Therapeutic effects of the TST36 stapler on rectocele combined with internal rectal prolapse

BACKGROUND The most common causes of outlet obstructive constipation(OOC)are rectocele and internal rectal prolapse.The surgical methods for OOC are diverse and difficult,and the postoperative complications and recurrence rate are high,which results in both physical and mental pain in patients.With the continuous deepening of the surgeon’s concept of minimally invasive surgery and continuous in-depth research on the mechanism of OOC,the treatment concepts and surgical methods are continuously improved.AIM To determine the efficacy of the TST36 stapler in the treatment of rectocele combined with internal rectal prolapse.METHODS From January 2017 to July 2019,49 female patients with rectocele and internal rectal prolapse who met the inclusion criteria were selected for treatment using the TST36 stapler.RESULTS Forty-five patients were cured,4 patients improved,and the cure rate was 92%.The postoperative obstructed defecation syndrome score,the defecation frequency score,time/straining intensity,and sensation of incomplete evacuation were significantly decreased compared with these parameters before treatment,and the differences were statistically significant(P<0.05).The postoperative anal canal resting pressure and maximum squeeze pressure in patients decreased compared with before treatment,and the differences were statistically significant(P<0.05).The initial and maximum defecation thresholds after surgery were significantly lower than those before treatment,and the differences were statistically significant(P<0.05).The postoperative ratings of rectocele,resting phase,and defecation phase in these patients were significantly decreased compared with those before treatment,and the differences were statistically significant(P<0.05).CONCLUSION The TST36 stapler is safe and effective in treating rectocele combined with internal rectal prolapse and is worth promoting in clinical work.

Isothermal reduction kinetics of Panzhihua ilmenite concentrate under 30vol% CO–70vol% N2 atmosphere

The reduction of ilmenite concentrate in 30vol% CO–70vol% N_2 atmosphere was characterized by thermogravimetric and differential thermogravimetric(TG–DTG) analysis methods at temperatures from 1073 to 1223 K.The isothermal reduction results show that the reduction process comprised two stages;the corresponding apparent activation energy was obtained by the iso-conversional and model-fitting methods.For the first stage,the effect of temperature on the conversion degree was not obvious,the phase boundary chemical reaction was the controlling step,with an apparent activation energy of 15.55–40.71 k J·mol^(–1).For the second stage,when the temperatures was greater than 1123 K,the reaction rate and the conversion degree increased sharply with increasing temperature,and random nucleation and subsequent growth were the controlling steps,with an apparent activation energy ranging from 182.33 to 195.95 k J·mol^(–1).For the whole reduction process,the average activation energy and pre-exponential factor were 98.94^(–1)18.33 k J·mol^(–1) and 1.820^(–1).816 min^(–1),respectively.

Recovery of iron and calcium aluminate slag from high-ferrous bauxite by high-temperature reduction and smelting process

A high-temperature reduction and smelting process was used to recover iron and calcium aluminate slag from high-ferrous bauxite. The effects of w（CaO）/w（SiO_2） ratio, anthracite ratio, and reduction temperature and time on the recovery and size of iron nuggets and on the Al_2O_3 grade of the calcium aluminate slag were investigated through thermodynamic calculations and experiments. The optimized process conditions were the bauxite/anthracite/slaked lime weight ratio of 100：16.17：59.37, reduction temperature of 1450°C and reduction time of 20 min. Under these conditions, high-quality iron nuggets and calcium aluminate slag were obtained. The largest size and the highest recovery rate of iron nuggets were 11.42 mm and 92.79wt%, respectively. The calcium aluminate slag mainly comprised Ca_2 SiO_4 and Ca_（12）Al_（14）O_（33）, with small amounts of Fe Al_2O_4, CaAl_2O_4, and Ca_2Al_2SiO_7.

Crystallization behavior of F-free mold fluxes

The time-temperature-transformation （TTT） diagrams of F-free mold fluxes was constructed using single hot thermocouple technique （SHTT） and confocal scanning laser microscopy （CSLM） to study the crystallization behavior of F-free mold fluxes. The tendency of crystallization is found to increase whereas the incubation time decreases with increasing basicity. Zirconia addition enhances the crystallization tendency due to its limited solubility in the slag melt and the solid particles acting as nucleation sites. Pseudo-wollastonite is found to precipitate in the slag with low basicity （CS-1 and CS-2）, kilchoanite and larnite are formed with further increasing basicity （CS-3）, and larnite is finally formed as the basicity beyond unit （CS-4）. The crystal morphology changes with varying compositions and isothermal temperatures. The measured growth rate is found to be linear with time under isothermal conditions and decreases with increasing isothermal temperature.

Reduction and melting behavior of carbon composite lateritic bauxite pellets

Direct reduction of low-grade lateritic bauxite was studied at high temperature to recover Fe and beneficiate AlzO3 slag. The re- sults show that a metallization rate of 97.9% and a nugget recovery rate of 85.1% can be achieved when the reducing and melting tempera- tures are 1350 and 1480℃, respectively. Moreover, a higher-grade calcium aluminate slag （A1203 = 50.52wt%） can also be obtained, which is mainly composed of ct-A1203, hercynite （FeAI：O4）, and gehlenite （Ca2A12SiO7）. In addition, high-quality iron nuggets have been produced from low-grade lateritic bauxite. The nugget is mainly composed of iron （93.82wt%） and carbon （3.86wt%）, with almost no gangue （slag）.

A new seamoth species of Pegasus(Syngnathiformes:Pegasidae)from the East China Sea

DEAR EDITOR,The Pegasidae family,which includes seven species of seamoths,is widely distributed in the temperate and tropical waters of the Indo-Pacific,ranging from South Africa to Hawaii.In this study,we describe a new species of seamoth,Pegasus sinensis sp.nov.,based on morphological and molecular characterization of 14 specimens collected from the surrounding waters of Xiamen City,Fujian Province,China.The new species differs from closely related P.volitans in both the density and color of spots present on the dorsal and lateral body surfaces.

Effect of oxidative stress on development of silicosis

AIM: To investigate the changes of oxidative stress indicators in the serum of silicosis patients and explore the mechanism of silicosis development.METHODS: Two hundred workers who were exposed to silica dust for more than one year were recruited as dust-exposed group, 100 non-dust-exposed subjects served as control group, 32 patients with suspected 0+ silicosis as observation group, and 130 silicosis patients were taken as the silicosis group. Indicators of oxidative stress, including superoxide dismutase(SOD), nitric oxide(NO), serum glutathione peroxidase(GSHPx), total antioxidant capacity(T-AOC), nitric oxide synthase(NOS), and lipid malondialdehyde(MDA), were determined in all the groups. RESULTS: Compared with the control group, NO and GSH-Px in dust-exposed group and silicosis group increased, and SOD decreased significantly(81.162± 35.176, 270.469 ± 39.228 and 68.209 ± 21.528, respectively, P = 0.004, P = 0.002, P = 0.005). Compared with the control and dust-exposed group, T-AOC, NOS and MDA in silicosis group increased significantly(13.048 ± 4.153, 36.201 ± 7.782 and 5.054 ± 1.204, respectively, P = 0.018, P = 0.022, P = 0.011). Compared with dust-exposed group, GSH-Px in the silicosis group increased significantly(270.469 ± 39.228, P = 0.002). GSH-Px in phase Ⅲ silicosis was significantly higher than in phase Ⅰsilicosis(290.750 ± 39.129, P = 0.021). Pearson correlation analysis showed that serum GSH-Px was positively correlated with silicosis staging, length of dust exposure and type of occupation(47.109 ± 8.015, P = 0.001).CONCLUSION: The imbalance of oxidative and antioxidation system is associated with the development of silicosis. The surveillance of oxidative stress indicators will benefit the prognosis of silicosis patients.

Oxidation kinetics of ilmenite concentrate by non-isothermal thermogravimetric analysis

The non-isothermal oxidation experiments of ilmenite concentrate were carried out at various heating rates under air atmosphere by thermogravimetry.The oxidation kinetic model function and kinetic parameters of apparent activation energy（Ea）were evaluated by Málek and Starink methods.The results show that under air atmosphere,the oxidation process of ilmenite concentrate is composed of three stages,and the chemical reaction（G（α）=1-（1-α）~2,whereαis the conversion degree）plays an important role in the whole oxidation process.At the first stage（α=0.05-0.30）,the oxidation process is controlled gradually by secondary chemical reaction with increasing conversion degree.At the second stage（α=0.30-0.50）,the oxidation process is completely controlled by the secondary chemical reaction（G（α）=1-（1-α）~2）.At the third stage（α=0.50-0.95）,the secondary chemical reaction weakens gradually with increasing conversion degree,and the oxidation process is controlled gradually by a variety of functions;the kinetic equations are G（α）=（1-α）^（-1）（β=10K·min^（-1）,whereβis heating rate）,G（α）=（1-α）^（-1/2）（β=15-20K·min^（-1））,and G（α）=（1-α）^（-2）（β=25K·min^（-1））,respectively.For the whole oxidation process,the activation energies follow a parabolic law with increasing conversion degree,and the average activation energy is 160.56kJ·mol^（-1）.

Effects of pressure and plastic addition on sticking of fine iron ore particles in fluidized bed reduction

The adhesion of fine iron ore particles during fluidized bed reduction was studied using pressurized visible fluidized bed laboratory equipment.The results showed that the optimal operating parameters for pure hydrogen reduction under high pressure were reduction temperature of 1073 K,particle size of 0.18-0.66 mm,pure H_(2) linear velocity of 0.8 m/s,reduction pressure of 200 kPa,and reduction time of 50 min.When plastic particles were mixed into the fluidized bed,the optimal parameters were reduction temperature of 973 K,particle size of 0.18-0.66 mm,pure H_(2) linear velocity of 0.8 m/s,reduction pressure of 100 kPa,mass content of plastic particles of 8%,and reduction time of 65 min.The chemical reaction resistance is much higher than the inner diffusion resistance at the initial stage of the reaction,whereas,in later stage,the inner diffusion resistance exceeds the chemical reaction resistance.The contact area of iron atoms or iron whiskers gradually decreases with the increase in reduction pressure from 0.20 to 0.45 MPa,and the sticking trend gradually decreases.Adding plastic particles in the fluidized reduction process of fine iron ore can effectively inhibit the adhesion among fine iron ore particles.

Recycling of High Ferrous Bauxite Reducing Slag for Synthesis of CaAl_2Si_2O_8-Al_2O_3-CaAl_(12)O_(19) Composite

CaAl2 Si2 O8- Al2 O3- CaAl12 O19） （CAS2- Al2 O3 -CA6 ） composite was synthesized through reaction sintering alumina and bauxite reducing slag. The CAS2-Al2 O3-CA5 composite was mainly composed of α-Al2O3 , CAS2 , and CA6. Gehlenite （Ca2 Al2 SiO7 , C2 AS） phase was effectively transformed to CASe and CA6 through high-temperature reaction sintering under weak oxidizing atmosphere at 1400 ℃for 4 h. SEM （scanning electron microscopy） and EDS （energy dispersive spectroscopy） analysis indicated that black and needle-shaped Al2O3, rhombic or irregular polygonal shaped FeAl2O4 , and glassy phase Ca2 Al2 SiO7 disappeared after the reaction sintering. The light gray and flaky hexagon crystals of CaAl12 O19 （10 μm） and the grainy particles of Al2O3 （2-7 μm） were observed in the CASe-Al2 O3-CA6 composite. The gray crystals of CASe act as the binding phase and are distributed around CA6 and Al2O3. CAS2-Al2O3-CA6 composite exhibits high refractoriness and service temperature, which are 1 650 ℃ and 1 450 ℃, respectively. Reaction sintering of alumina and bauxite reducing slag is a feasible method for the synthesis of CAS2-Al2 O3-CA6 composite.

Microstructure and phase transformation behavior of Mo–MoSi_2 gradient material

Mo-MoSi2gradient coating on Mo substrate was prepared by siliconizing process,using the polysilicon as silicon atoms.The gradient layer was analyzed by the experimental results,theoretical analysis,and thermodynamic calculation.The silicon,molybdenum content of gradient coating shows a gradual change regulation.The reaction between silicon and molybdenum is most likely to generate Mo5Si3,then MoSi2,finally Mo3Si,but when the silicon content is excessive,the Mo5Si3and Mo3Si will react with silicon and generate MoSi2.The gradient layer is mainly constituted by Si and MoSi2,only about 1/10 gradient layer is constituted by Mo5Si3and Mo3Si,and the stable existences of Mo5Si3and Mo3Si are mainly determined by the silicon content.Along the Mo substrate to the surface of the coating,the phase composition of gradient coating changes as follows:Mo → transition layer,Mo（main phase） + Mo3Si + Mo5Si3→intermediate layer,and MoSi2（main phase） + Mo5Si3+Si→surface layer MoSi2（main phase） + Si,and the experimental temperature has no effect on phase composition of gradient coating.