Background The probability of prosthesis-patient mismatch(PPM)is high in aortic valve replacement surgery for small aortic valve annulus,which increases the postoperative prosthetic valve transvalvular pressure gradie...Background The probability of prosthesis-patient mismatch(PPM)is high in aortic valve replacement surgery for small aortic valve annulus,which increases the postoperative prosthetic valve transvalvular pressure gradient.Concurrent aortic annuloplasty is a commonly applied surgical procedure,but there is currently no uniform standard or guideline on the type of prosthetic valve that should be used during surgery.Therefore,this study aimed to analyze whether there was any difference in the short-term prognosis between the choice of mechanical valves and bioprosthetic valves during aortic valve replacement surgery with concomitant aortic annuloplasty by the Nicks procedure.Methods A retrospective analysis was conducted based on the clinical data from 55 patients undergoing aortic valve replacement surgery with concomitant annuloplasty by the Nicks procedure at the Cardiac Surgery Department of Guangdong Provincial People’s Hospital from November 2021 to December 2023.In this study,all patients received aortic annuloplasty by the Nicks procedure.Among these patients,30 were in the mechanical valve group,while the other 25 were in the bioprosthetic valve group.Data including left ventricular end-diastolic/endsystolic diameters,left ventricular ejection fraction,interventricular septal thickness,left ventricular posterior wall thickness,transvalvular pressure gradient,left ventricular fractional shortening,and left ventricular mass index were collected 1 week preoperatively and 1 week and 3 months postoperatively.Information on gender,age,body surface area,types of perioperative complications,operation time,complication rates,and outcomes was also collected.Results Among the 55 patients enrolled in this study,4 died.The main causes of death included postoperative low cardiac output syndrome,severe pulmonary infection,and multi-organ dysfunction.Meanwhile,there was a statistically significant difference in left ventricular end-diastolic diameter between the mechanical valve group and the biological valve group 1 week after surgery.However,differences in other indicators such as aortic crossclamp duration,cardiopulmonary bypass duration,postoperative ventilator support duration,postoperative intensive care unit(ICU)stay,total postoperative hospital stay,and echocardiography results 1 week and 3 months postoperatively were not significant between the two groups.Conclusions For patients undergoing aortic annuloplasty by the Nicks procedure in the aortic valve replacement surgery,the postoperative recovery time is not significantly different between the bioprosthetic and mechanical valve groups.Additionally,there is no notable difference in the improvement of left ventricular function or the reduction of PPM incidence between the two types of valves.[S Chin J Cardiol 2024;25(1):29-37].展开更多
The Great Gatsby has been one of the most discussed topics,researchers has explored it from various aspects.In the researches,Nick Carraway was mainly seen as a narrator,and the research are mostly focus on the shift ...The Great Gatsby has been one of the most discussed topics,researchers has explored it from various aspects.In the researches,Nick Carraway was mainly seen as a narrator,and the research are mostly focus on the shift of his narrative prospective.Few people noticed that he was totally fit into the definition of the " wise old man".This paper tries to put an eye on the archetype of the hero Nick Carraway,whose figure is thought as in the archetype of the " wise old man".展开更多
The recrystallization behavior of a single crystal nickel-base superalloy was investigated by shot peening and subsequent annealing. Two kinds of recrystallization microstructures, which are intensively dependent on t...The recrystallization behavior of a single crystal nickel-base superalloy was investigated by shot peening and subsequent annealing. Two kinds of recrystallization microstructures, which are intensively dependent on the annealing temperature, are shown in the nickel-base superalloy after shot peening and subsequent annealing. Surface recrystallized grains are obtained when the superalloy is annealed at solution treatment temperature. The nucleation of recrystallization originates from the dendritic core, where rapid dissolution of γ＇ particles occurs. Cellular recrystallization is observed after annealing at lower temperatures. Cellular structures induced by high diffusivity of the moving boundary and more γ＇ particles dissolution led by residual stress are developed from the surface region. Recrystallized kinetics of the shot-peened alloy annealed at 1050°C accords with the Johnson-Mehl-Avrami-Kolmogorov equation. The low Avrami exponent is caused by the inhomogeneous distribution of stored energy, the decreasing of stored energy during recovery, and the strong resistance of boundary migration by γ＇ particles.展开更多
In F. Scott Fitzgerald's world famous novel The Great Gatsby, Nicolas"Nick"Carraway is not only a first-person narrator, but also a convincing narrator, an emotion depositor, and a structure organizer. H...In F. Scott Fitzgerald's world famous novel The Great Gatsby, Nicolas"Nick"Carraway is not only a first-person narrator, but also a convincing narrator, an emotion depositor, and a structure organizer. He is the figure of equal weight with Jay Gatsby and Daisy Buchanan, the two conceived protagonists in this book.展开更多
Nick Carraway is one of the main characters as well as the narrator in F. Scott Fitzgerald's The Great Gatsby. This paper applies the theory of Bildungsroman and analyzes the changes of Nick in characters, conscie...Nick Carraway is one of the main characters as well as the narrator in F. Scott Fitzgerald's The Great Gatsby. This paper applies the theory of Bildungsroman and analyzes the changes of Nick in characters, conscience as well as responsibilities from the following aspects: guides of maturity and epiphany during maturity, and reveals his ultimate maturity both physically and mentally after epiphany, thus shows the changes and maturity of him.展开更多
Fitzgerald tells the story in The Great Gatsby through the dramatized narrator, or the character in the play which helps this novel become a classic one. In this paper, the endeavor is to discover Nick Carraway both a...Fitzgerald tells the story in The Great Gatsby through the dramatized narrator, or the character in the play which helps this novel become a classic one. In this paper, the endeavor is to discover Nick Carraway both as a character and a narrator from the perspective of impersonal narration.展开更多
It is often needed to detect the DNA single strand break in biological studies. The four most frequently used methods are alkaline elution, alkaline sucrose gradient sedimentation, hydroxyapatite chromatography and nu...It is often needed to detect the DNA single strand break in biological studies. The four most frequently used methods are alkaline elution, alkaline sucrose gradient sedimentation, hydroxyapatite chromatography and nucleoid sedimentation. All these are not perfect because of a number of disadvantages, such as展开更多
针对超(超)临界电站锅炉高温受热面材料蒸汽侧氧化问题,该文开展国产镍基合金C-HRA-1在620~650℃/25 MPa以及C-HRA-2在650℃/25 MPa超临界水环境的氧化实验研究。利用精密电子天平、扫描电子显微镜(scanning electron microscope,SEM)、...针对超(超)临界电站锅炉高温受热面材料蒸汽侧氧化问题,该文开展国产镍基合金C-HRA-1在620~650℃/25 MPa以及C-HRA-2在650℃/25 MPa超临界水环境的氧化实验研究。利用精密电子天平、扫描电子显微镜(scanning electron microscope,SEM)、X射线衍射(X-ray diffraction,XRD)、X射线光电子能谱(X-ray photoelectron spectroscopy,XPS)以及原子力显微镜(atomic force microscope,AFM)等对材料氧化动力学、氧化膜微观形貌以及氧化膜物相组成进行分析。同时,开展600℃/25 MPa超临界水环境氧同位素标记实验,探究镍基合金C-HRA-1在超临界水中的氧化机理。结果可知,C-HRA-1与C-HRA-2氧化后的主要物相为Cr_(2)O_(3)和NiCr_(2)O_(4),NiO、CoO、MoO_(3)以及NiFe_(2)O_(4)也被检测到;合金中阳离子向外扩散导致了氧化膜的生长。国产镍基合金C-HRA-1在超临界水中表现出较高的抗氧化性能。展开更多
文摘Background The probability of prosthesis-patient mismatch(PPM)is high in aortic valve replacement surgery for small aortic valve annulus,which increases the postoperative prosthetic valve transvalvular pressure gradient.Concurrent aortic annuloplasty is a commonly applied surgical procedure,but there is currently no uniform standard or guideline on the type of prosthetic valve that should be used during surgery.Therefore,this study aimed to analyze whether there was any difference in the short-term prognosis between the choice of mechanical valves and bioprosthetic valves during aortic valve replacement surgery with concomitant aortic annuloplasty by the Nicks procedure.Methods A retrospective analysis was conducted based on the clinical data from 55 patients undergoing aortic valve replacement surgery with concomitant annuloplasty by the Nicks procedure at the Cardiac Surgery Department of Guangdong Provincial People’s Hospital from November 2021 to December 2023.In this study,all patients received aortic annuloplasty by the Nicks procedure.Among these patients,30 were in the mechanical valve group,while the other 25 were in the bioprosthetic valve group.Data including left ventricular end-diastolic/endsystolic diameters,left ventricular ejection fraction,interventricular septal thickness,left ventricular posterior wall thickness,transvalvular pressure gradient,left ventricular fractional shortening,and left ventricular mass index were collected 1 week preoperatively and 1 week and 3 months postoperatively.Information on gender,age,body surface area,types of perioperative complications,operation time,complication rates,and outcomes was also collected.Results Among the 55 patients enrolled in this study,4 died.The main causes of death included postoperative low cardiac output syndrome,severe pulmonary infection,and multi-organ dysfunction.Meanwhile,there was a statistically significant difference in left ventricular end-diastolic diameter between the mechanical valve group and the biological valve group 1 week after surgery.However,differences in other indicators such as aortic crossclamp duration,cardiopulmonary bypass duration,postoperative ventilator support duration,postoperative intensive care unit(ICU)stay,total postoperative hospital stay,and echocardiography results 1 week and 3 months postoperatively were not significant between the two groups.Conclusions For patients undergoing aortic annuloplasty by the Nicks procedure in the aortic valve replacement surgery,the postoperative recovery time is not significantly different between the bioprosthetic and mechanical valve groups.Additionally,there is no notable difference in the improvement of left ventricular function or the reduction of PPM incidence between the two types of valves.[S Chin J Cardiol 2024;25(1):29-37].
文摘The Great Gatsby has been one of the most discussed topics,researchers has explored it from various aspects.In the researches,Nick Carraway was mainly seen as a narrator,and the research are mostly focus on the shift of his narrative prospective.Few people noticed that he was totally fit into the definition of the " wise old man".This paper tries to put an eye on the archetype of the hero Nick Carraway,whose figure is thought as in the archetype of the " wise old man".
基金supported by the Major State Basic Research and Development Program of China (No.2010CB631206)the National Natural Science Foundation of China (No.50931004)the Foundation of State Key Lab for Advanced Metals and Materials (No.2008zd-07)
文摘The recrystallization behavior of a single crystal nickel-base superalloy was investigated by shot peening and subsequent annealing. Two kinds of recrystallization microstructures, which are intensively dependent on the annealing temperature, are shown in the nickel-base superalloy after shot peening and subsequent annealing. Surface recrystallized grains are obtained when the superalloy is annealed at solution treatment temperature. The nucleation of recrystallization originates from the dendritic core, where rapid dissolution of γ＇ particles occurs. Cellular recrystallization is observed after annealing at lower temperatures. Cellular structures induced by high diffusivity of the moving boundary and more γ＇ particles dissolution led by residual stress are developed from the surface region. Recrystallized kinetics of the shot-peened alloy annealed at 1050°C accords with the Johnson-Mehl-Avrami-Kolmogorov equation. The low Avrami exponent is caused by the inhomogeneous distribution of stored energy, the decreasing of stored energy during recovery, and the strong resistance of boundary migration by γ＇ particles.
文摘In F. Scott Fitzgerald's world famous novel The Great Gatsby, Nicolas"Nick"Carraway is not only a first-person narrator, but also a convincing narrator, an emotion depositor, and a structure organizer. He is the figure of equal weight with Jay Gatsby and Daisy Buchanan, the two conceived protagonists in this book.
文摘Nick Carraway is one of the main characters as well as the narrator in F. Scott Fitzgerald's The Great Gatsby. This paper applies the theory of Bildungsroman and analyzes the changes of Nick in characters, conscience as well as responsibilities from the following aspects: guides of maturity and epiphany during maturity, and reveals his ultimate maturity both physically and mentally after epiphany, thus shows the changes and maturity of him.
文摘Fitzgerald tells the story in The Great Gatsby through the dramatized narrator, or the character in the play which helps this novel become a classic one. In this paper, the endeavor is to discover Nick Carraway both as a character and a narrator from the perspective of impersonal narration.
文摘It is often needed to detect the DNA single strand break in biological studies. The four most frequently used methods are alkaline elution, alkaline sucrose gradient sedimentation, hydroxyapatite chromatography and nucleoid sedimentation. All these are not perfect because of a number of disadvantages, such as
