BACKGROUND Postoperative complications(POCs)can arise in patients who underwent surgery for gastric cancer(GC).Effective nursing may help in minimizing these negative outcomes.AIM To elucidate the influence of fast-tr...BACKGROUND Postoperative complications(POCs)can arise in patients who underwent surgery for gastric cancer(GC).Effective nursing may help in minimizing these negative outcomes.AIM To elucidate the influence of fast-track rehabilitation(FTR)plus humanized nursing on gastrointestinal(GI)function and quality of life(QOL)of patients who underwent GC surgery.METHODS The study participants were 102 patients admitted between December 2018 and December 2020 for GC surgery,of which 52 and 50 patients who received FTR+humanized nursing(research group)and routine nursing(control group),respectively.GI function,QOL,POCs(abdominal distension,infection,GI bleeding,anastomotic leakage,and deep vein thrombosis)and nursing satisfaction were compared between the two groups.RESULTS Compared with the control group,the research group had better GI function,which was mainly manifested by earlier food intake,shorter bowel sound recovery time,short time to first postoperative anal exhaustion and defecation,and shorter length of stay.Besides,the research group exhibited better QOL,lower overall POC rate,and higher nursing satisfaction than the control group.CONCLUSION FTR+humanized nursing not only improve the GI function and QOL of patients undergoing GC surgery but also reduce the incidence of POCs and improve nursing satisfaction.Thus,this intervention deserves popularization in clinical practice.展开更多
A robust Reynolds-Averaged Navier-Stokes(RANS)based solver is established to predict the complex unsteady aerodynamic characteristics of the Active Flap Control(AFC)rotor.The complex motion with multiple degrees of fr...A robust Reynolds-Averaged Navier-Stokes(RANS)based solver is established to predict the complex unsteady aerodynamic characteristics of the Active Flap Control(AFC)rotor.The complex motion with multiple degrees of freedom of the Trailing Edge Flap(TEF)is analyzed by employing an inverse nested overset grid method.Simulation of non-rotational and rotational modes of blade motion are carried out to investigate the formation and development of TEF shedding vortex with high-frequency deflection of TEF.Moreover,the mechanism of TEF deflection interference with blade tip vortex and overall rotor aerodynamics is also explored.In nonrotational mode,two bundles of vortices form at the gap ends of TEF and the main blade and merge into a single TEF vortex.Dynamic deflection of the TEF significantly interferes with the blade tip vortex.The position of the blade tip vortex consistently changes,and its frequency is directly related to the frequency of TEF deflection.In rotational mode,the tip vortex forms a helical structure.The end vortices at the gap sides co-swirl and subsequently merge into the concentrated beam of tip vortices,causing fluctuations in the vorticity and axial position of the tip vortex under the rotor.This research concludes with the investigation on suppression of Blade Vortex Interaction(BVI),showing an increase in miss distance and reduction in the vorticity of tip vortex through TEF phase control at a particular control frequency.Through this mechanism,a designed TEF deflection law increases the miss distance by 34.7%and reduces vorticity by 11.9%at the target position,demonstrating the effectiveness of AFC in mitigating BVI.展开更多
Vortex-induced vibration of hydrofoils is concerned with structural safety and noise level in hydraulic machinery and marine engineering.The research on vibration characteristics under different operating conditions i...Vortex-induced vibration of hydrofoils is concerned with structural safety and noise level in hydraulic machinery and marine engineering.The research on vibration characteristics under different operating conditions is significant.In this study,numerical simulations are conducted to investigate the vortex-induced vibration responses of an elastically suspended hydrofoil with blunt trailing edge in pitch direction.The work studies the effects of four parameters,namely the structural natural frequency,mass ratio,initial attack angle,and Reynolds number on vibration characteristics,with special emphasis on frequency lock-in.Results indicate that as the structural natural frequency changes,the vibration amplitude may increase substantially within a certain frequency range,in which the vortex shedding frequency locks into the structural natural frequency,and frequency lock-in occurs.In addition,with increasing the mass ratio,the frequency range of lock-in becomes narrower,and both the upper and lower thresholds decrease.As the initial attack angle increases from 0◦to 6◦,the lock-in range gets reduced.Over the three Reynolds numbers(6×10^(5),9×10^(5),and 12×10^(5)),the lock-in range remains virtually unchanged.Moreover,for a certain structural natural frequency,modifying the mass ratio,initial attack angle,and Reynolds number could effectively suppress the vibration amplitude.展开更多
Biomimetics has recently emerged as an interesting approach to enhance renewable energy technologies.In this work,bioinspired Trailing Edge Serrations(TES)were evaluated on a typical Vertical Axis Wind Turbine(VAWT)ai...Biomimetics has recently emerged as an interesting approach to enhance renewable energy technologies.In this work,bioinspired Trailing Edge Serrations(TES)were evaluated on a typical Vertical Axis Wind Turbine(VAWT)airfoil,the DU06-W200.As noise reduction benefits of these mechanisms are already well-established,this study focuses on their impact on airfoil and VAWT performance.A saw-tooth geometry was chosen based on VAWT specifications and existing research,followed by a detailed assessment through wind tunnel tests using a newly developed aerodynamic balance.For a broad spectrum of attack angles and Reynolds numbers,lift,drag,and pitching moments were carefully measured.The results show that TES enhance the lift-to-drag ratio,especially in stalled conditions,and postpone stall at negative angles,expanding the effective performance range.A notable increase in pitching moment also is also observed,relevant for blade-strut joint design.Additionally,the impact on turbine performance was estimated using an analytical model,demonstrating excellent accuracy when compared against previous experimental results.TES offer a modest 2%improve-ment in peak performance,though they slightly narrow the optimal tip-speed ratio zone.Despite this,the potential noise reduction and performance gains make TES a valuable addition to VAWT designs,especially in urban settings.展开更多
文摘BACKGROUND Postoperative complications(POCs)can arise in patients who underwent surgery for gastric cancer(GC).Effective nursing may help in minimizing these negative outcomes.AIM To elucidate the influence of fast-track rehabilitation(FTR)plus humanized nursing on gastrointestinal(GI)function and quality of life(QOL)of patients who underwent GC surgery.METHODS The study participants were 102 patients admitted between December 2018 and December 2020 for GC surgery,of which 52 and 50 patients who received FTR+humanized nursing(research group)and routine nursing(control group),respectively.GI function,QOL,POCs(abdominal distension,infection,GI bleeding,anastomotic leakage,and deep vein thrombosis)and nursing satisfaction were compared between the two groups.RESULTS Compared with the control group,the research group had better GI function,which was mainly manifested by earlier food intake,shorter bowel sound recovery time,short time to first postoperative anal exhaustion and defecation,and shorter length of stay.Besides,the research group exhibited better QOL,lower overall POC rate,and higher nursing satisfaction than the control group.CONCLUSION FTR+humanized nursing not only improve the GI function and QOL of patients undergoing GC surgery but also reduce the incidence of POCs and improve nursing satisfaction.Thus,this intervention deserves popularization in clinical practice.
基金supported by the National Natural Science Foundation of China(No.11972190)。
文摘A robust Reynolds-Averaged Navier-Stokes(RANS)based solver is established to predict the complex unsteady aerodynamic characteristics of the Active Flap Control(AFC)rotor.The complex motion with multiple degrees of freedom of the Trailing Edge Flap(TEF)is analyzed by employing an inverse nested overset grid method.Simulation of non-rotational and rotational modes of blade motion are carried out to investigate the formation and development of TEF shedding vortex with high-frequency deflection of TEF.Moreover,the mechanism of TEF deflection interference with blade tip vortex and overall rotor aerodynamics is also explored.In nonrotational mode,two bundles of vortices form at the gap ends of TEF and the main blade and merge into a single TEF vortex.Dynamic deflection of the TEF significantly interferes with the blade tip vortex.The position of the blade tip vortex consistently changes,and its frequency is directly related to the frequency of TEF deflection.In rotational mode,the tip vortex forms a helical structure.The end vortices at the gap sides co-swirl and subsequently merge into the concentrated beam of tip vortices,causing fluctuations in the vorticity and axial position of the tip vortex under the rotor.This research concludes with the investigation on suppression of Blade Vortex Interaction(BVI),showing an increase in miss distance and reduction in the vorticity of tip vortex through TEF phase control at a particular control frequency.Through this mechanism,a designed TEF deflection law increases the miss distance by 34.7%and reduces vorticity by 11.9%at the target position,demonstrating the effectiveness of AFC in mitigating BVI.
基金the National Natural Science Foundation of China(Nos.52171316 and 51479116)。
文摘Vortex-induced vibration of hydrofoils is concerned with structural safety and noise level in hydraulic machinery and marine engineering.The research on vibration characteristics under different operating conditions is significant.In this study,numerical simulations are conducted to investigate the vortex-induced vibration responses of an elastically suspended hydrofoil with blunt trailing edge in pitch direction.The work studies the effects of four parameters,namely the structural natural frequency,mass ratio,initial attack angle,and Reynolds number on vibration characteristics,with special emphasis on frequency lock-in.Results indicate that as the structural natural frequency changes,the vibration amplitude may increase substantially within a certain frequency range,in which the vortex shedding frequency locks into the structural natural frequency,and frequency lock-in occurs.In addition,with increasing the mass ratio,the frequency range of lock-in becomes narrower,and both the upper and lower thresholds decrease.As the initial attack angle increases from 0◦to 6◦,the lock-in range gets reduced.Over the three Reynolds numbers(6×10^(5),9×10^(5),and 12×10^(5)),the lock-in range remains virtually unchanged.Moreover,for a certain structural natural frequency,modifying the mass ratio,initial attack angle,and Reynolds number could effectively suppress the vibration amplitude.
基金The authors wish to thank the financial support of the Spanish Ministry of Science,Innovation and Universities in reference to the Project:Efficiency improvement and noise reduction of a vertical axis wind turbine for urban environments(MERTURB)-Ref.MCINN-22-TED2021-131307B-100.
文摘Biomimetics has recently emerged as an interesting approach to enhance renewable energy technologies.In this work,bioinspired Trailing Edge Serrations(TES)were evaluated on a typical Vertical Axis Wind Turbine(VAWT)airfoil,the DU06-W200.As noise reduction benefits of these mechanisms are already well-established,this study focuses on their impact on airfoil and VAWT performance.A saw-tooth geometry was chosen based on VAWT specifications and existing research,followed by a detailed assessment through wind tunnel tests using a newly developed aerodynamic balance.For a broad spectrum of attack angles and Reynolds numbers,lift,drag,and pitching moments were carefully measured.The results show that TES enhance the lift-to-drag ratio,especially in stalled conditions,and postpone stall at negative angles,expanding the effective performance range.A notable increase in pitching moment also is also observed,relevant for blade-strut joint design.Additionally,the impact on turbine performance was estimated using an analytical model,demonstrating excellent accuracy when compared against previous experimental results.TES offer a modest 2%improve-ment in peak performance,though they slightly narrow the optimal tip-speed ratio zone.Despite this,the potential noise reduction and performance gains make TES a valuable addition to VAWT designs,especially in urban settings.
