To study the redistribution of endothelin- 1 (ET- 1) receptors in two subcellular organelles , the sarcolemmal membrane and the light vesicle, of rat heart during the progression of sepsis. Methods. Sepsis was induced...To study the redistribution of endothelin- 1 (ET- 1) receptors in two subcellular organelles , the sarcolemmal membrane and the light vesicle, of rat heart during the progression of sepsis. Methods. Sepsis was induced by cecal ligation and puncture (CLP). ET1 receptor was assayed by using [125I]- ET1 binding. Marker enzyme activities, protein yield, and dry- to- wet weight ratio of cardiac membranes were measured. Results. Septic rat heart exhibited two distinct phases: an initial hyperdynamic phase( 9h after CLP; early stage of sepsis) followed by a hypodynamic (18h after CLP, late stage of sepsis) phase. [125I]- ET1 binding study showed that during early stage of sepsis, the Bmax of ET1 receptors was increased by 30％ in sarcolemma but decreased by 19％ in light vesicles, while during late stage of sepsis, the Bmax was decreased by 24％ in sarcolemma but increased by 38％ in light vesicles.The total binding of sarcolemma and light vesicles was increased by 25％ during early stage of sepsis but decreased by 17％ during late stage of sepsis. Conclusions. These data indicated that ET1 receptors in the rat heart were externalized from light vesicles to sarcolemmal membranes during early hyperdynamic phase while internalized from surface membranes to intracellular compartment during late hypodynamic phase of sepsis.展开更多
Although retrograde approach has greatly improved the success rate of percutaneous coronary intervention(PCI) for coronary chronic total occlusion(CTO), retrograde wire externalization still remains challenging and ti...Although retrograde approach has greatly improved the success rate of percutaneous coronary intervention(PCI) for coronary chronic total occlusion(CTO), retrograde wire externalization still remains challenging and time-consuming in some cases. Cases utilizing ‘‘Active Greeting Technique(AGT)", a mother-and-child catheter based technique to facilitate retrograde wire externalization, were extracted from Chronic Total Occlusion Club, China(CTOCC) database. AGT was performed by deep intubation a mother-and-child catheter(GuidezillaTMextension, 4 or 5 Fr inner catheter, and etc.) in combination with either reverse controlled antegrade or retrograde subintimal tracking(CART) technique or retrograde wire crossing technique. A total of 111 patients with 112 CTO lesions treated with this technique were retrospectively analyzed. Reverse CART technique and retrograde wire crossing technique were performed in 90.2% and 9.8% of all procedures. The utilization of GuidezillaTMextension, 4 Fr, and 5 Fr inner catheter accounted for 94.6%, 3.6%, and 1.8%, respectively. Externalization of retrograde wire was successful in all cases. No procedural complications were adjudicated to AGT. Complications independent of AGT included two target vessel perforations and two collateral perforations. No in-hospital major adverse cardiac events were found. AGT is a feasible and safe technique that facilitates retrograde wire externalization.展开更多
3D audio effects can provide immersive auditory experience, but we often face the so-called in-head localization （IHL） problem in headphone sound reproduction. To ad- dress this problem, we propose an effective soun...3D audio effects can provide immersive auditory experience, but we often face the so-called in-head localization （IHL） problem in headphone sound reproduction. To ad- dress this problem, we propose an effective sound image externalization approach. Specifically, we consider several important factors related to sound propagation, which include image-source model based early reflections with distance decay, wall absorption and air absorption, late reverberation and other dynamic factors like head movement. We apply our sound image externalization approach to a headphone based real-time 3D audio system. Subjective listening tests show that the sound image externalization performance is significantly improved and the sound source direction is preserved as well. A/B preference test further shows that, as compared with a recent popular approach, the proposed approach is mostly preferred by the listeners.展开更多
Objective To study the redistribution of ET1 receptors in two subcellular organelles, the sarcolemmal membrane and the light vesicle, of rat heart during the progress of septic shock Methods Male Sprague Dawley ...Objective To study the redistribution of ET1 receptors in two subcellular organelles, the sarcolemmal membrane and the light vesicle, of rat heart during the progress of septic shock Methods Male Sprague Dawley rats weighing from 270 to 320?g were randomly divided into three groups: control, early sepsis, and late sepsis Each group included six rats Sepsis was induced by cecal ligation and puncture (CLP) Control rats were sham operated After operation for 9 hours or 18 hours, animals of the three groups were anesthetized with sodium pentobarbital (60?mg/kg IP) and the hearts were removed for preparation of sarcolemma and light vesicle Hemodynamic parameters were determined with polygraph via femoral artery and intraventricular cannula ET1 receptor was assayed by [ 125 I] ET1 binding Results Heart rate, cardiac output and left ventricular +dp/dt max undergo biphasic changes: an increase in early phase of sepsis (9?h after CLP) followed by a decrease in late phase of sepsis (18?h after CLP) Mean arterial blood pressure and left ventricular dp/dt max remained relatively unaltered during early phase of sepsis but was decreased during late phase of sepsis Although septic rat heart exhibited biphasic cardiodynamic changes, myocardial function showed signs of progressive deterioration during the development of sepsis, as indicated by a progressive elevation of LVEDP [ 125 I] ET1 bindings to cardiac membranes exhibited a saturable process with a single component binding characteristic for all three experimental groups In sarcolemmal membrane fraction, the maximum binding capacity (B max ) calculated from scatchard plot was increased 30% ( P <0 01) during early phase of sepsis but decreased 24% ( P <0 01) during late phase of sepsis The affinity [the reciprocal of the dissociation contant (Kd)] for [ 125 I] ET1 binding in sarcolemmal membranes remained unaffected during early and late phases of sepsis In light vesicle fraction, the B max for [ 125 I] ET1 binding was decreased by 19% ( P <0 05) during early phase of sepsis but increased by 38% ( P <0 01) during late phase of sepsis The affinity for [ 125 I] ET1 binding in light vesicles was unaltered in early and late phases of sepsis It should be mentioned that the sum of Bmax of sarcolemmal and light vesicle fractions was increased by 25% ( P <0 01) during early phase of sepsis but was decreased by 17% ( P <0 01) during late phase of sepsis Conclusions These data indicated that a biphasic intracellular redistribution of ET1 receptor in the heart might contribute to the development of the initial hyperdynamic and subsequent hypodynamic state during sepsis展开更多
Amphibious vehicles are more prone to attitude instability compared to ships,making it crucial to develop effective methods for monitoring instability risks.However,large inclination events,which can lead to instabili...Amphibious vehicles are more prone to attitude instability compared to ships,making it crucial to develop effective methods for monitoring instability risks.However,large inclination events,which can lead to instability,occur frequently in both experimental and operational data.This infrequency causes events to be overlooked by existing prediction models,which lack the precision to accurately predict inclination attitudes in amphibious vehicles.To address this gap in predicting attitudes near extreme inclination points,this study introduces a novel loss function,termed generalized extreme value loss.Subsequently,a deep learning model for improved waterborne attitude prediction,termed iInformer,was developed using a Transformer-based approach.During the embedding phase,a text prototype is created based on the vehicle’s operation log data is constructed to help the model better understand the vehicle’s operating environment.Data segmentation techniques are used to highlight local data variation features.Furthermore,to mitigate issues related to poor convergence and slow training speeds caused by the extreme value loss function,a teacher forcing mechanism is integrated into the model,enhancing its convergence capabilities.Experimental results validate the effectiveness of the proposed method,demonstrating its ability to handle data imbalance challenges.Specifically,the model achieves over a 60%improvement in root mean square error under extreme value conditions,with significant improvements observed across additional metrics.展开更多
Titanium alloy has the advantages of high strength,strong corrosion resistance,excellent high and low temperature mechanical properties,etc.,and is widely used in aerospace,shipbuilding,weapons and equipment,and other...Titanium alloy has the advantages of high strength,strong corrosion resistance,excellent high and low temperature mechanical properties,etc.,and is widely used in aerospace,shipbuilding,weapons and equipment,and other fields.In recent years,with the continuous increase in demand for medium-thick plate titanium alloys,corresponding welding technologies have also continued to develop.Therefore,this article reviews the research progress of deep penetration welding technology for medium-thick plate titanium alloys,mainly covering traditional arc welding,high-energy beam welding,and other welding technologies.Among many methods,narrow gap welding,hybrid welding,and external energy field assistance welding all contribute to improving the welding efficiency and quality of medium-thick plate titanium alloys.Finally,the development trend of deep penetration welding technology for mediumthick plate titanium alloys is prospected.展开更多
This work investigated the dynamic behavior of vertical pipes conveying gas-liquid two-phase flow when subjected to external excitations at both ends.Even with minimal excitation amplitude,resonance can occur when the...This work investigated the dynamic behavior of vertical pipes conveying gas-liquid two-phase flow when subjected to external excitations at both ends.Even with minimal excitation amplitude,resonance can occur when the excitation frequency aligns with the natural frequency of the pipe,significantly increasing the degree of operational risk.The governing equation of motion based on the Euler-Bernoulli beam is derived for the relative deflection with stationary simply supported ends,with the effects of the external excitations represented by source terms distributed along the pipe length.The fourth-order partial differential equation is solved via the generalized integral transform technique(GITT),with the solution successfully verified via comparison with results in the literature.A comprehensive analysis of the vibration phenomena and changes in the motion state of the pipe is conducted for three classes of external excitation conditions:same frequency and amplitude(SFSA),same frequency but different amplitudes(SFDA),and different frequencies and amplitudes(DFDA).The numerical results show that with increasing gas volume fraction,the position corresponding to the maximum vibration displacement shifts upward.Compared with conditions without external excitation,the vibration displacement of the pipe conveying two-phase flow under external excitation increases significantly.The frequency of external excitation has a significant effect on the dynamic behavior of a pipe conveying two-phase flow.展开更多
Bcakground: Pancreatic pseudocyst (PPC) is a common complication arising from acute or chronic pancreatitis, trauma, or pancreatic duct obstruction. When acute fluid collection persists for 4 - 6 weeks and is encapsul...Bcakground: Pancreatic pseudocyst (PPC) is a common complication arising from acute or chronic pancreatitis, trauma, or pancreatic duct obstruction. When acute fluid collection persists for 4 - 6 weeks and is encapsulated by a fibrous wall, it is classified as a pancreatic pseudocyst. While PPC is generally asymptomatic in many patients, it can manifest with persistent abdominal pain, dyspepsia, intra-cystic infection, and potentially lead to gastrointestinal obstruction in some cases. Although smaller PPCs may resolve spontaneously, larger PPCs tend to be refractory to absorption and often necessitate surgical intervention to prevent complications such as intracystic hemorrhage. Objective: To explore the efficacy of percutaneous catheterization with negative pressure in the treatment of large pancreatic pseudocysts. Methods: The cases of large pancreatic pseudocysts treated in our hospital from 2004 to 2022 were retrospectively collected, and the general condition, operation time, drainage time, feeding time, postoperative complications, hospital stay, cost and follow-up of the patients were analyzed. Results: A total of 132 patients with large pancreatic pseudocysts were collected. The average operation time was 32.4 ± 2.1 min;The retention time of the drainage tube was 30 ± 1.8 days in the percutaneous negative pressure drainage group;The postoperative feeding time was no fasting after local anesthesia drainage;Postoperative complications (bleeding, infection, pancreatic leakage, recurrence, anastomotic leakage, etc.): Two of the 132 patients had recurrent cysts, which were cured by re-puncture and negative pressure drainage. The length of hospital stay was 6 ± 1.1 days;The cost was 11,200 ± 1300 yuan;Follow-up: The follow-up time ranged from 1 to 3 years, and the patients had no discomfort. Conclusion: Percutaneous catheterization and negative pressure drainage can effectively treat large pancreatic pseudocysts. Compared with other treatment methods, it is simple and effective, the postoperative recovery of patients is faster, the physical damage is less, the hospital stay is shorter, and the cost is lower.展开更多
High pressure die casting(HPDC)AlSi10Mn Mg alloy castings are widely used in the automobile industry.Mg can optimize the mechanical properties of castings through heat treatment,while the release of thermal stress aro...High pressure die casting(HPDC)AlSi10Mn Mg alloy castings are widely used in the automobile industry.Mg can optimize the mechanical properties of castings through heat treatment,while the release of thermal stress arouses the deformation of large integrated die-castings.Herein,the development of non-heat treatment Al alloys is becoming the hot topic.In addition,HPDC contains externally solidified crystals(ESCs),which are detrimental to the mechanical properties of castings.To achieve high strength and toughness of non-heat treatment die-casting Al-Si alloy,we used AlSi9Mn alloy as matrix with the introduction of Zr,Ti,Nb,and Ce.Their influences on ESCs and mechanical properties were systematically investigated through three-dimensional reconstruction and thermodynamic simulation.Our results reveal that the addition of Ti increased ESCs'size and porosity,while the introduction of Nb refined ESCs and decreased porosity.Meanwhile,large-sized Al_3(Zr,Ti)phases formed and degraded the mechanical properties.Subsequent introduction of Ce resulted in the poisoning effect and reduced mechanical properties.展开更多
The paper presents experimental investigation results of crack pattern change in cement pastes caused by external sulfate attack(ESA).To visualize the formation and development of cracks in cement pastes under ESA,an ...The paper presents experimental investigation results of crack pattern change in cement pastes caused by external sulfate attack(ESA).To visualize the formation and development of cracks in cement pastes under ESA,an X-ray computed tomography(X-ray CT)was used,i e,the tomography system of Zeiss Xradia 510 versa.The results indicate that X-CT can monitor the development process and distribution characteristics of the internal cracks of cement pastes under ESA with attack time.In addition,the C3A content in the cement significantly affects the damage mode of cement paste specimens during sulfate erosion.The damage of ordinary Portland cement(OPC)pastes subjected to sulfate attack with high C3A content are severe,while the damage of sulfate resistant Portland cement(SRPC)pastes is much smaller than that of OPC pastes.Furthermore,a quadratic function describes the correlation between the crack volume fraction and development depth for two cement pastes immermed in sulfate solution.展开更多
As oil and gas exploration moves into deeper waters,marine risers are subjected to increasingly complex service conditions,including vessel motions,ocean currents,seabed-soil interactions,and internal flow effects.Thi...As oil and gas exploration moves into deeper waters,marine risers are subjected to increasingly complex service conditions,including vessel motions,ocean currents,seabed-soil interactions,and internal flow effects.This work establishes a dynamic behavior model of steel catenary risers(SCRs)with varying curvatures subjected to internal flow and external currents and considers the effects of pipe-soil interactions on the curvature profile.The governing equation is solved via the generalized integral transform technique(GITT),which yields a semi-analytical solution of a high-order nonlinear partial differential equation.Parametric studies are then performed to analyze the effects of varying curvature on the vibration frequency and amplitude of SCRs.The vibration frequency and amplitude increase with the touchdown angle and hang-off angle,although the effect of the hang-off angle is negligible.Additionally,as the curvature increases along the centerline axis,the position of the maximum amplitude of the SCR moves upward.展开更多
BACKGROUND Pain in the back or pelvis or fear of back pain may affect the timing or cocontraction of the core muscles.In both static and dynamic movements,the Sahrmann core stability test provides an assessment of cor...BACKGROUND Pain in the back or pelvis or fear of back pain may affect the timing or cocontraction of the core muscles.In both static and dynamic movements,the Sahrmann core stability test provides an assessment of core muscle activation and a person's ability to stabilize the lumbopelvic complex.Preparatory cues and images can be used to increase the activation of these muscles.To attain optimal movement patterns,it will be necessary to determine what cueing will give the most effective results for core stability.AIM To investigate the effects of external and internal cues on core muscle activation during the Sahrmann five-level core stability test.METHODS Total 68 participants(21.83±3.47 years)were randomly allocated to an external(n=35)or internal cue group(n=33).Participants performed the Sahrmann fivelevel core stability test without a cue as baseline and the five-level stability exercises with an internal or external cue.External cue group received a pressure biofeedback unit(PBU),and the internal cue group received an audio cue.A Delsys Trigno^(TM)surface electromyography unit was used for muscle activation from the rectus abdominis,external oblique,and transverse abdominis/internal oblique muscles.RESULTS Linear mixed effects model analysis showed that cueing had a significant effect on core muscle activation(P=0.001);however,there was no significant difference between cue types(internal or external)(P=0.130).CONCLUSION Both external and internal cueing have significant effects on core muscle activation during the Sahrmann five-level core stability test and the PBU does not create higher muscle activation than internal cueing.展开更多
Dear Editor,We aimed to describe the management of the intraoperative injury of the right external iliac artery that occurred during robot-assisted right nephroureterectomy with bladder cuff excision.Surgery was sched...Dear Editor,We aimed to describe the management of the intraoperative injury of the right external iliac artery that occurred during robot-assisted right nephroureterectomy with bladder cuff excision.Surgery was scheduled for suspected urothelial carcinoma of the distal ureter in a 60-year-old woman.The patient involved in the present research signed a dedicated form to consent to the publication of images and/or information about her.Past medical history included Brugada syndrome diagnosed in 2015,and hypercholesterolemia.Past surgical history included one cesarean section only.Family history included ovarian cancer(sister),colorectal cancer(mother),and kidney cancer(father).展开更多
This study explores whether the current external quality assessment(EQA)level and acceptable bias for basic semen analysis in China are clinically useful.We collected data of semen EQA from Andrology laboratories in t...This study explores whether the current external quality assessment(EQA)level and acceptable bias for basic semen analysis in China are clinically useful.We collected data of semen EQA from Andrology laboratories in the Hunan Province(China)in 2022 and searched for data in the published literature from January2000 to December 2023 in China.On the basis of these data,we analyzed the coefficients of variation and acceptable biases of different quality control materials for basic semen analysis through robust statistics.We compared these findings with quality specifications based on biological variation from optimal,desirable,and minimum levels of bias to seek a unified and more suitable semen EQAbias evaluation standard for China's national conditions.Different sources of semen quality control material exhibited considerable variation in acceptable biases among laboratories,ranging from 8.2%to 56.9%.A total of 50.0% of the laboratories met the minimum quality specifications for progressive motility(PR),whereas 100.0%and 75.0%of laboratories met only the minimum quality specifications for sperm concentration and total motility(nonprogressive[NP]+PR),respectively.The Z value for sperm concentration and PR+NP was equivalent to the desirable performance specification,whereas the Z value for PR was equivalent only to the minimum performance specification.This study highlights the feasibility of operating external quality assessment schemes for basic semen analysis using quality specifications based on biological variation.These specifications should be unified among external quality control(EQC)centers based on biological variation.展开更多
Basic life support for cardiac arrest associates cardiopulmonary resuscitation(CPR)and defibrillation.CPR relies on chest compressions(CC)and ventilation.Current guidelines on CPR recommend a depth of 5-6 cm at a rhyt...Basic life support for cardiac arrest associates cardiopulmonary resuscitation(CPR)and defibrillation.CPR relies on chest compressions(CC)and ventilation.Current guidelines on CPR recommend a depth of 5-6 cm at a rhythm of 100-120 times/min for CC.[1,2]Interruptions of the CC must be as short as possible and are related to ventilation,defibrillation and turnover of the rescuers.Most of the automated external defibrillators(AEDs)require interruptions of the CC to perform rhythm analysis.Among the numerous marketed models of AEDs,some provide real-time feedback about the quality of the CC.展开更多
Metro systems are important transport infrastructures in megacities,and their long-term operational safety is challenged by frequent external disturbances,such as environmental extremes and human construction activ-it...Metro systems are important transport infrastructures in megacities,and their long-term operational safety is challenged by frequent external disturbances,such as environmental extremes and human construction activ-ities.A metro system must be resilient to resist,adapt to,and recover its performance when such disruptions occur.Current studies on metro system resilience often lack a comprehensive view from a complex system perspective,leading to a plethora of choices for methods of analysis and indicators applied to different metro systems and external disturbances.Therefore,the present paper aims to provide a comprehensive review of the topics and works revolving around the resilience of metro systems.It first clarifies the concept of metro system resilience based on classical definitions from a technical perspective.Metro resilience encompasses both the structural and operational aspects of metro systems,including their damage mechanisms,analysis methods and indicators of resilience.Methods for enhancing metro system resilience across structural,operational and monitoring dimensions are explored.Finally,future research directions are discussed,emphasizing the impor-tance of considering the"system of systems"formed by interdependent infrastructure,refining uncertainty analysis,and investigating the opportunities arising from the application of artificial intelligence for improving metro system resilience against external disturbances.展开更多
The metamaterial based on external meshing gears(MEG)is designed based on the principle of external meshing gear transmission.Based on the meshing transmission principle of external meshing gears and planetary gear tr...The metamaterial based on external meshing gears(MEG)is designed based on the principle of external meshing gear transmission.Based on the meshing transmission principle of external meshing gears and planetary gear trains,the internal and external gear rings are designed.Based on the internal and external gear rings,the metamaterial based on inner and outer planetary gear trains(MIP)is designed to study the shear modulus,Young's modulus,and amplitude-frequency characteristics of the metamaterial based on gears at different angles.The effects of the number of planetary gears on the physical characteristics of the MIP are studied.The results show that the MEG can be continuously adjusted by adjusting the shear modulus and Young's modulus due to its meshing characteristics.With the same number of gears,the adjustment range of the MIP is larger than the adjustment range of the MEG.When the number of planetary gears increases,the adjustment range of the MIP decreases.Moreover,when the metamaterial based on gears rotates,the harmonic response changes with the change of the angle.展开更多
Direct numerical simulations of a uniform flow past a fixed spherical droplet are performed to investigate the parameter range within which the axisymmetric flow becomes unstable due to an external flow bifurcation.Th...Direct numerical simulations of a uniform flow past a fixed spherical droplet are performed to investigate the parameter range within which the axisymmetric flow becomes unstable due to an external flow bifurcation.The hydrodynamics is governed by three dimensionless parameters:the viscosity ratioμ*,the external Reynolds numbers Re^(e),and internal Reynolds numbers Re^(i),respectively.The drop-to-fluid density ratio is related to these parameters asρ*=μ*Re^(i)/Re^(e).This study focuses on highly viscous droplets withμ*≥5,where wake instability is driven by the vorticity flux transferred from the droplet surface into the surrounding fluid.By analysing the wake structure,we confirm that the onset of the external bifurcation is linked to the tilting of the azimuthal vorticityωϕ,in the wake and that the bifurcation occurs once the isocontours ofωϕalign nearly perpendicular to the symmetry axis.We propose an empirical criterion for predicting the onset of the external bifurcation,formulated in terms of the maximum vorticity on the external side of the droplet surface.This criterion is applicable for sufficiently high Re^(i) and holds over a wide range ofμ*and Re^(e).Additionally,we examine the bifurcation sequence for two specific external Reynolds numbers,Re^(e)=300 and Re^(e)=500,and show that,beyond a critical viscosity ratio,the axisymmetric wake first transitions to a steady planar-symmetric state before undergoing a secondary Hopf bifurcation.Finally,we highlight the influence of Re^(i) on external bifurcation and show that,at moderate Re^(i),wake instability may set in at a lower vorticity threshold than predicted by our criterion.These findings provide new insights into the external flow bifurcation of viscous droplets.展开更多
[Objectives]To observe the clinical efficacy of external application of Scorzonera Herpes Ointment combined with Methylprednisolone Sodium Succinate for Injection in the treatment of herpes zoster oticus(HZO).[Methods...[Objectives]To observe the clinical efficacy of external application of Scorzonera Herpes Ointment combined with Methylprednisolone Sodium Succinate for Injection in the treatment of herpes zoster oticus(HZO).[Methods]A total of 100 HZO patients admitted to the 988 th Hospital of the Joint Logistics Support Force and Henan Provincial People's Hospital from June 2021 to June 2023 were selected.They were divided into a treatment group and a control group using a random number table method,with 50 cases in each group.Both groups received Methylprednisolone Sodium Succinate for Injection.Additionally,the treatment group was treated with external application of Scorzonera Herpes Ointment,while the control group received acyclovir ointment.Both groups were treated for 10 d.The comparisons included clinical efficacy,total symptom and sign scores,pain level[Visual Analogue Scale(VAS)],time for erythema reduction,cessation of blister formation,scab formation,and scab shedding,incidence of post-herpetic neuralgia(PHN),air conduction hearing threshold,and air-bone gap.[Results]After 10 d of treatment,the total effective rate was 98.00%(49/50)in the treatment group and 84.00%(42/50)in the control group,with a statistically significant difference between the two groups(P<0.05).After 10 d of treatment,the total symptom and sign scores and VAS scores of both groups decreased compared to those before treatment.The treatment group had significantly lower scores than the control group(P<0.05).The treatment group showed significantly shorter time for erythema reduction,cessation of blister formation,scab formation,and scab shedding compared to the control group(P<0.05).During the 1-month follow-up after treatment,no PHN cases occurred in the treatment group,while the incidence of PHN in the control group was 24.00%(12/50),showing a statistically significant difference(P<0.05).After 10 d of treatment,both groups showed reduced air conduction hearing thresholds,and the treatment group exhibited significantly lower air conduction thresholds and air-bone gaps compared to the control group(P<0.05).No statistically significant difference was observed in the air-bone gap before and after treatment in the control group(P>0.05).[Conclusions]The combination of external application of Scorzonera Herpes Ointment and Methylprednisolone Sodium Succinate for Injection can alleviate pain and other discomforts,reduce PHN incidence,shorten disease duration,and improve hearing in HZO patients.展开更多
Additive manufacturing(AM)technology has demonstrated significant potential in the green,lightweight,and functional development of metal materials,offering greater freedom and flexibility in the manufacturing process....Additive manufacturing(AM)technology has demonstrated significant potential in the green,lightweight,and functional development of metal materials,offering greater freedom and flexibility in the manufacturing process.However,the microstructural heterogeneity and mechanical property anisotropy of nickel-based superalloys along the build direction,stemming from thermal cycling,limit their widespread application in the aerospace industry.The proposed hybrid manufacturing process introduces external energy fields(thermal,ultrasonic,magnetic fields)into the forming processes,offering an innovative pathway to overcome the limitations of AM superalloys.This paper systematically discusses the influence of energy fields on the AM process of nickel-based superalloys,focusing on key issues such as cracking,porosity,microstructural heterogeneity,and mechanical property.Various energy fields modulate the melt pool dynamics and solidification process through distinct mechanisms.However,there remain several unresolved challenges and controversies regarding their mechanisms,particularly concerning the microstructural evolution under the synergistic effects of multiple energy fields.To address this issue,current studies predominantly focus on experimental validation,with a lack of unified theoretical models and numerical simulations,which limits the further development of energy field optimization strategies.Accordingly,the roles and advantages of various energy fields in AM of nickel-based superalloys are summarized.And engineering challenges are highlighted,such as multi-field synergistic control strategies,quantitative prediction models for microstructure-property,and energy field optimization methods for practical applications.Finally,the future trends of energy field-assisted AM for high-performance superalloys are discussed,with an outlook on its potential applications in re-manufacturing technologies and integrated equipment.展开更多
基金This study was supported by the National Nature Scientific Fund (No.39730220).
文摘To study the redistribution of endothelin- 1 (ET- 1) receptors in two subcellular organelles , the sarcolemmal membrane and the light vesicle, of rat heart during the progression of sepsis. Methods. Sepsis was induced by cecal ligation and puncture (CLP). ET1 receptor was assayed by using [125I]- ET1 binding. Marker enzyme activities, protein yield, and dry- to- wet weight ratio of cardiac membranes were measured. Results. Septic rat heart exhibited two distinct phases: an initial hyperdynamic phase( 9h after CLP; early stage of sepsis) followed by a hypodynamic (18h after CLP, late stage of sepsis) phase. [125I]- ET1 binding study showed that during early stage of sepsis, the Bmax of ET1 receptors was increased by 30％ in sarcolemma but decreased by 19％ in light vesicles, while during late stage of sepsis, the Bmax was decreased by 24％ in sarcolemma but increased by 38％ in light vesicles.The total binding of sarcolemma and light vesicles was increased by 25％ during early stage of sepsis but decreased by 17％ during late stage of sepsis. Conclusions. These data indicated that ET1 receptors in the rat heart were externalized from light vesicles to sarcolemmal membranes during early hyperdynamic phase while internalized from surface membranes to intracellular compartment during late hypodynamic phase of sepsis.
基金funded by National Key R&D Program of China (2016YFC1301200)
文摘Although retrograde approach has greatly improved the success rate of percutaneous coronary intervention(PCI) for coronary chronic total occlusion(CTO), retrograde wire externalization still remains challenging and time-consuming in some cases. Cases utilizing ‘‘Active Greeting Technique(AGT)", a mother-and-child catheter based technique to facilitate retrograde wire externalization, were extracted from Chronic Total Occlusion Club, China(CTOCC) database. AGT was performed by deep intubation a mother-and-child catheter(GuidezillaTMextension, 4 or 5 Fr inner catheter, and etc.) in combination with either reverse controlled antegrade or retrograde subintimal tracking(CART) technique or retrograde wire crossing technique. A total of 111 patients with 112 CTO lesions treated with this technique were retrospectively analyzed. Reverse CART technique and retrograde wire crossing technique were performed in 90.2% and 9.8% of all procedures. The utilization of GuidezillaTMextension, 4 Fr, and 5 Fr inner catheter accounted for 94.6%, 3.6%, and 1.8%, respectively. Externalization of retrograde wire was successful in all cases. No procedural complications were adjudicated to AGT. Complications independent of AGT included two target vessel perforations and two collateral perforations. No in-hospital major adverse cardiac events were found. AGT is a feasible and safe technique that facilitates retrograde wire externalization.
文摘3D audio effects can provide immersive auditory experience, but we often face the so-called in-head localization （IHL） problem in headphone sound reproduction. To ad- dress this problem, we propose an effective sound image externalization approach. Specifically, we consider several important factors related to sound propagation, which include image-source model based early reflections with distance decay, wall absorption and air absorption, late reverberation and other dynamic factors like head movement. We apply our sound image externalization approach to a headphone based real-time 3D audio system. Subjective listening tests show that the sound image externalization performance is significantly improved and the sound source direction is preserved as well. A/B preference test further shows that, as compared with a recent popular approach, the proposed approach is mostly preferred by the listeners.
文摘Objective To study the redistribution of ET1 receptors in two subcellular organelles, the sarcolemmal membrane and the light vesicle, of rat heart during the progress of septic shock Methods Male Sprague Dawley rats weighing from 270 to 320?g were randomly divided into three groups: control, early sepsis, and late sepsis Each group included six rats Sepsis was induced by cecal ligation and puncture (CLP) Control rats were sham operated After operation for 9 hours or 18 hours, animals of the three groups were anesthetized with sodium pentobarbital (60?mg/kg IP) and the hearts were removed for preparation of sarcolemma and light vesicle Hemodynamic parameters were determined with polygraph via femoral artery and intraventricular cannula ET1 receptor was assayed by [ 125 I] ET1 binding Results Heart rate, cardiac output and left ventricular +dp/dt max undergo biphasic changes: an increase in early phase of sepsis (9?h after CLP) followed by a decrease in late phase of sepsis (18?h after CLP) Mean arterial blood pressure and left ventricular dp/dt max remained relatively unaltered during early phase of sepsis but was decreased during late phase of sepsis Although septic rat heart exhibited biphasic cardiodynamic changes, myocardial function showed signs of progressive deterioration during the development of sepsis, as indicated by a progressive elevation of LVEDP [ 125 I] ET1 bindings to cardiac membranes exhibited a saturable process with a single component binding characteristic for all three experimental groups In sarcolemmal membrane fraction, the maximum binding capacity (B max ) calculated from scatchard plot was increased 30% ( P <0 01) during early phase of sepsis but decreased 24% ( P <0 01) during late phase of sepsis The affinity [the reciprocal of the dissociation contant (Kd)] for [ 125 I] ET1 binding in sarcolemmal membranes remained unaffected during early and late phases of sepsis In light vesicle fraction, the B max for [ 125 I] ET1 binding was decreased by 19% ( P <0 05) during early phase of sepsis but increased by 38% ( P <0 01) during late phase of sepsis The affinity for [ 125 I] ET1 binding in light vesicles was unaltered in early and late phases of sepsis It should be mentioned that the sum of Bmax of sarcolemmal and light vesicle fractions was increased by 25% ( P <0 01) during early phase of sepsis but was decreased by 17% ( P <0 01) during late phase of sepsis Conclusions These data indicated that a biphasic intracellular redistribution of ET1 receptor in the heart might contribute to the development of the initial hyperdynamic and subsequent hypodynamic state during sepsis
基金Supported by the National Defense Basic Scientific Research Program of China.
文摘Amphibious vehicles are more prone to attitude instability compared to ships,making it crucial to develop effective methods for monitoring instability risks.However,large inclination events,which can lead to instability,occur frequently in both experimental and operational data.This infrequency causes events to be overlooked by existing prediction models,which lack the precision to accurately predict inclination attitudes in amphibious vehicles.To address this gap in predicting attitudes near extreme inclination points,this study introduces a novel loss function,termed generalized extreme value loss.Subsequently,a deep learning model for improved waterborne attitude prediction,termed iInformer,was developed using a Transformer-based approach.During the embedding phase,a text prototype is created based on the vehicle’s operation log data is constructed to help the model better understand the vehicle’s operating environment.Data segmentation techniques are used to highlight local data variation features.Furthermore,to mitigate issues related to poor convergence and slow training speeds caused by the extreme value loss function,a teacher forcing mechanism is integrated into the model,enhancing its convergence capabilities.Experimental results validate the effectiveness of the proposed method,demonstrating its ability to handle data imbalance challenges.Specifically,the model achieves over a 60%improvement in root mean square error under extreme value conditions,with significant improvements observed across additional metrics.
基金financially supported by the Key Research and Development Program of Ningbo(Grant No.2023Z098)Natural Science Foundation of Inner Mongolia(Grant No.2023MS05040)+1 种基金Shenyang Collaborative Innovation Center Project for Multiple Energy Fields Composite Processing of Special Materials(Grant No.JG210027)Shenyang Key Technology Special Project of The Open Competition Mechanism to Select the Best Solution(Grant Nos.2022210101000827,2022-0-43-048).
文摘Titanium alloy has the advantages of high strength,strong corrosion resistance,excellent high and low temperature mechanical properties,etc.,and is widely used in aerospace,shipbuilding,weapons and equipment,and other fields.In recent years,with the continuous increase in demand for medium-thick plate titanium alloys,corresponding welding technologies have also continued to develop.Therefore,this article reviews the research progress of deep penetration welding technology for medium-thick plate titanium alloys,mainly covering traditional arc welding,high-energy beam welding,and other welding technologies.Among many methods,narrow gap welding,hybrid welding,and external energy field assistance welding all contribute to improving the welding efficiency and quality of medium-thick plate titanium alloys.Finally,the development trend of deep penetration welding technology for mediumthick plate titanium alloys is prospected.
基金financially supported by the Key Research and Development Program of Shandong Province(Grant Nos.2022CXGC020405,2023CXGC010415 and 2025TSGCCZZB0238)the National Natural Science Foundation of China(Grant No.52171288)the financial support from CNPq,FAPERJ,ANP,Embrapii,and China National Petroleum Corporation(CNPC).
文摘This work investigated the dynamic behavior of vertical pipes conveying gas-liquid two-phase flow when subjected to external excitations at both ends.Even with minimal excitation amplitude,resonance can occur when the excitation frequency aligns with the natural frequency of the pipe,significantly increasing the degree of operational risk.The governing equation of motion based on the Euler-Bernoulli beam is derived for the relative deflection with stationary simply supported ends,with the effects of the external excitations represented by source terms distributed along the pipe length.The fourth-order partial differential equation is solved via the generalized integral transform technique(GITT),with the solution successfully verified via comparison with results in the literature.A comprehensive analysis of the vibration phenomena and changes in the motion state of the pipe is conducted for three classes of external excitation conditions:same frequency and amplitude(SFSA),same frequency but different amplitudes(SFDA),and different frequencies and amplitudes(DFDA).The numerical results show that with increasing gas volume fraction,the position corresponding to the maximum vibration displacement shifts upward.Compared with conditions without external excitation,the vibration displacement of the pipe conveying two-phase flow under external excitation increases significantly.The frequency of external excitation has a significant effect on the dynamic behavior of a pipe conveying two-phase flow.
文摘Bcakground: Pancreatic pseudocyst (PPC) is a common complication arising from acute or chronic pancreatitis, trauma, or pancreatic duct obstruction. When acute fluid collection persists for 4 - 6 weeks and is encapsulated by a fibrous wall, it is classified as a pancreatic pseudocyst. While PPC is generally asymptomatic in many patients, it can manifest with persistent abdominal pain, dyspepsia, intra-cystic infection, and potentially lead to gastrointestinal obstruction in some cases. Although smaller PPCs may resolve spontaneously, larger PPCs tend to be refractory to absorption and often necessitate surgical intervention to prevent complications such as intracystic hemorrhage. Objective: To explore the efficacy of percutaneous catheterization with negative pressure in the treatment of large pancreatic pseudocysts. Methods: The cases of large pancreatic pseudocysts treated in our hospital from 2004 to 2022 were retrospectively collected, and the general condition, operation time, drainage time, feeding time, postoperative complications, hospital stay, cost and follow-up of the patients were analyzed. Results: A total of 132 patients with large pancreatic pseudocysts were collected. The average operation time was 32.4 ± 2.1 min;The retention time of the drainage tube was 30 ± 1.8 days in the percutaneous negative pressure drainage group;The postoperative feeding time was no fasting after local anesthesia drainage;Postoperative complications (bleeding, infection, pancreatic leakage, recurrence, anastomotic leakage, etc.): Two of the 132 patients had recurrent cysts, which were cured by re-puncture and negative pressure drainage. The length of hospital stay was 6 ± 1.1 days;The cost was 11,200 ± 1300 yuan;Follow-up: The follow-up time ranged from 1 to 3 years, and the patients had no discomfort. Conclusion: Percutaneous catheterization and negative pressure drainage can effectively treat large pancreatic pseudocysts. Compared with other treatment methods, it is simple and effective, the postoperative recovery of patients is faster, the physical damage is less, the hospital stay is shorter, and the cost is lower.
基金financially supported by the National Natural Science Foundation of China(Nos.52175284 and 52474396)the National Key Research and Development Program of China(No.2022YFB3404201)。
文摘High pressure die casting(HPDC)AlSi10Mn Mg alloy castings are widely used in the automobile industry.Mg can optimize the mechanical properties of castings through heat treatment,while the release of thermal stress arouses the deformation of large integrated die-castings.Herein,the development of non-heat treatment Al alloys is becoming the hot topic.In addition,HPDC contains externally solidified crystals(ESCs),which are detrimental to the mechanical properties of castings.To achieve high strength and toughness of non-heat treatment die-casting Al-Si alloy,we used AlSi9Mn alloy as matrix with the introduction of Zr,Ti,Nb,and Ce.Their influences on ESCs and mechanical properties were systematically investigated through three-dimensional reconstruction and thermodynamic simulation.Our results reveal that the addition of Ti increased ESCs'size and porosity,while the introduction of Nb refined ESCs and decreased porosity.Meanwhile,large-sized Al_3(Zr,Ti)phases formed and degraded the mechanical properties.Subsequent introduction of Ce resulted in the poisoning effect and reduced mechanical properties.
基金Funded by Chinese National Natural Science Foundation of China(No.U2006224)。
文摘The paper presents experimental investigation results of crack pattern change in cement pastes caused by external sulfate attack(ESA).To visualize the formation and development of cracks in cement pastes under ESA,an X-ray computed tomography(X-ray CT)was used,i e,the tomography system of Zeiss Xradia 510 versa.The results indicate that X-CT can monitor the development process and distribution characteristics of the internal cracks of cement pastes under ESA with attack time.In addition,the C3A content in the cement significantly affects the damage mode of cement paste specimens during sulfate erosion.The damage of ordinary Portland cement(OPC)pastes subjected to sulfate attack with high C3A content are severe,while the damage of sulfate resistant Portland cement(SRPC)pastes is much smaller than that of OPC pastes.Furthermore,a quadratic function describes the correlation between the crack volume fraction and development depth for two cement pastes immermed in sulfate solution.
基金financially supported by the National Natural Science Foundation of China(Grant No.52201312).
文摘As oil and gas exploration moves into deeper waters,marine risers are subjected to increasingly complex service conditions,including vessel motions,ocean currents,seabed-soil interactions,and internal flow effects.This work establishes a dynamic behavior model of steel catenary risers(SCRs)with varying curvatures subjected to internal flow and external currents and considers the effects of pipe-soil interactions on the curvature profile.The governing equation is solved via the generalized integral transform technique(GITT),which yields a semi-analytical solution of a high-order nonlinear partial differential equation.Parametric studies are then performed to analyze the effects of varying curvature on the vibration frequency and amplitude of SCRs.The vibration frequency and amplitude increase with the touchdown angle and hang-off angle,although the effect of the hang-off angle is negligible.Additionally,as the curvature increases along the centerline axis,the position of the maximum amplitude of the SCR moves upward.
文摘BACKGROUND Pain in the back or pelvis or fear of back pain may affect the timing or cocontraction of the core muscles.In both static and dynamic movements,the Sahrmann core stability test provides an assessment of core muscle activation and a person's ability to stabilize the lumbopelvic complex.Preparatory cues and images can be used to increase the activation of these muscles.To attain optimal movement patterns,it will be necessary to determine what cueing will give the most effective results for core stability.AIM To investigate the effects of external and internal cues on core muscle activation during the Sahrmann five-level core stability test.METHODS Total 68 participants(21.83±3.47 years)were randomly allocated to an external(n=35)or internal cue group(n=33).Participants performed the Sahrmann fivelevel core stability test without a cue as baseline and the five-level stability exercises with an internal or external cue.External cue group received a pressure biofeedback unit(PBU),and the internal cue group received an audio cue.A Delsys Trigno^(TM)surface electromyography unit was used for muscle activation from the rectus abdominis,external oblique,and transverse abdominis/internal oblique muscles.RESULTS Linear mixed effects model analysis showed that cueing had a significant effect on core muscle activation(P=0.001);however,there was no significant difference between cue types(internal or external)(P=0.130).CONCLUSION Both external and internal cueing have significant effects on core muscle activation during the Sahrmann five-level core stability test and the PBU does not create higher muscle activation than internal cueing.
文摘Dear Editor,We aimed to describe the management of the intraoperative injury of the right external iliac artery that occurred during robot-assisted right nephroureterectomy with bladder cuff excision.Surgery was scheduled for suspected urothelial carcinoma of the distal ureter in a 60-year-old woman.The patient involved in the present research signed a dedicated form to consent to the publication of images and/or information about her.Past medical history included Brugada syndrome diagnosed in 2015,and hypercholesterolemia.Past surgical history included one cesarean section only.Family history included ovarian cancer(sister),colorectal cancer(mother),and kidney cancer(father).
基金supported by the Hunan Province Municipal Natural Science Foundation(2022JJ30018)the Hunan Province Health Commission Science Foundation(B202301037899)to WNL。
文摘This study explores whether the current external quality assessment(EQA)level and acceptable bias for basic semen analysis in China are clinically useful.We collected data of semen EQA from Andrology laboratories in the Hunan Province(China)in 2022 and searched for data in the published literature from January2000 to December 2023 in China.On the basis of these data,we analyzed the coefficients of variation and acceptable biases of different quality control materials for basic semen analysis through robust statistics.We compared these findings with quality specifications based on biological variation from optimal,desirable,and minimum levels of bias to seek a unified and more suitable semen EQAbias evaluation standard for China's national conditions.Different sources of semen quality control material exhibited considerable variation in acceptable biases among laboratories,ranging from 8.2%to 56.9%.A total of 50.0% of the laboratories met the minimum quality specifications for progressive motility(PR),whereas 100.0%and 75.0%of laboratories met only the minimum quality specifications for sperm concentration and total motility(nonprogressive[NP]+PR),respectively.The Z value for sperm concentration and PR+NP was equivalent to the desirable performance specification,whereas the Z value for PR was equivalent only to the minimum performance specification.This study highlights the feasibility of operating external quality assessment schemes for basic semen analysis using quality specifications based on biological variation.These specifications should be unified among external quality control(EQC)centers based on biological variation.
文摘Basic life support for cardiac arrest associates cardiopulmonary resuscitation(CPR)and defibrillation.CPR relies on chest compressions(CC)and ventilation.Current guidelines on CPR recommend a depth of 5-6 cm at a rhythm of 100-120 times/min for CC.[1,2]Interruptions of the CC must be as short as possible and are related to ventilation,defibrillation and turnover of the rescuers.Most of the automated external defibrillators(AEDs)require interruptions of the CC to perform rhythm analysis.Among the numerous marketed models of AEDs,some provide real-time feedback about the quality of the CC.
基金supported by National Key R&D Program of China 2024YFC3808804National Natural Science Foundation of China NO.52478411+1 种基金China Scholarship Council No.202506260003Jinan Rail Transit Group Co.,Ltd(ggjn-sd-gd2022008fw).
文摘Metro systems are important transport infrastructures in megacities,and their long-term operational safety is challenged by frequent external disturbances,such as environmental extremes and human construction activ-ities.A metro system must be resilient to resist,adapt to,and recover its performance when such disruptions occur.Current studies on metro system resilience often lack a comprehensive view from a complex system perspective,leading to a plethora of choices for methods of analysis and indicators applied to different metro systems and external disturbances.Therefore,the present paper aims to provide a comprehensive review of the topics and works revolving around the resilience of metro systems.It first clarifies the concept of metro system resilience based on classical definitions from a technical perspective.Metro resilience encompasses both the structural and operational aspects of metro systems,including their damage mechanisms,analysis methods and indicators of resilience.Methods for enhancing metro system resilience across structural,operational and monitoring dimensions are explored.Finally,future research directions are discussed,emphasizing the impor-tance of considering the"system of systems"formed by interdependent infrastructure,refining uncertainty analysis,and investigating the opportunities arising from the application of artificial intelligence for improving metro system resilience against external disturbances.
基金supported by the Guangxi Science and Technology Major Program of China(Nos.AA23073019 and AA24263074)the National Natural Science Foundation of China(No.52265004)+7 种基金the Guangxi Natural Science Fund for Distinguished Young Scholars of China(No.2024JJG160014)the Innovation Project of Guangxi Graduate Education of China(No.YCSW2024119)the Open Fund of State Key Laboratory of Intelligent Manufacturing Equipment and Technology of China(No.IMETKF2025021)the Open Research Fund of State Key Laboratory of Precision Manufacturing for Extreme Service Performance-Central South University of China(No.Kfkt2023-06)the Open Fund of High-end Basic Component Innovation Station of China(No.KY01080030124001)the Open Fund for Academician Mao Ming's Workstation of China(No.XSJSFW-QNKXJ-202404-007)the Technology Innovation Platform Project of China Aviation Engine Group Corporation(No.CXPT-2023-044)the Open Fund for Innovation Workstation in the National Defense Science and Technology Innovation Special Zone(Xi'an Jiaotong University).
文摘The metamaterial based on external meshing gears(MEG)is designed based on the principle of external meshing gear transmission.Based on the meshing transmission principle of external meshing gears and planetary gear trains,the internal and external gear rings are designed.Based on the internal and external gear rings,the metamaterial based on inner and outer planetary gear trains(MIP)is designed to study the shear modulus,Young's modulus,and amplitude-frequency characteristics of the metamaterial based on gears at different angles.The effects of the number of planetary gears on the physical characteristics of the MIP are studied.The results show that the MEG can be continuously adjusted by adjusting the shear modulus and Young's modulus due to its meshing characteristics.With the same number of gears,the adjustment range of the MIP is larger than the adjustment range of the MEG.When the number of planetary gears increases,the adjustment range of the MIP decreases.Moreover,when the metamaterial based on gears rotates,the harmonic response changes with the change of the angle.
基金supported by the Deutsche Forschungsgemeinschaft(DFG)(Grant No.501298479)。
文摘Direct numerical simulations of a uniform flow past a fixed spherical droplet are performed to investigate the parameter range within which the axisymmetric flow becomes unstable due to an external flow bifurcation.The hydrodynamics is governed by three dimensionless parameters:the viscosity ratioμ*,the external Reynolds numbers Re^(e),and internal Reynolds numbers Re^(i),respectively.The drop-to-fluid density ratio is related to these parameters asρ*=μ*Re^(i)/Re^(e).This study focuses on highly viscous droplets withμ*≥5,where wake instability is driven by the vorticity flux transferred from the droplet surface into the surrounding fluid.By analysing the wake structure,we confirm that the onset of the external bifurcation is linked to the tilting of the azimuthal vorticityωϕ,in the wake and that the bifurcation occurs once the isocontours ofωϕalign nearly perpendicular to the symmetry axis.We propose an empirical criterion for predicting the onset of the external bifurcation,formulated in terms of the maximum vorticity on the external side of the droplet surface.This criterion is applicable for sufficiently high Re^(i) and holds over a wide range ofμ*and Re^(e).Additionally,we examine the bifurcation sequence for two specific external Reynolds numbers,Re^(e)=300 and Re^(e)=500,and show that,beyond a critical viscosity ratio,the axisymmetric wake first transitions to a steady planar-symmetric state before undergoing a secondary Hopf bifurcation.Finally,we highlight the influence of Re^(i) on external bifurcation and show that,at moderate Re^(i),wake instability may set in at a lower vorticity threshold than predicted by our criterion.These findings provide new insights into the external flow bifurcation of viscous droplets.
基金Supported by the Joint Construction Project of Medical Science and Technology Research Plan in Henan Province(LHGJ20190879).
文摘[Objectives]To observe the clinical efficacy of external application of Scorzonera Herpes Ointment combined with Methylprednisolone Sodium Succinate for Injection in the treatment of herpes zoster oticus(HZO).[Methods]A total of 100 HZO patients admitted to the 988 th Hospital of the Joint Logistics Support Force and Henan Provincial People's Hospital from June 2021 to June 2023 were selected.They were divided into a treatment group and a control group using a random number table method,with 50 cases in each group.Both groups received Methylprednisolone Sodium Succinate for Injection.Additionally,the treatment group was treated with external application of Scorzonera Herpes Ointment,while the control group received acyclovir ointment.Both groups were treated for 10 d.The comparisons included clinical efficacy,total symptom and sign scores,pain level[Visual Analogue Scale(VAS)],time for erythema reduction,cessation of blister formation,scab formation,and scab shedding,incidence of post-herpetic neuralgia(PHN),air conduction hearing threshold,and air-bone gap.[Results]After 10 d of treatment,the total effective rate was 98.00%(49/50)in the treatment group and 84.00%(42/50)in the control group,with a statistically significant difference between the two groups(P<0.05).After 10 d of treatment,the total symptom and sign scores and VAS scores of both groups decreased compared to those before treatment.The treatment group had significantly lower scores than the control group(P<0.05).The treatment group showed significantly shorter time for erythema reduction,cessation of blister formation,scab formation,and scab shedding compared to the control group(P<0.05).During the 1-month follow-up after treatment,no PHN cases occurred in the treatment group,while the incidence of PHN in the control group was 24.00%(12/50),showing a statistically significant difference(P<0.05).After 10 d of treatment,both groups showed reduced air conduction hearing thresholds,and the treatment group exhibited significantly lower air conduction thresholds and air-bone gaps compared to the control group(P<0.05).No statistically significant difference was observed in the air-bone gap before and after treatment in the control group(P>0.05).[Conclusions]The combination of external application of Scorzonera Herpes Ointment and Methylprednisolone Sodium Succinate for Injection can alleviate pain and other discomforts,reduce PHN incidence,shorten disease duration,and improve hearing in HZO patients.
基金financially supported by the National Key Re-search and Development Program of China(No.2023YFB4603301)Science Center for Gas Turbine Project(No.P2022-C-Ⅳ-002-001)+3 种基金National Natural Science Foundation of China(No.52401066)IMR Innovation Fund(No.2024-PY10)Project of TaiHang Laboratory(A3023)China Postdoctoral Science Foundation(No.2022M723211).
文摘Additive manufacturing(AM)technology has demonstrated significant potential in the green,lightweight,and functional development of metal materials,offering greater freedom and flexibility in the manufacturing process.However,the microstructural heterogeneity and mechanical property anisotropy of nickel-based superalloys along the build direction,stemming from thermal cycling,limit their widespread application in the aerospace industry.The proposed hybrid manufacturing process introduces external energy fields(thermal,ultrasonic,magnetic fields)into the forming processes,offering an innovative pathway to overcome the limitations of AM superalloys.This paper systematically discusses the influence of energy fields on the AM process of nickel-based superalloys,focusing on key issues such as cracking,porosity,microstructural heterogeneity,and mechanical property.Various energy fields modulate the melt pool dynamics and solidification process through distinct mechanisms.However,there remain several unresolved challenges and controversies regarding their mechanisms,particularly concerning the microstructural evolution under the synergistic effects of multiple energy fields.To address this issue,current studies predominantly focus on experimental validation,with a lack of unified theoretical models and numerical simulations,which limits the further development of energy field optimization strategies.Accordingly,the roles and advantages of various energy fields in AM of nickel-based superalloys are summarized.And engineering challenges are highlighted,such as multi-field synergistic control strategies,quantitative prediction models for microstructure-property,and energy field optimization methods for practical applications.Finally,the future trends of energy field-assisted AM for high-performance superalloys are discussed,with an outlook on its potential applications in re-manufacturing technologies and integrated equipment.
