沸腾床加氢反应器并气方法的探讨

美国AXENS公司的T—STAR加氢处理工艺，采用的是沸腾床加氢反应器，沸腾床加氢反应器的并气操作是沸腾床加氢工艺的重要开工步骤，此过程需要专业的理论和丰富的实践经验来指导实际操作，良好的并气方法将使系统的波动降至最低。通过T—STAR沸腾床实际生产操作经验的积累，可以分析沸腾床反应器并气操作的主要影响因素并给出最佳的并气方法。

气血并治方对动脉粥样硬化的疗效及ApoAⅠ、ApoB的变化研究

目的分析气血并治方对动脉粥样硬化患者的疗效及载脂蛋白AⅠ(ApoAⅠ)、载脂蛋白B(ApoB)的变化影响。方法选取医院2018年1月—2020年10月收治的动脉粥样硬化患者116例,根据治疗方法不同分为两组。对照组给予西药基础治疗,观察组在对照组基础上联合气血并治方治疗,分析两组患者治疗后的临床疗效。结果观察组总有效率为87.93%(51/58),对照组为65.52%(38/58),观察组患者总有效率高于对照组(P<0.05)。两组治疗前颈动脉内膜中膜厚度(IMT)、颈动脉血管阻力组间比较,差异不具有统计学意义(P>0.05)。观察组治疗后颈动脉IMT、颈动脉血管阻力低于对照组(P<0.05)。两组治疗前ApoAⅠ、ApoB、脂蛋白a(LPa)、人可溶性CD40配体(sCD40L)、超敏-C反应蛋白(hs-CRP)、白细胞介素-8(IL-8)水平组间比较,差异不具有统计学意义(P>0.05)。观察组治疗后ApoB、LPa、sCD40L、hs-CRP水平低于对照组,ApoAⅠ、IL-8水平与对照组组间比较,差异不具有统计学意义(P>0.05)。结论气血并治方治疗动脉粥样硬化疗效显著,可调节ApoB、LPa、sCD40L、hs-CRP的表达水平,抑制颈动脉内膜增厚,且安全性高。

Parallel Computing of the Underwater Explosion Cavitation Effects on Full-scale Ship Structures

As well as shock wave and bubble pulse loading, cavitation also has very significant influences on the dynamic response of surface ships and other near-surface marine structures to underwater explosive loadings. In this paper, the acoustic-structure coupling method embedded in ABAQUS is adopted to do numerical analysis of underwater explosion considering cavitation. Both the shape of bulk cavitation region and local cavitation region are obtained, and they are in good agreement with analytical results. The duration of reloading is several times longer than that of a shock wave. In the end, both the single computation and parallel computation of the cavitation effect on the dynamic responses of a full-scale ship are presented, which proved that reloading caused by cavitation is non-ignorable. All these results are helpful in understanding underwater explosion cavitation effects.

Strangulated small bowel hernia through the port site:A case report

Port site hernia develops through a fascial or peritoneal layer that was inadequate or not repaired. It is a rare complication of laparoscopic surgery which may lead to serious problems. Here,we present a 77-year-old female,diagnosed with a small bowel hernia through a 10-mm port site. We had performed ten cases of laparoscopy-assisted distal gastrectomy before this case. The patient complained of left lower abdominal pain with a palpable mass. Abdominal CT showed an incarcerated small bowel hernia and the patient underwent segmental resection of the strangulated small bowel through a minimally extended port site incision.

Ectopic papilla of Vater in the pylorus

The major papilla of Vater is usually located in the second portion of the duodenum, to the posterior medial wall. Sometimes the mouth of the biliary duct is located in other areas. Drainage of the common bile duct into the pylorus is extremely rare. A 73-year old man, with a history of duodenal ulcer, was admitted to hospital with the diagnosis of cholangitis. Dilatation of the extrahepatic biliary duct was observed by abdominal ultrasonography, and endoscopic retrograde cholangiopancreatography （ERCP） was performed. No area suggesting the presence of the papilla of Vater was found within the second duodenal portion. Finally the major papilla was located in the theoretical pyloric duct. Cholangiography was performed and choledocholithiasis was found in the biliary tree. The patient underwent dilatation of the papilla with a balloon tyre and removal of a 7 mm stone using a Dormia basket, which solved the problem without further complications. This anomaly increased the difficulty of performing therapeutic interventions during ERCR This alteration in anatomy may increase the risk of complications during papillotomy, with a theoretically higher risk of perforation. Dilatation using a balloon was the chosen therapeutic technique both in our case and in the literature, due to its low rate of complications.

Esophagotracheal fistula caused by gastroesophageal reflux 9 years after esophagectomy

Fistula between digestive tract and airway is one of the complications after esophagectomy with lymph node dissection. A case of esophagotracheal fistula secondary to esophagitis 9 years after esophagectomy and gastric pull-up for treatment of esophageal carcinoma is described. It was successfully treated with transposition of a pedicled pectoralis major muscle flap.

Identification and Characterization of Sulfur Compounds in Straight-Run Diesel Using Comprehensive Two-Dimensional GC Coupled with TOF MS

The solid-phase extraction using Pd-Al2O3 as the stationary phase was employed to pre-separate the sulfur compounds in straight-run diesel. The isolating effect was evaluated quantitatively by gas chromatography with a sulfur chemiluminescence detector to harvest a satisfactory result. The identification of the structure of sulfur compounds by comprehensive two-dimensional gas chromatography coupled with the time-of-flight mass spectrometry indicated that cyclo-sulfides, benzothiophenes, dibenzothiophenes, dihydro-benzothiophenes and tetrahydro-dibenzothiophenes were included in straightrun diesel obtained from the Arab medium crude(AM). A total of 259 individual compounds were detected and their molecular structures were identified. The analytical method was approved as an effective way to characterize the composition of sulfur compounds, which reduced the interference of other compounds, facilitated the data presentation and provided more detailed information about molecular composition of sulfur compounds.

Removal of metallic stents using flexible bronchoscope:report of 29 cases

Objective:Placement of self expanding metallic stents(SEMS) is invariably associated with complications and often necessitates their removal usually by rigid bronchoscope.There have been few reports published on use of flexible bronchoscope(FB) for the removal.This article summarizes the indications,methods and complications of SEMS removal by FB.Methods:We reviewed our experience with removal of SEMS using FB retrospectively.The clinical data on 29 patients with average age of(39.0±13.2) years was analyzed who underwent removal of SEMS using FB between April 2002 and August 2008.Results:Thirty-seven procedures were performed in 29 consecutive patients to remove 37 stents.The average duration of stent placement was(55± 94.7) d(0-472 d).Twenty-two procedures(59.4%) were performed under local anesthesia.The percentage of procedures under general anesthesia was 13%(3/24),67%(4/6) and 100%(7/7) for the short-term(≤30 d),medium-term(31-90 d) and long-term(>90 d) of stents placement,respectively.Indications for stents removal included migration in 15(40.6%),scar restenosis in 11(29.7%),airway shaping in 5(13.5%),stent fracture in 2(5.4%),stent incomplete expansion in 2(5.4%),improper size in 1(2.7%),mucus plugging with chest pain in 1(2.7%).And 85.7% of long-term stents were removed due to scar restenosis.The total success rate was 92%.There was no significant difference in success rate between the uncovered and covered group(82.3% and 100%,P>0.05).Complications were encountered in 13 patients,bleeding being the most common(53.8%).Conclusion:Operation by FB may be an alternative method to remove SEMS effectively and safely based on the proper anesthesia chosen.

380 CASES OF BRONCHIECTASIS WITH HEMOPTYSIS TREATED BY POINT-INJECTION

Hemoptysis,especially the massivehemoptysis caused by bronchiectasis is acommon,but emergent and critical diseases inclinic.Injection of Herba Houttuyniae extractinto Kongzui(LU 6)was performed to treathemoptysis according to the theory oftraditional Chinese medicine and the

A rare etiology of post-endoscopic retrograde cholangiopancreatography pneumoperitoneum

Major complications of endoscopic retrograde cholangiopancreatography (ERCP) include pancreatitis, hemorrhage, cholangitis, and duodenal perforation. The occurrence of free air in the peritoneal cavity post- ERCP is a rare event (< 1%), which is usually the result of duodenal or ductal perforation related to therapeutic ERCP with sphincterotomy. We describe for the first time a different aetiology of pneumoperitoneum, in an 84-year-old woman with pancreatic cancer and a large hepatic metastasis, after ERCP with common bile duct stent deployment. Our patient developed, pneumoperitoneum due to air leakage from rupture of intrahepatic bile ducts and Glisson’s capsule in the area of a peripheral large hepatic metastasis. The potential mechanism underlying this complication might be post- ERCP pneumobilia and increased pressure of intrahepatic bile ducts leading to rupture of intrahepatic bile ducts in the liver metastatic mass owing to neoplastic tissue friability. This case indicates the need for close clinical and radiological observation of patients with hepatic masses (primary or metastatic) subjected to ERCP. In such patients, avoidance of excessive air insufflation during ERCP and/or placement of a nasogastric tube for bowel decompression immediately after ERCP might be a reasonable strategy to prevent such unusual complications.

Analysis of Flow Structure and Calculation of Drag Coefficient for Concurrent-up Gas-Solid Flow

This study investigates the heterogeneous structure and its influence on drag coefficient for concurrent-up gas-solid flow. The energy-minimization multi-scale (EMMS) model is modified to simulate the variation of structure parameters with solids concentration, showing the tendency for particles to aggregate to form clusters and for fluid to pass around clusters. The global drag coefficient is resolved into that for the dense phase, for the dilute phase and for the so-called inter-phase, all of which can be obtained from their respective phase-specific structure parameters. The computational results show that the drag coefficients of the different phases are quite different, and the global drag coefficient calculated from the EMMS approach is much lower than that from the correlation of Wen and Yu. The simulation results demonstrate that the EMMS approach can well describe the heterogeneous flow structure, and is very promising for incorporation into the two-fluid model or the discrete particle model as the closure law for drag coefficient.

What Moved into the Lung?An Unusual Case of Foreign Body Migration

FOREIGN body migration into the lung is a rare complication that can cause various symptoms. In adults, however, foreign body deposited in the luna can be tolerated and remain undetected fora long time. Delayed diagnosis and subsequent delayed treatment is usually associated with atypical complications. In this article, we describe a case of foreign body migration into the tracheobronchial tree. After a long time delay diagnosis, the foreign body was ultimately removed by operation.

Effects of Expansion Temperature on Seven kinds of Hoffmann Components in Mainstream Smoke

[ Objective] To explore the effect of expansion temperature on the release of seven kinds of Hoffmann components （CO, NNK, NH3, HCN,, BaP, crotonaldehyde and phenol） from the mainstream smoke of cigarette. [ Method] The release amount of seven kinds of Hoffmann com-ponents from the mainstream smoke of cigarettes which were prepared from the cut tobacco treated under different expansion temperatures was de-termined. [ Result] Under the same expansion model, the temperature change produced certain impact on the release amount of NH~, phenol and BAP, while had no significant influence on that of CO, NNK, HCN and crotonaldehyde; under CO2 expansion model, the release amount of seven Hoffmann components was small; the reduction of expansion temperature was good for lowering the harmful index of cigarette to a certain extent. [ Conclusion] The study provides basis for optimizing the technical parameters of producinq less harmful cigarette.

Atmospheric PCDD/Fs in Southeastern China

Air samples were collected simultaneously at Guiyu （an electronic waste recycling site）, three urban sites in Hong Kong and two urban sites in Guangzhou, southeast China on August 20, 2004 and January 24, 2005, respectively. Seventeen congeners of PCDD/Fs （polychlorinated dibenzo-p-dioxins dibenzofurans） were measured. The results showed that the concentration of PCDD/Fs in Guiyu was 6,721 fg/m3, which was 1.5 times of Guangzhou and 3.1 times of Hong Kong sites. TEQ （total toxic equivalent） of Guiyu, Guangzhou and Hong Kong air samples were 598, 202 and 137 fg I-TEQ/m3, respectively. A clear seasonal variation of PCDD/Fs in the air was found in both Guangzhou and Hong Kong sites. The concentration of 2,3,7,8-TCDD （2,3,7,8-Tetrachlorodibenzodioxin） in Guiyu was 54 fg/m3, higher than the whole year standard of 30 fg/m3 imposed by USA （Indiana, Kansas and Washington）. This was primarily due to the incomplete combustion of e-wastes （e.g., plastic chips, wire insulations, PVC （polyvinyl chloride polymer） materials and metal scraps）.

Dysplasia in perforated intestinal pneumatosis complicating a previous jejuno-ileal bypass:A cautionary note

We present the case of an elderly woman who developed a bowel perforation related to pneumatosis intestinalis, 33 years after a jejuno-ileal bypass for severe obesity. Final histological examination revealed the presence of dysplasia in the resected specimen. On the basis of our case and a review of the literature, we discuss the etiopathogenesis, the clinical aspects and the treatment of this rare condition.

A RETROSPECTIVE STUDY OF ARYTENOID DISLOCATION AFTER ENDOTRACHEAL INTUBATION

Five cases of arytenoid dislocation after intubation under general anesthesia are reported in this article. The anatomical and anesthetic causes of this complication were studied restrospectively, and the methods of treatment were discussed. The result showed that the incidence of arytenoid dislocation was about 0. 09% (5/5 826). Hoarseness, dysphonia and difficulty in feeding were the prevalent symptoms, and poor mobili- ty of the vocal fold was the most common sign. The treatment included closed reduction of the displaced arytenoid under local anesthesia, steroid and physical therapy. The possible causes of arytenoid dislocation were summarized as follows: (1) trauma produced by the blade tip of laryngoscope, (2) the use of stylet, (3) overstretching of aryepiglottic fold and vocal cord during laryngoscopy and intubation, and (4) cough- ing and movement of the endotracheal tube on the larynx during the endotracheal tube in place. It was sug- gested that correct technique and gentle manipulation during intubation could reduce the incidence of the complication. Timely postoperative follow-up and early reduction of arytenoid cartilage should be empha-sized in the diagnosis and treatment of the complication.

Using Parallel Packed Bed within a High Temperature Thermal Energy Storage System for CSP-Plants

In order to optimize the electricity yield of CSP （concentrated solar power） plants, TES （thermal energy storage） systems are regarded as an essential component. Furthermore, for many electricity grid operators, it is important to have spinning reserves in the grid and dispatchable power available, both offered by CSP-plants with integrated thermal energy storage. Enolcon is developing a new TES-system since several years. The system itself was designed to offer a principle simple and robust setup （with regard to execution and operation） and which is reducing the electricity costs of CSP-power plants by the consequent use of state of the art technology. Furthermore, such system shall be open to future developments of CSP-systems with regard to increasing steam temperatures and steam pressure. Such TES-system shall be commercially available for large scale application already in year 2014/2015. The key elements of the enolcon-TES are the open cycle using always ambient air with an air-air-heat exchanger and the arrangement of the storage material in such way to minimize the pressure losses and the own electricity consumption. The development is progressing in a structured way by studies, engineering works, TES-pilot plants, isothermal air flow test plant for the verification of the CFD-calculations, and since end of 2012 by the operation of a high temperature TES-module with all features of the large scale modules.

Joule-Thomson Coefficient for Strongly Interacting Unitary Fermi Gas

The Joule-Thomson effect reflects the interaction among constituent particles of macroscopic system.Forclassical ideal gas,the corresponding Joule-Thomson coefficient is vanishing while it is non-zero for ideal quantum gasdue to the quantum degeneracy.In recent years,much attention is paid to the unitary Fermi gas with infinite two-bodyscattering length.According to universal analysis,the thermodynamical law of unitary Fermi gas is similar to that ofnon-interacting ideal gas,which can be explored by the virial theorem P = 2E/3V.Based on previous works,we furtherstudy the unitary Fermi gas properties.The effective chemical potential is introduced to characterize the nonlinear levelscrossing effects in a strongly interacting medium.The changing behavior of the rescaled Joule-Thomson coefficientaccording to temperature manifests a quite different behavior from that for ideal Fermi gas.

How to achieve deep remission in treatment of inflammatory bowel disease

OBJECTIVE: This article investigates the methods of achieving deep remission of inflammatory bowel disease (IBD). METHODS: Increasing recognition of the concept of quality of care is contributing to the evolution of treatment goals in patients with IBD from clinical response and remission (symptom control) toward deep remission. A change in the treatment goal requires a change in the treatment strategy. Optimization of conventional therapy, early treatment, use of the Lemann score, performance of double-balloon endoscopy, treatment using Traditional Chinese Medicine, and good communication between physicians and patients are needed to attain deep remission. RESULTS: The above-mentioned methods can help to achieve deep remission. CONCLUSION: Using the above methods, it will bepossible to improve the prognoses of patients with IBD by minimizing complications and bowel damage and thereby changing the course of the disease.

Magnetoelectric cylindrical layered composite structure with multi-resonance frequencies

A combined ME composite structure is made of several cylindrical layered composites in series or parallel connection.Due to the cylindrical structure,the combined structure does not need more space.The characteristics of multi-resonance frequencies have been studied.Each resonance frequency of the structure can be adjusted by changing the cylinder diameter of the corresponding cylindrical layered composites.The number of resonance frequencies increases as the number of cylindrical layered composites increases.The multi-resonance frequencies behavior makes these cylindrical layered composite structures suitable for applications in multifuctional devices with multi-frequencies operation.