Aiming at the problem that infrared small target detection faces low contrast between the background and the target and insufficient noise suppression ability under the complex cloud background,an infrared small targe...Aiming at the problem that infrared small target detection faces low contrast between the background and the target and insufficient noise suppression ability under the complex cloud background,an infrared small target detection method based on the tensor nuclear norm and direction residual weighting was proposed.Based on converting the infrared image into an infrared patch tensor model,from the perspective of the low-rank nature of the background tensor,and taking advantage of the difference in contrast between the background and the target in different directions,we designed a double-neighborhood local contrast based on direction residual weighting method(DNLCDRW)combined with the partial sum of tensor nuclear norm(PSTNN)to achieve effective background suppression and recovery of infrared small targets.Experiments show that the algorithm is effective in suppressing the background and improving the detection ability of the target.展开更多
Let {Xi}i=1^∞ be a standardized stationary Gaussian sequence with covariance function τ（n） =EX1Xn＋1, Sn =∑i=1^nXi,and X^-n=Sn/n.And let Nn be the point process formed by the exceedances of random level （x/√2 l...Let {Xi}i=1^∞ be a standardized stationary Gaussian sequence with covariance function τ（n） =EX1Xn＋1, Sn =∑i=1^nXi,and X^-n=Sn/n.And let Nn be the point process formed by the exceedances of random level （x/√2 log n＋√2 log n-log（4π log n）/2√log n） √1-τ（n） ＋ X^-n by X1,X2,…, Xn. Under some mild conditions, Nn and Sn are asymptotically independent, and Nn converges weakly to a Poisson process on （0,1].展开更多
Consider a sequence of i.i.d.positive random variables.An universal result in almost sure limit theorem for products of sums of partial sums is established.We will show that the almost sure limit theorem holds under a...Consider a sequence of i.i.d.positive random variables.An universal result in almost sure limit theorem for products of sums of partial sums is established.We will show that the almost sure limit theorem holds under a fairly general condition on the weight dk= k-1 exp（lnβk）,0≤β〈1.And in a sense,our results have reached the optimal form.展开更多
Let {Xni, 1 ≤ n,i 〈 ∞} be an an array of rowwise NA random variables and {an, n ≥ 1} a sequence of constants with 0 〈 an ↑∞ . The limiting behavior of maximum partial sums 1/an max 1≤k≤n｜^k∑i=1 Xni｜ is inv...Let {Xni, 1 ≤ n,i 〈 ∞} be an an array of rowwise NA random variables and {an, n ≥ 1} a sequence of constants with 0 〈 an ↑∞ . The limiting behavior of maximum partial sums 1/an max 1≤k≤n｜^k∑i=1 Xni｜ is investigated and some new results are obtained. The results extend and improve the corresponding theorems of rowwise independent random variable arrays by Hu and Taylor [1] and Hu and Chang [2].展开更多
Let ｛X n,n≥1｝ be a stationary LNQD or NA sequence satisfying EX 1=μ,EX 2 1<∞ and (Var S n)/n→σ 2 as n→∞.In this paper a class of self-normalized central limit theorems and estimators of Var S n are ...Let ｛X n,n≥1｝ be a stationary LNQD or NA sequence satisfying EX 1=μ,EX 2 1<∞ and (Var S n)/n→σ 2 as n→∞.In this paper a class of self-normalized central limit theorems and estimators of Var S n are studied.The weak and strong consistency of the estimators of Var S n are presented.展开更多
Let {Xn,n ≥ 1} be a sequence of identically distributed ρ^--mixing random variables and set Sn =∑i^n=1 Xi,n ≥ 1,the suffcient and necessary conditions for the existence of moments of supn≥1 ｜Sn/n^1/r｜^p（0 〈 r...Let {Xn,n ≥ 1} be a sequence of identically distributed ρ^--mixing random variables and set Sn =∑i^n=1 Xi,n ≥ 1,the suffcient and necessary conditions for the existence of moments of supn≥1 ｜Sn/n^1/r｜^p（0 〈 r 〈 2,p 〉 0） are given,which are the same as that in the independent case.展开更多
Objectives Transmuscular quadratus lumborum block(TQLB)may provide postoperative analgesia in patients undergoing intraperitoneal surgeries.The purpose of this study was to examine the potential efficacy of TQLB among...Objectives Transmuscular quadratus lumborum block(TQLB)may provide postoperative analgesia in patients undergoing intraperitoneal surgeries.The purpose of this study was to examine the potential efficacy of TQLB among patients undergoing retroperitoneal procedures,such as the laparoscopic partial nephrectomy(LPN).Methods This prospective,randomized,controlled study was conducted from August 2017 to November 2018 at Peking Union Medical College Hospital(Beijing,China).Patients who were scheduled for a LPN,aged 18・70 years old with an ASA physical status score of I-II were randomly assigned to receive either TQLB with 0.6 ml/kg of 0.5%ropivacaine plus general anesthesia(TQLB group)or general anesthesia alone(control group).Patient-controlled intravenous analgesia with morphine was initiated immediately upon surgery completion.The primary outcome was the cumulative consumption of morphine within 8 h after surgery.The secondary outcome included postoperative consump廿ons of morphine at other time points,pain score at rest and during activity,postoperative nausa and vomitting(PONV),and recovery related parameters.Results Totally 30 patients per group were recruited in the study.The 8 h consumption of morphine was lower in theTQLB group than in the control group(median,0.023 mg/kg vs.0.068 mg/kg,U=207.5,P<0.001).No significant differences were observed in postoperative pain scores between the two groups.Patients in the TQLB group had fewer episodes of PONV(20%vs.47%,χ2=4.&P=0.028)in the first 24 h after surgery and higher scores for quality of recovery(mean,13&6 vs.131.9,t=-2.164,P=0.035)120 h after surgery than the controls.Conclusions TQLB resulted in an opioid-sparing effect during the early postoperative period following LPN,as well as a lower incidence of PONV and improved quality of recovery.展开更多
In this paper, we obtain the moment conditions for the supermun of normed sums of ρ^--mixing random variables by using the Rosenthal-type inequality for Maximum partial sums of ρ^--mixing random variables. The resul...In this paper, we obtain the moment conditions for the supermun of normed sums of ρ^--mixing random variables by using the Rosenthal-type inequality for Maximum partial sums of ρ^--mixing random variables. The result obtained generalize the results of Chen(2008) and extend those to negatively associated sequences and ρ^--mixing random variables.展开更多
We performed 6 fabrications of dry-fermented sausages to investigate, at laboratory scale, the effects of combined partial substitutions of sodium chloride by potassium chloride and pork backfat by sunflower oil on ke...We performed 6 fabrications of dry-fermented sausages to investigate, at laboratory scale, the effects of combined partial substitutions of sodium chloride by potassium chloride and pork backfat by sunflower oil on key physical-chemical and biochemical parameters, instrumental colour and texture measurements, and the consumer acceptability of the end-products. Regarding the physical-chemical parameters, statistical analysis of results showed that final product weight loss was impacted by fat content and use of sunflower oil;final mean water activity value was only affected by salt level;and animal fat content impacted pH values, only at the end of drying. Regarding the biochemical parameters investigated, we statistically found a marked impact of partial substitution of NaCl by KCl on the proteolysis evolution, of fat level and sodium content on the end-product lipolysis, and finally, a significant effect of animal fat level and incorporation of sunflower oil on both protein and lipid oxidations. However, the new product formulations combining salt and fat substitutions lead to globally acceptable water loss and water activity values and similar rates of proteolysis, lipolysis and lipid oxidation, but less protein oxidation. From a practical point of view, the results clearly showed that sodium and animal fat contents in dryfermented sausages can be drastically reduced with no too marked adverse effect on colour, final textural properties or consumer acceptability. On the basis of these laboratory results, new healthier dry-fermented products can be manufactured by an industrial company in the near future.展开更多
Let {Xn, n≥1} be a martingale difference sequence and {a nk , 1?k?n,n?1} an array of constant real numbers. The limiting behavior of weighted partial sums ∑ k=1 n a nk X k is investigated and some new results are ob...Let {Xn, n≥1} be a martingale difference sequence and {a nk , 1?k?n,n?1} an array of constant real numbers. The limiting behavior of weighted partial sums ∑ k=1 n a nk X k is investigated and some new results are obtained.展开更多
Let H denote the class of complex-valued harmonic functions f defined in the open unit disc D and normalized by f(0)=fz(0)-1=0.In this paper,we define a new generalized subclass of H associated with the(p,q)-Ruschewey...Let H denote the class of complex-valued harmonic functions f defined in the open unit disc D and normalized by f(0)=fz(0)-1=0.In this paper,we define a new generalized subclass of H associated with the(p,q)-Ruscheweyh-type harmonic differential operator in D.We first obtain a sufficient coefficient condition that guarantees that a function f in H is sense-preserving harmonic univalent in D and belongs to the aforementioned class.Using this coefficient condition,we then examine ratios of partial sums of f in H.In all cases the results are sharp.In addition,the results so obtained generalize the related works of some authors,and many other new results are obtained.展开更多
In this paper,we discuss the suffcient condition for complete convergence of partial sums of squares of the ARCH sequence,at the same time a moment inequality of maximum partial sums for squares of the ARCH sequence i...In this paper,we discuss the suffcient condition for complete convergence of partial sums of squares of the ARCH sequence,at the same time a moment inequality of maximum partial sums for squares of the ARCH sequence is proved.展开更多
In this paper, we discuss the relation between the partial sums of Jacobi serier on an elliptic region and the corresponding partial sums of Fourier series. From this we derive a precise approximation formula by the p...In this paper, we discuss the relation between the partial sums of Jacobi serier on an elliptic region and the corresponding partial sums of Fourier series. From this we derive a precise approximation formula by the partial sums of Jacobi series on an elliptic region.展开更多
针对三维激光标靶球定位模型中的系数矩阵存在随机元素和非随机元素以及考虑到观测向量与系数矩阵存在相关的情况,引入基于Partial EIV模型的相关观测加权总体最小二乘(Weighted Total Least Squares,WTLS)方法进行求解。模拟实验结果表...针对三维激光标靶球定位模型中的系数矩阵存在随机元素和非随机元素以及考虑到观测向量与系数矩阵存在相关的情况,引入基于Partial EIV模型的相关观测加权总体最小二乘(Weighted Total Least Squares,WTLS)方法进行求解。模拟实验结果表明,在顾及观测向量与系数矩阵存在相关性时,基于Partial EIV模型的相关观测加权总体最小二乘方法解算的参数结果更加接近真值,且精度更高。进一步将该方法应用于实际案例数据中,结果表明,在实际计算时有必要考虑到观测向量与系数矩阵之间的相关性,以提高参数解算精度。本文可补充和完善三维激光扫描标靶球定位技术方法。展开更多
Let be a strictly stationary sequence of ρ?-mixing random variables. We proved the almost sure central limit theorem, containing the general weight sequences, for the partial sums , where , . The result generalizes a...Let be a strictly stationary sequence of ρ?-mixing random variables. We proved the almost sure central limit theorem, containing the general weight sequences, for the partial sums , where , . The result generalizes and improves the previous results.展开更多
<strong>Background: </strong>Partial segmental thrombosis of the corpus cavernosum, known as partial priapism, is an uncommon urological condition which predominantly affects young men in which the proxima...<strong>Background: </strong>Partial segmental thrombosis of the corpus cavernosum, known as partial priapism, is an uncommon urological condition which predominantly affects young men in which the proximal part of one corpus cavernosum is thrombosed. Many risk factors have been described in the literature, however, the exact etiology of penile thrombosis and its pathogenesis remains unclear. Several treatment options are available ranging from conservative medical treatment, surgical intervention, or simple follow-up observation without treatment. <strong>Aim:</strong> In this study, we describe a patient with sickle cell anemia who presented with pain and a perineal swelling that was eventually diagnosed as partial priapism utilizing MRI scan and was treated conservatively with a successful outcome. We then performed a literature search of similar cases highlighting incidence, risk factors and management of this rare presentation. <strong>Case Presentation: </strong>A 23-year-old male who is known with sickle cell anemia presented to casualty with a 1-day history of perineal pain of a sudden onset associated with perineal swelling and vomiting. Genitourinary exam findings confirmed the absence of classic priapism. Careful examination of his perineal area revealed the presence of a fixed, hard, and tender mass at the proximal part of the penis. It was not attached to the overlying skin and no enlarged pelvic lymph nodes were felt. Once stabilized, MRI of the pelvis was performed showing right intra-tunical corpus cavernosum features suggestive of hematoma in keeping with partial segmental thrombosis of the corpus cavernosum. Conservative treatment was initiated, and the patient was managed expectantly in which he improved gradually with eventual disappearance of the perineal mass. <strong>Conclusion:</strong> Partial segmental thrombosis of the corpus cavernosum is a rare urological condition. Pathogenesis and etiologies are poorly understood but risk factors have been advocated of which sickle cell anemia is one of them. MRI has a crucial role in the diagnosis under this condition. Conservative treatment appears to be a reliable initial therapeutic option.展开更多
Objective:Nephron-sparing surgery(NSS) for small renal masses offers a similar functional and oncological outcome to that of radical surgery.Laparoendoscopic single-site surgery(LESS) emerges as an advanced alternativ...Objective:Nephron-sparing surgery(NSS) for small renal masses offers a similar functional and oncological outcome to that of radical surgery.Laparoendoscopic single-site surgery(LESS) emerges as an advanced alternative for reduced invasiveness and improves cosmesis;LESS is developing quickly and its indications have been expanded,but still in its infancy.The aim of this paper is to report our preliminary experience in transumbilical LESS partial nephrectomy(LESS-PN),so as to assess its utility, safety and efficacy.Methods:From August 2009 to October 2010,3 patients underwent transumbilical LESS-PN via a novel multi-channel TriPort by a single experienced urologist in our institution.Patient demographics,perioperative and follow-up data were prospectively collected and analyzed.Results:All the three procedures were successfully completed.A 5-mm ancillary trocar was utilized in all 3 cases.The mean operative duration was 226.3(210-254 min) with an estimated blood loss of 56.7 ml (20-100 ml).Mean warm ischemia time was 35.7 min(19-48 min).One patient was transfused due to postoperative bleeding. The recovery was uneventful and mean length of postoperative stay was 13 days(12-14 days).At the latest follow-up,all patients remained symptom-free and had normal renal function without evidence of recurrence,and they were delighted for a hidden transumbilical scar.Conclusion:Transumbilical LESS-PN is a feasible and safe procedure albeit extremely technically challenging.Surgical outcomes at a median follow-up of 2 years are promising,while currently it should be reserved for highly selected patients with favorable tumor anatomy and performed by a very experienced laparoscopic surgeon.展开更多
Dear Editor,This letter addresses the impulse game problem for a general scope of deterministic,multi-player,nonzero-sum differential games wherein all participants adopt impulse controls.Our objective is to formulate...Dear Editor,This letter addresses the impulse game problem for a general scope of deterministic,multi-player,nonzero-sum differential games wherein all participants adopt impulse controls.Our objective is to formulate this impulse game problem with the modified objective function including interaction costs among the players in a discontinuous fashion,and subsequently,to derive a verification theorem for identifying the feedback Nash equilibrium strategy.展开更多
基金Supported by the Key Laboratory Fund for Equipment Pre-Research(6142207210202)。
文摘Aiming at the problem that infrared small target detection faces low contrast between the background and the target and insufficient noise suppression ability under the complex cloud background,an infrared small target detection method based on the tensor nuclear norm and direction residual weighting was proposed.Based on converting the infrared image into an infrared patch tensor model,from the perspective of the low-rank nature of the background tensor,and taking advantage of the difference in contrast between the background and the target in different directions,we designed a double-neighborhood local contrast based on direction residual weighting method(DNLCDRW)combined with the partial sum of tensor nuclear norm(PSTNN)to achieve effective background suppression and recovery of infrared small targets.Experiments show that the algorithm is effective in suppressing the background and improving the detection ability of the target.
基金Supported by the Program for Excellent Talents in Chongqing Higher Education Institutions (120060-20600204)
文摘Let {Xi}i=1^∞ be a standardized stationary Gaussian sequence with covariance function τ（n） =EX1Xn＋1, Sn =∑i=1^nXi,and X^-n=Sn/n.And let Nn be the point process formed by the exceedances of random level （x/√2 log n＋√2 log n-log（4π log n）/2√log n） √1-τ（n） ＋ X^-n by X1,X2,…, Xn. Under some mild conditions, Nn and Sn are asymptotically independent, and Nn converges weakly to a Poisson process on （0,1].
基金Supported by the National Natural Science Foundation of China(11061012)Project Supported by Program to Sponsor Teams for Innovation in the Construction of Talent Highlands in Guangxi Institutions of Higher Learning([2011]47)the Guangxi Natural Science Foundation of China(2012GXNSFAA053010)
文摘Consider a sequence of i.i.d.positive random variables.An universal result in almost sure limit theorem for products of sums of partial sums is established.We will show that the almost sure limit theorem holds under a fairly general condition on the weight dk= k-1 exp（lnβk）,0≤β〈1.And in a sense,our results have reached the optimal form.
文摘Let {Xni, 1 ≤ n,i 〈 ∞} be an an array of rowwise NA random variables and {an, n ≥ 1} a sequence of constants with 0 〈 an ↑∞ . The limiting behavior of maximum partial sums 1/an max 1≤k≤n｜^k∑i=1 Xni｜ is investigated and some new results are obtained. The results extend and improve the corresponding theorems of rowwise independent random variable arrays by Hu and Taylor [1] and Hu and Chang [2].
基金the National Natural Science Foundation of China(1 0 0 71 0 72 )
文摘Let ｛X n,n≥1｝ be a stationary LNQD or NA sequence satisfying EX 1=μ,EX 2 1<∞ and (Var S n)/n→σ 2 as n→∞.In this paper a class of self-normalized central limit theorems and estimators of Var S n are studied.The weak and strong consistency of the estimators of Var S n are presented.
基金Supported by the National Natural Science Foundation of China (60874004)
文摘Let {Xn,n ≥ 1} be a sequence of identically distributed ρ^--mixing random variables and set Sn =∑i^n=1 Xi,n ≥ 1,the suffcient and necessary conditions for the existence of moments of supn≥1 ｜Sn/n^1/r｜^p（0 〈 r 〈 2,p 〉 0） are given,which are the same as that in the independent case.
文摘Objectives Transmuscular quadratus lumborum block(TQLB)may provide postoperative analgesia in patients undergoing intraperitoneal surgeries.The purpose of this study was to examine the potential efficacy of TQLB among patients undergoing retroperitoneal procedures,such as the laparoscopic partial nephrectomy(LPN).Methods This prospective,randomized,controlled study was conducted from August 2017 to November 2018 at Peking Union Medical College Hospital(Beijing,China).Patients who were scheduled for a LPN,aged 18・70 years old with an ASA physical status score of I-II were randomly assigned to receive either TQLB with 0.6 ml/kg of 0.5%ropivacaine plus general anesthesia(TQLB group)or general anesthesia alone(control group).Patient-controlled intravenous analgesia with morphine was initiated immediately upon surgery completion.The primary outcome was the cumulative consumption of morphine within 8 h after surgery.The secondary outcome included postoperative consump廿ons of morphine at other time points,pain score at rest and during activity,postoperative nausa and vomitting(PONV),and recovery related parameters.Results Totally 30 patients per group were recruited in the study.The 8 h consumption of morphine was lower in theTQLB group than in the control group(median,0.023 mg/kg vs.0.068 mg/kg,U=207.5,P<0.001).No significant differences were observed in postoperative pain scores between the two groups.Patients in the TQLB group had fewer episodes of PONV(20%vs.47%,χ2=4.&P=0.028)in the first 24 h after surgery and higher scores for quality of recovery(mean,13&6 vs.131.9,t=-2.164,P=0.035)120 h after surgery than the controls.Conclusions TQLB resulted in an opioid-sparing effect during the early postoperative period following LPN,as well as a lower incidence of PONV and improved quality of recovery.
基金Supported by the National Science Foundation of China(10661006)Supported by Innovation Project of Guangxi Graduate Education(2007105960812M18)
文摘In this paper, we obtain the moment conditions for the supermun of normed sums of ρ^--mixing random variables by using the Rosenthal-type inequality for Maximum partial sums of ρ^--mixing random variables. The result obtained generalize the results of Chen(2008) and extend those to negatively associated sequences and ρ^--mixing random variables.
文摘We performed 6 fabrications of dry-fermented sausages to investigate, at laboratory scale, the effects of combined partial substitutions of sodium chloride by potassium chloride and pork backfat by sunflower oil on key physical-chemical and biochemical parameters, instrumental colour and texture measurements, and the consumer acceptability of the end-products. Regarding the physical-chemical parameters, statistical analysis of results showed that final product weight loss was impacted by fat content and use of sunflower oil;final mean water activity value was only affected by salt level;and animal fat content impacted pH values, only at the end of drying. Regarding the biochemical parameters investigated, we statistically found a marked impact of partial substitution of NaCl by KCl on the proteolysis evolution, of fat level and sodium content on the end-product lipolysis, and finally, a significant effect of animal fat level and incorporation of sunflower oil on both protein and lipid oxidations. However, the new product formulations combining salt and fat substitutions lead to globally acceptable water loss and water activity values and similar rates of proteolysis, lipolysis and lipid oxidation, but less protein oxidation. From a practical point of view, the results clearly showed that sodium and animal fat contents in dryfermented sausages can be drastically reduced with no too marked adverse effect on colour, final textural properties or consumer acceptability. On the basis of these laboratory results, new healthier dry-fermented products can be manufactured by an industrial company in the near future.
基金SupportedbytheNationalNaturalScienceFoundationofChina (No .10 0 710 5 8)and (No .10 0 710 19)
文摘Let {Xn, n≥1} be a martingale difference sequence and {a nk , 1?k?n,n?1} an array of constant real numbers. The limiting behavior of weighted partial sums ∑ k=1 n a nk X k is investigated and some new results are obtained.
文摘Let H denote the class of complex-valued harmonic functions f defined in the open unit disc D and normalized by f(0)=fz(0)-1=0.In this paper,we define a new generalized subclass of H associated with the(p,q)-Ruscheweyh-type harmonic differential operator in D.We first obtain a sufficient coefficient condition that guarantees that a function f in H is sense-preserving harmonic univalent in D and belongs to the aforementioned class.Using this coefficient condition,we then examine ratios of partial sums of f in H.In all cases the results are sharp.In addition,the results so obtained generalize the related works of some authors,and many other new results are obtained.
基金Supported by Natural Science Foundation of Shanxi Province（2007011014） Supported by Science Foundation of Shanxi Datong Unversity（2007K06） Supported by 11-5 Program Fund of Shanxi Province（GH-09090）
文摘In this paper,we discuss the suffcient condition for complete convergence of partial sums of squares of the ARCH sequence,at the same time a moment inequality of maximum partial sums for squares of the ARCH sequence is proved.
文摘In this paper, we discuss the relation between the partial sums of Jacobi serier on an elliptic region and the corresponding partial sums of Fourier series. From this we derive a precise approximation formula by the partial sums of Jacobi series on an elliptic region.
文摘针对三维激光标靶球定位模型中的系数矩阵存在随机元素和非随机元素以及考虑到观测向量与系数矩阵存在相关的情况,引入基于Partial EIV模型的相关观测加权总体最小二乘(Weighted Total Least Squares,WTLS)方法进行求解。模拟实验结果表明,在顾及观测向量与系数矩阵存在相关性时,基于Partial EIV模型的相关观测加权总体最小二乘方法解算的参数结果更加接近真值,且精度更高。进一步将该方法应用于实际案例数据中,结果表明,在实际计算时有必要考虑到观测向量与系数矩阵之间的相关性,以提高参数解算精度。本文可补充和完善三维激光扫描标靶球定位技术方法。
基金supported by National Natural Science Foundation of China(11361019).
文摘Let be a strictly stationary sequence of ρ?-mixing random variables. We proved the almost sure central limit theorem, containing the general weight sequences, for the partial sums , where , . The result generalizes and improves the previous results.
文摘<strong>Background: </strong>Partial segmental thrombosis of the corpus cavernosum, known as partial priapism, is an uncommon urological condition which predominantly affects young men in which the proximal part of one corpus cavernosum is thrombosed. Many risk factors have been described in the literature, however, the exact etiology of penile thrombosis and its pathogenesis remains unclear. Several treatment options are available ranging from conservative medical treatment, surgical intervention, or simple follow-up observation without treatment. <strong>Aim:</strong> In this study, we describe a patient with sickle cell anemia who presented with pain and a perineal swelling that was eventually diagnosed as partial priapism utilizing MRI scan and was treated conservatively with a successful outcome. We then performed a literature search of similar cases highlighting incidence, risk factors and management of this rare presentation. <strong>Case Presentation: </strong>A 23-year-old male who is known with sickle cell anemia presented to casualty with a 1-day history of perineal pain of a sudden onset associated with perineal swelling and vomiting. Genitourinary exam findings confirmed the absence of classic priapism. Careful examination of his perineal area revealed the presence of a fixed, hard, and tender mass at the proximal part of the penis. It was not attached to the overlying skin and no enlarged pelvic lymph nodes were felt. Once stabilized, MRI of the pelvis was performed showing right intra-tunical corpus cavernosum features suggestive of hematoma in keeping with partial segmental thrombosis of the corpus cavernosum. Conservative treatment was initiated, and the patient was managed expectantly in which he improved gradually with eventual disappearance of the perineal mass. <strong>Conclusion:</strong> Partial segmental thrombosis of the corpus cavernosum is a rare urological condition. Pathogenesis and etiologies are poorly understood but risk factors have been advocated of which sickle cell anemia is one of them. MRI has a crucial role in the diagnosis under this condition. Conservative treatment appears to be a reliable initial therapeutic option.
基金Supported by the Military Major Project for Clinical High-tech and Innovative Technology of China(2010gxjs057)the Municipal Hospitals' Project for Emerging and Frontier Technology of Shanghai(SHDC12010115)the Project for the Key Discipline of Shanghai
文摘Objective:Nephron-sparing surgery(NSS) for small renal masses offers a similar functional and oncological outcome to that of radical surgery.Laparoendoscopic single-site surgery(LESS) emerges as an advanced alternative for reduced invasiveness and improves cosmesis;LESS is developing quickly and its indications have been expanded,but still in its infancy.The aim of this paper is to report our preliminary experience in transumbilical LESS partial nephrectomy(LESS-PN),so as to assess its utility, safety and efficacy.Methods:From August 2009 to October 2010,3 patients underwent transumbilical LESS-PN via a novel multi-channel TriPort by a single experienced urologist in our institution.Patient demographics,perioperative and follow-up data were prospectively collected and analyzed.Results:All the three procedures were successfully completed.A 5-mm ancillary trocar was utilized in all 3 cases.The mean operative duration was 226.3(210-254 min) with an estimated blood loss of 56.7 ml (20-100 ml).Mean warm ischemia time was 35.7 min(19-48 min).One patient was transfused due to postoperative bleeding. The recovery was uneventful and mean length of postoperative stay was 13 days(12-14 days).At the latest follow-up,all patients remained symptom-free and had normal renal function without evidence of recurrence,and they were delighted for a hidden transumbilical scar.Conclusion:Transumbilical LESS-PN is a feasible and safe procedure albeit extremely technically challenging.Surgical outcomes at a median follow-up of 2 years are promising,while currently it should be reserved for highly selected patients with favorable tumor anatomy and performed by a very experienced laparoscopic surgeon.
基金supported in part by the National Natural Science Foundation of China(62173051)the Fundamental Research Funds for the Central Universities(2024CDJCGJ012,2023CDJXY-010)+1 种基金the Chongqing Technology Innovation and Application Development Special Key Project(CSTB2022TIADCUX0015,CSTB2022TIAD-KPX0162)the China Postdoctoral Science Foundation(2024M763865)
文摘Dear Editor,This letter addresses the impulse game problem for a general scope of deterministic,multi-player,nonzero-sum differential games wherein all participants adopt impulse controls.Our objective is to formulate this impulse game problem with the modified objective function including interaction costs among the players in a discontinuous fashion,and subsequently,to derive a verification theorem for identifying the feedback Nash equilibrium strategy.
