Surgical strategy of one stage surgery of anterior release combined with posterior correction in treatment of severe scoliosis

Objective: Severe scoliosis refers to scoliosis with serious and stiff curve. It always combins with trunk imbalance in coronal and sagittal contour. Besides complex pathological changes, cardiopulmonary deficits and other concomitant diseases increase treatmental difficulties. So the treatment of severe scoliosis is always a great challenge to spine surgeon.Methods:Thirty-six patients with severe scoliosis received one stage posterior correction followed by anterior release during July 1997 to January 2003, including 9 males and 27 females. Mean age was 17.2 years. Of them, 33 was idiopathic scoliosis and 3 was neurofibromatosis scoliosis( Cobb angle: 85-116 degree); 20 cases were abnormal in sagital plane. Three-dimensional devised instrumentation were applied such as CD, CD-Horizon, TSRH or Isola in posterior procedure followed by anterior release during the same anesthesia. 31 cases of this group received thoracic plasty.Results: The correction in the frontal plane achieved an average of 48.5%. In the sagittal plane, the pathological shape of the spine was reduced and distinctly ameliorated. 80.6% of the patients maintained or achieved balance of sagittal plane. There were no complications of severe neurological deficit, hook displacement, rod broken, and deep infection at follow-up. One case occurred traumatic pleurisy after operation and another appeared pseudarthrosis 2 years later. One case demonstrated imbalance 11 months after operation. One patient was presented loss of correction more than 10 degree at one year follow-up and 5.2 degree in average.Conclusion:The study indicates that the one stage posterior correction combined with anterior release in treatment of severe scoliosis can achieve satisfactory correction. Appropriate choice of cases, preoperational detailed assessment and application of SEP and wake-up test during operation can possibly reduce severe complication. The long-term outcomes still need further observation.

Topological Modeling of a One Stage Spur Gear Transmission

Finding a basis of unification for the modeling of mechatronic systems is the search subject of several works.This paper is a part of a general research designed to the application of topology as a new approach for the modeling of mechatronic systems.Particularly,the modeling of a one stage spur gear transmission using a topological approach is tackled.This approach is based on the concepts of topological collections and transformations and implemented using the MGS（modeling of general systems）language.The topological collections are used to specify the interconnection laws of the one stage spur gear transmission and the transformations are used to specify the local behavior laws of its different components.In order to validate this approach,simulation results are presented and compared with those obtained with MODELICA language using Dymola solver.Since good results are achieved,this approach might be used as a basis of unification for the modeling of mechatronic systems.

Diagnosis and one stage surgical treatment of lower thoracic ossification of ligamentum flavum combined with lumbar spinal stenosis

Objective To study the diagnosis and treatment of lower thoracic ossification of ligamentum flavum(OLF) combined with lumbar spinal stenosis.Methods Retrospective analysis was carried out on 11 cases of lower thoracic OLF combined with

Free Hand One Stage Correction of Kyphoscoliosis

Background: Scoliosis is a complex musculoskeletal torsional deformity of spine that includes: Lateral curvature in the anterior-posterior plane with a Cobb angle greater than 10 degrees, Angulation in the sagittal plane, or Rotation in the transverse plane. Scoliosis classified into neuromuscular, idiopathic, or congenital. Radiological evaluation is done by plain radiography, computed tomography (CT), and magnetic resonance (MR). We aimed to evaluate patients with idiopathic kyphoscoliosis who underwent a freehand posterior approach for scoliosis correction through transpedicular screws fixation. Setting: Al-Azhar University Hospitals. Subjects and Methods: Study was performed on 12 patients with idiopathic kyphoscoliosis who underwent a freehand posterior approach for scoliosis correction through transpedicular screws fixation in Al-Azhar University Hospitals between 2015 to 2018 & follow up for one year. Results: Early outcome showed improved Cobb’s angle and coronal balance significantly after surgery. Correction is 95% in 2 cases (17%), 80% correction in 8 cases (66%), 60% correction in 2 cases (17%). 2 cases have CSF leakage which improved with conservative treatment. Late follow-up shows improvement of patient deformity and cosmetic appearance to the degree of patient satisfaction occur in 7 cases (58%) associated with high SRS-30 total scores. However, assessment of the pain in comparison to preoperative assessment show improvement of pain in 4 cases (33%), persistent in 4 cases (33%), appear in 4 cases (33%). Conclusion: Freehand one-stage correction management of idiopathic kyphoscoliosis through the posterior approach is a safe and effective for near-total correction of deformity with a good outcome with minimal complications.

One stage anterior release and posterior fusion for the treatment of irreducible atlantoaxial dislocation secondary to os odontoideum

Objective To evaluate clinical effect of the ventral release through high anterior cervical retropharyngeal approach and one stage posterior fusion for the treatment ofirreducible atlantoaxial dislocation (IAAD) secondary

Numerical 3D Model of Viscous Turbulent Flow in One Stage Gas Turbine and Its Experimental Validation

The paper describes 3D numerical Reynolds Averaged Navier-Stokes (RANS) model and approximate sector approach for viscous turbulent flow through flow path of one stage axial supercharge gas turbine of marine diesel engine. Computational data are tested by comparison with experimental data. The back step flow path opening and tip clearance jet are taken into account.This approach could be applied for variety of turbine theory and design tasks: for offer optimal design in order to minimize kinetic energy stage losses; for solution of partial supply problem; for analysis of flow pattern in near extraction stages; for estimation of rotational frequency variable forces on blades; for sector vane adjustment (with thin leading edges mainly), for direct flow modeling in the turbine etc. The development of this work could be seen in the direction of unsteady stage model application.

YOLO-CRD:A Lightweight Model for the Detection of Rice Diseases in Natural Environments

Rice diseases can adversely affect both the yield and quality of rice crops,leading to the increased use of pesticides and environmental pollution.Accurate detection of rice diseases in natural environments is crucial for both operational efficiency and quality assurance.Deep learning-based disease identification technologies have shown promise in automatically discerning disease types.However,effectively extracting early disease features in natural environments remains a challenging problem.To address this issue,this study proposes the YOLO-CRD method.This research selected images of common rice diseases,primarily bakanae disease,bacterial brown spot,leaf rice fever,and dry tip nematode disease,from Tianjin Xiaozhan.The proposed YOLO-CRD model enhanced the YOLOv5s network architecture with a Convolutional Channel Attention Module,Spatial Pyramid Pooling Cross-Stage Partial Channel module,and Ghost module.The former module improves attention across image channels and spatial dimensions,the middle module enhances model generalization,and the latter module reduces model size.To validate the feasibility and robustness of this method,the detection model achieved the following metrics on the test set:mean average precision of 90.2%,accuracy of 90.4%,F1-score of 88.0,and GFLOPS of 18.4.for the specific diseases,the mean average precision scores were 85.8%for bakanae disease,93.5%for bacterial brown spot,94%for leaf rice fever,and 87.4%for dry tip nematode disease.Case studies and comparative analyses verified the effectiveness and superiority of the proposed method.These researchfind-ings can be applied to rice disease detection,laying the groundwork for the development of automated rice disease detection equipment.

A Theoretical Model for the Size Prediction of Single Bubbles Formed under Liquid Cross-flow

The size of initial bubbles is an important factor to the developed bubble size distribution in a gas-liquid contactor. A liquid cross-flow over a sparger can produce smaller bubbles, and hereby enhance the performance of contactor. A one stage model by balancing the forces acting on a growing bubble was developed to describe the formation of the bubble from an orifice exposed to liquid cross-flow. The prediction with this model agrees with the experimental data available in the literatures, and show that orifice size strongly affects the bubble size. It is showed that the shear-lift force, inertia force, surface tension force and buoyancy force are major forces, and a simplified mathematical model was developed, and the detachment bubble diameter can be predicted with accuracy of <±21%.