简介:Coronaryarterychronictotalocclusion(CTO)isdefinedasanoccludedcoronaryarterysegmentwithoutanterogradeflowforatleastthreemonths.Itcanbeclassifiedasa“true”or“functional”CTObasedonflowcharacteristics.In“true”CTO,thereisnoanterogradeflow.In“functional”CTO,thereisminimalanterogradeflowthroughtheoccludedsegmentofthecoronaryartery.CTOisacommonfindingduringcoronaryangiographyanditsprevalencemayvarydependingonthereportedliterature.Amongpatientswithoutpreviouscoronaryarterybypassgrafting(CABG),CTOisfoundinabout20–30%ofthepatients.CTOmaydevelopinsidiouslyoveraperiodoftimeandinvolveacomplexinterplaybetweenintracellularandextracellularfactors,smoothmuscleandfoamcells,calcification,andneovascularization.ThereisagrowingbodyofevidencetosupportthatCTOrevascularizationmayimproveclinicaloutcomewhencomparedtomedicalmanagement.BoththeEuropeanandAmericancardiovascularsocietiessupportCTOrevascularizationwithaclass2arecommendation(levelofevidenceB).Historically,duetolowproceduralsuccessrate,apparentinefficientresourceutilization,potentialincreaseincomplicationratesanduncertainclinicalbenefits,onlyabout10–20%ofpatientswithCTOaretreatedwithpercutaneouscoronaryintervention(PCI).RecentadvancesusingnovelandinnovativetechniqueswithdedicatedequipmenthavesignificantlyimprovedtheproceduralsuccessrateforCTOPCItoabout90%inthehandsofexperiencedoperators.WithincreasinginterestinCTOPCIcoupledwithincreasededucationaleffort,CTOPCIlikelywillbecomemoreaccessibletopatientsinneedofCTOrevascularization.OngoingadvancementininnovativetechniquesandequipmentwillcontinuetoimproveproceduralsuccessratesandreduceproceduralcomplicationrateforCTOPCI.Furthermore,thereareanumberofprospectiveclinicaltrialsonthehorizonwhichshouldhelpdefinetheclinicalbenefitsandlimitationsofCTOPCIinthenear
简介:Itisprovedthatisa(Δ+1)-colorablegraph,soarethegraphsG×PnandC×Cn,wherePnandCnarerespectivelythepathandcyclewithnvertices,andΔthemaximumedgedegreeofthegraph.TheexactchromaticnumbersoftheproductgraphsPr1×Pr2×…×PrnandC3k×C2m1×C2m2×…×C2mnarealsopresented.Thusthetltalcoloringconjectureisprovedtobetrueformanyothergraphs.
简介:<正>SupposeXisasuperdiffusioninRdwithgeneralbranchingmechanism¢.andYDdenotesthetotalweightedoccupationtimeofXinaboundedsmoothdomainD.WediscusstheconditionsonψtoguaranteethatYDhasabsoluteycontinuousstates.Andforparticularψ(z)=z(l+,0DisabsolutelycontinuouswithrespecttotheLebesguemeasureinD.whereasinthecased>2+2/B.itissingular.AsweknowtheabsolutecontinuityandsingularityofY(Dhavenotbeendiscussedbefore.
简介:Anedgecoloringtotalk-labelingisalabelingoftheverticesandtheedgesofagraphGwithlabels{1,2,...,k}suchthattheweightsoftheedgesdefneaproperedgecoloringofG.Heretheweightofanedgeisthesumofitslabelandthelabelsofitstwoendvertices.ThisconceptwasintroducebyBrandtetal.Theydefnedχt(G)tobethesmallestintegerkforwhichGhasanedgecoloringtotalk-labelingandproposedaquestion:IsthereaconstantKwithχt(G)≤Δ(G)+12+KforallgraphsGofmaximumdegreeΔ(G)?Inthispaper,wegiveapositiveanswerforouterplanargraphsbyshowingthatχt(G)≤Δ(G)+12+1foreachouterplanargraphGwithmaximumdegreeΔ(G).
简介:客观:为王牌探索起作用的指示和主要全部的新潮的关节造形术的起作用的方法平坦骨折并且观察临床的药品effect.Methods:我们回顾地总结了并且分析创伤的条件,破裂类型,复杂并发症,起作用的时间,起作用的技术,和11patients的短期的药品效果(10男性和1女性,与42的吝啬的年龄。4年)与王牌平坦骨折经历了主要全部的新潮的关节造形术。结果;病人被跟随在上面为6-45月(吝啬的=28月)。他们手术后的新潮的关节的普通哈里斯分数是78。结论:指示的Understrict控制,有平坦骨折可以经历的王牌的病人主要全部的新潮的关节造形术,而是稳定的王牌平坦部件应该被做。
简介:从臭氧卫星观察和一般循环的数据分析,这篇文章讨论季节并且在西藏上的全部的臭氧的interannual变化。分析在西藏上在interannual臭氧变化在伪鈥擝iennial摆动(QBO)上被做了,与在热带上并且非的QBO比较在西藏的一样的纬度的鈥攎ountain区域。事实被看那西藏臭氧QBO有29个月的一个平均时期,与8杜的一个平均振幅。西藏臭氧QBO是到在热带上的同温层的风QBO的反相,即30hPa鈥攚ind是的热带在东方,臭氧有剩余,和副诗句。这篇文章也在西藏上在臭氧QBO上讨论大气的转移的影响。关键词臭氧-QBO-西藏作者被强迫到中国科学院(KZ951-A-205-05),中国(49775276)的国家自然科学基础和大气的物理的研究所,中国科学院(8-2212)。作者希望谢谢在NASA/戈达德空间飞行中心处理队的臭氧,美国为他们TOMS臭氧7的客气的预备,NRCC,加拿大,为他们的10.7厘米太阳的收音机流动数据和NCAR为标准化了30hPa在新加坡的带的风数据。
简介:AhighlyefficienttotalsynthesisofS-(+)-tylophorinehasbeenaccomplishedinfullyasymmetricfashion.
简介:Themechanicalenergyequationisafundamentalequationofa1-DmathematicalmodelinHydraulicsandEngineeringFluidMechanics.ThisequationforthetotalflowusedtobededucedbyextendingtheBernoulli’sequationfortheidealfluidinthestreamlinetoastreamtube,andthenrevisedbyconsideringtheviscouseffectandintegratedonthecrosssection.Thisderivationisnotrigorousandtheeffectofturbulenceisnotconsidered.Inthispaper,theenergyequationforthetotalflowisderivedbyusingtheNavier-StokesequationsinFluidMechanics,theresultsareasfollows:(1)Anewenergyequationforsteadychannelflowsofincompressiblehomogeneousliquidisobtained,whichincludesthevariationoftheturbulentkineticenergyalongthechannel,theformulaforthemechanicalenergylossofthetotalflowcanbedetermineddirectlyinthedeductionprocess.(2)Thetheoreticalsolutionofthevelocityfieldforlaminarflowsinarectangularopenchannelisobtainedandthemechanicalenergylossintheenergyequationiscalculated.ThevariationsofthecoefficientofthemechanicalenergylossagainsttheReynoldsnumberandthewidth-depthratioareobtained.(3)Theturbulentflowinarectangularopenchannelissimulatedusing3-DReynoldsaveragedequationsclosedbytheReynoldsstressmodel(RSM),andthevariationsofthecoefficientofthemechanicalenergylossagainsttheReynoldsnumberandthewidth-depthratioarediscussed.
简介:Objective:Toevaluatetheresultsoftotalkneearthroplasty(TKA)inpatientswithposttraumaticdegenerativearthritisduetoapreviousfracturearoundtheknee.Methods:Weanalyzedtheresultsof15TKAs,performedfrom1997to2003,in15patientswithpost-traumaticdegenerativearthritisduetoapreviousfracturearoundknee.Therewere3womenand12menwithanaverageageof58years(range,31-76years).Thetimefromfracturetoarthroplastyaveraged8.2years(range,2-27years).Internalfixationhadpreviouslybeenperformedin8patientsresultinginretainedhardware.Atthetimeofarthroplastyafemoralfracturemalunionwaspresentintwoknees.Lateralretinacularrelease(4knees),extensormechanismrealignment(1knee)ormedialcollateralligamentreconstruction(1knee)wereneededatthetimeofarthroplasty.Results:Follow-upaveraged35months(range,12-73months).Nopatientwaslostforfollow-up.AccordingtotheKneeSocietyScorescale,themeanpreoperativekneescorewas37(range,10-70)andfunctionalscorewas41(range,0-60).Theywereimprovedsignificantlytoameanof84(range,10-100)and76(range,20-100)points,respectivelyatthelatestfollow-up.Themeankneearcofmotionwereimprovedfrom84°preoperationto94°atthelatestfollow-up.Postoperativemanipulationunderanesthesiaforpoormotionwascarriedoutin4knees.Nokneehadasepticlooseningthatrequiredsubsequentrevision.Twokneesdevelopedsuperficialinfectionandweretreatedwithdebridement.Itsubsequentlyrecoveredwiththeretentionofcomponents.Conclusions:SignificantimprovementinfunctionandreliefofpainhasbeenachievedinpatientswithpreviousfracturesundergoingsubsequentTKA.However,thisprocedureistechnicallydemandingandpatientsareatincreasedriskforrestrictedmotionandneedmorecarefollowingTKA.ThisstudysuggeststhattheoutcomeofTKAmaybeimprovedfurtherbymakingspecialeffortstorestorelimbalignment,toensurecorrectcomponent
简介:ByusingtheobservationalO3dataofKunmingandHongKongduringtheperiodof1997-2001,thepaperstudiesthedistributionandvariationoftotalozoneinlowlatituderegionofChina.ThestudyshowsthatthecharacteristicsofvariationinKunmingandHongKongareverysimilar,andthetotalozoneinthewesternareasislargerthanintheeasternones.Itismaximuminsummerandminimuminwinter.