Diagnosing deep vein thrombosis in the lower extremity: correlation of clinical and duplex scan findings.

OBJECTIVE: To identify factors that predict a positive duplex scan examination result in patients with suspected deep vein thrombosis of the lower extremity. DESIGN: Retrospective study. SETTING: Vascular laboratory in a university teaching hospital. PATIENTS AND METHODS: The results of 345 lower extremity duplex venous scans performed between August 1994 and November 1998 were reviewed. All patients were in-patients referred from different specialties due to clinical suspicion of lower extremity deep vein thrombosis. Positive duplex scans were correlated with patients' demographic data (sex, age), medical history (history of malignancy, deep vein thrombosis, and pulmonary embolism) and clinical features (leg swelling, venous insufficiency, calf pain, and leg ulcer). Univariate analysis was performed using the Chi squared test. RESULTS: A total of 345 scans were performed for 313 patients. The mean age was 55 years (range, 19-92 years). Sixty-three patients (49 male, 14 female) had a positive scan, giving a yield of 18.3%. Four factors had a significant association with a positive scan: male sex (P=0.0102), history of malignancy (P=0.0040), history of deep vein thrombosis (P=0.0001), and history of pulmonary embolism (P=0.0265). CONCLUSIONS: Common presenting clinical features do not predict the result of ultrasonographic investigation for deep vein thrombosis. The chance of having a positive scan is significantly higher in male patients and those with a history of malignancy, deep vein thrombosis, or pulmonary embolism.published_or_final_versio

Realization of Pan Jiazheng′s extremum principle with optimization methods

2007-2008 > Academic research: refereed > Publication in refereed journalVersion of RecordPublishe

Recursos electrònics en història de la ciència

Màster oficial en història de la ciència: ciència, història, societa

Modified Kastner formula for cylindrical cavity contraction in Mohr-Coulomb medium for circular tunnel in isotropic medium

2011-2012 > Academic research: refereed > Publication in refereed journalVersion of RecordPublishe

Effects of subsurface cavity expansion in clays

Subsurface cavity expansion in clay induced by compaction grouting can generate upward displacement of clay and/or increase in effective stress leading to consolidation, resulting in settlement compensation and/or shear strength enhancement respectively. However, the two potential benefits of subsurface cavity expansion may offset each other. Experiments and numerical simulations on the engineering behaviour of E-grade kaolin induced by subsurface pressure-controlled cavity expansion were conducted to investigate the interrelationship between compensation effectiveness and shear strength enhancement. The results of numerical simulations are in reasonably good agreement with the experimental data, indicating that the numerical simulation procedure adopted is a plausible and reliable technique to describe the engineering behaviour of clays induced by pressure-controlled cavity expansion. Effects of cavity expansion rate, cavity expansion volume, injection point spacing, and stress history on compensation effectiveness and shear strength enhancement were studied. Practical applications of the results are also proposed.published_or_final_versio

Provision of reinforcement in concrete solids using the generalized genetic algorithm

A generalized genetic algorithm has been developed to find the global optimal reinforcement contents for a concrete solid structure subjected to a general three-dimensional (3D) stress field. Feasible solutions were examined based on the genetic algorithm, and the heterogeneous strategy used ensures that all of the local optimal regions are searched and the most optimal reinforcement content found. The effectiveness of the proposed approach has been validated by comparing the steel contents evaluated using the present method with those obtained from other available methods. A more economic design is achieved by the proposed algorithm. The method developed provides the designer with a valuable tool for the determination of reinforcements in complicated solid concrete structures. © 2011 American Society of Civil Engineers.postprin

Laboratory and 3-D distinct element analysis of the failure mechanism of a slope under external surcharge

2014-2015 > Academic research: refereed > Publication in refereed journalVersion of RecordRGCOthersHong Kong Polytechnic UniversityPublishe

Application and discussion of three dimensional numerical manifold method based on hexahedron element

2004-2005 > Academic research: refereed > Publication in refereed journalVersion of RecordPublishe

Rotational failure of 3D nonsymmetric slope predicted by Bishop’s method

2002-2003 > Academic research: refereed > Publication in refereed journalVersion of RecordPublishe

Peri-operative administration of rectal diclofenac sodium. The effect on renal function in patients undergoing minor orthopaedic surgery

In a randomized, double-blind study, we administered placebo and diclofenac sodium 100 mg suppositories 1 h pre-operatively and on the first post-operative morning to 22 adult patients undergoing minor orthopaedic surgery. A standardized post-operative intravenous fluid regimen was instituted until oral fluids were tolerated. Renal function was assessed pre-operatively, and on the first and second post-operative days by the measurement of urine output, creatinine, urea, sodium, potassium and NAG (N-acetyl-b-D-glucosaminidase) levels and serum creatinine, urea, sodium and potassium concentrations. On the first postoperative day, the diclofenac group demonstrated a reduced urinary sodium excretion. On the second postoperative day, a reduced urinary NAG/creatinine ratio was observed in the diclofenac group when compared to placebo. We conclude that peri-operative administration of diclofenac causes changes in renal function consistent with prostaglandin inhibition on the first post-operative day but had no lasting adverse effects in this group of patients. Our results reinforce the need for caution when administering this drug in the context of pre-existing renal impairment.published_or_final_versio