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Twin-block在骨性Ⅱ类错[牙合]下颌后缩患儿中的应用
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作者 陈菁菁 王密 +2 位作者 刘芳 乔柱 赵虎 《中国美容医学》 CAS 2024年第9期53-57,共5页
目的:探讨Twin-block在骨性Ⅱ类错[牙合]下颌后缩患儿中的应用效果。方法:选取2019年1月-2021年1月笔者医院接收的84例骨性Ⅱ类错[牙合]下颌后缩患儿设置为研究对象,按随机抽签法分为对照组、研究组,各42例,对照组采用直丝弓矫治器,研... 目的:探讨Twin-block在骨性Ⅱ类错[牙合]下颌后缩患儿中的应用效果。方法:选取2019年1月-2021年1月笔者医院接收的84例骨性Ⅱ类错[牙合]下颌后缩患儿设置为研究对象,按随机抽签法分为对照组、研究组,各42例,对照组采用直丝弓矫治器,研究组采用Twin-block矫治器。比较两组治疗前后咀嚼功能、牙齿咬合力、下颌骨变化、软组织面型变化、上气道矢状径,并统计家属治疗满意度。结果:治疗后,研究组咀嚼功能、牙齿咬合力、下颌骨变化指标、软组织面型变化指标均优于对照组(P<0.05);治疗后,研究组上气道矢状径高于对照组(P<0.05);研究组家属治疗满意度(95.24%)明显高于对照组(73.81%)(P<0.05)。结论:Twin-block应用于骨性Ⅱ类错[牙合]下颌后缩患儿治疗中,能改善咀嚼功能,增强牙齿咬合力,促进下颌骨生长,提高面型美观度,扩大上气道矢状径,利于改善呼吸功能,获得家属对治疗效果的高度评价。 展开更多
关键词 TWIN-block []
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A transition from a large open pit into a novel “macroblock variant” block caving geometry at Chuquicamata mine, Codelco Chile 被引量:2
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作者 German Flores Alex Catalan 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2019年第3期549-561,共13页
With a history of more than 100 years, Chuquicamata has become one of the largest open pits in the world. Its current depth of 1100 m, length of 4500 m and width of 3000 m, resulting in haulage distances of over 11,00... With a history of more than 100 years, Chuquicamata has become one of the largest open pits in the world. Its current depth of 1100 m, length of 4500 m and width of 3000 m, resulting in haulage distances of over 11,000 m from pit bottom to the processing plant or waste dumps, with waste/ore ratio greater than 4 and much lower grades, are effectively determining its profitable limit by the end of this decade. Currently, there are over 4300 Mt of geological resources containing 0.7% of copper and 340 ppm (1 ppm = 1 g/t) of molybdenum below the final pit shell. The corresponding orebody geometry is 3000 m northsouth, 300-800 m eastwest and the drilling campaign suggested the existence of more than 900 m of mineable ore from the final pit bottom. This is in spite of the fact that the Chuquicamata orebody is still open at depth. The business case to continue with the mining of the Chuquicamata orebody is to change from the current large open pit to a novel macroblock variant block caving geometry. This requires a production rate of 140,000 t/d (50 Mt per annum), with a continuous material handling system to achieve the 7-year ramp-up to full production. The resolution of a number of known technical, operational and logistical challenges outside current industry practises which Chuquicamata will face over its projected 40-year mine life is therefore essential. These challenges include simultaneous operations of open pit and underground macroblocks and from the initial lift to the second lift, rapid ramp-up and optimum sequencing of the planned macroblocks, early dilution from the west fault and late dilution from potential slope failures, and the potential for major operational hazards. An equally important issue to be addressed is cultural given that the mining history in the northern region of Chile, which includes Chuquicamata, is predominantly open pit. This paper presents a synopsis of the main challenges that the Chuquicamata underground project will face in order to meet the objectives of its corresponding business case. Those discussed and how they were resolved are: simultaneous operations, rapid ramp-up and optimum sequencing of the planned macroblocks, and early and late dilutions. The project is an example of the fact that there are no recipes or cook books in cave mining. 展开更多
关键词 MACROblock VARIANT block CAVING CAVE propagation Early and late dilutions Intensive PRECONDITIONING Rib PILLAR West fault Ore buffer
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数字化Twin-block矫治器用于骨性安氏Ⅱ类错颌畸形对患儿口颌系统结构形态、舒适度的影响
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作者 杜雅晶 喻琼琼 +1 位作者 田欣欣 刘朝 《海南医学》 CAS 2024年第21期3112-3116,共5页
目的探讨数字化Twin-block矫治器用于骨性安氏Ⅱ类错颌畸形对患儿口颌系统结构形态、舒适度的影响。方法选取2021年5月至2023年5月郑州大学第一附属医院收治的106例骨性安氏Ⅱ类错颌畸形正畸患儿作为研究对象,按随机数表法分为对照组和... 目的探讨数字化Twin-block矫治器用于骨性安氏Ⅱ类错颌畸形对患儿口颌系统结构形态、舒适度的影响。方法选取2021年5月至2023年5月郑州大学第一附属医院收治的106例骨性安氏Ⅱ类错颌畸形正畸患儿作为研究对象,按随机数表法分为对照组和观察组各53例。对照组患儿使用传统Twin-block矫治器治疗,观察组患儿使用数字化Twin-block矫治器治疗。比较两组患儿的临床效果以及矫治前、矫治6个月后的正畸标准指数(PAR)、牙齿位置、下颌骨结构,同时比较两组患儿的牙齿舒适度。结果观察组患儿的治疗总有效率为96.23%,明显高于对照组的81.13%,差异有统计学意义(P<0.05);矫治6个月后,观察组患儿的前牙排列、后牙排列、颊侧咬合、覆颌、中线和PAR指数总分分别为(1.03±0.10)分、(1.01±0.33)分、(0.63±0.12)分、(0.18±0.06)分、(0.14±0.05)分、(4.19±1.08)分,明显低于对照组的(1.37±0.16)分、(1.42±0.41)分、(0.90±0.15)分、(0.36±0.10)分、(0.21±0.07)分、(5.61±1.24)分,差异均有统计学意义(P<0.05);矫治6个月后,观察组患儿的覆盖(OJ)、上齿槽座点-鼻根点-下齿槽座点(ANB)分别为(1.72±0.29)mm、(3.43±0.37)°,明显低于对照组的(2.15±0.34)mm、(3.86±0.42)°,而SNB为(81.17±2.04)°,大于对照组的(79.35±1.43)°,差异均有统计学意义(P<0.05);矫治6个月后,观察组患儿的下颌长度(Go-Gn)、下颌升支长度(Co-Go)、面角(NP-FH)分别为(66.69±2.01)mm、(55.56±2.59)mm、(86.64±1.44)°,明显高于对照组的(65.12±1.54)mm、(53.24±2.11)mm、(85.32±1.21)°,差异均有统计学意义(P<0.05);观察组患儿的牙齿舒适度优于对照组,差异有统计学意义(P<0.05)。结论数字化Twin-block矫治器治疗骨性安氏Ⅱ类错颌畸形临床正畸效果更为有效,可改善下颌后缩、深覆颌,且舒适度高。 展开更多
关键词 TWIN-block矫治器 齿
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THE STABLE RECONSTRUCTION OF STRONGLY-DECAYING BLOCK SPARSE SIGNALS
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作者 Yifang YANG Jinping WANG 《Acta Mathematica Scientia》 SCIE CSCD 2024年第5期1787-1800,共14页
In this paper,we reconstruct strongly-decaying block sparse signals by the block generalized orthogonal matching pursuit(BgOMP)algorithm in the l2-bounded noise case.Under some restraints on the minimum magnitude of t... In this paper,we reconstruct strongly-decaying block sparse signals by the block generalized orthogonal matching pursuit(BgOMP)algorithm in the l2-bounded noise case.Under some restraints on the minimum magnitude of the nonzero elements of the strongly-decaying block sparse signal,if the sensing matrix satisfies the the block restricted isometry property(block-RIP),then arbitrary strongly-decaying block sparse signals can be accurately and steadily reconstructed by the BgOMP algorithm in iterations.Furthermore,we conjecture that this condition is sharp. 展开更多
关键词 compressed sensing strongly-decaying block sparse signal block generalized OMP block-RIP
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Geochemistry, zircon U–Pb geochronology, and Hf isotopes of S-type granite in the Baoshan block, constraints on the age and evolution of the Proto-Tethys
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作者 Jianjun Zhang Chuanlong Mou +3 位作者 Chendong Liu Yong Zhang Ting Chen Hualiang Li 《Acta Geochimica》 EI CAS CSCD 2024年第1期40-58,共19页
Geochemistry, zircon U–Pb geochronology, and Hf isotope data for the Early Paleozoic granites in the Baoshan Block reveal the Early Paleozoic tectonic evolution of the Proto-Tethys. The samples are high-K, calcalkali... Geochemistry, zircon U–Pb geochronology, and Hf isotope data for the Early Paleozoic granites in the Baoshan Block reveal the Early Paleozoic tectonic evolution of the Proto-Tethys. The samples are high-K, calcalkaline, strongly peraluminous rocks with A/CNK values of 1.37–1.46, are enriched in SiO2, K2O, and Rb, and are depleted in Nb, P, Ti, Eu, and heavy rare earth elements,which indicates the crystallization fractionation of the granitic magma. Zircon U–Pb dating indicates that they formed in ca. 480 Ma. The Nansa granites have εHf(t) values ranging from-16.04 to 4.36 with corresponding TC DMages of 2.10–0.81 Ga, which suggests the magmas derived from the partial melting of ancient metasedimentary with minor involvement of mantle-derived components. A synthesis of data for the Early Paleozoic igneous rocks in the Baoshan block and adjacent(Tengchong,Qiangtang, Sibumasu, Himalaya, etc.) blocks indicates that these blocks were all aligned along the proto-Tethyan margin of East Gondwana in the Early Paleozoic. The Early Paleozoic S-type granites from Nansa were generated in a high-temperature and low-pressure(HTLP) extensional tectonic setting, which resulted from Andean-type orogeny instead of the final assembly of Gondwana or crustal extension in a non-arc environment. In certain places, an expanding environment may exist in opposition to the tectonic backdrop of the lithosphere’s thickening and shortening, leading the crust to melt and decompress,mantle-derived materials to mix, and a small quantity of peraluminous granite to emerge. 展开更多
关键词 Baoshan block Early Paleozoic GRANITE GEOCHEMISTRY ZIRCON GEOCHRONOLOGY Hf isotope
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The late Early-Paleozoic granitic magmatism in Northwestern Fujian, China: constraints on intraplate orogeny in the South China block
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作者 WanLi Gao ZongXiu Wang 《Acta Geochimica》 EI CAS CSCD 2024年第1期134-149,共16页
The Early Paleozoic tectono-thermal event was a significant orogenic activity during the Phanerozoic era,which had a profound impact on the early crust of the South China Block(SCB) and established the foundation for ... The Early Paleozoic tectono-thermal event was a significant orogenic activity during the Phanerozoic era,which had a profound impact on the early crust of the South China Block(SCB) and established the foundation for later tectonic activity.The Wuyi-Yunkai orogenic belt in Southeastern China was extensively exposed to Early Paleozoic magmatism,the genetic mechanism of which remains controversial.To shed light on this issue,detailed petrological,geochemical,and zircon U-Pb-Hf isotopic studies were carried out on two granitoids,namely the Yuntongshan pluton and the Gaoqiao pluton,identified in the central Wuyishan.Zircon U-Pb chronology of the Yuntongshan and Gaoqiao bodies yielded ages of437±4 Ma(MSWD=2.2) and 404±2 Ma(MSWD=12),respectively,indicating that they were emplaced during the Early Silurian and Early Devonian periods.These granitoids are primarily composed of biotite-granite and biotite-monzonitic-granites,with high concentrations of S_(i)O_(2)(73.59-75.91 wt%),K_(2)O+Na_(2)O(8.31-8.73wt%),and low contents of MgO,CaO,Cr,Ni.They are classified as high-K calc-alkaline and weakly metaluminous-strongly peraluminous S-type granites.These granitoids are enriched in light rare earth elements(LREEs) and large ion lithophile elements(LILEs) and depleted in heavy rare earth elements(HREEs) and high field strength elements(HFSEs) with arc affinity.The εHf(t) values of-3.3 to-15.4 with two-stage Hf model ages ranging from 2829 to 1644 Ma,combined with the presence of Neoproterozoic inherited zircons,suggest that the primary magma of these granitoids was derived from the partial melting of Neoproterozoic crust with a Paleoproterozoic crustal model age.These findings,combined with the spatio-temporal distribution of regional magmatism,reveal that the late Early-Paleozoic granitoids formed in the intraplate orogenic background originating from the subduction of the proto-Tethys Ocean and proto-Pacific Ocean around the margin of the east Gondwana supercontinent. 展开更多
关键词 Late Early-Paleozoic GRANITES Intraplate orogeny Cathysian block Zircon U-Pb-Hf Isotopic composition
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Secure Transmission Scheme for Blocks in Blockchain-Based Unmanned Aerial Vehicle Communication Systems
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作者 Ting Chen Shuna Jiang +4 位作者 Xin Fan Jianchuan Xia Xiujuan Zhang Chuanwen Luo Yi Hong 《Computers, Materials & Continua》 SCIE EI 2024年第11期2195-2217,共23页
In blockchain-based unmanned aerial vehicle(UAV)communication systems,the length of a block affects the performance of the blockchain.The transmission performance of blocks in the form of finite character segments is ... In blockchain-based unmanned aerial vehicle(UAV)communication systems,the length of a block affects the performance of the blockchain.The transmission performance of blocks in the form of finite character segments is also affected by the block length.Therefore,it is crucial to balance the transmission performance and blockchain performance of blockchain communication systems,especially in wireless environments involving UAVs.This paper investigates a secure transmission scheme for blocks in blockchain-based UAV communication systems to prevent the information contained in blocks from being completely eavesdropped during transmission.In our scheme,using a friendly jamming UAV to emit jamming signals diminishes the quality of the eavesdropping channel,thus enhancing the communication security performance of the source UAV.Under the constraints of maneuverability and transmission power of the UAV,the joint design of UAV trajectories,transmission power,and block length are proposed to maximize the average minimum secrecy rate(AMSR).Since the optimization problem is non-convex and difficult to solve directly,we first decompose the optimization problem into subproblems of trajectory optimization,transmission power optimization,and block length optimization.Then,based on firstorder approximation techniques,these subproblems are reformulated as convex optimization problems.Finally,we utilize an alternating iteration algorithm based on the successive convex approximation(SCA)technique to solve these subproblems iteratively.The simulation results demonstrate that our proposed scheme can achieve secure transmission for blocks while maintaining the performance of the blockchain. 展开更多
关键词 Unmanned aerial vehicles blockchain finite blocklength block transmission alternating optimization
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Misinterpretation of sleep-induced second-degree atrioventricular block
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作者 S Serge Barold 《World Journal of Cardiology》 2024年第7期385-388,共4页
A number of publications have claimed that Mobitz type Ⅱ atrioventricular block(AVB)may occur during sleep.None of the reports defined type Ⅱ AVB and representative electrocardiograms were either misinterpreted or m... A number of publications have claimed that Mobitz type Ⅱ atrioventricular block(AVB)may occur during sleep.None of the reports defined type Ⅱ AVB and representative electrocardiograms were either misinterpreted or missing.Relatively benign Wenckebach type Ⅰ AVB is often misdiagnosed as Mobitz type Ⅱ which is an indication for a pacemaker.Review of the published reports indicates that Mobitz type II AVB does not occur during sleep when it is absent in the awake state.Conclusion:There is no proof that sleep is associated with Mobitz type Ⅱ AVB. 展开更多
关键词 Wenckebach type I atrioventricular block Mobitz typeatrioventricular block Vagal tone Heart block Cardiac pacemaker
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Ultrasound-guided sphenopalatine ganglion block for effective analgesia during awake fiberoptic nasotracheal intubation: A case report
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作者 Hangil Kang Seongjae Park Yehun Jin 《World Journal of Clinical Cases》 SCIE 2024年第14期2451-2456,共6页
BACKGROUND Awake fiberoptic nasotracheal intubation(AFNI)is the preferred airway ma-nagement strategy for patients with difficult airways.However,this procedure can cause significant physical and psychological distres... BACKGROUND Awake fiberoptic nasotracheal intubation(AFNI)is the preferred airway ma-nagement strategy for patients with difficult airways.However,this procedure can cause significant physical and psychological distress.This case report explores the application of a sphenopalatine ganglion(SPG)block as an alternative anal-gesic modality to mitigate the discomfort associated with AFNI.CASE SUMMARY A 63-year-old female with a history of right maxillary osteosarcoma underwent craniotomy for a suspected malignant brain lesion.The patient’s medical history included prior surgery,chemotherapy,and radiation therapy,resulting in signi-ficant jaw impairment and limited neck mobility.Considering the anticipated air-way challenges,AFNI was planned.A SPG block was performed under real-time ultrasound guidance,providing effective analgesia during nasotracheal intuba-tion.CONCLUSION The SPG block represents a promising analgesic approach in AFNI,offering po-tential benefits in alleviating pain involving the nasal and nasopharyngeal regions as well as improving patient cooperation. 展开更多
关键词 Sphenopalatine ganglion block Nerve block Regional anesthesia ANALGESIA Awake fiberoptic nasotracheal intubation Case report
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Ultrasound-guided peripheral nerve blocks for anterior cutaneous nerve entrapment syndrome after robot-assisted gastrectomy: A case report
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作者 Yukiko Saito Hirohisa Takeuchi +3 位作者 Joho Tokumine Ryuji Sawada Kunitaro Watanabe Tomoko Yorozu 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第8期2719-2723,共5页
BACKGROUND Anterior cutaneous nerve entrapment syndrome(ACNES)is a condition mani-festing with pain caused by strangulation of the anterior cutaneous branch of the lower intercostal nerves.This case report aims to pro... BACKGROUND Anterior cutaneous nerve entrapment syndrome(ACNES)is a condition mani-festing with pain caused by strangulation of the anterior cutaneous branch of the lower intercostal nerves.This case report aims to provide new insight into the selection of peripheral nerve blocks for the ACNES treatment.CASE SUMMARY A 66-year-old woman manifested ACNES after a robot-assisted distal gastrec-tomy.An ultrasound-guided rectal sheath block was effective for pain triggered by the port scar.However,the sudden severe pain,which radiated laterally from the previous site,remained.A transversus abdominis plane block was performed for the remaining pain and effectively relieved it.CONCLUSION In this case,the trocar port was inserted between the rectus and transverse abdominis muscles.The intercostal nerves might have been entrapped on both sides of the rectus and transversus abdominis muscles.Hence,rectus sheath and transverse abdominis plane blocks were required to achieve complete pain relief.To the best of our knowledge,this is the first report on use of a combination of rectus sheath and transverse abdominis plane blocks for pain relief in ACNES. 展开更多
关键词 Anterior cutaneous nerve entrapment syndrome Rectus sheath block Trans-verse abdominal plane block HYDRODISSECTION Robot-assisted gastrectomy Case report
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Factors influencing agitation during anesthesia recovery after laparoscopic hernia repair under total inhalation combined with caudal block anesthesia
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作者 Yun-Feng Zhu Fan-Yan Yi +4 位作者 Ming-Hui Qin Ji Lu Hao Liang Sen Yang Yu-Zheng Wei 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第11期3499-3510,共12页
BACKGROUND Laparoscopic hernia repair is a minimally invasive surgery,but patients may experience emergence agitation(EA)during the post-anesthesia recovery period,which can increase pain and lead to complications suc... BACKGROUND Laparoscopic hernia repair is a minimally invasive surgery,but patients may experience emergence agitation(EA)during the post-anesthesia recovery period,which can increase pain and lead to complications such as wound reopening and bleeding.There is limited research on the risk factors for this agitation,and few effective tools exist to predict it.Therefore,by integrating clinical data,we have developed nomograms and random forest predictive models to help clinicians predict and potentially prevent EA.AIM To establish a risk nomogram prediction model for EA in patients undergoing laparoscopic hernia surgery under total inhalation combined with sacral block anesthesia.METHODS Based on the clinical information of 300 patients who underwent laparoscopic hernia surgery in the Nanning Tenth People’s Hospital,Guangxi,from January 2020 to June 2023,the patients were divided into two groups according to their sedation-agitation scale score,i.e.,the EA group(≥5 points)and the non-EA group(≤4 points),during anesthesia recovery.Least absolute shrinkage and selection operator regression was used to select the key features that predict EA,and incorporating them into logistic regression analysis to obtain potential pre-dictive factors and establish EA nomogram and random forest risk prediction models through R software.RESULTS Out of the 300 patients,72 had agitation during anesthesia recovery,with an incidence of 24.0%.American Society of Anesthesiologists classification,preoperative anxiety,solid food fasting time,clear liquid fasting time,indwelling catheter,and pain level upon awakening are key predictors of EA in patients undergoing laparoscopic hernia surgery with total intravenous anesthesia and caudal block anesthesia.The nomogram predicts EA with an area under the receiver operating characteristic curve(AUC)of 0.947,a sensi-tivity of 0.917,and a specificity of 0.877,whereas the random forest model has an AUC of 0.923,a sensitivity of 0.912,and a specificity of 0.877.Delong’s test shows no significant difference in AUC between the two models.Clinical decision curve analysis indicates that both models have good net benefits in predicting EA,with the nomogram effective within the threshold of 0.02 to 0.96 and the random forest model within 0.03 to 0.90.In the external model validation of 50 cases of laparoscopic hernia surgery,both models predicted EA.The nomogram model had a sensitivity of 83.33%,specificity of 86.84%,and accuracy of 86.00%,while the random forest model had a sensitivity of 75.00%,specificity of 78.95%,and accuracy of 78.00%,suggesting that the nomogram model performs better in predicting EA.CONCLUSION Independent predictors of EA in patients undergoing laparoscopic hernia repair with total intravenous anesthesia combined with caudal block include American Society of Anesthesiologists classification,preoperative anxiety,duration of solid food fasting,duration of clear liquid fasting,presence of an indwelling catheter,and pain level upon waking.The nomogram and random forest models based on these factors can help tailor clinical decisions in the future. 展开更多
关键词 Inhalation anesthesia Sacral block anesthesia Laparoscopic hernia surgery Agitation during recovery period NOMOGRAM Surgical outcomes Postoperative complications
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Optimisation of Thermal Comfort of Building in a Hot and Dry Tropical Climate: A Comparative Approach between Compressed Earth/Concrete Block Envelopes
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作者 Arnaud Louis Sountong-Noma Ouedraogo Césaire Hema +2 位作者 Sjoerd Moustapha N’guiro Philbert Nshimiyimana Adamah Messan 《Journal of Minerals and Materials Characterization and Engineering》 2024年第1期1-16,共16页
Compressed earth blocks (CEB) are an alternative to cement blocks in the construction of wall masonry. However, the optimal architectural construction methods for adequate thermal comfort for occupants in hot and arid... Compressed earth blocks (CEB) are an alternative to cement blocks in the construction of wall masonry. However, the optimal architectural construction methods for adequate thermal comfort for occupants in hot and arid environments are not mastered. This article evaluates the influence of architectural and constructive modes of buildings made of CEB walls and concrete block walls, to optimize and compare their thermal comfort in the hot and dry tropical climate of Ouagadougou, Burkina Faso. Two identical pilot buildings whose envelopes are made of CEB and concrete blocks were monitored for this study. The thermal models of the pilot buildings were implemented in the SketchUp software using an extension of EnergyPlus. The models were empirically validated after calibration against measured thermal data from the buildings. The models were used to do a parametric analysis for optimization of the thermal performances by simulating plaster coatings on the exterior of walls, airtight openings and natural ventilation depending on external weather conditions. The results show that the CEB building displays 7016 hours of discomfort, equivalent to 80.1% of the time, and the concrete building displays 6948 hours of discomfort, equivalent to 79.3% of the time. The optimization by modifications reduced the discomfort to 2918 and 3125 hours respectively;i.e. equivalent to only 33.3% for the CEB building and 35.7% for the concrete building. More study should evaluate thermal optimizations in buildings in real time of usage such as residential buildings commonly used by the local middle class. The use of CEB as a construction material and passive means of improving thermal comfort is a suitable ecological and economical option to replace cementitious material. 展开更多
关键词 Compressed Earth blocks Hot and Dry Climate Thermal Comfort Architectural Optimization of Thermal Models Cement blocks Empirical Validation
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螺旋扩弓器联合Twin-block矫治器早期矫治在青少年下颌后缩中的应用效果及对气道形态的影响研究 被引量:1
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作者 张静 刘全惠 《中国医学工程》 2024年第2期70-73,共4页
目的探讨螺旋扩弓器联合Twin-block矫治器早期矫治在青少年下颌后缩中的应用效果及对气道形态的影响研究。方法将河南大学赛思口腔医院2021年5月至2022年5月收治的63例青少年下颌后缩患者,根按照随机数字表法分为两组,对照组(32例)、观... 目的探讨螺旋扩弓器联合Twin-block矫治器早期矫治在青少年下颌后缩中的应用效果及对气道形态的影响研究。方法将河南大学赛思口腔医院2021年5月至2022年5月收治的63例青少年下颌后缩患者,根按照随机数字表法分为两组,对照组(32例)、观察组(31例),对照组早期给予Twin-block矫治器治疗,观察组早期给予螺旋扩弓器联合Twin-block矫治器矫治治疗,观察两组牙齿角度相关指标、气道形态指标及舌骨位置变化。结果矫治前,两组上下齿槽座角(ANB)、颅底-下齿槽座角(SNB)、前下中切牙下颌平面(T-MP)、颅底-上齿槽座角(SNA)比较差异无统计学意义(P>0.05),矫治后3个月,观察组ANB、SNB、T-MP、SNA均大于对照组(P<0.05);矫治前,两组后鼻脊-咽顶点距(PNS-R)、软腭后-软腭后咽壁距(SPP-SPPW)、后鼻脊-上咽壁距(PNS-UPW)、会厌骨-下咽壁距(V-LPW)比较差异无统计学意义(P>0.05),矫治后3个月,观察组PNS-R、SPP-SPPW、PNS-UPW、V-LPW均大于对照组(P<0.05);矫治前,两组舌骨-眶耳平面距(H-FH)、舌骨-下颌平面距(H-MP)、舌骨-颈椎前平面距(H-VL)、舌骨-颅底平面距(H-S)比较差异无统计学意义(P>0.05),矫治后3个月,观察组H-FH、H-MP、H-VL、H-S均大于对照组(P<0.05)。结论螺旋扩弓器联合Twin-block矫治器早期矫治可以有效改善青少年下颌后缩患者牙齿角度、气道形态,纠正舌骨的位置,改善通气功能。 展开更多
关键词 TWIN-block矫治器
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Novel approach of ultrasound-guided lateral recess block for a patient with lateral recess stenosis: A case report 被引量:1
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作者 Jiao Yang Xin-Ling Li Qing-Bing Li 《World Journal of Clinical Cases》 SCIE 2024年第5期1010-1017,共8页
BACKGROUND Ultrasound guide technology,which can provide real-time visualization of the needle tip and tissues and avoid many adverse events,is widely used in mini-mally invasive therapy.However,the studies on ultraso... BACKGROUND Ultrasound guide technology,which can provide real-time visualization of the needle tip and tissues and avoid many adverse events,is widely used in mini-mally invasive therapy.However,the studies on ultrasound-guided Lateral recess block(LRB)are limited,this is probably because there is no recognized standard method for ultrasound scanning.This study aimed to evaluate the effect of ultrasound-guided LRB in patients with lateral recess stenosis(LRS).CASE SUMMARY A 65-year-old patient complained of low back pain accompanied occasionally by pain and numbness in the left lower limb.Physical examination showed ten-derness on the spinous process and paraspinal muscles from L1 to S1,extensor hallucis longus and tibialis anterior weakness(muscle strength:4-),and a positive straight leg raising test in the left lower limb(60°).Magnetic resonance imaging showed L4–L5 disc degeneration with left LRS and nerve root entrapment.Subsequently,the patient was diagnosed with LRS.This patient was treated with a novel ultrasound-guided LRB approach.The patient’s symptoms significantly improved without any complications at 1 wk postoperatively and at the 3-month follow-up.CONCLUSION This is the first report on the LRS treatment with ultrasound-guided LRB from the contralateral spinous process along the inner side of the articular process by out-plane technique.Further studies are expected to investigate the efficacy and safety of ultrasound-guided LRB for patients with LRS. 展开更多
关键词 Lateral recess stenosis ULTRASOUND Lateral recess block Real-time visualization Low back pain Case report
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安氏Ⅱ类错[牙合]畸形佩戴Twin-block矫治器时上颌骨的应力分布
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作者 李帅 刘桦 +3 位作者 商永慧 刘义琮 赵启航 刘文 《中国组织工程研究》 CAS 北大核心 2025年第5期881-887,共7页
背景:Twin-block矫治器常用于安氏Ⅱ类错[牙合]畸形的矫治,其刺激下颌骨生长的作用机制已得到许多研究证实,但对上颌骨生长的影响尚不清楚。目的:通过有限元法分析安氏Ⅱ类错[牙合]畸形患者佩戴Twin-block矫治器时上颌骨复合体、周围骨... 背景:Twin-block矫治器常用于安氏Ⅱ类错[牙合]畸形的矫治,其刺激下颌骨生长的作用机制已得到许多研究证实,但对上颌骨生长的影响尚不清楚。目的:通过有限元法分析安氏Ⅱ类错[牙合]畸形患者佩戴Twin-block矫治器时上颌骨复合体、周围骨缝及上颌牙列的应力分布。方法:选择在山东省康复大学青岛医院/青岛市市立医院口腔正畸科进行正畸治疗的安氏Ⅱ类错[牙合]畸形患者1例,测量患者佩戴Twin-block矫治器时的咬合力数据,采集其锥形束CT数据,建立包含上颌骨复合体、周边各骨缝、Twin-block矫治器及上颌牙列在内的有限元模型,通过ABAQUS软件模拟患者戴入Twin-block时上颌骨、骨缝及上颌牙列的应力分布与位移。结果与结论:①上颌前牙受到的等效应力明显小于后牙,两侧牙齿的最大等效应力分别为4.7975 MPa和8.7161 MPa,均位于第一前磨牙处;最大位移呈现在两侧上颌切牙处,分别为0.0805 mm和0.0810 mm;②骨缝的最大等效应力为1.284 MPa,主要集中在两侧翼腭缝及额颌缝,其余骨缝受力情况几乎无差异;骨缝的最大位移为0.07 mm,其中翼腭缝的位移量最大,其次是额颌缝;③上颌骨复合体受到的最大等效应力为27.18 MPa,主要集中在上颌骨前面梨状孔两侧、鼻额缝周边及颚骨后部翼腭缝附近;上颌骨的最大位移值为0.07 mm,主要集中于上颌牙槽骨;④结果显示,咬合力通过Twin-block矫治器作用于上颌骨复合体,导致上颌骨顺时针旋转、牙合平面变陡,应采取相应措施补偿这种趋势,例如建牙合过程中考虑上颌磨牙伸长、下颌磨牙压低,不仅能够将牙合平面整平,同时有利于下颌前伸,这将进一步提高Ⅱ类错[牙合]正畸治疗效果。 展开更多
关键词 TWIN-block矫治器
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Twin-Block双期矫治与单纯直丝弓矫正技术在早期下颌后缩矫正患儿中的疗效对比
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作者 田华 邓刚 郝天喜 《中国医疗美容》 2024年第1期66-70,共5页
目的探讨Twin-Block双期矫治与单纯直丝弓矫正技术在替牙及恒牙早期错(牙合)畸形矫正患儿中的疗效对比。方法选取我院2020年9月到2023年9月收治的60例恒牙早期错(牙合)畸形患儿作为研究对象,按照治疗方法不同分为观察组与对照组,各组均... 目的探讨Twin-Block双期矫治与单纯直丝弓矫正技术在替牙及恒牙早期错(牙合)畸形矫正患儿中的疗效对比。方法选取我院2020年9月到2023年9月收治的60例恒牙早期错(牙合)畸形患儿作为研究对象,按照治疗方法不同分为观察组与对照组,各组均为30例。所有患儿均采取矫正治疗,对照组患儿采取直丝弓矫正技术进行治疗,观察组患儿采取Twin-Block矫治器及直丝弓矫治技术进行双期治疗。对比两组患儿临床疗效,及矫治时间,治疗前头影测量及关节改建情况,采用口腔锥形束扫描成像进行检测两组患儿关节窝宽径、关节前间隙、关节后间隙、关节上间隙、髁突前后径、髁突高度相关参数表达水平,最后对比两组患儿治疗前后上下齿槽座(ANB)角、下齿槽座(SNB)角、上齿槽座(SNA)角、下颌平面角(Mp-SN)、下颌综合长度(Ar-Po)、下颌升支高度(Ar-Go)、下颌体长(Go-Gn)、上中切牙-SN平面角(U1-SN)、下中切牙-下颌平面角(L1-Mp)、上唇审美平面距(Ls-E)、下唇审美平面距(Li-E)、鼻唇角。结果观察组治疗总有效率96.67%明显高于对照组76.67%(P<0.05);治疗后,观察组矫治时间长于对照组(P<0.05);治疗前,两组患儿关节窝宽径、关节前间隙、关节后间隙、关节上间隙、髁突前后径、髁突高度对比无明显差异(P>0.05),治疗后,两组患儿关节窝宽径对比无明显差异,关节前间隙减小,观察组(1.21±0.28)mm高于对照组,关节后间隙、关节上间隙、髁突前后径、髁突高度均增加,且观察组高于对照组(P<0.05);治疗前,两组患儿ANB角、SNB角、SNA角、Mp-SN、Ar-Po、Ar-Go、Go-Gn、U1-SN、L1-Mp、Ls-E、Li-E、鼻唇角对比无明显差异(P>0.05),治疗后,两组患儿SNB、Mp-SN、Ar-Po、Ar-Go、Go-Gn、鼻唇角均增大,ANB、U1-SN、L1-Mp、Li-E、Ls-E减小,且观察组变化大于对照组(P<0.05)。结论Twin-Block矫治器配合直丝弓矫治技术双期矫治器与单纯直丝弓矫正技术相比治疗替牙及恒牙早期错(牙合)畸形疗效显著,可作为儿童恒牙早期错(牙合)畸形的首选治疗方案。 展开更多
关键词 TWIN-block矫治器 ()
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Reduction of Electron Leakage in a Deep Ultraviolet Nitride Laser Diode with a Double-Tapered Electron Blocking Layer 被引量:3
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作者 Yi-Fu Wang Mussaab I.Niass +1 位作者 Fang Wang Yu-Huai Liu 《Chinese Physics Letters》 SCIE CAS CSCD 2019年第5期67-70,共4页
A double-tapered AlGaN electron blocking layer (EBL) is proposed to apply in a deep ultraviolet semiconductor laser diode. Compared with the inverse double-tapered EBL, the laser with the double-tapered EBL shows a hi... A double-tapered AlGaN electron blocking layer (EBL) is proposed to apply in a deep ultraviolet semiconductor laser diode. Compared with the inverse double-tapered EBL, the laser with the double-tapered EBL shows a higher slope efficiency, which indicates that effective enhancement in the transportation of electrons and holes is achieved. Particularly, comparisons among the double-tapered EBL, the inverse double-tapered EBL, the singletapered EBL and the inverse single-tapered EBL show that the double-tapered EBL has the best performance in terms of current leakage. 展开更多
关键词 EBL AlGaN REDUCTION of ELECTRON Leakage in a Deep Ultraviolet NITRIDE Laser Diode with a Double-Tapered ELECTRON blocking Layer
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PIC-MF-based Iterative Receiver for Multiuser Space Frequency Block Coding Systems
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作者 林文峰 何晨 熊勇 《Journal of Shanghai Jiaotong university(Science)》 EI 2007年第4期464-470,共7页
A novel low-complexity iterative receiver for multiuser space frequency block coding (SFBC) system was proposed in this paper. Unlike the conventional linear minimum mean square error (MMSE) detector, which requires m... A novel low-complexity iterative receiver for multiuser space frequency block coding (SFBC) system was proposed in this paper. Unlike the conventional linear minimum mean square error (MMSE) detector, which requires matrix inversion at each iteration, the soft-in soft-out (SISO) detector is simply a parallel interference cancellation (PIC)-matched filter (MF) operation. The probability density function (PDF) of PIC-MF detector output is approximated as Gaussian, whose variance is calculated with a priori information fed back from the channel decoder. With this approximation, the log likelihood ratios (LLRs) of transmitted bits are under-estimated. Then the LLRs are multiplied by a constant factor to achieve a performance gain. The constant factor is optimized according to extrinsic information transfer (EXIT) chart of the SISO detector. Simulation results show that the proposed iterative receiver can significantly improve the system performance and converge to the matched filter bound (MFB) with low computational complexity at high signal-to-noise ratios (SNRs). 展开更多
关键词 iterative MULTIUSER space FREQUENCY block coding (SFBC) parallel interference cancellation (PIC) matched filter (MF) EXTRINSIC information transfer (EXIT)
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Determining relative block structure rating for rock erodibility evaluation in the case of non-orthogonal joint sets 被引量:1
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作者 Lamine Boumaiza Ali Saeidi Marco Quirion 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2019年第1期72-87,共16页
The most commonly used method for assessing the hydraulic erodibility of rock is Annandale's method.This method is based on a correlation between the erosive force of flowing water and the capacity of rock resista... The most commonly used method for assessing the hydraulic erodibility of rock is Annandale's method.This method is based on a correlation between the erosive force of flowing water and the capacity of rock resistance. This capacity is evaluated using Kirsten's index, which was initially developed to evaluate the excavatability of earth materials. For rocky material, this index is determined according to certain geomechanical factors related to intact rock and rock mass, such as compressive strength of intact rock, rock block size, discontinuity shear strength and relative block structure. To quantify the relative block structure, Kirsten(1982) developed a mathematical expression that accounts for the shape and orientation of the blocks relative to the direction of flow. Kirsten's initial concept for assessing the relative block structure considers that the geological formation is mainly fractured by two joint sets forming an orthogonally fractured system. An adjusted concept is proposed to determine the relative block structure when the fractured system is non-orthogonal where the angle between the planes of the two joint sets is greater or less than 90°. An analysis of the proposed relative block structure rating shows that considering a non-orthogonally fractured system has a significant effect on Kirsten's index and, as a consequence, on the assessment of the hydraulic erodibility of rock. 展开更多
关键词 Fractured ROCK DIP angle DIP direction JOINT SPACING RELATIVE block structure Hydraulic ERODIBILITY of ROCK Annandales method Kirstens index
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Development of a DFN-based probabilistic block theory approach for bench face angle design in open pit mining
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作者 Jianhua Yan Xiansen Xing +4 位作者 Zhihai Li Weida Ni Liuyuan Zhao Chun Zhu Yuanyuan He 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第8期3047-3062,共16页
In open pit mining,uncontrolled block instabilities have serious social,economic and regulatory consequences,such as casualties,disruption of operation and increased regulation difficulties.For this reason,bench face ... In open pit mining,uncontrolled block instabilities have serious social,economic and regulatory consequences,such as casualties,disruption of operation and increased regulation difficulties.For this reason,bench face angle,as one of the controlling parameters associated with block instabilities,should be carefully designed for sustainable mining.This study introduces a discrete fracture network(DFN)-based probabilistic block theory approach for the fast design of the bench face angle.A major advantage is the explicit incorporation of discontinuity size and spatial distribution in the procedure of key blocks testing.The proposed approach was applied to a granite mine in China.First,DFN models were generated from a multi-step modeling procedure to simulate the complex structural characteristics of pit slopes.Then,a modified key blocks searching method was applied to the slope faces modeled,and a cumulative probability of failure was obtained for each sector.Finally,a bench face angle was determined commensurate with an acceptable risk level of stability.The simulation results have shown that the number of hazardous traces exposed on the slope face can be significantly reduced when the suggested bench face angle is adopted,indicating an extremely low risk of uncontrolled block instabilities. 展开更多
关键词 Open pit mine Bench face angle block theory Probabilistic approach Discrete fracture network modeling Fractured rock slope
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