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Sandwich structures with tapered tubes as core:A quasi-static investigation
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作者 Xinmei Xiang Dehua Shao +5 位作者 Xin Zhang Umer Sharif Ngoc San Ha Li Xiang Jing Zhang Jiang Yi 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2024年第3期447-462,共16页
In this article,the experimental and finite element analysis is utilized to investigate the quasi-static compression features of sandwich constructions built with tapered tubes.3D printing technology was utilized to c... In this article,the experimental and finite element analysis is utilized to investigate the quasi-static compression features of sandwich constructions built with tapered tubes.3D printing technology was utilized to create the hollow centers of the tapering tubes,with and without corrugations.The results demonstrate that the energy absorption(EA)and specific energy absorption(SEA)of the single corrugated tapered tube sandwich are 51.6% and 19.8% higher,respectively,than those of the conical tube sandwich.Furthermore,the results demonstrate that energy absorbers can benefit from corrugation in order to increase their efficiency.Additionally,the tapered corrugated tubes'resistance to oblique impacts was studied.Compared to a straight tube,the tapered tube is more resistant to oblique loads and has a lower initial peak crushing force(PCF),according to numerical simulations.After conducting a parametric study,it was discovered that the energy absorption performance of the sandwich construction is significantly affected by the amplitude,number of corrugations,and wall thickness.EA and SEA of DTS with corrugation number of 8 increased by 17.4%and 29.6%,respectively,while PCF decreased by 9.2% compared to DTS with corrugation number of 10. 展开更多
关键词 Sandwich structure Corrugated tube Tapered tube quasi-static Energy absorption
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Effectiveness of Histopathological Examination of Ultrasound-guided Puncture Biopsy Samples for Diagnosis of Extrapulmonary Tuberculosis
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作者 GU Wen Fei SHI Xia +5 位作者 MA Xin YU Jun Lei XU Jin Chuan QIAN Cheng Cheng HU Zhi Dong ZHANG Hui 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2024年第2期170-177,共8页
Objective To evaluate the diagnostic value of histopathological examination of ultrasound-guided puncture biopsy samples in extrapulmonary tuberculosis(EPTB).Methods This study was conducted at the Shanghai Public Hea... Objective To evaluate the diagnostic value of histopathological examination of ultrasound-guided puncture biopsy samples in extrapulmonary tuberculosis(EPTB).Methods This study was conducted at the Shanghai Public Health Clinical Center.A total of 115patients underwent ultrasound-guided puncture biopsy,followed by MGIT 960 culture(culture),smear,Gene Xpert MTB/RIF(Xpert),and histopathological examination.These assays were performed to evaluate their effectiveness in diagnosing EPTB in comparison to two different diagnostic criteria:liquid culture and composite reference standard(CRS).Results When CRS was used as the reference standard,the sensitivity and specificity of culture,smear,Xpert,and histopathological examination were(44.83%,89.29%),(51.72%,89.29%),(70.11%,96.43%),and(85.06%,82.14%),respectively.Based on liquid culture tests,the sensitivity and specificity of smear,Xpert,and pathological examination were(66.67%,72.60%),(83.33%,63.01%),and(92.86%,45.21%),respectively.Histopathological examination showed the highest sensitivity but lowest specificity.Further,we found that the combination of Xpert and histopathological examination showed a sensitivity of 90.80%and a specificity of 89.29%.Conclusion Ultrasound-guided puncture sampling is safe and effective for the diagnosis of EPTB.Compared with culture,smear,and Xpert,histopathological examination showed higher sensitivity but lower specificity.The combination of histopathology with Xpert showed the best performance characteristics. 展开更多
关键词 Extrapulmonary tuberculosis DIAGNOSIS BIOPSY Histopathological examination puncture samples
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Quasi-static and dynamic compressive behaviour of additively manufactured Menger fractal cube structures
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作者 Damith Mohotti Dakshitha Weerasinghe +3 位作者 Madhusha Bogahawaththa Hongxu Wang Kasun Wijesooriya Paul JHazell 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2024年第7期39-49,共11页
This paper presents the first-ever investigation of Menger fractal cubes'quasi-static compression and impact behaviour.Menger cubes with different void ratios were 3D printed using polylactic acid(PLA)with dimensi... This paper presents the first-ever investigation of Menger fractal cubes'quasi-static compression and impact behaviour.Menger cubes with different void ratios were 3D printed using polylactic acid(PLA)with dimensions of 40 mm×40 mm×40 mm.Three different orders of Menger cubes with different void ratios were considered,namely M1 with a void ratio of 0.26,M2 with a void ratio of 0.45,and M3with a void ratio of 0.60.Quasi-static Compression tests were conducted using a universal testing machine,while the drop hammer was used to observe the behaviour under impact loading.The fracture mechanism,energy efficiency and force-time histories were studied.With the structured nature of the void formation and predictability of the failure modes,the Menger geometry showed some promise compared to other alternatives,such as foams and honeycombs.With the increasing void ratio,the Menger geometries show force-displacement behaviour similar to hyper-elastic materials such as rubber and polymers.The third-order Menger cubes showed the highest energy absorption efficiency compared to the other two geometries in this study.The findings of the present work reveal the possibility of using additively manufactured Menger geometries as an energy-efficient system capable of reducing the transmitting force in applications such as crash barriers. 展开更多
关键词 Additive manufacturing Fractal geometries Menger cube Energy absorption quasi-static
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Experimental crushing behavior and energy absorption of angular gradient honeycomb structures under quasi-static and dynamic compression
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作者 Jiachen Li Yuchen Wei +2 位作者 Hao Wu Xingyu Shen Mengqi Yuan 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2024年第6期47-63,共17页
The high variability of shock in terrorist attacks poses a threat to people's lives and properties,necessitating the development of more effective protective structures.This study focuses on the angle gradient and... The high variability of shock in terrorist attacks poses a threat to people's lives and properties,necessitating the development of more effective protective structures.This study focuses on the angle gradient and proposes four different configurations of concave hexagonal honeycomb structures.The structures'macroscopic deformation behavior,stress-strain relationship,and energy dissipation characteristics are evaluated through quasi-static compression and Hopkinson pressure bar impact experiments.The study reveals that,under varying strain rates,the structures deform starting from the weak layer and exhibit significant interlayer separation.Additionally,interlayer shear slip becomes more pronounced with increasing strain rate.In terms of quasi-static compression,symmetric gradient structures demonstrate superior energy absorption,particularly the symmetric negative gradient structure(SNG-SMS)with a specific energy absorption of 13.77 J/cm~3.For dynamic impact,unidirectional gradient structures exhibit exceptional energy absorption,particularly the unidirectional positive gradient honeycomb structure(UPG-SML)with outstanding mechanical properties.The angle gradient design plays a crucial role in determining the structure's stability and deformation mode during impact.Fewer interlayer separations result in a more pronounced negative Poisson's ratio effect and enhance the structure's energy absorption capacity.These findings provide a foundation for the rational design and selection of seismic protection structures in different strain rate impact environments. 展开更多
关键词 Negative Poisson's ratio Gradient honeycomb structure quasi-static compression Dynamic impact Titanium alloy
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Attitudes and Practices of Lumbar Puncture among Students, Interns, and Residents of the Pediatric Department of the Mohammed VI University Hospital Center of Oujda, Morocco
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作者 Hasnae Elhaddadi Ayyad Ghanam +4 位作者 Hind Zahiri Amal Hamami Aziza Elouali Abdeladim Babakhouya Maria Rkain 《Open Journal of Pediatrics》 2024年第3期598-608,共11页
Introduction: Even though lumbar puncture (LP) represents an important tool in the diagnosis of certain neurological diseases, this procedure is little practiced by our students. We aimed to evaluate the attitudes and... Introduction: Even though lumbar puncture (LP) represents an important tool in the diagnosis of certain neurological diseases, this procedure is little practiced by our students. We aimed to evaluate the attitudes and practices of students, interns, and residents about LP, and to assess their feelings about how this procedure is taught. Materials and Methods: We conducted a cross-sectional study of 160 participants, using an anonymous questionnaire, to evaluate the attitudes and practices of students, interns and residents in the pediatrics department concerning lumbar puncture. Results: Half of the participants had never performed LP, usually because of the risk involved or lack of confidence, while 20% had performed it more than 4 times. None of the participants had learned to perform the procedure through simulation sessions, while (42%) had learned it under the supervision of a senior physician and had not been able to perform it successfully the first time. Most participants inform the patient about the procedure before performing it. Only 44% of participants acknowledged that LP can be performed under local anesthetic. The sitting position (60%) was by far the most commonly used. Most LPs were performed for diagnostic purposes. Most participants stated that the pediatric ward and the pediatric emergency department are among the departments that perform LP most frequently, and that they would be interested in taking part in simulated lumbar puncture sessions in children in the future. Conclusion: The results of our study show that LP is perceived by students as a risky procedure that is difficult to perform. Teachers should reconsider how this technical procedure is taught, by integrating simulation on mannequins into student training. 展开更多
关键词 Lumbar puncture Learning Healthcare Simulation Stress Clinical Competency
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Application of prostate resectoscope in the treatment of massive rectal bleeding after transrectal prostate puncture
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作者 Hong-Mei Li Fa-Ying Yang +3 位作者 Song Tu Peng Yan Jun Qian Jia-Xi Yao 《World Journal of Clinical Cases》 SCIE 2024年第18期3438-3443,共6页
BACKGROUND Ultrasound-guided prostate biopsy is a reliable diagnostic procedure for prostate cancer diagnosis with minimal procedure-related trauma.However,complications,such as massive rectal bleeding may occur after... BACKGROUND Ultrasound-guided prostate biopsy is a reliable diagnostic procedure for prostate cancer diagnosis with minimal procedure-related trauma.However,complications,such as massive rectal bleeding may occur after the puncture.We hypothesized that using a transrectal resectoscope could help treat massive rectal bleeding after transrectal prostate punctures.AIM To identify a simple and effective treatment for massive rectal bleeding after transrectal prostate punctures.METHODS Patients requiring treatment for massive rectal bleeding after transrectal prostate punctures were included.A SIMAI resectoscope was inserted through the anus.Direct electrocoagulation was performed for superficial bleeding points.Part of the rectal mucosa or surface muscle layer was removed to expose deep bleeding points,followed by electrocoagulation.An electric cutting ring was used to compress and stop the bleeding for jet-like points before electrocoagulation.The fluid color in the drainage tube was monitored postoperatively for continuous bleeding.RESULTS Eight patients were included from 2012 to 2022.None of the patients with massive rectal bleeding after the transrectal prostate punctures improved with conventional conservative and blood transfusion treatments.Two patients had an inferior artery embolism,and digital subtraction angiography was ineffective.All patients received emergency transanal prostate resection,which immediately stopped the bleeding.Four days after the procedure,the patients had recovered and were discharged.CONCLUSION Using a transanal prostate resection instrument is a simple,safe,and effective method for treating massive rectal bleeding after transrectal prostate punctures. 展开更多
关键词 ELECTROCOAGULATION Hemostasis Transanal prostate resection instrumentation Prostate puncture
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Percutaneous antegrade management of large proximal ureteral stones using non-papillary puncture
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作者 Arman Tsaturyan Angelis Peteinaris +6 位作者 Constantinos Adamou Konstantinos Pagonis Lusine Musheghyan Anastasios Natsos Theofanis Vrettos Evangelos Liatsikos Panagiotis Kallidonisa 《Asian Journal of Urology》 CSCD 2024年第1期110-114,共5页
Objective:To evaluate the feasibility and the safety of medial non-papillary percutaneous nephrolithotomy(npPCNL)for the management of large proximal ureteral stones.Methods:We evaluated prospectively collected data o... Objective:To evaluate the feasibility and the safety of medial non-papillary percutaneous nephrolithotomy(npPCNL)for the management of large proximal ureteral stones.Methods:We evaluated prospectively collected data of 37 patients with large proximal ureteral stones more than 1.5 cm in diameter treated by prone npPCNL.Depending on stone size,in-toto stone removal or lithotripsy using the Lithoclast®Trilogy(EMS Medical,Nyon,Switzerland)was performed.Perioperative parameters including operative time(from start of puncture to the skin suturing),stone extraction time(from the first insertion of the nephroscope to the extraction of all stone fragments),and the stone-free rate were evaluated.Results:Twenty-one males and 16 females underwent npPCNL for the management of large upper ureteral calculi.The median age and stone size of treated patients were 58(interquartile range[IQR]:51-69)years and 19.3(IQR:18.0-22.0)mm,respectively.The median operative time and stone extraction time were 25(IQR:21-29)min and 8(IQR:7-10)min,respectively.One case(2.7%)of postoperative bleeding and two cases(5.4%)of prolonged fever were managed conservatively.The stone-free rate at a 1-month follow-up was 94.6%.Conclusion:The npPCNL provides a straight route to the ureteropelvic junction and proximal ureter.Approaching from a dilated portion of the ureter under low irrigation pressure with larger diameter instruments results in effective and safe stone extraction within a few minutes. 展开更多
关键词 Antegrade percutaneous nephrolithotomy Proximal ureteral stone Non-papillary puncture Large ureteral stone Prone percutaneous nephrolithotomy
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Design,Development and Testing of the JTech Bolt for Use in Static,Quasi-Static and Dynamic Domains
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作者 Trent Roberts 《Journal of Civil Engineering and Architecture》 2024年第6期282-295,共14页
Designing a rock reinforcement element requires knowledge of:geomechanical behaviour,interaction of the reinforcement element with rock mass and the element’s mechanistic response in static and dynamic environments.U... Designing a rock reinforcement element requires knowledge of:geomechanical behaviour,interaction of the reinforcement element with rock mass and the element’s mechanistic response in static and dynamic environments.Using this knowledge the JTech bolt was developed and subjected to a thorough program to test,gather data and validate the bolt performance in varying domains.By conducting FE(finite element)modeling,the simulation reviews the JTech bolt design evaluating the effects of threadbar geometric variation,threadbar and nut engagement results under high stress,coating friction response and effects of thread tolerance extremes on the failure mode.These results determine safety factors,tolerances and quality management criteria.Once manufactured,in-situ system testing,laboratory and underground short encapsulation testing,resin mixing testing,double shear testing and dynamic testing at varying velocity and mass,determine the system’s capacity and effectiveness in static,quasi-static and dynamic mining environments.In this paper,the process and results are described. 展开更多
关键词 Rock reinforcement geomechanical behavior STATIC quasi-static dynamic domains
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Computerized tomography-guided therapeutic percutaneous puncture catheter drainage-combined with somatostatin for severe acute pancreatitis: An analysis of efficacy and safety
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作者 Xue-Lan Zheng Wan-Ling Li +1 位作者 Yan-Ping Lin Ting-Long Huang 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第1期59-66,共8页
BACKGROUND Severe acute pancreatitis(SAP),a condition with rapid onset,critical condition and unsatisfactory prognosis,poses a certain threat to human health,warranting optimization of relevant treatment plans to impr... BACKGROUND Severe acute pancreatitis(SAP),a condition with rapid onset,critical condition and unsatisfactory prognosis,poses a certain threat to human health,warranting optimization of relevant treatment plans to improve treatment efficacy.AIM To evaluate the efficacy and safety of computerized tomography-guided the-rapeutic percutaneous puncture catheter drainage(CT-TPPCD)combined with somatostatin(SS)in the treatment of SAP.METHODS Forty-two SAP patients admitted to The Second Affiliated Hospital of Fujian Medical University from June 2020 to June 2023 were selected.On the basis of routine treatment,20 patients received SS therapy(control group)and 22 patients were given CT-TPPCD plus SS intervention(research group).The efficacy,safety(pancreatic fistula,intra-abdominal hemorrhage,sepsis,and organ dysfunction syndrome),abdominal bloating and pain relief time,bowel recovery time,hospital stay,inflammatory indicators(C-reactive protein,interleukin-6,and pro-calcitonin),and Acute Physiology and Chronic Health Evaluation(APACHE)II score of both groups were evaluated for comparison.RESULTS Compared with the control group,the research group had a markedly higher total effective rate,faster abdominal bloating and pain relief and bowel recovery,INTRODUCTION Pancreatitis,an inflammatory disease occurring in the pancreatic tissue,is classified as either acute or chronic and is associated with high morbidity and mortality,imposing a socioeconomic burden[1,2].The pathogenesis of this disease involves early protease activation,activation of nuclear factor kappa-B-related inflammatory reactions,and infiltration of immune cells[3].Severe acute pancreatitis(SAP)is a serious condition involving systemic injury and subsequent possible organ failure,accounting for 20%of all acute pancreatitis cases[4].SAP is also characterized by rapid onset,critical illness and unsatisfactory prognosis and is correlated with serious adverse events such as systemic inflammatory response syn-drome and acute lung injury,threatening the health of patients[5,6].Therefore,timely and effective therapeutic inter-ventions are of great significance for improving patient prognosis and ensuring therapeutic effects.Somatostatin(SS),a peptide hormone that can be secreted by endocrine cells and the central nervous system,is in-volved in the regulatory mechanism of glucagon and insulin synthesis in the pancreas[7].It has complex and pleiotropic effects on the gastrointestinal tract,which can inhibit the release of gastrointestinal hormones and negatively modulate the exocrine function of the stomach,pancreas and bile,while exerting a certain influence on the absorption of the di-gestive system[8,9].SS has shown certain clinical effectiveness when applied to SAP patients and can regulate the severity of SAP and immune inflammatory responses,and this regulation is related to its influence on leukocyte apoptosis and adhesion[10,11].Computerized tomography-guided therapeutic percutaneous puncture catheter drainage(CT-TPPCD)is a surgical procedure to collect lesion fluid and pus samples from necrotic lesions and perform puncture and drainage by means of CT image examination and precise positioning[12].In the research of Liu et al[13],CT-TPPCD applied to pa-tients undergoing pancreatic surgery contributes to not only good curative effects but also a low surgical risk.Baudin et al[14]also reported that CT-TPPCD has a clinical success rate of 64.6%in patients with acute infectious necrotizing pan-creatitis,with nonfatal surgery-related complications found in only two cases,suggesting that this procedure is clinically effective and safe in the treatment of the disease.In light of the limited studies on the efficacy and safety of SS plus CT-TPPCD in SAP treatment,this study performed a relevant analysis to improve clinical outcomes in SAP patients. 展开更多
关键词 Computerized tomography guidance Therapeutic percutaneous puncture catheter drainage SOMATOSTATIN Severe acute pancreatitis Efficacy and safety
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Application of the “Three Threes” Method in Clinical Teaching of Internal Jugular Vein Puncture
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作者 Pengchao Cheng Wang Xi +3 位作者 Junnan Wang Jin Rao Yufeng Zhang Zhinong Wang 《Open Journal of Emergency Medicine》 2024年第1期10-17,共8页
Objective: To clarify the role of the “Three Threes” method in clinical teaching of internal jugular vein puncture and explore improvements in teaching methods. Methods: A doctor was assigned to the induction room o... Objective: To clarify the role of the “Three Threes” method in clinical teaching of internal jugular vein puncture and explore improvements in teaching methods. Methods: A doctor was assigned to the induction room of the Second Affiliated Hospital of Naval Medical University (Shanghai Changzheng Hospital) for two months. The time required for catheterization, the first puncture success rate, and occurrence of puncture-related complications were compared before and after learning the “Three Threes” method. Results: Using the “Three Threes” method reduced the catheterization time by 43%, increased the first puncture success rate by 17%, and led to fewer puncture-related complications. Conclusion: The application of the “Three Threes” method not only improves the success rate of internal jugular vein puncture but also reduces complications, making it easier for students to master the technique. 展开更多
关键词 Internal Jugular vein puncture “Three Threes” Method Deep Vein Catheterization Teaching Practice
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Percutaneous embolization by direct puncture for the treatment of high-flow priapism
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作者 Quentin Holay Michael Baboudjian +2 位作者 Eric Lechevallier Marc Andre Pierre-Henri Savoie 《Asian Journal of Urology》 CSCD 2023年第2期208-209,共2页
Dear Editor,High-flow priapism is a persistent erection,usually caused by blunt perineal trauma,resulting in pathologically increased arterial inflow to the corpora cavernosa[1].The therapeutic strategy of high-flow p... Dear Editor,High-flow priapism is a persistent erection,usually caused by blunt perineal trauma,resulting in pathologically increased arterial inflow to the corpora cavernosa[1].The therapeutic strategy of high-flow priapism,although codified,leaves room for a wide choice of techniques,ranging from conservative management,selective arterial embolization to surgical management[2].The aim of this letter was to report an alternative approach of percutaneous embolization by direct puncture for the treatment of high-flow priapism. 展开更多
关键词 EMBOLIZATION puncture ARTERIAL
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Coaxial radiography guided puncture technique for percutaneous transforaminal endoscopic lumbar discectomy:A randomized control trial
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作者 Li-Ping Chen Bin-Song Wen +6 位作者 Heng Xu Zheng Lu Lai-Jun Yan Han Deng Hong-Bo Fu Hong-Jie Yuan Pei-Pei Hu 《World Journal of Clinical Cases》 SCIE 2023年第16期3802-3812,共11页
BACKGROUND The coaxial radiography-guided puncture technique(CR-PT)is a novel technique for endoscopic lumbar discectomy.As the X-ray beam and the puncturing needle are maintained in a parallel and coaxial direction,t... BACKGROUND The coaxial radiography-guided puncture technique(CR-PT)is a novel technique for endoscopic lumbar discectomy.As the X-ray beam and the puncturing needle are maintained in a parallel and coaxial direction,the X-ray beam can be used to guide the trajectory angle,facilitating the choice of the puncture site and providing real-time guidance.This puncture technique offers numerous advantages over the conventional anterior-posterior and lateral radiography-guided puncture technique(AP-PT),especially in cases of herniated lumbar discs with a hypertrophied transverse process or articular process,high iliac crest,and narrowed intervertebral foramen.AIM To confirm whether CR-PT is a superior approach to percutaneous transforaminal endoscopic lumbar discectomy compared to AP-PT.METHODS In this parallel,controlled,randomized clinical trial,herniated lumbar disc patients appointed to receive percutaneous endoscopic lumbar discectomy treatment were recruited from the Pain Management Department of the Affiliated Hospital of Xuzhou Medical University and Nantong Hospital of Traditional Chinese Medicine.Sixty-five participants were enrolled and divided into either a CR-PT group or an AP-PT group.The CR-PT group underwent CR-PT,and the AP-PT group underwent AP-PT.The number of fluoroscopies during puncturing,puncture duration(min),surgery duration(min),VAS score during puncturing,and puncture success rate were recorded.RESULTS Sixty-five participants were included,with 31 participants in the CR-PT group and 34 in the AP-PT group.One participant in the AP-PT group dropped out due to unsuccessful puncturing.The number of fluoroscopies[median(P25,P75)]was 12(11,14)in the CR-PT group vs 16(12,23)in the AP-PT group,while the puncture duration(mean±SD)was 20.42±5.78 vs 25.06±5.46,respectively.The VAS score was 3(2,4)in the CR-PT group vs 3(3,4)in the AP-PT group.Further subgroup analysis was performed,considering only the participants with L5/S1 segment herniation:9 patients underwent CR-PT,and 9 underwent AP-PT.The number of fluoroscopies was 11.56±0.88 vs 25.22±5.33;the puncture duration was 13.89±1.45 vs 28.89±3.76;the surgery duration was 105(99.5,120)vs 149(125,157.5);and the VAS score was 2.11±0.93 vs 3.89±0.6,respectively.All the above outcomes demonstrated statistical significance(P<0.05),favoring the CR-PT treatment.CONCLUSION CR-PT is a novel and effective technique.As opposed to conventional AP-PT,this technique significantly improves puncture accuracy,shortens puncture time and operation time,and reduces pain intensity during puncturing. 展开更多
关键词 Herniated lumbar disc COAXIAL puncture ANTERIOR-POSTERIOR L5/S1
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Role of lumbar puncture in clinical outcome of suspected acute bacterial meningitis
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作者 Arunava Saha Shihla Shireen Kanamgode +2 位作者 Sarat Chandra Malempati Sirshendu Chaudhuri Jeffrey Scott 《World Journal of Neurology》 2023年第4期37-43,共7页
BACKGROUND Meningitis remains a significant source of mortality and morbidity,with an incidence of 1 per 100000 persons in the United States.Guidelines recommend obtaining blood cultures and cerebrospinal fluid(CSF)st... BACKGROUND Meningitis remains a significant source of mortality and morbidity,with an incidence of 1 per 100000 persons in the United States.Guidelines recommend obtaining blood cultures and cerebrospinal fluid(CSF)studies in patients presenting with acute meningitis syndrome,and beginning treatment with broad spectrum antibiotics based on the age and certain predisposing conditions.In some patients however,the diagnostic lumbar puncture(LP)is not performed due to a multitude of reasons,ranging from increased intracranial pressure to failed attempt.In such situations,appropriate therapy is initiated empirically and often continued without establishment of a definitive diagnosis.AIM To determine whether a diagnostic LP in acute meningitis syndrome was associated with a better outcome and less duration of antibiotic therapy,along with potential causes for deferral of procedure.METHODS A retrospective study was conducted amongst the patients presenting to a 360 bedded community hospital in central Massachusetts with a diagnosis of acute meningitis syndrome between January 2010-September 2022.The electronic health records were accessed to collect necessary demographic and clinical data,including etiology of meningitis,lumbar puncture results,reason for procedure deferral,duration of antibiotic therapy and clinical outcome.The patients were subsequently divided into two groups based on whether they received a LP or not,and data was analyzed.RESULTS A total of 169 patients admitted with acute meningitis syndrome between September 2010-2022 were included in the study.The mean age of the participants was 54.3 years(SD+/-19.2 years).LP was performed for 130(76.9%)participants,out of which,28(21.5%)showed some growth in CSF culture.The most commonly identified organism was streptococcus pneumoniae.Amongst the 39 patients in whom LP was deferred,the major reasons recorded were:Body habitus(n=6,15.4%),and unsuccessful attempt(n=4,10.3%).While 93(71.5%)patients with LP received antibiotic therapy,only 19(48.7%)patients without LP received the antibiotics,with the principal reason being spontaneous improvement in sensorium without any diagnosed source of infection.The mean duration of antibiotic use was 12.3 days(SD+/-5.6)in the LP group and 11.5 days(SD+/-7.0)in the non-LP group(P=0.56;statistically not significant).We observed higher long term sequalae in the non-LP group(n=6,15.4%)compared to the LP group(n=9,6.9%).Similarly,the death rate was higher in the non-LP group(n=7,18.0%)compared to the LP group(n=9,6.9%).CONCLUSION LP remains the cornerstone for diagnosing meningitis,but often CSF results are unavailable,leading to empiric treatment.Our study identified that body habitus and unsuccessful attempts were the most common reasons for LP not being performed,leading to empiric antibiotic coverage.There was no difference between the duration of antibiotics received by the two groups,but a lower proportion of patients without LP received antibiotics,attributed to a spontaneous improvement in sensorium.However,the residual neurological sequelae and death rates were higher in patients without LP,signifying a potential under-treatment.A LP remains crucial to diagnose meningitis,and a lack of CSF analysis predisposes to under-treatment,leading to higher neurological sequelae and increased chances of death. 展开更多
关键词 MENINGITIS Acute meningitis syndrome Lumbar puncture CSF analysis Acute bacterial meningitis Suspected meningitis
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Energy Minimization for Heterogenous Traffic Coexistence with Puncturing in Mobile Edge Computing-Based Industrial Internet of Things
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作者 Wang Xue Wang Ying +1 位作者 Fei Zixuan Zhao Junwei 《China Communications》 SCIE CSCD 2024年第10期167-180,共14页
Puncturing has been recognized as a promising technology to cope with the coexistence problem of enhanced mobile broadband(eMBB) and ultra-reliable low latency communications(URLLC)traffic. However, the steady perform... Puncturing has been recognized as a promising technology to cope with the coexistence problem of enhanced mobile broadband(eMBB) and ultra-reliable low latency communications(URLLC)traffic. However, the steady performance of eMBB traffic while meeting the requirements of URLLC traffic with puncturing is a major challenge in some realistic scenarios. In this paper, we pay attention to the timely and energy-efficient processing for eMBB traffic in the industrial Internet of Things(IIoT), where mobile edge computing(MEC) is employed for data processing. Specifically, the performance of eMBB traffic and URLLC traffic in a MEC-based IIoT system is ensured by setting the threshold of tolerable delay and outage probability, respectively. Furthermore,considering the limited energy supply, an energy minimization problem of eMBB device is formulated under the above constraints, by jointly optimizing the resource blocks(RBs) punctured by URLLC traffic, data offloading and transmit power of eMBB device. With Markov's inequality, the problem is reformulated by transforming the probabilistic outage constraint into a deterministic constraint. Meanwhile, an iterative energy minimization algorithm(IEMA) is proposed.Simulation results demonstrate that our algorithm has a significant reduction in the energy consumption for eMBB device and achieves a better overall effect compared to several benchmarks. 展开更多
关键词 energy minimization enhanced mobile broadband(eMBB)and ultra-reliable low latency communications(URLLC)coexistence industrial Internet of Things(IIoT) mobile edge computing(MEC) puncturING
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Punctured(2,1,N)系列卷积码的编码及其Viterbi译码的软件实现 被引量:7
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作者 袁东风 李作为 张锋 《山东大学学报(理学版)》 CAS CSCD 北大核心 2002年第1期48-53,共6页
给出了由 (2 ,1,N)系列卷积码作为母码产生的punctured卷积码的编码及其Viterbi译码的软件实现方法 ,从而为各种不同码率的卷积码的编、译码给出了一种通用的实现方法 。
关键词 punctured卷积码 移动衰落信道 多级编码分量码 差错控制 编码方法 punctured(2 1 n)系列卷积码 VITERBI译码 软件实现
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移动信道下采用Punctured卷积码实现不等错误保护的研究 被引量:4
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作者 袁东风 李作为 +1 位作者 隋爱芬 宁继鸣 《电子学报》 EI CAS CSCD 北大核心 2001年第7期996-999,共4页
本文以移动信道的四状态Markov模型为基础 ,将Punctured卷积码 (PuncturedConvolutionalCodes;PCC)用于快衰落移动信道下的图像传输系统中 ,提出了通过对码率、母码约束长度和交织度这三种不同自由度的调整 ,实现图像传输的不等错误保护... 本文以移动信道的四状态Markov模型为基础 ,将Punctured卷积码 (PuncturedConvolutionalCodes;PCC)用于快衰落移动信道下的图像传输系统中 ,提出了通过对码率、母码约束长度和交织度这三种不同自由度的调整 ,实现图像传输的不等错误保护 (UnequalErrorProtection ;UEP)方案 .计算机模拟结果表明 ,所提出的方案具有明显的不等错误保护能力 ,可以满足在具有不等错误保护要求的移动环境下对传输图像质量的要求 . 展开更多
关键词 移动信道 punctured卷积码 不等错误保护 移动通信
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Seismic performance of double- skin steel- concrete composite box piers: Part Ⅰ——Bidirectional quasi-static testing 被引量:6
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作者 夏坚 宗周红 +1 位作者 徐焯然 李明鸿 《Journal of Southeast University(English Edition)》 EI CAS 2016年第1期58-66,共9页
To study the seismic performance of double-skin steelconcrete composite box( DSCB) piers, a total of 11 DSCB pier specimens were tested under bidirectional cyclic loading. The effects of the loading pattern, the ste... To study the seismic performance of double-skin steelconcrete composite box( DSCB) piers, a total of 11 DSCB pier specimens were tested under bidirectional cyclic loading. The effects of the loading pattern, the steel plate thickness, the axial load ratio, the slenderness ratio and the aspect ratio were taken into consideration. The damage evolution process and failure modes of the tested specimens are presented in detail. Test results are also discussed in terms of the hysteretic curve, skeleton curve, ductility and energy dissipation capacity of DSCB pier specimens. It can be concluded that the hysteretic performance of DSCB piers in one direction is affected and weakened by the cyclic loading in the other direction. DSCB piers under bidirectional cyclic loading exhibit good performance in terms of load carrying capacity, ductility, and energy dissipation capacity. Overall, DSCB piers can meet the basic aseismic requirements. The research results can be taken as a reference for using DSCB piers as high piers in bridges in strong earthquakeprone areas. 展开更多
关键词 double-skin steel-concrete composite box(DSCB) pier bidirectional quasi-static testing hysteretic curve skeleton curve ductility energy dissipation capacity
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Punctured Woven卷积码的设计与仿真 被引量:1
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作者 魏琴芳 王琳 余格非 《电子科技大学学报》 EI CAS CSCD 北大核心 2008年第1期47-49,64,共4页
编织(Woven)码是一类包容性极强的新型纠错码,由于其自身的组合性导致它的编码效率不高、译码延迟大及硬件复杂性高,这些缺点制约了编织卷积码(WCCs)的应用。为了推动WCCs在实际通信系统中的应用,提高其编码效率,该文采用了删余技术,提... 编织(Woven)码是一类包容性极强的新型纠错码,由于其自身的组合性导致它的编码效率不高、译码延迟大及硬件复杂性高,这些缺点制约了编织卷积码(WCCs)的应用。为了推动WCCs在实际通信系统中的应用,提高其编码效率,该文采用了删余技术,提出将其内外成员码分别进行删余。对删余WCCs在加性的变斯噪声(AWGN)信道上进行了设计与仿真,证实了删余后的外经结构WCCs在相同的码率和相同的外编码器个数情况下有比非删余的WCCs更优的误码率(BER)性能,且大大降低了其编译码的复杂性,提高了其编码效率。 展开更多
关键词 高码率 删余 删余卷积码 编织卷积码
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Quasi-static and dynamic tensile behaviors in electron beam welded Ti-6Al-4V alloy
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作者 张静 谭成文 +2 位作者 任宇 王富耻 才鸿年 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2011年第1期39-44,共6页
The quasi-static and dynamic tensile behaviors in electron beam welded(EBW) Ti-6Al-4V alloy were investigated at strain rates of 10-3 and 103 s-1,respectively,by materials test system(MTS) and reconstructive Hopki... The quasi-static and dynamic tensile behaviors in electron beam welded(EBW) Ti-6Al-4V alloy were investigated at strain rates of 10-3 and 103 s-1,respectively,by materials test system(MTS) and reconstructive Hopkinson bars apparatus.The microstructures of the base metal(BM) and the welded metal(WM) were observed with optical microscope.The fracture characteristics of the BM and WM were characterized with scanning electronic microscope.In Ti-6Al-4V alloy joint,the flow stress of WM is higher than that of BM,while the fracture strain of WM is less than that of BM at strain rates of 103 and 10-3 s-1,respectively.The fracture strain of WM has apparent improvement when the strain rate rises from 10-3 to 103 s-1,while the fracture strain of BM almost has no change.At the same time,the fracture mode of WM alters from brittle to ductile fracture,which causes improvement of the fracture strain of WM. 展开更多
关键词 Ti-6Al-4V alloy electron beam welding quasi-static tensile behavior dynamic behavior fracture mode
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The asymptotic field of mode Ⅰ quasi-static crack growth on the interface between a rigid and a pressure-sensitive material
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作者 麻文军 唐立强 《Journal of Marine Science and Application》 2009年第3期252-257,共6页
A mechanical model of the quasi-static interface of a mode I crack between a rigid and a pressure-sensitive viscoelastic material was established to investigate the mechanical characteristic of ship-building engineeri... A mechanical model of the quasi-static interface of a mode I crack between a rigid and a pressure-sensitive viscoelastic material was established to investigate the mechanical characteristic of ship-building engineering hi-materials. In the stable growth stage, stress and strain have the same singularity, ie (σ, ε) ∝ r^-1/(n-1). The variable-separable asymptotic solutions of stress and strain at the crack tip were obtained by adopting Airy's stress function and the numerical results of stress and strain in the crack-tip field were obtained by the shooting method. The results showed that the near-tip fields are mainly governed by the power-hardening exponent n and the Poisson ratio v of the pressure-sensitive material. The fracture criterion of mode I quasi-static crack growth in pressure-sensitive materials, according to the asymptotic analyses of the crack-tip field, can be viewed from the perspective of strain. 展开更多
关键词 pressure-sensitive material mode I quasi-static interface crack crack-tip field asymptotic analysis
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