Minimum 10-year follow-up outcomes of arthroscopic Bankart’s repair with metallic anchors:Reliable results with low redislocation rates

BACKGROUND With stiff competition from alternative albeit more expensive counterparts,it has become important to establish the applicability of metallic anchors for shoulder instability in the modern era.This can be accomplished,in part,by analysing long-term outcomes.AIM To analyse minimum 10-year outcomes from 30 patients following arthroscopic anterior stabilisation using metallic anchors.METHODS Prospectively collected data from arthroscopic Bankart repairs performed using metal anchors during 2007P-2010 were retrospectively analysed in this singlesurgeon study.Comprehensive data collection included historical and clinical findings,dislocation details,operative specifics,and follow-up radiological and clinical findings including shoulder scores.The primary outcomes were patientreported scores(Constant,American Shoulder and Elbow Surgeons[ASES],and Rowe scores)and pain and instability on a visual analogue scale(VAS).RESULTS A 3% recurrence rate of dislocation was noted at the final follow-up.Total constant scores at 10 years postoperatively measured between 76 and 100(mean 89)were significantly better than preoperative scores(mean 62.7).Congruous improvements were also noted in the Rowe and ASES scores and VAS at the 10-year review.CONCLUSION Reliable long-term outcomes with metallic anchors in surgery for shoulder instability can be expected.Our results provide additional evidence of their continued,cost-effective presence in the modern scenario.

Multilevel optoelectronic hybrid memory based on N-doped Ge_(2)Sb_(2)Te_(5)film with low resistance drift and ultrafast speed

Multilevel phase-change memory is an attractive technology to increase storage capacity and density owing to its high-speed,scalable and non-volatile characteristics.However,the contradiction between thermal stability and operation speed is one of key factors to restrain the development of phase-change memory.Here,N-doped Ge_(2)Sb_(2)Te_(5)-based optoelectronic hybrid memory is proposed to simultaneously implement high thermal stability and ultrafast operation speed.The picosecond laser is adopted to write/erase information based on reversible phase transition characteristics whereas the resistance is detected to perform information readout.Results show that when N content is 27.4 at.%,N-doped Ge_(2)Sb_(2)Te_(5)film possesses high ten-year data retention temperature of 175℃and low resistance drift coefficient of 0.00024 at 85℃,0.00170 at 120℃,and 0.00249 at 150℃,respectively,owing to the formation of Ge–N,Sb–N,and Te–N bonds.The SET/RESET operation speeds of the film reach 520 ps/13 ps.In parallel,the reversible switching cycle of the corresponding device is realized with the resistance ratio of three orders of magnitude.Four-level reversible resistance states induced by various crystallization degrees are also obtained together with low resistance drift coefficients.Therefore,the N-doped Ge_(2)Sb_(2)Te_(5)thin film is a promising phase-change material for ultrafast multilevel optoelectronic hybrid storage.

Study on Geological Genesis and Sedimentary Model of Complex Low Resistivity Reservoir in Offshore Oilfield — A Case of NgIII Formation of X Oilfield in Bohai Sea

In order to study the micro genetic mechanism and main geological controlling factors of low resistivity reservoir in NgIII formation of X oilfield in Bohai sea in China, the clay mineral composition, irreducible water saturation, salinity and conductive minerals of low resistivity reservoir were studied by using the data of core, cast thin section and analysis, and compared with normal resistivity reservoir. At the same time, the control effect of sedimentary environment on low resistivity reservoir was discussed. The results show that the additional conductivity of high bound water content and high montmorillonite content in the reservoir together leads to the significant reduction of reservoir resistivity, which is the main microscopic cause of the formation of low resistance, and is mainly controlled by the sedimentary background such as paleoclimate and sedimentary cycle. During the deposition period of NgIII formation, the paleoclimate was dry and cold, and it was at the end of the water advance of the medium-term sedimentary cycle. The hydrodynamic force of the river channel was weak, the carrying capacity of the riverbed was weak, and the river channel swayed frequently, resulting in fine lithologic particle size, high shale content and complex pore structure of the reservoir, resulting in significant reduction of reservoir resistance. The research conclusion would have strong guiding significance for the development of low resistivity reservoirs in this area.

Application of Pelvic Peritoneum Closure Combined with Extraperitoneal Colostomy in Laparoscopic Surgery for Low Rectal Cancer

Background:In the treatment of colorectal cancer,laparoscopic surgery has seen a significant amount of success.Reducing the risk of postoperative complications and improving patients’quality of life can be accomplished by appropriately employing pelvic peritoneal repair and sigmoid colostomy when appropriate.Objective:To compare fusion closure of pelvic peritoneum combined with extraperitoneal colostomy with non-closure of pelvic peritoneum combined with intraperitoneal colostomy in patients with low rectal cancer who had permanent colostomy.Methods:Low rectal cancer patients admitted to Hengshui People’s Hospital for permanent colostomy were evaluated.The participants were divided into two groups:an observation and a control group.All 30 cases in the observation group underwent pelvic peritoneum closure and extraperitoneal colostomy,while the other 30 cases in the control group underwent intraperitoneal colostomy.The C-reactive protein(CRP)levels of the participants in both groups were evaluated for 6 months to 2 years(24 h before,24 h after,48 h after,96 h after surgery).Results:Comparing the colostomy operative time,time to first passage of flatus postoperatively,time to first defecation postoperatively,length of hospital stay,laboratory indicators,stoma-related complications,colostomy function,etc.,the colostomy operative time significantly differed between the two groups(P<0.05);the observation group did considerably better than the control group in terms of stoma-related complications and bowel movement control 6 months after surgery(P<0.05);and although serum CRP levels increased in both groups 48 h after surgery,the difference was significant(P<0.05).Conclusion:Extraperitoneal colostomy can improve the quality of life of patients with permanent stoma and reduce the occurrence of stoma-related complications.Thus,this technique is worthy of promotion in clinical practice.

FLOW FIELD ANALYSES OF PLANE JET AT LOW REYNOLDS NUMBERS USING LATTICE BOLTZMANN METHOD

A two-dimensional（2-D） incompressible plane jet is investigated using the lattice Boltzmann method（LBM） for low Reynolds numbers of 42 and 65 based on the jet-exit-width and the maximum jet-exit-velocity. The results show that the mean centerline velocity decays as x-1/3 and the jet spreads as x2/3 in the self-similar region, which are consistent with the theoretical predictions and the experimental data. The time histories and PSD analyses of the instantaneous centerline velocities indicate the periodic behavior and the interaction between periodic components of velocities should not be neglected in the far field region, although it is invisible in the near field region.

Computational aerodynamics of low Reynolds number plunging,pitching and flexible wings for MAV applications

Micro air vehicles （MAV＇s） have the potential to revolutionize our sensing and information gathering capabilities in environmental monitoring and homeland security areas. Due to the MAV＇s＇ small size, flight regime, and modes of operation, significant scientific advancement will be needed to create this revolutionary capability. Aerodynamics, structural dynamics, and flight dynamics of natural flyers intersects with some of the richest problems in MAV＇s, inclu- ding massively unsteady three-dimensional separation, transition in boundary layers and shear layers, vortical flows and bluff body flows, unsteady flight environment, aeroelasticity, and nonlinear and adaptive control are just a few examples. A challenge is that the scaling of both fluid dynamics and structural dynamics between smaller natural flyer and practical flying hardware/lab experiment （larger dimension） is fundamentally difficult. In this paper, we offer an overview of the challenges and issues, along with sample results illustrating some of the efforts made from a computational modeling angle.

A STUDY ON THE MECHANISM OF HIGH-LIFT GENERATION BY AN AIRFOIL IN UNSTEADY MOTION AT LOW REYNOLDS NUMBER

The aerodynamic force and flow structure of NACA 0012 airfoil performing an unsteady motion at low Reynolds number (Re = 100) are calculated by solving Navier-Stokes equations. The motion consists of three parts: the first translation, rotation and the second translation in the direction opposite to the first. The rotation and the second translation in this motion are expected to represent the rotation and translation of the wing-section of a hovering insect. The flow structure is used in combination with the theory of vorticity dynamics to explain the generation of unsteady aerodynamic force in the motion. During the rotation, due to the creation of strong vortices in short time, large aerodynamic force is produced and the force is almost normal to the airfoil chord. During the second translation, large lift coefficient can be maintained for certain time period and (C) over bar (L), the lift coefficient averaged over four chord lengths of travel, is larger than 2 (the corresponding steady-state lift coefficient is only 0.9). The large lift coefficient is due to two effects. The first is the delayed shedding of the stall vortex. The second is that the vortices created during the airfoil rotation and in the near wake left by previous translation form a short 'vortex street' in front of the airfoil and the 'vortex street' induces a 'wind'; against this 'wind' the airfoil translates, increasing its relative speed. The above results provide insights to the understanding of the mechanism of high-lift generation by a hovering insect.

Effect of Spanwise Flexibility on Propulsion Performance of a Flapping Hydrofoil at Low Reynolds Number

Spanwise flexibility is a key factor influencing propulsion performance of pectoral foils. Performances of bionic fish with oscillating pectoral foils can be enhanced by properly selecting the spanwise flexibility. The influence law of spanwise flexibility on thrust generation and propulsion efficiency of a rectangular hydro-foil is discussed. Series foils constructed by the two-component silicon rubber are developed. NACA0015 shape of chordwise cross-section is employed. The foils are strengthened by fin rays of different rigidity to realize variant spanwise rigidity and almost the same chordwise flexibility. Experiments on a towing platform developed are carried out at low Reynolds numbers of 10 000, 15 000, and 20 000 and Strouhal numbers from 0.1 to 1. The following experimental results are achieved: (1) The average forward thrust increases with the St number increased; (2) Certain degree of spanwise flexibility is beneficial to the forward thrust generation, but the thrust gap is not large for the fins of different spanwise rigidity; (3) The fin of the maximal spanwise flexibility owns the highest propulsion efficiency; (4) Effect of the Reynolds number on the propulsion efficiency is significant. The experimental results can be utilized as a reference in deciding the spanwise flexibility of bionic pectoral fins in designing of robotic fish prototype propelled by flapping-wing.

Prognostic value of lateral lymph node metastasis for advanced low rectal cancer

AIM： To evaluate the risk factors for lateral lymph node metastasis in patients with advanced low rectal cancer, in order to make the effective selection of patients who could benefit from lateral lymph node dissection, as well as the relationship of lateral lymph node metastasis with local recurrence and survival of patients with advanced low rectal cancer. METHODS： A total of 96 consecutive patients who underwent curative surgery with lateral pelvic lymphadenectomy for advanced lower rectal cancer were retrospectively analyzed. The relation of lateral lymph node metastasis with clinicopathologic characteristics, local recurrence and survival of patients was identified. RESULTS： Lateral lymph node metastasis was observed in 14.6% （14/96） of patients with advanced low rectal cancer. Lateral lymph node metastasis was detected in 10 （25.0%） of 40 patients with tumor diameter ≥ 5 cm and in 4 （7.1%） of 56 patients with tumor diameter 〈 5 cm. The difference between the significant （X^2 = 5.973, P = two groups was statistically 0.015）. Lateral lymph node metastasis was more frequent in patients with 4/4 diameter of tumor infiltration （7 of 10 cases, 70.0%）, compared with patients with 3/4, 2/4 and 1/4 diameter of tumor infiltration （3 of 25 cases, 12.0%; 3 of 45 cases, 6.7%; 1 of 16 cases, 6.3%） （X^2 = 27.944, P = 0.0001）. The lateral lymph node metastasis rate was 30.0% （9 of 30 cases）, 9.1% （4 of 44 cases） and 4.5% （1 of 22cases） for poorly, moderately and well-differentiated carcinoma, respectively. The difference between the three groups was statistically significant （X^2 = 8.569, P = 0.014）. Local recurrence was 18.8% （18 of 96 cases）, 64.3% （9 of 14 cases）, and 11.0% （9 of 82 cases） in patients with advanced low rectal cancer, in those with and without lateral lymph node metastasis, respectively. The difference between the two groups was statistically significant （X^2 = 22.308, P = 0.0001）. Kaplan-Meier survival analysis showed significant improvements in median survival （80.9 ± 2.1 m, 95% CI： 76.7-85.1 m vs 38 ± 6.7 m, 95% CI： 24.8-51.2 m） of patients without lateral lymph node metastasis compared with those with lateral lymph node metastasis （log-rank, P = 0.0001）. CONCLUSION： Tumor diameter, infiltration and differentiation are significant risk factors for lateral lymph node metastasis. Lateral pelvic lymphadenectomy should be performed following surgery for patients with tumor diameter ≥ 5 cm. Lateral lymph node metastasis is an important predictor for local recurrence and survival in patients with advanced low rectal cancer.

A new bionic MAV's flapping motion based on fruit fly hovering at low Reynolds number

On the basis of the studies on the high unsteady aerodynamic mechanisms of the fruit fly hovering the aerodynamic advantages and disadvantages of the fruit fly flapping motion were analyzed. A new bionic flapping motion was proposed to weaken the disadvantages and maintain the advantages, it may be used in the designing and manufacturing of the micro air vehicles （MAV＇s）. The translation of the new bionic flapping motion is the same as that of fruit fly flapping motion. However, the rotation of the new bionic flapping motion is different. It is not a pitching-up rotation as the fruit fly flapping motion, but a pitching-down rota- tion at the beginning and the end of a stroke. The numerical method of 3rd-order Roe scheme developed by Rogers was used to study these questions. The correctness of the numerical method and the computational program was justified by comparing the present CFD results of the fruit fly flapping motion in three modes, i.e., the advanced mode, the symmetrical mode and the delayed mode, with Dickinson＇s experimental results. They agreed with each other very well. Subsequently, the aerodynamic characteristics of the new bionic flapping motion in three modes were also numerically simulated, and were compared with those of the fruit fly flap- ping. The conclusions could be drawn that the high unsteady lift mechanism of the fruit fly hovering is also effectively utilized by this new bionic flapping. Compared with the fruit fly flapping, the unsteady drag of the new flapping decreases very much and the ratio of lift to drag increases greatly. And the great discrepancies among the mean lifts of three flapping modes of the fruit fly hovering are effectively smoothed in the new flapping. On the other hand, this new bionic flapping motion should be realized more easily. Finally, it must be pointed out that the above conclusions were just drawn for the hovering flapping motion. And the aerodynamic characteristics of the new bionic flapping motion in forward flight are going to be studied in the next step.

Colonic pouch confers better bowel function and similar postoperative outcomes compared to straight anastomosis for low rectal cancer

BACKGROUND With advancements in laparoscopic technology and the wide application of linear staplers,sphincter-saving procedures are increasingly performed for low rectal cancer.However,sphincter-saving procedures have led to the emergence of a unique clinical disorder termed anterior rectal resection syndrome.Colonic pouch anastomosis improves the quality of life of patients with rectal cancer>7 cm from the anal margin.But whether colonic pouch anastomosis can reduce the incidence of rectal resection syndrome in patients with low rectal cancer is unknown.AIM To compare postoperative and oncological outcomes and bowel function of straight and colonic pouch anal anastomoses after resection of low rectal cancer.METHODS We conducted a retrospective study of 72 patients with low rectal cancer who underwent sphincter-saving procedures with either straight or colonic pouch anastomoses.Functional evaluations were completed preoperatively and at 1,6,and 12 mo postoperatively.We also compared perioperative and oncological outcomes between two groups that had undergone low or ultralow anterior rectal resection.RESULTS There were no significant differences in mean operating time,blood loss,time to first passage of flatus and excrement,and duration of hospital stay between the colonic pouch and straight anastomosis groups.The incidence of anastomotic leakage following colonic pouch construction was lower(11.4%vs 16.2%)but not significantly different than that of straight anastomosis.Patients with colonic pouch construction had lower postoperative low anterior resection syndrome scores than the straight anastomosis group,suggesting better bowel function(preoperative:4.71 vs 3.89,P=0.43;1 mo after surgery:34.2 vs 34.7,P=0.59;6 mo after surgery:22.70 vs 29.0,P<0.05;12 mo after surgery:15.5 vs 19.5,P=0.01).The overall recurrence and metastasis rates were similar(4.3%and 11.4%,respectively).CONCLUSION Colonic pouch anastomosis is a safe and effective procedure for colorectal reconstruction after low and ultralow rectal resections.Moreover,colonic pouch construction may provide better functional outcomes compared to straight anastomosis.

Saturation evaluation of microporous low resistivity carbonate oil pays in Rub Al Khali Basin in the Middle East

To solve the problem that it is difficult to identify carbonate low resistivity pays(LRPs) by conventional logging methods in the Rub Al Khali Basin, the Middle East, the variation of fluid distribution and rock conductivity during displacement were analyzed by displacement resistivity experiments simulating the process of reservoir formation and production, together with the data from thin sections, mercury injection and nuclear magnetic resonance experiments. In combination with geological understandings, the genetic mechanisms of LRPs were revealed, then the saturation interpretation model was selected, the variation laws and distribution range of the model parameters were defined, and finally an updated comprehensive saturation interpretation technique for the LRPs has been proposed. In the study area, the LRPs have resistivity values of less than 1 Ω·m, similar to or even slightly lower than that of the water layers. Geological research reveals that the LRPs were developed in low-energy depositional environment and their reservoir spaces are controlled by micro-scale pore throats, with an average radius of less than 0.7 μm, so they are typical microporous LRPs. Different from LRPs of sandstone and mudstone, they have less tortuous conductive paths than conventional reservoirs, and thus lower resistivity value under the same saturation. Archie’s formula is applicable to the saturation interpretation of LRPs with a cementation index value of 1.77-1.93 and a saturation index value of 1.82-2.03 that are 0.2-0.4 lower than conventional reservoirs respectively. By using interpretation parameters determined by classification statistics of petrophysical groups(PGs), oil saturations of the LRPs were calculated at bout 30%-50%,15% higher than the results by conventional methods, and basically consistent with the data of Dean Stark, RST, oil testing and production. The 15 wells of oil testing and production proved that the coincidence rate of saturation interpretation is over 90%and the feasibility of this method has been further verified.

Analysis of the Superconducting Cable Transposition in Low Resistance CICC Joint

In an integrated structure low resistance CICC joint, current is conducted by outer cable strands coming into touch with the conductive Cu sole. So it is an important condition for satisfying joint performance that each strand of the cable inside the joint is able to come to the outermost by transposition. This paper presents analysis, calculation and figures for the strand transposition. According to the twist procedures of the superconducting cable, the author computed the actual pitch of each stage cable, consecutively computed the projection of each stage cable on the axis of the cable (z axis) and the corresponding twist angle as the z coordinate changes, which is then drawn by AutoCAD. From the results shown in the figures, the minimal cable length, which enables each strand to transpose almost equally to the outermost of the cable in such a length, call be determined as the optimal joint length.

An Improved Real-Time Face Recognition System at Low Resolution Based on Local Binary Pattern Histogram Algorithm and CLAHE

This research presents an improved real-time face recognition system at a low resolution of 15 pixels with pose and emotion and resolution variations. We have designed our datasets named LRD200 and LRD100, which have been used for training and classification. The face detection part uses the Viola-Jones algorithm, and the face recognition part receives the face image from the face detection part to process it using the Local Binary Pattern Histogram (LBPH) algorithm with preprocessing using contrast limited adaptive histogram equalization (CLAHE) and face alignment. The face database in this system can be updated via our custom-built standalone android app and automatic restarting of the training and recognition process with an updated database. Using our proposed algorithm, a real-time face recognition accuracy of 78.40% at 15 px and 98.05% at 45 px have been achieved using the LRD200 database containing 200 images per person. With 100 images per person in the database (LRD100) the achieved accuracies are 60.60% at 15 px and 95% at 45 px respectively. A facial deflection of about 30° on either side from the front face showed an average face recognition precision of 72.25%-81.85%. This face recognition system can be employed for law enforcement purposes, where the surveillance camera captures a low-resolution image because of the distance of a person from the camera. It can also be used as a surveillance system in airports, bus stations, etc., to reduce the risk of possible criminal threats.

Assessment of Stress Cognitive Control and Executive Function with Stress Control Rating Scale (ECOSTRESS) and Low Resolution Brain Electromagnetic Tomography (LORETA) (In Portuguese People in Situations of Unemployment and Economic Insufficiency)

This article reviews the constructs of stress, appraisal, coping, according to a transactional perspective, and executive function, and presents a stress control rating scale (ECOSTRESS), which design is founded in these constructs. This psychometric tool is useful in the assessment of cognitive control of stress, correlated with the function of dorsolateral prefrontal cortex. It has been validated for its use in the assessment of Portuguese people in situations of stress related to unemployment and economic insufficiency. Also, within the context of the cognitive control of stress, it is highlighted the usefulness of low resolution brain electromagnetic tomography (LORETA).

Generation of high-energy dual-wavelength domain wall pulse with low repetition rate in an HNLF-based fiber ring laser

The generation of high-energy dual-wavelength domain wall pulse with a low repetition rate is demonstrated in a highly nonlinear fiber （HNLF）-based fiber ring laser. By introducing the intracavity birefringence-induced spectral filtering effect, the dual-wavelength lasing operation can be achieved. In order to enhance the cross coupling effect between the two lasing beams for domain wall pulse formation, a 215-m HNLF is incorporated into the laser cavity. Experimentally, it is found that the dual-wavelength domain wall pulse with a repetition rate of 77.67 kHz could be efficiently obtained through simply rotating the polarization controller （PC）. At a maximum pump power of 322 mW, the 655-nJ single pulse energy in cavity is obtained. The proposed configuration provides a simpler and more efficient way to generate high energy pulse with a low repetition rate.

OSCILLATION PHENOMENA IN FAR FIELD REGION OF PLANE JETS AT LOW REYNOLDS NUMBERS

Oscillation phenomena in far field region of plane jets are studied by lattice Boltzmann method over a range of Reynolds numbers （Re） from 16 to 65. Numerical results show that the instantaneous centerline velocities show periodic oscillation behavior in far field region when Re〉38. In contrast, the periodic behavior is invisible in corresponding flow field when Re≤38. For the cases of Re≤38, the exchange of momentum due to straining mo- tion gradually dominates the downstream flow filed, which qualitatively suggests the possibility of iet instability.

Anal Sphincter Function after Intersphincteric Resection for Low Rectal Cancer

Objective： To assess the anal sphincter function after intersphincteric resection for low rectal cancer by questionnaire and vectorial manometry. Methods： twenty five patients underwent intersphincteric resection, the controls contained 25 patients of rectal cancer who underwent low anterior resection and 25 healthy people. The therapeutic responses were evaluated using the Vaizey and Wexner scoring systems and vectorial manometry. Results： The Vaizey and Wexner scores after intersphincteric resection were significantly higher than those of low anterior resection controls at one month, but had no significant difference one year after. On the other hand, the indexes of vectorial manometry still had significant difference one year later. The indexes after intersphincteric resection could not reach the normal level. Conclusion： The anal sphincter function after intersphincteric resection is lower than that after low anterior resection in short term, although the long-term results can be accepted, it still can not reach the normal level.

Readability Assessment of Textbooks in Low Resource Languages

Readability is a fundamental problem in textbooks assessment.For low resources languages(LRL),however,little investigation has been done on the readability of textbook.In this paper,we proposed a readability assessment method for Tibetan textbook(a low resource language).We extract features based on the information that are gotten by Tibetan segmentation and named entity recognition.Then,we calculate the correlation of different features using Pearson Correlation Coefficient and select some feature sets to design the readability formula.Fit detection,F test and T test are applied on these selected features to generate a new readability assessment formula.Experiment shows that this new formula is capable of assessing the readability of Tibetan textbooks.

A New Type of Multielements-Doped,Carbon-based Materials Characterized by High-thermoconductiv-ity,Low Chemical Sputtering,Low RES Yield and Exposure to Plasma

Low-Z materials, such as carbon-based materials and Be, are major plasma-facing material (PFM) for current, even in future fusion devices. In this paper, a new type of multielement-doped carbon-based materials developed are presented along with experimental re-sults of their properties. The results indicate a decrease in chemical sputtering yield by one order of magnitude, a decrease in both thermal shock resistance and radiation-enhanced sublimation, an evidently lower temperature desorption spectrum, and combined properties of exposing to plasma.