[Objectives] To observe the effectiveness of four-step tendon manipulation in the treatment of thumb stenotic tenosynovitis, under the guidance of "tendon first" theory. [Methods] 30 patients with stenotic t...[Objectives] To observe the effectiveness of four-step tendon manipulation in the treatment of thumb stenotic tenosynovitis, under the guidance of "tendon first" theory. [Methods] 30 patients with stenotic tenosynovitis of thumb were treated with four-step tendon manipulation and traditional manipulation respectively, 3 times a week, a total of two weeks. The clinical efficacy, changes of visual analogue scale (VAS) and the recurrence rate after 15 d of follow-up treatment were observed before and after treatment. The differences were statistically significant ( P <0.05). [Results] After treatment, the VAS and the recurrence rate after 15 d of treatment in the observation group were significantly lower than those in the control group ( P <0.05). After treatment, the total effective rate was 73.33% in the control group and 93.33% in the observation group ( P <0.05). [Conclusions] The effect of four-step tendon regulating manipulation in the treatment of thumb stenotic tenosynovitis is ideal. The effect is significantly better than that of traditional Chinese medicine in improving thumb pain and function, which is worthy of clinical promotion.展开更多
An integrated fluid-thermal-structural analysis approach is presented. In this approach, the heat conduction in a solid is coupled with the heat convection in the viscous flow of the fluid resulting in the thermal str...An integrated fluid-thermal-structural analysis approach is presented. In this approach, the heat conduction in a solid is coupled with the heat convection in the viscous flow of the fluid resulting in the thermal stress in the solid. The fractional four-step finite element method and the streamline upwind Petrov-Galerkin （SUPG） method are used to analyze the viscous thermal flow in the fluid. Analyses of the heat transfer and the thermal stress in the solid axe performed by the Galerkin method. The second-order semi- implicit Crank-Nicolson scheme is used for the time integration. The resulting nonlinear equations are lineaxized to improve the computational efficiency. The integrated analysis method uses a three-node triangular element with equal-order interpolation functions for the fluid velocity components, the pressure, the temperature, and the solid displacements to simplify the overall finite element formulation. The main advantage of the present method is to consistently couple the heat transfer along the fluid-solid interface. Results of several tested problems show effectiveness of the present finite element method, which provides insight into the integrated fluid-thermal-structural interaction phenomena.展开更多
目的探讨基于改良Peyton四步教学法的模拟教学联合操作技能直接观察(direct observation of procedural skills,DOPS)评估方法在西藏临床技能培训中的应用效果。方法选取西藏边坝县人民医院2021年5月—2022年5月参加临床技能培训的51名...目的探讨基于改良Peyton四步教学法的模拟教学联合操作技能直接观察(direct observation of procedural skills,DOPS)评估方法在西藏临床技能培训中的应用效果。方法选取西藏边坝县人民医院2021年5月—2022年5月参加临床技能培训的51名医护人员为研究对象,随机分为试验组与对照组。试验组采用结合改良Peyton四步教学法进行成人男性导尿术教学,并在培训开始前、培训中期及培训结束后,由带教教师采用DOPS评估方法对学员进行测评。对照组采用传统临床技能培训方法进行教学。在培训结束后发放满意度调查问卷,以了解学员对该教学模式的满意度。结果试验组技能考核平均成绩(90.12±5.50)分,对照组技能考核平均成绩(79.36±6.95)分,两组间成绩比较,其差异具有统计学意义(P<0.001);DOPS评估量表显示,试验组学员在培训结束后临床操作各项能力均较前有显著提高,其差异均具有统计学意义(P<0.05);课后满意度调查结果显示,在赞同“增强相关基础知识”等6个方面,试验组与对照组比较,其差异均具有统计学意义(P<0.001)。结论基于改良Peyton四步教学法的模拟教学联合DOPS评估方法的教学模式可提高西藏藏区医护人员的临床技能操作水平,适合在藏区医护人员临床技能培训中推广。展开更多
High harmonic generation in ZnO crystals under chirped single-color field and static electric field are investigated by solving the semiconductor Bloch equation(SBE). It is found that when the chirp pulse is introduce...High harmonic generation in ZnO crystals under chirped single-color field and static electric field are investigated by solving the semiconductor Bloch equation(SBE). It is found that when the chirp pulse is introduced, the interference structure becomes obvious while the harmonic cutoff is not extended. Furthermore, the harmonic efficiency is improved when the static electric field is included. These phenomena are demonstrated by the classical recollision model in real space affected by the waveform of laser field and inversion symmetry. Specifically, the electron motion in k-space shows that the change of waveform and the destruction of the symmetry of the laser field lead to the incomplete X-structure of the crystal-momentum-resolved(k-resolved) inter-band harmonic spectrum. Furthermore, a pre-acceleration process in the solid four-step model is confirmed.展开更多
Objectice: Traditional Chinese medicine has a long history of over 2, 000 years in treating piles,based on the principle 'Sore herbs can be stringent while the puckery can control prolapse', and a large amount...Objectice: Traditional Chinese medicine has a long history of over 2, 000 years in treating piles,based on the principle 'Sore herbs can be stringent while the puckery can control prolapse', and a large amount of precious experience has been accumulated. Methods: Prepared mainly with such effective compositions as gallnut (Galla Chinensis) and alum, Xiaozhiling (XZL) was applied in treating piles of stages Ⅲ and Ⅳ. Fourstep injections were given at (1 ) the branches of artery rectalis superior (ARS), (2) the submucosa, (3) the mucous lamina propria, and (4) the sinous veins. The injection obliterated the ARS and made piles sclerosed, atrophied and finally disappear. Results: From 1987 to 1996, piles of stages Ⅲ and Ⅳ were treated of 21, 361 cases. Of all the cases, 21, 148 (99 % ) were cured, 203 (0. 95% ) improved and 10 (0. 05% ) ineffective for whom surgery was used. Of the 620 cases who were followed up 3 years after treatment, it recurred in only 6 cases (prolapse, 1 % ). Conclusion: This method summarized a relatively ideal non-operative approach in the treatment of piles of stages Ⅲ and Ⅳ.展开更多
文摘[Objectives] To observe the effectiveness of four-step tendon manipulation in the treatment of thumb stenotic tenosynovitis, under the guidance of "tendon first" theory. [Methods] 30 patients with stenotic tenosynovitis of thumb were treated with four-step tendon manipulation and traditional manipulation respectively, 3 times a week, a total of two weeks. The clinical efficacy, changes of visual analogue scale (VAS) and the recurrence rate after 15 d of follow-up treatment were observed before and after treatment. The differences were statistically significant ( P <0.05). [Results] After treatment, the VAS and the recurrence rate after 15 d of treatment in the observation group were significantly lower than those in the control group ( P <0.05). After treatment, the total effective rate was 73.33% in the control group and 93.33% in the observation group ( P <0.05). [Conclusions] The effect of four-step tendon regulating manipulation in the treatment of thumb stenotic tenosynovitis is ideal. The effect is significantly better than that of traditional Chinese medicine in improving thumb pain and function, which is worthy of clinical promotion.
基金the National Metal and Materials Technology Centerthe Thailand Research Fund+1 种基金the Office of Higher Education Commissionthe Chulalongkorn University for supporting the present research
文摘An integrated fluid-thermal-structural analysis approach is presented. In this approach, the heat conduction in a solid is coupled with the heat convection in the viscous flow of the fluid resulting in the thermal stress in the solid. The fractional four-step finite element method and the streamline upwind Petrov-Galerkin （SUPG） method are used to analyze the viscous thermal flow in the fluid. Analyses of the heat transfer and the thermal stress in the solid axe performed by the Galerkin method. The second-order semi- implicit Crank-Nicolson scheme is used for the time integration. The resulting nonlinear equations are lineaxized to improve the computational efficiency. The integrated analysis method uses a three-node triangular element with equal-order interpolation functions for the fluid velocity components, the pressure, the temperature, and the solid displacements to simplify the overall finite element formulation. The main advantage of the present method is to consistently couple the heat transfer along the fluid-solid interface. Results of several tested problems show effectiveness of the present finite element method, which provides insight into the integrated fluid-thermal-structural interaction phenomena.
文摘目的探讨基于改良Peyton四步教学法的模拟教学联合操作技能直接观察(direct observation of procedural skills,DOPS)评估方法在西藏临床技能培训中的应用效果。方法选取西藏边坝县人民医院2021年5月—2022年5月参加临床技能培训的51名医护人员为研究对象,随机分为试验组与对照组。试验组采用结合改良Peyton四步教学法进行成人男性导尿术教学,并在培训开始前、培训中期及培训结束后,由带教教师采用DOPS评估方法对学员进行测评。对照组采用传统临床技能培训方法进行教学。在培训结束后发放满意度调查问卷,以了解学员对该教学模式的满意度。结果试验组技能考核平均成绩(90.12±5.50)分,对照组技能考核平均成绩(79.36±6.95)分,两组间成绩比较,其差异具有统计学意义(P<0.001);DOPS评估量表显示,试验组学员在培训结束后临床操作各项能力均较前有显著提高,其差异均具有统计学意义(P<0.05);课后满意度调查结果显示,在赞同“增强相关基础知识”等6个方面,试验组与对照组比较,其差异均具有统计学意义(P<0.001)。结论基于改良Peyton四步教学法的模拟教学联合DOPS评估方法的教学模式可提高西藏藏区医护人员的临床技能操作水平,适合在藏区医护人员临床技能培训中推广。
基金supported by the Natural Science Foundation of Jilin Province (Grant No.20220101010JC)the National Natural Science Foundation of China (Grant No.12074146)。
文摘High harmonic generation in ZnO crystals under chirped single-color field and static electric field are investigated by solving the semiconductor Bloch equation(SBE). It is found that when the chirp pulse is introduced, the interference structure becomes obvious while the harmonic cutoff is not extended. Furthermore, the harmonic efficiency is improved when the static electric field is included. These phenomena are demonstrated by the classical recollision model in real space affected by the waveform of laser field and inversion symmetry. Specifically, the electron motion in k-space shows that the change of waveform and the destruction of the symmetry of the laser field lead to the incomplete X-structure of the crystal-momentum-resolved(k-resolved) inter-band harmonic spectrum. Furthermore, a pre-acceleration process in the solid four-step model is confirmed.
文摘Objectice: Traditional Chinese medicine has a long history of over 2, 000 years in treating piles,based on the principle 'Sore herbs can be stringent while the puckery can control prolapse', and a large amount of precious experience has been accumulated. Methods: Prepared mainly with such effective compositions as gallnut (Galla Chinensis) and alum, Xiaozhiling (XZL) was applied in treating piles of stages Ⅲ and Ⅳ. Fourstep injections were given at (1 ) the branches of artery rectalis superior (ARS), (2) the submucosa, (3) the mucous lamina propria, and (4) the sinous veins. The injection obliterated the ARS and made piles sclerosed, atrophied and finally disappear. Results: From 1987 to 1996, piles of stages Ⅲ and Ⅳ were treated of 21, 361 cases. Of all the cases, 21, 148 (99 % ) were cured, 203 (0. 95% ) improved and 10 (0. 05% ) ineffective for whom surgery was used. Of the 620 cases who were followed up 3 years after treatment, it recurred in only 6 cases (prolapse, 1 % ). Conclusion: This method summarized a relatively ideal non-operative approach in the treatment of piles of stages Ⅲ and Ⅳ.
