Clinical effect of operative vs nonoperative treatment on humeral shaft fractures:Systematic review and meta-analysis of clinical trials

BACKGROUND Whether operation is superior to non-operation for humeral shaft fracture remains debatable.We hypothesized that operation could decrease the nonunion and reintervention rates and increase the functional outcomes.AIM To compare the clinical efficacy between operative and nonoperative approaches for humeral shaft fractures.METHODS We searched the PubMed,Web of Science,ScienceDirect,and Cochrane databases from 1990 to December 2023 for clinical trials and cohort studies comparing the effects of operative and conservative methods on humeral shaft fractures.Two investigators independently extracted data from the eligible studies,and the other two assessed the methodological quality of each study.The quality of the included studies was assessed using the Cochrane risk bias or Newcastle-Ottawa Scale.The nonunion,reintervention and the overall complications and functional scores were pooled and analyzed using Review Manager software(version 5.3).RESULTS A total of four randomized control trials and 13 cohort studies were included,with 1285 and 1346 patients in the operative and nonoperative groups,respectively.Patients in the operative group were treated with a plate or nail,whereas those in the conservative group were managed with splint or functional bracing.Four studies were assessed as having a high risk of bias,and the other 13 were of a low risk of bias according to the Newcastle-Ottawa Scale or Cochrane risk bias tool.The operative group had a significantly decreased rate of nonunion[odds ratio(OR)0.30;95%CI:0.23 to 0.40,reintervention(OR:0.33;95%CI:0.24 to 0.47),and overall complications(OR:0.62;95%CI:0.49 to 0.78)].The pooled effect of the Disabilities of Arm,Shoulder,and Hand score showed a significant difference at 3[mean difference(MD)-8.26;95%CI:-13.60 to-2.92],6(MD:-6.72;95%CI:-11.34 to-2.10),and 12 months(MD:-2.55;95%CI:-4.36 to-0.74).The pooled effect of Visual Analog Scale scores and the Constant-Murley score did not significantly differ between the two groups.CONCLUSION This systematic review and meta-analysis revealed a trend of rapid functional recovery and decreased rates of nonunion and reintervention after operation for humeral shaft fracture compared to conservative treatment.

Functional Outcomes of Adult Tibia Shaft Fractures Treated with Solid Intramedullary Nails versus Hollow Nails: A Systematic Review

Introduction: The management of fractures of the tibia shaft is an important aspect of orthopaedic care, and the selection of the surgical method for fixation can substantially impact patient outcomes. The current review aims to compare the outcomes of adult tibia fractures treated with solid nails to those treated with hollow nails. Methods: A search on Scopus, PubMed, and Cochrane Library, using three keywords (Outcome, Tibia shaft fractures, Nail) was conducted in April 2023. Results were compiled and two independent reviewers screened and selected eligible articles After removing duplicates, titles and abstracts were read to exclude ineligible studies. Full-text articles of the remaining papers were read to select eligible studies which were further critically appraised to ascertain their methodological quality. The data extracted from the selected papers were synthesized using a combination of pooling of results, tests of statistical difference (t-test and chi-square) and narrative synthesis methods. Results: A total of 2295 articles were obtained from the databases and citation searching. A total of 9 papers were identified as eligible and included in the review. Findings revealed that there is no statistical difference in the outcomes of tibia fractures treated with either solid or hollow nail groups such as duration of surgery (p = 0.541), rate of delayed and non-union (p = 0.342), and rate of surgical site infections (p = 0.395). Conclusion: Intramedullary nailing of tibia shaft fractures with either solid or hollow nails have similar functional outcomes.

A laser shaft alignment system with dual PSDs

Shaft alignment is an important technique during installation and maintenance of a rotating machine. A high-precision laser alignment system has been designed with dual PSDs (Position Sensing Detector) to change traditional manual way of shaft alignment and to make the measurement easier and more accurate. The system is comprised of two small measuring units (laser transmitter and detector) and a PDA (Personal Digital Assistant) with measurement software. The laser alignment system with dual PSDs was improved on a single PSD system, and yields higher measurement accuracy than the previous design, and has been successful for designing and implements actual shaft alignment. In the system, the range of offset measurement is ±4 mm, and the resolution is 1.5 μm, with accuracy being less than 2 μm.

Nonlinear Dynamic Modeling for a Diesel Engine Propeller Shafting Used in Large Marines

Longitudinal vibration,torsional vibration and their coupled vibration are the main vibration modes of the crankshaft-sliding bearing system.However,these vibrations of the propeller-crankshaft-sliding bearing system generated by the fluid exciting force on the propeller are much more complex.Currently,the torsional and longitudinal vibrations have been studied separately while the research on their coupled vibration is few,and the influence of the propeller structure to dynamic characteristics of a crankshaft has not been studied yet.In order to describe the dynamic properties of a crankshaft accurately,a nonlinear dynamic model is proposed taking the effect of torsional-longitudinal coupling and the variable inertia of propeller,connecting rod and piston into account.Numerical simulation cases are carried out to calculate the response data of the system in time and frequency domains under the working speed and over-speed,respectively.Results of vibration analysis of the propeller and crankshaft system coupled in torsional and longitudinal direction indicate that the system dynamic behaviors are relatively complicated especially in the components of the frequency response.For example,the 4 times of an exciting frequency acting on the propeller by fluid appears at 130 r/min,while not yield at 105 r/min.While the possible abnormal vibration at over-speed just needs to be vigilant.So when designing the propeller shafting used in marine diesel engines,strength calculation and vibration analysis based only on linear model may cause great errors and the proposed research provides some references to design diesel engine propeller shafting used in large marines.

Analysis of Properties of Thrust Bearing in Ship Propulsion System

Thrust bearing is a key component of the propulsion system of a ship. It transfers the propulsive forces from the propeller to the ship＇s hull, allowing the propeller to push the ship ahead. The performance of a thrust bearing pad is critical. When the thrust bearing becomes damaged, it can cause the ship to lose power and can also affect its operational safety. For this paper, the distribution of the pressure field of a thrust pad was calculated with numerical method, applying Reynolds equation. Thrust bearing properties for loads were analyzed, given variations in outlet thickness of the pad and variations between the load and the slope of the pad. It was noticed that the distribution of pressure was uneven. As a result, increases of both the outlet thickness and the slope coefficient of the pad were able to improve load beating capability.

Stability and nonlinear dynamic behavior of drilling shaft system in copper stave deep hole drilling

The stability and nonlinear dynamic behavior of drilling shaft system in copper stave deep hole drilling were analyzed. The effects of the fluctuation of the cutting force, the mass eccentricity and the hydrodynamic forces of cutting fluid could be taken into consideration in the model of drilling shaft system. Based on the isoparametric finite element method, the variational form of Reynolds equation in hydrodynamic fluid was used to calculate nonlinear hydrodynamic forces and their Jacobian matrices simultaneously. In the stability analysis, a new shooting method for rapidly determining the periodic orbit of the nonlinear drilling shaft system and its period was presented by rebuilding the traditional shooting method and changing the time scale. Through the combination of theories with experiment, the correctness and effectiveness of the above methods are verified by using the Floquet theory. The results show that the mass eccentricity can inhibit the whirling motion of drilling shaft to some extent.

Transient Model for Shafting Vibration of Hydro Turbine Generating Sets

The shafting vibration is closely related to the rotational angular speed.The angular speed of hydro turbine generating sets(HTGS)is rapidly change in fault transient,it maybe reduce the shafting damage.By means of energy analysis,the differential equation of shafting vibration for the HTGS is derived,in which include the equation of generator rotor and hydro turbine runner,it can be applied to transient analysis.Shafting model is transformed into first order differential equation groups,and is combined with the motion equation of HTGS to build integrated model.Various additional forces of shafting are taken as input inspire in proposed model,the generality of model is good.At last,the shafting vibration in emergency stop transient is simulated.

Crack Fault Diagnosis and Location Method for a Dual-Disk Hollow Shaft Rotor System Based on the Radial Basis Function Network and Pattern Recognition Neural Network

The crack fault is one of the most common faults in the rotor system,and researchers have paid close attention to its fault diagnosis.However,most studies focus on discussing the dynamic response characteristics caused by the crack rather than estimating the crack depth and position based on the obtained vibration signals.In this paper,a novel crack fault diagnosis and location method for a dual-disk hollow shaft rotor system based on the Radial basis function(RBF)network and Pattern recognition neural network(PRNN)is presented.Firstly,a rotor system model with a breathing crack suitable for a short-thick hollow shaft rotor is established based on the finite element method,where the crack's periodic opening and closing pattern and different degrees of crack depth are considered.Then,the dynamic response is obtained by the harmonic balance method.By adjusting the crack parameters,the dynamic characteristics related to the crack depth and position are analyzed through the amplitude-frequency responses and waterfall plots.The analysis results show that the first critical speed,first subcritical speed,first critical speed amplitude,and super-harmonic resonance peak at the first subcritical speed can be utilized for the crack fault diagnosis.Based on this,the RBF network and PRNN are adopted to determine the depth and approximate location of the crack respectively by taking the above dynamic characteristics as input.Test results show that the proposed method has high fault diagnosis accuracy.This research proposes a crack detection method adequate for the hollow shaft rotor system,where the crack depth and position are both unknown.

Study on Coaxiality Measurement System of Compound Gear Shaft Based on Non⁃contact Optic

Aiming at the shortcomings of traditional contact measurement methods such as low measurement efficiency,high cost and low accuracy,a non-contact optical measurement method based on the laser displacement sensor is proposed.According to the relevant regulations of the coaxiality error evaluation standard and the structural characteristics of the compound gear shaft,we have designed and built a set of supporting software system as well as a hardware test platform.In this paper,the distance difference threshold and scale threshold methods are used to eliminate outlier data.The least squares circle is selected to calculate the center of the circle and the minimum containment cylinder axis method is used as the reference axis of the composite gear shaft.Compensated by the standard step shaft calibration,the coaxiality error of the composite gear shaft can be measured to be within 0.01 mm in less than two minutes.The range value of the multi-section measurement test is 0.065 mm.The average coaxiality error is∅0.476 mm.

INVESTIGATION OF SIMULATION EXPERIMENT ON ACTIVE CONTROL OF TORSIONAL VIBRATION IN A TURBOGENERATOR SHAFT SYSTEM

According to the theoretical analysis and calculation on the base ofcontinuous mass system, the simulation experimental investigation on active control of torsionalvibration in a turbogenerator shaft system is conducted. A test installation with the excitation ofgenerator motor and multi-stepped shaft system is established to simulate the torsional vibration ofa turbogenerator rotor shaft system, and to examine the active control strategy presented. Someuseful results are reached in the experimental study.

The Laser Shaft Alignment System with Dual PSDs

Shaft alignment is an important technique during installation and maintenance of a rotating machine. A high-precision laser alignment system has been designed with dual PSDs (Position Sensing Detector) to change traditional manual way of shaft alignment and to make the measurement easier and more accurate. The system is comprised of two small measuring units (laser transmitter and detector) and a PDA (Personal Digital Assistant) with the measurement software. The laser alignment system with dual PSDs was improved on a single PSD system,and it gets higher measurement accuracy than the previous design,and it has been succeeded in designing and implement for actual shaft alignment. In the system,the range of offset measurement is ±4 mm,and the resolution is 1.5 μm,and the accuracy is less than 2 μm.

Building up a Mathematical Model of Shaftes System and CAD for Linked Tetra-Shaft and Double-Cantilever Flat Flap Gate

Linked tetra shaft and double cantilever flat flap gate is a new type of structure in water conservancy projects,but the traditional method is now adopted in its design.In order to the application and dissemination of the type of sluice,this paper researches the difficult points of design advance,through researching the motion locus & stress coundition of linked tetra shaft system.The writer will build up the mathmatical model and handle it with the computer.Thus,we can achieve the modern desing on the basis of the software of linked tetra shaft system development.

A systematic approach for synthesizing a low-temperature distillation system

In this paper, by combining a stochastic optimization method with a refrigeration shaft work targeting method,an approach for the synthesis of a heat integrated complex distillation system in a low-temperature process is presented. The synthesis problem is formulated as a mixed-integer nonlinear programming(MINLP) problem,which is solved by simulated annealing algorithm under a random procedure to explore the optimal operating parameters and the distillation sequence structure. The shaft work targeting method is used to evaluate the minimum energy cost of the corresponding separation system during the optimization without any need for a detailed design for the heat exchanger network(HEN) and the refrigeration system(RS). The method presented in the paper can dramatically reduce the scale and complexity of the problem. A case study of ethylene cold-end separation is used to illustrate the application of the approach. Compared with the original industrial scheme, the result is encouraging.

DESIGN AND ANALYSIS OF NOVEL ACTIVE ACTUATOR TO CONTROL LOW FREQUENCY VIBRATIONS OF SHAFT SYSTEM

Aiming at providing with high-load capability in active vibration control of large-scale rotor system, a new type of active actuator to simultaneously reduce the dangers of low frequency flexural and torsional vibrations is designed. The actuator employs electro-hydraulic system and can provide a high and circumferential load. To initialize new research, the characteristics of various kinds of active actuators to control rotor shaft vibration are briefly introduced. The purpose of this paper is to introduce the preliminary results via presenting the structure, functions and operating principles, in particular, the working process of the electro-hydraulic system of the new actuator which includes a set of high speed electromagnetic valves and a series of sloping cone-shaped openings, and presenting the transmission relationships among the control parameters from control signals into the valves to active load onto shaft. The course of the work is dynamic, and a series of spatial forces and moments are put on the shaft to get an external resultant force to reduce excitations that induce vibration of shafts. By checking states of vibration, the actuator can control the impulse width and the interval of injection time for applying different control force to a vibration shaft in two circumference directions through the regulating action of a set of combination directional control valves. The results from simulating analysis and experiment show evidence of that this design can satisfy the case of active process of decreasing of flexural and torsional vibrations.

Dynamic Performance Analysis of the Coupling Shaft System in a Carpet Tufting Machine Utilizing the Transfer Matrix Method

The dynamic performance of the coupling shaft system in a carpet tufting machine is the most critical factor affecting the carpet tufting machine's efficiency,and the product quality of the tufted carpet. To determine how to avoid resonance produced by the coupling shaft system's vibration during the weaving process,the dynamic performance of a coupling shaft system in a carpet tufting machine was analyzed. Focusing on a DHGN801D-400 carpet tufting machine,a dynamic model of coupling shaft system was established by utilizing transfer matrix methodology. On the basis of this model,the natural frequencies and mode shapes of the coupling shaft system were obtained through simulations. The correctness of the theoretical model and the dynamic performance of the coupling shaft system were validated by experiments. The first order natural frequency of the coupling shaft system was close to 600 r / min. A conclusion can thus be drawn that operating the carpet tufting machine near this speed should be avoided as much as possible.

Optimal synthesis of compression refrigeration system using a novel MINLP approach

The optimal design of a compression refrigeration system(CRS) with multiple temperature levels is very important to chemical process industries and also represents considerable challenges in process systems engineering. In this paper, a general methodology for the optimal synthesis of the CRS, which simultaneously integrates CRS and Heat Exchanger Networks(HEN) to minimize the total compressor shaft work consumption based on an MINLP model, has been proposed. The major contribution of this method is in addressing the optimal design of refrigeration cycle with variable refrigeration temperature levels. The method can be used to make major decisions in the CRS design, such as the number of levels, temperature levels, and heat transfer duties. The performance of the developed methodology has been illustrated with a case study of an ethylene CRS in an industrial ethylene plant, and the optimal solution has been examined by rigorous simulations in Aspen Plus to verify its feasibility and consistency.

Emergency evacuation system for mines

There are many potential hazards in the underground mining these include fire, explosion, inundation, roof collapse, toxic gases, chemical pollution, etc. Over past centuries, in US alone, more than 100 000 miners lost their life in different accidents. The primary safety methods used in underground mines concentrate on the monitoring of the hazardous gases, fire detection and ventilation. Using advanced instruments and monitoring techniques have significantly reduced the accidents in the modem mines. However despite the advancement of these monitoring facilities, accidents still occur in underground mining annually in the world, and many miners were killed because they were trapped and unable to escape due to blocked of exit access. Described a new development for the emergency evacuation system in underground mines and analyzed the advantages and disadvantages of the system. It is expected that the new system will greatly improve the emergency exit methods and save more lives in the future.

Experimental study on integral axial squeeze film damper to suppress longitudinal vibration of propulsion shafting

This paper aims at investigating the effectiveness of squeeze oil film in suppressing the longitudinal vibration of propulsion shaft systems through a novel integral axial squeeze film damper(IASFD).After designing the IASFD,a propulsion shafting test rig for the longitudinal vibration control is built.Longitudinal vibration control experiments of the propulsion shafting are carried out under different magnitude and frequency of the excitation force.The results show that both IASFD elastic support and IASFD elastic damping support have excellent vibration attenuation characteristics,and can effectively suppress the longitudinal vibration of the shaft system in a wide frequency range.However,IASFD elastic damping support has a more significant vibration reduction effect than the other supports,and increasing the damping of the system has obvious effect on reducing the shafting vibration.For an excitation force of 45 N,the maximum reduction of the vibration amplitude is 89.16%.Also,the vibration generated by the resonance phenomenon is also significantly reduced.

SIMULATION AND OPTIMIZATION FOR THERMAL SYSTEM IN GROUND ARTIFICIAL FREEZING

The situation of mine development in coal industry of China and the method of shaft freezing in the type of double ring freezing pipe used for shaft sinking under thick alluvium condition are briefly reviewed. The equations of heat conduction are numerically solved for two kinds of artificial shaft freezing-sin-gle and double ring freezing pipe pattern. A two-dimensional finite difference model simulating the temperature field is developed. The paper introduces a way to calculate the harmonic mean of heat conductivety used when dealing with heterogeneous material, The theoretically derived temperature distributions in frozen soil are given and the comparison is made between two types of freezing pipe arrangement. The optimization technique of a general simulation is discussed, and that is in use to improve the thermal system in shaft freezing.

Compatibility of the Support System Consisting of Yielding Elements and Shotcrete Lining in Highly Faulted Grounds

The design procedure is made for a mine shaft where permanent underground facilities are interconnected. The highly faulted grounds were identified using empirical and semi-empirical theories. Furthermore, the behavior types are presented. This paper presents excavation and support methods in such ground conditions and the calculations results show that the installation of the yielding elements have an effect on support elements and prevent shotcrete damage during the curing stage. Different numerical analyses carried out showed that, with the yielding elements installed, the total displacements increase but the final axial force reduces, and therefore, the characteristic compressive strength of shotcrete is not exceeded. The calculation results of ground loads and displacements on the designed support system are presented with a 3D numerical geo-mechanical model adopted for highly faulted ground surrounding deeper complex underground structures.