A 65-year-old man with cT1bN0M0 stage I middle thoracic esophageal cancer underwent subtotal esophagectomy and gastric tube reconstruction through the posterior mediastinal route after preoperative carbon-ion radiothe...A 65-year-old man with cT1bN0M0 stage I middle thoracic esophageal cancer underwent subtotal esophagectomy and gastric tube reconstruction through the posterior mediastinal route after preoperative carbon-ion radiotherapy and chemotherapy in a clinical trial. Anastomotic leakage occurred, but it spontaneously improved. At six months after the operation, he was rehospitalized with a cough and dysphagia. An esophago-bronchiole fistula and stenosis of the gastric tube were observed. He first underwent stent placement in the gastric tube. Two weeks later, the syringeal epithelium was burned by argon plasma coagulation after stent removal. Endoscopic occlusion was then performed for the fistula with two guidewire-assisted silicone spigots. Two weeks later, he was discharged on an oral diet, and he has not developed recurrence of the fistula or cancer for three years. This is the first report of endoscopic occlusion with a guidewire-assisted silicone spigot through the esophagus.展开更多
Flow against pipeline leakage and the pipe network sudden burst pipe to pipeline leakage flow for the application objects,network congestion avoidance strategy is designed in pipeline leak monitoring.Based on the prop...Flow against pipeline leakage and the pipe network sudden burst pipe to pipeline leakage flow for the application objects,network congestion avoidance strategy is designed in pipeline leak monitoring.Based on the property of Markov chain for network data,a new estimator with particle filter is proposed for congestion control in this paper.The proposed scheme can predict the traffic patterns by the decision-making model.To compare with previous scheme based on fuzzy neural network,the proposed scheme can adaptively adjust the network rate in real-time and reduce the cell loss rate,so that it can avoid the traffic congestion.Simulation results show that network congestion avoidance strategy with particle filter can improve the bandwidth utilization,Transmission Control Protocol (TCP) friendliness and reduce the packet drop rate in Pipeline Flux Leak Monitoring networks.展开更多
The leakage research on supercritical carbon dioxide fluid in rolling piston expander was investigated experimentally.Using expander instead of throttle valve is an important way to improve the efficiency of carbon di...The leakage research on supercritical carbon dioxide fluid in rolling piston expander was investigated experimentally.Using expander instead of throttle valve is an important way to improve the efficiency of carbon dioxide refrigeration system.However,the supercritical fluid leakage in expander is serious and is the main factor affecting the expander's efficiency.This paper presented and compared four classic leakage models.The analysis indicated that laminar leakage model is suitable in leakage simulation of expander.A leakage test system,including the leakage test part which has two types of leakage specimens with different gaps ranging from 5 to 15 m,was established.The experimental results indicated that lubricant film played an important role.When the leakage clearance of cylindrical specimen was 5 m,the mass flow rate of leakage was about 0.88 g s-1.The data was 3.638 g s-1 with leakage clearance being 10 m and 7.11g s-1 with leakage clearance being 15 m.A modified leakage model was developed,whose average deviation was within 10% compared with the experimental data.At last,this paper simulated the leakage in rolling piston expander presented by Tian et al.(2010).The leakage between rolling piston and cylinder was the most serious part with the value up to 0.04 kg s-1.展开更多
文摘A 65-year-old man with cT1bN0M0 stage I middle thoracic esophageal cancer underwent subtotal esophagectomy and gastric tube reconstruction through the posterior mediastinal route after preoperative carbon-ion radiotherapy and chemotherapy in a clinical trial. Anastomotic leakage occurred, but it spontaneously improved. At six months after the operation, he was rehospitalized with a cough and dysphagia. An esophago-bronchiole fistula and stenosis of the gastric tube were observed. He first underwent stent placement in the gastric tube. Two weeks later, the syringeal epithelium was burned by argon plasma coagulation after stent removal. Endoscopic occlusion was then performed for the fistula with two guidewire-assisted silicone spigots. Two weeks later, he was discharged on an oral diet, and he has not developed recurrence of the fistula or cancer for three years. This is the first report of endoscopic occlusion with a guidewire-assisted silicone spigot through the esophagus.
基金Xinjiang Production and Construction Corps Reforms Project Courses,China(No.200905)Tarim University Principal Youth Fund, China(No.TDZKQN05002)Tarim University Quality of Higher Education Courses and Research Funding,China(No.TDGJ0914)
文摘Flow against pipeline leakage and the pipe network sudden burst pipe to pipeline leakage flow for the application objects,network congestion avoidance strategy is designed in pipeline leak monitoring.Based on the property of Markov chain for network data,a new estimator with particle filter is proposed for congestion control in this paper.The proposed scheme can predict the traffic patterns by the decision-making model.To compare with previous scheme based on fuzzy neural network,the proposed scheme can adaptively adjust the network rate in real-time and reduce the cell loss rate,so that it can avoid the traffic congestion.Simulation results show that network congestion avoidance strategy with particle filter can improve the bandwidth utilization,Transmission Control Protocol (TCP) friendliness and reduce the packet drop rate in Pipeline Flux Leak Monitoring networks.
基金supported by the National Natural Science Foundation of China (Grant No. 50676064)
文摘The leakage research on supercritical carbon dioxide fluid in rolling piston expander was investigated experimentally.Using expander instead of throttle valve is an important way to improve the efficiency of carbon dioxide refrigeration system.However,the supercritical fluid leakage in expander is serious and is the main factor affecting the expander's efficiency.This paper presented and compared four classic leakage models.The analysis indicated that laminar leakage model is suitable in leakage simulation of expander.A leakage test system,including the leakage test part which has two types of leakage specimens with different gaps ranging from 5 to 15 m,was established.The experimental results indicated that lubricant film played an important role.When the leakage clearance of cylindrical specimen was 5 m,the mass flow rate of leakage was about 0.88 g s-1.The data was 3.638 g s-1 with leakage clearance being 10 m and 7.11g s-1 with leakage clearance being 15 m.A modified leakage model was developed,whose average deviation was within 10% compared with the experimental data.At last,this paper simulated the leakage in rolling piston expander presented by Tian et al.(2010).The leakage between rolling piston and cylinder was the most serious part with the value up to 0.04 kg s-1.
