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51.
In infants and children requiring prolonged, multiple central venous (CV) catheterizations, the superior (SVC) and inferior vena cava may become thrombosed or stenotic, making CV access a difficult problem. Use of the iliac vein may be an acceptable alternative. We report a patient with thrombosis of the SVC in whom the external iliac vein was accessed through a retroperitoneal approach for placement of an implantable port. This technique is easy to perform, and there are no special materials or patient positioning required.  相似文献   
52.
A 59-year-old man with chronic myelogenous leukemia (CML) had a white-blood-cell (WBC) count of 55,400/microliter when admitted in July 1997, and was placed on oral hydroxyurea (HU) of 1,500 mg/day. Treatment with 600 MU/day of interferon alpha (IFN alpha) was started on August 5. HU was discontinued when the patient's WBC count dropped to 8,100/microliter on August 18. However, HU was resumed about a month later, after his WBC count increased to 10,100/microliter, but discontinued when the patient started to complain of chills, high fever, and bilateral femoral pain. HU treatment was initiated again one week later, after the patient's WBC count had begun rising but ceased again after he experienced chills, high fever, and bilateral femoral pain. The patient's myogenetic enzymes were found to be increasing the following day, and a lymphocyte stimulation test (LST) with HU showed a high stimulation index of 41.7%. The elevation of myogenetic enzymes and the results of the LST suggested that myositis due to HU was the cause of the patient's clinical manifestations. His myositis spontaneously disappeared after HU was discontinued. Although the patient is no longer receiving HU, IFN alpha has brought his CML under control. To our knowledge, this is the first reported case of myositis caused by HU.  相似文献   
53.
BACKGROUND/AIMS: Liver cancer extension to the adjacent organs does not necessarily indicate tumor invasion. It is very hard to diagnose extrahepatic cancer invasion to the adjacent organs using preoperative imaging. This study was undertaken, therefore, to determine the real cancer invasion using a manual dissection. METHODOLOGY: Of the 51 consecutive patients with liver cancer, 6 cases with extrahepatically growing tumors were suspected to have cancer invasion both preoperatively and intraoperatively. Thus, we diagnosed whether or not any real extrahepatic cancer invasion was present by either removing the tumour by hand or by performing a blunt gauze dissection. RESULTS: Three hepatocellular carcinomas and one metastatic cancer were stripped off from the adjacent organ using a manual blunt dissection. However, the other two tumors could not be removed in the same manner and therefore a combined resection of the invaded portion had to be performed along with the hepatectomy. A postoperative detailed pathological examination revealed no cancer cells on the surface of the adjacent organ in the former 4 tumors. Cancer invasion was recognized, however, on the outside of the liver in the latter 2 combined resected tumors. CONCLUSIONS: An accurate intraoperative diagnosis of extrahepatic cancer invasion can be made using manual blunt dissection.  相似文献   
54.
Based on the Cramer-Rao inequality, the MILB is calculated for the problem of estimating the frequency slope of the attenuation coefficient of tissue from random reflections of ultrasonic waves. Under typical signal conditions, this bound for a 1-cm x 1-cm region was found to be about 0.08 db/(MHz-cm), rather close to the clinical requirement of 0.1 dB/(MHz-cm). Comparison to existing methods (including an autoregressive deconvolution method) shows room for further improvement.  相似文献   
55.
We examined the influence of polyaniline (PAn)'s unit sequence and doping with low molecular weight dopants or polymer dopants on permeation property. It was found that CO2 permeability was increased by the formation of a quinonediimine unit in PAn with the oxidation. CO2 sorption amount of PAn was decreased by oxidation. The increase of CO2 permeability with oxidation, therefore, resulted from the increase of diffusivity, which was attributable to morphological variation by the increase of a quinonediimine unit. The permselectivity of PAn films was found to be remarkably improved by doping. In particular, the selectivity value of the PAn film doped with polyvinyl sulphonic acid as a polymer dopant went up to over 2,000. This remarkable increase of selectivity was found to result in the increase of selectivity, depending on diffusivity. It was also found that the permselectivity of the PAn film doped by polymer dopants was surpassed, as compared with that doped by low molecular dopants. © 1995 John Wiley & Sons, Inc.  相似文献   
56.
Photonic crystals with a diamond structure of epoxy lattices in which TiO2-based ceramic particles are dispersed were fabricated by stereolithography. The periodicity of the lattice was designed to reflect electromagnetic waves in the gigahertz range. The volume fraction (β) of the dielectric lattice medium was modified from 14% to 33% by changing the rod diameter of the lattice. The photonic band gap was observed along Γ-L 〈111〉, Γ-X 〈100〉, and Γ-K 〈110〉 directions and the complete photonic band gap was formed at over β= 20%. The width of the forbidden gap increased gradually when the β increased over 14%, and reached 2.4 GHz at β= 33%. These results agreed with the band calculation using the plane wave expansion method.  相似文献   
57.
Scheduling is an important tool for a manufacturing system, where it can have a major impact on the productivity of a production process. In order to find an optimal solution to scheduling problems it gives rise to complex combinatorial optimization problems. Unfortunately, most of them fall into the class of NP-hard combinatorial problems. In this paper, we focus on the design of multiobjective evolutionary algorithms (MOEAs) to solve a variety of scheduling problems. Firstly, we introduce fitness assignment mechanism and performance measures for solving multiple objective optimization problems, and introduce evolutionary representations and hybrid evolutionary operations especially for the scheduling problems. Then we apply these EAs to the different types of scheduling problems, included job shop scheduling problem (JSP), flexible JSP, Automatic Guided Vehicle (AGV) dispatching in flexible manufacturing system (FMS), and integrated process planning and scheduling (IPPS). Through a variety of numerical experiments, we demonstrate the effectiveness of these Hybrid EAs (HEAs) in the widely applications of manufacturing scheduling problems. This paper also summarizes a classification of scheduling problems, and illustrates the design way of EAs for the different types of scheduling problems. It is useful to guide how to design an effective EA for the practical manufacturing scheduling problems. As known, these practical scheduling problems are very complex, and almost is a combination of different typical scheduling problems.  相似文献   
58.
In this paper we propose an adaptive genetic algorithm that produces good quality solutions to the time dependent inventory routing problem (TDIRP) in which inventory control and time dependent vehicle routing decisions for a set of retailers are made simultaneously over a specific planning horizon. This work is motivated by the effect of dynamic traffic conditions in an urban context and the resulting inventory and transportation costs. We provide a mixed integer programming formulation for TDIRP. Since finding the optimal solutions for TDIRP is a NP-hard problem, an adaptive genetic algorithm is applied. We develop new genetic representation and design suitable crossover and mutation operators for the improvement phase. We use adaptive genetic operator proposed by Yun and Gen (Fuzzy Optim Decis Mak 2(2):161–175, 2003) for the automatic setting of the genetic parameter values. The comparison of results shows the significance of the designed AGA and demonstrates the capability of reaching solutions within 0.5 % of the optimum on sets of test problems.  相似文献   
59.
An investigation was undertaken on the application of dilute chitosan solutions gelled by tyrosinase‐catalyzed reaction with 3,4‐dihydroxyphenethylamine (dopamine). The tyrosinase‐catalyzed reaction with dopamine conferred water‐resistant adhesive properties to the semidilute chitosan solutions. The viscosity of the chitosan solutions increased highly by the tyrosinase‐catalyzed reaction and the subsequent reactions between o‐quinone compounds and chitosan. These highly viscous, gel‐like modified chitosan materials were allowed to spread onto the surfaces of the glass slides, which were tightly lapped together and held them in water. Tensile shear adhesive strength of over 400 kPa was observed for the modified chitosan samples. The increase in the amino group concentration of the chitosan solutions and the molecular mass of the chitosan used effectively led to the increase in adhesive strength of the glass slides. In addition, in the case where the chitosan solution was gelled by the enzymatic reaction with dopamine in the presence of poly(ethylene glycol), adhesive strength sharply increased at shorter reaction times concomitantly with the increase in the viscosity of the chitosan solutions because the tyrosinase activity effectively was retained by poly(ethylene glycol). © 2007 Wiley Periodicals, Inc. J Appl Polym Sci 104: 1818–1827, 2007  相似文献   
60.
Mechanism analysis on simultaneous oxidation of NO and SO2 with additives was presented and numerical simulation was developed to investigate the performances of three additives on oxidation of NO and SO2. The simulation result showed that reaction temperature, residence time, additive dose and NO concentration influence the oxidation process significantly. There exists an optimum reaction condition for each additive. n-C4H10 has the strongest ability to oxidize NO and SO2.  相似文献   
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