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1.
Laparoscopic pelvic lymph node dissection has been applied as a minimally invasive staging technique for men with prostate cancer. This procedure has been shown to shorten markedly postoperative hospitalization, decrease analgesic requirements and shorten convalescence period compared to open pelvic node dissection. However, the laparoscopic procedure takes longer to perform and many disposable instruments are used, thus increasing the cost. We determine the overall cost of laparoscopic versus open pelvic lymph node dissection. Between January 1989 and April 1992, 61 men underwent only staging pelvic lymph node dissection for cancer of the prostate at a single university teaching hospital. Of these patients 11 and 50 underwent open and laparoscopic pelvic lymph node dissection, respectively. Information from the hospital business office was reorganized into preoperative, intraoperative and postoperative expenses. All individual charges were transformed up or down to the dollar amounts of the 1990 to 1991 fiscal year so as to correct for inflationary changes. Preoperative costs were not significantly different between the 2 operative approaches. Intraoperative expenses were 52% greater if laparoscopic pelvic lymph node dissection was performed and can be explained by the longer operative times and use of disposable instrumentation. However, the postoperative period lasted an average of 1.61 days following laparoscopic pelvic lymph node dissection. Postoperative nursing and analgesic requirements were significantly more for patients undergoing open pelvic lymph node dissection. The overall postoperative costs following open pelvic lymph node dissection were 280% more expensive than for the laparoscopic procedure. The overall total costs were approximately $1,250 more for laparoscopic pelvic lymph node dissection. Wages lost or earned during this period and rapid return to normal activity following laparoscopic pelvic lymph node dissection would, in our opinion, justify this additional cost.  相似文献   
2.
This paper describes a highly digitized direct conversion receiver of a single-chip quadruple-band RF transceiver that meets GSM/GPRS and EDGE requirements. The chip uses an advanced 0.25-/spl mu/m BiCMOS technology. The I and Q on-chip fifth-order single-bit continuous-time sigma-delta (/spl Sigma//spl Delta/) ADC has 84-dB dynamic range over a total bandwidth of /spl plusmn/135 kHz for an active area of 0.4 mm/sup 2/. Hence, most of the channel filtering is realized in a CMOS IC where digital processing is achieved at a lower cost. The systematic analysis of dc offset at each stage of the design enables to perform the dc offset cancellation loop in the digital domain as well. The receiver operates at 2.7 V with a current consumption of 75 mA. A first-order substrate coupling analysis enables to optimize the floor plan strategy. As a result, the receiver has an area of 1.8 mm/sup 2/.  相似文献   
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4.
The dynamic Characteristics of a Fluidized Catalytic Cracking Process are examined over a wide range of operating conditions. A novel Order of Magnitude Approach is introduced to successfully provide physical insight into the cause and effect relationship between operating conditions and dynamic characteristics. It is shown that the original five-dimensional dynamic model is characterized by three fast time constants and two slow ones that dominate the dynamic responses. The two most important time constants are expressed as explicit functions of the operating conditions. These formulas correctly indicate in which parameter regions the open loop response is oscillatory (underdamped) or nonoscillatory (overdamped). Extensive process variables, that are either flow or capacity, related are defined in order to provide an approximate physical meaning for the dynamic modes of the system. It is shown that the two slow modes of the process are related to the enthalpy content of the regenerator and the sensible heat content of the catalyst phase in both the reactor and regenerator.  相似文献   
5.
The percolation model has been applied to the study of gelation of the TGDDM-DDS system (tetraglycidyldiaminodiphenylmethane–diaminodiphenylsulfone) at a mass concentration of 100–30. For each temperature the experimental viscosity curves are satisfactorily described by a percolation law. Using the degree of chemical reactions, X, as a variable, a very clear change in the reaction mechanism with temperature can be shown. Then a rate of advancement of effective reactions, Y, is defined. This value only takes intermolecular-type reactions into account, and is probably the only variable on which viscosity depends in a percolation law: η = B(1 ? Y/Yc)?p. We obtain Yc= 0.45 and p= 2.0. Comparing Xc and Yc at the gel point, we obtain information on the proportion of intramolecular reactions with temperature. It is also demonstrated that the critical percolation threshold agrees closely with the gel point determined experimentally on log G″= f(t) curves.  相似文献   
6.
In the era of the nanometer CMOS technology, due to stringent system requirements in power, performance and other fundamental physical limitations (such as mechanical reliability, thermal constraints, overall system form factor, etc.), future VLSI systems are relying more on ultra-high data rates (up to 100 Gbps/pin or 20 Tbps aggregate), scalable, re-configurable, highly compact and reliable interconnect fabric. To overcome such challenges, we first explore the use of multiband RF/wireless-interconnects wh...  相似文献   
7.
This paper presents a novel learning methodology based on a hybrid algorithm for interval type-2 fuzzy logic systems. Since only the back-propagation method has been proposed in the literature for the tuning of both the antecedent and the consequent parameters of type-2 fuzzy logic systems, a hybrid learning algorithm has been developed. The hybrid method uses a recursive orthogonal least-squares method for tuning the consequent parameters and the back-propagation method for tuning the antecedent parameters. Systems were tested for three types of inputs: (a) interval singleton, (b) interval type-1 non-singleton, and (c) interval type-2 non-singleton. Experiments were carried out on the application of hybrid interval type-2 fuzzy logic systems for prediction of the scale breaker entry temperature in a real hot strip mill for three different types of coil. The results proved the feasibility of the systems developed here for scale breaker entry temperature prediction. Comparison with type-1 fuzzy logic systems shows that hybrid learning interval type-2 fuzzy logic systems provide improved performance under the conditions tested.  相似文献   
8.
This paper outlines a novel approach to the modeling and analysis of impact involving multibody systems. This approach is based on an analysis of energy absorption and restitution during impact, using a decomposition of the kinetic energy, which decouples the parts associated with the spaces of admissible and constrained motions of the underlying unilateral constraints. Such a decomposition turns out to be useful in the analysis of energy dissipation during impact, and leads to a generalized definition of the energetic coefficient of restitution, which targets particularly collisions in multibody systems. The applicability of the approach reported is investigated by conducting an experimental study on a robotic testbed. It is shown that impact between multibody systems is considerably affected not only by the local dynamics characteristics of the interacting bodies, but also the configuration of the whole multibody system. The results reported here show that our decomposition can offer a sound characterization of impact in several problems of multibody systems.  相似文献   
9.
简述了计算运动学的发展过程,论述了计算运动学的基础理论,并利用两个实例展现了计算运动学在机构运动分析中的作用。最后以转向机构综合为例,对比传统综合方法和现代计算运动学方法的特点。结果表明:计算运动学方法在寻找所有解,精度和系统性等方面具有较大的优势。  相似文献   
10.
Background: ICOS and its ligand ICOSL are immune receptors whose interaction triggers bidirectional signals that modulate the immune response and tissue repair. Aim: The aim of this study was to assess the in vivo effects of ICOSL triggering by ICOS-Fc, a recombinant soluble form of ICOS, on skin wound healing. Methods: The effect of human ICOS-Fc on wound healing was assessed, in vitro, and, in vivo, by skin wound healing assay using ICOS−/− and ICOSL−/− knockout (KO) mice and NOD-SCID-IL2R null (NSG) mice. Results: We show that, in wild type mice, treatment with ICOS-Fc improves wound healing, promotes angiogenesis, preceded by upregulation of IL-6 and VEGF expression; increases the number of fibroblasts and T cells, whereas it reduces that of neutrophils; and increases the number of M2 vs. M1 macrophages. Fittingly, ICOS-Fc enhanced M2 macrophage migration, while it hampered that of M1 macrophages. ICOS−/− and ICOSL−/− KO, and NSG mice showed delayed wound healing, and treatment with ICOS-Fc improved wound closure in ICOS−/− and NSG mice. Conclusion: These data show that the ICOS/ICOSL network cooperates in tissue repair, and that triggering of ICOSL by ICOS-Fc improves cutaneous wound healing by increasing angiogenesis and recruitment of reparative macrophages.  相似文献   
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