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Cerebral microbleeds and cognitive decline in a hemodialysis patient: Case report and review of literature 下载免费PDF全文
Lin Li Mark Fisher Wei‐Ling Lau Hamid Moradi Alexander Cheung Gaby Thai Jason Handwerker Kamyar Kalantar‐Zadeh 《Hemodialysis international. International Symposium on Home Hemodialysis》2015,19(3):E1-E7
Cerebral microbleeds (CMBs) are small hemosiderin deposits indicative of prior cerebral microscopic hemorrhage and previously thought to be clinically silent. Recent population‐based cross‐sectional studies and prospective longitudinal cohort studies have revealed association between CMB and cognitive dysfunction. In the general population, CMBs are associated with age, hypertension, and cerebral amyloid angiopathy. In the chronic kidney disease (CKD) population, diminished estimated glomerular filtration rate has been found to be an independent risk factor for CMB, raising the possibility that a uremic milieu may predispose to microbleeds. In the end‐stage renal disease (ESRD) population on hemodialysis, the incidence of microbleeds is significantly higher compared with a control group without history of CKD or stroke. We present an ESRD patient on chronic hemodialysis with a history of gradual cognitive decline and progressive CMBs. Through this case and literature review, we illustrate the need to develop detection and prediction models to treat this frequent development in ESRD patients. 相似文献
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针对不同地质目标的叠前时间偏移成像解释评价 总被引:3,自引:0,他引:3
随着计算机硬件和地震勘探成像技术的发展,叠前时间偏移正逐步替代常规的NMO加DMO加叠后时间偏移成为地震数据成像处理方法的主流。但对于不同的地质目标,叠前时间偏移的成像效果是否优于常规NMO加DMO加叠后时间偏移的成像效果呢?为此,从地震数据成像处理方法、处理流程和处理参数等方面进行了讨论,并基于某地区三维数据常规处理结果和叠前时间偏移处理结果,针对不同地质目标进行了剖析与评价。认为:叠前时间偏移成像的垂向分辨率较常规处理明显降低,但对于空间波阻抗变化明显的河流和断层,叠前时间偏移成像的空间分辨率要高于常规处理;对于小于1/4波长的叠置薄储层,叠前时间偏移成像的垂向和空间分辨率低于常规处理结果。 相似文献
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Studies on the deactivations and initiations of gas phase polymerizations of 1,3‐butadiene have been achieved by Monte Carlo simulation. Initiation and deactivation control the reaction before and after the peak of the polymerization rate, respectively. The influence of polymerization temperature has been studied. Monte Carlo modeling of polymerization kinetics and mechanism was confirmed by the agreement of experimental data and simulation results of polymerizations run with a temporary evacuation of monomer. The balance of catalysts and active chains is established by both initiation and chain transfer reactions with cocatalyst, which causes a ‘pseudo‐stability’ stage. © 2003 Society of Chemical Industry 相似文献
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We consider the effect of multiple fibers on wavelength division multiplexing networks without wavelength conversion. We study networks with dynamic wavelength routing and develop accurate analytical models to compare various possible options using single- and multiple-fiber networks. We use results of an analytical model and simulation-based studies to evaluate the blocking performance and cost of multifiber networks. The number of fibers required providing high performance in multifiber networks and their costs are compared. A case is made for using multiple fibers in each link with fewer wavelengths instead of using a single fiber with many wavelengths. In particular, we show that a network with four fibers per link and with four wavelengths on each fiber without any wavelength conversion on any node yields similar same performance as the networks with one fiber per link and 16 wavelengths per fiber on each link and with full wavelength conversion capability on all nodes. In addition, the multifiber network may also offer the cost advantage depending on the relative cost of components. We develop a parametric cost model to show that multiple fibers in each link are an attractive option. Finally, such multifiber networks also has fault tolerance, with respect to a single fiber failure, already built into the system. 相似文献
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含缺陷压力管道经缺陷评定合乎使用后,其疲劳寿命的估计具有重要的工程意义。将整个含缺陷压力管道作为一个整体,分析了含缺陷压力管道的疲劳裂纹扩展特点,提出了相应的含缺陷压力管道疲劳寿命的计算过程,并在基于可靠性评价的基础上,给出了核压力管道的可接受失效概率,最终得到了含缺陷核压力管道疲劳寿命预测方法。 相似文献
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