简介:AbstractIntracapsular fractures of the proximal femur are one of the most common fractures of the lower limbs. Most cases require osteosynthesis with suitable implants, and intraoperative positioning of the patient on the fracture table is a prerequisite to facilitate fracture manipulation, traction, reduction and fluoroscopy assessment. However, positioning the limbs of bilateral above-knee amputees for internal fixation of related proximal femoral fractures is a difficult task, which requires customized inventory for effective limb positioning and fracture manipulation. This study reported a rare case following a crush injury of bilateral lower limb in a road traffic accident, and described some technical tips of acute femoral neck fractures in bilateral above-knee amputation. The patient was managed with immediate guillotine amputation and later secondary wound closure followed by internal fixation of the right-sided femoral neck fracture with multiple cancellous cannulated screws.
简介:Threekeyfactorsarediscussed,whichaffectpositioningaccuracyofrange-rangepositioningmodeandhyperbolicpositioningmode.Basedontheerrorellipticaltheory,theexpressionsofpositioningerrorandofpositioninggeometricfactorofrange-rangepositioningmodeandhyperbolicpositioningmodearederived,andthepositioningerrorandtheblindpositioningareaoftwodifferentpositioningmodesareanalyzed.Accordingtotherequirementofnavigationarea,anoptimumpositional
简介:Inthe20yearsaftertheUNEnvironmentandDevelopmentConferencein1992,theessentialissuesinrelationtosustainabledevelopmenthavebeenunsolved.Theupcoming"Rio+20"conferenceputthefocusontheshifttowardsgreendevelopment.Toachievethisrequiresthechangeofsomeideologiesthatdominatehumanactions,suchastheconceptsofwealth,welfareandsecurity,anditalsorequireidentifyingthenewpositionofnatureresources,especiallythepositionofforest.Itwaspointedoutinthepaperthatforestisthefoundationofsocioeconomicdevelopmentandconstitutesbasicwealth,basicwelfareandbasicsecurityofthewholecommunityunderthegreendevelopmentcontext.Nevertheless,itisamusttoaggressivelyinvestanddevelopgreeneconomy.Itwasalsoproposedtosetupforestrydevelopmentorganizations,investmentmechanisms,policysystemandresearch&educationsystemcompatiblewithgreendevelopment.Moreover,someforestrypoliciesthatshouldberevisedwerecombed.
简介:我们在原生生物Trichomonasvaginalis的最近的调查与120.9nt的单位长度建议了DNA顺序频率,它为放的nucleosome代表顺序签名。我们现在在更高的优核质扩大了我们的观察并且在Caenorhabditiselegans在长度识别了175nt的类似的频率。在定义顺序的过程组合特征,我们发现10.5-nt频率,DNA双螺旋的顺序签名,不能为放的cross-nucleosome足够,但是提供指导栏杆便于的必需品放。我们推进把的保护nucleosome的序列并且从第5'-e识别了一个强壮的积极嘌呤(AG)坡度到第3'-e,并且当嘌呤内容断然与GC内容被相关,也听说充实nucleosome的区域作为与nucleosome免费的序列相比GC富有。顺序描述允许我们开发一个隐藏的Markov模型(唔)为译码nucleosome放的算法计算地,并且基于从C的第五个染色体的一套训练数据。elegans,我们的算法比随机的放预言了放得好的nucleosomes的60%-70%,它高是15%-20%。我们断定nucleosomes随机没在DNA序列上被放并且还与可变稳定性,DNA上的放得好的nucleosomes叶子顺序签名,并且到对面的nucleosomes的统计的放绑在不同染色体区域染色体能基于这些顺序签名计算地被译码。
简介:摘要:在中介或先进的胰腺的头癌上改进辩解的效果。方法:手术与intermediated或先进的胰腺的头癌在26个病人被动。在癌上与一根电子横梁与intraoperative放射疗法相结合的Cholecystojejunostomy或choledochojejunostomy从1996年5月被执行到1998年5月。同时,多功能的可植入的药交货系统的导管为手术后的灌注化疗经由胃与十二指肠的动脉被插入。结果:327月后续调查建议肿瘤在治疗的功课以后在不同的度缩小了。所有病人疼痛被减轻。6月、12月、24月的幸存率是100%,93.9%和20%分别地。5个死了的病人的平均幸存时间是17.8个月。结论:这操作是很完成与中介或先进的胰腺的头癌延长病人的生活。
简介:Beampositioningstabilityinalaser-driveninertialconfinementfusion(ICF)facilityisavitalproblemthatneedstobefixed.Eachlaserbeaminthefacilityistransmittedinlotsofopticsforhundredsofmeters,andthentargetedinamicro-sizedpellettorealizecontrollablefusion.Anyturbulenceintheenvironmentinsuchlong-distancepropagationwouldaffectthedisplacementofopticsandfurtherresultinbeamfocusingandpositioningerrors.Thisstudyconcludedthattheerrorsoneachoftheopticscontributedtothetarget,anditpresentsanefficientmethodofenhancingthebeamstabilitybyeliminatingerrorsonerror-sensitiveoptics.Optimizationsoftheopticalsystemandmechanicalsupportingstructuresarealsopresented.
简介:Theidealmodelofhumanrightslawstudiesshallbeonethatisopenandcomprehensive.Onthebasisofnormativelegalstudies,itshallpaymoreattentiontoandrespondtopolitical,economic,andsocialdevelopmentinawiderangeofhumanrightsissues.Thesestudiesshouldattempttofindpracticalsolutionstoconcreteproblems.Humanrightslawshouldbearelativelyindependentlegaldiscipline,anditshouldbeaproblem-orientedobjectofstudy.Regardingtheresearchmethodologies,humanrightslawcouldencompassallaspectsoflegalstudies,andgobeyondlegalthemtosomeextenttoencompasstheinfluenceofotherdisciplines.
简介:AIM:Toevaluateshort-termoutcomesfollowingintraoperativebiliarylavageforhepatolithiasis.METHODS:Atotalof932patientswhowereadmittedtotheWestChinaMedicalCenterofSichuanUniversitybetweenJanuary2010andJanuary2014andunderwentbileductexplorationandlithotomywereretrospectivelyincludedinourstudy.Thepatientsweredividedintothelavagegroupandthecontrolgroup.Relatedpre-,intra-,andpostoperativefactorswererecorded,analyzed,andcomparedbetweenthetwogroupsinordertoverifytheeffectsofbiliarylavageontheshort-termoutcomeofpatientswithhepatolithiasis.RESULTS:Amongstthepatientswhowereincluded,678patientswithhepatolithiasiswereincludedinthelavagegroup,andtheother254patientswereenrolledinthecontrolgroup.Dataanalysesrevealedthatpreoperativebaselineandrelatedintraoperativevariableswerenotsignificantlydifferent.However,patientswhounderwentintraoperativebiliarylavagehadprolongedpostoperativehospitalstays(6.67dvs7.82d,P=0.024),higherhospitalizationfees(RMB28437.1vsRMB32264.2,P=0.043),higherpositiveratesofbacterialculturesfromblood(13.3%vs25.8%,P=0.001)andbile(23.6%vs40.7%,P=0.001)samples,andincreasedusageofadvancedantibiotics(26.3%vs38.2%,P=0.001).Inaddition,inthelavagegroup,morepatientshadfever(>37.5℃,81.4%vs91.1%,P=0.001)andhyperthermia(>38.5℃,39.7%vs54.9%,P=0.001),andhigherwhitebloodcellcountswithin7daftertheoperationcomparedtothecontrolgroup.CONCLUSION:Intraoperativebiliarylavagemightincreasetheriskofpostoperativeinfection,whilenotsignificantlyincreasinggallstoneremovalrate.
简介:Aseriesofadvantagesofsingledifference(SD)andundifferenced(ZD)modelsaregivenascomparedwitythedoubledifferenceezistinSDandZDmodels.Thereparameterizationmethodisprovidedtoresolvethisrankdefectproblembyestimatingsomecombinationsoftheunknownsratherthantheunknownsthemselves.TherepatameterizationofSDandZDfunctionalmodelsisdiscussedindetailwiththeirstochasticmodels.Thetheoreticalcomformationoftheequivalenceofundifferencedanddifferencedmodelsisdescribedinastraightforwardway.TherelationshipbetweenSDandZDresidualsisgivenandverifiedforsomespecialpurposes,e.g.researchonthestochasticalpropertiesofGPSobservations.
简介:Themainfocusisnonlinearmodel-baseddynamicpositioning(DP)controlsystemdesign.Anonlinearuniformglobalexponentialstability(UGES)observerproducesnoise-freeestimatesoftheposition,theslowlyvaryingenvironmentaldisturbancesandthevelocity,whichareusedinaproportional-derivative(PD)+feedforwardcontrollaw.Thestabilityofthisobserver-controllersystemisprovedbyintroducingaspecificnonlinearcascadedsystem.ThesimulationresultshavesuccessfullydemonstratedtheperformanceofdesignedDPcontrolsystem.
简介:Insularlesionsremainsurgicallychallengingbecauseoftheneedtobalanceaggressiveresectionandfunctionalprotection.Motorfunctiondeficitsduetocorticospinaltractinjuryareacommoncomplicationofsurgeryforlesionsadjacenttotheinternalcapsuleanditisthereforeessentialtoevaluatethecorticospinaltractadjacenttothelesion.Weuseddiffusiontensorimagingtoevaluatethecorticospinaltractin89patientswithinsularlobelesionswhounderwentsurgeryinChinesePLAGeneralHospitalfromFebruary2009toMay2011.Postoperativemotorfunctionevaluationrevealedthat57patientshadnochangesinmotorfunction,and32patientssufferedmotordysfunctionoraggravatedmotordysfunction.Oftheaffectedpatients,20recoveredmotorfunctionduringthe6-12-monthfollow-up,andanadditional12patientsdidnotrecoverovermorethan12monthsoffollow-up.Followingreconstructionofthecorticospinaltract,fractionalanisotropycomparisondemonstratedthatpreoperative,intraoperativeandfollow-upnormalizedfractionalanisotropyinthestablegroupwashigherthaninthetransientdeficitsgrouporthelong-termdeficitsgroup.Comparedwiththetransientdeficitsgroup,intraoperativenormalizedfractionalanisotropysignificantlydecreasedinthelong-termdeficitsgroup.Weconcludethatintraoperativefractionalanisotropyvaluesofthecorticospinaltractscanbeusedasaprognosticindicatorofmotorfunctionoutcome.
简介:Ensuringahighmanufacturingtestqualityofanintegratedelectroniccircuitmandatestheapplicationofalargevolumetestset.Evenifthetestdatacanbefitintothememoryofanexternaltester,theconsequentincreaseintestapplicationtimereflectsintoelevatedproductioncosts.Testdatacompressionsolutionshavebeenproposedtoaddressthetesttimeanddatavolumeproblembystoringanddeliveringthetestdatainacompressedformat,andsubsequentlybyexpandingthedataon-chip.Inthispaper,weproposeascancellpositioningmethodologythataccompaniesacompressiontechniqueinordertoboostthecompressionratio,andsquashthetestdataevenfurther.Whilewepresenttheapplicationoftheproposedapproachinconjunctionwiththefan-outbaseddecompressionarchitecture,thisapproachcanbeextendedforapplicationalongwithothercompressionsolutionsaswell.Theexperimentalresultsalsoconfirmthecompressionenhancementoftheproposedmethodology.