Chronic hypertrophic gastropathy in a child resembling adult Menetrier''s disease

N-(phosphonacetyl)-disodium L-aspartic acid (PALA) demonstrates a synergistic antitumor effect when combined with 5-Fluorouracil (5-FU) in in vitro studies. In a Phase II trial, 23 eligible patients with unresectable or metastatic adenocarcinoma of the stomach were treated with weekly i.v. bolus PALA (250 mg/M2) followed 24 hours later by a 24-hour infusion of 5-FU (2600 mg/M2) for an initial period of 8 weeks. No objective responses were noted. PALA and 5-FU is inactive against gastric adenocarcinoma at the doses and schedule used in this trial.     

Optical properties and laser performance of neodymium doped fluoroapatites SrxCa5−x(PO4)3F (x = 0, 1, 2, 3, 4, and 5)

Nd doped fluoroapatites Sr_xCa_5−x(PO₄)₃F(S_xC_5−xPF, X = 0, 1, 2, 3, 4, and 5) single crystals have been grown by the Czochralski technique. Their polarized absorption and emission spectra have been recorded at room temperature and used to calculate the absorption and stimulated emission cross sections. Broadening of the absorption and emission bands is observed for Nd³⁺ in the solid solutions SPF-CPF compared to Nd³⁺ in CPF or SPF. 1% Nd:S_xC_5−xPF, X = 0, 2, 3, 4, and 5, laser rods have been tested in a cavity longitudinally pumped by a 1 W AlGaAs laser diode and compared to Nd:YAG and Nd:YVO₄ rods. All fluoroapatites exhibit very good laser performance with low thresholds and high slope efficiencies, higher than in the case of YAG and equal to the YVO₄ samples. The dependance of the laser output power versus the diode temperature has also been measured for all materials. The laser output was found to be as sensitive to the diode temperature fluctuations for fluoroapatites as for YAG.     

缺血性糖尿病下肢病变的膝下动脉成形术

目的探讨膝下动脉的球囊成形术在治疗糖尿病缺血性下肢病变中的价值。方法对５３例糖尿病合并缺血性下肢病变患者６４侧缺血性下肢进行膝下动脉Deep球囊扩张成形术。对比患者手术前后临床症状的改变及足部溃疡的变化。结果５３例患者共１１９支动脉分支接受PTA治疗，５０例患者的１０１个分支成功地开通，技术成功率为８４．９％，所有５０例患者的临床症状均明显缓解，足部溃疡均变小，无需截肢。结论膝下动脉的球囊成形术是治疗缺血性糖尿病下肢病变安全有效的微创手段     

Une architecture massivement parallèle intégrée

This paper presents a new massively parallel MIMD architecture, halfway between the Connection Machine and hypercubes based on 32-bit processors. It is built from specific 8-bit processors arranged in a 2-D grid and communicating by message transfers. We discuss the communication problems, the instruction set of the basic processing unit, the programmation of the whole array and the use of a high level data-flow language.     

The influence of demineralisation and ammoxidation on the adsorption properties of an activated carbon prepared from a Polish lignite

The preparation of cheap nitrogen-enriched materials with large adsorptive capacities and selectivity towards volatile organic compounds remains a challenge. Ammoxidation has been used to prepare nitrogen-enriched activated carbons using a demineralised Polish lignite. The lignite samples were demineralised by two different methods before nitrogen-enrichment by ammoxidation and physical activation in steam. The surface chemistry was investigated by elemental analysis, Boehm titration, infrared and XPS spectroscopies and adsorptive properties by a linear solvation energy relationship approach. Results show a quasi-total demineralisation and a higher reactivity towards nitrogen for the demineralised samples. The BET surface is also higher than for the non-demineralised lignite. Active carbons previously ammoxidated and demineralised are more interesting in terms of selective removal of gaseous pollutants.     

Tangential cover for thick digital curves

The recognition of digital shapes is a deeply studied problem. The arithmetical framework, initiated by Reveillès [Géométrie discrète, calcul en nombres entiers et algorithmique, Thèse d’Etat, 1991], provides a powerful theoretical basis, as well as many algorithms to deal with digital objects. The tangential cover, first presented in Feschet and Tougne [Optimal time computation of the tangent of a discrete curve: application to the curvature, in: G. Bertrand, M. Couprie, L. Perroton (Eds.), 8th Discrete Geometry for Computer Imagery, Lecture Notes in Computer Science, vol. 1568, Springer, Berlin, 1999, pp. 31-40] and Feschet [Canonical representations of discrete curves, Pattern Anal. Appl. 8(1-2) (2005) 84-94] is a useful tool for representing geometric digital primitives. It computes the set of all maximal segments of a digital curve and permits either to obtain minimal length polygonalization or asymptotic convergence of tangents estimations. Nevertheless, the arithmetical approach does not tolerate the introduction of irregularities, which are however inherent to the acquisition of digital shapes. The present paper is an extension of Faure and Feschet [Tangential cover for thick digital curves, in: D. Coeurjolly, I. Sivignon, L. Tougne, F. Dupont (Eds.), DGCI 2008, Lecture Notes in Computer Science, vol. 4992, Springer, Berlin, 2008, pp. 358-369], in which we propose a new definition for a class of the so-called “thick digital curves” that applies well to a large class of digital object boundaries. We then propose an extension of the tangential cover to thick digital curves and provide an algorithm with an O(nlogn) time complexity, where n denotes the number of points of specific subparts of the thick digital curve. In order to keep up with this low complexity, some critical points must be taken into account. We describe all required implementation details in this paper.     

Synthesis and characterization of WO3 thin films by surfactant assisted spray pyrolysis for electrochromic applications

Thin films of WO₃ were prepared by surfactant assisted spray pyrolysis on F-doped SnO₂ (FTO) conductive glass by using hexadecyltrimethylammonium bromide (HTAB) and polyethylene glycol (PEG400):HTAB as growth controlling agents. The surface tension of the spraying solutions was experimentally evaluated and was correlated with the deposition processes (nucleation and growth) of very smooth and homogenous films. The effect of the surfactant, alone and associated with PEG, on the structure (XRD), morphology (AFM), surface composition (XPS), FTIR and hydrophilicity (contact angle) were investigated and their influence on the electrochromic activity was discussed. Using surfactants and PEG, the coloration efficiency, transmission modulation and cycling stability of the WO₃ thin films can be enhanced.     

锁骨下动脉闭塞机械再通的方法研究

目的研究锁骨下动脉闭塞血管内机械再通方法和疗效。方法选择３２例症状性锁骨下动脉闭塞患者行血管内机械再通治疗，观察再通率及疗效。结果３２例锁骨下动脉闭塞患者中，用不同方法成功完成血管内机械再通后行血管内支架成形术，术后全部患者后循环缺血症状和上肢缺血症状明显改善。结论采用适当方法行机械再通治疗锁骨下动脉闭塞安全、可行。     

鼻肠减压管插入技术及其在小肠梗阻治疗中的应用

目的探讨鼻肠减压管插入技术及在治疗小肠梗阻中的作用。方法作为主要治疗方法或术前胃肠道减压术在１０例急性小肠梗阻患者中实施了鼻肠减压管插入治疗。治疗在X线透视下实施,鼻肠减压导管经一侧鼻孔插入,在患者体位的配合和配套导丝的引导下,将鼻肠减压管插入至十二指肠屈氏韧带附近或更远处的小肠。结果全部病例鼻肠减压管均顺利通过幽门插入预定位置,平均操作时间１６min（１０～３５min）,经导管治疗后所有患者腹痛、腹胀、呕吐等症状均有不同程度缓解,其中４例（单纯性肠粘连）症状完全消失,２周后拔除导管;３例患者转手术治疗;３例放弃进一步治疗。在插管过程中未出现消化道出血、穿孔等与操作相关的并发症。结论在X线透视下鼻肠减压管插入相对简单,耗时短,在手术前的胃肠减压和治疗单纯粘连性肠梗阻的作用上效果明显,值得采用     

经皮血管内支架治疗锁骨下动脉狭窄性疾病

目的探讨应用血管内支架治疗锁骨下动脉狭窄或闭塞性疾病的疗效。方法回顾分析１０例１１支锁骨下动脉狭窄或闭塞病变行血管内介入治疗的临床资料。结果１０例８支锁骨下动脉狭窄病变（狭窄率大于７０％）成功置入支架,３支闭塞锁骨下动脉中１支成功置入支架,２支闭塞锁骨下动脉未能开通。７例经股动脉置入支架,１例经肱动脉逆行置入支架。锁骨下动脉支架成功置入后肱动脉及桡动脉搏动良好,伴有盗血现象的５例患者症状消失。随访２～２４个月发现１例锁骨下动脉支架置入后９个月近年来血管腔内技术发展迅速,已成为动脉狭窄和闭塞性疾病的重要治疗手段之一。锁骨下动脉狭窄或闭塞是常见的阻塞性颅外脑血管病,不仅可引起上肢缺血症状,若闭塞发生在锁骨下动脉近端,可致同侧椎动脉血流逆流至锁骨下动脉远端供应患侧上肢,引起椎－基底动脉供血不足症状,谓锁骨下动脉盗血综合征（subclavian steal syndrome ,SSS）。为探讨应用血管内支架治疗锁骨下动脉狭窄或闭塞性疾病的疗效,我院于２００４年６月至２００７年４月对１０例锁骨下动脉狭窄或闭塞患者进行了治疗,现报道如下。１材料与方法１．１材料１．１．１临床资料本组１０例患者中男９例,女１例。年龄４５～７５岁,平均６６岁。单纯左锁骨下动脉病变７例（闭塞３例,狭窄４例）,单纯右锁骨下动脉狭窄２例,双锁骨下动脉狭窄１例。９例患者患肢动脉压比对侧低２０mmHg 以上,１例患者双侧锁骨下动脉狭窄无明显血压差。８例上肢有感觉异常伴脉搏减弱或无脉,７例有长期头晕病史,５例经颅多普勒超声检查（TCD）显示有椎动脉逆流。临床诊断动脉硬化９例,病理诊断大动脉炎１例。１例合并右肾动脉闭塞,１例合并对侧椎动脉重度狭窄,２例合并一侧颈内动脉重度狭窄。１．１．２使用材料与设备本组选择３种类型的镍钛合金自膨支架,有Protege（EV３,美国）７枚,Precise RX（Cordis,美国）１枚,Maris（Invatec,意大利）１枚。直径８～１０mm,长度４～６cm。使用血管造影设备为西门子AXIOM ARTIS FA DSA系统。１．２介入方法１．２．１术前血管造影采用Seldinger技术行股动脉穿刺,置入５F导管鞘。用５F猪尾导管、猎人头管、西蒙管或单弯管行主动脉弓及全脑DSA,明确病变血管的部位、形态、范围、侧支循环及其他脑血管供血情况,测量血管狭窄或闭塞的程度与长度,以便制订手术方案,选择合适的血管支架。对盗血患者行椎动脉造影时可观察到整个盗血过程１．２．２血管内支架成形术采用Seldinger技术行股动脉穿刺,置入８F导管鞘。将８F导引管与“y”阀、三通、压力盐水袋连接并排气,在黑泥鳅加硬交换导丝引导下,将导引管置于病变锁骨下动脉近端,送入导丝并越过狭窄段至远端,选择直径８mm、长４cm球囊（Cordis,美国）沿导丝送入狭窄段,用压力泵在６～１２atm下扩张１～２次,每次３０s左右,间隔１～２min。撤出球囊导管,将支架递送系统再狭窄,后再置入１枚支架,血管开通良好。１例患者双侧锁骨下动脉狭窄同时置入２枚支架后２个月突发脑出血死亡。结论应用血管内支架治疗锁骨下动脉狭窄或闭塞是一种微创、安全、有效的治疗方法,有望成为主要的治疗手段