Background Mesh reconstruction has been proved to be an effective method in incisional hernia repairment. This study was designed to evaluate the effect of reconstructing the pelvic floor with the high-inlay expanded ...Background Mesh reconstruction has been proved to be an effective method in incisional hernia repairment. This study was designed to evaluate the effect of reconstructing the pelvic floor with the high-inlay expanded polytetrafluoroethylene (ePTFE) GORE-TEX Dual Mesh (WLGore And Associates, Flagstuff, USA) in abdominoperineal resection. Methods Sixty patients who underwent abdominopedneal resection for rectal cancer were assigned to 2 groups. The pelvic peritoneum was closed by routine sutures in group 1 and reconstructed with ePTFE in group 2. Postoperative complications and related items were evaluated and the patients were followed up. Results Time of confining to bed, bowel function recovery, fasting, and detaining drainage were significantly different between two groups (P 〈0.05). In group 1, three patients developed bowel obstruction (10%), while no bowel obstruction was observed in group 2. Conclusion Reconstruction of the pelvic floor using ePTFE results in quicker postoperative recovery and could decrease the risk of postoperative intestinal obstruction.展开更多
In order to implement the dynamic characteristic of a dual power-split transmission, a dynamic me- chanics model is built. Firstly, according to the method of theoretical analysis of the tooth contact analysis (TCA)...In order to implement the dynamic characteristic of a dual power-split transmission, a dynamic me- chanics model is built. Firstly, according to the method of theoretical analysis of the tooth contact analysis (TCA) and loaded tooth contact analysis (LTCA), the actual meshing process of each gear pairs is simulated, and the time-varying mesh stiffness excitations are obtained, which can improve the numerical precision. Second- ly, by using the lumped mass method, the bending-torsional coupling three dimensional dynamic model of the dual power-split transmission is established, and the identical dimensionless equations are deduced by elimina- ting the effect of rigid displacement and the method of dimensional normalization. Finally, by the method of the fourth order Runge-Kutta algorithm with variable step lengths, the responses of this system in a frequency domain and time domain are obtained, and the dynamic load change characteristics of each gear pairs are analyzed. The results show that the establishment, solution and analysis of the system dynamics model could provide a basis for the dynamic design, and have an important significance for the dynamic efficiency analysis and dynamic perform- ance optimization design of the dual power-split transmission.展开更多
文摘Background Mesh reconstruction has been proved to be an effective method in incisional hernia repairment. This study was designed to evaluate the effect of reconstructing the pelvic floor with the high-inlay expanded polytetrafluoroethylene (ePTFE) GORE-TEX Dual Mesh (WLGore And Associates, Flagstuff, USA) in abdominoperineal resection. Methods Sixty patients who underwent abdominopedneal resection for rectal cancer were assigned to 2 groups. The pelvic peritoneum was closed by routine sutures in group 1 and reconstructed with ePTFE in group 2. Postoperative complications and related items were evaluated and the patients were followed up. Results Time of confining to bed, bowel function recovery, fasting, and detaining drainage were significantly different between two groups (P 〈0.05). In group 1, three patients developed bowel obstruction (10%), while no bowel obstruction was observed in group 2. Conclusion Reconstruction of the pelvic floor using ePTFE results in quicker postoperative recovery and could decrease the risk of postoperative intestinal obstruction.
基金supported by the Natural Science Foundation of China under Grant No.51175423
文摘In order to implement the dynamic characteristic of a dual power-split transmission, a dynamic me- chanics model is built. Firstly, according to the method of theoretical analysis of the tooth contact analysis (TCA) and loaded tooth contact analysis (LTCA), the actual meshing process of each gear pairs is simulated, and the time-varying mesh stiffness excitations are obtained, which can improve the numerical precision. Second- ly, by using the lumped mass method, the bending-torsional coupling three dimensional dynamic model of the dual power-split transmission is established, and the identical dimensionless equations are deduced by elimina- ting the effect of rigid displacement and the method of dimensional normalization. Finally, by the method of the fourth order Runge-Kutta algorithm with variable step lengths, the responses of this system in a frequency domain and time domain are obtained, and the dynamic load change characteristics of each gear pairs are analyzed. The results show that the establishment, solution and analysis of the system dynamics model could provide a basis for the dynamic design, and have an important significance for the dynamic efficiency analysis and dynamic perform- ance optimization design of the dual power-split transmission.