As a typical bionic walking robot, hydraulic quadruped robot has attracted much attention because of its high mobility, strong load capacity and steady motion. The electro-hydraulic servo cylinder, as its power actuat...As a typical bionic walking robot, hydraulic quadruped robot has attracted much attention because of its high mobility, strong load capacity and steady motion. The electro-hydraulic servo cylinder, as its power actuator, requires low friction, good lateral load resistance and high speed motion. The electro-hydraulic servo cylinder hydrostatic bearing seal guide sleeve is taken as the research object in this paper. By using Fluent software to analyze and contrast the film characteristics of rectangular and I-shaped oil chamber of hydrostatic bearing seal guide sleeve, the relationship between piston rod moving speed, eccentricity, oil film carrying capacity, friction force and leakage volume, as well as the relationship between oil feed flow and oil film bearing capacity, friction force, inlet pressure and leakage volume were analyzed. This study provides a theoretical basis for optimizing the static pressure bearing seal parameters.展开更多
Structural buildings are subjected to huge cyclic powers during earthquakes. The structural failures during seismic events notably impact a variety of facets of buildings within tolerable levels like sustainable stren...Structural buildings are subjected to huge cyclic powers during earthquakes. The structural failures during seismic events notably impact a variety of facets of buildings within tolerable levels like sustainable strength and stable energy dissipation capability to sustain inter-story drifts and overall structural damages. The major structural elements such as columns, beams and soil shearing capacities are majorly affected during seismic events. Buildings situated in the earthquake prone zone are exposed to most concerns in the structural design. Boreholes are also one of the main factors responsible for seismic waves and soil shearing. Shear strength is a term used in soil mechanics to describe the magnitude of the shear stress that soil can sustain, especially selected BC soil. The shear resistance of soil is a result of friction and interlocking of particles, and possibly cementation or bonding at particle contacts. Soils consist of individual particles that can slide and roll relative to one another. Shear strength of a soil is equal to the maximum value of shear stress that can be mobilized within a soil mass without failure taking place. In many parts of the world to avoid or control these consequences, buildings have been constructed as steel-composite structures. However, in India, buildings are being constructed as RCC framed structures. Here a novel combination of VANE shear footing and BRB method has been introduced. In this article, the effects of boreholes increase seismic bearing capacity of foundation, and load bearing capacity to balance seismic pressure.展开更多
In this technical paper, the oxidation mechanism and kinetics of aluminum powders are discussed in great details. The potential applications of spherical aluminum powders after oxidation to be part of the surging arre...In this technical paper, the oxidation mechanism and kinetics of aluminum powders are discussed in great details. The potential applications of spherical aluminum powders after oxidation to be part of the surging arresting materials are discussed. Theoretical calculations of oxidation of spherical aluminum powders in a typical gas fluidization bed are demonstrated. Computer software written by the author is used to carry out the basic calculations of important parameters of a gas fluidization bed at different temperatures. A mathematical model of the dynamic system in a gas fluidization bed is developed and the analytical solution is obtained. The mathematical model can be used to estimate aluminum oxide thickness at a defined temperature. The mathematical model created in this study is evaluated and confirmed consistently with the experimental results on a gas fluidization bed. Detail technical discussion of the oxidation mechanism of aluminum is carried out. The mathematical deviations of the mathematical modeling have demonstrated in great details. This mathematical model developed in this study and validated with experimental results can bring a great value for the quantitative analysis of a gas fluidization bed in general from a theoretical point of view. It can be applied for the oxidation not only for aluminum spherical powders, but also for other spherical metal powders. The mathematical model developed can further enhance the applications of gas fluidization technology. In addition to the development of mathematical modeling of a gas fluidization bed reactor, the formation of oxide film through diffusion on both planar and spherical aluminum surfaces is analyzed through a thorough mathematical deviation using diffusion theory and Laplace transformation. The dominant defects and their impact to oxidation of aluminum are also discussed in detail. The well-controlled oxidation film on spherical metal powders such as aluminum and other metal spherical powders can potentially become an important part of switch devices of surge arresting materials, in general.展开更多
A computational approach is presented to handle an enlarged linear rotordynamic model whichsimultaneously includes both radial and misalignment motions.The interactive force and momentbetween the rotating and non-rota...A computational approach is presented to handle an enlarged linear rotordynamic model whichsimultaneously includes both radial and misalignment motions.The interactive force and momentbetween the rotating and non-rotating members are modeled using an adaptation of the classicalReynolds lubrication equation for incompressible laminar isoviscous films.First,the governingequation is derived and the method of solution is introduced based on a 2-dimension,9-point cen-tral difference.Second,force and moment components are computed by numerical integration ofthe film pressure distribution.Finally,the rotordynamic coefficients are yielded according to thegeneralized force gradients.展开更多
Objective: To report outcomes of balloon dilation Eustachian tuboplasty combined with tympanostomy tube insertion and middle ear pressure equalization therapy in treatment of recurrent secretory otitis media. Methods:...Objective: To report outcomes of balloon dilation Eustachian tuboplasty combined with tympanostomy tube insertion and middle ear pressure equalization therapy in treatment of recurrent secretory otitis media. Methods: Fifty one patients with recurrent secretory otitis media (62 ears) underwent balloon dilation of Eustachian tube and tympanic tube insertion under general anesthesia, followed by long term middle ear pressure equalization therapies. The Eustachian tube score (ETS) and Eustachian tube function questionnaire (ETDQ-7) were used for pre- and postoperative (up to 12 months) evaluation of Eustachian tube functions. Results: The mean ETS score was 2.34 ± 0.97 preoperatively, and 6.17 ± 1.54, 7.23 ± 1.62, 8.24 ± 1.97, and 7.63 ± 1.86 at 1, 3, 6 and 12 months postoperatively, respectively (P < 0.05). The ETDQ-7 score was 4.82 ± 1.07 preoperatively, and 2.20 ± 0.54, 2.32 ± 0.68, 2.53 ± 0.79, and 2.67 ± 0.76 at 1, 3, 6 and 12 months postoperatively, respectively (P < 0.05). Conclusion: Balloon dilation of Eustachian tube combined with tympanostomy and catheterization resulted in significant improvement of subjective symptoms and objective evaluation of Eustachian tube functions in most patients with recurrent secretory otitis media, as indicated by the ETS and ETDQ-7 scores, demonstrating high levels of efficacy and patient satisfaction.展开更多
The main goal of spinal cord rehabilitation is to restore walking ability and improve walking quality after spinal cord injury(SCI). The spatiotemporal parameters of walking and the parameters of plantar pressure can ...The main goal of spinal cord rehabilitation is to restore walking ability and improve walking quality after spinal cord injury(SCI). The spatiotemporal parameters of walking and the parameters of plantar pressure can be obtained using a plantar pressure analysis system. Previous studies have reported step asymmetry in patients with bilateral SCI. However, the asymmetry of other parameters in patients with SCI has not been reported. This was a prospective, cross-sectional study, which included 23 patients with SCI, aged 48.1 ± 14.5 years, and 28 healthy subjects, aged 47.1 ± 9.8 years. All subjects underwent bare foot walking on a plantar pressure measurement device to measure walking speed and spatiotemporal parameters. Compared with healthy subjects, SCI patients had slower walking speed, longer stride time and stance time, larger stance phase percentage, and shorter stride length. The peak pressures under the metatarsal heads and toe were lower in SCI patients than in healthy subjects. In the heel, regional impulse and the contact area percentage in SCI patients were higher than those in healthy subjects. The symmetry indexes of stance time, step length, maximum force, impulse and contact area were increased in SCI patients, indicating a decline in symmetry. The results confirm that the gait quality, including spatiotemporal variables and plantar pressure parameters, and symmetry index were lower in SCI patients compared with healthy subjects. Plantar pressure parameters and symmetry index could be sensitive quantitative parameters to improve gait quality of SCI patients. The protocols were approved by the Clinical Research Ethics Committee of Shengjing Hospital of China Medical University(approval No. 2015 PS54 J) on August 13, 2015. This trial was registered in the ISRCTN Registry(ISRCTN42544587) on August 22, 2018. Protocol version: 1.0.展开更多
Objective:Observation on the effect of Ilizarov external fixation combined with vacuum pressure sealing drainage and antibiotics in the treatment of infective tibial nonunion.Methods:79 patients with tibial infective ...Objective:Observation on the effect of Ilizarov external fixation combined with vacuum pressure sealing drainage and antibiotics in the treatment of infective tibial nonunion.Methods:79 patients with tibial infective nonunion who were treated in our hospital from August 2016 to August 2018 were divided into two groups according to random number table,with 39 patients in the control group treated with Ilizarov external fixation technology and 40 patients in the study group treated with vacuum pressure sealing drainage and antibiotics on the basis of the control group.Bone healing time and daily walking were recorded.Rasmussen score,serum intercellular adhesion molecule-1(ICAM-1)and IL-6 levels,lower limb Fugl-Meyer motor function score and lower limb BI index score were compared at different time.Results:The daily walking condition of the study group was significantly better than that of the control group(P<0.05),and the healing time of bone was significantly shorter than that of the control group(P<0.05);the Rasmussen score of the study group was higher than that of the control group at 1 month,6 months and 12 months after treatment(P<0.05);the levels of serum ICAM-1 and IL-6 in the two groups after treatment were lower than those before treatment(P<0.05),and the levels of serum ICAM-1 and IL-6 in the study group were lower than those in the control group after treatment(P<0.05).The lower limb Fugl-Meyer motor function score and lower limb BI index score of the two groups after treatment were higher than those before treatment(P<0.05),and the lower limb Fugl-Meyer motor function score and lower limb BI index score of the study group after treatment were higher than those of the control group(P<0.05).Conclusions:Ilizarov external fixation combined with vacuum pressure sealing drainage and antibiotics can promote the bone healing of patients with infective tibial nonunion,significantly improving their daily walking condition,alleviating inflammation,and recovering the knee joint function and lower limb function well.展开更多
Intramedullary pressure increases after spinal cord injury, and this can be an important factor for secondary spinal cord injury. Until now there have been no studies of the dynamic changes of intramedullary pressure ...Intramedullary pressure increases after spinal cord injury, and this can be an important factor for secondary spinal cord injury. Until now there have been no studies of the dynamic changes of intramedullary pressure after spinal cord injury. In this study, telemetry systems were used to observe changes in intramedullary pressure in the 72 hours following spinal cord injury to explore its pathological mechanisms. Spinal cord injury was induced using an aneurysm clip at T10 of the spinal cord of 30 Japanese white rabbits, while another 32 animals were only subjected to laminectomy. The feasibility of this measurement was assessed. Intramedullary pressure was monitored in anesthetized and conscious animals. The dynamic changes of intramedullary pressure after spinal cord injury were divided into three stages: stage I(steep rise) 1–7 hours, stage Ⅱ(steady rise) 8–38 hours, and stage Ⅲ(descending) 39–72 hours. Blood-spinal barrier permeability, edema, hemorrhage, and histological results in the 72 hours following spinal cord injury were evaluated according to intramedullary pressure changes. We found that spinal cord hemorrhage was most severe at 1 hour post-spinal cord injury and then gradually decreased; albumin and aquaporin 4 immunoreactivities first increased and then decreased, peaking at 38 hours. These results confirm that severe bleeding in spinal cord tissue is the main cause of the sharp increase in intramedullary pressure in early spinal cord injury. Spinal cord edema and blood-spinal barrier destruction are important factors influencing intramedullary pressure in stages Ⅱ and Ⅲ of spinal cord injury.展开更多
A cold-model vertical multi-tube circulating fluidized bed evaporator was designed and built to conduct a visualization study on the pressure drop of a liquid–solid two-phase flow and the corresponding particle distr...A cold-model vertical multi-tube circulating fluidized bed evaporator was designed and built to conduct a visualization study on the pressure drop of a liquid–solid two-phase flow and the corresponding particle distribution.Water and polyformaldehyde particle(POM)were used as the liquid and solid phases,respectively.The effects of operating parameters such as the amount of added particles,circulating flow rate,and particle size were systematically investigated.The results showed that the addition of the particles increased the pressure drop in the vertical tube bundle.The maximum pressure drop ratios were 18.65%,21.15%,18.00%,and 21.15%within the experimental range of the amount of added particles for POM1,POM2,POM3,and POM4,respectively.The pressure drop ratio basically decreased with the increase in the circulating flow rate but fluctuated with the increase in the amount of added particles and particle size.The difference in pressure drop ratio decreased with the increase in the circulating flow rate.As the amount of added particles increased,the difference in pressure drop ratio fluctuated at low circulating flow rate but basically decreased at high circulating flow rate.The pressure drop in the vertical tube bundle accounted for about 70%of the overall pressure drop in the up-flow heating chamber and was the main component of the overall pressure within the experimental range.Three-dimensional phase diagrams were established to display the variation ranges of the pressure drop and pressure drop ratio in the vertical tube bundle corresponding to the operating parameters.The research results can provide some reference for the application of the fluidized bed heat transfer technology in the industry.展开更多
The modified suction caisson(MSC) is a novel type of foundation for ocean engineering, consisting of a short external closed-top cylinder-shaped structure surrounding the upper part of the regular suction caisson(RSC)...The modified suction caisson(MSC) is a novel type of foundation for ocean engineering, consisting of a short external closed-top cylinder-shaped structure surrounding the upper part of the regular suction caisson(RSC). The MSC can provide larger lateral bearing capacity and limit the deflection compared with the RSC. Therefore, the MSC can be much more appropriate to use as an offshore wind turbine foundation. Model tests on the MSC in saturated sand subjected to monotonic lateral loading were carried out to investigate the effects of external structure sizes on the sand surface deformation and the earth pressure distribution along the embedded depth. Test results show that the deformation range of the sand surface increases with the increasing width and length of the external structure. The magnitude of sand upheaval around the MSC is smaller than that of the RSC and the sand upheaval value around the MSC in the loading direction decreases with the increasing external structure dimensions. The net earth pressure in the loading direction acting on the internal compartment of the MSC is smaller than that of the RSC at the same embedded depth. The maximum net earth pressure acting on the external structure outer wall in the loading direction is larger than that of the internal compartment, indicating that a considerable amount of the lateral load and moment is resisted by the external skirt structure.展开更多
Aim: The purpose of this case study was to examine the sleep quality of patients receiving noninvasive positive pressure ventilation (NPPV) or nasal high-flow oxygen therapy (NHF) in an intensive care unit and to inve...Aim: The purpose of this case study was to examine the sleep quality of patients receiving noninvasive positive pressure ventilation (NPPV) or nasal high-flow oxygen therapy (NHF) in an intensive care unit and to investigate what types of nursing support are offered to such patients. Methods: We examined one patient each for NPPV and NHF. Polysomnography (PSG), review of the patient charts, and semi-structured interviews were used to collect the data for analysis. Results: Patients treated with NPPV or NHF demonstrated a noticeable reduction in deep sleep, with most of their sleep being shallow. Their sleep patterns varied greatly from those of healthy individuals. These results suggest that, in addition to experiencing extremely fragmented sleep, sleep in these patients was more likely to be interrupted by nursing interventions, such as during auscultation of breath sounds. Furthermore, it was revealed that “anxiety or discomfort that accompanies the mask or air pressure” in patients treated with NPPV and “discomfort that accompanies the nasal cannula or NHF circuit” in patients treated with NHF may be primary causes of disrupted sleep. Our results suggest a need for nursing care aimed at improving sleep quality in patients treated with NPPV or NHF.展开更多
High pressure die casting(HPDC) is a kind of near net shape manufacturing method. However, air entrapment in HPDC parts has serious effects upon the casting quality. In order to reduce the air entrapment defects in a ...High pressure die casting(HPDC) is a kind of near net shape manufacturing method. However, air entrapment in HPDC parts has serious effects upon the casting quality. In order to reduce the air entrapment defects in a AlSi10 MnMg alloy thin-wall longitudinal load-bearing beam produced by HPDC, different gating systems were designed and simulated by software Flow-3D to evaluate the entrapped air. Simulation results showed that when the beam is produced by the original designed gating system with a middle ingate, there exist obvious air entrapments in the critical area; the volume of air entrapment was reduced by replacing the middle ingate to an overflow well, and the filling of molten metal became more stable. When the middle ingate was removed for further improvement, the volume of air entrapment was decreased drastically. The parts with glossy surface and good microstructure have been successfully produced by using the final optimized gating system based on simulation results.展开更多
Magnetic-liquid suspension guide-way system( MLSGS) is coupled supported by permanent magnetic suspension and hydrostatic bearing. The structure and bearing mechanism of MLSGS of heavy computer numerical control( CNC)...Magnetic-liquid suspension guide-way system( MLSGS) is coupled supported by permanent magnetic suspension and hydrostatic bearing. The structure and bearing mechanism of MLSGS of heavy computer numerical control( CNC) machine tools are introduced and the mathematical expression of bearing force of bearing unit is derived and it can be broken apart into six parts which sustains directly the coordinate components of broad external load,where the air gap of permanent magnet and hydrostatic oil film can be simplified as elastic supports,the compatibility equations of deformations for oil films and air gap are presented,and then the bearing capacity calculation of the bearing unit is transformed into a determinate problem. Considering the guide-way as a rigid body,the mathematics expression between the bearing unit's bearing force and the oil film variation is linearized,and the oil pocket's bearing capacity which bears different components of the external load is calculated separately. The six components of the bearing unit are added up,and the final general mathematics expression is derived. The proposed research offers a general simple method for calculating the bearing capacity of MLSGS with complicate constraint,which can be mastered simply by engineering designer and can improve design efficiency and accuracy.展开更多
The object of this review is to examine the role of TEVAR in causing SCI. The anatomy and physiology of blood flow to the spinal cord is examined. The role of auto regulation of blood flow within the spinal cord is al...The object of this review is to examine the role of TEVAR in causing SCI. The anatomy and physiology of blood flow to the spinal cord is examined. The role of auto regulation of blood flow within the spinal cord is also examined. This review examines the reported results from the scientific literature of the effect of thoracic aortic aneurysm repair on spinal cord blood flow. In the light of the-se findings several conclusions can reasonably be reached. These conclusions are that the development of SCI can reasonably be predicted based on complexity and extent of the TEVAR procedure performed and BP augmentation and CSF drainage can significantly reduce the impact of SCI.展开更多
Descriptions of unusually high waves appearing on the sea surface for a short time (freak, rogue or killer waves) have been considered as a part of marine folklore for a long time. A number of instrumental registratio...Descriptions of unusually high waves appearing on the sea surface for a short time (freak, rogue or killer waves) have been considered as a part of marine folklore for a long time. A number of instrumental registrations have appeared recently making the community to pay more attention to this problem and to reconsider known observations of freak waves. To allow a better understanding of the behavior of rogue waves associated with tornadoes in terms of their origin, the nonlinear theory of off-balance systems is developed in the specific case of strong agitations constantly seen on the surface of extensive and deep rivers, when they are crossed by an atmosphere’s low pressure system (tornadoes, cyclones, hurricanes, etc.). A mathematical model based on the Navier-Stokes and Euler Lagrange equations coupled with assumptions derived from instrumental registrations on the training locations (or birth places) of freak waves is developed to enhance the physics of processes responsible for the formation (or origin) of the waves associated with atmosphere’s low pressure systems. Freak waves births’ constraints are mainly the need for both consistent water (i.e., extensive-deep rivers) and potential velocity flow availabilities. Numerical simulations, based on the use of the NLSE (Nonlinear Schrodinger Equation) are performed to validate our mathematical model on the births of single carrier waves associated with atmosphere’s low pressure systems.展开更多
In 2010,the first offshore wind turbine with integrated installation was established in Qidong sea area of Jiangsu Province,China,which led to the implementation phase of one-step-installation technique based on the d...In 2010,the first offshore wind turbine with integrated installation was established in Qidong sea area of Jiangsu Province,China,which led to the implementation phase of one-step-installation technique based on the design and construction of large-scale bucket-top-bearing (LSBTB) bucket foundation.The critical technique of LSBTB bucket foundation included self-floating towing,penetration with adjustment of horizontal levelness,removability and one-step-installation.The process of one-step-installation included the prefabrication of LSBTB bucket foundation in onshore construction base,installation and debugging of wind power,overall water transportation of foundation and wind power system,and installation of foundation and offshore wind turbine on the appointed sea area.The cost of one-step-installation technique was about 5 000 Yuan/kW,which was 30%-50% lower than that of the existing technique.The prefabrication of LSBTB bucket foundation took about two months.During the one-step-installation process,the installation and debugging of wind power and overall water transportation need about one to two days in sea area within 35 m depth.After the proposed technique is industrialized,the cost will be further reduced,and the installation capacity is expected to be up to 500 wind turbines per year.展开更多
基金supported by the National 863 Project(2011AA040701)
文摘As a typical bionic walking robot, hydraulic quadruped robot has attracted much attention because of its high mobility, strong load capacity and steady motion. The electro-hydraulic servo cylinder, as its power actuator, requires low friction, good lateral load resistance and high speed motion. The electro-hydraulic servo cylinder hydrostatic bearing seal guide sleeve is taken as the research object in this paper. By using Fluent software to analyze and contrast the film characteristics of rectangular and I-shaped oil chamber of hydrostatic bearing seal guide sleeve, the relationship between piston rod moving speed, eccentricity, oil film carrying capacity, friction force and leakage volume, as well as the relationship between oil feed flow and oil film bearing capacity, friction force, inlet pressure and leakage volume were analyzed. This study provides a theoretical basis for optimizing the static pressure bearing seal parameters.
文摘Structural buildings are subjected to huge cyclic powers during earthquakes. The structural failures during seismic events notably impact a variety of facets of buildings within tolerable levels like sustainable strength and stable energy dissipation capability to sustain inter-story drifts and overall structural damages. The major structural elements such as columns, beams and soil shearing capacities are majorly affected during seismic events. Buildings situated in the earthquake prone zone are exposed to most concerns in the structural design. Boreholes are also one of the main factors responsible for seismic waves and soil shearing. Shear strength is a term used in soil mechanics to describe the magnitude of the shear stress that soil can sustain, especially selected BC soil. The shear resistance of soil is a result of friction and interlocking of particles, and possibly cementation or bonding at particle contacts. Soils consist of individual particles that can slide and roll relative to one another. Shear strength of a soil is equal to the maximum value of shear stress that can be mobilized within a soil mass without failure taking place. In many parts of the world to avoid or control these consequences, buildings have been constructed as steel-composite structures. However, in India, buildings are being constructed as RCC framed structures. Here a novel combination of VANE shear footing and BRB method has been introduced. In this article, the effects of boreholes increase seismic bearing capacity of foundation, and load bearing capacity to balance seismic pressure.
文摘In this technical paper, the oxidation mechanism and kinetics of aluminum powders are discussed in great details. The potential applications of spherical aluminum powders after oxidation to be part of the surging arresting materials are discussed. Theoretical calculations of oxidation of spherical aluminum powders in a typical gas fluidization bed are demonstrated. Computer software written by the author is used to carry out the basic calculations of important parameters of a gas fluidization bed at different temperatures. A mathematical model of the dynamic system in a gas fluidization bed is developed and the analytical solution is obtained. The mathematical model can be used to estimate aluminum oxide thickness at a defined temperature. The mathematical model created in this study is evaluated and confirmed consistently with the experimental results on a gas fluidization bed. Detail technical discussion of the oxidation mechanism of aluminum is carried out. The mathematical deviations of the mathematical modeling have demonstrated in great details. This mathematical model developed in this study and validated with experimental results can bring a great value for the quantitative analysis of a gas fluidization bed in general from a theoretical point of view. It can be applied for the oxidation not only for aluminum spherical powders, but also for other spherical metal powders. The mathematical model developed can further enhance the applications of gas fluidization technology. In addition to the development of mathematical modeling of a gas fluidization bed reactor, the formation of oxide film through diffusion on both planar and spherical aluminum surfaces is analyzed through a thorough mathematical deviation using diffusion theory and Laplace transformation. The dominant defects and their impact to oxidation of aluminum are also discussed in detail. The well-controlled oxidation film on spherical metal powders such as aluminum and other metal spherical powders can potentially become an important part of switch devices of surge arresting materials, in general.
文摘A computational approach is presented to handle an enlarged linear rotordynamic model whichsimultaneously includes both radial and misalignment motions.The interactive force and momentbetween the rotating and non-rotating members are modeled using an adaptation of the classicalReynolds lubrication equation for incompressible laminar isoviscous films.First,the governingequation is derived and the method of solution is introduced based on a 2-dimension,9-point cen-tral difference.Second,force and moment components are computed by numerical integration ofthe film pressure distribution.Finally,the rotordynamic coefficients are yielded according to thegeneralized force gradients.
基金supported by the Guangzhou Science and Technology Project (Industrial, Academic and Research Collaborative Innovation Project):201803010093the major development projects of sun yat-sen university: 201812281965
文摘Objective: To report outcomes of balloon dilation Eustachian tuboplasty combined with tympanostomy tube insertion and middle ear pressure equalization therapy in treatment of recurrent secretory otitis media. Methods: Fifty one patients with recurrent secretory otitis media (62 ears) underwent balloon dilation of Eustachian tube and tympanic tube insertion under general anesthesia, followed by long term middle ear pressure equalization therapies. The Eustachian tube score (ETS) and Eustachian tube function questionnaire (ETDQ-7) were used for pre- and postoperative (up to 12 months) evaluation of Eustachian tube functions. Results: The mean ETS score was 2.34 ± 0.97 preoperatively, and 6.17 ± 1.54, 7.23 ± 1.62, 8.24 ± 1.97, and 7.63 ± 1.86 at 1, 3, 6 and 12 months postoperatively, respectively (P < 0.05). The ETDQ-7 score was 4.82 ± 1.07 preoperatively, and 2.20 ± 0.54, 2.32 ± 0.68, 2.53 ± 0.79, and 2.67 ± 0.76 at 1, 3, 6 and 12 months postoperatively, respectively (P < 0.05). Conclusion: Balloon dilation of Eustachian tube combined with tympanostomy and catheterization resulted in significant improvement of subjective symptoms and objective evaluation of Eustachian tube functions in most patients with recurrent secretory otitis media, as indicated by the ETS and ETDQ-7 scores, demonstrating high levels of efficacy and patient satisfaction.
基金supported by the New Technique Project of Shengjing Hospital of China Medical University,China,No.2015-117(to XNY)
文摘The main goal of spinal cord rehabilitation is to restore walking ability and improve walking quality after spinal cord injury(SCI). The spatiotemporal parameters of walking and the parameters of plantar pressure can be obtained using a plantar pressure analysis system. Previous studies have reported step asymmetry in patients with bilateral SCI. However, the asymmetry of other parameters in patients with SCI has not been reported. This was a prospective, cross-sectional study, which included 23 patients with SCI, aged 48.1 ± 14.5 years, and 28 healthy subjects, aged 47.1 ± 9.8 years. All subjects underwent bare foot walking on a plantar pressure measurement device to measure walking speed and spatiotemporal parameters. Compared with healthy subjects, SCI patients had slower walking speed, longer stride time and stance time, larger stance phase percentage, and shorter stride length. The peak pressures under the metatarsal heads and toe were lower in SCI patients than in healthy subjects. In the heel, regional impulse and the contact area percentage in SCI patients were higher than those in healthy subjects. The symmetry indexes of stance time, step length, maximum force, impulse and contact area were increased in SCI patients, indicating a decline in symmetry. The results confirm that the gait quality, including spatiotemporal variables and plantar pressure parameters, and symmetry index were lower in SCI patients compared with healthy subjects. Plantar pressure parameters and symmetry index could be sensitive quantitative parameters to improve gait quality of SCI patients. The protocols were approved by the Clinical Research Ethics Committee of Shengjing Hospital of China Medical University(approval No. 2015 PS54 J) on August 13, 2015. This trial was registered in the ISRCTN Registry(ISRCTN42544587) on August 22, 2018. Protocol version: 1.0.
基金Qinghai provincial commission of health and family planning appropriate technology promotion project(2018-wjtg-03).
文摘Objective:Observation on the effect of Ilizarov external fixation combined with vacuum pressure sealing drainage and antibiotics in the treatment of infective tibial nonunion.Methods:79 patients with tibial infective nonunion who were treated in our hospital from August 2016 to August 2018 were divided into two groups according to random number table,with 39 patients in the control group treated with Ilizarov external fixation technology and 40 patients in the study group treated with vacuum pressure sealing drainage and antibiotics on the basis of the control group.Bone healing time and daily walking were recorded.Rasmussen score,serum intercellular adhesion molecule-1(ICAM-1)and IL-6 levels,lower limb Fugl-Meyer motor function score and lower limb BI index score were compared at different time.Results:The daily walking condition of the study group was significantly better than that of the control group(P<0.05),and the healing time of bone was significantly shorter than that of the control group(P<0.05);the Rasmussen score of the study group was higher than that of the control group at 1 month,6 months and 12 months after treatment(P<0.05);the levels of serum ICAM-1 and IL-6 in the two groups after treatment were lower than those before treatment(P<0.05),and the levels of serum ICAM-1 and IL-6 in the study group were lower than those in the control group after treatment(P<0.05).The lower limb Fugl-Meyer motor function score and lower limb BI index score of the two groups after treatment were higher than those before treatment(P<0.05),and the lower limb Fugl-Meyer motor function score and lower limb BI index score of the study group after treatment were higher than those of the control group(P<0.05).Conclusions:Ilizarov external fixation combined with vacuum pressure sealing drainage and antibiotics can promote the bone healing of patients with infective tibial nonunion,significantly improving their daily walking condition,alleviating inflammation,and recovering the knee joint function and lower limb function well.
基金supported by the National Natural Science Foundation of China,No.81272164(to JJL)the Special Fund for Basic Scientific Research of Central Public Research Institutes in China,No.2016CZ-4(to JJL),2018CZ-1(to JJL)+1 种基金the Beijing Institute for Brain Disorders in China,No.0000-100031(to JJL)the Basic Scientific Research Foundation of China Rehabilitation Research Center,No.2017ZX-22,2017ZX-20(to JJL)
文摘Intramedullary pressure increases after spinal cord injury, and this can be an important factor for secondary spinal cord injury. Until now there have been no studies of the dynamic changes of intramedullary pressure after spinal cord injury. In this study, telemetry systems were used to observe changes in intramedullary pressure in the 72 hours following spinal cord injury to explore its pathological mechanisms. Spinal cord injury was induced using an aneurysm clip at T10 of the spinal cord of 30 Japanese white rabbits, while another 32 animals were only subjected to laminectomy. The feasibility of this measurement was assessed. Intramedullary pressure was monitored in anesthetized and conscious animals. The dynamic changes of intramedullary pressure after spinal cord injury were divided into three stages: stage I(steep rise) 1–7 hours, stage Ⅱ(steady rise) 8–38 hours, and stage Ⅲ(descending) 39–72 hours. Blood-spinal barrier permeability, edema, hemorrhage, and histological results in the 72 hours following spinal cord injury were evaluated according to intramedullary pressure changes. We found that spinal cord hemorrhage was most severe at 1 hour post-spinal cord injury and then gradually decreased; albumin and aquaporin 4 immunoreactivities first increased and then decreased, peaking at 38 hours. These results confirm that severe bleeding in spinal cord tissue is the main cause of the sharp increase in intramedullary pressure in early spinal cord injury. Spinal cord edema and blood-spinal barrier destruction are important factors influencing intramedullary pressure in stages Ⅱ and Ⅲ of spinal cord injury.
基金supported by the open foundation of State Key Laboratory of Chemical Engineering (SKL-ChE-18B03)the Municipal Science and Technology Commission of Tianjin (No. 2009ZCKFGX01900)
文摘A cold-model vertical multi-tube circulating fluidized bed evaporator was designed and built to conduct a visualization study on the pressure drop of a liquid–solid two-phase flow and the corresponding particle distribution.Water and polyformaldehyde particle(POM)were used as the liquid and solid phases,respectively.The effects of operating parameters such as the amount of added particles,circulating flow rate,and particle size were systematically investigated.The results showed that the addition of the particles increased the pressure drop in the vertical tube bundle.The maximum pressure drop ratios were 18.65%,21.15%,18.00%,and 21.15%within the experimental range of the amount of added particles for POM1,POM2,POM3,and POM4,respectively.The pressure drop ratio basically decreased with the increase in the circulating flow rate but fluctuated with the increase in the amount of added particles and particle size.The difference in pressure drop ratio decreased with the increase in the circulating flow rate.As the amount of added particles increased,the difference in pressure drop ratio fluctuated at low circulating flow rate but basically decreased at high circulating flow rate.The pressure drop in the vertical tube bundle accounted for about 70%of the overall pressure drop in the up-flow heating chamber and was the main component of the overall pressure within the experimental range.Three-dimensional phase diagrams were established to display the variation ranges of the pressure drop and pressure drop ratio in the vertical tube bundle corresponding to the operating parameters.The research results can provide some reference for the application of the fluidized bed heat transfer technology in the industry.
基金financially supported by the National Natural Science Foundation of China(Grant Nos.51639002 and 51379118)the SDUST Research Fund(Grant No.2015KYTD104)
文摘The modified suction caisson(MSC) is a novel type of foundation for ocean engineering, consisting of a short external closed-top cylinder-shaped structure surrounding the upper part of the regular suction caisson(RSC). The MSC can provide larger lateral bearing capacity and limit the deflection compared with the RSC. Therefore, the MSC can be much more appropriate to use as an offshore wind turbine foundation. Model tests on the MSC in saturated sand subjected to monotonic lateral loading were carried out to investigate the effects of external structure sizes on the sand surface deformation and the earth pressure distribution along the embedded depth. Test results show that the deformation range of the sand surface increases with the increasing width and length of the external structure. The magnitude of sand upheaval around the MSC is smaller than that of the RSC and the sand upheaval value around the MSC in the loading direction decreases with the increasing external structure dimensions. The net earth pressure in the loading direction acting on the internal compartment of the MSC is smaller than that of the RSC at the same embedded depth. The maximum net earth pressure acting on the external structure outer wall in the loading direction is larger than that of the internal compartment, indicating that a considerable amount of the lateral load and moment is resisted by the external skirt structure.
文摘Aim: The purpose of this case study was to examine the sleep quality of patients receiving noninvasive positive pressure ventilation (NPPV) or nasal high-flow oxygen therapy (NHF) in an intensive care unit and to investigate what types of nursing support are offered to such patients. Methods: We examined one patient each for NPPV and NHF. Polysomnography (PSG), review of the patient charts, and semi-structured interviews were used to collect the data for analysis. Results: Patients treated with NPPV or NHF demonstrated a noticeable reduction in deep sleep, with most of their sleep being shallow. Their sleep patterns varied greatly from those of healthy individuals. These results suggest that, in addition to experiencing extremely fragmented sleep, sleep in these patients was more likely to be interrupted by nursing interventions, such as during auscultation of breath sounds. Furthermore, it was revealed that “anxiety or discomfort that accompanies the mask or air pressure” in patients treated with NPPV and “discomfort that accompanies the nasal cannula or NHF circuit” in patients treated with NHF may be primary causes of disrupted sleep. Our results suggest a need for nursing care aimed at improving sleep quality in patients treated with NPPV or NHF.
基金supported by the Major Project of NSFC(51690161)the Student Innovation Program Major Project of Northeastern University(ZD1708)
文摘High pressure die casting(HPDC) is a kind of near net shape manufacturing method. However, air entrapment in HPDC parts has serious effects upon the casting quality. In order to reduce the air entrapment defects in a AlSi10 MnMg alloy thin-wall longitudinal load-bearing beam produced by HPDC, different gating systems were designed and simulated by software Flow-3D to evaluate the entrapped air. Simulation results showed that when the beam is produced by the original designed gating system with a middle ingate, there exist obvious air entrapments in the critical area; the volume of air entrapment was reduced by replacing the middle ingate to an overflow well, and the filling of molten metal became more stable. When the middle ingate was removed for further improvement, the volume of air entrapment was decreased drastically. The parts with glossy surface and good microstructure have been successfully produced by using the final optimized gating system based on simulation results.
基金Supported by the National Natural Science Foundation of China(No.51705445)the Natural Science Foundation of Hebei Province(No.E2016203324)the Provincial and Ministerial Level Scientific Research Institutions Open Fund of Civil Aviation University of China
文摘Magnetic-liquid suspension guide-way system( MLSGS) is coupled supported by permanent magnetic suspension and hydrostatic bearing. The structure and bearing mechanism of MLSGS of heavy computer numerical control( CNC) machine tools are introduced and the mathematical expression of bearing force of bearing unit is derived and it can be broken apart into six parts which sustains directly the coordinate components of broad external load,where the air gap of permanent magnet and hydrostatic oil film can be simplified as elastic supports,the compatibility equations of deformations for oil films and air gap are presented,and then the bearing capacity calculation of the bearing unit is transformed into a determinate problem. Considering the guide-way as a rigid body,the mathematics expression between the bearing unit's bearing force and the oil film variation is linearized,and the oil pocket's bearing capacity which bears different components of the external load is calculated separately. The six components of the bearing unit are added up,and the final general mathematics expression is derived. The proposed research offers a general simple method for calculating the bearing capacity of MLSGS with complicate constraint,which can be mastered simply by engineering designer and can improve design efficiency and accuracy.
文摘The object of this review is to examine the role of TEVAR in causing SCI. The anatomy and physiology of blood flow to the spinal cord is examined. The role of auto regulation of blood flow within the spinal cord is also examined. This review examines the reported results from the scientific literature of the effect of thoracic aortic aneurysm repair on spinal cord blood flow. In the light of the-se findings several conclusions can reasonably be reached. These conclusions are that the development of SCI can reasonably be predicted based on complexity and extent of the TEVAR procedure performed and BP augmentation and CSF drainage can significantly reduce the impact of SCI.
文摘Descriptions of unusually high waves appearing on the sea surface for a short time (freak, rogue or killer waves) have been considered as a part of marine folklore for a long time. A number of instrumental registrations have appeared recently making the community to pay more attention to this problem and to reconsider known observations of freak waves. To allow a better understanding of the behavior of rogue waves associated with tornadoes in terms of their origin, the nonlinear theory of off-balance systems is developed in the specific case of strong agitations constantly seen on the surface of extensive and deep rivers, when they are crossed by an atmosphere’s low pressure system (tornadoes, cyclones, hurricanes, etc.). A mathematical model based on the Navier-Stokes and Euler Lagrange equations coupled with assumptions derived from instrumental registrations on the training locations (or birth places) of freak waves is developed to enhance the physics of processes responsible for the formation (or origin) of the waves associated with atmosphere’s low pressure systems. Freak waves births’ constraints are mainly the need for both consistent water (i.e., extensive-deep rivers) and potential velocity flow availabilities. Numerical simulations, based on the use of the NLSE (Nonlinear Schrodinger Equation) are performed to validate our mathematical model on the births of single carrier waves associated with atmosphere’s low pressure systems.
基金Supported by National High Technology Research and Development Program of China("863"Program,No.2012AA051705)National Natural Science Foundation of China(No.51109160)International Science and Technology Cooperation Program of China(No.2012DFA70490)
文摘In 2010,the first offshore wind turbine with integrated installation was established in Qidong sea area of Jiangsu Province,China,which led to the implementation phase of one-step-installation technique based on the design and construction of large-scale bucket-top-bearing (LSBTB) bucket foundation.The critical technique of LSBTB bucket foundation included self-floating towing,penetration with adjustment of horizontal levelness,removability and one-step-installation.The process of one-step-installation included the prefabrication of LSBTB bucket foundation in onshore construction base,installation and debugging of wind power,overall water transportation of foundation and wind power system,and installation of foundation and offshore wind turbine on the appointed sea area.The cost of one-step-installation technique was about 5 000 Yuan/kW,which was 30%-50% lower than that of the existing technique.The prefabrication of LSBTB bucket foundation took about two months.During the one-step-installation process,the installation and debugging of wind power and overall water transportation need about one to two days in sea area within 35 m depth.After the proposed technique is industrialized,the cost will be further reduced,and the installation capacity is expected to be up to 500 wind turbines per year.