BACKGROUND Most greater tuberosity fractures can be treated without surgery but some have a poor prognosis.The surgical procedures for avulsion fractures of the humeral greater tuberosity include screw fixation,suture...BACKGROUND Most greater tuberosity fractures can be treated without surgery but some have a poor prognosis.The surgical procedures for avulsion fractures of the humeral greater tuberosity include screw fixation,suture anchor fixation,and plate fixation,all of which have treatment-associated complications.To decrease surgical complications,we used a modified suture bridge procedure under direct vision and a minimally invasive small incision to fix fractures of the greater tuberosity of the humerus.AIM To investigate the clinical efficacy and outcomes of minimally invasive modified suture bridge open reduction of greater tuberosity evulsion fractures.METHODS Sixteen patients diagnosed between January 2016 and January 2019 with an avulsion-type greater tuberosity fracture of the proximal humerus and treated by minimally invasive open reduction and modified suture bridges with anchors were studied retrospectively.All were followed up by clinical examination and radiographs at 3 and 6 wk,3,6 and 12 mo after surgery,and thereafter every 6 mo.Outcomes were assessed preoperatively and postoperatively by a visual analog scale(VAS),the University of California Los Angeles(UCLA)shoulder score,the American Shoulder and Elbow Surgeon score(ASES),and range of motion(ROM)for shoulders.RESULTS Seven men and nine women,with an average age of 44.94 years,were evaluated.The time between injury and surgery was 1-2 d,with an average of 1.75 d.The mean operation time was 103.1±7.23 min.All patients achieved bone union within 3 mo after surgery.VAS scores were significantly decreased(P=0.002),and the mean degrees of forward elevation(P=0.047),mean degrees of abduction(P=0.035),ASES score(P=0.092)were increased at 3 wk.The UCLA score was increased at 6 wk(P=0.029)after surgery.The average degrees of external rotation and internal rotation both improved at 3 mo after surgery(P=0.012 and P=0.007,respectively).No procedure-related deaths or incision-related superficial or deep tissue infections occurred.CONCLUSION Modified suture bridge was effective for the treatment of greater tuberosity evulsion fractures,was easier to perform,and had fewer implants than other procedures.展开更多
The background to this research was a flooding incident that occurred in Bridgend, Co. Donegal, Ireland in August 2017. While several properties were flooded, a flooding case study of a single dwelling house adjacent ...The background to this research was a flooding incident that occurred in Bridgend, Co. Donegal, Ireland in August 2017. While several properties were flooded, a flooding case study of a single dwelling house adjacent to the Bridgend River at Riverdale, Bunamayne, Co. Donegal, Ireland is used herein. For this study the flooded site shall be referred to as the “Hegarty property”. A structure in the form of a stone arched culvert is located directly adjacent to the two-storey detached dwelling house on the Hegarty Property. While the culvert is referred to locally as a bridge, within this research the word culvert will be used in connection with the structure. The culvert has a concrete surrounded utility (watermain) crossing at a gradient below the culvert soffit on the upstream face of the structure. The utility obstructed flow through the culvert and contributed to the flooding event. Given the implication of climate change and the increased probability of more extreme flooding events, it was decided to explore the case study to ascertain the factors that contribute to flooding events when utilities are positioned at culvert or bridge structures. This work was completed to assist undergraduate students, researchers, and local authorities in a relatively unknown area of flood causation.展开更多
Xinjiang, the largest province region in China,is located in the northwest of China.There are eight countries,such as Kazakhstan etc.that surround around Xinjiang. There are long land border lines and many developable...Xinjiang, the largest province region in China,is located in the northwest of China.There are eight countries,such as Kazakhstan etc.that surround around Xinjiang. There are long land border lines and many developable passes. Under the direction of total national development strategy of coastal and border opening, considering the advanced condition of location,the new spatial frontier trade pattern of 'multilevel and all-round position' has initially been formed.That is,to develop westwards market in Middle Asia,to enlarge southwards market in Pakistan and to open up northwards market in Mongolia.The great progress of border opening has been made in Xinjiang.At present, Xinjiang is catching the opportunity to adjust the industrial structure and regional allocation,enhance horizontal economic combination and cooperation,and strengthen the infrastructures construction.Therefore more solid material foundation ofborder opening will be formed for further enlarging.展开更多
作为一种典型多端口变换器,三有源桥(triple active bridge,TAB)DC-DC变换器广泛应用于分布式直流系统中,其开关器件开路故障将严重影响系统运行。为降低开关故障带来的影响,该文提出TAB变换器开路故障诊断方法与容错运行策略。首先,分...作为一种典型多端口变换器,三有源桥(triple active bridge,TAB)DC-DC变换器广泛应用于分布式直流系统中,其开关器件开路故障将严重影响系统运行。为降低开关故障带来的影响,该文提出TAB变换器开路故障诊断方法与容错运行策略。首先,分析TAB变换器正常运行特性以及开关管开路故障暂态过程,提出利用TAB变换器各桥臂中点电压平均值实现开路故障定位。通过闭锁故障开关所在桥臂的驱动信号消除开路故障导致的直流偏置;然后,分析闭锁状态下TAB变换器的运行特性,确定能够保证TAB变换器实现开路故障容错运行的移相角范围,当开路故障发生于直流母线侧,调节移相角使得直流母线吸收功率,当开路故障发生于储能侧时,调节移相角使故障储能切除。实验结果验证所提方法可准确快速实现各开关管开路故障诊断,并实现容错运行,提升TAB变换器的可靠性。展开更多
The reactivities of benzoxazine functionalized amine bridged bis(phenol)s LnH_(2)(n=1—3)with rare earth metal complexes were explored,founding that both the aryl substituents of the ligand and the rare earth metals h...The reactivities of benzoxazine functionalized amine bridged bis(phenol)s LnH_(2)(n=1—3)with rare earth metal complexes were explored,founding that both the aryl substituents of the ligand and the rare earth metals have profound influences on reaction outcomes.展开更多
基金China Scholarship Council,No.201808080126Incubation Fund of Shandong Provincial Hospital,No.2020FY019+1 种基金Young Scholars Program of Shandong Provincial HospitalNatural Science Foundation of Shandong Province,No.ZR202102180575.
文摘BACKGROUND Most greater tuberosity fractures can be treated without surgery but some have a poor prognosis.The surgical procedures for avulsion fractures of the humeral greater tuberosity include screw fixation,suture anchor fixation,and plate fixation,all of which have treatment-associated complications.To decrease surgical complications,we used a modified suture bridge procedure under direct vision and a minimally invasive small incision to fix fractures of the greater tuberosity of the humerus.AIM To investigate the clinical efficacy and outcomes of minimally invasive modified suture bridge open reduction of greater tuberosity evulsion fractures.METHODS Sixteen patients diagnosed between January 2016 and January 2019 with an avulsion-type greater tuberosity fracture of the proximal humerus and treated by minimally invasive open reduction and modified suture bridges with anchors were studied retrospectively.All were followed up by clinical examination and radiographs at 3 and 6 wk,3,6 and 12 mo after surgery,and thereafter every 6 mo.Outcomes were assessed preoperatively and postoperatively by a visual analog scale(VAS),the University of California Los Angeles(UCLA)shoulder score,the American Shoulder and Elbow Surgeon score(ASES),and range of motion(ROM)for shoulders.RESULTS Seven men and nine women,with an average age of 44.94 years,were evaluated.The time between injury and surgery was 1-2 d,with an average of 1.75 d.The mean operation time was 103.1±7.23 min.All patients achieved bone union within 3 mo after surgery.VAS scores were significantly decreased(P=0.002),and the mean degrees of forward elevation(P=0.047),mean degrees of abduction(P=0.035),ASES score(P=0.092)were increased at 3 wk.The UCLA score was increased at 6 wk(P=0.029)after surgery.The average degrees of external rotation and internal rotation both improved at 3 mo after surgery(P=0.012 and P=0.007,respectively).No procedure-related deaths or incision-related superficial or deep tissue infections occurred.CONCLUSION Modified suture bridge was effective for the treatment of greater tuberosity evulsion fractures,was easier to perform,and had fewer implants than other procedures.
文摘The background to this research was a flooding incident that occurred in Bridgend, Co. Donegal, Ireland in August 2017. While several properties were flooded, a flooding case study of a single dwelling house adjacent to the Bridgend River at Riverdale, Bunamayne, Co. Donegal, Ireland is used herein. For this study the flooded site shall be referred to as the “Hegarty property”. A structure in the form of a stone arched culvert is located directly adjacent to the two-storey detached dwelling house on the Hegarty Property. While the culvert is referred to locally as a bridge, within this research the word culvert will be used in connection with the structure. The culvert has a concrete surrounded utility (watermain) crossing at a gradient below the culvert soffit on the upstream face of the structure. The utility obstructed flow through the culvert and contributed to the flooding event. Given the implication of climate change and the increased probability of more extreme flooding events, it was decided to explore the case study to ascertain the factors that contribute to flooding events when utilities are positioned at culvert or bridge structures. This work was completed to assist undergraduate students, researchers, and local authorities in a relatively unknown area of flood causation.
文摘Xinjiang, the largest province region in China,is located in the northwest of China.There are eight countries,such as Kazakhstan etc.that surround around Xinjiang. There are long land border lines and many developable passes. Under the direction of total national development strategy of coastal and border opening, considering the advanced condition of location,the new spatial frontier trade pattern of 'multilevel and all-round position' has initially been formed.That is,to develop westwards market in Middle Asia,to enlarge southwards market in Pakistan and to open up northwards market in Mongolia.The great progress of border opening has been made in Xinjiang.At present, Xinjiang is catching the opportunity to adjust the industrial structure and regional allocation,enhance horizontal economic combination and cooperation,and strengthen the infrastructures construction.Therefore more solid material foundation ofborder opening will be formed for further enlarging.
文摘作为一种典型多端口变换器,三有源桥(triple active bridge,TAB)DC-DC变换器广泛应用于分布式直流系统中,其开关器件开路故障将严重影响系统运行。为降低开关故障带来的影响,该文提出TAB变换器开路故障诊断方法与容错运行策略。首先,分析TAB变换器正常运行特性以及开关管开路故障暂态过程,提出利用TAB变换器各桥臂中点电压平均值实现开路故障定位。通过闭锁故障开关所在桥臂的驱动信号消除开路故障导致的直流偏置;然后,分析闭锁状态下TAB变换器的运行特性,确定能够保证TAB变换器实现开路故障容错运行的移相角范围,当开路故障发生于直流母线侧,调节移相角使得直流母线吸收功率,当开路故障发生于储能侧时,调节移相角使故障储能切除。实验结果验证所提方法可准确快速实现各开关管开路故障诊断,并实现容错运行,提升TAB变换器的可靠性。
基金support fromtheNational Natural Science Foundation of China(21871198)the Major Research Project of the Natural Science of the Jiangsu Higher Education Institutions(19KJA360005),and PAPD.
文摘The reactivities of benzoxazine functionalized amine bridged bis(phenol)s LnH_(2)(n=1—3)with rare earth metal complexes were explored,founding that both the aryl substituents of the ligand and the rare earth metals have profound influences on reaction outcomes.
