A system of number recognition with a graphic user interface （GUI） is implemented on the embedded development platform by using the fuzzy pattern recognition method. An application interface （API） of uC/ OS-Ⅱ is ...A system of number recognition with a graphic user interface （GUI） is implemented on the embedded development platform by using the fuzzy pattern recognition method. An application interface （API） of uC/ OS-Ⅱ is used to implement the features of multi-task concurrency and the communications among tasks. Handwriting function is implemented by the improvement of the interface provided by the platform. Fuzzy pattern recognition technology based on fuzzy theory is used to analyze the input of handwriting. A primary system for testing is implemented. It can receive and analyze user inputs from both keyboard and touch-screen. The experimental results show that the embedded fuzzy recognition system which uses the technology which integrates two ways of fuzzy recognition can retain a high recognition rate and reduce hardware requirements.展开更多
AIM:To evaluate whether total splenic artery embolization(TSAE) for patients with hypersplenism delivers better long-term outcomes than partial splenic embolization(PSE).METHODS:Sixty-one patients with hypersplenism e...AIM:To evaluate whether total splenic artery embolization(TSAE) for patients with hypersplenism delivers better long-term outcomes than partial splenic embolization(PSE).METHODS:Sixty-one patients with hypersplenism eligible for TSAE(n = 27,group A) or PSE(n = 34,group B) were enrolled into the trial,which included clinical and computed tomography follow-up.Data on technical success,length of hospital stay,white blood cell(WBC) and platelet(PLT) counts,splenic volume and complications were collected at 2 wk,6 mo,and 1,2,3,4 years postoperatively.RESULTS:Both TSAE and PSE were technically successful in all patients.Complications were significantly fewer(P = 0.001),and hospital stay significantly shorter(P = 0.007),in group A than in group B.Postprocedure WBC and PLT counts in group A were significantly higher than those in group B from 6 mo to 4 years(P = 0.001),and post-procedure residual splenic volume in group A was significantly less than that observed in group B at 1,2,3 and 4 years post-procedure(P = 0.001).No significant differences were observed in red blood cell counts and liver function parameters between the two groups following the procedure.CONCLUSION:Our results indicate that TSAE for patients with hypersplenism not only delivers a better longterm outcome,but is also associated with lower complication rates and a shorter hospital stay than PSE.展开更多
Objectives To compare the postoperative complications and survival of standard pancreatoduodenectomy （SPD） and extended pancreatoduodenectomy （EPD） in patients with resectable adenocarcinoma of the head of the pan...Objectives To compare the postoperative complications and survival of standard pancreatoduodenectomy （SPD） and extended pancreatoduodenectomy （EPD） in patients with resectable adenocarcinoma of the head of the pancreas. Methods Between January 1994 and December 2011, 165 patients with biopsy-proven adenocardnoma of the pancreatic head were treated in West China Hospital, among whom 93 underwent SPD and 72 had EPD. Complications and survival after the surgery were analyzed retrospectively. Results The median operation time of the EPD group was longer compared with the SPD group （375 minutes vs. 310 minutes, P〈O.O1）, the volume of blood transfusion was larger （700 mL vs. 400 mL, P〈0.05）, while the median hospital stay （13.5 days vs. 12 days, P = 0.79） and the total complication rates were comparable （34.7% vs. 32.4%, P=0.93）. The total recurrence rates of the SPD and EPD groups were not significantly different （52.7% vs. 43.1%, P=0,83）. No significant differences were found between the SPD and EPD groups in 1-year （81.7% vs. 86.1%）, 3-year （38.7% vs. 43.1%）, 5-year （16.7% vs. 19.4%）, and median survivals （19.8 months vs. 23.2 months, P= 0.52）. Conclusion The postoperative complications and survival donot differ significantly between SPD and EPD.展开更多
Objective To investigate the application of the retroperitoneal approach in aortic surgery. Methods We collected and analyzed data of 7 patients in Macao who presented with aortic diseases from 2007 to 2008 and were t...Objective To investigate the application of the retroperitoneal approach in aortic surgery. Methods We collected and analyzed data of 7 patients in Macao who presented with aortic diseases from 2007 to 2008 and were treated with aorta repair through retroperitoneal approach. Demographic features as well as intraoperative and postoperative data were analyzed. One case of thoracoabdominal aneurysm and 4 cases of abdominal aneurysm received artificial graft, among which hybrid iliac artery reconstruction with Zenith stent covering the ostium of the left subclavian artery was performed in 2 cases of infrarenal abdominal aneurysm. Aortic-iliac artery bypass was performed in 2 cases of aortoiliac occlusion. Results No operative or early postoperative death was observed. No perioperative intestinal adhesion or ureteral obstruction was found. One case reported delayed paraplegia and graft infection as postoperative complications. The complications were partially removed 3 months later after rehabilitation. Conclusion Retroperitoneal approach is a safe and feasible technique, which associated with a low incidence of postoperative pulmonary complications.展开更多
AIM:To investigate the effect of pain relief after infu-sion of ropivacaine at port sites at the end of surgery.METHODS:From October 2006 to September 2007,72 patients undergoing laparoscopic cholecystectomy(LC) were ...AIM:To investigate the effect of pain relief after infu-sion of ropivacaine at port sites at the end of surgery.METHODS:From October 2006 to September 2007,72 patients undergoing laparoscopic cholecystectomy(LC) were randomized into two groups of 36 patients.One group received ropivacaine infusion at the port sites at the end of LC and the other received normal saline.A visual analog scale was used to assess postoperative pain when the patient awakened in the operating room,6 and 24 h after surgery,and before discharge.The amount of analgesics use was also recorded.The demographics,laboratory data,hospital stay,and perioperative complications were compared between the two groups.RESULTS:There was no difference between the two groups preoperatively in terms of demographic and lab-oratory data.After surgery,similar operation time,blood loss,and no postoperative morbidity and mortality were observed in the two groups.However,a significantly lower pain score was observed in the patients undergo-ing LC with local anesthesia infusion at 1 h after LC and at discharge.Regarding analgesic use,the amount of meperidine used 1 h after LC and the total used during admission were lower in patients undergoing LC with local anesthesia infusion.This group also had a shorter hospital stay.CONCLUSION:Local anesthesia with ropivacaine at the port site in LC patients signif icantly decreased post-operative pain immediately.This explains the lower meperidine use and earlier discharge for these patients.展开更多
Group signature schemes are fundamental cryptographic tools. A group signature scheme allows members of a group to anonymously sign misuse, the anonymity messages. To counter can be revoked by the group manager. The g...Group signature schemes are fundamental cryptographic tools. A group signature scheme allows members of a group to anonymously sign misuse, the anonymity messages. To counter can be revoked by the group manager. The group joining operation is a critical component of group signature scheme, the framing attack can be prevented by group joining processes. This paper presents an efficient group signature scheme with a simple joining protocol that is based on a ＂single message and signature response＂ interaction between the prospective user and the group manager. The security of our group signature is based on the Discrete Logarithm assumption and Decisional Linear Diffie- Hellman assumption. The formal security proof of our scheme is given in the random oracle model. Our scheme is also a very efficient short group signature scheme with efficient concurrent join.展开更多
Transcatheter aortic valve implantation （TAVI） carries a significant thromboembolic and concomitant bleeding risk, not only during the procedure but also during the periprocedural period. Many issues concerning opti...Transcatheter aortic valve implantation （TAVI） carries a significant thromboembolic and concomitant bleeding risk, not only during the procedure but also during the periprocedural period. Many issues concerning optimal antithrombotic therapy after TAVI are still under debate. In the present review, we aimed to identify all relevant studies evaluating antithrombotic therapeutic strategies in relation to clinical outcomes after the procedure. Four randomized control trials （RCT） were identified analyzing the post-TAVI antithrombotic strategy with all of them utilizing aspirin lifelong plus clopidogrel for 3-6 months. Seventeen registries have been identified, with a wide variance among them regarding baseline characteristics, while concerning antiplatelet therapy, clopidogrel duration was ranging from 3-12 months. Four non-randomized trials were identified, comparing single vs. dual antiplatelet therapy after TAVI, in respect of investigating thromboembolic outcome events over bleeding complications. Finally, limited data from a single RCT and a retrospective study exist with regards to anticoagulant treatment during the procedure and the optimal antithrombotic therapy when concomitant atrial fibrillation. In conclusion, due to the high risk and frailty of the treated population, antithrombotic therapy after TAVI should be carefully evaluated. Diminishing ischaemic and bleeding complications remains the main challenge in these patients with further studies to be needed in this field.展开更多
基金Pre-Research Project of the National Natural Science Foundation of China supported by Southeast University ( NoXJ0605227)
文摘A system of number recognition with a graphic user interface （GUI） is implemented on the embedded development platform by using the fuzzy pattern recognition method. An application interface （API） of uC/ OS-Ⅱ is used to implement the features of multi-task concurrency and the communications among tasks. Handwriting function is implemented by the improvement of the interface provided by the platform. Fuzzy pattern recognition technology based on fuzzy theory is used to analyze the input of handwriting. A primary system for testing is implemented. It can receive and analyze user inputs from both keyboard and touch-screen. The experimental results show that the embedded fuzzy recognition system which uses the technology which integrates two ways of fuzzy recognition can retain a high recognition rate and reduce hardware requirements.
文摘AIM:To evaluate whether total splenic artery embolization(TSAE) for patients with hypersplenism delivers better long-term outcomes than partial splenic embolization(PSE).METHODS:Sixty-one patients with hypersplenism eligible for TSAE(n = 27,group A) or PSE(n = 34,group B) were enrolled into the trial,which included clinical and computed tomography follow-up.Data on technical success,length of hospital stay,white blood cell(WBC) and platelet(PLT) counts,splenic volume and complications were collected at 2 wk,6 mo,and 1,2,3,4 years postoperatively.RESULTS:Both TSAE and PSE were technically successful in all patients.Complications were significantly fewer(P = 0.001),and hospital stay significantly shorter(P = 0.007),in group A than in group B.Postprocedure WBC and PLT counts in group A were significantly higher than those in group B from 6 mo to 4 years(P = 0.001),and post-procedure residual splenic volume in group A was significantly less than that observed in group B at 1,2,3 and 4 years post-procedure(P = 0.001).No significant differences were observed in red blood cell counts and liver function parameters between the two groups following the procedure.CONCLUSION:Our results indicate that TSAE for patients with hypersplenism not only delivers a better longterm outcome,but is also associated with lower complication rates and a shorter hospital stay than PSE.
文摘Objectives To compare the postoperative complications and survival of standard pancreatoduodenectomy （SPD） and extended pancreatoduodenectomy （EPD） in patients with resectable adenocarcinoma of the head of the pancreas. Methods Between January 1994 and December 2011, 165 patients with biopsy-proven adenocardnoma of the pancreatic head were treated in West China Hospital, among whom 93 underwent SPD and 72 had EPD. Complications and survival after the surgery were analyzed retrospectively. Results The median operation time of the EPD group was longer compared with the SPD group （375 minutes vs. 310 minutes, P〈O.O1）, the volume of blood transfusion was larger （700 mL vs. 400 mL, P〈0.05）, while the median hospital stay （13.5 days vs. 12 days, P = 0.79） and the total complication rates were comparable （34.7% vs. 32.4%, P=0.93）. The total recurrence rates of the SPD and EPD groups were not significantly different （52.7% vs. 43.1%, P=0,83）. No significant differences were found between the SPD and EPD groups in 1-year （81.7% vs. 86.1%）, 3-year （38.7% vs. 43.1%）, 5-year （16.7% vs. 19.4%）, and median survivals （19.8 months vs. 23.2 months, P= 0.52）. Conclusion The postoperative complications and survival donot differ significantly between SPD and EPD.
文摘Objective To investigate the application of the retroperitoneal approach in aortic surgery. Methods We collected and analyzed data of 7 patients in Macao who presented with aortic diseases from 2007 to 2008 and were treated with aorta repair through retroperitoneal approach. Demographic features as well as intraoperative and postoperative data were analyzed. One case of thoracoabdominal aneurysm and 4 cases of abdominal aneurysm received artificial graft, among which hybrid iliac artery reconstruction with Zenith stent covering the ostium of the left subclavian artery was performed in 2 cases of infrarenal abdominal aneurysm. Aortic-iliac artery bypass was performed in 2 cases of aortoiliac occlusion. Results No operative or early postoperative death was observed. No perioperative intestinal adhesion or ureteral obstruction was found. One case reported delayed paraplegia and graft infection as postoperative complications. The complications were partially removed 3 months later after rehabilitation. Conclusion Retroperitoneal approach is a safe and feasible technique, which associated with a low incidence of postoperative pulmonary complications.
文摘AIM:To investigate the effect of pain relief after infu-sion of ropivacaine at port sites at the end of surgery.METHODS:From October 2006 to September 2007,72 patients undergoing laparoscopic cholecystectomy(LC) were randomized into two groups of 36 patients.One group received ropivacaine infusion at the port sites at the end of LC and the other received normal saline.A visual analog scale was used to assess postoperative pain when the patient awakened in the operating room,6 and 24 h after surgery,and before discharge.The amount of analgesics use was also recorded.The demographics,laboratory data,hospital stay,and perioperative complications were compared between the two groups.RESULTS:There was no difference between the two groups preoperatively in terms of demographic and lab-oratory data.After surgery,similar operation time,blood loss,and no postoperative morbidity and mortality were observed in the two groups.However,a significantly lower pain score was observed in the patients undergo-ing LC with local anesthesia infusion at 1 h after LC and at discharge.Regarding analgesic use,the amount of meperidine used 1 h after LC and the total used during admission were lower in patients undergoing LC with local anesthesia infusion.This group also had a shorter hospital stay.CONCLUSION:Local anesthesia with ropivacaine at the port site in LC patients signif icantly decreased post-operative pain immediately.This explains the lower meperidine use and earlier discharge for these patients.
基金This paper is supported by the National Natural Science Foundation of China under Grant No. 61072140, 61373171 the Program of Introducing Talents of Discipline to Universities NO. B08038 the Specialized Research Fund for the Doctoral Program of Higher Education No. 20100203110003.
文摘Group signature schemes are fundamental cryptographic tools. A group signature scheme allows members of a group to anonymously sign misuse, the anonymity messages. To counter can be revoked by the group manager. The group joining operation is a critical component of group signature scheme, the framing attack can be prevented by group joining processes. This paper presents an efficient group signature scheme with a simple joining protocol that is based on a ＂single message and signature response＂ interaction between the prospective user and the group manager. The security of our group signature is based on the Discrete Logarithm assumption and Decisional Linear Diffie- Hellman assumption. The formal security proof of our scheme is given in the random oracle model. Our scheme is also a very efficient short group signature scheme with efficient concurrent join.
文摘Transcatheter aortic valve implantation （TAVI） carries a significant thromboembolic and concomitant bleeding risk, not only during the procedure but also during the periprocedural period. Many issues concerning optimal antithrombotic therapy after TAVI are still under debate. In the present review, we aimed to identify all relevant studies evaluating antithrombotic therapeutic strategies in relation to clinical outcomes after the procedure. Four randomized control trials （RCT） were identified analyzing the post-TAVI antithrombotic strategy with all of them utilizing aspirin lifelong plus clopidogrel for 3-6 months. Seventeen registries have been identified, with a wide variance among them regarding baseline characteristics, while concerning antiplatelet therapy, clopidogrel duration was ranging from 3-12 months. Four non-randomized trials were identified, comparing single vs. dual antiplatelet therapy after TAVI, in respect of investigating thromboembolic outcome events over bleeding complications. Finally, limited data from a single RCT and a retrospective study exist with regards to anticoagulant treatment during the procedure and the optimal antithrombotic therapy when concomitant atrial fibrillation. In conclusion, due to the high risk and frailty of the treated population, antithrombotic therapy after TAVI should be carefully evaluated. Diminishing ischaemic and bleeding complications remains the main challenge in these patients with further studies to be needed in this field.
