10 research outputs found

    Two-dimensional line thermal

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    Temples: Rokuharamitsuji Temple, Kyoto, Japan [014]

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    Photograph of sculpture (Kamakura period), Rokuharamitsuji Temple, Kyoto, JapanSculpture, Rokuharamitsuji Temple, Kyoto, Japan

    Randomized clinical trial of open versus laparoscopic left lateral hepatic sectionectomy within an enhanced recovery after surgery programme (ORANGE II study)

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    BACKGROUND: Laparoscopic left lateral sectionectomy (LLLS) has been associated with shorter hospital stay and reduced overall morbidity compared with open left lateral sectionectomy (OLLS). Strong evidence has not, however, been provided.METHODS: In this multicentre double-blind RCT, patients (aged 18-80 years with a BMI of 18-35 kg/m(2) and ASA fitness grade of III or below) requiring left lateral sectionectomy (LLS) were assigned randomly to OLLS or LLLS within an enhanced recovery after surgery (ERAS) programme. All randomized patients, ward physicians and nurses were blinded to the procedure undertaken. A parallel prospective registry (open non-randomized (ONR) versus laparoscopic non-randomized (LNR)) was used to monitor patients who were not enrolled for randomization because of doctor or patient preference. The primary endpoint was time to functional recovery. Secondary endpoints were length of hospital stay (LOS), readmission rate, overall morbidity, composite endpoint of liver surgery-specific morbidity, mortality, and reasons for delay in discharge after functional recovery.RESULTS: Between January 2010 and July 2014, patients were recruited at ten centres. Of these, 24 patients were randomized at eight centres, and 67 patients from eight centres were included in the prospective registry. Owing to slow accrual, the trial was stopped on the advice of an independent Data and Safety Monitoring Board in the Netherlands. No significant difference in median (i.q.r.) time to functional recovery was observed between laparoscopic and open surgery in the randomized or non-randomized groups: 3 (3-5) days for OLLS versus 3 (3-3) days for LLLS; and 3 (3-3) days for ONR versus 3 (3-4) days for LNR. There were no significant differences with regard to LOS, morbidity, reoperation, readmission and mortality rates.CONCLUSION: This RCT comparing open and laparoscopic LLS in an ERAS setting was not able to reach a conclusion on time to functional recovery, because it was stopped prematurely owing to slow accrual. Registration number: NCT00874224 ( https://www.clinicaltrials.gov).</p

    A comparison of eutrophication impacts in two harbours in Hong Kong with different hydrodynamics

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    Author Posting. © The Author(s), 2009. This is the author's version of the work. It is posted here by permission of Elsevier B.V. for personal use, not for redistribution. The definitive version was published in Journal of Marine Systems 83 (2010): 276-286, doi:10.1016/j.jmarsys.2010.04.002.Eutrophication impacts may vary spatially and temporally due to different physical processes. Using a 22-year time series data set (1986-2007), a comparison of eutrophication impacts between two eutrophic harbors, Victoria and Tolo Harbours, in Hong Kong with very different hydrodynamic conditions was conducted. In the highly-flushed Victoria Harbour (Victoria), the highest Chl a (13 μg L-1) occurred due to stratification in summer as a result of the input of the eutrophic Pearl River discharge, but the high flushing rate restricted nutrient utilization and the further accumulation of algal biomass. In other seasons, vertical mixing induced light limitation and horizontal dilution led to low Chl a (< 2 μg L-1) and no spring bloom. Few hypoxic events (DO < 2 mg L-1) occurred due to strong tidal mixing. Therefore, Victoria is resilient to nutrient enrichment. In contrast, in the weakly-flushed Tolo Harbour (Tolo), year long stratification, the long residence times and weak tidal currents favored algal growth, resulting in a spring diatom bloom and high Chl a (up to 30 μg L-1) all year and frequent hypoxic events in summer. Hence, Tolo is susceptible to nutrient enrichment and it responded to nutrient reduction since sewage treatment resulted in a 32-38% decrease in algal biomass in Tolo, but not in Victoria. A significant (11-22%) reduction in bottom DO in the both harbors after sewage treatment was due to a decrease in the organic loading from sewage treatment or the diversion.Financial support for this research was provided by the University Grants Council of Hong Kong AoE project (AoE/P-04/0401)

    Euclid. I. Overview of the Euclid mission

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    The current standard model of cosmology successfully describes a variety of measurements, but the nature of its main ingredients, dark matter and dark energy, remains unknown. Euclid is a medium-class mission in the Cosmic Vision 2015-2025 programme of the European Space Agency (ESA) that will provide high-resolution optical imaging, as well as near-infrared imaging and spectroscopy, over about 14,000 deg^2 of extragalactic sky. In addition to accurate weak lensing and clustering measurements that probe structure formation over half of the age of the Universe, its primary probes for cosmology, these exquisite data will enable a wide range of science. This paper provides a high-level overview of the mission, summarising the survey characteristics, the various data-processing steps, and data products. We also highlight the main science objectives and expected performance

    Euclid. I. Overview of the Euclid mission

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    International audienceThe current standard model of cosmology successfully describes a variety of measurements, but the nature of its main ingredients, dark matter and dark energy, remains unknown. Euclid is a medium-class mission in the Cosmic Vision 2015-2025 programme of the European Space Agency (ESA) that will provide high-resolution optical imaging, as well as near-infrared imaging and spectroscopy, over about 14,000 deg^2 of extragalactic sky. In addition to accurate weak lensing and clustering measurements that probe structure formation over half of the age of the Universe, its primary probes for cosmology, these exquisite data will enable a wide range of science. This paper provides a high-level overview of the mission, summarising the survey characteristics, the various data-processing steps, and data products. We also highlight the main science objectives and expected performance
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