BACKGROUND: Noninvasive monitoring of intra-abdominal pressure(IAP) by measuring abdominal wall tension(AWT) was effective and feasible in previous postmortem and animal studies. This study aimed to investigate the fe...BACKGROUND: Noninvasive monitoring of intra-abdominal pressure(IAP) by measuring abdominal wall tension(AWT) was effective and feasible in previous postmortem and animal studies. This study aimed to investigate the feasibility of the AWT method for noninvasively monitoring IAP in the intensive care unit(ICU).METHODS: In this prospective study, we observed patients with detained urethral catheters in the ICU of Shanghai Tenth People's Hospital between April 2011 and March 2013. The correlation between AWT and urinary bladder pressure(UBP) was analyzed by linear regression analysis. The effects of respiratory and body position on AWT were evaluated using the paired samples t test, whereas the effects of gender and body mass index(BMI) on baseline AWT(IAP<12 mm Hg) were assessed using one-way analysis of variance.RESULTS: A total of 51 patients were studied. A significant linear correlation was observed between AWT and UBP(R=0.986, P<0.01); the regression equation was Y=–1.369+9.57X(P<0.01). There were signif icant differences among the different respiratory phases and body positions(P<0.01). However, gender and BMI had no signif icant effects on baseline AWT(P=0.457 and 0.313, respectively).CONCLUSIONS: There was a signif icant linear correlation between AWT and UBP and respiratory phase, whereas body position had signif icant effects on AWT but gender and BMI did not. Therefore, AWT could serve as a simple, rapid, accurate, and important method to monitor IAP in critically ill patients.展开更多
This paper analyzes the reasons of the tension unbalance of the ropes in multi-rope fric-tion winder, introduces the method of an on-line monitoring rope tensions with a testing device de-veloped by authors, and propo...This paper analyzes the reasons of the tension unbalance of the ropes in multi-rope fric-tion winder, introduces the method of an on-line monitoring rope tensions with a testing device de-veloped by authors, and proposes the criteria of the fault diagnosis and the method of adjustment for the tension unbalance of the ropes, which is important to the theoretical study on the tension unbalance of the ropes and the maintenance of multi-rope winder.展开更多
Purpose:.To investigate the clinical significance of 24-hour monitoring of intraocular pressure(IOP).Methods: A total of 571 cases(1055 eyes) undergoing 24-hour monitoring of IOP in the Second People's Hospital of...Purpose:.To investigate the clinical significance of 24-hour monitoring of intraocular pressure(IOP).Methods: A total of 571 cases(1055 eyes) undergoing 24-hour monitoring of IOP in the Second People's Hospital of Zhengzhou between June 2012 and March 2013 were retrospectively analyzed.Results: Among all 1055 eyes,.298 had suspected glaucoma(28.2%); 390(37.0%) were diagnosed with glaucoma but received no treatment(312 with primary open angle glaucoma(POAG).and 78 with primary angle closure glaucoma(PACG));215(20.4%) were diagnosed with glaucoma and received medical treatment;. 132( 12. 5 %). underwent glaucoma filtration surgery;.and there were 20 others..Through 24-hour IOP monitoring,.104 among 298 cases with suspected glaucoma were diagnosed with normal tension glaucoma(NTG),.110 with POAG,.and 28 with the secondary glaucoma..Condition assessment and treatment plans were presented for 390 glaucoma cases receiving no treatment..Adjustment was made in the medical treatment of 138 eyes..Following glaucoma filtration surgery,.52 eyes received clinical advice on subsequent treatment.Conclusion: The simplified 24-hour IOP monitoring method is readily accepted by patients,.which is of great significance for providing guidance on the diagnosis of glaucoma and the assessment of the efficacy of glaucoma surgery..However,one-time 24-hour IOP monitoring is not sufficiently efficacious to make a definite diagnosis of NTG..Therefore,.long-term follow-up and repeated 24-hour IOP monitoring are required to diagnose NTG,.along with a variety of related examinations.展开更多
Tension-free vaginal mesh (TVM) surgery is a common and minimally invasive procedure for female pelvic organ prolapse. In 2004, this procedure was developed by a French group, and standardized surgical kits are now co...Tension-free vaginal mesh (TVM) surgery is a common and minimally invasive procedure for female pelvic organ prolapse. In 2004, this procedure was developed by a French group, and standardized surgical kits are now commercially available in many countries. Although it is less invasive, one of the shortcomings of this procedure is that it involves a single surgeon groping around with their fingers without any intraoperative monitoring. Therefore, using Intraoperative fluoroscopic monitoring during TVM surgery makes it safer, even for beginners. In this case, we performed TVM for the anterior vaginal wall. First, we used the c-arm of a fluoroscope to insert bilateral ureteral stents. A urethral catheter was then used for both urine drainage and contrast medium injection. In all procedures, we were able use fluoroscopic imaging whenever necessary. We were able to easily confirm the positions of the prolapsed bladder and the bilateral ureteral stents with fluoroscopic imaging, and the ischial spine was easy to locate before the procedure. We were also able to confirm the position of the top of the needle with fluoroscopic imaging whenever necessary. If a surgeon is worried about the risk of bladder injury during TVM surgery, they should inject contrast medium into the bladder at the start of the procedure. Intraoperative fluoroscopic monitoring during TVM surgery is easy and makes the procedure safer, even for beginners. Moreover, fluoroscopic imaging also allows intraoperative training. To avoid exposing the body to excess radiation, we must minimize the total length of the fluoroscopic examination.展开更多
At present, the on-line monitoring is widely applied to the power line monitoring. In this paper, a new mechanical calculation model is established according to the on-line monitoring. And this model is based on the p...At present, the on-line monitoring is widely applied to the power line monitoring. In this paper, a new mechanical calculation model is established according to the on-line monitoring. And this model is based on the parameters that tension sensors and angle sensors on suspended points detect, and combines with the parameters of the wire itself, and also considers the deflection angel of wires due to wind. In this model, mechanics parameters of wires are turned into the new coordinate plane after deflection angel of wires due to wind, or windage yaw plane. A statics tension balance equation is built in the vertical direction of the new windage yaw plane. According to the theoretical analysis and algorithm, we verify the accuracy of this newly developed mechanical calculation model.展开更多
基金supported by a grant from Shanghai Municipal Health Bureau Program(2009143)
文摘BACKGROUND: Noninvasive monitoring of intra-abdominal pressure(IAP) by measuring abdominal wall tension(AWT) was effective and feasible in previous postmortem and animal studies. This study aimed to investigate the feasibility of the AWT method for noninvasively monitoring IAP in the intensive care unit(ICU).METHODS: In this prospective study, we observed patients with detained urethral catheters in the ICU of Shanghai Tenth People's Hospital between April 2011 and March 2013. The correlation between AWT and urinary bladder pressure(UBP) was analyzed by linear regression analysis. The effects of respiratory and body position on AWT were evaluated using the paired samples t test, whereas the effects of gender and body mass index(BMI) on baseline AWT(IAP<12 mm Hg) were assessed using one-way analysis of variance.RESULTS: A total of 51 patients were studied. A significant linear correlation was observed between AWT and UBP(R=0.986, P<0.01); the regression equation was Y=–1.369+9.57X(P<0.01). There were signif icant differences among the different respiratory phases and body positions(P<0.01). However, gender and BMI had no signif icant effects on baseline AWT(P=0.457 and 0.313, respectively).CONCLUSIONS: There was a signif icant linear correlation between AWT and UBP and respiratory phase, whereas body position had signif icant effects on AWT but gender and BMI did not. Therefore, AWT could serve as a simple, rapid, accurate, and important method to monitor IAP in critically ill patients.
文摘This paper analyzes the reasons of the tension unbalance of the ropes in multi-rope fric-tion winder, introduces the method of an on-line monitoring rope tensions with a testing device de-veloped by authors, and proposes the criteria of the fault diagnosis and the method of adjustment for the tension unbalance of the ropes, which is important to the theoretical study on the tension unbalance of the ropes and the maintenance of multi-rope winder.
文摘Purpose:.To investigate the clinical significance of 24-hour monitoring of intraocular pressure(IOP).Methods: A total of 571 cases(1055 eyes) undergoing 24-hour monitoring of IOP in the Second People's Hospital of Zhengzhou between June 2012 and March 2013 were retrospectively analyzed.Results: Among all 1055 eyes,.298 had suspected glaucoma(28.2%); 390(37.0%) were diagnosed with glaucoma but received no treatment(312 with primary open angle glaucoma(POAG).and 78 with primary angle closure glaucoma(PACG));215(20.4%) were diagnosed with glaucoma and received medical treatment;. 132( 12. 5 %). underwent glaucoma filtration surgery;.and there were 20 others..Through 24-hour IOP monitoring,.104 among 298 cases with suspected glaucoma were diagnosed with normal tension glaucoma(NTG),.110 with POAG,.and 28 with the secondary glaucoma..Condition assessment and treatment plans were presented for 390 glaucoma cases receiving no treatment..Adjustment was made in the medical treatment of 138 eyes..Following glaucoma filtration surgery,.52 eyes received clinical advice on subsequent treatment.Conclusion: The simplified 24-hour IOP monitoring method is readily accepted by patients,.which is of great significance for providing guidance on the diagnosis of glaucoma and the assessment of the efficacy of glaucoma surgery..However,one-time 24-hour IOP monitoring is not sufficiently efficacious to make a definite diagnosis of NTG..Therefore,.long-term follow-up and repeated 24-hour IOP monitoring are required to diagnose NTG,.along with a variety of related examinations.
文摘Tension-free vaginal mesh (TVM) surgery is a common and minimally invasive procedure for female pelvic organ prolapse. In 2004, this procedure was developed by a French group, and standardized surgical kits are now commercially available in many countries. Although it is less invasive, one of the shortcomings of this procedure is that it involves a single surgeon groping around with their fingers without any intraoperative monitoring. Therefore, using Intraoperative fluoroscopic monitoring during TVM surgery makes it safer, even for beginners. In this case, we performed TVM for the anterior vaginal wall. First, we used the c-arm of a fluoroscope to insert bilateral ureteral stents. A urethral catheter was then used for both urine drainage and contrast medium injection. In all procedures, we were able use fluoroscopic imaging whenever necessary. We were able to easily confirm the positions of the prolapsed bladder and the bilateral ureteral stents with fluoroscopic imaging, and the ischial spine was easy to locate before the procedure. We were also able to confirm the position of the top of the needle with fluoroscopic imaging whenever necessary. If a surgeon is worried about the risk of bladder injury during TVM surgery, they should inject contrast medium into the bladder at the start of the procedure. Intraoperative fluoroscopic monitoring during TVM surgery is easy and makes the procedure safer, even for beginners. Moreover, fluoroscopic imaging also allows intraoperative training. To avoid exposing the body to excess radiation, we must minimize the total length of the fluoroscopic examination.
文摘At present, the on-line monitoring is widely applied to the power line monitoring. In this paper, a new mechanical calculation model is established according to the on-line monitoring. And this model is based on the parameters that tension sensors and angle sensors on suspended points detect, and combines with the parameters of the wire itself, and also considers the deflection angel of wires due to wind. In this model, mechanics parameters of wires are turned into the new coordinate plane after deflection angel of wires due to wind, or windage yaw plane. A statics tension balance equation is built in the vertical direction of the new windage yaw plane. According to the theoretical analysis and algorithm, we verify the accuracy of this newly developed mechanical calculation model.
