Irregular fine protrusions formed on the surface of a mechanical part through biomimetic technology can enhance the part’s properties,including tribology,self-cleaning,and light absorption.However,underlying principl...Irregular fine protrusions formed on the surface of a mechanical part through biomimetic technology can enhance the part’s properties,including tribology,self-cleaning,and light absorption.However,underlying principles for the formation of fine protrusions according to the requirements of their shapes,sizes,and material distributions have not been studied sufficiently.This paper presents the software development for modeling irregular fine protrusions,which is essential for the simulation,experimentation,and analysis of fine protrusions formed by sputter etching.展开更多
The relationship between the volume of sphenoid sinus (SS) and the prevalence of internal carotid artery (ICA) and optic nerve (ON) protrusions in the SS was studied by using high-resolution CT imaging. The ICA and ON...The relationship between the volume of sphenoid sinus (SS) and the prevalence of internal carotid artery (ICA) and optic nerve (ON) protrusions in the SS was studied by using high-resolution CT imaging. The ICA and ON protrusions in SS were observed in randomly selected normal head CT scanning images from 350 adult subjects. Ac-cording to the incidence of ICA protrusion, three groups were divided into no ICA protrusion (70.75%), unilateral protrusion (8.68%) and bi-lateral protrusions (20.57%). The ON protrusion accounted for 16% in 350 subjects and accom-panied absolutely with ICA protrusion, but ICA protrusion appeared without accompanying with ON protrusion. The SS volume depended upon the protrusions in it and showed statistical dif-ferences, without ICA protrusion, the smallest size (11.16 ± 1.60) cm3;the unilateral protrusion, medium size (14.20 ± 1.80) cm3 and the bilateral protrusion, the largest size (25.03 ± 2.21) cm3. By observing 3D reconstructed models of ON and SS, we found ON was adjacent to SS (46%) and to posterior ethmoid sinuses (44%). The current study indicates that SS volume is varied with numbers of the protrusions and that ON location varies with the pneumatization of SS. Our results provide an anatomical basis to the surgeries for SS and its surrounding structures.展开更多
Analysing the influence mechanism of the riblet protrusion height on turbulent drag components is more beneficial in organising the vortical structure over the riblet surface.Therefore, the Large Eddy Simulation(LES) ...Analysing the influence mechanism of the riblet protrusion height on turbulent drag components is more beneficial in organising the vortical structure over the riblet surface.Therefore, the Large Eddy Simulation(LES) is used to investigate the vortex structure over the riblet surface with different protrusion heights. Then, the variations of Reynolds stress and viscous shear stress in a turbulent channel are analysed. As a result, the drag reduction rate increases from3.4% when the riblets are completely submerged in the turbulent boundary layer to 7.9% when the protrusion height is 11.2. Further analysis shows that the protrusion height affects the streamwise vortices and the normal diffusivity of spanwise and normal vortices, thus driving the variation of Reynolds stress. Compared with the smooth surface, the vorticity strength and the number of streamwise vortices are weakened near the wall but increase in the logarithmic layer with increased protrusion height. Meanwhile, the normal diffusivity of spanwise vorticity decreases with the increase of protrusion height, and the normal diffusivity of normal vorticity is the smallest when the protrusion height is 11.2. Moreover, the protrusion height affects the velocity gradient of the riblet tip and riblet valley, thus driving the variation of viscous shear stress. With the increase of protrusion height, the velocity gradient of the riblet tip increases dramatically but decreases in the riblet valley.展开更多
In order to increase the efficiency of solar air collectors,a new variant with a protrusion is proposed in this study,and its performances are analyzed from two points of view,namely,in terms of optics and thermodynam...In order to increase the efficiency of solar air collectors,a new variant with a protrusion is proposed in this study,and its performances are analyzed from two points of view,namely,in terms of optics and thermodynamics aspects.By comparing and analyzing the light paths of the protrusion and the dimple,it can be concluded that when sunlight shines on the dimple,it is reflected and absorbed multiple times,whereas for the sunlight shining on the protrusion,there is no secondary reflection or absorption of light.When the lighting area and the properties of the surfaces are the same,the absorption rate of the dimple is 10.3 percentage points higher than that of the protrusion.In the range of Reynolds number from 3000 to 11000,numerical simulations about the effects of the relative height(e/Dh=0.033–0.1)and relative spacing(p/e=4.5–8.5)of protrusions on air heat transfer and flow resistance show that,in terms of comprehensive evaluation coefficient(PF),the best relative height is 0.085,when the relative spacing is 5.A correlation of Nu and f with Re,e/Dh and p/e is obtained by linear regression of the results,in order to provide a useful reference for the design and optimization of this kind of solar air collector.展开更多
Objective To observe the influence of acupuncture on the post-operative rehabilitation in patients undergoing vertebral pulp extraction due to lumbar intervertebral disc protrusion （LIDP） so as to evaluate its effic...Objective To observe the influence of acupuncture on the post-operative rehabilitation in patients undergoing vertebral pulp extraction due to lumbar intervertebral disc protrusion （LIDP） so as to evaluate its efficacy in the treatment of lumbago induced by LIDP. Methods A total of 69 patients undergoing vertebral pulp extraction were randomized into acupuncture group （ n = 35） and control group （ n = 34）. Patients of acupuncture group were treated with routine rehabilitation method and electroacupuncture （EA） stimulation on Zhìbiān （秩边 BL54） and Wěizhōng （委中 BL40）, acupuncture on Shènshū （ 肾俞 BL23）, Dàchángshū （大肠俞 BL25）, BL54, BL40, Jiájǐ （夹脊 EX-B 2）, Shàngliáo （上髎 BL31）, etc., and cupping on BL40, with 15 days being a therapeutic course and for average 7. 36 courses. Patients of control group were treated with simple rehabilitation method. Functional recovery state was judged before and after surgery by using the standards of Japanese Orthopedic Association （JOA）. Results The average recovery rates of 3 months, 6 months and one year after surgery were 49.93% ,90.31% and 95.08% separately in acupuncture group, and 26.24% ,63.42% and 71.36% successively in control group. The recovery rates of acupuncture group were significantly higher than those of control group at the same time-points （P〈0. 05）. Conclusion Acupuncture has a definite effect on promoting post-operative functional recovery in LIDP patients undergoing vertebral pulp extraction and spinal fusion.展开更多
Wheat leaves with natural microstructures as substrates were covered by the silver nanoislands by magnetron to prepare a low-cost, environment-friendly and mass production surface-enhanced fluorescence(SEF) substrate(...Wheat leaves with natural microstructures as substrates were covered by the silver nanoislands by magnetron to prepare a low-cost, environment-friendly and mass production surface-enhanced fluorescence(SEF) substrate(Ag-WL substrate). The best SEF substrate was selected by repeatly certifying the fluorescence intensity of 10^(-5)M Rhodamine B(RB) and 10^(-5)M Rhodamine 6G(R6G) aqueous solutions. The abundant semi-spherical protrusions and flake-like structures on the surface of the Ag-WL substrate produce high-density hot spots, which provides a new and simple idea for the preparation of biomimetic materials. The results of 3D finite-different time-domain(FDTD) simulation show that the nanoisland gap of semi-spherical protrusions and flake-like structures has produced rich hotspots. By adjusting the time of magnetron sputtering, the enhancement factor(EF) was as high as 839 times, relative standard deviation(RSD) reached as low as 10.7%, and the substrate was very stable and repeatable, which shows that Ag-WL substrate is trustworthy.Moreover, semi-spherical protrusions provide stronger surface-enhanced Raman scattering(SERS) effects compared to flake-like structure. What is more surprising is that the detection limit of the substrate for toxic substance crystal violet(CV) is as low as 10^(-10)M.展开更多
Laser shock peening is a modernized surface enhancement performed methodically to improve fatigue life, enhance the hardness of the material and make coarse grains flat under the superficial layer. In this current stu...Laser shock peening is a modernized surface enhancement performed methodically to improve fatigue life, enhance the hardness of the material and make coarse grains flat under the superficial layer. In this current study, the effect of varying optimized multiple laser shock peening (LSP) is studied on the surface integrity, microhardness, and mechanical properties. The results show that the LSP-treated specimens have visible signs of valleys, wavy and varying height distribution as well as dimples. However, the presence of non-uniformity and sharp protrusions was detected from the superficiality of the as-received specimen and this was so because of the SiC abrasive material used to polish the superficial layer of the specimen before the test experiment. Prior to LSP, the surface roughness was 2 μm, however, after LSP the roughness increased to 4 μm, 6 μm and 17 μm for 1, 2, and 4 impacts, respectively. High-density dislocation can also be observed close to the grain boundary because the grain boundary prevents the migration of dislocation which could lead to dislocation walls and dislocation tangles. The increase in impacts decrease the average grain size, nevertheless, the micro-strain increased after multiple impacts. Furthermore, coarse grains after LSP were transformed into finer grains. The increase in the number of impacts increases the micro-strain likewise the full-width half maximum (FWHM). Finally, the increase in microhardness increases as the LSP impacts increase.展开更多
Objective To observe the therapeutic effect of acupuncture combined with atomized herbal medicine in the treatment of protrusion of lumbar intervertebral disc. Methods A total of 211 patients with lumbar intervertebra...Objective To observe the therapeutic effect of acupuncture combined with atomized herbal medicine in the treatment of protrusion of lumbar intervertebral disc. Methods A total of 211 patients with lumbar intervertebral disc protrusion were randomized into two groups, with 106 cases being in trealment group and 105 in control group. The treatment was given once everyday, 12 days as one course of treatment. After two courses of treatment, the results were analyzed. Results The curative rate was 97.1% in the treatment group and 81.0% in the control group. Conclusion Acupuncture together with herbal medicine for the protrusion of lumbar intervetebral disc was better in effect than acupuncture only.展开更多
This paper presents an experimental investigation on the effect of protrusion radial position and height on the sealing performance and flow structure in the rotor-stator cavity. The rotormounted protrusions are assem...This paper presents an experimental investigation on the effect of protrusion radial position and height on the sealing performance and flow structure in the rotor-stator cavity. The rotormounted protrusions are assembled at three radial positions and are set to three heights. The cavity is equipped with three rim seals: a radial seal, an axial seal and a seal with double fins on the stator.The annulus Reynolds number is set at 4:39 ×10;and the rotational Reynolds number ranges from 7:51×10;to 1:20×10;. Heat and mass transfer analogy is applied. Pressure and CO;concentration are measured. The experimental results show that in cavities with different rim seals, radial distributions of the sealing efficiency, pressure and swirl ratio are basically the same. The sealing performance is improved by protrusions compared with the cavity without protrusion and improves with the increase of protrusion radial position and height. The effect of protrusion increases with the increase of the rotational Reynolds number. The windage loss and the flow resistance introduced by protrusions are investigated. It is found that induced windage loss and flow resistance decrease with the increase of protrusion radial position but increase with the protrusion height.展开更多
In this paper, the effect of different amount of protrusion on various parameters in rotor–stator system was experimentally studied by measuring CO_2 concentration and pressure, in order to obtain the optimal protrus...In this paper, the effect of different amount of protrusion on various parameters in rotor–stator system was experimentally studied by measuring CO_2 concentration and pressure, in order to obtain the optimal protrusion amount.The parameters of different dimensionless sealing flow were measured under the condition that the annulus Reynolds number was 4.39 × 10~5 and the rotating Reynolds number was 1.05 × 10~6.The results show that the change of the amount of protrusions has little effect on the static pressure in the cavity, and the static pressure change near the sealing ring is almost negligible.But the total pressure and sealing efficiency increase first and then decrease with the increase of the amount of protrusion.The variation of power consumption is the same.A complex vortex structure will appear at the high radius region when the protrusion is installed.On the other hand, the protrusion can effectively reduce the minimum sealing flow of the rotor–stator cavity.Furthermore, considering the sealing efficiency and power consumption,the best range of the protrusion amount is about 36.The ratio near this range can optimally balance the alleviation of the gas ingestion and the reduction of the power consumption.展开更多
The mechanical behaviors of filamentous actin (F-actin) bundles play an essential role in filopodial protrusions at the leading edge of crawling cells. These bundles consist of parallel actin filaments that are hexago...The mechanical behaviors of filamentous actin (F-actin) bundles play an essential role in filopodial protrusions at the leading edge of crawling cells. These bundles consist of parallel actin filaments that are hexagonally packed and interconnected via cross-linking proteins including α-actinin, filamin, and fascin. As pushing against the plasma membrane and/or external barriers, the actin bundles in filopodial protrusion inevitably encounter a compressive load. The bending stiffness and buckling stability of actin bundles are therefore important in determining the filopodia architecture and subsequent cell morphology. In this work, we employ a coarse-grained molecular dynamics model to investigate the buckling behaviors of cross-linked actin bundles under compression, which explicitly accounts for the properties of constituent filaments and the mechanical descriptions of cross-linkers. The bending stiffness of actin bundles exhibits a generic size effect depending on the number of filaments in the bundles, explicitly depending on the degree of inter-filament coupling. The distinct buckling modes are analyzed for bundles with different coupling states and strengths of cross-linkers. This study could clarify the stability and buckling mechanisms of parallelly packed actin bundles and the structure-function relations of mechanical components in filopodial protrusion.展开更多
The windage loss caused by protrusion in a rotor–stator cavity has been studied in detail,and there are abundant fitting formulas that have been summarized to calculate the moment coefficients.Some other theorists ha...The windage loss caused by protrusion in a rotor–stator cavity has been studied in detail,and there are abundant fitting formulas that have been summarized to calculate the moment coefficients.Some other theorists have emphasized its effect on the sealing efficiency,proposing that installation of protrusion could alleviate gas ingestion.However,the protrusion shape which is an influential factor on the sealing efficiency has not been focused in previous research.Using the experimental method of measuring CO2 volume fraction,cavity pressure,and power consumption,we investigated the effects of several typical protrusion shapes on various parameters for two sealing structures,in order to obtain the optimal shape.Results showed that a variation of the protrusion shape had little impact on the static pressure,but the total pressure and the sealing efficiency increased in different degrees.Furthermore,even though the hexagon shape resulted in the highest sealing efficiency,we observed that the drop shape had the best overall performance in all of the eight models,which could result in higher efficiency of the turbine cavity.The combination of a radial seal structure and protrusion could improve sealing efficiency better.展开更多
Intravesical prostatic protrusion(IPP)has emerged as a new prostatic morphometric parameter of significance to aid the clinicians in various aspects of managing the patients with some diseases of the lower urinary tra...Intravesical prostatic protrusion(IPP)has emerged as a new prostatic morphometric parameter of significance to aid the clinicians in various aspects of managing the patients with some diseases of the lower urinary tract and the prostate.These include but may not be limited to its role in such conditions as:bladder outlet obstruction,trial without catheter,medical treatment effect,progression of lower urinary tract symptoms related to benign prostatic hypertrophy(LUTS/BPH),risk factor for bladder stone in BPH,overactive bladder,prostate carcinoma,and early urinary continence recovery after laparoscopic radical prostatectomy.In this review,I will try to summarize the different researchers’efforts on the potential practical application of this clinical tool.Technology is ever evolving to help us in the diagnosis and management of our patients.However,we as clinicians should contemplate their cost and possible suffering for the patient by wise and judicious utilization based on our clinical experience and tools.IPP seems to be one such promising clinical tool.展开更多
Lower urinary tract symptoms(LUTS)are common in males over the age of 40 years old and are likely to increase with an aging population.Currently urodynamic studies are the gold standard to determine the aetiology of v...Lower urinary tract symptoms(LUTS)are common in males over the age of 40 years old and are likely to increase with an aging population.Currently urodynamic studies are the gold standard to determine the aetiology of voiding dysfunction and LUTS.However,due to its invasive nature,a great number of non-invasive ultrasound based investigations have been developed to assess patients with symptomatic LUTS.The clinical application of noninvasive tests could potentially stratify patients who would require more invasive investigations and allow more precise patient directed treatment.A PubMed literature review was performed and we will discuss the non-invasive investigations that have been developed thus far,focusing on bladder wall and detrusor wall thickness(BWT&DWT),ultrasound estimated bladder weight(UEBW)and intravesical prostatic protrusion(IPP).展开更多
It is commonly known that riblets with sharper tip generally have better turbulent drag reduction capacity,which,however,poses great challenges for manufacturing and makes the riblets vulnerable to tip erosion.In this...It is commonly known that riblets with sharper tip generally have better turbulent drag reduction capacity,which,however,poses great challenges for manufacturing and makes the riblets vulnerable to tip erosion.In this study,we show that a scalloped riblet which is not as sharp in the tip as corresponding triangular riblet with same height-width ratio,nevertheless has a larger protrusion height,a quantity solely depending on the riblet shape and calculated through a boundary element algorithm in this study,and thus a higher projected drag reduction rate.In addition,it is found that,when subjected to tip rounding,this scalloped riblet performs better in terms of protrusion height than corresponding parabolic riblet,which indicates stronger resilience to riblet tip erosion.With the class of scalloped riblets,designed by smoothly connecting two third-order polynomials and thus the tip sharpness and valley curvature can be well defined,it is revealed that two mechanisms,one for the valley curvature at the viscous limit and one for the tip sharpness at infinite deep limit,determine the protrusion height,and thus the projected drag reduction capacity.Direct numerical simulations are then carried out to investigate controlled boundary layer transition with the scalloped riblet of width s+=20 and 5+=60.A 7.8%drag reduction in the turbulent region is found for the smaller riblet with a preferable transition delay,while for the larger riblet transition is promoted and drag is increased in the turbulent region.It is also found that the area fraction of high drag region around the riblet tips is basically the same for the two cases.Surprisingly,even higher drag is found around the tip region for the smaller drag-reducing riblets.On the other hand,a much smaller drag coefficient is found in the valley of the smaller riblet,which results in the reduction of turbulent drag.It is thus inferred that the issue of sharp riblet tip,that hard to manufacture and deteriorate substantially when subjected to tip erosion,could be mitigated by optimization of the riblet geometry.展开更多
The historical dogma that bladder calculi comprise the main indication for prostatic surgery has recently been questioned.In this study,we aimed to predict which patients should undergo simultaneous prostate and bladd...The historical dogma that bladder calculi comprise the main indication for prostatic surgery has recently been questioned.In this study,we aimed to predict which patients should undergo simultaneous prostate and bladder calculi surgery or only bladder calculi removal by evaluating preoperative risk factors.One hundred and seventeen men with bladder stones and concomitant benign prostate enlargement(BPE)who had not received medical treatment before were included in the study.In the first step,only the bladder calculi of patients were removed and medical treatment was given for BPE.The patients who benefited from medical treatment during the follow-up were defined as Group 1 and the patients who required prostate surgery for any indication comprised Group 2.Risk factors for prostate surgery requirements were determined by comparing preoperative characteristics between the two groups with a cox regression model.In the follow-up of 117 patients with bladder stones removed and medical treatment initiated,49(41.9%)patients had prostate surgery indications.The indication for 33(67.3%)of 49 patients was medical treatment failure.The presence of intravesical prostatic protrusion(IPP;hazard ratio:2.071,95%confidence interval[Cl]:1.05-4.05,P=0.034),and high postvoiding residual urine volume(hazard ratio:1.013,95%Cl:1.007-1.019,P<0.001)were found to be preoperative risk factors for needing future prostate surgery.In patients who have not received medical treatment for BPE before,bladder calculi developing secondary to BPE do not always constitute an indication for prostate surgery.展开更多
In order to study the basic characteristics of gas flow field in the atomizing chamber near the nozzle outlet of the vortical loop slit atomizer and its influence mechanism on clogging phenomenon,the computational flu...In order to study the basic characteristics of gas flow field in the atomizing chamber near the nozzle outlet of the vortical loop slit atomizer and its influence mechanism on clogging phenomenon,the computational fluid dynamics(CFD)software Fluent is used to conduct a numerical simulation of the gas flow field in the atomizing chamber near the nozzle outlet of this atomizer under different annular slit widths,different atomization gas pressures and different protrusion lengths of the melt delivery tube. The results show that under atomization gas pressure p=4.5 MPa,the greater the annular slit width D,the lower the static temperature near the central hole outlet at the front end of the melt delivery tube,and the smaller the aspirating pressure at the front end of the melt delivery tube. These features can effectively prevent the occurrence of the clogging phenomenon of metallic melt. Under an annular slit width of D=1.2 mm,when the atomization gas pressure satisfies 1 MPa ≤ p ≤ 2 MPa and increases gradually,the aspirating pressure at the front end of the melt delivery tube will decline rapidly. This can prevent the clogging phenomenon of metallic melt. However,when the atomization gas pressure p >2 MPa,the greater the atomization gas pressure,the lower the static temperature near the central hole outlet at the front end of the melt delivery tube,and the greater the aspirating pressure at the front end of the melt delivery tube. Hence,the effect of preventing the solidification-induced clogging phenomenon of metallic melt is restricted. When atomization gas pressure is p =4.5 MPa and annular slit width is D=1.2 mm,the greater the protrusion length H of the melt delivery tube,and the smaller the aspirating pressure at its front end. The static temperature near the central hole that can be observed in its front end is approximate to effectively prevent the occurrence of clogging phenomenon of metallic melt. However,because of the small aspirating pressure,the metallic melt flows into the atomizing chamber from the central hole at the front end of the melt delivery tube at an increasing speed and the gas-melt ratio in the mass flow rate is reduced,which is not conducive to the improvement of atomization performance.展开更多
The attachment of the DC arc on the anode is usually affected by surface morphology such as protrusions due to ablation or melting deformation.A three-dimensional thermodynamic and chemical non-equilibrium model is us...The attachment of the DC arc on the anode is usually affected by surface morphology such as protrusions due to ablation or melting deformation.A three-dimensional thermodynamic and chemical non-equilibrium model is used to numerically simulate the effect of artificially assumed surface protrusions on the arc anode attachment.The numerical simulation results show that the arc deflects toward the protrusions on the anode and attaches to them in a constricted mode,resulting in an increase in the temperature of the arc attachment region.The analysis shows that the presence of protrusion on the anode surface changes the electric field distribution,intensifies the degree of thermodynamic and chemical non-equilibrium in its vicinity,further influences the chemical kinetic process of the plasma around it,which is the main reason for the deflection of the arc toward the protrusions and the arc anode attachment in a constricted mode.In order to verify the numerical simulation results,verification experiments are also performed using similar size scale anode protrusion,and the results showed that the presence of protrusion can indeed cause the deflection of the arc and even cause the ablation of the protrusion.展开更多
Abstract Objective:Despite high-grade intravesical prostatic protrusion(IPP)being closely related to bladder outlet obstruction(BOO),up to 21%of patients with low IPP remain obstructed.This study evaluates the charact...Abstract Objective:Despite high-grade intravesical prostatic protrusion(IPP)being closely related to bladder outlet obstruction(BOO),up to 21%of patients with low IPP remain obstructed.This study evaluates the characteristics and urodynamic findings of men with small prostates and low IPP.Methods:One hundred and fourteen men aged>50 years old with lower urinary tract symptoms(LUTS)were assessed with symptoms,uroflowmetry,serum prostate-specific antigen(PSA),transabdominal ultrasound measurement of prostate volume(PV),IPP and post-void residual urine(PVRU).All patients underwent pressure flow studies.Patients with PV<30 mL and IPP10 mm were examined for parameters correlating with BOO or impaired detrusor contractility.Results:Thirty-six patients had PV<30 mL and IPP<10 mm.Nine patients(25.0%)had urodynamic BOO,all with normal bladder contractility.Fourteen patients(38.9%)had poor detrusor contractility and all had no BOO.PV,PVRU and IPP were significantly associated with BOO,with IPP showing greatest positive correlation.Both Qmax and IPP were significantly associated with detrusor contractility.At 5-year follow-up,most patients responded to medical therapy.Only three out of nine patients(33.3%)with BOO eventually underwent surgery,and all had a high bladder neck seen on the resectoscope.Only one patient(7.1%)with poor detrusor contractility eventually required surgery after repeat pressure flow study revealed BOO.Conclusion:In men with small prostates and low IPP,the presence of BOO is associated with higher PV,PVRU and IPP,and most respond well to medical management.BOO can possibly be explained by elevation of the bladder neck by a small subcervical adenoma.展开更多
BACKGROUND Bimaxillary protrusion is a clinically common dentofacial deformity,particularly among Chinese patients.This kind of malformation can severely affect facial esthetics and,even in mild cases,is difficult to ...BACKGROUND Bimaxillary protrusion is a clinically common dentofacial deformity,particularly among Chinese patients.This kind of malformation can severely affect facial esthetics and,even in mild cases,is difficult to correct without surgery.Unfortunately,many patients abandon treatment because of fear of surgery.Here,we describe a case of severe skeletal bimaxillary protrusion treated with nonsurgical orthodontic treatments,highlighting an alternative treatment option.CASE SUMMARY A 31-year-old woman wished to address a severe protrusion profile(approximately 8 mm overbite)and gummy smile.Cephalometric analysis and superimposition showed a severe skeletal class II pattern with a mandibular retrusion,and proclined and protrusive mandibular incisors.Panoramic radiograph showed a missing mandibular right third molar.A diagnosis of severe bimaxillary dentoalveolar protrusion was made.Taking into account the patient’s fear of orthognathic surgery,she accepted the proposed alternative treatment using micro-implants and a self-made four-curvature torquing auxiliary.The treatment allowed for maximal en masse anterior tooth retraction,proper relocation of incisors,and alleviation of the skeletal class II pattern.Esthetically,the patient’s lip protrusion was significantly decreased as was the overjet(from 10.5 mm to 1.8 mm),and the results remained stable throughout the 2-year followup.CONCLUSION Nonsurgical treatment using micro-implants and a four-curvature torquing auxiliary may benefit severe cases of skeletal bimaxillary protrusion in adults.展开更多
文摘Irregular fine protrusions formed on the surface of a mechanical part through biomimetic technology can enhance the part’s properties,including tribology,self-cleaning,and light absorption.However,underlying principles for the formation of fine protrusions according to the requirements of their shapes,sizes,and material distributions have not been studied sufficiently.This paper presents the software development for modeling irregular fine protrusions,which is essential for the simulation,experimentation,and analysis of fine protrusions formed by sputter etching.
文摘The relationship between the volume of sphenoid sinus (SS) and the prevalence of internal carotid artery (ICA) and optic nerve (ON) protrusions in the SS was studied by using high-resolution CT imaging. The ICA and ON protrusions in SS were observed in randomly selected normal head CT scanning images from 350 adult subjects. Ac-cording to the incidence of ICA protrusion, three groups were divided into no ICA protrusion (70.75%), unilateral protrusion (8.68%) and bi-lateral protrusions (20.57%). The ON protrusion accounted for 16% in 350 subjects and accom-panied absolutely with ICA protrusion, but ICA protrusion appeared without accompanying with ON protrusion. The SS volume depended upon the protrusions in it and showed statistical dif-ferences, without ICA protrusion, the smallest size (11.16 ± 1.60) cm3;the unilateral protrusion, medium size (14.20 ± 1.80) cm3 and the bilateral protrusion, the largest size (25.03 ± 2.21) cm3. By observing 3D reconstructed models of ON and SS, we found ON was adjacent to SS (46%) and to posterior ethmoid sinuses (44%). The current study indicates that SS volume is varied with numbers of the protrusions and that ON location varies with the pneumatization of SS. Our results provide an anatomical basis to the surgeries for SS and its surrounding structures.
基金the National Natural Science Foundation of China(No. 52176032)the Natural Science Foundation of Tianjin Municipal Science and Technology Commission, China(No. 22JCQNJC00050)the National Science and Technology Major Project, China(No.2017-Ⅱ-0005-0016)
文摘Analysing the influence mechanism of the riblet protrusion height on turbulent drag components is more beneficial in organising the vortical structure over the riblet surface.Therefore, the Large Eddy Simulation(LES) is used to investigate the vortex structure over the riblet surface with different protrusion heights. Then, the variations of Reynolds stress and viscous shear stress in a turbulent channel are analysed. As a result, the drag reduction rate increases from3.4% when the riblets are completely submerged in the turbulent boundary layer to 7.9% when the protrusion height is 11.2. Further analysis shows that the protrusion height affects the streamwise vortices and the normal diffusivity of spanwise and normal vortices, thus driving the variation of Reynolds stress. Compared with the smooth surface, the vorticity strength and the number of streamwise vortices are weakened near the wall but increase in the logarithmic layer with increased protrusion height. Meanwhile, the normal diffusivity of spanwise vorticity decreases with the increase of protrusion height, and the normal diffusivity of normal vorticity is the smallest when the protrusion height is 11.2. Moreover, the protrusion height affects the velocity gradient of the riblet tip and riblet valley, thus driving the variation of viscous shear stress. With the increase of protrusion height, the velocity gradient of the riblet tip increases dramatically but decreases in the riblet valley.
基金the Key Scientific Research Projects of Colleges and Universities in Henan Province(22B480007).
文摘In order to increase the efficiency of solar air collectors,a new variant with a protrusion is proposed in this study,and its performances are analyzed from two points of view,namely,in terms of optics and thermodynamics aspects.By comparing and analyzing the light paths of the protrusion and the dimple,it can be concluded that when sunlight shines on the dimple,it is reflected and absorbed multiple times,whereas for the sunlight shining on the protrusion,there is no secondary reflection or absorption of light.When the lighting area and the properties of the surfaces are the same,the absorption rate of the dimple is 10.3 percentage points higher than that of the protrusion.In the range of Reynolds number from 3000 to 11000,numerical simulations about the effects of the relative height(e/Dh=0.033–0.1)and relative spacing(p/e=4.5–8.5)of protrusions on air heat transfer and flow resistance show that,in terms of comprehensive evaluation coefficient(PF),the best relative height is 0.085,when the relative spacing is 5.A correlation of Nu and f with Re,e/Dh and p/e is obtained by linear regression of the results,in order to provide a useful reference for the design and optimization of this kind of solar air collector.
文摘Objective To observe the influence of acupuncture on the post-operative rehabilitation in patients undergoing vertebral pulp extraction due to lumbar intervertebral disc protrusion （LIDP） so as to evaluate its efficacy in the treatment of lumbago induced by LIDP. Methods A total of 69 patients undergoing vertebral pulp extraction were randomized into acupuncture group （ n = 35） and control group （ n = 34）. Patients of acupuncture group were treated with routine rehabilitation method and electroacupuncture （EA） stimulation on Zhìbiān （秩边 BL54） and Wěizhōng （委中 BL40）, acupuncture on Shènshū （ 肾俞 BL23）, Dàchángshū （大肠俞 BL25）, BL54, BL40, Jiájǐ （夹脊 EX-B 2）, Shàngliáo （上髎 BL31）, etc., and cupping on BL40, with 15 days being a therapeutic course and for average 7. 36 courses. Patients of control group were treated with simple rehabilitation method. Functional recovery state was judged before and after surgery by using the standards of Japanese Orthopedic Association （JOA）. Results The average recovery rates of 3 months, 6 months and one year after surgery were 49.93% ,90.31% and 95.08% separately in acupuncture group, and 26.24% ,63.42% and 71.36% successively in control group. The recovery rates of acupuncture group were significantly higher than those of control group at the same time-points （P〈0. 05）. Conclusion Acupuncture has a definite effect on promoting post-operative functional recovery in LIDP patients undergoing vertebral pulp extraction and spinal fusion.
基金Project supported by the National Natural Science Foundation of China (Grant Nos. 21872119 and 22072127)Science and Technology Project of Hebei Education Department, China (Grant No. ZD2019069)。
文摘Wheat leaves with natural microstructures as substrates were covered by the silver nanoislands by magnetron to prepare a low-cost, environment-friendly and mass production surface-enhanced fluorescence(SEF) substrate(Ag-WL substrate). The best SEF substrate was selected by repeatly certifying the fluorescence intensity of 10^(-5)M Rhodamine B(RB) and 10^(-5)M Rhodamine 6G(R6G) aqueous solutions. The abundant semi-spherical protrusions and flake-like structures on the surface of the Ag-WL substrate produce high-density hot spots, which provides a new and simple idea for the preparation of biomimetic materials. The results of 3D finite-different time-domain(FDTD) simulation show that the nanoisland gap of semi-spherical protrusions and flake-like structures has produced rich hotspots. By adjusting the time of magnetron sputtering, the enhancement factor(EF) was as high as 839 times, relative standard deviation(RSD) reached as low as 10.7%, and the substrate was very stable and repeatable, which shows that Ag-WL substrate is trustworthy.Moreover, semi-spherical protrusions provide stronger surface-enhanced Raman scattering(SERS) effects compared to flake-like structure. What is more surprising is that the detection limit of the substrate for toxic substance crystal violet(CV) is as low as 10^(-10)M.
文摘Laser shock peening is a modernized surface enhancement performed methodically to improve fatigue life, enhance the hardness of the material and make coarse grains flat under the superficial layer. In this current study, the effect of varying optimized multiple laser shock peening (LSP) is studied on the surface integrity, microhardness, and mechanical properties. The results show that the LSP-treated specimens have visible signs of valleys, wavy and varying height distribution as well as dimples. However, the presence of non-uniformity and sharp protrusions was detected from the superficiality of the as-received specimen and this was so because of the SiC abrasive material used to polish the superficial layer of the specimen before the test experiment. Prior to LSP, the surface roughness was 2 μm, however, after LSP the roughness increased to 4 μm, 6 μm and 17 μm for 1, 2, and 4 impacts, respectively. High-density dislocation can also be observed close to the grain boundary because the grain boundary prevents the migration of dislocation which could lead to dislocation walls and dislocation tangles. The increase in impacts decrease the average grain size, nevertheless, the micro-strain increased after multiple impacts. Furthermore, coarse grains after LSP were transformed into finer grains. The increase in the number of impacts increases the micro-strain likewise the full-width half maximum (FWHM). Finally, the increase in microhardness increases as the LSP impacts increase.
文摘Objective To observe the therapeutic effect of acupuncture combined with atomized herbal medicine in the treatment of protrusion of lumbar intervertebral disc. Methods A total of 211 patients with lumbar intervertebral disc protrusion were randomized into two groups, with 106 cases being in trealment group and 105 in control group. The treatment was given once everyday, 12 days as one course of treatment. After two courses of treatment, the results were analyzed. Results The curative rate was 97.1% in the treatment group and 81.0% in the control group. Conclusion Acupuncture together with herbal medicine for the protrusion of lumbar intervetebral disc was better in effect than acupuncture only.
文摘This paper presents an experimental investigation on the effect of protrusion radial position and height on the sealing performance and flow structure in the rotor-stator cavity. The rotormounted protrusions are assembled at three radial positions and are set to three heights. The cavity is equipped with three rim seals: a radial seal, an axial seal and a seal with double fins on the stator.The annulus Reynolds number is set at 4:39 ×10;and the rotational Reynolds number ranges from 7:51×10;to 1:20×10;. Heat and mass transfer analogy is applied. Pressure and CO;concentration are measured. The experimental results show that in cavities with different rim seals, radial distributions of the sealing efficiency, pressure and swirl ratio are basically the same. The sealing performance is improved by protrusions compared with the cavity without protrusion and improves with the increase of protrusion radial position and height. The effect of protrusion increases with the increase of the rotational Reynolds number. The windage loss and the flow resistance introduced by protrusions are investigated. It is found that induced windage loss and flow resistance decrease with the increase of protrusion radial position but increase with the protrusion height.
文摘In this paper, the effect of different amount of protrusion on various parameters in rotor–stator system was experimentally studied by measuring CO_2 concentration and pressure, in order to obtain the optimal protrusion amount.The parameters of different dimensionless sealing flow were measured under the condition that the annulus Reynolds number was 4.39 × 10~5 and the rotating Reynolds number was 1.05 × 10~6.The results show that the change of the amount of protrusions has little effect on the static pressure in the cavity, and the static pressure change near the sealing ring is almost negligible.But the total pressure and sealing efficiency increase first and then decrease with the increase of the amount of protrusion.The variation of power consumption is the same.A complex vortex structure will appear at the high radius region when the protrusion is installed.On the other hand, the protrusion can effectively reduce the minimum sealing flow of the rotor–stator cavity.Furthermore, considering the sealing efficiency and power consumption,the best range of the protrusion amount is about 36.The ratio near this range can optimally balance the alleviation of the gas ingestion and the reduction of the power consumption.
基金the National Natural Science Foundation of China (Grants 11672268, 11621062, and 91748209)the Zhejiang Provincial Natural Science Foundation of China (Grant LR16A020001)the Fundamental Research Funds for Central Universities of China (Grant 2017FZA4029).
文摘The mechanical behaviors of filamentous actin (F-actin) bundles play an essential role in filopodial protrusions at the leading edge of crawling cells. These bundles consist of parallel actin filaments that are hexagonally packed and interconnected via cross-linking proteins including α-actinin, filamin, and fascin. As pushing against the plasma membrane and/or external barriers, the actin bundles in filopodial protrusion inevitably encounter a compressive load. The bending stiffness and buckling stability of actin bundles are therefore important in determining the filopodia architecture and subsequent cell morphology. In this work, we employ a coarse-grained molecular dynamics model to investigate the buckling behaviors of cross-linked actin bundles under compression, which explicitly accounts for the properties of constituent filaments and the mechanical descriptions of cross-linkers. The bending stiffness of actin bundles exhibits a generic size effect depending on the number of filaments in the bundles, explicitly depending on the degree of inter-filament coupling. The distinct buckling modes are analyzed for bundles with different coupling states and strengths of cross-linkers. This study could clarify the stability and buckling mechanisms of parallelly packed actin bundles and the structure-function relations of mechanical components in filopodial protrusion.
文摘The windage loss caused by protrusion in a rotor–stator cavity has been studied in detail,and there are abundant fitting formulas that have been summarized to calculate the moment coefficients.Some other theorists have emphasized its effect on the sealing efficiency,proposing that installation of protrusion could alleviate gas ingestion.However,the protrusion shape which is an influential factor on the sealing efficiency has not been focused in previous research.Using the experimental method of measuring CO2 volume fraction,cavity pressure,and power consumption,we investigated the effects of several typical protrusion shapes on various parameters for two sealing structures,in order to obtain the optimal shape.Results showed that a variation of the protrusion shape had little impact on the static pressure,but the total pressure and the sealing efficiency increased in different degrees.Furthermore,even though the hexagon shape resulted in the highest sealing efficiency,we observed that the drop shape had the best overall performance in all of the eight models,which could result in higher efficiency of the turbine cavity.The combination of a radial seal structure and protrusion could improve sealing efficiency better.
文摘Intravesical prostatic protrusion(IPP)has emerged as a new prostatic morphometric parameter of significance to aid the clinicians in various aspects of managing the patients with some diseases of the lower urinary tract and the prostate.These include but may not be limited to its role in such conditions as:bladder outlet obstruction,trial without catheter,medical treatment effect,progression of lower urinary tract symptoms related to benign prostatic hypertrophy(LUTS/BPH),risk factor for bladder stone in BPH,overactive bladder,prostate carcinoma,and early urinary continence recovery after laparoscopic radical prostatectomy.In this review,I will try to summarize the different researchers’efforts on the potential practical application of this clinical tool.Technology is ever evolving to help us in the diagnosis and management of our patients.However,we as clinicians should contemplate their cost and possible suffering for the patient by wise and judicious utilization based on our clinical experience and tools.IPP seems to be one such promising clinical tool.
文摘Lower urinary tract symptoms(LUTS)are common in males over the age of 40 years old and are likely to increase with an aging population.Currently urodynamic studies are the gold standard to determine the aetiology of voiding dysfunction and LUTS.However,due to its invasive nature,a great number of non-invasive ultrasound based investigations have been developed to assess patients with symptomatic LUTS.The clinical application of noninvasive tests could potentially stratify patients who would require more invasive investigations and allow more precise patient directed treatment.A PubMed literature review was performed and we will discuss the non-invasive investigations that have been developed thus far,focusing on bladder wall and detrusor wall thickness(BWT&DWT),ultrasound estimated bladder weight(UEBW)and intravesical prostatic protrusion(IPP).
基金the National Natural Science Foundation of China(Grant No.11702159)the EU-China Joint Project Drag Reduction via Turbulent Boundary Layer Flow Control(Grant No.690623).
文摘It is commonly known that riblets with sharper tip generally have better turbulent drag reduction capacity,which,however,poses great challenges for manufacturing and makes the riblets vulnerable to tip erosion.In this study,we show that a scalloped riblet which is not as sharp in the tip as corresponding triangular riblet with same height-width ratio,nevertheless has a larger protrusion height,a quantity solely depending on the riblet shape and calculated through a boundary element algorithm in this study,and thus a higher projected drag reduction rate.In addition,it is found that,when subjected to tip rounding,this scalloped riblet performs better in terms of protrusion height than corresponding parabolic riblet,which indicates stronger resilience to riblet tip erosion.With the class of scalloped riblets,designed by smoothly connecting two third-order polynomials and thus the tip sharpness and valley curvature can be well defined,it is revealed that two mechanisms,one for the valley curvature at the viscous limit and one for the tip sharpness at infinite deep limit,determine the protrusion height,and thus the projected drag reduction capacity.Direct numerical simulations are then carried out to investigate controlled boundary layer transition with the scalloped riblet of width s+=20 and 5+=60.A 7.8%drag reduction in the turbulent region is found for the smaller riblet with a preferable transition delay,while for the larger riblet transition is promoted and drag is increased in the turbulent region.It is also found that the area fraction of high drag region around the riblet tips is basically the same for the two cases.Surprisingly,even higher drag is found around the tip region for the smaller drag-reducing riblets.On the other hand,a much smaller drag coefficient is found in the valley of the smaller riblet,which results in the reduction of turbulent drag.It is thus inferred that the issue of sharp riblet tip,that hard to manufacture and deteriorate substantially when subjected to tip erosion,could be mitigated by optimization of the riblet geometry.
文摘The historical dogma that bladder calculi comprise the main indication for prostatic surgery has recently been questioned.In this study,we aimed to predict which patients should undergo simultaneous prostate and bladder calculi surgery or only bladder calculi removal by evaluating preoperative risk factors.One hundred and seventeen men with bladder stones and concomitant benign prostate enlargement(BPE)who had not received medical treatment before were included in the study.In the first step,only the bladder calculi of patients were removed and medical treatment was given for BPE.The patients who benefited from medical treatment during the follow-up were defined as Group 1 and the patients who required prostate surgery for any indication comprised Group 2.Risk factors for prostate surgery requirements were determined by comparing preoperative characteristics between the two groups with a cox regression model.In the follow-up of 117 patients with bladder stones removed and medical treatment initiated,49(41.9%)patients had prostate surgery indications.The indication for 33(67.3%)of 49 patients was medical treatment failure.The presence of intravesical prostatic protrusion(IPP;hazard ratio:2.071,95%confidence interval[Cl]:1.05-4.05,P=0.034),and high postvoiding residual urine volume(hazard ratio:1.013,95%Cl:1.007-1.019,P<0.001)were found to be preoperative risk factors for needing future prostate surgery.In patients who have not received medical treatment for BPE before,bladder calculi developing secondary to BPE do not always constitute an indication for prostate surgery.
基金supported by the Priority Academic Program Development of Jiangsu Higher Education Institutions(PAPD)the Simulation and Test of the Flow Field of Gas Atomization Nozzle (No. 1001-KFA19184)。
文摘In order to study the basic characteristics of gas flow field in the atomizing chamber near the nozzle outlet of the vortical loop slit atomizer and its influence mechanism on clogging phenomenon,the computational fluid dynamics(CFD)software Fluent is used to conduct a numerical simulation of the gas flow field in the atomizing chamber near the nozzle outlet of this atomizer under different annular slit widths,different atomization gas pressures and different protrusion lengths of the melt delivery tube. The results show that under atomization gas pressure p=4.5 MPa,the greater the annular slit width D,the lower the static temperature near the central hole outlet at the front end of the melt delivery tube,and the smaller the aspirating pressure at the front end of the melt delivery tube. These features can effectively prevent the occurrence of the clogging phenomenon of metallic melt. Under an annular slit width of D=1.2 mm,when the atomization gas pressure satisfies 1 MPa ≤ p ≤ 2 MPa and increases gradually,the aspirating pressure at the front end of the melt delivery tube will decline rapidly. This can prevent the clogging phenomenon of metallic melt. However,when the atomization gas pressure p >2 MPa,the greater the atomization gas pressure,the lower the static temperature near the central hole outlet at the front end of the melt delivery tube,and the greater the aspirating pressure at the front end of the melt delivery tube. Hence,the effect of preventing the solidification-induced clogging phenomenon of metallic melt is restricted. When atomization gas pressure is p =4.5 MPa and annular slit width is D=1.2 mm,the greater the protrusion length H of the melt delivery tube,and the smaller the aspirating pressure at its front end. The static temperature near the central hole that can be observed in its front end is approximate to effectively prevent the occurrence of clogging phenomenon of metallic melt. However,because of the small aspirating pressure,the metallic melt flows into the atomizing chamber from the central hole at the front end of the melt delivery tube at an increasing speed and the gas-melt ratio in the mass flow rate is reduced,which is not conducive to the improvement of atomization performance.
基金supported by National Natural Science Foundation of China(Nos.11735004 and 12005010)。
文摘The attachment of the DC arc on the anode is usually affected by surface morphology such as protrusions due to ablation or melting deformation.A three-dimensional thermodynamic and chemical non-equilibrium model is used to numerically simulate the effect of artificially assumed surface protrusions on the arc anode attachment.The numerical simulation results show that the arc deflects toward the protrusions on the anode and attaches to them in a constricted mode,resulting in an increase in the temperature of the arc attachment region.The analysis shows that the presence of protrusion on the anode surface changes the electric field distribution,intensifies the degree of thermodynamic and chemical non-equilibrium in its vicinity,further influences the chemical kinetic process of the plasma around it,which is the main reason for the deflection of the arc toward the protrusions and the arc anode attachment in a constricted mode.In order to verify the numerical simulation results,verification experiments are also performed using similar size scale anode protrusion,and the results showed that the presence of protrusion can indeed cause the deflection of the arc and even cause the ablation of the protrusion.
基金We would like to thank the National Medical Council,the Goh Foundation and the Lee Foundation for their support in our BPH research,and Dr Hong Hong Huang and Ms Mei Ying Ng for their statistical and editorial support。
文摘Abstract Objective:Despite high-grade intravesical prostatic protrusion(IPP)being closely related to bladder outlet obstruction(BOO),up to 21%of patients with low IPP remain obstructed.This study evaluates the characteristics and urodynamic findings of men with small prostates and low IPP.Methods:One hundred and fourteen men aged>50 years old with lower urinary tract symptoms(LUTS)were assessed with symptoms,uroflowmetry,serum prostate-specific antigen(PSA),transabdominal ultrasound measurement of prostate volume(PV),IPP and post-void residual urine(PVRU).All patients underwent pressure flow studies.Patients with PV<30 mL and IPP10 mm were examined for parameters correlating with BOO or impaired detrusor contractility.Results:Thirty-six patients had PV<30 mL and IPP<10 mm.Nine patients(25.0%)had urodynamic BOO,all with normal bladder contractility.Fourteen patients(38.9%)had poor detrusor contractility and all had no BOO.PV,PVRU and IPP were significantly associated with BOO,with IPP showing greatest positive correlation.Both Qmax and IPP were significantly associated with detrusor contractility.At 5-year follow-up,most patients responded to medical therapy.Only three out of nine patients(33.3%)with BOO eventually underwent surgery,and all had a high bladder neck seen on the resectoscope.Only one patient(7.1%)with poor detrusor contractility eventually required surgery after repeat pressure flow study revealed BOO.Conclusion:In men with small prostates and low IPP,the presence of BOO is associated with higher PV,PVRU and IPP,and most respond well to medical management.BOO can possibly be explained by elevation of the bladder neck by a small subcervical adenoma.
基金National Natural Science Foundation of China,No.81970906and Sichuan Science and Technology Program,No.2019YJ0689.
文摘BACKGROUND Bimaxillary protrusion is a clinically common dentofacial deformity,particularly among Chinese patients.This kind of malformation can severely affect facial esthetics and,even in mild cases,is difficult to correct without surgery.Unfortunately,many patients abandon treatment because of fear of surgery.Here,we describe a case of severe skeletal bimaxillary protrusion treated with nonsurgical orthodontic treatments,highlighting an alternative treatment option.CASE SUMMARY A 31-year-old woman wished to address a severe protrusion profile(approximately 8 mm overbite)and gummy smile.Cephalometric analysis and superimposition showed a severe skeletal class II pattern with a mandibular retrusion,and proclined and protrusive mandibular incisors.Panoramic radiograph showed a missing mandibular right third molar.A diagnosis of severe bimaxillary dentoalveolar protrusion was made.Taking into account the patient’s fear of orthognathic surgery,she accepted the proposed alternative treatment using micro-implants and a self-made four-curvature torquing auxiliary.The treatment allowed for maximal en masse anterior tooth retraction,proper relocation of incisors,and alleviation of the skeletal class II pattern.Esthetically,the patient’s lip protrusion was significantly decreased as was the overjet(from 10.5 mm to 1.8 mm),and the results remained stable throughout the 2-year followup.CONCLUSION Nonsurgical treatment using micro-implants and a four-curvature torquing auxiliary may benefit severe cases of skeletal bimaxillary protrusion in adults.
