AIM: To investigate the relationship between pancreatic amylase in bile duct and the clinico-pathological features in adult patients with choledochal cyst and anomalous pancreatico-biliary ductal union (APBDU).METHODS...AIM: To investigate the relationship between pancreatic amylase in bile duct and the clinico-pathological features in adult patients with choledochal cyst and anomalous pancreatico-biliary ductal union (APBDU).METHODS: From 39 patients who underwent surgery for choledochal cyst between March 1995 and March 2003,we selected 15 adult patients who had some symptoms and were radiologically diagnosed as APBDU, and their clinico-pathological features were subsequently evaluated retrospectively. However, we could not obtain biliary amylase in all the patients because of the surgeon's slip.Therefore, we measured the amylase level in gall bladder of 10 patients and in common bile duct of 11 patients.RESULTS: Levels of amylase in common bile duct and gall bladder ranged from 11 500 to 212 000 IU/L, and the younger the patients, the higher the biliary amylase level (r= -0.982, P＜0.01). Pathologically, significant correlation was found between the size of choledochal cyst and the grade of inflammation (r= 0.798,P＜0.01). And, significant correlation was found between the level of amylase in gall bladder and the grade of hyperplasia. On the other hand, there was no correlation to the age of symptomatic onset or inflammatory grade (r = 0.743, P＜0.05). Level of lipase was elevated from 6 000 to 159 000 IU/L in bile duct and from 14 400 to 117 000 IU/L in the gall bladder;however, there was no significant correlation with age or clinico-pathological features.CONCLUSION: The results support the notion that amylase has a particular role in the onset of symptoms, and suggest that a large amount of biliary amylase induces early onset of symptom, thereby making early diagnosis possible.展开更多
By comparing the related total cost before and after the formation of purchasing consortia, the impetus of formation is analyzed. Moreover, pointed to different transportation and storage policies, the formation impet...By comparing the related total cost before and after the formation of purchasing consortia, the impetus of formation is analyzed. Moreover, pointed to different transportation and storage policies, the formation impetus is studied in detail and some conclusions are arrived at. Finally the research orientation of the formation impetus of purchasing consortia is exploratory presented under more complicated conditions, and purchasing consortia in more cross-zones and multi-segment will occur in China.展开更多
Abstract： This paper presents a coupled multi-body and FEM （finite element method）-BEM （boundary element method） methodology used to carry out a comprehensive NVH （noise, vibration and harshness） investigation ...Abstract： This paper presents a coupled multi-body and FEM （finite element method）-BEM （boundary element method） methodology used to carry out a comprehensive NVH （noise, vibration and harshness） investigation of a four-cylinder internal combustion engine prototype. Firstly, a MBDS （multi-body dynamic simulation） of the internal combustion engine has been carried out, at a defined operating condition, in order to determine the excitation force of the powertrain exciting the cylinder block. In this way, the dynamics of the engine powertrain have been described taking into account both the effects of the gas forces of the combustion process and the inertia forces of the moving parts. Afterwards, the cylinder block excitation forces have been used to evaluate the engine block vibrations and to predict the external noise radiated with both the well-known ATV （acoustic transfer vectors） and MATV （modal acoustic transfer vectors） methodologies at a distance of 1 m from the engine, according to the standard ISO 3744. The dynamics of the engine powertrain and its vibro-acoustic behaviour have been described using LMS （learning management system） Engineering Innovation Virtual.Lab tools.展开更多
For a series plug-in hybrid electric vehicle,higher working efficiency can be achieved by the drive system with two small motors in parallel than that with one big motor alone.However,the overly complex structure will...For a series plug-in hybrid electric vehicle,higher working efficiency can be achieved by the drive system with two small motors in parallel than that with one big motor alone.However,the overly complex structure will inevitably lead to a substantial increase in the development cost.To improve the system price-performance ratio,a new kind of series-parallel hybrid system evolved from the series plug-in hybrid system is designed.According to the technical parameters of the selected components,the system model is established,and the vehicle dynamic property and pure electric drive economy are evaluated.Based on the dynamic programming,the energy management strategy for the drive system under the city driving cycle is developed,and the superiority validation of the system is completed.For the studied vehicle driven by the designed series-parallel plug-in hybrid system,compared with the one driven by the described series plug-in hybrid system,the dynamic property is significantly improved because of the multi-power coupling,and the fuel consumption is reduced by 11.4%with 10 city driving cycles.In a word,with the flexible configuration of the designed hybrid system and the optimized control strategy of the energy management,the vehicle performance can be obviously improved.展开更多
文摘AIM: To investigate the relationship between pancreatic amylase in bile duct and the clinico-pathological features in adult patients with choledochal cyst and anomalous pancreatico-biliary ductal union (APBDU).METHODS: From 39 patients who underwent surgery for choledochal cyst between March 1995 and March 2003,we selected 15 adult patients who had some symptoms and were radiologically diagnosed as APBDU, and their clinico-pathological features were subsequently evaluated retrospectively. However, we could not obtain biliary amylase in all the patients because of the surgeon's slip.Therefore, we measured the amylase level in gall bladder of 10 patients and in common bile duct of 11 patients.RESULTS: Levels of amylase in common bile duct and gall bladder ranged from 11 500 to 212 000 IU/L, and the younger the patients, the higher the biliary amylase level (r= -0.982, P＜0.01). Pathologically, significant correlation was found between the size of choledochal cyst and the grade of inflammation (r= 0.798,P＜0.01). And, significant correlation was found between the level of amylase in gall bladder and the grade of hyperplasia. On the other hand, there was no correlation to the age of symptomatic onset or inflammatory grade (r = 0.743, P＜0.05). Level of lipase was elevated from 6 000 to 159 000 IU/L in bile duct and from 14 400 to 117 000 IU/L in the gall bladder;however, there was no significant correlation with age or clinico-pathological features.CONCLUSION: The results support the notion that amylase has a particular role in the onset of symptoms, and suggest that a large amount of biliary amylase induces early onset of symptom, thereby making early diagnosis possible.
文摘By comparing the related total cost before and after the formation of purchasing consortia, the impetus of formation is analyzed. Moreover, pointed to different transportation and storage policies, the formation impetus is studied in detail and some conclusions are arrived at. Finally the research orientation of the formation impetus of purchasing consortia is exploratory presented under more complicated conditions, and purchasing consortia in more cross-zones and multi-segment will occur in China.
文摘Abstract： This paper presents a coupled multi-body and FEM （finite element method）-BEM （boundary element method） methodology used to carry out a comprehensive NVH （noise, vibration and harshness） investigation of a four-cylinder internal combustion engine prototype. Firstly, a MBDS （multi-body dynamic simulation） of the internal combustion engine has been carried out, at a defined operating condition, in order to determine the excitation force of the powertrain exciting the cylinder block. In this way, the dynamics of the engine powertrain have been described taking into account both the effects of the gas forces of the combustion process and the inertia forces of the moving parts. Afterwards, the cylinder block excitation forces have been used to evaluate the engine block vibrations and to predict the external noise radiated with both the well-known ATV （acoustic transfer vectors） and MATV （modal acoustic transfer vectors） methodologies at a distance of 1 m from the engine, according to the standard ISO 3744. The dynamics of the engine powertrain and its vibro-acoustic behaviour have been described using LMS （learning management system） Engineering Innovation Virtual.Lab tools.
基金supported by the National Natural Science Foundation of China(Grant No.51405259)China Postdoctoral Science Foundation funded project(Grant Nos.2014T70072&2013M530608)Colleges and Universities in Hebei Province Science and Technology Research Project(Grant No.QN2015056)
文摘For a series plug-in hybrid electric vehicle,higher working efficiency can be achieved by the drive system with two small motors in parallel than that with one big motor alone.However,the overly complex structure will inevitably lead to a substantial increase in the development cost.To improve the system price-performance ratio,a new kind of series-parallel hybrid system evolved from the series plug-in hybrid system is designed.According to the technical parameters of the selected components,the system model is established,and the vehicle dynamic property and pure electric drive economy are evaluated.Based on the dynamic programming,the energy management strategy for the drive system under the city driving cycle is developed,and the superiority validation of the system is completed.For the studied vehicle driven by the designed series-parallel plug-in hybrid system,compared with the one driven by the described series plug-in hybrid system,the dynamic property is significantly improved because of the multi-power coupling,and the fuel consumption is reduced by 11.4%with 10 city driving cycles.In a word,with the flexible configuration of the designed hybrid system and the optimized control strategy of the energy management,the vehicle performance can be obviously improved.
