Since 1975, 340 patients were treated by tracheal sleeve resection for tracheal or subglottic laryngeal iatrogenic stenoses in our unit. Preoperative iterative Nd YAG laser sessions have usually been performed, without success. The length of the sleeve specimen was an average of 3 1/4 cm. Twelve patients died on the post operative course (3.5%), 3 more patients died later after failure of the procedure (0.9%) and nineteen had recurrent stenoses treated with use of a tracheostomy tube, a permanent Montgomery tube, or an endotracheal stent (5.6%). Three hundred and six patients are definitely cured (90%), at the first attempt for 265 patients, after a laser session for granulomas for 20 patients, after a second tracheal resection for 6 patients and after a temporary Montgomery tube for 15 patients. Providing there is a good selection of the patients, tracheal sleeve resection is the best treatment for iatrogenic stenosis. 相似文献
This paper describes different dynamic tests carried out on three bridges, B14, B15, and B13, over highway E19, which connects Brussels and Antwerpen in Belgium. Different excitation types are considered: a drop weight, a heavy truck on the bridge, and ambient vibrations mainly due to the traffic under the bridge. Finite-element models are constructed to support and verify the dynamic measurements. The modal parameters are extracted from the response time series using the data dependent system approach. A vector autoregressive model is developed and successfully applied to the measured responses in time domain. Good correlation between the finite-element simulations and the experiments is obtained. 相似文献
Angiostatin is a potent inhibitor of tumor angiogenesis and the growth of metastatic foci. Recent studies have indicated that neoplastic cells can generate angiostatin directly or in cooperation with tumor-associated macrophages. In studies reported here, we determined whether angiostatin is generated in mice under non-neoplastic settings. Utilizing murine RAW264.7 macrophages and thioglycollate-elicited peritoneal macrophages, we demonstrate that angiostatin-like fragments are generated as a byproduct of the proteolytic regulation of membrane-bound plasmin. Plasmin proteolysis and subsequent loss in membrane-bound plasmin activity requires active plasmin but was unaffected by inhibitors of metalloproteinases. Lysine binding fragments of plasmin, isolated from macrophage-conditioned media utilizing affinity chromatography, appeared as a major (48 kDa) and two minor bands (42 and 50 kDa) in SDS-polyacrylamide gel electrophoresis and were immunoreactive with anti-kringle 1-3 IgG. Each peptide begins with Lys77 and contains the entire sequence of angiostatin. The affinity isolated plasmin fragments inhibited bFGF-induced endothelial cell proliferation. Lavage fluid recovered from the peritoneal cavities of mice previously injected with thioglycollate contained angiostatin-like plasmin fragments similar to those generated in vitro. This is the first demonstration that angiostatin-like plasmin fragments are generated in a non-neoplastic inflammatory setting. Thus, in addition to regulating pericellular plasmin activity, proteolysis of plasmin generates inactive kringle-containing fragments expressing angiostatic properties. 相似文献
A switching expression is readily convertible to a reliability expression if (a) all ORed terms are disjoint, and (b) all ANDed sums are statistically independent. The usual approach of system reliability analysis makes a primary use of (a) and a secondary use of (b). An alternative approach reverses the roles of (a) and (b). Symbolic reliability expressions for the source-to-terminal reliability of a generalized Indra network (GIN) with nonidentical components are derived by the two approaches. For this particular case, the second approach leads to a shorter, more elegant derivation and simpler novel results. Typical plots of the GIN reliability functions are presented and their properties are discussed. 相似文献
BACKGROUND AND OBJECTIVE: Drug resistance has become a major cause of treatment failure in patients with acute leukemia. P-glycoprotein (Pgp), which is associated with the multidrug resistance (MDR) phenotype, has been reported to be an important predictor of treatment outcome. The aim of this study was to analyze the value of Pgp expression in bone marrow or peripheral blood as a predictor of the response to remission induction chemotherapy as well as the duration of remission in patients with de novo acute myeloid leukemia (AML). DESIGN AND METHODS: We examined the expression of Pgp in 82 patients with de novo AML using an immunocytochemical assay with the C219 monoclonal antibody. RESULTS: Twenty-seven of the 82 patients (33%) were C219-positive in from 1% to 100% of their cells. Thirteen cases (16%) showed a positive reaction in more than 50% of the leukemic cells. Only hyperleukocytosis was significantly associated with higher expression of Pgp. Although 8 of the 13 cases (62%) with more than 50% of cells having Pgp expression were CD34-positive, this association was not statistically significant. A univariate analysis of resistance to induction therapy showed a significantly higher resistance rate in patients with increased Pgp expression (P = 0.01) as well as in those patients with decreased reactivity to myeloperoxidase. The multivariate analysis revealed the independent prognostic value of Pgp expression. C219 reactivity did not have an influence on remission duration. INTERPRETATION AND CONCLUSIONS: Our data indicate that P-glycoprotein expression is a reliable marker of resistance to induction treatment in patients with de novo AML. 相似文献
This paper addresses the problem of approximating parameter dependent nonlinear systems in a unified framework. This modeling has been presented for the first time in the form of parameter dependent piecewise affine systems. In this model, the matrices and vectors defining piecewise affine systems are affine functions of parameters. Modeling of the system is done based on distinct spaces of state and parameter, and the operating regions are partitioned into the sections that we call ’multiplied simplices’. It is proven that this method of partitioning leads to less complexity of the approximated model compared with the few existing methods for modeling of parameter dependent nonlinear systems. It is also proven that the approximation is continuous for continuous functions and can be arbitrarily close to the original one. Next, the approximation error is calculated for a special class of parameter dependent nonlinear systems. For this class of systems, by solving an optimization problem, the operating regions can be partitioned into the minimum number of hyper-rectangles such that the modeling error does not exceed a specified value. This modeling method can be the first step towards analyzing the parameter dependent nonlinear systems with a uniform method. 相似文献
The limitation of freshwater resources and the growing demand for water, make the issue of water resource development planning and water allocation among stakeholders even more important. Ideally, water allocation should be economically efficient and socially equitable. In this study, a water allocation model is presented in an integrated framework that considers the interaction of water supply and demand according to economic and social factors. To achieve this, a reliability-based multi-objective optimization - simulation approach has been employed. The objective functions of the problem are: 1) maximizing GDP from agricultural sectors and 2) maximizing social equality in different provinces of the basin (measured using the Williamson coefficient). The fair development and allocation among the shared provinces in the basin can reduce conflicts in the region. Karkheh basin has been considered as a case study and decision variables of the problem are area under cultivation of agricultural development sectors in different provinces. The results show that, without harming the income of the agricultural sector, the spatial distribution of development projects can be done in such a way that equality (according to income level and the number of people working in each province) is achieved. One of the solutions of Pareto front compared to previous studies shows that, in addition to an increase of about 12% of the objective function 1 (GDP), the value of the objective function 2 (Williamson coefficient) decreased from 1.19 to 0.98. This indicates a decrease in income inequality among the provinces of the basin.
The effects of composition and substrate temperature during evaporation and annealing, on the electron spin resonance spectra of co-evaporated SiOx/SnO (300 nm) thin films have been investigated. The spin density is observed to decrease with increasing SnO content. This effect is attributed to the saturation of some of the paramagnetic defects such as dangling bonds and other structural defects like E1 centres. The decrease in spin density in the composite thin films of SiOx/SnO of constant thickness and composition with annealing and with increase in the substrate temperature during evaporation, is related to the conversion of some of the paramagnetic E1 centres to E1 (probable non-paramagnetic precursor of E1) centres as well as to the saturation of some of the dangling bonds. 相似文献
The paper proposes a novel metaheuristic based on integrating chaotic maps into a Henry gas solubility optimization algorithm (HGSO). The new algorithm is named chaotic Henry gas solubility optimization (CHGSO). The hybridization is aimed at enhancement of the convergence rate of the original Henry gas solubility optimizer for solving real-life engineering optimization problems. This hybridization provides a problem-independent optimization algorithm. The CHGSO performance is evaluated using various conventional constrained optimization problems, e.g., a welded beam problem and a cantilever beam problem. The performance of the CHGSO is investigated using both the manufacturing and diaphragm spring design problems taken from the automotive industry. The results obtained from using CHGSO for solving the various constrained test problems are compared with a number of established and newly invented metaheuristics, including an artificial bee colony algorithm, an ant colony algorithm, a cuckoo search algorithm, a salp swarm optimization algorithm, a grasshopper optimization algorithm, a mine blast algorithm, an ant lion optimizer, a gravitational search algorithm, a multi-verse optimizer, a Harris hawks optimization algorithm, and the original Henry gas solubility optimization algorithm. The results indicate that with selecting an appropriate chaotic map, the CHGSO is a robust optimization approach for obtaining the optimal variables in mechanical design and manufacturing optimization problems.
Shear connectors play a prominent role in the design of steel-concrete composite systems. The behavior of shear connectors is generally determined through conducting push-out tests. However, these tests are costly and require plenty of time. As an alternative approach, soft computing (SC) can be used to eliminate the need for conducting push-out tests. This study aims to investigate the application of artificial intelligence (AI) techniques, as sub-branches of SC methods, in the behavior prediction of an innovative type of C-shaped shear connectors, called Tilted Angle Connectors. For this purpose, several push-out tests are conducted on these connectors and the required data for the AI models are collected. Then, an adaptive neuro-fuzzy inference system (ANFIS) is developed to identify the most influencing parameters on the shear strength of the tilted angle connectors. Totally, six different models are created based on the ANFIS results. Finally, AI techniques such as an artificial neural network (ANN), an extreme learning machine (ELM), and another ANFIS are employed to predict the shear strength of the connectors in each of the six models. The results of the paper show that slip is the most influential factor in the shear strength of tilted connectors and after that, the inclination angle is the most effective one. Moreover, it is deducted that considering only four parameters in the predictive models is enough to have a very accurate prediction. It is also demonstrated that ELM needs less time and it can reach slightly better performance indices than those of ANN and ANFIS.