Objective:To investigate current status of diagnosis and treatment of bladder cancer in China.Methods:A database was generated by Chinese Bladder Cancer Consortium(CBCC).From January 2007 to December 2012,14,260 cases...Objective:To investigate current status of diagnosis and treatment of bladder cancer in China.Methods:A database was generated by Chinese Bladder Cancer Consortium(CBCC).From January 2007 to December 2012,14,260 cases from 44 CBCC centers were included.Data of diagnosis,treatment and pathology were collected.Results:The average age was 63.5 year-old and most patients were male(84.3%).The most common histologic types were urothelial carcinoma(91.4%),adenocarcinoma(1.8%),and squamous carcinoma(1.9%).According to 1973 and 2004 WHO grading system,42.0%,41.0%,and 17.0% of patients were grade 1,2,and 3,and 16.0%,48.7%,and 35.3% of patients were papillary urothelial neoplasms of low malignant potential,low,and high grade,respectively.Non-muscle invasive bladder cancer(NMIBC)and muscle invasive bladder cancer(MIBC)were 25.2% and 74.1%,respectively(0.8% not clear).Carcinoma in situ was only 2.4%.Most patients were diagnosed by white-light cystoscopy with biopsy(74.3%).Fluorescence and narrow band imaging cystoscopy had additional detection rate of 1.0% and 4.0%,respectively.Diagnostic transurethral resection(TUR)provided detection rate of 16.9%.Most NMIBCs were treated with TUR(89.2%).After initial TUR,2.6%accepted second TUR,and 45.7%,69.9%,and 58.7% accepted immediate,induced,and maintenance chemotherapy instillation,respectively.Most MIBCs were treated with radical cystectomy(RC,59.7%).Laparoscopic RCs were 35.1%,while open RC 63.4%.Extended and standard pelvic lymph node dissection were 7% and 66%,respectively.Three most common urinary diversions were orthotopic neobladder(44%),ileal conduit(31%),and ureterocutaneostomy(23%).Only 2.3% of patients accepted neo-adjuvant chemotherapy and only 18%of T3 and T4 patients accepted adjuvant chemotherapy.Conclusion:Disease characteristics are similar to international reports,while differences of diagnosis and treatment exist.This study can provide evidences for revisions of the guideline on bladder cancer in China.展开更多
Recently, some new quadrilateral finite elements were successfully developed by the Quadrilateral Area Coordinate （QAC） method. Compared with those traditional models using isoparametric coordinates, these new model...Recently, some new quadrilateral finite elements were successfully developed by the Quadrilateral Area Coordinate （QAC） method. Compared with those traditional models using isoparametric coordinates, these new models are less sensitive to mesh distortion. In this paper, a new displacement-based, 4-node 20-DOF （5-DOF per node） quadrilateral bending element based on the first-order shear deformation theory for analysis of arbitrary laminated composite plates is presented. Its bending part is based on the element AC-MQ4, a recent-developed high-performance Mindlin-Reissner plate element formulated by QAC method and the generalized conforming condition method; and its in-plane displacement fields are interpolated by bilinear shape functions in isoparametric coordinates. Furthermore, the hybrid post-rocessing procedure, which was firstly proposed by the authors, is employed again to improve the stress solutions, especially for the transverse shear stresses. The resulting element, denoted as AC-MQ4-LC, exhibits excellent performance in all linear static and dynamic numerical examples. It demonstrates again that the QAC method, the generalized conforming condition method, and the hybrid post-processing procedure are efficient tools for developing simple, effective and reliable finite element models.展开更多
A novel hybrid-stress finite element method is proposed for constructing simple 4-node quadrilateral plane elements, and the new element is denoted as HH4-3fl here. Firstly, the theoretical basis of the traditional hy...A novel hybrid-stress finite element method is proposed for constructing simple 4-node quadrilateral plane elements, and the new element is denoted as HH4-3fl here. Firstly, the theoretical basis of the traditional hybrid-stress elements, i.e., the Hellinger-Reissner variational principle, is replaced by the Hamilton variational principle, in which the number of the stress variables is reduced from 3 to 2. Secondly, three stress parameters and corresponding trial functions are introduced into the system equations. Thirdly, the displacement fields of the conventional bilinear isoparametric element are employed in the new models. Finally, from the stationary condition, the stress parameters can be expressed in terms of the displacement parameters, and thus the new element stiffness matrices can be obtained. Since the required number of stress variables in the Hamilton variational principle is less than that in the Hellinger-Reissner variational principle, and no additional incompatible displacement modes are considered, the new hybrid-stress element is simpler than the traditional ones. Furthermore, in order to improve the accuracy of the stress solutions, two enhanced post-processing schemes are also proposed for element HH4-3β. Numerical examples show that the proposed model exhibits great improvements in both displacement and stress solutions, implying that the proposed technique is an effective way for developing simple finite element models with high performance.展开更多
In the analysis of high-rise building, traditional displacement-based plane elements are often used to get the in-plane internal forces of the shear walls by stress integration. Limited by the singular problem produce...In the analysis of high-rise building, traditional displacement-based plane elements are often used to get the in-plane internal forces of the shear walls by stress integration. Limited by the singular problem produced by wall holes and the loss of precision induced by using differential method to derive strains, the displacement-based elements cannot always present accuracy enough for design. In this paper, the hybrid post-processing procedure based on the Hellinger-Reissner variational principle is used for improving the stress precision of two quadrilateral plane elements. In order to find the best stress field, three different forms are assumed for the displacement-based plane elements and with drilling DOF. Numerical results show that by using the proposed method, the accuracy of stress solutions of these two displacement-based plane elements can be improved.展开更多
文摘Objective:To investigate current status of diagnosis and treatment of bladder cancer in China.Methods:A database was generated by Chinese Bladder Cancer Consortium(CBCC).From January 2007 to December 2012,14,260 cases from 44 CBCC centers were included.Data of diagnosis,treatment and pathology were collected.Results:The average age was 63.5 year-old and most patients were male(84.3%).The most common histologic types were urothelial carcinoma(91.4%),adenocarcinoma(1.8%),and squamous carcinoma(1.9%).According to 1973 and 2004 WHO grading system,42.0%,41.0%,and 17.0% of patients were grade 1,2,and 3,and 16.0%,48.7%,and 35.3% of patients were papillary urothelial neoplasms of low malignant potential,low,and high grade,respectively.Non-muscle invasive bladder cancer(NMIBC)and muscle invasive bladder cancer(MIBC)were 25.2% and 74.1%,respectively(0.8% not clear).Carcinoma in situ was only 2.4%.Most patients were diagnosed by white-light cystoscopy with biopsy(74.3%).Fluorescence and narrow band imaging cystoscopy had additional detection rate of 1.0% and 4.0%,respectively.Diagnostic transurethral resection(TUR)provided detection rate of 16.9%.Most NMIBCs were treated with TUR(89.2%).After initial TUR,2.6%accepted second TUR,and 45.7%,69.9%,and 58.7% accepted immediate,induced,and maintenance chemotherapy instillation,respectively.Most MIBCs were treated with radical cystectomy(RC,59.7%).Laparoscopic RCs were 35.1%,while open RC 63.4%.Extended and standard pelvic lymph node dissection were 7% and 66%,respectively.Three most common urinary diversions were orthotopic neobladder(44%),ileal conduit(31%),and ureterocutaneostomy(23%).Only 2.3% of patients accepted neo-adjuvant chemotherapy and only 18%of T3 and T4 patients accepted adjuvant chemotherapy.Conclusion:Disease characteristics are similar to international reports,while differences of diagnosis and treatment exist.This study can provide evidences for revisions of the guideline on bladder cancer in China.
基金The project is supported by the National Natural Science Foundation of China(10502028)the Special Foundation for the Authors of the Nationwide(China)Excellent Doctoral Dissertation(200242)the Science Research Foundation of China Agricultural University(2004016).
文摘Recently, some new quadrilateral finite elements were successfully developed by the Quadrilateral Area Coordinate （QAC） method. Compared with those traditional models using isoparametric coordinates, these new models are less sensitive to mesh distortion. In this paper, a new displacement-based, 4-node 20-DOF （5-DOF per node） quadrilateral bending element based on the first-order shear deformation theory for analysis of arbitrary laminated composite plates is presented. Its bending part is based on the element AC-MQ4, a recent-developed high-performance Mindlin-Reissner plate element formulated by QAC method and the generalized conforming condition method; and its in-plane displacement fields are interpolated by bilinear shape functions in isoparametric coordinates. Furthermore, the hybrid post-rocessing procedure, which was firstly proposed by the authors, is employed again to improve the stress solutions, especially for the transverse shear stresses. The resulting element, denoted as AC-MQ4-LC, exhibits excellent performance in all linear static and dynamic numerical examples. It demonstrates again that the QAC method, the generalized conforming condition method, and the hybrid post-processing procedure are efficient tools for developing simple, effective and reliable finite element models.
基金supported by the National Natural Science Foundation of China (10872108,10876100)the Program for New Century Excellent Talents in University (NCET-07-0477)the National Basic Research Program of China (2010CB832701)
文摘A novel hybrid-stress finite element method is proposed for constructing simple 4-node quadrilateral plane elements, and the new element is denoted as HH4-3fl here. Firstly, the theoretical basis of the traditional hybrid-stress elements, i.e., the Hellinger-Reissner variational principle, is replaced by the Hamilton variational principle, in which the number of the stress variables is reduced from 3 to 2. Secondly, three stress parameters and corresponding trial functions are introduced into the system equations. Thirdly, the displacement fields of the conventional bilinear isoparametric element are employed in the new models. Finally, from the stationary condition, the stress parameters can be expressed in terms of the displacement parameters, and thus the new element stiffness matrices can be obtained. Since the required number of stress variables in the Hamilton variational principle is less than that in the Hellinger-Reissner variational principle, and no additional incompatible displacement modes are considered, the new hybrid-stress element is simpler than the traditional ones. Furthermore, in order to improve the accuracy of the stress solutions, two enhanced post-processing schemes are also proposed for element HH4-3β. Numerical examples show that the proposed model exhibits great improvements in both displacement and stress solutions, implying that the proposed technique is an effective way for developing simple finite element models with high performance.
文摘In the analysis of high-rise building, traditional displacement-based plane elements are often used to get the in-plane internal forces of the shear walls by stress integration. Limited by the singular problem produced by wall holes and the loss of precision induced by using differential method to derive strains, the displacement-based elements cannot always present accuracy enough for design. In this paper, the hybrid post-processing procedure based on the Hellinger-Reissner variational principle is used for improving the stress precision of two quadrilateral plane elements. In order to find the best stress field, three different forms are assumed for the displacement-based plane elements and with drilling DOF. Numerical results show that by using the proposed method, the accuracy of stress solutions of these two displacement-based plane elements can be improved.
