简介:Inthiswork,systemofparabolicequationswithdiscontinuouscoefficientsisstudied.Thedomaindecompositionmethodmodifiedbyacharacteristicfiniteelementprocedureisapplied.Afunctionisdefinedtoapproximatethefluxesoninnerboundariesbyusingthesolutionatthepreviouslevel.Thustheparallelismisachieved.Convergenceanalysisanderrorestimatearealsopresented.
简介:Objective:Toidentifyandseparatetheventralrootfromdorsalroot,whichisthekeyforsuccessoftheartificialsomatic-autonomicreflexpathwayprocedureforneurogenicbladderafterspinalcordinjury(SCI).Herewereporttheresultsofintra-operatingroommonitoringwith10paralyzedpatients.Methods:TenmalevolunteerswithcompletesuprasacralSCIunderwenttheartificialsomatic-autonomicprocedureundergeneralanesthesia.Vastusmedialis,tibialisanticusandgastrocnemiusmedialisoftheleftlowerlimbweremonitoredforelectromyogram(EMG)activitiesresultedfromL4,L5,andS1stimulationrespectivelytodifferentiatetheventralrootfromdorsalroot.ALaborieUrodynamicssystemwasconnectedwithathreechannelurodynamiccatheterinsertedintothebladder.TheL2andL3rootswerestimulatedseparatelywhiletheintravesicalpressurewasmonitoredtoevaluatethefunctionofeachroot.Results:Thethresholdsofstimulationonventralrootwere0.02msduration,0.2-0.4mA,(mean0.3mA±0.07mA),comparedwith0.2-0.4msduration,1.5-3mA(mean2.3mA±0.5mA)fordorsalroot(P<0.01)tocauserevokedpotentialsandEMG.ElectricalstimulationonL4rootsresultedintheEMGbeingrecordedmainlyonvastusmedialis,whilestimulationonL5orS1rootscausedelectricalactivitiesoftibialisanticusorgastrocnemiusmedialisrespectively.Thecontinuousstimulationforabout3-5secondsonS2orS3ventralroot(0.02ms,20Hz,and0.4mA)couldresultedinbladderdetrusorcontraction,butthestrongestbladdercontractionover50cmH2OwasusuallycausedbystimulationonS3ventralrootin7ofthe10patients.Conclusions:Intra-operatingroomelectrophysiologicalmonitoringisofgreathelptoidentifyandseparateventralrootfromdorsalroot,andtoselecttheappropriatesacralventralrootforbestbladderreinnervation.Differentparametersandthresholdsondifferentrootsarethemostimportantfactorstokeepinmindtoavoiddamagingtherootsandtoassurethebestresu
简介:AbstractIatrogenic femoral artery pseudoaneurysm is a common complication of the endovascular procedures. Manual compression and thrombin injection are the conventional techniques to occlude the pseudoaneurysms. However, there are still some failed cases that applied these treatment options. The aim of the study is to seek a potential and alternative method with ProGlide system to close the pseudoaneurysm. During April 2018 to February 2019, 2 patients with iatrogenic pseudoaneurysm of the superficial femoral were treated with the suture-base closure device-ProGlide. After punctured the pseudoaneurysm and placed a 6-F sheath, the guide wire was placed in the right femoral artery via the access of the pseudoaneurysm neck. Then the pseudoaneurysm neck was sutured by ProGlide to occlude the blood supply to the pseudoaneurysm. These 2 patients were cured with no complications and complaints, which revealed that percutaneous suture technique with ProGlide at the neck level of pseudoaneurysm provides a novel method for the management of vascular access pseudoaneurysm, especially in those with a wide and short neck.
简介:Variousenolsof2-acylmethyl-4,4-dimethyl-2-oxazolineswerepreparedinmoderateyieldsviaultrasonicallycatalyzedreactionsof2,4,4-trimethyl-2-oxazolinewitharenecarboxylicestersinthepresenceofUDP-t-BuCl-i-Pr2NHsystem.
简介:Theeffectsofhighermodesandtorsionhaveasignificantimpactontheseismicresponsesofasymmetric-plantallbuildings.Aconsecutivemodalpushover(CMP)procedureisoneofthepushovermethodsthathavebeendevelopedtoconsidertheseeffects.Theaimofthispaperistomodifythe(CMP)analysisproceduretoestimatetheseismicdemandsofone-wayasymmetric-plantallbuildingswithdualsystems.Ananalysisof10-,15-and20-storyasymmetric-planbuildingsiscarriedout,andtheresultsfromthemodifiedconsecutivemodalpushover(MCMP)procedurearecomparedwiththoseobtainedfromthemodalpushoveranalysis(MPA)procedureandthenonlineartimehistoryanalysis(NLTHA).TheMCMPestimatesoftheseismicdemandsofone-wayasymmetric-planbuildingsdemonstrateareasonableaccuracy,comparedtotheresultsobtainedfromtheNLTHA.Furthermore,theaccuracyoftheMCMPprocedureinthepredictionofplastichingerotationsisbetterthantheMPAprocedure.ThenewpushoverprocedureisalsomoreaccuratethantheFEMAloaddistributionandtheMPAprocedure.
简介:Anonlinearparabolicsystemisderivedtodescribeincompressiblenuclearwaste-disposalcontaminationinporousmedia.Asequentialimplicittirne-steppingisdefined,inwhichthepressureandDarcyvelocityofthemixtureareapproximatedsimultaneouslybyamixedfiniteelementmethodandthebrine,radionuclidandheataretreatedbyacombinationofaGalerkinfiniteelementmethodandthemethodofcharacteristics.Optimal-orderconvergenceinL2isproved.Time-truncationerrorsofstandardproceduresarereducedbytimesteppingalongthecharacteristicsofthehyperbolicpartofthebrine,radionuclideandhealequalios,temporalandspatialerrorarelossenedbydirectcompulationofthevelocityinthemixedmethod,asopposedtodifferentiationofthepressure.
简介:纸由使用biomagnetic液体动力学(BFD)的原则通过一个多孔的中等题目处理biomagnetic液体流动的一个基本问题的理论调查到一个磁场。学习与液体的磁化与温度变化的一种状况相关。液体被认为非牛顿,其流动被一个二年级的方程管理粘弹性的液体。隧道的墙被假定可拉长,在表面速度与从坐标的起源的纵的距离成正比的地方。这个问题首先被归结为解决包含七个参数的联合非线性的微分方程的一个系统。把血看作biomagnetic液体并且使用现在的分析,被尝试由开发一个合适的数字方法并且由设计一个适当有限差别计划计算血流动的一些参数。计算结果在图形的形式被介绍,并且从而,一些理论预言在一个磁场的行动下面处于一个过高热的状态关于血的hemodynamical流动被做。结果清楚地显示磁性的偶极子的存在忍受潜力以便在电磁的过高热的治疗学的过程期间在动脉影响血流动的特征到重要程度。学习将吸引临床医生,结果将在由电磁的过高热的方法的癌症病人的治疗是谁有用的注意。
简介:瞄准:决定先天的阴茎弯曲的外科的弄直是否能改进插入舒适,阴茎特征,个人关系和心理性的可勃起的机能障碍(编辑)。方法:54个病人(意味着年龄24年,范围20-31年)谁的先天的阴茎偏差由于生理的弯曲是≥25度在一张图上测量了并且正在经历穿入不快的人,为现在的学习明确地被估计。这些,14个病人受不了评价包括了的心理性的编辑病历,客观考试,有前列腺素E110-20g的导致pharmacologically的勃起,在勃起期间拿的一张图,基础、动态的双极端声谱仪,阴茎长度测量,记录的夜的阴茎肿大,神经质的侧面和心理会见到根据Hinde的参数评估他们的个人关系的质量(内容,数字,特征,频率,察觉亲密的限制的能力,另外的人的主观感觉[s],并且可靠性)。所有病人经历了Nesbit过程。起始的评价在外科以后在3和12个月被重复。数据分析用z测试被执行。结果:化妆阴茎特征和阴道插入舒适的主观判断在外科以后显著地改善了而个人关系和版本的质量不。结论:先天的阴茎弯曲的外科的弄直改进了插入舒适和阴茎特征,但是它没能改进人与人之间的关系或心理性的编辑。
简介:AbstractBackground:Catheter ablation is effective in restoring sinus rhythm and left atrial appendage closure (LAAC) is increasingly used for stroke prevention in patients with atrial fibrillation (AF). We aimed to observe the feasibility and safety of performing AF ablation and LAAC in a single (one-stop) procedure.Methods:Consecutive AF patients who underwent the combined procedure of AF ablation and LAAC with WATCHMAN device between March 2017 and September 2018 were prospectively enrolled. Baseline and intra-procedural parameters were evaluated. Three-month and subsequent 1-year follow-up were performed in all and earlier-enrolled subjects, respectively.Results:A total of 178 AF patients (94 males, 68.9 ± 8.1 years) underwent the one-stop procedure with CHA2DS2-VASc score 3.3 ± 1.5 and HAS-BLED score 1.6 ± 1.0, respectively. Pulmonary vein isolation was achieved in all patients while additional linear ablation was applied if the operator deemed necessary, yielding immediate ablation success rate of 98.9% (176/178). In the subsequent LAAC, satisfactory seal (residual leak <5 mm) was achieved in all patients. One stroke and four cardiac perforations occurred peri-operatively. At 3-month follow-up, sinus rhythm and satisfactory seal were maintained in 153/178 (86.0%) and 178/178 (100%) patients, respectively. One stroke and one delayed cardiac tamponade occurred, while no device-related thrombus or device migration was observed. During the 1-year follow-up for the earlier enrolled subjects, 52/72 (72.2%) of the patients maintained sinus rhythm. There was no stroke or systemic embolism observed.Conclusion:Combining catheter ablation and LAAC in a single procedure can be successfully and safely performed in non-valvular AF patients of Chinese population.
简介:性能基于设计为估计大楼的地震要求成为一个有效方法。在不对称的计划高大楼更高的模式和扭转的效果是关键的。连续形式的闲差事(CMP)过程是过程之一考虑这些效果。另外,在以前的研究,在闲差事分析的土壤结构相互作用(SSI)的影响被忽略。在这份报纸,CMP过程就SSI而言为中间的单程的不对称的计划和高楼大楼被修改。扩大CMP(ECMP)过程被建议以便克服CMP过程的一些限制。在这方面,有不对称的计划的10,15和20座故事大楼就假定三个不同土壤条件的SSI而言被学习。用在一套双向地面运动下面的非线性的反应历史分析;这些大楼的准确回答是计算的。然后,ECMP过程被把这个过程的结果与历史作为一个准确答案以及形式的闲差事分析过程和FEMA356负担模式结果的非线性的时间作比较评估。结果表明ECMP过程的精确性。