The vibroimpact systems with bilateral barriers are often encountered in practice.However,the dynamics of the vibroimpact system with bilateral barriers is full of challenges.Few closed-form solutions were obtained.In...The vibroimpact systems with bilateral barriers are often encountered in practice.However,the dynamics of the vibroimpact system with bilateral barriers is full of challenges.Few closed-form solutions were obtained.In this paper,we propose a novel method for random vibration analysis of single-degree-of-freedom(SDOF)vibroim-pact systems with bilateral barriers under Gaussian white noise excitations.A periodic approximate transformation is employed to convert the equations of the motion to a con-tinuous form.The probabilistic description of the system is subsequently defined through the corresponding Fokker-Planck-Kolmogorov(FPK)equation.The closed-form station-ary probability density function(PDF)of the response is obtained by solving the reduced FPK equation and using the proposed iterative method of weighted residue together with the concepts of the circulatory probability flow and the potential probability flow.Finally,the versatility of the proposed approach is demonstrated by its application to two typical examples.Note that the solution obtained by using the proposed method can be used as the benchmark to examine the accuracy of approximate solutions obtained by other methods.展开更多
BACKGROUND Postoperative complications are important factors affecting the survival time and quality of life of patients undergoing radical gastrectomy.AIM To investigate and compare the anesthetic effects of intraven...BACKGROUND Postoperative complications are important factors affecting the survival time and quality of life of patients undergoing radical gastrectomy.AIM To investigate and compare the anesthetic effects of intravenous general anesthesia combined with epidural anesthesia or ultrasound-guided bilateral transversus abdominal plane block(TAPB)in gastric cancer patients undergoing laparoscopic radical gastrectomy.METHODS The clinical data of 85 patients who underwent laparoscopic radical gastrectomy in our hospital from December 2020 to January 2023 were retrospectively collected and divided into a TAPB group(n=45)and epidural anesthesia group(n=40)according to the different anesthesia and analgesia programs used.The TAPB group received general anesthesia combined with TAPB,and the epidural anesthesia group received general anesthesia combined with epidural anesthesia.The pain status,cognitive status,intestinal barrier indicators,recovery quality,and incidence of complications were compared between the two groups.RESULTS Compared with the epidural anesthesia group,the TAPB group’s visual analog scale scores were significantly lower 6 h,12 h,24 h and 48 h after surgery(P<0.05).The incidence of postoperative cognitive dysfunction(POCD)in the TAPB group was significantly lower than that in the epidural anesthesia group,and the Mini-mental State Examination score 24 h after surgery was significantly higher in the TAPB group than the epidural anesthesia group(P<0.05).The levels of diamine oxidase and plasma D-lactate were significantly lower in the TAPB group than the epidural anesthesia group 24 h after surgery(P<0.05).The agitation score and the incidence of agitation during recovery were significantly lower in the TAPB group than epidural anesthesia group(P<0.05).The total incidence of postoperative complications in the TAPB group was 4.44%,significantly lower than the 20.00%in the epidural anesthesia group(P<0.05).CONCLUSION Compared with epidural anesthesia combined with general anesthesia,TAPB combined with gene展开更多
基金Project supported by the National Natural Science Foundation of China(Nos.11672111,11332008,11572215,and 11602089)the Program for New Century Excellent Talents in Fujian Province University+1 种基金the Natural Science Foundation of Fujian Province of China(No.2019J01049)the Promotion Program for Young and Middle-Aged Teacher in Science and Technology Research of Huaqiao University(Nos.ZQNYX307 and ZQNYX505)
文摘The vibroimpact systems with bilateral barriers are often encountered in practice.However,the dynamics of the vibroimpact system with bilateral barriers is full of challenges.Few closed-form solutions were obtained.In this paper,we propose a novel method for random vibration analysis of single-degree-of-freedom(SDOF)vibroim-pact systems with bilateral barriers under Gaussian white noise excitations.A periodic approximate transformation is employed to convert the equations of the motion to a con-tinuous form.The probabilistic description of the system is subsequently defined through the corresponding Fokker-Planck-Kolmogorov(FPK)equation.The closed-form station-ary probability density function(PDF)of the response is obtained by solving the reduced FPK equation and using the proposed iterative method of weighted residue together with the concepts of the circulatory probability flow and the potential probability flow.Finally,the versatility of the proposed approach is demonstrated by its application to two typical examples.Note that the solution obtained by using the proposed method can be used as the benchmark to examine the accuracy of approximate solutions obtained by other methods.
文摘BACKGROUND Postoperative complications are important factors affecting the survival time and quality of life of patients undergoing radical gastrectomy.AIM To investigate and compare the anesthetic effects of intravenous general anesthesia combined with epidural anesthesia or ultrasound-guided bilateral transversus abdominal plane block(TAPB)in gastric cancer patients undergoing laparoscopic radical gastrectomy.METHODS The clinical data of 85 patients who underwent laparoscopic radical gastrectomy in our hospital from December 2020 to January 2023 were retrospectively collected and divided into a TAPB group(n=45)and epidural anesthesia group(n=40)according to the different anesthesia and analgesia programs used.The TAPB group received general anesthesia combined with TAPB,and the epidural anesthesia group received general anesthesia combined with epidural anesthesia.The pain status,cognitive status,intestinal barrier indicators,recovery quality,and incidence of complications were compared between the two groups.RESULTS Compared with the epidural anesthesia group,the TAPB group’s visual analog scale scores were significantly lower 6 h,12 h,24 h and 48 h after surgery(P<0.05).The incidence of postoperative cognitive dysfunction(POCD)in the TAPB group was significantly lower than that in the epidural anesthesia group,and the Mini-mental State Examination score 24 h after surgery was significantly higher in the TAPB group than the epidural anesthesia group(P<0.05).The levels of diamine oxidase and plasma D-lactate were significantly lower in the TAPB group than the epidural anesthesia group 24 h after surgery(P<0.05).The agitation score and the incidence of agitation during recovery were significantly lower in the TAPB group than epidural anesthesia group(P<0.05).The total incidence of postoperative complications in the TAPB group was 4.44%,significantly lower than the 20.00%in the epidural anesthesia group(P<0.05).CONCLUSION Compared with epidural anesthesia combined with general anesthesia,TAPB combined with gene