Efficacy of Ultrasound-guided Radiofrequency Ablation of Parathyroid Hyperplasia: Single Session vs. Two-Session for Effect on Hypocalcemia

To evaluate safety and efficacy of one- vs. two-session radiofrequency ablation (RFA) of parathyroid hyperplasia for patients with secondary hyperparathyroidism (SHPT) and to compare the outcome of both methods on hypocalcemia. Patients with secondary hyperparathyroidism underwent ultrasound guided RFA of parathyroid hyperplasia. Patients were alternately assigned to either group 1 (n = 28) with RFA of all 4 glands in one session or group 2 (n = 28) with RFA of 2 glands in a first session and other 2 glands in a second session. Serum parathyroid hormone (PTH), calcium, phosphorus and alkaline phosphatase (ALP) values were measured at a series of time points after RFA. RFA parameters, including operation duration and ablation time and hospitalization length and cost, were compared between the two groups. Mean PTH decreased in group 1 from 1865.18 ± 828.93 pg/ml to 145.72 ± 119.27 pg/ml at 1 day after RFA and in group 2 from 2256.64 ± 1021.72 pg/ml to 1388.13 ± 890.15 pg/ml at 1 day after first RFA and to 137.26 ± 107.12 pg/ml at 1 day after second RFA. Group 1\u27s calcium level decreased to 1.79 ± 0.31 mmol/L at day 1 after RFA and group 2 decreased to 1.89 ± 0.26 mmol/L at day 1 after second session RFA (P \u3c 0.05). Multivariate analysis showed that hypocalcemia was related to serum ALP. Patients with ALP ≥ 566 U/L had lower calcium compared to patients with ALP \u3c 566 U/L up to a month after RFA (P \u3c 0.05). Group 1\u27s RFA time and hospitalization were shorter and had lower cost compared with Group 2. US-guided RFA of parathyroid hyperplasia is a safe and effective method for treating secondary hyperparathyroidism. Single-session RFA was more cost-effective and resulted in a shorter hospital stay compared to two sessions. However, patients with two-session RFA had less hypocalcemia, especially those with high ALP

Predicting tipping points in mutualistic networks through dimension reduction

This article contains supporting information online at www.pnas.org/lookup/suppl/doi:10.1073/pnas.1714958115/-/DCSupplemental.Peer reviewedPublisher PD

Modeling of SCADA and PMU Measurement Chains

In this document, the supervisory control and data acquisition (SCADA) and phasor measurement unit (PMU) measurement chain modeling will be studied, where the measurement error sources of each component in the SCADA and PMU measurement chains and the reasons leading to measurement errors exhibiting non-zero-mean, non-Gaussian, and time-varying statistical characteristic are summarized and analyzed. This document provides a few equations, figures, and discussions about the details of the SCADA and PMU measurement error chain modeling, which are intended to facilitate the understanding of how the measurement errors are designed for each component in the SCADA and PMU measurement chains. The measurement chain models described here are also used for synthesizing measurement errors with realistic characteristics in simulation cases to test the developed algorithms or methodologies

Research of IOTs Complex Event for Supply Chain Application

In order to solve the logic fault of Internet of things technology applied in the supply chain system, this paper presents processing framework which is based on the context of complex event processing technology.At first, paper analysis the hierarchy of processing framework oriented supply chain applications, and then put forward the situation model of event flow based on complex event, including the establishment of the model, the definition of the event as well as the event description language.The context-aware framework based on complex event processing technology can solve the problem that the underlying data cannot be used efficiently bythe upper, which is proved bya typical case existingin the supply chain.As a result, it can improve the reaction speed of the supply chain system, reduce supply chain inventory as well as bullwhip effect.  DOI: http://dx.doi.org/10.11591/telkomnika.v11i8.302

A new era for studies on cross-Strait relations: introduction

After more than half a century’s separation, interaction between China and Taiwan has increased and has progressively changed from a politico-economic interaction to a more civic interaction. Scholars working on cross-Strait relations have recently begun to pay attention to the civic influence of Taiwanese businesses on the relationship. Some emphasize the importance of sub-governmental interactions in the process of cross-Strait integration. Others assert that Taiwanese businesses can exercise economic leverage to constrain the Chinese government in cross-Strait policymaking. These scholars stress bottom–up processes by observing current phenomena, then deducing the emerging pattern of cross-Strait relations that may be influenced by business activities. Taking account of changing trends in scholarly discussions of the cross-Strait relationship, this special issue of China Information presents current research in this field. Unlike studies on top–down processes that affect political and economic interactions between China and Taiwan, several contributions in the special issue highlight bottom–up mechanisms affecting such interactions by examining the identity of Taiwanese businesspeople and migrants, as well as the activities and implications of Taiwanese charitable organizations operating in China. This issue focuses not only on the impact of China on Taiwan, but also the impact of Taiwanese investments, migrants, and exports on Chinese society