Objectives: This study focused on evaluating the value of transvaginal 3D ultrasound for the diagnosis and prognostic assessment of post-cesarean section uterine diverticulum. Materials and Methods: We retrospectively...Objectives: This study focused on evaluating the value of transvaginal 3D ultrasound for the diagnosis and prognostic assessment of post-cesarean section uterine diverticulum. Materials and Methods: We retrospectively analyzed the data from 32 patients with post-cesarean section uterine diverticulum over three recent years. In all patients, transvaginal 3D ultrasound was used to measure the size of the uterine diverticulum and the thickness of the lower uterine segment (LUS) and myometrium. Patients with a LUS with a myometrial thickness under 4 mm underwent resection and repair surgery;those with a LUS with a myometrial thickness over 4 mm underwent hysteroscopic resection. The postoperative sonograms were compared with preoperative images to evaluate the efficacy of various treatments. Results: The mean length, width and depth of the uterine diverticula were 18.30 ± 2.80 mm, 9.14 ± 3.20 mm and 11.49 ± 2.71 mm, respectively. The average LUS myometrial thickness was 3.40 ± 0.80 mm (with a range of 1.6 mm - 6.3 mm). After surgery, two patients’ sonograms still showed diverticula at the post-cesarean section scar, measuring 6 mm × 7 mm × 6 mm and 6 mm × 8 mm × 4 mm. There were significant differences in the size of uterine diverticula between preoperative and postoperative sonograms (P < 0.05) and the effective rate of surgery was 93.75% (30/32). Conclusions: Transvaginal 3D ultrasound is an accurate method for detecting post-cesarean section uterine diverticulum and is helpful for assessing surgical options and prognosis. The LUS myometrial thickness, which is considered as an optional index of post-cesarean section uterine diverticulum, should be measured routinely.展开更多
The production of breast milk is physiologically influenced by prolactin hormone and breast milk is influenced by oxytocin hormone. Oxytocin massage can increase the oxytocin hormone. The increase in the oxytocin horm...The production of breast milk is physiologically influenced by prolactin hormone and breast milk is influenced by oxytocin hormone. Oxytocin massage can increase the oxytocin hormone. The increase in the oxytocin hormone can expedite the time of colostrum. The use of drugs in the post section cesarean (SC) will inhibit the formation of breast milk production. Oxytocin massage is one of the efforts to expedite the release of colostrum. Purpose: To analyze the implementation of oxytocin massage in accelerating the release of colostrum in post-SC and the effect of oxytocin massage, breast care and the frequency of breastfeeding simultaneously to accelerate the release of colostrum. Method: The design used quasi-experiment. The population were post-SC with a sample of 60 people (30 post-SC were treated with oxytocin massage and 30 post-SC were not treated). Both groups were interviewed and observed in breast care, the frequency of breastfeeding and the time of first colostrum discharge. Result: Analysis used independent T-test and double linear regression test with α = 0.05. The results showed significantly that expedite time of colostrum in the post SC group with oxytocin massage occurred 23.04 hours faster than the controlled group who were not treated with oxytocin massage and post SC who were given oxytocin massage accompanied by breastfeeding their babies as often as possible to be faster 2.6 hours when the colostrum was released with α value < 0.05. Conclusion: Massage oxytocin speeds up the release of colostrum in the post SC.展开更多
The plastic post-buckling of a simply supported column with a solid rectangularcross-section is analysed by a new approach. High order terms in the asymptotic post-buckling expansions are carried out. In some aspect...The plastic post-buckling of a simply supported column with a solid rectangularcross-section is analysed by a new approach. High order terms in the asymptotic post-buckling expansions are carried out. In some aspects, the method proposed in thispaper is similar io Hutchinson's. However, the computation is simple since theintroduction is avoided of stretched coordinates. The method can be used to analyseinitial post-bifurcation of plates and shells in the plastic range.展开更多
With the rapid development of microscale cellular structures, the small-diameter cold-formed welded stainless steel tubes have recently been used for creating the metallic lat- tice topologies with high mechanical pro...With the rapid development of microscale cellular structures, the small-diameter cold-formed welded stainless steel tubes have recently been used for creating the metallic lat- tice topologies with high mechanical properties. In this paper, to obtain the accurate material properties of the circular hollow section （CHS） under pure compression, a series of concentric compression tests are conducted on the millimeter-scale cold-formed 304 stainless steel circu- lar tubular stub columns after exposure to a vacuum brazing process. The tests cover a total of 18 small-diameter stub tubes with measured thickness-to-diameter ratios （t/D） from 0.023 to 0.201. A generalized three-stage nominal stress-strain model is developed for describing the compressive behavior of the post-brazing CHSs over the full strain range. This mechanical model is especially applicable to computer code implementation. Hence, an interactive computer pro- gram is developed to simultaneously optimize three strain hardening exponents （n1, n2, n3） in the expression of the model to produce the stress-strain curve capable of accurately replicating the test data. To further reduce the number of the model and material parameters on which this model depends, this paper also develops five expressions for determining the 2.5% proof stress （ap2）, n2, the ultimate compressive strength （σp3）, n3, and the ultimate plastic strain （p3%） for given experimental values of three basic material parameters （E0, σ0.01, σ0.2）. These expressions are validated to he effective for the CHSs with t/D 〉_ 0.027. The analytically predicted full-range stress-strain curves have generally shown close agreement with the ones obtained experimentally.展开更多
Introduction: A caesarean section (CS) is one of the most frequently performed obstetric surgeries in the world and its use has increased dramatically in recent years. The number of caesarean section cases worldwide h...Introduction: A caesarean section (CS) is one of the most frequently performed obstetric surgeries in the world and its use has increased dramatically in recent years. The number of caesarean section cases worldwide has been increasing each year, and the World Health Organization (WHO) reported an excess of 10% - 15% of CS procedures for all births. However, some women experience surgical site infections (SSIs) after undergoing CS delivery. This study investigated the prescribing patterns of antibiotics in CS deliveries and the prevalence of SSIs at two tertiary hospitals in Lusaka, Zambia. Materials and Methods: A retrospective cross-sectional study was conducted from January 2020 to December 2020 at the Women and Newborn University Teaching Hospital (UTH) and the Levy Mwanawasa University Teaching Hospital, in Lusaka, Zambia. Results: Of a total of 838 women who delivered via CS, more than half were aged between 21 and 25 years (n = 461, 55.0%), 56.3% were from low-cost residential areas, and 57% had emergency CS delivery. The prevalence of SSIs was 6.0%, with the level of education (OR 0.377, 95% CI 0.150 - 0.946), type of caesarean section (OR 6.253, 95% CI 2.833 - 13.803), and oral antibiotics post-caesarean (OR 0.218, 95% CI 0.049 - 0.963). The duration of IV antibiotic treatment significantly predicted SSI (p Conclusion: This study found that the third-generation cephalosporin (cefotaxime) and triple combination therapy (benzylpenicillin, gentamicin, and metronidazole) were the most frequently prescribed antibiotics before and after CS. The level of education, type of CS, oral antibiotics post-CS, facility, and duration of administering IV antibiotics were all predictors of SSIs.展开更多
The equivalent filter modeling of a rectangular dielectric post in a rectangular waveguide is obtained through the variational expression of input impedance. The reflection coefficient expressed in components of netwo...The equivalent filter modeling of a rectangular dielectric post in a rectangular waveguide is obtained through the variational expression of input impedance. The reflection coefficient expressed in components of network is in good agreement with the results given by K. Siakavara, et al. (1991), The method can be applied to design filter.展开更多
目的探讨身体活动与脑卒中后抑郁(post-stroke depression,PSD)的关联,为PSD的预防和管理提供思路。方法基于2011—2018年的美国国家健康与营养调查(National Health and Nutrition Examination Survey,NHANES),收集脑卒中患者相关数据...目的探讨身体活动与脑卒中后抑郁(post-stroke depression,PSD)的关联,为PSD的预防和管理提供思路。方法基于2011—2018年的美国国家健康与营养调查(National Health and Nutrition Examination Survey,NHANES),收集脑卒中患者相关数据,根据病人健康问卷-9项(Patient Health Questionnaire-9,PHQ-9)评估抑郁状态。构建多因素logistic回归模型评估身体活动与PSD之间的相关性。结果基于NHANES和PHQ-9,共纳入864例脑卒中患者,PSD发生率为19.10%。PSD组(n=165)脑卒中患者在工作活动时间、娱乐活动时间、活动能量消耗等方面均低于对照组(n=699),组间差异有统计学意义(P<0.05)。多因素logistic分析结果表明,在调整了性别、年龄、种族、教育、婚姻、收入、饮酒史、吸烟史等协变量后,中等强度以上工作活动(OR=0.155,95%CI:0.090~0.269)、中等强度以上娱乐活动(OR=0.029,95%CI:0.017~0.048)、每周工作活动时间(OR=0.846,95%CI:0.797~0.898)、娱乐活动时间(OR=0.261,95%CI:0.193~0.353)、活动消耗能量(OR=0.682,95%CI:0.609~0.763)均与更低的PSD发生风险相关(P<0.05)。结论身体活动的增加有利于降低PSD风险,在脑卒中患者的康复过程中应重视身体活动的促进作用,为患者提供更加完善的康复方案。展开更多
文摘Objectives: This study focused on evaluating the value of transvaginal 3D ultrasound for the diagnosis and prognostic assessment of post-cesarean section uterine diverticulum. Materials and Methods: We retrospectively analyzed the data from 32 patients with post-cesarean section uterine diverticulum over three recent years. In all patients, transvaginal 3D ultrasound was used to measure the size of the uterine diverticulum and the thickness of the lower uterine segment (LUS) and myometrium. Patients with a LUS with a myometrial thickness under 4 mm underwent resection and repair surgery;those with a LUS with a myometrial thickness over 4 mm underwent hysteroscopic resection. The postoperative sonograms were compared with preoperative images to evaluate the efficacy of various treatments. Results: The mean length, width and depth of the uterine diverticula were 18.30 ± 2.80 mm, 9.14 ± 3.20 mm and 11.49 ± 2.71 mm, respectively. The average LUS myometrial thickness was 3.40 ± 0.80 mm (with a range of 1.6 mm - 6.3 mm). After surgery, two patients’ sonograms still showed diverticula at the post-cesarean section scar, measuring 6 mm × 7 mm × 6 mm and 6 mm × 8 mm × 4 mm. There were significant differences in the size of uterine diverticula between preoperative and postoperative sonograms (P < 0.05) and the effective rate of surgery was 93.75% (30/32). Conclusions: Transvaginal 3D ultrasound is an accurate method for detecting post-cesarean section uterine diverticulum and is helpful for assessing surgical options and prognosis. The LUS myometrial thickness, which is considered as an optional index of post-cesarean section uterine diverticulum, should be measured routinely.
文摘The production of breast milk is physiologically influenced by prolactin hormone and breast milk is influenced by oxytocin hormone. Oxytocin massage can increase the oxytocin hormone. The increase in the oxytocin hormone can expedite the time of colostrum. The use of drugs in the post section cesarean (SC) will inhibit the formation of breast milk production. Oxytocin massage is one of the efforts to expedite the release of colostrum. Purpose: To analyze the implementation of oxytocin massage in accelerating the release of colostrum in post-SC and the effect of oxytocin massage, breast care and the frequency of breastfeeding simultaneously to accelerate the release of colostrum. Method: The design used quasi-experiment. The population were post-SC with a sample of 60 people (30 post-SC were treated with oxytocin massage and 30 post-SC were not treated). Both groups were interviewed and observed in breast care, the frequency of breastfeeding and the time of first colostrum discharge. Result: Analysis used independent T-test and double linear regression test with α = 0.05. The results showed significantly that expedite time of colostrum in the post SC group with oxytocin massage occurred 23.04 hours faster than the controlled group who were not treated with oxytocin massage and post SC who were given oxytocin massage accompanied by breastfeeding their babies as often as possible to be faster 2.6 hours when the colostrum was released with α value < 0.05. Conclusion: Massage oxytocin speeds up the release of colostrum in the post SC.
文摘The plastic post-buckling of a simply supported column with a solid rectangularcross-section is analysed by a new approach. High order terms in the asymptotic post-buckling expansions are carried out. In some aspects, the method proposed in thispaper is similar io Hutchinson's. However, the computation is simple since theintroduction is avoided of stretched coordinates. The method can be used to analyseinitial post-bifurcation of plates and shells in the plastic range.
基金The work was supported by the National Natural Science Foundation of China under Grant Nos. 11432004 and 11421091.
文摘With the rapid development of microscale cellular structures, the small-diameter cold-formed welded stainless steel tubes have recently been used for creating the metallic lat- tice topologies with high mechanical properties. In this paper, to obtain the accurate material properties of the circular hollow section （CHS） under pure compression, a series of concentric compression tests are conducted on the millimeter-scale cold-formed 304 stainless steel circu- lar tubular stub columns after exposure to a vacuum brazing process. The tests cover a total of 18 small-diameter stub tubes with measured thickness-to-diameter ratios （t/D） from 0.023 to 0.201. A generalized three-stage nominal stress-strain model is developed for describing the compressive behavior of the post-brazing CHSs over the full strain range. This mechanical model is especially applicable to computer code implementation. Hence, an interactive computer pro- gram is developed to simultaneously optimize three strain hardening exponents （n1, n2, n3） in the expression of the model to produce the stress-strain curve capable of accurately replicating the test data. To further reduce the number of the model and material parameters on which this model depends, this paper also develops five expressions for determining the 2.5% proof stress （ap2）, n2, the ultimate compressive strength （σp3）, n3, and the ultimate plastic strain （p3%） for given experimental values of three basic material parameters （E0, σ0.01, σ0.2）. These expressions are validated to he effective for the CHSs with t/D 〉_ 0.027. The analytically predicted full-range stress-strain curves have generally shown close agreement with the ones obtained experimentally.
文摘Introduction: A caesarean section (CS) is one of the most frequently performed obstetric surgeries in the world and its use has increased dramatically in recent years. The number of caesarean section cases worldwide has been increasing each year, and the World Health Organization (WHO) reported an excess of 10% - 15% of CS procedures for all births. However, some women experience surgical site infections (SSIs) after undergoing CS delivery. This study investigated the prescribing patterns of antibiotics in CS deliveries and the prevalence of SSIs at two tertiary hospitals in Lusaka, Zambia. Materials and Methods: A retrospective cross-sectional study was conducted from January 2020 to December 2020 at the Women and Newborn University Teaching Hospital (UTH) and the Levy Mwanawasa University Teaching Hospital, in Lusaka, Zambia. Results: Of a total of 838 women who delivered via CS, more than half were aged between 21 and 25 years (n = 461, 55.0%), 56.3% were from low-cost residential areas, and 57% had emergency CS delivery. The prevalence of SSIs was 6.0%, with the level of education (OR 0.377, 95% CI 0.150 - 0.946), type of caesarean section (OR 6.253, 95% CI 2.833 - 13.803), and oral antibiotics post-caesarean (OR 0.218, 95% CI 0.049 - 0.963). The duration of IV antibiotic treatment significantly predicted SSI (p Conclusion: This study found that the third-generation cephalosporin (cefotaxime) and triple combination therapy (benzylpenicillin, gentamicin, and metronidazole) were the most frequently prescribed antibiotics before and after CS. The level of education, type of CS, oral antibiotics post-CS, facility, and duration of administering IV antibiotics were all predictors of SSIs.
文摘The equivalent filter modeling of a rectangular dielectric post in a rectangular waveguide is obtained through the variational expression of input impedance. The reflection coefficient expressed in components of network is in good agreement with the results given by K. Siakavara, et al. (1991), The method can be applied to design filter.
文摘目的探讨身体活动与脑卒中后抑郁(post-stroke depression,PSD)的关联,为PSD的预防和管理提供思路。方法基于2011—2018年的美国国家健康与营养调查(National Health and Nutrition Examination Survey,NHANES),收集脑卒中患者相关数据,根据病人健康问卷-9项(Patient Health Questionnaire-9,PHQ-9)评估抑郁状态。构建多因素logistic回归模型评估身体活动与PSD之间的相关性。结果基于NHANES和PHQ-9,共纳入864例脑卒中患者,PSD发生率为19.10%。PSD组(n=165)脑卒中患者在工作活动时间、娱乐活动时间、活动能量消耗等方面均低于对照组(n=699),组间差异有统计学意义(P<0.05)。多因素logistic分析结果表明,在调整了性别、年龄、种族、教育、婚姻、收入、饮酒史、吸烟史等协变量后,中等强度以上工作活动(OR=0.155,95%CI:0.090~0.269)、中等强度以上娱乐活动(OR=0.029,95%CI:0.017~0.048)、每周工作活动时间(OR=0.846,95%CI:0.797~0.898)、娱乐活动时间(OR=0.261,95%CI:0.193~0.353)、活动消耗能量(OR=0.682,95%CI:0.609~0.763)均与更低的PSD发生风险相关(P<0.05)。结论身体活动的增加有利于降低PSD风险,在脑卒中患者的康复过程中应重视身体活动的促进作用,为患者提供更加完善的康复方案。
