43例静脉性阳痿的诊治体会

４３例静脉性阳痿的诊治体会梁仲侨，杨宇清，张弘庆，赵国富我院自１９８８年１１月～１９９４年１２月收治静脉性阳痿４３例，经阴茎海绵体造影证实后，手术治疗取得较满意效果，现报告如下。１临床资料１．１一般资料：４３例，年龄２２～４７岁，平均３３．２岁；病程...

Comparison of mechanical properties in high temperature and thermal treatment granite

Static mechanical experiments were carried out on granite after and under different temperatures using an electro-hydraulic and servo-controlled material testing machine with a heating device. Variations in obvious form, stress-strain curve, peak strength, peak strain and elastic modulus with temperature were analyzed and the essence of rock failure modes was explored. The results indicate that, compared with granite after the high temperature treatment, the brittle-ductile transition critical temperature is lower, the densification stage is longer, the elastic modulus is smaller and the damage is larger under high temperature. In addition, the peak stress is lower and the peak strain is greater, but both of them change more obviously with the increase of temperature compared with that of granite after the high temperature treatment. Furthermore, the failure modes of granite after the high temperature treatment and under high temperature show a remarkable difference. Below 100 ℃, the failure modes of granite under both conditions are the same, presenting splitting failure. However, after 100 ℃, the failure modes of granite after the high temperature treatment and under high temperature present splitting failure and shear failure, respectively.

Nonlinear static characteristics of piezoelectric unimorph bending micro actuators

The nonlinear static characteristic of a piezoelectric unimorph cantilever micro actuator driven by a strong applied electric field is studied based on the couple stress theory.The cantilever actuator consists of a piezoelectric layer,a passive（elastic）layer and two electrode layers.First,the nonlinear static characteristic of the actuator caused by the electrostriction of the piezoelectric layer under a strong applied electric field is analyzed using the Rayleigh-Ritz method.Secondly,since the thickness of the cantilever beam is in micro scale and there exists a size effect,the size dependence of the deformation behavior is evaluated using the couple stress theory.The results show that the nonlinearities of the beam deflection increase along with the increase of the applied electric field which means that softening of the micro beam rigidity exists when a strong external electric field is applied.Meanwhile,the optimal value of the thickness ratio for the passive layer and the piezoelectric layer is not around 1.0 which is usually adopted by some previous researchers.Since there exists a size effect of the micro beam deflection,the optimal value of this thickness ratio should be greater than 1.0 in micro scale.

Comparative study on three dynamic modulus of elasticity and static modulus of elasticity for Lodgepole pine lumber

The dynamic and static modulus of elasticity （MOE） between bluestained and non-bluestained lumber of Lodgepole pine were tested and analyzed by using three methods of Non-destructive testing （NDT）, Portable Ultrasonic Non-destructive Digital Indicating Testing （Pundit）, Metriguard and Fast Fourier Transform （FFT） and the normal bending method. Results showed that the dynamic and static MOE of bluestained wood were higher than those of non-bluestained wood. The significant differences in dynamic MOE and static MOE were found between bulestained and non-bluestained wood, of which, the difference in each of three dynamic MOE （Ep. the ultrasonic wave modulus of elasticity, Ems, the stress wave modulus of elasticity and El, the longitudinal wave modulus of elasticity） between bulestained and non-bluestained wood arrived at the 0.01 significance level, whereas that in the static MOE at the 0.05 significance level. The differences in MOE between bulestained and non-bluestained wood were induced by the variation between sapwood and heartwood and the different densities of bulestained and non-bluestained wood. The correlation between dynamic MOE and static MOE was statistically significant at the 0.01 significance level. Although the dynamic MOE values of Ep, Em, Er were significantly different, there exists a close relationship between them （arriving at the 0.01 correlation level）. Comparative analysis among the three techniques indicated that the accurateness of FFT was higher than that of Pundit and Metriguard. Effect of tree knots on MOE was also investigated. Result showed that the dynamic and static MOE gradually decreased with the increase of knot number, indicating that knot number had significant effect on MOE value.

Computer Aided Analysis of the Performances of a Tilting Pad Gas Journal Bearing

Tilting pad gas journal bearing is one of the most widely used types of aerodynamic bearings due to its inherent excellent stability in high speed applications.A practical method for analyzing and calculating the per- formances of such bearings is presented as well as its rotordynamics based on the computer aided technique.The method of calculation and the philosophy of programming with a microcomputer for the computer aided analysis are highlighted.

Haemocompatibility of Ti-3Zr-2Sn-3Mo-25Nb biomedical alloy with surface heparinization using electrostatic self assembly technology

The haemocompatibility of Ti-3Zr-2Sn-3Mo-25Nb biomedical alloy was studied after surface heparinization. A layer of sol-gel TiO2 films was applied on the alloy samples followed by active treatment in the bio-functionalized solution for introducing the OH- and groups, and then the heparin was immobilized on the active TiO2 films through the electrostatic self assembly technology. It is shown that the heparinized films are mainly composed of anatase and rutile with smooth and dense surface. In vitro blood compatibility was evaluated by haemolysis test, clotting time and platelet adhesion behavior tests. The results show that the haemocompatibility of the alloy could be significantly improved by surface heparinization.

Adsorption Performance of Activated Carbon Prepared from Corn Stalks

[Objective] This study aimed to study the adsorption performance of activated carbon prepared from corn stalks. [Methed] With granular activated carbon prepared from corn stalks as research object, adsorption performance simulation test equipment was set up to investigate the adsorption performance of the prepared activated carbon for methanol by static weight method. In addition, the effects of adsorption bed structure, activated carbon particle size in adsorption bed, addition amount of graphite powder in activated carbon and modified activated carbon on systematic adsorption performance were studied. [Result] Under conditions of same activated carbon and same adsorption temperature, the adsorption performance of new adsorption bed A （installed with finned diaphragm adsorbate tubes） was signifi- cantly better than that of unmodified adsorption bed B. Compared with adsorption bed B, adsorption bed A took 5 min shorter to reach the adsorption amount of 0.22 g/g. Under the same adsorption temperature, the adsorption performance of bed loaded with different-particle size activated carbon was significantly better than that loaded with same-particle size activated carbon. The bed loaded with different-particle size activated carbon took 16 min shorter to reach the adsorption capacity of 0.22 g/g compared with the bed loaded with same-particle size activated carbon. Adding proper amount of graphite powder in activated carbon could enhance the thermal conductivity and strengthen the adsorption properties. The optimum addition amount of graphite powder was 20% of the total amount of activated carbon. Com- pared with that of the control, the adsorption performance of activated carbon soaked by weak acidic solution was significantly improved. It took 3 min shorter to reach 87.1% of the equilibrium adsorption amount. [Conclusion] This study will provide reference for optimizing structural design of adsorption bed and adsorption refrigeration system.

Firmness evaluation of melon using its vibration characteristic and finite element analysis

The “Huang gua” melons were measured for their physical properties including firmness and static elastic modulus. The vibrational characteristics of fruits and vegetables are governed by their elastic modulus (firmness), mass, and geometry. Therefore, it is possible to evaluate firmness of fruits and vegetables based on their vibrational characteristics. Analysis of the vibration responses of a fruit is suggested for measuring elastic properties (Firmness) non-destructively. The impulse response method is often used to measure firmness of fruits. The fruit was excited using three types of balls (wooden, steel and rubber) and the vibration is detected by an accelerometer. The Instron device was used to measure the static elastic modulus of the inner, middle and outer portions of melon flesh. Finite element (FE) technique was used to determine the optimum excitation location of the chosen measurement sensor and to analyze the mode shape fruits. Four types of mode shapes (torsional or flexural mode shape, first-type, second-type spherical mode and breathing mode shape) were found. Finite element simulation results agreed well with experimental results. Correlation between the firmness and resonant frequency (r2=0.91) and between the resonant frequency and stiffness factor (r2=0.74) existed. The optimum location and suitable direction for excitation and response measurement on the fruit were suggested.

Amelioration of hemodynamics and oxygen metabolism by continuous venovenous hemofiltration in experimental porcine pancreatitis

AIM: To investigate the potential role of continuous venovenous hemofiltration (CVVH) in hemodynamics and oxygen metabolism in pigs with severe acute pancreatitis (SAP). METHODS: SAP model was produced by intraductal injection of sodium taurocholate [4%, 1 mL/kg body weight (BW)] and trypsin (2 U/kg BW). Animals were allocated either to untreated controls as group 1 or to one of two treatment groups as group 2 receiving a low-volume CVVH [20 mL/(kg·h)], and group 3 receiving a high-volume CVVH [100 (mL/kg·h)]. Swan-Ganz catheter was inserted during the operation. Heart rate, arterial blood pressure, cardiac output, mean pulmonary arterial pressure, pulmonary arterial wedge pressure, central venous pressure, systemic vascular resistance, oxygen delivery, oxygen consumption, oxygen extraction ratio, as well as survival of pigs were evaluated in the study. RESULTS: Survival time was significantly prolonged by low-volume and high-volume CVVHs, which was more pronounced in the latter. High-volume CVVH was significantly superior compared with less intensive treatment modalities (low-volume CVVH) in systemic inflammatory reaction protection. The major hemodynamic finding was that pancreatitis-induced hypotension was significantly attenuated by intensive CVVH (87.4±12.5 kPa vs116.3±7.8 kPa,P＜0.01). The development of hyperdynamic circulatory failure was simultaneously attenuated, as reflected by a limited increase in cardiac output, an attenuated decrease in systemic vascular resistance and an elevation in oxygen extraction ratio. CONCLUSION: CVVH blunts the pancreatitis-induced cardiovascular response and increases tissue oxygen extraction. The high-volume CVVH is distinctly superior in preventing sepsis-related hemodynamic impairment.

Management of acute nonvariceal upper gastrointestinal bleeding:Current policies and future perspectives

Acute upper gastrointestinal bleeding(UGIB) is a gastroenterological emergency with a mortality of 6%-13%.The vast majority of these bleeds are due to peptic ulcers.Nonsteroidal anti-inflammatory drugs and Helicobacter pylori are the main risk factors for peptic ulcer disease.Endoscopy has become the mainstay for diagnosis and treatment of acute UGIB,and is recommended within 24 h of presentation.Proton pump inhibitor(PPI) administration before endoscopy can downstage the bleeding lesion and reduce the need for endoscopic therapy,but has no effect on rebleeding,mortality and need for surgery.Endoscopic therapy should be undertaken for ulcers with high-risk stigmata,to reduce the risk of rebleeding.This can be done with a variety of modalities.High-dose PPI administration after endoscopy can prevent rebleeding and reduce the need for further intervention and mortality,particularly in patients with high-risk stigmata.

Clinical characteristics of idiopathic portal hypertension

Idiopathic portal hypertension is one of the interesting causes of portal hypertension. Even in very developed medical centers, this disorder is still one of the most important misdiagnoses of clinical practice. To inexperienced physicians, presenting esophageal varices and upper gastrointestinal bleeding usually prompt an unfortunate diagnosis of cirrhosis. A heterogenous clinical presentation and progression of this disorder should be recognized by physicians, and management should be directed towards some specific problems confined to this disorder. Although a genetic basis and other factors are implicated in its pathogenesis, exact underlying mechanism(s) is (are) unknown. In this review, we discuss the heterogeneity of idiopathic portal hypertension, its etiopathogenesis, clinical presentation and management issues. With the expectation of an excellent prognosis, a practicing gastroenterologist should be aware that "not all varices mean cirrhosis".

Gynura root induces hepatic veno-occlusive disease:A case report and review of the literature

Gynura root has been used extensively in Chinese folk medicine and plays a role in promoting microcirculation and relieving pain.However,its hepatic toxicity should not be neglected.Recently,we admitted a 62-year old female who developed hepatic veno-occlusive disease(HVOD)after ingestion of Gynura root.Only a few articles on HVOD induced by Gynura root have been reported in the literature.It is suspected that pyrrolizidine alkaloids in Gynura root might be responsible for HVOD.In this paper,we report a case of HVOD and review the literature.

Study on hydrostatic gas lubricated non-contacting mechanical seal

The principle and characteristics of hydrostatic gas lubricated non-contacting mechanical seal （HSGLNMS） are introduced. The flow field of the gas film is established by numerical analysis of end faces of HSGLNMS. The distribution of gas film pressure and seal performance parameters inclu- ding opening force and leakage are obtained. Influence of operating parameters and sealing configu- ration on the sealing performance is studied. HSGLNMS has been designed and manufactured. Its working film thickness and leakage are measured to verify the theoretical analysis. The investigation results show that HSGLNMS demonstrates good speed adaptability, which means that the seal runs successfully with both low and high speed, showing excellent performance. The seal can be regula- ted and controlled online ; the opening force will not be raised greatly with the increasing of the num- ber of throttle orifices, but the leakage of seal increases apparently ; the uniform pressure groove im- proves the sealing performance, for example, opening force and stiffness are raised obviously. While leakage is reduced. Finally, the theoretical analysis is verified by experiment.

Gastric angiodysplasia in a hereditary hemorrhagic telangiectasia type 2 patient

Hereditary hemorrhagic telangiectasia(HHT)is a rare autosomal-dominantly inherited disease that occurs in approximately one in 5000 to 8000 people.Clinical diagnosis of HHT is made when a person presents three of the following four criteria:family history,recurrent nosebleeds,mucocutaneous telangiectasis,and arteriovenous malformations(AVM)in the brain,lung,liver and gastrointestinal(GI)tract.Although epistaxis is themost common presenting symptom,AVMs affecting the lungs,brain and GI tract provoke a more serious outcome.Heterozygous mutations in endoglin,activin receptor-like kinase 1(ACVRL1;ALK1),and SMAD4,the genes involved in the transforming growth factor-βfamily signaling cascade,cause HHT.We report here the case of a 63 year-old male patient who presented melena and GI bleeding episodes,proven to be caused by bleeding from multiple gastric angiodysplasia.Esophagogastroduodenoscopy revealed multiple angiodysplasia throughout the stomach.Endoscopic argon plasma coagulation was performed to control bleeding from a gastric angiodysplasia.The patient has been admitted several times with episodes of hemoptysis and hematochezia.One year ago,the patient was hospitalized due to right-sided weakness,which was caused by left basal ganglia hemorrhage as the part of HHT presentation.In family history,the patient's mother and elder sister had died,due to intracranial hemorrhage,and his eldest son has been suffered from recurrent epistaxis for 20 years.A genetic study revealed a mutation in exon 3 of ALK1(c.199C>T;p.Arg67Trp)in the proband and his eldest son presenting epistaxis.

Effects of static aeroelasticity on composite wing characteristics under different flight attitudes

Composite wing static aeroelasticity was analyzed through a loosely coupled method and the effects on composite wing characteristics under different flight attitudes were presented. Structural analysis and aerodynamic analysis were carried out through finite element method (FEM) software NASTRAN and computational fluid dynamics (CFD) software FLUENT, respectively. Correlative data transfer and mesh regenerate procedure were applied to couple the results of computational structure dynamics (CSD) and CFD. After static aeroelasticity analysis under different flight attitudes, it can be seen that lift increases with the increase of flight speed and the incremental value enlarges gradually in both rigid and elastic wings. Lift presents a linear increment relationship with the increase of attack angle when the flight speed is 0.4Ma or 0.6Ma, but nonlinear increment in elastic wing when flight speed is 0.8Ma. On the effect of aeroelasticity, the maximum of deformation increases with the increase of flight speed and attack angle, and the incremental value decreases with the increase of flight speed while uniform with different attack angles. The results provide a reference for engineering applications.

Role of Ni(NO_3)_2 in the preparation of a magnetic coal-based activated carbon

The role of Nil（NO3）2 in the preparation of a magnetic activated carbon is reported in this paper. Magnetic coal-based activated carbons （MCAC） were prepared from Taixi anthracite with low ash content in the presence of Ni（NO3）2. The MCAC materials were characterized by a vibrating sample magnetometer （VSM）, X-ray diffraction （XRD）, a scanning electric microscope （SEM）, and by N2 adsorption. The cylindri- cal precursors and derived char were also subjected to thermogravimetric analysis to compare their behavior of weight losses during carbonization. The results show that MCAC has a larger surface area （1074 m21g） and a higher pore volume （0.5792 cm3/g） with enhanced mesopore ratio （by about 10~）. It also has a high saturation magnetization （1.6749 emu/g） and low coercivity （43.26 Oe）, which allows the material to be magnetically separated. The MCAC is easily magnetized because the nickel salt is con- vetted into Ni during carbonization and activation. Metallic Ni has a strong magnetism on account of electrostatic interaction. Added Ni（NO3）2 catalyzes the carbonization and activation process by accelerat- ing burn off of the carbon, which contributes to the development of mesopores and macropores in the activated carbon.

Optimality Conditions for Static Programming with Generalized Convexity

The definitions of generalized pseudoconvex,generalized quasiconvex and its stri ctly generalized convexity were presented for the static programming at locally star -shaped set using the concept of right-upper derivative and the concept of sub linear. The sufficient and necessary conditions of the static programming were d erived in terms of a generalized Lemma in this paper. The results obtained are u seful for the further study on the duality of static programming and cover many already known conditions.

Side effects of budesonide in liver cirrhosis due to chronic autoimmune hepatitis: Influence of hepatic metabolism versus portosystemic shunts on a patient complicated with HCC

AIM:To investigate the systemic availability of budesonide in a patient with Child A cirrhosis due to autoimmune hepatitis (AIH) and primary hepatocellular carcinoma,who developed serious side effects. METHODS:Serum levels of budesonide,6β-OH-budesonide and 16α-OH-prednisolon were measured by HPLC/MS/MS; portosystemic shunt-index (SI) was determined by 99mTc nuclear imaging.All values were compared with a matched control patient without side effects. RESULTS:Serum levels of budesonide were 13-fold increased in the index patient.The ratio between serum levels of the metabolites 6β-OH-budesonide and 16α-OH- prednisolone,respectively,and serum levels of budesonide was diminished (1.0 vs.4.0 for 6β-OH-budesonide,4.2 vs. 10.7 for 16α-OH-prednisolone).Both patients had portosystemic SI (5.7 % and 3.1%) within the range of healthy subjects.CONCLUSION:Serum levels of budesonide Vary uP to 13-fold in AIH Patients with Child A eirrhosis in the absenee ofrelevant Portosystemic shunting.Redueed hePatiemetabolism,as indicated by redueed metabolite-to-drugratio,rather than Portosystemie shunting may explainsystemic side effects of this drug in cirrhosis

Internal Variable Formulations of Static and Dynamic Elastic-Plastic Problems Using Liapunov Functions： Algorithmic Aspects

The fundamental problem of an elastic-plastic body subjected to incremental loading is reviewed using a compact internal variable approach based on work carried out at the University of Cape Town in which a quadratic functional was developed for the free energy using Taylor series. Now the departure from that approach is the focus on developing the Liapunov function for the nonlinear differential equations of motion. Static and dynamic equations of motion are derived and shown to meet the requirements of the Liapunov function. As a consequence, time integration parameters that are used in the discrete formulations are easily obtained based on the same requirements. The resulting generalized Newton-Raphson scheme is stable in the sense of Liapunov＇s direct method.

Improvement of Pseudo-static Method for Slope Stability Analysis

traditional In this paper, two drawbacks pseudo-static method （vertical of the slice method） in the slope stability evaluation have been studied. First, the sliding mass is divided into vertical slices according to this method, which is irrational to some extent in the seismic design of slope. Second, only peak ground acceleration （PGA） is considered, and the effects of shaking frequency and duration on slope stability are neglected. And then, based on the theory of elastic wave and the summarized geological model, this paper put forwards an improved method of pseudo-method by using the theory of elastic wave and Hilbert-Huang transform. The improved pseudostatic method gives reasonable considerations to the time-frequency effects of seismic wave and its rationality has been verified by the shaking table test. This method can evaluate the safety of a slope, the happening time and the scale of landslides. At the same time, this method also can improve the high accuracy of the evaluation of the safety of the slope.