AIM:To evaluate the role of endoscopic retrograde cholangiopancreatography(ERCP) in patients with sickle cell disease(SCD) .METHODS:Two hundred and twenty four SCD patients with cholestatic jaundice(CJ) had ERCP.The i...AIM:To evaluate the role of endoscopic retrograde cholangiopancreatography(ERCP) in patients with sickle cell disease(SCD) .METHODS:Two hundred and twenty four SCD patients with cholestatic jaundice(CJ) had ERCP.The indications for ERCP were based on clinical and biochemical evidence of CJ and ultrasound findings.RESULTS:Two hundred and forty ERCPs were performed.The indications for ERCP were:CJ only in 79,CJ and dilated bile ducts without stones in 103,and CJ and bile duct stones in 42.For those with CJ only,ERCP was normal in 42(53.2%) ,and 13(16.5%) had dilated bile ducts without an obstructive cause.In the remaining 22,there were bile duct stones with or without dilation.For those with CJ,dilated bile ducts and no stones,ERCP was normal in 17(16.5%) ,and 28(27.2%) had dilated bile ducts without an obstructive cause.In the remaining 58,there were bile ducts stones with or without dilation.For those with CJ and bile duct stones,ERCP was normal in two(4.8%) ,and 14(33.3%) had dilated bile ducts without an obstructive cause.In the remaining 26,there were bile duct stones with or without dilatation.CONCLUSION:Considering the high frequency of biliary sludge and bile duct stones in SCD,endoscopic sphincterotomy might prove helpful in these patients.展开更多
The dynamics of quantum entanglement described by the yon Neumann entropy is studied for the localized states of Fermi-resonance coupling vibrations in molecule CS2, where the interacting energy between the stretching...The dynamics of quantum entanglement described by the yon Neumann entropy is studied for the localized states of Fermi-resonance coupling vibrations in molecule CS2, where the interacting energy between the stretching and the bending modes is considered to establish a connection between entanglement and energy. It is shown that entanglement reveals dominant anti-correlation with the interacting energy for the stretch-localized state, while that exhibits dominantly positive correlation for the bend-localized state. The entanglement and the energy for the dislocalized states are discussed as well. Those are useful for molecular quantum computing and quantum information in high dimensional states.展开更多
The perceptible vibration of curved twin I-girder bridges under traffic loads is an important design consideration, because this bridge have rather low torsional stiffness that produce excessive vibrations. The object...The perceptible vibration of curved twin I-girder bridges under traffic loads is an important design consideration, because this bridge have rather low torsional stiffness that produce excessive vibrations. The objective of this investigation was to study the vibration of curved twin I-girder bridges due to moving vehicles and the effect of vibrations on bridge users. To this end, a comprehensive three-dimensional finite element models for bridge and vehicle are developed by using ANSYS code for studying bridge-vehicle interaction and the resultant sensitivity to vibration. Truck parameters include the body, the suspension and the tires. Gap and actuator elements are incorporated into the tire models to simulate the separation between the tires and road surface, and road surface roughness, respectively. Road roughness profiles are generated from power spectral density and cross spectral functions. To couple the motion of the bridge and vehicle, Lagrange multipliers and constraint equations are utilized through the augmented Lagrangian method. A parametric study is performed to identify the effect of various parameters on the vibration of the bridge. The results have been expressed in the form of human perceptibility curves. This study finds that the bridge response is significantly influenced by the road roughness, bump height at expansion joint and vehicle speeds. The results show that the inclusion of features such as increasing the torsional stiffness by providing additional stiffened bracing has major effects on the reduction of perceptible vibration.展开更多
According to the principle of thermal activation process, the energy state of a material under the action of stress is a function of local stress. A generalized Butler-Volmer relationship for the electrode reaction on...According to the principle of thermal activation process, the energy state of a material under the action of stress is a function of local stress. A generalized Butler-Volmer relationship for the electrode reaction on the surface of a curved electrode is derived,which takes account of the effects of local stress and the radius of mean curvature. From this relationship, the overpotential is found to be proportional to hydrostatic stress and the activation volume under the condition of open circuit. The conditions for the deposition of the material made solely from solute atoms and the formation of surface pits and porous structures are obtained,using the generalized Butler-Volmer relationship.展开更多
文摘AIM:To evaluate the role of endoscopic retrograde cholangiopancreatography(ERCP) in patients with sickle cell disease(SCD) .METHODS:Two hundred and twenty four SCD patients with cholestatic jaundice(CJ) had ERCP.The indications for ERCP were based on clinical and biochemical evidence of CJ and ultrasound findings.RESULTS:Two hundred and forty ERCPs were performed.The indications for ERCP were:CJ only in 79,CJ and dilated bile ducts without stones in 103,and CJ and bile duct stones in 42.For those with CJ only,ERCP was normal in 42(53.2%) ,and 13(16.5%) had dilated bile ducts without an obstructive cause.In the remaining 22,there were bile duct stones with or without dilation.For those with CJ,dilated bile ducts and no stones,ERCP was normal in 17(16.5%) ,and 28(27.2%) had dilated bile ducts without an obstructive cause.In the remaining 58,there were bile ducts stones with or without dilation.For those with CJ and bile duct stones,ERCP was normal in two(4.8%) ,and 14(33.3%) had dilated bile ducts without an obstructive cause.In the remaining 26,there were bile duct stones with or without dilatation.CONCLUSION:Considering the high frequency of biliary sludge and bile duct stones in SCD,endoscopic sphincterotomy might prove helpful in these patients.
基金This work was supported by the National Natural Science Foundation of China (No.11174099).
文摘The dynamics of quantum entanglement described by the yon Neumann entropy is studied for the localized states of Fermi-resonance coupling vibrations in molecule CS2, where the interacting energy between the stretching and the bending modes is considered to establish a connection between entanglement and energy. It is shown that entanglement reveals dominant anti-correlation with the interacting energy for the stretch-localized state, while that exhibits dominantly positive correlation for the bend-localized state. The entanglement and the energy for the dislocalized states are discussed as well. Those are useful for molecular quantum computing and quantum information in high dimensional states.
文摘The perceptible vibration of curved twin I-girder bridges under traffic loads is an important design consideration, because this bridge have rather low torsional stiffness that produce excessive vibrations. The objective of this investigation was to study the vibration of curved twin I-girder bridges due to moving vehicles and the effect of vibrations on bridge users. To this end, a comprehensive three-dimensional finite element models for bridge and vehicle are developed by using ANSYS code for studying bridge-vehicle interaction and the resultant sensitivity to vibration. Truck parameters include the body, the suspension and the tires. Gap and actuator elements are incorporated into the tire models to simulate the separation between the tires and road surface, and road surface roughness, respectively. Road roughness profiles are generated from power spectral density and cross spectral functions. To couple the motion of the bridge and vehicle, Lagrange multipliers and constraint equations are utilized through the augmented Lagrangian method. A parametric study is performed to identify the effect of various parameters on the vibration of the bridge. The results have been expressed in the form of human perceptibility curves. This study finds that the bridge response is significantly influenced by the road roughness, bump height at expansion joint and vehicle speeds. The results show that the inclusion of features such as increasing the torsional stiffness by providing additional stiffened bracing has major effects on the reduction of perceptible vibration.
文摘According to the principle of thermal activation process, the energy state of a material under the action of stress is a function of local stress. A generalized Butler-Volmer relationship for the electrode reaction on the surface of a curved electrode is derived,which takes account of the effects of local stress and the radius of mean curvature. From this relationship, the overpotential is found to be proportional to hydrostatic stress and the activation volume under the condition of open circuit. The conditions for the deposition of the material made solely from solute atoms and the formation of surface pits and porous structures are obtained,using the generalized Butler-Volmer relationship.