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91.
Computed tomography (CT) scans obtained at the time of clinical presentation have occasionally been reported to be normal in children with history and findings of significant abusive head injury. We have retrospectively observed abnormalities in "normal" scans of some similar children. We have also seen abnormalities develop on serial scanning. To determine how frequently these situations occur, we reviewed charts of 34 children with a final diagnosis of child abuse who also had cranial CT scans performed. Their CT scans were retrospectively reviewed by a pediatric radiologist. Eleven (11/34) CT scans had initially been interpreted as normal. Four (4/11) of these had been reinterpreted during the hospitalization as abnormal, affecting medical (1) and legal (3) outcome. Repeat scanning in three of the remaining seven resulted in surgical drainage of a subdural effusion (1) and affected legal outcome (2). Four of the seven initial scans felt normal throughout the hospitalizations were judged abnormal on retrospective review. This evaluation was confirmed in the two rescanned. Initial CT interpretation most often failed to appreciate changes in parenchymal density and small amounts of falcine or cortical subdural blood. Subsequent scans also showed evolving effusions and infarcts. Changes were noted in 1 1/2 to 5 days. The CT scan frequently shows subtle changes in the immediate posttrauma period. If the child does not recover promptly, subsequent scans frequently result in significant changes in clinical and legal management.  相似文献   
92.
Logos are one of the most important graphic design forms that use an abstracted shape to clearly represent the spirit of a community. Among various styles of abstraction, a particular golden-ratio design is frequently employed by designers to create a concise and regular logo. In this context, designers utilize a set of circular arcs with golden ratios (i.e., all arcs are taken from circles whose radii form a geometric series based on the golden ratio) as the design elements to manually approximate a target shape. This error-prone process requires a large amount of time and effort, posing a significant challenge for design space exploration. In this work, we present a novel computational framework that can automatically generate golden ratio logo abstractions from an input image. Our framework is based on a set of carefully identified design principles and a constrained optimization formulation respecting these principles. We also propose a progressive approach that can efficiently solve the optimization problem, resulting in a sequence of abstractions that approximate the input at decreasing levels of detail. We evaluate our work by testing on images with different formats including real photos, clip arts, and line drawings. We also extensively validate the key components and compare our results with manual results by designers to demonstrate the effectiveness of our framework. Moreover, our framework can largely benefit design space exploration via easy specification of design parameters such as abstraction levels, golden circle sizes, etc.  相似文献   
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Researchers on organisational ambidexterity have proposed several solutions to address the potential conflicts between exploration activities and exploitation activities. Unlike simultaneous ambidexterity, sequential ambidexterity – defined as temporal switching between exploration and exploitation – has not been examined fully, and the conditions under which this temporal switching can be successful are unclear. This paper proposes the concept of temporal switching capability to better understand the process by which sequential ambidexterity is executed. In addition, we hypothesise that performance effects are contingent upon firm-specific factors: a firm’s business strategy and absorptive capacity. Utilising three sources of data – a secondary database, annual reports and a survey administered to 145 firms in the electronics industry with 10-year observations – we find support for our hypotheses. The results show that the temporal switching capability positively relates to new product performance and that business strategy type and absorptive capacity have moderating effects. The results are meaningful in both theory and practice.  相似文献   
96.
The effect of a naturally occurring plant phenolic constituent (the acylphloroglucinol derivative, jensenone, derived from Eucalyptus jensenii) on the food intake of two folivorous marsupials, the common ringtail (Pseudocheirus peregrinus) and the common brushtail possum (Trichosurus vulpecula) was studied. When fed diets containing varying concentrations of jensenone, both species regulated their intake of jensenone so as not to exceed a ceiling intake. This ceiling was about twice as high for common ringtails as for common brushtails from northern Australia. Southern populations of common ringtails showed greatly reduced capacities to tolerate jensenone. When common brushtails were injected (0.5 mg.kg-0.75 body mass) with ondansetron (a selective antagonist of serotonin 5HT3 receptors), they ate significantly more jensenone than animals injected with physiological saline. The same pattern was observed when common ringtails were fed diets containing both jensenone and ondansetron (0.0035 mg.g-1 wet mass of diet). Ondansetron injection had no effect on food intake when the food did not contain jensenone while the addition of higher doses of ondansetron to diets of common ringtails very slightly reduced food intakes of a non-jensenone diet. When common brushtails were given 50 mg of jensenone by gastric lavage, their average subsequent intake of dietary jensenone matched the difference between the daily threshold and the dose given, although the response of individuals was highly variable. Lavage with water alone had no effect on subsequent jensenone intake compared with the pre-dose period. We interpret these results as evidence that the antifeedant effects of jensenone and related compounds are partly mediated by serotonin action on 5HT3 receptors most likely via "nausea" to condition a food aversion.  相似文献   
97.
We present a view of the neuromechanical regulation of breathing and causes of breathing instability during sleep. First, we would expect transient increases in upper airway resistance to be a major cause of transient hypopnea. This occurs in sleep because a hypotonic upper airway is more susceptible to narrowing and because the immediate excitatory increase in respiratory motor output in response to increased loads is absent in non-REM sleep. Secondly, sleep predisposes to an increased occurrence of ventilatory "overshoots", in part because abruptly changing sleep states cause transient changes in upper airway resistance and in the gain of the respiratory controller. Following these ventilatory overshoots, breathing stability will be maintained if excitatory short-term potentiation is the prevailing influence. On the other hand, apnea and hypopnea will occur if inhibitory mechanisms dominate following the ventilatory overshoot. These inhibitory mechanisms include: a) hypocapnia-if transient, will inhibit carotid chemoreceptors and cause hypopnea, but if prolonged will inhibit medullary chemoreceptors and cause apnea; b) a persistent inhibitory effect from lung stretch; c) baroreceptor stimulation, from a transient rise in systemic blood pressure immediately following termination of apnea or hypopnea may partially suppress the accompanying hyperpnea; d) depression of central respiratory motor output via prolonged brain hypoxia. Once apneas are initiated, reinitiation of inspiration is delayed even though excitatory stimuli have risen well above their apneic thresholds, and these prolonged apneas are commonly accompanied by tonic EMG activation of expiratory muscles of the chest wall and upper airway.  相似文献   
98.
Current multimedia extensions provide a mechanism for general-purpose processors to meet the growing performance demand of multimedia applications. However, the computing performance of these extensions is often limited for the design conceptions of the single data stream. This paper presents an architecture called “multi-streaming SIMD” that enables current multimedia extensions to simultaneously manipulate multiple data streams. To efficiently and flexibly realize the proposed architecture, an operation cell is designed by fusing the logic gates and the storage cells together. Multiple operation cells then are connected to compose a register file with the ability of performing SIMD operations called “Multimedia Operation Storage Unit (MOSU)”. Further, many MOSUs are used to compose a multi-streaming SIMD computing engine that can simultaneously manipulate multiple data streams and exploit the subword parallelisms of the elements in each data stream. This paper also designs three instruction modes (global, coupling, and isolated modes) for programmers to dynamically configure the multi-streaming SIMD computing engine at the instruction level to manipulate different amounts of data streams. Simulation results show that when the multi-streaming SIMD architecture has four 4-register MOSUs, it provides a factor of 3.3×–5.5× performance enhancement for traditional MMX extensions on 12 multimedia kernels.  相似文献   
99.
This study is concerned with robust planning in optimization, specifically in determining the optimal run time for production system that is subject to random breakdowns under abort/resume (AR) control policy and failure in rework. In most real-life production processes, generation of defective items and breakdowns of manufacturing equipment are inevitable. In this study, random defective rate is assumed and all manufactured items are screened. The perfect quality, reworkable and scrap items are identified and separated; failure-in-rework is assumed. The system is also subject to random machine breakdown; and when it occurs, the AR policy is adopted. Under such policy, the production of the interrupted lot will be immediately resumed when the machine is restored. Mathematical modeling and derivation of the production-inventory cost functions for both systems with/without breakdowns are presented. The renewal reward theorem is used to cope with the variable cycle length when integrating cost functions. The long-run average cost per unit time is obtained. Theorems on convexity and on bounds of production run time are proposed and proved. A recursive searching algorithm is developed for locating the optimal run time that minimizes the expected production-inventory costs. A numerical example with sensitivity analysis is provided to give insight into the optimal operational control of such an unreliable system.  相似文献   
100.
Dynamic spectrum sharing is a promising technology to improve spectrum utilization in future wireless networks. The flexible spectrum management provides new opportunities for licensed primary user and unlicensed secondary users to reallocate the spectrum resource efficiently. In this paper, we present an oligopoly pricing framework for dynamic spectrum allocation in which the primary users sell excessive spectrum to the secondary users for monetary return. We present two approaches, the strict constraints (type-I) and the QoS penalty (type-II), to model the realistic situation that the primary users have limited capacities. In the oligopoly model with strict constraints, we propose a low-complexity searching method to obtain the Nash Equilibrium and prove its uniqueness. When reduced to a duopoly game, we analytically show the interesting gaps in the leader–follower pricing strategy. In the QoS penalty based oligopoly model, a novel variable transformation method is developed to derive the unique Nash Equilibrium. When the market information is limited, we provide three myopically optimal algorithms “StrictBEST”, “StrictBR” and “QoSBEST” that enable price adjustment for duopoly primary users based on the Best Response Function (BRF) and the bounded rationality (BR) principles. Numerical results validate the effectiveness of our analysis and demonstrate the convergence of “StrictBEST” as well as “QoSBEST” to the Nash Equilibrium. For the “StrictBR” algorithm, we reveal the chaotic behaviors of dynamic price adaptation in response to the learning rates.  相似文献   
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