13,752 research outputs found

    Ricci flow on compact K\"ahler manifolds of positive bisectional curvature

    Get PDF
    We announce a new proof of the uniform estimate on the curvature of solutions to the Ricci flow on a compact K\"ahler manifold MnM^n with positive bisectional curvature. In contrast to the recent work of X. Chen and G. Tian, our proof of the uniform estimate does not rely on the exsitence of K\"ahler-Einstein metrics on MnM^n, but instead on the first author's Harnack inequality for the K\"ahler-Ricc flow, and a very recent local injectivity radius estimate of Perelman for the Ricci flow.Comment: 4 page

    Use of low-dose computed tomography to assess pulmonary tuberculosis among healthcare workers in a tuberculosis hospital

    Get PDF
    BACKGROUND: According to the World Health Organization, China is one of 22 countries with serious tuberculosis (TB) infections and one of the 27 countries with serious multidrug-resistant TB strains. Despite the decline of tuberculosis in the overall population, healthcare workers (HCWs) are still at a high risk of infection. Compared with high-income countries, the TB prevalence among HCWs is higher in low- and middle-income countries. Low-dose computed tomography (LDCT) is becoming more popular due to its superior sensitivity and lower radiation dose. However, there have been no reports about active pulmonary tuberculosis (PTB) among HCWs as assessed with LDCT. The purposes of this study were to examine PTB statuses in HCWs in hospitals specializing in TB treatment and explore the significance of the application of LDCT to these workers. METHODS: This study retrospectively analysed the physical examination data of healthcare workers in the Beijing Chest Hospital from September 2012 to December 2015. Low-dose lung CT examinations were performed in all cases. The comparisons between active and inactive PTB according to the CT findings were made using the Pearson chi-square test or the Fisher’s exact test. Comparisons between the incidences of active PTB in high-risk areas and non-high-risk areas were performed using the Pearson chi-square test. Analyses of active PTB were performed according to different ages, numbers of years on the job, and the risks of the working areas. Active PTB as diagnosed by the LDCT examinations alone was compared with the final comprehensive diagnoses, and the sensitivity and positive predictive value were calculated. RESULTS: A total of 1 012 participants were included in this study. During the 4-year period of medical examinations, active PTB was found in 19 cases, and inactive PTB was found in 109 cases. The prevalence of active PTB in the participants was 1.24%, 0.67%, 0.81%, and 0.53% for years 2012 to 2015. The corresponding incidences of active PTB among the tuberculosis hospital participants were 0.86%, 0.41%, 0.54%, and 0.26%. Most HCWs with active TB (78.9%, 15/19) worked in the high-risk areas of the hospital. There was a significant difference in the incidences of active PTB between the HCWs who worked in the high-risk and non-high-risk areas (odds ratio [OR], 14.415; 95% confidence interval (CI): 4.733 – 43.896). Comparisons of the CT signs between the active and inactive groups via chi-square tests revealed that the tree-in-bud, cavity, fibrous shadow, and calcification signs exhibited significant differences (P = 0.000, 0.021, 0.001, and 0.024, respectively). Tree-in-bud and cavity opacities suggest active pulmonary tuberculosis, whereas fibrous shadow and calcification opacities are the main features of inactive pulmonary tuberculosis. Comparison with the final comprehensive diagnoses revealed that the sensitivity and positive predictive value of the diagnoses of active PTB based on LDCT alone were 100% and 86.4%, respectively. CONCLUSIONS: Healthcare workers in tuberculosis hospitals are a high-risk group for active PTB. Yearly LDCT examinations of such high-risk groups are feasible and necessary. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s40249-017-0274-6) contains supplementary material, which is available to authorized users

    A Multi-Restart Iterated Local Search Algorithm for the Permutation Flow Shop Problem Minimizing Total Flow Time

    Get PDF
    A variety of metaheuristics have been developed to solve the permutation flow shop problem minimizing total flow time. Iterated local search (ILS) is a simple but powerful metaheuristic used to solve this problem. Fundamentally, ILS is a procedure that needs to be restarted from another solution when it is trapped in a local optimum. A new solution is often generated by only slightly perturbing the best known solution, narrowing the search space and leading to a stagnant state. In this paper, a strategy is proposed to allow the restart solution to be generated from a group of solutions drawn from local optima. This allows an extension of the search space, while maintaining the quality of the restart solution. A multi-restart ILS (MRSILS) is proposed, with the performance evaluated on a set of benchmark instances and compared with six state of the art metaheuristics. The results show that the easily implementable MRSILS is significantly better than five of the other metaheuristics and comparable to or slightly better than the remaining one. © 2012 Elsevier Ltd. All rights reserved
    corecore