乳腺纤维瘤患者经乳晕切口手术及传统手术治疗的疗效及安全性对比分析

目的评价乳腺纤维瘤患者经不同术式治疗后的疗效及安全性.方法将选取的60例患者随机分为A,B两组,A组给予经乳晕切口手术,B组给予传统手术方法,对其术后效果进行评定.结果与B组比较,A组的总有效率明显提高,哺乳率明显优于前者(P0.05),两组复发率比较差异无统计学意义(P0.05).与B组比较,A组的手术及住院时间明显缩短,术中出血量明显减少(P0.05,P0.01).A组患者乳晕感觉正常,双侧乳房基本对称,手术瘢痕可接受程度明显高于B组(P0.05).两组术后瘢痕大小比较差异具有统计学意义(P0.05),血肿或瘀斑大小比较差异无统计学意义(P0.05).与B组比较,A组患者术后美容效果的满意度明显高于前者,并发症发生率明显降低(P0.05).结论经乳晕切口治疗乳腺纤维瘤的效果较好,能够有效减少切口瘢痕,使乳房外形美观,还可降低并发症、复发率,安全性较高,患者较为满意.     

基于未校准PMS和参照物的三维表面重建

未校准的PMS在重建物体三维形状时比经典的PMS的光照约束条件低,增加了在实际应用时的灵活性。但未校准PMS算法需要同时估算输入图像的光参数以及物体的三维形状,算法的求解难度也随之提高。本文提出一种基于未校准PMS和参照物的算法来估算目标物体的三维形状和反照率,并通过实验对合成物体以及自然光环境下的真实物体进行了三维重建,实验结果验证了本文算法的准确性和有效性。     

地震救援及灾区重建中康复医学的应对策略

根据近十多年来亚洲多次大地震的经验,联系到我国汶川地震,强调康复医疗从地震救援期到灾区重建期都有重大作用。地震致残率高,使伤员身心功能障碍,康复医疗通过伤残评估、早期康复介入、功能治疗、辅助器具使用及心理康复,达到助残展能、康复身心的目的。在救援期,康复医务人员既要在统一的协调下,执行《地震伤员康复指导规范》,充分发挥专业的独特作用,又要采取灵活多样的方式参与救援工作。至于灾区重建,也包含了康复体系的重建,即康复医疗机构、网络及其服务体系、服务能力的建设,应按照灵活性、可靠性、可及性的要求,因地制宜,不拘一格,建设起现代化的康复机构及社区康复体系,为伤残人士的全面康复提供可持续的、有效的服务。     

综合运输网络中合理路径优化模型

为了提高多式联运经营人运输决策的科学性和可行性,建立了一个含路径合理性约束的联合运输路径优化模型.从货运生产实践角度出发,提出了联合运输合理路径概念.基于联合运输的实现流程,指出除了运输效益最大化外,合理的换装序列和换装次数限制是联合运输路径选择和优化必须要考虑的另外2个重要特性.对于一般联合运输问题,研究了运输总费用的构成,即直线运输费用、节点中转费用和超期惩罚费用.通过构建直观的联合运输网络图,以总运输成本最少为优化目标,将多方式联合运输合理路径的选择和优化问题转化为含有超期惩罚因子的广义最短路模型,对模型的假设和数学形式做了详细的描述,并提供了简要的求解思路和参考算法.     

Grenvillian orogeny in the Southern Cathaysia Block: Constraints from U-Pb ages and Lu-Hf isotopes in zircon from metamorphic basement

Metamorphic basement rocks in the Cathaysia Block are composed mainly of meta-sediments with different ages. New zircon U-Pb geochronological results from the meta-sedimentary rocks exposed in the Zengcheng and Hezi areas, southern Cathaysia Block, show that they consist dominantly of early Neoproterozoic （1.0-0.9 Ga） materials with minor Paleo- to Mesoproterozoic and late Neoproterozoic （0.8-0.6 Ga） components, suggesting that the detritus mostly come from a Grenvillian orogen. The youngest detrital zircon ages place a constraint on the deposition time of these sediments in Late Neoproterozoic. Zircon Hf isotopic compositions indicate that the Grenvillian zircons were derived from the reworking of Mesoproterozoic arc magmatic rocks and Paleoproterozoic continental crust, implying an arc-continent collisional setting. Single-peak age spectra and the presence of abundant euhedral Grenvillian zircons suggest that the sedimentary provenance is not far away from the sample location. Thus, the Grenvillian orogen probably preexisted along the southern margin of the Cathaysia Block, or very close to the south. Similarity in the ages of Grenvillian orogeny and the influence of the assembly of Gondwana in South China with India and East Antarctic are discussed, with suggestion that South China was more likely linked with the India-East Antarctica continents in Early Neoproterozoic rather than between western Laurentia and eastern Australia.     

The records of coastline changes reflected by mangroves on the Sunda Shelf since the last 40 ka

This paper presents a 40000-year-long high-resolution mangrove record from sediments of Core 18300, 18302 and 18323 on the continental shelf of the southern South China Sea and reconstructs the coastline changes on Sunda Shelf since the last 40000 years. In the period Marine Isotope 3, the old Sunda Shelf had low sea level, and it was partly exposed. Flourishing vegetations grew on the exposed old land. Mangroves developed along the coastline. On the Last Glacial Maximum, the sea level dropped greatly, coastline moved from inner shelf to outer shelf, the Old Sunda Land exposed further, and the lowering sea level induced the gradual disappearing of mangroves from the inner Sunda Shelf to the outer Sunda Shelf. And pioneer vegetation ferns covered the broadly exposed old land immediately. At the time of the last Deglaciation, sea level rose greatly, the coastline moved to the sea and the Sunda Shelf was drown again. Mangroves were emergent again from outer shelf to inner shelf and developed quickly.     

如何在共青团工作中促进学生干部成长

现今的大学不仅注重学生的学习成绩,也注重学生综合素质以及艺术情操的培养,而共青团活动的开展便为学生提供了综合能力提高和展示的平台,其中也培养了大量优秀的学生干部,他们在发挥校园文化活动功能中起到了很大的作用。     

标准化管理商业银行提高防范操作风险的能力

商业银行每年集中大量的人力、物力,采取多种方式进行业务检查,努力提高风险管理力度,但涉及银行类金融案件依然不断。每个金融案件产生的原因各不相同,但是业务操作不规范、业务检查不细致是案件发生的根本原因。文章提出业务培训标准化、业务检查标准化等工作思路,实现业务质量提高、服务质量与风险防范能力的同步提高,更为商业银行进行综合经营奠定优质的竞争基础。     

太原市城市工房色彩研究

太原市作为我国建国初期的工业基地,一些冶金、机械等工业建筑中,大部分色彩单调,容易使工人们心理上受到压抑,产生疲劳,从而影响效率。同时城市工厂也是城市景观建筑的一个组成部分,采用建筑色彩来表现厂房和城市风格的统一性。本研究旨在针对适合于太原市各种企业色彩改造的方案提出建议。