wall

摘要： BACKGROUND Pelvic recurrence after rectal cancer surgery is still a significant problem despite the introduction of total mesorectal excision and chemoradiation treatment(CRT),and one of the most common areas of recurrence is in the lateral pelvic lymph nodes.Hence,there is a possible role for lateral pelvic lymph node dissection(LPND)in rectal cancer.AIM To evaluate the short-term outcomes of patients who underwent minimally invasive LPND during rectal cancer surgery.Secondary outcomes were to evaluate for any predictive factors to determine lymph node metastases based on pre-operative scans.METHODS From October 2016 to November 2019,22 patients with stage II or III rectal cancer underwent minimally invasive rectal cancer surgery and LPND.These patients were all discussed at a multidisciplinary tumor board meeting and most of them received neoadjuvant chemoradiation prior to surgery.All patients had radiologically positive lateral pelvic lymph nodes on the initial staging scans,defined as lymph nodes larger than 7 mm in long axis measurement,or abnormal radiological morphology.LPND was only performed on the involved side.RESULTS Majority of the patients were male(18/22,81.8%),with a median age of 65 years(44-81).Eighteen patients completed neoadjuvant CRT pre-operatively.18 patients(81.8%)had unilateral LPND,with the others receiving bilateral surgery.The median number of lateral pelvic lymph nodes harvested was 10(3-22)per pelvic side wall.8 patients(36.4%)had positive metastases identified in the lymph nodes harvested.The median pre-CRT size of these positive lymph nodes was 10 mm.Median length of stay was 7.5 d(3-76),and only 2 patients failed initial removal of their urinary catheter.Complication rates were low,with only 1 lymphocele and 1 anastomotic leak.There was only 1 mortality(4.5%).There have been no recurrences so far.CONCLUSION Chemoradiation is inadequate in completely eradicating lateral wall metastasis and there are still technical limitations in accurately diagnosing metastases in these areas.A pre-CRT lymph node size of≥10 mm is suggestive of metastases.LPND may be performed safely with minimally invasive surgery.

摘要： BACKGROUND Locoregional recurrence of breast cancer is challenging for clinicians,due to the various former treatments patients have undergone.However,treatment of the recurrence with systemic therapy and subsequent reirradiation of chest wall is accompanied by increased toxicities,particularly radiation-induced cardiovascular disease.Reirradiation by proton beam therapy(PBT)enables superior preservation of adjacent organs at risk as well as concurrent dose escalation for delivery to the gross tumor.This technology is expected to improve the overall outcome of recurrent breast cancer.CASE SUMMARY A 47-year-old female presented with an extensive locoregional recurrence at 10 yr after primary treatment of a luminal A breast cancer.Because of tumor progression despite having undergone bilateral ovarectomy and systemic therapy,the patient was treated with PBT BE total dose of 64.40 Gy to each gross tumor and 56.00 Gy to the upper mediastinal and retrosternal lymphatics including the entire sternum in 28 fractions.Follow-up computed tomography showed a partial remission,without evidence of newly emerging metastasis.At 19 mo after the PBT,the patient developed a radiation-induced pericardial disease and pleural effusions with clinical burden of dyspnea,which were successfully treated by drainage and corticosteroid.Cytological analysis of the puncture fluid showed no malignancy,and the subsequent computed tomography scan indicated stable disease as well as significantly decreased pericardial and pleural effusions.The patient remains free of progression to date.CONCLUSION PBT was a safe and effective method of reirradiation for locoregionally recurrent breast cancer in our patient.

摘要： Statistical analysis of the entrance and wall dynamics of a high-flux gas-solid riser was done using solid concentration time series data collected from a 76 mm internal diameter and 10 m high riser of a CFB system with a twin-riser operated at 4.0 to 10.0 m/s gas velocity and 50 to 550 kg/m2s solids flux. Spent fluid catalytic cracking catalyst particles with 67 μm mean diameter and density of 1500 kg/m3 together with 70% to 80% humid air was used. Solid concentration data were analysed using code prepared using FORTRAN 2008 to get statistical parameters and plot their profiles. Results obtained show that the gas-solid suspension flow in the riser is dominated by low solid concentration in the centre region and high solid concentration in the wall region which forms a core-annulus flow structure. The mean solid concentration in the wall region decreases with riser height from the dense bottom section to less dense in the fully developed flow section at the top of the riser. The gas-solid suspension flow in the centre region is dominated with uniform flow structure while the wall region is dominated with high fluctuations in solid concentration. Further, it was found that the entrance and developing flow sections of the riser exhibit high flow non-uniformities than the fully developed flow section of the riser. The flow non-uniformities in the entrance and developing flow section increase with increase in superficial gas velocity at constant solid flux. The wall region, from the entrance to the top sections of the riser along the axial direction exhibits both dilute and dense suspension flow.

摘要： The architectural?complexes?of Hasan Basha Tahir?were suffering from many damages and deformation in different elements as load bearing walls, arches and wooden ceiling. Ground water, salt weathering, air pollution, biological colonization and environmental aspects were the main degradation factors which caused a lot of damage and deterioration phenomena in the complexes. Horizontal and vertical cracks, salts, loss of decorations, and featured dark of the stone surface were noticed at the complexes elements. In addition, the celling of the complex was in a very bad condition;?it had lost a lot of decoration elements, cracking, soot deposition, insects’ holes, and fungi growth. This research will discuss the various deterioration phenomena that?have?effect on the main building materials and cause the damages and discuss the general scientific methodology of the architectural and structural conservation project which was?carried out.

摘要： BACKGROUND Obstructed defecation syndrome(ODS) is a widespread disease in the world.Rectocele is the most common cause of ODS in females. Multiple procedures have been performed to treat rectocele and no procedure has been accepted as the gold-standard procedure. Stapled transanal rectal resection(STARR) has been widely used. However, there are still some disadvantages in this procedure and its effectiveness in anterior wall repair is doubtful. Therefore, new procedures are expected to further improve the treatment of rectocele.AIM To evaluate the efficacy and safety of a novel rectocele repair combining Khubchandani's procedure with stapled posterior rectal wall resection.METHODS A cohort of 93 patients were recruited in our randomized clinical trial and were divided into two different groups in a randomized manner. Forty-two patients(group A) underwent Khubchandani's procedure with stapled posterior rectal wall resection and 51 patients(group B) underwent the STARR procedure.Follow-up was performed at 1, 3, 6, and 12 mo after the operation. Preoperative and postoperative ODS scores and depth of rectocele, postoperative complications, blood loss, and hospital stay of each patient were documented. All data were analyzed statistically to evaluate the efficiency and safety of our procedure.RESULTS In group A, 42 patients underwent Khubchandani's procedure with stapled posterior rectal wall resection and 34 were followed until the final analysis. In group B, 51 patients underwent the STARR procedure and 37 were followed until the final analysis. Mean operative duration was 41.47 ± 6.43 min(group A) vs39.24 ± 6.53 min(group B). Mean hospital stay was 3.15 ± 0.70 d(group A) vs 3.14± 0.54 d(group B). Mean blood loss was 10.91 ± 2.52 mL(group A) vs 10.14 ± 1.86 m L(group B). Mean ODS score in group A declined from 16.50 ± 2.06 before operation to 5.06 ± 1.07 one year after the operation, whereas in group B it was17.11 ± 2.57 before operation and 6.03 ± 2.63 one year after the operation. Mean depth of rectocele decreased from 4.32 ± 0.96 cm(group A) vs 4.18 ± 0.95 cm(group B) preoperatively to 1.19 ± 0.43 cm(group A) vs 1.54 ± 0.82 cm(group B)one year after operation. No other serious complications, such as rectovaginal fistula, perianal sepsis, or deaths, were recorded. After 12 mo of follow-up, 30 patients'(30/34, 88.2%) final outcomes were judged as effective and 4(4/34,11.8%) as moderate in group A, whereas in group B, 30(30/37, 81.1%) patients' outcomes were judged as effective, 5(5/37, 13.5%) as moderate, and 2(2/37,5.4%) as poor.CONCLUSION Khubchandani's procedure combined with stapled posterior rectal wall resection is an effective, feasible, and safe procedure with minor trauma to rectocele.

摘要： The paper discusses the design, fabrication and the execution of the cladding supported by steel trusses and curtain wall of a sports club. The cladding and the curtain walls were subjected to a wind load of 1.2 Kpa considering basic wind speed of 25 m/s as per the project specifications. The first part of the paper deals with the cladding work of the canopy that consist of a 4 mm thick aluminium composite panels supported by steel trusses extended from the main structure. Two types of steel trusses were provided, the main truss connected to the space truss, whereas the intermediate truss connected to channels. Both trusses were spaced at 2.5 m centre to centre. These trusses were fabricated at factory and transported to the site for installation. The second part of the paper is related to the curtain wall design having Maximum Mullion spacing of 2 m, considered as worst scenario for the design calculations. The maximum Mullion height was 5.55 m, adopted in the calculations with bottom and top pinned connection. The Technal system was adopted for the design of mullions and transoms. Design was carried out using numerical modeling with CSI SAP2000 for cladding and its supporting structures. The bracket was realized and checked for the corresponding induced forces. All the structural systems were found safe according to different acceptance criterion.

摘要： Azeotropic distillation is a special distillation method for separating liquid mixtures, which has better distillation effect and obvious advantages of energy saving and consumption reduction compared with traditional distillation. In this paper, the latest research progress of azeotropic distillation technology in separation, synthesis and energy saving at home and abroad is reviewed. The research progress in separation is reflected in product separation and product purification, and the research progress in energy saving is reflected in heat pump distillation and dividing wall column distillation respectively. Existing studies have shown that azeotropic distillation technology can produce higher purity target products than conventional distillation for the separation and purification of azeotropic or near-boiling compounds. Heat pump distillation and dividing wall column distillation are used in azeotropic distillation field, resulting in obvious energy-saving effect for distillation equipment. The follow-up research direction of new separation technology with the goal of reducing energy consumption and exploring new materials as entraining agents should be studied in detail, which provides certain guidance for the development of distillation technology in China’s chemical industry.

摘要： The behavior of wall shear stress (WSS) was previously reported in a deformable aneurysm model using fluid-structure interactions. However, these findings have not been validated. In the present study, we examined the effect of elasticity (i.e., deformation) on wall shear stress inside a cerebral aneurysm at the apex of a bifurcation using particle image velocimetry in vitro. The flow model simulated a human patient-specific aneurysm at the apex of the bifurcation of the middle cerebral artery. Flow characteristics by wall elasticity were examined for both elastic and non-deformable aneurysm models with pulsatile blood flow. The absolute temporally- and spatially-averaged WSS along the bleb wall was smaller in the elastic model than that in the non-deformable model. This small WSS may be related to attenuation of the WSS. Further, the WSS gradient had a finite value near the stagnation point of the aneurysm dome. Finally, the WSS gradient near the stagnation point was slightly smaller in the elastic model than that in the non-deformable model. These data suggest that elasticity of the aneurysm wall can affect the progression and rupture of aneurysms via hemodynamic stress.

摘要： This study presents a parameter selection strategy developed for the Stretch-Blow Molding (SBM) process to minimize the weight of preforms used. The method is based on a predictive model developed using Neural Networks. The temperature distribution model of the preform was predicted using a 3-layer NN model with supervised backpropagation learning. In addition, the model was used to predict the uniform air pressure applied inside the preform, taking into account the relationship between the internal air pressure and the volume of the preform. Parameters were validated using in situ tests and measurements performed on several weights and lengths of a 0.330 Liter Polyethylene Terephthalate (PET) bottles. Tests showed that the model adequately predicts both the blowing kinematics, mainly zone temperatures and blowing and stretching pressures along the walls of the bottle while maintaining the bottle strength and top load requirements. In the second step, the model was combined to automatically compute the lowest preform weight that can be used for a particular 330 ml bottle design providing a uniform wall thickness distribution.

摘要： In restricted channel, the hydrodynamic performance of propeller is affected by the wall. In the present work, two cylindrical channels with different diameters being 1.8D and 5.0D are adopted to study the influence of wall on the hydrodynamic performance and wake field of the propeller model DTMB4119. The numerical simulations are carried out by the single-phase solver pimpleDyMFoam in open source platform OpenFOAM. The Reynolds Averaged Navier-Stokes equations (RANS) are adopted to solve the flow field. The arbitrary mesh interface (AMI) method is used to simulate the rotation of propeller. The designed advance ratio, J = 0.833, is applied in all the computations. For the 5.0 D case, the predicted results of open water performance are in good agreement with experiment data. In restricted channel, the predicted results of thrust and torque coefficients are larger than the open water case. The pressure on the wall of restricted channel downstream increases and approaches the results in open water gradually. Due to the flux conservation, higher negative induced velocity is investigated in the flow field of the propeller in restricted channel.

摘要： 本发明实施例公开了一种Long Wall Mind系统软件的多平台显示方法、存储介质和电子和设备，其包括：将新平台的关联变量与Long Wall Mind系统软件变量树中的注册变量关联；将所述关联变量添加到Web socket通信服务的全部变量中；新平台与Long Wall Mind系统建立数据通信；将注册变量的数据赋值到关联变量上；在新平台的显示界面上显示赋值后的关联变量。利用本发明实施例能够实现Long Wall Mind系统软件在多平台上查看数据，满足客户多平台的使用需求，而且开放性强，支持用户自定义组件应用对象和功能组合对象，同时开发简单，开发周期短，成本低。

摘要： 本发明实施例公开了一种Long Wall Mind系统软件的多平台显示方法、存储介质和电子和设备，其包括：将新平台的关联变量与Long Wall Mind系统软件变量树中的注册变量关联；将所述关联变量添加到Web socket通信服务的全部变量中；新平台与Long Wall Mind系统建立数据通信；将注册变量的数据赋值到关联变量上；在新平台的显示界面上显示赋值后的关联变量。利用本发明实施例能够实现Long Wall Mind系统软件在多平台上查看数据，满足客户多平台的使用需求，而且开放性强，支持用户自定义组件应用对象和功能组合对象，同时开发简单，开发周期短，成本低。

摘要： 本发明请求保护一种减小噪声估计误差带来的SNR WALL现象的能量检测方法（算法、方案），涉及无线通信系统，本发明提出一种改进的能量检测算法，通过对传统能量检测器的判决门限经行修正，改进之后的能量检测算法模型为：由此减小了噪声功率估计误差造成的SNR WALL现象，提高了检测性能的鲁棒性。

摘要： 本实用新型公开了一种WALL PACK反光杯，包括安装有发光体和透镜的反光杯罩，反光杯罩包括第一配光面和第二配光面，第一配光面和第二配光面位于发光体两侧，第一配光面和第二配光面均为全反射面；第一配光面和第二配光面均为抛物面，第二配光面的焦点落在发光体的中心上。本实用新型提供一种针对面光源设计的反光杯，发光体采用面光源，不但外观精美、灯光柔和，同时也非常省电，整灯采用DOB的方案，成本低，性价比高；通过在发光体上、下两侧分别设置第一配光面和第二配光面对光线进行汇聚，第一配光面和第二配光面之间通过过渡面连接，位于反光杯罩开口处安装有透镜，用于调节出光角度，使光线更好地汇聚，结构简单，出光效果好。

摘要： 本实用新型公开了一种window wall形式的单元式幕墙，包括装饰条，装饰条的后侧固定连接有第一连接件，第一连接件的左侧固定连接有第一钢化中空夹胶玻璃。本实用新型通过设置装饰条、第一连接件、第一钢化中空夹胶玻璃、密封条、铝单板、第一保温棉、第二连接件、第一预埋件、铝合金挂座、第二预埋件、第三预埋件、第二保温棉、铝合金水槽插芯、铝合金支座、铝背板、防火棉、镀锌钢板、不锈钢螺栓组、铝合金定位销、铝合金下横梁、不锈钢螺栓、铝合金紧扣件、第一墙体、第二墙体、铝合金上横梁、第二钢化中空夹胶玻璃、铝合金横梁和垫块的配合使用，解决了现有的幕墙部分位置安装困难、后期维护和更换麻烦的问题。