新生儿低中位无肛行肛门成形术围手术期护理

先天性直肠肛管畸形是新生儿常见病,发病率为1：5000,男多于女。先天性直肠肛管畸形常伴发心血管、消化道、肢体等其他畸形,畸形并存率高达50%。无瘘型无肛门者,无胎粪排出,易于发现,稍晚可出现腹胀、呕吐症状。由于新生儿体液总量占体重比高达78%,腹胀、呕吐易导致患儿出现脱水症状,术前需纠正患儿脱水症状。该类患儿均需要行根治手术。

低中位产钳69例临床分析

分析69例产钳术的应用指征及母婴并发症,表明中低位产钳术如果应用恰当,是持续性枕横位、继发性宫缩乏力、第二产程延长及胎儿宫内窘迫、妊高征等迅速结束分娩的一种有效手段。其母婴并发症分别为30%和24%。

直肠全系膜切除在低中位直肠癌根治术中的应用及疗效分析

目的探讨直肠全系膜切除术（TME）在低中位直肠癌根治术中应用的独特价值。方法在对487例低中位直肠癌患者施行根治术中，采用直肠全系膜切除，充分利用闭合器，吻合器进行吻合，并随访观察手术效果和术后生活质量，5年存活率。结果487例患者均达理想疗效。结论在低中位直肠癌根治术中，笔者采用直肠全系膜切除术，降低了术后并发症的发生率，提高了患者术后的生活质量水平及5年生存率。

A new approach for recycling arsenic and tin from low-grade tin middlings using a self-sulfurization roasting

Massive amounts of low-grade tin middlings have been produced from tin tailings,in which arsenic and tin are worthy to be recycled.Owing to high sulfur content in these tin middlings,a novel self-sulfurization roasting was proposed to transform,separate and recover arsenic and tin in this research.There was no extra curing agent to be added,which decreased the formation of pollutant S-containing gas.The self-sulfurization process involved a two-stage roasting of reduction followed by sulfurization.First in reduction roasting,FeAsS decomposed to FeS and As and the As then transformed to As_(4)(g)and As_(4)S_(4)(g),via which the arsenic was separated and recovered.The arsenic content in the first residue could be decreased to 0.72 wt.%.Accompanied with it,the FeS was firstly oxidized to Fe_(1−x)S and then to SO_(2)(g)by the coexisted Fe_(2)O_(3),and finally reduced and combined with the independent Fe_(2)O_(3)to form Fe_(1−x)S.In the followed sulfurization roasting,the Fe_(1−x)S sulfurized SnO_(2)to SnS(g),due to which tin could be recovered and its content in the second residue decreased to 0.01 wt.%.This study provided an efficient method to separate and recover arsenic and tin from low-grade tin middlings.

Interrupt CW Approach for IF Video Signal Real Time Simulating and Its Validity

To determine the feasibility and practicability of interrupt continuous wave (CW) approach proposed for real time simulating radar intermediate frequency(IF) video signal, theoretical analysis and computer simulation were used. Phases at two linked points between the end and beginning of adjoined frames are always consistent; the bias Doppler frequency for the time delay of A/D sampling start responds to that for target acceleration. No digital phase compensation is required at continuous points, and the interrupt CW approach has apparently practical values.

Risk factors for local recurrence of middle and lower rectal carcinoma after curative resection

AIM： To explore the risk factors for local recurrence of middle and lower rectal carcinoma after curative resection. METHODS： Specimens of middle and lower rectal carcinoma from 56 patients who received curative resection at the Department of General Surgery of Guangdong Provincial People＇s Hospital were studied. A large slice technique was used to detect mesorectal metastasis and evaluate circumferential resection margin status. The relations between clinicopathologic characteristics, mesorectal metastasis and circumferential resection margin status were identified in patients with local recurrence of middle and lower rectal carcinoma. RESULTS： Local recurrence of middle and lower rectal carcinoma after curative resection occurred in 7 of the 56 patients （12.5%）, and was significantly associated with family history （Х^2= 3.929, P = 0.047）, high CEA level （Х^2 = 4.964, P = 0.026）, cancerous perforation （Х^2 = 8.503, P = 0.004）, tumor differentiation （Х^2 = 9.315, P = 0.009） and vessel cancerous emboli （Х^2 = 11.879, P = 0.001）. In contrast, no significant correlation was found between local recurrence of rectal carcinoma and other variables such as age （Х^2 = 0.506, P = 0.477）, gender （Х^2 = 0.102, Z2 = 0.749）, tumor diameter （Х^2 = 0.421, P = 0.516）,tumor infiltration （Х^2 = 5.052, P = 0.168）, depth of tumor invasion （Х^2 = 4.588, P = 0.101）, lymph node metastases （Х^2 = 3.688, P = 0.055） and TNM staging system （Х^2 = 3.765, P = 0.152）. The local recurrence rate of middle and lower rectal carcinoma was 33.3% （4/12） in patients with positive circumferential resection margin and 6.8% （3/44） in those with negative circumferential resection margin. There was a significant difference between the two groups （Х^2 = 6.061, P = 0.014）. Local recurrence of rectal carcinoma occurred in 6 of 36 patients （16.7%） with mesorectal metastasis, and in 1 of 20 patients （5.0%） without mesorectal metastasis. However, there was no significant difference between the two groups （Х^2 = 1.600, P = 0.206）. CONCLUSION： Family history, high CEA level, cancerous perforation, tumor differentiation, vessel cancerous emboli and circumferential resection margin status are the significant risk factors for local recurrence of middle and lower rectal carcinoma after curative resection. Local recurrence may be more frequent in patients with mesorectal metastasis than in patients without mesorectal metastasis.

Pilot scale test of producing nickel concentrate from low-grade saprolitic laterite by direct reduction-magnetic separation

The enrichment of Ni from a low-grade saprolitic laterite ore,which has been pre-treated by high pressure grinding roller（HPGR） to be 74% passing 0.074 mm and contains 0.92% Ni,18.47% Fe,10.61% MgO and 42.27% SiO2,was conducted by using pelletizing,rotary kiln reduction and magnetic separation process on a semi industrial scale,and the effects of reduction duration,mass ratio of coal to pellets（C/P）,the types of magnetic separator,the sections of grinding-separation and the grinding fineness on the recovery of Ni and Fe were examined.It is shown that nickel concentrate containing 3.13 % Ni and 59.20 % Fe was achieved at recoveries of 84.36 % and 71.51% for Ni and Fe,respectively under the following conditions：reducing at （1120±40） ℃ for 120 min,C/P being 1.0,wet grinding of reduced pellets up to 70%-87% passing 0.074 mm and a magnetic field intensity of 238.8 kA/m during the first section of grinding-magnetic separation,and a grinding fineness of 84%-91% passing 0.045 mm and a magnetic intensity of 39.8 kA/m during the second section of grinding-magnetic separation.The enriched Ni containing concentrate has a low content of S and P,and can be used for further processing to produce high-grade ferronickel alloy.

Impact coefficient and reliability of mid-span continuous beam bridge under action of extra heavy vehicle with low speed

To analyze the dynamic response and reliability of a continuous beam bridge under the action of an extra heavy vehicle, a vehicle–bridge coupled vibration model was established based on the virtual work principle and vehicle–bridge displacement compatibility equation, which can accurately simulate the dynamic characteristics of the vehicle and bridge. Results show that deck roughness has an important function in the effect of the vehicle on the bridge. When an extra heavy vehicle passes through the continuous beam bridge at a low speed of 5 km/h, the impact coefficient reaches a high value, which should not be disregarded in bridge safety assessments. Considering that no specific law exists between the impact coefficient and vehicle speed, vehicle speed should not be unduly limited and deck roughness repairing should be paid considerable attention. Deck roughness has a significant influence on the reliability index, which decreases as deck roughness increases. For the continuous beam bridge in this work, the reliability index of each control section is greater than the minimum reliability index. No reinforcement measures are required for over-sized transport.

Effect of hydrological variability on diatom distribution in Poyang Lake, China

Poyang Lake is the largest freshwater lake in China, and it has a seasonal flooding cycle that significantly changes the water level every year. The aim of this paper was to explain how these hydrological changes influence diatom populations in Poyang Lake. The yearly hydrological cycle can be divided into 4 phases: low water-level phase, increasing water-level phase, high water-level phase and decreasing waterlevel phase. Variations in the abundance of planktonic diatoms were studied using quarterly monitoring data collected from January 2009 to October 2013. Generally, diatoms were dominant in Poyang Lake and accounted for more than 50% of the total phytoplankton biomass except in July 2009(26%) and January 2012(35%). Aulacoseira granulata and Surirella robusta were the predominant species in all four phases, and they accounted for 25.02% to 56.89% and 5.07% to 14.78% of the total phytoplankton biomass, respectively. A redundancy analysis(RDA) showed that changes in physico-chemical parameter were related to the water level, and changes in diatom biomass were related to nitrite levels and p H. These results indicate that changes in environmental parameters related to both seasonal variations and water-level fluctuations caused variations in diatom biomass and community composition in Poyang Lake. Furthermore, extreme hydrological events can have different influences on the diatom community composition in the main channel and lentic regions. This research provides data on the diatom variations in Poyang Lake and will be useful for establishing biological indicators of environmental change and protecting Poyang Lake in the future.