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        Enhanced recovery after surgery strategy for cirrhosis patients undergoing hepatectomy: experience in a single research center

        Yiling Zheng,Liming Wang,Fan Wu,Weiqi Rong,Yunhe Liu,Kai Zhang,Jianxiong Wu 대한외과학회 2020 Annals of Surgical Treatment and Research(ASRT) Vol.98 No.5

        Purpose: To evaluate the safety and effectiveness of an enhanced recovery after surgery (ERAS) programme after curative liver resection in cirrhotic hepatocellular carcinoma (HCC) patients. Methods: One hundred sixty-two patients were enrolled in the study; 80 patients whose data were collected prospectively were assigned to the ERAS group, and 82 patients whose data were collected retrospectively were assigned to the control group. Preoperative clinicopathologic factors, surgical factors, and postoperative outcomes of the 2 groups were compared. Logistic regression was applied to explore potential predictors of hospital stay and morbidity. Results: The postoperative hospital stay, postoperative complication rate, and recovery of liver function on postoperative day 5 seemed to be better in the ERAS group. The composition of complications was different in the 2 groups; pleural effusion and postoperative ascites were more common in the control group, and indocyanine green retention at 15 minutes, operation time, preoperative alanine aminotransferase, and number of liver segmentectomies were associated with postoperative complications rather than ERAS intervention. Conclusion: The ERAS programme is safe and effective for HCC patients with chronic liver disease undergoing hepatectomy, but it seems that surgical factors, such as operation type, have a greater impact on morbidity than other factors. Operative characteristics such as the method of blood loss control and the volume of liver resection should be augmented into ERAS protocol of hepatectomy.

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        Characteristics of vibration response of ball bearing with local defect considering skidding

        Yu Tian,Changfeng Yan,Yaofeng Liu,Wei Luo,Jianxiong Kang,Zonggang Wang,Lixiao Wu 대한기계학회 2023 JOURNAL OF MECHANICAL SCIENCE AND TECHNOLOGY Vol.37 No.11

        The occurrence and aggravation of local defects in ball bearings are closely linked to the skidding behavior of the ball. Previous studies have given less attention to investigating the impact of localized defects on the problem of bearing skidding. To investigate the dynamic response of defective bearings due to skidding, a dynamic model of the ball bearing is developed that considers various factors, including self-rotation, revolution, and radial motion of the ball, as well as the contact forces and friction forces of ball/cage and ball/race, time-varying displacement excitation, and elastohydrodynamic lubrication (EHL). Experimental signals collected from a machinery fault simulator test rig are used to validate the accuracy of the proposed model. The impact of race defects on the vibration characteristics of the bearing is analyzed, and the patterns of variation in contact and friction forces within one cycle of inner race rotation are described. The results indicate that the presence of defects intensifies the force fluctuation of the ball and causes it to deviate from its normal rolling condition. By comparing the skidding characteristics of a healthy bearing with a defective one under slippage, local defects will increase the skidding ratio of bearings. The proposed model can investigate the impact of race defects on the vibration response of ball bearings under the skidding condition.

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