Effect of ion stress on properties of magnetized plasma sheath

In the plasma sheath, there is a significant gradient in ion velocity, resulting in strong stress on ions treated as a fluid. This aspect has often been neglected in previous sheath studies. This study is based on the Braginskii plasma transport theory and establishes a 1D3V sheath fluid model that takes into account the ion stress effect. Under the assumption that ions undergo both electric and diamagnetic drift in the presheath region, self-consistent boundary conditions,including the ion Bohm velocity, are derived based on the property of the Sagdeev pseudopotential.Furthermore, assuming that the electron velocity at the wall follows a truncated Maxwell distribution, the wall floating potential is calculated, leading to a more accurate sheath thickness estimation. The results show that ion stress significantly reduces the sheath thickness, enhances ion Bohm velocity, wall floating potential, and ion flux at the wall. It hinders the acceleration of ions within the sheath, leading to notable alterations in the particle density profiles within the sheath. Further research indicates that in ion stress, bulk viscous stress has the greatest impact on sheath properties.

Multi-aspect analysis of ureteral access sheath usage in retrograde intrarenal surgery: A RIRSearch group study

Objective:To evaluate the effect of ureteral access sheath(UAS)use and calibration change on stone-free rate and complications of retrograde intrarenal surgery(RIRS).Methods:Data from 568 patients undergoing RIRS for kidney or upper ureteral stones were retrospectively included.Firstly,patients were compared after 1:1 propensity score matching,according to UAS usage during RIRS(UAS used[+]87 and UAS non-used[−]87 patients).Then all UAS+patients(n=481)were subdivided according to UAS calibration:9.5-11.5 Fr,10-12 Fr,11-13 Fr,and 13-15 Fr.Primary outcomes of the study were the success and complications of RIRS.Results:Stone-free rate of UAS+patients(86.2%)was significantly higher than UAS−patients(70.1%)after propensity score matching(p=0.01).Stone-free rate increased with higher caliber UAS(9.5-11.5 Fr:66.7%;10-12 Fr:87.0%;11-13 Fr:90.6%;13-15 Fr:100%;p<0.001).Postoperative complications of UAS+patients(11.5%)were significantly lower than UAS−patients(27.6%)(p=0.01).Complications(8.7%)with 9.5-11.5 Fr UAS was lower than thicker UAS(17.2%)but was not statistically significant(p=0.09).UAS usage was an independent factor predicting stone-free status or peri-and post-operative complications(odds ratio[OR]3.654,95%confidence interval[CI]1.314-10.162;OR 4.443,95%CI 1.350-14.552;OR 4.107,95%CI 1.366-12.344,respectively).Conclusion:Use of UAS in RIRS may increase stone-free rates,which also increase with higher caliber UAS.UAS usage may reduce complications;however,complications seemingly increase with higher UAS calibration.

Effect of a cervical collar on optic nerve sheath diameter in trauma patients

BACKGROUND:As advocated in advanced trauma life support and prehospital trauma life support protocols,cervical immobilization is applied until cervical spine injury is excluded.This study aimed to show the difference in optic nerve sheath diameter(ONSD)between patients with and without a cervical collar using computed tomography(CT).METHODS:This was a single-center,retrospective study examining trauma patients who presented to the emergency department between January 1,2021,and December 31,2021.The ONSD on brain CT of the trauma patients was measured and analyzed to determine whether there was a difference between the ONSD with and without the cervical collar.RESULTS:The study population consisted of 169 patients.On CT imaging of patients with(n=66)and without(n=103)cervical collars,the mean ONSD in the axial plane were 5.43±0.50 mm and 5.04±0.46 mm respectively for the right eye and 5.50±0.52 mm and 5.11±0.46 mm respectively for the left eye.The results revealed an association between the presence of a cervical collar and the mean ONSD,which was statistically significant(P<0.001)for both the right and left eyes.CONCLUSION:A cervical collar may be associated with increased ONSD.The effect of this increase in the ONSD on clinical outcomes needs to be investigated,and the actual need for cervical collar in the emergency department should be evaluated on a case-by-case basis.

Characteristics of the electromagnetic wave propagation in magnetized plasma sheath and practical method for blackout mitigation

“Magnetic window”is considered as an effective method to solve the communication blackout issue.COMSOL software package based on the finite element method is utilized to simulate the propagation of right-handed circularly polarized wave in the magnetized plasma sheath.We assume a double Gaussian model of electron density and an exponential attenuation model of magnetic field.The propagation characteristics of right-handed circularly polarized wave are analyzed by the observation of the reflected,transmitted and loss coefficient.The numerical results show that the propagation of right-handed circularly polarized wave in the magnetized plasma sheath varies for different incident angles,collision frequencies,non-uniform magnetic fields and non-uniform plasma densities.We notice that reducing the wave frequency can meet the propagation conditions of whistle mode in the weak magnetized plasma sheath.And the transmittance of whistle mode is less affected by the variation of the electron density and the collision frequency.It can be used as a communication window.

Dengue hemorrhagic fever with rectus sheath hematoma:A case report

Rationale:Acute pain is a medical emergency that requires prompt abdominal evaluation and management.Dengue,a mosquito-borne arboviral infection,can lead to complications such as acute abdominal pain.Patient concerns:A 72-year-old hypertensive female presented with high-grade intermittent fever with chills and rigors for four days.She was diagnosed with dengue fever(NS1Ag-reactive)the day before admission.A contrast-enhanced computed tomography of the abdomen showed a hematoma along the rectus sheath which was managed conservatively as per surgical opinion.Diagnosis:Dengue hemorrhagic fever with rectus sheath hematoma.Interventions:Blood transfusion and fluid therapy.Outcomes:Ten days after discharge,the patient reproted no pain in the right iliac fossa and the size of the hematoma was significantly reduced.Lessons:Although it is rarely seen as a cause of acute abdomen,complaints of adnominal pain should never be ignored in critical or convalescent phase of dengue fever.Radiological investigations should be promptly conducted as hematoma is often difficult to be diagnosed clinically.Delay in diagnosis of rectus sheath hematoma can be fatal.

Symmetry of upper eyelid after unilateral blepharoptosis repair with minimally invasive conjoint fascial sheath suspension technique

AIM:To investigate the symmetry of upper eyelid in patients with unilateral mild and moderate blepharoptosis who underwent unilateral minimally invasive combined fascia sheath(CFS)suspension.METHODS:A retrospective study of patients who underwent unilateral minimally invasive CFS suspension surgery between January 2018 and December 2021.Inclusion criteria included unilateral mild and moderate ptosis,good levator muscle function(>9 mm)and follow-up of at least 6mo.Pre-and post-operative symmetry was graded subjectively for marginal reflex distance 1(MRD1),tarsal platform show(TPS)and eyebrow fat span(BFS).A t-test was used to evaluate MRD1,TPS and BFS asymmetry by calculating delta values.The Bézier curve tool of the Image J software was used to extract the upper eyelid contours,where the symmetry was measured by the percentage of overlapping curvatures(POC).RESULTS:Totally 105 patients(105 eyelids)were included(mild group,n=84;moderate group,n=21).Postoperatively,all patients increased MRD1 and decreased TPS in the ptotic eye while maintaining unchanged BFS.The asymmetric delta value for MRD1 was measured to be 1.48±0.86 preoperatively,and it decreased to 0.58±0.67 postoperatively in all cases(P=0.0004).In patients with mild ptosis,the asymmetry value of TPS fell significantly from 1.15±0.62 to 0.68±0.38(P=0.0187).The symmetry of the upper eyelid contour increased in all subgroups of patients,with a POC of 59.39%±13.45%preoperatively and POC of 78.29%±13.80%postoperatively.CONCLUSION:Minimally invasive CFS suspension is proved to be an effective means of improving the symmetry of unilateral ptosis in terms of MRD1(all subgroups),POC(all subgroups)and TPS(only mild group),whereas BFS is unaffected.

Epithelioid malignant peripheral nerve sheath tumor of the bladder and concomitant urothelial carcinoma: A case report

BACKGROUND Epithelioid malignant peripheral nerve sheath tumor(EMPNST)of the bladder is a rare entity with devastating features.These tumors are thought to originate from malignant transformation of pre-existing schwannomas of pelvic autonomic nerve plexuses,and unlike the conventional malignant peripheral nerve sheath tumor(MPNST),are not associated with neurofibromatosis.The tumor has dis-tinctive morphological,immunohistochemical and molecular features.Addi-tionally,it tends to be more aggressive and have a higher mortality.This is the first case that presents with a synchronous urothelial carcinoma of the bladder and the epithelioid variant of MPNST in the literature.It’s also the second re-ported case of EMPNST originating from the bladder wall.CASE SUMMARY In this case report,we present the detailed clinical course of a 71-year-old patient with EMPNST of the bladder alongside a literature review.CONCLUSION During the management of EMPNST cases,offering aggressive treatment moda-lities to the patient,such as radical cystectomy,is appropriate for the best chance to contain the disease,regardless of the tumor stage and the extent of local disease at initial diagnosis.

Rectus sheath hematoma combined with COVID-19:A case report

BACKGROUND Rectus sheath hematoma(RSH)is uncommon,and because people have limited knowledge about it,it is difficult to recognize the symptoms in time,often delaying optimal treatment.CASE SUMMARY Herein,we report a case of a 77-year-old female with RSH.The patient was treated at our hospital for coronavirus disease 2019.Anticoagulant treatment was administered during this period because of thrombosis.On the 8th d of treatment,the patient complained of abdominal pain.Ultrasonography revealed a solid cystic mass in the pelvic cavity.An emergency laparotomy was performed,and a huge hematoma was found in the deep layer of the rectus abdominis muscle.We used anticoagulants with caution based on the patient’s condition.CONCLUSION Optimal management of patients with RSH s depends on timely diagnosis and when to reintroduce anticoagulants.

Fluid-chemical modeling of the near-cathode sheath formation process in a high current broken in DC air circuit breaker

When the contacts of a medium-voltage DC air circuit breaker(DCCB) are separated, the energy distribution of the arc is determined by the formation process of the near-electrode sheath. Therefore, the voltage drop through the near-electrode sheath is an important means to build up the arc voltage, which directly determines the current-limiting performance of the DCCB. A numerical model to describe the near-electrode sheath formation process can provide insight into the physical mechanism of the arc formation, and thus provide a method for arc energy regulation. In this work, we establish a two-dimensional axisymmetric time-varying model of a medium-voltage DCCB arc when interrupted by high current based on a fluid-chemical model involving 16 kinds of species and 46 collision reactions. The transient distributions of electron number density, positive and negative ion number density, net space charge density, axial electric field, axial potential between electrodes, and near-cathode sheath are obtained from the numerical model. The computational results show that the electron density in the arc column increases, then decreases, and then stabilizes during the near-cathode sheath formation process, and the arc column's diameter gradually becomes wider. The 11.14 V–12.33 V drops along the17 μm space charge layer away from the cathode(65.5 k V/m–72.5 k V/m) when the current varies from 20 k A–80 k A.The homogeneous external magnetic field has little effect on the distribution of particles in the near-cathode sheath core,but the electron number density at the near-cathode sheath periphery can increase as the magnetic field increases and the homogeneous external magnetic field will lead to arc diffusion. The validity of the numerical model can be proven by comparison with the experiment.

Optic nerve sheath diameters in nontraumatic brain injury:A scoping review and role in the intensive care unit

BACKGROUND Neuromonitoring in medical intensive care units is challenging as most patients are unfit for invasive intracranial pressure(ICP)modalities or unstable to transport for imaging.Ultrasonography-based optic nerve sheath diameter(ONSD)is an attractive option as it is reliable,repeatable and easily performed at the bedside.It has been sufficiently validated in traumatic brain injury(TBI)to be incorporated into the guidelines.However,currently the data for non-TBI patients is inconsistent for a scientific recommendation to be made.AIM To compile the existing evidence for understanding the scope of ONSD in measuring ICP in adult non-traumatic neuro-critical patients.METHODS PubMed,Google Scholar and research citation analysis databases were searched for studies in adult patients with non-traumatic causes of raised ICP.Studies from 2010 to 2024 in English languages were included.RESULTS We found 37 articles relevant to our search.The cutoff for ONSD in predicting ICP varied from 4.1 to 6.3 mm.Most of the articles used cerebrospinal fluid opening pressure followed by raised ICP on computed tomography/magnetic resonance imaging as the comparator parameter.ONSD was also found to be a reliable outcome measure in cases of acute ischaemic stroke,intracerebral bleeding and intracranial infection.However,ONSD is of doubtful utility in septic metabolic encephalopathy,dysnatremias and aneurysmal subarachnoid haemorrhage.CONCLUSION ONSD is a useful tool for the diagnosis of raised ICP in non-traumatic neuro-critically ill patients and may also have a role in the prognostication of a subset of patients.

Current Research Progress of Central Venous Catheter-Associated Fibrin Sheath Prevention and Nursing Care

With the popularization of central venous catheterization in recent years,the problems arising from intravenous therapy have gradually increased.Fibrin sheath is the complication with the highest incidence rate in central venous catheterization,which has always been a major problem in intravenous therapy.So the prevention and treatment of fibrin sheath has become a hot spot of research in recent years.Hence,this paper summarizes the research on fibrin sheath in recent years.

Structural characterization of coconut tree leaf sheath fiber reinforce-ment

The coconut palm tree leaf sheath fibers were analyzed by FTIR spectral analysis, Chemical, X-ray and thermo gravimetric methods to assess their suitability as reinforcements in the preparation of green composites. The morphology of the untreated and alkali treated fibers was studied by scanning electron microscopic method. The FTIR and chemical analyses indicated lowering of hemi-cellulose content by alkali treatment of the fibers. The X-ray diffraction revealed an increase in crystallinity of the fibers on alkali treatment. The thermal stability of the fibers was found to increase slightly by alkali treatment. The tensile properties of these fibers increased on alkali treatment. The mechanical and other physical properties indicated that these fibers were suitable as reinforcements for making the green composites.

Failure mechanism and influencing factors of cement sheath integrity under alternating pressure

The failure of cement sheath integrity can be easily caused by alternating pressure during large-scale multistage hydraulic fracturing in shale-gas well.An elastic-plastic mechanical model of casing-cement sheath-formation(CSF)system under alternating pressure is established based on the Mohr-Coulomb criterion and thick-walled cylinder theory,and it has been solved by MATLAB programming combining global optimization algorithm with Global Search.The failure mechanism of cement sheath integrity is investigated,by which it can be seen that the formation of interface debonding is mainly related to the plastic strain accumulation,and there is a risk of interface debonding under alternating pressure,once the cement sheath enters plasticity whether in shallow or deep well sections.The matching relationship between the mechanical parameters(elastic modulus and Poisson's ratio)of cement sheath and its integrity failure under alternating pressure in whole well sections is studied,by which it has been found there is a“critical range”in the Poisson's ratio of cement sheath.When the Poisson's ratio is below the“critical range”,there is a positive correlation between the yield internal pressure of cement sheath(SYP)and its elastic modulus.However,when the Poisson's ratio is above the“critical range”,there is a negative correlation.The elastic modulus of cement sheath is closely related to its Poisson's ratio,and restricts each other.Scientific and reasonable matching between mechanical parameters of cement sheath and CSF system under different working conditions can not only reduce the cost,but also protect the cement sheath integrity.

Bedside ultrasonography of optic nerve sheath diameter for detection of raised intracranial pressure in nontraumatic neurocritically ill patients

BACKGROUND Delay in treatment of raised intracranial pressure(ICP)leads to poor clinical outcomes.Optic nerve sheath diameter(ONSD)by ultrasonography(US-ONSD)has shown good accuracy in traumatic brain injury and neurosurgical patients to diagnose raised ICP.However,there is a dearth of data in neuro-medical intensive care unit(ICU)where the spectrum of disease is different.AIM To validate the diagnostic accuracy of ONSD in non-traumatic neuro-critically ill patients.METHODS We prospectively enrolled 114 patients who had clinically suspected raised ICP due to non-traumatic causes admitted in neuro-medical ICU.US-ONSD was performed according to ALARA principles.A cut-off more than 5.7 mm was taken as significantly raised.Raised ONSD was corelated with raised ICP on radiological imaging.Clinical history,general and systemic examination findings,SOFA and APACHE 2 score and patient outcomes were recorded.RESULTS There was significant association between raised ONSD and raised ICP on imaging(P<0.001).The sensitivity,specificity,positive and negative predictive value at this cut-off was 77.55%,89.06%,84.44% and 83.82% respectively.The positive and negative likelihood ratio was 7.09 and 0.25.The area under the receiver operating characteristic curves was 0.844.Using Youden’s index the best cut off value for ONSD was 5.75 mm.Raised ONSD was associated with lower age(P=0.007),poorer Glasgow Coma Scale(P=0.009)and greater need for surgical intervention(P=0.006)whereas no statistically significant association was found between raised ONSD and SOFA score,APACHE II score or ICU mortality.Our limitations were that it was a single centre study and we did not perform serial measurements or ONSD pre-and post-treatment or procedures for raised ICP.CONCLUSION ONSD can be used as a screening a test to detect raised ICP in a medical ICU and as a trigger to initiate further management of raised ICP.ONSD can be beneficial in ruling out a diagnosis in a low-prevalence population and rule in a diagnosis in a high-prevalence population.

THM coupled analysis of cement sheath integrity considering well

he cement sheath is the heart of any oil or gas well for providing zonal isolation and well integrity during the life of a well.Loads induced by well construction operations and borehole pressure and temperature changes may lead to the ultimate failure of cement sheath.This paper quantifies the potential of cement failure under mechanically and thermally induced stress during the life-of-well using a coupled thermalehydrologicalemechanical(THM)modeling approach.A staged finite-element procedure is presented considering sequential stress and displacement development during each stage of the well life,including drilling,casing,cementing,completion,production,and injection.The staged model quantifies the stress states and state variables,e.g.,plastic strain,damage,and debonding at cement/rock or cement/casing interface,in each well stage from simultaneous action of in-situ stress,pore pressure,temperature,casing pressure,and cement hardening/shrinkage.Thus,it eliminates the need to guess the initial stress and strain state before modeling a specific stage.Moreover,coupled THM capabilities of the model ensure the full consideration of the interaction between these influential factors.

Electron sheaths near a positively biased plate subjected to a weak electron beam

Electron sheaths have previously only been measured near a positively biased small electrode, in which a potential dip was often observed. In this paper, we present an experimental study on the electron sheath near a stainless steel plate in the presence of a weak electron beam. It is shown that the electron beam, though its density is much lower than that of the background plasma, will substantially alter the sheath structure, i.e., it causes the disappearance of the potential dip when the beam energy just exceeds the ionization potential of the neutral gas but later enhances the dip for higher energies. It is also shown that proper biases on the plate and chamber wall are the key to the formation of the electron sheath and the dip. For a fixed plate bias but with different electron beam energy, the measured thickness of the ion-free Child–Langmuir sheath agrees well with that of the theoretical model.

Modeling of magnetized collisional plasma sheath with nonextensive electron distribution and ionization source

The properties of an atmospheric-pressure collisional plasma sheath with nonextensively distributed electrons and hypothetical ionization source terms are studied in this work. The Bohm criterion for the magnetized plasma is extended in the presence of an ion–neutral collisional force and ionization source. The effects of electron nonextensive distribution, ionization frequency, ion–neutral collision, magnetic field angle and ion temperature on the Bohm criterion of the plasma sheath are numerically analyzed. The fluid equations are solved numerically in the plasma–wall transition region using a modified Bohm criterion as the boundary condition. The plasma sheath properties such as charged particle density, floating sheath potential and thickness are thoroughly investigated under different kinds of ion source terms, contributions of collisions, and magnetic fields. The results show that the effect of the ion source term on the properties of atmosphericpressure collisional plasma sheath is significant. As the ionization frequency increases, the Mach number of the Bohm criterion decreases and the range of possible values narrows. When the ion source is considered, the space charge density increases, the sheath potential drops more rapidly,and the sheath thickness becomes narrower. In addition, ion–neutral collision, magnetic field angle and ion temperature also significantly affect the sheath potential profile and sheath thickness.

Characteristics of the plasma sheath in helium discharge within dielectric tubes

To understand the characteristics of the plasma sheath within small tubes,a 2D numerical model of He discharge within dielectric tubes is developed.During plasma propagation for a tube diameter of 0.05 mm,the sheath thickness in the plasma head is almost equal to the tube radius.It decreases rapidly to several micrometers at an axial distance of 0.05 mm behind the plasma head,and then slightly increases and saturates at the axial position far behind the plasma head.A plasma-gas sheath surrounding the central plasma column is observed for a tube diameter equal to or greater than 0.8 mm.It is replaced by a plasma-wall sheath for smaller tubes.With the decrease in the tube diameter,the sheath thickness far behind the plasma head decreases while the ion flux increases significantly.However,when O_(2)gas with a proportion of 2%is added,both the sheath thickness and ion flux decrease.

Study of a collisionless magnetized plasma sheath with nonextensively distributed species

A weakly magnetized sheath for a collisionless, electronegative plasma comprising positive ions,electrons, and negative ions is investigated numerically using the fluid approach. The electrons are considered to be non-Maxwellian in nature and are described by Tsalli's distribution. Such electrons have a substantial effect on the sheath properties. The study also reveals that non-Maxwellian distribution is the most realistic description for negative ions in the presence of an oblique magnetic field. In addition to the negative ion temperature, the sheath potential is also affected by the nonextensive parameters. The present research finds application in the plasma processing and semiconductor industry as well as in space plasmas.

An Investigation into the Effects of Oil-Well Cement Expansion Agent on the Integrity of Cement Sheath

Generally,the so-called expansion agent is very effective in eliminating all the micro-annuli that exist between the casing and the cement sheath or between the cement sheath and the formation.However,this approach can detrimentally affect the sealing ability of cement sheath if the expansion agent is used in an unreasonable way.For these reasons,in the present work,numerical simulations have been conducted to analyze the effect of elasticity modulus of cement sheath,the elasticity modulus of formation,the expansion rate of cement,the geo-stress on the micro-annulus caused by cement expansion,and the cement sheath expansion on the integrity of cement sheath and formation.The micro-annulus between the casing and the cement sheath has been found to decrease according to the ratio between the elasticity modulus of formation and the elasticity modulus of cement sheath.A positive correlation has been observed between the micro-annulus and the cement expansion ratio.The microannulus decreases as the geo-stress increases,but the effect of the geo-stress on the micro-annulus is much smaller.In conclusion,the expansion agent is suitable for the formation in which the elasticity modulus is higher than the cement sheath.