Underground energy and resource development,deep underground energy storage and other projects involve the global stability of multiple interconnected cavern groups under internal and external dynamic disturbances.An ...Underground energy and resource development,deep underground energy storage and other projects involve the global stability of multiple interconnected cavern groups under internal and external dynamic disturbances.An evaluation method of the global stability coefficient of underground caverns based on static overload and dynamic overload was proposed.Firstly,the global failure criterion for caverns was defined based on its band connection of plastic-strain between multi-caverns.Then,overloading calculation of the boundary geostress and seismic intensity on the caverns model was carried out,and the critical unstable state of multi-caverns can be identified,if the plastic-strain band appeared between caverns during these overloading processes.Thus,the global stability coefficient for the multi-caverns under static loading and earthquake was obtained based on the corresponding overloading coefficient.Practical analysis for the Yingliangbao(YLB)hydraulic caverns indicated that this method can not only effectively obtain the global stability coefficient of caverns under static and dynamic earthquake conditions,but also identify the caverns’high-risk zone of local instability through localized plastic strain of surrounding rock.This study can provide some reference for the layout design and seismic optimization of underground cavern group.展开更多
To fully understand the tomato ovary locule formation of inheritance, two varieties, ovary multi-locule (MLK1) and few-locule (FL1), were used in these studies. Using reciprocal cross, self-cross, and backcross, w...To fully understand the tomato ovary locule formation of inheritance, two varieties, ovary multi-locule (MLK1) and few-locule (FL1), were used in these studies. Using reciprocal cross, self-cross, and backcross, we have constructed various groups to seek the genetic law and mechanisms of tomato locule formation, for modifying the tomato breeding theory. The parental and the resulting FI and F2 generations have been used to examine the heredity of the locule number. The results showed that few-locule was incompletely dominant. The data from backcross demonstrated a significant effect on the locule number, whereas, the reciprocal cross showed an insignificant effect. Not surprisingly, the locule number was controlled by nuclear genomes, not by exogenous substances. The model that inherited the locule number belonged to the additive-dominant model: additive effects played a very important role and were partially dominant. In addition, the results revealed that the locule number in tomato was mainly controlled by a single gene, whereas, it was modulated by a number of other genes. Finally, the general inheritability and narrow inheritability of the locule number were 69.44% and 52.98%, respectively.展开更多
Based on K ε two equation turbulence model,the air distribution and contamination field under different conditions was numerically simulated in a vector flow cleanroom.Special mesh system was introduced to deal wit...Based on K ε two equation turbulence model,the air distribution and contamination field under different conditions was numerically simulated in a vector flow cleanroom.Special mesh system was introduced to deal with the quarter circle shaped inlets.Model experiments were also made.By analysis of numerical as well as experimental results,we made some predictions about flow characteristics,contaminant control effect and ventilation performance of this energy saving cleanroom.It has been proved that the vector flow can meet class 100 of Fed. St.with 13 to 12 conventional air change per hour,and reduce layer height and simplify air clean system.展开更多
AIM:To investigate the effect of pain relief after infu-sion of ropivacaine at port sites at the end of surgery.METHODS:From October 2006 to September 2007,72 patients undergoing laparoscopic cholecystectomy(LC) were ...AIM:To investigate the effect of pain relief after infu-sion of ropivacaine at port sites at the end of surgery.METHODS:From October 2006 to September 2007,72 patients undergoing laparoscopic cholecystectomy(LC) were randomized into two groups of 36 patients.One group received ropivacaine infusion at the port sites at the end of LC and the other received normal saline.A visual analog scale was used to assess postoperative pain when the patient awakened in the operating room,6 and 24 h after surgery,and before discharge.The amount of analgesics use was also recorded.The demographics,laboratory data,hospital stay,and perioperative complications were compared between the two groups.RESULTS:There was no difference between the two groups preoperatively in terms of demographic and lab-oratory data.After surgery,similar operation time,blood loss,and no postoperative morbidity and mortality were observed in the two groups.However,a significantly lower pain score was observed in the patients undergo-ing LC with local anesthesia infusion at 1 h after LC and at discharge.Regarding analgesic use,the amount of meperidine used 1 h after LC and the total used during admission were lower in patients undergoing LC with local anesthesia infusion.This group also had a shorter hospital stay.CONCLUSION:Local anesthesia with ropivacaine at the port site in LC patients signif icantly decreased post-operative pain immediately.This explains the lower meperidine use and earlier discharge for these patients.展开更多
Objective:To summarize and analyze the clinical and histopathological features of chronic acalculous cholecystitis (CAC) and to investigate the diagnosis and surgical treatment of chronic acalculous cholecystit.Method...Objective:To summarize and analyze the clinical and histopathological features of chronic acalculous cholecystitis (CAC) and to investigate the diagnosis and surgical treatment of chronic acalculous cholecystit.Methods:The study subjects were 39 patients with chronic biliary symptoms but no evidence of stones in the gallbladder by B ultrasonography and magnetic resonance cholopancreatography (MRCP) (CAC group).The CCC group consisted of 66 patients taken randomly from concurrent all patients of chronic calculous cholecystitis (CCC).All patients accepted fibergastroscopy,B ultrasonography,MRCP,laboratory examination preoperatively.We retrospectively analyzed the clinical features,B ultrasonography and MRCP findings,histopathological results and clinical outcomes between the two groups.Results:All the 39 patients were diagnosed by clinical symptoms,B ultrasonography,fatty meal gallbladder contractability studies under ultrasound,fibergastroscopy and magnetic resonance cholangiopancreatography (MRCP),what's more,they were pathologically verified postoperatively.In all patients,there was a complete absence of gallbladder wall contractability.Mucosa epithelial defect was found in 21 patients in CAC group (53.8%) and 16 patients in CCC group (24.2%) respectively (P<0.005).Thickened arteriole wall was found in 29 patients in CAC group (74.4%) and none patient in CCC group (P<0.0001).Thickened gallbladder wall (4 mm or more in thickness) was found in 33 patients in CAC group (84.6%) and 28 patients in CCC group (42.4%) respectively (P<0.005).Bile stasis was found in 23 patients in CAC group (59.0%) and 14 patients in CCC group (21.2%) respectively by ultrasonography preoperatively and confirmed in operation (P<0.005).The outcomes of cholecystectomy,expressed as total or near total relief,was similar in the two groups.No statistically significant differences were observed between patients with CAC (90%) and CCC (80%),the P-value >0.05.Conclusion:Chronic acalculous cholecystitis could be diagnosed by symptoms,ultrasound,fatty meal gallbladder contractability studies under untrasoundand MRCP.The optimal treatment of chronic acalculous cholecystitis characterized by thickened arteriole wall and mucosa epithelial defect is cholecystectomy.展开更多
In order to reveal combustion characteristics of H_2/air mixture in a micro-combustor with and without bluff body, the effects of inlet velocities, equivalence ratios and bluff body's blockage ratios on the temper...In order to reveal combustion characteristics of H_2/air mixture in a micro-combustor with and without bluff body, the effects of inlet velocities, equivalence ratios and bluff body's blockage ratios on the temperature field, pressure of the combustor wall, combustion efficiency and blow-off limit were investigated. The numerical results indicate that the sudden expansion plate micro combustor with bluff body could enhance the turbulent disturbance of the mixed gas in the combustion chamber and the combustion condition is improved. Moreover, a low-speed and high temperature recirculation region was formed between the sudden expansion step and the bluff body so that the high and uniform wall temperature(>1000 K) could be gotten. As a result, it could strengthen the mixing process, prolong the residence time of gas, control the flame position effectively and widen the operation range by the synergistic effect of the bluff body and steps. When the blockage ratio ranged from 0.3 to 0.6, it could be found that the bluff body could play a stabilizing effect and expand combustion blow burning limit, and combustion efficiency firstly was increased with the inlet velocity and equivalence ratio, and then was decreased.展开更多
With an understanding of the processes of methane production, oxidation and emission, a semi-empirical model, focused on the contributions of rice plants to the processes and also the influence of environmental factor...With an understanding of the processes of methane production, oxidation and emission, a semi-empirical model, focused on the contributions of rice plants to the processes and also the influence of environmental factors, was developed to predict methane emission from rice paddy soils. In the present model, the amount of methane transported from the soil to the atmosphere was determined by the rates of CH4 production and an emitted fraction. The rates of CH4 production in irrigated rice soils were computed from the availability of methanogenic substrates that are primarily derived from rice plaaes and added organic matter and the influence of soil texture, soil redox potential and temperature. The fraction of methane emitted was assumed to be modulated by the rice plants and declines with rice growth and development. TO make it applicable to a wider area with limited data sets, a simplified version of the model was also derived to predict methane emission in a more practical manner.展开更多
Pre-stressed bolt anchorage is the key technology for jointed rock masses in rock tunnelling,slope treatment and mining engineering.To investigate the mechanical properties and reinforcement effect of jointed rock mas...Pre-stressed bolt anchorage is the key technology for jointed rock masses in rock tunnelling,slope treatment and mining engineering.To investigate the mechanical properties and reinforcement effect of jointed rock masses with pre-stressed bolts,in this study,uniaxial compression tests were conducted on specimens with different anchoring types and flaw inclination angles.ABAQUS software was used to verify and supplement the laboratory tests.The laws of the uniaxial compressive strength(UCS)obtained from the numerical simulations and laboratory tests were consistent.The results showed that under the same flaw angle,both the UCS and elastic modulus of the bolted specimens were improved compared with those of the specimens without bolts and the improvements increased with an increase in the bolt pre-stress.Under the same anchoring type,the UCS and elastic modulus of the jointed specimens increased with an increase in the flaw angle.The pre-stressed bolt could not only restrain the slip of the specimens along the flaw surface but also change the propagation mode of the secondary cracks and limit the initiation of cracks.In addition,the plot contours of the maximum principal strain and the Tresca stress of the numerical models were influenced by the anchoring type,flaw angle,anchoring angle and bolt position.展开更多
The research and achievements made on seismic subsidence of loess,obtained over the past30 years,were reviewed.Seismic Subsidence of Loess(SSL)has been verified by microstructure characteristics,dynamic triaxial exper...The research and achievements made on seismic subsidence of loess,obtained over the past30 years,were reviewed.Seismic Subsidence of Loess(SSL)has been verified by microstructure characteristics,dynamic triaxial experiments,and in-situ explosion tests,and has become an important subject in the field of seismic loess engineering research.While,the research is still in the stage of theoretical study of saturated soil,and there are no representative cases of seismic subsidence of loess in historical earthquakes.It is difficult to express structure characteristics using microstructure morphology.While,soil mechanics are available methods for this.Seismic subsidence judgment is absolute in some certain value ranges for several parameters.Therefore,probabilistic judgment should be developed.The seismic subsidence ratio is estimated mostly by empirical formulas or semiempirical and semi-theoretical formulas,which are based on laboratory data.These formulas are not established on the basis of physical process and mechanics of seismic subsidence,and this leads to more variables,complicated computation,and poor practicability.To solve these problems,we need to distinguish the main factors and corresponding variables,to establish a mechanics model for seismic subsidence estimation,and to characterize its physio-mechanical process.The key of anti-seismic subsidence treatment is to reduce the seismic subsidence property of soils,and to lower the interaction between the soil body and underground structures.展开更多
Objectives Although development of new treatment modalities limited digoxin usage, digoxin intoxication is still an important issue which could be easily overlooked. In this report, we analyzed a case series definitiv...Objectives Although development of new treatment modalities limited digoxin usage, digoxin intoxication is still an important issue which could be easily overlooked. In this report, we analyzed a case series definitively diagnosed as digoxin intoxication in the modern era. Methods We analyzed 71 patients hospitalized with digoxin intoxication confirmed by history, complaints, clinical and electrocardiograph (ECG) findings, and serum digoxin levels 〉 2.0 ng/mL, during a five year period. The demographic and clinical data, indications for digoxin use, digoxin dosage, concurrent medications, laboratory data, hospital monitoring, and ECG findings were obtained from all patients. Results Thirty-eight of 71 patients (53.5%) had symptoms of heart failure during admission or later. Sixty-four percent of patients were older than 75 years. The percentage of females was 67%. Atrial fibrillation, hypertension and gastrointestinal complaints were more frequent in the females (64% in females, 30% in males, P = 0.007; 81% in female, 52% in males, P = 0.01; 50% in female, 17.3% in males, P = 0.008, respectively). The mortality rate during the hospital course was 7%. Conclusions This report demonstrated the reduced mortality rates in patients with digoxin intoxication over the study period. Gastrointestinal complaints are the most common symptoms in this population.展开更多
Objective Small cell carcinoma(SCC) is mostly found in the lungs. It is extremely rare in the gastric remnant. Here, we report a case and review the literature in order to improve the diagnosis and treatment of SCC of...Objective Small cell carcinoma(SCC) is mostly found in the lungs. It is extremely rare in the gastric remnant. Here, we report a case and review the literature in order to improve the diagnosis and treatment of SCC of the gastric remnant.Methods We report a case of SCC of the gastric remnant in a 71-year-old male Chinese patient who presented with epigastric pain, acid regurgitation, and belching and who underwent Billroth II gastrectomy more than 38 years ago.Results Physical examination showed no obvious abnormalities. Laboratory data were within normal limits, except for anemia. Pathology of the mass showed a protruded tumor measuring 5.0 × 5.0 × 2.5 cm at the anastomotic edge of the gastric remnant that infiltrated through the full wall of the stomach; this was confirmed by immunohistochemical staining for cytokeratin [CK(-)], leukocyte common antigen(LCA)(+), synaptophysin(+), CD56(+), and Ki-67(+ > 50%).Conclusion SCC of the gastric remnant is extremely rare, although the pathology, symptoms, diagnosis, treatment, and prognosis of SCC are similar to those of gastric SCC. Although the standard treatment of SCC of the gastric remnant remains unclear, effective surgical resection and subsequent multiagent chemotherapy should be performed for long-term survival. Our case shows the efficacy of tegafurgimeracil-oteracil-potassium capsule chemotherapy. Examination of a large series is required to determine the optimal treatment strategy for SCC of the gastric remnant.展开更多
AIM:To determine whether hypermagnesemia recently reported in adult patients possibly develops in children with functional constipation taking daily magnesium oxide.METHODS:We enrolled 120 patients (57 male and 63 fem...AIM:To determine whether hypermagnesemia recently reported in adult patients possibly develops in children with functional constipation taking daily magnesium oxide.METHODS:We enrolled 120 patients (57 male and 63 female) aged 1-14 years old (median:4.7 years) with functional constipation from 13 hospitals and two private clinics.All patients fulfilled the Rome Ⅲ criteria for functional constipation and were treated with daily oral magnesium oxide for at least 1 mo.The median treatment dose was 600 (500-800) mg/d.Patients were assessed by an interview and laboratory examination to determine possible hypermagnesemia.Serum magnesium concentration was also measured in sex-and agematched control subjects (n=38).RESULTS:In the constipation group,serum magnesium concentration [2.4 (2.3-2.5) mg/dL,median and interquartile range] was significantly greater than that of the control group [2.2 (2.0-2.2) mg/dL] (P < 0.001).The highest value was 3.2 mg/dL.Renal magnesium clearance was significantly increased in the constipation group.Serum magnesium concentration in the constipation group decreased significantly with age (P < 0.01).There was no significant correlation between the serum level of magnesium and the duration of treatment with magnesium oxide or the daily dose.None of the patients had side effects associated with hypermagnesemia.CONCLUSION:Serum magnesium concentration increased significantly,but not critically,after daily treatment with magnesium oxide in constipated children with normal renal function.展开更多
In order to perfectly reflect the dynamic corrosion of reinforced concrete (RC) cover in practical engineering,an analytic model of non-uniform corrosion induced cracking was presented based on the elastic-plastic fra...In order to perfectly reflect the dynamic corrosion of reinforced concrete (RC) cover in practical engineering,an analytic model of non-uniform corrosion induced cracking was presented based on the elastic-plastic fracture mechanics theory.Comparisons with the published experimental data show that the predictions given by the present model are in good agreement with the results both for natural exposed experiments and short-time indoor tests (the best difference is about 2.7%).Also it obviously provides much better precision than those models under the assumption of uniform corrosion (the maximal improved precision is about 48%).Therefore,it is pointed out that the so-called uniform corrosion models to describe the cover cracking of RC should be adopted cautiously.Finally,the influences of thickness of local rusty layer around the reinforcing steel bar on the critical corrosion-induced crack indexes were investigated.It is found that the thickness of local rusty layer has great effect on the critical mass loss of reinforcing steel,threshold expansion pressure,and time to cover cracking.For local rusty layer thickness with a size of a=0.5 mm,the time to cover cracking will increase by about one times when a/b (a,semi-minor axis;b,semi-major axis) changes from 0.1 to 1 mm.展开更多
Brown tumour represents a serious complication of hyperparathyroidism.Definitive diagnosis is based on histological examination,clinical,radiological and laboratory data.Here we report a case of multiple brown tumours...Brown tumour represents a serious complication of hyperparathyroidism.Definitive diagnosis is based on histological examination,clinical,radiological and laboratory data.Here we report a case of multiple brown tumours localised in collarbone,rib and in the distal ulna due to secondary hyperparathyroidism in a 37-year-old women with chronic renal failure.The clinical management of brown tumour aimed primarily to reduce the elevated parathyroid hormone levels by pharmacological treatment.In our experience,clinicians usually consider brown tumor of hyperparathyroidism is caused by giant cell lesions in maintenance hemodialysis recipients,and multiple brown tumours are rarely seen in these patients.展开更多
The micro-combustion chamber is the key component for micro-TPV systems. To improve the combustor wall temperature level and its uniformity and efficiency, an improved flat micro-combustor with a front cavity is built...The micro-combustion chamber is the key component for micro-TPV systems. To improve the combustor wall temperature level and its uniformity and efficiency, an improved flat micro-combustor with a front cavity is built, and the combustion performance of the original and improved combustors of premixed H2/air flames under various inlet velocities and equivalence ratios is numerically investigated. The effects of the front cavity height and length on the outer wall temperature and efficiency are also discussed. The front cavity significantly improves the average outer wall temperature, outer wall temperature uniformity, and combustion efficiency of the micro-combustor, increases the area of the high temperature zone, and enhances the heat transfer between the burned blends and inner walls. The micro-combustor with the front cavity length of 2.0 mm and height of 0.5 mm is suitable for micro-TPV system application due to the relatively high outer wall temperature, combustion efficiency, and the most uniform outer wall temperature.展开更多
Debris flows include a great diversity of grain sizes with inherent features such as inverse grading, particle size segregation, and liquefaction of fine sediment. The liquefaction of fine sediment affects the fluidit...Debris flows include a great diversity of grain sizes with inherent features such as inverse grading, particle size segregation, and liquefaction of fine sediment. The liquefaction of fine sediment affects the fluidity of debris flows, although the behavior and influence of fine sediment in debris flows have not been examined sufficiently. This study used flume tests to detect the effect of fine sediment on the fluidity of laboratory debris flows consisting of particles with various diameters. From the experiments, the greatest sediment concentration and flow depth were observed in the debris flows mixed with fine sediment indicating increased flow resistance. The experimental friction coefficient was then compared with the theoretical friction coefficient derived by substituting the experimental values into the constitutive equations for debris flow. The theoretical friction coefficient was obtained from two models with different fine-sediment treatments: assuming that all of the fine sediments were solid particles or that the particles consisted of a fluid phase involving pore water liquefaction. From the comparison of the friction coefficients, a fully liquefaction state was detected for the fine particle mixture. When the mixing ratio and particle size of the fine sediment were different, some other eases were considered to be in a partially liquefied transition state. These results imply that the liquefaction of fine sediment in debris flows was induced not only by the geometric conditions such as particle sizes, but also by the flow conditions.展开更多
基金Project(2023YFC2907204)supported by the National Key Research and Development Program of ChinaProject(52325905)supported by the National Natural Science Foundation of ChinaProject(DJ-HXGG-2023-16)supported by the Key Technology Research Projects of Power China。
文摘Underground energy and resource development,deep underground energy storage and other projects involve the global stability of multiple interconnected cavern groups under internal and external dynamic disturbances.An evaluation method of the global stability coefficient of underground caverns based on static overload and dynamic overload was proposed.Firstly,the global failure criterion for caverns was defined based on its band connection of plastic-strain between multi-caverns.Then,overloading calculation of the boundary geostress and seismic intensity on the caverns model was carried out,and the critical unstable state of multi-caverns can be identified,if the plastic-strain band appeared between caverns during these overloading processes.Thus,the global stability coefficient for the multi-caverns under static loading and earthquake was obtained based on the corresponding overloading coefficient.Practical analysis for the Yingliangbao(YLB)hydraulic caverns indicated that this method can not only effectively obtain the global stability coefficient of caverns under static and dynamic earthquake conditions,but also identify the caverns’high-risk zone of local instability through localized plastic strain of surrounding rock.This study can provide some reference for the layout design and seismic optimization of underground cavern group.
基金This work was supported by the eleventh ‘Five Years Key Programs’ for the Science and Technology Development of Liaoning Province (No. 2006215001)
文摘To fully understand the tomato ovary locule formation of inheritance, two varieties, ovary multi-locule (MLK1) and few-locule (FL1), were used in these studies. Using reciprocal cross, self-cross, and backcross, we have constructed various groups to seek the genetic law and mechanisms of tomato locule formation, for modifying the tomato breeding theory. The parental and the resulting FI and F2 generations have been used to examine the heredity of the locule number. The results showed that few-locule was incompletely dominant. The data from backcross demonstrated a significant effect on the locule number, whereas, the reciprocal cross showed an insignificant effect. Not surprisingly, the locule number was controlled by nuclear genomes, not by exogenous substances. The model that inherited the locule number belonged to the additive-dominant model: additive effects played a very important role and were partially dominant. In addition, the results revealed that the locule number in tomato was mainly controlled by a single gene, whereas, it was modulated by a number of other genes. Finally, the general inheritability and narrow inheritability of the locule number were 69.44% and 52.98%, respectively.
文摘Based on K ε two equation turbulence model,the air distribution and contamination field under different conditions was numerically simulated in a vector flow cleanroom.Special mesh system was introduced to deal with the quarter circle shaped inlets.Model experiments were also made.By analysis of numerical as well as experimental results,we made some predictions about flow characteristics,contaminant control effect and ventilation performance of this energy saving cleanroom.It has been proved that the vector flow can meet class 100 of Fed. St.with 13 to 12 conventional air change per hour,and reduce layer height and simplify air clean system.
文摘AIM:To investigate the effect of pain relief after infu-sion of ropivacaine at port sites at the end of surgery.METHODS:From October 2006 to September 2007,72 patients undergoing laparoscopic cholecystectomy(LC) were randomized into two groups of 36 patients.One group received ropivacaine infusion at the port sites at the end of LC and the other received normal saline.A visual analog scale was used to assess postoperative pain when the patient awakened in the operating room,6 and 24 h after surgery,and before discharge.The amount of analgesics use was also recorded.The demographics,laboratory data,hospital stay,and perioperative complications were compared between the two groups.RESULTS:There was no difference between the two groups preoperatively in terms of demographic and lab-oratory data.After surgery,similar operation time,blood loss,and no postoperative morbidity and mortality were observed in the two groups.However,a significantly lower pain score was observed in the patients undergo-ing LC with local anesthesia infusion at 1 h after LC and at discharge.Regarding analgesic use,the amount of meperidine used 1 h after LC and the total used during admission were lower in patients undergoing LC with local anesthesia infusion.This group also had a shorter hospital stay.CONCLUSION:Local anesthesia with ropivacaine at the port site in LC patients signif icantly decreased post-operative pain immediately.This explains the lower meperidine use and earlier discharge for these patients.
文摘Objective:To summarize and analyze the clinical and histopathological features of chronic acalculous cholecystitis (CAC) and to investigate the diagnosis and surgical treatment of chronic acalculous cholecystit.Methods:The study subjects were 39 patients with chronic biliary symptoms but no evidence of stones in the gallbladder by B ultrasonography and magnetic resonance cholopancreatography (MRCP) (CAC group).The CCC group consisted of 66 patients taken randomly from concurrent all patients of chronic calculous cholecystitis (CCC).All patients accepted fibergastroscopy,B ultrasonography,MRCP,laboratory examination preoperatively.We retrospectively analyzed the clinical features,B ultrasonography and MRCP findings,histopathological results and clinical outcomes between the two groups.Results:All the 39 patients were diagnosed by clinical symptoms,B ultrasonography,fatty meal gallbladder contractability studies under ultrasound,fibergastroscopy and magnetic resonance cholangiopancreatography (MRCP),what's more,they were pathologically verified postoperatively.In all patients,there was a complete absence of gallbladder wall contractability.Mucosa epithelial defect was found in 21 patients in CAC group (53.8%) and 16 patients in CCC group (24.2%) respectively (P<0.005).Thickened arteriole wall was found in 29 patients in CAC group (74.4%) and none patient in CCC group (P<0.0001).Thickened gallbladder wall (4 mm or more in thickness) was found in 33 patients in CAC group (84.6%) and 28 patients in CCC group (42.4%) respectively (P<0.005).Bile stasis was found in 23 patients in CAC group (59.0%) and 14 patients in CCC group (21.2%) respectively by ultrasonography preoperatively and confirmed in operation (P<0.005).The outcomes of cholecystectomy,expressed as total or near total relief,was similar in the two groups.No statistically significant differences were observed between patients with CAC (90%) and CCC (80%),the P-value >0.05.Conclusion:Chronic acalculous cholecystitis could be diagnosed by symptoms,ultrasound,fatty meal gallbladder contractability studies under untrasoundand MRCP.The optimal treatment of chronic acalculous cholecystitis characterized by thickened arteriole wall and mucosa epithelial defect is cholecystectomy.
基金Project(51176045)supported by the National Natural Science Foundation of ChinaProject(201208430262)supported by the National Studying Abroad Foundation of China
文摘In order to reveal combustion characteristics of H_2/air mixture in a micro-combustor with and without bluff body, the effects of inlet velocities, equivalence ratios and bluff body's blockage ratios on the temperature field, pressure of the combustor wall, combustion efficiency and blow-off limit were investigated. The numerical results indicate that the sudden expansion plate micro combustor with bluff body could enhance the turbulent disturbance of the mixed gas in the combustion chamber and the combustion condition is improved. Moreover, a low-speed and high temperature recirculation region was formed between the sudden expansion step and the bluff body so that the high and uniform wall temperature(>1000 K) could be gotten. As a result, it could strengthen the mixing process, prolong the residence time of gas, control the flame position effectively and widen the operation range by the synergistic effect of the bluff body and steps. When the blockage ratio ranged from 0.3 to 0.6, it could be found that the bluff body could play a stabilizing effect and expand combustion blow burning limit, and combustion efficiency firstly was increased with the inlet velocity and equivalence ratio, and then was decreased.
文摘With an understanding of the processes of methane production, oxidation and emission, a semi-empirical model, focused on the contributions of rice plants to the processes and also the influence of environmental factors, was developed to predict methane emission from rice paddy soils. In the present model, the amount of methane transported from the soil to the atmosphere was determined by the rates of CH4 production and an emitted fraction. The rates of CH4 production in irrigated rice soils were computed from the availability of methanogenic substrates that are primarily derived from rice plaaes and added organic matter and the influence of soil texture, soil redox potential and temperature. The fraction of methane emitted was assumed to be modulated by the rice plants and declines with rice growth and development. TO make it applicable to a wider area with limited data sets, a simplified version of the model was also derived to predict methane emission in a more practical manner.
基金Project(51979281)supported by the National Natural Science Foundation of ChinaProject(ZR2018MEE050)supported by the Natural Science Foundation of Shandong Province,ChinaProject(18CX02079A)supported by the Fundamental Research Funds for the Central Universities,China。
文摘Pre-stressed bolt anchorage is the key technology for jointed rock masses in rock tunnelling,slope treatment and mining engineering.To investigate the mechanical properties and reinforcement effect of jointed rock masses with pre-stressed bolts,in this study,uniaxial compression tests were conducted on specimens with different anchoring types and flaw inclination angles.ABAQUS software was used to verify and supplement the laboratory tests.The laws of the uniaxial compressive strength(UCS)obtained from the numerical simulations and laboratory tests were consistent.The results showed that under the same flaw angle,both the UCS and elastic modulus of the bolted specimens were improved compared with those of the specimens without bolts and the improvements increased with an increase in the bolt pre-stress.Under the same anchoring type,the UCS and elastic modulus of the jointed specimens increased with an increase in the flaw angle.The pre-stressed bolt could not only restrain the slip of the specimens along the flaw surface but also change the propagation mode of the secondary cracks and limit the initiation of cracks.In addition,the plot contours of the maximum principal strain and the Tresca stress of the numerical models were influenced by the anchoring type,flaw angle,anchoring angle and bolt position.
基金sponsored by the Basic Research Foundation of Institute of Earthquake Science,China Earthquake Administration(No.2011IESLZ03)
文摘The research and achievements made on seismic subsidence of loess,obtained over the past30 years,were reviewed.Seismic Subsidence of Loess(SSL)has been verified by microstructure characteristics,dynamic triaxial experiments,and in-situ explosion tests,and has become an important subject in the field of seismic loess engineering research.While,the research is still in the stage of theoretical study of saturated soil,and there are no representative cases of seismic subsidence of loess in historical earthquakes.It is difficult to express structure characteristics using microstructure morphology.While,soil mechanics are available methods for this.Seismic subsidence judgment is absolute in some certain value ranges for several parameters.Therefore,probabilistic judgment should be developed.The seismic subsidence ratio is estimated mostly by empirical formulas or semiempirical and semi-theoretical formulas,which are based on laboratory data.These formulas are not established on the basis of physical process and mechanics of seismic subsidence,and this leads to more variables,complicated computation,and poor practicability.To solve these problems,we need to distinguish the main factors and corresponding variables,to establish a mechanics model for seismic subsidence estimation,and to characterize its physio-mechanical process.The key of anti-seismic subsidence treatment is to reduce the seismic subsidence property of soils,and to lower the interaction between the soil body and underground structures.
文摘Objectives Although development of new treatment modalities limited digoxin usage, digoxin intoxication is still an important issue which could be easily overlooked. In this report, we analyzed a case series definitively diagnosed as digoxin intoxication in the modern era. Methods We analyzed 71 patients hospitalized with digoxin intoxication confirmed by history, complaints, clinical and electrocardiograph (ECG) findings, and serum digoxin levels 〉 2.0 ng/mL, during a five year period. The demographic and clinical data, indications for digoxin use, digoxin dosage, concurrent medications, laboratory data, hospital monitoring, and ECG findings were obtained from all patients. Results Thirty-eight of 71 patients (53.5%) had symptoms of heart failure during admission or later. Sixty-four percent of patients were older than 75 years. The percentage of females was 67%. Atrial fibrillation, hypertension and gastrointestinal complaints were more frequent in the females (64% in females, 30% in males, P = 0.007; 81% in female, 52% in males, P = 0.01; 50% in female, 17.3% in males, P = 0.008, respectively). The mortality rate during the hospital course was 7%. Conclusions This report demonstrated the reduced mortality rates in patients with digoxin intoxication over the study period. Gastrointestinal complaints are the most common symptoms in this population.
文摘Objective Small cell carcinoma(SCC) is mostly found in the lungs. It is extremely rare in the gastric remnant. Here, we report a case and review the literature in order to improve the diagnosis and treatment of SCC of the gastric remnant.Methods We report a case of SCC of the gastric remnant in a 71-year-old male Chinese patient who presented with epigastric pain, acid regurgitation, and belching and who underwent Billroth II gastrectomy more than 38 years ago.Results Physical examination showed no obvious abnormalities. Laboratory data were within normal limits, except for anemia. Pathology of the mass showed a protruded tumor measuring 5.0 × 5.0 × 2.5 cm at the anastomotic edge of the gastric remnant that infiltrated through the full wall of the stomach; this was confirmed by immunohistochemical staining for cytokeratin [CK(-)], leukocyte common antigen(LCA)(+), synaptophysin(+), CD56(+), and Ki-67(+ > 50%).Conclusion SCC of the gastric remnant is extremely rare, although the pathology, symptoms, diagnosis, treatment, and prognosis of SCC are similar to those of gastric SCC. Although the standard treatment of SCC of the gastric remnant remains unclear, effective surgical resection and subsequent multiagent chemotherapy should be performed for long-term survival. Our case shows the efficacy of tegafurgimeracil-oteracil-potassium capsule chemotherapy. Examination of a large series is required to determine the optimal treatment strategy for SCC of the gastric remnant.
文摘AIM:To determine whether hypermagnesemia recently reported in adult patients possibly develops in children with functional constipation taking daily magnesium oxide.METHODS:We enrolled 120 patients (57 male and 63 female) aged 1-14 years old (median:4.7 years) with functional constipation from 13 hospitals and two private clinics.All patients fulfilled the Rome Ⅲ criteria for functional constipation and were treated with daily oral magnesium oxide for at least 1 mo.The median treatment dose was 600 (500-800) mg/d.Patients were assessed by an interview and laboratory examination to determine possible hypermagnesemia.Serum magnesium concentration was also measured in sex-and agematched control subjects (n=38).RESULTS:In the constipation group,serum magnesium concentration [2.4 (2.3-2.5) mg/dL,median and interquartile range] was significantly greater than that of the control group [2.2 (2.0-2.2) mg/dL] (P < 0.001).The highest value was 3.2 mg/dL.Renal magnesium clearance was significantly increased in the constipation group.Serum magnesium concentration in the constipation group decreased significantly with age (P < 0.01).There was no significant correlation between the serum level of magnesium and the duration of treatment with magnesium oxide or the daily dose.None of the patients had side effects associated with hypermagnesemia.CONCLUSION:Serum magnesium concentration increased significantly,but not critically,after daily treatment with magnesium oxide in constipated children with normal renal function.
基金Project(50925829) supported by the National Science Fund for Distinguished Young Scholars of ChinaProject(50908148) supported by the National Natural Science Foundation of ChinaProjects(2009-K4-23,2010-11-33) supported by the Research of Ministry of Housing and Urban Rural Development of China
文摘In order to perfectly reflect the dynamic corrosion of reinforced concrete (RC) cover in practical engineering,an analytic model of non-uniform corrosion induced cracking was presented based on the elastic-plastic fracture mechanics theory.Comparisons with the published experimental data show that the predictions given by the present model are in good agreement with the results both for natural exposed experiments and short-time indoor tests (the best difference is about 2.7%).Also it obviously provides much better precision than those models under the assumption of uniform corrosion (the maximal improved precision is about 48%).Therefore,it is pointed out that the so-called uniform corrosion models to describe the cover cracking of RC should be adopted cautiously.Finally,the influences of thickness of local rusty layer around the reinforcing steel bar on the critical corrosion-induced crack indexes were investigated.It is found that the thickness of local rusty layer has great effect on the critical mass loss of reinforcing steel,threshold expansion pressure,and time to cover cracking.For local rusty layer thickness with a size of a=0.5 mm,the time to cover cracking will increase by about one times when a/b (a,semi-minor axis;b,semi-major axis) changes from 0.1 to 1 mm.
文摘Brown tumour represents a serious complication of hyperparathyroidism.Definitive diagnosis is based on histological examination,clinical,radiological and laboratory data.Here we report a case of multiple brown tumours localised in collarbone,rib and in the distal ulna due to secondary hyperparathyroidism in a 37-year-old women with chronic renal failure.The clinical management of brown tumour aimed primarily to reduce the elevated parathyroid hormone levels by pharmacological treatment.In our experience,clinicians usually consider brown tumor of hyperparathyroidism is caused by giant cell lesions in maintenance hemodialysis recipients,and multiple brown tumours are rarely seen in these patients.
基金Project(11802336) supported by the National Natural Science Foundation of China
文摘The micro-combustion chamber is the key component for micro-TPV systems. To improve the combustor wall temperature level and its uniformity and efficiency, an improved flat micro-combustor with a front cavity is built, and the combustion performance of the original and improved combustors of premixed H2/air flames under various inlet velocities and equivalence ratios is numerically investigated. The effects of the front cavity height and length on the outer wall temperature and efficiency are also discussed. The front cavity significantly improves the average outer wall temperature, outer wall temperature uniformity, and combustion efficiency of the micro-combustor, increases the area of the high temperature zone, and enhances the heat transfer between the burned blends and inner walls. The micro-combustor with the front cavity length of 2.0 mm and height of 0.5 mm is suitable for micro-TPV system application due to the relatively high outer wall temperature, combustion efficiency, and the most uniform outer wall temperature.
基金supported by Grant-in-Aid for Scientific Research (Grant No.22780140,2010),from the Ministry of Education,Science,Sports,and Culture,of Japan
文摘Debris flows include a great diversity of grain sizes with inherent features such as inverse grading, particle size segregation, and liquefaction of fine sediment. The liquefaction of fine sediment affects the fluidity of debris flows, although the behavior and influence of fine sediment in debris flows have not been examined sufficiently. This study used flume tests to detect the effect of fine sediment on the fluidity of laboratory debris flows consisting of particles with various diameters. From the experiments, the greatest sediment concentration and flow depth were observed in the debris flows mixed with fine sediment indicating increased flow resistance. The experimental friction coefficient was then compared with the theoretical friction coefficient derived by substituting the experimental values into the constitutive equations for debris flow. The theoretical friction coefficient was obtained from two models with different fine-sediment treatments: assuming that all of the fine sediments were solid particles or that the particles consisted of a fluid phase involving pore water liquefaction. From the comparison of the friction coefficients, a fully liquefaction state was detected for the fine particle mixture. When the mixing ratio and particle size of the fine sediment were different, some other eases were considered to be in a partially liquefied transition state. These results imply that the liquefaction of fine sediment in debris flows was induced not only by the geometric conditions such as particle sizes, but also by the flow conditions.