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Assessment of Monitor Units and Gamma Pass Rate for 6 MV and Flattening Filter Free (FFF) Beams in Volumetric Modulated Arc Therapy (VMAT)
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作者 Kwame Anokye Amoabeng Anne Beate Langeland Marthinsen +4 位作者 Francis Hasford Samuel Nii Adu Tagoe Evelyn Anaafi Mark Pokoo-Aikins Theresa Bebaaku Dery 《International Journal of Medical Physics, Clinical Engineering and Radiation Oncology》 2023年第1期1-8,共8页
Background: In linear accelerators, the treatment field’s uniform intensity is achieved by including a flattening filter in the beam. However, to produce more conformal dose distributions, contemporary radiotherapy p... Background: In linear accelerators, the treatment field’s uniform intensity is achieved by including a flattening filter in the beam. However, to produce more conformal dose distributions, contemporary radiotherapy practice now frequently uses fluence and aperture modifying techniques, such as volumetric modulated arc therapy. In these circumstances, the flattening filter in the beam manufacturing process is no longer required. It is therefore necessary to compare the monitor units of 6 MV and flattening filter free plans and how it influences the gamma pass rates to determine which is best for treating cervical cancer with pelvic lymph node metastasis. Methods: VMAT plans for fifteen patients with cervical cancer with pathological pelvic lymph node metastasis were included in this study. Each patient had two VMAT plans using conventional 6 MV beam with flattening filter and one with flattening filter free beam (FFF). The VMAT plans were made using two arcs, and then recalculated to give the planned dose distribution to the detectors in a Delta4 phantom. The VMAT plans were irradiated on the Delta4 phantom using an Elekta linear accelerator (6 MV). Results: The mean monitor unit for the 6 MV plans was 506.3 MU and a standard deviation of 48.6 while that of the FFF plans had a mean MU of 701.5 with a standard deviation of 87.6. The total monitor units (MUs) for the FFF plans were significantly greater than the 6 MV plans (p = 6.1 × 10<sup>-5</sup>). Conclusion: Flattening filter free (FFF) plans require more numbers of monitor units in comparison to conventional 6 MV filtered beams for external radiation of cervical cancer with pelvic lymph nodes involvement. 展开更多
关键词 Monitor Units Gamma Pass rate Flattening Filter free Multileaf Collimator
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Risk factors for recurrence of common bile duct stones after surgical treatment and effect of ursodeoxycholic acid intervention
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作者 Wei-Hong Yuan Zheng Zhang +2 位作者 Qi Pan Bo-Neng Mao Tao Yuan 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第1期103-112,共10页
BACKGROUND Endoscopic retrograde cholangiopancreatography(ERCP)is an accurate diagnostic method for choledocholithiasis and treatment option for stone removal.Additionally,ursodeoxycholic acid(UDCA)can dissolve choles... BACKGROUND Endoscopic retrograde cholangiopancreatography(ERCP)is an accurate diagnostic method for choledocholithiasis and treatment option for stone removal.Additionally,ursodeoxycholic acid(UDCA)can dissolve cholesterol stones and prevent their development and reappearance by lowering the cholesterol concen-tration in bile.Despite these treatment options,there are still patients who experience stone recurrence.The clinical data of 100 patients with choledochal stones who were hospitalized at the Yixing People’s Hospital and underwent ERCP for successful stone extraction between June 2020 and December 2022 were retrospectively collected.According to the post-ERCP treatment plan,100 patients were classified into UDCA(n=47)and control(n=53)groups.We aimed to assess the clinical efficacy and rate of relapse in the two patient populations.We then collected information(basic demographic data,clinical characteristics,and serum biochemical indicators)and determined the factors contributing to relapse using logistic regression analysis.Our secondary goal was to determine the effects of UDCA on liver function after ERCP.Compared to the control group,the UDCA group demonstrated a higher clinical effectiveness rate of 92.45%vs 78.72%(P<0.05).No significant differences were observed in liver function indices,including total bilirubin,direct bilirubin,gamma-glutamyl transpeptidase,alanine aminotransferase,alkaline phosphatase,and aspartate aminotransferase,between the two groups before treatment.After treatment,all liver function indices were significantly reduced.Comparing the control vs UDCA groups,the UDCA group exhibited significantly lower levels of all indices(55.39±6.53 vs 77.31±8.52,32.10±4.62 vs 45.39±5.69,142.32±14.21 vs 189.63±16.87,112.52±14.25 vs 149.36±15.36,122.61±16.00 vs 171.33±22.09,96.98±10.44 vs 121.35±11.57,respectively,all P<0.05).The stone recurrence rate was lower in the UDCA group(13.21%)in contrast with the control group(44.68%).Periampullary diverticula(OR:6.00,95%CI:1.69-21.30),maximum stone diameter(OR:1.69,95%CI:1.01-2.85),stone quantity>3(OR:4.23,95%CI:1.17-15.26),and positive bile culture(OR:7.61,95%CI:2.07-27.91)were independent factors that influenced the relapse of common bile duct stones after ERCP(P<0.05).Furthermore,postoperative UDCA was identified as a preventive factor(OR:0.07;95%CI:0.08-0.09).CONCLUSION The intervention effect of UDCA after ERCP for common bile duct stones is adequate,providing new research directions and references for the prevention and treatment of stone recurrence. 展开更多
关键词 Endoscopic retrograde cholangiopancreatography RECURRENCE Ursodeoxycholic acid Common bile duct stones Clinical effective rate Risk factors
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Treatment of Kidney Stones by Percutaneous Nephrolithotomy: Evaluation of the Results of the First Series of Our Experience in the Urology Department of the Idrissa Pouye General Hospital in Dakar
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作者 Mouhamadou Moustapha Mbodji Mohamed Jalloh +4 位作者 Medina Ndoye Abdourahmane Diallo Issa Labou Lamine Niang Serigne Magueye Gueye 《Open Journal of Urology》 2024年第2期104-114,共11页
The principle of PCNL is the extraction through a nephrostomy channel of kidney stones which are defined as the presence of crystalline concretions in the kidneys. Objectives: The objective of this work was to study t... The principle of PCNL is the extraction through a nephrostomy channel of kidney stones which are defined as the presence of crystalline concretions in the kidneys. Objectives: The objective of this work was to study the epidemiological, clinical and paraclinical aspects of patients with renal lithiasis treated by PCNL and on the other hand the different technical aspects of PCNL. Materials and Methods: This was a retrospective descriptive study, conducted in the urology department of HOGIP, covering the period from January 2015 to January 2019. We studied the demographic and clinical aspects of patients presenting renal lithiasis;we also studied the technical aspects and treatment outcomes. Statistical significance was set for α = 0.05. Results: Our series covered 82 PCNLs performed during the study period. The average age was 45.95 years, the age group [40 - 49 years] was more affected. Our study involved 44 men and 38 women, a sex ratio of 1.15. At the clinic, atypical lumbar pain was more frequent in 45.83% of cases. On URO-CT, the calculations were located more at the pyelic level (31.2%) and lower caliceal (27.2%). The size of stones measured between 15 and 20 mm in 30.52%. The stone density was between 500 and 1000 HU in 47.54% of cases. Intraoperatively, the patients were placed in lateral decubitus in 41.46% of cases. Only one access to the kidney was necessary in 87.8% of cases. The lithoclast was used in 65.85% of cases. The overall success rate (stone free) in our series was 96%. The majority of cases, 41.44%, drainage were done by natural means (totally tubeless). The average duration was 92 minutes. The complications encountered in our experience concerned 10 cases, a rate of 12.19%. Conclusion: Urinary lithiasis is more and more frequent in our regions. The development of Endo-urology offers several therapeutic options. Thus, PCNL occupies an important place in the management of kidney stones. 展开更多
关键词 HOGIP Kidney stones PCNL stone free Uro CT Scan
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Effect of Strain Rate on Tensile Behavior of Sn-9Zn-xAg-ySb;{(x, y) = (0.2, 0.6), (0.2, 0.8), (0.6, 0.2), (0.8, 0.2)} Lead-Free Solder Alloys
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作者 Shihab Uddin Md. Abdul Gafur Mohammad Obaidur Rahman 《Materials Sciences and Applications》 CAS 2023年第4期273-283,共11页
The tensile properties of Sn-9Zn-xAg-ySb;{(x, y) = (0.2, 0.6), (0.2, 0.8), (0.6, 0.2), (0.8, 0.2)} lead-free solders were investigated. All the test samples were annealed at 150°C for 1 hour. The tests are carrie... The tensile properties of Sn-9Zn-xAg-ySb;{(x, y) = (0.2, 0.6), (0.2, 0.8), (0.6, 0.2), (0.8, 0.2)} lead-free solders were investigated. All the test samples were annealed at 150°C for 1 hour. The tests are carried out at room temperature at the strain rate of 4.17 × 10<sup>-3</sup> s<sup>-1</sup>, 20.85 × 10<sup>-3</sup> s<sup>-1</sup>, and 208.5 × 10<sup>-3</sup> s<sup>-1</sup>. It is seen that the tensile strength increases and the ductility decrease with increasing the strain rate over the investigated range. From the strain rate change test results, the strain sensitivity values are found in the range of 0.0831 to 0.1455 due to the addition of different alloying elements. 展开更多
关键词 Lead-free Solder Strain rate Strain Sensitivity DUCTILITY Tensile Properties
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Anisodamine accelerates spontaneous passage of single symptomatic bile duct stones ≤ 10 mm 被引量:7
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作者 Jun Gao Xue-Mei Ding +6 位作者 Shan Ke Yi-Ming Zhou Xiao-Jun Qian Rui-Liang Ma Chun-Min Ning Zong-Hai Xin Wen-Bing Sun 《World Journal of Gastroenterology》 SCIE CAS 2013年第39期6618-6624,共7页
AIM:To investigate the rate of spontaneous passage of single and symptomatic common bile duct(CBD)stones≤10 mm in diameter in 4 wk with or without a2-wk course of anisodamine.METHODS:A multicenter,randomized,placeboc... AIM:To investigate the rate of spontaneous passage of single and symptomatic common bile duct(CBD)stones≤10 mm in diameter in 4 wk with or without a2-wk course of anisodamine.METHODS:A multicenter,randomized,placebocontrolled trial was undertaken.A total of 197 patients who met the inclusion criteria were enrolled.Ninetyseven patients were assigned randomly to the control group and the other 100 to the anisodamine group.The anisodamine group received intravenous infusions of anisodamine(10 mg every 8 h)for 2 wk.The control group received the same volume of 0.9%isotonic saline for 2 wk.Patients underwent imaging studies and liver-function tests every week for 4 wk.The rate of spontaneous passage of CBD stones was analyzed.RESULTS:The rate of spontaneous passage of CBD stones was significantly higher in the anisodamine group than that in the control group(47.0%vs 22.7%).Most(87.2%,41/47)stone passages in the anisodamine group occurred in the first 2 wk,and passages in the control group occurred at a comparable rate each week.Factors significantly increasing the possibility of spontaneous passage by univariate logistic regression analyses were stone diameter(<5 mm vs≥5 mm and≤10 mm)and anisodamine therapy.Multivariate logistic regression analyses revealed that these two factors were significantly associated with spontaneous passage.CONCLUSION:Two weeks of anisodamine administration can safely accelerate spontaneous passage of single and symptomatic CBD stones≤10 mm in diameter,especially for stones<5 mm. 展开更多
关键词 Common BILE duct stoneS ANISODAMINE SPONTANEOUS PASSAGE Success rate Randomized controlled trial
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Process for improving the ladle free- opening rate for high aluminum steel in continuous casting 被引量:3
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作者 LIU Junzhan ZHOU Tongjun LUO Hui 《Baosteel Technical Research》 CAS 2015年第1期42-45,共4页
Steel 20Mn23AlV is a type of high aluminum steel with a very low ladle free-opening rate. The aluminum composition of 20Mn23AlV ranges from 1. 6% to 2. 45%,which is significantly higher than other types of steel.Accor... Steel 20Mn23AlV is a type of high aluminum steel with a very low ladle free-opening rate. The aluminum composition of 20Mn23AlV ranges from 1. 6% to 2. 45%,which is significantly higher than other types of steel.According to the real condition of 40 t ladle in steel-making plant of Baosteel Special Steel Company,previous works show that the key factors affecting the ladle free-opening rate of high aluminum steel in continuous casting are: sand material,accessories baking,ladle nozzle cleaning,the process and amount of adding sand,and the rate of argon stirring during refining. Therefore,improving the ladle filler sand quality,baking all of the raw materials,controlling the addition of ladle filler sand,cleaning the ladle nozzle,and optimizing argon stirring during the refining process can resolve the problem of a low ladle free-opening rate of high aluminum steel caused by the long ladle time of liquid steel. 展开更多
关键词 钢水包 开放率 铝钢 免费 连铸 精炼过程 开口率 钢包
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Experimental research on the mixed sand ratio and initial dry density of weathered sand improved expansive soil free load swelling rate
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作者 Yang Jun Yang Zhi +2 位作者 Zhang Guodong Tang Yunwei Chen Hongping 《Engineering Sciences》 EI 2014年第3期77-82,共6页
In this paper, through the indoor free load swelling rate test, expansive soil in a section of a first- class highway reconstruction project in Yichang City was studied. It emphatically analyzed the interrelations amo... In this paper, through the indoor free load swelling rate test, expansive soil in a section of a first- class highway reconstruction project in Yichang City was studied. It emphatically analyzed the interrelations among free load swelling rate, non-load time, the proportion of mixed sand and initial dry density. Experimen- tal studies have shown that: Free load swelling deformation is mainly divided into three stages of rapid expan- sion, slow expansion and final stability; when the initial dry density is constant, free load swelling rate of the weathered sand modified soil will reduce rapidly before they slow down with the increase of sand proportion, and weathered sand modified soil free load swelling rate is not sensitive to the large amount of sand mixed; in the same mixed sand ratio, weathered sand modified soil free load swelling rate increases rapidly with the in- crease of initial dry density, there is a good linear correlation between them. To take appropriate control of the initial dry density during the expansive soil subgrade construction helps to reduce its swelling deformation and ensures the stability of the embankment. 展开更多
关键词 expansive soil weathered SAND INITIAL DRY density MIXING SAND ratio free LOAD SWELLING rate
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Retrograde intrarenal surgery for lower pole stones utilizing stone displacement technique yields excellent results
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作者 Dor Golomb Hanan Goldberg +6 位作者 Shlomi Tapiero Yariv Stabholz Paz Lotan Abd Elhalim Darawsha Ronen Holland Yaron Ehrlich David Lifshitz 《Asian Journal of Urology》 CSCD 2023年第1期58-63,共6页
Objective:To evaluate the long-term stone-free rate(SFR)of retrograde intrarenal surgery(RIRS)in the treatment of lower pole renal calculi using only basket relocation and identify independent predictors of stone-free... Objective:To evaluate the long-term stone-free rate(SFR)of retrograde intrarenal surgery(RIRS)in the treatment of lower pole renal calculi using only basket relocation and identify independent predictors of stone-free status.Methods:All consecutive patients undergoing RIRS lower pole renal calculi at a single highvolume tertiary center were analyzed retrospectively.Lower pole stones were relocated to the upper pole,where laser lithotripsy was performed.All patients were followed up in the clinic following the surgery and yearly thereafter.The stone-free status was assessed with a combination of an abdominal ultrasound and abdominal X-ray,or an abdominal non-contrast computed tomography if the stones were known to be radiolucent.Results:A total of 480 consecutive patients who underwent RIRS for treatment of lower pole renal calculi,between January 2012 and December 2018,were analyzed from a prospectively maintained database of 3000 ureteroscopies.With a median follow-up time of 18.6 months,the mean SFR was 94.8%.The procedures were unsuccessful in 26(5.4%)patients due to unreachable stones.The median stone size of the unreachable stones was 12 mm(range 10e30 mm).Multivariable logistic regression analysis revealed two predictors of SFR for lower pole stones:a small cumulative stone burden(odds ratio[OR]:0.903,95%confidence interval[CI]:0.867e0.941,p<0.0001)and preoperative ureteral stent insertion(OR:0.515,95%CI:0.318e0.835,pZ0.007).Conclusion:The long-term SFR of RIRS for the treatment of lower pole stones with basket displacement with appropriate patient selection is high. 展开更多
关键词 Ureteroscopy Lower pole stones Retrograde intrarenal surgery stone-free rate Basketing
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Dispersion relation and growth rate for a corrugated channel free-electron laser with a helical wiggler pump
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作者 A.Hasanbeigi H. Mehdian 《Chinese Physics B》 SCIE EI CAS CSCD 2013年第7期364-368,共5页
The effects of corrugated ion channels on electron trajectories and spatial growth rate for a free-electron laser with a one-dimensional helical wiggler have been investigated. Analysis of the steady-state electron tr... The effects of corrugated ion channels on electron trajectories and spatial growth rate for a free-electron laser with a one-dimensional helical wiggler have been investigated. Analysis of the steady-state electron trajectories is performed by solving the equations of motion. Our results show that the presence of a corrugated channel shifts the resonance frequency to smaller values of ion channel frequency. The sixth-order dispersion equation describing the coupling between the electrostatic beam mode and the electromagnetic mode has also been derived. The dispersion relation characteristic is analyzed in detail by numerical solution. Results show that the growth rate of instability in the presence of corrugated ion channels can be greatly enhanced relative to the case of an uniform ion channel. 展开更多
关键词 自由电子激光器 波纹通道 色散关系 增长率 摇摆器 螺旋 离子通道 电子轨迹
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Effect of Pentoxifyiline on necrosis rate and hemorrheology of free flap
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作者 冷冰 《外科研究与新技术》 2011年第4期272-273,共2页
Objective To investigate effect of Pentoxifylline on free flap. Methods Forty Wistar rats were chosen as experimental models and free flaps were harvested from the back of rats,which as pect ratio was 3: 1. Then they ... Objective To investigate effect of Pentoxifylline on free flap. Methods Forty Wistar rats were chosen as experimental models and free flaps were harvested from the back of rats,which as pect ratio was 3: 1. Then they were divided into two groups randomly. Group A was as the experimental group,receiving drug treatment. 展开更多
关键词 rate Effect of Pentoxifyiline on necrosis rate and hemorrheology of free flap free
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Efficient Solvent- and Catalyst-Free Syntheses of Imine Derivatives Applying the Pressure Reduction Technique: Remarkable Change of the Reaction Rate with the Phase Transition
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作者 Shoko Suzuki Shujiro Sakaki +15 位作者 Shinji Ishizuka Tomomichi Nishino Hiroyuki Ito Risehiro Nonaka Motoyoshi Noike Takeshi Kodama Hajime Nozaka Tsuneyuki Sato Hitoshi Agematsu Koichi Maruyama Shun Oyamada Takashi Kuroishi Kazuma Sasaki Kei Yagawa Mami Yoshioka Yasuo Yokoyama 《Green and Sustainable Chemistry》 2018年第2期167-179,共13页
Because imines could be used as convenient starting materials in various fields, the development of an easy synthetic method of imine was strongly desired. In response to this demand, we thought that it would be an ef... Because imines could be used as convenient starting materials in various fields, the development of an easy synthetic method of imine was strongly desired. In response to this demand, we thought that it would be an effective synthesis method if an aldehyde and an amine could be reacted to give an imine in good yield under solvent- and catalyst-free conditions. In fact, we tried the reaction of benzaldehyde with various amines under solvent- and catalyst-free conditions followed by removal of water that was produced in the reaction system by a vacuum pump, and desired imines could be obtained in good yields. Observation of this reaction using a nuclear magnetic resonance spectrometer revealed that the reaction rate was extremely fast at the initial stage but slowed over time. However, the reaction of benzaldehyde with aniline differed greatly, and the reaction rate dramatically improved in 47 - 48 minutes after the start of the reaction. At this time, we found that the reaction system underwent a phase transition from the liquid phase to the solid phase. 展开更多
关键词 SOLVENT-free CATALYST-free Pressure REDUCTION TECHNIQUE IMINE Reaction rate Phase TRANSITION
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Supplementary Material: Stepping Stone Mechanism: Carrier-Free Long-Range Magnetism Mediated by Magnetized Cation States in Quintuple Layer
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作者 陈俊佳 张小东 +4 位作者 张异欧 谢建辉 邓贝 张璟昭 朱骏宜 《Chinese Physics Letters》 SCIE CAS CSCD 2018年第1期99-103,共5页
Text A:Computational Methods and Details All calculations are performed using projected augmented wave(PAW)[1]potentials with PerdewBurke-Ernzerhof(PBE)[2]generalized gradient approximation(GGA)as implemented in Vienn... Text A:Computational Methods and Details All calculations are performed using projected augmented wave(PAW)[1]potentials with PerdewBurke-Ernzerhof(PBE)[2]generalized gradient approximation(GGA)as implemented in Vienna ab initio simulation package(VASP)[3].The cutoff energy for plane-wave expansion was set to 350e V 展开更多
关键词 离子状态 物理机制 磁力 远程 数据管理系统 搬运 铁磁性 旋转轨道
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Effect of AIBI as Free Radical Initiator on Abrasive-Free Polishing of Hard Disk Substrate
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作者 REN Xiao-yan LEI Hong +1 位作者 CHEN Ru-ling CHEN Yi 《上海大学学报(自然科学版)》 CAS CSCD 北大核心 2014年第6期680-688,共9页
To optimize the existing slurry for abrasive-free polishing(AFP)of hard disk substrate,a water-soluble free radical initiator,2,2-azobis[2-(2-imidazolin-2-yl)propane]dihydrochloride(AIBI)is introduced to the H2O2-base... To optimize the existing slurry for abrasive-free polishing(AFP)of hard disk substrate,a water-soluble free radical initiator,2,2-azobis[2-(2-imidazolin-2-yl)propane]dihydrochloride(AIBI)is introduced to the H2O2-based slurry.The polishing results show that,the material removal rate(MRR)of hard disk substrate polished with H2O2-based slurry containing AIBI is obviously higher than that without AIBI.The acting mechanism of the improved MRR is investigated.Electron paramagnetic resonances tests show that,by comparison with H2O2 slurry,H2O2-AIBI slurry provides higher concentration of hydroxyl radicals.Auger electron spectrometer analyses further demonstrate that the oxidation ability of H2O2-AIBI slurry is much greater than H2O2 slurry.In addition,potentiodynamic polarization tests show that the corrosion dissolution rate of hard disk substrate in H2O2-AIBI slurry is increased.Therefore that stronger oxidation ability and a higher corrosion dissolution rate of H2O2-AIBI slurry lead to higher MRR can be concluded. 展开更多
关键词 机械摩擦 机械原理 磨损 摩擦
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Numerical Computing for a Class of Free Multipoint Boundary Value Problem of O.D.E in the Intervention of Exchange Rate
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作者 赵连霞 朱正佑 秦成林 《Journal of Shanghai University(English Edition)》 CAS 2005年第4期320-325,共6页
In this paper by means of generalized shooting method and homotopy technique a numerical method was given for computing free multipoint boundary value problem proposed in the intervention of exchange rate by Cadenilla... In this paper by means of generalized shooting method and homotopy technique a numerical method was given for computing free multipoint boundary value problem proposed in the intervention of exchange rate by Cadenillas and Fernando Zapatero. A numerical example was given for illustrating the validity of this method. 展开更多
关键词 边值问题 非线性普通方程 同伦问题 数字方法
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靶盏预处理技术在双镜联合治疗完全型鹿角形结石中的应用价值
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作者 荆强 刘凡 +4 位作者 刘荣 张彬 张旭辉 梁学志 曹晓明 《中国微创外科杂志》 CSCD 2024年第3期213-216,共4页
目的探讨采用输尿管软镜靶盏预处理技术行一期输尿管软镜联合经皮肾镜钬激光碎石治疗完全型鹿角形结石的安全性和有效性。方法回顾性分析2019年10月~2021年9月采用输尿管软镜联合经皮肾镜手术治疗21例完全型鹿角形结石的临床资料,结石... 目的探讨采用输尿管软镜靶盏预处理技术行一期输尿管软镜联合经皮肾镜钬激光碎石治疗完全型鹿角形结石的安全性和有效性。方法回顾性分析2019年10月~2021年9月采用输尿管软镜联合经皮肾镜手术治疗21例完全型鹿角形结石的临床资料,结石位于左侧8例,右侧12例,双侧结石一期处理右肾结石1例。结石密度(1101±185)HU。手术采用双人双镜操作,全身麻醉,斜仰卧截石位,结合术前影像学检查设计肾穿刺靶盏,输尿管软镜将靶盏内结石击碎,暴露乳头穹隆位置,经皮对靶盏穹隆精准穿刺扩张,直视下建立F_(18)或F_(20)经皮肾通道,双镜联合完成手术。结果本组21例手术均一期顺利完成,手术时间85~158(121.8±21.2)min,术后血红蛋白降低值(9.38±4.36)g/L,术后住院时间3~7(4.4±1.4)d,一期结石清除率85.7%(18/21)。并发症6例,包括术中出血需输血1例,发热3例,胸腔积液1例,术后术区疼痛需要镇痛治疗1例。结论对于完全型鹿角形结石,利用输尿管软镜将靶盏结石预处理后再穿刺建立经皮肾工作通道,手术成功率及一期结石清除率高,经皮肾通道数量少,提高手术安全性。 展开更多
关键词 双镜联合手术 靶盏 结石清除率
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可控负压吸引下输尿管软镜钬激光碎石术治疗肾结石合并尿路感染的疗效分析
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作者 梁浩 冯振华 +1 位作者 彭业平 黄强 《中国实用医药》 2024年第2期46-49,共4页
目的 分析肾结石且伴有尿路感染患者应用可控负压吸引下输尿管软镜钬激光碎石术治疗的临床效果。方法 80例肾结石合并尿路感染患者,将样本经随机法分为实验组和对照组,每组40例。对照组患者接受常压输尿管软镜钬激光碎石术治疗,实验组... 目的 分析肾结石且伴有尿路感染患者应用可控负压吸引下输尿管软镜钬激光碎石术治疗的临床效果。方法 80例肾结石合并尿路感染患者,将样本经随机法分为实验组和对照组,每组40例。对照组患者接受常压输尿管软镜钬激光碎石术治疗,实验组患者接受可控负压吸引下输尿管软镜钬激光碎石术治疗。比较两组患者术后住院时间、术后血尿时间、手术时间、术后结石清除率及术后感染发生情况。结果 实验组患者的术后住院时间(2.55±1.45)d、术后血尿时间(1.13±0.56)d、手术时间(42.30±4.24)min明显短于对照组的(4.00±2.35)d、(2.20±0.65)d、(63.03±6.33)min(P<0.05)。实验组患者的术后感染发生率为12.5%(5/40),相比于对照组的40.0%(16/40)低(P<0.05),手术更安全、可靠。实验组患者的术后结石清除率97.5%(39/40)显著高于对照组的82.5%(33/40)(P<0.05),术后残石率更低。结论 可控负压吸引下输尿管软镜钬激光碎石术应用于肾结石合并尿路感染治疗中,能够有效缩短住院时间及手术时间,提高术后结石清除率,降低患者术后发热发生率,安全有效。 展开更多
关键词 肾结石 可控负压吸引 输尿管软镜钬激光碎石术 尿路感染 结石清除率
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CoFe/NiFe复合自由层对自旋阀磁电阻变化率的影响
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作者 刘斌 王向谦 +2 位作者 李钰瑛 卢启海 谢明玲 《甘肃科学学报》 2024年第1期52-57,86,共7页
研究CoFe/NiFe复合自由层对自旋阀磁电阻变化率的影响。在实验中通过固定溅射功率、时间和气流,调节靶基距(TSD)得到不同厚度及均匀性的复合自由层CoFe/NiFe薄膜,进而达到优化自旋阀结构提高其磁电阻率的目的。实验结果表明:在TSD分别为... 研究CoFe/NiFe复合自由层对自旋阀磁电阻变化率的影响。在实验中通过固定溅射功率、时间和气流,调节靶基距(TSD)得到不同厚度及均匀性的复合自由层CoFe/NiFe薄膜,进而达到优化自旋阀结构提高其磁电阻率的目的。实验结果表明:在TSD分别为8.382 cm、8.890 cm时,制备的CoFe和NiFe单层膜性能最优,电阻标准偏差分别为1.33%、0.98%。通过磁性能综合测试平台对优化后的CoFe/NiFe复合自由层的自旋阀结构进行了测试,磁电阻变化率(MR)较优化前提高了约0.84%。该研究可为高性能自旋阀结构的制备提供参考。 展开更多
关键词 自旋阀 CoFe/NiFe复合自由层 靶基距 磁电阻变化率
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游离氧化铁对崩岗不同土层土壤胀缩特性的影响
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作者 卢政铧 陈文祥 +6 位作者 李灿娥 章智 张越 蒋芳市 葛宏力 黄炎和 林金石 《福建农林大学学报(自然科学版)》 CAS CSCD 2024年第1期106-113,共8页
【目的】研究游离氧化铁对崩岗不同土层土壤胀缩特性的影响。【方法】利用无荷膨胀试验、线性收缩试验和计算土壤胶体扩散双电层中滑动层厚度,分析游离氧化铁对崩岗不同土层土壤胀缩特性的影响。【结果】游离氧化铁含量与崩岗土壤无荷... 【目的】研究游离氧化铁对崩岗不同土层土壤胀缩特性的影响。【方法】利用无荷膨胀试验、线性收缩试验和计算土壤胶体扩散双电层中滑动层厚度,分析游离氧化铁对崩岗不同土层土壤胀缩特性的影响。【结果】游离氧化铁含量与崩岗土壤无荷膨胀率呈线性递增关系(P<0.01),与土壤线性收缩率呈线性递减关系(P<0.05);在电解质浓度相同的条件下,崩岗土壤滑动层厚度随着游离氧化铁含量的提高而增大;游离氧化铁含量不同的红土层、砂土层的土壤滑动层厚度与无荷膨胀率均呈显著正相关(P<0.05),与线性收缩率呈显著负相关(P<0.05)。【结论】游离氧化铁含量影响土壤滑动层厚度,进而影响土壤的胀缩性能。 展开更多
关键词 崩岗 游离氧化铁 无荷膨胀率 线性收缩率 扩散双电层滑动层
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Ⅲ期胃癌D2根治术后辅助放化疗患者长期预后的影响因素:基于10年随访数据
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作者 马桂芬 章倩 +2 位作者 刘娟 孙菁 林根来 《中国全科医学》 CAS 2024年第17期2091-2097,共7页
背景局部进展期胃癌主要包括Ⅲ期胃癌,以综合治疗为主,患者术后复发是影响患者预后的关键因素。目的探究Ⅲ期胃癌D2根治术后辅助放化疗患者长期预后的影响因素。方法选取2009—2014年在复旦大学附属中山医院放疗科行D2根治术后辅助放化... 背景局部进展期胃癌主要包括Ⅲ期胃癌,以综合治疗为主,患者术后复发是影响患者预后的关键因素。目的探究Ⅲ期胃癌D2根治术后辅助放化疗患者长期预后的影响因素。方法选取2009—2014年在复旦大学附属中山医院放疗科行D2根治术后辅助放化疗的胃癌患者为研究对象,病理结果根据国际癌症联合会(UICC)和美国肿瘤联合会(AJCC)第八版胃癌TNM分期系统进行分期,明确诊断Ⅲ期胃癌。术后所有患者在第1年每3个月随访1次,之后2年内每6个月随访1次,而后每年随访1次。随访截止日期为2021-12-15。采用Log-rank检验比较生存率的差异,采用Cox比例风险回归分析探究患者总生存时间(OS)和无病生存时间(DFS)的影响因素,列线图预测临床病理特征对预后的影响,Kaplan-Meier法比较不同pTNM分期、年龄、转移淋巴结率(LNR)、胃切除方式患者生存差异。结果共纳入行术后辅助放疗的Ⅲ期胃癌患者135例,中位随访时间10.48年。5年内复发70例,死亡62例,5年无病生存率、总生存率分别为48.1%(65/135)、54.1%(73/135);10年内复发74例,死亡74例,10年无病生存率、总生存率均为45.2%(61/135)。Log-rank检验结果显示,不同pTNM分期、pT分期、LNR、癌结节、肿瘤位置、胃切除方式患者5年生存率比较,差异有统计学意义(P<0.05)。不同pTNM分期、pT分期、LNR、神经浸润、胃切除方式患者10年生存率比较,差异有统计学意义(P<0.05)。多因素Cox比例风险回归分析结果显示,pTNM分期(ⅢA期,OS:HR=0.40,95%CI=0.19~0.83;DFS:HR=0.40,95%CI=0.19~0.92)、LNR(>50%,OS:HR=1.74,95%CI=1.03~2.94;DFS:HR=1.73,95%CI=1.02~2.94)、胃切除方式(全胃切除术,OS:HR=2.07,95%CI=1.22~3.50;DFS:HR=2.02,95%CI=1.20~3.41)是Ⅲ期胃癌D2根治术后辅助放化疗患者OS和DFS的独立影响因素(P<0.05),年龄(≤40岁,HR=2.19,95%CI=1.06~4.53)是Ⅲ期胃癌D2根治术后辅助放化疗患者OS的独立影响因素(P<0.05)。另外,列线图表明年龄、pTNM分期、LNR、胃切除方式对Ⅲ期胃癌D2根治术后辅助放化疗患者预后有预测作用。胃癌术后患者复发情况:10例(7.4%)局部复发(放射野内吻合口和淋巴结的复发),35例(25.9%)患者出现腹、盆腔播散种植,37例(27.4%)患者出现了远处转移(包括肺、肝、骨、脑等脏器);部分患者发现了2种类型以上的复发。不同pTNM分期、年龄、LNR、胃切除方式的Ⅲ期胃癌患者术后生存曲线比较,差异有统计学意义(P<0.05)。结论大部分Ⅲ期胃癌D2根治术后辅助放化疗患者复发或死亡主要在5年内。pTNM分期、LNR和胃切除方式是这类患者预后的主要影响因素。 展开更多
关键词 胃肿瘤 D2切除术 辅助放化疗 预后 存活率 无病生存时间 影响因素分析
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高重频声光门控自吸收免疫激光诱导击穿光谱技术分析研究
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作者 陈斐 王树青 +13 位作者 程年恺 张婉飞 张岩 梁佳慧 张雷 王钢 马晓飞 刘珍荣 罗学彬 叶泽甫 朱竹军 尹王保 肖连团 贾锁堂 《中国光学(中英文)》 EI CAS CSCD 2024年第2期253-262,共10页
为了消除激光诱导击穿光谱技术(laser-induced breakdown spectroscopy,LIBS)中的自吸收效应,提高元素定量分析的精确度,同时满足工业中便捷分析元素的要求,需将自吸收免疫激光诱导击穿光谱技术(self-absorption free laser-induced bre... 为了消除激光诱导击穿光谱技术(laser-induced breakdown spectroscopy,LIBS)中的自吸收效应,提高元素定量分析的精确度,同时满足工业中便捷分析元素的要求,需将自吸收免疫激光诱导击穿光谱技术(self-absorption free laser-induced breakdown spectroscopy,SAF-LIBS)的装置小型化。本文提出了一项新型的高重频声光门控SAF-LIBS定量分析技术,使用高重频激光器产生准连续的等离子体以增强光谱强度,并将声光调制器(acousto-optic modulator,AOM)作为门控开关,从而使微型CCD光谱仪和AOM能够代替传统大型SAF-LIBS装置中的像增强探测器(intensified charge coupled device,ICCD)和中阶梯型光栅光谱仪,实现自吸收免疫的同时缩小了装置的体积,降低了装置的成本。将该系统参数进行优化选择后,对样品中的Al元素进行了定量分析和预测。实验结果表明,等离子体的特性受激光重复频率的影响进而会影响光谱信号的强度。在1~50 kHz激光重复频率范围内,Al I 394.4 nm和Al I 396.15 nm的双线强度先增强后减弱,确定最佳的激光重复频率为10 kHz。在不同的光纤采集角度下,Al的双线强度比随延迟时间的增加而减小,在45°处信噪比最高,且在一定的积分时间下,最佳光学薄时间t_(ot)为426 ns。在激光重复频率为10 kHz、光纤采集角为45°、延迟时间为400 ns的条件下,对Al元素进行定量分析和预测结果表明,Al元素定标曲线的线性度R2为0.982,平均绝对测量误差相对于单一LIBS的0.8%可以降低至0.18%。定量分析结果与传统大型SAF-LIBS装置的测量精度相持平。因此本高重频声光门控SAF-LIBS装置不仅有效地屏蔽了光学厚等离子体中的连续背景辐射和谱线加宽,同时具备小型化、低成本、高可靠性的优点,有助于推动SAF-LIBS技术由实验室走向工业应用。 展开更多
关键词 激光诱导击穿光谱 自吸收免疫 光学薄 高重频激光器 声光门控
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