Double glow plasma surface metallurgy technique was used to fabricate a Fe?Al?Cr?Nb alloyed layer onto the surface of the 45 steel. The microstructures and composition of th?eA Fl?eCr?Nb alloyed layer were analyzed by...Double glow plasma surface metallurgy technique was used to fabricate a Fe?Al?Cr?Nb alloyed layer onto the surface of the 45 steel. The microstructures and composition of th?eA Fl?eCr?Nb alloyed layer were analyzed by scanning electronic microscopy, X-ray diffraction and energy dispersive spectroscopy. The results indicate thatthe 20 μm alloyed layer is homogeneous and compact. The alloyed elements exhibit a gradient distribution along the cross section. Microhardness and nanoindentation tests imply that the surface hardness of the alloyed layer reaches HV 580, which is almost 2.8 times that of the substrate. Compared with the substrate, the alloyed layer has a much smaller displacement and a larger elastic modulus. According to the friction and wear tests at room temperature, the? FeAl?Cr?Nb alloyed layer has lower friction coefficient and less wear mass, implying that the Fe?Al?Cr?Nb alloyed layer can effectively improve the surface hardness and wear resistance of the substrate.展开更多
The system principle and configuration of the double differential pressure method for measuring oil tank level are presented. The fundamental method and circuit of fiber optic transmission are analyzed .The accuracy a...The system principle and configuration of the double differential pressure method for measuring oil tank level are presented. The fundamental method and circuit of fiber optic transmission are analyzed .The accuracy and security of level measurement in the oil tanks have been greatly improved.展开更多
The new double projecting neurons were found in the cat spinal dorsal horn by the double retrograde fluorescent tracing technique.Fast Blue(FB)was injected into unilateral dorsal column nucleus(DCN)of adult cats anest...The new double projecting neurons were found in the cat spinal dorsal horn by the double retrograde fluorescent tracing technique.Fast Blue(FB)was injected into unilateral dorsal column nucleus(DCN)of adult cats anesthetized with pentobarbital.Nuclear Yellow(NY)was injected ipsilaterally into the lateral cervical nucleus(LCN)8-9 days later.After an additional 18-30 hrs.展开更多
Objective:To investigate the clinical effects of applying the magnetic resonance double mismatch technique to endovascular treatment of acute anterior circulation,large vessel occlusion with cerebral infarction in an ...Objective:To investigate the clinical effects of applying the magnetic resonance double mismatch technique to endovascular treatment of acute anterior circulation,large vessel occlusion with cerebral infarction in an unknown time window.Methods:The research work was carried out in our hospital,the work was carried out from November 2018 to November 2019,the patients with acute anterior circulation large vessel occlusion with cerebral infarction who were treated in our hospital during this period,100 patients,50 patients with an unknown time window and 50 patients with definite time window were selected,and they were named as the experimental and control groups,given different examination methods,were given to investigate the clinical treatment effect.Results:Patients’data on HIHSS score before treatment,the incidence of intracranial hemorrhage and rate of Mrs≤2 rating after 90 days of treatment were not significantly different(P>0.05),which was not meaningful.The differences in data between the two groups concerning HIHSS scores were relatively significant before,and after treatment(P<0.05).Conclusion:The magnetic resonance double mismatch technique will be applied in the endovascular treatment of acute anterior circulation large vessel occlusion with cerebral infarction of unknown time window.展开更多
BACKGROUND : Experimental animal models of intracerebral hemorrhag (ICH) are greatly needed, so the process of establishment should be ideal in hematoma formation and easy to operate. OBJECTIVE : To construct mode...BACKGROUND : Experimental animal models of intracerebral hemorrhag (ICH) are greatly needed, so the process of establishment should be ideal in hematoma formation and easy to operate. OBJECTIVE : To construct model of ICH in rats with double injection of autologous blood taken from the cut tail cut and double withdrawal of the needle (shortened as two-step injection model), and compare with those induced by single and double injections. DESIGN : A randomized controlled tria SETTING: Department of Neurology, General Hospital of Military Area Command of Chinese PLA. MATERIALS: Thirty male Wistar rats of 10 to 12 months, weighing (400±25) g, provided by the Experimental Center of Medical Animals, General Hospital of Shenyang Military Area Command of Chinese PLA, were divided randomly into 3 groups with 10 rats in each group: two-step injection group, single injection group, double injection group. METHODS : The experiment was carried out in the Department of Neurology, General Hospital of Military Area Command of Chinese PLA from March to June in 2004. Autologous blood ICH model in rats were established as follows: In the two-step injection group, 50 μL unclotted autologous blood was taken from the rat tail cut, then injected with microsyringe into the caudate nucleus, 10 μL injected at first, paused for 2 minutes, and then the rest 40 μL injected slowly and continuously within 2 minutes. After the injection, the needle was kept immovable for about 4 minutes, withdrawn 2.0 mm, again kept immovable for about 4 minute, and then removed wholly at a slow speed. In the single injection group, 50 μL unclotted tail blood was injected slowly and continuously all within 2 minutes and the needle was slowly removed;(4) In the double injection group, 10 mL blood was injected at first, paused for 2 minutes, the rest 40 μL injected evenly within 2 minutes, and then the needle was withdrawn slowly and uninterruptedly. Neurologic findings were scored in accordance with Longa's five-point scale (0-4 scores, the higher the score, the severer the neurological dysfunction). The rats were killed to remove and sections were prepared, the morphological features of hematomas were grossly observed, the maximal diameter and size of hematomas in each slice were measured with the imaging analytical system, and the volume was calculated. Meanwhile, the conveniences of the techniques were compared. MAIN OUTCOME MEASURES: The morphological features and volume of hematomas, neurologic deficit score (NDS), and the convenience of the techniques were compared. RESULTS: All the 30 rats were involved in the analysis of results without deletion. (1) Results of the morphological observation of volume of hematoma: In the two-step injection group, hematomas located in the right caudate nucleus area regularly in circular or analogously circular shape in each slice. The formation rate of hematomas in the single injection group and double injection group were lower than those in the two-step injection group [60% (6/10), 80% (8/10), 100% (10/10), P〈 0.01, 0.05]. The volume of hematomas in the single injection group and double injection group were smaller than those in the two-step injection group [(28.5±14.8), (33.4±7.4), (41.6±3.9) mm3, P〈 0.01, 0.05]. (2) NDS results: The NDS scores in the single injection group and double injection group were smaller than that in the two-step injection group (0.90±0.83, 1.30±0.78, 1.90±0.57, P〈 0.05). (3)Comparison of the convenience of the techniques: The double injection method allowed generating reproducible hematomas in rats with shortcomings that it needed autologous arterial blood from femoral artery, and precision instruments such as microinfusion pump. The two-step injection injected fresh unclotting blood taken directly from the tail cut with microsyringe into the rat brain, and it has the advantages of easy operation, no influence on the activity of thrombase, shorter duration for model establishment, and higher rate of hematoma formation, which could generate ideal and economical models of ICH. The two-step injection induced hemotoma regularly in circular or analogously circular shape in each slice, but those induced by single and double injections were mostly in strip or fusiform shapes and extending along the needle tracks or into the ventricle or subarachnoid space. CONCLUSION : The autologous blood ICH model induced by the two-step injection method is a reproducible and reliable one in regular shape, which is better than those induced by double and single injections.展开更多
Objective To evaluate the effect of double tractors swing microendoscopic discectomy technique in multisegmental lumbar disc herniation.Methods From December 2006 to November 2009,153 patients with multisegmental lumb...Objective To evaluate the effect of double tractors swing microendoscopic discectomy technique in multisegmental lumbar disc herniation.Methods From December 2006 to November 2009,153 patients with multisegmental lumbar disc herniation展开更多
BACKGROUND Multiple linear stapler firings during double stapling technique(DST)after laparoscopic low anterior resection(LAR)are associated with an increased risk of anastomotic leakage(AL).However,it is difficult to...BACKGROUND Multiple linear stapler firings during double stapling technique(DST)after laparoscopic low anterior resection(LAR)are associated with an increased risk of anastomotic leakage(AL).However,it is difficult to predict preoperatively the need for multiple linear stapler cartridges during DST anastomosis.AIM To develop a deep learning model to predict multiple firings during DST anastomosis based on pelvic magnetic resonance imaging(MRI).METHODS We collected 9476 MR images from 328 mid-low rectal cancer patients undergoing LAR with DST anastomosis,which were randomly divided into a training set(n=260)and testing set(n=68).Binary logistic regression was adopted to create a clinical model using six factors.The sequence of fast spin-echo T2-weighted MRI of the entire pelvis was segmented and analyzed.Pure-image and clinical-image integrated deep learning models were constructed using the mask region-based convolutional neural network segmentation tool and three-dimensional convolutional networks.Sensitivity,specificity,accuracy,positive predictive value(PPV),and area under the receiver operating characteristic curve(AUC)was calculated for each model.RESULTS The prevalence of≥3 linear stapler cartridges was 17.7%(58/328).The prevalence of AL was statistically significantly higher in patients with≥3 cartridges compared to those with≤2 cartridges(25.0%vs 11.8%,P=0.018).Preoperative carcinoembryonic antigen level>5 ng/mL(OR=2.11,95%CI 1.08-4.12,P=0.028)and tumor size≥5 cm(OR=3.57,95%CI 1.61-7.89,P=0.002)were recognized as independent risk factors for use of≥3 linear stapler cartridges.Diagnostic performance was better with the integrated model(accuracy=94.1%,PPV=87.5%,and AUC=0.88)compared with the clinical model(accuracy=86.7%,PPV=38.9%,and AUC=0.72)and the image model(accuracy=91.2%,PPV=83.3%,and AUC=0.81).CONCLUSION MRI-based deep learning model can predict the use of≥3 linear stapler cartridges during DST anastomosis in laparoscopic LAR surgery.This model might help determine the best anastomosis strategy by avoiding DST when there is a high probability of the need for≥3 linear stapler cartridges.展开更多
A carburized layer with special physical and chemical properties was formed on the surface of commercial purity titanium by a double glow plasma hydrogen-free carburizing technique,High-purity netlike solid graphite w...A carburized layer with special physical and chemical properties was formed on the surface of commercial purity titanium by a double glow plasma hydrogen-free carburizing technique,High-purity netlike solid graphite was used as a raw material and commercial purity titanium was used as the substrate material.Argon gas was used as the working gas.The carburized layer can be obviously observed under a microscope.X-ray diffraction indicates that TiC phase with higher hardness and dissociate state carbon phase was formed in the carburized layer.The glow discharge spectrum(GDS) analysis shows that the carbon concentration distributes grodiently along the depth of carburized layer.The surface hardness of the substrate increases obviously.The hardness distributes gradiently from the surface to inner of carburized layer.The friction coefficient reduces by more than 1/2,the ratio wear rate decreases by above three orders of magnitude.The wear resistance of the substrate material is improved-consumedly.展开更多
An anastomotic leak is one of the major complications following colorectal surgery.Standard treatments for anastomotic leak are total parenteral nutrition or temporary ileostomy.The over-the-scope-clipping(OTSC)system...An anastomotic leak is one of the major complications following colorectal surgery.Standard treatments for anastomotic leak are total parenteral nutrition or temporary ileostomy.The over-the-scope-clipping(OTSC)system was originally developed to treat intestinal perforation or to close the tissue after natural orifice transluminal endoscopic surgery.Two cases of successful management of an anastomotic leak after colorectal surgery using the OTSC system are reported.One patient avoided a temporary ileostomy.In the other,hospitalization was shortened by the use of the OTSC system.The OTSC system can be a potential option in the management of anastomotic leaks after colorectal surgery.展开更多
Within the framework of continuum mechanics, the double power series ex- pansion technique is proposed, and a series of reduced one-dimensional (1D) equations for a piezoelectric semiconductor beam are obtained. The...Within the framework of continuum mechanics, the double power series ex- pansion technique is proposed, and a series of reduced one-dimensional (1D) equations for a piezoelectric semiconductor beam are obtained. These derived equations are universal, in which extension, flexure, and shear deformations are all included, and can be degen- erated to a number of special cases, e.g., extensional motion, coupled extensional and flexural motion with shear deformations, and elementary flexural motion without shear deformations. As a typical application, the extensional motion of a ZnO beam is analyzed sequentially. It is revealed that semi-conduction has a great effect on the performance of the piezoelectric semiconductor beam, including static deformations and dynamic be- haviors. A larger initial carrier density will evidently lead to a lower resonant frequency and a smaller displacement response, which is a little similar to the dissipative effect. Both the derived approximate equations and the corresponding qualitative analysis are general and widely applicable, which can clearly interpret the inner physical mechanism of the semiconductor in the piezoelectrics and provide theoretical guidance for further experimental design.展开更多
To solve the problem of low efficiency in pipe routing design, an improved genetic algorithm based approach is proposed. To present this approach, the paper mainly describes a generation method of nodes considering th...To solve the problem of low efficiency in pipe routing design, an improved genetic algorithm based approach is proposed. To present this approach, the paper mainly describes a generation method of nodes considering the safety distance of pipes and the directional constraints at terminals, the definition of a double coding technique, the collision detection method, the concept of energy and the definition of fitness functions. The similarity detection is introduced to prevent close breeding in the crossover operator, the selection pressure is controlled according to the evolution situation and a heuristic mutation method is used to boost the evolution. Simulation case shows that this approach is more practical and can satisfy different design requirements by changing algorithm parameters.展开更多
The development of effective uranium-removal techniques is of great significance to the environment and human health.In this work,a double potential step technique(DPST)was applied to remove U(VI)from uranium-containi...The development of effective uranium-removal techniques is of great significance to the environment and human health.In this work,a double potential step technique(DPST)was applied to remove U(VI)from uranium-containing wastewater using a carbon felt electrode modified by graphene oxide/phytic acid composite(GO-PA@CF).The application of DPST can inhibit water splitting and prevent GO-PA from adsorbing other interfering ions in wastewater.The GO-PA composite can effectively accelerate the electrochemical reduction rate of U(VI),which significantly improved the electrochemical deposition rate of uranium oxide.As a result,the maximum removal efficiency and maximum removal capacity of GOPA@CF electrode reached 98.7%and 1149.3 mg/g,respectively.The removal efficiency remained 97.2%after five cycles of reuse.Moreover,the removal efficiency of GO-PA@CF electrode can reach more than 70%in simulated wastewater.展开更多
Governing equations in symmetric form for hydroelastic vibrations are derived. By means or Guyan's reduction snd modal synthesis technique, the size of matrix equations is minimized. Both single compatible techniq...Governing equations in symmetric form for hydroelastic vibrations are derived. By means or Guyan's reduction snd modal synthesis technique, the size of matrix equations is minimized. Both single compatible technique and double compatible technique are applied to extract the coupling vibration modes of liquid containers. Excellent agreement with test results indicates that the present methiod is effective.展开更多
Background: Achondroplasia is a rare autosomal dominant disorder resulting in skeletal dysplasia. Any injury to the anterior cruciate ligament among people already suffering from achondroplasia results in devastating ...Background: Achondroplasia is a rare autosomal dominant disorder resulting in skeletal dysplasia. Any injury to the anterior cruciate ligament among people already suffering from achondroplasia results in devastating effects. In this report, the outcome of the hamstring graft arthroscopic reconstruction technique for anterior cruciate ligament injury in achondroplasia patients is assessed. The patient in the present case report exhibits the potential for excellent outcomes four months post-surgical follow-up on Lysholm Knee Scoring Scale. This encouraging result, ought to persuade surgeons to use the hamstring graft arthroscopic restoration approach in achondroplasia instances like these. Timely and excellent recovery in such complicated surgical cases, would reduce the obstacle to surgery for several patients with achondroplasia. It would also improve the methods of managing these patients with this particular surgical technique.展开更多
Zr and its alloys have excellent mechanical properties as new structural material,but in specific application environment,its corrosion resistance still needs to be further explored.In this work,double glow plasma sur...Zr and its alloys have excellent mechanical properties as new structural material,but in specific application environment,its corrosion resistance still needs to be further explored.In this work,double glow plasma surface alloying technique was used for copperizing on pure Zr surface.Besides,X-ray diffraction(XRD),scanning electron microscope(SEM) and energy dispersion spectrum(EDS) were employed to characterize the samples.Furthermore,research was also conducted on the polarization curve of the samples in different solutions.Copperizing on surface can improve corrosion resistance of pure Zr in 3.5 % Na Cl and 0.5 moláL-1Na OH solutions.Especially in 0.5 moláL-1Na OH solution,the corrosion resistance can achieve significant improvement.However,copperizing has no influence on the improvement of corrosion resistance of pure Zr in 0.5 moláL-1H2SO4 solution.The results may provide new insight into way for improving the corrosion property of zirconium alloys.展开更多
基金Project(51371097)supported by the National Natural Science Foundation of ChinaProject supported by the Priority Academic Program Development of Jiangsu Higher Education Institutions,China
文摘Double glow plasma surface metallurgy technique was used to fabricate a Fe?Al?Cr?Nb alloyed layer onto the surface of the 45 steel. The microstructures and composition of th?eA Fl?eCr?Nb alloyed layer were analyzed by scanning electronic microscopy, X-ray diffraction and energy dispersive spectroscopy. The results indicate thatthe 20 μm alloyed layer is homogeneous and compact. The alloyed elements exhibit a gradient distribution along the cross section. Microhardness and nanoindentation tests imply that the surface hardness of the alloyed layer reaches HV 580, which is almost 2.8 times that of the substrate. Compared with the substrate, the alloyed layer has a much smaller displacement and a larger elastic modulus. According to the friction and wear tests at room temperature, the? FeAl?Cr?Nb alloyed layer has lower friction coefficient and less wear mass, implying that the Fe?Al?Cr?Nb alloyed layer can effectively improve the surface hardness and wear resistance of the substrate.
文摘The system principle and configuration of the double differential pressure method for measuring oil tank level are presented. The fundamental method and circuit of fiber optic transmission are analyzed .The accuracy and security of level measurement in the oil tanks have been greatly improved.
文摘The new double projecting neurons were found in the cat spinal dorsal horn by the double retrograde fluorescent tracing technique.Fast Blue(FB)was injected into unilateral dorsal column nucleus(DCN)of adult cats anesthetized with pentobarbital.Nuclear Yellow(NY)was injected ipsilaterally into the lateral cervical nucleus(LCN)8-9 days later.After an additional 18-30 hrs.
文摘Objective:To investigate the clinical effects of applying the magnetic resonance double mismatch technique to endovascular treatment of acute anterior circulation,large vessel occlusion with cerebral infarction in an unknown time window.Methods:The research work was carried out in our hospital,the work was carried out from November 2018 to November 2019,the patients with acute anterior circulation large vessel occlusion with cerebral infarction who were treated in our hospital during this period,100 patients,50 patients with an unknown time window and 50 patients with definite time window were selected,and they were named as the experimental and control groups,given different examination methods,were given to investigate the clinical treatment effect.Results:Patients’data on HIHSS score before treatment,the incidence of intracranial hemorrhage and rate of Mrs≤2 rating after 90 days of treatment were not significantly different(P>0.05),which was not meaningful.The differences in data between the two groups concerning HIHSS scores were relatively significant before,and after treatment(P<0.05).Conclusion:The magnetic resonance double mismatch technique will be applied in the endovascular treatment of acute anterior circulation large vessel occlusion with cerebral infarction of unknown time window.
文摘BACKGROUND : Experimental animal models of intracerebral hemorrhag (ICH) are greatly needed, so the process of establishment should be ideal in hematoma formation and easy to operate. OBJECTIVE : To construct model of ICH in rats with double injection of autologous blood taken from the cut tail cut and double withdrawal of the needle (shortened as two-step injection model), and compare with those induced by single and double injections. DESIGN : A randomized controlled tria SETTING: Department of Neurology, General Hospital of Military Area Command of Chinese PLA. MATERIALS: Thirty male Wistar rats of 10 to 12 months, weighing (400±25) g, provided by the Experimental Center of Medical Animals, General Hospital of Shenyang Military Area Command of Chinese PLA, were divided randomly into 3 groups with 10 rats in each group: two-step injection group, single injection group, double injection group. METHODS : The experiment was carried out in the Department of Neurology, General Hospital of Military Area Command of Chinese PLA from March to June in 2004. Autologous blood ICH model in rats were established as follows: In the two-step injection group, 50 μL unclotted autologous blood was taken from the rat tail cut, then injected with microsyringe into the caudate nucleus, 10 μL injected at first, paused for 2 minutes, and then the rest 40 μL injected slowly and continuously within 2 minutes. After the injection, the needle was kept immovable for about 4 minutes, withdrawn 2.0 mm, again kept immovable for about 4 minute, and then removed wholly at a slow speed. In the single injection group, 50 μL unclotted tail blood was injected slowly and continuously all within 2 minutes and the needle was slowly removed;(4) In the double injection group, 10 mL blood was injected at first, paused for 2 minutes, the rest 40 μL injected evenly within 2 minutes, and then the needle was withdrawn slowly and uninterruptedly. Neurologic findings were scored in accordance with Longa's five-point scale (0-4 scores, the higher the score, the severer the neurological dysfunction). The rats were killed to remove and sections were prepared, the morphological features of hematomas were grossly observed, the maximal diameter and size of hematomas in each slice were measured with the imaging analytical system, and the volume was calculated. Meanwhile, the conveniences of the techniques were compared. MAIN OUTCOME MEASURES: The morphological features and volume of hematomas, neurologic deficit score (NDS), and the convenience of the techniques were compared. RESULTS: All the 30 rats were involved in the analysis of results without deletion. (1) Results of the morphological observation of volume of hematoma: In the two-step injection group, hematomas located in the right caudate nucleus area regularly in circular or analogously circular shape in each slice. The formation rate of hematomas in the single injection group and double injection group were lower than those in the two-step injection group [60% (6/10), 80% (8/10), 100% (10/10), P〈 0.01, 0.05]. The volume of hematomas in the single injection group and double injection group were smaller than those in the two-step injection group [(28.5±14.8), (33.4±7.4), (41.6±3.9) mm3, P〈 0.01, 0.05]. (2) NDS results: The NDS scores in the single injection group and double injection group were smaller than that in the two-step injection group (0.90±0.83, 1.30±0.78, 1.90±0.57, P〈 0.05). (3)Comparison of the convenience of the techniques: The double injection method allowed generating reproducible hematomas in rats with shortcomings that it needed autologous arterial blood from femoral artery, and precision instruments such as microinfusion pump. The two-step injection injected fresh unclotting blood taken directly from the tail cut with microsyringe into the rat brain, and it has the advantages of easy operation, no influence on the activity of thrombase, shorter duration for model establishment, and higher rate of hematoma formation, which could generate ideal and economical models of ICH. The two-step injection induced hemotoma regularly in circular or analogously circular shape in each slice, but those induced by single and double injections were mostly in strip or fusiform shapes and extending along the needle tracks or into the ventricle or subarachnoid space. CONCLUSION : The autologous blood ICH model induced by the two-step injection method is a reproducible and reliable one in regular shape, which is better than those induced by double and single injections.
文摘Objective To evaluate the effect of double tractors swing microendoscopic discectomy technique in multisegmental lumbar disc herniation.Methods From December 2006 to November 2009,153 patients with multisegmental lumbar disc herniation
基金Shanghai Jiaotong University,No.YG2019QNB24This study was reviewed and approved by Ruijin Hospital Ethics Committee(Approval No.2019-82).
文摘BACKGROUND Multiple linear stapler firings during double stapling technique(DST)after laparoscopic low anterior resection(LAR)are associated with an increased risk of anastomotic leakage(AL).However,it is difficult to predict preoperatively the need for multiple linear stapler cartridges during DST anastomosis.AIM To develop a deep learning model to predict multiple firings during DST anastomosis based on pelvic magnetic resonance imaging(MRI).METHODS We collected 9476 MR images from 328 mid-low rectal cancer patients undergoing LAR with DST anastomosis,which were randomly divided into a training set(n=260)and testing set(n=68).Binary logistic regression was adopted to create a clinical model using six factors.The sequence of fast spin-echo T2-weighted MRI of the entire pelvis was segmented and analyzed.Pure-image and clinical-image integrated deep learning models were constructed using the mask region-based convolutional neural network segmentation tool and three-dimensional convolutional networks.Sensitivity,specificity,accuracy,positive predictive value(PPV),and area under the receiver operating characteristic curve(AUC)was calculated for each model.RESULTS The prevalence of≥3 linear stapler cartridges was 17.7%(58/328).The prevalence of AL was statistically significantly higher in patients with≥3 cartridges compared to those with≤2 cartridges(25.0%vs 11.8%,P=0.018).Preoperative carcinoembryonic antigen level>5 ng/mL(OR=2.11,95%CI 1.08-4.12,P=0.028)and tumor size≥5 cm(OR=3.57,95%CI 1.61-7.89,P=0.002)were recognized as independent risk factors for use of≥3 linear stapler cartridges.Diagnostic performance was better with the integrated model(accuracy=94.1%,PPV=87.5%,and AUC=0.88)compared with the clinical model(accuracy=86.7%,PPV=38.9%,and AUC=0.72)and the image model(accuracy=91.2%,PPV=83.3%,and AUC=0.81).CONCLUSION MRI-based deep learning model can predict the use of≥3 linear stapler cartridges during DST anastomosis in laparoscopic LAR surgery.This model might help determine the best anastomosis strategy by avoiding DST when there is a high probability of the need for≥3 linear stapler cartridges.
文摘A carburized layer with special physical and chemical properties was formed on the surface of commercial purity titanium by a double glow plasma hydrogen-free carburizing technique,High-purity netlike solid graphite was used as a raw material and commercial purity titanium was used as the substrate material.Argon gas was used as the working gas.The carburized layer can be obviously observed under a microscope.X-ray diffraction indicates that TiC phase with higher hardness and dissociate state carbon phase was formed in the carburized layer.The glow discharge spectrum(GDS) analysis shows that the carbon concentration distributes grodiently along the depth of carburized layer.The surface hardness of the substrate increases obviously.The hardness distributes gradiently from the surface to inner of carburized layer.The friction coefficient reduces by more than 1/2,the ratio wear rate decreases by above three orders of magnitude.The wear resistance of the substrate material is improved-consumedly.
文摘An anastomotic leak is one of the major complications following colorectal surgery.Standard treatments for anastomotic leak are total parenteral nutrition or temporary ileostomy.The over-the-scope-clipping(OTSC)system was originally developed to treat intestinal perforation or to close the tissue after natural orifice transluminal endoscopic surgery.Two cases of successful management of an anastomotic leak after colorectal surgery using the OTSC system are reported.One patient avoided a temporary ileostomy.In the other,hospitalization was shortened by the use of the OTSC system.The OTSC system can be a potential option in the management of anastomotic leaks after colorectal surgery.
基金Project supported by the National Natural Science Foundation of China(Nos.11672223,11402187,and 51178390)the China Postdoctoral Science Foundation(No.2014M560762)the Fundamental Research Funds for the Central Universities of China(No.xjj2015131)
文摘Within the framework of continuum mechanics, the double power series ex- pansion technique is proposed, and a series of reduced one-dimensional (1D) equations for a piezoelectric semiconductor beam are obtained. These derived equations are universal, in which extension, flexure, and shear deformations are all included, and can be degen- erated to a number of special cases, e.g., extensional motion, coupled extensional and flexural motion with shear deformations, and elementary flexural motion without shear deformations. As a typical application, the extensional motion of a ZnO beam is analyzed sequentially. It is revealed that semi-conduction has a great effect on the performance of the piezoelectric semiconductor beam, including static deformations and dynamic be- haviors. A larger initial carrier density will evidently lead to a lower resonant frequency and a smaller displacement response, which is a little similar to the dissipative effect. Both the derived approximate equations and the corresponding qualitative analysis are general and widely applicable, which can clearly interpret the inner physical mechanism of the semiconductor in the piezoelectrics and provide theoretical guidance for further experimental design.
基金Supported by National "863" Project of China (2006AA09A104)
文摘To solve the problem of low efficiency in pipe routing design, an improved genetic algorithm based approach is proposed. To present this approach, the paper mainly describes a generation method of nodes considering the safety distance of pipes and the directional constraints at terminals, the definition of a double coding technique, the collision detection method, the concept of energy and the definition of fitness functions. The similarity detection is introduced to prevent close breeding in the crossover operator, the selection pressure is controlled according to the evolution situation and a heuristic mutation method is used to boost the evolution. Simulation case shows that this approach is more practical and can satisfy different design requirements by changing algorithm parameters.
基金the financial support of the National Natural Science Foundation of China(Nos.41361088 and41867063)。
文摘The development of effective uranium-removal techniques is of great significance to the environment and human health.In this work,a double potential step technique(DPST)was applied to remove U(VI)from uranium-containing wastewater using a carbon felt electrode modified by graphene oxide/phytic acid composite(GO-PA@CF).The application of DPST can inhibit water splitting and prevent GO-PA from adsorbing other interfering ions in wastewater.The GO-PA composite can effectively accelerate the electrochemical reduction rate of U(VI),which significantly improved the electrochemical deposition rate of uranium oxide.As a result,the maximum removal efficiency and maximum removal capacity of GOPA@CF electrode reached 98.7%and 1149.3 mg/g,respectively.The removal efficiency remained 97.2%after five cycles of reuse.Moreover,the removal efficiency of GO-PA@CF electrode can reach more than 70%in simulated wastewater.
文摘Governing equations in symmetric form for hydroelastic vibrations are derived. By means or Guyan's reduction snd modal synthesis technique, the size of matrix equations is minimized. Both single compatible technique and double compatible technique are applied to extract the coupling vibration modes of liquid containers. Excellent agreement with test results indicates that the present methiod is effective.
文摘Background: Achondroplasia is a rare autosomal dominant disorder resulting in skeletal dysplasia. Any injury to the anterior cruciate ligament among people already suffering from achondroplasia results in devastating effects. In this report, the outcome of the hamstring graft arthroscopic reconstruction technique for anterior cruciate ligament injury in achondroplasia patients is assessed. The patient in the present case report exhibits the potential for excellent outcomes four months post-surgical follow-up on Lysholm Knee Scoring Scale. This encouraging result, ought to persuade surgeons to use the hamstring graft arthroscopic restoration approach in achondroplasia instances like these. Timely and excellent recovery in such complicated surgical cases, would reduce the obstacle to surgery for several patients with achondroplasia. It would also improve the methods of managing these patients with this particular surgical technique.
基金financially supported by the National Basic Research Program of China (No.2013CB733000)the National Natural Science Foundation of China (Nos.51271161,51271162 and 51434008)
文摘Zr and its alloys have excellent mechanical properties as new structural material,but in specific application environment,its corrosion resistance still needs to be further explored.In this work,double glow plasma surface alloying technique was used for copperizing on pure Zr surface.Besides,X-ray diffraction(XRD),scanning electron microscope(SEM) and energy dispersion spectrum(EDS) were employed to characterize the samples.Furthermore,research was also conducted on the polarization curve of the samples in different solutions.Copperizing on surface can improve corrosion resistance of pure Zr in 3.5 % Na Cl and 0.5 moláL-1Na OH solutions.Especially in 0.5 moláL-1Na OH solution,the corrosion resistance can achieve significant improvement.However,copperizing has no influence on the improvement of corrosion resistance of pure Zr in 0.5 moláL-1H2SO4 solution.The results may provide new insight into way for improving the corrosion property of zirconium alloys.