BACKGROUND Marginal zone lymphoma(MZL)is an indolent subtype of non-Hodgkin lymphoma(NHL),which is rare clinically with severe rashes as the initial symptom.CASE SUMMARY This study reports a case of MZL with generaliz...BACKGROUND Marginal zone lymphoma(MZL)is an indolent subtype of non-Hodgkin lymphoma(NHL),which is rare clinically with severe rashes as the initial symptom.CASE SUMMARY This study reports a case of MZL with generalized skin rashes accompanied by pruritus and purulent discharge.First-line treatment with rituximab combined with zanubrutinib had poor effects.However,after switching to obinutuzumab combined with zanubrutinib,the case was alleviated,and the rashes disappeared.CONCLUSION For patients with advanced stage MZL not benefiting from type I anti-CD20 monoclonal antibody(mAb)combination therapy,switching to a type II anti-CD20 mAb combination regimen may be considered.This approach may provide a new perspective in the treatment of MZL.展开更多
The South China Sea(SCS)is a marginal sea connecting the Pacific and Indian oceans and has gained much attention in recent decades.The dynamics in the northeast SCS are considerably influenced by topography,monsoons,t...The South China Sea(SCS)is a marginal sea connecting the Pacific and Indian oceans and has gained much attention in recent decades.The dynamics in the northeast SCS are considerably influenced by topography,monsoons,tropical cyclones,the Kuroshio intrusion,and water exchange through the Luzon Strait(LS).展开更多
Background:The effectiveness and safety of marginal donor livers remain controversial.This study aimed to investigate the clinical efficacy of marginal donor livers in patients with liver transplantation(LT).Methods:T...Background:The effectiveness and safety of marginal donor livers remain controversial.This study aimed to investigate the clinical efficacy of marginal donor livers in patients with liver transplantation(LT).Methods:This study included 199 liver donors(including 16 split donors)and 206 liver recipients from January 1,2018 to January 27,2020,with case follow-up until July 31,2021.Clinical data of donors and recipients were retrospectively analyzed and were divided into the marginal donor and standard donor groups according to the criteria of marginal donor livers.Indices of liver and kidney functions,complications,and survival curves of the two groups were compared.Results:Compared with the standard donor group,the blood creatinine levels were significantly higher in the marginal donor group in the first week after operation(P<0.05);there were no significant differences in alanine aminotransferase,aspartate aminotransferase,and total bilirubin levels after LT(all P>0.05);there was no significant difference in the incidence of complications after LT(P>0.05);there was also no significant difference in the survival curve(P=0.335).Conclusions:There were no significant differences in liver and kidney function and survival curve between the standard donor and marginal donor groups.The marginal donor liver appears safe and reliable for LT and may be an important strategy to expand the donor pool and solve the shortage of organs.展开更多
Ice-shelf rifts are precursors of glacier calving, and thus they serve as indicators of ice shelf instability, especially under oceanic and atmospheric warming conditions. Therefore, understanding the dynamic processe...Ice-shelf rifts are precursors of glacier calving, and thus they serve as indicators of ice shelf instability, especially under oceanic and atmospheric warming conditions. Therefore, understanding the dynamic processes underlying rift propagation and the associated damage mechanisms is essential to evaluate ice-shelf instability and to predict glacier calving. In this study, we investigated the effect of marginal weakening on rift propagation on the ice shelf of the Petermann Glacier, among the largest in Greenland, during 2016-2022. First, we analyzed satellite optical images to monitor rift growth(length and width) by tracking the tip trajectory of three large rifts identified on the Petermann Ice Shelf. Then, we estimated rift depth using ArcticDEM and ICESat-2 data. Our results indicated consistent increases of the rift widths and depths over the study period, with mean values of 133 m·a^(-1) and 0.3 m·a^(-1), respectively. We also combined remote-sensing observations with an ice-sheet numerical model to calculate the stress and damage fields on the Petermann Ice Shelf and to assess the ice shelf margin stability and strength. We determined that damage and lateral shear in the fracture zone degraded ice shelf integrity by decreasing the contact length with the fjord wall. In conclusion, marginal weakening effectively promoted rift propagation on the Petermann Ice Shelf, increasing the risk of future glacier calving.展开更多
BACKGROUND Marginal zone lymphoma(MZL)is an indolent non-Hodgkin B cell lymphoma with various architectural pattern including perifollicular,follicular colonization,nodular,micronodular,and diffuse patterns.A scleroti...BACKGROUND Marginal zone lymphoma(MZL)is an indolent non-Hodgkin B cell lymphoma with various architectural pattern including perifollicular,follicular colonization,nodular,micronodular,and diffuse patterns.A sclerotic variant has not been previously reported and represents a diagnostic pitfall.CASE SUMMARY A 66-year-old male developed left upper extremity swelling.Chest computed tomography(CT)in September 2020 showed 14 cm mass in left axilla.Needle core biopsy of axillary lymph node showed sclerotic tissue with atypical B lymphoid infiltrate but was non-diagnostic.Excisional biopsy was performed for diagnosis and showed extensive fibrosis and minor component of infiltrating B cells.Flow cytometry showed a small population of CD5-,CD10-,kappa restricted B cells.Monoclonal immunoglobulin heavy chain and light chain gene rearrangement were identified.Upon being diagnosed with MZL,patient was treated with rituximab,cyclophosphamide,doxorubicin,vincristine,and prednisone and achieved complete remission by positron emission tomography/CT.CONCLUSION This is an important case report because by morphology this case could have easily been overlooked as non-specific fibrosis with chronic inflammation representing a significant diagnostic pitfall.Moreover,this constitutes a new architectural pattern.While sclerotic lymphomas have rarely been described(often misdiagnosed as retroperitoneal fibrosis),we do not know of any cases describing this architectural presentation of MZL.展开更多
We focus on the development of model selection criteria in linear mixed models. In particular, we propose the model selection criteria following the Mallows’ Conceptual Predictive Statistic (Cp) [1] [2] in linear mix...We focus on the development of model selection criteria in linear mixed models. In particular, we propose the model selection criteria following the Mallows’ Conceptual Predictive Statistic (Cp) [1] [2] in linear mixed models. When correlation exists between the observations in data, the normal Gauss discrepancy in univariate case is not appropriate to measure the distance between the true model and a candidate model. Instead, we define a marginal Gauss discrepancy which takes the correlation into account in the mixed models. The model selection criterion, marginal Cp, called MCp, serves as an asymptotically unbiased estimator of the expected marginal Gauss discrepancy. An improvement of MCp, called IMCp, is then derived and proved to be a more accurate estimator of the expected marginal Gauss discrepancy than MCp. The performance of the proposed criteria is investigated in a simulation study. The simulation results show that in small samples, the proposed criteria outperform the Akaike Information Criteria (AIC) [3] [4] and Bayesian Information Criterion (BIC) [5] in selecting the correct model;in large samples, their performance is competitive. Further, the proposed criteria perform significantly better for highly correlated response data than for weakly correlated data.展开更多
Adventures of Huckleberry Finn is one of the most greatest works of Mark Twain, an American literary giant in the 19th century, telling the story of fleeing and seeking for freedom along the Mississippi river. This pa...Adventures of Huckleberry Finn is one of the most greatest works of Mark Twain, an American literary giant in the 19th century, telling the story of fleeing and seeking for freedom along the Mississippi river. This paper will use the theory of core-periphery to analyze the encounter and mutual-helping of Huck and Jim.Their adventures reflect the fate of marginal characters, disclose some problems covered in the marginal spaces and make some marginal voices heard. What reflected behind is that the true,the good, and the beautiful of human nature and the righteousness of society are never absent.展开更多
In the base of utility and marginal utility,the article put forwardthe concept of utility and marginal utilityof educational outlay and the theory of them,and analyzed the actuality of educational resource deployment ...In the base of utility and marginal utility,the article put forwardthe concept of utility and marginal utilityof educational outlay and the theory of them,and analyzed the actuality of educational resource deployment in ourcountry,gave some advice about howtoi mprove our educational resource deployment of compulsory education.展开更多
To improve the inconsistency in the analytic hierarchy process(AHP), a new method based on marginal optimization theory is proposed. During the improving process, this paper regards the reduction of consistency ratio(...To improve the inconsistency in the analytic hierarchy process(AHP), a new method based on marginal optimization theory is proposed. During the improving process, this paper regards the reduction of consistency ratio(CR) as benefit, and the maximum modification compared to the original pairwise comparison matrix(PCM) as cost, then the improvement of consistency is transformed to a benefit/cost analysis problem. According to the maximal marginal effect principle, the elements of PCM are modified by a fixed increment(or decrement) step by step till the consistency ratio becomes acceptable, which can ensure minimum adjustment to the original PCM so that the decision makers' judgment is preserved as much as possible. The correctness of the proposed method is proved mathematically by theorem. Firstly, the marginal benefit/cost ratio is calculated for each single element of the PCM when it has been modified by a fixed increment(or decrement).Then, modification to the element with the maximum marginal benefit/cost ratio is accepted. Next, the marginal benefit/cost ratio is calculated again upon the revised matrix, and followed by choosing the modification to the element with the maximum marginal benefit/cost ratio. The process of calculating marginal effect and choosing the best modified element is repeated for each revised matrix till acceptable consistency is reached, i.e., CR<0.1. Finally,illustrative examples show the proposed method is more effective and better in preserving the original comparison information than existing methods.展开更多
AIM: To investigate the short-term and long-term ef-ficacy and safety of laparoscopic splenectomy (LS) for treatment of splenic marginal zone lymphoma (SMZL). METHODS: A total of 18 continuous patients who were diagno...AIM: To investigate the short-term and long-term ef-ficacy and safety of laparoscopic splenectomy (LS) for treatment of splenic marginal zone lymphoma (SMZL). METHODS: A total of 18 continuous patients who were diagnosed with SMZL and underwent LS in our department from 2008 to 2012 were reviewed. The perioperative variables and long-term follow-up were evaluated. To evaluate the efficacy and safety of this procedure better, we also included 34 patients with liver cirrhosis who underwent LS, 49 patients with immune thrombocytopenia (ITP) who underwent LS, and 20 patients with SMZL who underwent open splenectomy (OS). The results observed in the different groups were compared.RESULTS: No differences were found in the sex and Child-Pugh class of the patients in SMZL-LS, SMZL-OS, ITP, and liver cirrhosis groups. The splenic length of the patients in the SMZL-LS group was similar to that in the SMZL-OS and liver cirrhosis groups but significantly longer than in the ITP group. The SMZL-LS group had a significantly longer operating time compared with the SMZL-OS, ITP, and liver cirrhosis groups, and the SMZL-LS group exhibited significantly less blood loss compared with the SMZL-OS group. No difference was found in the length of the postoperative hospital stay between the SMZL-LS, SMZL-OS, ITP, and liver cirrhosis-LS groups. After surgery, 6 (33.3%) SMZL-LS patients suffered slight complications. During mean fol-low-up periods of 13.6 and 12.8 mo, one patient from the SMZL-LS group and two from the SMZL-OS group died as a result of metastasis after surgery. None of the ITP and liver cirrhosis patients died. CONCLUSION: LS should be considered a feasible and safe procedure for treatment of SMZL in an effort to improve the treatment options and survival of patients.展开更多
Dear Sir, I am Dr Yan-Long Bi, from the Department of Ophthalmology, Tongji University Affiliated to Tongji University School of Medicine, Shanghai, China. I write to present a case report of total limbal stem cells d...Dear Sir, I am Dr Yan-Long Bi, from the Department of Ophthalmology, Tongji University Affiliated to Tongji University School of Medicine, Shanghai, China. I write to present a case report of total limbal stem cells deficiency after treatment with ring-shaped lamellar keratoplasty secondary to Terrien marginal degeneration. During 3展开更多
Marginal bone loss during bone healing exists around non-submerged dental implants. The aim of this study was to identify the relationship between different degrees of marginal bone loss during bone healing and the sa...Marginal bone loss during bone healing exists around non-submerged dental implants. The aim of this study was to identify the relationship between different degrees of marginal bone loss during bone healing and the salivary microbiome. One hundred patients were recruited, and marginal bone loss around their implants was measured using cone beam computed tomography during a 3-month healing period. The patients were divided into three groups according to the severity of marginal bone loss.Saliva samples were collected from all subjected and were analysed using 16 SMiSeq sequencing. Although the overall structure of the microbial community was not dramatically altered, the relative abundance of several taxonomic groups noticeably changed. The abundance of species in the phyla Spirochaeta and Synergistetes increased significantly as the bone loss became more severe. Species within the genus Treponema also exhibited increased abundance, whereas Veillonella, Haemophilus and Leptotrichia exhibited reduced abundances, in groups with more bone loss. Porphyromonasgingivalis, Treponemadenticola and Streptococcus intermedius were significantly more abundant in the moderate group and/or severe group. The severity of marginal bone loss around the non-submerged implant was associated with dissimilar taxonomic compositions. An increased severity of marginal bone loss was related to increased proportions of periodontal pathogenic species. These data suggest a potential role of microbes in the progression of marginal bone loss during bone healing.展开更多
Liver transplantation(LT) is one of the most effective treatments for end-stage liver disease caused by related risk factors when liver resection is contraindicated. Additionally,despite the decrease in the prevalence...Liver transplantation(LT) is one of the most effective treatments for end-stage liver disease caused by related risk factors when liver resection is contraindicated. Additionally,despite the decrease in the prevalence of hepatitis B virus(HBV) over the past two decades,the absolute number of HBs Ag-positive people has increased,leading to an increase in HBV-related liver cirrhosis and hepatocellular carcinoma. Consequently,a large demand exists for LT. While the wait time for patients on the donor list is,to some degree,shorter due to the development of living donor liver transplantation(LDLT),there is still a shortage of liver grafts. Furthermore,recipients often suffer from emergent conditions,such as liver dysfunction or even hepatic encephalopathy,which can lead to a limited choice in grafts. To expand the pool of available liver grafts,one option is the use of organs that were previously considered "unusable" by many,which are often labeled "marginal" organs. Many previous studies have reported on the possibilities of using marginal grafts in orthotopic LT; however,there is still a lack of discussion on this topic,especially regarding the feasibility of using marginal grafts in LDLT. Therefore,the present review aimed to summarize the feasibility of using marginal liver grafts for LDLT and discuss the possibility of expanding the application of these grafts.展开更多
In the present study,the coal-rock organic facies of Oligocene Yacheng Formation of the marginal basin in the South China Sea were classified and divided.In addition,through the correlations of the large-scale coal-be...In the present study,the coal-rock organic facies of Oligocene Yacheng Formation of the marginal basin in the South China Sea were classified and divided.In addition,through the correlations of the large-scale coal-bearing basins between the epicontinental sea and the South China Sea,it was concluded that the coal forming activities in the South China Sea presented particularity and complexity.Furthermore,the coal forming mechanisms also presented distinctiveness.The marginal basins in the South China Sea consist of several large and complex rift or depression basins,which are distributed at different tectonic positions in the South China Sea.Therefore,the marginal basins in the South China Sea are not simple traditional units with onshore continental slopes extending toward the deep sea.The marginal basins are known to consist of multi-level structures and distinctive types of basins which differ from the continental regions to the sea.During the Oligocene,the existing luxuriant plants and beneficial conditions assisted in the development of peat.Therefore,the Oligocene was the significant period for the formation and aggregation of the peat.However,the peat did not form in unified sedimentary dynamic fields,but instead displayed multi-level geographical units,multiple provenance areas,instability,and nonevent characteristics.As a result,the marginal basins in the South China Sea are characterized by non-uniform peat aggregation stages.In another words,the majority of the peat had entered the marine system in a dispersive manner and acted as part of the marine deposits,rather than during one or several suitable coal-forming stages.These peat deposits then became the main material source for hydrocarbon generation in all of the marginal basins of the South China Sea.The study will be of much significance for the hydrocarbon exploration in the marginal basins of the South China Sea.展开更多
A three-dimensional(3-D) ocean model is coupled with a two-dimensional(2-D) sea ice model, to revisit a nonlinear advection mechanism, one of the most important mesoscale eddy genesis mechanisms in the marginal ice zo...A three-dimensional(3-D) ocean model is coupled with a two-dimensional(2-D) sea ice model, to revisit a nonlinear advection mechanism, one of the most important mesoscale eddy genesis mechanisms in the marginal ice zone. Two-dimensional ocean model simulations suggest nonlinear advection mechanism is more important when the water gets shallower. Instead of considering the ocean as barotropic fluid in the 2-D ocean model, the 3-D ocean model allows the sea ice to affect the current directly in the surface layer via ocean-ice interaction. It is found that both mesoscale eddy and sea surface elevation are sensitive to changes in a water depth in the 3-D simulations. The vertical profile of a current velocity in 3-D experiments suggests that when the water depth gets shallower, the current move faster in each layer, which makes the sea surface elevation be nearly inverse proportional to the water depth with the same wind forcing during the same time. It is also found that because of the vertical motion, the magnitude of variations in the sea surface elevation in the 3-D simulations is very small,being only 1% of the change in the 2-D simulations. And it seems the vertical motion to be the essential reason for the differences between the 3-D and 2-D experiments.展开更多
Based on the introduction of the connotation of marginalization,the index of diagnosing the marginalization degree is put forward.According to the 685 copies of questionnaires on peasant households in Tongcheng County...Based on the introduction of the connotation of marginalization,the index of diagnosing the marginalization degree is put forward.According to the 685 copies of questionnaires on peasant households in Tongcheng County of Hubei Province and the statistical data of local government,marginalization of arable land and its correlation with rural labor migration in Tongcheng County are studied by using aggregative indicator method,clustering analysis method and correlation analysis method.Result shows that marginalization of arable land has happened two times in Tongcheng County since 1985.Dry land has severer marginalization degree than paddy field.There is significant correlation between marginalization degree of arable land and rural labor migration;and the correlation between marginalization degree and rural labor migration in paddy field is greater than that in dry land.Marginalization of arable land will advance the rural labor migration,while in response to the poor current circulation of lands;the rural labor migration will further deepen the marginalization degree.Marginalization of arable land is one of the important factors affecting the labor migration in rural areas.展开更多
In the present study,the morphological characteristics of the synaptic structure(MCSS)of the substance P immunoreactive(SPIR)teminals in the marginal division(MrD)of the ratstriatum were studied by using electron micr...In the present study,the morphological characteristics of the synaptic structure(MCSS)of the substance P immunoreactive(SPIR)teminals in the marginal division(MrD)of the ratstriatum were studied by using electron microscopy and immunocytochemistry.Four major typesof SPIR symnapses were identified in teh MrD.axodendritic,axo-spinous,axo-axonic,and com-pound.Axo-dendritic and axo-spinous synapses were more common,and a few axo-axonic andcompound synapses wer observed as well.In the postsynaptic target zones of axo-dendritic,andaxo-spinous synapses,there were small or large dendrites or spires.Some synapses with morethan two synaptic components are referred to as compound synapses.Both symmetric andasymmetric SPIR synapses were seen in the MrD.The vesicles in the SPIR presynaptic boutonswere mostly pleomorphic although a few of them were round,The MCSS distinguishes theultrastructure of the MrD from that of the other part of striatum,which suggests that the func-tion of the MrD may be different from that of the rest of the striatum.展开更多
文摘BACKGROUND Marginal zone lymphoma(MZL)is an indolent subtype of non-Hodgkin lymphoma(NHL),which is rare clinically with severe rashes as the initial symptom.CASE SUMMARY This study reports a case of MZL with generalized skin rashes accompanied by pruritus and purulent discharge.First-line treatment with rituximab combined with zanubrutinib had poor effects.However,after switching to obinutuzumab combined with zanubrutinib,the case was alleviated,and the rashes disappeared.CONCLUSION For patients with advanced stage MZL not benefiting from type I anti-CD20 monoclonal antibody(mAb)combination therapy,switching to a type II anti-CD20 mAb combination regimen may be considered.This approach may provide a new perspective in the treatment of MZL.
基金The National Natural Science Foundation of China under contract Nos 41920104006the Scientific Research Fund of Second Institute of Oceanography+3 种基金Ministry of Natural Resources under contract Nos JZ2001,XRJH2410,and QNYC2102the Oceanic Interdisciplinary Program of Shanghai Jiao Tong University under contract No.SL2021MS021the Global Climate Changes and Air-sea Interaction Program under contract No.GASI-02-PAC-ST-Wwinthe Taishan Scholars Program under contract No.tsqn202306282。
文摘The South China Sea(SCS)is a marginal sea connecting the Pacific and Indian oceans and has gained much attention in recent decades.The dynamics in the northeast SCS are considerably influenced by topography,monsoons,tropical cyclones,the Kuroshio intrusion,and water exchange through the Luzon Strait(LS).
基金supported by a grant from the start-up fund for scientific research of high-level talents in the Affiliated Hospital of Qingdao University(3631)。
文摘Background:The effectiveness and safety of marginal donor livers remain controversial.This study aimed to investigate the clinical efficacy of marginal donor livers in patients with liver transplantation(LT).Methods:This study included 199 liver donors(including 16 split donors)and 206 liver recipients from January 1,2018 to January 27,2020,with case follow-up until July 31,2021.Clinical data of donors and recipients were retrospectively analyzed and were divided into the marginal donor and standard donor groups according to the criteria of marginal donor livers.Indices of liver and kidney functions,complications,and survival curves of the two groups were compared.Results:Compared with the standard donor group,the blood creatinine levels were significantly higher in the marginal donor group in the first week after operation(P<0.05);there were no significant differences in alanine aminotransferase,aspartate aminotransferase,and total bilirubin levels after LT(all P>0.05);there was no significant difference in the incidence of complications after LT(P>0.05);there was also no significant difference in the survival curve(P=0.335).Conclusions:There were no significant differences in liver and kidney function and survival curve between the standard donor and marginal donor groups.The marginal donor liver appears safe and reliable for LT and may be an important strategy to expand the donor pool and solve the shortage of organs.
基金funded by the National Key R&D Program of China (Grant nos. 2018YFC1406102, 2017YFA0603103)the grand from State Key Laboratory of Geodesy and Earth's Dynamics (Grant no. SKLGED2022-2-2)。
文摘Ice-shelf rifts are precursors of glacier calving, and thus they serve as indicators of ice shelf instability, especially under oceanic and atmospheric warming conditions. Therefore, understanding the dynamic processes underlying rift propagation and the associated damage mechanisms is essential to evaluate ice-shelf instability and to predict glacier calving. In this study, we investigated the effect of marginal weakening on rift propagation on the ice shelf of the Petermann Glacier, among the largest in Greenland, during 2016-2022. First, we analyzed satellite optical images to monitor rift growth(length and width) by tracking the tip trajectory of three large rifts identified on the Petermann Ice Shelf. Then, we estimated rift depth using ArcticDEM and ICESat-2 data. Our results indicated consistent increases of the rift widths and depths over the study period, with mean values of 133 m·a^(-1) and 0.3 m·a^(-1), respectively. We also combined remote-sensing observations with an ice-sheet numerical model to calculate the stress and damage fields on the Petermann Ice Shelf and to assess the ice shelf margin stability and strength. We determined that damage and lateral shear in the fracture zone degraded ice shelf integrity by decreasing the contact length with the fjord wall. In conclusion, marginal weakening effectively promoted rift propagation on the Petermann Ice Shelf, increasing the risk of future glacier calving.
文摘BACKGROUND Marginal zone lymphoma(MZL)is an indolent non-Hodgkin B cell lymphoma with various architectural pattern including perifollicular,follicular colonization,nodular,micronodular,and diffuse patterns.A sclerotic variant has not been previously reported and represents a diagnostic pitfall.CASE SUMMARY A 66-year-old male developed left upper extremity swelling.Chest computed tomography(CT)in September 2020 showed 14 cm mass in left axilla.Needle core biopsy of axillary lymph node showed sclerotic tissue with atypical B lymphoid infiltrate but was non-diagnostic.Excisional biopsy was performed for diagnosis and showed extensive fibrosis and minor component of infiltrating B cells.Flow cytometry showed a small population of CD5-,CD10-,kappa restricted B cells.Monoclonal immunoglobulin heavy chain and light chain gene rearrangement were identified.Upon being diagnosed with MZL,patient was treated with rituximab,cyclophosphamide,doxorubicin,vincristine,and prednisone and achieved complete remission by positron emission tomography/CT.CONCLUSION This is an important case report because by morphology this case could have easily been overlooked as non-specific fibrosis with chronic inflammation representing a significant diagnostic pitfall.Moreover,this constitutes a new architectural pattern.While sclerotic lymphomas have rarely been described(often misdiagnosed as retroperitoneal fibrosis),we do not know of any cases describing this architectural presentation of MZL.
文摘We focus on the development of model selection criteria in linear mixed models. In particular, we propose the model selection criteria following the Mallows’ Conceptual Predictive Statistic (Cp) [1] [2] in linear mixed models. When correlation exists between the observations in data, the normal Gauss discrepancy in univariate case is not appropriate to measure the distance between the true model and a candidate model. Instead, we define a marginal Gauss discrepancy which takes the correlation into account in the mixed models. The model selection criterion, marginal Cp, called MCp, serves as an asymptotically unbiased estimator of the expected marginal Gauss discrepancy. An improvement of MCp, called IMCp, is then derived and proved to be a more accurate estimator of the expected marginal Gauss discrepancy than MCp. The performance of the proposed criteria is investigated in a simulation study. The simulation results show that in small samples, the proposed criteria outperform the Akaike Information Criteria (AIC) [3] [4] and Bayesian Information Criterion (BIC) [5] in selecting the correct model;in large samples, their performance is competitive. Further, the proposed criteria perform significantly better for highly correlated response data than for weakly correlated data.
文摘Adventures of Huckleberry Finn is one of the most greatest works of Mark Twain, an American literary giant in the 19th century, telling the story of fleeing and seeking for freedom along the Mississippi river. This paper will use the theory of core-periphery to analyze the encounter and mutual-helping of Huck and Jim.Their adventures reflect the fate of marginal characters, disclose some problems covered in the marginal spaces and make some marginal voices heard. What reflected behind is that the true,the good, and the beautiful of human nature and the righteousness of society are never absent.
文摘In the base of utility and marginal utility,the article put forwardthe concept of utility and marginal utilityof educational outlay and the theory of them,and analyzed the actuality of educational resource deployment in ourcountry,gave some advice about howtoi mprove our educational resource deployment of compulsory education.
基金supported by the National Natural Science Foundation of China(6160150161502521)
文摘To improve the inconsistency in the analytic hierarchy process(AHP), a new method based on marginal optimization theory is proposed. During the improving process, this paper regards the reduction of consistency ratio(CR) as benefit, and the maximum modification compared to the original pairwise comparison matrix(PCM) as cost, then the improvement of consistency is transformed to a benefit/cost analysis problem. According to the maximal marginal effect principle, the elements of PCM are modified by a fixed increment(or decrement) step by step till the consistency ratio becomes acceptable, which can ensure minimum adjustment to the original PCM so that the decision makers' judgment is preserved as much as possible. The correctness of the proposed method is proved mathematically by theorem. Firstly, the marginal benefit/cost ratio is calculated for each single element of the PCM when it has been modified by a fixed increment(or decrement).Then, modification to the element with the maximum marginal benefit/cost ratio is accepted. Next, the marginal benefit/cost ratio is calculated again upon the revised matrix, and followed by choosing the modification to the element with the maximum marginal benefit/cost ratio. The process of calculating marginal effect and choosing the best modified element is repeated for each revised matrix till acceptable consistency is reached, i.e., CR<0.1. Finally,illustrative examples show the proposed method is more effective and better in preserving the original comparison information than existing methods.
文摘AIM: To investigate the short-term and long-term ef-ficacy and safety of laparoscopic splenectomy (LS) for treatment of splenic marginal zone lymphoma (SMZL). METHODS: A total of 18 continuous patients who were diagnosed with SMZL and underwent LS in our department from 2008 to 2012 were reviewed. The perioperative variables and long-term follow-up were evaluated. To evaluate the efficacy and safety of this procedure better, we also included 34 patients with liver cirrhosis who underwent LS, 49 patients with immune thrombocytopenia (ITP) who underwent LS, and 20 patients with SMZL who underwent open splenectomy (OS). The results observed in the different groups were compared.RESULTS: No differences were found in the sex and Child-Pugh class of the patients in SMZL-LS, SMZL-OS, ITP, and liver cirrhosis groups. The splenic length of the patients in the SMZL-LS group was similar to that in the SMZL-OS and liver cirrhosis groups but significantly longer than in the ITP group. The SMZL-LS group had a significantly longer operating time compared with the SMZL-OS, ITP, and liver cirrhosis groups, and the SMZL-LS group exhibited significantly less blood loss compared with the SMZL-OS group. No difference was found in the length of the postoperative hospital stay between the SMZL-LS, SMZL-OS, ITP, and liver cirrhosis-LS groups. After surgery, 6 (33.3%) SMZL-LS patients suffered slight complications. During mean fol-low-up periods of 13.6 and 12.8 mo, one patient from the SMZL-LS group and two from the SMZL-OS group died as a result of metastasis after surgery. None of the ITP and liver cirrhosis patients died. CONCLUSION: LS should be considered a feasible and safe procedure for treatment of SMZL in an effort to improve the treatment options and survival of patients.
基金National Natural Science Foundation of China (No. 30973247)Shanghai Excellent University Teacher Foundation, China (No. 1500144019)
文摘Dear Sir, I am Dr Yan-Long Bi, from the Department of Ophthalmology, Tongji University Affiliated to Tongji University School of Medicine, Shanghai, China. I write to present a case report of total limbal stem cells deficiency after treatment with ring-shaped lamellar keratoplasty secondary to Terrien marginal degeneration. During 3
基金supported by grants from the National Natural Science Foundation of China(NSFC8137117381571001)+2 种基金State Key Laboratory of Oral Diseases(SKLOD201704)International Team for Implantology(Grant No.975_2014,Basel,Switzerland)to Quan Yuanthe National Key R&D Program of China during the 13th Five-Year Plan(2016YFC1102700)to Xue-Dong Zhou
文摘Marginal bone loss during bone healing exists around non-submerged dental implants. The aim of this study was to identify the relationship between different degrees of marginal bone loss during bone healing and the salivary microbiome. One hundred patients were recruited, and marginal bone loss around their implants was measured using cone beam computed tomography during a 3-month healing period. The patients were divided into three groups according to the severity of marginal bone loss.Saliva samples were collected from all subjected and were analysed using 16 SMiSeq sequencing. Although the overall structure of the microbial community was not dramatically altered, the relative abundance of several taxonomic groups noticeably changed. The abundance of species in the phyla Spirochaeta and Synergistetes increased significantly as the bone loss became more severe. Species within the genus Treponema also exhibited increased abundance, whereas Veillonella, Haemophilus and Leptotrichia exhibited reduced abundances, in groups with more bone loss. Porphyromonasgingivalis, Treponemadenticola and Streptococcus intermedius were significantly more abundant in the moderate group and/or severe group. The severity of marginal bone loss around the non-submerged implant was associated with dissimilar taxonomic compositions. An increased severity of marginal bone loss was related to increased proportions of periodontal pathogenic species. These data suggest a potential role of microbes in the progression of marginal bone loss during bone healing.
文摘Liver transplantation(LT) is one of the most effective treatments for end-stage liver disease caused by related risk factors when liver resection is contraindicated. Additionally,despite the decrease in the prevalence of hepatitis B virus(HBV) over the past two decades,the absolute number of HBs Ag-positive people has increased,leading to an increase in HBV-related liver cirrhosis and hepatocellular carcinoma. Consequently,a large demand exists for LT. While the wait time for patients on the donor list is,to some degree,shorter due to the development of living donor liver transplantation(LDLT),there is still a shortage of liver grafts. Furthermore,recipients often suffer from emergent conditions,such as liver dysfunction or even hepatic encephalopathy,which can lead to a limited choice in grafts. To expand the pool of available liver grafts,one option is the use of organs that were previously considered "unusable" by many,which are often labeled "marginal" organs. Many previous studies have reported on the possibilities of using marginal grafts in orthotopic LT; however,there is still a lack of discussion on this topic,especially regarding the feasibility of using marginal grafts in LDLT. Therefore,the present review aimed to summarize the feasibility of using marginal liver grafts for LDLT and discuss the possibility of expanding the application of these grafts.
基金The National Natural Science Foundation of China under contract Nos 41872172 and 41672096the Major National Science and Technology Projects under contract No.2016ZX05026007-004the Science Foundation of Shandong Province under contract No.ZR2019QD008
文摘In the present study,the coal-rock organic facies of Oligocene Yacheng Formation of the marginal basin in the South China Sea were classified and divided.In addition,through the correlations of the large-scale coal-bearing basins between the epicontinental sea and the South China Sea,it was concluded that the coal forming activities in the South China Sea presented particularity and complexity.Furthermore,the coal forming mechanisms also presented distinctiveness.The marginal basins in the South China Sea consist of several large and complex rift or depression basins,which are distributed at different tectonic positions in the South China Sea.Therefore,the marginal basins in the South China Sea are not simple traditional units with onshore continental slopes extending toward the deep sea.The marginal basins are known to consist of multi-level structures and distinctive types of basins which differ from the continental regions to the sea.During the Oligocene,the existing luxuriant plants and beneficial conditions assisted in the development of peat.Therefore,the Oligocene was the significant period for the formation and aggregation of the peat.However,the peat did not form in unified sedimentary dynamic fields,but instead displayed multi-level geographical units,multiple provenance areas,instability,and nonevent characteristics.As a result,the marginal basins in the South China Sea are characterized by non-uniform peat aggregation stages.In another words,the majority of the peat had entered the marine system in a dispersive manner and acted as part of the marine deposits,rather than during one or several suitable coal-forming stages.These peat deposits then became the main material source for hydrocarbon generation in all of the marginal basins of the South China Sea.The study will be of much significance for the hydrocarbon exploration in the marginal basins of the South China Sea.
文摘A three-dimensional(3-D) ocean model is coupled with a two-dimensional(2-D) sea ice model, to revisit a nonlinear advection mechanism, one of the most important mesoscale eddy genesis mechanisms in the marginal ice zone. Two-dimensional ocean model simulations suggest nonlinear advection mechanism is more important when the water gets shallower. Instead of considering the ocean as barotropic fluid in the 2-D ocean model, the 3-D ocean model allows the sea ice to affect the current directly in the surface layer via ocean-ice interaction. It is found that both mesoscale eddy and sea surface elevation are sensitive to changes in a water depth in the 3-D simulations. The vertical profile of a current velocity in 3-D experiments suggests that when the water depth gets shallower, the current move faster in each layer, which makes the sea surface elevation be nearly inverse proportional to the water depth with the same wind forcing during the same time. It is also found that because of the vertical motion, the magnitude of variations in the sea surface elevation in the 3-D simulations is very small,being only 1% of the change in the 2-D simulations. And it seems the vertical motion to be the essential reason for the differences between the 3-D and 2-D experiments.
基金Supported by the Project of Excellent Middle-aged People and Young People Team in Colleges and Universities of Hubei Province(T200708)the Humanity and Social Science Project of Hubei Provincial Department of Education(2009y149)
文摘Based on the introduction of the connotation of marginalization,the index of diagnosing the marginalization degree is put forward.According to the 685 copies of questionnaires on peasant households in Tongcheng County of Hubei Province and the statistical data of local government,marginalization of arable land and its correlation with rural labor migration in Tongcheng County are studied by using aggregative indicator method,clustering analysis method and correlation analysis method.Result shows that marginalization of arable land has happened two times in Tongcheng County since 1985.Dry land has severer marginalization degree than paddy field.There is significant correlation between marginalization degree of arable land and rural labor migration;and the correlation between marginalization degree and rural labor migration in paddy field is greater than that in dry land.Marginalization of arable land will advance the rural labor migration,while in response to the poor current circulation of lands;the rural labor migration will further deepen the marginalization degree.Marginalization of arable land is one of the important factors affecting the labor migration in rural areas.
文摘In the present study,the morphological characteristics of the synaptic structure(MCSS)of the substance P immunoreactive(SPIR)teminals in the marginal division(MrD)of the ratstriatum were studied by using electron microscopy and immunocytochemistry.Four major typesof SPIR symnapses were identified in teh MrD.axodendritic,axo-spinous,axo-axonic,and com-pound.Axo-dendritic and axo-spinous synapses were more common,and a few axo-axonic andcompound synapses wer observed as well.In the postsynaptic target zones of axo-dendritic,andaxo-spinous synapses,there were small or large dendrites or spires.Some synapses with morethan two synaptic components are referred to as compound synapses.Both symmetric andasymmetric SPIR synapses were seen in the MrD.The vesicles in the SPIR presynaptic boutonswere mostly pleomorphic although a few of them were round,The MCSS distinguishes theultrastructure of the MrD from that of the other part of striatum,which suggests that the func-tion of the MrD may be different from that of the rest of the striatum.
