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Patient selection and operative strategies for laparoscopic intersphincteric resection without diverting stoma
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作者 Gang Hu Ji Ma +5 位作者 Wen-Long Qiu Shi-Wen Mei Meng Zhuang Jun Xue Jun-Guang Liu Jian-Qiang Tang 《World Journal of Gastrointestinal Surgery》 2025年第3期338-348,共11页
BACKGROUND Diverting stoma(DS)is routinely proposed in intersphincteric resection for ultra-low rectal cancer,but it is associated with increased stoma-related complications and economic burden.Appropriate patient sel... BACKGROUND Diverting stoma(DS)is routinely proposed in intersphincteric resection for ultra-low rectal cancer,but it is associated with increased stoma-related complications and economic burden.Appropriate patient selection and operative strategies to avoid stoma formation need further elucidation.METHODS This study enrolled 505 consecutive patients,including 84 who underwent stoma-free(SF)intersphincteric resection.After matching,patients were divided into SF(n=78)and DS(n=78)groups.The primary endpoint was the anastomotic leakage(AL)rate within 6 months and its protective factors for both the total and SF cohorts.The secondary endpoints included overall survival and disease-free survival.RESULTS The AL rate was greater in the SF group than in the DS group(12.8%vs 2.6%,P=0.035).Male sex[(odds ratio(OR)=2.644,P=0.021],neoadjuvant chemoradiotherapy(nCRT)(OR=6.024,P<0.001),and tumor height from the anal verge≤4 cm(OR=4.160,P=0.007)were identified as independent risk factors.Preservation of the left colic artery(LCA)was protective in both the total cohort(OR=0.417,P=0.013)and the SF cohort(OR=0.312,P=0.027).The female patients who did not undergo nCRT and had preservation of the LCA experienced a significantly lower incidence of AL(2/97,2.1%).The 3-year overall survival or disease-free survival did not significantly differ be-tween the groups.CONCLUSION Female patients who do not receive nCRT may avoid the need for DS by preserving the LCA without increasing the risk of AL or compromising oncological outcomes. 展开更多
关键词 Anastomotic leakage diverting stoma Laparoscopic intersphincteric resection Ultralow rectal cancer
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Nursing care of 22 patients with complex intracranial aneurysms treated with flow-diverting stents:A retrospective study 被引量:6
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作者 Wenli Zhao Huizhen Peng +1 位作者 Hongmei Zhang Tianxiao Li 《Journal of Interventional Medicine》 2019年第3期128-130,共3页
Objective:To summarize the nursing treatment of patients who underwent implantation of a blood flow diverter to treat complex intracranial aneurysms.Methods:Data from 22 patients with complex aneurysms,diagnosed at an... Objective:To summarize the nursing treatment of patients who underwent implantation of a blood flow diverter to treat complex intracranial aneurysms.Methods:Data from 22 patients with complex aneurysms,diagnosed at an interventional center for blood flow diverter implantation between February 2015 and February 2016,treated in the Henan Provincial People’s Hospital(Zhengzhou,China),were retrospectively analyzed.Nursing methods,including preoperative,intraoperative,and postoperative care,were analyzed.Results:All 22 patients underwent successful surgery,with no related complications or hospital mortality,and were cured in hospital.Conclusion:Interventional flow diverter therapy for patients with complex intracranial aneurysms is a new technology,and involves intensive care by nursing staff and appears to be a promising new treatment method. 展开更多
关键词 INTRACRANIAL ANEURYSM FLOW diverter RETROSPECTIVE NURSING
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Visco-elastic Properties of VES Diverting Acid for Carbonate Reservoirs 被引量:5
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作者 赵增迎 吕国诚 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2010年第3期511-514,共4页
Storage modulus and loss modulus is the main performance index of visco-elastic properties.In this paper the storage modulus and loss modulus of a new diverting acid and their influencing factors were systematically i... Storage modulus and loss modulus is the main performance index of visco-elastic properties.In this paper the storage modulus and loss modulus of a new diverting acid and their influencing factors were systematically investigated.Besides,the constitutive equations of the diverting acid at different temperatures were elicited from shearing experiments,which show that the visco-elastic surfactant(VES)acid system is a non-Newtonian power law fluid at low temperature and a Newtonian fluid at high temperature.The storage modulus and loss modulus at different temperatures,pH,and VES content in the acid are critical for the design of acid stimulation for oil well,especially when the VES acid is used in this field only on trial and the basic data are in urgent needed for the design and construction of the acidification stimulation. 展开更多
关键词 storage modulus loss modulus visco-elastic surfactant oil field acidification diverting acid
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Plasma discharge characteristics of segmented diverter strips subject to lightning strike 被引量:2
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作者 Han CHEN Fusheng WANG +2 位作者 Xiu XIONG Zheng HE Zhufeng YUE 《Plasma Science and Technology》 SCIE EI CAS CSCD 2019年第2期26-38,共13页
In order to research segmented diverters for aircraft lightning protection, a transient 2 D multiphysics model based on magnetohydrodynamics theory is proposed to predict the location of the arc plasma discharge and l... In order to research segmented diverters for aircraft lightning protection, a transient 2 D multiphysics model based on magnetohydrodynamics theory is proposed to predict the location of the arc plasma discharge and lightning channel, and to simulate the electrothermal behavior.Based on numerical calculation and preliminary analysis, factors that affect the breakdown voltage of the segmented diverter are discussed. The results show that the voltage increase rate of the voltage source, the width of the air gap between metal segments and the geometry of these segments influence the breakdown voltage of the strip. High-voltage tests of the segmented diverter are performed to reveal air breakdown of the strip and redirect the lightning current.Experimental and numerical results are compared to verify the correctness of the numerical model. The ionization of the air gap between metal segments and the breakdown voltage of the strip calculated by the model are qualitatively consistent with experimental results. The breakdown voltage of the segmented diverter is far lower than the lightning voltage. When a lightning strike occurs, the segmented diverter can be quickly ionized to form a plasma channel which can guide the lightning current well. 展开更多
关键词 SEGMENTED diverter strip LIGHTNING STRIKE MAGNETOHYDRODYNAMICS plasma channel HIGH-VOLTAGE tests
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Compact Pneumatic Pulse-Jet Pump with Venturi-Like Reverse Flow Diverter 被引量:2
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作者 XU Cong LIU Binbin JING Shan 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2011年第4期626-635,共10页
A compact pneumatic pulse-jet pump with a Venturi-like reverse flow diverter,which consists of a nozzle and diffuser,is designed for lifting and transporting a hazardous fluid through a narrow mounting hole.The pumpin... A compact pneumatic pulse-jet pump with a Venturi-like reverse flow diverter,which consists of a nozzle and diffuser,is designed for lifting and transporting a hazardous fluid through a narrow mounting hole.The pumping performance for a liquid mixture or a liquid-solid mixture is examined in terms of the effects of liquid viscosity,particle mass concentration,lifting height,and compression pressure.Results reveal that the pumping performance of the compact pneumatic pulse-jet pump is controlled by jet inertia and the flow resistance of the riser tube positioned after the diffuser.The capacity of the compact pneumatic pulse-jet pump increases with compression pressure and decreases with liquid viscosity.However,even for a liquid mixture with a high viscosity of 7.38 mPa·s,a pumping capacity of 170.7 L·h-1 was observed.For a liquid mixture,two dimensionless indices of performance were found to be the ratio of Euler numbers Euout/EuDV and the suction factor q.As the liquid-solid mixture was lifted to elevation of 6.74 m by the compact pump,the particle size distributions of the liquid-solid mixture in the tank and from the riser tube outlet were determined by a particle size analyzer and found to coincide well. 展开更多
关键词 jet pump PULSE-JET pneumatic conveying compact reverse flow diverter liquid-solid mixture
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Transient simulation of a differential piston warm gas self-pressurization system for liquid attitude and divert propulsion system 被引量:1
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作者 Zhongjian FANG Guozhu LIANG 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2018年第4期698-709,共12页
In order to obtain the dynamic characteristics of a differential piston warm gas selfpressurization system for liquid attitude and divert propulsion system, a transient model is developed using the modular modeling me... In order to obtain the dynamic characteristics of a differential piston warm gas selfpressurization system for liquid attitude and divert propulsion system, a transient model is developed using the modular modeling method. The system includes the solid start cartridge,pressure-amplified tank with liquid monopropellant, liquid regulator, gas generator, and pipes.The one-dimensional finite-element state-variable model is applied to the pipes and the lumped parameter method is adopted for the other modules. The variations of the system operation parameters over time during the startup, steady-state, and pulsing operational processes are obtained from the transient model, and the characteristics of starting time changing with different system parameters are also analyzed. It is shown that the system startup process can be divided into three distinct processes. The starting time monotonically changes with variations of the liquid regulator parameters, first decreasing and then increasing with the mass change of the solid propellant charge of the start cartridge, initial gas cavity volume of the pressure amplified tank and initial gas cushion of the propellant tank. The starting time can be reduced to less than 1.0 s(0.68–0.75 s for the current system). For meeting the deviation requirements of ±10% of the steady-state propellant tank pressure, the positive deviation requirement is assured by the self-locking pressure and the negative deviation can be assured within an allowable maximum propellant tank volume flowrate(1.6 times the design value for the proposed system) for downstream thrusters for a designed system. The results from the simulation are useful as a guide for further system design and testing. 展开更多
关键词 Differential piston Dynamic characteristics Dynamic models Liquid attitude and divert propulsion system Startup process Warm gas self-pressurization system
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Experimental study of the temporary plugging capability of diverters to block hydraulic fractures in high-temperature geothermal reservoirs 被引量:1
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作者 Dao-Bing Wang Hao Qin +3 位作者 Yong-Liang Wang Jian-Qiao Hu Dong-Liang Sun Bo Yu 《Petroleum Science》 SCIE EI CAS CSCD 2023年第6期3687-3699,共13页
The effective plugging of artificial fractures is key to the success of temporary plugging and diverting fracturing technology,which is one of the most promising ways to improve the heat recovery efficiency of hot dry... The effective plugging of artificial fractures is key to the success of temporary plugging and diverting fracturing technology,which is one of the most promising ways to improve the heat recovery efficiency of hot dry rock.At present,how temporary plugging agents plug artificial fractures under high temperature remains unclear.In this paper,by establishing an improved experimental system for the evaluation of temporary plugging performance at high temperature,we clarified the effects of high temperature,injection rate,and fracture width on the pressure response and plugging efficiency of the fracture.The results revealed that the temporary plugging process of artificial fractures in hot dry rock can be divided into four main stages:the initial stage of temporary plugging,the bridging stage of the particles,the plugging formation stage,and the high-pressure dense plugging stage.As the temperature increases,the distribution distance of the temporary plugging agent,the number of pressure fluctuations,and the time required for crack plugging increases.Particularly,when the temperature increases by 100℃,the complete plugging time increases by 90.7%. 展开更多
关键词 High temperature diverter material Fracture plugging capability Hydraulic fracturing Experimental study
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Effects of Geometric Configurations on the Performance of Reverse Flow Diverters in Reverse Flow Mode 被引量:1
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作者 徐聪 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2012年第5期856-862,共7页
The reverse flow diverter (RFD) consisting of a nozzle and a diffuser is a key component in pneumatic pulse jet pumps. We investigated the effects of suction gap and diffuser configurations on RFD performance during t... The reverse flow diverter (RFD) consisting of a nozzle and a diffuser is a key component in pneumatic pulse jet pumps. We investigated the effects of suction gap and diffuser configurations on RFD performance during the reverse flow mode. Three suction gap configurations were examined: (1) an axisymmetrical cylinder, (2) a cuboid whose bottom plane had no half-circle groove and was level with the diffuser entrance lower border, and (3) a cuboid with a half-circle groove on the bottom plane. Among them, the second one resulted in the highest RFD pumping capacity. The effect of receiver presence before the diffuser was also examined. RFD pumping efficiency was found to be enhanced in the presence of a receiver before the diffuser when the suction gap length is small and the jet outlet velocity at the nozzle exit is high enough. Based on experimental data, a dimensionless performance curve of the suction factor q versus the ratio of Euler numbers in sections out-out and 0-0 Eu out /Eu 0 was derived. This curve is insensitive to suction gap configurations. 展开更多
关键词 reverse flow diverter suction gap RECEIVER nozzle area ratio reverse flow mode
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Growth rate of peeling mode in the near separatrix region of diverted tokamak plasma 被引量:1
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作者 石秉仁 《Chinese Physics B》 SCIE EI CAS CSCD 2014年第1期297-300,共4页
An analytical expression of the peeling mode in the near separatrix region of diverted tokamak plasma is derived. It is shown that in diverted plasmas both with single and double X points, though the perturbed potenti... An analytical expression of the peeling mode in the near separatrix region of diverted tokamak plasma is derived. It is shown that in diverted plasmas both with single and double X points, though the perturbed potential energy of the unstable peeling mode tends to be large, its growth rate becomes very small due to the even larger kinetic energy. Compared to some recent studies that give qualitatively correct results about this growth rate, our result is directly related with the diverted equilibrium quantities suitable for application to realistic experiments. 展开更多
关键词 diverted plasma tokamak pedestal growth rate of peeling mode
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Numerical simulation and field application of diverting acid acidizing in the Lower Cambrian Longwangmiao Fm gas reservoirs in the Sichuan Basin 被引量:2
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作者 Yue Hong Liu Fei +3 位作者 Xue Heng Sang Yu Zhou Changlin Wang Yezhong 《Natural Gas Industry B》 2018年第3期204-211,共8页
The Lower Cambrian Longwangmiao dolomite gas reservoirs in the Sichuan Basin are characterized by well-developed natural micro-fractures and dissolved pores and cavities.Due to the strong heterogeneity of reservoirs a... The Lower Cambrian Longwangmiao dolomite gas reservoirs in the Sichuan Basin are characterized by well-developed natural micro-fractures and dissolved pores and cavities.Due to the strong heterogeneity of reservoirs and the serious damage of drilling and completion fluids,acid placement is difficult,and especially the acidizing stimulation of long-interval highly deviated wells or horizontal wells is more difficult.In this paper,the diverting mechanism and rheological behavior of viscoelastic surfactant(VES)based diverting acid was firstly investigated,and the diverting acid with good diversion performance and low secondary damage was selected as the main acid.Then,based on the experimental results of its rheological behaviors,an empirical model of effective viscosity was fitted and a two-scale wormhole propagation model was coupled.And accordingly,a mathematical model for the acidizing of self-diverting acid was established to simulate the pH value,Ca^(2+)concentration,effective viscosity and wormhole shape under the effect of diverting acid in long-interval highly deviated wells that are non-uniformly damaged.Finally,gelled acid and 5%VES diverting acid were compared in terms of their etched wormhole shapes,flow rate dis-tribution and acid imbibition profiles.It is shown that the diverting acid can obviously improve the acid imbibition profile of strong-heterogeneity reservoirs to intensify low-permeability reservoir stimulation.In view of the strong heterogeneity of Longwangmiao dolomite reservoirs and the complexities of drilling and completion fluid damage in the Sichuan Basin,a placement technology was developed for variable VES concentration diverting acid in horizontal wells and long-interval highly deviated wells completed with slotted liners.This acid placement technology has been practically applied in 8 wells and their cumulative gas production rate tested at the wellhead is 1233.46×10^(4)m^(3)/d.The average production stimulation ratio per well is up to 1.95.It provides a support for the efficient development of the Longwangmiao giant gas reservoir. 展开更多
关键词 Sichuan Basin Early Cambrian Longwangmiao Fm gas reservoir DOLOMITE diverting acid Rheological behavior Matrix acidizing Numerical simulation Field application Highly-efficient developmen
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Self-consistent diverted tokamak equilibria with nonzero edge current
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作者 石秉仁 《Chinese Physics B》 SCIE EI CAS CSCD 2012年第4期406-412,共7页
The semi-analytical method, previously used to construct model double-null and single-null diverted tokamak equi- libria (Bingren Shi, Plasma Phys. Control Fusion 50 (2008) 085006, 51 (2009) 105008, Nucl. Fusion ... The semi-analytical method, previously used to construct model double-null and single-null diverted tokamak equi- libria (Bingren Shi, Plasma Phys. Control Fusion 50 (2008) 085006, 51 (2009) 105008, Nucl. Fusion 51 (2011) 023004), is extended to describe diverted tokamak equilibria with nonzero edge current, including the Pfirsch Schliiter(PS) cur- rent. The PS current density is expressed in a way suitable to describe a diverted tokamak configuration in the near separatrix region. The model equilibrium is expressed by only two terms of the exact separable solutions of the Grad Shafranov equation, one of which is governed by a homogeneous ordinary differential equation, and the other by an inhomogeneous one. The particular merits of such a model configuration are that the internal region inside the separa- trix and a suitable scrape-off layer can be simultaneously described by this exact solution. To investigate the physics in the region near the X-point, the magnetic surfaces can be satisfactorily described by approximate hyperbolic curves. 展开更多
关键词 diverter configuration nonzero edge current PS current
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基于divert socket的应用层防火墙 被引量:1
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作者 谢煜然 张钢 《微处理机》 2006年第5期21-24,共4页
针对包过滤防火墙和状态检测防火墙的安全控制层次较低、控制能力有限、不能依据数据包内容进行控制的缺点,介绍一种在FreeBSD的IPFW防火墙之上,使用转发套接字建立进程级应用层防火墙的技术。通过这种技术建立的应用层防火墙既保留包... 针对包过滤防火墙和状态检测防火墙的安全控制层次较低、控制能力有限、不能依据数据包内容进行控制的缺点,介绍一种在FreeBSD的IPFW防火墙之上,使用转发套接字建立进程级应用层防火墙的技术。通过这种技术建立的应用层防火墙既保留包过滤防火墙和状态检测防火墙对用户透明的优点,又具有针对特定应用进行访问控制的能力。 展开更多
关键词 FREEBSD IPFW防火墙 转发套接字 防火墙 访问控制
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自升式钻井平台Diverter Flooding系统设计
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作者 王晓乾 程家元 《船海工程》 北大核心 2017年第A02期233-235,238,共4页
由自升式平台主船体潜水泵出口管路直接为泥浆分流器提供flooding海水,与传统flooding系统相比,该设计方案海水供水管线的水压、流量均可达到泥浆分流器预期工作要求,且不影响平台其他用水设备的正常运转,使平台钻井工作可以顺利进行。
关键词 自升式钻井平台 钻台中心转盘 泥浆分流器 冲洗堵漏海水 潜水泵 软管
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Evaluation of FeMnN alloy bioresorbable flow diverting stents in the rabbit abdominal aorta
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作者 Alexander A.Oliver Cem Bilgin +14 位作者 Mitchell L.Connon Andrew J.Vercnocke Esref A.Bayraktar Jonathan Cortese Daying Dai Yong Hong Ding Sarah A.Erdahl John Pederson Kent D.Carlson Adam J.Griebel Jeremy E.Schaffer Dan Dragomir-Daescu Ramanathan Kadirvel Roger J.Guillory II David F.Kallmes 《Bioactive Materials》 2025年第6期18-28,共11页
Flow diverting stents are braided,metallic endoluminal devices widely used to treat intracranial aneurysms.Bioresorbable flow diverters(BRFDs)are gaining traction as the next generation of flow diverter technology.BRF... Flow diverting stents are braided,metallic endoluminal devices widely used to treat intracranial aneurysms.Bioresorbable flow diverters(BRFDs)are gaining traction as the next generation of flow diverter technology.BRFDs aim to occlude and heal the aneurysm before safely dissolving into the body,mitigating or eliminating complications associated with the permanent presence of conventional flow diverters such as thromboembolism and stenosis.Additional putative advantages of a BRFD include a reduction in metal induced medical imaging artifacts,a restoration of physiological vasoreactivity,and allowing physicians to re-access the aneurysm if an additional procedure is required.In this current study,iron-manganese-nitrogen(FeMnN)alloy BRFDs and permanent control FDs composed of an industry standard Cobalt-Nickel-Chromium alloy were deployed in the rabbit aorta.MicroCT and SEM corrosion analysis determined the FeMnN wire volumes and cross-sectional areas had reduced approximately 85%and 95%after 3-and 6-months implantation duration,respectively.Histo-logical analysis demonstrated the BRFDs exhibited suitable biocompatibility,with no cases of in-stent throm-bosis,clinically significant stenosis,or adverse tissue responses observed.Immunohistochemistry revealed the neointimas surrounding the BRFDs featured a confluent endothelium covering several layers of smooth muscle cells,with macrophages adjacent to the device wires.The macrophages were able to penetrate the corrosion product and were observed transporting corrosion products away from the implant site.This current work provides primary in vivo corrosion and biocompatibility data to the field for FeMn alloys,which we feel will stimulate and inform the design of next-generation bioresorbable endovascular devices. 展开更多
关键词 BIORESORBABLE BIODEGRADABLE Flow diverter STENT Rabbit aorta
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The diverted and scalable enantioselective total syntheses of three bryostatin congeners and an analogue
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作者 Lian-Dong Guo Pei-Qiang Huang 《Science China Chemistry》 2025年第10期4541-4543,共3页
Marine natural products represent an important class of biologically active compounds critical for drug discovery.To date,17 marine-derived drugs,including trabectedin and eribulin,have been approved by the US FDA for... Marine natural products represent an important class of biologically active compounds critical for drug discovery.To date,17 marine-derived drugs,including trabectedin and eribulin,have been approved by the US FDA for clinical use and 33 others are in clinical trials[1].However,their medicinal investigation and clinical trials are often hampered by the scarcity of natural sources and by the difficulties of their harvesting in the delicate marine environment.Therefore,efficient and scalable approaches for the synthesis of promising marine natural products are essential to overcome supply issues for drug development. 展开更多
关键词 bryostatin congeners clinical trials howevertheir scalable synthesis clinical trials marine natural products biologically active compounds drug discoveryto diverted synthesis
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Diverting agents in the oil and gas industry:A comprehensive analysis of their origins,types,and applications
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作者 Namrata Bist Abhishek Nair +1 位作者 Kriti Yadav Anirbid Sircar 《Petroleum Research》 EI 2024年第1期72-84,共13页
During the life of a well,treatments are carried out to boost productivity by stimulating initially unproduced zones.These treatments include hydraulic fracturing,matrix acidization,and acid fracturing,among others.Hy... During the life of a well,treatments are carried out to boost productivity by stimulating initially unproduced zones.These treatments include hydraulic fracturing,matrix acidization,and acid fracturing,among others.Hydraulic fracturing treatment is generally applied to deeper reservoirs of oil or natural gas for enhanced recovery.By infusing proppant,water,and chemicals under extreme pressure during the fracturing procedure,fissures in and beneath the reservoir layer can be accessed and expanded.Another stimulating procedure,matrix acidization,involves injecting acid down the drilling hole to permeate the rock fissures at stresses lower than the fracture stress.In addition,carbonate reservoir acid fracturing stimulation is commonly used as an acid treatment technique whereby a pressure greater than the formation disintegration pressure or spontaneous fracture closure pressure is used to compress acid into the reservoir.These treatments allow existing wells to sustain hydrocarbon production without new wells being drilled.Diverters,when employed efficiently,can prevent the need to use a rig to provide momentary physical barriers,thus lowering the cost of the workover.Recent improvements in diversion technology make use of a variety of degradable particles that act as momentary bridges,either at the perforation entries or inside the existing fractures.The aim of this study is to introduce different types of mechanical and chemical diverters used to enhance the productivity of wells.This study explains the concepts of different types of diverters and their applications in several formations,it will also help readers to understand the selection procedures based on the suitability and requirements of diverter use by case studies from around the world. 展开更多
关键词 REFRACTURING Well treatment Chemical diverter Mechanical diverter Acid fracturing
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Evaluation of the EMBOPIPE flow diverter device:in vivo and in vitro experiments
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作者 Yongnan Zhu Fanyan Zeng +3 位作者 Jian Liu Shiqing Mu Ying Zhang Xinjian Yang 《Chinese Neurosurgical Journal》 CSCD 2024年第3期155-163,共9页
Background Although flow diverter device(FDD)has brought revolutionized advances in endovascular treatment of intracranial aneurysms,it also presents considerable drawbacks as well,as the innovation for novel device h... Background Although flow diverter device(FDD)has brought revolutionized advances in endovascular treatment of intracranial aneurysms,it also presents considerable drawbacks as well,as the innovation for novel device has never stopped.This preclinical research aims to evaluate the safety and efficacy of a newly developed FDD,the EMBOPIPE,through in vivo and in vitro experiments.Methods Aneurysms were induced in 20 New Zealand white rabbits which were randomized to three follow-up groups according to the time elapsed after EMBOPIPE implantation(28,90,and 180 days).Additional EMBOPIPEs were implanted in the abdominal aorta to cover the renal artery in nine rabbits.Angiography was performed immediately after device placement in all groups.Aneurysm occlusion,patency of renal arteries,and pathological outcomes were assessed.For the in vitro experiments,we measured the thrombogenic potential of EMBOPIPEs(n=5)compared with bare stents(n=5)using the Chandler loop model.Evaluation indicators were the platelet counts,macroscopic observations and scanning electron microscopy.Results EMBOPIPEs were successfully deployed in 19 of 20 rabbit aneurysms(95.0%).The rates of complete or near-complete aneurysm occlusion were 73.3%,83.3%,and 100%in the 28-,90-,and 180-day groups,respectively.All renal arteries covered by EMBOPIPEs remained patent,and the mean difference in renal artery diameter before and after the device placement in the three groups was 0.07 mm,0.10 mm,and 0.10 mm,respectively(p=0.77).Renal pathology was normal in all cases.The pathological findings of the aneurysms were as follows:thickened and adequate neointimal coverage at the aneurysm neck,minimal inflammatory response,near-complete smooth muscle cell layer,and endothelialization along the device.In vitro experiments showed that the platelet counts were significantly higher in EMBOPIPE blood samples than in bare stent samples and that platelet adhesion to the device was lower in the EMBOPIPE stent struts compared with bare stent struts through macroscopic observations and scanning electron microscopy.Conclusions The EMBOPIPE can achieve high rates of aneurysm occlusion while maintaining excellent branch artery patency.It exhibited wonderful pathological results.This novel device with phosphorylcholine surface modification could reduce platelet thrombus attached to the stent struts. 展开更多
关键词 COATING Flow diverter PHOSPHORYLCHOLINE Rabbit aneurysm model THROMBOGENICITY
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深层油气层水力压裂化学暂堵剂研究进展及展望 被引量:1
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作者 戴彩丽 王子昭 +5 位作者 李琳 蒋田宇 刘津铭 董云博 赵明伟 吴一宁 《天然气工业》 北大核心 2025年第4期19-32,共14页
深层油气储层普遍具有埋藏深、温度高、压力大、非均质性强、地层流体特征复杂、自然产能低,岩石塑性强等特征,油气层暂堵压裂技术一般通过化学暂堵剂来实现压力转向开启新裂缝,从而有效提高储层的增产改造体积。暂堵剂性能对于深层油... 深层油气储层普遍具有埋藏深、温度高、压力大、非均质性强、地层流体特征复杂、自然产能低,岩石塑性强等特征,油气层暂堵压裂技术一般通过化学暂堵剂来实现压力转向开启新裂缝,从而有效提高储层的增产改造体积。暂堵剂性能对于深层油气水力压裂形成复杂缝网至关重要。为此,通过对现有深层油气化学暂堵压裂技术进行梳理和总结,结合各储层应用条件、施工工况提出了深层油气暂堵剂关键应用材料的使用要求,然后通过对各类深层油气储层暂堵材料的作用机理及现场应用调研,明晰了深层油气层水力压裂暂堵材料研发面临的挑战并对其技术发展方向进行了展望。研究结果表明:①现有深层油气层暂堵压裂技术针对不同储层特征已经形成了较为完善的施工工艺,缝口/缝内暂堵材料的性能要求主要集中在高温(>160℃)适应性、封堵后高承压能力(有效暂堵压力10~20 MPa)以及降解后低残渣率(降解率>99%);②现有缝口/缝内暂堵材料分别以金属合金及有机高分子类、树脂及凝胶类或复合类为主,室内岩心暂堵实验评价能够实现最高耐温160℃、缝口/缝内承压最高30 MPa/24.6 MPa;③针对耐温超160℃储层,暂堵材料研发主要面临高温封堵结构提前失效、混合致密承压材料降解后残渣率较高和暂堵压裂支撑裂缝导流能力差等问题,后续暂堵材料应从提升封堵结构致密性、优化暂堵剂结构、合理调整可降解材料中混合耐温材料占比等方面进行研发。结论认为,现有深层油气层暂堵转向压裂储层改造能力主要受关键暂堵材料影响,将来暂堵材料研发应向多功能、复合化方向发展,该成果可以为研发适用于超160℃油气层暂堵压裂关键材料提供理论指导。 展开更多
关键词 深层油气藏 水力压裂 暂堵转向 化学暂堵剂 非均质性 展望
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血流导向装置治疗椎动脉颅内段夹层动脉瘤的疗效
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作者 胡胜利 杨博文 +4 位作者 严立冬 孙盼盼 张相华 鲁军体 黄宽明 《中国临床神经外科杂志》 2025年第5期257-261,共5页
目的探讨血流导向装置(FD)治疗椎动脉颅内段夹层动脉瘤(IVADA)的有效性和安全性。方法回顾性分析2018年7月至2024年6月应用FD治疗的41例IVADA的临床资料。结果41例中,破裂动脉瘤14例,未破裂动脉瘤27例;手术均成功,共置入41枚FD,21例辅... 目的探讨血流导向装置(FD)治疗椎动脉颅内段夹层动脉瘤(IVADA)的有效性和安全性。方法回顾性分析2018年7月至2024年6月应用FD治疗的41例IVADA的临床资料。结果41例中,破裂动脉瘤14例,未破裂动脉瘤27例;手术均成功,共置入41枚FD,21例辅以弹簧圈填塞瘤腔。未发生术中动脉瘤破裂出血,术后即刻Raymond-Roy分级Ⅰ级10例,Ⅱ级7例,Ⅲ级24例。术后发生缺血性并发症7例,因持续昏迷2个月放弃治疗1例,无出血并发症和手术相关死亡病例。40例出院后随访7~24个月,平均(13±6)个月;术后6个月改良Rankin量表评分0分33例,1分4例,2分2例,4分1例;术后6~12个月内DSA复查显示OKM分级D级36例,C级5例。结论FD治疗IVADA操作相对简单、并发症少、动脉瘤愈合率高、血管重建效果好,但破裂IVADA的缺血并发症不容忽视。 展开更多
关键词 椎动脉颅内段夹层动脉瘤 血流导向装置 有效性 安全性
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A proposed design of flow diverter and it’s hemodynamic validation 被引量:1
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作者 Anqiang Sun Chengcheng Zhao +2 位作者 Zujie Gao Xiaoyan Deng Hancheng Qiu 《Medicine in Novel Technology and Devices》 2021年第1期37-44,共8页
Flow diverter intervention is a cutting-edge treatment for intracranial aneurysms by altering the flow field and reducing the pressure in the aneurysm sac.However,the rupture rate and complications rate are still high... Flow diverter intervention is a cutting-edge treatment for intracranial aneurysms by altering the flow field and reducing the pressure in the aneurysm sac.However,the rupture rate and complications rate are still high.In this study,a new design of flow diverter based on Bernoulli’s equation was proposed and hemodynamics evaluation of it was conducted.The numerical model of a patient specific internal carotid aneurysm was established based on computed tomography scan images(Model C).The aneurysm models with normal diverter(ND)and local stenosed diverter(LSD)were modified from the patient-specific model.The blood flow characteristics were obtained and analyzed by numerical simulation while the in vitro experiments were conducted using three-dimensional printed silicone models and pressure measurement system.In both ND and LSD models,the blood flow into the aneurysm have been significantly blocked by the diverters and the pressure in the aneurysm sac have been decreased.The pressure drop and the wall shear stress on the aneurysm wall in the LSD model are higher than that in the ND model.The oscillatory shear index and relative residence time in the aneurysm wall of LSD are lower than that in the ND model.The pressure measurement in the vitro experiment also qualitatively verified the results of pressure comparison in the numerical simulation.In conclusion,the simulation results and in vitro experiments verified that diverter can certainly reduce the pressure in the aneurysm,and the newly design diverter with local stenosis can strengthening this effect. 展开更多
关键词 Intracranial aneurysm diverter HEMODYNAMICS Local stenosed diverter PRESSURE
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