Objective: To investigate the therapeutic advantages of closed reduction and Kirschner wire fixation versus open reduction and plate fixation in patients with hand surgery fractures. Methods: The sample was collected ...Objective: To investigate the therapeutic advantages of closed reduction and Kirschner wire fixation versus open reduction and plate fixation in patients with hand surgery fractures. Methods: The sample was collected from May 2021 to May 2025, consisting of 80 patients with hand surgery fractures. These patients were randomly divided into two groups using the red and blue ball method: the plate fixation group (40 cases, treated with open reduction and plate fixation) and the Kirschner wire fixation group (40 cases, treated with closed reduction and Kirschner wire fixation). The therapeutic effects between the two groups were randomly compared. Results: The Kirschner wire fixation group outperformed the plate fixation group in all indicators except for hand function scores (p < 0.05). There was no statistically significant difference in hand function scores between the two groups (p > 0.05). Conclusion: Compared with open reduction and plate fixation, closed reduction and Kirschner wire fixation for patients with hand surgery fractures achieves a more pronounced therapeutic effect, with advantages such as less trauma, shorter operation time, less bleeding, and a lower incidence of complications. It is suitable for hand surgery fractures with good stability. Open reduction and plate internal fixation have greater advantages in complex fractures and cases requiring high stability, and are worthy of promotion and application.展开更多
<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"></span><b> </b><span style="font-family:Verdan...<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"></span><b> </b><span style="font-family:Verdana;">Chronic anal fissure is a benign disorder which is associated with considerable discomfort. </span><span style="font-family:Verdana;"><b></b></span><b><b><span style="font-family:Verdana;">Aim of the Work:</span></b><span style="font-family:;" "=""><span style="font-family:Verdana;"></span></span></b><b> </b><span style="font-family:;" "=""><span style="font-family:Verdana;">The aim of this study was to compare the post-operative results of open and closed internal lateral sphincterotomies in the short and medium term.</span><b> </b></span><span style="font-family:Verdana;"><b></b></span><b><b><span style="font-family:Verdana;">Patient and Methods:</span></b><span style="font-family:;" "=""><span style="font-family:Verdana;"></span></span></b><b> </b><span style="font-family:Verdana;">We carried out a prospective randomized comparative study in the digestive and visceral surgery departments of Central Hospital of Yaounde over a period of 15</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">months. Patients were evaluated for each technique by several variables, including duration of surgery, post-operative pain, recurrence, surgical wound infection, gas and/or stool incontinence, and healing time with follow-up up to 12</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">months postoperatively.</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;"><b></b></span><b><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:;" "=""><span style="font-family:Verdana;"></span></span></b><b> </b><span style="font-family:Verdana;">A total of 63 patients underwent surgery within them we had 32 open lateral internal sphincterotom</span><span style="font-family:Verdana;">ies</span><span style="font-family:Verdana;"> (group 1) and 31 closed lateral internal sphincterotom</span><span style="font-family:Verdana;">ies</span><span style="font-family:Verdana;"> (group 2). There were 35 men and 28 women with a sex ratio of 1.25. The mean age was 35.36 ± 10.16 years with extremes ranging from 19 to 62 years. The typical presentation was pain on defecation. The majority of fissures were located at the posterior commissure. The average duration of the procedure was longer in patients in group 1 (15.34 minutes) compared to 5.22 minutes in patients in group 2. We found 3.12% of surgical wound infections in patients in group 1 and neither patient in group 2. Gas incontinence was 6.45% in group 2 patients and 28.12% in group 1.</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">The mean intensity of pain at 24 hours post-operative was between</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">4 and 6 on </span><span style="font-family:Verdana;">the </span><span style="font-family:Verdana;">visual analogue scale in patients in group 2 and between 7 and 10 in group 1. Wound healing time was 8.9 days in group </span><span style="font-family:Verdana;">1</span><span style="font-family:Verdana;"> and 4 days in group 2 patients. The hospital stay was 24 hours for both groups of patients. No recurrence was noted during the 6-month</span><span style="font-family:;" "=""> </span><span style="font-family:;" "=""><span style="font-family:Verdana;">follow-up period.</span><b> </b></span><span style="font-family:;" "=""><span style="font-family:Verdana;"><b></b></span><b><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"></span></b></span><b> </b><span style="font-family:Verdana;">Closed lateral internal anal sphincterotomy is the treatment of choice for chronic anal fissures because it is effective and associated with </span><span style="font-family:Verdana;">a </span><span style="font-family:Verdana;">lower complication rate than the open sphincterotomy technique.</span>展开更多
An open-plus-closed-loop （OPCL） control problem for the chaotic motion of a 3D rigid pendulum subjected to a constant gravitationM force is studied. The 3D rigid pendulum is assumed to be consist of a rigid body sup...An open-plus-closed-loop （OPCL） control problem for the chaotic motion of a 3D rigid pendulum subjected to a constant gravitationM force is studied. The 3D rigid pendulum is assumed to be consist of a rigid body supported by a fixed and frictionless pivot with three rotational degrees. In order to avoid the singular phenomenon of Euler＇s angular velocity equation, the quaternion kinematic equation is used to describe the motion of the 3D rigid pendulum. An OPCL controller for chaotic motion of a 3D rigid pendulum at equilibrium position is designed. This OPCL controller contains two parts： the open-loop part to construct an ideal trajectory and the closed-loop part to stabilize the 3D rigid pendulum. Simulation results show that the controller is effective and efficient.展开更多
In this paper ,we introduce a class of generalized mapping called transfer open orclosed valued mapping to generalize the KKM theorem on H-space.Then asapplications,using our H-KKM theorem,we prove some coincidence th...In this paper ,we introduce a class of generalized mapping called transfer open orclosed valued mapping to generalize the KKM theorem on H-space.Then asapplications,using our H-KKM theorem,we prove some coincidence theorems.matching theorems and vector valued minimax inequalities which generalize slightly thecorresponding results in[1,2,4,5,6,7].展开更多
We prove that the interior stresses within both a non-parabolic open inhomogeneity and another interacting non-elliptical closed inhomogeneity can still remain constant when the matrix is simultaneously under the acti...We prove that the interior stresses within both a non-parabolic open inhomogeneity and another interacting non-elliptical closed inhomogeneity can still remain constant when the matrix is simultaneously under the action of a screw dislocation and uniform remote anti-plane stresses.The constancy of interior stresses is realized through the construction of a conformal mapping function for the doubly connected domain occupied by the surrounding matrix.The mapping function is endowed with the information describing the screw dislocation via the incorporation of two specifically defined logarithmic terms.The constant interior stress fields are observed to be independent of the specific open and closed shapes of the two inhomogeneities and the existence of the screw dislocation.In contrast,the existence of the neighboring screw dislocation significantly affects the open and closed shapes of the two inhomogeneities.展开更多
Free torsion of thin-walled structures of open- and closed-sections is a classical elastic mechanics problem, which, in literature, is often solved by the method of membrane analogy. The method of membrane analogy, ho...Free torsion of thin-walled structures of open- and closed-sections is a classical elastic mechanics problem, which, in literature, is often solved by the method of membrane analogy. The method of membrane analogy, however, can be only applied to structures of a single material. If the structure consists of both open- and closed-sections, the method of membrane analogy is difficult to be applied. In this paper, a new method is presented for solving the free torsion of thin-walled structures of open- and/or closed- sections with multiple materials. By utilizing a simple statically indeterminate concept, torsional equations are derived based on the equilibrium and compatibility conditions. The method presented here not only is very simple and easy to understand but also can be applied to thin-walled structures of combined open- and closed-sections with multiple materials.展开更多
文摘Objective: To investigate the therapeutic advantages of closed reduction and Kirschner wire fixation versus open reduction and plate fixation in patients with hand surgery fractures. Methods: The sample was collected from May 2021 to May 2025, consisting of 80 patients with hand surgery fractures. These patients were randomly divided into two groups using the red and blue ball method: the plate fixation group (40 cases, treated with open reduction and plate fixation) and the Kirschner wire fixation group (40 cases, treated with closed reduction and Kirschner wire fixation). The therapeutic effects between the two groups were randomly compared. Results: The Kirschner wire fixation group outperformed the plate fixation group in all indicators except for hand function scores (p < 0.05). There was no statistically significant difference in hand function scores between the two groups (p > 0.05). Conclusion: Compared with open reduction and plate fixation, closed reduction and Kirschner wire fixation for patients with hand surgery fractures achieves a more pronounced therapeutic effect, with advantages such as less trauma, shorter operation time, less bleeding, and a lower incidence of complications. It is suitable for hand surgery fractures with good stability. Open reduction and plate internal fixation have greater advantages in complex fractures and cases requiring high stability, and are worthy of promotion and application.
文摘<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"></span><b> </b><span style="font-family:Verdana;">Chronic anal fissure is a benign disorder which is associated with considerable discomfort. </span><span style="font-family:Verdana;"><b></b></span><b><b><span style="font-family:Verdana;">Aim of the Work:</span></b><span style="font-family:;" "=""><span style="font-family:Verdana;"></span></span></b><b> </b><span style="font-family:;" "=""><span style="font-family:Verdana;">The aim of this study was to compare the post-operative results of open and closed internal lateral sphincterotomies in the short and medium term.</span><b> </b></span><span style="font-family:Verdana;"><b></b></span><b><b><span style="font-family:Verdana;">Patient and Methods:</span></b><span style="font-family:;" "=""><span style="font-family:Verdana;"></span></span></b><b> </b><span style="font-family:Verdana;">We carried out a prospective randomized comparative study in the digestive and visceral surgery departments of Central Hospital of Yaounde over a period of 15</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">months. Patients were evaluated for each technique by several variables, including duration of surgery, post-operative pain, recurrence, surgical wound infection, gas and/or stool incontinence, and healing time with follow-up up to 12</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">months postoperatively.</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;"><b></b></span><b><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:;" "=""><span style="font-family:Verdana;"></span></span></b><b> </b><span style="font-family:Verdana;">A total of 63 patients underwent surgery within them we had 32 open lateral internal sphincterotom</span><span style="font-family:Verdana;">ies</span><span style="font-family:Verdana;"> (group 1) and 31 closed lateral internal sphincterotom</span><span style="font-family:Verdana;">ies</span><span style="font-family:Verdana;"> (group 2). There were 35 men and 28 women with a sex ratio of 1.25. The mean age was 35.36 ± 10.16 years with extremes ranging from 19 to 62 years. The typical presentation was pain on defecation. The majority of fissures were located at the posterior commissure. The average duration of the procedure was longer in patients in group 1 (15.34 minutes) compared to 5.22 minutes in patients in group 2. We found 3.12% of surgical wound infections in patients in group 1 and neither patient in group 2. Gas incontinence was 6.45% in group 2 patients and 28.12% in group 1.</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">The mean intensity of pain at 24 hours post-operative was between</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">4 and 6 on </span><span style="font-family:Verdana;">the </span><span style="font-family:Verdana;">visual analogue scale in patients in group 2 and between 7 and 10 in group 1. Wound healing time was 8.9 days in group </span><span style="font-family:Verdana;">1</span><span style="font-family:Verdana;"> and 4 days in group 2 patients. The hospital stay was 24 hours for both groups of patients. No recurrence was noted during the 6-month</span><span style="font-family:;" "=""> </span><span style="font-family:;" "=""><span style="font-family:Verdana;">follow-up period.</span><b> </b></span><span style="font-family:;" "=""><span style="font-family:Verdana;"><b></b></span><b><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"></span></b></span><b> </b><span style="font-family:Verdana;">Closed lateral internal anal sphincterotomy is the treatment of choice for chronic anal fissures because it is effective and associated with </span><span style="font-family:Verdana;">a </span><span style="font-family:Verdana;">lower complication rate than the open sphincterotomy technique.</span>
基金supported by the National Natural Science Foundation of China(No.11072038)the Municipal Key Programs of Natural Science Foundation of Beijing(No.KZ201110772039)
文摘An open-plus-closed-loop （OPCL） control problem for the chaotic motion of a 3D rigid pendulum subjected to a constant gravitationM force is studied. The 3D rigid pendulum is assumed to be consist of a rigid body supported by a fixed and frictionless pivot with three rotational degrees. In order to avoid the singular phenomenon of Euler＇s angular velocity equation, the quaternion kinematic equation is used to describe the motion of the 3D rigid pendulum. An OPCL controller for chaotic motion of a 3D rigid pendulum at equilibrium position is designed. This OPCL controller contains two parts： the open-loop part to construct an ideal trajectory and the closed-loop part to stabilize the 3D rigid pendulum. Simulation results show that the controller is effective and efficient.
文摘In this paper ,we introduce a class of generalized mapping called transfer open orclosed valued mapping to generalize the KKM theorem on H-space.Then asapplications,using our H-KKM theorem,we prove some coincidence theorems.matching theorems and vector valued minimax inequalities which generalize slightly thecorresponding results in[1,2,4,5,6,7].
基金Project supported by the National Natural Science Foundation of China(No.11272121)the Natural Sciences and Engineering Research Council of Canada(No.RGPIN-2017-03716115112).
文摘We prove that the interior stresses within both a non-parabolic open inhomogeneity and another interacting non-elliptical closed inhomogeneity can still remain constant when the matrix is simultaneously under the action of a screw dislocation and uniform remote anti-plane stresses.The constancy of interior stresses is realized through the construction of a conformal mapping function for the doubly connected domain occupied by the surrounding matrix.The mapping function is endowed with the information describing the screw dislocation via the incorporation of two specifically defined logarithmic terms.The constant interior stress fields are observed to be independent of the specific open and closed shapes of the two inhomogeneities and the existence of the screw dislocation.In contrast,the existence of the neighboring screw dislocation significantly affects the open and closed shapes of the two inhomogeneities.
文摘Free torsion of thin-walled structures of open- and closed-sections is a classical elastic mechanics problem, which, in literature, is often solved by the method of membrane analogy. The method of membrane analogy, however, can be only applied to structures of a single material. If the structure consists of both open- and closed-sections, the method of membrane analogy is difficult to be applied. In this paper, a new method is presented for solving the free torsion of thin-walled structures of open- and/or closed- sections with multiple materials. By utilizing a simple statically indeterminate concept, torsional equations are derived based on the equilibrium and compatibility conditions. The method presented here not only is very simple and easy to understand but also can be applied to thin-walled structures of combined open- and closed-sections with multiple materials.
