BACKGROUND Heavy eye syndrome(HES)is an acquired strabismus typically seen in eyes with high myopia.We report a classic case in which a patient was misdiagnosed with esotropia and underwent disinsertion of the medial ...BACKGROUND Heavy eye syndrome(HES)is an acquired strabismus typically seen in eyes with high myopia.We report a classic case in which a patient was misdiagnosed with esotropia and underwent disinsertion of the medial rectus muscle and lateral rectus muscle resection procedures.CASE SUMMARY A 71-year-old woman presented with both eyes fixed in adduction and infraduction for 33 years.She had undergone three complicated strabismus surgeries to amputate the left medial rectus(MR)muscle with lateral rectus muscle recession,but no improvement in the esotropia appeared after each operation.She was diagnosed with HES and underwent a bilateral Yokoyama procedure and recession of the right MR muscle under general anesthesia.After surgery,her eyes were binocularly aligned for 6 mo.This case suggests that pertinacious esotropia combined with high myopia must be considered in HES.Orbital imaging and ultrasonography can demonstrate anatomical abnormality and mu-scle paths to confirm a definite diagnosis.CONCLUSION The Yokoyama procedure was effective in correcting HES.展开更多
In the paper, we study a high order numerical boundary scheme for solving the complex moving boundary problem on a fixed Cartesian mesh, and numerically investigate the moving rigid body with the complex boundary unde...In the paper, we study a high order numerical boundary scheme for solving the complex moving boundary problem on a fixed Cartesian mesh, and numerically investigate the moving rigid body with the complex boundary under the impingement of an inviscid shock wave. Based on the high order inverse Lax-Wendroff(ILW) procedure developed in the previous work(TAN, S. and SHU, C. W. A high order moving boundary treatment for compressible inviscid flows. Journal of Computational Physics, 230(15),6023–6036(2011)), in which the authors only considered the translation of the rigid body,we consider both translation and rotation of the body in this paper. In particular, we reformulate the material derivative on the moving boundary with no-penetration condition, and the newly obtained formula plays a key role in the proposed algorithm. Several numerical examples, including cylinder, elliptic cylinder, and NACA0012 airfoil, are given to indicate the effectiveness and robustness of the present method.展开更多
In this study, the welding technology of the hot-rolled extra-high-strength steel, BS960QC, has been comprehensively investigated. Analysis has been made on the weldability ,the different welding procedures ,the mecha...In this study, the welding technology of the hot-rolled extra-high-strength steel, BS960QC, has been comprehensively investigated. Analysis has been made on the weldability ,the different welding procedures ,the mechanical properties, and the fatigue properties, and a set of recommendation guidelines have been proposed for evaluating the welded joints of the extra-high-strength steel. The research and results indicate that the hot-rolled extra-high-strength steel, BS960QC,has good weldability and an excellent adaptability to welding procedures. Further,the excellent mechanical properties and fatigue properties of the welded joints ,which can be achieved by using optimized welding procedures, can completely meet the technical requirements of the construction machinery industry.展开更多
Objective: The present study was conceived to analyze the clinical benefit of hybrid interventions with surgical common femoral artery (CFA) reconstruction coupled to superficial femoral/popliteal endovascular recanal...Objective: The present study was conceived to analyze the clinical benefit of hybrid interventions with surgical common femoral artery (CFA) reconstruction coupled to superficial femoral/popliteal endovascular recanalization for severe infrainguinal multilevel occlusive disease in high-risk ASA Class 3 - 4 patients. Material and Methods: From August 2008 until May 2015, a series of 143 hybrid infrainguinal interventions in 124 ASA Class 3 - 4 patients were performed in our department for Rutherford category 2 - 6 ischemic presentations. Patient demographics, specific risk factors, technical characteristics and patency results were retrospectively examined during a mean 36.8 months of follow-up. In a majority of 94 limbs (65%), the endovascular stage of interventions focused on long (>15 cm) femoropopliteal occlusions in parallel to regular CFA surgical revascularization. Two or three runoff tibial trunks were evinced in 84% cases, while one or none permeable vessel was found in 23 (16%) limbs. Results: Inasmuch surgical approach was successful in all cases, the endovascular stage was technically profitable in 134 (93%) cases. The ABI posto-peratively improved (>1.5) in 73% of cases, while clinical presentation gained at least one Rutherford category in 89% limbs. The mean hospital stay was 6.1 days (3 - 12 days) whereas the 30-day mortality rate in this homogeneous “high-risk” group of patients was 3.2%. Global risk factors alike age (>70 years/p = 0.0005), smoking ((p = 0.0170) and female gender (p = 0.0111), together with CTOs length (>15 cm/(p = 0.0470), severe calcifications (p = 0.0001), poor tibial runoff (p = 0.0001), TASC “C” and “D” lesions (p = 0.360 and (p = 0.0394), the stent number ((n = 3) and length (>6 cm) ((p = 0.0039 and (p = 0.0003) and the initial ABI scoring ((p = 0.0051) showed statistical negative influence on primary patency. Conclusion: Hybrid infrainguinal revascularization may afford useful results in selected ASA “high risk” patients, owning low invasiveness, reproducibility and acceptable patency in return to punctual postoperative surveillance.展开更多
基金Supported by the Natural Science Foundation of Shandong Province,No.ZR2018BH013the China Postdoctoral Science Foundation,No.2017M612214.
文摘BACKGROUND Heavy eye syndrome(HES)is an acquired strabismus typically seen in eyes with high myopia.We report a classic case in which a patient was misdiagnosed with esotropia and underwent disinsertion of the medial rectus muscle and lateral rectus muscle resection procedures.CASE SUMMARY A 71-year-old woman presented with both eyes fixed in adduction and infraduction for 33 years.She had undergone three complicated strabismus surgeries to amputate the left medial rectus(MR)muscle with lateral rectus muscle recession,but no improvement in the esotropia appeared after each operation.She was diagnosed with HES and underwent a bilateral Yokoyama procedure and recession of the right MR muscle under general anesthesia.After surgery,her eyes were binocularly aligned for 6 mo.This case suggests that pertinacious esotropia combined with high myopia must be considered in HES.Orbital imaging and ultrasonography can demonstrate anatomical abnormality and mu-scle paths to confirm a definite diagnosis.CONCLUSION The Yokoyama procedure was effective in correcting HES.
基金Project supported by the National Natural Science Foundation of China (Nos. 11901555, 11901213,11871448, and 11732016)the National Numerical Windtunnel Project (No. NNW2019ZT4-B10)。
文摘In the paper, we study a high order numerical boundary scheme for solving the complex moving boundary problem on a fixed Cartesian mesh, and numerically investigate the moving rigid body with the complex boundary under the impingement of an inviscid shock wave. Based on the high order inverse Lax-Wendroff(ILW) procedure developed in the previous work(TAN, S. and SHU, C. W. A high order moving boundary treatment for compressible inviscid flows. Journal of Computational Physics, 230(15),6023–6036(2011)), in which the authors only considered the translation of the rigid body,we consider both translation and rotation of the body in this paper. In particular, we reformulate the material derivative on the moving boundary with no-penetration condition, and the newly obtained formula plays a key role in the proposed algorithm. Several numerical examples, including cylinder, elliptic cylinder, and NACA0012 airfoil, are given to indicate the effectiveness and robustness of the present method.
文摘In this study, the welding technology of the hot-rolled extra-high-strength steel, BS960QC, has been comprehensively investigated. Analysis has been made on the weldability ,the different welding procedures ,the mechanical properties, and the fatigue properties, and a set of recommendation guidelines have been proposed for evaluating the welded joints of the extra-high-strength steel. The research and results indicate that the hot-rolled extra-high-strength steel, BS960QC,has good weldability and an excellent adaptability to welding procedures. Further,the excellent mechanical properties and fatigue properties of the welded joints ,which can be achieved by using optimized welding procedures, can completely meet the technical requirements of the construction machinery industry.
文摘Objective: The present study was conceived to analyze the clinical benefit of hybrid interventions with surgical common femoral artery (CFA) reconstruction coupled to superficial femoral/popliteal endovascular recanalization for severe infrainguinal multilevel occlusive disease in high-risk ASA Class 3 - 4 patients. Material and Methods: From August 2008 until May 2015, a series of 143 hybrid infrainguinal interventions in 124 ASA Class 3 - 4 patients were performed in our department for Rutherford category 2 - 6 ischemic presentations. Patient demographics, specific risk factors, technical characteristics and patency results were retrospectively examined during a mean 36.8 months of follow-up. In a majority of 94 limbs (65%), the endovascular stage of interventions focused on long (>15 cm) femoropopliteal occlusions in parallel to regular CFA surgical revascularization. Two or three runoff tibial trunks were evinced in 84% cases, while one or none permeable vessel was found in 23 (16%) limbs. Results: Inasmuch surgical approach was successful in all cases, the endovascular stage was technically profitable in 134 (93%) cases. The ABI posto-peratively improved (>1.5) in 73% of cases, while clinical presentation gained at least one Rutherford category in 89% limbs. The mean hospital stay was 6.1 days (3 - 12 days) whereas the 30-day mortality rate in this homogeneous “high-risk” group of patients was 3.2%. Global risk factors alike age (>70 years/p = 0.0005), smoking ((p = 0.0170) and female gender (p = 0.0111), together with CTOs length (>15 cm/(p = 0.0470), severe calcifications (p = 0.0001), poor tibial runoff (p = 0.0001), TASC “C” and “D” lesions (p = 0.360 and (p = 0.0394), the stent number ((n = 3) and length (>6 cm) ((p = 0.0039 and (p = 0.0003) and the initial ABI scoring ((p = 0.0051) showed statistical negative influence on primary patency. Conclusion: Hybrid infrainguinal revascularization may afford useful results in selected ASA “high risk” patients, owning low invasiveness, reproducibility and acceptable patency in return to punctual postoperative surveillance.
