572 research outputs found
Effect of bainite layer by LSMCIT on wear resistance of medium-carbon bainite steel at different temperatures
In this work, bainite layer was prepared by Laser surface melting combined with isothermal treatment (LSMCIT) at 250ºC. The microstructures of the samples were analyzed by scanning electron microscopy (SEM), X-ray Diffraction (XRD) and transmission electron microscopy (TEM). Their wear resistances at 20ºC, 100ºC and 200ºC were measured using reciprocating tribometer. After the wear test, the confocal laser scanning microscope and SEM were used to characterize the topography of all abrasion surfaces, and the phase transformations occurred on the contact surfaces were analyzed by XRD. The results show that the microstructure of the LSMCIT sample has been refined to nanoscale. The wear volume reduction ratio of LSMCIT sample is 40.9% at 20ºC. The wear resistances of the samples are decreased with increasing of the temperature, however, the decrease in amplitude of the bainite is relatively small. The harder surface of the LSMCIT sample can provides higher mechanical support, and the white-etching layer on surface are difficult to remove by the reciprocating friction. The wear resistances of the LSMCIT samples at 20ºC, 100ºC and 200ºC are excellent, which shows the wide temperature ranges in wear applications
Improved measurement of the reactor antineutrino flux and spectrum at Daya Bay
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Comparing Remimazolam and Propofol for Postoperative Anesthesia Satisfaction in Outpatient Gynecological Surgery: A Randomized Clinical Trial
Xu-Lin Wang,1,* Ling-Ling Dai,2,* Yan-Na Li,1 Jian-Wen Zhang,1 Ming-Cui Qu,1 Yao-Yao Zhou,1 Na Xing1 1Department of Anesthesiology, Pain and Perioperative Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China; 2Department of Respiration, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China*These authors contributed equally to this workCorrespondence: Na Xing, Department of Anesthesiology, Pain and Perioperative Medicine, The First Affiliated Hospital of Zhengzhou University, No. 1 East Jianshe Road, Zhengzhou, People’s Republic of China, Tel +8613949095172, Email [email protected]: This study aimed to compare the efficacy of remimazolam and propofol regarding postoperative anesthesia satisfaction in patients undergoing outpatient gynecological surgery.Patients and Methods: This was a single-center, open-label, non-inferiority, randomized clinical trial. Patients aged ≥ 18 years who underwent outpatient gynecological surgery with sedation were enrolled. Participants were randomly assigned to be sedated with remimazolam or propofol. The primary endpoint was the immediate postoperative anesthesia satisfaction score, evaluated through the Iowa Satisfaction with Anesthesia Scale (ISAS).Results: 168 patients were randomly allocated to either the remimazolam group (n = 84) or the propofol group (n = 84). The mean (standard deviation) ISAS scores immediately after surgery were 1.7 (0.6) for the remimazolam group and 2.0 (0.7) for the propofol group (difference, – 0.2; 97.5% confidence interval [CI]: – 0.5 to – 0.0; p = 0.02), indicating non-inferiority. The length of post-anesthesia care unit (PACU) stay was longer in the remimazolam group than in the propofol group (27.6 [9.1] min vs 22.4 [7.0] min; difference, 5.2 [95% CI: 2.7 to 7.6] min; p < 0.001). High-intensity injection pain was less frequently observed in the remimazolam group than in the propofol group (3.6% vs 45.2%; difference, – 41.7% [95% CI: – 54.2% to – 29.1%]; p < 0.001). The nausea score was higher in the remimazolam group immediately after surgery than in the propofol group. Pain, nausea, sleep quality, anxiety, and depression scores were higher in the remimazolam group than in the propofol group on postoperative day 1. The incidence of adverse events and other secondary endpoints was comparable between the two groups.Conclusion: Remimazolam was non-inferior to propofol regarding postoperative anesthesia satisfaction in patients undergoing outpatient gynecological surgery. Therefore, it should be considered as a new sedation alternative in such procedures.Keywords: remimazolam, propofol, patient satisfaction, outpatient gynecological surgery, sedatio
Measurement of electron antineutrino oscillation based on 1230 days of operation of the Daya Bay experiment
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Improved Search for a Light Sterile Neutrino with the Full Configuration of the Daya Bay Experiment
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Independent measure of the neutrino mixing angle θ13 via neutron capture on hydrogen at Daya Bay
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