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Briganti’s 2012 nomogram is an independent predictor of prostate cancer progression in EAU intermediate-risk class:results from 527 patients treated with robotic surgery 被引量:2
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作者 Antonio Benito Porcaro Francesca montanaro +15 位作者 Alberto Baielli Francesco Artoni Claudio Brancelli Sonia Costantino Andrea Franceschini Sebastian Gallina Alberto Bianchi Emanuele Serafin Alessandro Veccia Riccardo Rizzetto Matteo Brunelli Filippo Migliorini Salvatore Siracusano Maria Angela Cerruto Riccardo Giuseppe Bertolo Alessandro Antonelli 《Asian Journal of Andrology》 SCIE CAS CSCD 2024年第6期587-591,共5页
The study aimed to test if Briganti’s 2012 nomogram could be associated with the risk of prostate cancer (PCa) progression in European Association of Urology (EAU) intermediate-risk patients treated with robotic surg... The study aimed to test if Briganti’s 2012 nomogram could be associated with the risk of prostate cancer (PCa) progression in European Association of Urology (EAU) intermediate-risk patients treated with robotic surgery. From January 2013 to December 2021, 527 consecutive patients belonging to the EAU intermediate-risk class were selected. Briganti’s 2012 nomogram, which predicts the risk of pelvic lymph node invasion (PLNI), was assessed as a continuous and dichotomous variable that categorized up to the median of 3.0%. Disease progression defined as biochemical recurrence and/or metastatic progression was evaluated by Cox proportional hazards (univariate and multivariate analysis). After a median follow-up of 95.0 months (95% confidence interval [CI]: 78.5–111.4), PCa progression occurred in 108 (20.5%) patients who were more likely to present with an unfavorable nomogram risk score, independently by the occurrence of unfavorable pathology including tumor upgrading and upstaging as well as PLNI. Accordingly, as Briganti’s 2012 risk score increased, patients were more likely to experience disease progression (hazard ratio [HR] = 1.060;95% CI: 1.021–1.100;P = 0.002);moreover, it also remained significant when dichotomized above a risk score of 3.0% (HR = 2.052;95% CI: 1.298–3.243;P < 0.0001) after adjustment for clinical factors. In the studied risk population, PCa progression was independently predicted by Briganti’s 2012 nomogram. Specifically, we found that patients were more likely to experience disease progression as their risk score increased. Because of the significant association between risk score and tumor behavior, the nomogram can further stratify intermediate-risk PCa patients, who represent a heterogeneous risk category for which different treatment paradigms exist. 展开更多
关键词 biochemical recurrence Briganti’s 2012 nomogram intermediate-risk prostate cancer pelvic lymph node invasion prostate cancer progression robot-assisted radical prostatectomy
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Application of a Robust Model Reference Adaptive Control Algorithm to a Nonlinear Automotive Actuator 被引量:5
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作者 Alessandro di Gaeta Umberto montanaro 《International Journal of Automation and computing》 EI CSCD 2014年第4期377-391,共15页
Model reference adaptive control is a viable control method to impose the demanded dynamics on plants whose parameters are affected by large uncertainty. In this paper, we show by means of experiments that robust adap... Model reference adaptive control is a viable control method to impose the demanded dynamics on plants whose parameters are affected by large uncertainty. In this paper, we show by means of experiments that robust adaptive methods can effectively face nonlinearities that are common to many automotive electromechanical devices. We consider here, as a representative case study, the control of a strongly nonlinear automotive actuator. The experimental results confirm the effectiveness of the method to cope with unmodeled nonlinear terms and unknown parameters. In addition, the engineering performance indexes computed on experimental data clearly show that the robust adaptive strategy provides better performance compared with those given by a classical model-based control solution with fixed gains. 展开更多
关键词 Model reference adaptive control robust adaptive control nonlinear systems automotive control electronic throttle body electromechanical actuators
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Chest pain caused by multiple exostoses of the ribs: A case report and a review of literature 被引量:2
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作者 Daniele Mazza Mattia Fabbri +6 位作者 Cosma Calderaro Carlo Iorio Luca Labianca Camilla Poggi Francesco Turturro Antonello montanaro Andrea Ferretti 《World Journal of Orthopedics》 2017年第5期436-440,共5页
The aim of this paper is to report an exceptional case of multiple internal exostoses of the ribs in a young patient affected by multiple hereditary exostoses(MHE) coming to our observation for chest pain as the only ... The aim of this paper is to report an exceptional case of multiple internal exostoses of the ribs in a young patient affected by multiple hereditary exostoses(MHE) coming to our observation for chest pain as the only symptom of an intra-thoracic localization. A 16 years old patient with familiar history of MHE came to our observation complaining a left-sided chest pain. This pain had increased in the last months with no correlation to a traumatic event. The computed tomography(CT) scan revealed the presence of three exostoses located on the left third, fourth and sixth ribs, all protruding into the thoracic cavity, directly in contact with visceral pleura. Moreover, the apex of the one located on the sixth rib revealed to be only 12 mm away from pericardium. Patient underwent video-assisted thoracoscopy with an additional 4-cm mini toracotomy approach. At the last 1-year followup, patient was very satisfied and no signs of recurrence or major complication had occured. In conclusion, chest pain could be the only symptom of an intra-thoracic exostoses localization, possibly leading to serious complications. Thoracic localization in MHE must be suspected when patients complain chest pain. A chest CT scan is indicated to confirm exostoses and to clarify relationship with surrounding structures. Video-assisted thoracoscopic surgery can be considered a valuable option for exostoses removal, alone or in addiction to a mini-thoracotomy approach, in order to reduce thoracotomy morbidity. 展开更多
关键词 Multiple HEREDITARY EXOSTOSES THORACOSCOPY RIBS EXOSTOSES CHEST EXOSTOSES CHEST PAIN
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Phenotyping Key Fruit Quality Traits in Olive Using RGB Images and Back Propagation Neural Networks 被引量:1
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作者 Giuseppe montanaro Angelo Petrozza +2 位作者 Laura Rustioni Francesco Cellini Vitale Nuzzo 《Plant Phenomics》 SCIE EI CSCD 2023年第3期484-500,共17页
To predict oil and phenol concentrations in olive fruit,the combination of back propagation neural networks(BPNNs)and contact-less plant phenotyping techniques was employed to retrieve RGB image-based digital proxies ... To predict oil and phenol concentrations in olive fruit,the combination of back propagation neural networks(BPNNs)and contact-less plant phenotyping techniques was employed to retrieve RGB image-based digital proxies of oil and phenol concentrations.Fruits of cultivars(×3)differing in ripening time were sampled(~10-day interval,×2 years),pictured and analyzed for phenol and oil concentrations.Prior to this,fruit samples were pictured and images were segmented to extract the red(R),green(G),and blue(B)mean pixel values that were rearranged in 35 RGB-based colorimetric indexes.Three BPNNs were designed using as input variables(a)the original 35 RGB indexes,(b)the scores of principal components after a principal component analysis(PCA)pre-processing of those indexes,and(c)a reduced number(28)of the RGB indexes achieved after a sparse PCA.The results show that the predictions reached the highest mean R^(2) values ranging from 0.87 to 0.95(oil)and from 0.81 to 0.90(phenols)across the BPNNs.In addition to the R^(2),other performance metrics were calculated(root mean squared error and mean absolute error)and combined into a general performance indicator(GPI).The resulting rank of the GPI suggests that a BPNN with a specific topology might be designed for cultivars grouped according to their ripening period.The present study documented that an RGB-based image phenotyping can effectively predict key quality traits in olive fruit supporting the developing olive sector within a digital agriculture domain. 展开更多
关键词 IMAGE IMAGE SUPPORTING
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Effects of exercise in renal transplant recipients 被引量:1
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作者 Giulio Romano Eric Lorenzon Domenico montanaro 《World Journal of Transplantation》 2012年第4期46-50,共5页
Even after a successful renal transplantation, the renal transplant recipients(RTRs) keeps on suffering the consequences of the uremic sickness. Cardiovascular risk, work capacity, and quality of life do not improve a... Even after a successful renal transplantation, the renal transplant recipients(RTRs) keeps on suffering the consequences of the uremic sickness. Cardiovascular risk, work capacity, and quality of life do not improve according to expectations since biological and psychological problems are not completely solved by pharmacological treatment. Furthermore, post-transplant treatment, per se, induces additional problems(i.e., side effects of drugs). It becomes, indeed, very important to insert "non-pharmacological" therapies able to reverse this trend. Exercise may represent an important contribution in the solution of this problem. In fact, many studies have demonstrated, in the last two decades, that physical training is able both, to improve graft function, work capacity and quality of life, and to reduce cardiovascular risk. In conclusion, if the analysis of the available data suggests that an appropriate dose of physical training represent a useful, safe and non-pharmacologic contribution to RTR treatment, it becomes a kidney transplantologist responsibility to introduce exercise in the current therapy of RTRs. 展开更多
关键词 RENAL TRANSPLANTATION EXERCISE Working capacity Quality of LIFE CARDIOVASCULAR risk RENAL function IMMUNOLOGY
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老年血管炎的表现和意义 被引量:1
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作者 montanaro A 萧爽 《国外医学(老年医学分册)》 1989年第3期126-129,121,共5页
老年血管炎临床表现复杂多样,不易鉴别诊断。本文重点介绍了老年血管炎的病理生理学、常见临床综合征、常见的血管炎临床表现和诊治问题,并提出一种简易的分类方法作为诊断血管炎的依据之一。
关键词 血管炎 老年人
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弹跳式喷油模式下汽油直接喷射的实时控制 被引量:1
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作者 F.T.Scafati F.Pirozzi +3 位作者 S.Cannavacciuolo L.Allocca A.montanaro 陈佳 《国外内燃机》 2016年第6期35-39,共5页
汽油直接喷射无节流稀气分层燃烧能降低发动机的有害排放,并明显提高燃油经济性。然而,采用汽油分层燃烧会导致诸如循环变化率大和颗粒物排放增加等问题。应用多次喷射策略可以缓解这些问题,但这需要采取小油量喷射方式,从而会使传统电... 汽油直接喷射无节流稀气分层燃烧能降低发动机的有害排放,并明显提高燃油经济性。然而,采用汽油分层燃烧会导致诸如循环变化率大和颗粒物排放增加等问题。应用多次喷射策略可以缓解这些问题,但这需要采取小油量喷射方式,从而会使传统电磁阀喷油器在弹跳式喷油模式下工作,这时线圈通电时间与喷油量之间呈现出高度非线性关系。介绍1种可以控制小油量喷射的闭环控制系统。这种控制系统基于线圈断电阶段电压控制信号的1种特殊特性。根据这一特性,可以计算出喷油器针阀的关闭时间,进而计算出实际喷油量。试验结果表明,通过对弹跳式喷油的合理控制,提出的控制系统有潜力提高汽油直接喷射电磁阀喷油器最小油量的喷射能力。 展开更多
关键词 汽油直接喷射 多次喷射 实时控制 弹跳式喷油
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Cell proliferation of esophageal squamous epithelium in erosive and non-erosive reflux disease 被引量:1
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作者 Carlo Calabrese Lorenzo montanaro +7 位作者 Giuseppina Liguori Elisa Brighenti Mauela Vici Paolo Gionchetti Fernando Rizzello Massimo Campieri Massimo Derenzini Davide Trerè 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第40期4496-4502,共7页
AIM: To elucidate cell proliferation in erosive reflux disease (ERD) and non-erosive reflux disease (NERD), we evaluated markers in squamous epithelial cells.METHODS: Thirty-four consecutive patients with gas- t... AIM: To elucidate cell proliferation in erosive reflux disease (ERD) and non-erosive reflux disease (NERD), we evaluated markers in squamous epithelial cells.METHODS: Thirty-four consecutive patients with gas- troesophageal-reflux-disease-related symptoms (21 NERD and 13 ERD) were evaluated for the enrolment into the study. All patients underwent 24-h pH moni- toring, standard endoscopy, and biopsy for histological evaluation. The expression of cyclins D and A was eval- uated by real-time reverse transcription polymerase chain reaction (RT-PCR) from isolated epithelial cells. In all samples, analysis of the isolated cell population revealed the presence of epithelial cells only.RESULTS: Real-time RT-PCR showed that, in patientswith ERD, the relative expression of cyclin D1 mRNA in esophageal epithelium was strongly decreased in comparison with NERD patients. The mean value of relative expression of cyclin D1 mRNA in NERD patients was 3.44 ± 1.9, whereas in ERD patients, it was 1.32 ± 0.87 (P = 0.011). Real-time RT-PCR showed that, in patients with ERD, relative expression of cyclin A mRNA in esophageal epithelium was decreased in comparison with that in NERD patients (2.31 ± 2.87 vs 0.66 ± 1.11). The mean bromodeoxyuridine labeling index in the NERD patients was 5.42% ± 1.68%, whereas in ERD patients, it was 4.3% ± 1.59%. 展开更多
关键词 Esophageal cell proliferation Erosive refluxdisease Non-erosive reflux disease Gastroesophagealreflux disease Cyclin A Cyclin D BROMODEOXYURIDINE
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Heat units-based potential yield assessment for cotton production in Uzbekistan 被引量:1
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作者 Gianni montanaro Vinay Nangia +5 位作者 Prasanna Gowda Shukhrat Mukhamedjanov Azamat Mukhamedjanov Mira Haddad Tulkun Yuldashev Weicheng Wu 《International Journal of Agricultural and Biological Engineering》 SCIE EI CAS 2021年第6期137-144,共8页
Cotton yields in Uzbekistan are significantly lower than those in similar agro-climatic regions,requiring the estimation of crop potential and baseline yield to track progress of production enhancement efforts.The cur... Cotton yields in Uzbekistan are significantly lower than those in similar agro-climatic regions,requiring the estimation of crop potential and baseline yield to track progress of production enhancement efforts.The current study estimated potential cotton development and baseline yield(maximum given no production constraints)using total heat units(THU)and potential cotton yield(PCY),respectively.Calculations were based on heat units(HU)for a 30-year(1984-2013)period.Long-term average THU and PCY,as well as PCY at three different exceedance probabilities(p=0.99,p=0.80,and p=0.75),were calculated for 21 selected weather stations across cotton-growing areas of Uzbekistan.After confirmation that the current planting date(April 15)is optimal,a comparison of THU with the accepted cotton production cutoff threshold(1444°C)suggested that areas with lower elevations and latitudes are more appropriate for cotton production.Yield gap analysis(relative difference between long-term average PCY and actual yields)confirmed that Uzbekistan cotton production is below potential,while the spatial distribution of yield gaps outlined where efforts should be targeted.Areas near the stations of Nukus,Kungrad,Chimbay,and Syrdarya should be further investigated as benefit/cost ratio is highest in these areas.A comparison between state-set yield targets and PCY values,taking into account climatic variability,suggested that all areas except Jaslyk,Nurata,and Samarkand have safe,appropriate targets.These results present a starting-point to aid in strategic actions for Uzbekistan cotton production improvement. 展开更多
关键词 COTTON potential cotton yield yield gap heat unit Uzbekistan AGRICULTURE climatic variability TARGET
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总统赦免火鸡趣事
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作者 Domenico montanaro 丁一 《疯狂英语(新悦读)》 2017年第11期46-48,共3页
相信许多同学早就知道了美国感恩节的来历,以及美国人在过节时吃火鸡的传统。可是,你知道吗?在每年感恩节被美国人吃掉的近五千万只火鸡当中,总会有两只特别幸运地受到总统的救免,逃过被摆上餐桌的厄运。一起来了解一下这背后的趣事吧。... 相信许多同学早就知道了美国感恩节的来历,以及美国人在过节时吃火鸡的传统。可是,你知道吗?在每年感恩节被美国人吃掉的近五千万只火鸡当中,总会有两只特别幸运地受到总统的救免,逃过被摆上餐桌的厄运。一起来了解一下这背后的趣事吧。The annual presidential turkeypardoning event at the White House is a 3)peculiar one.There’s always lots of laughter for a4) lighthearted moment,but the truth behind 展开更多
关键词 感恩节
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Counterterrorism On the Wrong Track
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作者 STEPHEN GALE GREGORY montanaro 《Beijing Review》 2010年第5期12-13,共2页
Insufficient knowledge about terrorists’ real objectives poses the central problem to U.S. antiterror efforts Umar Farouk
关键词 In Counterterrorism On the Wrong Track
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Successful robot-assisted surgery for treating endometrial cancer affecting bicornuate-bicollis or didelphic uterus
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作者 Annamaria Maglione Sergio montanaro Francesco Petruzzelli 《Open Journal of Obstetrics and Gynecology》 2013年第5期15-18,共4页
Uterine anomalies are mainly associated with improper development of Mullerian ducts. To our knowledge, reports describing the use of a da Vinci Robot System for treating an endometrial cancer in a woman with an abnor... Uterine anomalies are mainly associated with improper development of Mullerian ducts. To our knowledge, reports describing the use of a da Vinci Robot System for treating an endometrial cancer in a woman with an abnormal uterus are lacking. Here, we reported the description of two extremely obese women, affected by endometrial cancer and presenting bicornuate-bicollis and didelphic uterus have been treated by Robot System-assisted surgery. No operative and postoperative complications were recorded. Both women are disease-free to follow-up. A robot-assisted surgery could represent an effective treatment option for complex hysterectomies and in complicated patients, as those showing an extreme obesity. 展开更多
关键词 UTERINE MALFORMATIONS ENDOMETRIAL Cancer Robot-Assisted-Surgery
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An open-access endoscopy screen correctly and safely identifies patients for conscious sedation
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作者 Darshan Kothari Joseph D.Feuerstein +4 位作者 Laureen Moss Julie D’Souza Kerri montanaro Daniel A.Leffler Sunil G.Sheth 《Gastroenterology Report》 SCIE EI 2016年第4期281-286,I0001,共7页
Background and aims:Open-access scheduling is highly utilized for facilitating generally low-risk endoscopies.Preprocedural screening addresses sedation requirements;however,procedural safety may be compromised if scr... Background and aims:Open-access scheduling is highly utilized for facilitating generally low-risk endoscopies.Preprocedural screening addresses sedation requirements;however,procedural safety may be compromised if screening is inaccurate.We sought to determine the reliability of our open-access scheduling system for appropriate use of conscious sedation.Methods:We prospectively and consecutively enrolled outpatient procedures booked at an academic center by open-access using screening after in-office gastroenterology(GI)consultation.We collected the cases inappropriately booked for conscious sedation and compared the characteristics for significant differences.Results:A total of 8063 outpatients were scheduled for procedures with conscious sedation,and 5959 were booked with open-access.Only 78 patients(0.97%,78/8063)were identified as subsequently needing anesthesiologist-assisted sedation;44(56.4%,44/78)were booked through open-access,of which chronic opioid(47.7%,21/44)or benzodiazepine use(34.1%,15/44)were the most common reasons for needing anesthesiologist-assisted sedation.Patients on chronic benzodiazepines required more midazolam than those not on chronic benzodiazepines(P=0.03)of those patients who underwent conscious sedation.Similarly,patients with chronic opioid use required more fentanyl than those without chronic opioid use(P=0.04).Advanced liver disease and alcohol use were common reasons for patients being booked after in-office consultation and were significantly higher than those booked with open-access(both P<0.01).Conclusions:We observed that the majority of patients can be triaged for conscious sedation using a multi-tiered screening process.Importantly,few patients(<1.0%)were inappropriately booked for conscious sedation.The most common reasons for considering anesthesiologist-assisted sedation were chronic opioid,benzodiazepine and/or alcohol use and advanced liver disease.This suggests that these entities could be included in screening processes for open-access scheduling. 展开更多
关键词 open-access endoscopy SEDATION SCREEN
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Transient measurement of phononic states with covariance-based stochastic spectroscopy
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作者 Giorgia Sparapassi Stefano MCavaletto +6 位作者 Jonathan Tollerud Angela montanaro Filippo Glerean Alexandre Marciniak Fancesca Giusti Shaul Mukamel Daniele Fausti 《Light(Science & Applications)》 SCIE EI CAS CSCD 2022年第3期68-75,共8页
We present a novel approach to transient Raman spectroscopy,which combines stochastic probe pulses and a covariance-based detection to measure stimulated Raman signals in alpha-quartz.A coherent broadband pump is used... We present a novel approach to transient Raman spectroscopy,which combines stochastic probe pulses and a covariance-based detection to measure stimulated Raman signals in alpha-quartz.A coherent broadband pump is used to simultaneously impulsively excite a range of different phonon modes,and the phase,amplitude,and energy of each mode are independently recovered as a function of the pump-probe delay by a noisy-probe and covariance-based analysis.Our experimental results and the associated theoretical description demonstrate the feasibility of 2D-Raman experiments based on the stochastic-probe schemes,with new capabilities not available in equivalent mean-value-based 2D-Raman techniques.This work unlocks the gate for nonlinear spectroscopies to capitalize on the information hidden within the noise and overlooked by a mean-value analysis. 展开更多
关键词 STOCHASTIC SPECTROSCOPY COHERENT
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不同环境条件下向外开口的空心锥形柴油喷雾特性研究
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作者 +1 位作者 闫红梅(译) 《汽车与新动力》 2020年第1期40-46,共7页
现代柴油发动机的燃烧质量严格依赖于空气-燃料的混合质量,进而取决于雾化过程的质量。空气-燃料混合受到喷射压力、喷孔几何形状和喷油器液力特性的强烈影响。提出了替代传统多孔喷嘴的喷雾概念,并认为是1种可充分增加喷射压力的解决方... 现代柴油发动机的燃烧质量严格依赖于空气-燃料的混合质量,进而取决于雾化过程的质量。空气-燃料混合受到喷射压力、喷孔几何形状和喷油器液力特性的强烈影响。提出了替代传统多孔喷嘴的喷雾概念,并认为是1种可充分增加喷射压力的解决方案,以确保活塞碗中更高、更快的空气-燃料混合,最终目标是提高燃料效率和减少发动机排放。进行了喷雾试验,该喷雾在蒸发和非蒸发条件下通过原型高压空心锥形喷嘴产生,将燃料喷射到恒定容积的燃烧容器中,该容器控制压力和温度达到类似发动机的气体密度,以便测量空间和时间上适合的燃油模式。通过2种光学技术,即纹影(Schlieren)和米氏散射(Mie scattering)表征喷雾演变。纹影考虑了液体和蒸气部分,而米氏散射则考虑液体部分。通过在MATLAB软件中开发的定制程序处理图像,以更好地勾勒出液相和蒸汽雾化区域的轮廓。结果表明,该喷嘴配置能产生均匀和周向分布的精细雾化喷雾,有助于达到更好的空气-燃料混合水平。 展开更多
关键词 高压空心锥形喷嘴 空气-燃料混合 光学技术 纹影 米氏散射 柴油喷雾特性
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