Imaging characteristics and treatment strategies for carotid artery occlusion caused by skull base fracture

The internal carotid artery occlusion caused by head and neck trauma,also known as traumatic intracranial artery occlusion,is relatively rare clinically.Traumatic skull base fracture is a common complication of traumatic brain injury.Traumatic skull base fracture is one of the causes of traumatic internal carotid artery occlusion.If not detected early and treated in time,the prognosis of patients is poor.This editorial makes a relevant analysis of this disease.

COVID-19 mortality paradox(United States vs Africa):Mass vaccination vs early treatment

The coronavirus disease 2019(COVID-19)mortality rate in 55 African countries is almost 4.5 times lower than in the coronavirus disease 2019(COVID-19)despite Africa having over 4.2 times more people.This mortality paradox is also evident when comparing Nigeria,a heavily populated,poorly vaccinated and weakly mandated country to Israel,a small,highly vaccinated and strictly mandated country.Nigeria has almost 4 times lower COVID mortality than Israel.In this Field of Vision perspective,I explain how this paradox has evolved drawing upon my academic,clinical and social experience.Since April 2020,I’ve developed and been using the Egyptian immune-modulatory Kelleni’s protocol to manage COVID-19 patients including pediatric,geriatric,pregnant,immune-compromised and other individuals suffering from multiple comorbidities.It’s unfortunate that severe acute respiratory syndrome coronavirus 2 is still evolving accompanied by more deaths.However in Africa,we’ve been able to live without anxiety or mandates throughout the pandemic because we trust science and adopted early treatment using safe,and effective repurposed drugs that have saved the majority of COVID-19 patients.This article represents an African and Egyptian tale of honor.

INVESTIGATION OF MULTI-STEP THERMO-MECHANICALTREATMENT OF CAN-FORGED TiAl-BASED ALLOY

The effects of a new technology, multi-step thermo-mechanical treatment, on the microstructure, deformation substructure and mechanical properties at ambient and elevated tempemture of can-forged Ti-33 Al-3 Cr-0.5Mo (wt%) Alloy were investigated.The results show that, after multi-step thermo-mechanical treatment of can-forged specimens, homogeneous, fine microstructures can be obtained in the whole TiAl-based alloy specimens. Furthermore, the specimen with homogeneous and fine full lamellae microstructure demonstrutes excellent comprehensive mechanical properties at ambient and elevated temperature.

Effect of heat treatment on the microstructure and hardness of C-Cr-W-Mo-V-RE Fe-based hardfacing layer

After different heat treatment processes, the metal compound, the microstructure and the hardness of the C-Cr-W- Mo-V-RE Fe-based hardfacing layers are investigated by means of metallographic microscope, X-ray diffraction （ XRD ）, energy dispersive spectrum（ EDS ）, transmission electron microscope（TEM） and hardness tester. The results show that the hardfacing layers have higher tempering stability and secondary hardening property. After quenching at 820 ℃ ,the hardness value（ HRC37 ） and the microstructure of the layers are similar to that normalized at 820 - 1 000 ℃. The tempering stability and the hardness increases with increasing quench temperature, which is attributed to the amount of the alloy element in the matrix. These results are very helpful for improving the mechanical properties of the hardfacing layers.

Effectiveness of Family-Based Behavioral Treatment Based on Medication Behavior Barkley Compared with Drug Therapy in Reducing the Symptoms of Children with Attention Deficit Disorder-Hyperactivity

Children with attention deficit and hyper activity disorder have various problems such as low academic performance, social and communication problems, anxiety, depression, aggression, conduct disorder and delinquency, and also when they become adults, they have problems in social relationships that these problems can increase or decrease in dealing with family. Hence, this study was performed in order to examine the impact of family-based behavioral treatment compared with Barkley behavior therapy in reducing symptoms of children with attention deficit disorder—ADHD. To meet the aim, 20 of children with age range of 7 to 12 years old with attention deficit disorder—hyperactivity were selected in both experimental and control groups, and exposed to the treatment of behavioral family therapy groups and changes in behavior Barkley. Before and after the treatment, they were evaluated according to the scale of the Conner’s Parent Rating Scale-Revised Short Form (CPRS-R: S). Results of multivariate analysis of covariance indicated that there were significant differences between the experimental group who had received family-based behavioral treatments based on changes in behavior Barkley and a control group who had received drug treatment in variables, including conduct problems, learning problems, psychosomatic symptoms, and signs of impulsive hyperactivity, anxiety and hyperactivity (p < 0.01). These results could be guidance for counsel or sand therapists for children with attention deficit disorder—ADHD.

Research on the treatment based on syndrome differentiation of COVID-19 according to the theory of Guangwenyilun

COVID-19 is highly infectious and epidemic,which belongs to the"plague"disease of traditional Chinese medicine and seriously endangers the safety of human life.Based on the theory of Guangwenyilun combined with the treatment experience of COVID-19 in TCM,syndrome differentiation-based treatment and the clinical characteristic of COVID-19 is being deeply analysed.COVID-19 began because of the"epidemic pathogenic factors",and the pathogenesis is that the dampness and heat generated toxin which blocked the qi movement.The early onset of this disease is in the pleurodiaphragmatic interspace,and its transmission can be divided into sequential transmission and reverse transmission.Regardless of the direction of its transmission,grasping the transmission of"epidemic pathogenic factors"on the diagnosis and treatment combined with"five distinguishing thought,exterior and interior,accompanying symptoms"theory will be of great importance to help to improve the effect of treatment.At the same time,this clinical approach will also provide reference for the diagnosis and treatment of any possible new diseases.

Discussion on the thinking innovation of the “Treatment based on syndromedifferentiation” according to “Precision medical”

Based on the concept of ＂precision medicine＂, this paper is to probe into the thinking innovation thought anddevelopment direction of ＂dialectical theory＂ of TCM, and to compare the development prospects of ＂syndromedifferentiation＂ and ＂genetic constitution＂. It points out that the dialectical concept of ＂syndrome differentiation andtreatment＂ is combined with the concept of high and new technology of ＂precision medicine＂ to further clarify thescientific connotation of traditional Chinese medicine.

Application of Stone Needle Therapy Based on Blood Stasis Theory in the Treatment of 36 Cases of Knee Osteoarthritis in Early and Middle Stage

Objective:To evaluate the clinical efficacy of stone needle therapy based on blood stasis theory for different traditional Chinese medicine(TCM)syndrome types of patients with knee osteoarthritis in early and middle stage.Methods:Totally 36 patients with knee osteoarthritis were enrolled in the orthopaedic ward between March 2016 and December 2017,and diagnosed as qi stagnation and blood stasis syndrome,cold dampness and stasis syndrome,or phlegm and stasis syndrome according to TCM syndrome differentiation.After treatment,stone needle was used for ironing on the different meridian acupoints according to different syndrome.The efficacy of patients with the above three syndromes was respectively evaluated,and the visual analogue scale(VAS)score and western ontario and mcMaster universities arthritis Index(WOMAC)score of the three groups were calculated before treatment,2 weeks,and 4 weeks after treatment.Results:The effective rates of the three groups were 86.67%,81.82%,and 80.00%,respectively.After 2 weeks and 4 weeks of treatment,the VAS and WOMAC scores of the three groups decreased significantly compared to treatment before(P<0.05).Conclusion:Stone needle therapy for ironing on the acupoints around the knee joint has a good therapeutic effect on knee osteoarthritis of different syndrome types,which is worthy of further application.

Evidence-Based Medicine Research on Prescriptions in Synopsis of the Golden Chamber in the Treatment of Pelvic Inflammatory Disease

Purpose: Based on the National Natural Science Foundation of China, we collect and sort out the literature published in approximately the last 30 years, which use prescriptions in Synopsis of the Golden Chamber to treat pelvic inflammatory disease (PID). This study provides theoretical basis for the treatment of PID;we recommend this achievement to colleagues. Method: Firstly, we searched and collected the literatures from last three decades in CNKI, Wanfang and VIP databases, which are about classical prescriptions treating endometriosis. Then, by screening all the literatures, we obtained the clinical research literatures and individual case reports. Finally, we went through the internal quality of the two categories of literatures to get the dominant prescriptions. Using a retrospective study of evidence-based medicine research, we comprehensively collect literature, standardize the disease spectrum, classify the evidence, and then evaluate the internal quality. Results: We refine 4 prescriptions which commonly are used in the treatment of PID;in other words, they are also the clinical symptoms of PID: Gui Zhi Fu Ling Wan symptom, which manifests blood stasis and cold-damp stagnancy;Dang Gui Shao Yao San symptom, which manifests disharmony of liver and spleen, qi-blood stasis and damp obstruction;Da Huang Mu Dan Tang symptom, which manifests the gathering toxic heat and qi-blood stasis;Yi Yi Fu Zi Bai Jiang San symptom, which manifests the internal toxic heat and qi-blood injury. Conclusion: This study is gospel for the patients with recurrent episodes of PID who can’t often use antibiotics. At the same time, it is also a green therapeutics which Chinese ancients dedicated to human medicine.

Effect of high temperature treatments on microstructure of Nb-Ti-Cr-Si based ultrahigh temperature alloy

To investigate the effects of homogenizing and aging treatments on the microstructure of an Nb-Ti-Cr-Si based ultrahigh temperature alloy,coupons were homogenized at 1 200-1 500 °C for 24 h,and then aged at 1 000 °C for 24 h.The results show that the heat-treated alloy is composed of Nb solid solution（Nbss）,（Nb,X）5Si3 and Cr2Nb phases.With the increase of heat-treatment temperature,previous Nbss dendrites transformed into equiaxed grains,and petal-like Nbss/（Nb,X）5Si3 eutectic colonies gradually changed into small（Nb,X）5Si3 particles distributed in Nbss matrix.A drastic change occurred in the morphology of the Laves phase after homogenizing treatment.Previously coarse Cr2Nb blocks dissolved during homogenizing at temperature above 1 300 °C,and then much finer and crowded Cr2Nb flakes precipitated in the Nbss matrix in cooling.Aging treatment at 1 000 °C for 24 h led to further precipitation of fine particles of Laves phase in Nbss matrix and made the difference in concentrations of Ti,Hf and Al in Nbss,（Nb,X）5Si3 and Cr2Nb phases reduced.

The Trends and Tasks of Modeling and Simulation for Reduction of Heat Treatment Distortion

The development of simulation model and benchmark work have expanded in the past decade and many models and soft ware are introduced. The leading software "Hearts’ developed by Prof Inoue[1] and several other have proved the effectiveness as the pre-production simulation work at many part of heat treatment processes[2-10]. Although, numerous other models and simulation studies dealt with many fundamental factors are reported at many conferences except very few models have not completed three dimensional computation methods, or lack of validation work to evaluate their tools exactly. In this paper, several distortion case studies will be introduced and the needs of fundamental study of distortion and internationally collaborative program on model evaluation and construction of materials database are proposed.

Effect of Heat Treatment Temperature on Properties of Chinese Calcined Flint Clay Based Plastic Refractories

Effects of different heat treatment temperatures on properties of Chinese calcined flint clay based plastic refractories were investigated using Chinese calcined flint clay as starting material, aluminum sulfate and fireclay as binding system. The results showed that with temperature rising, Chinese calcined flint clay based plastic refractories shrinked firstly and then expanded. The modulus of rupture （MOR） and the cold crushing strength （CCS） inereased firstly and then decreased from 110 ℃ to 600 ℃ , then increased obviously. Thermal expansion coefficient increased from 110 ℃ to 760 ℃, decreased from 760 ℃ to 1 300 ℃ , and increased from 1 300 ℃ to1500 ℃.

Effect of homogenization treatment on microstructure evolution and the distributions of RE and Zr elements in various MgeLieREeZr alloys

Mge3Lie0.4Zr alloys containing RE elements(Gd,La,Nd)(Mge3LieREe0.4Zr alloys)are investigated to reveal the influence of homogenization treatment on microstructures and distributions of RE,Zr elements.It is found that 300
C24 h homogenization treatment shows better improvement on the microstructure including the refinement of grain size,the dispersion of cellular dendrite and low melting point particles.Before treatment,La and Nd segregate effectively at grain boundary and Zr segregates in the form of precipitates.Homogenization treatment induces the reduction of RE segregation.However,the segregation of Zr in precipitates cannot be abated due to the relatively low diffusion rate compared with RE elements.

Effects of aging treatment processes on microstructures and mechanical properties of AZ63 casting magnesium alloy

The effects of three different aging treatment processes,namely single-stage,double-stage,and reverse double-stage aging treatment processes,on the microstructures and mechanical properties of the AZ63(Mg-6Al-3Zn-0.25Mn)casting magnesium alloy were investigated and compared.The results indicate that the microstructures of all the aged alloys under the three treatment processes are mainly composed ofα-Mg,Mg17Al12),and Al4Mn phases,indicating that the double-stage and reverse double-stage aging treatments have no obvious effect on the type of alloy phases.However,as compared with the single-stage and double-stage processes,the reverse double-stage process has a great effect on the quantity of the Mg17Al12phases.After the reverse double-stage aging treatment,which results in a stronger drive for decomposition of the supersaturated solid solution,the number of Mg17Al12phases precipitated in the grains significantly increases.In addition,as compared with the single-stage aged alloy,the tensile properties at room temperature for both the double-stage and reverse double-stage aged alloys are significantly improved.Among them,the reverse double-stage aged alloy achieves the highest tensile strength,yield strength,and elongation of 295 MPa,167 MPa,and 8.6%,respectively.

Analysis on the law of differentiating and treating insomnia by physicians based on cluster analysis of drug syndrome

Objective:To explore the general differentiation and treatment of insomnia by Professor Gao Ying through drug clustering and group correspondence analysis,and provide reference for clinical diagnosis and treatment.Methods:Collect retrospective case data from outpatient system,use SPSS20.0 software to perform frequency and cluster analysis on high-frequency symptoms and drug data,and perform corresponding analysis on the clustered drug syndrome groups.Results:A total of 349 consultations in 204 patients were included.Cluster analysis of 35 symptoms and 40 flavors with a frequency of more than 10%resulted in a corresponding relationship between 7 symptom groups,6 drug groups and 5 drug syndrome groups.The medicine symptom group has a high degree of matching;the doctors distinguish and tre at insomnia with calming,clearing heat,nourishing yin,liver,spleen,qi and phlegm as the core treatment,with consistent decoction,two to pill,lily ground Huang Tang,Lily Zhimu Decoction,Wendan Decoction,Sini San,Xiao Chai Hu Tang,Xiaoyao San,etc.are commonly used prescriptions;the physician's experience is to add or subtract Danshen and Zao Ren drink,which has a wide range of applicability to various insomnia syndrome.Conclusion:Based on the cluster analysis of drug symptoms and group correspondence analysis,it can reveal the pathogenesis,treatment and class information hidden in the data of drug symptoms,which can reflect the general law of physicians'syndrome differentiation and treatment of insomnia.This method has a reference for the exploration of TCM clinical experience significance;The results of this study can provide feedback to guide the clinical diagnosis and treatment of insomnia.

Morphological evolution of γ'precipitates in a nickel-based superalloy during various solution treatments

The morphological evolution of the γ' phase in nickel-based superalloy жc6y during various solution heat treatments was investigated. The significant changes of the γ' precipitates were observed in the solution-treated samples. The coarsening and dissolution of γ' phase simulta-neously occurred at intermediate temperatures. In some areas, the primary precipitates became blunt and the adjacent ones were intercon-nected with each other via a diffuse neck, indicating a coarsening process of the primary γ' population. The coarsening was dominated by the precipitate agglomeration mechanism (PAM) rather than by the well-known Ostwald ripening mechanism. In other areas, the partial dissolu-tion of the γ' precipitates began to occur, spreading gradually from dendrite cores to interdendritic regions. In addition, a flower-like γ' struc-ture was developed during the subsolvus solution treatments. The observable long filaments composed of erraticly shaped precipitates were caused by the heterogeneous nucleation of the cooling precipitates during water quenching.

Some Problems of Warm Acupuncture in the Treatment of Knee Osteoarthritis

Knee osteoarthritis(KOA)is a chronic derivative joint issue that mainly damages the artistic cartilage and leads to pain,swelling,and stiffness around the joint,which is commomly worldwide.With the aging of society and the increment in obesity rate,the incidence of KOA increases sharply,which seriously effects the quality of human life.Before,how to take effective treatment methods is very important.Severe ways to treat the disease include non-steroidal drugs,local injections,surgery,and cell and gene therapies.However,each therapy has certain defections,such as gastrotestinal tract irritation,cardiovascular safety,or high medical costs for patients.Traditional Chinese medicine has a long history in treating KOA,reported by acupuncture,massage,internal administration of traditional Chinese medicine,and external use of traditional Chinese medicine.In clinical practice,patients can be treated from the root agreement to different etiology,and patients can be treated agreement to different syndrome types by syndrome difference to achieve effect.Studies have shown that warm acupuncture is effect in treating KOA.It has two kinds of treatment methods:acupuncture and moxibustion at the same time.It has fewer side effects and is more acceptable to patients.However,there are still some problems in the basic research and clinical application of warm acupuncture and moxibustion in treating KOA.This paper discussed the existing problems from the followingfive aspects:lack of unified synthesis difference and treatment system,problems in clinical research,weak basic research,problems in the study of moxibustion,and lack of the best treatment program recognized by the academic community.Meanwhile,the selection of acupoints,the relationship between acupuncture depth and anatomy should be further studied in order to offer research ideas for the healthy development of the treatment of KOA with warming acupuncture and moxibustion in the future.

Microstructural evolution of a forged TiAl based alloy during heat treatment at subtransus temperature

Microstructural evolution of a forged TiAl based alloy during heat treatment from 1 180 ℃ to 1 300 ℃ was investigated. The grain sizes of the alpha phases as well as the sizes and the volume fractions of the gamma phases were evaluated as a function of heat treatment temperature and time. When the alloys are isothermally heat treated at subtransus temperatures, the sizes of gamma phases(D γ) increase slightly with heat treatment temperature and time and those of alpha phases(D α) and the volume fractions of gamma phases(φ γ) vary significantly with holding time in the early stages of heat treatments, but after heat treatments for 2 h, φ γ reveal little variations with holding times and D α approach limits, which can be described by D α0 =0.65D γ/φ γ. Besides, it has been found that the alpha phases in the specimens heat treated at 1 260 ℃ and 1 300 ℃ contain lamellar structures, at low temperatures, however, appear featureless.

Effect of Heat-Treatment Process on Properties of Rare Earth Mg-Based System Hydrogen Storage Alloys with AB_3-Type

The effect of heat-treatment process on the properties of Mm0.8Mg0.2(NiCoAlMn)3.5 hydrogen storage alloy was discussed . The electrochemical properties such as cycling stability, activation property, and the plateau voltage of the alloy which was heat-treated in various temperatures and times had different changes during the cycle process, the optimum heat-treatment conditions of this alloy were determined by this work.

INFLUENCES OF ACID POST-TREATMENT ON THE MORPHOLOGY OF SOAP-FREE P(MMA-EA-MAA)PARTICLES PREPARED BY SEEDED EMULSION POLYMERIZATION

Soap-free poly（methyl methacrylate-ethyl acrylate-methacrylic acid） latex particles with narrow size distribution were synthesized by seeded emulsion polymerization, and the porous particles were created by a stepwise alkali/acid treatment method. Effects of acid treatment conditions on the particle morphology were investigated. Results show that one to three pores were formed inside most of particles after post-treatment. At pH 7.0, when the treatment temperature was lower than 70℃, the size of particles and the volume of pores remained almost unchanged, and these two values increased significantly when the temperature was higher than 70℃. Both the particle size and the pore volume decreased with the increase of initial pH value and treatment time in the acid treatment. As the pH was below 4.0 and the treatment time was longer than 180 min, the particles shrunk in size.