Background: Creating a tunnel between the pancreas and splenic vessels followed by pancreatic parenchyma transection(“tunnel-first” strategy) has long been used in spleen-preserving distal pancreatectomy(SPDP) with ...Background: Creating a tunnel between the pancreas and splenic vessels followed by pancreatic parenchyma transection(“tunnel-first” strategy) has long been used in spleen-preserving distal pancreatectomy(SPDP) with splenic vessel preservation(Kimura’s procedure). However, the operation space is limited in the tunnel, leading to the risks of bleeding and difficulties in suturing. We adopted the pancreatic “parenchyma transection-first” strategy to optimize Kimura’s procedure. Methods: The clinical data of consecutive patients who underwent robotic SPDP with Kimura’s procedure between January 2017 and September 2022 at our center were retrieved. The cohort was classified into a “parenchyma transection-first” strategy(P-F) group and a “tunnel-first” strategy(T-F) group and analyzed. Results: A total of 91 patients were enrolled in this cohort, with 49 in the T-F group and 42 in the P-F group. Compared with the T-F group, the P-F group had significantly shorter operative time(146.1 ± 39.2 min vs. 174.9 ± 46.6 min, P < 0.01) and lower estimated blood loss [40.0(20.0–55.0) m L vs. 50.0(20.0–100.0) m L, P = 0.03]. Failure of splenic vessel preservation occurred in 10.2% patients in the TF group and 2.4% in the P-F group( P = 0.14). The grade 3/4 complications were similar between the two groups( P = 0.57). No differences in postoperative pancreatic fistula, abdominal infection or hemorrhage were observed between the two groups. Conclusions: The pancreatic “parenchyma transection-first” strategy is safe and feasible compared with traditional “tunnel-first strategy” in SPDP with Kimura’s procedure.展开更多
Ship hull form of the underwater area strongly influences the resistance of the ship. The major factor in ship resistance is skin friction resistance. Bulbous bows, polymer paint, water repellent paint （highly water-...Ship hull form of the underwater area strongly influences the resistance of the ship. The major factor in ship resistance is skin friction resistance. Bulbous bows, polymer paint, water repellent paint （highly water-repellent wall）, air injection, and specific roughness have been used by researchers as an attempt to obtain the resistance reduction and operation efficiency of ships. Micro-bubble injection is a promising technique for lowering frictional resistance. The injected air bubbles are supposed to somehow modify the energy inside the turbulent boundary layer and thereby lower the skin friction. The purpose of this study was to identify the effect of injected micro bubbles on a navy fast patrol boat （FPB） 57 m type model with the following main dimensions： L=2 450 ram, B=400 mm, and T=190 mm. The influence of the location of micro bubble injection and bubble velocity was also investigated. The ship model was pulled by an electric motor whose speed could be varied and adjusted. The ship model resistance was precisely measured by a load cell transducer. Comparison of ship resistance with and without micro-bubble injection was shown on a graph as a function of the drag coefficient and Froude number. It was shown that micro bubble injection behind the mid-ship is the best location to achieve the most effective drag reduction, and the drag reduction caused by the micro-bubbles can reach 6%-9%.展开更多
Classical Mechanics using Einstein’s theories of relativity places a limit on speed as the speed of light. Quantum Mechanics has no such limitation. To understand space accelerating faster than the speed of light and...Classical Mechanics using Einstein’s theories of relativity places a limit on speed as the speed of light. Quantum Mechanics has no such limitation. To understand space accelerating faster than the speed of light and information being exchanged instantaneously between two entangled electrons separated by huge distances, one uses Planck’s length, Planck’s time, and Planck’s mass to indicate that space and time are discrete and therefore along with masses smaller than Planck’s mass are Quantum Mechanical in nature. Faster than the speed of light c = 3 × 10<sup>8</sup> m/s is a classical effect only in dimensions of space lower than our 3-D Universe, but it is a Quantum effect in all dimensions of space. Because space can oscillate sending out ripples from the source, it is the medium used for transporting light waves and gravity waves.展开更多
Ships which have large structures above water surface,such as pure car carriers(PCCs) and container vessels,have large speed reduction by wind pressure.In the present study,the running speed of a large PCC with two or...Ships which have large structures above water surface,such as pure car carriers(PCCs) and container vessels,have large speed reduction by wind pressure.In the present study,the running speed of a large PCC with two or more sails for using wind power is simulated.The simulated results demonstrate that the ship can keep a constant service speed even in winds of 20m/s except head and bow winds.This sail system can shorten annual average navigation time by about 4 hours per voyage.展开更多
Classically Alzheimer＇s disease and vascular dementia have been considered as two different entities, with their own clinical criteria, but relatively recent epidemiological and clinicopathological studies suggest an...Classically Alzheimer＇s disease and vascular dementia have been considered as two different entities, with their own clinical criteria, but relatively recent epidemiological and clinicopathological studies suggest an overlap between them sharing not only most of the risk factors and some clinical aspects but also pathophysiological mechanisms. Cerebrovascular lesions, especially small vessel disease （lacunar infarcts, white matter hyperintensities and microbleeds）, may magnify the effects of mild Alzheimer＇s disease pathology and promote the progression of cognitive decline and may also be a precursor of neuronal damage and dementia. ＂Vascular hypothesis＂ of Alzheimer＇s disease would open a window for new approaches and treatments.展开更多
To meet the demand of the pressure vessel industry, Baosteel has developed an S11306 ＋ SA516Gr70 roll-bonded clad steel plate. Comprehensive inspections of the composition, microstructure, and properties are performe...To meet the demand of the pressure vessel industry, Baosteel has developed an S11306 ＋ SA516Gr70 roll-bonded clad steel plate. Comprehensive inspections of the composition, microstructure, and properties are performed to systematically evaluate the steel plate in normalized state and normalized ＋ stress relieved state. The results show the cladding interface of the Sl1306 ＋ SA516Gr70 roll-bonded clad steel plate has high shear strength, and the base metal has good mechanical properties. The performance is fully consistent with the technical requirements of the roll-bonded clad steel plate for pressure vessels.展开更多
BACKGROUND Inguinal hernia repair is one of the most common general surgical operations worldwide.We present a case of indirect inguinal hernia containing an expanded portosystemic shunt vessel.CASE SUMMARY We report ...BACKGROUND Inguinal hernia repair is one of the most common general surgical operations worldwide.We present a case of indirect inguinal hernia containing an expanded portosystemic shunt vessel.CASE SUMMARY We report a 72-year-old man who had a 4 cm×4 cm swelling in the right inguinal region,which disappeared with light manual pressure.Abdominal-pelvic computed tomography(CT)revealed a right inguinal hernia containing an expanded portosystemic shunt vessel,which had been noted for 7 years due to liver cirrhosis.We performed Lichtenstein’s herniorrhaphy and identified the hernia sac as being indirect and the shunt vessel existing in the extraperitoneal cavity through the internal inguinal ring.Then,we found two short branches between the expanded shunt vessel and testicular vein in the middle part of the inguinal canal and cut these branches to allow the shunt vessel to return to the extraperitoneal cavity of the abdomen.The hernia sac was returned as well.We encountered no intraoperative complications.After discharge,groin seroma requiring puncture at the outpatient clinic was observed.CONCLUSION If an inguinal hernia patient has portal hypertension,ultrasound should be used to determine the contents of the hernia.When atypical vessels are visualized,they may be shunt vessels and additional CT is recommended to ensure the selection of an adequate approach for safe hernia repair.展开更多
To meet the demand of the domestic pressure vessel industry for roll-bonded clad steel plates, Baosteel has developed an S30403 ＋ Q345R roll-bonded clad steel plate. Comprehensive inspections of the composition, micr...To meet the demand of the domestic pressure vessel industry for roll-bonded clad steel plates, Baosteel has developed an S30403 ＋ Q345R roll-bonded clad steel plate. Comprehensive inspections of the composition, microstructure, and properties are made to systematically evaluate the steel plate in the normalized and normalized ＋ stress relieved states. The results show the cladding interface of the S30403 ＋ Q345R roll-bonded clad steel plate has high shear strength, the base metal has good properties, and the mechanical properties of the steel plate head and tail are uniform. The performance is fully consistent with the technical requirements of the roll-bonded clad steel plate for pressure vessels.展开更多
The descriptive capabilities of the banded speed cosmological model are shown. In particular, an in-depth analysis related to the actual physical meaning of Planck＇s unit is given in the framework of the banded distr...The descriptive capabilities of the banded speed cosmological model are shown. In particular, an in-depth analysis related to the actual physical meaning of Planck＇s unit is given in the framework of the banded distribution of physical quantities. From this analysis the richness and flexibility of the model＇s description capabilities is derived, with particular attention devoted to the ability of using the same relationships for describing both microcosm and macrocosm and also young and old universe. Finally the cited descriptive capabilities are used for deriving a very simple and intuitive explanation of the ＂darkness＂ of dark matter.展开更多
To deal with over-shooting and gouging in high speed machining, a novel approach for velocity smooth link is proposed. Considering discrete tool path, cubic spline curve fitting is used to find dangerous points, and a...To deal with over-shooting and gouging in high speed machining, a novel approach for velocity smooth link is proposed. Considering discrete tool path, cubic spline curve fitting is used to find dangerous points, and according to spatial geometric properties of tool path and the kinematics theory, maximum optimal velocities at dangerous points are obtained. Based on method of velocity control characteristics stored in control system, a fast algorithm for velocity smooth link is analyzed and formulated. On-line implementation results show that the proposed approach makes velocity changing more smoothly compared with traditional velocity control methods and improves productivity greatly.展开更多
A higher-order boundary element method(HOBEM)incorporated with analytical panel integrals related to translat-ing-pulsating source Green’s function is proposed for the hydrodynamic response prediction of ships advanc...A higher-order boundary element method(HOBEM)incorporated with analytical panel integrals related to translat-ing-pulsating source Green’s function is proposed for the hydrodynamic response prediction of ships advancing in waves.In this method,the 9-node bi-quadratic curvilinear elements employed to discretize the mixed-source/dipole boundary integral equation are mapped into the parametric plane through a coordinate transformation.Then in order to ease the numerical instability problem,a novel analytical quadrature is derived to calculate the influence coefficients by changing the integral order and using integration by parts.The singularity caused by infinite discontinuity is analyzed and eliminated by adopting some mathematical techniques.Through the calculations of panel integrals of Green’s function and its x-derivative,the analytical integral method is proved to be always accurate even for field points approaching the free surface,where numerical quadrature is impossible to give reasonable results.Based on this,a higher-order seakeeping program is developed and applied in the motion response prediction of two different types of ships(i.e.,a wall-sided ship Wigley III and a non-wall-sided ship S175).By comparing the computed results with the corresponding experimental data and numerical solutions of the translating-pulsating and higher-order Green’s function methods based on traditional Gauss quadrature,it is found that the HOBEM based on analytical quadrature is of better accuracy and stability.For the non-wall-sided ship,only the present method can produce reasonable pre-diction of motion responses,while obvious oscillatory phenomenon is observed in the results of the other two numerical methods based on Gauss quadrature.展开更多
This study focuses on vibration analysis of cylindrical pressure vessels constructed by functionally graded carbon nanotube reinforced composites(FG-CNTRC).The vessel is under internal pressure and surrounded by a Pas...This study focuses on vibration analysis of cylindrical pressure vessels constructed by functionally graded carbon nanotube reinforced composites(FG-CNTRC).The vessel is under internal pressure and surrounded by a Pasternak foundation.This investigation was founded based on two-dimensional elastic analysis and used Hamilton’s principle to drive the governing equations.The deformations and effective-mechanical properties of the reinforced structure were elicited from the first-order shear theory(FSDT)and rule of mixture,respectively.The main goal of this study is to show the effects of various design parameters such as boundary conditions,reinforcement distribution,foundation parameters,and aspect ratio on the free vibration characteristics of the structure.展开更多
基金the Ethics Committee of Chinese PLA General Hospital(S2022-530-01).
文摘Background: Creating a tunnel between the pancreas and splenic vessels followed by pancreatic parenchyma transection(“tunnel-first” strategy) has long been used in spleen-preserving distal pancreatectomy(SPDP) with splenic vessel preservation(Kimura’s procedure). However, the operation space is limited in the tunnel, leading to the risks of bleeding and difficulties in suturing. We adopted the pancreatic “parenchyma transection-first” strategy to optimize Kimura’s procedure. Methods: The clinical data of consecutive patients who underwent robotic SPDP with Kimura’s procedure between January 2017 and September 2022 at our center were retrieved. The cohort was classified into a “parenchyma transection-first” strategy(P-F) group and a “tunnel-first” strategy(T-F) group and analyzed. Results: A total of 91 patients were enrolled in this cohort, with 49 in the T-F group and 42 in the P-F group. Compared with the T-F group, the P-F group had significantly shorter operative time(146.1 ± 39.2 min vs. 174.9 ± 46.6 min, P < 0.01) and lower estimated blood loss [40.0(20.0–55.0) m L vs. 50.0(20.0–100.0) m L, P = 0.03]. Failure of splenic vessel preservation occurred in 10.2% patients in the TF group and 2.4% in the P-F group( P = 0.14). The grade 3/4 complications were similar between the two groups( P = 0.57). No differences in postoperative pancreatic fistula, abdominal infection or hemorrhage were observed between the two groups. Conclusions: The pancreatic “parenchyma transection-first” strategy is safe and feasible compared with traditional “tunnel-first strategy” in SPDP with Kimura’s procedure.
基金Supported by the Directorate for Research and Community Service,University of Indonesia(RUUI Research Laboratory 2010),Jakarta,Indonesia
文摘Ship hull form of the underwater area strongly influences the resistance of the ship. The major factor in ship resistance is skin friction resistance. Bulbous bows, polymer paint, water repellent paint （highly water-repellent wall）, air injection, and specific roughness have been used by researchers as an attempt to obtain the resistance reduction and operation efficiency of ships. Micro-bubble injection is a promising technique for lowering frictional resistance. The injected air bubbles are supposed to somehow modify the energy inside the turbulent boundary layer and thereby lower the skin friction. The purpose of this study was to identify the effect of injected micro bubbles on a navy fast patrol boat （FPB） 57 m type model with the following main dimensions： L=2 450 ram, B=400 mm, and T=190 mm. The influence of the location of micro bubble injection and bubble velocity was also investigated. The ship model was pulled by an electric motor whose speed could be varied and adjusted. The ship model resistance was precisely measured by a load cell transducer. Comparison of ship resistance with and without micro-bubble injection was shown on a graph as a function of the drag coefficient and Froude number. It was shown that micro bubble injection behind the mid-ship is the best location to achieve the most effective drag reduction, and the drag reduction caused by the micro-bubbles can reach 6%-9%.
文摘Classical Mechanics using Einstein’s theories of relativity places a limit on speed as the speed of light. Quantum Mechanics has no such limitation. To understand space accelerating faster than the speed of light and information being exchanged instantaneously between two entangled electrons separated by huge distances, one uses Planck’s length, Planck’s time, and Planck’s mass to indicate that space and time are discrete and therefore along with masses smaller than Planck’s mass are Quantum Mechanical in nature. Faster than the speed of light c = 3 × 10<sup>8</sup> m/s is a classical effect only in dimensions of space lower than our 3-D Universe, but it is a Quantum effect in all dimensions of space. Because space can oscillate sending out ripples from the source, it is the medium used for transporting light waves and gravity waves.
文摘Ships which have large structures above water surface,such as pure car carriers(PCCs) and container vessels,have large speed reduction by wind pressure.In the present study,the running speed of a large PCC with two or more sails for using wind power is simulated.The simulated results demonstrate that the ship can keep a constant service speed even in winds of 20m/s except head and bow winds.This sail system can shorten annual average navigation time by about 4 hours per voyage.
文摘Classically Alzheimer＇s disease and vascular dementia have been considered as two different entities, with their own clinical criteria, but relatively recent epidemiological and clinicopathological studies suggest an overlap between them sharing not only most of the risk factors and some clinical aspects but also pathophysiological mechanisms. Cerebrovascular lesions, especially small vessel disease （lacunar infarcts, white matter hyperintensities and microbleeds）, may magnify the effects of mild Alzheimer＇s disease pathology and promote the progression of cognitive decline and may also be a precursor of neuronal damage and dementia. ＂Vascular hypothesis＂ of Alzheimer＇s disease would open a window for new approaches and treatments.
文摘To meet the demand of the pressure vessel industry, Baosteel has developed an S11306 ＋ SA516Gr70 roll-bonded clad steel plate. Comprehensive inspections of the composition, microstructure, and properties are performed to systematically evaluate the steel plate in normalized state and normalized ＋ stress relieved state. The results show the cladding interface of the Sl1306 ＋ SA516Gr70 roll-bonded clad steel plate has high shear strength, and the base metal has good mechanical properties. The performance is fully consistent with the technical requirements of the roll-bonded clad steel plate for pressure vessels.
文摘BACKGROUND Inguinal hernia repair is one of the most common general surgical operations worldwide.We present a case of indirect inguinal hernia containing an expanded portosystemic shunt vessel.CASE SUMMARY We report a 72-year-old man who had a 4 cm×4 cm swelling in the right inguinal region,which disappeared with light manual pressure.Abdominal-pelvic computed tomography(CT)revealed a right inguinal hernia containing an expanded portosystemic shunt vessel,which had been noted for 7 years due to liver cirrhosis.We performed Lichtenstein’s herniorrhaphy and identified the hernia sac as being indirect and the shunt vessel existing in the extraperitoneal cavity through the internal inguinal ring.Then,we found two short branches between the expanded shunt vessel and testicular vein in the middle part of the inguinal canal and cut these branches to allow the shunt vessel to return to the extraperitoneal cavity of the abdomen.The hernia sac was returned as well.We encountered no intraoperative complications.After discharge,groin seroma requiring puncture at the outpatient clinic was observed.CONCLUSION If an inguinal hernia patient has portal hypertension,ultrasound should be used to determine the contents of the hernia.When atypical vessels are visualized,they may be shunt vessels and additional CT is recommended to ensure the selection of an adequate approach for safe hernia repair.
文摘To meet the demand of the domestic pressure vessel industry for roll-bonded clad steel plates, Baosteel has developed an S30403 ＋ Q345R roll-bonded clad steel plate. Comprehensive inspections of the composition, microstructure, and properties are made to systematically evaluate the steel plate in the normalized and normalized ＋ stress relieved states. The results show the cladding interface of the S30403 ＋ Q345R roll-bonded clad steel plate has high shear strength, the base metal has good properties, and the mechanical properties of the steel plate head and tail are uniform. The performance is fully consistent with the technical requirements of the roll-bonded clad steel plate for pressure vessels.
文摘The descriptive capabilities of the banded speed cosmological model are shown. In particular, an in-depth analysis related to the actual physical meaning of Planck＇s unit is given in the framework of the banded distribution of physical quantities. From this analysis the richness and flexibility of the model＇s description capabilities is derived, with particular attention devoted to the ability of using the same relationships for describing both microcosm and macrocosm and also young and old universe. Finally the cited descriptive capabilities are used for deriving a very simple and intuitive explanation of the ＂darkness＂ of dark matter.
基金This project is supported by National Hi-tech Research and Development Program of China (863 Program, No. 2002AA421150)Specialized Re-search Fund for Doctor Program of Higher Education of China (No. 20030335091).
文摘To deal with over-shooting and gouging in high speed machining, a novel approach for velocity smooth link is proposed. Considering discrete tool path, cubic spline curve fitting is used to find dangerous points, and according to spatial geometric properties of tool path and the kinematics theory, maximum optimal velocities at dangerous points are obtained. Based on method of velocity control characteristics stored in control system, a fast algorithm for velocity smooth link is analyzed and formulated. On-line implementation results show that the proposed approach makes velocity changing more smoothly compared with traditional velocity control methods and improves productivity greatly.
基金financially supported by the National Natural Science Foundation of China (Grant No. 52101357)the Natural Science Foundation of the Jiangsu Higher Education Institutions of China (Grant No. 21KJB580012)the Scientific Research Start-up Fund of Jiangsu University of Science and Technology
文摘A higher-order boundary element method(HOBEM)incorporated with analytical panel integrals related to translat-ing-pulsating source Green’s function is proposed for the hydrodynamic response prediction of ships advancing in waves.In this method,the 9-node bi-quadratic curvilinear elements employed to discretize the mixed-source/dipole boundary integral equation are mapped into the parametric plane through a coordinate transformation.Then in order to ease the numerical instability problem,a novel analytical quadrature is derived to calculate the influence coefficients by changing the integral order and using integration by parts.The singularity caused by infinite discontinuity is analyzed and eliminated by adopting some mathematical techniques.Through the calculations of panel integrals of Green’s function and its x-derivative,the analytical integral method is proved to be always accurate even for field points approaching the free surface,where numerical quadrature is impossible to give reasonable results.Based on this,a higher-order seakeeping program is developed and applied in the motion response prediction of two different types of ships(i.e.,a wall-sided ship Wigley III and a non-wall-sided ship S175).By comparing the computed results with the corresponding experimental data and numerical solutions of the translating-pulsating and higher-order Green’s function methods based on traditional Gauss quadrature,it is found that the HOBEM based on analytical quadrature is of better accuracy and stability.For the non-wall-sided ship,only the present method can produce reasonable pre-diction of motion responses,while obvious oscillatory phenomenon is observed in the results of the other two numerical methods based on Gauss quadrature.
基金This work was financially supported by the University of Kashan(Grant Number:574613/026).
文摘This study focuses on vibration analysis of cylindrical pressure vessels constructed by functionally graded carbon nanotube reinforced composites(FG-CNTRC).The vessel is under internal pressure and surrounded by a Pasternak foundation.This investigation was founded based on two-dimensional elastic analysis and used Hamilton’s principle to drive the governing equations.The deformations and effective-mechanical properties of the reinforced structure were elicited from the first-order shear theory(FSDT)and rule of mixture,respectively.The main goal of this study is to show the effects of various design parameters such as boundary conditions,reinforcement distribution,foundation parameters,and aspect ratio on the free vibration characteristics of the structure.
