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.

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.

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.

Stress-strain-acoustic responses in failure process of coal rock with different height to diameter ratios under uniaxial compression

Residual coal pillars play an important role in mining the adjacent coal seam safely,managing the gobs and maintaining the stability of abandoned coal mines.The height to diameter ratio(H/D)affects the stability of residual coal pillars.In this study,uniaxial compressive tests of coal specimens with five H/D(2.0,1.5,1.0,0.8 and 0.6)were performed,and the stress,strain and acoustic emission(AE)were monitored.Results show that the uniaxial compressive strength(UCS)and peak strain increase with H/D decreasing.An empirical equation is proposed to calculate the UCS based on the H/D.The AE activities during coal failure process can be separated into four periods.The span of quiet period and rapid decline period shorten with H/D decreasing.The smaller the H/D is,the more complicated the failure characteristics of coal will be.The failure form of coal with H/D of 2.0,1.5,and 1.0 is primarily shear failure,while splitting failure along the axial direction is the mainly mode when H/D is 0.8 or 0.6.The initiation,expansion,aggregation and connection of micro-cracks can be reflected by the real-time spatial evolution of AE event points.

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.

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.

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。

前混合水射流喷丸单丸粒冲击特性研究

单丸粒冲击特性是研究混合射流表面喷丸强度和覆盖率的基础指标,丸粒特性与靶材特性均会对冲击后的弹坑形态产生影响。以不同热处理后的18CrNiMo7-6低碳合金钢为靶材,研究了不同丸粒冲击条件下的弹坑特性。从弹坑形成机理出发,建立了单丸粒冲击弹坑尺寸模型,并通过试验研究,修正了高硬度靶材弹坑的误差,使弹坑深度预测误差降低到30%以下。在此基础上,研究了弹坑相关特征参数(深径比、坑深坑直径占比、脊高)的规律。结果表明,丸粒硬度和靶材硬度对深径比以及坑深直径占比影响最为显著,而弹坑周边的脊状结构只存在于低硬度靶材中。各参数对脊高的影响由大到小分别为丸粒直径、丸粒硬度和丸粒速度。

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。

CT肺动脉造影推导的右心室与左心室直径比对急性肺栓塞危险分层及预后的评估价值

目的分析计算机断层扫描肺动脉造影(CTPA)推导的右心室(RV)与左心室(LV)直径比,对急性肺栓塞(APE)危险分层及预后的预测效能。方法回顾性分析2019-03至2023-04在武警贵州总队医院接受利伐他班预防急性静脉血栓的211例APE患者的电子医疗记录。根据简化版肺栓塞严重指数(sPESI)、肌钙蛋白检测、超声心动图检查将患者分为低危(n=69)、中低危(n=74)、中高危(n=68)。通过超声心动图评估RV收缩功能障碍(RVD),由影像科专家在CTPA图像上垂直于心脏长轴的单次横向扫描中测量RV和LV直径。随访90 d内的不良复合事件发生情况。结果不良结局APE患者的RV/LV更高(P<0.05),RV/LV预测APE患者短期预后的受试者工作特征曲线下面积(ROCAUC)结果为0.784,在最佳截断值(1.02)处,灵敏度79.9%,特异度75.3%。多元Logistics回归分析结果显示,RV/LV直径比>1.02为APE患者短期预后不良结局的独立危险因素。中高危患者的RV/LV直径比(1.11±0.25)高于低危(0.96±0.18)及中低危(0.99±0.28)患者(F=7.431,P=0.001)。RV/LV直径比预测中高危APE的ROCAUC为0.780。在RV/LV直径比≤1.02的70例患者中,14例(20.0%)通过超声心动图检测到RVD;在>1.02的134例患者中,77例(57.46%)通过超声心动图检测到RVD。Spearman秩相关分析结果显示,RV/LV直径比与sPESI(r_(s)=0.289)、肌酸激酶同工酶(r_(s)=0.291)、D-二聚体(r_(s)=0.386)呈正相关。结论根据CTPA推导的RV/LV直径比有助于评估APE患者的危险分层和短期不良预后。

高立地指数下杉木生长量及材种结构的立地及密度效应

[目的]探讨立地质量和林分密度对杉木人工林生长量及材种结构的影响,为杉木大径材培育提供理论依据。[方法]以林龄28~36年生的杉木人工林为研究对象,按上、中、下不同坡位以及不同坡向设置63块标准样地,调查林分生长量及林分基本情况,通过相关性分析和回归拟合分析进行数据处理和分析。[结果]当林分密度相近时,立地指数越高,培育相同年限所获得的单株材积、蓄积量和大径材出材率越高;同一立地条件下,在一定的密度范围内林分树高、胸径、单株材积和大径材出材率随密度增加而减小,蓄积量随密度增加而增大;立地指数相同时,密度对胸径生长分化的影响大于树高,立地指数不同时林分密度对树高和胸径生长分化的影响程度也不同。[结论]在立地指数达22及以上的立地条件下培育杉木大径材,可通过3次间伐进行密度控制,林分最终保留密度宜为650~1000株·hm^(−2)。

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。

岩石类材料直接拉伸破坏的FDEM数值模拟

有限元-离散元耦合算法(FDEM)在岩石裂纹扩展模拟中广泛应用,尤其在直接拉伸模拟中用于参数校核。然而,模拟结果通常受到拉伸速率和网格尺寸的影响。本文首先阐述FDEM基本原理;然后,建立直接拉伸数值计算模型,探究拉伸速率、网格尺寸及高径比对破坏模式和力学参数的影响;最后,给出直接拉伸模拟中建议采用的拉伸速率和网格尺寸。研究结果表明:随着拉伸速率增加,试样抗拉强度、破坏程度和峰值应变率增加,而平均弹性模量减小;在较低拉伸速率下(v≤0.01 m/s),试样仅产生1条主拉伸裂缝;当拉伸速率较高时,有分支裂缝出现在主拉伸裂缝上侧。网格尺寸对抗拉强度、峰值应变率和平均弹性模量的影响较小,但对破坏模式和破坏程度的影响较显著。随着高径比增加,试样的抗拉强度、破坏程度和峰值应变率增大,但平均弹性模量呈相反趋势,并且高径比对破坏程度的影响较为显著。建议在直接拉伸模拟中使用0.01 m/s的拉伸速率,并将网格尺寸限制在1.5 mm以内。

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。