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Spare Parts Surgery—Salvage of a Below Knee Amputation Stump

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Modern Plastic Surgery 2012年第2期2卷 28-30页

作者： Chasari Tancharoen edmund Ek Anand Ramakrishnan Department of Plastics Reconstructive Surgery Royal Melbourne Hospital Melbourne Australia

“Spare parts surgery” is well-described in the plastic surgery literature. In the setting of trauma, otherwise discarded parts can be utilized for reconstruction resulting in a superior functional and aesthetic outcome for the patient. We describe the use of spare part surgery in order to preserve a functional knee articulation in a patient undergoing amputation for compartment.

关键词： Below Knee Amputation Free Flap Fillet of Sole Flap Spare Part Surgery

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对城市设计的总结与思考

城市规划 1991年第3期 25-28页

作者： edmund·Bacon ,周超北京建工学院建筑系

我于六十年代中期写成《城市设计》一书,当时城市设计工作虽处于初期阶段,但对今日城市环境的形成仍然发生了巨大的影响。我认为,城市设计的目标应该是建立一个有运动感的整体环境,它涉及人们的感情、视觉、嗅觉、触觉、运动感、冷热感... 详细信息

我于六十年代中期写成《城市设计》一书,当时城市设计工作虽处于初期阶段,但对今日城市环境的形成仍然发生了巨大的影响。我认为,城市设计的目标应该是建立一个有运动感的整体环境,它涉及人们的感情、视觉、嗅觉、触觉、运动感、冷热感、空间感等等

关键词：美国美利坚合众国北美洲城市设计师规划师运动感商业广场规划者一只手

供体浆细胞样树突状细胞分离GVL和GVHD的机制研究

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中国病理生理杂志 2010年第A10期26卷 2028-2029页

作者：卢莹陈国强 edmund Waller 上海交通大学医学院病理生理学教研室上海200000

Solid phase microextraction(SPME) sampling under turbulent conditions and for the simultaneous collecting of tracer gases

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International Journal of Mining Science and Technology 2015年第4期25卷 559-563页

作者： Underwood Susanne W. Jong edmund C. Luxbacher Kray D. Sarver Emily A. Ripepi Nino S. Mc Nair Harold M. Department of Mining and Minerals Engineering Virginia Tech Department of Chemistry Virginia Tech

Solid phase microextraction （SPME） is a solvent-flee method of sample collection. SPME is an appealing method for sample collection because it is designed for the sampling of trace level analytes with short sampling times in a variety of environments. Additionally, SPME can be used to directly deliver a sample to a gas chromatograph （GC） for analysis by means of thermal desorption. In this paper, the performance of SPME under dynamic conditions was investigated. Additionally, the competence of SPME sampling for the simultaneous analysis of multiple trace analytes was also evaluated. This work is discussed in the context of underground mine ventilation surveys but is applicable to any industry in which ventilation circuits must be evaluated. The results of this paper showed that the performance of the 100 ~m PDMS SPME fiber was both precise and rapid under dynamic conditions. This SPME fiber was also able to simultaneously collect sulfur hexafluoride （SF6） and perfluoromethylcyclohexane （PMCH） with adequate sensitivity.

关键词： Solid phase microextraction Sulfur hexafluoride Perfluoromethylcyclohexane Tracer gas Mine ventilation Air sampling

Patients’ Perception and Satisfaction with Waiting Time, and Facilities Available in a State Teaching Hospital Eye Clinic, Southeast, Nigeria

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Health 2023年第6期15卷 544-568页

作者： Nkiruka N. Okoloagu edmund O. Ndibuagu Department of Ophthalmology College of Medicine Enugu State University of Science & Technology (ESUT) and ESUT Teaching Hospital Parklane Nigeria Esucom Health Care Delivery Research Initiative College of Medicine Enugu State University of Science and Technology Enugu Nigeria Department of Community Medicine College of Medicine Enugu State University of Science & Technology (ESUT) and ESUT Teaching Hospital Parklane Nigeria

Patients’ satisfaction with waiting time and the facilities in eye clinics is an important indication of the patients’ assessment of the quality of service in the eye clinic. In this study, waiting time was defined as time spent from arrival to time when the patient is seen by a doctor. Some factors that affect patients’ waiting time in health clinics include: healthcare setting, availability of adequate resources and personnel, efficient deployment of available resources and competence of healthcare workers, and punctuality of healthcare workers. The physical environment, comfort of patients, and level of infrastructure in the hospital also influence patients’ satisfaction. This observational, descriptive, cross-sectional study was conducted among patients that attended an eye care clinic, in a tertiary hospital, and 348 respondents were interviewed. Most of the respondents were aged 40 years and above (64.4%), females (63.5%), Igbos by tribe (94.8%), married (63.2%), Christians (96.6%), and had at least a secondary level of education (78.4%). Most perceived waiting time as being very long or long (60.1%), and only 48.8 were satisfied or very satisfied with the waiting time. Most also perceived the cleanliness of the eye clinic as being clean or very clean (85.0%), and 70.7% perceived the ventilation as being adequate or very adequate. The majority reported that a health talk was given (71.6%), and 62.7% were satisfied or very satisfied with the talk. More respondents (46.8%) perceived the waiting space as very inadequate or inadequate, as against 43.4% that perceived it as adequate or very adequate. More reported that prescribed drugs were completely unavailable or few available (48.0%), while 42.3% reported drugs as being reasonably or completely available. It is important that management of health facilities that offer eye care services, work towards improving patients’ perception and satisfaction with services provided in the eye clinics.

关键词： Patients Perception Satisfaction Time Facilities

Intra-tumor heterogeneity in head and neck cancer and its clinical implications

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2016年第2期2卷 -页

作者： edmund A. Mroz James W. Rocco Department of 0tolaryngology-Head and Neck Surgery The James Cancer Hospital and Solove Research Institute The 0hio State University Columbus 0H USA

The presence of heritable differences among cancer cells within a tumor, called intra-tumor genetic heterogeneity, has long been suspected of playing a role in poor responses to therapy. Research over the past decade has documented the existence of such heterogene-ity within tumors of individual patients and documented its potential clinical significance. The research methods for identifying this heterogeneity were not, however, readily adaptable to widespread clinical application. After a brief review of this background, we describe the devel-opment of a measure of intra-tumor genetic heterogeneity, based on whole-exome sequencing of individual tumor samples, that could be applied to biopsy specimens in a clinical setting. This measure has now been used in head and neck squamous cell carcinoma (HNSCC) to docu-ment, for the first time, a relation of high intra-tumor genetic heterogeneity to shorter overall survival in a large, multi-institutional study. The implications of heterogeneity for research and clinical care thus now need to be addressed. Copyright a 2016 Chinese Medical Association. Production and hosting by Elsevier B.V. on behalf of KeAi Communications Co., Ltd. This is an open access article under the CC BY-NC-ND license (http://***/licenses/by-nc-nd/4.0/).

关键词： Head and neck squamous cell carcinoma Intra-tumor genetic heterogeneity Next-generation sequencing Targeted therapy

Recurrent thrombotic occlusion of a transjugular intrahepatic portosystemic stent-shunt due to activated protein C resistance

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World Journal of Gastroenterology 2005年第32期11卷 5064-5067页

作者： Elmar Siewert Jan Salzmann edmund Purucker Karl Schürmann Siegfried Matern Department of Internal Medicine ⅢAachen University AachenGermany Department of Diagnostic RadiologyAachen University AachenGermany

The transjugular intrahepatic portosystemic stent-shunt (TIPS) has successfully been used in the management of refractory variceal bleeding and ascites in patients with portal hypertension. Major drawbacks are the induction of hepatic encephalopathy and shunt dysfunction. We present a 59-year-old woman with alcoholic liver cirrhosis who received a TIPS because of recurrent bleeding from esophageal varices. Stent occlusion occurred 4 mo after placement of the TIPS. Laboratory testing revealed resistance to activated protein C (APC). Combination therapy with low-dose enoxaparin and clopidogrel could not prevent her recurrent stent occlusion. Finally, therapy with high-dose enoxaparin was sufficient to prevent further shunt complications up to now (follow-up period of 1 year). In conclusion, early occlusion of a TIPS warrants testing for thrombophilia. If risk factors are confirmed,anticoagulation should be intensified. There are currently no evidence-based recommendations regarding the best available anticoagulant therapy and surveillance protocol for patients with TIPS.

关键词： Transjugular intrahepatic portosystemic stentshunt Resistance to activated protein C Factor V-Leiden Thrombophilia Thrombosis

可靠性、可用性与可维修性分析在LNG接收站产能预测中的应用(英文)

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化工学报 2015年第S2期66卷 430-438页

作者：鲁毅 edmund YAP 刘昳蓉袁小军风控(北京)工程技术有限公司IRC 北京100025

LNG设施通常包括天然气液化、LNG储运及运输等。在中国天然气供应链对经济民生影响重大。天然气供应链或供应系统中关键设备的非计划及计划性维修导致的天然气供应中断,都可能造成巨大的经济损失。本项目应用可靠性、可用性及可维修性(R... 详细信息

LNG设施通常包括天然气液化、LNG储运及运输等。在中国天然气供应链对经济民生影响重大。天然气供应链或供应系统中关键设备的非计划及计划性维修导致的天然气供应中断,都可能造成巨大的经济损失。本项目应用可靠性、可用性及可维修性(RAM)分析方法对于液化天然气储备库及附属设施的可靠性指标进行评估,定量分析LNG供应链中关键设备的失效及维修时间对于整个供应链可靠性指标的影响。RAM分析可以用来预测在指定的运行周期内整个LNG供应链的运行绩效。RAM分析辨识关键设备的失效模式,确定失效数据,并采取Monte Carlo的模拟计算,获得LNG供应链或系统中,关键设备失效对于可靠性指标影响。本文通过国内某LNG储备库项目的 RAM分析,应用以Monte Carlo模拟为基础的系统可靠性分析软件ReliaSuite?,评估LNG储备库系统设计能否满足可靠性指标。并且对LNG储运设施的卸料臂进行了失效模式及关键性影响分析(FMECA)。通过对LNG储备库各子系统对于项目整体可靠性的贡献进行敏感性分析,找到影响项目整体可靠性的瓶颈及解决方案。

关键词：系统工程模型 LNG供应链 LNG接收站成本效益分析

火花源光发射光谱法分析钢中夹杂物的研究进展——夹杂物成分和尺寸的现象学分析与计算

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冶金分析 2011年第10期31卷 7-13页

作者： edmund Halász Jean-Luc Dorier Jean-Marc Bhlen 赛默飞世尔科技有限公司

为更好了解与试样电火花烧蚀有关的实验现象,我们设计了一种新算法,并报道了其用于测定夹杂物尺寸的结果。在此算法中,用元素氧化物、硫化物和氮化物测量通道的单火花强度分析技术测定了某一特定类型夹杂物中各元素的浓度,包括铝、钙、... 详细信息

为更好了解与试样电火花烧蚀有关的实验现象,我们设计了一种新算法,并报道了其用于测定夹杂物尺寸的结果。在此算法中,用元素氧化物、硫化物和氮化物测量通道的单火花强度分析技术测定了某一特定类型夹杂物中各元素的浓度,包括铝、钙、镁、锰、钛以及硅等。对每个相关通道,计算了指定类型夹杂物有关的强度峰值对应的强度值之和与所有强度值和之间的比值。在光谱化学分析中,此比值与测试浓度相乘,所得结果为指定类型夹杂物中元素的平均浓度。结合单火花烧蚀质量与夹杂物成分的化学计量学分析,可以估算夹杂物的尺寸。通过进一步的分析可以实现夹杂物尺寸(小、中和大级别)的辨别。本方法的创新性在于,单火花源强度既不需要漂移修正也不需要校正。本算法可以直接用于计算钢中大部分常见夹杂物的平均浓度和尺寸的分析,例如氧化物、硫化物和尖晶石。测定结果显示夹杂物的平均直径在1～10μm之间。

关键词：光发射光谱火花源光发射光谱-脉冲差别分析法非金属夹杂物夹杂物分析夹杂物成分夹杂物尺寸