An evaluation of ureteral diameter ratio and vesicoureteral reflux index in the treatment of primary vesicoureteral reflux

Objective:Vesicoureteral reflux(VUR)index is a simple,validated tool that reliably predicts significant improvement and spontaneous resolution of primary reflux in children.The aim of this study was to evaluate and compare the ureter diameter ratio(UDR)and VUR index(VURx)of patients treated with endoscopic injection(EI)and ureteroneocystostomy(UNC)methods in the pediatric age group due to primary VUR.Methods:Patients under the age of 18 years old who underwent EI and UNC with the diagnosis of primary VUR between January 2011 and September 2021 were determined as the participants.The UDR was assessed using voiding cystourethrography,and the VURx score was determined prior to treatment based on hospital records included in the study.Results:A total of 255 patients,60(23.5%)boys and 195(76.5%)girls,with a mean age of 76.5(range 13.0e204.0)months,were included in the study.EI was applied to 130(51.0%)patients and UNC was applied to 125(49.0%)patients due to primary VUR.The optimum cut-off for the distal UDR was obtained as 0.17 with sensitivity and specificity of 73.0%and 63.0%,respectively.The positive and negative predictive values were 66.0%and 70.0%,respectively.Conclusion:When the UDR and VURx score are evaluated together for the surgical treatment of primary VUR in the pediatric age group,it is thought that it may be useful in predicting the clinical course of the disease and evaluating surgical treatment options.

Added value of ratio of cross diameters of the appendix in ultrasound diagnosis of acute appendicitis

BACKGROUND The maximum outer diameter(MOD)of the appendix is an essential parameter for diagnosing acute appendicitis,but there is space for improvement in ultrasound(US)diagnostic performance.AIM To investigate whether combining the ratio of the cross diameters(RATIO)of the appendix with MOD of the appendix can enhance the diagnostic performance of acute appendicitis.METHODS A retrospective study was conducted,and medical records of 233 patients with acute appendicitis and 112 patients with a normal appendix were reviewed.The MOD and RATIO of the appendix were calculated and tested for their diagnostic performance of acute appendicitis,both individually and in combination.RESULTS The RATIO for a normal appendix was 1.32±0.16,while for acute appendicitis it was 1.09±0.07.The cut-off value for RATIO was determined to be≤1.18.The area under the receiver operating characteristic curve(AUC)for diagnosing acute appendicitis using RATIO≤1.18 and MOD>6 mm was 0.870 and 0.652,respectively.There was a significant difference in AUC between RATIO≤1.18 and MOD>6 mm(P<0.0001).When comparing the combination of RATIO≤1.18 and MOD>6 mm with MOD>6 mm alone,the combination showed increased specificity,positive predictive value(PPV),and AUC.However,the sensitivity and negative predictive value decreased.CONCLUSION Combining RATIO of the appendix≤1.18 and MOD>6 mm can significantly improve the specificity,PPV,and AUC in the US diagnosis of acute appendicitis.

Measuring tree stem diameters and straightness with depth-image computer vision

Current techniques of forest inventory rely on manual measurements and are slow and labor intensive.Recent developments in computer vision and depth sensing can produce accurate measurement data at significantly reduced time and labor costs.We developed the ForSense system to measure the diameters of trees at various points along the stem as well as stem straightness.Time use,mean absolute error(MAE),and root mean squared error(RMSE)metrics were used to compare the system against manual methods,and to compare the system against itself(reproducibility).Depth-derived diameter measurements of the stems at the heights of 0.3,1.4,and 2.7 m achieved RMSE of 1.7,1.5,and 2.7 cm,respectively.The ForSense system produced straightness measurement data that was highly correlated with straightness ratings by trained foresters.The ForSense system was also consistent,achieving sub-centimeter diameter difference with subsequent measures and less than 4%difference in straightness value between runs.This method of forest inventory,which is based on depth-image computer vision,is time efficient compared to manual methods and less computationally and technologically intensive compared to Structure-from-Motion(SFM)photogrammetry and ground-based LiDAR or terrestrial laser scanning(TLS).

Research on Large Depth Diameter Ratio Ultra-precision Aspheric Grinding System

In this paper, the factors of affecting surface roughness and profiles accuracy of the machined larege depth diamter ratio aspheric surfaces in ultra-precision grinding process are analyzed theoretically. An ultra-precision aspheric grinding system is then designed and manufactured. Aerostatic form is adopted to build the spindle of the workpiece, transverse guideway, longitudinal guideway and the spindle of the grinder in this system. The following specification is achieved, such as the turning accuracy of the spindle of the workpiece is 0.05 μm, radial rigidity of the spindle is GE 220N/μm, axial rigidity is GE 160 N/μm, radial rigidity of the guideway is GE 200N/μm, the highest rotational speed of the grinder is 80 000 rev/min and its turning accuracy is 0.1 μm, the resolution of linear displacement of the transverse and longitudinal guideway is 4.9 nm. Adjusting range of this adjusting mechanism is 2 mm in the Y direction, the adjusting accuracy of the precise adjusting mechanism is 0.1 μm. Micro displacement measuring system of this ultra-precision aspheric grinding adopts two-backfeed strategy, and angle displacement back-feed is realized by photoelectric encoder, it’s resolution is 655 360 pulse/rev. after 4 frequency multiplication, it’s angle displacement resolution is achieved 2 621 440 pulse/rev. Straight-line displacement is monitored by single frequency laser interferometer (DLSTAX LTM-20B, made in Japan). This CNC system adopts inimitable bi-arc step length flex CN interpolation algorithm, it’s CN system resolution is 5 nm.So this aspheric grinding system ensures profile accuracy of the machined part. The resolution of this interferometer is 5 nm. Finally, lots of ultra-precision grinding experiments are carried out on this grinding system. Some optical aspheric parts, with profiles accuracy of 0.3 μm, surface roughness less than 0.01 μm, are obtained.

Platelet count/spleen diameter ratio to predict esophageal varices in Mexican patients with hepatic cirrhosis

AIM: To validate whether the platelet count/spleen size ratio can be used to predict the presence of esophageal varices in Mexican patients with hepatic cirrhosis.

Stress-strain-acoustic responses in failure process of coal rock with different height to diameter ratios under uniaxial compression

Residual coal pillars play an important role in mining the adjacent coal seam safely,managing the gobs and maintaining the stability of abandoned coal mines.The height to diameter ratio(H/D)affects the stability of residual coal pillars.In this study,uniaxial compressive tests of coal specimens with five H/D(2.0,1.5,1.0,0.8 and 0.6)were performed,and the stress,strain and acoustic emission(AE)were monitored.Results show that the uniaxial compressive strength(UCS)and peak strain increase with H/D decreasing.An empirical equation is proposed to calculate the UCS based on the H/D.The AE activities during coal failure process can be separated into four periods.The span of quiet period and rapid decline period shorten with H/D decreasing.The smaller the H/D is,the more complicated the failure characteristics of coal will be.The failure form of coal with H/D of 2.0,1.5,and 1.0 is primarily shear failure,while splitting failure along the axial direction is the mainly mode when H/D is 0.8 or 0.6.The initiation,expansion,aggregation and connection of micro-cracks can be reflected by the real-time spatial evolution of AE event points.

On the Elastic Vibration Model for High Length-Diameter Ratio Rocket with Attitude Control System

An elastic vibration model for high length diameter ratio spinning rocket with attitude control system which can be used for trajectory simulation is established. The basic theory of elastic dynamics and vibration dynamics were both used to set up the elastic vibration model of rocket body. In order to study the problem more conveniently, the rocket's body was simplified to be an even beam with two free ends. The model was validated by simulation results and the test data.

Morphotype dependence of Globigerinoides ruber(white)and Trilobatus sacculifer Mg/Ca ratios in the western tropical Pacific:implications for reconstructing the mixed-layer depth

Planktonic foraminifer Globigerinoides ruber(white)and Trilobatus sacculifer are the most frequently used mixedlayer dwelling species for reconstructing past oceanic environments.Specifically,the Mg/Ca ratios of these two foraminiferal species have been used for reconstructing tropical/subtropical changes in sea surface temperature(SST).However,these two species have different morphotypes,of which the spatial and temporal differences in Mg/Ca ratios and their influencing factors are still unclear.Our objective is to investigate the potential differences between the Mg/Ca ratios of these different morphotypes of G.ruber(white)and T.sacculifer in the western Philippine Sea(WPS)and determine their implications for the reconstruction of SST and upper-ocean structure.Mg/Ca measurements are made on two basic morphotypes of G.ruber(white)[sensu stricto(s.s.)and sensu lato(s.l.)]and T.sacculifer[with(w)and without(w/o)a sac-like final chamber]on samples of Site MD06-3047B from the WPS.Our results reveal that Mg/Ca ratios of different G.ruber morphotypes show consistent differences;and those of T.sacculifer morphotypes show staged variations since MIS 3.It is suggested to select a single morphotype for reconstructing SST changes using the Mg/Ca ratios of G.ruber and T.sacculifer in the WPS.Furthermore,the Mg/Ca ratios between G.ruber s.s.and G.ruber s.l.[Δ(Mg/Ca)_(G.ruber s.s.-s.l.)]downcore MD06-3047B covaries with indexes of summer monsoon.Combining with the core-top results,showing regional variation of differences in theΔ(Mg/Ca)_(G.ruber s.s.-s.l.)over the western tropical Pacific,we propose thatΔ(Mg/Ca)_(G.ruber s.s.-s.l.)may tend to reflect summer mixed layer depth.

Can platelet count/spleen diameter ratio be used for cirrhotic children to predict esophageal varices?

AIM To determine the laboratory and radiologic parameters, including the platelet count(PC)-to-spleen diameter(SD) ratio as a non-invasive marker that may predict the presence of esophageal varices(EV) in children with cirrhosis.METHODS Eighty-nine patients with cirrhosis, but without a history of variceal bleeding were prospectively included. The children were grouped into 6-12 and 12-18 years of age groups. These groups were also divided into 2 subgroups(presence and absence of EV). All of the patients underwent a complete biochemical and radiologic evaluation. The PC(n/mm^3)-to-SD(mm) ratio was calculated for each patient. RESULTS Sixty-nine of 98(70.4%) patients had EV. The presence of ascites in all age groups was significantly associatedwith the presence of EV. There were no differences in serum albumin levels, PC, SD and the PC-to-SD ratio between the presence and absence of EV groups in both age groups(P > 0.05). CONCLUSION Laboratory and radiologic parameters, including the PC-to-SD ratio as a non-invasive marker(except for the presence of ascites), was inappropriate for detecting EV in children with cirrhosis.

Near resonance vibration isolation on a levered-dual response(LEDAR)Coulomb-damped system by differential preloads/offsets in linear springs

The levered-dual response(LEDAR)Coulomb-damped system attains near resonant vibration isolation by differential preloads/offsets in linear springs.It takes the advantages of both the preloads/offsets in linear springs and the guiderail friction for realizing different levels of vibration isolation.The isolation capacities are investigated on the strategies with both the horizontal and vertical guiderails,with the horizontal rail only,and without guiderails.The compressive preloads generally result in the consumption of most of the initial excitation energy so as to overcome the potential threshold.The isolation onsets at the frequency ratio of 1∓0.095 on the left-hand side(LHS)and the right-hand side(RHS)of the lever are relative to the load plate connector.The observed near resonant isolation thus makes the LEDAR system a candidate for the isolation of the mechanical systems about resonance while opening a path for simultaneous harvesterisolation functions and passive functions at extreme frequencies.

Preparation of Layered Potassium Titanate Whiskers with Large Length-diameter Ratio by KDC Method

Pure K2Ti4O9 whiskers were prepared by KDC（Kneading-Drying-Calcination） method with TiO2 and K2CO3 as raw materials. The influences of TiO2/K2CO3 molar ratio（RT/K）, calcination temperature（TC） and cooling process on phase composition and morphology of the whiskers were investigated by TG-DSC（thermo gravimetric-differential scanning calorimeter）, XRD（X-ray diffraction）, and SEM（scanning electron microscope）. Pure K2Ti4O9 potassium titanate whiskers with large length-diameter ratio（r）（over 250） can be obtained at RT/K = 2.9 and TC = 950 ℃.

Fabrication and Property of SiC Ceramic with Large Thickness/Diameter Ratios

Silicon carbide ceramics with different thicknesses/diameter ratios were prepared by using ultra-fine silicon carbide powder with the sintering additives of 1.0 wt% boron and 1.5 wt% carbon. The influence of thickness/diameter ratio on the microstructure and density of SiC ceramics was investigated in detail. The experimental results show that the addition of boron and carbon sintering aids can promote the densification process of SiC ceramic, leading to the low sintering temperature and improve mechanical properties. At 1950 ℃, SiC ceramic with a density of 99% exhibits Young's modulus, hardness, and flexural strength of 476 MPa, 28.3 GPa, and 334 MPa, respectively. It is found that long holding time has a positive effect on the uniformity of the microstructure and density distribution of SiC ceramics with large thickness/diameter ratios. Additionally, the sintering additive of boron can solid-solve into SiC, and then facilitate the phase transformation of SiC to form 6H-SiC and 4H-SiC composite ceramics.

Prognostic value of the echocardiographic right/left ventricular end-diastolic diameter ratio in patients with idiopathic pulmonary arterial hypertension

Background Previous studies have shown that an echocardiographic right/left ventricular end-diastolic diameter ratio(RV/LV ratio)≥0.9 is an independent predictor of poor prognosis in patients with acute pulmonary embolism. The prognostic value of the RV/LV ratio in patients with idiopathic pulmonary arterial hypertension(IPAH) is still unknown. Methods We retrospectively enrolled 95 consecutive patients with newly diagnosed IPAH and 16 of them were reevaluated by echocardiography at 3-12 months following targeted therapy.Follow-up data were obtained by telephone interviews and review of the patients’ records.Results The RV/LV ratio was in parallel with the severity of World Health Orgnization(WHO) functional class and mean right atrial pressure.The RV/LV ratio was positively correlated with total pulmonary resistance(P P P 2 saturation(P P = 0.001),weight and absence of targeted therapy were independent predictors of death.No significant changes in the RV/LV ratio before and after targeted therapy were observed. A baseline RV/LV ratio≥0.84 or a further increase in the RV/LV ratio during targeted therapy indicated a poor prognosis. Conclusions The RV/LV ratio helps to assess the severity of IPAH and serves as an independent predictor of prognosis in patients with IPAH.

Effects of process parameters on the depth-to-width ratio of flux-cored wire underwater wet welding

The effects of process parameters on the depth-to-width ratio （D/W） of flux-cored wire underwater wet welding with a certain type of homemade .flux-cored wire are studied. It is found that the welding .speed, wire feeding speed and torch oscillating amplitude hare significant effects on the dopth-to-width ratio （D/W） of welds. The D/W ratio of welds increases significantly with the increase of welding speed without the oscillating of welding torch. It increased （from 0. 14 to 0. 26 ） with the increase of wire feeding speed while the torch oscillating. And it decreased linearly with the increase of torch oscillating amplitude. However, the influelwe of oscillating speed, wire extension and welding voltage on the D/W ratio of welds was not obvious.

Evaluation of EEG β2/θ -ratio and channel locations in measuring anesthesia depth

In this paper, the ratio of powers in the frequency bands of β2 and θ waves in EEG signals (termed as the β2/θ -ratio) was introduced as a potential enhancement in measuring anesthesia depth. The β2/θ -ratio was compared to the relative β-ratio which had been commercially used in the BIS monitor. Sensitivity and reliability of the β2/θ -ratio and EEG measurement locations were analyzed for their effectiveness in measuring anesthesia depth during different stages of propofol induced anesthesia (awake, induction, maintenance, and emergence). The analysis indicated that 1) the relative β -ratio and β2/θ-ratio derived from the prefrontal, frontal, and the central cortex EEG signals were of substantial sensitivity for capturing anesthesia depth changes. 2) Certain channel positions in the frontal part of the cortex, such as , had the combined benefits of substantial sensitivity and noise resistance. 3) The β2/θ-ratio captured the initial excitation, while the relative β -ratio did not. 4) In the maintenance and emergence stages, the β2/θ -ratio showed improved reliability. Implications: The ratio of powers in EEG frequency bands and derived from the frontal cortex EEG channels has combined benefits of substantial sensitivity and noise resistance in measuring anesthesia depth.

Theoretical analyses on bed topography responses in large depth-to-width ratio river bends with constant curvatures

Bed morphology is the result of a dynamic response to a complex meandering river system. It is an important factor for the further development of river. Based on the meandering river characterized by a large depth-to-width ratio, a theoretical model is established with the coupling of Navier-Stokes （N-S）~ sediment transport, and bed deformation equations. The flow characteristics and bed response of river are obtained with the perturbation method. The research results show that, under the effect of two- dimensional flow disturbance, the bars and pools present the regular response. For a given sinuousness, the amplitude of the bed response can be used as a criterion to judge the bedform stability. The effects of the Reynolds number, disturbance wavenumber, sinuousness, and bed morphology gradient on the bed response development are described.

Impact of depth ratio on flow structure and turbulence characteristics of compound open channel flows

Compound open channel flows appear in most natural rivers are of great importance in river management and flood control.In this study,large eddy simulations were carried out to simulate the compound open channel flows with four different depth ratios(hr=0.10,0.25,0.50,and 0.75).The main flow velocity,secondary flow,Reynolds stress,and bed shear stress were obtained from numerical simulations.The depth-averaged stream wise momentum equation was used to quantify the lateral momentum exchange between the main channel and floodplain.The instantaneous coherent structures were presented by the Q criterion method.The impact of hr on flow structure and turbulence charac-teristics was analyzed.The results showed that with the increase of hr,the high velocity area in the main channel shifted to the floodplain,and the dip phenomenon became more obvious;the Reynolds stress largely contributed to the lateral momentum exchange within the flows near the side walls of floodplain;and the vortex structures were found to significantly increase in the floodplain region.

Stability evaluation method of large cross-section tunnel considering modification of thickness-span ratio in mechanized operation

Purpose-This study aims to research the large cross-section tunnel stability evaluation method corrected after considering the thickness-span ratio.Design/methodology/approach-First,taking the Liuyuan Tunnel of Huanggang-Huangmei High-Speed Railway as an example and taking deflection of the third principal stress of the surrounding rock at a vault after tunnel excavation as the criterion,the critical buried depth of the large section tunnel was determined.Then,the strength reduction method was employed to calculate the tunnel safety factor under different rock classes and thickness-span ratios,and mathematical statistics was conducted to identify the relationships of the tunnel safety factor with the thickness-span ratio and the basic quality(BQ)index of the rock for different rock classes.Finally,the influences of thickness-span ratio,groundwater,initial stress of rock and structural attitude factors were considered to obtain the corrected BQ,based on which the stability of a large cross-section tunnel with a depth of more than 100 m during mechanized operation was analyzed.This evaluation method was then applied to Liuyuan Tunnel and Cimushan No.2 Tunnel of Chongqing Urban Expressway for verification.Findings-This study shows that under different rock classes,the tunnel safety factor is a strict power function of the thickness-span ratio,while a linear function of the BQ to some extent.It is more suitable to use the corrected BQ as a quantitative index to evaluate tunnel stability according to the actual conditions of the site.Originality/value-The existing industry standards do not consider the influence of buried depth and span in the evaluation of tunnel stability.The stability evaluation method of large section tunnel considering the correction of overburden span ratio proposed in this paper achieves higher accuracy for the stability evaluation of surrounding rock in a full or large-section mechanized excavation of double line high-speed railway tunnels.

前混合水射流喷丸单丸粒冲击特性研究

单丸粒冲击特性是研究混合射流表面喷丸强度和覆盖率的基础指标,丸粒特性与靶材特性均会对冲击后的弹坑形态产生影响。以不同热处理后的18CrNiMo7-6低碳合金钢为靶材,研究了不同丸粒冲击条件下的弹坑特性。从弹坑形成机理出发,建立了单丸粒冲击弹坑尺寸模型,并通过试验研究,修正了高硬度靶材弹坑的误差,使弹坑深度预测误差降低到30%以下。在此基础上,研究了弹坑相关特征参数(深径比、坑深坑直径占比、脊高)的规律。结果表明,丸粒硬度和靶材硬度对深径比以及坑深直径占比影响最为显著,而弹坑周边的脊状结构只存在于低硬度靶材中。各参数对脊高的影响由大到小分别为丸粒直径、丸粒硬度和丸粒速度。

不同冲击气压下煤样动态剪切强度的长径比效应

采用Φ50mm分离式霍普金森压杆(SHPB)试验系统,开展了不同冲击气压下直径75mm,长径比分别为0.20,0.27,0.33,0.40和0.47的5组煤样的动态剪切试验,划分了煤动态剪应力时程曲线的阶段,探讨了冲击气压对煤样动态剪切强度的影响,分析了煤样动态剪切强度和加载率的长径比效应,并建立了长径比效应理论模型。研究结果表明:①煤样动态剪应力时程曲线可分为应力初始上升、应力线性增长、应力缓慢上升和应力下降4个阶段;②煤样动态剪切强度与冲击气压呈正线性相关,但不同长径比下增加幅度存在差异,具体表现为:相同冲击气压增量下,煤样长径比越小,动态剪切强度的增加幅度越大;③煤样动态剪切强度和加载率均与长径比有关,在0.25,0.35 MPa较低冲击气压与0.45,0.55 MPa较高冲击气压下分别呈现出正、负长径比效应,并通过方差分析确定了长径比对其影响最小的冲击气压为0.376MPa;④建立了不同冲击气压下煤样动态剪切强度长径比效应理论模型,通过加载率效应推导出加载率长径比效应理论模型,并验证了模型的合理性和准确性。