Added value of ratio of cross diameters of the appendix in ultrasound diagnosis of acute appendicitis

BACKGROUND The maximum outer diameter(MOD)of the appendix is an essential parameter for diagnosing acute appendicitis,but there is space for improvement in ultrasound(US)diagnostic performance.AIM To investigate whether combining the ratio of the cross diameters(RATIO)of the appendix with MOD of the appendix can enhance the diagnostic performance of acute appendicitis.METHODS A retrospective study was conducted,and medical records of 233 patients with acute appendicitis and 112 patients with a normal appendix were reviewed.The MOD and RATIO of the appendix were calculated and tested for their diagnostic performance of acute appendicitis,both individually and in combination.RESULTS The RATIO for a normal appendix was 1.32±0.16,while for acute appendicitis it was 1.09±0.07.The cut-off value for RATIO was determined to be≤1.18.The area under the receiver operating characteristic curve(AUC)for diagnosing acute appendicitis using RATIO≤1.18 and MOD>6 mm was 0.870 and 0.652,respectively.There was a significant difference in AUC between RATIO≤1.18 and MOD>6 mm(P<0.0001).When comparing the combination of RATIO≤1.18 and MOD>6 mm with MOD>6 mm alone,the combination showed increased specificity,positive predictive value(PPV),and AUC.However,the sensitivity and negative predictive value decreased.CONCLUSION Combining RATIO of the appendix≤1.18 and MOD>6 mm can significantly improve the specificity,PPV,and AUC in the US diagnosis of acute appendicitis.

Platelet count/spleen diameter ratio to predict esophageal varices in Mexican patients with hepatic cirrhosis

AIM:To validate whether the platelet count/spleen size ratio can be used to predict the presence of esophageal varices in Mexican patients with hepatic cirrhosis.METHODS:This was an analytical cross-sectional study to validate the diagnostic test for hepatic cirrhosis and was performed between February 2010 and December 2011.Patients with a diagnosis of hepatic cirrhosis were included and stratified using their ChildPugh score.Biochemical parameters were evaluated,and ultrasound was used to measure the longest diameter of the spleen.The platelet count/spleen diameter ratio was calculated and analyzed to determine whether it can predict the presence of esophageal varices.Upper gastrointestinal endoscopy was used as the gold standard.Sensitivity and specificity,positive and negative predictive values,and positive and negative likelihood ratios were determined,with the cutoff points determined by receiver-operating characteristic curves.RESULTS:A total of 91 patients were included.The mean age was 53.75±12 years;50(54.9%)were men,and 41(45.0%)women.The etiology of cirrhosis included alcohol in 48(52.7%),virally induced in24(26.3%),alcoholism plus hepatitis C virus in three(3.2%),cryptogenic in nine(9.8%),and primary biliary cirrhosis in seven(7.6%).Esophageal varices were present in 73(80.2%)patients.Child-Pugh classification,17(18.6%)patients were classified as class A,37(40.6%)as class B,and 37(40.6%)as class C.The platelet count/spleen diameter ratio to detect esophageal varices independent of the grade showed using a cutoff value of≤884.3,had 84%sensitivity,70%specificity,and positive and negative predictive values of 94%and 40%,respectively.CONCLUSION:Our results suggest that the platelet count/spleen diameter ratio may be a useful tool for detecting esophageal varices in patients with hepatic cirrhosis.

On the Elastic Vibration Model for High Length-Diameter Ratio Rocket with Attitude Control System

An elastic vibration model for high length diameter ratio spinning rocket with attitude control system which can be used for trajectory simulation is established. The basic theory of elastic dynamics and vibration dynamics were both used to set up the elastic vibration model of rocket body. In order to study the problem more conveniently, the rocket's body was simplified to be an even beam with two free ends. The model was validated by simulation results and the test data.

Can platelet count/spleen diameter ratio be used for cirrhotic children to predict esophageal varices?

AIM To determine the laboratory and radiologic parameters, including the platelet count(PC)-to-spleen diameter(SD) ratio as a non-invasive marker that may predict the presence of esophageal varices(EV) in children with cirrhosis.METHODS Eighty-nine patients with cirrhosis, but without a history of variceal bleeding were prospectively included. The children were grouped into 6-12 and 12-18 years of age groups. These groups were also divided into 2 subgroups(presence and absence of EV). All of the patients underwent a complete biochemical and radiologic evaluation. The PC(n/mm^3)-to-SD(mm) ratio was calculated for each patient. RESULTS Sixty-nine of 98(70.4%) patients had EV. The presence of ascites in all age groups was significantly associatedwith the presence of EV. There were no differences in serum albumin levels, PC, SD and the PC-to-SD ratio between the presence and absence of EV groups in both age groups(P > 0.05). CONCLUSION Laboratory and radiologic parameters, including the PC-to-SD ratio as a non-invasive marker(except for the presence of ascites), was inappropriate for detecting EV in children with cirrhosis.

Optimizing loading path and die linetype of large length-to-diameter ratio metal stator screw lining hydroforming

In order to meet the high temperature environment requirement of deep and superdeep well exploitation, a technology of large length-to-diameter ratio metal stator screw lining meshing with rotor is presented. Based on the elastic-plasticity theory, and under the consideration of the effect of tube size, material mechanical parameters, friction coefficient and loading paths, the external pressure plastic forming mechanical model of metal stator screw lining is established, to study the optimal loading path of metal stator lining tube hydroforming process. The results show that wall thickness reduction of the external pressure tube hydroforming(THF) is about 4%, and three evaluation criteria of metal stator screw lining forming quality are presented: fillet stick mold coefficient, thickness relative error and forming quality coefficient. The smaller the three criteria are, the better the forming quality is.Each indicator has a trend of increase with the loading rate reducing, and the adjustment laws of die arc transition zone equidistance profile curve are acquired for improving tube forming quality. Hence, the research results prove the feasibility of external pressure THF used for processing high-accuracy large length-to-diameter ratio metal stator screw lining, and provide theoretical basis for designing new kind of stator structure which has better performance and longer service life.

Research on Large Depth Diameter Ratio Ultra-precision Aspheric Grinding System

In this paper, the factors of affecting surface roughness and profiles accuracy of the machined larege depth diamter ratio aspheric surfaces in ultra-precision grinding process are analyzed theoretically. An ultra-precision aspheric grinding system is then designed and manufactured. Aerostatic form is adopted to build the spindle of the workpiece, transverse guideway, longitudinal guideway and the spindle of the grinder in this system. The following specification is achieved, such as the turning accuracy of the spindle of the workpiece is 0.05 μm, radial rigidity of the spindle is GE 220N/μm, axial rigidity is GE 160 N/μm, radial rigidity of the guideway is GE 200N/μm, the highest rotational speed of the grinder is 80 000 rev/min and its turning accuracy is 0.1 μm, the resolution of linear displacement of the transverse and longitudinal guideway is 4.9 nm. Adjusting range of this adjusting mechanism is 2 mm in the Y direction, the adjusting accuracy of the precise adjusting mechanism is 0.1 μm. Micro displacement measuring system of this ultra-precision aspheric grinding adopts two-backfeed strategy, and angle displacement back-feed is realized by photoelectric encoder, it’s resolution is 655 360 pulse/rev. after 4 frequency multiplication, it’s angle displacement resolution is achieved 2 621 440 pulse/rev. Straight-line displacement is monitored by single frequency laser interferometer (DLSTAX LTM-20B, made in Japan). This CNC system adopts inimitable bi-arc step length flex CN interpolation algorithm, it’s CN system resolution is 5 nm.So this aspheric grinding system ensures profile accuracy of the machined part. The resolution of this interferometer is 5 nm. Finally, lots of ultra-precision grinding experiments are carried out on this grinding system. Some optical aspheric parts, with profiles accuracy of 0.3 μm, surface roughness less than 0.01 μm, are obtained.

Preparation of Layered Potassium Titanate Whiskers with Large Length-diameter Ratio by KDC Method

Pure K2Ti4O9 whiskers were prepared by KDC（Kneading-Drying-Calcination） method with TiO2 and K2CO3 as raw materials. The influences of TiO2/K2CO3 molar ratio（RT/K）, calcination temperature（TC） and cooling process on phase composition and morphology of the whiskers were investigated by TG-DSC（thermo gravimetric-differential scanning calorimeter）, XRD（X-ray diffraction）, and SEM（scanning electron microscope）. Pure K2Ti4O9 potassium titanate whiskers with large length-diameter ratio（r）（over 250） can be obtained at RT/K = 2.9 and TC = 950 ℃.

Fabrication and Property of SiC Ceramic with Large Thickness/Diameter Ratios

Silicon carbide ceramics with different thicknesses/diameter ratios were prepared by using ultra-fine silicon carbide powder with the sintering additives of 1.0 wt% boron and 1.5 wt% carbon. The influence of thickness/diameter ratio on the microstructure and density of SiC ceramics was investigated in detail. The experimental results show that the addition of boron and carbon sintering aids can promote the densification process of SiC ceramic, leading to the low sintering temperature and improve mechanical properties. At 1950 ℃, SiC ceramic with a density of 99% exhibits Young's modulus, hardness, and flexural strength of 476 MPa, 28.3 GPa, and 334 MPa, respectively. It is found that long holding time has a positive effect on the uniformity of the microstructure and density distribution of SiC ceramics with large thickness/diameter ratios. Additionally, the sintering additive of boron can solid-solve into SiC, and then facilitate the phase transformation of SiC to form 6H-SiC and 4H-SiC composite ceramics.

Prognostic value of the echocardiographic right/left ventricular end-diastolic diameter ratio in patients with idiopathic pulmonary arterial hypertension

Background Previous studies have shown that an echocardiographic right/left ventricular end-diastolic diameter ratio(RV/LV ratio)≥0.9 is an independent predictor of poor prognosis in patients with acute pulmonary embolism. The prognostic value of the RV/LV ratio in patients with idiopathic pulmonary arterial hypertension(IPAH) is still unknown. Methods We retrospectively enrolled 95 consecutive patients with newly diagnosed IPAH and 16 of them were reevaluated by echocardiography at 3-12 months following targeted therapy.Follow-up data were obtained by telephone interviews and review of the patients’ records.Results The RV/LV ratio was in parallel with the severity of World Health Orgnization(WHO) functional class and mean right atrial pressure.The RV/LV ratio was positively correlated with total pulmonary resistance(P P P 2 saturation(P P = 0.001),weight and absence of targeted therapy were independent predictors of death.No significant changes in the RV/LV ratio before and after targeted therapy were observed. A baseline RV/LV ratio≥0.84 or a further increase in the RV/LV ratio during targeted therapy indicated a poor prognosis. Conclusions The RV/LV ratio helps to assess the severity of IPAH and serves as an independent predictor of prognosis in patients with IPAH.

An evaluation of ureteral diameter ratio and vesicoureteral reflux index in the treatment of primary vesicoureteral reflux

Objective:Vesicoureteral reflux(VUR)index is a simple,validated tool that reliably predicts significant improvement and spontaneous resolution of primary reflux in children.The aim of this study was to evaluate and compare the ureter diameter ratio(UDR)and VUR index(VURx)of patients treated with endoscopic injection(EI)and ureteroneocystostomy(UNC)methods in the pediatric age group due to primary VUR.Methods:Patients under the age of 18 years old who underwent EI and UNC with the diagnosis of primary VUR between January 2011 and September 2021 were determined as the participants.The UDR was assessed using voiding cystourethrography,and the VURx score was determined prior to treatment based on hospital records included in the study.Results:A total of 255 patients,60(23.5%)boys and 195(76.5%)girls,with a mean age of 76.5(range 13.0e204.0)months,were included in the study.EI was applied to 130(51.0%)patients and UNC was applied to 125(49.0%)patients due to primary VUR.The optimum cut-off for the distal UDR was obtained as 0.17 with sensitivity and specificity of 73.0%and 63.0%,respectively.The positive and negative predictive values were 66.0%and 70.0%,respectively.Conclusion:When the UDR and VURx score are evaluated together for the surgical treatment of primary VUR in the pediatric age group,it is thought that it may be useful in predicting the clinical course of the disease and evaluating surgical treatment options.

不同冲击气压下煤样动态剪切强度的长径比效应

采用Φ50mm分离式霍普金森压杆(SHPB)试验系统,开展了不同冲击气压下直径75mm,长径比分别为0.20,0.27,0.33,0.40和0.47的5组煤样的动态剪切试验,划分了煤动态剪应力时程曲线的阶段,探讨了冲击气压对煤样动态剪切强度的影响,分析了煤样动态剪切强度和加载率的长径比效应,并建立了长径比效应理论模型。研究结果表明:①煤样动态剪应力时程曲线可分为应力初始上升、应力线性增长、应力缓慢上升和应力下降4个阶段;②煤样动态剪切强度与冲击气压呈正线性相关,但不同长径比下增加幅度存在差异,具体表现为:相同冲击气压增量下,煤样长径比越小,动态剪切强度的增加幅度越大;③煤样动态剪切强度和加载率均与长径比有关,在0.25,0.35 MPa较低冲击气压与0.45,0.55 MPa较高冲击气压下分别呈现出正、负长径比效应,并通过方差分析确定了长径比对其影响最小的冲击气压为0.376MPa;④建立了不同冲击气压下煤样动态剪切强度长径比效应理论模型,通过加载率效应推导出加载率长径比效应理论模型,并验证了模型的合理性和准确性。

气体流量和喷嘴直径对鼓泡塔内气泡大小和形状分布的影响

通过高速摄影结合图像处理算法,研究气体流量和喷嘴直径对气泡尺寸和纵横比分布的影响。结果表明,在所有喷嘴直径下,气泡当量直径的概率密度呈现双峰分布,其中第一个峰值接近直径为1.5~2 mm的小气泡区域,另一个峰值位于较大的气泡区域。将气体流量从0.1 L/min增加到0.2 L/min会导致大气泡的概率密度更高,表明气泡聚并现象普遍存在。当气体流量增加至1.2L/min时,峰值对应的气泡直径变小,并且气泡破裂占主导地位。对于直径为1~2 mm的气泡,形状受气体流量的影响较小,而3~9 mm的气泡在所有气体流量下气泡纵横比概率密度分布的峰值均位于纵横比E=0.5处。Iguchi和Chihara提出的模型能更好地预测气泡脱离直径随气体流量的增大的变化。

重力参数对非阻塞性颗粒阻尼减振特性的影响

针对非阻塞性颗粒阻尼(Non-obstructive Particle Damping,NOPD)在微重力、超重及离心等非常态环境中减振效果较差的问题,采用重力加速度表征这些非常态物理环境,利用离散元法(Discrete Element Method,DEM)研究重力参数对NOPD减振特性的影响,同时还分析NOPD最优填充比及最优粒径比等结构参数在不同重力条件下的变化规律。研究表明,重力加速度在0.7~1.0 g之间时NOPD减振效果最好。在微重力环境下,当重力参数变化时,NOPD最优填充比为0.85,最优粒径比为0.45。而当重力加速度大于1 g时,NOPD最优填充比及最优粒径比均随重力加速度的增加而减小,且其最优范围也均有所扩大。

抗拔桩承载能力影响因素与群桩变形规律试验研究

利用自主研发的桩基室内抗拔测试装置,结合数值模拟技术对抗拔桩的承载破坏过程及影响因素、群桩的协同工作特征展开了深入研究。结果表明:抗拔桩的承载破坏经历4个阶段,承载初期,桩顶侧摩阻力最先发挥作用,桩顶土体发生塑性破坏;随上拔荷载不断增大,桩体产生相对位移,桩周土体由于桩身侧摩阻力产生塑性破坏;当桩身轴力自桩顶传递至桩底时,桩身底端产生抗拔“吸附力”,并伴随局部土体塑性破坏;随着桩周土体塑性区的拓展、连通,抗拔桩承载能力达到极限;桩身长径比、桩-土界面摩擦因数、桩侧土体压力与其承载极限呈正相关关系,其中桩身长径比对桩端“吸附力”具有重要影响;群桩抗拔过程中,角桩侧摩阻力发挥最充分,桩身位移量最小,极限承载力最大,中心桩桩身位移最大,极限承载力最低;距径比影响抗拔桩的群桩效应,当距径比从2增大至8时,桩身侧摩阻力提高30%,将距径比8作为群桩工程的推荐值,6~10作为群桩距径比的推荐范围。

黄土地基阶梯型截面桩承载模型试验与计算

为研究黄土地基阶梯型截面桩的荷载传递机理,通过室内模型试验与有限元计算,分析阶梯型截面桩竖向静荷载下的桩身轴力、桩侧摩阻力、桩顶沉降和桩身不同深度荷载分担比,并探索了变径比对其工作性能的影响,并对其进行优化设计。结果表明:在相同荷载下,阶梯型截面桩的桩顶沉降明显小于等截面桩,当变径比在0.8~0.9时,沉降控制效果最佳,其材料利用率最高;若二者极限承载力相同时,阶梯型截面桩的最高材料利用率为等截面桩的1.06倍。阶梯型截面桩为摩擦型桩,变截面位置土体对桩体具有支承作用,其变径处底面土体能承担部分桩顶荷载。桩侧能够分担更多桩顶荷载,减轻桩端土体承载,当变径比在0.8~0.9时,侧摩阻力发挥程度更高。在桩体用料相同时,与等截面桩相比,阶梯型截面桩能大幅度提高承载能力。

对辊制粒机压辊的有限元分析及优化

对辊制粒机的压辊在工作过程中由于受交变载荷作用寿命往往较短,为改善压辊受力状况,根据对对辊制粒机制粒成型过程的分析以及对压辊受力状况的研究,建立了压辊的力学模型;在此基础上,以某型对辊制粒机为初始模型,通过有限元软件Abaqus探究了压辊表面应力分布情况,并进一步对其长径比及支撑方式进行了优化,结果表明:压辊长径比为1.034时,最大应力比初始模型减小了8.92%,单侧支撑改为双侧支撑可使最大应力减小65.31%,因此这两种优化方式对提高压辊的使用寿命具有重要参考价值。

湿热环境下端径比对复合材料螺栓连接结构静力拉伸失效的影响

为研究湿热环境下复合材料螺栓连接结构的静力拉伸性能,通过对七种不同端径比的T300碳纤维复合材料单钉单剪螺栓连接结构进行静力拉伸试验,得到不同端径比的连接结构在25℃干态(RTD)和70℃平衡吸湿(ETW)环境下极限失效载荷和破坏强度的变化规律,揭示了接头的破坏模式;建立复合材料单钉单剪螺栓连接有限元模型,对比不同端径比的连接结构试验的极限失效载荷,得到最优端径比为3;研究了湿热环境下最优端径比的连接结构不同铺层的损伤形式。结果表明,端径比从1增大到3时,RTD和ETW环境下连接结构的极限失效载荷分别增加了1.1倍和1倍,破坏强度均增加了1倍,当端径比从3增大到4时,RTD和ETW环境下极限失效载荷分别降低了6.56%和9.08%,破坏强度分别降低了6.83%和9.35%;在最优端径比下,与RTD环境下相比,ETW环境下连接结构的极限失效载荷和破坏强度分别下降了9.25%和9.52%,并且层合板孔周的压缩损伤更严重,存在更明显的纤维束拔起及纤维碎裂。

圆形截面钢管混凝土受弯构件塑性发展系数的双因素计算模型研究

为了综合考虑截面几何和材料特性对圆形截面钢管混凝土(CFST)受弯构件抗弯强度的影响,选择截面厚径比和材料强度比作为自变量,研究建立了圆CFST受弯构件截面塑性发展系数的二元函数计算表达,并建立了截面抗弯强度计算模型。首先在确定厚径比和强度比取值范围的基础上,设计1 656个圆CFST受弯构件的数值模型,利用纤维模型法计算确定每个构件的截面抗弯强度和塑性发展系数。然后选择截面钢管壁厚与外径之比、钢管强度与核心混凝土强度之比作为自变量,通过回归分析建立圆CFST构件的截面塑性发展系数的二元函数表达式,据此提出了圆CFST构件截面抗弯强度的计算模型。最后通过与试验数据、现行设计规范和研究文献中不同计算模型进行对比分析,验证了建立的圆形截面钢管混凝土受弯构件的截面塑性发展系数和抗弯强度计算模型具有更高的精度和适用性。

深海无人系统大长径比环肋圆柱壳结构设计与试验研究

环肋圆柱壳是深海无人系统广泛采用的一种耐压结构形式,保障其结构安全是系统研制过程中非常重要的一环。针对环肋圆柱壳的结构特征推导了组合结构重量关系式和结构参数简化估算方法,并以一种超长型深海无人系统耐压结构为例,围绕大长径比环肋圆柱壳的结构形式、设计计算、仿真分析、模型验证等开展研究。研究表明提出的大长径比环肋圆柱壳结构设计参数简化估算方法具有较好的适应性。相关计算和分析结果可以为该型深海无人系统结构设计提供技术支撑,也可以为其他类似耐压结构设计提供参考。

沿江典型区域杨树大径材人工林复合经营技术研究

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