Based on Carcione-Leclaire model,the time-splitting high-order staggered-grid finite-difference algorithm is proposed and constructed for understanding wave propagation mechanisms in gas hydrate-bearing sediments.Thre...Based on Carcione-Leclaire model,the time-splitting high-order staggered-grid finite-difference algorithm is proposed and constructed for understanding wave propagation mechanisms in gas hydrate-bearing sediments.Three compressional waves and two shear waves,as well as their energy distributions are investigated in detail.In particular,the influences of the friction coefficient between solid grains and gas hydrate and the viscosity of pore fluid on wave propagation are analyzed.The results show that our proposed numerical simulation algorithm proposed in this paper can effectively solve the problem of stiffness in the velocity-stress equations and suppress the grid dispersion,resulting in higher accuracy compared with the result of the Fourier pseudospectral method used by Carcione.The excitation mechanisms of the five wave modes are clearly revealed by the results of simulations.Besides,it is pointed that,the wave diffusion of the second kind of compressional and shear waves is influenced by the friction coefficient between solid grains and gas hydrate,while the diffusion of the third compressional wave is controlled by the fluid viscosity.Finally,two fluid-solid(gas-hydrate formation)models are constructed to study the mode conversion of various waves.The results show that the reflection,transmission,and transformation of various waves occur on the interface,forming a very complicated wave field,and the energy distribution of various converted waves in different phases is different.It is demonstrated from our studies that,the unconventional waves,such as the second and third kinds of compressional waves may be converted into conventional waves on an interface.These propagation mechanisms provide a concrete wave attenuation explanation in inhomogeneous media.展开更多
BACKGROUND Rehabilitation of elderly patients with a high body mass index(BMI)after cholecystectomy carries risks and requires the adoption of effective perioperative management strategies.The enhanced recovery after ...BACKGROUND Rehabilitation of elderly patients with a high body mass index(BMI)after cholecystectomy carries risks and requires the adoption of effective perioperative management strategies.The enhanced recovery after surgery(ERAS)protocol is a comprehensive treatment approach that facilitates early patient recovery and reduces postoperative complications.AIM To compare the effectiveness of traditional perioperative management methods with the ERAS protocol in elderly patients with gallbladder stones and a high BMI.METHODS This retrospective cohort study examined data from 198 elderly patients with a high BMI who underwent cholecystectomy at the Shanghai Fourth People's Hospital from August 2019 to August 2022.Among them,99 patients were managed using the traditional perioperative care approach(non-ERAS protocol),while the remaining 99 patients were managed using the ERAS protocol.Relevant indicator data were collected for patients preoperatively,intraoperatively,and postoperatively,and surgical outcomes were compared between the two groups.RESULTS The comparison results between the two groups of patients in terms of age,sex,BMI,underlying diseases,surgical type,and preoperative hospital stay showed no statistically significant differences.However,the ERAS group had a significantly shorter preoperative fasting time than the non-ERAS group(4.0±0.9 h vs 7.6±0.9 h).Regarding intraoperative indicators,there were no significant differences between the two groups of patients.However,in terms of postoperative recovery,the ERAS protocol group exhibited significant advantages over the non-ERAS group,including a shorter hospital stay,lower postoperative pain scores and postoperative hunger scores,and higher satisfaction levels.The readmission rate was lower in the ERAS protocol group than in the non-ERAS group(3.0%vs 8.1%),although the difference was not significant.Furthermore,there were significant differences between the two groups in terms of postoperative nausea and vomiting severity,postoperative abdominal distention at 24 h,and daily life ability scores.CONCLUSION The findings of this study demonstrate that the ERAS protocol confers significant advantages in postoperative outcomes following cholecystectomy,including reduced readmission rates,decreased postoperative nausea and vomiting,alleviated abdominal distension,and enhanced functional capacity.While the protocol may not exhibit significant improvement in early postoperative symptoms,it does exhibit advantages in long-term postoperative symptoms and recovery.These findings underscore the importance of implementing the ERAS protocol in the postoperative management of cholecystectomy patients,as it contributes to improving patients'recovery and quality of life while reducing health care resource utilization.展开更多
Bone is a complex but orderly mineralized tissue with hydroxyapatite(HA)as the inorganic phase and collagen as the organic phase.Inspired by natural bone tissues,HA-mineralized hydrogels have been widely designed and ...Bone is a complex but orderly mineralized tissue with hydroxyapatite(HA)as the inorganic phase and collagen as the organic phase.Inspired by natural bone tissues,HA-mineralized hydrogels have been widely designed and used in bone tissue engineering.HA is majorly utilized for the treatment of bone defects because of its excellent osteoconduction and bone inductivity.Hydrogel is a three-dimensional hydrophilic network structure with similar properties to the extracellular matrix(ECM).The combination of HA and hydrogels produces a new hybrid material that could effectively promote osteointegration and accelerate the healing of bone defects.In this review,the structure and growth of bone and the common strategies used to prepare HA were briefly introduced.Importantly,we discussed the fabrication of HA mineralized hydrogels from simple blending to in situ mineralization.We hope this review can provide a reference for the development of bone repair hydrogels.展开更多
Hot compression behavior of TiC–Al2O3/Al composites was studied using the Gleeble-1500 system at a temperature range of 300–550 °C and at strain rate range of 0.01–10.00 s-1. The associated structural changes ...Hot compression behavior of TiC–Al2O3/Al composites was studied using the Gleeble-1500 system at a temperature range of 300–550 °C and at strain rate range of 0.01–10.00 s-1. The associated structural changes were studied by TEM observations. The results show that stress level decreases with deformation temperature increasing and strain rate decreasing, which can be represented by a Zener–Hollomon parameter in an exponent-type equation with hot deformation activation energy Q of 172.56 kJ·mol-1.Dynamic recovery occurs easily when strain rates are less than 10.00 s-1. Dynamic recrystallization can occur at strain rate of 10.00 s-1.展开更多
基金Project supported by the National Natural Science Foundation of China(Grant Nos.11974018 and 11734017)the Strategic Pilot and Technology Special Fund of the Chinese Academy of Sciences,China(Grant No.XDA14020303)。
文摘Based on Carcione-Leclaire model,the time-splitting high-order staggered-grid finite-difference algorithm is proposed and constructed for understanding wave propagation mechanisms in gas hydrate-bearing sediments.Three compressional waves and two shear waves,as well as their energy distributions are investigated in detail.In particular,the influences of the friction coefficient between solid grains and gas hydrate and the viscosity of pore fluid on wave propagation are analyzed.The results show that our proposed numerical simulation algorithm proposed in this paper can effectively solve the problem of stiffness in the velocity-stress equations and suppress the grid dispersion,resulting in higher accuracy compared with the result of the Fourier pseudospectral method used by Carcione.The excitation mechanisms of the five wave modes are clearly revealed by the results of simulations.Besides,it is pointed that,the wave diffusion of the second kind of compressional and shear waves is influenced by the friction coefficient between solid grains and gas hydrate,while the diffusion of the third compressional wave is controlled by the fluid viscosity.Finally,two fluid-solid(gas-hydrate formation)models are constructed to study the mode conversion of various waves.The results show that the reflection,transmission,and transformation of various waves occur on the interface,forming a very complicated wave field,and the energy distribution of various converted waves in different phases is different.It is demonstrated from our studies that,the unconventional waves,such as the second and third kinds of compressional waves may be converted into conventional waves on an interface.These propagation mechanisms provide a concrete wave attenuation explanation in inhomogeneous media.
基金the Hongkou District Health Committee,No.Hong Wei 2002-08and Discipline Promotion Program of Shanghai Fourth People's Hospital,No.SY-XKZT-2020-1021.
文摘BACKGROUND Rehabilitation of elderly patients with a high body mass index(BMI)after cholecystectomy carries risks and requires the adoption of effective perioperative management strategies.The enhanced recovery after surgery(ERAS)protocol is a comprehensive treatment approach that facilitates early patient recovery and reduces postoperative complications.AIM To compare the effectiveness of traditional perioperative management methods with the ERAS protocol in elderly patients with gallbladder stones and a high BMI.METHODS This retrospective cohort study examined data from 198 elderly patients with a high BMI who underwent cholecystectomy at the Shanghai Fourth People's Hospital from August 2019 to August 2022.Among them,99 patients were managed using the traditional perioperative care approach(non-ERAS protocol),while the remaining 99 patients were managed using the ERAS protocol.Relevant indicator data were collected for patients preoperatively,intraoperatively,and postoperatively,and surgical outcomes were compared between the two groups.RESULTS The comparison results between the two groups of patients in terms of age,sex,BMI,underlying diseases,surgical type,and preoperative hospital stay showed no statistically significant differences.However,the ERAS group had a significantly shorter preoperative fasting time than the non-ERAS group(4.0±0.9 h vs 7.6±0.9 h).Regarding intraoperative indicators,there were no significant differences between the two groups of patients.However,in terms of postoperative recovery,the ERAS protocol group exhibited significant advantages over the non-ERAS group,including a shorter hospital stay,lower postoperative pain scores and postoperative hunger scores,and higher satisfaction levels.The readmission rate was lower in the ERAS protocol group than in the non-ERAS group(3.0%vs 8.1%),although the difference was not significant.Furthermore,there were significant differences between the two groups in terms of postoperative nausea and vomiting severity,postoperative abdominal distention at 24 h,and daily life ability scores.CONCLUSION The findings of this study demonstrate that the ERAS protocol confers significant advantages in postoperative outcomes following cholecystectomy,including reduced readmission rates,decreased postoperative nausea and vomiting,alleviated abdominal distension,and enhanced functional capacity.While the protocol may not exhibit significant improvement in early postoperative symptoms,it does exhibit advantages in long-term postoperative symptoms and recovery.These findings underscore the importance of implementing the ERAS protocol in the postoperative management of cholecystectomy patients,as it contributes to improving patients'recovery and quality of life while reducing health care resource utilization.
基金supported by the National Natural Science Foundation of China(Grant no:12272253)Shanxi-Zheda Institute of Advanced Materials and Chemical Engineering(Grant no:2021SX-AT008,2021SX-AT009).
文摘Bone is a complex but orderly mineralized tissue with hydroxyapatite(HA)as the inorganic phase and collagen as the organic phase.Inspired by natural bone tissues,HA-mineralized hydrogels have been widely designed and used in bone tissue engineering.HA is majorly utilized for the treatment of bone defects because of its excellent osteoconduction and bone inductivity.Hydrogel is a three-dimensional hydrophilic network structure with similar properties to the extracellular matrix(ECM).The combination of HA and hydrogels produces a new hybrid material that could effectively promote osteointegration and accelerate the healing of bone defects.In this review,the structure and growth of bone and the common strategies used to prepare HA were briefly introduced.Importantly,we discussed the fabrication of HA mineralized hydrogels from simple blending to in situ mineralization.We hope this review can provide a reference for the development of bone repair hydrogels.
基金financially supported by the Inner Mongolia Science and Technology Reward Foundation(No.20101707)the Inner Mongolia Natural Science Foundation(No.2013MS0804)+1 种基金the Inner Mongolia High School Scientific Research Foundation(No.NJZZ14056)the Inner Mongolia University of Technology Foundation(No.ZD20120015)
文摘Hot compression behavior of TiC–Al2O3/Al composites was studied using the Gleeble-1500 system at a temperature range of 300–550 °C and at strain rate range of 0.01–10.00 s-1. The associated structural changes were studied by TEM observations. The results show that stress level decreases with deformation temperature increasing and strain rate decreasing, which can be represented by a Zener–Hollomon parameter in an exponent-type equation with hot deformation activation energy Q of 172.56 kJ·mol-1.Dynamic recovery occurs easily when strain rates are less than 10.00 s-1. Dynamic recrystallization can occur at strain rate of 10.00 s-1.