Coronary bypass in vascular patients: a relatively high-risk procedure

A premise of cardiac risk stratification is that the added risk of coronary artery bypass grafting (CABG) is offset by the improved safety of subsequent vascular reconstruction (VR). We questioned if elective CABG is patients with severe peripheral vascular disease (PVD) is a relatively high-risk procedure. A cohort study of 680 elective CABG patients from January 1993 to December 1994 was performed using three mutually exclusive outcomes of complication-free survival, morbidity, and mortality. Patient characteristic, operative, and outcome data were prospectively collected. Retrospective review determined that 58 patients had either a standard indication for or a history of VR. Overall CABG mortality was 2.5%, with statistically similar but relatively higher rates for PVD as compared to non-PVD patients. In contrast, major morbidity occurred at rates 3.6-fold higher in PVD patients (39.7%) than in disease-free patients (16.7%) after adjustment for the effects of patient and operative variables (odds ratio [OR] 3.67, 95% confidence interval [CI] 1.93-6.99). CABG morbidity in the PVD patient was most likely in those patients with aortoiliac (OR 9.51, CI 3.20-28.27) and aortic aneurysmal (OR 5.24, CI 1.28-21.41) disease types. CABG in PVD patients is associated with significant major morbidity. Such morbidity may preclude or alter the timing of subsequent VR.     

高氧化态（Ⅱ─Ⅳ）三核金属簇合物构型的人工神经网络判别方法

本文运用一典型的人工神经网络模型─“反向传播”模型，对高氧化态（Ⅱ─Ⅳ）三核金属簇合物的构型分布进行了分析，得到了较好的分类、预报结果为化合物结构分析提供了新的工具。     

The double-reversing Z-plasty in primary palatoplasty: operative experience and early results

The double-reversing Z-plasty of Furlow for closure of the soft palate was used in 34 children with various types of cleft palate. Mean age at repair was 12.8 months. Intraoperative experience was favorable, with acceptable operating time and blood loss. Length of hospitalization averaged 1.9 days. Postoperatively, two children experienced temporary stridor, which resolved within 24 to 48 hours. One child had dehiscence of the hard palate (Von Lagenbeck repair) 4 weeks postoperatively, and three children developed small oronasal fistulae. Early speech evaluation demonstrated adequate soft palate mobility in 33 of 34 patients, with observable velopharyngeal function. Twelve children had mild velar compromise, with eight exhibiting slight nasal air escape.     

Improving signal prediction performance of neural networks through multiresolution learning approach.

In this paper, we extend the original work on multiresolution learning for neural networks, and present new developments on the multiresolution learning paradigm. The contributions of this paper include: (1) proposing a new concept and method of adjustable neural activation functions in multiresolution learning to improve neural network learning efficacy and generalization performance for signal predictions; (2) providing new insightful explanations for the multiresolution learning paradigm from a multiresolution optimization perspective; (3) exploring underlying ideas why the multiresolution learning scheme associated with adjustable activation functions would be more appropriate for the multiresolution learning paradigm; and (4) providing rigorous validations to evaluate the multiresolution learning paradigm with adjustable activation functions and comparing it with the schemes of multiresolution learning with fixed activation functions and traditional learning. This paper presents systematically new analytical and experimental results on the multiresolution learning approach for training an individual neural network model, demonstrates our integral solution on neural network learning efficacy, and illustrates the significant improvements on neural networks' generalization performance and robustness for nonlinear signal predictions.     

Synthesis of TiO<Subscript>2</Subscript> Hybrid Molecular Imprinted Polymer for Ethofumesate Linked by Silane Coupling Agent

TiO₂ hybrid molecular imprinted polymer (MIP) for ethofumesate using methacrylic acid (MAA) as the functional monomer and silane coupling agent 3-(trimethoxysilyl) propylmethacrylate (KH570) as organic–inorganic connective bridge was synthesized via photo-excitation method. Hydrogen bond was proved to act between MAA and ethofumesate for pre- and post-polymerization binding properties as testified by UV spectrometric method. KH570 modified TiO₂ nanoparticles were prepared via sonochemical reaction, which can accelerate hydrolysis, increase collision chance for the reactive system and improve the dispersion of the nanoparticles. Scanning electron microscope (SEM), transmission electron microscope (TEM), binding and the adsorption kinetics experiments as well as thermogravimetric analysis (TGA) were employed for characterization. The results indicated that the hybrid MIP revealed a larger surface area and more ordered imprinting cavities with improved thermal stability compared to organic-only MIP. Furthermore, faster adsorption kinetics and enhancive adsorption capacity were achieved, which made it promising in chemical sensor applications.     

One-to-Many and Many-to-One Optical Chaos Communications Using Semiconductor Lasers

A theoretical construction of one-to-many (OTM) and many-to-one (MTO) chaos synchronization communications using semiconductor lasers is presented. One center laser provides strong injections (strong link) to other side lasers, and the side lasers also provide weak injections (weak link) to the center one. Simulation results show that the side lasers synchronize with the center laser through injection-locking. In addition, messages transmitted via the strong links or the weak links experience strong chaos pass filtering, enabling us to realize OTM and MTO communications.     

Evolving artificial neural network ensembles

Using a coordinated group of simple solvers to tackle a complex problem is not an entirely new idea. Its root could be traced back hundreds of years ago when ancient Chinese suggested a team approach to problem solving. For a long time, engineers have used the divide-and-conquer strategy to decompose a complex problem into simpler sub-problems and then solve them by a group of solvers. However, knowing the best way to divide a complex problem into simpler ones relies heavily on the available domain knowledge. It is often a manual process by an experienced engineer. There have been few automatic divide-and-conquer methods reported in the literature. Fortunately, evolutionary computation provides some of the interesting avenues to automatic divide-and-conquer methods. An in-depth study of such methods reveals that there is a deep underlying connection between evolutionary computation and ANN ensembles. Ideas in one area can be usefully transferred into another in producing effective algorithms. For example, using speciation to create and maintain diversity had inspired the development of negative correlation learning for ANN ensembles, and an in-depth study of diversity in ensembles. This paper will review some of the recent work in evolutionary approaches to designing ANN ensembles.