简介：Objectives:Toassesspostoperativehearinglevel,andfactorsthatmayhaveinfluencehearingimprovementaftermyringoplasty.Methods:Twentysixcasesofsuccessfulmyringoplastywereincludedinthisprospectivestudy.Patientparametersincludingage,gender,sizeandsiteoftheperforation,mastoidstatus,andetiologywereevaluated.Hearinglevelswereassessedasthemeanairconduction(AC),andairbonegap(ABG)at500,1000,and2000Hz,andtheirrelationwithaforementionedparameterswereanalyzed.Results:ThemeanAChearinggainwas22.373dBandmeanABGreductionwas20.733dB.ThemaximumAChearinggainwas25.93dBforsubtotalperforationand26.24dBforbigcentralperforation,andthemaximumABGreductionwas25.63dBforsubtotalperforationand24.20forbigcentralperforation.MeanAChearinggainwas23.01dB,22.72dB,and21.39dBfor500,1000,and2000Hz,respectively,andmeanABGreductionwas21.52dB,20.79dB,and19.86dBfor500,1000,and2000Hz,respectively.Patientage,gender,mastoidstatusandetiologydidnotseemtohaveanybearingonpostoperativehearingimprovement.Conclusion:Whilepatientparametersdonotseemtocorrelatewithhearingimprovementfollowingmyringoplasty,thesizeandlocationofperforationappeartohaveanimpactonpostoperativehearingoutcomes.Mosthearingimprovementappearstooccurat500Hz.

简介：喻摧毁种类损害在涉及疾跑的运动之中是普通的，踢，并且有新潮的屈曲和膝扩展的高速度的有技能的运动或广泛的肌肉变长类型演习。这些损害提出周期性的损害的重要恢复时间和增加的危险性的一个过长的时期的挑战。中的将近三分之一个喻摧毁种类经常与随后的损害在第一年追随者回来以内复发到运动比原版更严重。这高重新损害率建议运动员们可能由于不适当的回来过早地正在回到运动到运动标准。在这篇评论文章，我们描述传染病学，风险因素，微分诊断，和预后一尖锐喻摧毁紧张。基于当前的可得到的证据，我们然后为康复建议一个临床的指南尖锐喻摧毁当估计一个运动员的愿意回到运动时，紧张和一个算法处理在决策帮助临床医生。

简介：为了比较在在medication.METHODSA上有选择激光trabeculoplasty(SLT)和那些的病人之间的生活和治疗满足的质量，收到了SLT和用反绿内障药继续的一个控制组的143个绿内障病人上的未来的临床的试用被进行。眼泪分散时间(，但是)，标点角膜炎，对帮助的需要，人工的眼泪的使用和intraocular压力(IOP)的治疗满足调查在基线被测量，6并且12mo.RESULTSSLT能减少从1.56需要的药的吝啬的数字

简介：AIMTo算术地代表在角膜的几何学和intracorneal戒指的飞机植入的ectatic(ICRS)之间的交叉以便在keratoconus(KC)决定角膜的反应到ICRS外科。此后，角膜的戒指飞机交叉被建模介绍这个概念和keratectasia.METHODSThe的治疗的ICRS外科的一张最新导出的指导地形学的诺模图的早结果到圆锥形的节。戒指效果是结果：戒指尺寸，位置(陡峭对扁平)，地点(从角膜的几何中心的距离)，和在戒指弯曲和隧道弯曲之间的差异。Femtosecond激光被用来创造隧道，切口地点根据诺模图被选择以便不管圆锥形的节有的refraction.RESULTSThe的散光轴把最厚的戒指放在角膜的最陡峭的部分在角膜的陡峭的区域的更延长的形状比在里面扁平的区域，取决于角膜的sagittal弯曲。相等的戒指尺寸比在扁平的区域在陡峭的区域有更多的变平的效果。厚片断应该不管折射的柱体轴在角膜的陡峭的部分下面被植入。在陡峭的区域的单个片断在KC的早、中等的盒子中是足够的。新诺模图比常规nomogram.CONCLUSIONThe最新发源的在未改正的视觉尖酸(UCVA)和改正最好的视觉尖酸(BCVA)向更多的地志的整齐提供了散光和更好的改进的重要减小诺模图能比常规诺模图生产更好的结果。而且基于这个概念，一张新诺模图能集成于与允许的修改焦点的asphericity创造指导地形学的、设定的、椭圆的隧道的激光软件设定不规则地变得陡峭的ectatic角膜的焦点的变平的femtosecond。

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简介：Threetyphooncasesareselectedtoconductaseriesofsimulationsthatareinitializedfromsequentialanalyses.Theresultsshowthattheforecasterrorincrucialareawhereatropicalcyclone(TC)interacteswiththeupstreamtroughishighlycorrelatedtothetrackforecasterroraftertheTCrecurvature.Furthermore,sensitivityexperimentsconfirmthatthedevelopmentsofthemidlatitudedownstreamcirculationsandthentheTCtrackafteritsrecurvaturearehighlysensitivetotheTCintensityanditslocationrelativetotheupstreamtrough,whichcangiveanexampleoronewayofsensitivityoftheTCtracktotheTC-troughinteraction.IftheTCinteractswiththeupstreamtroughmorestrongly(e.g.,theTCbeingintensifiedorgettingclosertotheupstreamtrough),thedownstreamcirculationswillbemoremeridional,thustheTCtrackwillbemorenortherlyandwesterly;otherwise,thedownstreamcirculationswillbemorezonal,andtheTCtrackwillbemoresoutherlyandeasterly.

简介：硼(B)的增加经常被采用增加bainitic钢的hardenability。尽管它是众所周知的，那B能延迟bainitic转变动力学，B怎么在ausforming以后影响bainitic转变动力学，仍然不是清楚的。由系统的高分辨率的dilatometry测试，现在的工作表明bainitic转变动力学包括孵化时间，转变速度和转变体积部分从所有方面在ausforming以后与B增加在低C钢被加速。为没有B增加的一样的钢，相反，转变速度和转变体积部分在ausforming以后被延迟。当某硼能与脱臼交往因此提高bainite成核率，ausforming能在优先的奥氏体谷物边界减少B分离，这被建议当某硼能与脱臼交往。而且，auforming能精制bainitic捆的平均体积。基于在成核率和bainitic捆的精炼的增加之间的竞争机制，bainitic转变动力学上的B和ausforming的效果被讨论。

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简介：Thereliabilityoftheproductsoldunderawarrantyisusuallymaintainedbythemanufacturerduringthewarrantyperiod.Aftertheexpiryofthewarranty,however,theconsumerconfrontsaproblemabouthowtomaintainthereliabilityoftheproduct.Thispaperproposes,fromtheconsumer’sperspective,areplacementpolicyaftertheextendedwarranty,undertheassumptionthattheproductissoldundertherenewablefreereplacementwarranty(RFRW)policyinwhichthereplacementisdependentontherepair-costthreshold.Theproposedreplacementpolicyisthereplacementaftertheextendedwarrantyisperformedbytheconsumerbasedontherepair-costthresholdorpreventivereplacement(PR)age,whicharedecisionvariables.Theexpectedcostratemodelisderivedfromtheconsumer’sperspective.Theexistenceanduniquenessoftheoptimalsolutionthatminimizestheexpectedcostrateperunittimeareoffered.Finally,anumericalexampleispresentedtoexemplifytheproposedmodel.

简介：Intracerebralhaemorrhage（ICH）,whichhasrapidattackandhighdeathrate,usuallyleadstobadoutcomes.Poorprognosisofthisdiseaseisprimarilyduetothedifficultyofearlydiscovery.Earlydetectionordiagnosiswouldsignificantlyreducetherateofdisabilityandmortality,andimprovetheprognosisofthepatients.Thepurposeofthispaperistotestifyelectricalimpedancechangeanddetectionofbraintissueaftercerebralischemicwithelectricalimpedancetomography.Inthisstudy,electricalimpedancetomography（EIT）wasappliedtodetecttheonsetofmodeledonrabbitsinrealtime,ICHmodelgroupwereinjectedcollagenaseintheCorpusStriatumwhilerabbitsincontrolgroupwereinjectedthesamevolumeofsalinewithcollagenase.Thesubsequentprocesswasmonitoredcontinuouslybysystemofelectricalimpedancetomography;therabbitsweresacrificedbyintravenousinjectionofoverdoseofhydrationchlorinealdehyde,andthentakenintobeingscannedbycomputedtomography（CT）witharesolutionof1mmwithin10minafterdeath.Afterthat,thebrainsoftherabbitsweretakenout,fixedandcutintoslicestodetectthechangesofbraintissue.Wefoundthatone-dimensionalimpedanceandtwo-dimensional（2D）imagesofelectricresistanceofbrainoftherabbitspretreatedwithcoilagenaseobviouslychangedafterinjectionandthehemorrhagecouldbefoundintheslicesofbrainandtherewerechangesinthemodelrabbitsgroupnotonlytheelectricresistancebutalsothebraintissues.quantitativeindexcan＇tbeprovidedbydetectionofintracerebralhemorrhageAlthoughinrabbitswithelectricalimpedancetomography＇satthisstage,cerebralhemorrhagecancausebrainelectricalimpedancecharactersofthechange,thecompletedexperimentssuggestthatelectricalimoedancetomograophr（EIT）maybecomeaneffectivetechniauetodetectICH.

简介：Objective:Curativegastriccancersurgeryentailsremovaloftheprimarytumorwithadequatemarginsincludingregionallymphnodes.Europeanrandomizedcontrolledtrialswithrecruitmentinthe1990'sreportedincreasedmorbidityandmortalityforD2comparedtoD1.Here,weexaminedtheextentoflymphadenectomyduringgastriccancersurgeryandtheassociatedriskforpostoperativecomplicationsandmortalityusingthestrengthsofapopulation-basedstudy.Methods:AprospectivenationwidestudyconductedwithintheNationalRegisterofEsophagealandGastricCancer.AllpatientsinSwedenfrom2006to2013whounderwentgastriccancerresectionswithcurativeintentwereincluded.PatientswerecategorizedintoD0,D1,orD1+/D2,andanalyzedregardingpostoperativemorbidityandmortalityusingmultivariablelogisticregression.Results:Intotal,349(31.7%)patientshadaD0,494(44.9%)D1,and258(23.4%)D1+/D2lymphadenectomy.The30-dpostoperativecomplicationrateswere25.5%,25.1%and32.2%(D0,D1andD1+/D2,respectively),and90-dmortalityrateswere8.3%,4.3%and5.8%.Afteradjustmentforconfounders,inmultivariableanalysis,therewerenosignificantdifferencesinriskforpostoperativecomplicationsbetweenthelymphadenectomygroups.For90-dmortality,therewasalowerriskforD1vs.D0.Conclusions:ThemajorityofgastriccancerresectionsinSwedenhaveincludedonlyalimitedlymphadenectomy(D0andD1).Moreextensivelymphadenectomy(D1+/D2)seemedtohavenoimpactonpostoperativemorbidityormortality.

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简介：在我们的当前的工作，在有起核心作用的代理人的isotactic聚丙烯(iPP)的水晶的生长上的shear温度的效果被调查借助于在situ二维的宽角度的X光检查衍射(2D-WAXD)。在低砍温度，面向的先锋是的形成的砍导致难由于分子的链的弱活动性放松回到随机的卷的状态。因此，很多的面向的晶体被砍导致导致面向的先锋，当水晶极大地被压抑时。作为shear温度增加，面向的水晶逐渐地与水晶的减少一起增加。这被推出水晶的内容在增加到的shear温度(最大值)在静止结晶化发现的价值在结晶化动力学上的流动的加速的效果哪个完全被擦掉几乎与那一样。我们的工作在结构和iPP的性质操作在调整水晶并且这样表明它的意义。

简介：AIMTo调查在植入与的病人与光斩的现象联系的独立因素折射，旋转地不对称，multifocalintraocular透镜(MIOL).METHODSThirty--经历了单方的奔流外科的34个病人的四只眼睛，由旋转地不对称的MIOL的培植列在后面被包括。距离和近视觉的尖酸结果，intraocular错误，比较喜欢的读物距离，外科手术前、手术后的折射错误，mesopic和photopic学生直径，和mesopic和photopickappa角度被估计。病人们也被管理满足调查。光斩的现象被问询表分级。独立人士相关的因素被关联和bivariate识别到mesopic学生中心(学生中心移动)的从photopic的逻辑回归analyses.RESULTSThe距离显著地与瞪视/光圈症状被联系[机会比率(或)=2.065，95%信心间隔(CI)=0.916-4.679，P=0.006]并且夜里视觉问题(OR=1.832，95%CI=0.721-2.158，P=0.007)。外科手术前的photopic角度kappa显著地与瞪视/光圈症状被联系(OR=2.155，95%CI=1.065-4.362，P=0.041)。photopic角度kappa显著地也与瞪视/光圈症状被联系(OR=2.155，95%CI=1.065-4.362，P=0.041)并且与夜里视觉问题(OR=1.832，95%CI=0.721-2.158，P=0.007)在与旋转地不对称的MIOLs.CONCLUSIONA植入的病人，在视觉、学生的轴(角度kappa)之间的大学生中心移动和错误排列可以在旋转地不对称的MIOL的培植以后在光斩的现象的出现起一个作用。

简介：AIM:Tocomparethespeedofvisualrecoveryfollowingmyopicthin-flapLASIKwithfourfemtosecondlasers.METHODS:Eighty-eighteyesof46patientswhowereconsecutivelyscheduledforbilateralLASIKwiththeIntraLaseFS60(Group1),FemtoLDVCrystalLine(Group2),WavelightFS200(Group3)andVisuMax(Group4)femtosecondlaserswereenrolledin.Monocularuncorrecteddistancevisualacuity(UDVA),best-correcteddistantvisualacuity(CDVA),refraction,contrastsensitivityandhigher-orderaberrations(HOAs)wereevaluatedat1,3d,1wkand1mopostoperatively.RESULTS:Sixteeneyes(72.7%)achieved20/16and8eyes(36.4%)were20/12.5at1dinGroup2,whichwassignificantlymorethanother3groups.At1wk,20eyes(90.9%)achieved20/16inGroups2and4.At1mo,20eyes(90.9%)achieved20/16inGroup2andGroup4,whichweresignificantlymorethanothertwogroups.Whileby1mo,thedifferenceoftheresidualsphericalequivalent(SE)wasnotstatisticallysignificantamong4groups(P=0.121).Theinductionofsphericalaberration(SA)weresignificantlylessforGroups2,3,4thanforGroup1onedayaftersurgery(P=0.015).Thedifferencesamong4groupswerenotstatisticallysignificantbeforeandaftersurgeryoneverytimepoints(allP>0.05).CONCLUSION:Thethin-flapLASIKprocedureusingtheFemtoLDVCrystalLineandVisuMaxfemtosecondlasershowfastervisualperformancerecovery.

简介：1名学生＋1位教师=1所学校。这个特殊的场景,出现在重庆綦江区赶水镇太公山村小。学校唯一的学生叫谭陆森,而陪伴教导他的是老教师令狐克洪。太公山村小的生源逐年减少,学生陆陆续续转到镇上就读,只剩下谭陆森一人。谭家四世同堂,家庭负担颇重,小陆森为了能与祖母互相照顾,不方便转校下山就读。于是,令狐克洪向学校申请：＂让我在太公山站好最后一班岗,照顾好最后一名学生。＂

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简介：Objective:Patientsundergoingtotalgastrectomyforcancerareatriskofmalnourishment.Theaimofthisselfcontrolledstudywastoexaminetheeffectofjejunostomytubefeeding(JTF)andotherfactorsonpostoperativeweightandtheincidenceofjejunostomy-relatedcomplicationsinpatientsundergoingtotalgastrectomyforcancer.Methods:Allconsecutivepatientswhounderwenttotalgastrectomyforgastriccancerwithjejunostomyplacementwereincludedfromaprospectivesingle-centerdatabase(2003–2014).Jejunostomy-relatedcomplicationsandpostoperativeweightchangeswereevaluatedupto12monthsaftersurgery.Multivariablelinearregressionanalysiswasperformedtoidentifyfactorsassociatedwithweightloss12monthsaftergastrectomy.Results:Of113patientsoperatedinthestudyperiod,65receivedJTFaftertotalgastrectomyforamediandurationof18d[interquartilerange(IQR),10–55d].Jejunostomy-relatedcomplicationsoccurredin11(17%)patients,includingskinleakage(n=3)andperitonealleakage(n=2),luxation(n=3),occlusion(n=2),infection(n=1)andtorsion(n=1).In2(3%)patients,areoperationwasneededduetojejunostomy-relatedcomplications.Themeanpreoperativeweightofpatientswas71.8kg(100%),andremainedstableduringJTF(73.9kg,103%,P=0.331).AfterJTFwasstopped,themeanweightofpatientsdecreasedto64.9kg(90%)at12monthsaftersurgery(P<0.001).Ahighpreoperativebodymassindex(BMI)(≥25kg/m~2)wasassociatedwithhighpostoperativeweightlosscomparedtopatientswithalowBMI(<25kg/m~2)(16.3%vs.8.6%,P=0.016).Conclusions:JTFcanpreventweightlossintheearlypostoperativephase.However,thisisattheprizeofpossiblecomplications.Asweightlossinthelongtermisnotprevented,routineJTFshouldbere-evaluatedandbalancedagainsttheselecteduseinpreoperativelymalnourishedpatients.SpecialattentionshouldbepaidtopatientswithahighpreoperativeBMI,whoareatriskofmorepostoperativeweightloss.

简介：Inflammationafterstrokeisthemaincauseofcerebralischemia/reperfusioninjury.Cascadingeventsafterinjurycanleadtocelldeath.Heatshockprotein70andotherendogenousinjury-signalingmoleculesarereleasedbydamagedcells,whichcanleadtosystemicstressreactions.Protectingthebrainthroughrepairbeginswiththestress-injury-repairsignalingchain.Thisstudyaimedtoverifywhetheracupunctureactsthroughthischaintofacilitateeffectivetreatmentofischemicstroke.Ratmodelsofcerebralischemia/reperfusioninjurywereestablishedbyZeaLonga'smethod,andinjurysiteswereidentifiedbyassessingneurologicalfunction,2,3,5-triphenyltetrazoliumchloridestaining,andhematoxylin-eosinstaining.ElectroacupunctureatacupointsBaihui(DU20)andZusanli(ST36)wasperformedinthemodelratswithdilatationalwaves,deliveredfor20minutesadayat2–100Hzandanamplitudeof2mA.Weanalyzedthebloodserumfromtheratsandfoundthatinflammatorycytokinesaffectedthelevelsofadrenotrophinandheatshockprotein70,eachofwhichfollowedasimilarbimodalcurve.Specifically,electroacupunctureloweredthepeaklevelsofadrenocorticotrophichormoneandheatshockprotein70.Thus,electroacupuncturewasabletoinhibitexcessivestress,reduceinflammation,andpromotetherepairofneurons,whichfacilitatedhealingofischemicstroke.