BACKGROUND A total of 100 patients diagnosed with mixed hemorrhoids from October 2022 to September 2023 in our hospital were randomly divided into groups by dice rolling and compared with the efficacy of different tre...BACKGROUND A total of 100 patients diagnosed with mixed hemorrhoids from October 2022 to September 2023 in our hospital were randomly divided into groups by dice rolling and compared with the efficacy of different treatment options.AIM To analyze the clinical effect and prognosis of mixed hemorrhoids treated with polidocanol injection combined with automatic elastic thread ligation operation(RPH).METHODS A total of 100 patients with mixed hemorrhoids who visited our hospital from October 2022 to September 2023 were selected and randomly divided into the control group(n=50)and the treatment group(n=50)by rolling the dice.The procedure for prolapse and hemorrhoids(PPH)was adopted in the control group,while polidocanol foam injection+RPH was adopted in the treatment group.The therapeutic effects,operation time,wound healing time,hospital stay,pain situation(24 hours post-operative pain score,first defecation pain score),quality of life(QOL),incidence of complications(post-operative hemorrhage,edema,infection),incidence of anal stenosis 3 months post-operatively and recurrence rate 1 year post-operatively of the two groups were compared.RESULTS Compared with the control group,the total effective rate of treatment group was higher,and the difference was significant(P<0.05).The operation time/wound healing time/hospital stay in the treatment group were shorter than those in the control group(P<0.05).The pain scores at 24 hours after operation/first defecation pain score of the treatment group was significantly lower than those in the control group(P<0.05).After surgery,the QOL scores of the two groups decreased,with the treatment group having higher scores than that of the control group(P<0.05).Compared with the control group,the incidence of postoperative complications in the treatment group was lower,and the difference was significant(P<0.05);However,there was no significant difference in the incidence of postoperative bleeding between the two groups(P>0.05);There was no significant difference in the incidence of anal stenosis 3 months after operation and the recurrence rate 1 year after operation between the two groups(P>0.05).CONCLUSION For patients with mixed hemorrhoids,the therapeutic effect achieved by using polidocanol injection combined with RPH was better.The wounds of the patients healed faster,the postoperative pain was milder,QOL improved,and the incidence of complications was lower,and the short-term and long-term prognosis was good.展开更多
BACKGROUND Intraoperative determination of resection margin and adequate residual liver parenchyma are the key points of hepatectomy for the treatment of liver tumors.Intraoperative ultrasound and indocyanine green fl...BACKGROUND Intraoperative determination of resection margin and adequate residual liver parenchyma are the key points of hepatectomy for the treatment of liver tumors.Intraoperative ultrasound and indocyanine green fluorescence navigation are the most commonly used methods at present,but the technical barriers limit their promotion.AIM To evaluate the value of the three-dimensional location approach with silk thread(3D-LAST)in precise resection of liver tumors.METHODS From September 2020 to January 2022,8 patients with liver tumors including hepatocellular carcinoma,intrahepatic cholangiocarcinoma,hilar cholangiocar-cinoma,and gastric cancer liver metastasis were included in this study.All patients underwent 3D-LAST in precise resection of liver tumors.RESULTS All patients(8/8,100%)underwent the operation successfully without any complications.During the mean follow-up of 8.7 months,all patients survived without tumor recurrence.CONCLUSION In conclusion,the 3D-LAST is a safe and effective new method for liver intraop-erative navigation,which is practical and easy to promote.Core Tip:The aim of this study is to evaluate the value of the three-dimensional location approach with silk thread(3D-LAST)in precise resection of liver tumors.Eight patients with liver tumors including hepatocellular carcinoma,intrahepatic cholangiocarcinoma,hilar cholangiocarcinoma,and gastric cancer liver metastasis underwent the operation successfully without any complications.During the mean follow-up of 8.7 months,all patients survived without tumor recurrence.In conclusion,the 3D-LAST is a safe and effective new method for liver intraoperative navigation,which is practical and easy to promote.INTRODUCTION Hepatectomy is widely used for the treatment of liver tumors.In recent decades,the concept and practice of hepatectomy have developed from irregular,regular and anatomical to the current precise resection.Necessary assistive technologies have enabled these advances.Intraoperative ultrasound(IOUS)localization and indocyanine green(ICG)fluorescence imaging guidance are two frequently-used approaches for laparoscopic hepatectomy[1,2].IOUS is an invaluable auxiliary means widely accepted in surgery for real-time diagnostic information to determine resection range and navigate the surgical path[3].However,the major limitation of IOUS is the time cost during the procedure for paging the sono-graphers and the difficulty of deciphering two dimensional images[4].ICG is a non-toxic water-soluble fluorophore that reveals fluorescence under the near-infrared spectrum[5].Since liver tissue penetration is limited to 5 to 10 mm,that restricted the visualization of deeper tumors by ICG excitation,thereby interfering with its application in laparoscopic hepatectomy[6].IOUS and ICG navigation require specific technical equipment,making implementation difficult in many centers.And these techniques will significantly increase the operation time.Three-dimensional(3D)visualization involves extracting features and producing volumetric images based on computed tomography(CT)through a computer postprocessing technique.This tool offers a reasonable approach to the clinical decision for the potential to display the complex internal anatomy in an intuitive and stereoscopic manner[7].In the past few decades,applying 3D simulation software for liver volume calculation,virtual simulation surgery,portal hypertension monitor,and surgical navigation has proven to be safe and effective[8].Therefore,we propose a new method to find obvious anatomical markers and calculate the resection range according to 3D positioning before operation.During the operation,the scope of resection was delineated with silk thread,and resection was performed.This is a new practical approach,which we named as 3D location approach with silk thread(3D-LAST).RESULTS During the study period from September 2020 to January 2022,5 patients with hepatocellular carcinoma,1 patient with intrahepatic cholangiocarcinoma,1 patient with hilar cholangiocarcinoma,and 1 patient with gastric cancer liver metastasis were assessed for liver resection.There were 5 males and 3 females.The mean age of these patients was 54.3±10.2 years(34-66 years).Preoperative 3D positioning was conducted and the scope of resection was delineated with a surgical suture successfully performed in all 8 patients without complications.The treatment results of these 8 patients are shown in Table 1.The 90-day operative mortality was zero.Complications worse than Dindo-Clavien IIIa was not observed at a mean follow-up time of 8.7 months(4-16 months),there was no evidence of tumor recurrence or extrahepatic metastasis.At the time of reporting,the patients are all alive and lead normal lives.We take one patient as an example,58-year-old male,who found a liver lesion 10 months after gastric cancer surgery.Enhanced CT showed that the lesion was located in the liver S5,about 1.5 cm in diameter,and considered metastatic lesions.We performed 3D-LAST guided hepatectomy on this patient(Figure 1).Other representative 3D-LAST surgical procedures are shown in Figure 2.展开更多
When one steps inside Caoxian’s Youai Cloud Warehouse,a livestreaming base dedicated to hanfu,it feels less like a clothing warehouse and more like a time capsule.Thousands of intricately embroidered garments line th...When one steps inside Caoxian’s Youai Cloud Warehouse,a livestreaming base dedicated to hanfu,it feels less like a clothing warehouse and more like a time capsule.Thousands of intricately embroidered garments line the racks-from elegant horse-face skirts to modernised editions of traditional Chinese clothing.展开更多
In petroleum extraction,the sealing surfaces of bolted joints are susceptible to damage due to the high-temperature and high-pressure conditions in wellbores.This damage adversely affects sealing performance,consequen...In petroleum extraction,the sealing surfaces of bolted joints are susceptible to damage due to the high-temperature and high-pressure conditions in wellbores.This damage adversely affects sealing performance,consequently leading to the failure and damage of threaded connections.In severe cases,it can result in considerable economic losses and trigger safety accidents.The sealing performance of special bolted joints holds crucial importance for production efficiency,output,equipment lifespan,and cost control.Enhancing the sealing perfor-mance of threaded connections can have a positive impact on industrial production and environmental protection.The existing research on American Petroleum Institute threaded joints has been thorough and has obtained a series of excellent results.However,the research on the sealing damage mechanism of threaded connections under complex well conditions lacks sufficient depth and that on new sealing technology is scarce.This study proposes a half-size evaluation test to address the abovementioned problem.Based on this test,an investigation into the sealing performance of threaded connections under high-temperature,cyclic loading,and high-temperature creep conditions is conducted.This study uses a combined approach of finite element methods and experiments to investigate the impact of different makeup torques on the sealing performance of premium threaded connections(PTCs).The results of the half-size evaluation test indicate that temperature notably influences the sealing performance of threaded connections.The continuous action of high temperatures causes contact pressure and sealing performance to decrease,and sealing contact pressure increases after cooling.Finite element and test results show that for a certain joint A,the greater the torque,the higher the critical sealing pressure of the thread,and the better the sealing performance.The research on the sealing damage mechanism of PTCs provides a scientific basis and theoretical guidance for the further optimization and development of PTCs.展开更多
As the global textile market continues to expand, demand for sewing threads-a critical auxiliary material-is rising. In recent years, automotive interiors, smart outdoor equipment, and medical and ecofriendly products...As the global textile market continues to expand, demand for sewing threads-a critical auxiliary material-is rising. In recent years, automotive interiors, smart outdoor equipment, and medical and ecofriendly products have emerged as new growth engines for the textile industry. This has propelled specialized niche markets for sewing threads designed for these applications, revealing significant and undeniable potential.展开更多
针对基于Linux和TCG软件栈(Trusted computing group Software Stack,TSS)的复杂性问题,提出一种轻量级的可信软件栈。分析了TSS的基本结构与TSS在嵌入式系统的局限,总结出基于嵌入式系统的可信软件栈设计需求,设计出软件栈命令调用的...针对基于Linux和TCG软件栈(Trusted computing group Software Stack,TSS)的复杂性问题,提出一种轻量级的可信软件栈。分析了TSS的基本结构与TSS在嵌入式系统的局限,总结出基于嵌入式系统的可信软件栈设计需求,设计出软件栈命令调用的机制和软件栈的结构。此外,分析了TSS密钥管理缓存算法,在flash中定义一块密钥槽空间,方便密钥管理中直接访问,阐述密钥生成的逻辑过程,实现面向嵌入式系统的可信软件系统。经实验验证,该软件栈可以结合RT-Thread实时系统实现基本的可信计算功能。展开更多
Threaded fasteners are one of the most commonly used connection methods for mechanical structures.Its primary function is to generate appropriate clamping forces and fasten the connected parts.An inappropriate preload...Threaded fasteners are one of the most commonly used connection methods for mechanical structures.Its primary function is to generate appropriate clamping forces and fasten the connected parts.An inappropriate preload can cause loosening,fatigue fracture,and other problems.This will affect the safety and reliability of mechanical equipment.The precise control of the preload has become a critical issue in mechanical assembly processes.Over the past few decades,various tightening measures and methods have been proposed to address this issue.However,many problems continue to exist with practical applications that have not been reviewed comprehensively and systematically.First,various control methods were summarized systematically,and their advantages and disadvantages in engineering applications were analyzed.Torque control is the most widely used tightening method owing to its simple operation and low cost.Therefore,the research on the torque control method was summarized systematically from three aspects:the torque-preload correlation formula,effective friction radius,and friction characteristics during tightening.In addition,the special circumstances that may increase preload uncertainty were discussed.Finally,based on a summary of the current research status,the prospects for future research were discussed.This study would aid researchers in extensively understanding the problems in preload control.展开更多
In cosmetic surgery, golden threads have been used in thread lift procedures, wherein golden threads are placed under the skin of the neck and chin. These are mainly applied in the maxillofacial region adjacent to the...In cosmetic surgery, golden threads have been used in thread lift procedures, wherein golden threads are placed under the skin of the neck and chin. These are mainly applied in the maxillofacial region adjacent to the sites of dental treatment to achieve cosmetic benefits. However, as dentists typically lack sufficient knowledge about the golden thread lift procedure, it may present a challenge to dental examinations and treatments. It is therefore crucial for dentists to have a comprehensive understanding of the procedure. This case report covers our experience with the dental examination of a patient with golden threads. We emphasize the dental complications and precautions that should be taken for such cases. These golden threads are made of pure gold, nonabsorbable, and can be broken. These can obstruct dental examination, as well as cause metal allergies and foreign body granulomas. Additionally, it is difficult to completely remove these threads when they break apart. In the future, since more patients are expected to undergo this procedure, it is possible to encounter these golden threads as artifacts on imaging. Therefore, it is important to educate dentists about the golden thread lift procedure and its dental implications. It is also imperative to determine whether the patient has undergone the golden thread lift procedure in the medical questionnaire prior to the magnetic resonance imaging examination. Thus, dentists should be able to conduct a detailed interview with the patient, determine the feasibility of examination or treatment, and communicate this assessment to the patient.展开更多
We are developing a speed reducer that can be considered a transformation of a worm gear reducer: the worm is replaced by an inverted roller screw, and the gear is replaced by a threaded chain drive. This configuratio...We are developing a speed reducer that can be considered a transformation of a worm gear reducer: the worm is replaced by an inverted roller screw, and the gear is replaced by a threaded chain drive. This configuration lessens wear, increases load capacity, and improves efficiency. The threaded chain consists of nut-shaped links. This paper presents the results of tests carried out on a prototype with a reduction ratio of 46.展开更多
文摘BACKGROUND A total of 100 patients diagnosed with mixed hemorrhoids from October 2022 to September 2023 in our hospital were randomly divided into groups by dice rolling and compared with the efficacy of different treatment options.AIM To analyze the clinical effect and prognosis of mixed hemorrhoids treated with polidocanol injection combined with automatic elastic thread ligation operation(RPH).METHODS A total of 100 patients with mixed hemorrhoids who visited our hospital from October 2022 to September 2023 were selected and randomly divided into the control group(n=50)and the treatment group(n=50)by rolling the dice.The procedure for prolapse and hemorrhoids(PPH)was adopted in the control group,while polidocanol foam injection+RPH was adopted in the treatment group.The therapeutic effects,operation time,wound healing time,hospital stay,pain situation(24 hours post-operative pain score,first defecation pain score),quality of life(QOL),incidence of complications(post-operative hemorrhage,edema,infection),incidence of anal stenosis 3 months post-operatively and recurrence rate 1 year post-operatively of the two groups were compared.RESULTS Compared with the control group,the total effective rate of treatment group was higher,and the difference was significant(P<0.05).The operation time/wound healing time/hospital stay in the treatment group were shorter than those in the control group(P<0.05).The pain scores at 24 hours after operation/first defecation pain score of the treatment group was significantly lower than those in the control group(P<0.05).After surgery,the QOL scores of the two groups decreased,with the treatment group having higher scores than that of the control group(P<0.05).Compared with the control group,the incidence of postoperative complications in the treatment group was lower,and the difference was significant(P<0.05);However,there was no significant difference in the incidence of postoperative bleeding between the two groups(P>0.05);There was no significant difference in the incidence of anal stenosis 3 months after operation and the recurrence rate 1 year after operation between the two groups(P>0.05).CONCLUSION For patients with mixed hemorrhoids,the therapeutic effect achieved by using polidocanol injection combined with RPH was better.The wounds of the patients healed faster,the postoperative pain was milder,QOL improved,and the incidence of complications was lower,and the short-term and long-term prognosis was good.
文摘BACKGROUND Intraoperative determination of resection margin and adequate residual liver parenchyma are the key points of hepatectomy for the treatment of liver tumors.Intraoperative ultrasound and indocyanine green fluorescence navigation are the most commonly used methods at present,but the technical barriers limit their promotion.AIM To evaluate the value of the three-dimensional location approach with silk thread(3D-LAST)in precise resection of liver tumors.METHODS From September 2020 to January 2022,8 patients with liver tumors including hepatocellular carcinoma,intrahepatic cholangiocarcinoma,hilar cholangiocar-cinoma,and gastric cancer liver metastasis were included in this study.All patients underwent 3D-LAST in precise resection of liver tumors.RESULTS All patients(8/8,100%)underwent the operation successfully without any complications.During the mean follow-up of 8.7 months,all patients survived without tumor recurrence.CONCLUSION In conclusion,the 3D-LAST is a safe and effective new method for liver intraop-erative navigation,which is practical and easy to promote.Core Tip:The aim of this study is to evaluate the value of the three-dimensional location approach with silk thread(3D-LAST)in precise resection of liver tumors.Eight patients with liver tumors including hepatocellular carcinoma,intrahepatic cholangiocarcinoma,hilar cholangiocarcinoma,and gastric cancer liver metastasis underwent the operation successfully without any complications.During the mean follow-up of 8.7 months,all patients survived without tumor recurrence.In conclusion,the 3D-LAST is a safe and effective new method for liver intraoperative navigation,which is practical and easy to promote.INTRODUCTION Hepatectomy is widely used for the treatment of liver tumors.In recent decades,the concept and practice of hepatectomy have developed from irregular,regular and anatomical to the current precise resection.Necessary assistive technologies have enabled these advances.Intraoperative ultrasound(IOUS)localization and indocyanine green(ICG)fluorescence imaging guidance are two frequently-used approaches for laparoscopic hepatectomy[1,2].IOUS is an invaluable auxiliary means widely accepted in surgery for real-time diagnostic information to determine resection range and navigate the surgical path[3].However,the major limitation of IOUS is the time cost during the procedure for paging the sono-graphers and the difficulty of deciphering two dimensional images[4].ICG is a non-toxic water-soluble fluorophore that reveals fluorescence under the near-infrared spectrum[5].Since liver tissue penetration is limited to 5 to 10 mm,that restricted the visualization of deeper tumors by ICG excitation,thereby interfering with its application in laparoscopic hepatectomy[6].IOUS and ICG navigation require specific technical equipment,making implementation difficult in many centers.And these techniques will significantly increase the operation time.Three-dimensional(3D)visualization involves extracting features and producing volumetric images based on computed tomography(CT)through a computer postprocessing technique.This tool offers a reasonable approach to the clinical decision for the potential to display the complex internal anatomy in an intuitive and stereoscopic manner[7].In the past few decades,applying 3D simulation software for liver volume calculation,virtual simulation surgery,portal hypertension monitor,and surgical navigation has proven to be safe and effective[8].Therefore,we propose a new method to find obvious anatomical markers and calculate the resection range according to 3D positioning before operation.During the operation,the scope of resection was delineated with silk thread,and resection was performed.This is a new practical approach,which we named as 3D location approach with silk thread(3D-LAST).RESULTS During the study period from September 2020 to January 2022,5 patients with hepatocellular carcinoma,1 patient with intrahepatic cholangiocarcinoma,1 patient with hilar cholangiocarcinoma,and 1 patient with gastric cancer liver metastasis were assessed for liver resection.There were 5 males and 3 females.The mean age of these patients was 54.3±10.2 years(34-66 years).Preoperative 3D positioning was conducted and the scope of resection was delineated with a surgical suture successfully performed in all 8 patients without complications.The treatment results of these 8 patients are shown in Table 1.The 90-day operative mortality was zero.Complications worse than Dindo-Clavien IIIa was not observed at a mean follow-up time of 8.7 months(4-16 months),there was no evidence of tumor recurrence or extrahepatic metastasis.At the time of reporting,the patients are all alive and lead normal lives.We take one patient as an example,58-year-old male,who found a liver lesion 10 months after gastric cancer surgery.Enhanced CT showed that the lesion was located in the liver S5,about 1.5 cm in diameter,and considered metastatic lesions.We performed 3D-LAST guided hepatectomy on this patient(Figure 1).Other representative 3D-LAST surgical procedures are shown in Figure 2.
文摘When one steps inside Caoxian’s Youai Cloud Warehouse,a livestreaming base dedicated to hanfu,it feels less like a clothing warehouse and more like a time capsule.Thousands of intricately embroidered garments line the racks-from elegant horse-face skirts to modernised editions of traditional Chinese clothing.
文摘In petroleum extraction,the sealing surfaces of bolted joints are susceptible to damage due to the high-temperature and high-pressure conditions in wellbores.This damage adversely affects sealing performance,consequently leading to the failure and damage of threaded connections.In severe cases,it can result in considerable economic losses and trigger safety accidents.The sealing performance of special bolted joints holds crucial importance for production efficiency,output,equipment lifespan,and cost control.Enhancing the sealing perfor-mance of threaded connections can have a positive impact on industrial production and environmental protection.The existing research on American Petroleum Institute threaded joints has been thorough and has obtained a series of excellent results.However,the research on the sealing damage mechanism of threaded connections under complex well conditions lacks sufficient depth and that on new sealing technology is scarce.This study proposes a half-size evaluation test to address the abovementioned problem.Based on this test,an investigation into the sealing performance of threaded connections under high-temperature,cyclic loading,and high-temperature creep conditions is conducted.This study uses a combined approach of finite element methods and experiments to investigate the impact of different makeup torques on the sealing performance of premium threaded connections(PTCs).The results of the half-size evaluation test indicate that temperature notably influences the sealing performance of threaded connections.The continuous action of high temperatures causes contact pressure and sealing performance to decrease,and sealing contact pressure increases after cooling.Finite element and test results show that for a certain joint A,the greater the torque,the higher the critical sealing pressure of the thread,and the better the sealing performance.The research on the sealing damage mechanism of PTCs provides a scientific basis and theoretical guidance for the further optimization and development of PTCs.
文摘As the global textile market continues to expand, demand for sewing threads-a critical auxiliary material-is rising. In recent years, automotive interiors, smart outdoor equipment, and medical and ecofriendly products have emerged as new growth engines for the textile industry. This has propelled specialized niche markets for sewing threads designed for these applications, revealing significant and undeniable potential.
文摘针对基于Linux和TCG软件栈(Trusted computing group Software Stack,TSS)的复杂性问题,提出一种轻量级的可信软件栈。分析了TSS的基本结构与TSS在嵌入式系统的局限,总结出基于嵌入式系统的可信软件栈设计需求,设计出软件栈命令调用的机制和软件栈的结构。此外,分析了TSS密钥管理缓存算法,在flash中定义一块密钥槽空间,方便密钥管理中直接访问,阐述密钥生成的逻辑过程,实现面向嵌入式系统的可信软件系统。经实验验证,该软件栈可以结合RT-Thread实时系统实现基本的可信计算功能。
基金Supported by National Natural Science Foundation of China(Grant Nos.U23B20104,52075012 and 52205510).
文摘Threaded fasteners are one of the most commonly used connection methods for mechanical structures.Its primary function is to generate appropriate clamping forces and fasten the connected parts.An inappropriate preload can cause loosening,fatigue fracture,and other problems.This will affect the safety and reliability of mechanical equipment.The precise control of the preload has become a critical issue in mechanical assembly processes.Over the past few decades,various tightening measures and methods have been proposed to address this issue.However,many problems continue to exist with practical applications that have not been reviewed comprehensively and systematically.First,various control methods were summarized systematically,and their advantages and disadvantages in engineering applications were analyzed.Torque control is the most widely used tightening method owing to its simple operation and low cost.Therefore,the research on the torque control method was summarized systematically from three aspects:the torque-preload correlation formula,effective friction radius,and friction characteristics during tightening.In addition,the special circumstances that may increase preload uncertainty were discussed.Finally,based on a summary of the current research status,the prospects for future research were discussed.This study would aid researchers in extensively understanding the problems in preload control.
文摘In cosmetic surgery, golden threads have been used in thread lift procedures, wherein golden threads are placed under the skin of the neck and chin. These are mainly applied in the maxillofacial region adjacent to the sites of dental treatment to achieve cosmetic benefits. However, as dentists typically lack sufficient knowledge about the golden thread lift procedure, it may present a challenge to dental examinations and treatments. It is therefore crucial for dentists to have a comprehensive understanding of the procedure. This case report covers our experience with the dental examination of a patient with golden threads. We emphasize the dental complications and precautions that should be taken for such cases. These golden threads are made of pure gold, nonabsorbable, and can be broken. These can obstruct dental examination, as well as cause metal allergies and foreign body granulomas. Additionally, it is difficult to completely remove these threads when they break apart. In the future, since more patients are expected to undergo this procedure, it is possible to encounter these golden threads as artifacts on imaging. Therefore, it is important to educate dentists about the golden thread lift procedure and its dental implications. It is also imperative to determine whether the patient has undergone the golden thread lift procedure in the medical questionnaire prior to the magnetic resonance imaging examination. Thus, dentists should be able to conduct a detailed interview with the patient, determine the feasibility of examination or treatment, and communicate this assessment to the patient.
文摘We are developing a speed reducer that can be considered a transformation of a worm gear reducer: the worm is replaced by an inverted roller screw, and the gear is replaced by a threaded chain drive. This configuration lessens wear, increases load capacity, and improves efficiency. The threaded chain consists of nut-shaped links. This paper presents the results of tests carried out on a prototype with a reduction ratio of 46.
