Purpose–Type-120 relief valves are critical components of locomotive braking systems,and they rapidly discharge the air pressure during brake release to enable swift pressure relief.In order to develop type-120 relie...Purpose–Type-120 relief valves are critical components of locomotive braking systems,and they rapidly discharge the air pressure during brake release to enable swift pressure relief.In order to develop type-120 relief valve rubber diaphragms with long life and high performance,the damaged faulty samples were analyzed and studied.Design/methodology/approach–Finite element analysis(FEA)was used to investigate the stress distribution and failure mechanism of the rubber diaphragms within the type-120 relief valves under dynamic loading conditions.The Ogden hyperelastic constitutive model was used to fit the diaphragm data obtained from the uniaxial tensile tests,and its suitability for the modeling of large deformations was confirmed.Findings–The FEA results indicated that,when the rubber diaphragms reached their maximum deformation,the peak stress on their upper surfaces was 5.44 MPa.Thus,this region is highly susceptible to fatigue damage.The service life of the rubber diaphragms could be extended by using rubber compounds with high tensile moduli or a fabric-reinforced rubber diaphragm.Originality/value–This study provides valuable data and experience for the development of the rubber diaphragms in the type-120 valves and other long-life rubber products in the railway field.展开更多
Serving as the initiating explosive devices between the propellant tank and the engines,metal-based rupture diaphragms are widely used in ramjet igniters owing to the advantages provided by their simple structure,smal...Serving as the initiating explosive devices between the propellant tank and the engines,metal-based rupture diaphragms are widely used in ramjet igniters owing to the advantages provided by their simple structure,small size,and low cost.However,the reliability of rupture pressure directly affects the success of engine ignition and rocket launch,which is mainly influenced by factors like material,structure,and residual thickness of the surface notch of the diaphragm.Among those,the geometry of the notch is easy to define and control when compared to the mechanical parameters of the ruptured diaphragm.Thus,to make the diaphragm rupture(1A30 Al)within the required pressure range(0.4 MPa±3.5%)with highly sensitive and reliability,we draw inspiration from the arthropod’s force-sensitive slit organ which encompasses curved microgrooves to design a Ω-shaped notch for the rupture diaphragm.Finite element analysis is used to study the relationship between the burst pressure and geometric dimension of theΩ-shaped and bioinspired microgroove.Based on that,metal-based rupture diaphragms are fabricated by femtosecond laser processing technology,followed by rupture tests.Experiment results demonstrate that the practical rupture pressure of the diaphragm is highly consistent with the finite element analysis results,which verifies the effectiveness of the bionic design.展开更多
Purpose–The type 120 emergency valve is an essential braking component of railway freight trains,butcorresponding diaphragms consisting of natural rubber(NR)and chloroprene rubber(CR)exhibit insufficientaging resista...Purpose–The type 120 emergency valve is an essential braking component of railway freight trains,butcorresponding diaphragms consisting of natural rubber(NR)and chloroprene rubber(CR)exhibit insufficientaging resistance and low-temperature resistance,respectively.In order to develop type 120 emergency valverubber diaphragms with long-life and high-performance,low-temperatureresistant CR and NR were processed.Design/methodology/approach–The physical properties of the low-temperature-resistant CR and NRwere tested by low-temperature stretching,dynamic mechanical analysis,differential scanning calorimetryand thermogravimetric analysis.Single-valve and single-vehicle tests of type 120 emergency valves werecarried out for emergency diaphragms consisting of NR and CR.Findings–The low-temperature-resistant CR and NR exhibited excellent physical properties.The elasticityand low-temperature resistance of NR were superior to those of CR,whereas the mechanical properties of thetwo rubbers were similar in the temperature range of 0℃–150℃.The NR and CR emergency diaphragms metthe requirements of the single-valve test.In the low-temperature single-vehicle test,only the low-temperaturesensitivity test of the NR emergency diaphragm met the requirements.Originality/value–The innovation of this study is that it provides valuable data and experience for futuredevelopment of type 120 valve rubber diaphragms.展开更多
Diaphragms are essential structural elements of the earthquake-resisting system in a building.Diaphragms are the building slabs subjected to in-plane forces which are transferred to the vertical elements of the earthq...Diaphragms are essential structural elements of the earthquake-resisting system in a building.Diaphragms are the building slabs subjected to in-plane forces which are transferred to the vertical elements of the earthquakeresisting system.In-plane forces can arise from inertial loads and from self-equilibrating forces caused by the interaction between elements of the vertical earthquake-resisting system of different stiffness.The analysis and design of diaphragms is one of the most challenging tasks in design of buildings nowadays.This paper describes a stringer-panel model used as a macro-element for the modeling of building diaphragms in linear and nonlinear time-history analyses.The element was coded in the open-sourcefinite element software OpenSees.The linear version of the element isfirst used to support the design of diaphragms in a building.Then,the nonlinear response of the diaphragms is assessed with the nonlinear version of the element.Key response parameters of diaphragms modeled with the dynamic stringer-panel method in a high-rise building of complex geometry are presented.Results show significant redistribution of internal forces occurs through the diaphragm after cracking,leading to a general reduction of the tensile forces and an increase in the compressive forces.The clear load path,computational stability,effciency,and highly design-oriented representation of the results of this method make it an attractive alternative for its use in the modeling and design of diaphragms in performance-based seismic design.展开更多
Floor diaphragms may provide an effective solution for reducing the seismic vulnerability of masonry buildings. Unfortunately, diaphragms are usually not present in historical building with wooden floors but often the...Floor diaphragms may provide an effective solution for reducing the seismic vulnerability of masonry buildings. Unfortunately, diaphragms are usually not present in historical building with wooden floors but often they are non present even in old R/C buildings where floors were made without shear reinforcement. A possible strengthening technique could be based on the application of a thin concrete plate reintbrced with a welded mesh. In order to reduce the thickness of the plate, some suitable solutions may be obtained by using Fiber Reinforced Concrete （FRC） since the minimum concrete cover is no longer required because the reinforcement （fibers） is spread all over the concrete matrix. The adoption of FRC floor diaphragms is proposed and discussed in this paper; the early results from a preliminary numerical study are analyzed in order to asses the feasibility of this new strengthening technique and better organize an experimental program that is currently in progress.展开更多
AIM： To investigate whether NSAIDs/ASA lesions in the colon can histologically be diagnosed on the basis of ischemic necrosis similar to biopsy-based diagnosis of NSAIDs/ASA- induced erosions and ulcers of the stomac...AIM： To investigate whether NSAIDs/ASA lesions in the colon can histologically be diagnosed on the basis of ischemic necrosis similar to biopsy-based diagnosis of NSAIDs/ASA- induced erosions and ulcers of the stomach. METHODS： In the period between 1997 and 2002, we investigated biopsy materials obtained from 611 patients （415 women, 196 men, average age 60.5 years） with endoscopic focal erosions, ulcerations, strictures or diaphragms in the colon. In the biopsies obtained from these lesions, we always established the suspected diagnosis of NSA/D-inducecl lesions whenever necroses of the ischemic type were found. Together with the histological report, we enclosed a questionnaire to investigate the use of medication. The data provided by the questionnaire were then correlated with the endoscopic findings, the location, number and nature of the lesions, and the histological findings. RESULTS： At the time of their colonoscopy, 86.1% of the patients had indeed been taking NSAID/ASA medication for years （43.9%） or months （29.5%）. The most common indication for the use of these drugs was pain （64.3%）, and the most common indication for colonoscopy was bleeding （55.5%）. Endoscopic inspection revealed multiple erosions and/or ulcers in 60.6%, strictures in 15.8%, and diaphragms in 3.0% of the patients. The lesions were located mainly in the right colon including the transverse colon （79.9%）. A separate analysis of age and sex distribution, endoscopic and histological findings for NSAIDs alone, ASA alone, combined NSAID/ASA, and for patients denying the use of such drugs, revealed no significant differences among the groups. CONCLUSION： This uncontrolled retrospective study based on the histological finding of an ischemic necrosis shows that the histologically suspected diagnosis of NSAID-induced lesions in the colon is often correct. The true diagnostic validity of this finding and the differentiation from ischemic colitis should, however, be investigated in a prospective controlled study.展开更多
A numerical study of bitubular tubes with diaphragms compared with single and bitubular tubes subjected to dynamic axial impact force was presented. At first, the energy absorption response of the composite structure ...A numerical study of bitubular tubes with diaphragms compared with single and bitubular tubes subjected to dynamic axial impact force was presented. At first, the energy absorption response of the composite structure under axial loading was analyzed by finite element simulation. The results show that the efficiency of energy absorption can be improved by introducing diaphragms to the double-walled columns. Then, the effect of the amount and location of diaphragms, the shape and the size of the inner tubes, and the thickness of the composite structures were also studied numerically. The collision performance of the composite structure is affected by the deformation of diaphragms, as well as the interaction of outer and inner tube. The non-uniform distribution of diaphragms can improve the energy absorption efficiency of structures for a constant number of diaphragms. The specific energy absorption of the hexagonal inner tube is the highest, followed by the circular, octagonal and square ones.展开更多
In the AASHTO Guide Specifications for Seismic Bridge Design Provisions,ductile diaphragms are identified as Permissible Earthquake-Resisting Elements（EREs）,designed to help resist seismic loads applied in the trans...In the AASHTO Guide Specifications for Seismic Bridge Design Provisions,ductile diaphragms are identified as Permissible Earthquake-Resisting Elements（EREs）,designed to help resist seismic loads applied in the transverse direction of bridges.When adding longitudinal ductile diaphragms,a bidirectional ductile diaphragm system is created that can address seismic excitations acting along both the bridge’s longitudinal and transverse axes.This paper investigates bidirectional ductile diaphragms with Buckling Restrained Braces（BRBs）in straight multi-span bridge with simply supported floating spans.The flexibility of the substructures in the transverse and longitudinal direction of the bridge is considered.Design procedures for the bidirectional ductile diaphragms are first proposed.An analytical model of the example bridge with bidirectional ductile diaphragms,designed based on the proposed methodology,is then built in SAP2000.Pushover and nonlinear time history analyses are performed on the bridge model,and corresponding results are presented.The effect of changing the longitudinal stiffness of the bidirectional ductile diaphragms in the end spans connecting to the abutment is also investigated,in order to better understand the impact on the bridge’s dynamic performance.展开更多
Shallow-buried thick sand strata present considerable local instability risks during diaphragm wall trenching construction.However,this critical issue has not been extensively studied,despite its serious safety conseq...Shallow-buried thick sand strata present considerable local instability risks during diaphragm wall trenching construction.However,this critical issue has not been extensively studied,despite its serious safety consequences.This paper proposes an automatic identification model for shallow-buried thick sand strata,integrating three-dimensional limit equilibrium theory with a genetic algorithm to precisely identify the most potentially dangerous local instability mass and determine its minimum safety factor.The model establishes three undetermined parameters:failure angle,upper boundary,and thickness of the local instability mass.These parameters define the search space for the local instability mass.The effectiveness of this approach was confirmed through a diaphragm wall engineering case near the Rhine River in France,where the predicted instability location closely aligned with field observations.A systematic analysis of the model indicated that the difference in slurry-groundwater levels and the friction angle are the most significant factors affecting local instability in shallow-buried thick sand strata.The model indicated that the location of the most potentially dangerous instability mass changes depending on geological conditions,and larger instability masses do not always relate to lower safety factors.Additionally,exploratory experiments revealed that support pressure losses caused by slurry infiltration significantly influence local instability calculations in sand strata.This points out the importance of considering these support pressure losses in the stability evaluations of high permeable sand strata.The results improve the evaluation of safety and the optimization of design for diaphragm wall construction in shallow-buried thick sand strata.展开更多
Objective:To investigate the predictive value of diaphragm thickening fraction(DTF)combined with cough peak expiratory flow(CPEF)on the success rate of weaning from mechanical ventilation.Methods:The clinical data of ...Objective:To investigate the predictive value of diaphragm thickening fraction(DTF)combined with cough peak expiratory flow(CPEF)on the success rate of weaning from mechanical ventilation.Methods:The clinical data of patients undergoing invasive mechanical ventilation via oral endotracheal intubation in the ICU of our hospital from January 2022 to December 2023 were studied.All patients underwent a 30-minute spontaneous breathing trial(SBT)using low-level pressure support ventilation(PSV)after meeting the clinical weaning screening criteria.Among them,150 patients who met the clinical weaning criteria were weaned from the ventilator.They were divided into a successful weaning group(n=100)and a failed weaning group(n=50)based on the weaning outcome.Clinical data,including age,gender,APACHE II score,duration of mechanical ventilation,DTF,and CPEF,were collected from 150 patients.The differences in clinical data between the two groups were compared,and the correlation between DTF,CPEF,and the success rate of weaning was analyzed.Results:There were no significant differences between the two groups in gender ratio(χ^(2)=0.884,P=0.347>0.05),age(t=0.350,P=0.727>0.05),and APACHE II score(t=1.295,P=0.197>0.05),but there was a significant difference in the duration of mechanical ventilation(t=3.766,P<0.001).The DTF and CPEF values in the successful weaning group were significantly higher than those in the failed weaning group(P<0.05).ROC curves were drawn to predict the weaning results using DTF,CPEF,and the combination of DTF and CPEF.The results showed that the specificity of the combination of DTF and CPEF was comparable to that of either metric alone,but the sensitivity and AUC were significantly higher than those of either metric alone.Conclusion:The combination of DTF and CPEF can be used as an effective indicator to evaluate the weaning efficacy of mechanically ventilated patients,which has important clinical significance for guiding clinical weaning treatment,improving the success rate of weaning,reducing the incidence of ventilator-associated pneumonia,and shortening the length of hospital stay.展开更多
To meticulously dissect the cracking issue in the transverse diaphragm concrete,situated at the anchor point of a colossal large-span,single cable plane cable-stayed bridge,this research paper adopts an innovative lay...To meticulously dissect the cracking issue in the transverse diaphragm concrete,situated at the anchor point of a colossal large-span,single cable plane cable-stayed bridge,this research paper adopts an innovative layered modeling analysis methodology for numerical simulations.The approach is structured into three distinct layers,each tailored to address specific aspects of the cracking phenomenon.The foundational first layer model operates under the assumption of linear elasticity,adhering to the Saint Venant principle.It narrows its focus to the crucial zone between the Bp20 transverse diaphragm and the central axis of pier 4’s support,encompassing the critically cracked diaphragm beneath the N1 cable anchor.This layer provides a preliminary estimate of potential cracking zones within the concrete,serving as a baseline for further analysis.The second layer model builds upon this foundation by incorporating material plasticity into its considerations.It pinpoints its investigation to the immediate vicinity of the cracked transverse diaphragm associated with the N1 cable,aiming to capture the intricate material behavior under stress.This layer’s predictions of crack locations and patterns exhibit a remarkable alignment with actual detection results,confirming its precision and reliability.The third and most intricate layer delves deep into the heart of the matter,examining the cracked transverse diaphragm precisely where the cable force attains its maximum intensity.By leveraging advanced extended finite element technology,this layer offers an unprecedented level of detail in tracing the progression of concrete cracks.Its findings reveal a close correlation between predicted and observed crack widths,validating the model’s proficiency in simulating real-world cracking dynamics.Crucially,the boundary conditions for each layer are meticulously aligned with those of the overarching model,ensuring consistency and integrity throughout the analysis.These results not only enrich our understanding of the cracking mechanisms but also underscore the efficacy of reinforcing cracked concrete sections with external steel plates.In conclusion,this study represents a significant contribution to the field of bridge engineering,offering both theoretical insights and practical solutions for addressing similar challenges.展开更多
This paper deals with the deformations, stresses and stability of circular corrugateddiaphragm under a concentrated load at the center on the basis of the large-deflection theoryof shallow shells of revolution. By usi...This paper deals with the deformations, stresses and stability of circular corrugateddiaphragm under a concentrated load at the center on the basis of the large-deflection theoryof shallow shells of revolution. By using the Newton-spline method the nonlinear equationsof the shell for circular corrugated diaphragm with sine-shaped shallow waves are solved.Solutions for both unbuckled and buckled states are obtained. Numerical results are yieldedby digital computer for some circular corrugated diaphragms with a given form of corrugations.展开更多
In recent years,lithium-sulfur batteries(LSBs)are considered as one of the most promising new generation energies with the advantages of high theoretical speeific capacity of sulfur(1675 mAh·g^(-1)),abundant sulf...In recent years,lithium-sulfur batteries(LSBs)are considered as one of the most promising new generation energies with the advantages of high theoretical speeific capacity of sulfur(1675 mAh·g^(-1)),abundant sulfur resources,and environmental friendliness storage technologies,and they are receiving wide attention from the industry.However,the problems of the shuttle effect and lithium dendrite growth in LSBs have limited their practical application,so there is a need to find ways to solve these problems.It is an excellent choice to use novel materials to modify battery materials.Among those novel materials,the metal-organic framework(MOF)has the properties of regular pores and controllable structure.When applied as a positive electrode and diaphragm,it can restrain the shuttle effect and lithium dendrite growth,especially since it shows excellent performance in diaphragm modification.Therefore,various design strategies and synthesis methods of MOF-modified separators are reviewed in this paper,and the applications of MOF in LSBs separators in different forms are introduced,including the composite of MOF and carbon-based materials,the compounding of MOF and polymer,self-carbonization to form MOF-derived materials.At the same time,different characterization techniques are systematically reviewed to obtain the physical and chemical properties of MOF particles and the working mechanism of MOF-modified diaphragm,which provides a basis for further research in this field.Finally,some future research trends and directions are put forward to fully tap the future commercial potential of MOF-modified diaphragm in LSBs.展开更多
BACKGROUND Acute exacerbation of chronic obstructive pulmonary disease(AECOPD)is often combined with respiratory failure,which increases the patient's morbidity and mortality.Diaphragm ultrasound(DUS)has developed...BACKGROUND Acute exacerbation of chronic obstructive pulmonary disease(AECOPD)is often combined with respiratory failure,which increases the patient's morbidity and mortality.Diaphragm ultrasound(DUS)has developed rapidly in the field of critical care in recent years.Studies with DUS monitoring diaphragm-related rapid shallow breathing index have demonstrated important results in guiding intensive care unit patients out of the ventilator.Early prediction of the indications for withdrawal of non-invasive ventilator and early evaluation of patients to avoid or reduce disease progression are very important.AIM To explore the predictive value of DUS indexes for non-invasive ventilation outcome in patients with AECOPD.METHODS Ninety-four patients with AECOPD who received mechanical ventilation in our hospital from January 2022 to December 2023 were retrospectively analyzed,and they were divided into a successful ventilation group(68 cases)and a failed ventilation group(26 cases)according to the outcome of ventilation.The clinical data of patients with successful and failed noninvasive ventilation were compared,and the independent predictors of noninvasive ventilation outcomes in AECOPD patients were identified by multivariate logistic regression analysis.RESULTS There were no significant differences in gender,age,body mass index,complications,systolic pressure,heart rate,mean arterial pressure,respiratory rate,oxygen saturation,partial pressure of oxygen,oxygenation index,or time of inspiration between patients with successful and failed mechanical ventilation(P>0.05).The patients with successful noninvasive ventilation had shorter hospital stays and lower partial pressure of carbon dioxide(PaCO_(2))than those with failed treatment,while potential of hydrogen(pH),diaphragm thickening fraction(DTF),diaphragm activity,and diaphragm movement time were significantly higher than those with failed treatment(P<0.05).pH[odds ratio(OR)=0.005,P<0.05],PaCO_(2)(OR=0.430,P<0.05),and DTF(OR=0.570,P<0.05)were identified to be independent factors influencing the outcome of mechanical ventilation in AECOPD patients.CONCLUSION The DUS index DTF can better predict the outcome of non-invasive ventilation in AECOPD patients.展开更多
Assessing diaphragm function status is vital for diagnosing and treating acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Diaphrag-matic ultrasound has become increasingly important due to its non-i...Assessing diaphragm function status is vital for diagnosing and treating acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Diaphrag-matic ultrasound has become increasingly important due to its non-invasive nature,absence of radiation exposure,widespread availability,prompt results,high accuracy,and repeatability at the bedside.The diaphragm is a crucial respiratory muscle.Decline or dysfunction of the diaphragm can lead to dyspnea and even respiratory failure in AECOPD patients.In this editorial,we comment on an article,retrospectively analyzed ninety-four acute exacerbations of chronic obstructive pulmonary disease patients who received mechanical ventilation from January 2022 to December 2023.The study found that the diaphragm thickening fraction,an index from diaphragm ultrasound,can better predict the outcome of non-invasive ventilation in patients with AECOPD.The value of non-invasive ventilation in treating respiratory failure caused by AECOPD has been widely acknowledged.Diaphragmatic dysfunction diagnosed with ultrasound is asso-ciated with prolonged mechanical ventilation and weaning times and higher mortality.展开更多
Thoracic ultrasound has attracted much interest in detecting pleural effusion or pulmonary consolidation after cardiac surgery.In 2016,Trovato reported,in the World Journal of Cardiology,the interest of using,in addit...Thoracic ultrasound has attracted much interest in detecting pleural effusion or pulmonary consolidation after cardiac surgery.In 2016,Trovato reported,in the World Journal of Cardiology,the interest of using,in addition to echocardiography,thoracic ultrasound.In this editorial,we highlight the value of assessing diaphragm function after cardiac surgery and interventional cardiology pro-cedures.Various factors are able to impair diaphragm function after such interventions.Diaphragm motion may be decreased by chest pain secondary to sternotomy,pleural effusion or impaired muscle function.Hemidiaphragmatic paralysis may be secondary to phrenic nerve damage complicating cardiac surgery or atrial fibrillation ablation.Diagnosis may be delayed.Indeed,respi-ratory troubles induced by diaphragm dysfunction are frequently attributed to pre-existing heart disease or pulmonary complications secondary to surgery.In addition,elevated hemidiaphragm secondary to diaphragm dysfunction is sometimes not observed on chest X-ray performed in supine position in the intensive care unit.Analysis of diaphragm function by ultrasound during the recovery period appears essential.Both hemidiaphragms can be studied by two complementary ultrasound methods.The mobility of each hemidiaphragms is measured by M-mode ultrasonography.In addition,recording the percentage of inspiratory thickening provides important information about the quality of muscle function.These two approaches make it possible to detect hemidiaphragm paralysis or dysfunction.Such a diagnosis is important because persistent diaphragm dysfunction after cardiac surgery has been shown to be associated with adverse respiratory outcome.Early respiratory physio-therapy is able to improve respiratory function through strengthening of the inspiratory muscles i.e.diaphragm and accessory inspiratory muscles.展开更多
Low damping characteristics have always been a key sticking points in the development of gas bearings.The application of squeeze film dampers can significantly improve the damping performance of gas lubricated bearing...Low damping characteristics have always been a key sticking points in the development of gas bearings.The application of squeeze film dampers can significantly improve the damping performance of gas lubricated bearings.This paper proposed a novel hermetic diaphragm squeeze film damper(HDSFD)for oil-free turbomachinery supported by gas lubricated bearings.Several types of HDSFDs with symmetrical structure were proposed for good damping performance.By considering the compressibility of the damper fluid,based on hydraulic fluid mechanics theory,a dynamic model of HDSFDs under medium is proposed,which successfully reflects the frequency dependence of force coefficients.Based on the dynamic model,the effects of damper fluid viscosity,bulk modulus of damper fluid,thickness of damper fluid film and plunger thickness on the dynamic stiffness and damping of HDSFDs were analyzed.An experimental test rig was assembled and series of experimental studies on HDSFDs were conducted.The damper fluid transverse flow is added to the existing HDSFD concept,which aims to make the dynamic force coefficients independent of frequency.Although the force coefficient is still frequency dependent,the damping coefficient at high frequency excitation with damper fluid supply twice as that without damper fluid supply.The results serve as a benchmark for the calibration of analytical tools under development.展开更多
BACKGROUND Primary abdominal pregnancy is an extremely rare form of ectopic pregnancy.Ectopic pregnancies that occur in the liver and diaphragm are even rarer,limited case reports are available in the literature.CASE ...BACKGROUND Primary abdominal pregnancy is an extremely rare form of ectopic pregnancy.Ectopic pregnancies that occur in the liver and diaphragm are even rarer,limited case reports are available in the literature.CASE SUMMARY A woman of childbearing age was transferred to the emergency department due to lumbar and abdominal pain radiating to the back toward the lower right.After a series of physical and auxiliary examinations,she was clinically diagnosed with hepatic ectopic pregnancy.Laparoscopic surgery was performed to remove the pregnancy tissue and achieve hemostasis.After a period of follow-up,the patient was successfully cured.CONCLUSION Paying attention to the patient's signs and utilizing imaging examination methods can help avoid missed diagnoses of liver pregnancy.展开更多
Introduction: Traumatic diaphragmatic hernia is a rare condition in children complicating closed or penetrating trauma to the abdomen and thorax. We report the case of an 11-year-old girl with a traumatic diaphragmati...Introduction: Traumatic diaphragmatic hernia is a rare condition in children complicating closed or penetrating trauma to the abdomen and thorax. We report the case of an 11-year-old girl with a traumatic diaphragmatic hernia. Case Presentation: An 11-year-old girl was seen in the paediatric surgery department for a thoracolumbar spine deformity and intermittent chest pain. These symptoms occurred after a domestic accident involving a fall from a low wall onto the thoracolumbar spine 5 months previously. The diagnosis was suggested by the presence of a left hemithoracic hydroaera and confirmed by a thoraco-abdominal CT scan. Surgical exploration revealed a linear rupture of the entire left hemi-diaphragm with herniation of the stomach, small intestine, cecum, transverse colon and omentum. We performed a double-layer suture of the diaphragmatic rupture with a non-absorbable suture without edge rejuvenation after the reduction of the hernia. The outcome was favourable with normal postoperative radiographs at one year follow-up. Conclusion: Traumatic diaphragmatic hernia, although uncommon and difficult to diagnose, is a condition that is relatively easy to manage surgically, even if it is discovered late. In all cases of trauma to the thoracolumbar spine, regular follow-up and repeat X-rays are necessary if pain persists.展开更多
Aim: To explore the application effect of external diaphragm pacemaker combined with active respiratory circulation technology in pulmonary rehabilitation of perioperative lung cancer patients. Methods: A total of 98 ...Aim: To explore the application effect of external diaphragm pacemaker combined with active respiratory circulation technology in pulmonary rehabilitation of perioperative lung cancer patients. Methods: A total of 98 lung cancer patients admitted to our hospital from April 2020 to November 2021 were selected as the observation objects, and then divided into a control group and an observation group using the random number table method, with 49 cases in each group. The control group received routine admission guidance and active respiratory circulation training, while the observation group was supplemented with external diaphragm pacemaker on the basis of the control group. The intervention effect was evaluated by blood gas indicators, pulmonary function indicators, diaphragm function indicators, sputum comfort degree, and activity tolerance indicators before and after intervention. Results: Before intervention, there were no significant differences in blood gas analysis indicators, pulmonary function indicators, diaphragm function indicators, sputum comfort degree, and activity tolerance indicators between the two groups (P > 0.05). After intervention, the improvement degree of the above indicators in the observation group was higher than that in the control group (P < 0.05). Conclusions: The application of external diaphragm pacemaker combined with active respiratory circulation technology in pulmonary rehabilitation of perioperative lung cancer patients is significant, which can effectively improve the pulmonary function, blood gas function, and diaphragm function of lung cancer patients after surgery, and improve the activities of daily living and quality of life of patients.展开更多
基金supported by the Science and Technology Research and Development Plan of the China State Railway Group Company Limited(Grant No.N2023J053).
文摘Purpose–Type-120 relief valves are critical components of locomotive braking systems,and they rapidly discharge the air pressure during brake release to enable swift pressure relief.In order to develop type-120 relief valve rubber diaphragms with long life and high performance,the damaged faulty samples were analyzed and studied.Design/methodology/approach–Finite element analysis(FEA)was used to investigate the stress distribution and failure mechanism of the rubber diaphragms within the type-120 relief valves under dynamic loading conditions.The Ogden hyperelastic constitutive model was used to fit the diaphragm data obtained from the uniaxial tensile tests,and its suitability for the modeling of large deformations was confirmed.Findings–The FEA results indicated that,when the rubber diaphragms reached their maximum deformation,the peak stress on their upper surfaces was 5.44 MPa.Thus,this region is highly susceptible to fatigue damage.The service life of the rubber diaphragms could be extended by using rubber compounds with high tensile moduli or a fabric-reinforced rubber diaphragm.Originality/value–This study provides valuable data and experience for the development of the rubber diaphragms in the type-120 valves and other long-life rubber products in the railway field.
基金supported by the National Key R&D Program of China(Grant No.2022YFB4601700).
文摘Serving as the initiating explosive devices between the propellant tank and the engines,metal-based rupture diaphragms are widely used in ramjet igniters owing to the advantages provided by their simple structure,small size,and low cost.However,the reliability of rupture pressure directly affects the success of engine ignition and rocket launch,which is mainly influenced by factors like material,structure,and residual thickness of the surface notch of the diaphragm.Among those,the geometry of the notch is easy to define and control when compared to the mechanical parameters of the ruptured diaphragm.Thus,to make the diaphragm rupture(1A30 Al)within the required pressure range(0.4 MPa±3.5%)with highly sensitive and reliability,we draw inspiration from the arthropod’s force-sensitive slit organ which encompasses curved microgrooves to design a Ω-shaped notch for the rupture diaphragm.Finite element analysis is used to study the relationship between the burst pressure and geometric dimension of theΩ-shaped and bioinspired microgroove.Based on that,metal-based rupture diaphragms are fabricated by femtosecond laser processing technology,followed by rupture tests.Experiment results demonstrate that the practical rupture pressure of the diaphragm is highly consistent with the finite element analysis results,which verifies the effectiveness of the bionic design.
基金funded by the Science and Technology Research and Development Plan of the China State Railway Group Company Limited(No.N2023J053).
文摘Purpose–The type 120 emergency valve is an essential braking component of railway freight trains,butcorresponding diaphragms consisting of natural rubber(NR)and chloroprene rubber(CR)exhibit insufficientaging resistance and low-temperature resistance,respectively.In order to develop type 120 emergency valverubber diaphragms with long-life and high-performance,low-temperatureresistant CR and NR were processed.Design/methodology/approach–The physical properties of the low-temperature-resistant CR and NRwere tested by low-temperature stretching,dynamic mechanical analysis,differential scanning calorimetryand thermogravimetric analysis.Single-valve and single-vehicle tests of type 120 emergency valves werecarried out for emergency diaphragms consisting of NR and CR.Findings–The low-temperature-resistant CR and NR exhibited excellent physical properties.The elasticityand low-temperature resistance of NR were superior to those of CR,whereas the mechanical properties of thetwo rubbers were similar in the temperature range of 0℃–150℃.The NR and CR emergency diaphragms metthe requirements of the single-valve test.In the low-temperature single-vehicle test,only the low-temperaturesensitivity test of the NR emergency diaphragm met the requirements.Originality/value–The innovation of this study is that it provides valuable data and experience for futuredevelopment of type 120 valve rubber diaphragms.
基金the constructive comments from the anonymous reviewers.Thefirst author would like to gratefully acknowledge thefinancial support provided by Consejo Nacional de Ciencia y Tecnología(CONACYT),the UC Institute for Mexico and the United States(UC MEXUS)and the program Becas Fulbright-García Robles(COMEXUS).
文摘Diaphragms are essential structural elements of the earthquake-resisting system in a building.Diaphragms are the building slabs subjected to in-plane forces which are transferred to the vertical elements of the earthquakeresisting system.In-plane forces can arise from inertial loads and from self-equilibrating forces caused by the interaction between elements of the vertical earthquake-resisting system of different stiffness.The analysis and design of diaphragms is one of the most challenging tasks in design of buildings nowadays.This paper describes a stringer-panel model used as a macro-element for the modeling of building diaphragms in linear and nonlinear time-history analyses.The element was coded in the open-sourcefinite element software OpenSees.The linear version of the element isfirst used to support the design of diaphragms in a building.Then,the nonlinear response of the diaphragms is assessed with the nonlinear version of the element.Key response parameters of diaphragms modeled with the dynamic stringer-panel method in a high-rise building of complex geometry are presented.Results show significant redistribution of internal forces occurs through the diaphragm after cracking,leading to a general reduction of the tensile forces and an increase in the compressive forces.The clear load path,computational stability,effciency,and highly design-oriented representation of the results of this method make it an attractive alternative for its use in the modeling and design of diaphragms in performance-based seismic design.
文摘Floor diaphragms may provide an effective solution for reducing the seismic vulnerability of masonry buildings. Unfortunately, diaphragms are usually not present in historical building with wooden floors but often they are non present even in old R/C buildings where floors were made without shear reinforcement. A possible strengthening technique could be based on the application of a thin concrete plate reintbrced with a welded mesh. In order to reduce the thickness of the plate, some suitable solutions may be obtained by using Fiber Reinforced Concrete （FRC） since the minimum concrete cover is no longer required because the reinforcement （fibers） is spread all over the concrete matrix. The adoption of FRC floor diaphragms is proposed and discussed in this paper; the early results from a preliminary numerical study are analyzed in order to asses the feasibility of this new strengthening technique and better organize an experimental program that is currently in progress.
文摘AIM： To investigate whether NSAIDs/ASA lesions in the colon can histologically be diagnosed on the basis of ischemic necrosis similar to biopsy-based diagnosis of NSAIDs/ASA- induced erosions and ulcers of the stomach. METHODS： In the period between 1997 and 2002, we investigated biopsy materials obtained from 611 patients （415 women, 196 men, average age 60.5 years） with endoscopic focal erosions, ulcerations, strictures or diaphragms in the colon. In the biopsies obtained from these lesions, we always established the suspected diagnosis of NSA/D-inducecl lesions whenever necroses of the ischemic type were found. Together with the histological report, we enclosed a questionnaire to investigate the use of medication. The data provided by the questionnaire were then correlated with the endoscopic findings, the location, number and nature of the lesions, and the histological findings. RESULTS： At the time of their colonoscopy, 86.1% of the patients had indeed been taking NSAID/ASA medication for years （43.9%） or months （29.5%）. The most common indication for the use of these drugs was pain （64.3%）, and the most common indication for colonoscopy was bleeding （55.5%）. Endoscopic inspection revealed multiple erosions and/or ulcers in 60.6%, strictures in 15.8%, and diaphragms in 3.0% of the patients. The lesions were located mainly in the right colon including the transverse colon （79.9%）. A separate analysis of age and sex distribution, endoscopic and histological findings for NSAIDs alone, ASA alone, combined NSAID/ASA, and for patients denying the use of such drugs, revealed no significant differences among the groups. CONCLUSION： This uncontrolled retrospective study based on the histological finding of an ischemic necrosis shows that the histologically suspected diagnosis of NSAID-induced lesions in the colon is often correct. The true diagnostic validity of this finding and the differentiation from ischemic colitis should, however, be investigated in a prospective controlled study.
基金Projects(U1334208,51405516,51275532) supported by the National Natural Science Foundation of ChinaProject(2015ZZTS045) supported by the Fundamental Research Funds for the Central Universities of China
文摘A numerical study of bitubular tubes with diaphragms compared with single and bitubular tubes subjected to dynamic axial impact force was presented. At first, the energy absorption response of the composite structure under axial loading was analyzed by finite element simulation. The results show that the efficiency of energy absorption can be improved by introducing diaphragms to the double-walled columns. Then, the effect of the amount and location of diaphragms, the shape and the size of the inner tubes, and the thickness of the composite structures were also studied numerically. The collision performance of the composite structure is affected by the deformation of diaphragms, as well as the interaction of outer and inner tube. The non-uniform distribution of diaphragms can improve the energy absorption efficiency of structures for a constant number of diaphragms. The specific energy absorption of the hexagonal inner tube is the highest, followed by the circular, octagonal and square ones.
文摘In the AASHTO Guide Specifications for Seismic Bridge Design Provisions,ductile diaphragms are identified as Permissible Earthquake-Resisting Elements（EREs）,designed to help resist seismic loads applied in the transverse direction of bridges.When adding longitudinal ductile diaphragms,a bidirectional ductile diaphragm system is created that can address seismic excitations acting along both the bridge’s longitudinal and transverse axes.This paper investigates bidirectional ductile diaphragms with Buckling Restrained Braces（BRBs）in straight multi-span bridge with simply supported floating spans.The flexibility of the substructures in the transverse and longitudinal direction of the bridge is considered.Design procedures for the bidirectional ductile diaphragms are first proposed.An analytical model of the example bridge with bidirectional ductile diaphragms,designed based on the proposed methodology,is then built in SAP2000.Pushover and nonlinear time history analyses are performed on the bridge model,and corresponding results are presented.The effect of changing the longitudinal stiffness of the bidirectional ductile diaphragms in the end spans connecting to the abutment is also investigated,in order to better understand the impact on the bridge’s dynamic performance.
基金supported by the Fundamental Research Funds for the Central Universities(No.02302350113).
文摘Shallow-buried thick sand strata present considerable local instability risks during diaphragm wall trenching construction.However,this critical issue has not been extensively studied,despite its serious safety consequences.This paper proposes an automatic identification model for shallow-buried thick sand strata,integrating three-dimensional limit equilibrium theory with a genetic algorithm to precisely identify the most potentially dangerous local instability mass and determine its minimum safety factor.The model establishes three undetermined parameters:failure angle,upper boundary,and thickness of the local instability mass.These parameters define the search space for the local instability mass.The effectiveness of this approach was confirmed through a diaphragm wall engineering case near the Rhine River in France,where the predicted instability location closely aligned with field observations.A systematic analysis of the model indicated that the difference in slurry-groundwater levels and the friction angle are the most significant factors affecting local instability in shallow-buried thick sand strata.The model indicated that the location of the most potentially dangerous instability mass changes depending on geological conditions,and larger instability masses do not always relate to lower safety factors.Additionally,exploratory experiments revealed that support pressure losses caused by slurry infiltration significantly influence local instability calculations in sand strata.This points out the importance of considering these support pressure losses in the stability evaluations of high permeable sand strata.The results improve the evaluation of safety and the optimization of design for diaphragm wall construction in shallow-buried thick sand strata.
文摘Objective:To investigate the predictive value of diaphragm thickening fraction(DTF)combined with cough peak expiratory flow(CPEF)on the success rate of weaning from mechanical ventilation.Methods:The clinical data of patients undergoing invasive mechanical ventilation via oral endotracheal intubation in the ICU of our hospital from January 2022 to December 2023 were studied.All patients underwent a 30-minute spontaneous breathing trial(SBT)using low-level pressure support ventilation(PSV)after meeting the clinical weaning screening criteria.Among them,150 patients who met the clinical weaning criteria were weaned from the ventilator.They were divided into a successful weaning group(n=100)and a failed weaning group(n=50)based on the weaning outcome.Clinical data,including age,gender,APACHE II score,duration of mechanical ventilation,DTF,and CPEF,were collected from 150 patients.The differences in clinical data between the two groups were compared,and the correlation between DTF,CPEF,and the success rate of weaning was analyzed.Results:There were no significant differences between the two groups in gender ratio(χ^(2)=0.884,P=0.347>0.05),age(t=0.350,P=0.727>0.05),and APACHE II score(t=1.295,P=0.197>0.05),but there was a significant difference in the duration of mechanical ventilation(t=3.766,P<0.001).The DTF and CPEF values in the successful weaning group were significantly higher than those in the failed weaning group(P<0.05).ROC curves were drawn to predict the weaning results using DTF,CPEF,and the combination of DTF and CPEF.The results showed that the specificity of the combination of DTF and CPEF was comparable to that of either metric alone,but the sensitivity and AUC were significantly higher than those of either metric alone.Conclusion:The combination of DTF and CPEF can be used as an effective indicator to evaluate the weaning efficacy of mechanically ventilated patients,which has important clinical significance for guiding clinical weaning treatment,improving the success rate of weaning,reducing the incidence of ventilator-associated pneumonia,and shortening the length of hospital stay.
基金financially supported by National Natural Science Foundation of China(Project No.51878156,received by Wenwei Wang).
文摘To meticulously dissect the cracking issue in the transverse diaphragm concrete,situated at the anchor point of a colossal large-span,single cable plane cable-stayed bridge,this research paper adopts an innovative layered modeling analysis methodology for numerical simulations.The approach is structured into three distinct layers,each tailored to address specific aspects of the cracking phenomenon.The foundational first layer model operates under the assumption of linear elasticity,adhering to the Saint Venant principle.It narrows its focus to the crucial zone between the Bp20 transverse diaphragm and the central axis of pier 4’s support,encompassing the critically cracked diaphragm beneath the N1 cable anchor.This layer provides a preliminary estimate of potential cracking zones within the concrete,serving as a baseline for further analysis.The second layer model builds upon this foundation by incorporating material plasticity into its considerations.It pinpoints its investigation to the immediate vicinity of the cracked transverse diaphragm associated with the N1 cable,aiming to capture the intricate material behavior under stress.This layer’s predictions of crack locations and patterns exhibit a remarkable alignment with actual detection results,confirming its precision and reliability.The third and most intricate layer delves deep into the heart of the matter,examining the cracked transverse diaphragm precisely where the cable force attains its maximum intensity.By leveraging advanced extended finite element technology,this layer offers an unprecedented level of detail in tracing the progression of concrete cracks.Its findings reveal a close correlation between predicted and observed crack widths,validating the model’s proficiency in simulating real-world cracking dynamics.Crucially,the boundary conditions for each layer are meticulously aligned with those of the overarching model,ensuring consistency and integrity throughout the analysis.These results not only enrich our understanding of the cracking mechanisms but also underscore the efficacy of reinforcing cracked concrete sections with external steel plates.In conclusion,this study represents a significant contribution to the field of bridge engineering,offering both theoretical insights and practical solutions for addressing similar challenges.
基金Projiect supported by the National Natural Science Foundation of China.
文摘This paper deals with the deformations, stresses and stability of circular corrugateddiaphragm under a concentrated load at the center on the basis of the large-deflection theoryof shallow shells of revolution. By using the Newton-spline method the nonlinear equationsof the shell for circular corrugated diaphragm with sine-shaped shallow waves are solved.Solutions for both unbuckled and buckled states are obtained. Numerical results are yieldedby digital computer for some circular corrugated diaphragms with a given form of corrugations.
基金financially supported by the Natural Science Foundation of Yunnan Province(No.202101AW070006)the Basic Research Plan(Key Project)of Yunnan Province(No.202101BE070001-018)+1 种基金Yunnan Major Scientific and Technological Projects(No.202202AG050003)the Key Research and Development Program of Yunnan Province(No.202103AA080019)。
文摘In recent years,lithium-sulfur batteries(LSBs)are considered as one of the most promising new generation energies with the advantages of high theoretical speeific capacity of sulfur(1675 mAh·g^(-1)),abundant sulfur resources,and environmental friendliness storage technologies,and they are receiving wide attention from the industry.However,the problems of the shuttle effect and lithium dendrite growth in LSBs have limited their practical application,so there is a need to find ways to solve these problems.It is an excellent choice to use novel materials to modify battery materials.Among those novel materials,the metal-organic framework(MOF)has the properties of regular pores and controllable structure.When applied as a positive electrode and diaphragm,it can restrain the shuttle effect and lithium dendrite growth,especially since it shows excellent performance in diaphragm modification.Therefore,various design strategies and synthesis methods of MOF-modified separators are reviewed in this paper,and the applications of MOF in LSBs separators in different forms are introduced,including the composite of MOF and carbon-based materials,the compounding of MOF and polymer,self-carbonization to form MOF-derived materials.At the same time,different characterization techniques are systematically reviewed to obtain the physical and chemical properties of MOF particles and the working mechanism of MOF-modified diaphragm,which provides a basis for further research in this field.Finally,some future research trends and directions are put forward to fully tap the future commercial potential of MOF-modified diaphragm in LSBs.
文摘BACKGROUND Acute exacerbation of chronic obstructive pulmonary disease(AECOPD)is often combined with respiratory failure,which increases the patient's morbidity and mortality.Diaphragm ultrasound(DUS)has developed rapidly in the field of critical care in recent years.Studies with DUS monitoring diaphragm-related rapid shallow breathing index have demonstrated important results in guiding intensive care unit patients out of the ventilator.Early prediction of the indications for withdrawal of non-invasive ventilator and early evaluation of patients to avoid or reduce disease progression are very important.AIM To explore the predictive value of DUS indexes for non-invasive ventilation outcome in patients with AECOPD.METHODS Ninety-four patients with AECOPD who received mechanical ventilation in our hospital from January 2022 to December 2023 were retrospectively analyzed,and they were divided into a successful ventilation group(68 cases)and a failed ventilation group(26 cases)according to the outcome of ventilation.The clinical data of patients with successful and failed noninvasive ventilation were compared,and the independent predictors of noninvasive ventilation outcomes in AECOPD patients were identified by multivariate logistic regression analysis.RESULTS There were no significant differences in gender,age,body mass index,complications,systolic pressure,heart rate,mean arterial pressure,respiratory rate,oxygen saturation,partial pressure of oxygen,oxygenation index,or time of inspiration between patients with successful and failed mechanical ventilation(P>0.05).The patients with successful noninvasive ventilation had shorter hospital stays and lower partial pressure of carbon dioxide(PaCO_(2))than those with failed treatment,while potential of hydrogen(pH),diaphragm thickening fraction(DTF),diaphragm activity,and diaphragm movement time were significantly higher than those with failed treatment(P<0.05).pH[odds ratio(OR)=0.005,P<0.05],PaCO_(2)(OR=0.430,P<0.05),and DTF(OR=0.570,P<0.05)were identified to be independent factors influencing the outcome of mechanical ventilation in AECOPD patients.CONCLUSION The DUS index DTF can better predict the outcome of non-invasive ventilation in AECOPD patients.
文摘Assessing diaphragm function status is vital for diagnosing and treating acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Diaphrag-matic ultrasound has become increasingly important due to its non-invasive nature,absence of radiation exposure,widespread availability,prompt results,high accuracy,and repeatability at the bedside.The diaphragm is a crucial respiratory muscle.Decline or dysfunction of the diaphragm can lead to dyspnea and even respiratory failure in AECOPD patients.In this editorial,we comment on an article,retrospectively analyzed ninety-four acute exacerbations of chronic obstructive pulmonary disease patients who received mechanical ventilation from January 2022 to December 2023.The study found that the diaphragm thickening fraction,an index from diaphragm ultrasound,can better predict the outcome of non-invasive ventilation in patients with AECOPD.The value of non-invasive ventilation in treating respiratory failure caused by AECOPD has been widely acknowledged.Diaphragmatic dysfunction diagnosed with ultrasound is asso-ciated with prolonged mechanical ventilation and weaning times and higher mortality.
文摘Thoracic ultrasound has attracted much interest in detecting pleural effusion or pulmonary consolidation after cardiac surgery.In 2016,Trovato reported,in the World Journal of Cardiology,the interest of using,in addition to echocardiography,thoracic ultrasound.In this editorial,we highlight the value of assessing diaphragm function after cardiac surgery and interventional cardiology pro-cedures.Various factors are able to impair diaphragm function after such interventions.Diaphragm motion may be decreased by chest pain secondary to sternotomy,pleural effusion or impaired muscle function.Hemidiaphragmatic paralysis may be secondary to phrenic nerve damage complicating cardiac surgery or atrial fibrillation ablation.Diagnosis may be delayed.Indeed,respi-ratory troubles induced by diaphragm dysfunction are frequently attributed to pre-existing heart disease or pulmonary complications secondary to surgery.In addition,elevated hemidiaphragm secondary to diaphragm dysfunction is sometimes not observed on chest X-ray performed in supine position in the intensive care unit.Analysis of diaphragm function by ultrasound during the recovery period appears essential.Both hemidiaphragms can be studied by two complementary ultrasound methods.The mobility of each hemidiaphragms is measured by M-mode ultrasonography.In addition,recording the percentage of inspiratory thickening provides important information about the quality of muscle function.These two approaches make it possible to detect hemidiaphragm paralysis or dysfunction.Such a diagnosis is important because persistent diaphragm dysfunction after cardiac surgery has been shown to be associated with adverse respiratory outcome.Early respiratory physio-therapy is able to improve respiratory function through strengthening of the inspiratory muscles i.e.diaphragm and accessory inspiratory muscles.
基金Supported by National Key Research and Development Program of China (Grant No.2021YFF0600208)National Natural Science Foundation of China (Grant No.52005170)Hunan Provincial Science and Technology Innovation Program of China (Grant No.2020RC4018)。
文摘Low damping characteristics have always been a key sticking points in the development of gas bearings.The application of squeeze film dampers can significantly improve the damping performance of gas lubricated bearings.This paper proposed a novel hermetic diaphragm squeeze film damper(HDSFD)for oil-free turbomachinery supported by gas lubricated bearings.Several types of HDSFDs with symmetrical structure were proposed for good damping performance.By considering the compressibility of the damper fluid,based on hydraulic fluid mechanics theory,a dynamic model of HDSFDs under medium is proposed,which successfully reflects the frequency dependence of force coefficients.Based on the dynamic model,the effects of damper fluid viscosity,bulk modulus of damper fluid,thickness of damper fluid film and plunger thickness on the dynamic stiffness and damping of HDSFDs were analyzed.An experimental test rig was assembled and series of experimental studies on HDSFDs were conducted.The damper fluid transverse flow is added to the existing HDSFD concept,which aims to make the dynamic force coefficients independent of frequency.Although the force coefficient is still frequency dependent,the damping coefficient at high frequency excitation with damper fluid supply twice as that without damper fluid supply.The results serve as a benchmark for the calibration of analytical tools under development.
基金Supported by Jiangsu Commision of Health,No.H2017043.
文摘BACKGROUND Primary abdominal pregnancy is an extremely rare form of ectopic pregnancy.Ectopic pregnancies that occur in the liver and diaphragm are even rarer,limited case reports are available in the literature.CASE SUMMARY A woman of childbearing age was transferred to the emergency department due to lumbar and abdominal pain radiating to the back toward the lower right.After a series of physical and auxiliary examinations,she was clinically diagnosed with hepatic ectopic pregnancy.Laparoscopic surgery was performed to remove the pregnancy tissue and achieve hemostasis.After a period of follow-up,the patient was successfully cured.CONCLUSION Paying attention to the patient's signs and utilizing imaging examination methods can help avoid missed diagnoses of liver pregnancy.
文摘Introduction: Traumatic diaphragmatic hernia is a rare condition in children complicating closed or penetrating trauma to the abdomen and thorax. We report the case of an 11-year-old girl with a traumatic diaphragmatic hernia. Case Presentation: An 11-year-old girl was seen in the paediatric surgery department for a thoracolumbar spine deformity and intermittent chest pain. These symptoms occurred after a domestic accident involving a fall from a low wall onto the thoracolumbar spine 5 months previously. The diagnosis was suggested by the presence of a left hemithoracic hydroaera and confirmed by a thoraco-abdominal CT scan. Surgical exploration revealed a linear rupture of the entire left hemi-diaphragm with herniation of the stomach, small intestine, cecum, transverse colon and omentum. We performed a double-layer suture of the diaphragmatic rupture with a non-absorbable suture without edge rejuvenation after the reduction of the hernia. The outcome was favourable with normal postoperative radiographs at one year follow-up. Conclusion: Traumatic diaphragmatic hernia, although uncommon and difficult to diagnose, is a condition that is relatively easy to manage surgically, even if it is discovered late. In all cases of trauma to the thoracolumbar spine, regular follow-up and repeat X-rays are necessary if pain persists.
文摘Aim: To explore the application effect of external diaphragm pacemaker combined with active respiratory circulation technology in pulmonary rehabilitation of perioperative lung cancer patients. Methods: A total of 98 lung cancer patients admitted to our hospital from April 2020 to November 2021 were selected as the observation objects, and then divided into a control group and an observation group using the random number table method, with 49 cases in each group. The control group received routine admission guidance and active respiratory circulation training, while the observation group was supplemented with external diaphragm pacemaker on the basis of the control group. The intervention effect was evaluated by blood gas indicators, pulmonary function indicators, diaphragm function indicators, sputum comfort degree, and activity tolerance indicators before and after intervention. Results: Before intervention, there were no significant differences in blood gas analysis indicators, pulmonary function indicators, diaphragm function indicators, sputum comfort degree, and activity tolerance indicators between the two groups (P > 0.05). After intervention, the improvement degree of the above indicators in the observation group was higher than that in the control group (P < 0.05). Conclusions: The application of external diaphragm pacemaker combined with active respiratory circulation technology in pulmonary rehabilitation of perioperative lung cancer patients is significant, which can effectively improve the pulmonary function, blood gas function, and diaphragm function of lung cancer patients after surgery, and improve the activities of daily living and quality of life of patients.
