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Aeroacoustic investigation of owl-inspired hybrid trailing-edge serrations
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作者 Jiaxin Rong Takahiro Shizukuda Hao Liu 《Acta Mechanica Sinica》 2025年第7期168-179,共12页
Owls exhibit remarkably silent flight,largely attributed to trailing-edge(TE)serrations on their wings.Inspired by this biological adaptation,TE serrations have become promising passive-noise-control strategies for ae... Owls exhibit remarkably silent flight,largely attributed to trailing-edge(TE)serrations on their wings.Inspired by this biological adaptation,TE serrations have become promising passive-noise-control strategies for aerodynamic devices,including drones and wind turbines.However,conventional designs typically feature single-scale geometries—Such as sawtooth or sinusoidal serrations—that fail to replicate the owl’s inherently dual-scale morphology:Macro-scale waviness formed by feather tips combined with micro-scale morphology.Here,we introduce and evaluate a hybrid TE serration design that incorporates both macro-scale wave patterns and micro-scale fringe-like elements to closely emulate the owl wing structure.Using large-eddy simulations coupled with the Ffowcs Williams-Hawkings acoustic analogy,we assess three configurations:A smooth baseline,a conventional wavy serration,and the proposed hybrid serration.Our results indicate that the hybrid configuration achieves an overall noise reduction of about 12 dB relative to the smooth baseline,surpassing the conventional wavy configuration by approximately 2.5 dB,while preserving aerodynamic performance as measured by lift-to-drag ratio.Flow-field analyses further reveal that dual-scale serrations effectively suppress TE pressure fluctuations,highlighting a key aeroacoustic advantage of the owl-inspired hybrid approach.These insights advance our understanding of bioinspired noisecontrol mechanisms and provide practical guidelines for designing quieter aerodynamic systems. 展开更多
关键词 Aeroacoustics Trailing-edge serrations Owl-inspired design Large-eddy simulation Noise reduction
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Bioinspired Trailing Edge Serrations for Vertical Axis Wind Turbine Blades in Urban Environments: Performance Effects
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作者 Luis Santamaria Laura Suarez Fernandez +2 位作者 Manuel Garcia-Diaz Jose Gonzalez Perez Monica Galdo 《Journal of Bionic Engineering》 2025年第2期822-837,共16页
Biomimetics has recently emerged as an interesting approach to enhance renewable energy technologies.In this work,bioinspired Trailing Edge Serrations(TES)were evaluated on a typical Vertical Axis Wind Turbine(VAWT)ai... Biomimetics has recently emerged as an interesting approach to enhance renewable energy technologies.In this work,bioinspired Trailing Edge Serrations(TES)were evaluated on a typical Vertical Axis Wind Turbine(VAWT)airfoil,the DU06-W200.As noise reduction benefits of these mechanisms are already well-established,this study focuses on their impact on airfoil and VAWT performance.A saw-tooth geometry was chosen based on VAWT specifications and existing research,followed by a detailed assessment through wind tunnel tests using a newly developed aerodynamic balance.For a broad spectrum of attack angles and Reynolds numbers,lift,drag,and pitching moments were carefully measured.The results show that TES enhance the lift-to-drag ratio,especially in stalled conditions,and postpone stall at negative angles,expanding the effective performance range.A notable increase in pitching moment also is also observed,relevant for blade-strut joint design.Additionally,the impact on turbine performance was estimated using an analytical model,demonstrating excellent accuracy when compared against previous experimental results.TES offer a modest 2%improve-ment in peak performance,though they slightly narrow the optimal tip-speed ratio zone.Despite this,the potential noise reduction and performance gains make TES a valuable addition to VAWT designs,especially in urban settings. 展开更多
关键词 Biomimetics Trailing edge serrations Passive flow control device Vertical axis wind turbine VAWT Wind tunnel DU06-W200
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A general model for trailing edge serrations simulation on wind turbine airfoils 被引量:3
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作者 Huijing Cao Mingming Zhang +1 位作者 Yinan Zhang Teng Zhou 《Theoretical & Applied Mechanics Letters》 CSCD 2021年第4期236-244,共9页
Trailing edge serrations(TESs)are capable of noticeably suppressing the turbulent trailing edge noise induced by rotating wind turbine blades and become an integral part of a blade.However,the challenges involved in t... Trailing edge serrations(TESs)are capable of noticeably suppressing the turbulent trailing edge noise induced by rotating wind turbine blades and become an integral part of a blade.However,the challenges involved in the dimensional design of serration height 2 h,wavelengthλand flap angleϕare yet to be dealt with in a satisfactory manner.To address the problem,a general model for simulating the effects of serrations on the hydrodynamic and aeroacoustic performance is proposed due to its ease of use and relatively low requirements for user input.The solid serrations are replicated by momentum sources calculated by its aerodynamic forces.Then,a case relevant to wind turbine airfoil is examined,a hybrid improved delay detached eddy simulation(IDDES)method coupled with FW-H integration is deployed to obtain the flow features and far-field sound pressure level.It is found that the modeling method could reproduce the flow field and noise as serrated airfoil. 展开更多
关键词 Wind turbine airfoil Trailing edge serrations Trailing edge noise Modeling method
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High-throughput investigations of configurational-transformation-dominated serrations in CuZr/Cu nanolaminates
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作者 William Yi Wang Bin Gana +15 位作者 Deye Lin Jun Wang Yiguang Wang Bin Tang Hongchao Kou Shunli Shang Yi Wang Xingyu Gao Haifeng Song Xidong Hui Laszlo J.Kecskes Zhenhai Xia Karin A.Dahmen Peter K.Liaw Jinshan Lia Zi-Kui Liu 《Journal of Materials Science & Technology》 SCIE EI CAS CSCD 2020年第18期192-199,共8页
Metallic amorphous/crystalline(A/C)nanolaminates exhibit excellent ductility while retaining their high strength.However,the underlying physical mechanisms and the resultant structural changes during plastic deformati... Metallic amorphous/crystalline(A/C)nanolaminates exhibit excellent ductility while retaining their high strength.However,the underlying physical mechanisms and the resultant structural changes during plastic deformation still remain unclear.In the present work,the structure-property relationship of CuZr/Cu A/C nanolaminates is established through integrated high-throughput micro-compression tests and molecular dynamics simulations together with high-resolution transmission electron microcopy.The serrated flow of nanolaminates results from the formation of hexagonal-close-packed(HCP)-type stacking faults and twins inside the face-centered-cubic(FCC)Cu nano-grains,the body-centered-cubic(BCC)-type ordering at their grain boundaries,and the crystallization of the amorphous CuZr layers.The serration behavior of CuZr/Cu A/C nanolaminates is determined by several factors,including the formation of dense dislocation networks from the multiplication of initial dislocations that formed after yielding,weak-spots-related configurational-transitions and shear-transition-zone activities,and deformation-induced devitrification.The present work provides an insight into the heterogeneous deformation mechanism of A/C nanolaminates at the atomic scale,and mechanistic base for the microstructural design of self-toughening metallic-glass(MG)-based composites and A/C nanolaminates. 展开更多
关键词 NANOLAMINATES SERRATION Configurational transformation Molecular dynamics Metallic glass
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Statistical analysis on strain-rate effects during serrations in a Zr-based bulk metallic glass
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作者 Bo Yuan Jiao-jiao Li Jun-wei Qiao 《Journal of Iron and Steel Research International》 SCIE EI CAS CSCD 2017年第4期455-461,共7页
By means of statistical analysis,the deformation mechanisms taking place in elastic loading and plastic shearing stages during serrated flows on the stress-strain curves for bulk metallic glasses were studied comprehe... By means of statistical analysis,the deformation mechanisms taking place in elastic loading and plastic shearing stages during serrated flows on the stress-strain curves for bulk metallic glasses were studied comprehensively.Normalized serration number presented a linear increasing tendency with the decrease of applied strain rates due to the reduction of free volumes.An excellent plastic deformation was illustrated from the influences of structure arrangement with activation energy.By using mean-field theory(MFT),maximum elastic-energy density at different strain rates could be predicted by MFT besides maximum stress drops during serrations.These results were helpful for understanding the serrated flow behavior or designing decent schemes to improve the plasticity of bulk metallic glasses at room temperature. 展开更多
关键词 Bulk metallic glass Shear band Mean-field theory Serration
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Health anxiety and work loss in patients diagnosed with serrated polyposis syndrome:A cross sectional study
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作者 Angus Thompson Natalie R Dierick +1 位作者 Louise Heiniger Stuart N Kostalas 《World Journal of Clinical Oncology》 2025年第2期52-62,共11页
BACKGROUND Serrated polyposis syndrome(SPS)is a polyposis condition with neoplastic potential,but its psychological impact is not well understood.AIM To assess health anxiety prevalence in a regional Australian cohort... BACKGROUND Serrated polyposis syndrome(SPS)is a polyposis condition with neoplastic potential,but its psychological impact is not well understood.AIM To assess health anxiety prevalence in a regional Australian cohort of SPS patients and explore factors influencing it,including workforce impacts of regular surveillance.METHODS This cross-sectional study screened patients aged 18-65 undergoing colonoscopy in a regional gastroenterology practice between January 2015 and June 2022.Eligible SPS patients were invited to participate.Data included the Short Health Anxiety Inventory,employment status,and previous demographic and medical findings.RESULTS Health anxiety was found in 21.57%of SPS patients,with anxious patients being significantly more concerned about surveillance(OR=7.70).Patients lost an average of 11.04 work hours per colonoscopy.CONCLUSION Health anxiety in SPS patients aligns with rates in other gastroenterology populations.Identifying it may improve management,though further research is needed to better understand prevalence and care improvements. 展开更多
关键词 Serrated polyposis syndrome Health anxiety Colorectal cancer SURVEILLANCE
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Overview of serrated polyposis syndrome from pathophysiology,diagnosis,and management
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作者 Zong-Yang Li Tong Li Hong-Qiao Cai 《World Journal of Clinical Oncology》 2025年第4期1-5,共5页
This editorial discusses Thompson et al's original article,which is published in the most recent edition of the World Journal of Clinical Oncology and sheds critical light on the intertwined issues of health anxie... This editorial discusses Thompson et al's original article,which is published in the most recent edition of the World Journal of Clinical Oncology and sheds critical light on the intertwined issues of health anxiety and work loss in individuals diagnosed with serrated polyposis syndrome(SPS).SPS is rare,characterized by the development of multiple serrated colorectal polyps.This editorial provides an overview of SPS,including its pathophysiology,clinical presentation,diagnostic criteria,management strategies,and the psychosocial impact.SPS is linked to molecular alterations,which drive carcinogenesis.Colonoscopy and histological analysis are used for diagnosis.Genetic testing is also considered where there is a family history.Quality of life can be greatly impacted by the psychosocial effects of SPS,especially health anxiety.Further understanding of the molecular mechanisms and creating individualized surveillance are required. 展开更多
关键词 Serrated polyposis syndrome PATHOPHYSIOLOGY DIAGNOSIS TREATMENT Psychosocial impact
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Clinical and endoscopic characteristics of colorectal traditional serrated adenomas with dysplasia/adenocarcinoma in a Korean population
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作者 Ki-Hyun Kim Eun Myung +10 位作者 Hyung Hoon Oh Chan-Muk Im Young-Eun Seo Je-Seong Kim Chae-June Lim Ga-Ram You Sung-Bum Cho Wan-Sik Lee Myung-Giun Noh Kyung-Hwa Lee Young-Eun Joo 《World Journal of Gastrointestinal Oncology》 2025年第2期119-131,共13页
BACKGROUND Traditional serrated adenoma(TSA)is a rare and precancerous lesion of colorectal cancer.The clinical and endoscopic differentiations between TSAs without dysplasia or adenocarcinoma(TSAOs)and TSAs with dysp... BACKGROUND Traditional serrated adenoma(TSA)is a rare and precancerous lesion of colorectal cancer.The clinical and endoscopic differentiations between TSAs without dysplasia or adenocarcinoma(TSAOs)and TSAs with dysplasia or adenocarcinoma(TSADs)remain unclear.AIM To evaluate the characteristics of colorectal TSAs and compare the characteristics of TSAOs with those of TSADs.METHODS This retrospective study included 193 patients who underwent endoscopic resection and received a pathologic diagnosis of TSA.We reviewed the medical,endoscopic,and histopathologic records of patients who underwent endoscopic resection of TSAs between January 2010 and December 2023.RESULTS TSAs were more frequently located in the rectosigmoid colon.Most TSAs had 0-Ip,0-Isp,or 0-Is morphologies.The TSAD lesions were larger than TSAO lesions.TSAD lesions more commonly had a red color and an irregular border than TSAO lesions.TSAOs were usually treated using conventional endoscopic mucosal resection,whereas TSADs were treated using conventional endoscopic mucosal resection,endoscopic submucosal dissection,and surgery.Post-polypectomy bleeding was more common with TSADs than with TSAOs.Univariate analysis showed that gastrointestinal bleeding,red color,0-IIa,irregular border,and lobular mucosal surface were significantly associated with TSADs.Multivariate analysis showed that gastrointestinal bleeding,an irregular border,and a lobular mucosal surface were significantly associated with TSADs.CONCLUSION TSAs with gastrointestinal bleeding,an irregular border,and a lobular mucosal surface are associated with an increased risk of dysplasia or adenocarcinoma. 展开更多
关键词 Traditional serrated adenoma DYSPLASIA CARCINOMA Endoscopic features Gastrointestinal bleeding
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Effect of rejuvenation heat treatment on serrated flow behavior and fracture mechanism of nickel-based superalloys
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作者 Jia-jian WANG Zhe-wen HAN +3 位作者 Zhi-chun WANG Bo PENG Yue ZUO Ju KANG 《Transactions of Nonferrous Metals Society of China》 2025年第5期1603-1618,共16页
The effects of rejuvenation heat treatment(RHT)on the serrated flow behavior and fracture mode of nickel-based superalloys(R26)were investigated by tensile tests and microstructural characterization.The serrated flow ... The effects of rejuvenation heat treatment(RHT)on the serrated flow behavior and fracture mode of nickel-based superalloys(R26)were investigated by tensile tests and microstructural characterization.The serrated flow activation energies were determined to be 41−72 and 64−81 kJ/mol before and after RHT,respectively.Dynamic strain aging in the alloy is caused by the diffusion of carbon atoms into dislocation channels in the nickel matrix.Before RHT,carbides are concentrated at the grain boundaries.Cracks initiate from these carbides and propagate along the grain boundaries.RHT dissolves carbides at grain boundaries,transferring crack initiation to the precipitated phase group in the grains.RHT increases carbon atom concentration in the nickel matrix,enhancing dynamic strain aging and serrated flow behavior. 展开更多
关键词 rejuvenation heat treatment nickel-based superalloy serrated flow behavior FRACTURE activation energy
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Serrated flow behavior mediated via nano-twinning and phase transformation in FeCoCrNiMo0.2 high-entropy alloy at cryogenic temperatures
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作者 Fei Chen Fei Liu +5 位作者 Yuan-Biao Tan Wei Shi Xuan-Ming Ji Hao Fu Si-Yuan Wei Song Xiang 《Rare Metals》 2025年第5期3447-3459,共13页
The serrated flow behavior,known as the Portevin-Le Chatelier(PLC)effect,is commonly observed during high-temperature deformation.In this study,we report a serrated flow behavior in FeCoCrNiMo0.2 high-entropy alloy(HE... The serrated flow behavior,known as the Portevin-Le Chatelier(PLC)effect,is commonly observed during high-temperature deformation.In this study,we report a serrated flow behavior in FeCoCrNiMo0.2 high-entropy alloy(HEA),which is mediated by nano-twinning and phase transformation at cryogenic temperatures.During uniaxial tensile deformation at 77 K,the alloy exhibited the formation of high-density deformation nano-twinning,cross-twinning,stacking faults(SFs)and Lomer-Cottrell locks(L-C locks).Additionally,the lower stacking fault energy(SFE)at low temperatures promotes the formation of the 9R phase.The high-density twin boundaries effectively hinder dislocation movement,leading to the instability of plastic deformation and promoting the serrated flow behavior.Furthermore,the rapid and unstable transformation of the 9R phase contributes to the pronounced serrated flow behavior.Nano-twinning,SFs,cross-twinning,L-C locks and 9R phase collectively induce a dynamic Hall-Petch effect,enhancing the strength-ductility synergy and strain-hardening ability of deformed alloy at 77 K.Our work provides valuable insights into the mechanism of tensile deformation at cryogenic temperatures in single-phase FCC HEA. 展开更多
关键词 High-entropy alloys Serrated flow behavior Nano-twinning Phase transformation Cryogenic temperature
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Determinants of high sessile serrated lesion detection:Role of faecal occult blood test and colonoscopy quality indicators
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作者 Harry Williams Natalie R Dierick +2 位作者 Christina Lee Praka Sundaralingam Stuart N Kostalas 《World Journal of Gastrointestinal Endoscopy》 2025年第8期79-90,共12页
BACKGROUND Sessile serrated lesions(SSLs)are premalignant polyps implicated in up to 30%of colorectal cancers.Australia reports high SSL detection rates(SSL-DRs),yet with marked variability(3.1%-24%).This substantial ... BACKGROUND Sessile serrated lesions(SSLs)are premalignant polyps implicated in up to 30%of colorectal cancers.Australia reports high SSL detection rates(SSL-DRs),yet with marked variability(3.1%-24%).This substantial variation raises concerns about missed lesions and post-colonoscopy colorectal cancer.This study investigates determinants associated with SSL-DR variation in regional Australia.AIM To study how patient,clinical,and colonoscopy factors are associated with SSL detection in a regional Australian practice.We aimed to contribute high-detection data to the literature by analyzing the association of SSL detection with various determinants.METHODS This retrospective,cross-sectional analysis examined 1450 colonoscopies performed at Port Macquarie Gastroenterology during 2023.Sigmoidoscopies and repeat procedures were excluded.Multivariate logistic regression analyzed associations between SSL detection and patient demographics,clinical indications,procedural factors,and comorbidities.RESULTS The overall SSL-DR was 30.7%.Multivariate analysis identified several independent predictors:Clinical indication,bowel preparation quality,inflammatory bowel disease status,and serrated polyposis syndrome.The faecal occult blood test positive(FOBT)(+)cohort showed the highest predicted SSL detection probability(39.8%),while clinical symptoms showed the lowest(22.3%).After adjustment,SSL detection odds were 2.3 times greater among FOBT(+)patients than those with clinical symptoms(adjusted odds ratio=2.30,95%confidence interval:1.20-4.40,P=0.004).CONCLUSION SSL-DR as a quality indicator requires contextualization regarding clinical indications,bowel preparation quality,and comorbidities.There was a significantly higher prevalence of SSLs in FOBT(+)patients.Despite comprehensive adjustment,this study cannot fully explain the wide SSL-DR variation in Australia,highlighting the need for standardized detection protocols and further research to ensure optimal cancer prevention outcomes. 展开更多
关键词 Sessile serrated lesion Adenoma detection rate Faecal occult blood test Polyp detection rate DYSPLASIA COLONOSCOPY PREVALENCE
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Achieving the excellent intermediate-temperature strength-ductility synergy in a fine-grained FeCrNi-based medium entropy alloy with heterogeneous precipitation
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作者 Tianxiang Bai Tuanwei Zhang +8 位作者 Zhiming Jiao Jinyao Ma Hui Chang Jianjun Wang Dan Zhao Shengguo Ma Zhouzhu Mao Xiaoxiao Liu Zhihua Wang 《International Journal of Minerals,Metallurgy and Materials》 2025年第5期1198-1207,共10页
Fe-Cr-Ni austenitic alloys are extensively utilized in the hot-end components of nuclear light water reactors,turbine disks,and gas compressors.However,their low strength at elevated temperatures limits their engineer... Fe-Cr-Ni austenitic alloys are extensively utilized in the hot-end components of nuclear light water reactors,turbine disks,and gas compressors.However,their low strength at elevated temperatures limits their engineering applications.In this study,a novel precipit-ation-strengthened alloy system is developed by incorporating Al and Si elements into a FeCrNi equiatomic alloy.The results indicate that the FeCrNiAl_(x)Si_(x)(at%,x=0.1,0.2)alloys possess heterogeneous precipitation structures that feature a micron-scaleσphase at the grain boundaries and a nanoscale ordered body-centered cube(B2)phase within the grains.An exceptional strength-ductility synergy across a wide temperature range is achieved in FeCrNiAl_(0.1)Si_(0.1)alloys due to grain refinement and precipitation strengthening.Notably,a yield strength of 693.83 MPa,an ultimate tensile strength of 817.55 MPa,and a uniform elongation of 18.27%are attained at 873 K.The dislo-cation shearing mechanism for B2 phases and the Orowan bypass mechanism forσphase,coupled with a high density of nano-twins and stacking faults in the matrix,contribute to the excellent mechanical properties at cryogenic and ambient temperatures.Moreover,the emergence of serratedσphase and micro-twins in the matrix plays a crucial role in the strengthening and toughening mechanisms at inter-mediate temperatures.This study offers a novel perspective and strategy for the development of precipitation-hardened Fe-Cr-Ni austen-itic alloys with exceptional strength-ductility synergy over a broad temperature range. 展开更多
关键词 high/medium-entropy alloys medium temperature mechanical property serratedσphase
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Review on the plastic instability of medium -Mn steels for identifying the formation mechanisms of Lüders and Portevin -Le Chatelier bands 被引量:4
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作者 Bin Hu Han Sui +3 位作者 Qinghua Wen Zheng Wang Alexander Gramlich Haiwen Luo 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2024年第6期1285-1297,共13页
Plastic instability,including both the discontinuous yielding and stress serrations,has been frequently observed during the tensile deformation of medium-Mn steels(MMnS)and has been intensively studied in recent years... Plastic instability,including both the discontinuous yielding and stress serrations,has been frequently observed during the tensile deformation of medium-Mn steels(MMnS)and has been intensively studied in recent years.Unfortunately,research results are controversial,and no consensus has been achieved regarding the topic.Here,we first summarize all the possible factors that affect the yielding and flow stress serrations in MMnS,including the morphology and stability of austenite,the feature of the phase interface,and the deformation parameters.Then,we propose a universal mechanism to explain the conflicting experimental results.We conclude that the discontinuous yielding can be attributed to the lack of mobile dislocation before deformation and the rapid dislocation multiplication at the beginning of plastic deformation.Meanwhile,the results show that the stress serrations are formed due to the pinning and depinning between dislocations and interstitial atoms in austenite.Strain-induced martensitic transformation,influenced by the mechanical stability of austenite grain and deformation parameters,should not be the intrinsic cause of plastic instability.However,it can intensify or weaken the discontinuous yielding and the stress serrations by affecting the mobility and density of dislocations,as well as the interaction between the interstitial atoms and dislocations in austenite grains. 展开更多
关键词 medium manganese steel discontinuous yielding stress serrations retained austenite dislocations
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Serrated flow behavior of GH536 superalloy under different loading rates at room temperature
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作者 Wen-Xiang Gao Dong Ma +3 位作者 Li-Li Zhao Fan Ye Ling Shao Su-Jun Wu 《Rare Metals》 SCIE EI CAS CSCD 2024年第5期2317-2323,共7页
Serrated flow phenomenon has been widely observed among different metals due to the potential influence on their applications.Uniaxial tensile tests of nickel-based superalloy GH536 were carried out at loading rates o... Serrated flow phenomenon has been widely observed among different metals due to the potential influence on their applications.Uniaxial tensile tests of nickel-based superalloy GH536 were carried out at loading rates of 0.06,0.60,3.60,and 36.00 mm·min^(-1)at room temperature,respectively.The tensile stress-strain curves demonstrate repetitive and discontinuous yielding behavior,namely serrated flow.It is observed that the stress-strain curves were dominated by type B serration,and original annealing twin boundaries(TBs)were distorted to various degrees under comparatively different lower tensile rates.In contrast,the TBs almost disappear,and the type B serrations become smoother and regular under the higher loading rates.This phenomenon can be attributed to the interactions between TBs and dislocations during tensile deformation.Coupled effects of the mobile and immobile dislocations illustrate the unsteady amplitude of serrations observed in stress-strain curves.Transmission electron microscope images of tested pieces reveal the interaction of dislocation and TB,with dislocation tangling around the TBs. 展开更多
关键词 Nickel-based superalloy serrations Twin boundaries Deformation mechanism
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Prevalence, risk factors, and BRAF mutation of colorectal sessile serrated lesions among Vietnamese patients 被引量:2
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作者 Nhu Thi Hanh Vu Huy Minh Le +4 位作者 Diem Thi-Ngoc Vo Hoang Anh Vu Nhan Quang Le Dung Dang Quy Ho Duc Trong Quach 《World Journal of Clinical Oncology》 2024年第2期290-301,共12页
BACKGROUND Sessile serrated lesions(SSLs)are considered precancerous colorectal lesions that should be detected and removed to prevent colorectal cancer.Previous studies in Vietnam mainly investigated the adenoma path... BACKGROUND Sessile serrated lesions(SSLs)are considered precancerous colorectal lesions that should be detected and removed to prevent colorectal cancer.Previous studies in Vietnam mainly investigated the adenoma pathway,with limited data on the serrated pathway.AIM To evaluate the prevalence,risk factors,and BRAF mutations of SSLs in the Vietnamese population.METHODS This is a cross-sectional study conducted on patients with lower gastrointestinal symptoms who underwent colonoscopy at a tertiary hospital in Vietnam.SSLs were diagnosed on histopathology according to the 2019 World Health Organi-zation classification.BRAF mutation analysis was performed using the Sanger DNA sequencing method.The multivariate logistic regression model was used to determine SSL-associated factors.RESULTS There were 2489 patients,with a mean age of 52.1±13.1 and a female-to-male ratio of 1:1.1.The prevalence of SSLs was 4.2%[95%confidence interval(CI):3.5-5.1].In the multivariate analysis,factors significantly associated with SSLs were age≥40[odds ratio(OR):3.303;95%CI:1.607-6.790],male sex(OR:2.032;95%CI:1.204-3.429),diabetes mellitus(OR:2.721;95%CI:1.551-4.772),and hypertension(OR:1.650,95%CI:1.045-2.605).The rate of BRAF mutations in SSLs was 35.5%.CONCLUSION The prevalence of SSLs was 4.2%.BRAF mutations were present in one-third of SSLs.Significant risk factors for SSLs included age≥40,male sex,diabetes mellitus,and hypertension. 展开更多
关键词 Colorectal cancer Sessile serrated lesion BRAF mutation Risk factors Diabetes mellitus Hypertension
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Cold snare polypectomy:A closer look at the efficacy and limitations for polyps 10-20 mm in size 被引量:2
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作者 Louis A Chaptini Sarah Jalloul Karam Karam 《World Journal of Gastrointestinal Endoscopy》 2024年第8期445-450,共6页
Current guidelines recommend cold snare polypectomy for polyps less than 10 mm in size.Conversely,endoscopic mucosal resection is still the preferred technique for larger polyps.Concerns regarding cold snare polypecto... Current guidelines recommend cold snare polypectomy for polyps less than 10 mm in size.Conversely,endoscopic mucosal resection is still the preferred technique for larger polyps.Concerns regarding cold snare polypectomy for larger polyps revolve around the difficulty in conducting en-bloc resection(resulting in piecemeal removal),and the potential for local residual polyp tissue and a high rate of recurrence.On the other hand,cold snare technique has the advantages of shortening procedure time,reducing delayed bleeding risks and lowering cost of treatment.Numerous ongoing and recent studies are focused on evaluating the risks and benefits of this technique for polyps larger than 10 mm,with the goal of providing clear guidelines in the near future.The aim of this editorial is to provide our readers with an overview regarding this subject and the latest developments surrounding it. 展开更多
关键词 Colon polyp POLYPECTOMY Cold snare polypectomy Hot snare polypectomy Endoscopic mucosal resection Sessile serrated lesion ADENOMA
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Precision in detecting colon lesions:A key to effective screening policy but will it improve overall outcomes? 被引量:1
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作者 Luis Ramon Rabago Maria Delgado Galan 《World Journal of Gastrointestinal Endoscopy》 2024年第3期102-107,共6页
Colonoscopy is the gold standard for the screening and diagnosis of colorectal cancer,resulting in a decrease in the incidence and mortality of colon cancer.However,it has a 21%rate of missed polyps.Several strategies... Colonoscopy is the gold standard for the screening and diagnosis of colorectal cancer,resulting in a decrease in the incidence and mortality of colon cancer.However,it has a 21%rate of missed polyps.Several strategies have been devised to increase polyp detection rates and improve their characterization and delimi-tation.These include chromoendoscopy(CE),the use of other devices such as Endo cuffs,and major advances in endoscopic equipment[high definition,magnification,narrow band imaging,i-scan,flexible spectral imaging color enhancement,texture and color enhancement imaging(TXI),etc.].In the retrospective study by Hiramatsu et al,they compared white-light imaging with CE,TXI,and CE+TXI to determine which of these strategies allows for better definition and delimitation of polyps.They concluded that employing CE associated with TXI stands out as the most effective method to utilize.It remains to be demonstrated whether these results are extrapolatable to other types of virtual CE.Additionally,further investigation is needed in order to ascertain whether this strategy could lead to a reduction in the recurrence of excised lesions and potentially lower the occurrence of interval cancer. 展开更多
关键词 Colonoscopy screening Interval colorectal cancer Post colonoscopy colorectal cancer CHROMOENDOSCOPY Virtual chromoendoscopy high-definition whitelight endoscopy Texture and color enhancement imaging Indigo carmine ADENOMA Sessile serrated lesion
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How to"pick up"colorectal serrated lesions and polyps in daily histopathology practice:From terminologies to diagnostic pitfalls
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作者 Thai H Tran Vinh H Nguyen Diem TN Vo 《World Journal of Clinical Oncology》 2024年第9期1157-1167,共11页
Over the last decade,our knowledge of colorectal serrated polyps and lesions has significantly improved due to numerous studies on this group of precursor lesions.Serrated lesions were misleading as benign before 2010... Over the last decade,our knowledge of colorectal serrated polyps and lesions has significantly improved due to numerous studies on this group of precursor lesions.Serrated lesions were misleading as benign before 2010,but they are currently reclassified as precancerous lesions that contribute to 30%of colorectal cancer through the serrated neoplasia pathway.The World Health Organization updated the classification for serrated lesions and polyps of the colon and rectum in 2019,which is more concise and applicable in daily practice.The responsible authors prescribe that“colorectal serrated lesions and polyps are characterized by a serrated(sawtooth or stellate)architecture of the epithelium.”From a clinical standpoint,sessile serrated lesion(SSL)and SSL with dysplasia(SSLD)are the two most significant entities.Despite these advancements,the precise diagnosis of SSL and SSLD based mainly on histopathology remains challenging due to various difficulties.This review describes the nomenclature and the terminology of colorectal serrated polyps and lesions and highlights the diagnostic criteria and obstacles encountered in the histopathological diagnosis of SSL and SSLD. 展开更多
关键词 Sessile serrated lesions Sessile serrated lesions with dysplasia Serrated polyps Sessile serrated adenoma Benign hyperplastic polyps Serrated lesions/polyps
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