101 research outputs found

    Percutaneous ballon compression for recurrent TN —a retrospective study of 33 cases

    Get PDF
    ObjectiveTo investigate the clinical efficacy of percutaneous microballoon compression in the treatment of recurrent TN.MethodsThis retrospective study included 33 patients who underwent percutaneous microballoon compression for the treatment of recurrent TN from March 2019 to May 2022. Postoperative pain recurrence and facial numbness were assessed according to the Barrow Neurological Institute (BNI) pain score. Patients’ anxiety and sleep status during follow-up were assessed according to the Self-rating Anxiety Scale (SAS) and Pittsburgh Sleep Quality Index (PSQI).ResultsAll patients (33 cases) were followed up for 12–38 months, with an average follow-up time of 23 months. On postoperative day 1, 31 patients (93.9%) reported no pain, and 2 patients were given drug treatment for pain relief, The total efficacy was 93.9%. Moreover, 2 patients (6.1%) reported significant pain relief 2 weeks postoperatively. There are many complications during and after PBC. The incidence of the trigeminocardiac reflex (TCR) during surgery was 100%, and the incidence of facial numbness, masseter muscle weakness, labial herpes and headache was 97, 60.6, 12.1 and 3%. No patient experienced severe facial numbness, hearing impairment, diplopia, injury to cranial nerves, Meningitis, intracranial haemorrhage or keratitis. 1 patient had recurrence of pain at 6 months post-op, which was relieved by oral medication. 81.8% suffered from anxiety and 54.5% had poor sleep quality before surgery. After the period of PBC, SAS and PSQI scores decreased continuously. There were significant improvements in anxiety and sleep status postoperatively compared with preoperatively.ConclusionPBC is a safe and effective option for the treatment of recurrent TN. The arduous and demanding nature of the clinical course subjects the patient to severe pain, mental, and physical stress. Thankfully, it significantly improves the symptoms of anxiety, depression, and sleep quality

    Reliability Evaluation for Demand-Based Warm Standby Systems Considering Degradation Process

    No full text

    Optimal allocation of reliability improvement target based on multiple correlation failures and risk uncertainty

    No full text
    Optimal allocation of the reliability improvement target is essential for the system optimization design. In order to solve the problems that the optimization model is with loss of generality and the validity of the optimal solution is weakened, an optimal allocation method is proposed by considering multiple correlation failures and risk uncertainty in this paper. Two new concepts are presented, such as independent failure results in basic risk, and correlation failure leads to disturbance risk. A risk assessment machinery of “actual risk = basic risk + disturbance risk” is proposed. The action mechanisms of the three correlation failures are studied based on the cooperation game theory, and the generalized risk models are given under probability measure. Considering the improvement cost, the expectation and the variance of the reduction of system risk, a multi-objective optimal allocation model is developed, which is solved by using the PSO algorithm. Finally, the proposed optimal allocation is implemented at the 2-stage NGW planetary reducer, and the results show that it is more efficient and feasible for engineering practice

    Exact similariton solution families and diverse composite waves in coherently coupled inhomogeneous systems

    No full text
    Seeking analytical solutions of nonlinear Schrödinger (NLS)-like equations remains an open topic. In this paper, we revisit the general inhomogeneous nonautonomous NLS (inNLS) equation and report on exact similaritons under generic constraint relationships by proposing a novel generic self-similar transformation, which implies that there exist a rich variety of highly-controllable solution families for inhomogeneous systems. As typical examples, richly controllable behaviors of the self-similar soliton (SS), self-similar Akhmediev breather (SAB), self-similar Ma breather (SMB), and self-similar rogue wave (SRW) are presented in a periodic distribution nonlinear system. With the aid of a linear transformation, these novel similariton solutions are deployed as a basis for constructing two-component composite solutions to a pair of coherently coupled inNLS equations including four-wave mixing. The diverse composite waves thatemerge, including SS SS, SAB SMB, and SRW SRW families, are investigated in some detail. The family of similariton solutions presented here may prove significance for designing the controland transmission of nonlinear waves

    Docking site complications analysis of Ilizarov bone transport technique in the treatment of tibial bone defects

    No full text
    Abstract Background Treating long bone defects of the extremities caused by trauma, infection, tumours, and nonunion has been challenging for clinical orthopaedic surgeons. Bone transport techniques have the potential to treat bone defects. However, inevitable docking site complications related to bone transport techniques have been reported in many studies. The purpose of this study was to investigate the risk factors associated with docking site complications in patients who underwent the Ilizarov bone transport technique for the treatment of tibial bone defects. Methods This retrospective study included 103 patients who underwent bone transport for the treatment of large bone defects in the tibia from October 2012 to October 2019. Patient demographic data, complications and clinical outcomes after a minimum of 2 years of follow-up were collected and retrospectively analysed. Additionally, univariate analysis and logistic regression analysis were used to analyse the factors that may affect the development of docking site complications in patients with tibial bone defects treated with the Ilizarov bone transport technique. The clinical outcomes were evaluated using the Association for the Study and Application of the Ilizarov criteria (ASAMI) at the last clinical follow-up. Results All 103 patients with an average follow-up of 27.5 months. The docking site complications rate per patient was 0.53, and delayed union occurred in 22 cases (21.4%), axial deviation occurred in 19 cases (18.4%) and soft tissue incarceration occurred in 10 cases (9.7%). According to the results of the logistic regression analysis, the bone defect length (P = 0.001, OR = 1.976), and bone defect of distal 1/3 (P = 0.01, OR = 1.976) were significantly correlated with delayed union. Bone defect length (P < 0.001, OR = 1.981) and external fixation time (P = 0.012, OR = 1.017) were significantly correlated with axial deviation. Soft tissue defects (P = 0.047, OR = 6.766) and the number of previous operations (P = 0.001, OR = 2.920) were significantly correlated with soft tissue incarceration. The ASAMI bone score at the last follow-up showed a rate of excellent and good bone results of 95.1% and a rate of excellent functional results of 90.3%. Conclusion The Ilizarov bone transport technique is a practical and effective method for the treatment of tibial bone defects. However, the incidence of complications at the docking site is high, of which bone defect length, external fixation time, the number of previous operations, soft tissue defects and the bone defect of distal 1/3 are statistically significantly associated with the occurrence of docking site complications

    An asymmetric MOSFET-C band-pass filter with on-chip charge pump auto-tuning

    No full text
    An asymmetric MOSFET-C band-pass filter(BPF)with on chip charge pump auto-tuning is presented.It is implemented in UMC (United Manufacturing Corporation)0.18μm CMOS process technology. The filter system with auto-tuning uses a master-slave technique for continuous tuning in which the charge pump OUtputs 2.663 V, much higher than the power supply voltage, to improve the linearity of the filter. The main filter with third order low-pass and second order high-pass properties is an asymmetric band-pass filter with bandwidth of 2.730-5.340 MHz. The in-band third order harmonic input intercept point(HP3) is 16.621 dBm,wim 50 Ω as the source impedance. The input referred noise iS about 47.455μVrms. The main filter dissipates 3.528 mW while the auto-tuning system dissipates 2.412 mW from a 1.8 V power supply. The filter with the auto-tuning system occupies 0.592 mm~2 and it can be utilized in GPS (global positioning system)and Bluetooth systems

    Review of operations for multi-energy coupled virtual power plants participating in electricity market

    No full text
    The application projects of traditional virtual power plants generally have some significant problems, such as single energy structure, insufficient participation in the market, sparse energy coupling relationship and lack of new loads, which lead to poor operation stability, low economic benefits and difficult risk management of traditional virtual power plants. With the development of distributed energy resources such as electric vehicles, air conditioners, and electric heating loads and the advancement of information and communication technologies, virtual power plants have gradually evolved from aggregating a single type of energy resource to having the ability to meet the aggregation and management of multiple types of energy resources. Virtual power plant technology provides an effective means to aggregate distributed energy and user-side resources to participate in energy market transactions. A virtual power plant with multiple energy sources such as electricity, heat and gas coupling can effectively avoid the lack of system stability and security caused by a single resource structure, and effectively meet the needs of users for multiple types of energy. This paper focuses on multi-energy coupled virtual power plants, summarizes the current status of research on multi-energy coupled virtual power plants participating in power market operation from the aspects of multi-energy coupling mechanism and operation optimization in power market, and finally provides an outlook on the research direction of multi-energy coupled virtual power plants
    corecore