简介：BackgroundTheconventionalextra-anatomicbypassisoriginatedfromtheaxillary'sarteryandthegraftsizeisoftenlimitedduetothesmalldiameterofaxillary'sartery.Extra-anatomicbypassgraftoriginatingfromascendingaortacanimprovethegraftsizeanddistalperfusion,butneedsternotomywhichmighthavehigheroperativeriskscomparedwithaxillo-femeralbypass.Wesummarizeourexperiencesofextra-anatomicbypassfromascendingaortaforatypicalaorticcoarctation.MethodsBetweenJanuary2005andFebruary2008,5womenagedfrom18to64yearsunderwentextra-anatomicbypassfromascendingaortatoabdominalaortaoriliacarterybypassfortreatmentofatypicalaorticcoarctation.Preoperatively,allpatientshadhypertensionandneededanti-hypertensivemedications.Systolicbloodpressurewas151±9mmHg.Anklepressureindex(API)were0.60±0.23inleftand0.56±0.23inright.Averagesystolicpressuregradientofaorticstenosiswas76±18mmHg.Threepatientsunderwentconcomitantcardiacoperation,includingcoronaryarterybypassgrafting,Bentallprocedureandatrialseptaldefectrepair.ResultsTherewasnohospitalandlatemortalityduring58±15monthsfollow-up(rangefrom44to81months).Postoperativesystolicbloodpressurewasreducedto126±11mmHgatthetimeofdischarge.Allpatientsmaintainednormalbloodpressurewithoutmedicationduringfollow-up.APIwasimprovedto1.12±0.24inleftand1.17±0.25inright(comparedwithpreoperativedata,P<0.05).Follow-upcomputertomographyshowedpatencyinallgrafts.ConclusionsSurgicaltreatmentofatypicalaorticcoarctationwithextra-anatomicbypassoriginatingfromascendingaortaalleviateshypertensionandlowlimbischemia.

简介：<正>Accordingtopressreports,China’sfirstlongdistance,extra-highvoltagecableisexpectedtocrossQiongzhouStraitsbefore2006.

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简介：Twelveyearsago,EastAsiancooperationstartedduringtheAsianfinancialcrisis.Adozenyearslater,EastAsiancooperationwasupgradedtoanewheightduringamorewidespreadglobalfinancialcrisis.Inrecentyears,regionalcooperationinEastAsiahasunfoldeditsdynamicforceandmadefurtherprogress.The'10(ASEAN)+3(China,JapanandROK)'and'10(ASEAN)+1

简介：Nonceliacglutensensitivity(NCGS)isasyndromecharacterizedbyacohortofsymptomsrelatedtotheingestionofgluten-containingfoodinsubjectswhoarenotaffectedbyceliacdisease(CD)orwheatallergy.Thepossibilityofsystemicmanifestationsinthisconditionhasbeensuggestedbysomereports.Inmostcasestheyarecharacterizedbyvaguesymptomssuchas‘foggymind’,headache,fatigue,jointandmusclepain,legorarmnumbnessevenifmorespecificcomplaintshavebeendescribed.NCGShasanimmune-relatedbackground.IndeedthereisastrongevidencethataselectiveactivationofinnateimmunitymaybethetriggerforNCGSinflammatoryresponse.ThemostcommonlyautoimmunedisordersassociatedtoNCGSareHashimotothyroiditis,dermatitisherpetiformis,psoriasisandrheumatologicdiseases.ThepredominanceofHashimotothyroiditisrepresentsaninterestingfinding,sinceithasbeenindirectlyconfirmedbyanItalianstudy,showingthatautoimmunethyroiddiseaseisariskfactorfortheevolutiontowardsNCGSinagroupofpatientswithminimalduodenalinflammation.Onthesebases,anautoimmunestigmainNCGSisstronglysupported;itcouldbeacharacteristicfeaturethatcouldhelpthediagnosisandbesimultaneouslymanaged.ApossibleneurologicalinvolvementhasbeenunderlinedbyNCGSassociationwithglutenataxia,glutenneuropathyandglutenencephalopathy.NCGSpatientsmayshowevenpsychiatricdiseasessuchasdepression,anxietyandpsychosis.Finally,alinkwithfunctionaldisorders(irritablebowelsyndromeandfibromyalgia)isatopicunderdiscussion.Inconclusion,thenoveltyofthismatterhasgeneratedanexpansionofliteraturedatawiththeunavoidableconsequencethatsomereportsareoftenbasedonlowlevelsofevidence.Therefore,onlystudiesperformedonlargesampleswiththeinclusionofcontrolgroupswillbeabletoclearlyestablishwhetherthelargeinformationfromtheliteratureregardingextra-intestinalNCGSmanifestationscouldbesupportedbyevidence-basedagreements.

简介：Atechniqueofelectronaccelerationinthecone-shapedstationarylaserfieldisproposed.Anelectronaccelerationinthislaserisstudied,whichshowsthatthereisnoelectronbunchingbutthereexistselectroncaptureinthislaserfield.

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简介：AbstractBackground:Neuronavigation is a very beneficial tool in modern neurosurgical practice. However, the neuronavigation is not available in most of the hospitals in our country raising the question about its importance in localizing the calvarial extra-axial lesions and to what extent it is safe to operate without it.Methods:We studied twenty patients with calvarial extra-axial lesions who underwent surgical interventions. All lesions were preoperatively located with both neuronavigation and the usual linear measurements. Both methods were compared regarding the time consumed to localize the tumor and the accuracy of each method to anticipate the actual center of the tumor.Results:The mean error of distance between the planned center of the tumor and the actual was 6.50 ± 1.762 mm in conventional method, whereas the error was 3.85 ± 1.309 mm in IGS method. Much more time was consumed during the neuronavigation method including booting, registration, and positioning. A statistically significant difference was found between the mean time passed in the conventional method and IGS method (2.05 ± 0.826, 24.90 ± 1.334, respectively), P-value < 0.001.Conclusion:In the setting of limited resources, the linear measurement localization method seems to have an accepted accuracy in the localization of calvarial extra-axial lesions and it saves more time than neuronavigation method.

简介：Objective:Toinvestigatethesignificanceofextra-nodalspreadinspecialhistologicalsub-typesofbreastcancerandtherelationshipofsuchspreadwithprognosticparameters.Methods:Atotalof303breastcancercaseswereclassifiedaccordingtotumortype,andeachtumorgroupwassubdividedaccordingtoage,tumordiameter,lymphnodemetastasis,extra-nodalspread,veininvasionintheadjacentsofttissue,distantmetastasis,andimmunohistochemicalcharacteristics[estrogenreceptor(ER),progesteronereceptor(PR)existence,p53,c-erbB-2,andproliferativerate(Ki-67)].The122caseswithextra-nodalspreadwereclinicallyfollowedup.Results:Anextra-nodalspreadwasobservedin40%(122cases)ofthe303breastcancercases.Thespreadmostfrequentlypresentedinmicropapillarycarcinomahistologicalsub-type(40cases,75%),butleastfrequentlypresentsinmucinouscarcinoma(2cases,8%).Patientswithextra-nodalspreadhadahighaveragenumberofmetastaticlymphnodes(8.3)andahighdistantmetastasisrate(38cases,31%)comparedwithpatientswithoutextra-nodalspread.Conclusion:Theexistenceofextra-nodalspreadintheexaminedbreastcancersub-typeshaspredictivevalueinforecastingthenumberofmetastaticlymphnodesandthediseaseprognosis.

简介：ExtraEnergy是德国一家从事产品展览和测试的公司。该公司曾公布了其在2002年至2003年对参与展览和测试的电动自行车品名、型号及测试性能结果。目前，该公司已在进行策划和组织2006年电动自行车的展览和测试等有关工作。

简介：因为高粘性和重oil.The微波技术的高树脂内容，在额外粘滞的原油包含的水的移动是相当困难的在接口的希腊语的第六个字母潜力面对钠acetate.The减少从高粘性的原油为水的分离被介绍，原油的粘性为负责在微波irradiation.The下面的水的加速的分离在样品钠醋酸盐的集中影响，照耀pres

简介：ThisstudywasperformedtoassesswhetherthereisanassociationbetweenelevatedFastingBloodGlucose(FBG)andhearingimpairmentinBangladeshipopulation.Atotalof142subjects(72withelevatedFBG;70control)wereincludedinthestudy.Themeanauditorythresholdsofthecontrolsubjectsat1,4,8and12kHzfrequencieswere6.35±0.35,10.07±0.91,27.57±1.82,51.28±3.01dBSPL(decibelsoundpressurelevel),respectivelyandthatofthesubjectswithelevatedFBGwere8.33±0.66,14.37±1.14,38.96±2.23,and71.11±2.96dB,respectively.TheauditorythresholdsofthesubjectswithelevatedFBGweresignificantly(p<0.05)higherthanthecontrolsubjectsatalltheabovefrequencies,althoughhearingimpairmentwasmostevidentlyobservedatanextra-high(12kHz)frequency.Subjectswithalongdurationofdiabetes(>10years)showedsignificantly(p<0.05)higherlevelofauditorythresholdsat8and12kHz,butnotat1and4kHzfrequencies,comparedtosubjectswithshorterdurationofdiabetes(
10years).Inaddition,basedonthedataofoddsratio,moreacuteimpairmentofhearingattheextra-highfrequencywasobservedindiabeticsubjectsofbotholder(>40years)andyounger(
40years)agegroupscomparedtotherespectivecontrols.Thebinarylogisticregressionanalysisshoweda5.79-foldincreaseintheoddsofextra-highfrequencyhearingimpairmentindiabeticsubjectsafteradjustmentforage,genderandBMI.Thisstudyprovidesconclusiveevidencethatauditorythresholdatanextra-highfrequencycouldbeasensitivemarkerforhearingimpairmentindiabeticsubjects.

简介：Intradiploicepidermoidcysts,fairlyuncommonlesionsinneurosurgicalpractice,are,asarule,benignandslow-growing.Somemayattaingreatsize.Correctradiologicalassessmentandcompleteremovalofthetumoranditscapsuleareessentialforadequatesurgicaltreatmentandgoodlong-termprognosis.Wereporttwocasesofintradiploicepidermoidcystsoftheskull,withgiantandCT-hyperdenselesionswithextraandintracranialextension,andanalyzetheclinicopathologicalandimagingfeaturesandtreatmentoftheselesionsinthelightofthemostimportantpublisheddata.

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简介：Biketec：FlyerT8Biketec：FlyerT8对当前的工艺技术的可能性的制约作了重新定义。测试对该车的评价很好。车的外观形似运动车，然而行驶感受上犹似优良的28寸的能适应较艰苦跋涉旅程要求的车辆。Biketec将最新Panasonic驱动技术装配与Shimano8速轮毂齿轮结合，并开发了灯光电子电路，即使在电动机关掉时仍有照明灯光。

简介：Gazelle：EasyGlider德国Gazelle公司制造的EasyGlider电动助力自行车作为日常休闲活动的骑行工具，令人有一种享受感。该车的把手和车座位置易于调节不必使用工具。车的前灯灯光可按需要进行开或关，不必考虑电池问题。U形车锁的钥匙也能用于电池的锁。车的性价比可以信赖，特别是备用电池的价格合理。

简介：ZrN-basedcompositesweresynthesizedfromzirconiaviaaluminothermicreductionandnitridationproceswithAlpowdersandMgOasthereductantandsinteringaids,respectively.ZrN-basedcompositesarepromisingforapplicationintherefractorymaterialsorotherhightemperatureindustryfields.TheeffectsofextraAlpowderonphysicalproperties,phasetransformationandmicrostructureswereinvestigated.ProductswithdifferenphasecompositionandmorphologieswereobtainedwithdifferentAlpowdersadditions.TheproductswerecomposedofZrN,ZrO_2,MgAl_2O_4,andZrAl_3O_3Nbyaluminothermalreductionandnitridationofzirconiawith0%extraAlpowdersaddition.ThediffractionpeaksoZrNwerethestrongestwhilepeaksofZrO_2vanishedwith6%extraAladdition.ThethermodynamiccalculationindicatedthatintroducingMgOintothesystemcouldpromotethereactionprocess.

简介：Theuniversaily-acceptedrescrvestandardforextra-largescalcgolddepositsis3-5timesmorcthanthatforlargescalegolddeposits(2Ot),namelymoretban6o-lOOt’Assereralextra-largescalegoldde-positshavcbccndiscovercdandmincdinJiaobeiareainl97o’s,tbisarcahasbecomcthemostconcen-tratcdarcafortheoccurrcnccofthjStypcofe

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