Irritable bowel syndrome(IBS-D)with diarrhea is a common gastrointestinal functional disease in clinical practice,which seriously affects the quality of life of patients.Cur‐rently,Western medicine has poor therapeut...Irritable bowel syndrome(IBS-D)with diarrhea is a common gastrointestinal functional disease in clinical practice,which seriously affects the quality of life of patients.Cur‐rently,Western medicine has poor therapeutic effects,while traditional Chinese medi‐cine has unique advantages in relieving IBS-D symptoms and preventing recurrence.In recent years,especially with external treatment of traditional Chinese medicine,it has become a new treatment direction in clinical practice and has achieved good therapeutic effects.This article will provide a review of recent research on the treatment of IBS-D using traditional Chinese medicine external treatment methods.展开更多
For the purpose of providing references for further research and practical application about the quality improvement of RCA,in this paper,various treatment methods were firstly classified into four categories:removing...For the purpose of providing references for further research and practical application about the quality improvement of RCA,in this paper,various treatment methods were firstly classified into four categories:removing old mortar (OM),strengthening OM,multi-stage mixing methods,and combination methods.Thereafter,the improvement mechanisms and important conclusions of various treatment methods were elucidated and summarised respectively.In the section of discussion,the improved effects as well as advantages and disadvantages of various treatment methods were compared and discussed respectively,and recommendations for the selection of treatment methods were proposed.Finally,the further research directions were pointed out,and an integrative programme on the quality improvement of RCA was recommended.展开更多
Objective To explore the differences in three different registration methods of cone beam computed tomography(CBCT)-guided down-regulated intense radiation therapy for lung cancer as well as the effects of tumor locat...Objective To explore the differences in three different registration methods of cone beam computed tomography(CBCT)-guided down-regulated intense radiation therapy for lung cancer as well as the effects of tumor location,treatment mode,and tumor size on registration.Methods This retrospective analysis included 80 lung cancer patients undergoing radiotherapy in our hospital from November 2017 to October 2019 and compared automatic bone registration,automatic grayscale(t+r)registration,and automatic grayscale(t)positioning error on the X-,Y-,and Z-axes under three types of registration methods.The patients were also grouped according to tumor position,treatment mode,and tumor size to compare positioning errors.Results On the X-,Y-,and Z-axes,automatic grayscale(t+r)and automatic grayscale(t)registration showed a better trend.Analysis of the different treatment modes showed differences in the three registration methods;however,these were not statistically significant.Analysis according to tumor sizes showed significant differences between the three registration methods(P<0.05).Analysis according to tumor positions showed differences in the X-and Y-axes that were not significant(P>0.05),while the autopsy registration in the Z-axis showed the largest difference in the mediastinal and hilar lymph nodes(P<0.05).Conclusion The treatment mode was not the main factor affecting registration error in lung cancer.Three registration methods are available for tumors in the upper and lower lungs measuring<3 cm;among these,automatic gray registration is recommended,while any gray registration method is recommended for tumors located in the mediastinal hilar site measuring<3 cm and in the upper and lower lungs≥3 cm.展开更多
Since conventional water treatment is not affordable in developing countries,looking for locally available and alternative treatment options is mandatory.Removal of fluoride and phosphate can be achieved by designing ...Since conventional water treatment is not affordable in developing countries,looking for locally available and alternative treatment options is mandatory.Removal of fluoride and phosphate can be achieved by designing appropriate filtration media from different materials such as sand,calcined clay,pumice,scoria and bone char.This study was designed to determine the removal efficiency of these locally available filter media with respect to detention time and pH.The filtration apparatuses(tank) were filled separately with stone,gravel with grain size 0.6-4.75 mm and 40 cm deep,sand(ES = 0.15—0.35 mm and UC = 1.5-3),calcined clay,pumice,scoria and bone char with grain size 0.25-0.5 inch.Water samples were prepared using glass bottles with fluoride concentrations of 6 and 8 mg/1 and phosphate concentration of 4 mg/1.Laboratory analysis was carried out before and after filtration to determine the removal efficiency of each medium.It was found that the highest removal of fluoride was achieved by bone char(89.65%),followed by pumice(82.4%).However,bone char has rather increased the concentration of phosphate by 63.8%.Sand was the most efficient media to remove phosphate,managing to remove by 70%.Therefore,it is an attractive option to use these locally available,environmental friendly and appropriate technologies for efficient removal of both fluorine and phosphate at the household or community water treatment level.展开更多
Combining with the low temperature material properties and the boiling heat transfer coefficient of specimen immersed in the liquid nitrogen, a numerical model based on metallo-thermo-mechanical couple theory was esta...Combining with the low temperature material properties and the boiling heat transfer coefficient of specimen immersed in the liquid nitrogen, a numerical model based on metallo-thermo-mechanical couple theory was established to reproduce the deep cryogenic treatment (DCT) process of a newly developed cold work die steel Cr8Mo2SiV (SDC99). Moreover, an experimental setup for rapid temperature measurement was designed to validate the simulation results. The investigation suggests that the differences in temperature and cooling rate between the surface and core of specimen are very significant. However, it should be emphasized that the acute temperature and cooling rate changes during DCT are mainly concentrated on the specimen surface region about 1/3 of the sample thickness. Subjected to DCT, the retained austenite of quenched specimen continues to transform to martensite and finally its phase volume fraction reduces to 2.3%. The predicted results are coincident well with the experimental data, which demonstrates that the numerical model employed in this study can accurately capture the variation characteristics of temperature and microstructure fields during DCT and provide a theoretical guidance for making the reasonable DCT procedure.展开更多
Introduction: Treatment of solid medical waste (SMW) is a complex task requiring the proper practices with specific treatment methods corresponding to each type of SMW during pretreatment and final treatment. This stu...Introduction: Treatment of solid medical waste (SMW) is a complex task requiring the proper practices with specific treatment methods corresponding to each type of SMW during pretreatment and final treatment. This study targeted three treatment methods identified as the main used by the majority of health care facilities (HCFs) and treating a large amount of SMW. It aimed: 1) to evaluate the current practices by calculating the emergy investment and emergy costs that are required to treat one ton of SMW through the three treatment methods and 2) to evaluate and compare better technologies and provide policy suggestions for the final treatment of SMW in Burundi. Materials and Methods: This study used the emergy methodology to evaluate the relative efficiencies of three treatment methods used for to treat SMW in twelve HCFs in Bujumbura. Results and Conclusion: The total emergy input was 1.36E+20 seJ/yr, 3.54E+17 seJ/yr, and 1.681E+18 seJ/yr for low temperature incinerator, landfill and organic pit, respectively. Conclusion: Rapid improvement of organic pit by ensuring its maintenance, the gradual replacement of low temperature incinerator by high temperature incinerator with air control pollution and landfill by sanitary landfill are highly recommended by respecting its maintenance (fence, roof and monitoring evaluation) for reducing the risk.展开更多
Creating sustainable cities is the only way to live in a clean environment,and this problem can be solved by using bio-sourced and recycled materials.For this purpose,the authors contribute to the valuation of sheep w...Creating sustainable cities is the only way to live in a clean environment,and this problem can be solved by using bio-sourced and recycled materials.For this purpose,the authors contribute to the valuation of sheep wool waste as an eco-friendly material to be used in insulation.The paper investigates the thermal,hygrothermal,and biological aspects of sheep wool by testing a traditional treatment.The biological method of aerobic mesophilicflora has been applied.Fluorescence X was used to determine the chemical composition of the materials used.Also,thermal characterization has been conducted.The thermal conductivity is above 0.046(W·m^(-1)·K^(-1))and the thermal diffusivity is 1.56.10^(-6) m^(2)·s^(-1).Besides,the energy efficiency of using sheep wool in buildings was studied.Furthermore,its humidity behavior was evaluated in different aspects in both winter and summer.Results of biological analyses show the efficiency of the treatment by removing the majority of the microorgan-isms:the value of yeast and mildew was reduced from 38.10^(2) to 2.10^(2)(UFC·g^(-1)).In addition to that,sheep wool permits obtaining a low thermal transmittance on the scale of the walls and low cooling needs on the scale of the building with a gain of 45%and 52%,respectively.展开更多
This paper presents a comprehensive overview of various advanced technologies employed in the treatment of volatile organic compounds(VOCs),which are crucial pollutants in industrial emissions.The study explores diffe...This paper presents a comprehensive overview of various advanced technologies employed in the treatment of volatile organic compounds(VOCs),which are crucial pollutants in industrial emissions.The study explores different methods,including direct combustion,thermal combustion,catalytic combustion,low-temperature plasma purification,photocatalytic purification,membrane separation,and adsorption methods.Each technology is critically analyzed for its operational principles,efficiency,and applicability under different conditions.Special attention is given to adsorption concentration and catalytic combustion parallel method,highlighting its efficiency in treating low-concentration,high-volume VOC emissions.The paper also delves into the advantages and limitations of each method,providing insights into their effectiveness in various industrial scenarios.The study aims to offer a detailed guide for selecting appropriate VOC treatment technologies,contributing to enhanced environmental protection and sustainable industrial practices.展开更多
A method to simulate processes of forging and subsequent heat treatment of an axial symmetric rod is formulated in eulerian description and the feasibility is investigated. This method uses finite volume mushes for t...A method to simulate processes of forging and subsequent heat treatment of an axial symmetric rod is formulated in eulerian description and the feasibility is investigated. This method uses finite volume mushes for troching material deformation and an automatically refined facet surface to accurately trace the free surface of the deforming material.In the method,the deforming work piece flows through fixed finite volume meshes using eulerian formulation to describe the conservation laws,Fixed finite volume meshing is particularly suitable for large three-dimensional deformation such as forging because remeshing techniques are not required, which are commonly considered to be the main bottelencek in the ssimulations of large defromation by using the finite element method,By means of this finite volume method, an approach has been developed in the framework of 'metallo-thermo-mechanics' to simulate metallic structure, temperature and stress/strain coupled in the heat treatment process.In a first step of simulation, the heat treatment solver is limited in small deformation hypothesis,and un- coupled with forging. The material is considered as elastic-plastic and takes into account of strain, strain rate and temperature effects on the yield stress.Heat generation due to deformation,heat con- duction and thermal stress are considered.Temperature - dependent phase transformation,stress-in- duced phase transformation,latent heat,transformation stress and strain are included.These ap- proaches are implemented into the commerical commercial computer program MSC/SuperForge and a verification example with experimental date is given as comparison.展开更多
The effect of microwave treatment on the tensile properties of treated sugar palm fibre with 6% NaOH reinforced thermoplastic polyurethane composites was investigated. Firstly, the sugar palm fibres were treated by 6%...The effect of microwave treatment on the tensile properties of treated sugar palm fibre with 6% NaOH reinforced thermoplastic polyurethane composites was investigated. Firstly, the sugar palm fibres were treated by 6% alkali solution. Then, microwave treatment was used to treat the alkali treated sugar palm fibres. Three types of temperatures(i.e. 70, 80 and 90℃) were applied in microwave treatment. The extruder and hot press machines were used to mixing the sugar palm fibres and polyurethane resin, and fabricate the composites. Tensile properties(i.e. tensile strength, tensile modulus and elongation at break) were studied by following the ASTM D-638 standard. The highest tensile strength was recorded 18.42 MPa with microwave temperature at 70℃ and 6% alkali pre-treatment. Therefore, the temperature 70℃ of microwave treatment may consider the best degree cent grate.展开更多
The infection and drug resistance rates of Helicobacter pylori(H.pylori)are high and must be prevented and treated by better strategies.Based on recent research advances in this field as well as the results from our t...The infection and drug resistance rates of Helicobacter pylori(H.pylori)are high and must be prevented and treated by better strategies.Based on recent research advances in this field as well as the results from our team and those on traditional Chinese medicine,we review the causes of drug resistance,and prevention and treatment strategies for drug-resistant H.pylori infection,with an aim to make suggestions for the development of new drugs,such as establishment of new target identification and screening systems,modification of existing drug structures,use of new technologies,application of natural products,and using a commercial compound library.This article may provide reference for eradication of drug-resistant H.pylori.展开更多
BACKGROUND Peritoneal metastasis(PM),arising from gastric cancer(GC),is the most common pattern of synchronous and metachronous dissemination and is generally associated with poor prognosis.New therapeutic modalities ...BACKGROUND Peritoneal metastasis(PM),arising from gastric cancer(GC),is the most common pattern of synchronous and metachronous dissemination and is generally associated with poor prognosis.New therapeutic modalities are being increasingly employed for such patients.AIM To develop more advanced methods,it becomes necessary to study the results of existing standard treatment methods in patients with PM in order to perform a comparative analysis of the strategies.METHODS A retrospective analysis of the efficiency of standard treatment methods(i.e.,palliative chemotherapy,palliative gastrectomy,and the best supportive care)was performed on 200 GC patients with synchronous PM.RESULTS The overall survival(OS)rate in 200 GC patients with PM under standard treatment was 5.4 mo.One-year survival occurred in 18.4%of patients.In multivariate analysis,the survival rate was significantly influenced by the following factors:Presence of extraperitoneal metastases,and stage of PM according to both the Japanese Gastric Cancer Association(JGCA)and the peritoneal cancer index(PCI).The median OS and 1-year survival of patients withР1,P2,and P3(JGCA)carcinomatosis were 9.8 mo,6.7 mo,and 4.0 mo,and 47.2%,18.8%,and 5.1%,respectively.The application of the palliative gastrectomy resulted in an increase in the median OS by up to 17 mo compared to the conservative approach where the value was 8.5 mo(P=0.05)in patients withР1РМ.In patients withР3,palliative chemotherapy increased the OS by up to 5.6 mo compared to the OS of 3.2 mo(P=0.0006)for best supportive care.The median OS and 1-year survival of patients withРCI of 1-6,7-12 and 13+points were 8.5 mo,4.2 mo,and 4.1 mo,and 39.8%,6.7%,and 5.5%,respectively.Palliative gastrectomy increased the median OS to 12.6 mo compared to conservative approach of 8.0 mo(P=0.03)in patients withРCI of 1-6 points.In patients withРCI 13+points,only palliative chemotherapy increased the OS to 6.0 mo compared to the OS of 3.4 mo for best supportive care(P=0.0008).CONCLUSION GC patients with PM are characterized by extremely poor prognoses.Long-term survivors were found in the group with PCI of 1-6 points,and there was no survival difference in groups with PCI 7-12 vs PCI 13+points.Palliative gastrectomy could prove effective in treating patients with early stage PM.The three standard treatment methods are equally effective for moderate stages of PM.In cases with advanced peritoneal carcinomatosis,a significant increase in prognosis was registered only after treatment with palliative chemotherapy.展开更多
A new treatment for interface of metal and dielectric in finite-difference time domain (FDTD) method was presented, further how and why this treatment should be as it is was explained. The FDTD method was developed to...A new treatment for interface of metal and dielectric in finite-difference time domain (FDTD) method was presented, further how and why this treatment should be as it is was explained. The FDTD method was developed to compute the low-frequency electromagnetic fields in the metal instead of the traditional high-frequency ones as it was originally proposed. The computational results agreed well with the experimental ones.展开更多
Before-and-after methods have been effectively used in the road safety studies to estimate Crash Modification Factors (CMFs) of individual treatments as well as the multiple treatments on roadways. Since the common pr...Before-and-after methods have been effectively used in the road safety studies to estimate Crash Modification Factors (CMFs) of individual treatments as well as the multiple treatments on roadways. Since the common practice is to apply multiple treatments on road segments, it is important to have a method to estimate CMFs of individual treatment so that the effect of each treatment towards improving the road safety can be identified. Even though there are methods introduced by researchers to combine multiple CMFs or to isolate the safety effectiveness of individual treatment from CMFs developed for multiple treatments, those methods have to be tested before using them. This study considered two multiple treatments namely 1) Safety edge with lane widening 2) Adding 2 ft paved shoulders with shoulder rumble strips and/or asphalt resurfacing. The objectives of this research are to propose a regression-based method to estimate individual CMFs estimate CMFs using before-and-after Empirical Bayes method and compare the results. The results showed that having large sample size gives accurate predictions with smaller standard error and p-values of the considered treatments. Also, results obtained from regression method are similar to the EB method even though the values are not exactly the same. Finally, it was seen that the safety edge treatment reduces crashes by 15% - 25% and adding 2 ft shoulders with rumble strips reduces crashes by 25% - 49%.展开更多
<strong>Background: </strong>The significant improvement of immediate and long-term functional results of treating patients is the fundamental problem of modern medical science. A deep understanding of the...<strong>Background: </strong>The significant improvement of immediate and long-term functional results of treating patients is the fundamental problem of modern medical science. A deep understanding of the pathogenesis is the key point in creating the management strategy for patients with various diseases. Information about the mechanisms of origin and development of purulent-inflammatory diseases and sepsis is essential for finding effective ways to prevent and treat them. <strong>The aim of the research</strong> is to use the method of fluorescence spectroscopy in creating the pathogenetic diagnostic and treatment model for the prevention and treatment of purulent-inflammatory diseases and sepsis, modification of treatment tactics, search for new markers of purulent-septic diseases, as well as monitoring of patients during the treatment. <strong>Materials and methods: </strong>The proposed approach, along with standard diagnostic methods, was used to organize the treatment process of 100 patients with purulent-inflammatory diseases, including 15 patients with sepsis, 35 with acute inflammatory abdominal pathology, 20 patients with burn injury (main group) and 35 patients with burn injury (comparison group). <strong>Results:</strong> The behavior of spectral-fluorescent characteristics in their dynamics has been studied, and the new markers for assessing patients’ conditions have been proposed. Their effectiveness for the diagnosis of purulent-septic diseases has been proved, which advances the results of standard research methods by 24 - 48 hours.<strong> Conclusions:</strong> The proposed diagnostic and treatment approach is fundamentally important for diagnosis and monitoring during the treatment of patients with purulent-septic diseases. Particularly relevant is the proposal to modify the treatment process for these patients, associated with the use of infusion of donor albumin solutions.展开更多
<i>Entamoeba histolytica</i> is an anaerobic parasitic protozoan and well known as a human pathogen, while its close relative, <i>Entamoeba dispar</i>, also possesses similar characteristics as...<i>Entamoeba histolytica</i> is an anaerobic parasitic protozoan and well known as a human pathogen, while its close relative, <i>Entamoeba dispar</i>, also possesses similar characteristics as an infectious agent. These microorganisms are generally transmitted in fecal-contaminated water. However, <i>E. dispar</i> present in industrial wastewater is also capable of creating biofilms that can cause adverse impacts in piping networks. Therefore, it is important to detect both of these protozoan species in water and to find a cost-effective technique for inactivation or management control. This review article summarizes the available detection methods in water and wastewater matrices along with feasible disinfection techniques.展开更多
Water is an indispensable resource for life. In the district of Ahomadégbé in Benin, although most of the population has access to improved water sources, in their homes, residents consume poor water quality...Water is an indispensable resource for life. In the district of Ahomadégbé in Benin, although most of the population has access to improved water sources, in their homes, residents consume poor water quality due to microbiological contamination during transport and storage. To identify necessary actions needed to improve household drinking water quality, the present study aims to analyze the knowledge, attitudes, and practices the district of Ahomadégbé’s population regarding household drinking water treatments methods. A study was conducted, where 377 residents were interviewed using an individual questionnaire and 82 participants were selected for eight focus groups to determine the population’s knowledge, attitudes, and practices. More than 65% of the district’s population knew some methods of water treatment at home. In practice, however, they lacked the knowledge to apply the different water treatment methods and only 6.1% of the population used at least one method of water treatment at home, even if it was not always adapted. The water treatment methods residents used were Alum (KAl(SO4)2·12 H2O, chemical decantation method), filtration on tissues, and disinfection by boiling. Ineffective home water treatment methods, such as oil and cresol were also used. The population is aware of water contamination during transport and storage. Unfortunately, most residents surveyed do not treat water before consumption, and those who treat it, use inappropriate methods. Thus, people must be made aware of the health benefits of using effective home water treatment methods and their correct use.展开更多
Depression is a common mental illness with symptoms such as loss of interest.At present,It is mainly treated with antidepressants,which are effective in a short time,but it is highly addictive and has a high probabili...Depression is a common mental illness with symptoms such as loss of interest.At present,It is mainly treated with antidepressants,which are effective in a short time,but it is highly addictive and has a high probability of adverse reactions.Traditional Chinese medicine(TCM)treatment of depression has the advantages of high feasibility,good tolerance,obvious effect,and small side effects.In addition,TCM has great potential for the treatment of depression with the overall concept of the unity of nature and man as its guiding ideology and rich clinical experience.This review mainly expounds on the research progress of TCM treatment of depression from two aspects of TCM non-drug therapy and TCM drug therapy,to provide a reference for clinical treatment of depression.展开更多
BACKGROUND Idiopathic clubfoot is a congenital deformity of multifactorial etiology.The initial treatment is eminently conservative;one of the methods applied is the Functional physiotherapy method(FPM),which includes...BACKGROUND Idiopathic clubfoot is a congenital deformity of multifactorial etiology.The initial treatment is eminently conservative;one of the methods applied is the Functional physiotherapy method(FPM),which includes different approaches:Robert Debré(RD)and Saint-Vincent-de-Paul(SVP)among them.This method is based on manipulations of the foot,bandages,splints and exercises adapted to the motor development of the child aimed to achieve a plantigrade and functional foot.Our hypothesis was that the SVP method could be more efficient than the RD method in correcting deformities,and would decrease the rate of surgeries.AIM To compare the RD and SVP methods,specifically regarding the improvement accomplished and the frequency of surgery needed to achieve a plantigrade foot.METHODS Retrospective study of 71 idiopathic clubfeet of 46 children born between February 2004 and January 2012,who were evaluated and classified in our hospital according to severity by the Dimeglio-Bensahel scale.We included moderate,severe and very severe feet.Thirty-four feet were treated with the RD method and 37 feet with the SVP method.The outcomes at a minimum of two years were considered as very good(by physiotherapy),good(by percutaneous heel-cord tenotomy),fair(by limited surgery),and poor(by complete surgery).RESULTS Complete release was not required in any case;limited posterior release was done in 23 cases(74%)with the RD method and 9(25%)with the SVP method(P<0.001).The percutaneous heel-cord tenotomy was done in 2 feet treated with the RD method(7%)and 6 feet(17%)treated with the SVP method(P<0.001).Six feet in the RD group(19%)and twenty-one feet(58%)in the SVP group did not require any surgery(P<0.001).CONCLUSION Our study provides evidence of the superiority of the SVP method over the RD method,as a variation of the FPM,for the treatment of idiopathic clubfoot.展开更多
文摘Irritable bowel syndrome(IBS-D)with diarrhea is a common gastrointestinal functional disease in clinical practice,which seriously affects the quality of life of patients.Cur‐rently,Western medicine has poor therapeutic effects,while traditional Chinese medi‐cine has unique advantages in relieving IBS-D symptoms and preventing recurrence.In recent years,especially with external treatment of traditional Chinese medicine,it has become a new treatment direction in clinical practice and has achieved good therapeutic effects.This article will provide a review of recent research on the treatment of IBS-D using traditional Chinese medicine external treatment methods.
基金Funded by Joint Funds of the National Natural Science Foundation of China(No.U1904188)National Science Foundation for Distinguished Young Scholars(No.51608179)the Key Science and Technology Program of Henan Province,China(No.202102310253)。
文摘For the purpose of providing references for further research and practical application about the quality improvement of RCA,in this paper,various treatment methods were firstly classified into four categories:removing old mortar (OM),strengthening OM,multi-stage mixing methods,and combination methods.Thereafter,the improvement mechanisms and important conclusions of various treatment methods were elucidated and summarised respectively.In the section of discussion,the improved effects as well as advantages and disadvantages of various treatment methods were compared and discussed respectively,and recommendations for the selection of treatment methods were proposed.Finally,the further research directions were pointed out,and an integrative programme on the quality improvement of RCA was recommended.
基金Supported by grants from the Nanchong City School Cooperation Project(No.18SXHZ0542)Hubei Chen Xiaoping Science and Technology Development Foundation Project(No.CXPJJH11900002-037)Sichuan Medical Research Youth Innovation Project(No.Q18031).
文摘Objective To explore the differences in three different registration methods of cone beam computed tomography(CBCT)-guided down-regulated intense radiation therapy for lung cancer as well as the effects of tumor location,treatment mode,and tumor size on registration.Methods This retrospective analysis included 80 lung cancer patients undergoing radiotherapy in our hospital from November 2017 to October 2019 and compared automatic bone registration,automatic grayscale(t+r)registration,and automatic grayscale(t)positioning error on the X-,Y-,and Z-axes under three types of registration methods.The patients were also grouped according to tumor position,treatment mode,and tumor size to compare positioning errors.Results On the X-,Y-,and Z-axes,automatic grayscale(t+r)and automatic grayscale(t)registration showed a better trend.Analysis of the different treatment modes showed differences in the three registration methods;however,these were not statistically significant.Analysis according to tumor sizes showed significant differences between the three registration methods(P<0.05).Analysis according to tumor positions showed differences in the X-and Y-axes that were not significant(P>0.05),while the autopsy registration in the Z-axis showed the largest difference in the mediastinal and hilar lymph nodes(P<0.05).Conclusion The treatment mode was not the main factor affecting registration error in lung cancer.Three registration methods are available for tumors in the upper and lower lungs measuring<3 cm;among these,automatic gray registration is recommended,while any gray registration method is recommended for tumors located in the mediastinal hilar site measuring<3 cm and in the upper and lower lungs≥3 cm.
文摘Since conventional water treatment is not affordable in developing countries,looking for locally available and alternative treatment options is mandatory.Removal of fluoride and phosphate can be achieved by designing appropriate filtration media from different materials such as sand,calcined clay,pumice,scoria and bone char.This study was designed to determine the removal efficiency of these locally available filter media with respect to detention time and pH.The filtration apparatuses(tank) were filled separately with stone,gravel with grain size 0.6-4.75 mm and 40 cm deep,sand(ES = 0.15—0.35 mm and UC = 1.5-3),calcined clay,pumice,scoria and bone char with grain size 0.25-0.5 inch.Water samples were prepared using glass bottles with fluoride concentrations of 6 and 8 mg/1 and phosphate concentration of 4 mg/1.Laboratory analysis was carried out before and after filtration to determine the removal efficiency of each medium.It was found that the highest removal of fluoride was achieved by bone char(89.65%),followed by pumice(82.4%).However,bone char has rather increased the concentration of phosphate by 63.8%.Sand was the most efficient media to remove phosphate,managing to remove by 70%.Therefore,it is an attractive option to use these locally available,environmental friendly and appropriate technologies for efficient removal of both fluorine and phosphate at the household or community water treatment level.
基金Project (51171104) supported by the National Natural Science Foundation of China
文摘Combining with the low temperature material properties and the boiling heat transfer coefficient of specimen immersed in the liquid nitrogen, a numerical model based on metallo-thermo-mechanical couple theory was established to reproduce the deep cryogenic treatment (DCT) process of a newly developed cold work die steel Cr8Mo2SiV (SDC99). Moreover, an experimental setup for rapid temperature measurement was designed to validate the simulation results. The investigation suggests that the differences in temperature and cooling rate between the surface and core of specimen are very significant. However, it should be emphasized that the acute temperature and cooling rate changes during DCT are mainly concentrated on the specimen surface region about 1/3 of the sample thickness. Subjected to DCT, the retained austenite of quenched specimen continues to transform to martensite and finally its phase volume fraction reduces to 2.3%. The predicted results are coincident well with the experimental data, which demonstrates that the numerical model employed in this study can accurately capture the variation characteristics of temperature and microstructure fields during DCT and provide a theoretical guidance for making the reasonable DCT procedure.
文摘Introduction: Treatment of solid medical waste (SMW) is a complex task requiring the proper practices with specific treatment methods corresponding to each type of SMW during pretreatment and final treatment. This study targeted three treatment methods identified as the main used by the majority of health care facilities (HCFs) and treating a large amount of SMW. It aimed: 1) to evaluate the current practices by calculating the emergy investment and emergy costs that are required to treat one ton of SMW through the three treatment methods and 2) to evaluate and compare better technologies and provide policy suggestions for the final treatment of SMW in Burundi. Materials and Methods: This study used the emergy methodology to evaluate the relative efficiencies of three treatment methods used for to treat SMW in twelve HCFs in Bujumbura. Results and Conclusion: The total emergy input was 1.36E+20 seJ/yr, 3.54E+17 seJ/yr, and 1.681E+18 seJ/yr for low temperature incinerator, landfill and organic pit, respectively. Conclusion: Rapid improvement of organic pit by ensuring its maintenance, the gradual replacement of low temperature incinerator by high temperature incinerator with air control pollution and landfill by sanitary landfill are highly recommended by respecting its maintenance (fence, roof and monitoring evaluation) for reducing the risk.
文摘Creating sustainable cities is the only way to live in a clean environment,and this problem can be solved by using bio-sourced and recycled materials.For this purpose,the authors contribute to the valuation of sheep wool waste as an eco-friendly material to be used in insulation.The paper investigates the thermal,hygrothermal,and biological aspects of sheep wool by testing a traditional treatment.The biological method of aerobic mesophilicflora has been applied.Fluorescence X was used to determine the chemical composition of the materials used.Also,thermal characterization has been conducted.The thermal conductivity is above 0.046(W·m^(-1)·K^(-1))and the thermal diffusivity is 1.56.10^(-6) m^(2)·s^(-1).Besides,the energy efficiency of using sheep wool in buildings was studied.Furthermore,its humidity behavior was evaluated in different aspects in both winter and summer.Results of biological analyses show the efficiency of the treatment by removing the majority of the microorgan-isms:the value of yeast and mildew was reduced from 38.10^(2) to 2.10^(2)(UFC·g^(-1)).In addition to that,sheep wool permits obtaining a low thermal transmittance on the scale of the walls and low cooling needs on the scale of the building with a gain of 45%and 52%,respectively.
文摘This paper presents a comprehensive overview of various advanced technologies employed in the treatment of volatile organic compounds(VOCs),which are crucial pollutants in industrial emissions.The study explores different methods,including direct combustion,thermal combustion,catalytic combustion,low-temperature plasma purification,photocatalytic purification,membrane separation,and adsorption methods.Each technology is critically analyzed for its operational principles,efficiency,and applicability under different conditions.Special attention is given to adsorption concentration and catalytic combustion parallel method,highlighting its efficiency in treating low-concentration,high-volume VOC emissions.The paper also delves into the advantages and limitations of each method,providing insights into their effectiveness in various industrial scenarios.The study aims to offer a detailed guide for selecting appropriate VOC treatment technologies,contributing to enhanced environmental protection and sustainable industrial practices.
文摘A method to simulate processes of forging and subsequent heat treatment of an axial symmetric rod is formulated in eulerian description and the feasibility is investigated. This method uses finite volume mushes for troching material deformation and an automatically refined facet surface to accurately trace the free surface of the deforming material.In the method,the deforming work piece flows through fixed finite volume meshes using eulerian formulation to describe the conservation laws,Fixed finite volume meshing is particularly suitable for large three-dimensional deformation such as forging because remeshing techniques are not required, which are commonly considered to be the main bottelencek in the ssimulations of large defromation by using the finite element method,By means of this finite volume method, an approach has been developed in the framework of 'metallo-thermo-mechanics' to simulate metallic structure, temperature and stress/strain coupled in the heat treatment process.In a first step of simulation, the heat treatment solver is limited in small deformation hypothesis,and un- coupled with forging. The material is considered as elastic-plastic and takes into account of strain, strain rate and temperature effects on the yield stress.Heat generation due to deformation,heat con- duction and thermal stress are considered.Temperature - dependent phase transformation,stress-in- duced phase transformation,latent heat,transformation stress and strain are included.These ap- proaches are implemented into the commerical commercial computer program MSC/SuperForge and a verification example with experimental date is given as comparison.
文摘The effect of microwave treatment on the tensile properties of treated sugar palm fibre with 6% NaOH reinforced thermoplastic polyurethane composites was investigated. Firstly, the sugar palm fibres were treated by 6% alkali solution. Then, microwave treatment was used to treat the alkali treated sugar palm fibres. Three types of temperatures(i.e. 70, 80 and 90℃) were applied in microwave treatment. The extruder and hot press machines were used to mixing the sugar palm fibres and polyurethane resin, and fabricate the composites. Tensile properties(i.e. tensile strength, tensile modulus and elongation at break) were studied by following the ASTM D-638 standard. The highest tensile strength was recorded 18.42 MPa with microwave temperature at 70℃ and 6% alkali pre-treatment. Therefore, the temperature 70℃ of microwave treatment may consider the best degree cent grate.
基金Supported by National Natural Science Foundation of China,No.81760739 and No.31460023.
文摘The infection and drug resistance rates of Helicobacter pylori(H.pylori)are high and must be prevented and treated by better strategies.Based on recent research advances in this field as well as the results from our team and those on traditional Chinese medicine,we review the causes of drug resistance,and prevention and treatment strategies for drug-resistant H.pylori infection,with an aim to make suggestions for the development of new drugs,such as establishment of new target identification and screening systems,modification of existing drug structures,use of new technologies,application of natural products,and using a commercial compound library.This article may provide reference for eradication of drug-resistant H.pylori.
文摘BACKGROUND Peritoneal metastasis(PM),arising from gastric cancer(GC),is the most common pattern of synchronous and metachronous dissemination and is generally associated with poor prognosis.New therapeutic modalities are being increasingly employed for such patients.AIM To develop more advanced methods,it becomes necessary to study the results of existing standard treatment methods in patients with PM in order to perform a comparative analysis of the strategies.METHODS A retrospective analysis of the efficiency of standard treatment methods(i.e.,palliative chemotherapy,palliative gastrectomy,and the best supportive care)was performed on 200 GC patients with synchronous PM.RESULTS The overall survival(OS)rate in 200 GC patients with PM under standard treatment was 5.4 mo.One-year survival occurred in 18.4%of patients.In multivariate analysis,the survival rate was significantly influenced by the following factors:Presence of extraperitoneal metastases,and stage of PM according to both the Japanese Gastric Cancer Association(JGCA)and the peritoneal cancer index(PCI).The median OS and 1-year survival of patients withР1,P2,and P3(JGCA)carcinomatosis were 9.8 mo,6.7 mo,and 4.0 mo,and 47.2%,18.8%,and 5.1%,respectively.The application of the palliative gastrectomy resulted in an increase in the median OS by up to 17 mo compared to the conservative approach where the value was 8.5 mo(P=0.05)in patients withР1РМ.In patients withР3,palliative chemotherapy increased the OS by up to 5.6 mo compared to the OS of 3.2 mo(P=0.0006)for best supportive care.The median OS and 1-year survival of patients withРCI of 1-6,7-12 and 13+points were 8.5 mo,4.2 mo,and 4.1 mo,and 39.8%,6.7%,and 5.5%,respectively.Palliative gastrectomy increased the median OS to 12.6 mo compared to conservative approach of 8.0 mo(P=0.03)in patients withРCI of 1-6 points.In patients withРCI 13+points,only palliative chemotherapy increased the OS to 6.0 mo compared to the OS of 3.4 mo for best supportive care(P=0.0008).CONCLUSION GC patients with PM are characterized by extremely poor prognoses.Long-term survivors were found in the group with PCI of 1-6 points,and there was no survival difference in groups with PCI 7-12 vs PCI 13+points.Palliative gastrectomy could prove effective in treating patients with early stage PM.The three standard treatment methods are equally effective for moderate stages of PM.In cases with advanced peritoneal carcinomatosis,a significant increase in prognosis was registered only after treatment with palliative chemotherapy.
基金the National Natural Science Foundation (GrantNO.5973J080) and by the "973" Key FOundation (Grant No. G1998061510).
文摘A new treatment for interface of metal and dielectric in finite-difference time domain (FDTD) method was presented, further how and why this treatment should be as it is was explained. The FDTD method was developed to compute the low-frequency electromagnetic fields in the metal instead of the traditional high-frequency ones as it was originally proposed. The computational results agreed well with the experimental ones.
文摘Before-and-after methods have been effectively used in the road safety studies to estimate Crash Modification Factors (CMFs) of individual treatments as well as the multiple treatments on roadways. Since the common practice is to apply multiple treatments on road segments, it is important to have a method to estimate CMFs of individual treatment so that the effect of each treatment towards improving the road safety can be identified. Even though there are methods introduced by researchers to combine multiple CMFs or to isolate the safety effectiveness of individual treatment from CMFs developed for multiple treatments, those methods have to be tested before using them. This study considered two multiple treatments namely 1) Safety edge with lane widening 2) Adding 2 ft paved shoulders with shoulder rumble strips and/or asphalt resurfacing. The objectives of this research are to propose a regression-based method to estimate individual CMFs estimate CMFs using before-and-after Empirical Bayes method and compare the results. The results showed that having large sample size gives accurate predictions with smaller standard error and p-values of the considered treatments. Also, results obtained from regression method are similar to the EB method even though the values are not exactly the same. Finally, it was seen that the safety edge treatment reduces crashes by 15% - 25% and adding 2 ft shoulders with rumble strips reduces crashes by 25% - 49%.
文摘<strong>Background: </strong>The significant improvement of immediate and long-term functional results of treating patients is the fundamental problem of modern medical science. A deep understanding of the pathogenesis is the key point in creating the management strategy for patients with various diseases. Information about the mechanisms of origin and development of purulent-inflammatory diseases and sepsis is essential for finding effective ways to prevent and treat them. <strong>The aim of the research</strong> is to use the method of fluorescence spectroscopy in creating the pathogenetic diagnostic and treatment model for the prevention and treatment of purulent-inflammatory diseases and sepsis, modification of treatment tactics, search for new markers of purulent-septic diseases, as well as monitoring of patients during the treatment. <strong>Materials and methods: </strong>The proposed approach, along with standard diagnostic methods, was used to organize the treatment process of 100 patients with purulent-inflammatory diseases, including 15 patients with sepsis, 35 with acute inflammatory abdominal pathology, 20 patients with burn injury (main group) and 35 patients with burn injury (comparison group). <strong>Results:</strong> The behavior of spectral-fluorescent characteristics in their dynamics has been studied, and the new markers for assessing patients’ conditions have been proposed. Their effectiveness for the diagnosis of purulent-septic diseases has been proved, which advances the results of standard research methods by 24 - 48 hours.<strong> Conclusions:</strong> The proposed diagnostic and treatment approach is fundamentally important for diagnosis and monitoring during the treatment of patients with purulent-septic diseases. Particularly relevant is the proposal to modify the treatment process for these patients, associated with the use of infusion of donor albumin solutions.
文摘<i>Entamoeba histolytica</i> is an anaerobic parasitic protozoan and well known as a human pathogen, while its close relative, <i>Entamoeba dispar</i>, also possesses similar characteristics as an infectious agent. These microorganisms are generally transmitted in fecal-contaminated water. However, <i>E. dispar</i> present in industrial wastewater is also capable of creating biofilms that can cause adverse impacts in piping networks. Therefore, it is important to detect both of these protozoan species in water and to find a cost-effective technique for inactivation or management control. This review article summarizes the available detection methods in water and wastewater matrices along with feasible disinfection techniques.
文摘Water is an indispensable resource for life. In the district of Ahomadégbé in Benin, although most of the population has access to improved water sources, in their homes, residents consume poor water quality due to microbiological contamination during transport and storage. To identify necessary actions needed to improve household drinking water quality, the present study aims to analyze the knowledge, attitudes, and practices the district of Ahomadégbé’s population regarding household drinking water treatments methods. A study was conducted, where 377 residents were interviewed using an individual questionnaire and 82 participants were selected for eight focus groups to determine the population’s knowledge, attitudes, and practices. More than 65% of the district’s population knew some methods of water treatment at home. In practice, however, they lacked the knowledge to apply the different water treatment methods and only 6.1% of the population used at least one method of water treatment at home, even if it was not always adapted. The water treatment methods residents used were Alum (KAl(SO4)2·12 H2O, chemical decantation method), filtration on tissues, and disinfection by boiling. Ineffective home water treatment methods, such as oil and cresol were also used. The population is aware of water contamination during transport and storage. Unfortunately, most residents surveyed do not treat water before consumption, and those who treat it, use inappropriate methods. Thus, people must be made aware of the health benefits of using effective home water treatment methods and their correct use.
文摘Depression is a common mental illness with symptoms such as loss of interest.At present,It is mainly treated with antidepressants,which are effective in a short time,but it is highly addictive and has a high probability of adverse reactions.Traditional Chinese medicine(TCM)treatment of depression has the advantages of high feasibility,good tolerance,obvious effect,and small side effects.In addition,TCM has great potential for the treatment of depression with the overall concept of the unity of nature and man as its guiding ideology and rich clinical experience.This review mainly expounds on the research progress of TCM treatment of depression from two aspects of TCM non-drug therapy and TCM drug therapy,to provide a reference for clinical treatment of depression.
文摘BACKGROUND Idiopathic clubfoot is a congenital deformity of multifactorial etiology.The initial treatment is eminently conservative;one of the methods applied is the Functional physiotherapy method(FPM),which includes different approaches:Robert Debré(RD)and Saint-Vincent-de-Paul(SVP)among them.This method is based on manipulations of the foot,bandages,splints and exercises adapted to the motor development of the child aimed to achieve a plantigrade and functional foot.Our hypothesis was that the SVP method could be more efficient than the RD method in correcting deformities,and would decrease the rate of surgeries.AIM To compare the RD and SVP methods,specifically regarding the improvement accomplished and the frequency of surgery needed to achieve a plantigrade foot.METHODS Retrospective study of 71 idiopathic clubfeet of 46 children born between February 2004 and January 2012,who were evaluated and classified in our hospital according to severity by the Dimeglio-Bensahel scale.We included moderate,severe and very severe feet.Thirty-four feet were treated with the RD method and 37 feet with the SVP method.The outcomes at a minimum of two years were considered as very good(by physiotherapy),good(by percutaneous heel-cord tenotomy),fair(by limited surgery),and poor(by complete surgery).RESULTS Complete release was not required in any case;limited posterior release was done in 23 cases(74%)with the RD method and 9(25%)with the SVP method(P<0.001).The percutaneous heel-cord tenotomy was done in 2 feet treated with the RD method(7%)and 6 feet(17%)treated with the SVP method(P<0.001).Six feet in the RD group(19%)and twenty-one feet(58%)in the SVP group did not require any surgery(P<0.001).CONCLUSION Our study provides evidence of the superiority of the SVP method over the RD method,as a variation of the FPM,for the treatment of idiopathic clubfoot.