Cholecystectomy is a common procedure.Abnormalities in the anatomy of the biliary system are common but an abnormal location of the gallbladder is much rarer.Despite frequent pre-operative imaging,the aberrant locatio...Cholecystectomy is a common procedure.Abnormalities in the anatomy of the biliary system are common but an abnormal location of the gallbladder is much rarer.Despite frequent pre-operative imaging,the aberrant location of the gallbladder is commonly discovered at surgery.This article presents a case of a patient with the gallbladder located to the left of the falciform ligament in the absence of situs inversus totalis that presented with right upper quadrant pain.A laparoscopic cholecystectomy was performed and it was noted that the cystic duct originated from the right side.The presence of a left sided gall bladder is often associated with various biliary,portal venous and other anomalies that might lead to intra-operative injuries.The spectrum of unusual positions and anatomical gallbladder abnormalities is reviewed in order to facilitate elective and emergent cholecystectomy as well as other hepatobiliary procedures.With proper identification of the anatomy,minimally invasive approaches are still considered safe.展开更多
The dynamic thermal process during double-sided asymmetrical TIG backing welding of large thick plates ( 1 000 mm×700 mm×50 mm) is numerically simulated using MSC. MARC. The effect of arc distance on the t...The dynamic thermal process during double-sided asymmetrical TIG backing welding of large thick plates ( 1 000 mm×700 mm×50 mm) is numerically simulated using MSC. MARC. The effect of arc distance on the thermal cycle in weld zone during double-sided asymmetrical T1G backing welding is investigated. The results show that the workpiece experiences double-peak thermal cycle in double-sided asymmetrical TIG backing welding. On the one hand, the fore arc has the pre- heating effect on the rear pass, and the pre-heating temperature depends on the distance between the double arcs, the heat input of fore arc, and the initial temperature of workpiece. On the other hand, the rear arc has the post-heating effect on the fore pass. The mutual effects of two heat sources decrease with the increase of arc distance.展开更多
The presence of the appendix in an inguinal hernia sac has been referred to as Amyand’s hernia.Vermiform appendix located in an external hernia sac is not an uncommon condition,and the incidence of these cases is app...The presence of the appendix in an inguinal hernia sac has been referred to as Amyand’s hernia.Vermiform appendix located in an external hernia sac is not an uncommon condition,and the incidence of these cases is approximately 1%.In Amyand’s hernias,appendices are frequently found in the hernia sac;but an incarceration particularly on the left side is a very unusual sight.In this report we present 32-year-old male with Amyand’s hernia on the left side.展开更多
Tc, Jc and Rs properties of large area double sided YBCO thin films deposited on LaAlO3 substrates by direct current sputtering were reported.Film thickness of the obtained thin films is over 300 nm, Tc > 90 K; Rs ...Tc, Jc and Rs properties of large area double sided YBCO thin films deposited on LaAlO3 substrates by direct current sputtering were reported.Film thickness of the obtained thin films is over 300 nm, Tc > 90 K; Rs can be as low as less than 1.0 mΩ(77 K, 10 GHz).Homogenousity of the properties around the plane was studied.Under the measnous distributions.Influences of substrate temperature and Ar and O2 pressures on properties of the double-sided thin films were discussed.展开更多
0 IntroductionLet L = ab be a non-closed smooth arc oriented from a to b, t∈ L, t≠a,b, be the fixed point, andf(t) ∈H. (L) . The usual Hadamard principal value is defined asAbout properties and applications of sing...0 IntroductionLet L = ab be a non-closed smooth arc oriented from a to b, t∈ L, t≠a,b, be the fixed point, andf(t) ∈H. (L) . The usual Hadamard principal value is defined asAbout properties and applications of singular integals of high order were investigated by many authors([1],[2],[3] etc. ) In 1987, the concepts of Hadamard principal value at one-side for singular integralsof high order and the rules of their differentiation are introduced [4]. In this paper we established the rulesof substitution of variable for one-sided Hadamard principal value of singular integrals of high order, andthen, we gave some applications in evaluation of real definite integrals.展开更多
AIM To explore the differences in the responses of left-sided colorectal cancer(LSCRC) and right-sided colon cancer(RSCC) to traditional Chinese medicine(TCM).METHODS Patients with postoperative stage I-III colorectal...AIM To explore the differences in the responses of left-sided colorectal cancer(LSCRC) and right-sided colon cancer(RSCC) to traditional Chinese medicine(TCM).METHODS Patients with postoperative stage I-III colorectal cancer(CRC) were enrolled and divided into the LSCRC with or without TCM and RSCC with or without TCM groups depending on the primary tumor side and TCM administration. Patients in the TCM group were given TCM for at least 6 mo. Our research adopted diseasefree survival(DFS) as the primary endpoint. We applied a Cox proportional hazards regression model for the multivariate factor analysis using Stata 12.0 and SPSS 22.0 software for data analysis.RESULTS Of the 817 patients included in our study, 617 had LSCRC(TCM group, n = 404; Non-TCM group, n = 213), and 200 had RSCC(TCM group, n = 132; NonTCM group, n = 68). The 6-year DFS for patients with LSCRC was 56.95% in the TCM group and 41.50% in the Non-TCM group(P = 0.000). For patients with RSCC, the 6-year DFS was 52.92% in the TCM group and 37.19% in the Non-TCM group(P = 0.003). Differences between LSCRC and RSCC were not statistically significant regardless of TCM ingestion.CONCLUSION Patients with either LSCRC or RSCC and who took TCM experienced longer DFS; furthermore, patients with RSCC benefited more from TCM in DFS.展开更多
To the Editor:Hepatobiliary anatomical variations may increase the complexity of surgery with a relevant risk of iatrogenic lesions.Left-sided gallbladder(LSG)is a rare and little known condition whereby the viscus is...To the Editor:Hepatobiliary anatomical variations may increase the complexity of surgery with a relevant risk of iatrogenic lesions.Left-sided gallbladder(LSG)is a rare and little known condition whereby the viscus is located on the visceral surface of the left lobe of the liver and is often discovered unexpectedly during surgery.The position of the gallbladder over the liver pedicle and the simultaneous presence of variations in the liver vascularization are potentially associated to a challenging surgical dissection and consequently to an increased risk of morbidity.Despite open approach remains an option in more complex procedures,cholecystectomy is usually performed with a minimally invasive technique,which is generally safe even in the rare case of an LSG,as long as a high level of awereness of anatomical variations and a careful surgical dissection are pursued.展开更多
The spacetime conservation element-solution element(CE/SE)method is extended to two-dimensional incompressible viscous flow in a two-sided lid-driven square cavity.Based on the SIMPLE method concept,the preconditioned...The spacetime conservation element-solution element(CE/SE)method is extended to two-dimensional incompressible viscous flow in a two-sided lid-driven square cavity.Based on the SIMPLE method concept,the preconditioned dual-time scheme is introduced for unsteady computations.The CE/SE-based code is validated by simulating one-sided lid-driven cavity flows.The two-sided lid-driven square cavity problem involves several interesting characteristics being successfully predicted,including development of a pair of off-corner vortices and a free shear layer in the case of parallel wall motion,as well as the appearance of corner vortices for lower Reynolds numbers in the case of anti-parallel motion of the walls.It is found that both the Reynolds number and the direction of the moving walls affect the fluid flow in the cavity.展开更多
In order to investigate the influence of normal stress through thickness on the formability of sheet metal,the viscous pressure bulge(VPB)tests of an annealed TC1 titanium alloy sheet were carried out under two differ...In order to investigate the influence of normal stress through thickness on the formability of sheet metal,the viscous pressure bulge(VPB)tests of an annealed TC1 titanium alloy sheet were carried out under two different conditions:double-sided pressure bulging and conventional single-sided pressure bulging.The automated strain analysis,measurement environment(ASAME)and scanning electron microscope(SEM)were used to study the strain distributions and the fracture morphology of bulged specimens.It is found that thickness strain is increased for double-sided pressure bulging specimens,and the limiting dome height(LDH)of double-sided pressure bulging specimens is increased by 31.8% compared with conventional single-sided pressure bulging specimens.The dimples in fracture surface for double-sided pressure bulging specimens are larger and deeper than those for conventional single-sided pressure bulging specimens.The results indicate that normal stress through thickness is helpful in improving the formability of titanium alloy sheet metal.展开更多
A double-sided silicon strip detector(DSSD)with active area of 48 mm x 48 mm and thickness of300μm has been developed. Each side of DSSD consists of48 strips, each with width of 0.9 mm and inter-strip separation of 0...A double-sided silicon strip detector(DSSD)with active area of 48 mm x 48 mm and thickness of300μm has been developed. Each side of DSSD consists of48 strips, each with width of 0.9 mm and inter-strip separation of 0.1 mm. Electrical properties and detection performances including full depletion bias voltage, reverse leakage current, rise time, energy resolution and cross talk have been studied. At a bias of 80 V, leakage current in each strip is less than 15 nA, and rise time for alpha particle at 5157 keV is approximately 15 ns on both sides.Good energy resolutions have been achieved with0.65-0.80% for the junction strips and 0.85-1.00% for the ohmic strips. The cross talk is found to be negligible on both sides. The overall good performance of DSSD indicates its readiness for various nuclear physics experiments.展开更多
In general, triangular and quadrilateral elements are commonly applied in two-dimensional finite element methods. If they are used to compute polycrystalline materials, the cost of computation can be quite significant...In general, triangular and quadrilateral elements are commonly applied in two-dimensional finite element methods. If they are used to compute polycrystalline materials, the cost of computation can be quite significant. Polygonal elements can do well in simulation of the materials behavior and provide greater flexibility for the meshing of complex geometries. Hence, the study on the polygonal element is a very useful and necessary part in the finite element method. In this paper, an n-sided polygonal element based on quadratic spline interpolant, denoted by PS2 element, is presented using the triangular area coordinates and the B-net method. The PS2 element is conforming and can exactly model the quadratic field. It is valid for both convex and non-convex polygonal element, and insensitive to mesh distortions. In addition, no mapping or coordinate transformation is required and thus no Jacobian matrix and its inverse are evaluated. Some appropriate examples are employed to evaluate the performance of the proposed element.展开更多
There is still significant debate regarding the best surgical treatment for malignant left-sided large bowel obstruction.Primary resection and anastomosis offers the advantages of a definite procedure without need for...There is still significant debate regarding the best surgical treatment for malignant left-sided large bowel obstruction.Primary resection and anastomosis offers the advantages of a definite procedure without need for further surgery.Its main disadvantages are related to the increased technical challenge and to the potential higher risk of anastomotic leakage that occurs in the emergency setting.Primary resection with end colostomy(Hartmann's procedure) is considered the safer option.Tan et al compared in a systematic review and meta-analysis the use of self-expanding metallic stents(SEMS) as a bridge to surgery vs emergency surgery in the management of acute malignant left-sided large bowel obstruction.The authors concluded that the technical and clinical success rates for stenting were lower than expected.SEMS was associated with a high incidence of clinical and silent perforation.Stenting instead of loop colostomy can be recommended only if the appropriate expertise is available in the hospital.The goal of stenting,a decrease of the stoma rate,may be advocated only if the complication rates of stenting are lower than those of stoma creation in the emergency situation.Until now,this was not demonstrated in a prospective randomized trial.展开更多
We present a theoretical model to analyse the propagation of a Gaussian laser beam through double-sided nonlinear media. This model is based on the Huygens-Fresnel diffraction integral method. This theoretical model i...We present a theoretical model to analyse the propagation of a Gaussian laser beam through double-sided nonlinear media. This model is based on the Huygens-Fresnel diffraction integral method. This theoretical model is not only consistent with the cascade structure model for a small nonlinear phase-shift but also can be used for a large nonlinear phase-shift. It has been verified that it is suitable to characterize the double-sided nonlinear media compared with the cascade structure model. A good agreement between the experimental data and the results from the theoretical model is obtained. It will be useful for the design of multi-sided nonlinear materials.展开更多
AIM:To give an overview of the literature on left-sided acute appendicitis (LSAA) associated with situs inversus totalis (SIT) and midgut malrotation (MM).METHODS:We present a new case of LSAA with SIT and a literatur...AIM:To give an overview of the literature on left-sided acute appendicitis (LSAA) associated with situs inversus totalis (SIT) and midgut malrotation (MM).METHODS:We present a new case of LSAA with SIT and a literature review of studies published in the English language on LSAA,accessed via PubMed and Google Scholar databases.RESULTS:Ninety-five published cases of LSAA were evaluated and a 25-year-old female,who presented to our clinic with left lower abdominal pain caused by LSAA,is reported.In the reviewed literature,fiftyseven patients were male and 38 were female with an age range of 8 to 82 years and a median age of 29.1 ± 15.9 years.Sixty-six patients had SIT,23 had MM,three had cecal malrotation,and two had a previously unnoted congenital abnormality.Fifty-nine patients had presentedto the hospital with left lower,14 with right lower and seven with bilateral lower quadrant pain,and seven subjects complained of left upper quadrant pain.The diagnosis was established preoperatively in 49 patients,intraoperatively in 19,and during the postoperative period in five;14 patients were aware of having this anomaly.The data of eight patients were not unavailable.Eleven patients underwent laparoscopic appendectomy,which was combined with cholecystectomy in two cases.Histopathological examination of the appendix specimens revealed adenocarcinoma in only two of 95 patients.CONCLUSION:The diagnosis of left lower quadrant pain is based on well-established clinical symptoms,physical examination and physician's experience.展开更多
TC4 titanium alloy was welded by double-sided gas tungsten arc welding(GTAW) process in comparison with conventional GTAW process, the microstructure and mechanical performance of weld were also studied. The results i...TC4 titanium alloy was welded by double-sided gas tungsten arc welding(GTAW) process in comparison with conventional GTAW process, the microstructure and mechanical performance of weld were also studied. The results indicate that double-sided GTAW is superior over regular single-sided GTAW on the aspects of increasing penetration, reducing welding deformation and improving welding efficiency. Good weld joint was obtained, which can reach 96.14% tensile strength and 70.85% elongation percentage of the base metal. The grains in heat-affected zone(HAZ) are thin and equiaxed and the degree of grain coarsening increases as one moves to the weld center line, and the interior of grains are α and α′ structures. The coarse columned and equiaxed grains, which interlace martensitic structures α′ and acicular α structures, are observed in weld zone. The fracture mode is ductile fracture.展开更多
AIM To assess the usefulness of en bloc right hemicolectomy with pancreaticoduodenectomy(RHCPD) for locally advanced right-sided colon cancer(LARCC).METHODS We retrospectively reviewed the database of Saitama Medical ...AIM To assess the usefulness of en bloc right hemicolectomy with pancreaticoduodenectomy(RHCPD) for locally advanced right-sided colon cancer(LARCC).METHODS We retrospectively reviewed the database of Saitama Medical Center, Jichi Medical University, between January 2009 and December 2016. During this time, 299 patients underwent radical right hemicolectomy for right-sided colon cancer. Among them, 5 underwent RHCPD for LARCC with tumor infiltration to adjacent organs. Preoperative computed tomography(CT) was routinely performed to evaluate local tumor infiltration into adjacent organs. During the operation, we evaluated the resectability and the amount of infiltration into the adjacent organs without dissecting the adherent organs from the cancer. When we confirmed that radical resection was feasible and could lead to R0 resection, we performed RHCPD. The clinical data were carefully reviewed, and the demographic variables, intraoperative data, and postoperative parameters were recorded.RESULTS The median age of the 5 patients who underwent RHCPD for LARCC was 70 years. The tumors were located in the ascending colon(three patients) and transverse colon(two patients). Preoperative CT revealed infiltration of the tumor into the duodenum in all patients, the pancreas in four patients, the superior mesenteric vein(SMV) in two patients, and tumor thrombosis in the SMV in one patient. We performed RHCPD plus SMV resection in three patients. Major postoperative complications occurred in 3 patients(60%) as pancreatic fistula(grade B and grade C, according to International Study Group on Pancreatic Fistula Definition) and delayed gastric empty. None of the patients died during their hospital stay. A histological examination confirmed malignant infiltration into the duodenum and/or pancreas in 4 patients(80%), and no patients showed any malignant infiltration into the SMV. Two patients were histologically confirmed to have tumor thrombosis in the SMV. All of the tumors had clear resection margins(R0). The median follow-up time was 77 mo. During this period, two patients with tumor thrombosis died from liver metastasis. The overall survival rates were 80% at 1 year and 60% at 5 years. All patients with node-negative status(n = 2) survived for more than seven years.CONCLUSION This study showed that the long-term survival is possible for patients with LARCC if RHCPD is performed successfully, particularly in those with node-negative status.展开更多
In the double-sided arc welding system (DSAW) composing of PAW+TIG arcs, the PAW arc is guided by the TIG arc so that the current mostly flows through the direction of the workpiece thickness and the penetration is gr...In the double-sided arc welding system (DSAW) composing of PAW+TIG arcs, the PAW arc is guided by the TIG arc so that the current mostly flows through the direction of the workpiece thickness and the penetration is greatly improved. To analyze the current density distribution in DSAW is beneficial to understanding of this process. Considering all kinds of dynamic factors acting on the weldpool, this paper discusses firstly the surface deformation of the weldpool and the keyhole formation in PAW+TIG DSAW process on the basis of the magnetohydrodynamic theory and variation principles. Hence, a model of the current density distribution is developed. Through numerical simulation, the current density distribution in PAW+TIG DSAW process is quantitatively analyzed. It shows that the minimal radius of keyhole formed in PAW+TIG DSAW process is 0.5 mm and 89.5 percent of current flows through the keyhole.展开更多
文摘Cholecystectomy is a common procedure.Abnormalities in the anatomy of the biliary system are common but an abnormal location of the gallbladder is much rarer.Despite frequent pre-operative imaging,the aberrant location of the gallbladder is commonly discovered at surgery.This article presents a case of a patient with the gallbladder located to the left of the falciform ligament in the absence of situs inversus totalis that presented with right upper quadrant pain.A laparoscopic cholecystectomy was performed and it was noted that the cystic duct originated from the right side.The presence of a left sided gall bladder is often associated with various biliary,portal venous and other anomalies that might lead to intra-operative injuries.The spectrum of unusual positions and anatomical gallbladder abnormalities is reviewed in order to facilitate elective and emergent cholecystectomy as well as other hepatobiliary procedures.With proper identification of the anatomy,minimally invasive approaches are still considered safe.
文摘The dynamic thermal process during double-sided asymmetrical TIG backing welding of large thick plates ( 1 000 mm×700 mm×50 mm) is numerically simulated using MSC. MARC. The effect of arc distance on the thermal cycle in weld zone during double-sided asymmetrical T1G backing welding is investigated. The results show that the workpiece experiences double-peak thermal cycle in double-sided asymmetrical TIG backing welding. On the one hand, the fore arc has the pre- heating effect on the rear pass, and the pre-heating temperature depends on the distance between the double arcs, the heat input of fore arc, and the initial temperature of workpiece. On the other hand, the rear arc has the post-heating effect on the fore pass. The mutual effects of two heat sources decrease with the increase of arc distance.
文摘The presence of the appendix in an inguinal hernia sac has been referred to as Amyand’s hernia.Vermiform appendix located in an external hernia sac is not an uncommon condition,and the incidence of these cases is approximately 1%.In Amyand’s hernias,appendices are frequently found in the hernia sac;but an incarceration particularly on the left side is a very unusual sight.In this report we present 32-year-old male with Amyand’s hernia on the left side.
文摘Tc, Jc and Rs properties of large area double sided YBCO thin films deposited on LaAlO3 substrates by direct current sputtering were reported.Film thickness of the obtained thin films is over 300 nm, Tc > 90 K; Rs can be as low as less than 1.0 mΩ(77 K, 10 GHz).Homogenousity of the properties around the plane was studied.Under the measnous distributions.Influences of substrate temperature and Ar and O2 pressures on properties of the double-sided thin films were discussed.
文摘0 IntroductionLet L = ab be a non-closed smooth arc oriented from a to b, t∈ L, t≠a,b, be the fixed point, andf(t) ∈H. (L) . The usual Hadamard principal value is defined asAbout properties and applications of singular integals of high order were investigated by many authors([1],[2],[3] etc. ) In 1987, the concepts of Hadamard principal value at one-side for singular integralsof high order and the rules of their differentiation are introduced [4]. In this paper we established the rulesof substitution of variable for one-sided Hadamard principal value of singular integrals of high order, andthen, we gave some applications in evaluation of real definite integrals.
基金Supported by the Scientific Research Foundation of Traditional Chinese Medicine of the Shanghai Health Bureau,No.2014LZ079Athe Scientific Research Plan Project of the Shanghai Science and Technology Committee,No.14401930800the Program of Shanghai Municipal Technology and Education Commission,No.16401970500
文摘AIM To explore the differences in the responses of left-sided colorectal cancer(LSCRC) and right-sided colon cancer(RSCC) to traditional Chinese medicine(TCM).METHODS Patients with postoperative stage I-III colorectal cancer(CRC) were enrolled and divided into the LSCRC with or without TCM and RSCC with or without TCM groups depending on the primary tumor side and TCM administration. Patients in the TCM group were given TCM for at least 6 mo. Our research adopted diseasefree survival(DFS) as the primary endpoint. We applied a Cox proportional hazards regression model for the multivariate factor analysis using Stata 12.0 and SPSS 22.0 software for data analysis.RESULTS Of the 817 patients included in our study, 617 had LSCRC(TCM group, n = 404; Non-TCM group, n = 213), and 200 had RSCC(TCM group, n = 132; NonTCM group, n = 68). The 6-year DFS for patients with LSCRC was 56.95% in the TCM group and 41.50% in the Non-TCM group(P = 0.000). For patients with RSCC, the 6-year DFS was 52.92% in the TCM group and 37.19% in the Non-TCM group(P = 0.003). Differences between LSCRC and RSCC were not statistically significant regardless of TCM ingestion.CONCLUSION Patients with either LSCRC or RSCC and who took TCM experienced longer DFS; furthermore, patients with RSCC benefited more from TCM in DFS.
文摘To the Editor:Hepatobiliary anatomical variations may increase the complexity of surgery with a relevant risk of iatrogenic lesions.Left-sided gallbladder(LSG)is a rare and little known condition whereby the viscus is located on the visceral surface of the left lobe of the liver and is often discovered unexpectedly during surgery.The position of the gallbladder over the liver pedicle and the simultaneous presence of variations in the liver vascularization are potentially associated to a challenging surgical dissection and consequently to an increased risk of morbidity.Despite open approach remains an option in more complex procedures,cholecystectomy is usually performed with a minimally invasive technique,which is generally safe even in the rare case of an LSG,as long as a high level of awereness of anatomical variations and a careful surgical dissection are pursued.
基金Supported by the Institute of Crustal Dynamics,CEA under Grant No ZDJ2010-26Wenchuan Fault Scientific Drilling(WFSD-10).
文摘The spacetime conservation element-solution element(CE/SE)method is extended to two-dimensional incompressible viscous flow in a two-sided lid-driven square cavity.Based on the SIMPLE method concept,the preconditioned dual-time scheme is introduced for unsteady computations.The CE/SE-based code is validated by simulating one-sided lid-driven cavity flows.The two-sided lid-driven square cavity problem involves several interesting characteristics being successfully predicted,including development of a pair of off-corner vortices and a free shear layer in the case of parallel wall motion,as well as the appearance of corner vortices for lower Reynolds numbers in the case of anti-parallel motion of the walls.It is found that both the Reynolds number and the direction of the moving walls affect the fluid flow in the cavity.
文摘In order to investigate the influence of normal stress through thickness on the formability of sheet metal,the viscous pressure bulge(VPB)tests of an annealed TC1 titanium alloy sheet were carried out under two different conditions:double-sided pressure bulging and conventional single-sided pressure bulging.The automated strain analysis,measurement environment(ASAME)and scanning electron microscope(SEM)were used to study the strain distributions and the fracture morphology of bulged specimens.It is found that thickness strain is increased for double-sided pressure bulging specimens,and the limiting dome height(LDH)of double-sided pressure bulging specimens is increased by 31.8% compared with conventional single-sided pressure bulging specimens.The dimples in fracture surface for double-sided pressure bulging specimens are larger and deeper than those for conventional single-sided pressure bulging specimens.The results indicate that normal stress through thickness is helpful in improving the formability of titanium alloy sheet metal.
基金supported by the National Natural Science Foundation of China(Nos.U1432246,U1632136,U1432127,11375268,11635015,and 11475263)the National Basic Research Program of China(No.2013CB834404)
文摘A double-sided silicon strip detector(DSSD)with active area of 48 mm x 48 mm and thickness of300μm has been developed. Each side of DSSD consists of48 strips, each with width of 0.9 mm and inter-strip separation of 0.1 mm. Electrical properties and detection performances including full depletion bias voltage, reverse leakage current, rise time, energy resolution and cross talk have been studied. At a bias of 80 V, leakage current in each strip is less than 15 nA, and rise time for alpha particle at 5157 keV is approximately 15 ns on both sides.Good energy resolutions have been achieved with0.65-0.80% for the junction strips and 0.85-1.00% for the ohmic strips. The cross talk is found to be negligible on both sides. The overall good performance of DSSD indicates its readiness for various nuclear physics experiments.
基金supported by the National Natural Science Foundation of China (60533060, 10672032, 10726067)Science Foundation of Dalian University of Technology (SFDUT07001)
文摘In general, triangular and quadrilateral elements are commonly applied in two-dimensional finite element methods. If they are used to compute polycrystalline materials, the cost of computation can be quite significant. Polygonal elements can do well in simulation of the materials behavior and provide greater flexibility for the meshing of complex geometries. Hence, the study on the polygonal element is a very useful and necessary part in the finite element method. In this paper, an n-sided polygonal element based on quadratic spline interpolant, denoted by PS2 element, is presented using the triangular area coordinates and the B-net method. The PS2 element is conforming and can exactly model the quadratic field. It is valid for both convex and non-convex polygonal element, and insensitive to mesh distortions. In addition, no mapping or coordinate transformation is required and thus no Jacobian matrix and its inverse are evaluated. Some appropriate examples are employed to evaluate the performance of the proposed element.
文摘There is still significant debate regarding the best surgical treatment for malignant left-sided large bowel obstruction.Primary resection and anastomosis offers the advantages of a definite procedure without need for further surgery.Its main disadvantages are related to the increased technical challenge and to the potential higher risk of anastomotic leakage that occurs in the emergency setting.Primary resection with end colostomy(Hartmann's procedure) is considered the safer option.Tan et al compared in a systematic review and meta-analysis the use of self-expanding metallic stents(SEMS) as a bridge to surgery vs emergency surgery in the management of acute malignant left-sided large bowel obstruction.The authors concluded that the technical and clinical success rates for stenting were lower than expected.SEMS was associated with a high incidence of clinical and silent perforation.Stenting instead of loop colostomy can be recommended only if the appropriate expertise is available in the hospital.The goal of stenting,a decrease of the stoma rate,may be advocated only if the complication rates of stenting are lower than those of stoma creation in the emergency situation.Until now,this was not demonstrated in a prospective randomized trial.
基金Project supported by the Natural National Science Foundation of China (Grant Nos 20131040 and 50172013), the Heilongjiang Province Science Foundation (Grant No F2004-8), and the 0utstanding Young Research Foundation of Heilongjiang University (Grant No JC200307).
文摘We present a theoretical model to analyse the propagation of a Gaussian laser beam through double-sided nonlinear media. This model is based on the Huygens-Fresnel diffraction integral method. This theoretical model is not only consistent with the cascade structure model for a small nonlinear phase-shift but also can be used for a large nonlinear phase-shift. It has been verified that it is suitable to characterize the double-sided nonlinear media compared with the cascade structure model. A good agreement between the experimental data and the results from the theoretical model is obtained. It will be useful for the design of multi-sided nonlinear materials.
文摘AIM:To give an overview of the literature on left-sided acute appendicitis (LSAA) associated with situs inversus totalis (SIT) and midgut malrotation (MM).METHODS:We present a new case of LSAA with SIT and a literature review of studies published in the English language on LSAA,accessed via PubMed and Google Scholar databases.RESULTS:Ninety-five published cases of LSAA were evaluated and a 25-year-old female,who presented to our clinic with left lower abdominal pain caused by LSAA,is reported.In the reviewed literature,fiftyseven patients were male and 38 were female with an age range of 8 to 82 years and a median age of 29.1 ± 15.9 years.Sixty-six patients had SIT,23 had MM,three had cecal malrotation,and two had a previously unnoted congenital abnormality.Fifty-nine patients had presentedto the hospital with left lower,14 with right lower and seven with bilateral lower quadrant pain,and seven subjects complained of left upper quadrant pain.The diagnosis was established preoperatively in 49 patients,intraoperatively in 19,and during the postoperative period in five;14 patients were aware of having this anomaly.The data of eight patients were not unavailable.Eleven patients underwent laparoscopic appendectomy,which was combined with cholecystectomy in two cases.Histopathological examination of the appendix specimens revealed adenocarcinoma in only two of 95 patients.CONCLUSION:The diagnosis of left lower quadrant pain is based on well-established clinical symptoms,physical examination and physician's experience.
文摘TC4 titanium alloy was welded by double-sided gas tungsten arc welding(GTAW) process in comparison with conventional GTAW process, the microstructure and mechanical performance of weld were also studied. The results indicate that double-sided GTAW is superior over regular single-sided GTAW on the aspects of increasing penetration, reducing welding deformation and improving welding efficiency. Good weld joint was obtained, which can reach 96.14% tensile strength and 70.85% elongation percentage of the base metal. The grains in heat-affected zone(HAZ) are thin and equiaxed and the degree of grain coarsening increases as one moves to the weld center line, and the interior of grains are α and α′ structures. The coarse columned and equiaxed grains, which interlace martensitic structures α′ and acicular α structures, are observed in weld zone. The fracture mode is ductile fracture.
文摘AIM To assess the usefulness of en bloc right hemicolectomy with pancreaticoduodenectomy(RHCPD) for locally advanced right-sided colon cancer(LARCC).METHODS We retrospectively reviewed the database of Saitama Medical Center, Jichi Medical University, between January 2009 and December 2016. During this time, 299 patients underwent radical right hemicolectomy for right-sided colon cancer. Among them, 5 underwent RHCPD for LARCC with tumor infiltration to adjacent organs. Preoperative computed tomography(CT) was routinely performed to evaluate local tumor infiltration into adjacent organs. During the operation, we evaluated the resectability and the amount of infiltration into the adjacent organs without dissecting the adherent organs from the cancer. When we confirmed that radical resection was feasible and could lead to R0 resection, we performed RHCPD. The clinical data were carefully reviewed, and the demographic variables, intraoperative data, and postoperative parameters were recorded.RESULTS The median age of the 5 patients who underwent RHCPD for LARCC was 70 years. The tumors were located in the ascending colon(three patients) and transverse colon(two patients). Preoperative CT revealed infiltration of the tumor into the duodenum in all patients, the pancreas in four patients, the superior mesenteric vein(SMV) in two patients, and tumor thrombosis in the SMV in one patient. We performed RHCPD plus SMV resection in three patients. Major postoperative complications occurred in 3 patients(60%) as pancreatic fistula(grade B and grade C, according to International Study Group on Pancreatic Fistula Definition) and delayed gastric empty. None of the patients died during their hospital stay. A histological examination confirmed malignant infiltration into the duodenum and/or pancreas in 4 patients(80%), and no patients showed any malignant infiltration into the SMV. Two patients were histologically confirmed to have tumor thrombosis in the SMV. All of the tumors had clear resection margins(R0). The median follow-up time was 77 mo. During this period, two patients with tumor thrombosis died from liver metastasis. The overall survival rates were 80% at 1 year and 60% at 5 years. All patients with node-negative status(n = 2) survived for more than seven years.CONCLUSION This study showed that the long-term survival is possible for patients with LARCC if RHCPD is performed successfully, particularly in those with node-negative status.
基金The authors wish to express their gratitude to the financial support to this project from the project foundation of the National Key Laboratory of Advanced Welding Production Technology of Harbin Institute of Technology and the US National Science Foundation under grant No.DMI 9812981
文摘In the double-sided arc welding system (DSAW) composing of PAW+TIG arcs, the PAW arc is guided by the TIG arc so that the current mostly flows through the direction of the workpiece thickness and the penetration is greatly improved. To analyze the current density distribution in DSAW is beneficial to understanding of this process. Considering all kinds of dynamic factors acting on the weldpool, this paper discusses firstly the surface deformation of the weldpool and the keyhole formation in PAW+TIG DSAW process on the basis of the magnetohydrodynamic theory and variation principles. Hence, a model of the current density distribution is developed. Through numerical simulation, the current density distribution in PAW+TIG DSAW process is quantitatively analyzed. It shows that the minimal radius of keyhole formed in PAW+TIG DSAW process is 0.5 mm and 89.5 percent of current flows through the keyhole.