Purpose:To investigate the accuracy and efficiency of bedside ultrasonography application performed by certified sonographer in emergency patients with blunt abdominal trauma.Methods:The study was carried out from 201...Purpose:To investigate the accuracy and efficiency of bedside ultrasonography application performed by certified sonographer in emergency patients with blunt abdominal trauma.Methods:The study was carried out from 2017 to 2019.Findings in operations or on computed tomography(CT)were used as references to evaluate the accuracy of bedside abdominal ultrasonography.The time needed for bedside abdominal ultrasonography or CT examination was collected separately to evaluate the efficiency of bedside abdominal ultrasonography application.Results:Bedside abdominal ultrasonography was performed in 106 patients with blunt abdominal trauma,of which 71 critical patients received surgery.The overall diagnostic accordance rate was 88.68%.The diagnostic accordance rate for liver injury,spleen injury,kidney injury,gut perforation,retroperitoneal hematoma and multiple abdominal organ injury were 100%,94.73%,94.12%,20.00%,100%and 81.48%,respectively.Among the 71 critical patients,the diagnostic accordance rate was 94.37%,in which the diagnostic accordance rate for liver injury,spleen injury,kidney injury,gut perforation and multiple abdominal organ injury were 100%,100%,100%,20.00%and 100%.The mean time for imaging examination of bedside abdominal ultrasonography was longer than that for CT scan(4.45±1.63 vs.2.38±1.19)min;however,the mean waiting time before examination(7.37±2.01 vs.16.42±6.37)min,the time to make a diagnostic report(6.42±3.35 vs.36.26±13.33)min,and the overall time(17.24±2.33 vs.55.06±6.96)min were shorter for bedside abdominal ultrasonography than for CT scan.Conclusion:Bedside ultrasonography application provides both efficiency and reliability for the assessment of blunt abdominal trauma.Especially for patients with free peritoneal effusion and critical patients,bedside ultrasonography has been proved obvious advantageous.However,for negative bedside ultrasonography patients with blunt abdominal trauma,we recommend further abdominal CT scan or serial ultrasonography scans subsequently.展开更多
NiCuZn Ferrites are widely employed for many electronic applications, but can be replaced by MgCuZn ferrites owing to their superior properties like high initial permeability, high resistivity, low magnetostriction, e...NiCuZn Ferrites are widely employed for many electronic applications, but can be replaced by MgCuZn ferrites owing to their superior properties like high initial permeability, high resistivity, low magnetostriction, environmental stability and low cost. Three series of NiMgCuZn ferrites were prepared by conventional sintering process. The formation of single phase in these ferrites was confirmed by x-ray diffraction. Initial permeability measurements on these samples were carried out in the temperature range of 30-400℃. The effect of the external applied stress on the open magnetic circuit type coil with these ferrites was studied by applying uniaxial compressive stress parallel to magnetizing direction and the change in the inductance was measured. The variation of ratio of inductance (ΔL/L)% increases upto certain applied compressive stress and there after it decreases, showing different stress sensitivities for different compositions of ferrites studied in the present work. With a view to develop stress insensitive NiMgCuZn ferrite, a low stress sensitivity composition among all the ferrites studied was chosen and different amounts of SiO2 were added to it and a series of ferrite compositions were prepared. The variation of ratio of inductance (ΔL/L)% with external applied compressive stress was examined. These results show that, in a particular composition of 0.05 wt% SiO2added Ni0.3Mg0.3Cu0.1Zn0.3Fe2O4 ferrite exhibited stress insensitivity. It was noticed that addition of SiO2 was found to be effective in reducing the stress sensitivity. This was confirmed from the elastic behaviour studies at room temperature on these ferrite samples. These studies were carried out to develop a ferrite composition for its use as core material for microinductor applications.展开更多
基金supported by grants from the National Natural Science Foundation for Youth of China(Grant number 81301237).
文摘Purpose:To investigate the accuracy and efficiency of bedside ultrasonography application performed by certified sonographer in emergency patients with blunt abdominal trauma.Methods:The study was carried out from 2017 to 2019.Findings in operations or on computed tomography(CT)were used as references to evaluate the accuracy of bedside abdominal ultrasonography.The time needed for bedside abdominal ultrasonography or CT examination was collected separately to evaluate the efficiency of bedside abdominal ultrasonography application.Results:Bedside abdominal ultrasonography was performed in 106 patients with blunt abdominal trauma,of which 71 critical patients received surgery.The overall diagnostic accordance rate was 88.68%.The diagnostic accordance rate for liver injury,spleen injury,kidney injury,gut perforation,retroperitoneal hematoma and multiple abdominal organ injury were 100%,94.73%,94.12%,20.00%,100%and 81.48%,respectively.Among the 71 critical patients,the diagnostic accordance rate was 94.37%,in which the diagnostic accordance rate for liver injury,spleen injury,kidney injury,gut perforation and multiple abdominal organ injury were 100%,100%,100%,20.00%and 100%.The mean time for imaging examination of bedside abdominal ultrasonography was longer than that for CT scan(4.45±1.63 vs.2.38±1.19)min;however,the mean waiting time before examination(7.37±2.01 vs.16.42±6.37)min,the time to make a diagnostic report(6.42±3.35 vs.36.26±13.33)min,and the overall time(17.24±2.33 vs.55.06±6.96)min were shorter for bedside abdominal ultrasonography than for CT scan.Conclusion:Bedside ultrasonography application provides both efficiency and reliability for the assessment of blunt abdominal trauma.Especially for patients with free peritoneal effusion and critical patients,bedside ultrasonography has been proved obvious advantageous.However,for negative bedside ultrasonography patients with blunt abdominal trauma,we recommend further abdominal CT scan or serial ultrasonography scans subsequently.
文摘NiCuZn Ferrites are widely employed for many electronic applications, but can be replaced by MgCuZn ferrites owing to their superior properties like high initial permeability, high resistivity, low magnetostriction, environmental stability and low cost. Three series of NiMgCuZn ferrites were prepared by conventional sintering process. The formation of single phase in these ferrites was confirmed by x-ray diffraction. Initial permeability measurements on these samples were carried out in the temperature range of 30-400℃. The effect of the external applied stress on the open magnetic circuit type coil with these ferrites was studied by applying uniaxial compressive stress parallel to magnetizing direction and the change in the inductance was measured. The variation of ratio of inductance (ΔL/L)% increases upto certain applied compressive stress and there after it decreases, showing different stress sensitivities for different compositions of ferrites studied in the present work. With a view to develop stress insensitive NiMgCuZn ferrite, a low stress sensitivity composition among all the ferrites studied was chosen and different amounts of SiO2 were added to it and a series of ferrite compositions were prepared. The variation of ratio of inductance (ΔL/L)% with external applied compressive stress was examined. These results show that, in a particular composition of 0.05 wt% SiO2added Ni0.3Mg0.3Cu0.1Zn0.3Fe2O4 ferrite exhibited stress insensitivity. It was noticed that addition of SiO2 was found to be effective in reducing the stress sensitivity. This was confirmed from the elastic behaviour studies at room temperature on these ferrite samples. These studies were carried out to develop a ferrite composition for its use as core material for microinductor applications.