Focal Spot, Winter 1983/84

https://digitalcommons.wustl.edu/focal_spot_archives/1036/thumbnail.jp

Pringle manoeuvre versus selective hepatic vascular exclusion in partial hepatectomy for tumours adjacent to the hepatocaval junction: A randomized comparative study

AbstractObjectiveTo compare the efficacy of selective hepatic vascular exclusion versus Pringle manoeuvre in partial hepatectomy for tumours adjacent to the hepatocaval junction.MethodsA randomized comparative trial was carried out. The primary endpoint was intraoperative blood loss. The secondary endpoints were operation time, blood transfusion, postoperative liver function recovery, procedure-related morbidity and in-hospital mortality.Results160 patients were randomized into 2 groups: the Pringle manoeuvre group (n = 80) and the selective hepatic vascular exclusion (SHVE) group (n = 80). Intraoperative blood loss and transfusion requirements were significantly less in the SHVE group. In the SHVE group, laceration of hepatic veins happened in 18 patients. Profuse intraoperative blood loss of over 2 L happened in 2 patients but no patient suffered from air embolism because the hepatic veins were controlled. In the Pringle group, the hepatic veins were lacerated in 20 patients, with profuse blood loss of over 2 L in 7 patients and air embolism in 3 patients. The rates of postoperative bleeding, reoperation, liver failure and mortality were significantly higher and the ICU stay and hospital stay were significantly longer in the Pringle group.ConclusionsSHVE was more efficacious than Pringle manoeuvre for partial hepatectomy in patients with tumours adjacent to the hepatocaval junction

Novel Microfiber Sensor and Its Biosensing Application for Detection of hCG Based on a Singlemode-Tapered Hollow Core-Singlemode Fiber Structure

A novel microfiber sensor is proposed and demonstrated based on a singlemode-tapered hollow core -singlemode (STHS) fiber structure. Experimentally a STHS with taper waist diameter of 26.5 μm has been fabricated and RI sensitivity of 816, 1601.86, and 4775.5 nm/RIU has been achieved with RI ranges from 1.3335 to 1.3395 , from 1.369 to 1.378, and from 1.409 to 1.4175 respectively, which agrees very well with simulated RI sensitivity of 885, 1517, and 4540 nm/RIU at RI ranges from 1.3335 to 1.337, from 1.37 to 1.374, and from 1.41 to 1.414 . The taper waist diameter has impact on both temperature and strain sensitivity of the sensor structure: (1) the smaller the waist diameter, the higher the temperature sensitivity, and experimentally 26.82 pm/°C has been achieved with a taper waist diameter of 21.4 μm; (2) as waist diameter decrease, strain sensitivity increase and 7.62 pm/με has been achieved with a taper diameter of 20.3 μm. The developed sensor was then functionalized for human chorionic gonadotropin (hCG) detection as an example for biosensing application. Experimentally for hCG concentration of 5 mIU/ml, the sensor has 0.5 nm wavelength shift, equivalent to limit of detection (LOD) of 0.6 mIU/ml by defining 3 times of the wavelength variation (0.06 nm) as measurement limit. The biosensor demonstrated relatively good reproducibility and specificity, which has potential for real medical diagnostics and other applications

Quantum interface between frequency-uncorrelated down-converted entanglement and atomic-ensemble quantum memory

Photonic entanglement source and quantum memory are two basic building blocks of linear-optical quantum computation and long-distance quantum communication. In the past decades, intensive researches have been carried out, and remarkable progress, particularly based on the spontaneous parametric down-converted (SPDC) entanglement source and atomic ensembles, has been achieved. Currently, an important task towards scalable quantum information processing (QIP) is to efficiently write and read entanglement generated from a SPDC source into and out of an atomic quantum memory. Here we report the first experimental realization of a quantum interface by building a 5 MHz frequency-uncorrelated SPDC source and reversibly mapping the generated entangled photons into and out of a remote optically thick cold atomic memory using electromagnetically induced transparency. The frequency correlation between the entangled photons is almost fully eliminated with a suitable pump pulse. The storage of a triggered single photon with arbitrary polarization is shown to reach an average fidelity of 92% for 200 ns storage time. Moreover, polarization-entangled photon pairs are prepared, and one of photons is stored in the atomic memory while the other keeps flying. The CHSH Bell's inequality is measured and violation is clearly observed for storage time up to 1 microsecond. This demonstrates the entanglement is stored and survives during the storage. Our work establishes a crucial element to implement scalable all-optical QIP, and thus presents a substantial progress in quantum information science.Comment: 28 pages, 4 figures, 1 tabl

Research on work zone vehicle queuing behavior based on cellular automata

A model is proposed to estimate the work zone queue length, and the cellular automata based on empirical data is used for model validation. This estimation model can be applied to work zone organization and management to improve work zone capacity and security. Relationship between the average queue length and the warning zone length can be found, and the appropriate warning zone length can be determined according to design flow. Moreover, the appropriate work zone lane-changing strategies under different design flows are found through the estimation model

Effects of Transverse Baffle Design on Reducing Liquid Sloshing in Partially Filled Tank Vehicles

Longitudinal liquid sloshing in partially filled clear-bore tanks causes extensive degradation of tankers braking performance. To reduce the negative effect of longitudinal liquid sloshing on tankers, three kinds of transverse baffles were designed, namely, the conventional baffle, the circular baffle, and the staggered baffle. Each kind of baffle took several forms to investigate the impact of baffle installation angle, the sizes of holes pierced on the baffle, and their arrangement on the antisloshing effect. FLUENT software was used to simulate liquid sloshing in tanks equipped with different kinds of transverse baffles and subject to constant braking deceleration. A time-series analysis of the forces act on tank walls and transverse baffles was carried out. It was drawn that the baffle shape and its installation angle have great impact on the antisloshing effect of baffles. The study on the antisloshing effect of different transverse baffles is of great significance for tank vehicle driving and braking safety, as well as for the design of optimal transverse baffles