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41.
OBJECTIVE: The purpose of our study was to review and report the patient selection, techniques, and results of percutaneous drainage of pancreatic abscesses by retrospective review. MATERIALS AND METHODS: Fifty-nine patients (46 men and 13 women) with a mean age of 44 years old had 80 pancreatic abscesses that were drained percutaneously under radiologic guidance (CT, n = 77; sonography, n = 2; and fluoroscopy, n = 1). Abscesses had a wide spectrum of causes, with alcoholic pancreatitis being most common, trauma second most common, and gallstones third. Ten patients had undergone surgery for pancreatic necrosis or abscess. Patients with pancreatic pseudocysts, necrosis, or acute fluid collections were excluded from this study. RESULTS: Of the 59 patients, 51 (86%) were cured with percutaneous drainage and antibiotic therapy. Of the patients who were not cured with percutaneous drainage, seven required surgery and one underwent repeat percutaneous drainage. In the 59 patients, complications included non-life-threatening bleeding in three patients. Ten of 59 patients (17%) had fistulas that spontaneously formed into the gastrointestinal tract. The duration of catheterization ranged from 4 to 119 days, with a mean duration of 33 days. The rate of mortality at 30 days after completion of percutaneous drainage was 8% (5 of 59). CONCLUSION: Percutaneous drainage was an effective therapy for this defined group of patients with pancreatic abscesses. Factors leading to the relatively high success rate described in this study likely included selection of patients; catheters of adequate size, number, and location; careful follow-up with appropriate catheter manipulations; and an integrated, cooperative approach whereby surgeons were willing to permit drainage to effect its benefits, rather than operating prematurely.  相似文献   
42.
A novel method for the preparation of radio frequency (RF) wave absorber polyurethane foam (PU) has been developed by impregnation of PU foam in n-hexane solution of room temperature vulcanizing (RTV) silicone rubber (SR) hybridized with graphite nanosheets (GNs) called doping solution. Extent of the GNs dispersion was optimized by the incorporation of a specific type of bifunctional compatibilizer. Insulator to conductive transition threshold as well as electromagnetic wave absorption characteristics of the fabricated nanocomposites was shown to be dependent upon the compatibilizer functionality. All PU/SR/GN nanocomposites generated from bifunctional compatibilizer exhibited higher electrical conductivity with enhanced permittivity implying enhanced formation of conductive networks by GN platelets. Permittivity of the PU/SR/GN nanocomposite based on bifunctional compatibilizer showed to be higher than uncompatibilized counterpart. Electromagnetic reflection loss behavior of the PU/SR/GN nanocomposites exhibited a non-linear correlation with the electrical conductivity. Although all PU/SR/GN prepared nanocomposites exhibited electromagnetic wave reflection loss behavior, but this revealed to be affected by the GN level as well as the size and dispersion state of the graphite nanosheets.  相似文献   
43.
Abstract

In this paper, the problem of logical consistency in critical-tasks decision systems is addressed. It is shown how local search techniques can be used to check the (in)consistency of very large propositional knowledge bases (KBs). Using new heuristic findings. we can now implement efficient forms of diagnostic reasoning in the context of very large ICBs modeling deep models of complex devices and including patterns of default reasoning.  相似文献   
44.
This paper addresses the fabrication of bronze–nano-graphite coatings containing 30 nm sized graphite particles. Addition of Poly Vinyl Pyrrolidone (PVP) and dispersing the suspension by ultrasound was utilized to stabilize the electroplating solution. Pulsed current electrodeposition was used and the deposits were characterized in terms of graphite content, particle dispersion in coating and morphology. The wear behavior of the coating was compared to bronze–micro-graphite coatings prepared with the same experimental conditions. The present coating showed improved wear resistance in comparison to bronze–micro-graphite coatings at the same graphite content.  相似文献   
45.
The work here addresses the investigation of the effect of the welding parameters (welding time, welding current and electrode force) on the overload failure mode and mechanical performance of dissimilar resistance spot welds between drawing quality special killed AISI 1008 low carbon steel and DP600 dual phase steel. Mechanical properties of spot welds are described in terms of failure mode, peak load and energy absorption during the quasi-static tensile-shear test. Three distinct failure modes were observed during the tensile-shear test: interfacial, pullout and partial thickness–partial pullout failure modes. Correlations among failure mode, welding parameters, weld physical attributes and weld mechanical performance are analyzed. Effect of expulsion on mechanical performance of welds is also investigated.  相似文献   
46.
In the current study, a single cell of a planar SOFC is firstly modeled in 3D using commercial SOFC module of ANSYS Fluent and the results are validated against the experimental investigations in the literature. Many researchers have used ANSYS Fluent for simulating solid oxide fuel cells. However, there is a huge gap in the literature on explaining the detailed procedure that should be followed in order to use this software effectively. A thorough step-by-step approach is presented to provide a deep insight into the software. Thereafter, a simplified quasi-2D method with infinitely shorter computational time is developed and the results are compared with the 3D model. It is found that the reduced model is capable of being utilized as an alternate method for both online diagnosis and designing active control strategies.  相似文献   
47.
Microsystem Technologies - In this article, a cylindrical functionally graded shell model is developed in the framework of nonlocal strain gradient theory for the first time. For this purpose, the...  相似文献   
48.
In this study, a conventional steam power plant with two regenerative boilers is considered, and one of its boilers is replaced with parabolic solar dish collectors and storing the produced thermal energy by the phase change material (PCM) in a storage tank. The results show the necessity of the existence of an auxiliary fired‐gas boiler to provide constant load during the whole 24 hours. The performance of the proposed hybridized system is evaluated through energy and exergy analyses. It was demonstrated that substituting solar collectors with one of the boilers marginally lowers the energy efficiency but increases the exergy efficiency of the whole power plant up to 41.76%. Moreover, it is found out that this hybridization decreases the total irreversibility of the power plant in comparison with the base case, from 51.1 to 47.2 MW. The parametric analysis states that raising the mass flow rate of the heat transfer fluid in the solar collectors not only enhances the system performance but also increases the volume of the PCM tank.  相似文献   
49.
To measure MMP, slim tube method is time consuming, especially for heavy oils. In this study, a strategy is considered to measure the MMP in one of the Iranian heavy oil reservoirs. The strategy steps were done through; partial data of slim tube, coupling numerical model (CNM), full slim tube, and VIT test. The results showed that CNM technique with two experimental data obtains the MMP value faster than running a full slim tube with low error result. However, VIT determined MMP faster and its results illustrated that miscibility pressure for heavy oil occurs at zero IFT, unlike light oils.  相似文献   
50.
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