Objective:To describe the outcome of female anterior wall(pubic side)onlay urethroplasty with buccal mucosal graft using laterally extended surgical dissection in patients with previously failed minimally invasive tec...Objective:To describe the outcome of female anterior wall(pubic side)onlay urethroplasty with buccal mucosal graft using laterally extended surgical dissection in patients with previously failed minimally invasive techniques.Methods:From January 2016 to April 2018,17 symptomatic patients with previously failed minimally invasive procedures were enrolled in the study.The diagnosis of urethral stricture was confirmed based on a combination of patients’symptoms,post-void residual urine,video-urodynamics,and cystoscopy.Urethroplasty with lower lip mucosal graft was performed using the modified laterally extended dissection.Patients were evaluated pre-operatively and 12-month post-operatively with the American Urological Association symptom score,post-void residual urine,and maximum flow rate.Results:Despite the previously failed minimally invasive procedures,urethroplasty with lower lip buccal graft and laterally extended dissection resulted in favorable outcomes(success rateZ94%).The meanstandard deviation of American urological association symptom score improved from pre-operative levels at the 12-month post-operative follow-up(25.823.97 to 10.885.57);so did postvoid residual urine(71.1274.98 mL to 15.0028.30 mL),and maximum flow rate(7.881.72 mL/s to 25.825.59 mL/s)with all statistically significant(p<0.05).Conclusion:The current study showed that female urethroplasty with buccal graft could be highly successful in experienced hands.An anterior approach could be superior to the posterior one due to higher mechanical support and lower sacculation rate.A laterally extended incision may improve visualization and better graft placement by providing wider working space.The results should be evaluated in the future studies with larger sample size.展开更多
Hydraulic cylinder is a primary component of the hydraulic valve systems.The numerical study of hydraulic cylinder to evaluate the stress analysis,the life assessment and the performance of operation characteristics i...Hydraulic cylinder is a primary component of the hydraulic valve systems.The numerical study of hydraulic cylinder to evaluate the stress analysis,the life assessment and the performance of operation characteristics in hydraulic cylinder were described.The calculation of safety factor,fatigue life,piston chamber pressure,rod chamber pressure and the change of velocity of piston with flow time after the beginning of hydraulic cylinder were incorporated.Numerical analysis was performed using the commercial CFD code,ANSYS with unsteady,dynamic mesh model,two-way FSI(fluid-structure interaction)method and k-εturbulent model.The internal pressure in hydraulic cylinder through stress analysis show higher than those of the yield strength.展开更多
The main technical backgrounds and requirements are introduced with regard to earthquake ground motion design parameters in several domestic and American standards,codes and guides involved in the seismic analysis and...The main technical backgrounds and requirements are introduced with regard to earthquake ground motion design parameters in several domestic and American standards,codes and guides involved in the seismic analysis and design activities of nuclear power plants in China.Based on the research results from site seismic safety evaluation of domestic nuclear power plant projects in the last years,characteristics and differences of site specific design spectra are analyzed in comparison with standard response spectra,and the suitability of standard response spectra for domestic nuclear power plant projects is discussed.展开更多
文摘Objective:To describe the outcome of female anterior wall(pubic side)onlay urethroplasty with buccal mucosal graft using laterally extended surgical dissection in patients with previously failed minimally invasive techniques.Methods:From January 2016 to April 2018,17 symptomatic patients with previously failed minimally invasive procedures were enrolled in the study.The diagnosis of urethral stricture was confirmed based on a combination of patients’symptoms,post-void residual urine,video-urodynamics,and cystoscopy.Urethroplasty with lower lip mucosal graft was performed using the modified laterally extended dissection.Patients were evaluated pre-operatively and 12-month post-operatively with the American Urological Association symptom score,post-void residual urine,and maximum flow rate.Results:Despite the previously failed minimally invasive procedures,urethroplasty with lower lip buccal graft and laterally extended dissection resulted in favorable outcomes(success rateZ94%).The meanstandard deviation of American urological association symptom score improved from pre-operative levels at the 12-month post-operative follow-up(25.823.97 to 10.885.57);so did postvoid residual urine(71.1274.98 mL to 15.0028.30 mL),and maximum flow rate(7.881.72 mL/s to 25.825.59 mL/s)with all statistically significant(p<0.05).Conclusion:The current study showed that female urethroplasty with buccal graft could be highly successful in experienced hands.An anterior approach could be superior to the posterior one due to higher mechanical support and lower sacculation rate.A laterally extended incision may improve visualization and better graft placement by providing wider working space.The results should be evaluated in the future studies with larger sample size.
基金supported by the International Cooperation on Technology Development Program of the Korea Institute for Advancement of Technology ( KIAT),Republic of Korea ( N0000902)
文摘Hydraulic cylinder is a primary component of the hydraulic valve systems.The numerical study of hydraulic cylinder to evaluate the stress analysis,the life assessment and the performance of operation characteristics in hydraulic cylinder were described.The calculation of safety factor,fatigue life,piston chamber pressure,rod chamber pressure and the change of velocity of piston with flow time after the beginning of hydraulic cylinder were incorporated.Numerical analysis was performed using the commercial CFD code,ANSYS with unsteady,dynamic mesh model,two-way FSI(fluid-structure interaction)method and k-εturbulent model.The internal pressure in hydraulic cylinder through stress analysis show higher than those of the yield strength.
基金funded by the Basic Science Research Foundation of IEM(Grant No.2006A02)the National Natural Sciences Foundation of China (90715038)
文摘The main technical backgrounds and requirements are introduced with regard to earthquake ground motion design parameters in several domestic and American standards,codes and guides involved in the seismic analysis and design activities of nuclear power plants in China.Based on the research results from site seismic safety evaluation of domestic nuclear power plant projects in the last years,characteristics and differences of site specific design spectra are analyzed in comparison with standard response spectra,and the suitability of standard response spectra for domestic nuclear power plant projects is discussed.
