Based on crystal plasticity theory and surface layer model, relation of flow stress to billet dimension and grain size was built, and rationality of derived relation was verified with tensile tests of different size b...Based on crystal plasticity theory and surface layer model, relation of flow stress to billet dimension and grain size was built, and rationality of derived relation was verified with tensile tests of different size billets. With derived expressions, relation of decreasing flow stress scale effect to billet dimension, grain size as well as billet shape was discussed and predicted. The results show that flow stress is proportional to billet size; with decrease of grain size, flow stress is less influenced by billet dimension. When both cross section area and grain size are same, flow stress decrease of rectangular section billet or sheet is larger than that of circular section billet.展开更多
Objectives: To examine the cross-sectional associations of the separate subscales of the Perceived Stress Scale (PSS) and tests measuring cognitive domains in older adults. Methods: 897 adults over the age of 70 free ...Objectives: To examine the cross-sectional associations of the separate subscales of the Perceived Stress Scale (PSS) and tests measuring cognitive domains in older adults. Methods: 897 adults over the age of 70 free of amnestic mild cognitive impairment and dementia and enrolled in the Einstein Aging Study made up the study sample. The PSS-14 was used to measure stress. Three cognitive domains (language, episodic memory, and frontal-executive) had previously been found using principle component analysis. Linear regression analyses were used to determine the relationship between the PSS subscales and cognitive domain function. Results: The study sample had a mean age of 79.1 years and 62.8% were female. Bivariate correlations show that the PSS-14 positively worded subscale of the PSS (PSS-PW) was significantly associated with all three cognitive domains (language: r = -0.15, p < 0.001;episodic memory: r = -0.16, p < 0.001;frontal-executive: r = -0.21, p <0.001) while the negatively worded subscale of the PSS (PSS-NW) was not significantly associated with any cognitive domain. In linear regression analyses adjusted for age, white race, gender, years of education, and depressive symptoms, the PSS-PW remained significantly associated with each of the cognitive domains. The PSS-NW was not associated with any cognitive domains in any model. The PSS-14 was significantly associated with language and episodic memory, but not the frontal-executive domain. Conclusion: Worse PSS-PW scores are associated with reduced cognitive function in the executive, memory, and language domains in nondemented older adults. The PSS-PW subscale correlated better with cognitive function than the overall PSS-14. Future research should evaluate the temporality of the association and if stress reduction therapies improve cognitive performance.展开更多
Background: There are multiple questionnaires to measure academic stress in university students, which have been used in nursing students. In Puerto Rico, a questionnaire valid in content and reliability was required ...Background: There are multiple questionnaires to measure academic stress in university students, which have been used in nursing students. In Puerto Rico, a questionnaire valid in content and reliability was required to measure the variable of academic stress in nursing students. Purpose: The aim of this study was to adapt transculturally and validate the Academic Stress Questionnaire (CEA) for its use in Puerto Rico. Materials and Methods: Used for the first phase of this study consisted in the evaluation of the validity of content and appearance, whereas the second phase was the actual administering of the questionnaire to 20 (twenty) nursing students, to pilot test its internal consistency using the Cronbach’s α test. Results: Validity of content and appearance allowed for the modification of the questionnaire into one, consisting of 42 items, thus eliminating 34 premises from the original 76 items the questionnaire was composed of. Furthermore, the appearance of the questionnaire was modified by placing the measuring scales in columns, adapting social, demographic, and academic data to the required Puerto Rican reality. The sections meant to measure the academic stress variables were left intact, except for the linguistics adaptation, which was accomplished by a team of experts in the Spanish language. With an α global of 0.80 and coefficients larger than 0.7 in the multi-item sub scales, which oscillated between 0.750 and 0.860, the questionnaire provides a high reliability. Conclusion: Although the values reported in this study are somewhat lower than previous research, they were comparable the Cronbach’s Alpha coefficients reported by Cabanach, in which the numbers reported are considered high (α > 0.70) which show acceptable confiability of the subscales included in the study and a high degree of consistency and thus can be relied upon in future research. In synthesis, the Academic Stress Questionnaire (CEA) modified and adapted, thoroughly fulfills the established criteria of confiability and validity to evaluate academic stress of Puertorrican nursing students.展开更多
This article reviews the constructs of stress, appraisal, coping, according to a transactional perspective, and executive function, and presents a stress control rating scale (ECOSTRESS), which design is founded in th...This article reviews the constructs of stress, appraisal, coping, according to a transactional perspective, and executive function, and presents a stress control rating scale (ECOSTRESS), which design is founded in these constructs. This psychometric tool is useful in the assessment of cognitive control of stress, correlated with the function of dorsolateral prefrontal cortex. It has been validated for its use in the assessment of Portuguese people in situations of stress related to unemployment and economic insufficiency. Also, within the context of the cognitive control of stress, it is highlighted the usefulness of low resolution brain electromagnetic tomography (LORETA).展开更多
Owing to the absence of proper analytical solution of cantilever beams for couple stress/strain gradient elasto-plastic theory, experimental studies of the cantilever beam in the micro-scale are not suitable for the d...Owing to the absence of proper analytical solution of cantilever beams for couple stress/strain gradient elasto-plastic theory, experimental studies of the cantilever beam in the micro-scale are not suitable for the determination of material length-scale. Based on the couple stress elasto-plasticity, an analytical solution of thin cantilever beams is firstly presented, and the solution can be regarded as an extension of the elastic and rigid-plastic solutions of pure bending beam. A comparison with numerical results shows that the current analytical solution is reliable for the case of σ0 〈〈 H 〈〈 E, where σ0 is the initial yield strength, H is the hardening modulus and E is the elastic modulus. Fortunately, the above mentioned condition can be satisfied for many metal materials, and thus the solution can be used to determine the material length-scale of micro-structures in conjunction with the experiment of cantilever beams in the micro-scale.展开更多
Au investigation was carried ont of the effect of Y addition upon the internal stress of Al_2O_3 scale formed during oxidation of sputtering coating on Co-30Cr-6Al alloy and the growth stress of oxidized film on Fe-23...Au investigation was carried ont of the effect of Y addition upon the internal stress of Al_2O_3 scale formed during oxidation of sputtering coating on Co-30Cr-6Al alloy and the growth stress of oxidized film on Fe-23Cr-5Al alloy heating up to 900℃ in air,using a specially designed deflection method from thin strip specimen with coat- ings,ion-implanted Y on one side and oxidized onto both sides.Results indicate that Y may decrease the internal stress of oxide scale on 2×10^(17) Y^+/cm^2 implanted Co- 30Cr-6Al coating,and increase one on 2×10^(16) Y^+/cm^2 implanted Fe-23Cr-5Al alloy. This seems due to whether or not Y promotes the plastic deformation of oxide scale.In addition,at initial oxidation stage,the change of growth stress of oxide scale formed on Y-implanted Co-30Cr-6Al coating may be related to the influence of Y on oxidation process of the coating.展开更多
The influence of La2O3 on stress in the scales of NiAl-type coatings were studied by a novel two-side oxidation bending method during isothermal and anisothermal oxidation. The results indicate that. differences of th...The influence of La2O3 on stress in the scales of NiAl-type coatings were studied by a novel two-side oxidation bending method during isothermal and anisothermal oxidation. The results indicate that. differences of thermal expansion coefficients of the coatings applied on the two sides of the bending sample can be analyzed by detecting the deflection behaviour of the sample, the growth stress in La2O3 added x-Al2O3 coating is reduced by some 350 kgf/ mm2 for 50 h isothermal oxidation at 900℃ . and the mechanism is that the grain size of scale is reduced due to addition of La2O3 and its plasticity is increased, the magnitude of thermal expansion coefficients of coatings influences the thermal stress developing during cooling. Stress in the scale on simple NiAl is relieved mainly in way of cracking and spalling of the scale at temperature 400 ̄ 600℃ ,but that on La2O3-added coating is relieved slightly due to good integrity and adherence of the scale.展开更多
In present study, the subgrid scale (SGS) stress and dissipation for multiscale formulation of large eddy simulation are analyzed using the data of turbulent channel flow at Ret = 180 obtained by direct numerical si...In present study, the subgrid scale (SGS) stress and dissipation for multiscale formulation of large eddy simulation are analyzed using the data of turbulent channel flow at Ret = 180 obtained by direct numerical simulation. It is found that the small scale SGS stress is much smaller than the large scale SGS stress for all the stress components. The dominant contributor to large scale SGS stress is the cross stress between small scale and subgrid scale motions, while the cross stress between large scale and subgrid scale motions make major contributions to small scale SGS stress. The energy transfer from resolved large scales to subgrid scales is mainly caused by SGS Reynolds stress, while that between resolved small scales and subgrid scales are mainly due to the cross stress. The multiscale formulation of SGS models are evaluated a priori, and it is found that the small- small model is superior to other variants in terms of SGS dissipation.展开更多
A second-order dynamic model based on the general relation between the subgrid-scale stress and the velocity gradient tensors was proposed. A priori test of the second-order model was made using moderate resolution di...A second-order dynamic model based on the general relation between the subgrid-scale stress and the velocity gradient tensors was proposed. A priori test of the second-order model was made using moderate resolution direct numerical simulation date at high Reynolds number ( Taylor microscale Reynolds number R-lambda = 102 similar to 216) for homogeneous, isotropic forced flow, decaying flow, and homogeneous rotating flow. Numerical testing shows that the second-order dynamic model significantly improves the correlation coefficient when compared to the first-order dynamic models.展开更多
For TA15 titanium alloy, slip is the dominant plastic deformation mechanism because of relatively high Al content. In order to reveal the grain-scale stress field and geometrically necessary dislocation(GND) density...For TA15 titanium alloy, slip is the dominant plastic deformation mechanism because of relatively high Al content. In order to reveal the grain-scale stress field and geometrically necessary dislocation(GND) density distribution around the slip traces and phase boundaries where the slip lines are blocked due to Burgers orientation relationship(OR) missing. We experimentally investigated tensile deformation on TA15 titanium alloy up to 2.0% strain at room temperature. The slip traces were observed and identified using high resolution scanning electron microscopy(SEM) and electron backscatter diffraction(EBSD) measurements. The grain-scale stress fields around the slip traces and phase boundaries were calculated by the cross-correlationbased method. Based on strain gradient theories, the density of GND was calculated and analyzed. The results indicate that the grain-scale stress is significantly concentrated at phase/grain boundaries and slip traces. Although there is an obvious GND accumulation in the vicinity of phase and subgrain boundaries, no GND density accumulation appears near the slip traces.展开更多
With the two-scale expansion technique proposed by Yoshizawa,the turbulent fluctuating field is expanded around the isotropic field.At a low-order two-scale expansion,applying the mode coupling approximation in the Ya...With the two-scale expansion technique proposed by Yoshizawa,the turbulent fluctuating field is expanded around the isotropic field.At a low-order two-scale expansion,applying the mode coupling approximation in the Yakhot-Orszag renormalization group method to analyze the fluctuating field,the Reynolds-average terms in the Reynolds stress transport equation,such as the convective term,the pressure-gradient-velocity correlation term and the dissipation term,are modeled.Two numerical examples:turbulent flow past a backward-facing step and the fully developed flow in a rotating channel,are presented for testing the efficiency of the proposed second-order model.For these two numerical examples,the proposed model performs as well as the Gibson-Launder (GL) model,giving better prediction than the standard k-ε model,especially in the abilities to calculate the secondary flow in the backward-facing step flow and to capture the asymmetric turbulent structure caused by frame rotation.展开更多
Stacked chip scale package(SCSP) attracts more and more attentions in advanced packages application with light weight,thin and small size,high reliability,low power and high storage capability.However,more and more ph...Stacked chip scale package(SCSP) attracts more and more attentions in advanced packages application with light weight,thin and small size,high reliability,low power and high storage capability.However,more and more physical and electrical issues being caused by package-induced stress in SCSP were reported recently.The effect of structural factors,including die thickness,die attach film thickness,die attach film type,and spacer size on package induced stress,was investigated.Analyses were given based on simulation results and provide important suggestion for package design.展开更多
The stress in the oxide film plays an important role to keep it intact so it is necessary to determine the stress in the oxide scale. Average growth stresses in Cr 2O 3 scales formed on Ni base alloy (Ni80Cr20) at 1?0...The stress in the oxide film plays an important role to keep it intact so it is necessary to determine the stress in the oxide scale. Average growth stresses in Cr 2O 3 scales formed on Ni base alloy (Ni80Cr20) at 1?000?℃ in air were investigated by a novel deflection technique. It is found that the growth stress in the oxide scale is basically compressive and its average order is 100?MPa. The stress values are high for the thin scales and become low for thick scales after oxidized for 10?h. The planar stress distribution in metals is complex. It is both compressive and tensile at the beginning of oxidation procedure, and then become only tensile during further oxidation.展开更多
BACKGROUND Occult breast cancer(OBC)has traditionally been considered to be a carcinoma of unknown primary origin with a favorable prognosis and can be treated as stage II-III breast cancer.Due to the small number of ...BACKGROUND Occult breast cancer(OBC)has traditionally been considered to be a carcinoma of unknown primary origin with a favorable prognosis and can be treated as stage II-III breast cancer.Due to the small number of cases and limited clinical experience,treatments vary greatly around the world and no standardized treatment has yet been established.AIM To investigate the clinicopathological features,psychological status and prognostic features of patients with OBC.METHODS The clinicopathological data of 33 OBC patients diagnosed and treated in the Affiliated Hospital of Xuzhou Medical University and Xuzhou Central Hospital from November 2015 to November 2022 were retrospectively analyzed.The psychological status of OBC patients was evaluated by the Self-rating Anxiety Scale and Self-rating Depression Scale.Patients’emotions,stress perception and psychological resilience were evaluated by the Positive and Negative Affect Schedule,the Chinese Perceived Stress Scale,and the Connor-Davidson Resilience Scale(CD-RISC),respectively.Patient survival was calculated using the Kaplan-Meier method,and survival curves were plotted for analysis with the log-rank test.Univariate and multivariate survival analyses were performed using the Cox regression model.RESULTS The 33 OBC patients included 32 females and 1 male.Of the 33 patients,30(91%)had axillary tumors,3(9%)had a neck mass as the primary symptom;18(54.5%)had estrogen receptor-positive tumors,17(51.5%)had progesterone receptor-positive tumors,and 18(54.5%)had Her-2-positive tumors;24(72.7%)received surgical treatment,including 18 patients who underwent modified radical mastectomy,1 patient who underwent breast-conserving surgery plus axillary lymph node dissection(ALND),and 5 patients who underwent ALND alone;12 patients received preoperative neoadjuvant therapy.All 30 patients developed anxiety and depression,with low positive affect scores and high negative affect scores,accompanied by a high stress level and poor psychological resilience.There were no differences in the psychological status of patients according to age,body mass index,or menopausal status.The overall survival and disease-free survival(DFS)of all the patients were 83.3%and 55.7%,respectively.Univariate analysis demonstrated that the initial tumor site(P=0.021)and node stage(P=0.020)were factors that may affect patient prognosis.The 5-year DFS rate of OBC patients who received radiotherapy was greater(P<0.001),while the use of different surgical methods(P=0.687)had no statistically significant effect on patient outcomes.Multivariate analysis revealed that radiotherapy(P=0.031)was an independent prognostic factor.Receiving radiotherapy had a significant effect on the CD-RISC score(P=0.02).CONCLUSION OBC is a rare breast disease whose diagnosis and treatment are currently controversial.There was no significant difference in the efficacy of other less invasive surgical procedures compared to those of modified radical mastectomy.In addition,radiotherapy can significantly improve patient outcomes.We should pay attention to the psychological state of patients while they receive antitumor therapy.展开更多
文摘Based on crystal plasticity theory and surface layer model, relation of flow stress to billet dimension and grain size was built, and rationality of derived relation was verified with tensile tests of different size billets. With derived expressions, relation of decreasing flow stress scale effect to billet dimension, grain size as well as billet shape was discussed and predicted. The results show that flow stress is proportional to billet size; with decrease of grain size, flow stress is less influenced by billet dimension. When both cross section area and grain size are same, flow stress decrease of rectangular section billet or sheet is larger than that of circular section billet.
文摘Objectives: To examine the cross-sectional associations of the separate subscales of the Perceived Stress Scale (PSS) and tests measuring cognitive domains in older adults. Methods: 897 adults over the age of 70 free of amnestic mild cognitive impairment and dementia and enrolled in the Einstein Aging Study made up the study sample. The PSS-14 was used to measure stress. Three cognitive domains (language, episodic memory, and frontal-executive) had previously been found using principle component analysis. Linear regression analyses were used to determine the relationship between the PSS subscales and cognitive domain function. Results: The study sample had a mean age of 79.1 years and 62.8% were female. Bivariate correlations show that the PSS-14 positively worded subscale of the PSS (PSS-PW) was significantly associated with all three cognitive domains (language: r = -0.15, p < 0.001;episodic memory: r = -0.16, p < 0.001;frontal-executive: r = -0.21, p <0.001) while the negatively worded subscale of the PSS (PSS-NW) was not significantly associated with any cognitive domain. In linear regression analyses adjusted for age, white race, gender, years of education, and depressive symptoms, the PSS-PW remained significantly associated with each of the cognitive domains. The PSS-NW was not associated with any cognitive domains in any model. The PSS-14 was significantly associated with language and episodic memory, but not the frontal-executive domain. Conclusion: Worse PSS-PW scores are associated with reduced cognitive function in the executive, memory, and language domains in nondemented older adults. The PSS-PW subscale correlated better with cognitive function than the overall PSS-14. Future research should evaluate the temporality of the association and if stress reduction therapies improve cognitive performance.
文摘Background: There are multiple questionnaires to measure academic stress in university students, which have been used in nursing students. In Puerto Rico, a questionnaire valid in content and reliability was required to measure the variable of academic stress in nursing students. Purpose: The aim of this study was to adapt transculturally and validate the Academic Stress Questionnaire (CEA) for its use in Puerto Rico. Materials and Methods: Used for the first phase of this study consisted in the evaluation of the validity of content and appearance, whereas the second phase was the actual administering of the questionnaire to 20 (twenty) nursing students, to pilot test its internal consistency using the Cronbach’s α test. Results: Validity of content and appearance allowed for the modification of the questionnaire into one, consisting of 42 items, thus eliminating 34 premises from the original 76 items the questionnaire was composed of. Furthermore, the appearance of the questionnaire was modified by placing the measuring scales in columns, adapting social, demographic, and academic data to the required Puerto Rican reality. The sections meant to measure the academic stress variables were left intact, except for the linguistics adaptation, which was accomplished by a team of experts in the Spanish language. With an α global of 0.80 and coefficients larger than 0.7 in the multi-item sub scales, which oscillated between 0.750 and 0.860, the questionnaire provides a high reliability. Conclusion: Although the values reported in this study are somewhat lower than previous research, they were comparable the Cronbach’s Alpha coefficients reported by Cabanach, in which the numbers reported are considered high (α > 0.70) which show acceptable confiability of the subscales included in the study and a high degree of consistency and thus can be relied upon in future research. In synthesis, the Academic Stress Questionnaire (CEA) modified and adapted, thoroughly fulfills the established criteria of confiability and validity to evaluate academic stress of Puertorrican nursing students.
文摘This article reviews the constructs of stress, appraisal, coping, according to a transactional perspective, and executive function, and presents a stress control rating scale (ECOSTRESS), which design is founded in these constructs. This psychometric tool is useful in the assessment of cognitive control of stress, correlated with the function of dorsolateral prefrontal cortex. It has been validated for its use in the assessment of Portuguese people in situations of stress related to unemployment and economic insufficiency. Also, within the context of the cognitive control of stress, it is highlighted the usefulness of low resolution brain electromagnetic tomography (LORETA).
基金the National Natural Science Foundation of China (50479058, 10672032)
文摘Owing to the absence of proper analytical solution of cantilever beams for couple stress/strain gradient elasto-plastic theory, experimental studies of the cantilever beam in the micro-scale are not suitable for the determination of material length-scale. Based on the couple stress elasto-plasticity, an analytical solution of thin cantilever beams is firstly presented, and the solution can be regarded as an extension of the elastic and rigid-plastic solutions of pure bending beam. A comparison with numerical results shows that the current analytical solution is reliable for the case of σ0 〈〈 H 〈〈 E, where σ0 is the initial yield strength, H is the hardening modulus and E is the elastic modulus. Fortunately, the above mentioned condition can be satisfied for many metal materials, and thus the solution can be used to determine the material length-scale of micro-structures in conjunction with the experiment of cantilever beams in the micro-scale.
文摘Au investigation was carried ont of the effect of Y addition upon the internal stress of Al_2O_3 scale formed during oxidation of sputtering coating on Co-30Cr-6Al alloy and the growth stress of oxidized film on Fe-23Cr-5Al alloy heating up to 900℃ in air,using a specially designed deflection method from thin strip specimen with coat- ings,ion-implanted Y on one side and oxidized onto both sides.Results indicate that Y may decrease the internal stress of oxide scale on 2×10^(17) Y^+/cm^2 implanted Co- 30Cr-6Al coating,and increase one on 2×10^(16) Y^+/cm^2 implanted Fe-23Cr-5Al alloy. This seems due to whether or not Y promotes the plastic deformation of oxide scale.In addition,at initial oxidation stage,the change of growth stress of oxide scale formed on Y-implanted Co-30Cr-6Al coating may be related to the influence of Y on oxidation process of the coating.
文摘The influence of La2O3 on stress in the scales of NiAl-type coatings were studied by a novel two-side oxidation bending method during isothermal and anisothermal oxidation. The results indicate that. differences of thermal expansion coefficients of the coatings applied on the two sides of the bending sample can be analyzed by detecting the deflection behaviour of the sample, the growth stress in La2O3 added x-Al2O3 coating is reduced by some 350 kgf/ mm2 for 50 h isothermal oxidation at 900℃ . and the mechanism is that the grain size of scale is reduced due to addition of La2O3 and its plasticity is increased, the magnitude of thermal expansion coefficients of coatings influences the thermal stress developing during cooling. Stress in the scale on simple NiAl is relieved mainly in way of cracking and spalling of the scale at temperature 400 ̄ 600℃ ,but that on La2O3-added coating is relieved slightly due to good integrity and adherence of the scale.
基金supported by the National Natural Science Foundation of China(10472053 and 10772098)
文摘In present study, the subgrid scale (SGS) stress and dissipation for multiscale formulation of large eddy simulation are analyzed using the data of turbulent channel flow at Ret = 180 obtained by direct numerical simulation. It is found that the small scale SGS stress is much smaller than the large scale SGS stress for all the stress components. The dominant contributor to large scale SGS stress is the cross stress between small scale and subgrid scale motions, while the cross stress between large scale and subgrid scale motions make major contributions to small scale SGS stress. The energy transfer from resolved large scales to subgrid scales is mainly caused by SGS Reynolds stress, while that between resolved small scales and subgrid scales are mainly due to the cross stress. The multiscale formulation of SGS models are evaluated a priori, and it is found that the small- small model is superior to other variants in terms of SGS dissipation.
文摘A second-order dynamic model based on the general relation between the subgrid-scale stress and the velocity gradient tensors was proposed. A priori test of the second-order model was made using moderate resolution direct numerical simulation date at high Reynolds number ( Taylor microscale Reynolds number R-lambda = 102 similar to 216) for homogeneous, isotropic forced flow, decaying flow, and homogeneous rotating flow. Numerical testing shows that the second-order dynamic model significantly improves the correlation coefficient when compared to the first-order dynamic models.
基金Funded by National Natural Science Foundation of China(No.51401226)
文摘For TA15 titanium alloy, slip is the dominant plastic deformation mechanism because of relatively high Al content. In order to reveal the grain-scale stress field and geometrically necessary dislocation(GND) density distribution around the slip traces and phase boundaries where the slip lines are blocked due to Burgers orientation relationship(OR) missing. We experimentally investigated tensile deformation on TA15 titanium alloy up to 2.0% strain at room temperature. The slip traces were observed and identified using high resolution scanning electron microscopy(SEM) and electron backscatter diffraction(EBSD) measurements. The grain-scale stress fields around the slip traces and phase boundaries were calculated by the cross-correlationbased method. Based on strain gradient theories, the density of GND was calculated and analyzed. The results indicate that the grain-scale stress is significantly concentrated at phase/grain boundaries and slip traces. Although there is an obvious GND accumulation in the vicinity of phase and subgrain boundaries, no GND density accumulation appears near the slip traces.
基金supported by the National Natural Science Foundation of China (10872192)
文摘With the two-scale expansion technique proposed by Yoshizawa,the turbulent fluctuating field is expanded around the isotropic field.At a low-order two-scale expansion,applying the mode coupling approximation in the Yakhot-Orszag renormalization group method to analyze the fluctuating field,the Reynolds-average terms in the Reynolds stress transport equation,such as the convective term,the pressure-gradient-velocity correlation term and the dissipation term,are modeled.Two numerical examples:turbulent flow past a backward-facing step and the fully developed flow in a rotating channel,are presented for testing the efficiency of the proposed second-order model.For these two numerical examples,the proposed model performs as well as the Gibson-Launder (GL) model,giving better prediction than the standard k-ε model,especially in the abilities to calculate the secondary flow in the backward-facing step flow and to capture the asymmetric turbulent structure caused by frame rotation.
文摘Stacked chip scale package(SCSP) attracts more and more attentions in advanced packages application with light weight,thin and small size,high reliability,low power and high storage capability.However,more and more physical and electrical issues being caused by package-induced stress in SCSP were reported recently.The effect of structural factors,including die thickness,die attach film thickness,die attach film type,and spacer size on package induced stress,was investigated.Analyses were given based on simulation results and provide important suggestion for package design.
文摘The stress in the oxide film plays an important role to keep it intact so it is necessary to determine the stress in the oxide scale. Average growth stresses in Cr 2O 3 scales formed on Ni base alloy (Ni80Cr20) at 1?000?℃ in air were investigated by a novel deflection technique. It is found that the growth stress in the oxide scale is basically compressive and its average order is 100?MPa. The stress values are high for the thin scales and become low for thick scales after oxidized for 10?h. The planar stress distribution in metals is complex. It is both compressive and tensile at the beginning of oxidation procedure, and then become only tensile during further oxidation.
基金Supported by Jiangsu Provincial Health Commission’s 2020 High-Level Health Talents“Six Ones Project”Top-Notch Talent Research Project,No.LGY20200062021 Youth Medical Science Innovation Project of Xuzhou Health Commission,No.XWKYHT20210580.
文摘BACKGROUND Occult breast cancer(OBC)has traditionally been considered to be a carcinoma of unknown primary origin with a favorable prognosis and can be treated as stage II-III breast cancer.Due to the small number of cases and limited clinical experience,treatments vary greatly around the world and no standardized treatment has yet been established.AIM To investigate the clinicopathological features,psychological status and prognostic features of patients with OBC.METHODS The clinicopathological data of 33 OBC patients diagnosed and treated in the Affiliated Hospital of Xuzhou Medical University and Xuzhou Central Hospital from November 2015 to November 2022 were retrospectively analyzed.The psychological status of OBC patients was evaluated by the Self-rating Anxiety Scale and Self-rating Depression Scale.Patients’emotions,stress perception and psychological resilience were evaluated by the Positive and Negative Affect Schedule,the Chinese Perceived Stress Scale,and the Connor-Davidson Resilience Scale(CD-RISC),respectively.Patient survival was calculated using the Kaplan-Meier method,and survival curves were plotted for analysis with the log-rank test.Univariate and multivariate survival analyses were performed using the Cox regression model.RESULTS The 33 OBC patients included 32 females and 1 male.Of the 33 patients,30(91%)had axillary tumors,3(9%)had a neck mass as the primary symptom;18(54.5%)had estrogen receptor-positive tumors,17(51.5%)had progesterone receptor-positive tumors,and 18(54.5%)had Her-2-positive tumors;24(72.7%)received surgical treatment,including 18 patients who underwent modified radical mastectomy,1 patient who underwent breast-conserving surgery plus axillary lymph node dissection(ALND),and 5 patients who underwent ALND alone;12 patients received preoperative neoadjuvant therapy.All 30 patients developed anxiety and depression,with low positive affect scores and high negative affect scores,accompanied by a high stress level and poor psychological resilience.There were no differences in the psychological status of patients according to age,body mass index,or menopausal status.The overall survival and disease-free survival(DFS)of all the patients were 83.3%and 55.7%,respectively.Univariate analysis demonstrated that the initial tumor site(P=0.021)and node stage(P=0.020)were factors that may affect patient prognosis.The 5-year DFS rate of OBC patients who received radiotherapy was greater(P<0.001),while the use of different surgical methods(P=0.687)had no statistically significant effect on patient outcomes.Multivariate analysis revealed that radiotherapy(P=0.031)was an independent prognostic factor.Receiving radiotherapy had a significant effect on the CD-RISC score(P=0.02).CONCLUSION OBC is a rare breast disease whose diagnosis and treatment are currently controversial.There was no significant difference in the efficacy of other less invasive surgical procedures compared to those of modified radical mastectomy.In addition,radiotherapy can significantly improve patient outcomes.We should pay attention to the psychological state of patients while they receive antitumor therapy.