BACKGROUND Spastic pelvic floor syndrome(SPFS)is a refractory pelvic floor disease characterized by abnormal(uncoordinated)contractions of the external anal sphincter and puborectalis muscle during defecation,resultin...BACKGROUND Spastic pelvic floor syndrome(SPFS)is a refractory pelvic floor disease characterized by abnormal(uncoordinated)contractions of the external anal sphincter and puborectalis muscle during defecation,resulting in rectal emptation and obstructive constipation.The clinical manifestations of SPFS are mainly characterized by difficult defecation,often accompanied by a sense of anal blockage and drooping.Manual defecation is usually needed during defecation.From physical examination,it is commonly observed that the patient's anal muscle tension is high,and it is difficult or even impossible to enter with his fingers.AIM To investigate the characteristics of anorectal pressure and botulinum toxin A injection combined with biofeedback in treating pelvic floor muscle spasm syndrome.METHODS Retrospective analysis of 50 patients diagnosed with pelvic floor spasm syndrome.All patients underwent pelvic floor surface electromyography assessment,anorectal dynamics examination,botulinum toxin type A injection 100 U intramuscular injection,and two cycles of biofeedback therapy.RESULTS After the botulinum toxin A injection combined with two cycles of biofeedback therapy,the patient's postoperative resting and systolic blood pressure were significantly lower than before surgery(P<0.05).Moreover,the electromyography index of the patients in the resting stage and post-resting stages was significantly lower than before surgery(P<0.05).CONCLUSION Botulinum toxin A injection combined with biofeedback can significantly reduce pelvic floor muscle tension in treating pelvic floor muscle spasm syndrome.Anorectal manometry is an effective method to evaluate the efficacy of treatment objectively.However,randomized controlled trials are needed.展开更多
Floor heave of a roadway is a dynamic phenomenon that often happens in the roadways of coal mines. It seriously affects safe production in the coal mine. Floor heave has long been one of the most difficult problems to...Floor heave of a roadway is a dynamic phenomenon that often happens in the roadways of coal mines. It seriously affects safe production in the coal mine. Floor heave has long been one of the most difficult problems to be resolved during coal mining. An analysis of floor heave in the soft rock surrounding the roadway, and the factors influencing it, allowed the deformation mechanism in the west wing double track haulage roadway of the Tingnan Coal Mine to be deduced. Three types of floor heave are observed there: intumescent floor heave, extrusion and mobility floor heave, and compound floor heave. Control measures are proposed that have been adopted during a recent repair engineering project. Control of the floor heave in the west wing track haulage roadway was demonstrated. The reliability and rationality of a combined support technology including floor anchors, an inverted arch, and anchoring of both sides was verified by mine pressure data and the field observations. Waterproofing measures were also under-taken to assist in the control of floor heave.展开更多
Magnetic resonance imaging (MRI) measurements are essential for the diagnosis of pelvic organ prolapse given the inaccuracy of clinical examination. However, MRI pelvic floor measurements are currently performed manua...Magnetic resonance imaging (MRI) measurements are essential for the diagnosis of pelvic organ prolapse given the inaccuracy of clinical examination. However, MRI pelvic floor measurements are currently performed manually and can be inconsistent and time-consuming. In this paper, we present a scheme for semi-automatic measurement modeling on MRI based on image segmentation and intersecting point identification methods. The segmentation algorithm is a multi-stage mechanism based on block grouping, support vector machine classification, morphological operation and prior shape information. Block grouping is achieved by classifying blocks as bone or background based on image texture features. The classified blocks are then used to find the initial segmentation by the first phase morphological opening. Prior shape information is incorporated into the initial segmentation to obtain the final segmentation using registration with the similarity type transformation. After segmentation, points of reference that are used for pelvic floor measurements are identified using morphological skeleton operation. The experiments on the MRI images show that the presented scheme can detect the points of reference on the pelvic floor structure to determine the reference lines needed for the assessment of pelvic organ prolapse. This will lead towards more consistent and faster pelvic organ prolapse diagnosis on dynamic MRI studies, and possible screening procedures for predicting predisposition to pelvic organ prolapse by radiologic evaluation of pelvic floor measurements.展开更多
Measuring the floor area of a building may seem a straightforward activity,but it is not.What to be included and what to be considered vary in virtually every country,and definitions such as GFA(gross floor area),NRA(...Measuring the floor area of a building may seem a straightforward activity,but it is not.What to be included and what to be considered vary in virtually every country,and definitions such as GFA(gross floor area),NRA(net rentable area),etc.are also misleading as they are not consistent.In an era in which international actors contribute for projects in all major cities,having a consistent system to measure the floor area of a building is of the utmost importance.Consistent measurements allow not just for easier and better design,but also for the comparison of buildings,as the floor area is the nominator of all parameters of sustainability,energy consumption,construction cost,occupancy ratios,cleaning fees,etc.展开更多
Qinkangyuan Community,built in 2005,has in recent years taken many measures to improve its residents'living environment,thus winning much applause.In 2019,after the eight elevators in its three 11-floor residentia...Qinkangyuan Community,built in 2005,has in recent years taken many measures to improve its residents'living environment,thus winning much applause.In 2019,after the eight elevators in its three 11-floor residential buildings had been in use for 15 consecutive years,the community homeowners association decided to replace them in order to avoid the risks associated with their age.展开更多
The influence of an upper,mined coal seam on the stability of rock surrounding a roadway in a lower coal seam is examined.The technical problems of roadway control are discussed based on the geological conditions exis...The influence of an upper,mined coal seam on the stability of rock surrounding a roadway in a lower coal seam is examined.The technical problems of roadway control are discussed based on the geological conditions existing in the Liyazhuang Mine No.2 coal seam.The stress distribution and floor failure in the lower works after mining the upper coal is studied through numerical simulations.The failure mechanism of the roof and walls of a roadway located in the lower coal seam is described.The predicted deformation and failure of the roadway for different distances between the two coal seams are used to design two ways of supporting the lower structure.One is a combined support consisting of anchors with a joist steel tent and a combined anchor truss.A field test of the design was performed to good effect.The results have significance for the design of supports for roadways located in similar conditions.展开更多
The vertices of an infinite locally finite tree T are labelled by a collection of i.i.d. real random variables {Xσ}σ∈T which defines a tree indexed walk Xr. We introduce and study theoscillations of the walk:where ...The vertices of an infinite locally finite tree T are labelled by a collection of i.i.d. real random variables {Xσ}σ∈T which defines a tree indexed walk Xr. We introduce and study theoscillations of the walk:where Φ(n) is an increasing sequence of positive numbers. We prove that for each $ belonging to a certain class of sequences of different orders, there are ξ 's depending on Φ such that 0 < OSCΦ(ξ) <∞. Exact Hausdorff dimension of the set of such ξ's is calculated. An application is given to study the local variation of Brownian motion. A general limsup deviation problem on trees is also studied.展开更多
文摘BACKGROUND Spastic pelvic floor syndrome(SPFS)is a refractory pelvic floor disease characterized by abnormal(uncoordinated)contractions of the external anal sphincter and puborectalis muscle during defecation,resulting in rectal emptation and obstructive constipation.The clinical manifestations of SPFS are mainly characterized by difficult defecation,often accompanied by a sense of anal blockage and drooping.Manual defecation is usually needed during defecation.From physical examination,it is commonly observed that the patient's anal muscle tension is high,and it is difficult or even impossible to enter with his fingers.AIM To investigate the characteristics of anorectal pressure and botulinum toxin A injection combined with biofeedback in treating pelvic floor muscle spasm syndrome.METHODS Retrospective analysis of 50 patients diagnosed with pelvic floor spasm syndrome.All patients underwent pelvic floor surface electromyography assessment,anorectal dynamics examination,botulinum toxin type A injection 100 U intramuscular injection,and two cycles of biofeedback therapy.RESULTS After the botulinum toxin A injection combined with two cycles of biofeedback therapy,the patient's postoperative resting and systolic blood pressure were significantly lower than before surgery(P<0.05).Moreover,the electromyography index of the patients in the resting stage and post-resting stages was significantly lower than before surgery(P<0.05).CONCLUSION Botulinum toxin A injection combined with biofeedback can significantly reduce pelvic floor muscle tension in treating pelvic floor muscle spasm syndrome.Anorectal manometry is an effective method to evaluate the efficacy of treatment objectively.However,randomized controlled trials are needed.
基金grateful to the Key Program of the National Natural Science Foundation of China (Nos. 51134005, 40972196, and 41172263) for financing this research
文摘Floor heave of a roadway is a dynamic phenomenon that often happens in the roadways of coal mines. It seriously affects safe production in the coal mine. Floor heave has long been one of the most difficult problems to be resolved during coal mining. An analysis of floor heave in the soft rock surrounding the roadway, and the factors influencing it, allowed the deformation mechanism in the west wing double track haulage roadway of the Tingnan Coal Mine to be deduced. Three types of floor heave are observed there: intumescent floor heave, extrusion and mobility floor heave, and compound floor heave. Control measures are proposed that have been adopted during a recent repair engineering project. Control of the floor heave in the west wing track haulage roadway was demonstrated. The reliability and rationality of a combined support technology including floor anchors, an inverted arch, and anchoring of both sides was verified by mine pressure data and the field observations. Waterproofing measures were also under-taken to assist in the control of floor heave.
文摘Magnetic resonance imaging (MRI) measurements are essential for the diagnosis of pelvic organ prolapse given the inaccuracy of clinical examination. However, MRI pelvic floor measurements are currently performed manually and can be inconsistent and time-consuming. In this paper, we present a scheme for semi-automatic measurement modeling on MRI based on image segmentation and intersecting point identification methods. The segmentation algorithm is a multi-stage mechanism based on block grouping, support vector machine classification, morphological operation and prior shape information. Block grouping is achieved by classifying blocks as bone or background based on image texture features. The classified blocks are then used to find the initial segmentation by the first phase morphological opening. Prior shape information is incorporated into the initial segmentation to obtain the final segmentation using registration with the similarity type transformation. After segmentation, points of reference that are used for pelvic floor measurements are identified using morphological skeleton operation. The experiments on the MRI images show that the presented scheme can detect the points of reference on the pelvic floor structure to determine the reference lines needed for the assessment of pelvic organ prolapse. This will lead towards more consistent and faster pelvic organ prolapse diagnosis on dynamic MRI studies, and possible screening procedures for predicting predisposition to pelvic organ prolapse by radiologic evaluation of pelvic floor measurements.
文摘Measuring the floor area of a building may seem a straightforward activity,but it is not.What to be included and what to be considered vary in virtually every country,and definitions such as GFA(gross floor area),NRA(net rentable area),etc.are also misleading as they are not consistent.In an era in which international actors contribute for projects in all major cities,having a consistent system to measure the floor area of a building is of the utmost importance.Consistent measurements allow not just for easier and better design,but also for the comparison of buildings,as the floor area is the nominator of all parameters of sustainability,energy consumption,construction cost,occupancy ratios,cleaning fees,etc.
文摘Qinkangyuan Community,built in 2005,has in recent years taken many measures to improve its residents'living environment,thus winning much applause.In 2019,after the eight elevators in its three 11-floor residential buildings had been in use for 15 consecutive years,the community homeowners association decided to replace them in order to avoid the risks associated with their age.
基金supported by the National Natural Science Foundation of China (No.50874103)the National Basic Research Program of China (No.2010CB226805)+1 种基金the Natural Science Foundation of Jiangsu Province (No.BK2008135)by the Open Foundation of State Key Laboratory of Geomechanics and Deep Underground Engineering (No.SKLGDUEK0905)
文摘The influence of an upper,mined coal seam on the stability of rock surrounding a roadway in a lower coal seam is examined.The technical problems of roadway control are discussed based on the geological conditions existing in the Liyazhuang Mine No.2 coal seam.The stress distribution and floor failure in the lower works after mining the upper coal is studied through numerical simulations.The failure mechanism of the roof and walls of a roadway located in the lower coal seam is described.The predicted deformation and failure of the roadway for different distances between the two coal seams are used to design two ways of supporting the lower structure.One is a combined support consisting of anchors with a joist steel tent and a combined anchor truss.A field test of the design was performed to good effect.The results have significance for the design of supports for roadways located in similar conditions.
文摘The vertices of an infinite locally finite tree T are labelled by a collection of i.i.d. real random variables {Xσ}σ∈T which defines a tree indexed walk Xr. We introduce and study theoscillations of the walk:where Φ(n) is an increasing sequence of positive numbers. We prove that for each $ belonging to a certain class of sequences of different orders, there are ξ 's depending on Φ such that 0 < OSCΦ(ξ) <∞. Exact Hausdorff dimension of the set of such ξ's is calculated. An application is given to study the local variation of Brownian motion. A general limsup deviation problem on trees is also studied.
