Fishbones are relatively common foreign bodies found in the throat,with the tonsils and tongue base being frequent locations for them to lodge.However,foreign bodies within the tongue are clinically infrequent,and the...Fishbones are relatively common foreign bodies found in the throat,with the tonsils and tongue base being frequent locations for them to lodge.However,foreign bodies within the tongue are clinically infrequent,and their displacement is intricately linked to the shape of the object,duration of lodgement,and the fiber orientation during tongue muscle movement.This article reports a case of a foreign body lodged in the tongue,treated at Xianning Central Hospital in April 2024.展开更多
Fishbones are the most commonly ingested foreign bodies that cause gastrointestinal tract penetration. However, fishbones embedded in the gastrointestinal tract that lead to foreign body granulomas that mimic submucos...Fishbones are the most commonly ingested foreign bodies that cause gastrointestinal tract penetration. However, fishbones embedded in the gastrointestinal tract that lead to foreign body granulomas that mimic submucosal tumors are rare. Herein, we describe a 56-year-old woman who presented with a 20-day-history of upper abdominal pain. Endoscopy revealed an elevated lesion in the gastric antrum. An abdominal computed tomography scan showed a mass in the gastric antrum and a linear calcified lesion in the mass. An endoscopic ultrasonography examination revealed a 3.9 cm × 2.2 cm, irregular, hypoechoic mass with indistinct margins in the muscularis propria layer. The patient was initially diagnosed as having a submucosal tumor, and subsequent surgical resection showed that the lesion was a foreign body granuloma caused by an embedded fishbone. Our case indicated that the differential diagnosis of a foreign body granuloma should be considered in cases of elevated lesions in the gastrointestinal tract.展开更多
The fishbone model is a simplified numerical model for moment-resisting frames that is capable of modelling the effects of column-beam strength and stiffness ratios. The applicability of the fishbone model in simulati...The fishbone model is a simplified numerical model for moment-resisting frames that is capable of modelling the effects of column-beam strength and stiffness ratios. The applicability of the fishbone model in simulating the seismic responses of reinforced concrete moment-resisting frames of different sets of column-beam strength and stiffness ratios are evaluated through nonlinear static, dynamic and incremental dynamic analysis on six prototype buildings of 4-, 8-and 12-stories. The results show that the fishbone model is practically accurate enough for reinforced concrete frames, although the assumption of equal joint rotation does not hold in all cases. In addition to the ground motion characteristics and the number of stories in the structures, the accuracy of the model also varies with the column-beam stiffness and strength ratios. The model performs better for strong column-weak beam frames, in which the lateral drift patterns are better controlled by the continuous stiffness provided by the strong columns. When the inelastic deformation is large, the accuracy of the model may be subjected to large record-to-record variability. This is especially the case for frames of weak columns.展开更多
A coupling model is proposed in this paper by using the Green Function and Newman＇s product principle, and the solution method is provided here as well. This model can be used to describe the reservoir inflow and wel...A coupling model is proposed in this paper by using the Green Function and Newman＇s product principle, and the solution method is provided here as well. This model can be used to describe the reservoir inflow and wellbore flow for fishbone wells in an unsteady flow or pseudo-steady flow state. A case study indicates that the bottom hole pressure declines quickly in the unsteady flow period which is very short. The pressure drop per unit time remains unchanged under the pseudo-steady flow conditions. The distribution of flow rate along the main wellbore shows a wave shape under the unsteady flow condition, and the flow rate distribution in each branch is similar. The flow rate distribution along the main wellbore is irregular ＂U＂ shaped under the pseudo-steady flow condition, and the space-symmetrical branches have the same flow distribution pattern. In the initial production period, the flow rate increases significantly as the length of branches and the angle between branches and the main wellbore increase. As the production continues, the length and angle of branches have only a slight effect on the flow in fishbone wells.展开更多
Previous research has documented that solid biomaterials such as charcoal or waste coffee and tea have been used to remove heavy metals from contaminated aqueous solutions through adsorption. However, these studies us...Previous research has documented that solid biomaterials such as charcoal or waste coffee and tea have been used to remove heavy metals from contaminated aqueous solutions through adsorption. However, these studies used very low heavy metal concentrations between 10 to 100 ppm. Recently published research work reported that extracts of edible plants and fruits were able to effectively remove lead from contaminated aqueous solution. This paper evaluates the ability of charcoal, un-brewed coffee and tea, fishbone, and caffeine to remove lead from contaminated aqueous solutions. The order of lead removal from 1300 ppm of lead solution is Charcoal (100%) > Tea (97%) > Coffee Ground (88%) > Instant Coffee (83.5%) > Coffee Bean (82%) > Fishbone (76%) > Caffeine (1.3%). These results clearly demonstrate that not all solid biomaterials can adsorb lead and that caffeine, a component of coffee and tea does not participate in the removal of lead from contaminated solutions. Furthermore, the results suggest that two possible processes may be involved in the reactions presented here: adsorption of lead by the solid substrates and precipitation of lead by the solubilized biochemical components of the substrates.展开更多
In the presence of energetic particles(EPs)from auxiliary heating and burning plasmas,fishbone instability and Alfvén modes can be excited and their transition can take place in certain overlapping regimes.Using ...In the presence of energetic particles(EPs)from auxiliary heating and burning plasmas,fishbone instability and Alfvén modes can be excited and their transition can take place in certain overlapping regimes.Using the hybrid kinetic-magnetohydrodynamic model in the NIMROD code,we have identified such a transition between the fishbone instability and theβ-induced Alfvén eigenmode(BAE)for the NBI heated plasmas on HL-2 A.When the safety factor at magnetic axis is well below one,typical kink-fishbone transition occurs as the EP fraction increases.When q0 is raised to approaching one,the fishbone mode is replaced with BAE for sufficient amount of EPs.When q0 is slightly above one,the toroidicity-induced Alfvén eigenmode dominates at lower EP pressure,whereas BAE dominates at higher EP pressure.展开更多
This paper describes the fishbone mode phenomena during the injection of highpower neutral beams in EAST（Experimental Advanced Superconducting Tokamak）.The features of the fishbone mode are presented.The change in f...This paper describes the fishbone mode phenomena during the injection of highpower neutral beams in EAST（Experimental Advanced Superconducting Tokamak）.The features of the fishbone mode are presented.The change in frequency of the mode during a fishbone burst is from 1 kHz to 6 kHz.The nonlinear behavior of the fishbone mode is analyzed by using a prey-predator model,which is consistent with the experimental results.This model indicates that the periodic oscillations of the fishbone mode always occur near the critical value of fast ion beta.Furthermore,the neutral beam analysis for the discharge is done by using the NUBEAM module of the TRANSP code.According to the numerical simulation results and theoretical calculation,it can be concluded that the fishbone mode is driven by the deeply trapped energetic beam ions in EAST.展开更多
Numerical calculations of resistive internal kink mode with effects of energetic particles(EPs) on HL-2A have been performed using the hybrid kinetic-MHD model inplemented in the NIMROD code.The m/n=1/1 resistive inte...Numerical calculations of resistive internal kink mode with effects of energetic particles(EPs) on HL-2A have been performed using the hybrid kinetic-MHD model inplemented in the NIMROD code.The m/n=1/1 resistive internal kink mode is unstable in MHD limit.However, with kinetic effects of energetic ions, a fishbone mode is excited with mode frequency around 10 kHz.We calculate the impact of resistivity on the growth rate and frequency of ion fishbone mode,and the results are in good agreement with the analytic solutions, which are obtained by solving the fishbone dispertion relation including resistivity effect.The effects of βfracand cut off velocity of EP on fishbone mode are calculated in detail, where βfracis the ratio of EP pressure to background plasma pressure.This work presents a clear explanation of the stabilizing effect of ECRH on ion fishbone, which is first observed on HL-2A.展开更多
A linear simulation study of energetic passing particle-driven low-frequency fishbone instability in tokamak plasmas has been carried out using the global kinetic-MHD(magnetohydrodynamics)hybrid code M3D-K.This work i...A linear simulation study of energetic passing particle-driven low-frequency fishbone instability in tokamak plasmas has been carried out using the global kinetic-MHD(magnetohydrodynamics)hybrid code M3D-K.This work is focused on the interaction of energetic passing beam ions and n=1 mode with a monotonic safety factor q profile and q_(0)<1.Specifically,the stability and mode frequency as well as mode structure of the n=1mode are calculated for scans of parameter values of beam ion beta,beam ion injection energy,beam ion orbit width,beam ion beta profile,as well as background plasma beta.The excited modes are identified as a low-frequency fishbone with the corresponding resonance of w_(φ)+w_(θ)=w,where w_(φ)is the beam ion toroidal transit frequency and w_(θ)is the beam ion poloidal transit frequency.The simulated mode frequency is approximately proportional to the beam ion injection energy and beam ion orbit width.The mode structure is similar to that of internal kink mode.These simulation results are similar to the analytic theory of Yu et al.展开更多
In the presence of energetic particles(EPs),the long-lived mode(LLM) frequency multiplication with n=1,2,3,or higher is often observed on HL-2A,where n is the toroidal mode number.Hybrid kinetic-MHD model simulations ...In the presence of energetic particles(EPs),the long-lived mode(LLM) frequency multiplication with n=1,2,3,or higher is often observed on HL-2A,where n is the toroidal mode number.Hybrid kinetic-MHD model simulations of the energetic particle(EP) driven kink/fishbone modes on a static HL-2A-like tokamak using NIMROD code find that when the background plasma pressure is relatively high,and the EP pressure and the beam energy are relatively low,the mode frequency increases almost linearly with EP pressure,and the frequency is proportional to n(’frequency multiplication’),even in the absence of any equilibrium plasma rotation.In addition,the frequency multiplication persists as the safety factor at the magnetic axis q_(0)varies.In the absence of EPs,the growth rate of the 1/1 mode is the largest;however,as the EP pressure increases,the growth rate of 2/2 modes or 3/3 modes becomes dominant,suggesting that higher-n modes are more vulnerable to EPs.These results may shed light on the understanding of the toroidal mode number dependence of kink/fishbone modes in the advanced scenarios of tokamaks with weak or reversed central magnetic shear.展开更多
BACKGROUND Fishbone is the most common esophageal foreign body and tends to migrate after piercing the esophagus to nearby structures.Vascular injury around the esophagus is a serious complication and has a high morta...BACKGROUND Fishbone is the most common esophageal foreign body and tends to migrate after piercing the esophagus to nearby structures.Vascular injury around the esophagus is a serious complication and has a high mortality rate,especially in the case of multiple vascular injuries.CASE SUMMARY We report an extremely rare case of successive vertebral artery and subclavian artery pseudoaneurysms caused by swallowing a fishbone in a previously healthy 29-year-old female.She was transferred to the emergency department of our hospital because of hemorrhagic shock due to a vertebral artery pseudoaneurysm.We successfully managed the vertebral artery pseudoaneurysm with endovascular stent implantation and the patient's vital signs as well as hemodynamics once became stable.However,the patient died of the second subclavian artery pseudoaneurysm occurring within a short time,which was thought be related to the obvious displacement of the fishbone in the mediastinum.CONCLUSION Surgery and endovascular stent implantation may be the best choice for treating such complications.Early removal of the fishbone is of great significance in improving the survival of such patients.展开更多
Background:To study the application of management tools such as Plan-Do-Check-Action(PDCA)cycle and fishbone diagram in optimizing surgical procedures to improve the satisfaction of doctor-nurse-patient.Methods:The fu...Background:To study the application of management tools such as Plan-Do-Check-Action(PDCA)cycle and fishbone diagram in optimizing surgical procedures to improve the satisfaction of doctor-nurse-patient.Methods:The fundus surgery nursing team of our hospital began to implement the PDCA cycle management mode to optimize the surgical procedure from July 2017,set up a project activity improvement team,unified the surgical labeling processing plan,and made the fundus surgery procedure,and established the preoperative health education for surgical patients,and standardized the training content of post-rotating doctors and interns.Results:The satisfaction degree to surgical procedure after implementation of doctors and nurses was higher than that before implementation.Conclusions:Using PDCA cycle and fishbone diagram analysis tools to manage the surgical procedure optimization can better integrate doctor-nurse medical care,improve the efficiency and accuracy of the surgical procedure delivery and operation,and optimize the satisfaction of the three parties of doctor-nurse-patient.展开更多
In this research, we have projected and carried out a novel fishbone network that shows better performance in the term of minimizing the packet delay with respect to sink speed. Previous study implies that sector angl...In this research, we have projected and carried out a novel fishbone network that shows better performance in the term of minimizing the packet delay with respect to sink speed. Previous study implies that sector angle affects greatly on designing fishbone network. Finite Set of nodes arranges to sense the physical condition of any system is called wireless sensor. Our designed fishbone network can be potentially applied for a wireless sensing system to formulate a whole network. The network is a novel design which has been finalized by comparing sector angle. Analysis takes place by varying packet delay according to sink speed. Future analysis takes place for Quality of Service (QoS) and Quality of Experience (QoE). Latency of Packet and its size is the measurement criteria of any network or service is called Quality of Service (QoS). On the other hand the user experience of using the designed network is called Quality of Experience (QoE). Our designed network has been analyzed in TCP Tracer to find out the latency or packet delay for different users. The user data has been shorted and equated among them for latency with different no of packets. Our proposed spiral fishbone network shows better QoS and QoE. In future more nodes can be added to design extended fishbone network for wireless.展开更多
This paper presents the results of studying the frequency dependence of permittivity and dielectric loss of fishbone (Fb) Kutum and polyethylene composites filled with nanoparticles fishbone Kutum and the influence of...This paper presents the results of studying the frequency dependence of permittivity and dielectric loss of fishbone (Fb) Kutum and polyethylene composites filled with nanoparticles fishbone Kutum and the influence of aluminum(Al) nanoparticles with dimensions 80-nm on the dielectric properties of polymer composites. Studies were carried out at the frequency range of 0 - 1 MHz. It was found that the variation of the volume of filler content of fishbone and aluminum nanoparticles might be prepared composite materials with the required dielectric parameters.展开更多
基金supported by Hubei Provincial Key Research Base for Humanities and Social Sciences Rural Education and Cultural Development Center(23NJZX14)Hubei University of Science and Technology(2023-XK-026)Natural Science Foundation of Hubei Province(2024AFB471).
文摘Fishbones are relatively common foreign bodies found in the throat,with the tonsils and tongue base being frequent locations for them to lodge.However,foreign bodies within the tongue are clinically infrequent,and their displacement is intricately linked to the shape of the object,duration of lodgement,and the fiber orientation during tongue muscle movement.This article reports a case of a foreign body lodged in the tongue,treated at Xianning Central Hospital in April 2024.
文摘Fishbones are the most commonly ingested foreign bodies that cause gastrointestinal tract penetration. However, fishbones embedded in the gastrointestinal tract that lead to foreign body granulomas that mimic submucosal tumors are rare. Herein, we describe a 56-year-old woman who presented with a 20-day-history of upper abdominal pain. Endoscopy revealed an elevated lesion in the gastric antrum. An abdominal computed tomography scan showed a mass in the gastric antrum and a linear calcified lesion in the mass. An endoscopic ultrasonography examination revealed a 3.9 cm × 2.2 cm, irregular, hypoechoic mass with indistinct margins in the muscularis propria layer. The patient was initially diagnosed as having a submucosal tumor, and subsequent surgical resection showed that the lesion was a foreign body granuloma caused by an embedded fishbone. Our case indicated that the differential diagnosis of a foreign body granuloma should be considered in cases of elevated lesions in the gastrointestinal tract.
基金Scientific Research Fund of Institute of Engineering Mechanics,China Earthquake Administration under Grant Nos.2016A05 and 2016A06National Natural Science Foundation of China under Grant No.51478441
文摘The fishbone model is a simplified numerical model for moment-resisting frames that is capable of modelling the effects of column-beam strength and stiffness ratios. The applicability of the fishbone model in simulating the seismic responses of reinforced concrete moment-resisting frames of different sets of column-beam strength and stiffness ratios are evaluated through nonlinear static, dynamic and incremental dynamic analysis on six prototype buildings of 4-, 8-and 12-stories. The results show that the fishbone model is practically accurate enough for reinforced concrete frames, although the assumption of equal joint rotation does not hold in all cases. In addition to the ground motion characteristics and the number of stories in the structures, the accuracy of the model also varies with the column-beam stiffness and strength ratios. The model performs better for strong column-weak beam frames, in which the lateral drift patterns are better controlled by the continuous stiffness provided by the strong columns. When the inelastic deformation is large, the accuracy of the model may be subjected to large record-to-record variability. This is especially the case for frames of weak columns.
基金support from the National Science and Technology Major Projects of China(Grant No. 2011ZX05031-003)
文摘A coupling model is proposed in this paper by using the Green Function and Newman＇s product principle, and the solution method is provided here as well. This model can be used to describe the reservoir inflow and wellbore flow for fishbone wells in an unsteady flow or pseudo-steady flow state. A case study indicates that the bottom hole pressure declines quickly in the unsteady flow period which is very short. The pressure drop per unit time remains unchanged under the pseudo-steady flow conditions. The distribution of flow rate along the main wellbore shows a wave shape under the unsteady flow condition, and the flow rate distribution in each branch is similar. The flow rate distribution along the main wellbore is irregular ＂U＂ shaped under the pseudo-steady flow condition, and the space-symmetrical branches have the same flow distribution pattern. In the initial production period, the flow rate increases significantly as the length of branches and the angle between branches and the main wellbore increase. As the production continues, the length and angle of branches have only a slight effect on the flow in fishbone wells.
文摘Previous research has documented that solid biomaterials such as charcoal or waste coffee and tea have been used to remove heavy metals from contaminated aqueous solutions through adsorption. However, these studies used very low heavy metal concentrations between 10 to 100 ppm. Recently published research work reported that extracts of edible plants and fruits were able to effectively remove lead from contaminated aqueous solution. This paper evaluates the ability of charcoal, un-brewed coffee and tea, fishbone, and caffeine to remove lead from contaminated aqueous solutions. The order of lead removal from 1300 ppm of lead solution is Charcoal (100%) > Tea (97%) > Coffee Ground (88%) > Instant Coffee (83.5%) > Coffee Bean (82%) > Fishbone (76%) > Caffeine (1.3%). These results clearly demonstrate that not all solid biomaterials can adsorb lead and that caffeine, a component of coffee and tea does not participate in the removal of lead from contaminated solutions. Furthermore, the results suggest that two possible processes may be involved in the reactions presented here: adsorption of lead by the solid substrates and precipitation of lead by the solubilized biochemical components of the substrates.
基金supported by the National Magnetic Confinement Fusion Science Program of China(No.2019YFE03050004)National Natural Science Foundation of China(Nos.11875253,11775221,51821005)+3 种基金the Fundamental Research Funds for the Central Universities at University of Science and Technology of China(No.WK3420000004)Huazhong University of Science and Technology(No.2019kfy XJJS193)the Collaborative Innovation Program of Hefei Science Center,CAS(No.2019HSC-CIP015)the U.S.Department of Energy(Nos.DE-FG02-86ER53218 and DE-SC0018001)。
文摘In the presence of energetic particles(EPs)from auxiliary heating and burning plasmas,fishbone instability and Alfvén modes can be excited and their transition can take place in certain overlapping regimes.Using the hybrid kinetic-magnetohydrodynamic model in the NIMROD code,we have identified such a transition between the fishbone instability and theβ-induced Alfvén eigenmode(BAE)for the NBI heated plasmas on HL-2 A.When the safety factor at magnetic axis is well below one,typical kink-fishbone transition occurs as the EP fraction increases.When q0 is raised to approaching one,the fishbone mode is replaced with BAE for sufficient amount of EPs.When q0 is slightly above one,the toroidicity-induced Alfvén eigenmode dominates at lower EP pressure,whereas BAE dominates at higher EP pressure.
基金supported by the National Magnetic Confinement Fusion Science Program of China(Nos.2013GB101001,2014DFG61950 and2013GB112003)National Natural Science Foundation of China(Nos.11175211 and 11275233)
文摘This paper describes the fishbone mode phenomena during the injection of highpower neutral beams in EAST（Experimental Advanced Superconducting Tokamak）.The features of the fishbone mode are presented.The change in frequency of the mode during a fishbone burst is from 1 kHz to 6 kHz.The nonlinear behavior of the fishbone mode is analyzed by using a prey-predator model,which is consistent with the experimental results.This model indicates that the periodic oscillations of the fishbone mode always occur near the critical value of fast ion beta.Furthermore,the neutral beam analysis for the discharge is done by using the NUBEAM module of the TRANSP code.According to the numerical simulation results and theoretical calculation,it can be concluded that the fishbone mode is driven by the deeply trapped energetic beam ions in EAST.
基金supported by the National Magnetic Confinement Fusion Program (Nos.2014GB110000, 2014GB124002 and 2015GB101004)National Natural Science Foundation of China (Nos.11475058, 11875253 and 11775221)+1 种基金the Fundamental Research Funds for the Central Universities (No.WK3420000004)the supports from US Department of Energy (Nos.DE-FG0286ER53218 and DE-FC02-08ER54975)
文摘Numerical calculations of resistive internal kink mode with effects of energetic particles(EPs) on HL-2A have been performed using the hybrid kinetic-MHD model inplemented in the NIMROD code.The m/n=1/1 resistive internal kink mode is unstable in MHD limit.However, with kinetic effects of energetic ions, a fishbone mode is excited with mode frequency around 10 kHz.We calculate the impact of resistivity on the growth rate and frequency of ion fishbone mode,and the results are in good agreement with the analytic solutions, which are obtained by solving the fishbone dispertion relation including resistivity effect.The effects of βfracand cut off velocity of EP on fishbone mode are calculated in detail, where βfracis the ratio of EP pressure to background plasma pressure.This work presents a clear explanation of the stabilizing effect of ECRH on ion fishbone, which is first observed on HL-2A.
基金the National MCF Energy R&D Program of China(Nos.2019YFE03030004 and 2019YFE03050001)National Natural Science Foundation of China(Nos.11975232 and 11975270)。
文摘A linear simulation study of energetic passing particle-driven low-frequency fishbone instability in tokamak plasmas has been carried out using the global kinetic-MHD(magnetohydrodynamics)hybrid code M3D-K.This work is focused on the interaction of energetic passing beam ions and n=1 mode with a monotonic safety factor q profile and q_(0)<1.Specifically,the stability and mode frequency as well as mode structure of the n=1mode are calculated for scans of parameter values of beam ion beta,beam ion injection energy,beam ion orbit width,beam ion beta profile,as well as background plasma beta.The excited modes are identified as a low-frequency fishbone with the corresponding resonance of w_(φ)+w_(θ)=w,where w_(φ)is the beam ion toroidal transit frequency and w_(θ)is the beam ion poloidal transit frequency.The simulated mode frequency is approximately proportional to the beam ion injection energy and beam ion orbit width.The mode structure is similar to that of internal kink mode.These simulation results are similar to the analytic theory of Yu et al.
基金supported by the National Magnetic Confinement Fusion Program of China (No. 2019YFE03050004)National Natural Science Foundation of China (Nos.11875253,11775221,51821005 and 11875018)+2 种基金the Fundamental Research Funds for the Central Universities (Nos.WK3420000004 and 2019kfyXJJS193)the Collaborative Innovation Program of Hefei Science Center,CAS (No. 2019HSC-CIP015)the U S Department of Energy (Nos.DEFG02-86ER53218 and DE-SC0018001)
文摘In the presence of energetic particles(EPs),the long-lived mode(LLM) frequency multiplication with n=1,2,3,or higher is often observed on HL-2A,where n is the toroidal mode number.Hybrid kinetic-MHD model simulations of the energetic particle(EP) driven kink/fishbone modes on a static HL-2A-like tokamak using NIMROD code find that when the background plasma pressure is relatively high,and the EP pressure and the beam energy are relatively low,the mode frequency increases almost linearly with EP pressure,and the frequency is proportional to n(’frequency multiplication’),even in the absence of any equilibrium plasma rotation.In addition,the frequency multiplication persists as the safety factor at the magnetic axis q_(0)varies.In the absence of EPs,the growth rate of the 1/1 mode is the largest;however,as the EP pressure increases,the growth rate of 2/2 modes or 3/3 modes becomes dominant,suggesting that higher-n modes are more vulnerable to EPs.These results may shed light on the understanding of the toroidal mode number dependence of kink/fishbone modes in the advanced scenarios of tokamaks with weak or reversed central magnetic shear.
文摘BACKGROUND Fishbone is the most common esophageal foreign body and tends to migrate after piercing the esophagus to nearby structures.Vascular injury around the esophagus is a serious complication and has a high mortality rate,especially in the case of multiple vascular injuries.CASE SUMMARY We report an extremely rare case of successive vertebral artery and subclavian artery pseudoaneurysms caused by swallowing a fishbone in a previously healthy 29-year-old female.She was transferred to the emergency department of our hospital because of hemorrhagic shock due to a vertebral artery pseudoaneurysm.We successfully managed the vertebral artery pseudoaneurysm with endovascular stent implantation and the patient's vital signs as well as hemodynamics once became stable.However,the patient died of the second subclavian artery pseudoaneurysm occurring within a short time,which was thought be related to the obvious displacement of the fishbone in the mediastinum.CONCLUSION Surgery and endovascular stent implantation may be the best choice for treating such complications.Early removal of the fishbone is of great significance in improving the survival of such patients.
文摘Background:To study the application of management tools such as Plan-Do-Check-Action(PDCA)cycle and fishbone diagram in optimizing surgical procedures to improve the satisfaction of doctor-nurse-patient.Methods:The fundus surgery nursing team of our hospital began to implement the PDCA cycle management mode to optimize the surgical procedure from July 2017,set up a project activity improvement team,unified the surgical labeling processing plan,and made the fundus surgery procedure,and established the preoperative health education for surgical patients,and standardized the training content of post-rotating doctors and interns.Results:The satisfaction degree to surgical procedure after implementation of doctors and nurses was higher than that before implementation.Conclusions:Using PDCA cycle and fishbone diagram analysis tools to manage the surgical procedure optimization can better integrate doctor-nurse medical care,improve the efficiency and accuracy of the surgical procedure delivery and operation,and optimize the satisfaction of the three parties of doctor-nurse-patient.
文摘In this research, we have projected and carried out a novel fishbone network that shows better performance in the term of minimizing the packet delay with respect to sink speed. Previous study implies that sector angle affects greatly on designing fishbone network. Finite Set of nodes arranges to sense the physical condition of any system is called wireless sensor. Our designed fishbone network can be potentially applied for a wireless sensing system to formulate a whole network. The network is a novel design which has been finalized by comparing sector angle. Analysis takes place by varying packet delay according to sink speed. Future analysis takes place for Quality of Service (QoS) and Quality of Experience (QoE). Latency of Packet and its size is the measurement criteria of any network or service is called Quality of Service (QoS). On the other hand the user experience of using the designed network is called Quality of Experience (QoE). Our designed network has been analyzed in TCP Tracer to find out the latency or packet delay for different users. The user data has been shorted and equated among them for latency with different no of packets. Our proposed spiral fishbone network shows better QoS and QoE. In future more nodes can be added to design extended fishbone network for wireless.
文摘This paper presents the results of studying the frequency dependence of permittivity and dielectric loss of fishbone (Fb) Kutum and polyethylene composites filled with nanoparticles fishbone Kutum and the influence of aluminum(Al) nanoparticles with dimensions 80-nm on the dielectric properties of polymer composites. Studies were carried out at the frequency range of 0 - 1 MHz. It was found that the variation of the volume of filler content of fishbone and aluminum nanoparticles might be prepared composite materials with the required dielectric parameters.
