Effect of Mouth Opening Training Stick Combined with Oral Massage on Mouth Opening Difficulty in Head and Neck Cancer Patients after Treatment

Objective: To study the application effect of mouth-opening training sticks combined with oral massage on patients with mouth-opening difficulty after treatment for head and neck cancer. Methods: Using convenient sampling, 60 patients with mouth-opening difficulty after treatment for head and neck cancer admitted to the Oncology Department from February 2022 to October 2023 were selected for a 2-week exercise and nursing program. The patients were divided into a control group (February 1, 2022 to November 30, 2022) and an observation group (December 1, 2022 to October 31, 2023), with 30 patients in each group. The control group underwent routine mouth-opening functional exercises combined with cork for oral support training, while the observation group underwent routine mouth-opening functional exercises combined with oral massage and mouth-opening training sticks for oral support training. The mouth-opening degree, mouth-opening difficulty level, comfort level, compliance, and quality of life were observed in both groups. Results: Before the intervention, there were no statistically significant differences in mouth-opening degree and mouth-opening difficulty level between the two groups (P > 0.05). After the intervention, the mouth-opening degree, mouth-opening difficulty level, oral comfort level, compliance, and QLICP-HN scores in the observation group were all better than those in the control group, with statistically significant differences (P < 0.05). Conclusion: The combination of mouth-opening training sticks and oral massage with mouth-opening functional exercises can effectively improve the degree of mouth-opening difficulty, enhance oral comfort, increase compliance with mouth-opening exercises, and improve quality of life.

Realizing profits immediately:disposition effect of open-end fund investors in China

This paper explores the disposition effect, the tendency of investors to hold losing investments too long and sell winning investments too soon, by analyzing a unique data set that consists of the buying and selling positions of open-end fund investors in China. Results show that investors' buying and selling behaviors are significantly affected by fund performance. The reasons that lie behind such results are mainly related to the non-persistence of fund performance. When fund performance is non-persistent, investors are not clear about the future returns on funds. So, investors, especially individual investors, would have to realize the profits on hand immediately. Meanwhile, fund investors are highly sensitive to fund age and loading fees, but not sensitive to management fees charged by funds when they buy or sell fund shares.

Effect of Valence Band Tail Width on the Open Circuit Voltage of P3HT:PCBM Bulk Heterojunction Solar Cell:AMPS-1D Simulation Study

The effect of the valence band tail width on the open circuit voltage of P3HT：PCBM bulk heterojunction solar cell is investigated by using the AMPS-1D computer program. An effective medium model with exponential valence and conduction band tail states is used to simulate the photovoltaic cell. The simulation result shows that the open circuit voltage depends Iinearly on the logarithm of the generation rate and the slope depends on the width of the valence band tail. The open circuit voltage decreases with the increasing width of the band tail. The dark and light ideality factors increase with the width of the valence band tail.

RESIDENCE TIME DISTRIBUTION IN AN OPEN REACTOR:EFFECT OF BACKGROUND REACTANT ON TRACER DISPERSION

A new approach is presented for deriving the residence time distribution(RTD)in open-type reactors with exclusion of residence in the fore section.Inasmuch as failure to predict the con-version of chemical reactions has been evidenced in many occasions,numerical solution of tracerdispersion in the presence of background concentration gradient of reactant is given to demonstratethe strong effect of background reactant on the true RTD a reactant molecule experiences.Withinthe error of computation,the conversion of a first-order chemical reaction under steady state is shownto be equal in both closed and open reactors,despite difference in relevant

EFFECT OF BACKGROUND REACTANT GRADIENT ON TRACER DISPERSION:A CASE STUDY OF IMPULSE INJECTION OF REACTANT INTO AN OPEN REACTOR

The paradox is well known that the residence time distribution(RTD)is not valid forthe estimation of the conversion of a first order reaction in an open tubular reactor.A casc ofδ injection of reactive species into an open flow system is investigated theoretically in this paper.The analytical solution with the Laplace transform demonstrated that the conversion of a first orderreaction is identical to that in a closed reactor under steady state.The effect of the backgroundreactant concentration gradient addressed by the authors in a previous paper was employed to thiscase.and the numerical solution of the tracer dispersion based on this novel argument gave rise to asimilar value of conversion.suggesting the validity of the concept and the significance of the subtledifference between RTDs determined with or without the presence of a background reactant in anopen flow system.

Study on the squeezing effect of open-ended pipe piles

During the installation of a pipe pile,the soil around the pile will be squeezed out. This paper deals with this squeezing effect of open-ended pipe piles using the cylindrical cavity expansion theory. The characteristics of soil with different tension and compression moduli and dilation are involved by applying the elastic theory with different moduli and logarithmic strain. The closed-form solutions of the radius of the plastic region,the displacement of the boundary between the plastic region and the elastic region and the expansion pressure on the external surface of the pipe piles are obtained. When obtaining these solutions,the soil plug in the open-ended pipe pile is considered by employing an incremental filling ratio to quantify the degree of soil plugging. Moreover,the effects of the ratio of tension and compression moduli,angle of dilation and incremental filling ratio on the radius of the plastic region and the expansion pressure on the external surface of the pipe pile are investigated. The parametric analyses show that it is necessary and important to consider the difference between the tension modulus and compression modulus,dilation angle and incremental filling ratio for studying the squeezing effect of open-ended pipe pile installation. It is concluded that the analytical solutions presented in this paper are suitable for studying the squeezing effect of open-ended pipe piles.

Open Partial Nephrectomy: One Night Length of Stay Is Safe and Cost Effective

Objective: To review our open partial nephrectomy (OPN) experience and compare to known robotic partial nephrectomy (RPN) data to determine whether length of stay (LOS) and morbidity are significant drivers in the surgical approach employed for partial nephrectomy. Methods: We reviewed our OPN experience during the last 3 years examining age, tumor size, LOS, pathology, blood loss, complications, recurences, and deaths. Results: Seventy-five patients underwent OPN during this period. Mean age was 59 years, tumor size 2.8 cm, percent malignant 75%, estimated blood loss 350 cc. With a median follow-up of 18 months, there was one urinoma managed by drain-age, one pseudo aneurysm that required embolization and one pulmonary embolism that required anticoagulation. There were no readmissions, no tumor recurences, and no deaths. Our major complication rate was 4% as compared to other trials that re-ported major complication rates between 1% - 9% for RPN and between 3% - 24% for OPN. In the first half of the experience (n = 37), median LOS was 57 hours. Using a pathway encouraging early ambulation and smaller incisions in the second half of the experience (n = 38), median LOS was 35 hours. This is much shorter than reported RPN LOS of 62 - 67 hours and OPN LOS of 108 - 142 hours. Conclusion: OPN can be performed safely and effectively with one night hospital stay. This provides a more cost-effective approach to partial nephrectomy with similar or better complication rates and calls into question the main value drivers of RPN.

EFFECT OF OPENING OPERATING PARAMETERS ON YARN QUALITY IN FINE AND MEDIUM COUNT FRICTION SPINNING

In this paper, a quantitative analysis of the opening quality in friction spinning and its main ef-fecting factors is first made. Upon this basis the Box-Hunter’s experimental design method is usedto establish the quadratic regressional equations in terms of primary opening technologicalparameters and yarn quality for medium and fine count friction spinning. The results of analysisand discussion show that the proper choice of opening roller speed and its reasonable match withthe yarn count is singificant for ensuring the spinning quality index as well as reducing unevenness,thin and thick places of the yarn.

利用OpenGL实现常用机构的三维运动仿真

介绍了在Windows 9x/NT环境下 ,通过VisualC ++调用OpenGL图形库中的函数 ,开发具有真实感的常用机构的三维图像运动仿真的方法。根据常用机构几何参数建立数学模型后 ,对其进行参数化三维造型 ,形成具有真实感的机构三维模型 ;然后根据输入的机构参数 ,采用运动的动画显示技术动态地绘制出机构的图像并展现机构在每一位置的运动情况 。

基于OpenAL的三维音效技术的研究

三维音效是一组声音效果的集合,用来加强由扬声器或耳机等声音输出设备所产生的立体感,或使听众产生一种错觉,即声音来自于三维空间的各个方位,包括听众的前后左右及上方、下方.在虚拟环境中,使用3D音效模拟音源的位置与运动,以物理运动学、物理声学、人的生理声学、心理声学等的研究成果为理论基础,以数字信号分析、处理、合成为实现手段,以耳机或扬声器为输出工具,实时合成能反映等效三维真实空间中运动物体特性的音频信号.讨论了三维音效的关键技术,包括声音的定位、头相关传输函数,以及相关的编程工具OpenAL的特性,并与DirectX DirectSound进行比较,最后给出一个OpenAL的实例.

Quantifying the thermal damping effect in underground vertical shafts using the nonlinear autoregressive with external input(NARX) algorithm

As air descends the intake shaft, its infrastructure, lining and the strata will emit heat during the night when the intake air is cool and, on the contrary, will absorb heat during the day when the temperature of the air becomes greater than that of the strata. This cyclic phenomenon, also known as the "thermal damping effect" will continue throughout the year reducing the effect of surface air temperature variation. The objective of this paper is to quantify the thermal damping effect in vertical underground airways. A nonlinear autoregressive time series with external input(NARX) algorithm was used as a novel method to predict the dry-bulb temperature(Td) at the bottom of intake shafts as a function of surface air temperature. Analyses demonstrated that the artificial neural network(ANN) model could accurately predict the temperature at the bottom of a shaft. Furthermore, an attempt was made to quantify typical "damping coefficient" for both production and ventilation shafts through simple linear regression models. Comparisons between the collected climatic data and the regression-based predictions show that a simple linear regression model provides an acceptable accuracy when predicting the Tdat the bottom of intake shafts.

Coping with Short-term Sustained Peak Demands——several cost-effective strategies

For most open universities,in fact for most universities,there will arise occasions when some online activities will have to be completed by all students in a very short time interval.These occasions usually result in a great rush to get online as quickly as possible;the rush is often made worst by the limited good choices on offer such that usually only the earliest can get the best.Choosing and confirming elective subjects,when only a limited number for each are offered,on a first-come-first-served basis is an example. At the Open University Malaysia the rush occurs when confirming offered subjects and choosing face-to-face meeting timetable.Most students rushed to be earliest to ensure choice slots in the timetable are obtained. Available I.T.resources such as Internet bandwidth and servers cannot cope with these short-term sustained peak demands.Unless these peak demands are met,however,online services will slow down drastically resulting in long queues of users waiting to be served.Providing excess capacity,if at all possible,to ensure these short duration peak demands can be met would not be cost-effective since most of the time these resources are not utilised.This paper will look at some cost-effective approaches to meeting these short-term peak demands.

数字经济发展与出口韧性:来自我国地级市层面的经验证据

随着全球经济不确定性加剧和地缘政治经济形势日渐复杂,我国出口贸易韧性面临较大外部冲击,而数字经济快速发展通过有效赋能贸易转型升级深刻影响城市出口韧性。基于此背景,系统梳理数字经济影响出口韧性的理论机制,利用我国地级市面板数据和双重差分模型,实证检验数字经济发展对我国城市出口韧性的影响效应及作用机制。研究表明:数字经济发展对出口韧性抵抗性和恢复性均具有显著的正向影响,多种稳健性检验均支持上述结论。该影响效应在低数字经济发展水平城市和低对外贸易依存度城市表现得更为突出;数字经济发展对出口韧性抵抗性的影响在中西部和北部城市更为突出,对出口韧性恢复性的影响在东部和北部城市更为明显。此外,数字经济通过影响技术创新和贸易开放提升出口韧性,产业因素中制造业集聚对此具有负向调节作用,产业多样化对此具有正向调节作用。进一步研究发现,互联网发展规模对数字经济影响出口韧性抵抗性具有非线性作用,表现为双门槛效应。以上结论为提升我国城市出口韧性、加快实现贸易高质量发展提供理论支撑,提出加大对数字经济与相关产业的支持力度,促进数字技术与传统行业深度融合,推动国内各地域均衡发展,倡导经济多样化发展等建议。

“Lock-in Effect” to Be Blamed for Regional Development Imbalances

Reform and opening up has made China’s economy develop faster than ever. But it has not succeeded in changing the regional disparity in China. In this article, we establish a model factor input called the "lock-in effect" and analyze the channel of the lock-in effect and how it influences the regional economy. On the analyses of thirty provinces’ panel data in China from 1990 to 2005, we find that the lock-in effect of factor inputs further exacerbates the developmental imbalance among regions.

Experimental study on influence of boundary on location of maximum velocity in open channel flows

The velocity dip phenomenon may occur in a part of or in the whole flow field of open channel flows due to the secondary flow effect. Based on rectangular flume experiments and the laser Doppler velocimetry, the influence of the distance to the sidewall and the aspect ratio on the velocity dip is investigated. Through application of statistical methods to the experimental results, it is proposed that the flow field may be divided into two regions, the relatively strong sidewall region and the relatively weak sidewall region. In the former region, the distance to the sidewall greatly affects the location of maximum velocity, and, in the latter region, both the distance to the sidewall and the aspect ratio influence the location of the maximum velocity.

小口径定距空爆弹末端防空拦截实时模拟及开舱距离研究

针对现有小口径定距空爆弹末端防空拦截及开舱距离模拟中,无法体现开舱后子弹云团与目标的动态交会过程,并忽略了定距空爆引信实际启动规律,导致毁伤效能评估不准确的问题,开展小口径定距空爆弹末端防空拦截实时模拟及开舱距离进行研究。通过建立多束定向预制破片战斗部、弹目交会及以巡航导弹为拦截目标的等效目标数值模型,搭建小口径定距空爆弹末端防空拦截实时模拟平台。基于实时模拟平台,引入武器系统误差与定距空爆引信实测启动规律,分析炮弹在不同射击距离下开舱距离与毁伤效能的关系,并对小口径定距空爆弹引信技术发展方向进行展望。研究结果表明,引信实际启动规律使得最优毁伤效能随射击距离的增加而减少的幅度增大,在射击远距离目标时,0~20 m的开舱距离内都存在着较高的完全脱靶率。

Quantum speed-up capacity in different types of quantum channels for two-qubit open systems

A potential acceleration of a quantum open system is of fundamental interest in quantum computation, quantum communication, and quantum metrology. In this paper, we investigate the ＂quantum speed-up capacity＂ which reveals the potential ability of a quantum system to be accelerated. We explore the evolutions of the speed-up capacity in different quantum channels for two-qubit states. We find that although the dynamics of the capacity is varying in different kinds of channels, it is positive in most situations which are considered in the context except one case in the amplitude-damping channel. We give the reasons for the different features of the dynamics. Anyway, the speed-up capacity can be improved by the memory effect. We find two ways which may be used to control the capacity in an experiment： selecting an appropriate coefficient of an initial state or changing the memory degree of environments.

SYNTHESIS AND FREE RADICAL RING-OPENING POLYMERIZATION OF 2-METHYL-AND 2-METHYL-9-n-BUTYL-(-7-METHYLENE-1,4,6-TRIOXA-SPIRO (4, 4)NONANE)

This paper describes the synthesis and free radical ring-opening polymerization of 2-methyl-and 2-methyl-9-n-butyl (-7-methylene-1, 4, 6-trioxaspiro (4, 4) nonane). The structures of the two polymers were verified by IR, 'H and ^(13)C NMR spectra. The substituent on 9-position of 7-methylene-trioxaspiro (4, 4) nonane affects the structure of polymer and polymerization activity. The polymerization mechanism is discussed.

胃穿孔修补术采用腹腔镜和开腹手术的疗效对比

目的 对比胃穿孔修补术采取腹腔镜以及开腹手术的临床疗效。方法 18例胃穿孔患者,采取随机形式将其分为研究组(9例)和对照组(9例)。对照组采取开腹手术胃穿孔修补术治疗,研究组采取腹腔镜胃穿孔修补术治疗。比较两组患者手术指标以及并发症发生情况。结果 研究组手术时间(1.03±0.44)h、术后排气时间(12.00±0.55)h、住院时间(7.21±1.46)d均短于对照组的(1.70±0.59)h、(15.12±0.64)h、(10.42±1.55)d,出血量(14.55±6.93)ml少于对照组的(23.50±6.99)ml,差异具有统计学意义(P<0.05)。研究组中发生切口感染1例,对照组中发生切口感染3例、胃出血2例。研究组并发症发生率11.11%低于对照组的55.56%,差异有统计学意义(P<0.05)。结论 临床中对于胃穿孔患者采取腹腔镜修补术进行治疗的效果明显优于开腹手术,能够成为临床治疗胃穿孔疾病的首选方案,对于胃穿孔治疗的发展有着重要的意义。

从博弈到协同:城市学校体育场地对外开放治理的实现路径

城市学校体育场地对外开放是用好群众身边的体育设施、缓解群众“健身去哪儿”难题的重要举措。研究基于协同治理理论,采用博弈论的分析方法,揭示城市学校体育场地对外开放困境的形成逻辑,分析国家有关政策的执行效应及地方政府、各职能部门与学校间的多重博弈关系。提炼厦门市学校体育场地对外开放经验,发现民生体育价值理念能有效促使多元利益主体从博弈走向协同,地方政府整合协同治理要素,实施高位推动的治理结构、政绩共容的制度安排、权责匹配的集体行动与技术赋能的实践图景,能实现学校体育场地对外开放协同治理的良好效果。