早期开展白内障超声乳化人工晶体植入手术的临床分析

目的 探讨初学者在掌握白内障超声乳化人工晶体植入手术初期中的内在规律.方法 回顾性分析超声乳化白内障吸出人工晶体植入术与小切口白内障摘除+人工晶体植入术手术方式在治疗老年性白内障患者首50例手术前后的临床资料,从病例选择,手术技巧,术中术后并发症,手术效果等相关影响因素进行分析.结果 术后第1周视力≥0.5两组比较有统计学差异(P<0.05),术后3月视力≥0.5,两组比较无统计学差异(P>0.05).两组在手术费用方面比较有统计学差异(P<0.01);手术时间(min),手术完成率(%)术中术后并发症发生率(%)等方面则两组比较均无统计学差异(P<0.05).结论 两种手术方式对于初学者来说,首50例发生手术并发症发生率均较高,需要选择合适的病例,谨慎开展两种手术才能减少学习曲线,从而取得较好的临床效果.     

Association of the modified frailty index with adverse outcomes after penile prosthesis implantation

Objectives: To investigate frailty as a predictor of surgical outcome in elderly patients undergoing penile prosthesis implantation.

Material and methods: A total of 54 elderly patients, above 60 years of age, underwent penile prosthesis implantation between 2012 and 2014. Their data were collected and retrospectively analyzed. A modified frailty index (mFI) was calculated for each patient based on 11 risk factors from the Canadian Study of Health and Aging Frailty Index. The 1-year adverse outcomes were correlated with mFI, patients’ and procedure’s risk factors.

Results: Mean age was 64.9?±?5.2 years. No mortality was reported in our patients, however, one-year adverse outcomes were encountered in 43 (79.6%) patients. Among all studied variables, the 1-year adverse outcomes was not significantly association with mFI, but with preoperative glycosylated hemoglobin A1c (HbA1c) (p?=?0.031) and associated Peyronie’s disease (PD) (p?=?0.000). HbA1c, dyslipidemia, hypertension, PD and duration of the procedure were predictive of infection complications (p?Conclusions: mFI is not a predictive of post-penile prosthesis implantation adverse outcomes in elderly patients with impotence. Degree of diabetic control and association with PD was associated with the 1-year adverse outcomes and infection complications.     

单晶中植入纳米晶微结构及光电性能研究

单晶α-Al_2O_3、MgO、YSZ和TiO_2在室温下分别注入Ni~ 和Zn~ 离子,然后在氧化气氛中退火,以形成金属及其氧化物纳米晶．形成的纳米复合结构分别采用X射线光电子能谱(XPS)表征各元素化学价态;用X射线衍射分析(XRD)检测纳米结构的结晶形态;用透射电子显微分析(TEM)观察纳米晶的微观结构及分布情况;吸收光谱和荧光光谱分别用来表征纳米复合结构的宏观光学性能;超导量子干涉磁强计(SQUID)测量磁性纳米晶的矫顽力及截止温度．研究表明:在几种单晶材料中分别形成的金属Ni和Zn具有表面等离子共振吸收效应,ZnO纳米晶具有较强的绿光发射,铁磁性金属Ni纳米晶具有比常规块材大的矫顽力。这些性能在光学滤波片、蓝/绿发光器件和磁存储器方面板具应用前景．     

强束流Zr离子注入H13钢改善其耐磨性研究

采用由金属蒸汽真空弧离子源引出的强束流Ｚｒ,Ｚｒ＋Ｃ离子对Ｈ１３钢进行了离子束表面处理,借助划痕仪和摩擦试验机分别测量了经表面处理的Ｈ１３钢的耐磨性和摩擦系数。研究结果表明：经Ｚｒ,Ｚｒ＋Ｃ离子束处理的Ｈ１３钢的耐磨性有所提高,摩擦系数明显降低,采用卢瑟福背散射谱（ＲＢＳ）ｘ射线衍射分析了注入层的成分,结构及影响其耐磨性的因素。     

On becoming a prostitute: An exploratory case‐comparison study

We examined the effects of sexual arousal on cortical somatosensory evoked potentials (SEPs) elicited by electrical stimulation delivered to the skin over either the dorsal penile or posterior tibial nerve. The electrical stimuli were initiated by the subject pressing a button. In Experiment 1, a single stimulus was delivered immediately upon button press. In Experiment 2, a randomly spaced train of stimuli was delivered after a randomly varying delay. SEPs were obtained during (1) a baseline condition during which subjects viewed a non‐erotic videotape, (2) an arousal condition in which subjects viewed an erotic videotape, and (3) a post‐orgasm condition during which subjects again viewed the non‐erotic videotape. Amplitudes of SEP components elicited by stimulation of either nerve decreased with sexual arousal and tended to return towards baseline values in the post‐orgasm condition. The SEP components that showed these changes included slow potentials generated before and after stimulus delivery, as well as the vertex potentials, N100 and P200.     

B样条曲线在口腔修复体局部修改中的应用

在口腔修复体计算机辅助设计中，利用B样条曲线逼近修复体STL文件的切片截面轮廓数据，通过改变控制点位置来修改曲线，从而实现口腔修复体的局部修改。     

RigiScan data under long-term testosterone therapy: improving long-term blood circulation of penile arteries,penile length and girth,erectile function,and nocturnal penile tumescence and duration

Background: Late-onset hypogonadism (LOH) presents with low serum testosterone (TT) levels and sexual and nonsexual symptoms. Erectile dysfunction affects a man’s self-esteem and as a result partner relationship and quality of life.

Objectives: To investigate the andrological clinical profile outcomes of testosterone therapy (TTh) in men (n?=?88) with symptomatic LOH complaints and symptoms.

Main outcome measures: Erectile function was assessed using the International Index of Erectile Function-5 questionnaire at baseline and at 6 and 12 months of TTh. In addition, penile length was measured at baseline and 12 months. We also evaluated nocturnal penile tumescence (NPT, using RigiScan) and blood flow of cavernous arteries (penile Doppler ultrasonography) at baseline and 12 months of TT.

Materials and methods: Eighty-eight LOH men (M_age 51.1 years) with erectile dysfunction, all with serum TT?<10.4?nmol/L before TTh. Patients received intramuscular long-acting testosterone undecanoate for 12 months.

Results: Following TTh, in all patients, serum TT levels were restored within 3 months to normal levels. Compared with baseline values, erectile function significantly improved at 6 (mean score increase 1.95) and 12 months (mean score increase 2.16). No significant changes in penile length were observed. NPT significantly improved at 12 months in terms of both the frequency (mean increase 1.27 times) and duration of rigidity (mean increase 5.12?min). As regards the blood flow of the cavernous arteries, we observed a significant improvement (decrease of 1.16?cm/s) and end diastolic velocity of the penile arteries.

Conclusion: TTh in men with LOH resulted in improvement of the erectile function, NPT, and to some extent the blood flow of the cavernous arteries.     

Recognizing difference: in/visibility in the everyday life of individuals with facial limb absence

People who lack part(s) of their face have a visibly different appearance both due to their facial difference itself and the medical aids that they use to cover it (e.g. prostheses, bandages). In this article, we draw on interviews with affected individuals in order to investigate how visible difference features in their everyday experience. The visibility of their facial difference, we show, comes into play as they interact with various others in the contexts of their daily life. However, respondents’ visibility manifests in different ways, depending on whether they cover or uncover their facial difference. These different modes of visibility make for distinct ‘visibility experiences’, as participants meet others who notice – or fail to notice – their atypical appearance. By exploring these experiences, our article provides insights into the role of visibility in interviewees’ everyday life, and demonstrates how they actively negotiate their social recognition within encounters with various others.     

Al_（0．3）Ga_（0．7）As／GaAs超晶格在高能高温注入下的晶格损伤

用卢瑟福背散射／沟道技术研究了ＩＭｅＶＳｉ￣＋衬底加温注入Ａｌ_（０．３）Ｇａ_（０．７）Ａｓ／ＧａＡｓ超晶格和作为比较的ＧａＡｓ晶体后晶格的损伤积累与注入剂量的关系。实验结果表明，在注入剂量比较小的情况下，两种晶体都只有很轻微的损伤；动态退火过程的存在抑制了晶格损伤的积累。但在较高的注入剂量下，在几乎无损伤的表面下两种晶体中都形成了损伤埋层，且ＧａＡｓ中损伤峰处的损伤程度和损伤峰的宽度都大于Ａｌ_（０．３）Ｇａ_（０．７）Ａｓ／ＧａＡｓ超晶格中的情形，根据级联碰撞理论分析了晶体中的损伤积累过程，并从化学键相对强度差异的角度定性地解释了ＧａＡｓ和Ａｌ_（０．３）Ｇａ_（０．７）Ａｓ／ＧａＡｓ超晶格实验结果的不同。