目的 探讨“Y”形切剥加内痔柱状缝扎悬吊术(Y-shaped incision and dissection combined with internal hemorrhoid ligation and suspension,YID-IHLS)在治疗环状混合痔中的临床效果,并与传统外剥内扎术(milligan-morgan hemorrhoidec...目的 探讨“Y”形切剥加内痔柱状缝扎悬吊术(Y-shaped incision and dissection combined with internal hemorrhoid ligation and suspension,YID-IHLS)在治疗环状混合痔中的临床效果,并与传统外剥内扎术(milligan-morgan hemorrhoidectomy,MMH)进行对比分析。方法 选取2023年9月—2024年9月都江堰市中医医院肛肠科收治的134例环状混合痔患者作为研究对象,根据患者手术方式的不同分组,每组67例。观察组采用YID-IHLS治疗,而对照组则采用MMH治疗。比较两组术后康复情况、术后症状评分及术后肛门功能。结果 观察组住院时间、创面愈合时间均短于对照组,差异均有统计学意义(P均<0.05)。术后,观察组肛门疼痛、肛门出血、创面水肿、排便情况评分均低于对照组,差异均有统计学意义(P均<0.05)。术后3个月,观察组肛门狭窄(0.37±0.09)分和控便能力评分(0.49±0.10)分低于对照组的(1.58±0.24)分、(1.09±0.14)分,差异均有统计学意义(t=38.640,28.546;P均<0.05)。结论 YID-IHLS治疗环状混合痔相较于传统MMH手术,在缩短住院时间和创面愈合时间、减轻术后症状以及改善肛门功能方面表现出显著优势。展开更多
Among most traditional piezo water cooling systems, piezoelectric valve pumps are adopted as their driving sources. The valves in these pumps induce problems of shock and vibration and also make their structure compli...Among most traditional piezo water cooling systems, piezoelectric valve pumps are adopted as their driving sources. The valves in these pumps induce problems of shock and vibration and also make their structure complicated, which is uneasy to minimize and reduce their reliability and applicability of the whole system. In order to avoid these problems caused by valve structure, a novel valveless piezoelectric pump is developed, which integrates both functions of transforming and cooling. The pump’s Y-shape tree-like construction not only increases the efficiency of cooling but also the system reliability and applicability. Firstly, a multistage Y-shape treelike bifurcate tube is proposed, then a valveless piezoelectric pump with multistage Y-shape treelike bifurcate tubes is designed and its working principle is analyzed. Then, the theoretical analysis of flow resistance characteristics and the flow rate of the valveless piezoelectric pump are performed. Meanwhile, commercial software CFX is employed to perform the numerical simulation for the pump. Finally, this valveless piezoelectric pump is fabricated, the relationship between the flow rates and driving frequency, as well as the relationship between the back pressure and the driving frequency are experimentally investigated. The experimental results show that the maximum flow rate is 35.6 mL/min under 100 V peak-to-peak voltage (10.3 Hz) power supply, and the maximum back pressure is 55 mm H2O under 100 V (9 Hz) power supply, which validates the feasibility of the valveless piezoelectric pump with multistage Y-shape treelike bifurcate tubes. The proposed research provides certain references for the design of valveless piezoelectric pump and improves the reliability of piezo water cooling systems.展开更多
Microchannel heat sink with high heat transfer coefficients has been extensively investigated due to its wide application prospective in electronic cooling. However, this cooling system requires a separate pump to dri...Microchannel heat sink with high heat transfer coefficients has been extensively investigated due to its wide application prospective in electronic cooling. However, this cooling system requires a separate pump to drive the fluid transfer, which is uneasy to minimize and reduces their reliability and applicability of the whole system. In order to avoid these problems, valveless piezoelectric pump with fractal-like Y-shape branching tubes is proposed. Fractal-like Y-shape branching tube used in microchannel heat sinks is exploited as no-moving-part valve of the valveless piezoelectric pump. In order to obtain flow characteristics of the pump, the relationship between tube structure and flow rate of the pump is studied. Specifically, the flow resistances of fractal-like Y-shape branching tubes and flow rate of the pump are analyzed by using fractal theory. Then, finite element software is employed to simulate the flow field of the tube, and the relationships between pressure drop and flow rate along merging and dividing flows are obtained. Finally, valveless piezoelectric pumps with fractal-like Y-shape branching tubes with different fractal dimensions of diameter distribution are fabricated, and flow rate experiment is conducted. The experimental results show that the flow rate of the pump increases with the rise of fractal dimension of the tube diameter. When fractal dimension is 3, the maximum flow rate of the valveless pump is 29.16 mL/min under 100 V peak to peak （13 Hz） power supply, which reveals the relationship between flow rate and fractal dimensions of tube diameter distribution. This paper investigates the flow characteristics of valveless piezoelectric pump with fractal-like Y-shape branching tubes, which provides certain references for valveless piezoelectric pump with fractal-like Y-shape branching tubes in application on electronic chip cooling.展开更多
A 67-year-old man had a sev-ere cough and pulmonary infection for 1 wk before seeking evaluation at our hospital.He had undergone esophagectomy with gastric pull-up and radiotherapy for esophageal cancer 3 years previ...A 67-year-old man had a sev-ere cough and pulmonary infection for 1 wk before seeking evaluation at our hospital.He had undergone esophagectomy with gastric pull-up and radiotherapy for esophageal cancer 3 years previously.After admission to our hospital,gastroscopy and bronchoscopy revealed a fistulous communication between the posterior tracheal wallnear the carina and the upper residual stomach.We measured the diameter of the trachea and bronchus and determined the site and size of the fistula using multislice computed tomography and gastroscopy.A covered self-expanding Y-shaped metallic stent was implanted into the trachea and bronchus.Subsequently,the fistula was closed completely.The patient tolerated the stent well and had good palliation of his symptoms.展开更多
Novel Y-shaped block copolymers of poly（ethylene glycol） and poly（N-isopropylacrylamide）, PEG-b-（PNIPAM）2, were successfully synthesized through atom transfer radical polymerization （ATRP）. A difunctional macr...Novel Y-shaped block copolymers of poly（ethylene glycol） and poly（N-isopropylacrylamide）, PEG-b-（PNIPAM）2, were successfully synthesized through atom transfer radical polymerization （ATRP）. A difunctional macroinitiator was prepared by esterification of 2,2-dichloroacetyl chloride with poly（ethylene glycol） monomethyl ether （PEG）. The copolymers were obtained via the ATRP ofN-isopropylacrylamide （NIPAM） at 30℃ with CuCl/Me6TREN as a catalyst system and DMF/H2O （v/v = 3：1） mixture as solvent. The resulting copolymers were characterized by gel permeation chromatography （GPC） and ^1H NMR. These block copolymers show controllable molecular weights and narrow molecular weight distributions （PDI 〈 1.15）. Their phase transition temperatures and the corresponding enthalpy changes in aqueous solution were measured by differential scanning calorimetry （DSC）. As a result, the phase transition temperature of PEG45-b-（PNIPAM55）2 is higher than that of PNIPAM, however, the corresponding enthalpy change is much lower, indicating the significant influence of the macromolecular composition and architecture on the phase transition.展开更多
In order to study reasonable tree structure parameters of Y-shaped pear orchards in natural conditions and at management technical level of Tai'an area, the tree structure and population structure of high-quality ...In order to study reasonable tree structure parameters of Y-shaped pear orchards in natural conditions and at management technical level of Tai'an area, the tree structure and population structure of high-quality and high-yielding Y-shaped pear orchards were investigated. The results showed that when the yield of Y-shaped 'Oshu' was 2 550 kg/667 m^2 in the early fully fruiting period, the quantity of the branches per 667 m^2 was about 54 000, and the number of short branches was the largest, accounting for 80.1% of total number of branches, followed by middle branches, long branches and developmental branches. As the yield of Y-shaped 'Qiuyue' was 2 875 kg/667 m^2 in the early fully fruiting period, the quantity of the branches per 667 m^2 was 51 000, and the number of short branches was the largest, accounting for 75.6% of total number of branches, followed by middle branches, long branches and developmental branches. When the yield of Y-shaped 'Niitaka' was 3 000 kg/667 m^2 in the early fully fruiting period, the quantity of the branches per 667 m^2 was 43 000, and the number of short branches was the largest, accounting for 82.0% of total number of branches, followed by long branches, middle branches and developmental branches.展开更多
Based on Mindlin stress solution, a numerical computational method was proposed to calculate the stresses in the ground induced by side friction and the resistance of Y-shaped vibro-pile. The improved Terzaghi's a...Based on Mindlin stress solution, a numerical computational method was proposed to calculate the stresses in the ground induced by side friction and the resistance of Y-shaped vibro-pile. The improved Terzaghi's and ЪерезанцевВГ's methods for ultimate bearing capacity evaluation were proposed by considering the stress strength induced by friction resistance at pile head level of Y-pile. A new method to calculate the ultimate bearing capacity of Y-pile was also proposed based on the assumptions of soil failure mode at the tip of Y-pile and the use of Mohr-Coulomb soil yield criterion and Vesic compressive correction coefficient with the induced stresses in the ground. Based on the comparisons with the field static load test results, it is found that the improved Terzaghi's method gives higher ultimate capacity, while the other two methods shows good agreement with the field results.展开更多
Characteristics of cross flow around three rectangular cylinders with two aspect ratios of breadth to width arranged in connected and separated Y-shape at various angles of incident flow were studied by means of force...Characteristics of cross flow around three rectangular cylinders with two aspect ratios of breadth to width arranged in connected and separated Y-shape at various angles of incident flow were studied by means of force measurement in a wind tunnel. Flow visualizations with smoke-wire technique for typical cases were also given. Different types of flow patterns were formed for individual models at different angles of incident flow. From the results of fluctuating velocity measurement in the wake, features of vibration were determined. It shows that as the wind blows along the lines of one limb or rectangular cylinder of the model, oscillation is weak, whereas when the wind blows along the bisector lines of two limbs or cylinders, strong vibration is observed. It is associated with the regular vortex shedding.展开更多
We implement a binary collision approximation to study solitary wave propagation in a two-dimensional double Y- shaped granular chain. The solitary wave was transmitted and reflected when it met the interface of the b...We implement a binary collision approximation to study solitary wave propagation in a two-dimensional double Y- shaped granular chain. The solitary wave was transmitted and reflected when it met the interface of the bifurcated branches of the Y-shaped granular chains. We obtain the analytic results of the ratios of the transmitted and reflected speeds to the incident speed of the solitary wave, the maximum force between the two neighbor beads in a solitary wave, and the total time taken by the pulse to pass through each branch. All of the analytic results are in good agreement with the experimental observations from Daraio et al. [Phys. Rev. E 82 036603 （2010）]. Moreover, we also discuss the delay effects on the arrival of split pulses, and predict the recombination of the split waves traveling in branches in the final stem of asymmetric systems. The prediction of pulse recombination is verified by our numerical results.展开更多
基金supported by National Natural Science Foundation of China (Grant Nos. 50775109, 50735002, 51075201)Open Fund of State Key Lab of Digital Manufacturing Equipment and Technology of Huazhong University of Science and Technology of China (Grant No.DMETKF2009002)
文摘Among most traditional piezo water cooling systems, piezoelectric valve pumps are adopted as their driving sources. The valves in these pumps induce problems of shock and vibration and also make their structure complicated, which is uneasy to minimize and reduce their reliability and applicability of the whole system. In order to avoid these problems caused by valve structure, a novel valveless piezoelectric pump is developed, which integrates both functions of transforming and cooling. The pump’s Y-shape tree-like construction not only increases the efficiency of cooling but also the system reliability and applicability. Firstly, a multistage Y-shape treelike bifurcate tube is proposed, then a valveless piezoelectric pump with multistage Y-shape treelike bifurcate tubes is designed and its working principle is analyzed. Then, the theoretical analysis of flow resistance characteristics and the flow rate of the valveless piezoelectric pump are performed. Meanwhile, commercial software CFX is employed to perform the numerical simulation for the pump. Finally, this valveless piezoelectric pump is fabricated, the relationship between the flow rates and driving frequency, as well as the relationship between the back pressure and the driving frequency are experimentally investigated. The experimental results show that the maximum flow rate is 35.6 mL/min under 100 V peak-to-peak voltage (10.3 Hz) power supply, and the maximum back pressure is 55 mm H2O under 100 V (9 Hz) power supply, which validates the feasibility of the valveless piezoelectric pump with multistage Y-shape treelike bifurcate tubes. The proposed research provides certain references for the design of valveless piezoelectric pump and improves the reliability of piezo water cooling systems.
基金Supported by National Natural Science Foundation of China(Grant Nos.51275235,51375227)Major Research Plan of National Natural Science Foundation of China(Grant No.91223201)Independent Projects Fund of State Key Lab of Mechanics and Control of Mechanical Structures of China(Grant No.0313G01)
文摘Microchannel heat sink with high heat transfer coefficients has been extensively investigated due to its wide application prospective in electronic cooling. However, this cooling system requires a separate pump to drive the fluid transfer, which is uneasy to minimize and reduces their reliability and applicability of the whole system. In order to avoid these problems, valveless piezoelectric pump with fractal-like Y-shape branching tubes is proposed. Fractal-like Y-shape branching tube used in microchannel heat sinks is exploited as no-moving-part valve of the valveless piezoelectric pump. In order to obtain flow characteristics of the pump, the relationship between tube structure and flow rate of the pump is studied. Specifically, the flow resistances of fractal-like Y-shape branching tubes and flow rate of the pump are analyzed by using fractal theory. Then, finite element software is employed to simulate the flow field of the tube, and the relationships between pressure drop and flow rate along merging and dividing flows are obtained. Finally, valveless piezoelectric pumps with fractal-like Y-shape branching tubes with different fractal dimensions of diameter distribution are fabricated, and flow rate experiment is conducted. The experimental results show that the flow rate of the pump increases with the rise of fractal dimension of the tube diameter. When fractal dimension is 3, the maximum flow rate of the valveless pump is 29.16 mL/min under 100 V peak to peak （13 Hz） power supply, which reveals the relationship between flow rate and fractal dimensions of tube diameter distribution. This paper investigates the flow characteristics of valveless piezoelectric pump with fractal-like Y-shape branching tubes, which provides certain references for valveless piezoelectric pump with fractal-like Y-shape branching tubes in application on electronic chip cooling.
文摘A 67-year-old man had a sev-ere cough and pulmonary infection for 1 wk before seeking evaluation at our hospital.He had undergone esophagectomy with gastric pull-up and radiotherapy for esophageal cancer 3 years previously.After admission to our hospital,gastroscopy and bronchoscopy revealed a fistulous communication between the posterior tracheal wallnear the carina and the upper residual stomach.We measured the diameter of the trachea and bronchus and determined the site and size of the fistula using multislice computed tomography and gastroscopy.A covered self-expanding Y-shaped metallic stent was implanted into the trachea and bronchus.Subsequently,the fistula was closed completely.The patient tolerated the stent well and had good palliation of his symptoms.
基金support from the National Natural Science Foundation of China(No. 20134020)the Visiting Scholar Project of Shandong Province of China(No.20081001)the Science Research Fund of Shandong Jiaotong University of China(No.Z200802)
文摘Novel Y-shaped block copolymers of poly（ethylene glycol） and poly（N-isopropylacrylamide）, PEG-b-（PNIPAM）2, were successfully synthesized through atom transfer radical polymerization （ATRP）. A difunctional macroinitiator was prepared by esterification of 2,2-dichloroacetyl chloride with poly（ethylene glycol） monomethyl ether （PEG）. The copolymers were obtained via the ATRP ofN-isopropylacrylamide （NIPAM） at 30℃ with CuCl/Me6TREN as a catalyst system and DMF/H2O （v/v = 3：1） mixture as solvent. The resulting copolymers were characterized by gel permeation chromatography （GPC） and ^1H NMR. These block copolymers show controllable molecular weights and narrow molecular weight distributions （PDI 〈 1.15）. Their phase transition temperatures and the corresponding enthalpy changes in aqueous solution were measured by differential scanning calorimetry （DSC）. As a result, the phase transition temperature of PEG45-b-（PNIPAM55）2 is higher than that of PNIPAM, however, the corresponding enthalpy change is much lower, indicating the significant influence of the macromolecular composition and architecture on the phase transition.
基金Supported by Special Project for Construction of National Pear Industry Technology System(CARS-28-36)National Natural Science Foundation of China(31601708)+3 种基金Agricultural Seed Improvement Project of Shandong Province,China(2016LZGC034)Foundation for Young Scholars of Shandong Academy of Agricultural Sciences(2015YQN40)National Science and Technology Plan of Rural Areas in the"12th Five-year Plan"Period of China(2014BAD16B03-4)Agricultural Science and Technology Innovation Project of Shandong Academy of Agricultural Sciences(CXGC2016B07)
文摘In order to study reasonable tree structure parameters of Y-shaped pear orchards in natural conditions and at management technical level of Tai'an area, the tree structure and population structure of high-quality and high-yielding Y-shaped pear orchards were investigated. The results showed that when the yield of Y-shaped 'Oshu' was 2 550 kg/667 m^2 in the early fully fruiting period, the quantity of the branches per 667 m^2 was about 54 000, and the number of short branches was the largest, accounting for 80.1% of total number of branches, followed by middle branches, long branches and developmental branches. As the yield of Y-shaped 'Qiuyue' was 2 875 kg/667 m^2 in the early fully fruiting period, the quantity of the branches per 667 m^2 was 51 000, and the number of short branches was the largest, accounting for 75.6% of total number of branches, followed by middle branches, long branches and developmental branches. When the yield of Y-shaped 'Niitaka' was 3 000 kg/667 m^2 in the early fully fruiting period, the quantity of the branches per 667 m^2 was 43 000, and the number of short branches was the largest, accounting for 82.0% of total number of branches, followed by long branches, middle branches and developmental branches.
文摘Based on Mindlin stress solution, a numerical computational method was proposed to calculate the stresses in the ground induced by side friction and the resistance of Y-shaped vibro-pile. The improved Terzaghi's and ЪерезанцевВГ's methods for ultimate bearing capacity evaluation were proposed by considering the stress strength induced by friction resistance at pile head level of Y-pile. A new method to calculate the ultimate bearing capacity of Y-pile was also proposed based on the assumptions of soil failure mode at the tip of Y-pile and the use of Mohr-Coulomb soil yield criterion and Vesic compressive correction coefficient with the induced stresses in the ground. Based on the comparisons with the field static load test results, it is found that the improved Terzaghi's method gives higher ultimate capacity, while the other two methods shows good agreement with the field results.
基金The project supported by the National Natural Science Foundation of China(10172008)
文摘Characteristics of cross flow around three rectangular cylinders with two aspect ratios of breadth to width arranged in connected and separated Y-shape at various angles of incident flow were studied by means of force measurement in a wind tunnel. Flow visualizations with smoke-wire technique for typical cases were also given. Different types of flow patterns were formed for individual models at different angles of incident flow. From the results of fluctuating velocity measurement in the wake, features of vibration were determined. It shows that as the wind blows along the lines of one limb or rectangular cylinder of the model, oscillation is weak, whereas when the wind blows along the bisector lines of two limbs or cylinders, strong vibration is observed. It is associated with the regular vortex shedding.
基金Project supported by the Science Fund for Creative Research Groups of the National Natural Science Foundation of China (Grant No. 50921002)the Fundamental Research Funds for the Central Universities of China (Grant No. 2010LKWL09)
文摘We implement a binary collision approximation to study solitary wave propagation in a two-dimensional double Y- shaped granular chain. The solitary wave was transmitted and reflected when it met the interface of the bifurcated branches of the Y-shaped granular chains. We obtain the analytic results of the ratios of the transmitted and reflected speeds to the incident speed of the solitary wave, the maximum force between the two neighbor beads in a solitary wave, and the total time taken by the pulse to pass through each branch. All of the analytic results are in good agreement with the experimental observations from Daraio et al. [Phys. Rev. E 82 036603 （2010）]. Moreover, we also discuss the delay effects on the arrival of split pulses, and predict the recombination of the split waves traveling in branches in the final stem of asymmetric systems. The prediction of pulse recombination is verified by our numerical results.
