检索结果-南通市图书馆

Ingested bone fragment in the bowel: Two cases and a review of the literature

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2013年第7期1卷 212-216页

作者： Seyfi Emir Zeynep Ozkan Hasan Baki Altinsoy fatih mehmet yazar Selim Sozen Ilhan Bali Department of General Surgery Medical Faculty Namik Kemal University Department of General Surgery Elazig Training and Research Hospital Department of Radiology Elazig Training and Research Hospital

Generally, ingested foreign bodies are excreted from the digestive tract without any complications or morbidity. In adults, ingestion of foreign bodies frequently occurs in alcoholics and elderly individuals with dentures. The most commonly ingested foreign bodies are food stuffs or their parts, such as fish bones or fragments of bone and phytobezoars. Sharp foreign bodies like fish and chicken bones can lead to intestinal perforation and peritonitis. We report herein two cases, one of bowel perforation and another of anal impaction, both caused by ingested bone fragments. Complications due to ingested bone fragments are not common and preoperative diagnosis remains a challenge and therefore it must be considered in susceptible cases.

关键词： Bone fragment Bowel perforation Anal pain

Single-station microtremor surveys for site characterization:A case study in Erzurum city,eastern Turkey

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Earthquake Engineering and Engineering Vibration 2024年第3期23卷 563-576页

作者： fatih Karsli Erdem Bayrak The Higher Education Credit and Hostels Institution Ministry of Youth and SportsErzurum 25240Turkey Earthquake Research Centre Ataturk UniversityErzurum 25240Turkey Department of Civil Engineering Ataturk UniversityErzurum 25240Turkey

The single-station microtremor method is one of the fastest,most reliable,and cheapest methods used to identify dynamic soil *** study utilizes 49 single-station microtremor measurements to identify the dynamic soil properties of the Hilalkent quarter of the Yakutiye district in *** dominant frequency and the amplification factor were calculated by using the Nakamura horizontal/vertical spectral ratio(H/V)*** the soil dominant frequency values varied between 0.4 Hz and 10 Hz,the soil amplification factor changed between 1 and *** H/V values were acquired with lower frequency *** vulnerability index(K_(g))and shear strain parameters that are utilized to estimate the damage that may be caused by an earthquake were *** in the west side of the study area,higher K_(g) values were *** shear strain map was created with 0.25 g,0.50 g and 0.75 g bedrock accelerations,and soil types that lost elasticity during an earthquake were *** average shear wave velocity for the first 30 m(V_(s30))was ***,it was observed that the western part of the study area,which resulted in a higher period and higher H/V,higher K_(g) and lower V_(s30) values,presents a higher risk of damage during an earthquake.

关键词： Nakamura horizontal/vertical spectral ratio single-station microtremor predominant frequency vulnerability index Erzurum

Prediction of the undrained shear strength of remolded soil with non-linear regression,fuzzy logic,and artificial neural network

在线全文

学校读者我要写书评

暂无评论

Journal of Mountain Science 2024年第9期21卷 3108-3122页

作者： YÜNKÜL Kaan KARAÇOR fatih GÜRBÜZ Ayhan BUDAK TahsinÖmür Department of Civil Engineering Faculty of Engineering and ArchitectureTokat Gaziosmanpaşa UniversityTokat 60100Türkiye Department of Civil Engineering Faculty of Engineering and ArchitectureKafkas UniversityKars 36000Türkiye Department of Civil Engineering Faculty of EngineeringGazi UniversityAnkara 06570Türkiye Ministry of Youth and Sports Ankara 06090Türkiye

This study aims to predict the undrained shear strength of remolded soil samples using non-linear regression analyses,fuzzy logic,and artificial neural network modeling.A total of 1306 undrained shear strength results from 230 different remolded soil test settings reported in 21 publications were collected,utilizing six different measurement *** water content,plastic limit,and liquid limit were used as input parameters for fuzzy logic and artificial neural network modeling,liquidity index or water content ratio was considered as an input parameter for non-linear regression *** non-linear regression analyses,12 different regression equations were derived for the prediction of undrained shear strength of remolded ***-Forward backpropagation and the TANSIG transfer function were used for artificial neural network modeling,while the Mamdani inference system was preferred with trapezoidal and triangular membership functions for fuzzy logic *** experimental results of 914 tests were used for training of the artificial neural network models,196 for validation and 196 for *** was observed that the accuracy of the artificial neural network and fuzzy logic modeling was higher than that of the non-linear regression ***,a simple and reliable regression equation was proposed for assessments of undrained shear strength values with higher coefficients of determination.

关键词： Undrained shear strength Liquidity index Water content ratio Non-linear regression Artificial neural networks Fuzzy logic

Effects of using sinusoidal porous object(SPO)and perforated porous object(PPO)on the cooling performance of nano-enhanced multiple slot jet impingement for a conductive panel system

在线全文

学校读者我要写书评

暂无评论

Propulsion and Power Research 2024年第2期13卷 166-177页

作者： fatih Selimefendigil Faiza Benabdallah Kaouther Ghachem Hind Albalawi Badr MAlshammari Lioua Kolsi Department of Mechanical Engineering College of EngineeringKing Faisal UniversityAl Ahsa 31982Saudi Arabia Department of Mechanical Engineering Celal Bayar UniversityManisa 45140Turkey Department of Industrial Engineering and Systems College of EngineeringPrincess Nourah Bint Abdulrahman UniversityP.O.Box 84428Riyadh 11671Saudi Arabia Department of Physics College of SciencesPrincess Nourah Bint Abdulrahman UniversityP.O.Box 84428Riyadh 11671Saudi Arabia Department of Electrical Engineering College of EngineeringUniversity of Ha’ilHa’il City 81451Saudi Arabia Department of Mechanical Engineering College of EngineeringUniversity of Ha’ilHa’il City 81451Saudi Arabia

Cooling system design for thermal management of electronic equipment,batteries and photovoltaic(PV)modules is important for increasing the efﬁciency,safety operation,and long life span the *** the present study,two different cooling systems are proposed with nano-enhanced multiple impinging jets for a conductive *** present cooling systems can be used in electronic cooling and PV *** porous object(PPO)and sinusoidal porous object(SPO)are used in the jet cooling system.2D numerical analysis usingﬁnite volume method is conducted considering different values of permeability of the objects(Darcy number(Da)between 10^(-6) and 10^(-1)).When PPO is used in the cooling system,num-ber of cylinders(between 1 and 6),and size of the cylinders(between 0.015 and 0.075)are *** the case of using SPO,amplitude(between 0.1 and 2)and wave number(be-tween 1 and 12)are ***-water nanoﬂuid with cylindrical shaped nanoparticles is used as the heat transferﬂ*** permeability is changed for PPO,the average temper-ature increases by roughly 3.89℃ for a single cylinder and drops by roughly 0.57℃ for a six-cylinder *** the size of the cylinder in the PPO case at highest permeability results in temperature drop of 5.3℃.When changing the number of cylinders,cooling rate varies by about 3.6%.Wave number of SPO is more inﬂuential on the cooling performance enhancement as compared to amplitude and permeability of the *** average surface temperature drops by 12.4℃ when the wave number is increased to *** compared to reference case of jet impingement cooling without porous object,using PPO and SPO along with the nanoﬂuid result in temperature drop of 12.3℃ and 14.4℃.

关键词： Thermal management Jet impingement Perforated porous

Red cell distribution width-to-albumin ratio is a simple promising prognostic marker in acute cholangitis requiring biliary drainage

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Hepatobiliary & Pancreatic Diseases International 2024年第5期23卷 487-494页

作者： fatih Acehan Hüseyin Camli Cagdas Kalkan Mesut Tez Burak Furkan Demir Emin Altiparmak Ihsan Ates Department of Internal Medicine Ankara City HospitalAnkara 06800Türkiye Department of Gastroenterology Ankara City HospitalAnkara 06800Türkiye Department of General Surgery Ankara City HospitalAnkara 06800Türkiye

Background: It is crucial to assess the severity of acute cholangitis(AC). There are currently several prognostic markers. However, the accuracies of these markers are not satisfied. The present study aimed to investigate the predictive value of the red cell distribution width(RDW)-to-albumin ratio(RAR) for the prognosis of AC. Methods: We retrospectively evaluated consecutive patients diagnosed with AC between May 2019 and March 2022. RAR was calculated, and its predictive ability for in-hospital mortality, intensive care unit(ICU) admission, bacteremia, and the length of hospitalization were analyzed. Results: Out of 438 patients, 34(7.8%) died. Multivariate analysis showed that malignant etiology [odds ratio(OR) = 4.816, 95% confidence interval(CI): 1.936-11.980], creatinine(OR = 1.649, 95% CI: 1.095-2.484), and RAR(OR = 2.064, 95% CI: 1.494-2.851) were independent risk factors for mortality. When adjusted for relevant covariates, including age, sex, malignant etiology, Tokyo severity grading(TSG), Charlson comorbidity index, and creatinine, RAR significantly predicted mortality(adjusted OR = 1.833, 95% CI: 1.280-2.624). When the cut-off of RAR was set to 3.8, its sensitivity and specificity for mortality were 94.1% and 56.7%, respectively. Patients with an RAR of > 3.8 had a 20.9-fold(OR = 20.9, 95% CI: 4.9-88.6) greater risk of mortality than the remaining patients. The area under the curve value of RAR for mortality was 0.835(95% CI: 0.770-0.901), which was significantly higher than that of TSG and the other prognostic markers, such as C-reactive protein-to-albumin ratio, and procalcitonin-to-albumin ratio. Lastly, RAR was not inferior to TSG in predicting ICU admission, bacteremia, and the length of hospitalization. Conclusions: RAR successfully predicted the in-hospital mortality, ICU admission, bacteremia, and the length of hospitalization of patients with AC, especially in-hospital mortality. RAR is a promising marker that is more convenient than TSG and o

关键词： Acute cholangitis Albumin Biliary drainage Mortality Red blood cell distribution width-to-albumin ratio

Epithelioid malignant peripheral nerve sheath tumor of the bladder and concomitant urothelial carcinoma: A case report

在线全文

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2024年第3期12卷 551-559页

作者： Sami Berk Ozden Muhammed fatih Simsekoglu Ipek Sertbudak Cetin Demirdag Iclal Gurses Istanbul University-Cerrahpasa Cerrahpasa School of Medicine Department of UrologyIstanbul 34100FatihTurkey Istanbul University-Cerrahpasa Cerrahpasa School of Medicine Department of PathologyIstanbul 34100FatihTurkey

BACKGROUND Epithelioid malignant peripheral nerve sheath tumor(EMPNST)of the bladder is a rare entity with devastating *** tumors are thought to originate from malignant transformation of pre-existing schwannomas of pelvic autonomic nerve plexuses,and unlike the conventional malignant peripheral nerve sheath tumor(MPNST),are not associated with *** tumor has dis-tinctive morphological,immunohistochemical and molecular ***-tionally,it tends to be more aggressive and have a higher *** is the first case that presents with a synchronous urothelial carcinoma of the bladder and the epithelioid variant of MPNST in the ***’s also the second re-ported case of EMPNST originating from the bladder *** SUMMARY In this case report,we present the detailed clinical course of a 71-year-old patient with EMPNST of the bladder alongside a literature *** During the management of EMPNST cases,offering aggressive treatment moda-lities to the patient,such as radical cystectomy,is appropriate for the best chance to contain the disease,regardless of the tumor stage and the extent of local disease at initial diagnosis.

关键词： Epithelioid Peripheral nerve sheath tumor Bladder Case report Urothelial Cystoprostatectomy

Late corneal ectasia after penetrating and deep anterior lamellar keratoplasty for keratoconus

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

International Journal of Ophthalmology(English edition) 2024年第10期17卷 1828-1836页

作者： Bora Yüksel Arife Esra Kocakaya Tuncay Küsbeci fatih Gümüş Department of Ophthalmology University of Health SciencesIzmir Bozyaka Education and Research HospitalIzmir 35110Türkiye

AIM:To investigate tomographic features of late corneal ectasia after keratoplasty for keratoconus and compare penetrating keratoplasty(PK)and deep anterior lamellar keratoplasty(DALK)in terms of incidence,time of onset and risk factors of corneal ***:Sixty eyes with PK and 30 eyes with DALK operated between 1999 and 2021 were *** Pentacam scans were evaluated together with vision and previous *** outcome measures were vision,K values,apparent thinning on graft-host cornea and the difference between opposing quadrants in the thinnest point *** segment optic coherence tomography was performed for further ***:Mean follow-up was 127.2mo(24–282mo)in PK,and 64.3mo(24–144mo)in DALK.K max was higher in DALK(60.6 vs 56.7 D,P=0.012).Inferior recipient was thinner(595.9μm)in PK than DALK(662.2μm,P=0.021),due to longer *** corneal ectasia rate was 20.0%within *** rate was the same(6.7%)in DALK 2/30 and in PK 4/60 in 10y and 13.3%in 12y(4/30 and 8/60,respectively).It increased to 23.3%(14/60)in PK over *** ectasia was not seen before 7y in PK,it could be seen in DALK starting from the 5^(th) *** intervals between keratoplasty and ectasia were 144.5mo in PK and 99mo in *** recipient was significantly thinner in 18 eyes with ectasia(502.7μm)compared to 76 non-ectasia(649.1μm,P=0.000).Inferior graft was thinner(561.0 vs 620.4μm,P=0.006),K max(63.3 vs 56.5 D,P=0.000),and anterior elevation was higher in ectasia(89.1 vs 48.6μm,P=0.002).Accelerated crosslinking was performed on 5 ***:Inferior-superior recipient and inferior graft thinning on tomography,with high K max and anterior elevation emerge as the most reliable criteria for the diagnosis of late *** incidence of corneal ectasia increases with the time.

关键词： keratoconus penetrating keratoplasty deep anterior lamellar keratoplasty corneal ectasia

Energetic,bio-oil,biochar,and ash performances of co-pyrolysis-gasification of textile dyeing sludge and Chinese medicine residues in response to K_(2)CO_(3),atmosphere type,blend ratio,and temperature

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Environmental Sciences 2024年第2期136卷 133-150页

作者： Gang Zhang Zhiyun Chen Tao Chen Shaojun Jiang fatih Evrendilek Shengzheng Huang Xiaojie Tang Ziyi Ding Yao He Wuming Xie Jingyong Liu Engineering Research Center of None-food Biomass Efficient Pyrolysis and Utilization Technology of Guangdong Higher Education Institutes Dongguan University of TechnologyDongguan 523808China School of Environmental Science and Engineering Guangdong University of TechnologyGuangzhou 510006China School of Environment The Environmental Research InstituteMOE Key Laboratory of Theoretical Chemistry of EnvironmentSouth China Normal UniversityGuangzhou 510006China Department of Environmental Engineering Bolu Abant Izzet Baysal UniversityBolu 14052Turkey

Hazardous waste stream needs to be managed so as not to exceed stock-and rate-limited properties of its recipient *** co-pyrolysis of Chinese medicine residue(CMR)and textile dyeing sludge(TDS)and its bio-oil,biochar,and ash quality and quantity were characterized as a function of the immersion of K_(2)CO_(3),atmosphere type,blend ratio,and *** to the mono-pyrolysis of TDS,its co-pyrolysis performance with CMR(the comprehensive performance index(CPI))significantly improved by 33.9%in the N_(2)atmosphere and 33.2%in the CO_(2)*** impregnation catalyzed the co-pyrolysis at 370℃,reduced its activation energy by 77.3 kJ/mol in the N_(2)atmosphere and 134.6 kJ/mol in the CO_(2)atmosphere,and enriched the degree of coke gasification by 44.25%in the CO_(2)*** impregnation increased the decomposition rate of the co-pyrolysis by weakening the bond energy of fatty side chains and bridge bonds,its catalytic and secondary products,and its bio-oil yield by 66.19%.Its bio-oils mainly contained olefins,aromatic structural substances,and *** immersion of K_(2)CO_(3)improved the aromaticity of the copyrolytic biochars and reduced the contact between K and Si which made it convenient for Mg to react with SiO_(2)to form *** co-pyrolytic biochar surfaces mainly included-OH,-CH_(2),C=C,and *** main phases in the co-pyrolytic ash included Ca_(5)(PO_(4))_(3)(OH),Al_(2)O_(3),and magnesium-silicate.

关键词： Chemical impregnation Catalytic pyrolysis Chinese medicine residue Textile dyeing sludge Co-pyrolysis

Heat and mass transfer of a circular porous moist object located in a triangular shaped vented cavity

在线全文

学校读者我要写书评

暂无评论

Journal of Central South University 2024年第6期31卷 1956-1972页

作者： SELIMEFENDIGIL fatih OZCAN COBAN Seda OZTOP Hakan F Department of Mechanical Engineering College of EngineeringKing Faisal UniversityAl Ahsa 31982Saudi Arabia Department of Mechanical Engineering Manisa Celal Bayar UniversityManisa 45140Turkey Department of Mechanical Engineering Technology FacultyFırat UniversityElazığTurkey

Heat and mass transfer of a circular-shaped porous moist object inside a two-dimensional triangle cavity is investigated by using finite element *** porous object is considered to be a moist food sample,located in the middle of the cavity with inlet and outlet ports with different configurations of inlet/outlet *** drying performance is numerically assessed for different values of Reynolds numbers(between 50 and 250),dry air inlet temperature(between 40 and 80℃)and different locations of the *** is observed that changing the port locations has significant impacts on the flow recirculaitons inside the triangular chamber while convective drying performance is highly *** moisture content reduces with longer time and for higher Reynolds number(Re)*** P4 where inlet and outlet ports are in the middle of the walls provides the most effective configuration in terms of convective drying performance while the worst case is seen for P1 case where inlet and outlet are closer to the corners of the *** is a 192% difference between the moisture reduction of these two cases at Re=250,T=80℃ and t=120 min.

关键词： convective drying porous domain cavity flow inlet/exit port finite element method