A cross-sectional study was conducted to estimate the age-stratified normal levels and age-related changes in the risk predictors of benign prostatic hyperplasia(BPH)progression.A total of 4706 male participants aged ...A cross-sectional study was conducted to estimate the age-stratified normal levels and age-related changes in the risk predictors of benign prostatic hyperplasia(BPH)progression.A total of 4706 male participants aged 40 years or older in Zhengzhou(China)were enrolled.The values of the International Prostate Symptom Score(IPSS),prostate-specific antigen(PSA),prostate volume(PV),and postvoid residual urine volume(PVR)significantly increased with age.Nonlinear relationships between age and IPSS scores≥8(P for nonlinearity=0.046),PSA level≥1.6 ng ml^(-1),PV≥31 ml,or PVR≥39 ml(all P for nonlinearity<0.001)were observed.After the age of 61 years,the risk indicators related to BPH progression were positively correlated with age(odds ratio[OR]>1),regardless of the predictors of the IPSS score,PSA level,PV,or PVR;and the OR values increased gradually.Therefore,after the age of 61 years,the risk predictors related to BPH progression were positively correlated with age.展开更多
In response to Dr.Yue et al's study on prognostic factors for post-hemihep-atectomy outcomes in hepatocellular carcinoma(HCC)patients,this critical review identifies methodological limitations and proposes enhance...In response to Dr.Yue et al's study on prognostic factors for post-hemihep-atectomy outcomes in hepatocellular carcinoma(HCC)patients,this critical review identifies methodological limitations and proposes enhancements for future research.While the study identifies liver stiffness measure and standard residual liver volume as potential predictors,concerns regarding small sample size,reliance on biochemical markers for safety assessment,and inadequate ad-justment for confounding variables are raised.Recommendations for rigorous methodology,including robust statistical analysis,consideration of confounding factors,and selection of outcome measures with clinical components,are proposed to strengthen prognostic assessments.Furthermore,validation of novel evaluation models is crucial for enhancing clinical applicability and advancing understanding of postoperative outcomes in patients with HCC undergoing hem-ihepatectomy.展开更多
In order to enhance the NC programming efficiency and quality of aircraft structural parts （ASPs）, an intelligent NC programming pattern driven by process schemes is presented. In this pattern, the NC machining cell...In order to enhance the NC programming efficiency and quality of aircraft structural parts （ASPs）, an intelligent NC programming pattern driven by process schemes is presented. In this pattern, the NC machining cell is the minimal organizational structure in the technological process, consisting of an operation machining volume cell, and the type and parameters of the machining operation. After the machining cell construction, the final NC program can be easily obtained in a CAD/CAM system by instantiating the machining operation for each machining cell. Accordingly, how to automatically establish the machining cells is a key issue in intelligent NC program- ming. On the basis of the NC machining craft of ASP, the paper aims to make an in-depth research on this issue. Firstly, some new terms about the residual volume and the machinable volume are defined, and then, the technological process is modeled with a process scheme. Secondly, the approach to building the machining cells is introduced, in which real-time complement machining is mainly considered to avoid interference and overcutting. Thirdly, the implementing algorithm is designed and applied to the Intelligent NC Programming System of ASP. Finally, the developed algorithm is validated through two case studies.展开更多
BACKGROUND Liver cancer resection,especially in patients with hemihepatectomy or extended hemihepatectomy,often leads to poor prognosis,such as liver insufficiency and even liver failure and death,because the standard...BACKGROUND Liver cancer resection,especially in patients with hemihepatectomy or extended hemihepatectomy,often leads to poor prognosis,such as liver insufficiency and even liver failure and death,because the standard residual liver volume(SRLV)cannot be fully compensated after surgery.AIM To explore the risk factors of poor prognosis after hemihepatectomy for hepatocellular carcinoma and evaluate the application value of related prognostic approaches.METHODS The clinical data of 35 patients with primary liver cancer in Nantong Third People's Hospital from February 2016 to July 2020 were retrospectively analyzed.The receiver operating characteristic curve was created using medcac19.0.4 to compare the critical values of the SRLV in different stages of liver fibrosis after hemihepatectomy with those of liver dysfunction after hemihepatectomy.It was constructed by combining the Child-Pugh score to evaluate its application value in predicting liver function compensation.RESULTS The liver stiffness measure(LSM)value and SRLV were associated with liver dysfunction after hemihepatectomy.Logistic regression analysis showed that an LSM value≥25 kPa[odds ratio(OR)=6.254,P<0.05]and SRLV≤0.290 L/m^(2)(OR=5.686,P<0.05)were independent risk factors for postoperative liver dysfunction.The accuracy of the new liver reserve evaluation model for predicting postoperative liver function was higher than that of the Child-Pugh score(P<0.05).CONCLUSION SRLV and LSM values can be used to evaluate the safety of hemihepatectomy.The new liver reserve evaluation model has good application potential in the evaluation of liver reserve function after hemihepatectomy.展开更多
Four typical types of residual oil, residual oil trapped in dead ends, oil ganglia in pore throats, oil at pore corners and oil film adhered to pore walls, were studied. According to main pore structure characteristic...Four typical types of residual oil, residual oil trapped in dead ends, oil ganglia in pore throats, oil at pore corners and oil film adhered to pore walls, were studied. According to main pore structure characteristics and the fundamental morphological features of residual oil, four displacement models for residual oil were proposed, in which pore-scale flow behavior of viscoelastic fluid was analyzed by a numerical method and micro-mechanisms for mobilization of residual oil were discussed. Calculated results indicate that the viscoelastic effect enhances micro displacement efficiency and increases swept volume. For residual oil trapped in dead ends, the flow field of viscoelastic fluid is developed in dead ends more deeply, resulting in more contact with oil by the displacing fluid, and consequently increasing swept volume. In addition, intense viscoelastic vortex has great stress, under which residual oil becomes small oil ganglia, and finally be carried into main channels. For residual oil at pore throats, its displacement mechanisms are similar to the oil trapped in dead ends. Vortices are developed in the depths of the throats and oil ganglia become smaller. Besides, viscoelastic fluid causes higher pressure drop on oil ganglia, as a driving force, which can overcome capillary force, consequently, flow direction can be changed and the displacing fluid enter smaller throats. For oil at pore corners, viscoelastic fluid can enhance displacement efficiency as a result of greater velocity and stress near the corners. For residual oil adhered to pore wall, viscoelastic fluid can provide a greater displacing force on the interface between viscoelastic fluid and oil, thus, making it easier to exceed the minimum interfacial tension for mobilizing the oil film.展开更多
基金founded by Zhengzhou Finance Bureau (No.201974).
文摘A cross-sectional study was conducted to estimate the age-stratified normal levels and age-related changes in the risk predictors of benign prostatic hyperplasia(BPH)progression.A total of 4706 male participants aged 40 years or older in Zhengzhou(China)were enrolled.The values of the International Prostate Symptom Score(IPSS),prostate-specific antigen(PSA),prostate volume(PV),and postvoid residual urine volume(PVR)significantly increased with age.Nonlinear relationships between age and IPSS scores≥8(P for nonlinearity=0.046),PSA level≥1.6 ng ml^(-1),PV≥31 ml,or PVR≥39 ml(all P for nonlinearity<0.001)were observed.After the age of 61 years,the risk indicators related to BPH progression were positively correlated with age(odds ratio[OR]>1),regardless of the predictors of the IPSS score,PSA level,PV,or PVR;and the OR values increased gradually.Therefore,after the age of 61 years,the risk predictors related to BPH progression were positively correlated with age.
文摘In response to Dr.Yue et al's study on prognostic factors for post-hemihep-atectomy outcomes in hepatocellular carcinoma(HCC)patients,this critical review identifies methodological limitations and proposes enhancements for future research.While the study identifies liver stiffness measure and standard residual liver volume as potential predictors,concerns regarding small sample size,reliance on biochemical markers for safety assessment,and inadequate ad-justment for confounding variables are raised.Recommendations for rigorous methodology,including robust statistical analysis,consideration of confounding factors,and selection of outcome measures with clinical components,are proposed to strengthen prognostic assessments.Furthermore,validation of novel evaluation models is crucial for enhancing clinical applicability and advancing understanding of postoperative outcomes in patients with HCC undergoing hem-ihepatectomy.
基金supported by National Science and Technology Major Project (No.2012ZX04010051)
文摘In order to enhance the NC programming efficiency and quality of aircraft structural parts （ASPs）, an intelligent NC programming pattern driven by process schemes is presented. In this pattern, the NC machining cell is the minimal organizational structure in the technological process, consisting of an operation machining volume cell, and the type and parameters of the machining operation. After the machining cell construction, the final NC program can be easily obtained in a CAD/CAM system by instantiating the machining operation for each machining cell. Accordingly, how to automatically establish the machining cells is a key issue in intelligent NC program- ming. On the basis of the NC machining craft of ASP, the paper aims to make an in-depth research on this issue. Firstly, some new terms about the residual volume and the machinable volume are defined, and then, the technological process is modeled with a process scheme. Secondly, the approach to building the machining cells is introduced, in which real-time complement machining is mainly considered to avoid interference and overcutting. Thirdly, the implementing algorithm is designed and applied to the Intelligent NC Programming System of ASP. Finally, the developed algorithm is validated through two case studies.
基金Supported by Nantong Municipal Health Commission,No.MSZ2022036 and No.QN2022041Nantong Science and Technology Bureau,No.JCZ2022036.
文摘BACKGROUND Liver cancer resection,especially in patients with hemihepatectomy or extended hemihepatectomy,often leads to poor prognosis,such as liver insufficiency and even liver failure and death,because the standard residual liver volume(SRLV)cannot be fully compensated after surgery.AIM To explore the risk factors of poor prognosis after hemihepatectomy for hepatocellular carcinoma and evaluate the application value of related prognostic approaches.METHODS The clinical data of 35 patients with primary liver cancer in Nantong Third People's Hospital from February 2016 to July 2020 were retrospectively analyzed.The receiver operating characteristic curve was created using medcac19.0.4 to compare the critical values of the SRLV in different stages of liver fibrosis after hemihepatectomy with those of liver dysfunction after hemihepatectomy.It was constructed by combining the Child-Pugh score to evaluate its application value in predicting liver function compensation.RESULTS The liver stiffness measure(LSM)value and SRLV were associated with liver dysfunction after hemihepatectomy.Logistic regression analysis showed that an LSM value≥25 kPa[odds ratio(OR)=6.254,P<0.05]and SRLV≤0.290 L/m^(2)(OR=5.686,P<0.05)were independent risk factors for postoperative liver dysfunction.The accuracy of the new liver reserve evaluation model for predicting postoperative liver function was higher than that of the Child-Pugh score(P<0.05).CONCLUSION SRLV and LSM values can be used to evaluate the safety of hemihepatectomy.The new liver reserve evaluation model has good application potential in the evaluation of liver reserve function after hemihepatectomy.
文摘Four typical types of residual oil, residual oil trapped in dead ends, oil ganglia in pore throats, oil at pore corners and oil film adhered to pore walls, were studied. According to main pore structure characteristics and the fundamental morphological features of residual oil, four displacement models for residual oil were proposed, in which pore-scale flow behavior of viscoelastic fluid was analyzed by a numerical method and micro-mechanisms for mobilization of residual oil were discussed. Calculated results indicate that the viscoelastic effect enhances micro displacement efficiency and increases swept volume. For residual oil trapped in dead ends, the flow field of viscoelastic fluid is developed in dead ends more deeply, resulting in more contact with oil by the displacing fluid, and consequently increasing swept volume. In addition, intense viscoelastic vortex has great stress, under which residual oil becomes small oil ganglia, and finally be carried into main channels. For residual oil at pore throats, its displacement mechanisms are similar to the oil trapped in dead ends. Vortices are developed in the depths of the throats and oil ganglia become smaller. Besides, viscoelastic fluid causes higher pressure drop on oil ganglia, as a driving force, which can overcome capillary force, consequently, flow direction can be changed and the displacing fluid enter smaller throats. For oil at pore corners, viscoelastic fluid can enhance displacement efficiency as a result of greater velocity and stress near the corners. For residual oil adhered to pore wall, viscoelastic fluid can provide a greater displacing force on the interface between viscoelastic fluid and oil, thus, making it easier to exceed the minimum interfacial tension for mobilizing the oil film.
