AIM:To investigate the role of anal cushions in hemorrhoidectomy and its effect on anal continence of the patients.METHODS:Seventy-six consecutive patients(33 men and 43 women) with a mean age of 44 years were include...AIM:To investigate the role of anal cushions in hemorrhoidectomy and its effect on anal continence of the patients.METHODS:Seventy-six consecutive patients(33 men and 43 women) with a mean age of 44 years were included.They underwent Milligan-Morgan hemorrhoidectomy because of symptomatic third-and fourth-degree hemorrhoids and failure in conservative treatment for years.Wexner score was recorded and liquid continence test was performed for each patient before and two months after operation using the techniques described in our previous work.The speed-constant rectal lavage apparatus was prepared in our laboratory.The device could output a pulsed and speed-constant saline stream with a high pressure,which is capable of overcoming any rectal resistance change.The patients were divided into three groups,group A(< 900 mL),group B(900-1200 mL) and group C(> 1200 mL) according to the results of the preoperative liquid continence test.RESULTS:All the patients completed the study.The average number of hemorrhoidal masses excised was 2.4.Most patients presented with hemorrhoidal symptoms for more than one year,including a mean duration of incontinence of 5.2 years.The most common symptoms before surgery were anal bleeding(n = 55),prolapsed lesion(n = 34),anal pain(n = 12) and constipation(n = 17).There were grade Ⅲ hemorrhoids in 39(51.3%) patients,and grade Ⅳ in 37(48.7%) patients according to Goligher classification.Five patients had experienced hemorrhoid surgery at least once.Compared with postoperative results,the retained volume in the preoperative liquid continence test was higher in 40 patients,lower in 27 patients,and similar in the other 9 patients.The overall preoperative retained volume in the liquid continence test was 1130.61 ± 78.35 mL,and postoperative volume was slightly decreased(991.27 ± 42.77 mL),but there was no significant difference(P = 0.057).Difference was significant in the test value before and after hemorrhoidectomy in group A(858.24 ± 32.01 mL vs 574.18 ± 60.28 mL,P = 0.011),but no obvious difference was noted in group B or group C.There was no significant difference in Wexner score before and after operation(1.68 ± 0.13 vs 2.10 ± 0.17,P = 0.064).By further stratified analysis,there was significant difference before and 2 months after operation in group A(2.71 ± 0.30 vs 3.58 ± 0.40,P = 0.003).In contrast,there were no significant differences in group B or group C(1.89 ± 0.15 vs 2.11 ± 0.19,P = 0.179;0.98 ± 0.11 vs 1.34 ± 0.19,P = 0.123).CONCLUSION:There is no difference in the continence status of patients before and after Milligan-Morgan hemorrhoidectomy.However,patients with preoperative compromised continence may have further deterioration of their continence,hence Milligan-Morgan hemorrhoidectomy should be avoided in such patients.展开更多
This paper presents a constructive design of new controllers that force underactuated ships under constant or slow time-varying sea loads to asymptotically track a parameterized reference path, that guarantees the dis...This paper presents a constructive design of new controllers that force underactuated ships under constant or slow time-varying sea loads to asymptotically track a parameterized reference path, that guarantees the distance from the ship to the reference path always be within a specified value. The control design is based on a global exponential disturbance observer, a transformation of the ship dynamics to an almost spherical form, an interpretation of the tracking errors in an earth-fixed frame, an introduction of dynamic variables to compensate for relaxation of the reference path generation, p-times differentiable step functions, and backstepping and Lyapunov＇s direct methods. The effectiveness of the proposed results is illustrated through simulations.展开更多
This paper concerns the real time control of the boundary layer on an aircraft wing. This new approach consists in heating the surface in an unsteady regime using electrically resistant strips embedded in the wing ski...This paper concerns the real time control of the boundary layer on an aircraft wing. This new approach consists in heating the surface in an unsteady regime using electrically resistant strips embedded in the wing skin. The control of the boundary layer＇s separation and transition point will provide a reduction in friction drag, and hence a reduction in fuel consumption. This new method consists in applying the required thermal power in the different strips in order to ensure the desired temperatures on the aircraft wing. We also have to determine the optimum size of these strips （length, width and distance between two strips）. This implies finding the best mathematical model corresponding to the physics enabling us to facilitate the calculation for any type of material used for the wings. Secondly, the heating being unsteady, and, as during a flight the flow conditions or the ambient temperatures vary, the thermal power needed changes and must be chosen as fast as possible in order to ensure optimal operating conditions.展开更多
In this paper,we investigate the superconvergence property of the numerical solution to a quadratic elliptic control problem by using mixed finite element methods.The state and co-state are approximated by the order k...In this paper,we investigate the superconvergence property of the numerical solution to a quadratic elliptic control problem by using mixed finite element methods.The state and co-state are approximated by the order k=1 Raviart-Thomas mixed finite element spaces and the control variable is approximated by piecewise constant functions.We prove the superconvergence error estimate of h3/2 in L2-norm between the approximated solution and the average L2 projection of the control.Moreover,by the postprocessing technique,a quadratic superconvergence result of the control is derived.展开更多
The problem of constructing a model reference adaptive control law for an uncertain 1- dimensional parabolic system with one constant coefficient is considered in this paper. Adaptive control law are obtained by Lyapu...The problem of constructing a model reference adaptive control law for an uncertain 1- dimensional parabolic system with one constant coefficient is considered in this paper. Adaptive control law are obtained by Lyapunov redesign method. The energy method for parabolic systems and the Agmon＇s inequality are applied in the analysis, which leads to a stronger result than that of Hong and Bentsman （Automatica, 1994）.展开更多
Detailed unsteady numerical simulation has been carried out to investigate the mechanism of adjacent syntheticjets and the influence of different phases on the mixing of coaxial jets. The results show the combined jet...Detailed unsteady numerical simulation has been carried out to investigate the mechanism of adjacent syntheticjets and the influence of different phases on the mixing of coaxial jets. The results show the combined jet, formedby coupling the vortex pairs at the orifice of two adjacent actuators, can exhibit better controlling effect. Spanwisepressure difference appears because of the existence of phase difference between the left jet and right jet, whichresults in the variation of the combined jet. When the phase difference is greater than zero, mixing enhancementof coaxial jets can be achieved, but there are maximum phase difference and optimal phase difference. On thecontrary, application of adjacent synthetic jets always leads to the mixing reduction when phase difference is lessthan zero.展开更多
文摘AIM:To investigate the role of anal cushions in hemorrhoidectomy and its effect on anal continence of the patients.METHODS:Seventy-six consecutive patients(33 men and 43 women) with a mean age of 44 years were included.They underwent Milligan-Morgan hemorrhoidectomy because of symptomatic third-and fourth-degree hemorrhoids and failure in conservative treatment for years.Wexner score was recorded and liquid continence test was performed for each patient before and two months after operation using the techniques described in our previous work.The speed-constant rectal lavage apparatus was prepared in our laboratory.The device could output a pulsed and speed-constant saline stream with a high pressure,which is capable of overcoming any rectal resistance change.The patients were divided into three groups,group A(< 900 mL),group B(900-1200 mL) and group C(> 1200 mL) according to the results of the preoperative liquid continence test.RESULTS:All the patients completed the study.The average number of hemorrhoidal masses excised was 2.4.Most patients presented with hemorrhoidal symptoms for more than one year,including a mean duration of incontinence of 5.2 years.The most common symptoms before surgery were anal bleeding(n = 55),prolapsed lesion(n = 34),anal pain(n = 12) and constipation(n = 17).There were grade Ⅲ hemorrhoids in 39(51.3%) patients,and grade Ⅳ in 37(48.7%) patients according to Goligher classification.Five patients had experienced hemorrhoid surgery at least once.Compared with postoperative results,the retained volume in the preoperative liquid continence test was higher in 40 patients,lower in 27 patients,and similar in the other 9 patients.The overall preoperative retained volume in the liquid continence test was 1130.61 ± 78.35 mL,and postoperative volume was slightly decreased(991.27 ± 42.77 mL),but there was no significant difference(P = 0.057).Difference was significant in the test value before and after hemorrhoidectomy in group A(858.24 ± 32.01 mL vs 574.18 ± 60.28 mL,P = 0.011),but no obvious difference was noted in group B or group C.There was no significant difference in Wexner score before and after operation(1.68 ± 0.13 vs 2.10 ± 0.17,P = 0.064).By further stratified analysis,there was significant difference before and 2 months after operation in group A(2.71 ± 0.30 vs 3.58 ± 0.40,P = 0.003).In contrast,there were no significant differences in group B or group C(1.89 ± 0.15 vs 2.11 ± 0.19,P = 0.179;0.98 ± 0.11 vs 1.34 ± 0.19,P = 0.123).CONCLUSION:There is no difference in the continence status of patients before and after Milligan-Morgan hemorrhoidectomy.However,patients with preoperative compromised continence may have further deterioration of their continence,hence Milligan-Morgan hemorrhoidectomy should be avoided in such patients.
基金Supported in Part by the Australian Research Council Under Grant No.DP0988424
文摘This paper presents a constructive design of new controllers that force underactuated ships under constant or slow time-varying sea loads to asymptotically track a parameterized reference path, that guarantees the distance from the ship to the reference path always be within a specified value. The control design is based on a global exponential disturbance observer, a transformation of the ship dynamics to an almost spherical form, an interpretation of the tracking errors in an earth-fixed frame, an introduction of dynamic variables to compensate for relaxation of the reference path generation, p-times differentiable step functions, and backstepping and Lyapunov＇s direct methods. The effectiveness of the proposed results is illustrated through simulations.
文摘This paper concerns the real time control of the boundary layer on an aircraft wing. This new approach consists in heating the surface in an unsteady regime using electrically resistant strips embedded in the wing skin. The control of the boundary layer＇s separation and transition point will provide a reduction in friction drag, and hence a reduction in fuel consumption. This new method consists in applying the required thermal power in the different strips in order to ensure the desired temperatures on the aircraft wing. We also have to determine the optimum size of these strips （length, width and distance between two strips）. This implies finding the best mathematical model corresponding to the physics enabling us to facilitate the calculation for any type of material used for the wings. Secondly, the heating being unsteady, and, as during a flight the flow conditions or the ambient temperatures vary, the thermal power needed changes and must be chosen as fast as possible in order to ensure optimal operating conditions.
基金supported by National Natural Science Foundation of China(Grant No.10971074)Foundation for Talent Introduction of Guangdong Provincial University,Guangdong Province Universities and Colleges Pearl River Scholar Funded Scheme(2008)Specialized Research Fund for the Doctoral Program of Higher Education(Grant No.20114407110009)
文摘In this paper,we investigate the superconvergence property of the numerical solution to a quadratic elliptic control problem by using mixed finite element methods.The state and co-state are approximated by the order k=1 Raviart-Thomas mixed finite element spaces and the control variable is approximated by piecewise constant functions.We prove the superconvergence error estimate of h3/2 in L2-norm between the approximated solution and the average L2 projection of the control.Moreover,by the postprocessing technique,a quadratic superconvergence result of the control is derived.
基金This research is supported by the National Natural Science Foundation of China under Grant No. 10626002, and the Fundamental Research Punds YWF-10-01-A15 for the Central Universities.
文摘The problem of constructing a model reference adaptive control law for an uncertain 1- dimensional parabolic system with one constant coefficient is considered in this paper. Adaptive control law are obtained by Lyapunov redesign method. The energy method for parabolic systems and the Agmon＇s inequality are applied in the analysis, which leads to a stronger result than that of Hong and Bentsman （Automatica, 1994）.
基金National Natural Science Foundation of China for-the support projects Grant No.50806006.
文摘Detailed unsteady numerical simulation has been carried out to investigate the mechanism of adjacent syntheticjets and the influence of different phases on the mixing of coaxial jets. The results show the combined jet, formedby coupling the vortex pairs at the orifice of two adjacent actuators, can exhibit better controlling effect. Spanwisepressure difference appears because of the existence of phase difference between the left jet and right jet, whichresults in the variation of the combined jet. When the phase difference is greater than zero, mixing enhancementof coaxial jets can be achieved, but there are maximum phase difference and optimal phase difference. On thecontrary, application of adjacent synthetic jets always leads to the mixing reduction when phase difference is lessthan zero.
