In this paper, probabilistic models for three redundant configurations have been developed to analyze and compare some reliability characteristics. Each system is connected to a repairable supporting external device f...In this paper, probabilistic models for three redundant configurations have been developed to analyze and compare some reliability characteristics. Each system is connected to a repairable supporting external device for operation. Repairable service station is provided for immediate repair of failed unit. Explicit expressions for mean time to system failure and steady-state availability for the three configurations are developed. Furthermore, we compare the three configurations based on their reliability characteristics and found that configuration II is more reliable and efficient than the remaining configurations.展开更多
Background:To present a surgical technique using a rigid intraocular lens as endocapsular supporting device in manual small incision cataract surgery(MSICS)for treating mild-moderate subluxated cataracts.Methods:In ou...Background:To present a surgical technique using a rigid intraocular lens as endocapsular supporting device in manual small incision cataract surgery(MSICS)for treating mild-moderate subluxated cataracts.Methods:In our technique,a single-piece rigid polymethyl methacrylate(PMMA)lens was implanted in the bag following the nucleus removal,with its axis vertical to the zonular dialysis.This endocapsular-implanted IOL stretched the bag and provided sufficient stability and lens centration.This technique was performed in 19 eyes with subluxated cataracts,with zonulysis of≤120 degree and nuclear sclerosis of grade≤3.Mean follow-up time was 9.8 months.Results:All eyes had endocapsular IOL implantation during surgery.Intraoperative extension of the dialysis did not occur in any eye.The IOL was placed in the bag in all but 1 case,in which dislocation of the IOL haptic into the vitreous occurred.Though the IOL was slightly decentered in 3 cases,it kept stable.All patients were asymptomatic.Conclusions:This approach provides a simplified and practical strategy for surgically managing subluxation with mild-moderate zonular loss.展开更多
AIM To investigate the impact of timing of same-admission orthotopic heart transplant(OHT) after left ventricular assist device(LVAD) implantation on in-hospital mortality and post-transplant length of stay.METHODS Us...AIM To investigate the impact of timing of same-admission orthotopic heart transplant(OHT) after left ventricular assist device(LVAD) implantation on in-hospital mortality and post-transplant length of stay.METHODS Using data from the Nationwide Inpatient Sample from 1998 to 2011, we identified patients 18 years of age or older who underwent implantation of a LVAD and for whom the procedure date was available. We calculated in-hospital mortality for those patients who underwent OHT during the same admission as a function of time from LVAD to OHT, adjusting for age, sex, race, household income, and number of comorbid diagnoses. Finally, we analyzed the effect of time to OHT after LVAD implantation on the length of hospital stay post-transplant.RESULTS Two thousand and two hundred patients underwent implantation of a LVAD in this cohort. One hundred and sixty-four(7.5%) patients also underwent OHT duringthe same admission, which occurred on average 32 d(IQR 7.75-66 d) after LVAD implantation. Of patients who underwent OHT, patients who underwent transplantation within 7 d of LVAD implantation("early") experienced increased in-hospital mortality(26.8% vs 12.2%, P = 0.0483) compared to patients who underwent transplant after 8 d("late"). There was no statistically significant difference in age, sex, race, household income, or number of comorbid diagnoses between the early and late groups. Post-transplant length of stay after LVAD implantation was also not significantly different between patients who underwent early vs late OHT. CONCLUSION In this cohort of patients who received LVADs, the rate of in-hospital mortality after OHT was lower for patients who underwent late OHT(at least 8 d after LVAD implantation) compared to patients who underwent early OHT. Delayed timing of OHT after LVAD implantation did not correlate with longer hospital stays post-transplant.展开更多
Introduction: Inadequate nutritional support after LVAD placement is known to increase postoperative infections and to decrease survival. LVAD patients with prolonged mechanical ventilation and complicated postoperati...Introduction: Inadequate nutritional support after LVAD placement is known to increase postoperative infections and to decrease survival. LVAD patients with prolonged mechanical ventilation and complicated postoperative recovery requiring prolonged mechanical ventilation may require long-term tube feedings. Placement of a PEG requires knowledge of the location of the LVAD pocket and driveline to avoid device infection and injury. Methods: Between August 2008 and December 2011, 39 patients underwent HeartMate II LVAD placement in our institution. Among them, 5 patients underwent PEG tube placement for long-term nutritional support. Procedure management consisted of cessation of anticoagulation and correction of abnormal coagulation;a cardiothoracic surgeon or intensivist in the operating room to communicate with the surgeon who performed the PEG procedure;and VAD coordinator or perfusionist in the operating room to assist in monitoring the VAD. Data were retrospectively analyzed to investigate complications related to the PEG placement. Results: The studied patients consisted of 3 males and 2 females with mean age of 58 +/﹣5.0. The interval of LVAD to PEG placement was a mean 21 +/﹣8.8 days. PEG was successfully performed in the operating room in all patients. There were no LVAD device or driveline injuries related to the PEG procedure. There were no postoperative short-term or long-term PEG related complications such as acute gastric bleeding or dislodgement of the PEG tube. Conclusions: PEG placement for HeartMate II LVAD patients can be done without increasing the risk of device or intraabdominal organ injury with carefully coordinated efforts from both the mechanical support team and surgical services.展开更多
Advanced heart failure has been traditionally treated via either heart transplantation,continuous inotropes,consideration for hospice and more recently via left ventricular assist devices(LVAD).Heart transplantation h...Advanced heart failure has been traditionally treated via either heart transplantation,continuous inotropes,consideration for hospice and more recently via left ventricular assist devices(LVAD).Heart transplantation has been limited by organ availability and the futility of other options has thrust LVAD therapy into the mainstream of therapy for end stage heart failure.Improvements in technology and survival combined with improvements in the quality of life have made LVADs a viable option for many patients suffering from heart failure.The question of when to implant these devices in those patients with advanced,yet still ambulatory heart failure remains a controversial topic.We discuss the current state of LVAD therapy and the risk vs benefit of these devices in the treatment of heart failure.展开更多
The field of digital audio forensics aims to detect threats and fraud in audio signals.Contemporary audio forensic techniques use digital signal processing to detect the authenticity of recorded speech,recognize speak...The field of digital audio forensics aims to detect threats and fraud in audio signals.Contemporary audio forensic techniques use digital signal processing to detect the authenticity of recorded speech,recognize speakers,and recognize recording devices.User-generated audio recordings from mobile phones are very helpful in a number of forensic applications.This article proposed a novel method for recognizing recording devices based on recorded audio signals.First,a database of the features of various recording devices was constructed using 32 recording devices(20 mobile phones of different brands and 12 kinds of recording pens)in various environments.Second,the audio features of each recording device,such as the Mel-frequency cepstral coefficients(MFCC),were extracted from the audio signals and used as model inputs.Finally,support vector machines(SVM)with fractional Gaussian kernel were used to recognize the recording devices from their audio features.Experiments demonstrated that the proposed method had a 93.4%accuracy in recognizing recording devices.展开更多
Heart transplantation is commonplace, the supply is limited. Many exciting changes in the field of mechanical circulatory support have occurred in the past few years, including the axial flow pump. Left ventricular as...Heart transplantation is commonplace, the supply is limited. Many exciting changes in the field of mechanical circulatory support have occurred in the past few years, including the axial flow pump. Left ventricular assist device(LVAD) therapy is ever evolving. As the use of LVAD therapy increases it is important to understand the indications, surgical considerations and outcomes.展开更多
Due to the shortcomings of the diagnosis systems for complex electronic devices such as failure models hard to build and low fault isolation resolution, a new hierarchical modeling and diagnosis method is proposed bas...Due to the shortcomings of the diagnosis systems for complex electronic devices such as failure models hard to build and low fault isolation resolution, a new hierarchical modeling and diagnosis method is proposed based on multisignal model and support vector machine （SVM）. Multisignal model is used to describe the failure propagation relationship in electronic device system, and the most probable failure printed circuit boards （PCBs） can be found by Bayes inference. The exact failure modes in the PCBs can be identified by SVM. The results show the proposed modeling and diagnosis method is effective and suitable for diagnosis for complex electronic devices.展开更多
With the development of the Internet and E commerce, enterprises can achieve global device purchasing with a good cost performance. But the credit risk is the key factor in selecting a device provider. Credit risk in...With the development of the Internet and E commerce, enterprises can achieve global device purchasing with a good cost performance. But the credit risk is the key factor in selecting a device provider. Credit risk involves many qualitative and quantitative factors. We construct a multi agent credit rating model system based on CSCW, which organically combines the people's aptitude and the capability of machines. Enterprises can use this credit rating system for forecasting and defeating the credit risk of global device purchasing.展开更多
文摘In this paper, probabilistic models for three redundant configurations have been developed to analyze and compare some reliability characteristics. Each system is connected to a repairable supporting external device for operation. Repairable service station is provided for immediate repair of failed unit. Explicit expressions for mean time to system failure and steady-state availability for the three configurations are developed. Furthermore, we compare the three configurations based on their reliability characteristics and found that configuration II is more reliable and efficient than the remaining configurations.
基金The study was approved by IRB of The First People’s Hospital of Yunnan Province(No.2016031).
文摘Background:To present a surgical technique using a rigid intraocular lens as endocapsular supporting device in manual small incision cataract surgery(MSICS)for treating mild-moderate subluxated cataracts.Methods:In our technique,a single-piece rigid polymethyl methacrylate(PMMA)lens was implanted in the bag following the nucleus removal,with its axis vertical to the zonular dialysis.This endocapsular-implanted IOL stretched the bag and provided sufficient stability and lens centration.This technique was performed in 19 eyes with subluxated cataracts,with zonulysis of≤120 degree and nuclear sclerosis of grade≤3.Mean follow-up time was 9.8 months.Results:All eyes had endocapsular IOL implantation during surgery.Intraoperative extension of the dialysis did not occur in any eye.The IOL was placed in the bag in all but 1 case,in which dislocation of the IOL haptic into the vitreous occurred.Though the IOL was slightly decentered in 3 cases,it kept stable.All patients were asymptomatic.Conclusions:This approach provides a simplified and practical strategy for surgically managing subluxation with mild-moderate zonular loss.
文摘AIM To investigate the impact of timing of same-admission orthotopic heart transplant(OHT) after left ventricular assist device(LVAD) implantation on in-hospital mortality and post-transplant length of stay.METHODS Using data from the Nationwide Inpatient Sample from 1998 to 2011, we identified patients 18 years of age or older who underwent implantation of a LVAD and for whom the procedure date was available. We calculated in-hospital mortality for those patients who underwent OHT during the same admission as a function of time from LVAD to OHT, adjusting for age, sex, race, household income, and number of comorbid diagnoses. Finally, we analyzed the effect of time to OHT after LVAD implantation on the length of hospital stay post-transplant.RESULTS Two thousand and two hundred patients underwent implantation of a LVAD in this cohort. One hundred and sixty-four(7.5%) patients also underwent OHT duringthe same admission, which occurred on average 32 d(IQR 7.75-66 d) after LVAD implantation. Of patients who underwent OHT, patients who underwent transplantation within 7 d of LVAD implantation("early") experienced increased in-hospital mortality(26.8% vs 12.2%, P = 0.0483) compared to patients who underwent transplant after 8 d("late"). There was no statistically significant difference in age, sex, race, household income, or number of comorbid diagnoses between the early and late groups. Post-transplant length of stay after LVAD implantation was also not significantly different between patients who underwent early vs late OHT. CONCLUSION In this cohort of patients who received LVADs, the rate of in-hospital mortality after OHT was lower for patients who underwent late OHT(at least 8 d after LVAD implantation) compared to patients who underwent early OHT. Delayed timing of OHT after LVAD implantation did not correlate with longer hospital stays post-transplant.
文摘Introduction: Inadequate nutritional support after LVAD placement is known to increase postoperative infections and to decrease survival. LVAD patients with prolonged mechanical ventilation and complicated postoperative recovery requiring prolonged mechanical ventilation may require long-term tube feedings. Placement of a PEG requires knowledge of the location of the LVAD pocket and driveline to avoid device infection and injury. Methods: Between August 2008 and December 2011, 39 patients underwent HeartMate II LVAD placement in our institution. Among them, 5 patients underwent PEG tube placement for long-term nutritional support. Procedure management consisted of cessation of anticoagulation and correction of abnormal coagulation;a cardiothoracic surgeon or intensivist in the operating room to communicate with the surgeon who performed the PEG procedure;and VAD coordinator or perfusionist in the operating room to assist in monitoring the VAD. Data were retrospectively analyzed to investigate complications related to the PEG placement. Results: The studied patients consisted of 3 males and 2 females with mean age of 58 +/﹣5.0. The interval of LVAD to PEG placement was a mean 21 +/﹣8.8 days. PEG was successfully performed in the operating room in all patients. There were no LVAD device or driveline injuries related to the PEG procedure. There were no postoperative short-term or long-term PEG related complications such as acute gastric bleeding or dislodgement of the PEG tube. Conclusions: PEG placement for HeartMate II LVAD patients can be done without increasing the risk of device or intraabdominal organ injury with carefully coordinated efforts from both the mechanical support team and surgical services.
文摘Advanced heart failure has been traditionally treated via either heart transplantation,continuous inotropes,consideration for hospice and more recently via left ventricular assist devices(LVAD).Heart transplantation has been limited by organ availability and the futility of other options has thrust LVAD therapy into the mainstream of therapy for end stage heart failure.Improvements in technology and survival combined with improvements in the quality of life have made LVADs a viable option for many patients suffering from heart failure.The question of when to implant these devices in those patients with advanced,yet still ambulatory heart failure remains a controversial topic.We discuss the current state of LVAD therapy and the risk vs benefit of these devices in the treatment of heart failure.
基金supported by the Jiangsu University Student Training Program[SJCX19_0529]the research fund of Nanjing Institute of Engineering[CXY201931]the National Natural Science Foundation of China(61871213).
文摘The field of digital audio forensics aims to detect threats and fraud in audio signals.Contemporary audio forensic techniques use digital signal processing to detect the authenticity of recorded speech,recognize speakers,and recognize recording devices.User-generated audio recordings from mobile phones are very helpful in a number of forensic applications.This article proposed a novel method for recognizing recording devices based on recorded audio signals.First,a database of the features of various recording devices was constructed using 32 recording devices(20 mobile phones of different brands and 12 kinds of recording pens)in various environments.Second,the audio features of each recording device,such as the Mel-frequency cepstral coefficients(MFCC),were extracted from the audio signals and used as model inputs.Finally,support vector machines(SVM)with fractional Gaussian kernel were used to recognize the recording devices from their audio features.Experiments demonstrated that the proposed method had a 93.4%accuracy in recognizing recording devices.
文摘Heart transplantation is commonplace, the supply is limited. Many exciting changes in the field of mechanical circulatory support have occurred in the past few years, including the axial flow pump. Left ventricular assist device(LVAD) therapy is ever evolving. As the use of LVAD therapy increases it is important to understand the indications, surgical considerations and outcomes.
基金supported by the Defense Foundation Scientific Research Fund under Grant No.9140A17030308DZ02,9140A16060409DZ02the National Natural Science Fundation of Chinaunder Grant No.60934002Dr.Lianke for the extensive discussions on the subject and UESTC for its support under Grant No.JX0756,Y02018023601059
文摘Due to the shortcomings of the diagnosis systems for complex electronic devices such as failure models hard to build and low fault isolation resolution, a new hierarchical modeling and diagnosis method is proposed based on multisignal model and support vector machine （SVM）. Multisignal model is used to describe the failure propagation relationship in electronic device system, and the most probable failure printed circuit boards （PCBs） can be found by Bayes inference. The exact failure modes in the PCBs can be identified by SVM. The results show the proposed modeling and diagnosis method is effective and suitable for diagnosis for complex electronic devices.
文摘With the development of the Internet and E commerce, enterprises can achieve global device purchasing with a good cost performance. But the credit risk is the key factor in selecting a device provider. Credit risk involves many qualitative and quantitative factors. We construct a multi agent credit rating model system based on CSCW, which organically combines the people's aptitude and the capability of machines. Enterprises can use this credit rating system for forecasting and defeating the credit risk of global device purchasing.
