BACKGROUND Robotic pancreaticoduodenectomy(RPD)can achieve similar surgical results to open and PD;however,RPD has a long learning curve and operation time(OT).To address this issue,we have summarized a surgical path ...BACKGROUND Robotic pancreaticoduodenectomy(RPD)can achieve similar surgical results to open and PD;however,RPD has a long learning curve and operation time(OT).To address this issue,we have summarized a surgical path to shorten the surgical learning curve and OT.AIM To investigate the effective learning curve of a“G”-shaped surgical approach in RPD for patients.METHODS A total of 60 patients,who received“G”-shaped RPD(GRPD)by a single surgeon in the First Hospital of Shanxi Medical University from May 2017 to April 2020,were included in this study.The OT,demographic data,intraoperative blood loss,complications,hospitalization time,and pathological results were recorded,and the cumulative sum(CUSUM)analysis was performed to evaluate the learning curve for GRPD.RESULTS According to the CUSUM analysis,the learning curve for GRPD was grouped into two phases:The early and late phases.The OT was 480±81.65 min vs 331±76.54 min,hospitalization time was 22±4.53 d vs 17±6.08 d,and blood loss was 308±54.78 mL vs 169.2±35.33 mL in the respective groups.Complications,including pancreatic fistula,bile leakage,reoperation rate,postoperative death,and delayed gastric emptying,were significantly decreased after this surgical technique.CONCLUSION GRPD can improve the learning curve and operative time,providing a new method for shortening the RPD learning curve.展开更多
This paper deeply analyses the influence of different local tectonic on stress performance of spatial curved steel box Girder Bridge, using the finite element analysis software to establish space finite element model ...This paper deeply analyses the influence of different local tectonic on stress performance of spatial curved steel box Girder Bridge, using the finite element analysis software to establish space finite element model of this bridge, calculation and analysis were made on the bridge of the strength, stiffness. It has certain reference value for guiding engineering design, have a good foundation for the mechanical properties and stability of linear and nonlinear further study of curved steel box girder.展开更多
为准确地评估交联聚乙烯(cross linked polyethylene,XLPE)电缆的水树老化程度,该文提出一种基于超低频介损和U-I滞回曲线的评估方法。对3组XLPE样本分别进行0、96和168h的加速水树老化,老化结束后采用快速超低频介损设备(very-low freq...为准确地评估交联聚乙烯(cross linked polyethylene,XLPE)电缆的水树老化程度,该文提出一种基于超低频介损和U-I滞回曲线的评估方法。对3组XLPE样本分别进行0、96和168h的加速水树老化,老化结束后采用快速超低频介损设备(very-low frequency dielectric loss detector,iFDS)在1mHz~1kHz范围内测试不同水树老化状态的XLPE电缆的介电频谱和不同频率下U-I滞回曲线。结果发现:水树老化后的电缆段在超低频段(1mHz~0.1Hz)的介损值显著增大,并在0.002和0.1Hz附近出现两个明显的松弛损耗峰。老化越严重的试样,U-I滞回曲线形变越严重。水树老化后电缆绝缘中产生了新的松弛极化过程,相较于单一频率0.1Hz下的介损值,超低频介电谱能够提供更丰富的绝缘状态信息。在1mHz下,U-I滞回曲线特性的偏转角变化率与曲线形变率均随超低频介损值的上升而增大,能够更加准确地评估电缆绝缘的水树老化程度。将超低频介损结合U-I滞回曲线可以有效地评估电缆绝缘的水树老化程度。展开更多
舌诊是中医望诊的重要手段,同时,温度与人体的健康息息相关。为了研究舌面的脏腑功能定位及舌象温度关系的反映,论文提出了一种红外技术的感兴趣区域(region of interest, ROI)模型研究方法。首先,利用葛立恒扫描法和Bezier曲线对多边形...舌诊是中医望诊的重要手段,同时,温度与人体的健康息息相关。为了研究舌面的脏腑功能定位及舌象温度关系的反映,论文提出了一种红外技术的感兴趣区域(region of interest, ROI)模型研究方法。首先,利用葛立恒扫描法和Bezier曲线对多边形ROI模型进行改进;然后,借助U-Net分割网络将提取出的温度信息进行训练与学习,从而做到批量处理舌体温度信息;最后,利用HSV色彩模型进行3D可视化,达成舌象温度分区的可视化研究。此外,为了验证该方法的准确性,实验还对模型截取出的舌体进行了评价指标验证,准确度可以达到0.991 1,分割效果极佳。研究表明:改进后的红外信息提取技术既能直观地观察到舌体的分区状况,也可以完整保留舌体的信息变化,为中医的数据化提供了完整可行性方案。实现了舌体红外信息数据的提取与中医诊断技术的有机结合。解决了中医一体化望诊的舌体信息完整性及准确性问题。展开更多
基金Supported by Shanxi Provincial Science and Technology Department Social Development Fund,No.201903D321144.
文摘BACKGROUND Robotic pancreaticoduodenectomy(RPD)can achieve similar surgical results to open and PD;however,RPD has a long learning curve and operation time(OT).To address this issue,we have summarized a surgical path to shorten the surgical learning curve and OT.AIM To investigate the effective learning curve of a“G”-shaped surgical approach in RPD for patients.METHODS A total of 60 patients,who received“G”-shaped RPD(GRPD)by a single surgeon in the First Hospital of Shanxi Medical University from May 2017 to April 2020,were included in this study.The OT,demographic data,intraoperative blood loss,complications,hospitalization time,and pathological results were recorded,and the cumulative sum(CUSUM)analysis was performed to evaluate the learning curve for GRPD.RESULTS According to the CUSUM analysis,the learning curve for GRPD was grouped into two phases:The early and late phases.The OT was 480±81.65 min vs 331±76.54 min,hospitalization time was 22±4.53 d vs 17±6.08 d,and blood loss was 308±54.78 mL vs 169.2±35.33 mL in the respective groups.Complications,including pancreatic fistula,bile leakage,reoperation rate,postoperative death,and delayed gastric emptying,were significantly decreased after this surgical technique.CONCLUSION GRPD can improve the learning curve and operative time,providing a new method for shortening the RPD learning curve.
文摘This paper deeply analyses the influence of different local tectonic on stress performance of spatial curved steel box Girder Bridge, using the finite element analysis software to establish space finite element model of this bridge, calculation and analysis were made on the bridge of the strength, stiffness. It has certain reference value for guiding engineering design, have a good foundation for the mechanical properties and stability of linear and nonlinear further study of curved steel box girder.
文摘为准确地评估交联聚乙烯(cross linked polyethylene,XLPE)电缆的水树老化程度,该文提出一种基于超低频介损和U-I滞回曲线的评估方法。对3组XLPE样本分别进行0、96和168h的加速水树老化,老化结束后采用快速超低频介损设备(very-low frequency dielectric loss detector,iFDS)在1mHz~1kHz范围内测试不同水树老化状态的XLPE电缆的介电频谱和不同频率下U-I滞回曲线。结果发现:水树老化后的电缆段在超低频段(1mHz~0.1Hz)的介损值显著增大,并在0.002和0.1Hz附近出现两个明显的松弛损耗峰。老化越严重的试样,U-I滞回曲线形变越严重。水树老化后电缆绝缘中产生了新的松弛极化过程,相较于单一频率0.1Hz下的介损值,超低频介电谱能够提供更丰富的绝缘状态信息。在1mHz下,U-I滞回曲线特性的偏转角变化率与曲线形变率均随超低频介损值的上升而增大,能够更加准确地评估电缆绝缘的水树老化程度。将超低频介损结合U-I滞回曲线可以有效地评估电缆绝缘的水树老化程度。
文摘舌诊是中医望诊的重要手段,同时,温度与人体的健康息息相关。为了研究舌面的脏腑功能定位及舌象温度关系的反映,论文提出了一种红外技术的感兴趣区域(region of interest, ROI)模型研究方法。首先,利用葛立恒扫描法和Bezier曲线对多边形ROI模型进行改进;然后,借助U-Net分割网络将提取出的温度信息进行训练与学习,从而做到批量处理舌体温度信息;最后,利用HSV色彩模型进行3D可视化,达成舌象温度分区的可视化研究。此外,为了验证该方法的准确性,实验还对模型截取出的舌体进行了评价指标验证,准确度可以达到0.991 1,分割效果极佳。研究表明:改进后的红外信息提取技术既能直观地观察到舌体的分区状况,也可以完整保留舌体的信息变化,为中医的数据化提供了完整可行性方案。实现了舌体红外信息数据的提取与中医诊断技术的有机结合。解决了中医一体化望诊的舌体信息完整性及准确性问题。
