardiac rupture accounting for approximately 2%of deaths in patients with acute ST-segment elevation myocardial infarction(STEMI).Ventricular free wall rupture(FWR)occurs in approximately 2%of AMI patients and is notably rare in patients with non-STEMI.Types of cardiac rupture include left ventricular FWR,ventricular septal rupture,and papillary muscle rupture.The FWR usually leads to acute cardiac tamponade or electromechanical dissociation,where standard resuscitation efforts may not be effective.Ventricular septal rupture and papillary muscle rupture often result in refractory heart failure,with mortality rates over 50%,even with surgical or percutaneous repair options.CASE SUMMARY We present a rare case of an acute non-STEMI patient who suffered sudden FWR causing cardiac tamponade and loss of consciousness immediate before undergoing coronary angiography.Prompt resuscitation and emergency open-heart repair along with coronary artery bypass grafting resulted in successful patient recovery.CONCLUSION This case emphasizes the risks of AMI complications,shares a successful treatment scenario,and discusses measures to prevent such complications.展开更多
Image segmentation remains one of the major challenges in image analysis.And soft image segmentation has been widely used due to its good effect.Fuzzy clustering algorithms are very popular in soft segmentation.A new ...Image segmentation remains one of the major challenges in image analysis.And soft image segmentation has been widely used due to its good effect.Fuzzy clustering algorithms are very popular in soft segmentation.A new soft image segmentation method based on center-free fuzzy clustering is proposed.The center-free fuzzy clustering is the modified version of the classical fuzzy C-means ( FCM ) clustering.Different from traditional fuzzy clustering , the center-free fuzzy clustering does not need to calculate the cluster center , so it can be applied to pairwise relational data.In the proposed method , the mean-shift method is chosen for initial segmentation firstly , then the center-free clustering is used to merge regions and the final segmented images are obtained at last.Experimental results show that the proposed method is better than other image segmentation methods based on traditional clustering.展开更多
Based on a model of network encoding and dynamics called the artificial genome, we propose a segmental duplication and divergence model for evolving artificial regulatory networks. We find that this class of networks ...Based on a model of network encoding and dynamics called the artificial genome, we propose a segmental duplication and divergence model for evolving artificial regulatory networks. We find that this class of networks share structural properties with natural transcriptional regulatory networks. Specifically, these networks can display scale-free and small-world structures. We also find that these networks have a higher probability to operate in the ordered regimen, and a lower probability to operate in the chaotic regimen. That is, the dynamics of these networks is similar to that of natural networks. The results show that the structure and dynamics inherent in natural networks may be in part due to their method of generation rather than being exclusively shaped by subsequent evolution under natural selection.展开更多
文摘BACKGROUND The incidence of acute myocardial infarction(AMI)is rising,with cardiac rupture accounting for approximately 2%of deaths in patients with acute ST-segment elevation myocardial infarction(STEMI).Ventricular free wall rupture(FWR)occurs in approximately 2%of AMI patients and is notably rare in patients with non-STEMI.Types of cardiac rupture include left ventricular FWR,ventricular septal rupture,and papillary muscle rupture.The FWR usually leads to acute cardiac tamponade or electromechanical dissociation,where standard resuscitation efforts may not be effective.Ventricular septal rupture and papillary muscle rupture often result in refractory heart failure,with mortality rates over 50%,even with surgical or percutaneous repair options.CASE SUMMARY We present a rare case of an acute non-STEMI patient who suffered sudden FWR causing cardiac tamponade and loss of consciousness immediate before undergoing coronary angiography.Prompt resuscitation and emergency open-heart repair along with coronary artery bypass grafting resulted in successful patient recovery.CONCLUSION This case emphasizes the risks of AMI complications,shares a successful treatment scenario,and discusses measures to prevent such complications.
基金Supported by the National Natural Science Foundation of China(61103058,61233011)
文摘Image segmentation remains one of the major challenges in image analysis.And soft image segmentation has been widely used due to its good effect.Fuzzy clustering algorithms are very popular in soft segmentation.A new soft image segmentation method based on center-free fuzzy clustering is proposed.The center-free fuzzy clustering is the modified version of the classical fuzzy C-means ( FCM ) clustering.Different from traditional fuzzy clustering , the center-free fuzzy clustering does not need to calculate the cluster center , so it can be applied to pairwise relational data.In the proposed method , the mean-shift method is chosen for initial segmentation firstly , then the center-free clustering is used to merge regions and the final segmented images are obtained at last.Experimental results show that the proposed method is better than other image segmentation methods based on traditional clustering.
文摘Based on a model of network encoding and dynamics called the artificial genome, we propose a segmental duplication and divergence model for evolving artificial regulatory networks. We find that this class of networks share structural properties with natural transcriptional regulatory networks. Specifically, these networks can display scale-free and small-world structures. We also find that these networks have a higher probability to operate in the ordered regimen, and a lower probability to operate in the chaotic regimen. That is, the dynamics of these networks is similar to that of natural networks. The results show that the structure and dynamics inherent in natural networks may be in part due to their method of generation rather than being exclusively shaped by subsequent evolution under natural selection.
