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Expandable endoprostheses in skeletally immature patients:Where we are
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作者 RecepÖztürk 《World Journal of Orthopedics》 2024年第4期312-317,共6页
Approximately 45 percent of malignant bone tumors are seen under the age of 16 and one of the important results of growth plate sacrification in patients with immature skeletons is limb inequality.Until the early 1990... Approximately 45 percent of malignant bone tumors are seen under the age of 16 and one of the important results of growth plate sacrification in patients with immature skeletons is limb inequality.Until the early 1990s,the treatment options for these patients were rotationplasty or amputation.Multimodal approaches that combine imaging,chemotherapy,and surgical techniques have enabled the development of limb-preserving methods with satisfactory results.In order to overcome inequality problems,expandable prostheses have been developed in the 1980s.Extendable endoprosthesis replacements have been improved over the years and are now an established and safe alternative.Noninvasive prostheses appear to be advantageous compared to minimally invasive expandable prostheses that require multiple surgical procedures,but the complication rate remains high.Therefore,although expandable prostheses are not the definitive answer to the treatment of bone sarcomas in skeletally immature children,they are still a suitable interim choice until full adulthood is achieved.Due to reported high complication rates,the procedures require significant experience and are recommended for use only in specialized cancer centers. 展开更多
关键词 Bone sarcoma expandable endoprostheses Limb salvage surgery NONINVASIVE Minimal-invasive INVASIVE Extendible endoprostheses
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Determination of the load bearing capacity of pre-stressed expandable props for ground support in underground mines 被引量:1
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作者 Kunmeng Li Kaiyuan Jiang +3 位作者 Yuanhui Li Xin Wang Kai Liu Shuai Xu 《International Journal of Mining Science and Technology》 SCIE EI CAS CSCD 2023年第8期977-990,共14页
This paper aims to determine the load bearing capacity of pre-stressed expandable props with different geometries and load eccentricities for flexible support in underground mining or excavation.It is deduced that the... This paper aims to determine the load bearing capacity of pre-stressed expandable props with different geometries and load eccentricities for flexible support in underground mining or excavation.It is deduced that the expandable device could have much higher strength(>89 MPa)by laboratory tests,and the load bearing capacity of the expandable prop may depend on the stability of the supporting steel pipe structure.A good agreement was found between the laboratory test and numerical results in terms of the load bearing capacity and the final macro-bending failure pattern for expandable props with heights of 1.5 and 2.7 m,and the theoretical calculation for the strength of traditional steel structures is not directly suitable for the expandable props.Moreover,additional numerical simulations were performed for the expandable props with different normalized slenderness ratiosλ_(n)and loading eccentric distances e.The variation of stability coefficient of the expandable prop is in line with the Perry-Robertson equation and its correlation coefficients are fitted as a of 0.979 and b of 0.314.For estimating the load bearing capacity of the expandable props,the strength equation for traditional steel structures is improved by introducing a bending magnification factor and by modifying the normalized slenderness ratio to a converted slenderness ratio.Based on the underground field monitoring for the strength of expandable props with different heights,the empirical eccentric distances were back calculated,and a safety factor is introduced to obtain the designed strength of the expandable prop.In addition,a four-step design procedure is proposed for the expandable prop. 展开更多
关键词 Pillar stability Load bearing capacity expandable prop Slenderness ratio Eccentric distance
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Study on Load Bearing Characteristics of Novel Expandable Deepwater Drilling Conductor Based on Laboratory Experiment and Field Test
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作者 ZHANG Ming-he YANG Jin +2 位作者 YANG Yu-xiang XU Dong-sheng ZHOU Yi-su 《China Ocean Engineering》 SCIE EI CSCD 2023年第1期16-28,共13页
A novel expandable conductor was designed and applied in deep-water drilling to improve the vertical and lateral bearing capacity with a significant reduction of conductor jetting depth and soaking time. The vertical ... A novel expandable conductor was designed and applied in deep-water drilling to improve the vertical and lateral bearing capacity with a significant reduction of conductor jetting depth and soaking time. The vertical and lateral bearing capability of expandable conductors was depicted based on the ultimate subgrade reaction method and pile foundation bearing theory. The load-bearing characteristics of a laboratory-scale expandable conductor were analyzed through laboratory experiments. The serial simulation experiments are accomplished to study the bearing characteristics(vertical ultimate bearing capacity, lateral soil pressure, and lateral displacement) during the conductor soaking process. The laboratory experimental results show that the larger the length and thickness of expandable materials are,the higher the bearing capacity of the wellhead will be. During the conductor soaking process, the soil pressure around the three expandable conductors increases faster, strings representing a stronger squeezing effect and resulting in higher vertical bearing capacity. Furthermore, the lateral displacement of novel expandable conductor is smaller than that of the conventional conductor. All the advantages mentioned above contributed to the reduction of conductor’s jetting depth and soaking time. Lastly, the application workflow of a novel expandable deep-water drilling conductor was established and the autonomous expandable conductor was successfully applied in the South China Sea with a significant reduction of conductor’s jetting depth and soaking time. According to the soil properties and designed installation depth of the surface conductor, the arrangement of expandable materials should be designed reasonably to meet the safety condition and reduce the construction cost of the subsea wellhead. 展开更多
关键词 novel expandable surface conductor deep water subsea wellhead laboratory experiment field test
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Lateral earth pressure of granular backfills on retaining walls with expanded polystyrene geofoam inclusions under limited surcharge loading 被引量:1
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作者 Kewei Fan Guangqing Yang +2 位作者 Weilie Zou Zhong Han Yang Shen 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第4期1388-1397,共10页
Existing studies have focused on the behavior of the retaining wall equipped with expanded polystyrene(EPS)geofoam inclusions under semi-infinite surcharge loading rather than limited surcharge loading.In this paper,t... Existing studies have focused on the behavior of the retaining wall equipped with expanded polystyrene(EPS)geofoam inclusions under semi-infinite surcharge loading rather than limited surcharge loading.In this paper,the failure mode and the earth pressure acting on the rigid retaining wall with EPS geofoam inclusions and granular backfills(henceforth referred to as EPS-wall),under limited surcharge loading are investigated through two-and three-dimensional model tests.The testing results show that different from the sliding of almost all the backfill in the EPS-wall under semi-infinite surcharge loading,only an approximately triangular backfill slides in the wall under limited surcharge loading.The distribution of the lateral earth pressure on the EPS-wall under limited surcharge loading is non-linear,and the distribution changes from the increase of the wall depth to the decrease with the increase of the limited surcharge loading.An approach based on the force equilibrium of a differential element is developed to predict the lateral earth pressure behind the EPS-wall subjected to limited surcharge loading,and its performance was fully validated by the three-dimensional model tests. 展开更多
关键词 Retaining wall expanded polystyrene(EPS)geofoam Limited surcharge loading Lateral earth pressure Model test Prediction
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Key Factors to Consider When Introducing a New Vaccine in Low-Income Settings: Lessons from Malawi Expanded Program on Immunization
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作者 Samuel Mpinganjira Kimberly Konono +5 位作者 Joseph Mwaka Adidja Amani Habtamu Anteneh Michael Ngigi Boston Zimba Atupele Kapito 《World Journal of Vaccines》 CAS 2024年第1期1-23,共23页
Introduction: As new vaccines become available, countries must assess the relevance to introduce them into their vaccination schedules. Malawi has recently introduced several new vaccines and plans to introduce more. ... Introduction: As new vaccines become available, countries must assess the relevance to introduce them into their vaccination schedules. Malawi has recently introduced several new vaccines and plans to introduce more. This study was conducted to identify key factors that need to be considered when deciding to introduce a new vaccine and current challenges faced by low and middle income countries using Malawi as an example. Methodology: The study employed a desk review approach, examining published literature from various sources such as PubMed, Medline, and Google Scholar. Policy documents from organizations like the World Health Organization, GAVI the Alliance, and the Ministry of Health for Malawi were also included. A total of 99 articles and documents on new vaccine introduction, challenges of immunization, policy documents in immunization and health systems strengthening were included. The review focused on addressing five key areas critical to new vaccine introduction namely: the need for a vaccine, availability of the vaccine, safety and effectiveness of the vaccine, demand for the vaccine, and the prudent use of public or private funds. Results: Malawi considered the burden of cervical cancer and the significance of malaria in the country when introducing the HPV and malaria vaccines. The country opted for vaccines that can be handled by the cold chain capacity and available human resources. Despite that malaria vaccine and Typhoid Conjugate Vaccine trials were done in country, there are limited vaccine safety and efficacy trials conducted in Malawi, leading to a reliance on WHO-prequalified vaccines. Demand for newly introduced vaccines varied, with high demand for Oral Cholera Vaccine during a cholera outbreak, while demand for COVID-19 vaccines decreased over time. Although cost-effectiveness studies were limited in the country, 2 studies indicated that Typhoid Conjugate Vaccine and malaria vaccine would be cost effective. All these have been implemented despite having challenges like lack of accurate surveillance data, inadequate cold chain capacity, limited safety and efficacy vaccine clinical trials, political influence, and limited funding. Conclusion: Despite several challenges Malawi set a good example of the careful considerations required before introducing a new vaccine. The process involves data review, priority setting, precise planning, and consultation with stakeholders. Low-income countries should invest in vaccine safety, efficacy, and cost-effectiveness trials. 展开更多
关键词 VACCINE Introduction Implementation expanded Program on Immunization LOW-INCOME STAKEHOLDERS
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Nursing Care and Causative Analysis of Grade IV Capsular Contracture Following Breast Cancer Expander Implantation
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作者 Rong Chen Nan Zhang Huiting Zhang 《Advances in Breast Cancer Research》 CAS 2024年第1期1-9,共9页
Objective: By observing the treatment and nursing care of a patient with Grade IV capsular contracture following breast cancer expander implantation and subsequent Stage II reconstruction, we aim to analyze the reason... Objective: By observing the treatment and nursing care of a patient with Grade IV capsular contracture following breast cancer expander implantation and subsequent Stage II reconstruction, we aim to analyze the reasons for the formation of capsular contracture after Stage I expander implantation and prevent its recurrence following Stage II reconstruction. Methods: In May 2020, the patient noticed an increase in the size of a breast mass. In August, she underwent AC-THP neoadjuvant chemotherapy, followed by a “right breast-conserving nipple-areolar subglandular excision + right axillary lymph node dissection + expander implantation” surgery in November 2020. Radiation therapy began in January 2021. During radiation therapy, the patient experienced severe breast hardening, distortion, tenderness, and was diagnosed with Grade IV capsular contracture. To relieve the capsular contracture, the patient underwent a “contracted capsule incision and release procedure + removal of the right breast expander + right breast implantation” surgery in July 2021. Postoperatively, measures were taken to prevent incision infection, emphasizing aseptic techniques, ensuring smooth negative pressure drainage, reducing skin flap tension, monitoring skin flap blood supply, actively preventing subcutaneous effusion and hematoma, and applying appropriate compression dressings. Results: The patient was discharged after the removal of the drainage tube. During the postoperative follow-up at 3 and 6 months, there was no recurrence of capsular contracture, and the breast appeared full, upright, and relatively soft. There were no complications such as hematoma, infection, breast implant rupture, breast sagging, or displacement. The patient had a good outcome without additional financial or surgical burdens. Conclusion: The occurrence of Grade IV capsular contracture in the patient is generally related to infection after Stage I expander implantation, improper compression dressing, excessive saline injection causing content infiltration, and radiation therapy. Therefore, it is recommended to enhance the intraoperative and postoperative prophylactic use of antibiotics after Stage I expander implantation. Intermittent saline injection after surgery, with the amount of saline gradually increasing rather than filling all at once, is advisable. This helps the breast tissue gradually adapt to expansion, reducing the risk of capsular contracture. Postoperatively, patients should be instructed to wear pressure garments and breast elastic bandages while intensifying breast monitoring during radiation therapy and increasing postoperative follow-up. 展开更多
关键词 Breast Cancer Capsular Contracture expander Implantation
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Evaluation of Patients with Severe Aortic Stenosis after TAVI with Self-Expandable vs. Balloon-Expandable Devices
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作者 Mohammad Nourizadeh Seifollah Abdi +5 位作者 Farideh Roshan Ali Najmeh Assadinia Mehdi Nourizadeh Mohammad Emami Elham Barati Amir Taha Asarian 《World Journal of Cardiovascular Diseases》 2023年第10期633-645,共13页
Background: The introduction of transcatheter aortic valve implantation (TAVI) for the treatment of severe aortic stenosis (SAS) has expanded the therapeutic possibilities for successfully managing SAS in cases with i... Background: The introduction of transcatheter aortic valve implantation (TAVI) for the treatment of severe aortic stenosis (SAS) has expanded the therapeutic possibilities for successfully managing SAS in cases with intermediate and high surgical risks. However, the complications and outcomes of new devices have not been studied enough. Hence, the purpose of this study is to evaluate the midterm results of the Core Valve and Evolute R self-expandable (SE) devices versus the Edwards SAPIEN balloon-expandable (BE) devices. Methods and Material: This was a quasi-experimental study conducted in Tehran, Iran, from May 2012 to June 2017. SAS patients who were not ideal candidates for surgery were randomly assigned to either SE or BE groups. For each patient, a questionnaire, including four sections comprised of Basic characteristics, echocardiographic, angiographic, and Computed Tomography (CT) scan data was filled. TAVI was followed by echocardiography a week later and after three months they were reevaluated by another questionnaire. Results: The total number of patients was 60. The mean ages of patients undergoing the procedure with SE or BE devices were 81.2 ± 8 and 79.8 ± 7, respectively. Mortality occurred in 20% of the patients (5 cases in the SE group and 7 cases in the BE);mortality causes were 66.6 % cardiac and 33% non-cardiac. Moderate to severe Paravalvular leakage in both groups did not differ significantly. The mortality rate was 5 (41.6%) in the SE group versus 7 (58.3%) in the BE group (P > 0.05). Conclusion: In conclusion, the BE group did not experience fewer paravalvular leaks in comparison with the SE. Morbidity and mortality between the BE and the SE groups did not differ significantly. 展开更多
关键词 TAVI Balloon-expandable Valves Self-expandable Valves Mortality Aortic Stenosis
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Heuristic Expanding Disconnected Graph:A Rapid Path Planning Method for Mobile Robots
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作者 Yong Tao Lian Duan +3 位作者 He Gao Yufan Zhang Yian Song Tianmiao Wang 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2024年第2期68-82,共15页
Existing mobile robots mostly use graph search algorithms for path planning,which suffer from relatively low planning efficiency owing to high redundancy and large computational complexity.Due to the limitations of th... Existing mobile robots mostly use graph search algorithms for path planning,which suffer from relatively low planning efficiency owing to high redundancy and large computational complexity.Due to the limitations of the neighborhood search strategy,the robots could hardly obtain the most optimal global path.A global path planning algorithm,denoted as EDG*,is proposed by expanding nodes using a well-designed expanding disconnected graph operator(EDG)in this paper.Firstly,all obstacles are marked and their corners are located through the map pre-processing.Then,the EDG operator is designed to find points in non-obstruction areas to complete the rapid expansion of disconnected nodes.Finally,the EDG*heuristic iterative algorithm is proposed.It selects the candidate node through a specific valuation function and realizes the node expansion while avoiding collision with a minimum offset.Path planning experiments were conducted in a typical indoor environment and on the public dataset CSM.The result shows that the proposed EDG*reduced the planning time by more than 90%and total length of paths reduced by more than 4.6%.Compared to A*,Dijkstra and JPS,EDG*does not show an exponential explosion effect in map size.The EDG*showed better performance in terms of path smoothness,and collision avoidance.This shows that the EDG*algorithm proposed in this paper can improve the efficiency of path planning and enhance path quality. 展开更多
关键词 Global path planning Mobile robot expanding disconnected graph Edge node OFFSET
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Compression properties of cost-efficient porous expanded clay reinforced AA7075 syntactic foams fabricated by industrial-oriented die casting technology
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作者 İsmail Cem Akgün Çağın Bolat Ali Gökşenli 《China Foundry》 SCIE EI CAS CSCD 2024年第1期60-70,共11页
In today’s manufacturing industries,hard competition between rival firms makes it compulsory for researchers to design lighter and cheaper machine components due to the megatrends of cost-effectiveness and anti-pollu... In today’s manufacturing industries,hard competition between rival firms makes it compulsory for researchers to design lighter and cheaper machine components due to the megatrends of cost-effectiveness and anti-pollution.At this point,aluminum syntactic foams(ASFs)are new-generation engineering composites and come into the upfront as a problem-solver.Owing to their features like low density,sufficient elongation,and perfect energy absorption ability,these advanced foams have been considerably seductive for many industrial sectors nowadays.In this study,an industrial-oriented automatic die casting technology was used for the first time to manufacture the combination of AA7075/porous expanded clay(PEC).Micro evaluations(optical and FESEM)reveal that there is a homogenous particle distribution in the foam samples,and inspections are compatible with the other ASF studies.Additionally,T6 aging heat treatment was operated on one half of the produced foams to explore the probable impact of aging on the compressive responses.Attained results show that PEC particles can be an alternative to expensive hollow spheres used in the previous works.Besides,a favorable relationship is ascertained between the aging treatment and mechanical properties such as compression strength and plateau strength. 展开更多
关键词 die casting porous materials metal matrix sytanctic foams expanded clay compressive deformation
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Optimization of Channel Structure of Alkaline Water Electrolyzer by Using an Expanded Mesh as a Bipolar Plate
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作者 Hai-Yan Xiong Zhen-Xiao Zhu +3 位作者 Xin Gao Chen-Ming Fan Hui-Bao Luan Bing Li 《电化学(中英文)》 CAS 北大核心 2024年第9期25-38,共14页
Alkaline water electrolysis(AWE)is the most mature technology for hydrogen production by water electrolysis.Alkaline water electrolyzer consists of multiple electrolysis cells,and a single cell consists of a diaphragm... Alkaline water electrolysis(AWE)is the most mature technology for hydrogen production by water electrolysis.Alkaline water electrolyzer consists of multiple electrolysis cells,and a single cell consists of a diaphragm,electrodes,bipolar plates and end plates,etc.The existing industrial bipolar plate channel is concave-convex structure,which is manufactured by complicated and high-cost mold punching.This structure still results in uneven electrolyte flow and low current density in the electrolytic cell,further increasing in energy consumption and cost of AWE.Thereby,in this article,the electrochemical and flow model is firstly constructed,based on the existing industrial concave and convex flow channel structure of bipolar plate,to study the current density,electrolyte flow and bubble distribution in the electrolysis cell.The reliability of the model was verified by comparison with experimental data in literature.Among which,the electrochemical current density affects the bubble yield,on the other hand,the generated bubbles cover the electrode surface,affecting the active specific surface area and ohmic resistance,which in turn affects the electrochemical reaction.The result indicates that the flow velocity near the bottom of the concave ball approaches zero,while the flow velocity on the convex ball surface is significantly higher.Additionally,vortices are observed within the flow channel structure,leading to an uneven distribution of electrolyte.Next,modelling is used to optimize the bipolar plate structure of AWE by simulating the electrochemistry and fluid flow performances of four kinds of structures,namely,concave and convex,rhombus,wedge and expanded mesh,in the bipolar plate of alkaline water electrolyzer.The results show that the expanded mesh channel structure has the largest current density of 3330 A/m^(2)and electrolyte flow velocity of 0.507 m/s in the electrolytic cell.Under the same current density,the electrolytic cell with the expanded mesh runner structure has the smallest potential and energy consumption.This work provides a useful guide for the comprehensive understanding and optimization of channel structures,and a theoretical basis for the design of large-scale electrolyzer. 展开更多
关键词 Alkaline water electrolyzer expanded mesh channel structure Numerical simulation
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Study of Rice Husks and Expanded Polystyrene Composites for Construction Applications
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作者 Edem Chabi Valéry Kouandété Doko +2 位作者 Sena Peace Hounkpè Paul Damien Amadji Emmanuel Olodo 《Open Journal of Civil Engineering》 2024年第3期456-468,共13页
In the current context of environmental challenges, this study focuses on developing innovative and eco-friendly composites using rice husk and recycled expanded polystyrene. This dual-responsibility approach valorize... In the current context of environmental challenges, this study focuses on developing innovative and eco-friendly composites using rice husk and recycled expanded polystyrene. This dual-responsibility approach valorizes a by-product like rice husk, often considered waste, and reuses polystyrene, a plastic waste, thereby contributing to CO2 emission reduction and effective waste management. The manufacturing process involves dissolving recycled polystyrene into a solvent to create a binder, which is then mixed with rice husk and cold-compacted into composite materials. The study examines the impact of two particle sizes (fine and coarse) and different proportions of recycled polystyrene binder. The results show significant variations in the mechanical characteristics of the composites, with Modulus of Rupture (MOR) values varying from 2.41 to 3.47 MPa, Modulus of Elasticity (MOE) ranging from 223.41 to 1497.2 MPa, and Stiffness Coefficient (K) from 5.04 to 33.96 N/mm. These characteristics demonstrate that these composites are appropriate for various construction applications, including interior decoration, panel claddings, and potentially for furniture and door manufacturing when combined with appropriate coatings. This study not only highlights the recycling of agricultural and plastic waste but also provides a localized approach to addressing global climate change challenges through the adoption of sustainable building materials. 展开更多
关键词 Rice Husk Recycled expanded Polystyrene Eco-Friendly Composites Waste Valorization Sustainable Construction
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Safety and efficacy of Kaffes intraductal self-expanding metal stents in the management of post-liver transplant anastomotic strictures
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作者 Chee Lim Jonathan Ng +4 位作者 Babak Sarraf Rhys Vaughan Marios Efthymiou Leonardo Zorron Cheng Tao Pu Sujievvan Chandran 《World Journal of Transplantation》 2024年第2期88-98,共11页
BACKGROUND Endoscopic management is the first-line therapy for post-liver-transplant anas-tomotic strictures.Although the optimal duration of treatment with plastic stents has been reported to be 8-12 months,data on s... BACKGROUND Endoscopic management is the first-line therapy for post-liver-transplant anas-tomotic strictures.Although the optimal duration of treatment with plastic stents has been reported to be 8-12 months,data on safety and duration for metal stents in this setting is scarce.Due to limited access to endoscopic retrograde cholan-giopancreatography(ERCP)during the coronavirus disease 2019 pandemic in our centre,there was a change in practice towards increased usage and length-of-stay of the Kaffes biliary intraductal self-expanding stent in patients with suitable anatomy.This was mainly due to the theoretical benefit of Kaffes stents allowing for longer indwelling periods compared to the traditional plastic stents.METHODS Adult liver transplant recipients aged 18 years and above who underwent ERCP were retrospectively identified during a 10-year period through a database query.Unplanned admissions post-Kaffes stent insertion were identified manually through electronic and scanned medical records.The main outcome was the incidence of complications when stents were left indwelling for 3 months vs 6 months.Stent efficacy was calculated via rates of stricture recurrence between patients that had stenting courses for≤120 d or>120 d.RESULTS During the study period,a total of 66 ERCPs with Kaffes insertion were performed in 54 patients throughout their stenting course.In 33 ERCPs,the stent was removed or exchanged on a 3-month interval.No pancreatitis,perfor-ations or deaths occurred.Minor post-ERCP complications were similar between the 3-month(abdominal pain and intraductal migration)and 6-month(abdominal pain,septic shower and embedded stent)groups-6.1%vs 9.1%respectively,P=0.40.All strictures resolved at the end of the stenting course,but the stenting course was variable from 3 to 22 months.The recurrence rate for stenting courses lasting for up to 120 d was 71.4%and 21.4%for stenting courses of 121 d or over(P=0.03).There were 28 patients that were treated with a single ERCP with Kaffes,21 with removal after 120 d and 7 within 120 d.There was a significant improvement in stricture recurrence when the Kaffes was removed after 120 d when a single ERCP was used for the entire stenting course(71.0%vs 10.0%,P=0.01).CONCLUSION Utilising a single Kaffes intraductal fully-covered metal stent for at least 4 months is safe and efficacious for the management of post-transplant anastomotic strictures. 展开更多
关键词 Liver transplantation CHOLANGIOPANCREATOGRAPHY Endoscopic retrograde CONSTRICTION PATHOLOGIC Self expandable metallic stents Bile duct diseases CHOLESTASIS
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The expanding amyloid family:Structure,stability,function,and pathogenesis
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作者 Michael R Sawaya 《四川生理科学杂志》 2024年第1期106-106,共1页
The hidden world of amyloid biology has suddenly snapped into atomic-level focus,revealing over 80 amyloid protein fibrils,both pathogenic and functional.Unlike globular proteins,amyloid proteins flatten and stack int... The hidden world of amyloid biology has suddenly snapped into atomic-level focus,revealing over 80 amyloid protein fibrils,both pathogenic and functional.Unlike globular proteins,amyloid proteins flatten and stack into unbranched fibrils.Stranger still,a single protein sequence can adopt wildly different two-dimensional conformations,yielding distinct fibril polymorphs. 展开更多
关键词 AMYLOID PATHOGENESIS expandING
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Covered self expandable metallic stent with flared plastic one inside for pancreatic pseudocyst avoiding stent dislodgement 被引量:3
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作者 Ilaria Tarantino Marta Di Pisa +3 位作者 Luca Barresi Gabriele Curcio Antonino Granata Mario Traina 《World Journal of Gastrointestinal Endoscopy》 CAS 2012年第4期148-150,共3页
Endoscopic ultrasound-guided drainage has recently been recommended for increasing the drainage rate of endoscopically managed pancreatic fluid collections and decreasing the morbidity associated with conventional end... Endoscopic ultrasound-guided drainage has recently been recommended for increasing the drainage rate of endoscopically managed pancreatic fluid collections and decreasing the morbidity associated with conventional endoscopic trans-mural drainage. The type of stent used for endoscopic drainage is currently a major area of interest. A covered self expandable metallic stent (CSEMS) is an alternative to conventional drainage with plastic stents because it offers the option of providing a larger-diameter access fi stula for drainage, and may increase the fi nal success rate. One problem with CSEMS is dislodgement, so a metallic stent with flared or looped ends at both extremities may be the best option. An 85-year-old woman with severe comorbidity was treated with percutaneous approach for a large (20 cm) pancreatic pseudocyst with corpuscolated material inside. This approach failed. The patient was transferred to our institute for EUS-guided transmural drainage. EUS confi rmed a large, anechoic cyst with hyperechoic material inside. Because the cyst was large and contained mixed and corpusculated fluid, we used a metallic stent for drainage. To avoid migration of the stent and potential mucosal growth above the stent, a plastic prosthesis (7 cm, 10 Fr) with flaps at the tips was inserted inside the CSEMS. Two months later an esophagogastroduodenoscopy was done, and showed patency of the SEMS and plastic stents, which were then removed with a polypectomy snare. The patient experienced no further problems. 展开更多
关键词 PANCREATIC PSEUDOCYST SELF expandable metallic STENT
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Corrosion behavior of the expandable tubular in formation water 被引量:2
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作者 Shu-jun Gao Chao-fang Dong +2 位作者 An-qing Fu Kui Xiao Xiao-gang Li 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2015年第2期149-156,共8页
The corrosion behavior of expandable tubular materials was investigated in simulated downhole formation water environments using a series of electrochemical techniques. The corrosion morphologies in the real downhole ... The corrosion behavior of expandable tubular materials was investigated in simulated downhole formation water environments using a series of electrochemical techniques. The corrosion morphologies in the real downhole environment after three months of application were also observed by stereology microscopy and scanning electron microscopy (SEM). The results show that, compared with the unex- panded sample, the area of ferfite increases dramatically after a 7.09% expansion. The expanded material shows a higher corrosion current in the polarization curve and a lower corrosion resistance in the electrochemical impedance spectroscopy (EIS) plot at every studied tempera- ture. The determined critical pitting temperatures (CPT) before and after expansion are 87.5℃and 79.2℃, respectively. SEM observations demonstrate stress corrosion cracks, and CO2 corrosion and H2S corrosion also occur in the downhole environment. Due to additional defects generated during the plastic deformation, the corrosion performance of the expanded tubing deteriorates. 展开更多
关键词 steel corrosion expandable tubes formation water electrochemical behavior
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One-step palliative treatment method for obstructive jaundice caused by unresectable malignancies by percutaneous transhepatic insertion of an expandable metallic stent 被引量:29
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作者 Hiroshi Yoshida Yasuhiro Mamada +10 位作者 Nobuhiko Taniai Yoshiaki Mizuguchi Tetsuya Shimizu Shigeki Yokomuro Takayuki Aimoto Yoshiharu Nakamura Eiji Uchida Yasuo Arima Manabu Watanabe Eiichi Uchida Takashi Tajiri 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第15期2423-2426,共4页
AIM: To describe a simple one-step method involving percutaneous transhepatic insertion of an expandable metal stent (EMS) used in the treatment of obstructive jaundice caused by unresectable malignancies. METHODS... AIM: To describe a simple one-step method involving percutaneous transhepatic insertion of an expandable metal stent (EMS) used in the treatment of obstructive jaundice caused by unresectable malignancies. METHODS: Fourteen patients diagnosed with obstructive jaundice due to unresectable malignancies were included in the study. The malignancies in these patients were a result of very advanced carcinoma or old age. Percutaneous transhepatic cholangiography was performed under ultrasonographic guidance. After a catheter with an inner metallic guide was advanced into the duodenum, an EMS was placed in the common bile duct, between a point 1 cm beyond the papilla of Vater and the entrance to the hepatic hilum. In cases where it was difficult to span the distance using just a single EMS, an additional stent was positioned. A drainage catheter was left in place to act as a hemostat. The catheter was removed after resolution of cholestasis and stent patency was confirmed 2 or 3 d post-procedure. RESULTS: One-step insertion of the EMS was achieved in all patients with a procedure mean time of 24.4 min. Out of the patients who required 2 EMS, 4 needed a procedure time exceeding 30 min. The mean time for removal of the catheter post-procedure was 2.3 d. All patients died of malignancy with a mean follow-up time of 7.8 mo. No stent-related complication or stent obstruction was encountered. CONCLUSIONS: One-step percutaneous transhepaticinsertion of EMS is a simple procedure for resolving biliary obstruction and can effectively improve the patient's quality of life. 展开更多
关键词 expandable metallic stent Bile duct carcinoma Gall bladder carcinoma Pancreatic carcinoma Gastric carcinoma Obstructive jaundice
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Treatment of gastric outlet and duodenal obstructions with uncovered expandable metal stents 被引量:4
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作者 Qiang Huang Ding-Ke Dai Xiao-lun Qian Ren-You Zhai 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第40期5376-5379,共4页
AIM:To investigate and evaluate the technical feasibility and clinical effectiveness of fluoroscopically guided peroral uncovered expandable metal stent placement to treat gastric outlet and duodenal obstructions. MET... AIM:To investigate and evaluate the technical feasibility and clinical effectiveness of fluoroscopically guided peroral uncovered expandable metal stent placement to treat gastric outlet and duodenal obstructions. METHODS:Fifteen consecutive patients underwent peroral placement of Wallstent^(TM)Enteral Endoprosthesis to treat gastric outlet and duodenal obstructions(14 malignant,1 benign).All procedures were completed under fluoroscopic guidance without endoscopic assistance.Follow-up was completed until the patients died or were lost,and the clinical outcomes were analyzed. RESULTS:The technique success rate was 100%,and the oral intake was maintained in 12 of 14 patients varying from 7 d to 270 d.Two patients remained unable to resume oral intake,although their stents were proven to be patent with the barium study.One patient with acute necrotizing pancreatitis underwent enteral stenting to treat intestinal obstruction,and nausea and vomiting disappeared.Ten patients died during the follow- up period,and their mean oral intake time was 50 d. No procedure-related complications occurred.Stent migration to the gastric antrum occurred in one patient 1 year after the procedure,a tumor grew at the proximal end of the stent in another patient 38 d post-stent insertion. CONCLUSION:Fluoroscopically guided peroral metal stent implantation is a safe and effective method to treat malignant gastrointestinal obstructions,and complications can be ignored based on our short-term study.Indications for this procedure should be discreetly considered because a few patients may not benefit from gastrointestinal insertion,but some benign gastrointestinal obstructions can be treated using this procedure. 展开更多
关键词 Gastric outlet obstruction Duodenal obstruction expandable metal stent
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Nanostructured N-doped carbon materials derived from expandable biomass with superior electrocatalytic performance towards V^(2+)/V^(3+) redox reaction for vanadium redox flow battery 被引量:3
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作者 Yingqiao Jiang Mengchen Du +9 位作者 Gang Cheng Peng Gao Tingting Dong Jing Zhou Xiaojian Feng Zhangxing He Yuehua Li Lei Dai Wei Meng Ling Wang 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2021年第8期706-714,I0014,共10页
Vanadium redox flow battery(VRFB)is one of the most promising large-scale energy storage systems,which ranges from kilowatt to megawatt.Nevertheless,poor electrochemical activity of electrode for two redox couples sti... Vanadium redox flow battery(VRFB)is one of the most promising large-scale energy storage systems,which ranges from kilowatt to megawatt.Nevertheless,poor electrochemical activity of electrode for two redox couples still restricts the extensive applications of VRFB.Compared with V^(2+)/V^(3+)redox reaction,V^(2+)/V^(3+)reaction plays a more significant role in voltage loss of VRFB owing to slow heterogeneous electron transfer rate.Herein,N-doped carbon materials derived from scaphium scaphigerum have been developed as negative electrocatalyst by hydrothermal carbonization and high-temperature nitridation treatments.The undoped carbon material hardly has electrocatalytic ability for V^(2+)/V^(3+)reaction.Based on this,N-doped carbon materials with urea as nitrogen source exhibit excellent electrocatalytic properties.And the material nitrided at 850°C(SSC/N-850)exhibits the best performance among those from700 to 1000℃.SSC/N-850 can accelerate the electrode process including V^(2+)/V^(3+)reaction and mass transfer of active ions due to the large reaction place,more active sites,and good hydrophilicity.The effect of catalyst on comprehensive performance of cell was evaluated.SSC/N-850 can improve the charge-discharge performance greatly.Utilization of SSC/N-850 can lessen the electrochemical polarization of cell,further resulting in increased discharge capacity and energy efficiency.Discharge capacity and energy efficiency increase by 81.5%and 9.8%by using SSC/N-850 as negative catalyst at 150 m A cm^(-2),respectively.Our study reveals that the developed biomass-derived carbon materials are the low-cost and efficient negative electrocatalyst for VRFB system. 展开更多
关键词 Vanadium redox flow battery ELECTROCATALYST BIOMASS expandable characteristic Improved electrochemical kinetics
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Synergistic effects of expandable graphite and dimethyl methyl phosphonate on the mechanical properties, fire behavior, and thermal stability of a polyisocyanurate-polyurethane foam 被引量:14
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作者 Hu Xiangming Wang Deming Wang Shuailing 《International Journal of Mining Science and Technology》 SCIE EI 2013年第1期13-20,共8页
In this study, a series of flame-retardant polyisocyanurate-polyurethane (PIR-PUR) foams were prepared using various concentrations (0-25% by weight) of expandable graphite (EG) and dimethyl methyl phosphonate (DMMP) ... In this study, a series of flame-retardant polyisocyanurate-polyurethane (PIR-PUR) foams were prepared using various concentrations (0-25% by weight) of expandable graphite (EG) and dimethyl methyl phosphonate (DMMP) (0-7% by weight). The effect of these additives on the properties of the PIR-PUR foams, including physico-mechanical, morphological, flame retardancy, and thermal stability, was studied. Increasing amounts of EG in the PIR-PUR foam caused a significant drop in the compression strength. However, DMMP caused the mechanical properties of PIR-PUR foam to improve compared to foam filled with EG alone. The flame retardancy of PIR-PUR foams containing both EG and DMMP was enhanced significantly compared to EG filled foams. Thermogravimetric analysis (TGA) indicated that EG enhances the thermal stability of PIR-PUR foams but that DMMP decreased it. The morphology of the residual char provided conclusive evidence for the weak thermal stability of foams filled with DMMP. 展开更多
关键词 expandable graphite Dimethyl methyl phosphonate Fire behavior Thermal stability PIR–PUR foam
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EXPANDABLE PARALLEL FINITE ELEMENT METHODS FOR LINEAR ELLIPTIC PROBLEMS 被引量:1
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作者 Guangzhi DU 《Acta Mathematica Scientia》 SCIE CSCD 2020年第2期572-588,共17页
In this article,two kinds of expandable parallel finite element methods,based on two-grid discretizations,are given to solve the linear elliptic problems.Compared with the classical local and parallel finite element m... In this article,two kinds of expandable parallel finite element methods,based on two-grid discretizations,are given to solve the linear elliptic problems.Compared with the classical local and parallel finite element methods,there are two attractive features of the methods shown in this article:1)a partition of unity is used to generate a series of local and independent subproblems to guarantee the final approximation globally continuous;2)the computational domain of each local subproblem is contained in a ball with radius of O(H)(H is the coarse mesh parameter),which means methods in this article are more suitable for parallel computing in a large parallel computer system.Some a priori error estimation are obtained and optimal error bounds in both H^1-normal and L^2-normal are derived.Finally,numerical results are reported to test and verify the feasibility and validity of our methods. 展开更多
关键词 Two-grid method expandable method partition of unity parallel algorithm finite element method
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