A 48-year-old woman was admitted with 15-mo history of abdominal pain, diarrhea and hematochezia, and 5-mo history of defecation difficulty. She had been successively admitted to nine hospitals, with an initial diagno...A 48-year-old woman was admitted with 15-mo history of abdominal pain, diarrhea and hematochezia, and 5-mo history of defecation difficulty. She had been successively admitted to nine hospitals, with an initial diagnosis of inflammatory bowel disease with stenotic sigmoid colon. Findings from computed tomography virtual colonoscopy, radiography with meglumine diatrizoate, endoscopic balloon dilatation, metallic stent implantation and later overall colonoscopy, coupled with the newfound knowledge of compound Qingdai pill-taking, led to a subsequent diagnosis of ischemic or toxic bowel disease with sigmoid colon stenosis. The patient was successfully treated by laparoscopic sigmoid colectomy, and postoperative pathological examination revealed ischemic or toxic injury of the sigmoid colon, providing a final diagnosis of druginduced sigmoid colon stenosis. This case highlights that adequate awareness of drug-induced colon stenosis has a decisive role in avoiding misdiagnosis and mistreatment. The diagnostic and therapeutic experiences learnt from this case suggest that endoscopic balloon expansion and colonic metallic stent implantation as bridge treatments were demonstrated as crucial for the differential diagnosis of benign colonic stenosis. Skillful surgical technique and appropriate perioperative management helped to ensure the safety of our patient in subsequent surgery after long-term use of glucocorticoids.展开更多
To assess the effectiveness of vacuum preloading combined electroosmotic strengthening of ultra-soft soil and study the mechanism of the process, a comprehensive experimental investigation was performed. A laboratory ...To assess the effectiveness of vacuum preloading combined electroosmotic strengthening of ultra-soft soil and study the mechanism of the process, a comprehensive experimental investigation was performed. A laboratory test cell was designed and applied to evaluate the vacuum preloading combined electroosmosis. Several factors were taken into consideration, including the directions of the electroosmotic current and water induced by vacuum preloading and the replenishment of groundwater from the surrounding area. The results indicate that electroosmosis together with vacuum preloading improve the soil strength greatly, with an increase of approximately 60%, and reduce the water content of the soil on the basis of consolidation of vacuum preloading, howeve~ further settlement is not obvious with only 1.7 mm. The reinforcement effect of vacuum preloading combined electroosmosis is better than that of electroosmosis after vacuum preloading. Elemental analysis using X-ray fluorescence proves that the soil strengthening during electroosmotic period in this work is mainly caused by electroosmosis-induced electrochemical reactions, the concentrations of Al2O3 in the VPCEO region increase by 2.2%, 1.5%, and 0.9% at the anode, the midpoint between the electrodes, and the cathode, respectively.展开更多
An improved test rig providing both the heat and cold source was used to perform thermal response test （TRT）, and the line source model was used for data analysis. The principle of determining the temperature differ...An improved test rig providing both the heat and cold source was used to perform thermal response test （TRT）, and the line source model was used for data analysis. The principle of determining the temperature difference between the inlet and outlet of test well can keep the heating or cooling rate constant, along with a reduced size of test rig. Among the influencial factors of the line source model, the temperature difference was determined as the most important, which agreed with the test results. When the gravel was taken as the backfill material, the soil thermal conductivities of heating and cooling at the test place were 1.883 W/（m＆#183;K） and 1.754 W/（m＆#183;K）, respectively, and the deviation of TRT between heating and cooling soil was 6.8%. In the case of fine sand, the thermal conductivities of heating and cooling were 1.541 W/（m＆#183;K） and 1.486 W/（m＆#183;K）, respectively, and the corresponding deviation was 6%. It was also concluded that different velocities of water had less influence on TRT than the temperature difference.展开更多
基金Supported by the Science and Technology Project of State Grid Corporation of China,No.SGHB0000AJJS1400182
文摘A 48-year-old woman was admitted with 15-mo history of abdominal pain, diarrhea and hematochezia, and 5-mo history of defecation difficulty. She had been successively admitted to nine hospitals, with an initial diagnosis of inflammatory bowel disease with stenotic sigmoid colon. Findings from computed tomography virtual colonoscopy, radiography with meglumine diatrizoate, endoscopic balloon dilatation, metallic stent implantation and later overall colonoscopy, coupled with the newfound knowledge of compound Qingdai pill-taking, led to a subsequent diagnosis of ischemic or toxic bowel disease with sigmoid colon stenosis. The patient was successfully treated by laparoscopic sigmoid colectomy, and postoperative pathological examination revealed ischemic or toxic injury of the sigmoid colon, providing a final diagnosis of druginduced sigmoid colon stenosis. This case highlights that adequate awareness of drug-induced colon stenosis has a decisive role in avoiding misdiagnosis and mistreatment. The diagnostic and therapeutic experiences learnt from this case suggest that endoscopic balloon expansion and colonic metallic stent implantation as bridge treatments were demonstrated as crucial for the differential diagnosis of benign colonic stenosis. Skillful surgical technique and appropriate perioperative management helped to ensure the safety of our patient in subsequent surgery after long-term use of glucocorticoids.
基金Project(2009B13014) supported by the Fundamental Research Funds for the Central Universities of ChinaProject(IRT1125) supported by the Program for Changjiang Scholars and Innovative Research Team in University,China
文摘To assess the effectiveness of vacuum preloading combined electroosmotic strengthening of ultra-soft soil and study the mechanism of the process, a comprehensive experimental investigation was performed. A laboratory test cell was designed and applied to evaluate the vacuum preloading combined electroosmosis. Several factors were taken into consideration, including the directions of the electroosmotic current and water induced by vacuum preloading and the replenishment of groundwater from the surrounding area. The results indicate that electroosmosis together with vacuum preloading improve the soil strength greatly, with an increase of approximately 60%, and reduce the water content of the soil on the basis of consolidation of vacuum preloading, howeve~ further settlement is not obvious with only 1.7 mm. The reinforcement effect of vacuum preloading combined electroosmosis is better than that of electroosmosis after vacuum preloading. Elemental analysis using X-ray fluorescence proves that the soil strengthening during electroosmotic period in this work is mainly caused by electroosmosis-induced electrochemical reactions, the concentrations of Al2O3 in the VPCEO region increase by 2.2%, 1.5%, and 0.9% at the anode, the midpoint between the electrodes, and the cathode, respectively.
基金Supported by the National Natural Science Foundation of China(No.41272263)
文摘An improved test rig providing both the heat and cold source was used to perform thermal response test （TRT）, and the line source model was used for data analysis. The principle of determining the temperature difference between the inlet and outlet of test well can keep the heating or cooling rate constant, along with a reduced size of test rig. Among the influencial factors of the line source model, the temperature difference was determined as the most important, which agreed with the test results. When the gravel was taken as the backfill material, the soil thermal conductivities of heating and cooling at the test place were 1.883 W/（m＆#183;K） and 1.754 W/（m＆#183;K）, respectively, and the deviation of TRT between heating and cooling soil was 6.8%. In the case of fine sand, the thermal conductivities of heating and cooling were 1.541 W/（m＆#183;K） and 1.486 W/（m＆#183;K）, respectively, and the corresponding deviation was 6%. It was also concluded that different velocities of water had less influence on TRT than the temperature difference.
