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Video-assisted thoracoscopic surgery (VATS) for bilateral primary spontaneous pneumothorax 总被引:3,自引:0,他引:3
Chen YJ Luh SP Hsu KY Chen CR Tsao TC Chen JY 《Journal of Zhejiang University. Science. B》2008,9(4):335-340
Objective:To review our experience of the treatment of bilateral primary spontaneous pneumothorax (PSP) by video-assisted thoracoscopic surgery (VATS). Materials and methods: Retrospective chart review was followed by an on-clinic or telephone interview. Patients were cared for by one thoracic surgeon in four medical centers or community hospitals in Northern and Central Taiwan. Thirteen patients with bilateral PSP underwent bilateral VATS simultaneously or sequentially from July 1994 to December 2005. Results: Twelve males and one female, with age ranging from 15 to 36 years (mean 23.1 years), were treated with VATS for bilateral PSP, under the indications of bilateral pneumothoracis simultaneously (n=4) or sequentially (n=9). The interval between the first and second contra-lateral VATS procedure for non-simultaneous PSP patients ranged from 7 d to 6 years. Eleven of 13 patients (84.6%) had prominent pulmonary bullae/blebs, and underwent bullae resection with mechanical or chemical pleurodesis. The mean operative time was (45.6±18.3) min (range 25-96 min) and (120.6±28.7) min (range 84-166 min) respectively for the non-simultaneous (second VATS for the recurrence of contralateral side after first VATS) and simultaneous (bilateral VATS in one operation) procedures. There was no postoperative mortality. However, prolonged air leakage (>7 d) occurred in one patient (7.7%) who recovered after conservative treatment. The mean duration of chest tube drainage was 3.1 d and the median follow up period was 3.4 years. Conclusions: VATS is a safe and effective procedure in the treatment of bilateral PSP. Bilateral VATS is only recommended for patients with simultaneously bilateral PSP, because the incidence of recurrence, even with visible bullae, was not so high in my group and in some previous literature. Bilateral VATS in a supine position should only be used in selective cases, because of possible pleural adhesion or hidden bullae on the posterior side. 相似文献
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Hui-Ya Chen Hsiao-Yun Chang Yan-Ying Ju Hung-Ting Tsao 《Journal of sports sciences》2017,35(12):1197-1203
Rhythmic gymnasts specialise in dynamic balance under sensory conditions of numerous somatosensory, visual, and vestibular stimulations. This study investigated whether adolescent rhythmic gymnasts are superior to peers in Sensory Organisation test (SOT) performance, which quantifies the ability to maintain standing balance in six sensory conditions, and explored whether they plateaued faster during familiarisation with the SOT. Three and six sessions of SOTs were administered to 15 female rhythmic gymnasts (15.0 ± 1.8 years) and matched peers (15.1 ± 2.1 years), respectively. The gymnasts were superior to their peers in terms of fitness measures, and their performance was better in the SOT equilibrium score when visual information was unreliable. The SOT learning effects were shown in more challenging sensory conditions between Sessions 1 and 2 and were equivalent in both groups; however, over time, the gymnasts gained marginally significant better visual ability and relied less on visual sense when unreliable. In conclusion, adolescent rhythmic gymnasts have generally the same sensory organisation ability and learning rates as their peers. However, when visual information is unreliable, they have superior sensory organisation ability and learn faster to rely less on visual sense. 相似文献
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Nai-Kuan Tsao 《Journal of The Franklin Institute》1975,299(6):409-416
In this paper the “convergence” of an iterative refinement procedure for solving triangular linear algebraic systems is proved. The application of this procedure to the “accurate” LU decomposition of near-singular systems is described. A simple numerical example illustrates the theory. 相似文献
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Polymer stretching in two-phase microfluidics is investigated by dissipative particle dynamics. The flow patterns can be controlled by wall wettability, flowrate ratio between two phases, and Reynolds number (Re). For neutral and partially wettable walls, segmented flows are formed and polymer stretching can be controlled by Re and segment length. At high Re, stratified flows are observed and the extension ratio can be tuned by the flowrate ratio. For nonwettable walls, slug flows are formed and polymer stretching can be controlled by Re and slug length. At high Re or flowrate ratio, annular flows are observed and high extension ratio can be easily attained. 相似文献
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Nai-Kuan Tsao 《Journal of The Franklin Institute》1981,311(6):355-381
A systematic study on the problems encountered in the orthogonal factorization of a general band-structured matrix and its updating subject to a rank-one modification of the original matrix is given. A selective set of efficient algorithms is described. A set of strategies suitable for devising an “optimal” algorithm is also presented with some applications. 相似文献
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Fei Tsao 《Journal of Experimental Education》2013,81(3):187-200
Power and stability of Type I error rates are investigated for the Box-Scheffé test of homogeneity of variance with varying subsample sizes under conditions of normality and nonnormality. The test is shown to be robust to violation of the normality assumption when sampling is from a leptokurtic population. Subsample sizes which produce maximum power are given for small, intermediate, and large sample situations. Suggestions for selecting subsample sizes which will produce maximum power for a given n are provided. A formula for estimating power in the equal n case is shown to give results agreeing with empirical results. 相似文献
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Speech perception in infancy predicts language development in the second year of life: a longitudinal study 总被引:5,自引:0,他引:5
Infants' early phonetic perception is hypothesized to play an important role in language development. Previous studies have not assessed this potential link in the first 2 years of life. In this study, speech discrimination was measured in 6-month-old infants using a conditioned head-turn task. At 13, 16, and 24 months of age, language development was assessed in these same children using the MacArthur Communicative Development Inventory. Results demonstrated significant correlations between speech perception at 6 months of age and later language (word understanding, word production, phrase understanding). The finding that speech perception performance at 6 months predicts language at 2 years supports the idea that phonetic perception may play an important role in language acquisition. 相似文献