[ Objective] The study aimed to supply important basis for developing environment-friendly pesticides with myricetin and crude extract of Myrica rubra leaves as effective components. [ Method] According to "Test guid...[ Objective] The study aimed to supply important basis for developing environment-friendly pesticides with myricetin and crude extract of Myrica rubra leaves as effective components. [ Method] According to "Test guidelines for environmental safety evaluation on chemical pesticides", the toxicity of myricetin and crude extract of M. rubra leaves on non-target organisms was determined and the safety evaluation was carried out. [Result] MyriceUn and crude extract of M. rubra leaves had low toxicity on non-target organisms, such as earthworm, silkworm and soil microbes. Myricetin showed low toxicity and the crude extract of M. rubra leaves showed middle toxicity on tadpole. The high-concentration crude extract of M. rubra leaves had some antifeedant effect on silkworm. [ Conclusion] Myricetin and crude extract of M. rubra leaves had low toxicity on non-tar- get organisms in environment and they were relatively safe.展开更多
In this paper, the dynamic interaction of two parallel cracks in functionally graded materials (FGMs) is investigated by means of the non-local theory. To make the analysis tractable, the shear modulus and the mater...In this paper, the dynamic interaction of two parallel cracks in functionally graded materials (FGMs) is investigated by means of the non-local theory. To make the analysis tractable, the shear modulus and the material density are assumed to vary exponentially with the coordinate vertical to the crack. To reduce mathematical difficulties, a one-dimensional non-local kernel is used instead of a twodimensional one for the dynamic problem to obtain stress fields near the crack tips. By use of the Fourier transform, the problem can be solved with the help of two pairs of dual integral equations, in which the unknown variables are the jumps of displacements across the crack surfaces. To solve the dual integral equations, the jumps of displacements across the crack surfaces are expanded in a series of Jacobi polynomials. Unlike the classical elasticity solutions, it is found that no stress singularity is present at the crack tips. The non-local elastic solutions yield a finite hoop stress at the crack tips. The present result provides theoretical references helpful for evaluating relevant strength and preventing material failure of FGMs with initial cracks. The magnitude of the finite stress field depends on relevant parameters, such as the crack length, the distance between two parallel cracks, the parameter describing the FGMs, the frequency of the incident waves and the lattice parameter of materials.展开更多
The asymptotic development method is applied to analyze the free vibration of non-uniform axially functionally graded(AFG) beams, of which the governing equations are differential equations with variable coefficients....The asymptotic development method is applied to analyze the free vibration of non-uniform axially functionally graded(AFG) beams, of which the governing equations are differential equations with variable coefficients. By decomposing the variable flexural stiffness and mass per unit length into reference invariant and variant parts, the perturbation theory is introduced to obtain an approximate analytical formula of the natural frequencies of the non-uniform AFG beams with different boundary conditions.Furthermore, assuming polynomial distributions of Young's modulus and the mass density, the numerical results of the AFG beams with various taper ratios are obtained and compared with the published literature results. The discussion results illustrate that the proposed method yields an effective estimate of the first three order natural frequencies for the AFG tapered beams. However, the errors increase with the increase in the mode orders especially for the cases with variable heights. In brief, the asymptotic development method is verified to be simple and efficient to analytically study the free vibration of non-uniform AFG beams, and it could be used to analyze any tapered beams with an arbitrary varying cross width.展开更多
Objective:To assess prognostic factors and validate the effectiveness of recursive partitioning analysis (RPA) classes and graded prognostic assessment (GPA) in 290 non-small cell lung cancer (NSCLC) patients w...Objective:To assess prognostic factors and validate the effectiveness of recursive partitioning analysis (RPA) classes and graded prognostic assessment (GPA) in 290 non-small cell lung cancer (NSCLC) patients with brain metastasis (BM).Methods:From Jan 2008 to Dec 2009,the clinical data of 290 NSCLC cases with BM treated with multiple modalities including brain irradiation,systemic chemotherapy and tyrosine kinase inhibitors (TKIs) in two institutes were analyzed.Survival was estimated by Kaplan-Meier method.The differences of survival rates in subgroups were assayed using log-rank test.Multivariate Cox's regression method was used to analyze the impact of prognostic factors on survival.Two prognostic indexes models (RPA and GPA) were validated respectively.Results:All patients were followed up for 1-44 months,the median survival time after brain irradiation and its corresponding 95% confidence interval (95% CI) was 14 (12.3-15.8) months.1-,2-and 3-year survival rates in the whole group were 56.0%,28.3%,and 12.0%,respectively.The survival curves of subgroups,stratified by both RPA and GPA,were significantly different (P0.001).In the multivariate analysis as RPA and GPA entered Cox's regression model,Karnofsky performance status (KPS) ≥ 70,adenocarcinoma subtype,longer administration of TKIs remained their prognostic significance,RPA classes and GPA also appeared in the prognostic model.Conclusion:KPS ≥70,adenocarcinoma subtype,longer treatment of molecular targeted drug,and RPA classes and GPA are the independent prognostic factors affecting the survival rates of NSCLC patients with BM.展开更多
The development, production and application of top high-grade non-grain-oriented (NGO) silicon steels at Baosteel were introduced in this paper. Top high grades refer to the highest grades in the intemational silico...The development, production and application of top high-grade non-grain-oriented (NGO) silicon steels at Baosteel were introduced in this paper. Top high grades refer to the highest grades in the intemational silicon steel product standard and above. B35A230 and B50A250 were developed at Baosteel in 2009 and have been used in inverter compressors for air-conditioners, small transformers and big hydropower generators in the Three Gorges project. Small- batch production of B35A210 and B50A230, which exceed the highest grades listed in the intemational silicon steel product standard,began in 2010. That was a breakthrough in the silicon steel making history in China. Presently,Baosteel' s high- grade NGO products have passed the strict qualifications of the three major electric power equipment manufacturers in China and the leading international power equipment suppliers like ALSTOM, GE, SIEMENS, VESTAS, etc. These products are characterized by low iron loss, low anisotropy, good punchability and a high lamination factor. They have been used in the 770 MW hydropower generator at Xiluodu Power Station in the three gorges area, 1 000 MW thermal power generators and 2.5 MW wind power generators.展开更多
Background and Purpose: The relapsed low grade non-Hodgkin’s lymphoma (LG-NHL) is currently?incurable disease and the optimal treatment regimen has not determined yet. Low dose total body irradiation (LTBI) provides ...Background and Purpose: The relapsed low grade non-Hodgkin’s lymphoma (LG-NHL) is currently?incurable disease and the optimal treatment regimen has not determined yet. Low dose total body irradiation (LTBI) provides an alternative mechanism of action against cancer cells rather than direct cell kill. The mode of action of LTBI is immune-modulatory effect, induction of apoptosis and?hypersensitivity to low radiation doses. The aim of our study is to evaluate the effect of LTBI on relapsed?LG-NHL and reporting our experience at National Cancer Institute, Cairo (NCI, Cairo). Material and Methods: Fifty eight patients with relapsed LG-NHL and received LTBI studied retrospectively.?LTBI dose was 1.6 Gy/8 fractions divided on 2 courses;each course 4 fractions treated over 4 days with 2 weeks rest between the 2 courses. Results: The median age is 54 years;65% of the patients are men. Forty (69%) patients had performance status of 2 or more. Twenty seven patients were stage II/III and 31 patients (53%) had stage IV disease. Twenty six (45%) patients had bulky disease more than 10 cm and 22 (38%) patients had B symptoms at the time of relapse. The?extranodal disease was present in 17 patients (29%) and 78% of the patients received?>3 regimens of chemotherapy before referral to LTBI. Twenty three patients received IFRT (mean dose 32 ± 4 Gy) to initially bulky sites after LTBI. Fourteen patients (24%) achieved complete remission (CR) while 45%, 21% and 10% had partial remission (PR), stable disease (SD) and progressive disease (PD) respectively. The median PFS duration was 14 months and the median OS duration?was 39 months. Stage VI,?>3 regimen of chemotherapy and bad response to LTBI (SD) affected?progression duration adversely (0.03, 0.05 and 0.01 respectively). The response to LTBI is the only factor affected the OS duration significantly. The 3-year PFS was 19% ± 9%, and 3-year OS was 45% ± 8%. Stage IV was the only factor affected the 3-year PFS significantly with p value 0.03. The hematological toxicity was the main side effect of LTBI. Eleven patients developed G3/4 anemia while 8 patients only developed G3/4 thrombocytopenia and 13 patients developed G3/4 leucopenia. Conclusion: The use of LTBI in patients with relapsed low grade NHL is a feasible, effective and tolerable treatment that is worthy of testing in a future with chemotherapy and Rituximab maintenance.展开更多
Recently application of functionally graded materials(FGMs) have attracted a great deal of interest. These materials are composed of various materials with different micro-structures which can vary spatially in FGMs...Recently application of functionally graded materials(FGMs) have attracted a great deal of interest. These materials are composed of various materials with different micro-structures which can vary spatially in FGMs. Such composites with varying thickness and non-uniform pressure can be used in the aerospace engineering. Therefore, analysis of such composite is of high importance in engineering problems. Thermoelastic analysis of functionally graded cylinder with variable thickness under non-uniform pressure is considered. First order shear deformation theory and total potential energy approach is applied to obtain the governing equations of non-homogeneous cylinder. Considering the inner and outer solutions, perturbation series are applied to solve the governing equations. Outer solution for out of boundaries and more sensitive variable in inner solution at the boundaries are considered. Combining of inner and outer solution for near and far points from boundaries leads to high accurate displacement field distribution. The main aim of this paper is to show the capability of matched asymptotic solution for different non-homogeneous cylinders with different shapes and different non-uniform pressures. The results can be used to design the optimum thickness of the cylinder and also some properties such as high temperature residence by applying non-homogeneous material.展开更多
Non-steroidal anti-inflammatory drugs have a fundamental and pivotal position in management of many of the disorders managed by rheumatologists.Promulgation of a false perspective of their toxicity has compromised our...Non-steroidal anti-inflammatory drugs have a fundamental and pivotal position in management of many of the disorders managed by rheumatologists.Promulgation of a false perspective of their toxicity has compromised our ability to advise our patients and participate in the management of their disorders. The literature sources, from which the false perspective derives, do not accurately reflect safety and fail to address the value of appropriate drug use monitoring.We, as rheumatologists, must stand up and proactively address engrained misconceptions-if we are to be able to continue to provide safe, effective care for our patients.展开更多
This paper presents an analytical solution of a thick walled cylinder composed of a functionally graded piezoelectric material (FGPM) and subjected to a uniform electric field and non-axisymmetric thermo-mechanical ...This paper presents an analytical solution of a thick walled cylinder composed of a functionally graded piezoelectric material (FGPM) and subjected to a uniform electric field and non-axisymmetric thermo-mechanical loads. All material properties, except Poisson's ratio that is assumed to be constant, obey the same power law. An exact solution for the resulting Navier equations is developed by the separation of variables and complex Fourier series. Stress and strain distributions and a displacement field through the cylinder are obtained by this technique. To examine the analytical approach, different examples are solved by this method, and the results are discussed.展开更多
Failuremode and effects analysis(FMEA)is a widely used safety assessmentmethod inmany fields.Z-number was previously applied in FMEA since it can take both possibility and reliability of information into consideration...Failuremode and effects analysis(FMEA)is a widely used safety assessmentmethod inmany fields.Z-number was previously applied in FMEA since it can take both possibility and reliability of information into consideration.However,the use of fuzzy weighted mean to integrate Z-valuations may have some drawbacks and is not suitable for some situations.In this paper,an improved method is proposed based on Z-numbers and the graded mean integration representation(GMIR)to deal with the uncertain information in FMEA.First,Z-numbers are constructed based on the evaluations of risk factors O,S,D for each failure mode by different experts.Second,weights of the three risk factors and experts are determined.Third,the integration representations of Z-numbers are obtained by a newmethod based on the GMIRmethod.Finally,risk priorities of the failure modes are derived considering the weights of experts and risk factors.Two examples and a case study are given to show the use of the proposed method and comparison with other methods.The results show that the proposed method is more reasonable,universal and simple in calculation.展开更多
Purpose: To assess the response rate, duration of response and prognostic factors affecting response after low-dose involved-field radiotherapy in patients with relapsed low-grade B-cell non-Hodgkin lymphoma. Patients...Purpose: To assess the response rate, duration of response and prognostic factors affecting response after low-dose involved-field radiotherapy in patients with relapsed low-grade B-cell non-Hodgkin lymphoma. Patients and Methods: Forty-four patients were included. Patients were treated with a total dose of 4 Gy (2 × 2 Gy) using 6 - 15 Mv photon or electron beam. Results: most patients were above age of 60 years (59%) with male predominance. Follicular lymphoma was the most common pathological type;bulky disease (>5 cm) was presented in 61.4%. Patients who received only 2 regimens were 63.7% and 31.8% had >2 involved sites. No treatment related toxicity was observed. The overall response rate was 88.7%;complete response was reached in 59.1% and stable disease in 6.8%, progressive disease in 4.5%. Median time to local progression was 33 months (95% CI 23.70 - 42.29);2-year local progression free survival was 78%. Response rate was found to be dependent on age, number of involved sites and lymph node size but independent on sex, pathological type, number of prior regimens, LDH level and time since diagnosis. Conclusion: Short-course-low dose palliative radiotherapy (2 × 2 Gy) affords an attractive option for treatment of relapsed low-grade non-Hodgkin’s lymphoma due to high response rates. However, these results had to be confirmed in a larger number of patients.展开更多
In this paper, a non-Newtonian third-grade blood in coronary and femoral arteries is simulated analytically and numerically. The blood is considered as the third- grade non-Newtonian fluid under the periodic body acce...In this paper, a non-Newtonian third-grade blood in coronary and femoral arteries is simulated analytically and numerically. The blood is considered as the third- grade non-Newtonian fluid under the periodic body acceleration motion and the pulsatile pressure gradient. The hybrid multi-step differential transformation method (Hybrid-Ms- DTM) and the Crank-Nicholson method (CNM) are used to solve the partial differential equation (PDE), and a good agreement between them is observed in the results. The effects of the some physical parameters such as the amplitude, the lead angle, and the body acceleration frequency on the velocity and shear stress profiles are considered. The results show that increasing the amplitude, Ag, and reducing the lead angle of body acceleration, 9, make higher velocity profiles on the center line of both arteries. Also, the maximum wall shear stress increases when Ag increases.展开更多
INTRODUCTION Occupational safety and health (OSH) is generally the anticipation, recognition, evaluation, and control of hazards arising in or from the workplace. The study sought to assess and evaluate occupational h...INTRODUCTION Occupational safety and health (OSH) is generally the anticipation, recognition, evaluation, and control of hazards arising in or from the workplace. The study sought to assess and evaluate occupational health and safety hazards experienced among health workers in the Bono region of Ghana. METHODOLOGY The study was descriptive cross-sectional quantitative study. Data was from two hundred (200) health workers and was analyzed using the binary logistic regression analysis. RESULTS The findings from the study show that risk factors associated with biological hazards were clinical staff [OR = 2.487 (1.146 - 5.397), p = 0.021], poor maintenance of hospital items [OR = 0.446 (0.240 - 0.831), p = 0.011], assault (verbal) abuse [OR = 2.581 (1.317 - 5.059), p = 0.006] and extreme pressure from work [OR = 2.975 (1.519 - 5.829), p = 0.001]. Non-biological hazards were associated with being single [OR = 0.499 (0.263 - 0.947), p = 0.034], being verbally assaulted [OR = 3.581 (1.865 - 6.876), p CONCLUSION Risk factors related with biological hazards include poor maintenance of hospital items and extreme pressure from work whereas non-biological hazards were associated with being single, being verbally assaulted. Clinical healthcare providers are more vulnerable to occupational health and safety hazards. The study recommends the provision of strategic policies to promote and protect the workers’ health based on the development of the epidemiological profile of health, needs to be readjusted and strengthened.展开更多
基金Supported by Major Program in Zhejiang Science and Technology Department(2008C22G2100038)Emerging Artists Project in Zhejiang Province(21000037)~~
文摘[ Objective] The study aimed to supply important basis for developing environment-friendly pesticides with myricetin and crude extract of Myrica rubra leaves as effective components. [ Method] According to "Test guidelines for environmental safety evaluation on chemical pesticides", the toxicity of myricetin and crude extract of M. rubra leaves on non-target organisms was determined and the safety evaluation was carried out. [Result] MyriceUn and crude extract of M. rubra leaves had low toxicity on non-target organisms, such as earthworm, silkworm and soil microbes. Myricetin showed low toxicity and the crude extract of M. rubra leaves showed middle toxicity on tadpole. The high-concentration crude extract of M. rubra leaves had some antifeedant effect on silkworm. [ Conclusion] Myricetin and crude extract of M. rubra leaves had low toxicity on non-tar- get organisms in environment and they were relatively safe.
基金The project supported by the National Natural Science Foundation of China(90405016,10572044)the Specialized Research Fund for the Doctoral Program of Higher Education(20040213034)
文摘In this paper, the dynamic interaction of two parallel cracks in functionally graded materials (FGMs) is investigated by means of the non-local theory. To make the analysis tractable, the shear modulus and the material density are assumed to vary exponentially with the coordinate vertical to the crack. To reduce mathematical difficulties, a one-dimensional non-local kernel is used instead of a twodimensional one for the dynamic problem to obtain stress fields near the crack tips. By use of the Fourier transform, the problem can be solved with the help of two pairs of dual integral equations, in which the unknown variables are the jumps of displacements across the crack surfaces. To solve the dual integral equations, the jumps of displacements across the crack surfaces are expanded in a series of Jacobi polynomials. Unlike the classical elasticity solutions, it is found that no stress singularity is present at the crack tips. The non-local elastic solutions yield a finite hoop stress at the crack tips. The present result provides theoretical references helpful for evaluating relevant strength and preventing material failure of FGMs with initial cracks. The magnitude of the finite stress field depends on relevant parameters, such as the crack length, the distance between two parallel cracks, the parameter describing the FGMs, the frequency of the incident waves and the lattice parameter of materials.
基金Project supported by the National Natural Science Foundation of China(No.11672008)
文摘The asymptotic development method is applied to analyze the free vibration of non-uniform axially functionally graded(AFG) beams, of which the governing equations are differential equations with variable coefficients. By decomposing the variable flexural stiffness and mass per unit length into reference invariant and variant parts, the perturbation theory is introduced to obtain an approximate analytical formula of the natural frequencies of the non-uniform AFG beams with different boundary conditions.Furthermore, assuming polynomial distributions of Young's modulus and the mass density, the numerical results of the AFG beams with various taper ratios are obtained and compared with the published literature results. The discussion results illustrate that the proposed method yields an effective estimate of the first three order natural frequencies for the AFG tapered beams. However, the errors increase with the increase in the mode orders especially for the cases with variable heights. In brief, the asymptotic development method is verified to be simple and efficient to analytically study the free vibration of non-uniform AFG beams, and it could be used to analyze any tapered beams with an arbitrary varying cross width.
文摘Objective:To assess prognostic factors and validate the effectiveness of recursive partitioning analysis (RPA) classes and graded prognostic assessment (GPA) in 290 non-small cell lung cancer (NSCLC) patients with brain metastasis (BM).Methods:From Jan 2008 to Dec 2009,the clinical data of 290 NSCLC cases with BM treated with multiple modalities including brain irradiation,systemic chemotherapy and tyrosine kinase inhibitors (TKIs) in two institutes were analyzed.Survival was estimated by Kaplan-Meier method.The differences of survival rates in subgroups were assayed using log-rank test.Multivariate Cox's regression method was used to analyze the impact of prognostic factors on survival.Two prognostic indexes models (RPA and GPA) were validated respectively.Results:All patients were followed up for 1-44 months,the median survival time after brain irradiation and its corresponding 95% confidence interval (95% CI) was 14 (12.3-15.8) months.1-,2-and 3-year survival rates in the whole group were 56.0%,28.3%,and 12.0%,respectively.The survival curves of subgroups,stratified by both RPA and GPA,were significantly different (P0.001).In the multivariate analysis as RPA and GPA entered Cox's regression model,Karnofsky performance status (KPS) ≥ 70,adenocarcinoma subtype,longer administration of TKIs remained their prognostic significance,RPA classes and GPA also appeared in the prognostic model.Conclusion:KPS ≥70,adenocarcinoma subtype,longer treatment of molecular targeted drug,and RPA classes and GPA are the independent prognostic factors affecting the survival rates of NSCLC patients with BM.
文摘The development, production and application of top high-grade non-grain-oriented (NGO) silicon steels at Baosteel were introduced in this paper. Top high grades refer to the highest grades in the intemational silicon steel product standard and above. B35A230 and B50A250 were developed at Baosteel in 2009 and have been used in inverter compressors for air-conditioners, small transformers and big hydropower generators in the Three Gorges project. Small- batch production of B35A210 and B50A230, which exceed the highest grades listed in the intemational silicon steel product standard,began in 2010. That was a breakthrough in the silicon steel making history in China. Presently,Baosteel' s high- grade NGO products have passed the strict qualifications of the three major electric power equipment manufacturers in China and the leading international power equipment suppliers like ALSTOM, GE, SIEMENS, VESTAS, etc. These products are characterized by low iron loss, low anisotropy, good punchability and a high lamination factor. They have been used in the 770 MW hydropower generator at Xiluodu Power Station in the three gorges area, 1 000 MW thermal power generators and 2.5 MW wind power generators.
文摘Background and Purpose: The relapsed low grade non-Hodgkin’s lymphoma (LG-NHL) is currently?incurable disease and the optimal treatment regimen has not determined yet. Low dose total body irradiation (LTBI) provides an alternative mechanism of action against cancer cells rather than direct cell kill. The mode of action of LTBI is immune-modulatory effect, induction of apoptosis and?hypersensitivity to low radiation doses. The aim of our study is to evaluate the effect of LTBI on relapsed?LG-NHL and reporting our experience at National Cancer Institute, Cairo (NCI, Cairo). Material and Methods: Fifty eight patients with relapsed LG-NHL and received LTBI studied retrospectively.?LTBI dose was 1.6 Gy/8 fractions divided on 2 courses;each course 4 fractions treated over 4 days with 2 weeks rest between the 2 courses. Results: The median age is 54 years;65% of the patients are men. Forty (69%) patients had performance status of 2 or more. Twenty seven patients were stage II/III and 31 patients (53%) had stage IV disease. Twenty six (45%) patients had bulky disease more than 10 cm and 22 (38%) patients had B symptoms at the time of relapse. The?extranodal disease was present in 17 patients (29%) and 78% of the patients received?>3 regimens of chemotherapy before referral to LTBI. Twenty three patients received IFRT (mean dose 32 ± 4 Gy) to initially bulky sites after LTBI. Fourteen patients (24%) achieved complete remission (CR) while 45%, 21% and 10% had partial remission (PR), stable disease (SD) and progressive disease (PD) respectively. The median PFS duration was 14 months and the median OS duration?was 39 months. Stage VI,?>3 regimen of chemotherapy and bad response to LTBI (SD) affected?progression duration adversely (0.03, 0.05 and 0.01 respectively). The response to LTBI is the only factor affected the OS duration significantly. The 3-year PFS was 19% ± 9%, and 3-year OS was 45% ± 8%. Stage IV was the only factor affected the 3-year PFS significantly with p value 0.03. The hematological toxicity was the main side effect of LTBI. Eleven patients developed G3/4 anemia while 8 patients only developed G3/4 thrombocytopenia and 13 patients developed G3/4 leucopenia. Conclusion: The use of LTBI in patients with relapsed low grade NHL is a feasible, effective and tolerable treatment that is worthy of testing in a future with chemotherapy and Rituximab maintenance.
文摘Recently application of functionally graded materials(FGMs) have attracted a great deal of interest. These materials are composed of various materials with different micro-structures which can vary spatially in FGMs. Such composites with varying thickness and non-uniform pressure can be used in the aerospace engineering. Therefore, analysis of such composite is of high importance in engineering problems. Thermoelastic analysis of functionally graded cylinder with variable thickness under non-uniform pressure is considered. First order shear deformation theory and total potential energy approach is applied to obtain the governing equations of non-homogeneous cylinder. Considering the inner and outer solutions, perturbation series are applied to solve the governing equations. Outer solution for out of boundaries and more sensitive variable in inner solution at the boundaries are considered. Combining of inner and outer solution for near and far points from boundaries leads to high accurate displacement field distribution. The main aim of this paper is to show the capability of matched asymptotic solution for different non-homogeneous cylinders with different shapes and different non-uniform pressures. The results can be used to design the optimum thickness of the cylinder and also some properties such as high temperature residence by applying non-homogeneous material.
文摘Non-steroidal anti-inflammatory drugs have a fundamental and pivotal position in management of many of the disorders managed by rheumatologists.Promulgation of a false perspective of their toxicity has compromised our ability to advise our patients and participate in the management of their disorders. The literature sources, from which the false perspective derives, do not accurately reflect safety and fail to address the value of appropriate drug use monitoring.We, as rheumatologists, must stand up and proactively address engrained misconceptions-if we are to be able to continue to provide safe, effective care for our patients.
文摘This paper presents an analytical solution of a thick walled cylinder composed of a functionally graded piezoelectric material (FGPM) and subjected to a uniform electric field and non-axisymmetric thermo-mechanical loads. All material properties, except Poisson's ratio that is assumed to be constant, obey the same power law. An exact solution for the resulting Navier equations is developed by the separation of variables and complex Fourier series. Stress and strain distributions and a displacement field through the cylinder are obtained by this technique. To examine the analytical approach, different examples are solved by this method, and the results are discussed.
基金supported by Shanghai Rising-Star Program(Grant No.21QA1403400)Shanghai Natural Science Foundation(Grant No.19ZR1420700)Shanghai Key Laboratory of Power Station Automation Technology(Grant No.13DZ2273800).
文摘Failuremode and effects analysis(FMEA)is a widely used safety assessmentmethod inmany fields.Z-number was previously applied in FMEA since it can take both possibility and reliability of information into consideration.However,the use of fuzzy weighted mean to integrate Z-valuations may have some drawbacks and is not suitable for some situations.In this paper,an improved method is proposed based on Z-numbers and the graded mean integration representation(GMIR)to deal with the uncertain information in FMEA.First,Z-numbers are constructed based on the evaluations of risk factors O,S,D for each failure mode by different experts.Second,weights of the three risk factors and experts are determined.Third,the integration representations of Z-numbers are obtained by a newmethod based on the GMIRmethod.Finally,risk priorities of the failure modes are derived considering the weights of experts and risk factors.Two examples and a case study are given to show the use of the proposed method and comparison with other methods.The results show that the proposed method is more reasonable,universal and simple in calculation.
文摘Purpose: To assess the response rate, duration of response and prognostic factors affecting response after low-dose involved-field radiotherapy in patients with relapsed low-grade B-cell non-Hodgkin lymphoma. Patients and Methods: Forty-four patients were included. Patients were treated with a total dose of 4 Gy (2 × 2 Gy) using 6 - 15 Mv photon or electron beam. Results: most patients were above age of 60 years (59%) with male predominance. Follicular lymphoma was the most common pathological type;bulky disease (>5 cm) was presented in 61.4%. Patients who received only 2 regimens were 63.7% and 31.8% had >2 involved sites. No treatment related toxicity was observed. The overall response rate was 88.7%;complete response was reached in 59.1% and stable disease in 6.8%, progressive disease in 4.5%. Median time to local progression was 33 months (95% CI 23.70 - 42.29);2-year local progression free survival was 78%. Response rate was found to be dependent on age, number of involved sites and lymph node size but independent on sex, pathological type, number of prior regimens, LDH level and time since diagnosis. Conclusion: Short-course-low dose palliative radiotherapy (2 × 2 Gy) affords an attractive option for treatment of relapsed low-grade non-Hodgkin’s lymphoma due to high response rates. However, these results had to be confirmed in a larger number of patients.
文摘In this paper, a non-Newtonian third-grade blood in coronary and femoral arteries is simulated analytically and numerically. The blood is considered as the third- grade non-Newtonian fluid under the periodic body acceleration motion and the pulsatile pressure gradient. The hybrid multi-step differential transformation method (Hybrid-Ms- DTM) and the Crank-Nicholson method (CNM) are used to solve the partial differential equation (PDE), and a good agreement between them is observed in the results. The effects of the some physical parameters such as the amplitude, the lead angle, and the body acceleration frequency on the velocity and shear stress profiles are considered. The results show that increasing the amplitude, Ag, and reducing the lead angle of body acceleration, 9, make higher velocity profiles on the center line of both arteries. Also, the maximum wall shear stress increases when Ag increases.
文摘INTRODUCTION Occupational safety and health (OSH) is generally the anticipation, recognition, evaluation, and control of hazards arising in or from the workplace. The study sought to assess and evaluate occupational health and safety hazards experienced among health workers in the Bono region of Ghana. METHODOLOGY The study was descriptive cross-sectional quantitative study. Data was from two hundred (200) health workers and was analyzed using the binary logistic regression analysis. RESULTS The findings from the study show that risk factors associated with biological hazards were clinical staff [OR = 2.487 (1.146 - 5.397), p = 0.021], poor maintenance of hospital items [OR = 0.446 (0.240 - 0.831), p = 0.011], assault (verbal) abuse [OR = 2.581 (1.317 - 5.059), p = 0.006] and extreme pressure from work [OR = 2.975 (1.519 - 5.829), p = 0.001]. Non-biological hazards were associated with being single [OR = 0.499 (0.263 - 0.947), p = 0.034], being verbally assaulted [OR = 3.581 (1.865 - 6.876), p CONCLUSION Risk factors related with biological hazards include poor maintenance of hospital items and extreme pressure from work whereas non-biological hazards were associated with being single, being verbally assaulted. Clinical healthcare providers are more vulnerable to occupational health and safety hazards. The study recommends the provision of strategic policies to promote and protect the workers’ health based on the development of the epidemiological profile of health, needs to be readjusted and strengthened.