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Current surgical treatment for bile duct cancer 被引量:74
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作者 Yasuji Seyama Masatoshi Makuuchi 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第10期1505-1515,共11页
Since extrahepatic bile duct cancer is difficult to diagnose and to cure, a safe and radical surgical strategy is needed. In this review, the modes of infiltration and spread of extrahepatic bile duct cancer and surgi... Since extrahepatic bile duct cancer is difficult to diagnose and to cure, a safe and radical surgical strategy is needed. In this review, the modes of infiltration and spread of extrahepatic bile duct cancer and surgical strategy are discussed. Extended hemihepatectomy, with or without pancreatoduodenectomy (PD), plus extrahepatic bile duct resection and regional lyrnphadenectomy has recently been recognized as the standard curative treatment for hilar bile duct cancer. On the other hand, PD is the choice of treatment for middle and distal bile duct cancer. Major hepatectomy concomitant with PD (hepatopancreatoduodenectomy) has been applied to selected patients with widespread tumors. Preoperative biliary drainage (BD) followed by portal vein embolization (PVE) enables major hepatectomy in patients with hilar bile duct cancer without mortality. BD should be performed considering the surgical procedure, especially, in patients with separated intrahepatic bile ducts caused by hilar bile duct cancer. Right or left trisectoriectomy are indicated according to the tumor spread and biliary anatomy. As a result, extended radical resection offers a chance for cure of hilar bile duct cancer with improved resectability, curability, and a 5-year survival rate of 40%. A 5-year survival rate has ranged from 24% to 39% after PD for middle and distal bile duct cancer. 展开更多
关键词 Extrahepatic bile duct cancer Cholangiocarcinorna Biliary drainage Portal vein ernbolization extended hemihepatectomy PANCREATODUODENECTOMY HEPATOPANCREATODUODENECTOMY Right trisectionectomy Left trisectoriectomy
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Analysis and design for the second order nonlinear continuous extended states observer 被引量:66
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作者 Yi Huang Jingqing Han 《Chinese Science Bulletin》 SCIE EI CAS 2000年第21期1938-1944,共7页
The extended state observer (ESO) is a novel observer for a class of uncertain systems. Since ESO adopts the continuous non-smooth structure, the classical observer design theory is hard to use for ESO analysis. In th... The extended state observer (ESO) is a novel observer for a class of uncertain systems. Since ESO adopts the continuous non-smooth structure, the classical observer design theory is hard to use for ESO analysis. In this note, the self-stable region (SSR) approach, which is a nonlinear synthesis method for nonlinear uncertain systems, will be used for ESO design and its stability analysis. The advantages of the non-smooth structure in ESO for improving the convergence properties and the estimation precision will be shown. 展开更多
关键词 extended state observer (ESO) CONTINUOUS NON-SMOOTH structure self-stable region (SSR) method.
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Systematic review on the surgical treatment for T1 gallbladder cancer 被引量:72
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作者 Seung Eun Lee Jin-Young Jang +2 位作者 Chang-Sup Lim Mee Joo Kang Sun-Whe Kim 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第2期174-180,共7页
AIM:To evaluate the efficacy of simple and extended cholecystectomy for mucosa(T1a) or muscularis(T1b) gallbladder(GB) cancer. METHODS:Original studies on simple and extended cholecystectomy for T1a or T1b GB cancer w... AIM:To evaluate the efficacy of simple and extended cholecystectomy for mucosa(T1a) or muscularis(T1b) gallbladder(GB) cancer. METHODS:Original studies on simple and extended cholecystectomy for T1a or T1b GB cancer were searched from MEDLINE(PubMed) ,Cochrane Library,EMBase,and CancerLit using the search terms of GB,cancer/carcinoma/tumor/neoplasm. RESULTS:Twenty-nine out of the 2312 potentially relevant publications met the eligibility criteria.Of the 1266 patients with GB cancer included in the publications,706(55.8%) and 560(44.2%) had T1a and T1b GB cancer,respectively.Simple cholecystectomy for T1a and T1b GB cancer was performed in 590(83.6%) and 375(67.0%) patients,respectively(P<0.01) .In most series,the treatment of choice was simple cholecystectomy for T1a GB cancer patients with a 5-year survival rate of 100%.Lymph node metastasis was detected in 10.9% of the T1b GB cancer patients and in 1.8%of the T1a GB cancer patients,respectively(P<0.01) .Eight patients(1.1%) with T1a GB cancer and 52 patients(9.3%) with T1b GB cancer died of recurrent GB cancer(P<0.01) . CONCLUSION:Simple cholecystectomy represents the adequate treatment of T1a GB cancer.There is no definite evidence that extended cholecystectomy is advantageous over simple cholecystectomy for T1b GB cancer. 展开更多
关键词 GALLBLADDER CANCER CHOLECYSTECTOMY SIMPLE extended
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Necessary and sufficient conditions for moderate deviations of dependent random variables with heavy tails 被引量:44
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作者 LIU Li School of Mathematics and Statistics,Wuhan University,Wuhan 430072,China 《Science China Mathematics》 SCIE 2010年第6期1421-1434,共14页
This paper studies the moderate deviations of real-valued extended negatively dependent(END) random variables with consistently varying tails.The moderate deviations of partial sums are first given.The results are the... This paper studies the moderate deviations of real-valued extended negatively dependent(END) random variables with consistently varying tails.The moderate deviations of partial sums are first given.The results are then used to establish the necessary and sufficient conditions for the moderate deviations of random sums under certain circumstances. 展开更多
关键词 MODERATE deviation extended negative dependence consistently VARYING TAIL random SUM
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门式刚架轻型房屋钢结构端板连接的有限元与试验分析 被引量:37
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作者 施刚 石永久 +2 位作者 王元清 李少甫 陈宏 《土木工程学报》 EI CSCD 北大核心 2004年第7期6-12,34,共8页
结合门式刚架轻型房屋钢结构中普遍应用的端板连接方式 ,本文对梁柱节点和梁拼接节点进行了试验和有限元分析 ,对外伸式端板连接的承载力和转动刚度特性进行了研究 ,讨论了我国现行规范关于外伸式端板连接的设计方法中存在的问题 ,同时... 结合门式刚架轻型房屋钢结构中普遍应用的端板连接方式 ,本文对梁柱节点和梁拼接节点进行了试验和有限元分析 ,对外伸式端板连接的承载力和转动刚度特性进行了研究 ,讨论了我国现行规范关于外伸式端板连接的设计方法中存在的问题 ,同时给出了改进建议 ,特别是提出了在建立钢结构节点刚度分类标准方面应该注意的问题。根据比较分析的结果 ,本文还提出了一种新的外伸式端板连接螺栓拉力分布模型及相应的设计方法 ,试验证明 ,该方法在保证安全可靠的前提下 ,能够更好地符合螺栓端板连接的实际受力状态 。 展开更多
关键词 端板连接 外伸式 节点刚度
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大都市伸展区:全球化时代中国大都市地区发展新特征 被引量:29
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作者 顾朝林 于涛方 陈金永 《规划师》 2002年第2期16-20,共5页
在经济全球化的影响下,我国的东部沿海地区不仅只意味着是中国经济的一个重要组成部分,更重要的表现是在全球的地位正逐日加强。作者论述了经济全球化对中国沿海大都市地区的深刻影响,认为沿海大都市地区,尤其4个重要的城市化地区——... 在经济全球化的影响下,我国的东部沿海地区不仅只意味着是中国经济的一个重要组成部分,更重要的表现是在全球的地位正逐日加强。作者论述了经济全球化对中国沿海大都市地区的深刻影响,认为沿海大都市地区,尤其4个重要的城市化地区——长江三角洲、珠江三角洲、京津塘地区、辽中南地区的大都市伸展区(The ExtendedMetropolitan Regions,EMRs)正扮演着推进中国全球化进程的国内、国际双重角色。 展开更多
关键词 城市化 全球化 大都市伸展 沿海地区
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EXTENDED CESRO OPERATORS ON THE BLOCH SPACE IN THE UNIT BALL OF C^n 被引量:36
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作者 胡璋剑 《Acta Mathematica Scientia》 SCIE CSCD 2003年第4期561-566,共6页
The paper defines an extended Cesaro operator Tg with holomorphic symbol g in the unit ball B of Cn asWhere is the radial derivative of g. In this paper, the author characterizes g for which Tg is bounded (or compact)... The paper defines an extended Cesaro operator Tg with holomorphic symbol g in the unit ball B of Cn asWhere is the radial derivative of g. In this paper, the author characterizes g for which Tg is bounded (or compact) on the Bloch space B and the little Bloch space Bo- 展开更多
关键词 the Bloch space extended Cesaro operator BOUNDEDNESS
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Numerical modeling of concrete hydraulic fracturing with extended finite element method 被引量:30
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作者 REN QingWen DONG YuWen YU TianTang 《Science China(Technological Sciences)》 SCIE EI CAS 2009年第3期559-565,共7页
The extended finite element method (XFEM) is a new numerical method for modeling discontinuity. Research about numerical modeling for concrete hydraulic fracturing by XFEM is explored. By building the virtual work pri... The extended finite element method (XFEM) is a new numerical method for modeling discontinuity. Research about numerical modeling for concrete hydraulic fracturing by XFEM is explored. By building the virtual work principle of the fracture problem considering water pressure on the crack surface, the governing equations of XFEM for hydraulic fracture modeling are derived. Implementation of the XFEM for hydraulic fracturing is presented. Finally, the method is verified by two examples and the advan- tages of the XFEM for hydraulic fracturing analysis are displayed. 展开更多
关键词 extended FINITE element method (XFEM) HYDRAULIC FRACTURE CONCRETE NUMERICAL modeling
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A contribution to large deviations for heavy-tailed random sums 被引量:27
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作者 苏淳 唐启鹤 江涛 《Science China Mathematics》 SCIE 2001年第4期438-444,共7页
In this paper we consider the large deviations for random sums $S(t) = \sum _{i = t}^{N(t)} X_i ,t \geqslant 0$ , whereX n,n?1 are independent, identically distributed and non-negative random variables with a common h... In this paper we consider the large deviations for random sums $S(t) = \sum _{i = t}^{N(t)} X_i ,t \geqslant 0$ , whereX n,n?1 are independent, identically distributed and non-negative random variables with a common heavy-tailed distribution function F, andN(t), t?0 is a process of non-negative integer-valued random variables, independent ofX n,n?1. Under the assumption that the tail of F is of Pareto’s type (regularly or extended regularly varying), we investigate what reasonable condition can be given onN(t), t?0 under which precise large deviation for S( t) holds. In particular, the condition we obtain is satisfied for renewal counting processes. 展开更多
关键词 (extended) regular variation extreme value theory large deviations renewal counting process renewal risk model subexponential distributions
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Active disturbance rejection control: between the formulation in time and the understanding in frequency 被引量:26
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作者 Qing ZHENG Zhiqiang GAO 《Control Theory and Technology》 EI CSCD 2016年第3期250-259,共10页
With the rapid deployments of the active disturbance rejection control (ADRC) as a bonafide industrial technology in the background, this paper summarizes some recent results in the analysis of linear ADRC and offer... With the rapid deployments of the active disturbance rejection control (ADRC) as a bonafide industrial technology in the background, this paper summarizes some recent results in the analysis of linear ADRC and offers explanations in the frequency response language with which practicing engineers are familiar. Critical to this endeavor is the concept of bandwidth, which has been used in a more general sense. It is this concept that can serve as the link between the otherwise opaque state space formulation of the ADRC and the command design considerations and concerns shared by practicing engineers. The remarkable characteristics of a simple linear ADRC was first shown in the frequency domain, followed by the corresponding analysis in time domain, where the relationship between the tracking error and the ADRC bandwidth is established. It is shown that such insight is only possible by using the method of solving linear differential equations, instead of the more traditional techniques such as the Lyapunov methods, which tend to be more conservative and difficult to grasp by engineers. The insight obtained from such analysis is further demonstrated in the simulation validation. 展开更多
关键词 Active disturbance rejection control extended state observer uncertain systems STABILITY BANDWIDTH
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Split liver transplantation: Current developments 被引量:26
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作者 Christina Hackl Katharina M Schmidt +3 位作者 Caner Süsal Bernd Dohler Martin Zidek Hans J Schlitt 《World Journal of Gastroenterology》 SCIE CAS 2018年第47期5312-5321,共10页
In 1988, Rudolf Pichlmayr pioneered split liver transplantation(SLT), enabling the transplantation of one donor liver into two recipients-one pediatric and one adult patient. In the same year, Henri Bismuth and collea... In 1988, Rudolf Pichlmayr pioneered split liver transplantation(SLT), enabling the transplantation of one donor liver into two recipients-one pediatric and one adult patient. In the same year, Henri Bismuth and colleagues performed the first full right/full left split procedure with two adult recipients. Both splitting techniques were rapidly adopted within the transplant community. However, a SLT is technically demanding, may cause increased perioperative complications, and may potentially transform an excellent deceased donor organ into two marginal quality grafts. Thus, crucial evaluation of donor organs suitable for splitting and careful screening of potential SLT recipients is warranted. Furthermore, the logistic background of the splitting procedure as well as the organ allocation policy must be adapted to further increase the number and the safety of SLT. Under defined circumstances, in selected patients and at experienced transplant centers, SLT outcomes can be similar to those obtained in full organ LT. Thus, SLT is an important tool to reduce the donor organ shortage and waitlist mortality, especially for pediatric patients and small adults. The present review gives an overview of technical aspects, current developments, and clinical outcomes of SLT. 展开更多
关键词 Liver transplantation ORGAN SHORTAGE in SITU split extended right LOBE LEFT lateral LOBE living DONOR
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氢同位素双原子分子的解析势能函数 被引量:23
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作者 张莉 钟正坤 +2 位作者 朱志艳 孙颖 朱正和 《Chinese Journal of Chemical Physics》 SCIE CAS CSCD 北大核心 2003年第6期455-458,共4页
研究从重水中分离出T2 .首先 ,根据光谱常数导出氢同位素双原子分子ExtendedRydberg的分析函数 ,基于同位素效应计算OT(X2 Пi)的光谱常数 ,有助导出三原子分子 ,如DTO的解析势能函数 .将这些ExtendedRyd berg解析势能函数用于氘交换分... 研究从重水中分离出T2 .首先 ,根据光谱常数导出氢同位素双原子分子ExtendedRydberg的分析函数 ,基于同位素效应计算OT(X2 Пi)的光谱常数 ,有助导出三原子分子 ,如DTO的解析势能函数 .将这些ExtendedRyd berg解析势能函数用于氘交换分离氚的热力学与分子反应动力学研究 .此外 ,由同位素位移极值得到当振动量子数vmax≈ 11.5 ,振动能级间隔△Ev(H2 )≈△Ev(T2 ) ,若v <vmax,△Ev(H2 ) >△Ev(T2 )和v>vmax时 ,△Ev(H2 ) <△Ev(T2 ) .因而 ,温度较低时 ,平衡移向T2 ;温度较高时 ,平衡移向H2 .与文献结果相似 。 展开更多
关键词 氢同位素双原子分子 extended Rydberg函数 同位素交换 解析势能函数
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医院消毒供应中心压力蒸汽灭菌程序现状调查 被引量:26
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作者 张青 高玉华 +3 位作者 李保华 赵云呈 陈静 王瑾 《中华医院感染学杂志》 CAS CSCD 北大核心 2016年第21期4997-5000,共4页
目的 了解医院消毒供应中心(CSSD)压力蒸汽灭菌程序现状,为实施规范化管理、确保消毒质量提供科学依据。方法 采用问卷形式收集整理2014年我国二级乙等及以上等级医院28个省市726家医院的消毒供应中心在处理一般及特殊器械时压力蒸汽... 目的 了解医院消毒供应中心(CSSD)压力蒸汽灭菌程序现状,为实施规范化管理、确保消毒质量提供科学依据。方法 采用问卷形式收集整理2014年我国二级乙等及以上等级医院28个省市726家医院的消毒供应中心在处理一般及特殊器械时压力蒸汽灭菌程序的选用情况以及面临的问题。结果 726份有效问卷的统计结果显示:医院消毒供应中心的日常消毒程序中,71.63%采用延长灭菌暴露时间的灭菌程序;83.61%医院要求器械公司提供清洗、包装、灭菌方法和灭菌循环参数,并遵循其要求进行灭菌;77.41%医院采取延长灭菌暴露时间和干燥时间的措施,选择的灭菌循环参数多为134℃10~12min占38.29%,干燥时间多为10min占35.61%;68.04%医院曾遇到过器械厂家不提供特殊器械灭菌方法和灭菌循环参数的情况,此时50.46%医院会选择采用常规循环参数灭菌,40.37%医院会根据经验采用延长暴露时间的灭菌循环程序;对于一些特殊器械的厂家提供的灭菌方法和灭菌循环参数,有25.76%消毒供应中心由于设备原因无法遵从。结论 医院在对外来器械进行灭菌环节中存在一些问题,有待进一步加强并规范管理;越来越多的医疗器械需要采用延长灭菌程序,应强化医疗器械厂家提供灭菌方法和灭菌循环参数的要求,CSSD应严格按照厂家提供的方法和参数进行处理;对于特定灭菌程序,应采用相应的指示物进行灭菌效果的监测。 展开更多
关键词 灭菌 灭菌循环 灭菌暴露时间 干燥时间 延长
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Unscented extended Kalman filter for target tracking 被引量:21
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作者 Changyun Liu Penglang Shui Song Li 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2011年第2期188-192,共5页
A new method of unscented extended Kalman filter (UEKF) for nonlinear system is presented. This new method is a combination of the unscented transformation and the extended Kalman filter (EKF). The extended Kalman... A new method of unscented extended Kalman filter (UEKF) for nonlinear system is presented. This new method is a combination of the unscented transformation and the extended Kalman filter (EKF). The extended Kalman filter is similar to that in a conventional EKF. However, in every running step of the EKF the unscented transformation is running, the deterministic sample is caught by unscented transformation, then posterior mean of non- lineadty is caught by propagating, but the posterior covariance of nonlinearity is caught by linearizing. The accuracy of new method is a little better than that of the unscented Kalman filter (UKF), however, the computational time of the UEKF is much less than that of the UKF. 展开更多
关键词 unscented transformation (UT) extended Kalman filter (EKF) unscented extended Kalman filter (UEKF) unscentedKalman filter (UKF) nonliearity.
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扩展自适应中值滤波器的原理与实现 被引量:13
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作者 贾洪涛 朱元昌 王建华 《中国图象图形学报(A辑)》 CSCD 北大核心 2004年第8期947-950,共4页
在图像处理领域中噪声滤除是图像预处理阶段一项必不可少的工作。在许多场合都会遇到高强度噪声的图像 ,特别是椒盐噪声的滤除非常困难。本文对空间域的常用噪声滤波技术的不足进行了分析 ,提出了一种新的滤波器技术——扩展自适应中值... 在图像处理领域中噪声滤除是图像预处理阶段一项必不可少的工作。在许多场合都会遇到高强度噪声的图像 ,特别是椒盐噪声的滤除非常困难。本文对空间域的常用噪声滤波技术的不足进行了分析 ,提出了一种新的滤波器技术——扩展自适应中值滤波器技术。该技术不仅继承了原自适应中值滤波器技术的优点 ,而且还弥补了它的不足 ,解决了高强度噪声干扰下图像的滤波问题 ,滤波效果相当理想。最后 ,给出了几种滤波技术的滤波效果比较图 。 展开更多
关键词 滤波器 中值自适应 图像处理 椒盐噪声
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Dual Extended Kalman Filter for Combined Estimation of Vehicle State and Road Friction 被引量:20
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作者 ZONG Changfu HU Dan ZHENG Hongyu 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2013年第2期313-324,共12页
Vehicle state and tire-road adhesion are of great use and importance to vehicle active safety control systems. However, it is always not easy to obtain the information with high accuracy and low expense. Recently, man... Vehicle state and tire-road adhesion are of great use and importance to vehicle active safety control systems. However, it is always not easy to obtain the information with high accuracy and low expense. Recently, many estimation methods have been put forward to solve such problems, in which Kalman filter becomes one of the most popular techniques. Nevertheless, the use of complicated model always leads to poor real-time estimation while the role of road friction coefficient is often ignored. For the purpose of enhancing the real time performance of the algorithm and pursuing precise estimation of vehicle states, a model-based estimator is proposed to conduct combined estimation of vehicle states and road friction coefficients. The estimator is designed based on a three-DOF vehicle model coupled with the Highway Safety Research Institute(HSRI) tire model; the dual extended Kalman filter (DEKF) technique is employed, which can be regarded as two extended Kalman filters operating and communicating simultaneously. Effectiveness of the estimation is firstly examined by comparing the outputs of the estimator with the responses of the vehicle model in CarSim under three typical road adhesion conditions(high-friction, low-friction, and joint-friction). On this basis, driving simulator experiments are carried out to further investigate the practical application of the estimator. Numerical results from CarSim and driving simulator both demonstrate that the estimator designed is capable of estimating the vehicle states and road friction coefficient with reasonable accuracy. The DEKF-based estimator proposed provides the essential information for the vehicle active control system with low expense and decent precision, and offers the possibility of real car application in future. 展开更多
关键词 vehicle state road friction coefficient ESTIMATION dual extended Kalman filter (DEKF)
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Complete and Complete Moment Convergence for Weighted Sums of Widely Orthant Dependent Random Variables 被引量:20
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作者 De Hua QIU Ping Yan CHEN 《Acta Mathematica Sinica,English Series》 SCIE CSCD 2014年第9期1539-1548,共10页
In this paper, we establish a complete convergence result and a complete moment convergence result for weighted sums of widely orthant dependent random variables under mild conditions. As corollaries, the correspondin... In this paper, we establish a complete convergence result and a complete moment convergence result for weighted sums of widely orthant dependent random variables under mild conditions. As corollaries, the corresponding results for weighted sums of extended negatively orthant dependent random variables are also obtained, which generalize and improve the related known works in the literature. 展开更多
关键词 Widely orthant dependent random variables extended negatively orthant dependent random variables complete convergence complete moment convergence
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Shear hydrophobic flocculation and flotation of ultrafine Anshan hematite using sodium oleate 被引量:21
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作者 印万忠 杨小生 +2 位作者 周大鹏 李艳军 吕振福 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2011年第3期652-664,共13页
Effects of stirring speed and time, pH and sodium oleate concentration on the shear hydrophobic flocculation of ultrafine Anshan hematite with sodium oleate as the surfactant were discussed. The results show that thes... Effects of stirring speed and time, pH and sodium oleate concentration on the shear hydrophobic flocculation of ultrafine Anshan hematite with sodium oleate as the surfactant were discussed. The results show that these parameters significantly affect the shear hydrophobic flocculation of ultrafine hematite. The optimum conditions for the flocculation are: stirring speed 1 400 r/min, flocculation time 20 min, pH 9 and sodium oleate concentration 3.94×10-4 mol/L; the flotation recovery of hematite flocs is remarkably high compared with non flocculated ultrafine hematite. According to the extended DLVO theory, the total interaction potential of Anshan ultrafine hematite was determined. The calculation results indicate that the hydrophobic flocculation state of the ultrafine hematite-sodium oleate system is mainly dominated by electric double layer repulsive interaction potential and hydrophobic interaction potential. A mechanical agitation is required to impart particles a kinetic energy to overcome potential barrier between them due to the existence of electric double layer repulsive interaction potential. Those particles further approach to form flocs due to the significant increase of the hydrophobic interaction potential. 展开更多
关键词 sodium oleate ultrafine hematite shear hydrophobic flocculation extended DLVO theory
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Limit analysis of extended reach drilling in South China Sea 被引量:19
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作者 Gao Deli Tan Chengjin Tang Haixiong 《Petroleum Science》 SCIE CAS CSCD 2009年第2期166-171,共6页
Extended reach wells (ERWs), especially horizontal extended reach well with a high HD (horizontal displacement) to TVD (true vertical depth) ratio, represent a frontier technology and challenge the drilling limi... Extended reach wells (ERWs), especially horizontal extended reach well with a high HD (horizontal displacement) to TVD (true vertical depth) ratio, represent a frontier technology and challenge the drilling limitations. Oil and gas reservoir in beaches or lakes and offshore can be effectively exploited by using extended reach drilling (ERD) technology. This paper focuses on the difficult technological problems encountered during exploiting the Liuhua 11-1 oil field in the South China Sea, China. Emphasis is on investigating the key subjects including prediction and control of open hole limit extension in offshore ERD, prediction of casing wear and its prevention and torque reduction, φ244.5mm casing running with floating collars to control drag force, and steerable drilling modes. The basic concept of limit extension in ERD is presented and the prediction method for open hole limit extension is given in this paper. A set of advanced drilling mechanics and control technology has been established and its practical results are verified by field cases. All those efforts may be significant for further investigating and practicing ERD limit theory and control technology in the future. 展开更多
关键词 extended reach drilling deep-water drilling limit analysis downhole tubular mechanics drag and torque wellbore instability
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Middle segmental pancreatectomy: A safe and organ-preserving option for benign and low-grade malignant lesions 被引量:18
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作者 Zhi-Yong Du Shi Chen +3 位作者 Bao-San Han Bai-Yong Shen Ying-Bing Liu ChengHong Peng 《World Journal of Gastroenterology》 SCIE CAS 2013年第9期1458-1465,共8页
AIM: To study the feasibility and safety of middle segmental pancreatectomy (MSP) compared with pancreaticoduodenectomy (PD) and extended distal pancreatectomy (EDP). METHODS: We studied retrospectively 36 cases that ... AIM: To study the feasibility and safety of middle segmental pancreatectomy (MSP) compared with pancreaticoduodenectomy (PD) and extended distal pancreatectomy (EDP). METHODS: We studied retrospectively 36 cases that underwent MSP, 44 patients who underwent PD, and 26 who underwent EDP with benign or low-grade malignant lesions in the mid-portion of the pancreas, between April 2003 and December 2009 in Ruijin Hospital. The perioperative outcomes and long-term outcomes of MSP were compared with those of EDP and PD. Periop-erative outcomes included operative time, intraoperative hemorrhage, transfusion, pancreatic fistula, intraabdominal abscess/infection, postoperative bleeding, reoperation, mortality, and postoperative hospital time. Long-term outcomes, including tumor recurrence, newonset diabetes mellitus (DM), and pancreatic exocrine insufficiency, were evaluated. RESULTS: Intraoperative hemorrhage was 316.1 ± 309.6, 852.2 ± 877.8 and 526.9 ± 414.5 mL for the MSP, PD and EDP groups, respectively (P < 0.05). The mean postoperative daily fasting blood glucose level was significantly lower in the MSP group than in the EDP group (6.3 ± 1.5 mmol/L vs 7.3 ± 1.5 mmol/L, P < 0.05). The rate of pancreatic fistula was higher in the MSP group than in the PD group (42% vs 20.5%, P = 0.039), all of the fistulas after MSP corresponded to grade A (9/15) or B (6/15) and were sealed following conservative treatment. There was no significant difference in the mean postoperative hospital stay between the MSP group and the other two groups. After a mean follow-up of 44 mo, no tumor recurrences were found, only one patient (2.8%) in the MSP group vs five (21.7%) in the EDP group developed new-onset insulin-dependent DM postoperatively (P = 0.029). Moreover, significantly fewer patients in the MSP group than in the PD (0% vs 33.3%, P < 0.001) and EDP (0% vs 21.7%, P = 0.007) required enzyme substitution. CONCLUSION: MSP is a safe and organ-preserving option for benign or low-grade malignant lesions in the neck and proximal bod 展开更多
关键词 MIDDLE SEGMENTAL PANCREATECTOMY Pancreaticoduodenectomy extended distal PANCREATECTOMY PANCREATIC fistula PANCREATIC endocrine FUNCTION PANCREATIC EXOCRINE FUNCTION
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