Implementing high-performance silicon(Si)anode in actual processing and application is highly desirable for next-generation,high-energy Li-ion batteries.However,high content of inactive matrix(including conductive age...Implementing high-performance silicon(Si)anode in actual processing and application is highly desirable for next-generation,high-energy Li-ion batteries.However,high content of inactive matrix(including conductive agent and binder)is often indispensable in order to ensure local conductivity and suppress pulverization tendency of Si particles,which thus cause great capacity loss based on the mass of whole electrode.Here,we designed an accordion-structured,high-performance electrode with high Si content up to 95%.Si nanoparticles were well anchored into the interlayer spacings of accordion-like graphene arrays,and free-standing electrode was prepared via a simple filtration process without any binder.Conductive accordion framework ensures strong confinement effect of Si nanoparticles and also provides direct,non-tortuous channels for fast electrochemical reaction kinetics.As a consequence,the accordion Si electrodes exhibit ultrahigh,electrode-based capacities up to 3149 mAh g^(-1)(under Si content of 91%),as well as long-term stability.Also,the accordion electrode can bear extreme condition of over-lithiation and maintains stable in full-cell test.This design provides a significant stride in high Si content toward realistic,high-performance electrodes.展开更多
AIM：To present a novel scleral flap suturing technique for filtering glaucoma surgery in order to control high postoperative intraocular pressure（IOP）.METHODS：Description of ‘the accordion suture＇ technique for ...AIM：To present a novel scleral flap suturing technique for filtering glaucoma surgery in order to control high postoperative intraocular pressure（IOP）.METHODS：Description of ‘the accordion suture＇ technique for mitomycin C augmented trabeculectomy.In cases of postoperative high IOP,pulling the loop of the suture helps to lift up the scleral flap by an even pressure on both edges.By means of this technique,the scleral flap opens up in an ‘‘accordion＇＇ manner,thus preventing flap obstruction and providing adequate aqueous flow.RESULTS：Our study group consisted of 8 eyes of 8 patients with neovascular glaucoma.Mean age of the subjects was 67.42±8.21 y and female/male ratio was 4/4.Mean preoperative IOP was 37±7.48 mm Hg.Mitomycin C augmented trabeculectomy was carried out on the subjects without any complications.The scleral flap closure is performed with three separate sutures;initially,our accordion suture through the center of the flap,and two releasable sutures on both corners.All the patients received removal of two side releasable sutures concomitant with pulling the accordion suture,without any complications.The average traction time was 3.5±0 wk postoperatively.The mean postoperative IOP was 11.37±2.72 mm Hg.No suture related complications were observed.CONCLUSION：This technique can be the suture of choice for filtering glaucoma surgery in experienced hands by its easy learning curve for precisely indicated patients.展开更多
AIM To benchmark severity of complications using the Accordion Severity Grading System(ASGS) in patients undergoing operation for severe pancreatic injuries. METHODS A prospective institutional database of 461 patient...AIM To benchmark severity of complications using the Accordion Severity Grading System(ASGS) in patients undergoing operation for severe pancreatic injuries. METHODS A prospective institutional database of 461 patients with pancreatic injuries treated from 1990 to 2015 was reviewed. One hundred and thirty patients with AAST grade 3, 4 or 5 pancreatic injuries underwent resection(pancreatoduodenectomy, n = 20, distal pancreatectomy, n = 110), including 30 who had an initial damage controllaparotomy(DCL) and later definitive surgery. AAST injury grades, type of pancreatic resection, need for DCL and incidence and ASGS severity of complications were assessed. Uni-and multivariate logistic regression analysis was applied. RESULTS Overall 238 complications occurred in 95(73%) patients of which 73% were ASGS grades 3-6. Nineteen patients(14.6%) died. Patients more likely to have complications after pancreatic resection were older, had a revised trauma score(RTS) < 7.8, were shocked on admission, had grade 5 injuries of the head and neck of the pancreas with associated vascular and duodenal injuries, required a DCL, received a larger blood transfusion, had a pancreatoduodenectomy(PD) and repeat laparotomies. Applying univariate logistic regression analysis, mechanism of injury, RTS < 7.8, shock on admission, DCL, increasing AAST grade and type of pancreatic resection were significant variables for complications. Multivariate logistic regression analysis however showed that only age and type of pancreatic resection(PD) were significant. CONCLUSION This ASGS-based study benchmarked postoperative morbidity after pancreatic resection for trauma. The detailed outcome analysis provided may serve as a reference for future institutional comparisons.展开更多
Quiescent Type of H. Rosen & Stage 2 of C.L. Romano et al. for Infected Non Union of Femur after K-nailing (Küntscher nailing) require no debridement & removal of nail and therefore can be treated by a si...Quiescent Type of H. Rosen & Stage 2 of C.L. Romano et al. for Infected Non Union of Femur after K-nailing (Küntscher nailing) require no debridement & removal of nail and therefore can be treated by a single stage procedure. There are a few reports of treating aseptic non-union of femur by compression alone or compression distraction over nail by Ilizarov Technique. However, no case of Infected Non-Union femur being treated by Accordion Manoeuvre with Ilizarov over nail in situ (i.e. without exchange nailing) has been reported so far. Here, we are reporting a case of Infected Non-Union following K-nailing for a fracture shaft of femur in a 15-year-old female, who was treated by this technique as a single stage procedure. An Ilizarov frame was mounted on the femur with nail in situ followed by Accordion Manoeuvre. The fracture was healed in 5.6 months with two cycles of Accordion Manoeuvre followed by rhythmic compression. There was no recurrence of infection.展开更多
We experimentally realize two-dimensional(2D) single-layer ultracold gases of ^(87)Rb by dynamically tuning the periodicity of a standing wave, known as accordion lattice. In order to load ^(87)Rb Bose-Einstein conden...We experimentally realize two-dimensional(2D) single-layer ultracold gases of ^(87)Rb by dynamically tuning the periodicity of a standing wave, known as accordion lattice. In order to load ^(87)Rb Bose-Einstein condensate into single dark fringe node of the blue detuning optical lattice, we reduce the lattice periodicity from 26.7 μm to 3.5 μm with the help of an acousto-optic deflector(AOD) to compress the three-dimensional BEC adiabatically into a flat and uniform quasi-2D single-layer. We describe the experimental procedure of the atoms loading into the accordion lattice in detail and present the characteristics of the quasi-2D ultracold gases. This setup provides an important platform for studying in-and out-of equilibrium physics, phase transition and 2D topological matter.展开更多
基金supported by Shaanxi Yanchang Petroleum Co.,Ltd.(18529)Yiwu Research Institute of Fudan University(21557)+1 种基金the National Science Foundation of China(22075048)the Shanghai International Collaboration Research Project(19520713900).
文摘Implementing high-performance silicon(Si)anode in actual processing and application is highly desirable for next-generation,high-energy Li-ion batteries.However,high content of inactive matrix(including conductive agent and binder)is often indispensable in order to ensure local conductivity and suppress pulverization tendency of Si particles,which thus cause great capacity loss based on the mass of whole electrode.Here,we designed an accordion-structured,high-performance electrode with high Si content up to 95%.Si nanoparticles were well anchored into the interlayer spacings of accordion-like graphene arrays,and free-standing electrode was prepared via a simple filtration process without any binder.Conductive accordion framework ensures strong confinement effect of Si nanoparticles and also provides direct,non-tortuous channels for fast electrochemical reaction kinetics.As a consequence,the accordion Si electrodes exhibit ultrahigh,electrode-based capacities up to 3149 mAh g^(-1)(under Si content of 91%),as well as long-term stability.Also,the accordion electrode can bear extreme condition of over-lithiation and maintains stable in full-cell test.This design provides a significant stride in high Si content toward realistic,high-performance electrodes.
文摘AIM：To present a novel scleral flap suturing technique for filtering glaucoma surgery in order to control high postoperative intraocular pressure（IOP）.METHODS：Description of ‘the accordion suture＇ technique for mitomycin C augmented trabeculectomy.In cases of postoperative high IOP,pulling the loop of the suture helps to lift up the scleral flap by an even pressure on both edges.By means of this technique,the scleral flap opens up in an ‘‘accordion＇＇ manner,thus preventing flap obstruction and providing adequate aqueous flow.RESULTS：Our study group consisted of 8 eyes of 8 patients with neovascular glaucoma.Mean age of the subjects was 67.42±8.21 y and female/male ratio was 4/4.Mean preoperative IOP was 37±7.48 mm Hg.Mitomycin C augmented trabeculectomy was carried out on the subjects without any complications.The scleral flap closure is performed with three separate sutures;initially,our accordion suture through the center of the flap,and two releasable sutures on both corners.All the patients received removal of two side releasable sutures concomitant with pulling the accordion suture,without any complications.The average traction time was 3.5±0 wk postoperatively.The mean postoperative IOP was 11.37±2.72 mm Hg.No suture related complications were observed.CONCLUSION：This technique can be the suture of choice for filtering glaucoma surgery in experienced hands by its easy learning curve for precisely indicated patients.
文摘AIM To benchmark severity of complications using the Accordion Severity Grading System(ASGS) in patients undergoing operation for severe pancreatic injuries. METHODS A prospective institutional database of 461 patients with pancreatic injuries treated from 1990 to 2015 was reviewed. One hundred and thirty patients with AAST grade 3, 4 or 5 pancreatic injuries underwent resection(pancreatoduodenectomy, n = 20, distal pancreatectomy, n = 110), including 30 who had an initial damage controllaparotomy(DCL) and later definitive surgery. AAST injury grades, type of pancreatic resection, need for DCL and incidence and ASGS severity of complications were assessed. Uni-and multivariate logistic regression analysis was applied. RESULTS Overall 238 complications occurred in 95(73%) patients of which 73% were ASGS grades 3-6. Nineteen patients(14.6%) died. Patients more likely to have complications after pancreatic resection were older, had a revised trauma score(RTS) < 7.8, were shocked on admission, had grade 5 injuries of the head and neck of the pancreas with associated vascular and duodenal injuries, required a DCL, received a larger blood transfusion, had a pancreatoduodenectomy(PD) and repeat laparotomies. Applying univariate logistic regression analysis, mechanism of injury, RTS < 7.8, shock on admission, DCL, increasing AAST grade and type of pancreatic resection were significant variables for complications. Multivariate logistic regression analysis however showed that only age and type of pancreatic resection(PD) were significant. CONCLUSION This ASGS-based study benchmarked postoperative morbidity after pancreatic resection for trauma. The detailed outcome analysis provided may serve as a reference for future institutional comparisons.
文摘Quiescent Type of H. Rosen & Stage 2 of C.L. Romano et al. for Infected Non Union of Femur after K-nailing (Küntscher nailing) require no debridement & removal of nail and therefore can be treated by a single stage procedure. There are a few reports of treating aseptic non-union of femur by compression alone or compression distraction over nail by Ilizarov Technique. However, no case of Infected Non-Union femur being treated by Accordion Manoeuvre with Ilizarov over nail in situ (i.e. without exchange nailing) has been reported so far. Here, we are reporting a case of Infected Non-Union following K-nailing for a fracture shaft of femur in a 15-year-old female, who was treated by this technique as a single stage procedure. An Ilizarov frame was mounted on the femur with nail in situ followed by Accordion Manoeuvre. The fracture was healed in 5.6 months with two cycles of Accordion Manoeuvre followed by rhythmic compression. There was no recurrence of infection.
基金Project supported by the Innovation Program for Quantum Science and Technology (Grant No. 2021ZD0302003)the National Key Research and Development Program of China (Grant Nos. 2016YFA0301602, 2018YFA0307601, and 2021YFA1401700)+2 种基金the National Natural Science Foundation of China (Grant Nos. 12034011, 92065108, 11974224, 12022406, and 12004229)the Natural Science Basic Research Plan of Shaanxi Province, China (Grant No. 2019JQ058)the Fund for Shanxi “1331 Project” Key Subjects Construction。
文摘We experimentally realize two-dimensional(2D) single-layer ultracold gases of ^(87)Rb by dynamically tuning the periodicity of a standing wave, known as accordion lattice. In order to load ^(87)Rb Bose-Einstein condensate into single dark fringe node of the blue detuning optical lattice, we reduce the lattice periodicity from 26.7 μm to 3.5 μm with the help of an acousto-optic deflector(AOD) to compress the three-dimensional BEC adiabatically into a flat and uniform quasi-2D single-layer. We describe the experimental procedure of the atoms loading into the accordion lattice in detail and present the characteristics of the quasi-2D ultracold gases. This setup provides an important platform for studying in-and out-of equilibrium physics, phase transition and 2D topological matter.
