Lumbopelvic Fixation and Sacral Decompression for U-shaped Sacral Fractures： Surgical Management and Early Outcome

U-shaped sacral fractures are rare and often difficult to diagnose primarily due to the difficulty in obtaining adequate imaging and the severe associated injuries. These fractures are highly unstable and frequently cause neurological deficits. The majority of surgeons have limited experience in management of U-shaped sacral fractures. No standard treatment protocol for U-shaped sacral fractures has been available till now. This study aimed to examine the management of U-shaped sacral fractures and the early outcomes. Clinical data of 15 consecutive patients with U-shaped sacral fracture who were admitted to our trauma center between 2009 and 2014 were retrospectively analyzed. Demographics, fracture classification, mechanism of injury and operative treatment and deformity angle were assessed. All the patients were treated with lumbopelvic fixation or （and） sacral decompression. EQ-5d score was applied to evaluate the patients＇ quality of life. Of the 15 consecutive patients with U-shaped sacral fracture, the mean age was 28.8 years （range： 15-55 years） at the time of injury. There were 6 females and 9 males. The mean follow- up time was 22.7 months （range： 9-47 months） and mean full weight-bearing time was 9.9 weeks （range： 8-14 weeks）. Ten patients received lumbopelvic fixation and sacral decompression, one lombosacral fixation, and 4 merely sacral decompression due to delayed diagnosis or surgery. The post-operation deformity angle （mean 27.87°, and range： 8°-90°） of the sacrum was smaller than that pre-operation （mean 35.67; range： 15-90） with no significance difference noted. At the latest follow-up, all patients obtained neurological recovery with different extents. Visual analogue score （VAS） was reduced from preoperative 7.07 （range： 5-9） to postoperetive 1.93 （range： 1-3）. All patients could walk without any aid after treatment. Eight patients were able to care for themselves and undertook some daily activities. Five patients had returned to work full time. In conclusion, lumbopelvic fixation is an effective method for stabilization of U-shaped sacral fractures with fewer complications developed. Effective reduction and firm fixation are the prerequisite of early mobilization and neurological recovery. Sacral decompression effectively promotes neurological recovery even in patients with old U-shaped sacral fractures.

GENERAL SOLUTION FOR U-SHAPED BELLOWS OVERALL-BENDING PROBLEMS

The formulae for stresses and angular displacements of U-shaped bellows overall bending in a meridian plane under pure bending moments are presented based on the general solution for slender ring shells proposed by Zhu Weiping, et al. and the solution for ring plates. The results evaluated in this paper are compared with those on EJMA (standards of the expansion joint manufacturers association) and of the experiment given by Li Tingxilz, et al.

Electrokinetic flow in the U-shaped micro-nanochannels

U-shaped micro-nanochannels can generate significant flow disturbance as well as locally amplified electric field, which gives itself potential to be microfluidic mixers, electrokinetic pumps,and even cell lysis process. Numerical simulation is utilized in this work to study the hidden characteristics of the U-shaped micro-nanochannel system, and the effects of key controlling parameters(the external voltage and pressure) on the device output metrics(current, maximum values of electric field, shear stress and flow velocity) were evaluated. A large portion of current flowing through the whole system goes through the nanochannels, rather than the middle part of the microchannel, with its value increasing linearly with the increase of voltage. Due to the local ion depletion near micro-nanofluidic junction, significantly enhanced electric field(as much as 15 fold at V=1 V and P_0=0) as well as strong shear stress(leading to electrokinetic flow) is generated.With increasing external pressure, both electric field and shear stress can be increased initially(due to shortening of depletion region length), but are suppressed eventually at higher pressure due to the destruction of ion depletion layer. Insights gained from this study could be useful for designing nonlinear electrokinetic pumps and other systems.

PROBLEMS OF U-SHAPED BELLOWS WITH NONLINEAR DEFORM TION OF LARGE AXISYMMETRICAL DEFLECTION(Ⅰ)—COUNTING NONLINEAR DEFORMATIONS OF RING SHELLS AND COMPRESSED ANGLE OF BELLOWS

This paper follows the work of [1,2]. There are some progress in dealing with moderately small rotations (the squares of rotation angles are the order of magnitude of strains) of middle surface normals of inside and outside ring shells and compressed angle of bellows. Calculation results agree with experiments well. To bellow design, the method given in this paper is of practical value and the discussion of the influence of compressed angle on characteristic relation is helpful.

ON PROBLEMS OF U-SHAPED BELLOWS WITH NONLINEAR DEFORMATION OF LARGE AXISYMMETRICAL DEFLECTION(Ⅱ)——COUNTING VARIATION OF THICKNESS DISTRIBUTION

On the basis of paper [1], assuming the logarithm of thickness at arbitrary point on a U-shaped bellows meridian is linear with the logarithm of distance between that point and axis of symmetry, perturbation solutions of the corresponding problems of large axisymmetrical deflection are given. The effects of thickness distribution variation, which result from technology factors, on stiffness of bellows are discussed.

An ultra-low specific on-resistance trench LDMOS with a U-shaped gate and accumulation layer

An ultra-low specific on-resistance （Ron,sp） oxide trench-type silicon-on-insulator （SOI） lateral double-diffusion metal-oxide semiconductor （LDMOS） with an enhanced breakdown voltage （BV） is proposed and investigated by simulation. There are two key features in the proposed device： one is a U-shaped gate around the oxide trench, which extends from source to drain （UG LDMOS）; the other is an N pillar and P pillar located in the trench sidewall. In the on-state, electrons accumulate along the U-shaped gate, providing a continuous low resistance current path from source to drain. The Ron,sp is thus greatly reduced and almost independent of the drift region doping concentration. In the off-state, the N and P pillars not only enhance the electric field （E-field） strength of the trench oxide, but also improve the E-field distribution in the drift region, leading to a significant improvement in the BV. The BV of 662 V and Ron,sp of 12.4 mΩ.cm2 are achieved for the proposed UG LDMOS. The BV is increased by 88.6% and the Ron,sp is reduced by 96.4%, compared with those of the conventional trench LDMOS （CT LDMOS）, realizing the state-of-the-art trade-off between BV and Ron,sp.

Double U-Shaped Slots Loaded Stacked Patch Antenna for Multiband Operation

The design of a seven-band stacked patch antenna for the C, X and Ku band is presented. The antenna consists of an H-slot loaded fed patch, stacked with dual U-slot loaded rectangular patch to generate the seven frequency bands. The total size of the antenna is 39.25 × 29.25 mm2. The multiband stacked patch antenna is studied and designed using IE3D simulator. For verification of simulation results, the antenna is analyzed by circuit theory concept. The simulated return loss, radiation pattern and gain are presented. Simulated results show that the antenna can be designed to cover the frequency bands from (4.24 GHz to 4.50 GHz, 5.02 GHz to 5.25 GHz) in C-band application, (7.84 GHz to 8.23 GHz) in X-band and (12.16 GHz to 12.35 GHz, 14.25 GHz to 14.76 GHz, 15.25 GHz to 15.51 GHz, 17.52 GHz to 17.86 GHz) in Ku band applications. The bandwidths of each band of the proposed antenna are 5.9%, 4.5%, 4.83%, 2.36%, 3.53%, 1.68% and 1.91%. Similarly the gains of the proposed band are 2.80 dBi, 4.39 dBi, 4.54 dBi, 10.26 dBi, 8.36 dBi and 9.91 dBi, respectively.

Flow field simulation and establishment for mathematical models of flow area of spool valve with sloping U-shape notch machined by different methods

Precise function expression of the flow area for the sloping U-shape notch orifice versus the spool stroke was derived.The computational fluid dynamics was used to analyze the flow features of the sloping U-shape notch on the spool,such as mass flow rates,flow coefficients,efflux angles and steady state flow forces under different operating conditions.At last,the reliability of the mathematical model of the flow area for the sloping U-shape notch orifice on the spool was demonstrated by the comparison between the orifice area curve derived and the corresponding experimental data provided by the test.It is presented that the bottom arc of sloping U-shape notch(ABU) should not be omitted when it is required to accurately calculate the orifice area of ABU.Although the theoretical flow area of plain bottom sloping U-shape notch(PBU) is larger than that of ABU at the same opening,the simulated mass flow and experimental flow area of ABU are both larger than these of PBU at the same opening,while the simulated flow force of PBU is larger than that of ABU at the same opening.Therefore,it should be prior to adapt the ABU when designing the spool with proportional character.

Mechanical model for controlling floor heave in deep roadways with U-shaped steel closed support

Open U-shaped steel arch supports are commonly used in large-section static-pressure roadways in coal mines that are more than 900 m deep;however,it is very difficult to control floor heave of roadways.In this paper,a U-shaped steel closed support with an inverted U-shaped steel arch in the floor is proposed as a method for improving the support effect of the surrounding rock during the process of floor heaving.This research established a mechanical model for the U-shaped steel closed support,and determined the reaction forces at the connection of a camber angle.Using the limit load method calculated the critical buckling load of the inverted U-shaped steel arch,and use of a strength check method tested the strength of the U-shaped steel material.A numerical simulation was conducted using the finite difference software FLAC3 D.The simulation results show that the U-shaped steel closed support is able to control the floor heave of roadways,which is successfully used in the West 11-2 development roadway of the Zhuji Mine in the Huainan mining area in China.The cumulative floor heave over two years was less than50 mm.

Numerical calculation on solar temperature field of a cable-stayed bridge with U-shaped section on high-speed railway

Based on transient temperature field theory of heat conduction,the solar temperature field calculation model of U-shape sectioned high-speed railway cable-stayed bridge under actions of concrete beams and ballast was established.Using parametric programming language,finite element calculation modules considering climate conditions,bridge site,structure dimension and material thermophysical properties were compiled.Six standard day cycles with the strongest yearly radiation among the bridge sites were selected for sectional solar temperature field calculation and temperature distributions under different temperature-sensitive parameters were compared.The results show that under the influence of sunshine,U-shape section of the beam shows obvious nonlinear distribution characteristics and the maximum cross-section temperature difference is more than 21 °C; the ballast significantly reduces sunshine temperature difference of the beam and temperature peak of the bottom margin lags with the increase of ballast thickness; the maximum cross-section vertical temperature gradient appears in summer while large transverse temperature difference appears in winter.

A method of elimination of undesired resonant points of microstrip antenna by cutting U-shaped slot on the ground

本文提出一种消除微带天线杂谐振点的方法,该微带天线为双层介质板,其谐振频率为2.4 GHz,共有两个杂谐振点分别在4.4 GHz附近及5.8 GHz附近。这两个杂谐振点破坏了微带天线的性能,故本文通过在接地板上合理地开U型缝来消除这两个谐振点,U型缝隙的长度为相应频率谐振点波长的一半;如果在缝隙上有开放端口,则U型缝隙长度为相应频率谐振点波长的四分之一。仿真结果表明:该方法可有效消除杂谐振点。

单跨两层含减震外挂墙板装配式混凝土框架拟静力试验研究

该文在对一个含减震外挂墙板平面框架(简称减震结构)以及一个作为对比的纯框架(简称抗震结构)进行混合试验的基础上,进一步对其单跨2层试验子结构进行了拟静力试验,研究了两结构在水平地震作用下的受力过程、损伤模式及减震外挂墙板对主体结构抗震性能的影响。研究结果表明:减震结构和抗震结构的破坏机制均为梁端和柱底出现塑性铰的梁铰机制,减震外挂墙板未改变主体结构的破坏模式;减震结构中,在最大层间位移角达到1/55之前,消能器呈预期的履带式滚动变形,此后由于外挂墙板的面内转动变形,消能器水平剪切变形值增加不大,且圆弧段产生明显变形;试验过程中减震外挂墙板未出现裂缝;墙板与框架间上部线连接处裂缝宽度较小,连接钢筋应变也较小,表明连接可靠;两试件均具有较好的变形能力和耗能能力;在相同位移级别下,减震结构的刚度、极限承载力和耗能能力均更好。

体育锻炼与中国老年人生活满意度的倒U型关系:抑郁的中介作用

目的:探究体育锻炼与中国老年人生活满意度的关系以及抑郁的中介作用。方法:采用STATA 15.1软件对2018年中国健康与养老追踪调查数据中的60岁以上老年人生活满意度等基本情况进行描述性统计分析,运用基准回归模型与PSM(倾向得分匹配法)分析体育锻炼与老年人生活满意度的关系,通过建立中介模型考察抑郁在体育锻炼与生活满意度间的中介作用。结果:体育锻炼与老年人生活满意度呈倒U型关系(P<0.001),与抑郁呈U型关系(P<0.001),抑郁负向预测生活满意度(P<0.001),农村与城市老年人倒U型曲线出现拐点的阈值分别为3.133、3.455,在男女老年群体中倒U型曲线出现拐点的阈值分别为3.231、2.938,抑郁在体育锻炼与生活满意度间起中介作用。结论:体育锻炼在提升老年人生活满意度的过程中存在一定的剂量效应,体育锻炼对老年人生活满意度的影响具有异质性,老年人体育锻炼既可直接影响生活满意度,也可通过抑郁间接影响生活满意度。

火星探测器进入过程防热层温度测量方法

火星探测器进入过程中的防热层烧蚀温度是防热结构设计和气动热环境辨识的关键参数之一。为了满足防热层温度在轨测量的需求,提出采用柱塞式结构大底分层测温探头和U形结构背罩测温探头,与电缆和多通道温度变换器共同组成温度传感器进行在轨测温的方法。设计内容包括测温探头热电偶元件选取、结构形式和安装方式,以及信号集中放大变换和自动冷端补偿等。开展全量程标定和风洞专项试验验证,证明所设计的温度传感器可以实现1300℃以下烧蚀温度变化全过程测量,测量精度达到0.28%。该温度传感器已在我国首次火星探测任务“天问一号”探测器的着陆巡视器上成功应用,可为进/再入航天器烧蚀温度在轨测量的实施提供借鉴和参考。

煤层排放钻孔直径和排放时间对排放半径演化规律的影响研究

煤层钻孔排放半径是局部防突的一个关键技术参数。为获得煤层钻孔排放半径与排放钻孔直径、排放时间之间的关系,以祁东煤矿为试验地点进行考察试验。采用现场试验与数值模拟的方法,分析在不同排放钻孔直径和不同排放时间下的煤层钻孔最大排放半径的演化规律。建立了一种排放半径计算方式;实测了祁东煤矿9煤层不同排放钻孔直径在排放不同时间后的最大排放半径;数值模拟获得水平方向上钻孔周围瓦斯压力呈现“U”形分布;排放时间相同情况下,煤层钻孔最大排放半径随着钻孔直径的增大而增大;排放时间和钻孔直径与排放半径分别满足不同的函数关系;获得了排放半径与排放钻孔直径与排放时间的耦合关系。

U型卷积网络在乳腺医学图像分割中的研究综述

U-Net及其变体模型在乳腺医学图像分割领域展现了卓越的性能,U-Net采用全卷积网络(FCN)结构进行语义分割,U-Net对称结构的高度灵活性和适应性可以通过调整网络深度、引入新的模块来适应不同的图像分割任务和挑战,这种创新结构对后续网络设计产生了深远影响。深入探讨了基于U型卷积网络在乳腺医学图像分割中的应用,并对近年来用于乳腺医学图像分割的U型卷积网络进行了分类与归纳。针对U-Net网络结构改进的乳腺医学图像分割技术进行了如下总结。阐述了目前广泛使用的乳腺医学图像数据集及评价指标,陈述了常用的数据增强方法;详细介绍了U-Net模型的网络结构以及用于乳腺医学图像的传统分割方法;对用于乳腺医学图像分割方法的U型网络结构按照残差结构、多尺度特征、膨胀机制、注意力机制、跳跃连接机制、结合Transformer等方面改进进行归纳总结。讨论了当下乳腺医学图像分割所遇到的问题与挑战,对未来的研究走向做出了展望。

经济政策不确定性与企业“漂绿”行为

近年来企业“漂绿”现象屡见不鲜,已成为经济可持续发展的绊脚石。文章基于2010—2021年A股上市公司数据,分析经济政策不确定性如何影响企业“漂绿”行为。研究发现:经济政策不确定性与企业“漂绿”行为之间呈现“U”型关系,且样本期间经济政策不确定性大多处于“U”型左侧,发挥抑制企业“漂绿”行为的作用;调节效应分析表明,环境规制、环境认证、媒体关注和高管环保认知可以弱化经济政策不确定性与企业“漂绿”行为之间的“U”型关系。研究结论不仅深化了对企业“漂绿”行为影响因素的认识,也从外部宏观波动的角度为规范企业行为提供了新的见解。

高管薪酬结构与企业创新——基于高管风险承担视角

创新是企业获得技术优势的重要行为,有助于国家实现高水平科技自立自强,高管是企业做出创新决策的主体。以2008—2021年中国沪深A股上市公司为研究对象,对高管薪酬结构影响企业创新的效应及作用机制进行了实证检验。研究发现,随着高管薪酬结构中股权薪酬比例的提升,企业创新投入水平呈先上升后下降的倒“U”型趋势。进一步地,以激励物的Delta指数和Vega指数为度量的高管风险承担在薪酬结构影响企业创新的路径中发挥了中介作用。异质性分析表明,高管股权薪酬对企业创新的正向激励效果仅显著存在于非国有企业和位于高市场化程度地区的企业当中。因此,企业要制定合理的薪酬结构,适当提高股权薪酬占比,并注重改善激励环境提升高管的风险承担能力,为企业创新创造良好的内外部环境。