Slag treatment at Kardemir integrated iron and steel works
整形外科英语查房交班及疾病手术英文对照(学习资料)

Face and neck scar after implanting the expanders面颈部瘢痕,扩张器植入术后Face scar excision, removed the expanders and replaced the scar with expanded flap 面部瘢痕切除,扩张器去除,扩张皮瓣转移Rectangular mandible and hypertrophy of masseter方形下颌骨,咬肌肥大Out layer of mandible osteotomy and part of masseter excision下颌骨外板截骨,部分咬肌切除Saddle nose and wry nose after trauma鞍鼻,歪鼻外伤后Saddle nose and wry nose correction鞍鼻歪鼻矫正Rectangular mandible and hypertrophy of masseter方形下颌骨,咬肌肥大Mandible angle osteotomy, part of masseter excision and buccal pad removing下颌角截骨,部分咬肌切除,颊脂垫去除Secondary deformity after lip-cleft correction唇裂矫正术后继发畸形Lip deformity correction唇畸形矫正Wry neck斜颈Wry neck correction斜颈矫正Low nose, hypertrophy of nose tip and microgenia低鼻,鼻尖肥大,小颏Nose augmentation with silicon implanter, nose tip reduction, mentum horizontal osteotomy and move forward硅胶假体植入隆鼻,鼻尖缩小,颏部水平截骨前移Aging face and baggy eyelids面部老化,睑袋Face and neck lifting and baggy eyelids excision面颈部提升,睑袋切除Left face and eye depression after tumor excision左面部眼部凹陷,肿瘤切除术后Left face and eye depression filling with autogenous cranial bone and medpor and skin graft from abdomen to release the contraction of the left lower eyelid自体颅骨(外板)切取、medpor,左面部眼部凹陷填充,腹部皮肤移植,左侧下睑挛缩松解Protrusion of zygoma, ectropion of lower eyelids,颧骨突出,下睑外翻Zygoma osteotomy and down fracture and eyelids ectropian correction and temple lifting颧骨截骨下降,眼睑外翻矫正,颞部提升Bilateral secondary deformity after lip cleft correction and alveolar crest cleft唇裂矫正术后双侧继发畸形,牙槽嵴裂Lip and nose deformity correction, alveolar crest cleft repairing with autogenous iliac 唇鼻畸形矫正,取自体髂骨,牙槽嵴裂修复Aging face and prominent mandibular angle(PMA)面部老化,下颌角肥大Frontal and temple lifting and mandible angle grinding额颞部提升,下颌角打磨Face and body scar after burn, ectropion of lower eyelids烧伤后面部躯干瘢痕,下眼睑外翻Eyelids ectropion correction with skin graft from right arm and implanted 2 expanders in the abdomen右上肢皮肤移植,眼睑外翻矫正,腹部扩张器植入Baggy eyelid, low nose, and hypertrophy of nasal tip睑袋,低鼻,鼻尖肥大Baggy eyelid excision, nose augmentation and nasal tip reduction睑袋切除,隆鼻,鼻尖缩小Fat and clumsy of the left ankle flapLeft ankle flap trimmingFace scar and absence of eyebrow面疤,眉毛缺失Eyebrow implanting眉毛种植Lip and nose deformity after lip-cleft correction唇裂矫正术后唇鼻畸形Lip and nose deformity correction唇鼻畸形矫正The first and second branchial arch syndrome第一、二鳃弓综合征Macrostomia correction and skin tag before the left ear excision, facial cleft,nose tip plasty and lengthen the nasal columella大口畸形矫正,左耳前皮赘切除,面裂鼻尖成形,鼻小住延长Right arm granulation wound右上肢肉芽创面Skin graft from the right leg右腿皮肤移植Body scar after burn烧伤后全身瘢痕Implanted 2 expanders in the back and 2 expanders in the leg,abdomen scar dermabrasion背部腿部扩脏器植入,腹部瘢痕磨削术Face and neck scar after burn烧伤后面颈部瘢痕Frontal skin grinding and implanted 2 expanders额部皮肤打磨,扩张器植入Popliteal fossa scar after burn and cicatricial contracture烧伤后腘窝瘢痕,瘢痕挛缩Liposuction, autogenous fat particle injection transplantation吸脂术,字体脂肪颗粒注射移植Rhytidoplasty除皱术Multiple craniofacial fractures after trauma外伤后多发性颅面骨折Frontal glabella depression filling with autogenous cranial bone , internal fixation by Ti plate and Ti screw, nasal bone fracture reduction, wry nose deformity correction, Internal fixation of left zygoma and maxilla by Ti plate and Ti screw自体颅骨外板切取,额部眉间凹陷填充,钛板钛钉内固定,鼻骨骨折复位,歪鼻矫正,左颧骨上颌骨骨折钛板钛钉内固定Osteotomy and inward shift of right zygoma, internal fixation by Ti plate and Ti screw, grinding of left zygoma, nose augmentation with silicon implanter, right frontal and temple lifting右侧颧骨截骨内收,钛板钛钉内固定,左侧颧骨打磨,硅胶假体植入隆鼻,右侧额颞部提升The pantient’s name is ,male(female) or year’s old boy(girl). The diagnosis is .We performed the operation of last Monday(yesterday or 3 days ago). We gave the patient antibiotic and hemostatic(or we tried to improve the microcirculation of flap) after operation. The drainage tube was removed in the second day post operation. We changed the dress in the second day post operation. Today is the fourth day after operation, the condition of the patient is good, temperature is normal.。
放疗经常使用英文词汇

3D- CRT 3dimensional comformal radiation therapy 三维适形放射治疗ABC active breath control 主动呼吸控制技术ABMT autologous bone marrow transplantation 自体骨髓移植AF accelerated fractionation 加速分割AHF accelerated hyperfractionation 加速超分割ART adaptive radiotherapy 适应性照射AT Ataxia Talangiectasia 毛细血管扩张性共济失调BD basal dose 基准剂量BED biologically effective dose 生物等效剂量BEV beam eye view 射束方向视图BMI body mass index 身体质量指数BOLD blood-oxygen-level-dependent 血氧水平依赖法BRMs biological response modifiers 生物反应调节剂BTV biological target volume 生物靶区CBHART concomitant boost hyperfractionated accelerated radiation therapy 同时小野加量加速超分割放疗CCG Children’s Cancer Group 儿童癌症研究组织CDK cyclin-dependent kinase 细胞周期依赖性蛋白激酶CF conventional fractionation 常规分割CHART continuous hyperfractionated accelerated radiation therapy 连续加速超分割放疗CI coverage index 靶区覆盖指数CIN cerbical intraepithelial neoplasia 宫颈上皮内瘤变CLDR continuous low dose rate radiotherapy 抵剂量率持续照射CML cutaneous malignant lymphoma 皮肤恶性淋巴瘤CPV coach’s preview 床角预览视图CT computed tomography 计算机体层显影CTV clinical target volume 临床靶区CUP carcinoma of unknown primary 原发灶不明的转移癌DDCs dermal dendritic cells 真皮内树突状细胞DFS disease free survival 无瘤生存DMF dose modifying factor 剂量修饰因子DPC DNA protein cross-linking DNA-蛋白质交联DRF dose reduction factor 剂量减少系数DRR digitally reconstructed radiography 数字重建图像DSA digital subtractive angiography 数字减影血管造影DSB double strand break 双链断裂DVH dose volume histograms 剂量-体积直方图EBF electron backscatter factor 电子反向散射因子ECM extracellular matrix 细胞外基质EGFR epithelial growth factor receptor 表皮生长因子受体EHART escalating hyperfractionated accelerated radiation gherapy 逐步递量加速超分割放疗EI external volume index 靶外体积指数EPID electronic portal imaging device 电子射野影像系统EUD dffective uniform dose 等效均一剂量18F-FDG 18F-fluorodeoxyglucose 氟代脱氧葡萄糖FCCL follicular center cell lymphoma 滤泡中心性淋巴瘤FDF fractionation-dosage factor 分次剂量因子FHDR fractionated high dose rate brachytherapy 高剂量率分次近距离治疗FL-HCC fibrolamellar hepatocellular carcinoma 纤维板层样肝细胞肝癌FNH focal nodular hyperplasia 局灶性结节增生FSRT fractionated stereotactic radiotherapy 分次立体定向放射治疗FSU functional subunits 功能亚单元GCT germ cell tumor 生殖细胞瘤GTV gross tumor volume 肿瘤靶区或肉眼靶区HA hepatocellular adenoma 肝细胞腺瘤HC hyperthermia and chemotherapy 热疗加化疗HCC hepatocellular carcinoma 肝细胞肝癌HD hyperdose sleeve 超剂量区HF hyperfractionation 超分割HI relative dose homogeneity index靶区剂量均匀性指数HR hyperthermia and radiation 热疗加放疗HRC hyperthermia and radiochemotherapy 热疗加放化疗HVL half value layer 半价层IC immunocytoma 免疫细胞瘤ICR interval cytoreductive or intervening cytoreduction 间隔细胞减灭术ICRU International Commission on Radiation units and Measurements 国际辐射单位与测量委员会IGART image guided adaptive radiotherapy 影像学引导的适应性照射IGRT image guided radiotherapy影像学引导的放射治疗IM internal margin 内边界IMAT intensity modulated arc therapy 弧形调强技术IMRT intensity modulated radiation therapy 调强放射治疗IM-WPRT intensity-modulated whole pelvic radiotherapy 全盆调强放射治疗IPSID immunoproliferative small intestinal disease 免疫增值性小肠病ISO international Organization for Standardization 国际标准化组织ITV internal target volume 内靶区IV irradiation volume 照射靶区KCs keratinocytes表皮胶原细胞LCHART late-course hyperfractionated accelerated radiation therapy 后程加速超分割放疗LCs Langerhans cells 朗罕氏细胞LD lethal damage 致死损伤LENT late effective normal tissues正常晚反应组织LET linear energy transfer 线性能量传递LH local hyperthermia 局部加温LI labeling index 标记指数LLS linear least squares线性最小二乘法LQ linear quadratic model LQ 模型或线性二次模型MCD mean central dose 平均中心剂量MIMiC multivaane intensity modulation compensator多叶调强补偿器MLC multileaf collimator 多叶准直器MRI magnetic resonance imaging磁共振成像MTD minimum target dose 最小靶剂量MTH mild temperature hyperthermia 温和加温MU monitor unit 机器跳数NCCN National Comprehensive Cancer Network 美国综合癌症工作者NED no evidence of disease 无疾病证据NF neurofibromatosis神经纤维瘤病NHL non-Hodgkin Lymphoma 非霍奇金淋巴瘤NSCLC non-small cell lung cancer非小细胞肺癌NSD nominal standard dose名义标准剂量NSGCT nonseminomatous germ cell tumor非精原细胞性生殖细胞瘤NTCP normal tissue complication probability正常组织并发症概率OAR off axial ratio离轴比OAR organ at risk敏感器官OER oxygen enhancement ratio氧增强比OI overdose volume index超剂量体积指数OPM ocult primary malignancy隐匿原发灶OUF output factor射野输出因子PCI propylactic cranial irradiation预防性全脑照射PCML primary cutaneous malignant lymphoma 原发性皮肤恶性淋巴瘤PDD percentage depth dose百分深度剂量PDRR pulsed dose rate brachytherapy 脉冲剂量率近距离治疗PET positron emission tomography 正电子发射断层扫描PF protection factor 防护系数PLD potential lethal damage 潜在致死损伤PNAd peripheral node addressin 外周淋巴结地址素PNETs primitive neuroectodermal tumor 原始神经外胚层肿瘤POA pancreatic oncofetal antigen 胰腺癌胚抗原PSA prostate specific antigen 前列腺特异抗原PT precision radiotherapy 精确放疗PTCA percutaneous transluminal coronary angioplasty经皮腔内冠状动脉成型术PTV planning target volume 计划靶区PUC probability of uncomplicated control 无并发症控制概率PUFA polyunsaturated fatty acid 多不饱和脂肪酸QA/QC quality assurance/quality control 质量保证/质量控制QOL quality of life 生活质量QP quadratic programming 二次规划法RBE relative biological effectiveness 相对生物效应RD reference dose参考剂量REV room's eye view 治疗室内视图RH regional hyperthermia区域加温SAD source axis distance源轴距SALT skin associated lymphoid tissue皮肤相关淋巴样组织SAR scatter air ratio散射空气比SCHART split-course hyperfractionated accelerated radiation therapy分段加速超分割放疗SCLC small cell lung cancer 小细胞肺癌SER sensitization enhancement ratio增敏比SI sum index加权综合指数SIB simultaneously integrated boosting大野照射及小野追加剂量照射SIOP International Society for Paediatric Oncology国际儿童肿瘤研究组织SIS skin immune system皮肤免疫系统SLD sublethal damage亚致死损伤SLN sentinel lymph node哨位淋巴结SLNB sentinel lymph node biopsy哨位淋巴结活检技术SM set-up margin摆位边界SMR scatter maximum ratio散射最大剂量比SOBP spread out Bragg peak扩展布拉格峰SPECT single photo emmision computerized tomography单光子发射型计算机扫描SPR scatter phantom ratio散射体模比 SRS stereotactic radiosurgery立体定向放射外科SRT stereotactic radiation therapy立体定向放射治疗SSB single strand break单链断裂SSD source skin distance源皮距STD source tumor distance源瘤距SVCS superior vena cave syndrome上腔静脉综合征SVD singular value decomposition奇异值分解法TAA tumor associated antigen肿瘤相关抗原TAE transcatheter arterial embolization经导管动脉栓塞术TAR tissue air ratio组织空气比TCD tumor control dose肿瘤控制剂量TCP tumor control probability肿瘤控制概率TER thermal enhancement ratio热增强比TGF therapeutic gain factor治疗增益系数(因子)TLD thermoluminescence dosimeters热释光剂量计TMR tissue maximum ratio组织最大剂量比Tpot potertial doubling time潜在倍增时间TPR tissue phantom ratio组织体模比TPS treatment planning system 治疗计划系统TR therapeutic ratio治疗比TSEI total skin electron irradiation电子线全身照射TV treatment volume治疗靶区TVR treatment volume ratio治疗体积比UDS unscheduled DNA synthesis程序外DNA合成UICC International Union Against Cancer国际抗癌联盟VEGF vascular endothelial growth factor血管内皮生长因子WBH whole body huperthermia全身加温5 放射肿瘤学(放射治疗学) 5.1 放射肿瘤学 radiation oncology 原先称放射治疗学,专门研究肿瘤放射治疗的分支学科。
西那卡塞联合骨化三醇延缓尿毒症继发性甲状旁腺功能亢进患者血管钙化的疗效

[15(Hoi-Ping Shum,King-Chung Chan.Treatment of acute kidneyinjury complicating septic shock with EMiC2 high-cutoff hemofilter:case series'].Indian J Crit Care Med,2017,21(11):751-757.'6(晁亚丽,胡伟伟,耿晓娟•乌司他丁联合连续性血液净化在严重脓毒血症患者中的应用中国继续医学教育,2016,8(31):149-150([17(Gao S,Zhang Z,Aragon J,et al The society for transla-tionalmedicine:clinicalpracticeguidelinesforthepost-operativemanagementofchesttubeforpatientsunder-going lobectomy[J(.J Thorac Dis,2017,9(9):3255-3264.[18(Chao Cao,Chengfen Yin,Songtao Shou,et al Ulinastatin protectsagainstLPS-inducedacutelunginjurybya t en-uating TLR4/NF-B pathway activation and reducing inflammatory mediators[J(.Shock,2018,50(5):595-605. '9(曾燕萍,马卫星,缪志军,等•右美托咪定治疗重症脓毒血症合并急性肺损伤和肾损伤患者的临床研究中国临床药理学杂志,2017,33(15):1279-1280.(收稿日期"020-08-30)西那卡塞联合骨化三醇延缓尿毒症继发性甲状旁腺功能亢进患者血管钙化的疗效亢宁苏,崔俊,郑露,陆建勋,周春霞(南通市第三人民医院肾内科,南通226000)摘要:目的探讨西那卡塞联合骨化三醇对尿毒症继发性甲状旁腺功能亢进(SHPT)患者血管钙化的影响及作用机制°方法选取尿毒症SHPT患者70例,按照随机数字表法均分为观察组与对照组°对照组接受常规内科治疗和骨化三醇冲击治疗,观察组在对照组治疗的基础上联用西那卡塞治疗"随访6个月,测定患者的血钙、血磷、钙磷乘积、血清全段甲状旁腺激素(iPTH)、血清成纤维细胞生长因子23(FGF23)、klotho蛋白、胎球蛋白(fetuin-A)、超敏C反应蛋白(hs-CRP)和白细胞介素-6(IL-6)水平,评价颈动脉斑块(Grouse)评分、冠状动脉钙化(CAC)评分和腹主动脉钙化(AAC)积分°结果治疗3、6个月后观察组的血钙、血磷、钙磷乘积和iPTH均低于对照组(P<0.05);观察组的症状改善率为62.86%,明显高于对照组的5.71%(P<0.05)治疗3、6个月后,观察组血清klotho蛋白和fetuin-A显著高于对照组,血清FGF23、hs-CRP和IL6水平均显著低于对照组(P< 0.05);治疗6个月后,观察组的Grouse.CAC和AAC评分均显著低于对照组(P<0.05);随访6个月,观察组的颈动脉、冠状动脉及腹主动脉钙化率均显著低于对照组(P<0.05)结论西那卡塞联用骨化三醇冲击治疗尿毒症SHPT的疗效优于单药治疗,且可延缓血管钙化进程,其机制可能与上调血清klotho蛋白和fetuin-A表达、下调FGF23和炎症因子表达有关°关键词:继发性甲状旁腺功能亢进;尿毒症;西那卡塞;骨化三醇;血管钙化DOI:10.3969/j.issn.1004-2407.202102.029中图分类号:R983文献标志码:A文章编号:1004-2407(2021)02-0304-06Effect of cinacalcet combined with calcitriol in retarding the course of vascular calcification of uremia patients with secondary hyperparathyroidismKANG Ningsu,CUI Jun,ZHENG Lu,LU Jianxun,ZHOU Chunxia(Department of Nephrology,Nantong Third People's Hospi-tal$Nantong226000$China)Abstract:To investigate the effect of cinacalcet combined with calcitriol on vascular calcification of uremia patients with secondary hyperparathyroidism(SHPT)and its mechanisms.70uremia patients with refractory SHPT were divided into observatongroupandcontrolgroupaccord-ngtotreatmentmethods.Thecontrolgrouprece-vedconvent-onalmed-caltreatment andcalc-tr-olpulsetherapy$whletheobservatongrouprece-vedc-nacalcetonthebas-softhecontrolgroup.Fo l ow-upfor6 months,the blood calcium,blood phosphorus,calcium-phosphorus product,intactparathy-roid parathyroid hormone(iPTH),serum fibroblastgrowthfa)tor23(FGF23)klotho protein fetuin-A$hypersensitive C-rea)tive protein(hs-CRP)and interleukin-6(IL-6)weredetermined,andthe)arotidplaque(Grouse)s)ore,oronaryartery)al)ifi)ation(CAC)s)oreandabdominalaorta)al)ifi-cation(AAC)score were evaluated.After3and6months of treatment,the blood calcium,blood phosphorus,calciumphosphorus product and iPTH of the observation group were lower than those of the control group(P<0.05)%the symptom improvement rate of the observation group was62.86%,which was significantly higher than 5.71%of the control group(P< 0.05).A"3and6mon"hsaf"er"rea"men",he serum levels of klo"ho pro"ein and fe"uin-A in observa ion group were significan"ly higher"han in con"rol group,while"he levels of FGF23,hs-CRP and IL-6were significan ly lower"han in"he con"rol group(P< 0.05).A"6mon"hsaf"er"rea"men",he Grouse,CAC and AACscoresinobserva"iongroup weresignifican"lylower"hanin"he con"rol group(P<0. 05).Af"er6mon"hs of fo l ow-up,he calcifica ion ra"es of caro"id,coronary and abdominal aor"a in"he obser-vation group were significantly lower than those in the control group(P<0.05).Cinacalcet combined with calcitriol is more effective than monotherapy in the treatment of SHPT,which can delay the process of vascular calcification.The mechanism may be related to the up-regulation of serum klotho protein and fetuin-A expression,and down-regulation of FGF23and inflamma-oryfactors.Key words:secondary hyperparathyroidism;uremia;cinacalcet;calcitriol;vascular calcification继发性甲状旁腺功能亢进(SHPT)和血管钙化均是尿毒症维持性血液透析(MHD)患者的常见、严重并发症,发病机制均与钙磷代谢紊乱、维生素D缺乏、成纤维细胞生长因子23(FGF23)及其信号传导通路辅助因子klotho蛋白等表达异常有关'12(。
抗磷脂抗体综合征相关性复发性流产的研究进展

2021年5月第11卷第10期CHINA MEDICINE AND PHARMACY Vol.11 No.10 May 202145·综 述·抗磷脂抗体综合征相关性复发性流产的研究进展徐敏倩△ 罗晓红▲成都中医药大学医学与生命科学学院,四川成都 611130[摘要] 抗磷脂抗体综合征是以抗磷脂抗体介导的,以动静脉血栓形成、病态妊娠或血小板减少为临床表现的一系列综合征,疾病表现涉及全身多系统、多器官,同时也是需要妇产科、风湿免疫科、中医科、血液科等共同管理的多学科疾病。
抗磷脂抗体综合征最常见的产科并发症是不良妊娠,主要表现为复发性流产、子痫前期、胎儿生长受限、早产等。
对妊娠合并抗磷脂抗体综合征的患者早诊断,早治疗,可有效减少不良母胎妊娠结局。
本文主要对抗磷脂抗体综合征在复发性流产的诊疗作一综述。
[关键词] 抗磷脂抗体综合征;复发性流产;抗凝治疗;免疫治疗;中医治疗[中图分类号] R714.2 [文献标识码] A [文章编号] 2095-0616(2021)10-0045-05Research progress of antiphospholipid antibody syndrome-related recurrent abortionXU Minqian LUO XiaohongSchool of Medicine and Life Sciences, Chengdu University of Traditional Chinese Medicine, Sichuan, Chengdu 611130, China[Abstract] Antiphospholipid antibody syndrome is a series of syndromes mediated by antiphospholipid antibody and featured by arteriovenous thrombosis, morbid pregnancy or thrombocytopenia. The disease manifestations involve multiple systems and organs of the whole body, and it is also a multidisciplinary disease that needs to be managed by departments of obstetrics and gynecology, rheumatology and immunology, traditional Chinese medicine, hematology, etc. The most common obstetric complication of antiphospholipid syndrome is adverse pregnancy, which is mainly manifested as recurrent abortion, preeclampsia, fetal growth restriction, premature birth, etc. Early diagnosis and treatment of pregnant women complicated with antiphospholipid antibodies can effectively reduce the adverse maternal and fetal pregnancy outcomes. The diagnosis and treatment of antiphospholipid antibody syndrome in recurrent abortion were mainly reviewed in this paper.[Key words] Antiphospholipid antibody syndrome; Recurrent abortion; Anticoagulant therapy; Immunotherapy; Chinese traditional treatment复发性流产病因复杂,目前较为确定的有遗传、解剖、内分泌、感染、凝血、免疫等因素[1],其中抗磷脂抗体阳性(antiphospholopid antibody,aPL)为原因的流产占复发性流产的20%左右[2]。
基于泪液功能单位的干眼治疗

国际眼科纵览 202丨年4 |j 第45 卷第2 期In丨 Rev Ophthalmol,Apr. 2021,V»l. 45,No. 2•135 •• •基于泪液功能单位的干眼治疗张蕾天津市眼科医院天津市眼科学与视觉科学重点实验室南开大学附属眼科医院天津医科大学眼科临床学院天津市眼科研究所300000通信作者:张蕾,Email:3805〇2〇25@【摘要】干眼发病原因多,其主要特征是泪膜稳态失衡。
泪膜稳态的维持得益于泪液功能单位各组成部分的正常运转。
泪液功能单位由角膜、结膜、泪腺、睑板腺、泪腺以及连接它们的神经网络组成,通过调节方式控制泪液分泌。
一个或多个组成部分功能失常会直接影响泪膜稳态而导致干眼。
针对角膜的干眼治疗包括自体血清、神经生长因子、接触镜及抗炎治疗;针对结膜的干眼治疗包括维生素A、抗炎治疗、手术;针对泪腺的干眼治疗包括环孢素A、雄激素、泪腺原位再生;针对睑板腺的干眼治疗包括按摩热敷、co-3脂肪酸的饮食补充;针对泪膜的干眼治疗包括补充泪液、刺激泪液分泌、减少泪液蒸发和减少泪液排出。
了解泪液功能单位的各组成部分的生理功能及病理变化有助于干眼症的个性化治疗。
(国际眼科纵览,2027, 45:7J5-M0)【关键词】干眼;眼表;泪膜稳态;泪液功能单位基金项目:天津市眼科医院科技基金面上项目(YKYB2001 )D0I:10. 3760/ cma. j. issn. 1673-5803. 2021. 02. 009Dry eye treatment based on tear functional unitsZhang LeiTianjin Eye Hospital, Tianjin Key Lab of Ophthalmology and Visual Science, Nankai University Affiliated EyeHospital%Clinical College o f Ophthalmology Tianjin Medical University, Tianjin Eye Institute, Tianjin300000, ChinaCorresponding author:Zhang Lei ^Email:380502025@ qq. com【Abstract 】There are many causes of dry eye, and its main feature is the iml)alance of tear film homeostasis. ^ ith the increase in knowledge regarding the pathophysiology of dry eye, it is found that the maintenance of tear film homeostasis benefits from the normal operation of each component of lacrimal functionunit. Lacrimal functional unit comprises cornea, conjunctiva, lacrimal gland, meibomian glands and theneural network that connects them. It controls secretion of the tear film in a regulated fashion. Compromisein one or more components can result in homeostasis disruption of ocular surface leading to dr)' eye disease.Therapy targeting cornea includes autologous serum, nerve growth factor, contact lens and anti-inflammatorytreatment;therapy targeting conjunctiva includes vitamin A, anti-inflammatory treatment and operation.Therapy targeting lacrimal gland includes cyclosporine A, androgen and regeneration of lacrimal gland;therapy targeting meibomian glands includes warm compresses, manual lid massage and w -3 fatty acid. Therapytargeting tear film includes compensation of tear, stimulating tear production, controlling tear evaporation andregulating excessive nasolacrimal drainage. Understanding the physiological function and pathological changes of the main components of lacrimal function unit is helpful to provide ideas for personalized treatment ofdry eye. (Int Rev Ophthalmol, 2021 y45:135-140)【Key words】dry eye; ocular surface; lacrimal film homeostasis; tear film homeostasisFund program:Science and Technology Fund of Tianjin Eye Hospital (YKYB2001)DOI :10. 3760/ cma. j. issn. 1673-5803. 2021.02. 009干眼是常见眼表疾病。
美肤康

H2O电离辐射→ H • ,eaq¯ 等 eaq¯ + O2 → O2¯ H۠ • + O2 → H+ + O2¯ 1、RSH + O2¯ → RS • + HO2¯ 2、RS • + O2 → RSOO¯ 3、 RSOO¯ + RSH → RSSR + O2¯ 4、RS • + RSH → RSSR¯ 5、RSSR¯ + O2 → RSSR + O2¯
放射性皮炎临床机理
医用射线(β-,60Coγ-,X-等)照射使组织中的水分子激发产生 水化电子(eaq¯ )和H •(氢自由基)等“原发辐解产物”,在氧分 子的作用下产生大量的O2¯ ,O2¯ 攻击生命大分子(RSH),使得 皮肤粘膜组织损伤,而且自由基的反应是连锁式的,使得组织损伤 越来越严重。
注意事项
1. 按压喷雾泵不得用力过猛,每次喷雾完毕后,产品应置阴凉处存 放; 2. 本品一旦启用,一个月内用毕为宜; 3. 过敏体质者慎用,如发现使用本品出现皮肤粘膜组织不适反应, 应停止使用; 4. 本产品无毒,如不慎喷入眼内,用清水冲洗即可; 5. 喷雾瓶、喷雾泵如有破损或喷液浑浊不得使用; 6. 本产品不得与含银离子的产品同时使用。
(H2O2被CAT和美肤康清除)
美肤康抑制炎症机理
当细菌由破损的伤口进入机体后,导致体内吞噬细胞的吞噬 而产生O2¯ ,美肤康及时清除O2¯ ,阻断O2¯ 攻击周围正常组织 而出现炎症反应的过程,从而达到抑制炎症反应的作用。
美 肤 康
临床研究
头颈部恶性肿瘤患者及乳腺癌患者70例,接受放疗。随机设对照组和观察组。 观察组:35例,男12例,女23例,年龄20-67岁,中位年龄51岁。对照组35 例,男10例,女25例,年龄18-69岁,中位年龄50岁。两组患者均采用 Philips直线加速器接受治疗,采用常规方案,放疗结束时皮肤粘膜组织的吸 收剂量为45-70Gy,平均60 Gy。 观察组35例,放疗期间使用奥克喷针对照射野内皮肤或粘膜均匀喷洒,每日 使用3-5次,直至放疗结束后一周。
等离子表面处理英文
等离子表面处理英文Plasma Surface Treatment: An Overview of Principles, Applications, and Advantages.Introduction.Plasma surface treatment is a technology that has revolutionized the way materials are processed and prepared for various applications. It involves the use of ionized gas, known as plasma, to modify the surface properties of materials, enhancing their performance in diverse fieldslike electronics, biomedicine, and more. This articledelves into the principles, applications, and benefits of plasma surface treatment.Principles of Plasma Surface Treatment.Plasma is a state of matter distinct from solid, liquid, and gas. It consists of a mixture of positive ions,negative electrons, and neutral atoms or molecules. Plasmasurface treatment involves exposing the surface of a material to a plasma generated using high-frequency electromagnetic fields or direct current.During this process, the high-energy particles in the plasma interact with the surface atoms of the material, causing them to undergo physical and chemical changes. These changes can range from simple cleaning of the surface to complex chemical reactions that result in the formation of new compounds or modifications in the surface structure.Applications of Plasma Surface Treatment.1. Surface Cleaning and Etching: Plasma treatment is effective in removing organic and inorganic contaminants from material surfaces, preparing them for further processing or coating.2. Surface Activation and Coating Adhesion: Plasma treatment can enhance the wettability of material surfaces, making them more suitable for adhesion of coatings, paints, and adhesives.3. Modification of Surface Properties: Plasma treatment can introduce specific chemical groups or functionalitiesto material surfaces, altering their wettability, conductivity, or biocompatibility.4. Microand Nanostructuring: Plasma processes can be used to create microand nanostructures on material surfaces, enhancing their tribological properties, optical properties, or cell adhesion capabilities.5. Biomedical Applications: Plasma surface treatment is widely used in biomedicine to improve the biocompatibilityof implants, stents, catheters, and other medical devices.Advantages of Plasma Surface Treatment.1. Versatility: Plasma treatment can be applied to a wide range of materials, including metals, plastics, ceramics, and composites.2. Precision and Controllability: Plasma processesoffer precise control over the surface modifications, allowing for targeted changes in specific areas.3. Economic Viability: Plasma surface treatment is often more cost-effective than traditional surface modification methods, as it requires less material waste and energy consumption.4. Compatibility with Other Processes: Plasma-treated surfaces are compatible with subsequent processing steps, such as coating, printing, bonding, and more.5. Enhanced Performance: Plasma treatment can significantly improve the performance of materials in terms of durability, wear resistance, corrosion resistance, and biocompatibility.Conclusion.Plasma surface treatment is a powerful technology that has the potential to revolutionize various industries. Its ability to precisely modify material surfaces withoutaffecting the bulk properties offers unique advantages compared to traditional surface modification methods. As research and development continue in this field, we can expect to see more innovative applications of plasma surface treatment in the future.。
【持续性肾脏替代治疗CRRT英文课件】DialysisintheCritically
For patients with contraindications to heparin use, heparin free treatment can be used to prevent thrombosis by continuously flushing filters and extracorporeal circulation pipelines.
Select appropriate replacement fluid according to the patient's condition and needs, such as lactate Ringer's solution, acetic acid Ringer's solution, etc.
Type of replacement fluid
Heat the replacement fluid to an appropriate temperature to avoid adverse effects on patients due to low or high temperatures.
Heparin
Low molecular weight heparin or ordinary heparin is used for anticoagulation treatment to prevent the formation of blood clots during cardiopulmonary bypass.
CRRT is often used in patients who are in shock, have severe acute kidney injury, or are unable to maintain fluid balance through natural mechanisms
拇指血流灌注指数试验与改良Allen试验的比较
硕士学位论文论 文 题 目: 拇指血流灌注指数试验与改良Allen试验的比较Evaluation of the patency of the hand collateralarteries with thumb Perfusion Index test:Comparison with the modified Allen’s test研 究 生 姓 名: 吴阳指导教师: 刘松学科专业: 麻醉学研究方向: 麻醉学临床技能训练与研究论文工作时间: 2015年6月至2016年12月目录中文摘要 (1)英文摘要 (2)正 文 (3)前 言 (3)资料与方法 (7)结 果 (10)讨 论 (15)结 论 (22)参考文献 (23)致 谢 (33)附录A (34)附录B (44)拇指血流灌注指数试验与改良Allen试验的比较中文摘要目的:探讨拇指血流灌注指数(Perfusion Index,PI)试验替代改良Allen试验(modified Allen's test,MAT)评价掌部组织侧支循环血流灌注的可行性。
方法:选择1108例拟行择期手术并需要经桡动脉入路进行有创动脉压力监测的患者,在桡动脉穿刺前先后用MAT和拇指PI值试验分别评价患者试验侧掌部组织侧支循环血流灌注的情况,并将两种试验方法结果进行统计学比较和分析。
结果:在1108例患者中MAT阴性患者1035例(93.41%),阳性患者73例(6.59%);拇指PI值试验阴性患者1090例(98.38%),其中包括57例MAT阳性患者,阳性患者18例(1.62%)。
拇指PI值试验阴性患者行经该侧桡动脉入路进行有创动脉压力监测,两种试验方法结果进行卡方检验,差异有统计学意义(x2=51.27, P<0.05)。
两种试验方法影响因素进行logistic回归分析发现两种试验方法结果阳性率均与年龄和性别有相关性(P<0.05)。
结论:在本研究中用拇指PI值试验筛选出1.62%的患者不宜行经桡动脉入路进行有创动脉压力监测。
迷迭香酸对过氧化氢处理下的皮肤黑色素瘤的抗氧化作用(原文翻译)
迷迭香酸(罗丹酚酸)对H2O2处理过的皮肤黑色素瘤细胞的抗氧化作用Sun Mi Yoo1 and Jeong Ran Kang2*1.韩国光州500-741号东冈大学美容系2.韩国首尔143-701号建国大学生物工程系2009.2.6收到 2009.4.17接收本学科旨在检测迷迭香酸对人工孵育的皮肤黑色素瘤细胞在ROS下的抗氧化作用。
通过XTT比色法,以细胞毒性和抗氧化作用来分析细胞粘附活性,DPPH自由基清除活性以及H2O2处理1-10h和未经处理的两种情况下乳酸脱氢酶的活性。
用20-110 μM 的H2O2处理皮肤黑色素瘤细胞5-7h后,细胞活性的降低呈剂量和时间依赖性。
通过XTT比色法测得H2O2的半抑制浓度(IC50 )为90μM。
同时H2O2增强了LDH细胞的剂量依赖性。
用50-90μM的H2O2处理8h后测得LDH50为60 μM H2O2。
迷迭香酸能增强细胞活性和DPPH自由基清除活性,降低乳酸盐脱氢酶的活性。
细胞的H2O2处理证实了对人工孵育的皮肤黑色素瘤细胞的强抗氧化作用。
通过H2O2的处理,迷迭香酸能在细胞内能增强细胞活性和DPPH 自由基清除活性,降低乳酸盐脱氢酶的活性。
这被认为是迷迭香酸对ROS(ROS)如H2O2的抗氧化作用。
Key words:DPPH-radical scavenging, LDH, rosmarinic acid, XTT assay关键字:DPPH自由基清除活性,乳酸脱氢酶,迷迭香酸,XTT比色法据研究发现,ROS通过氧化应激对细胞的损伤和一些脑部疾病比如帕金森症或心脏疾病例如心肌梗塞之间有很大的关联[Difazio et al., 1992; Delanty and Dichter, 1998].尤其是研究人员认为ROS是皮肤老化的一个主要的因素后,一直试图从ROS方面研究衰老。
[Yokozawa et al., 1998].据研究表明,ROS的氧化应激会通过萎缩细胞引起各种疾病,例如超氧自由基、H2O2(H2O2)或羟基自由基的巯基蛋白反应中断酶的活性,破坏脱氧RMA(DNA)或RMA(RNA),诱导细胞膜脂质过氧化。
- 1、下载文档前请自行甄别文档内容的完整性,平台不提供额外的编辑、内容补充、找答案等附加服务。
- 2、"仅部分预览"的文档,不可在线预览部分如存在完整性等问题,可反馈申请退款(可完整预览的文档不适用该条件!)。
- 3、如文档侵犯您的权益,请联系客服反馈,我们会尽快为您处理(人工客服工作时间:9:00-18:30)。
Slag treatment at Kardemir integrated iron and steel worksY .Topkaya *,N.Sevinc ß,A.Gu ¨naydınDepartment of Metallurgical and Materials Engineering,Middle East Technical University,Ankara 06531,TurkeyReceived 23July 2003;received in revised form 14August 2003;accepted 26August 2003AbstractIntegrated iron-and steelmaking plants generate large amounts of solid wastes,which are mainly blast furnace and steelfurnace slags,dusts,sludges,etc.The main problem faced at Kardemir integrated iron and steel works is with the steelmaking slags,i.e.open-hearth furnace slag and more recently basic oxygen furnaces (BOF)slag.Over the last 50years of operation,more than 5million tons of slag has accumulated in the waste stockyard.To make use of this slag,a slag-processing plant came into operation at Kardemir in 1999.In this plant,after crushing and classification of the slag to various sizes,the magnetic particles present in the slag are separated by electromagnets.The magnetic 10–50mm product of the slag-processing unit is charged to blast furnaces as raw material and the magnetic pieces in the range of 50–500mm are charged to BOF as scrap.This study was undertaken with the objective of determining the effects of addition of the above-mentioned magnetic products of the slag-processing unit on the operation and performance of the blast furnace and the BOF.No magnetic separation is applied to the À10mm fraction and this material is added into sinter mix as a source of iron and fluxing materials.A further objective of the study was determination of the effect of addition of the À10mm product of the slag-processing unit on the properties of the sinter and use of slag-added sinter on the operation of the blast furnace.The slag-processing unit has been found to be a good solution to the environmental problems created by the accumulated slag.D 2003Elsevier B.V .All rights reserved.Keywords:reducibility;RDI;sinter;steelmaking slag;recycling1.IntroductionIntegrated iron and steel plants generate large amounts of solid wastes (Szekely,1996).Various studies done in this field indicate that about 420kg of solid wastes consisting of blast furnace slag,steelmaking slag,dusts,sludges,mill scales,used refractories,etc.are produced per ton of steel (C ßamcıand Aydın,2000;Thakur,2000;Yadav et al.,2001).This study is related to about 5million tons of Kardemir steelmaking slags,which have accumulatedat the waste yard during the last 50years.Most of these slags were generated by the Siemens–Martin (open-hearth)steelmaking furnaces,which was in operation until 1998.Recently,basic oxygen furnaces (BOF)came into operation and the BOF slag pro-duced for the last few years is piled separately and planned to be processed at a later date.A slag-processing plant was designed and set-up at Kardemir in 1999to make use of the accumulated steelmaking slag.This plant has a capacity of 250,000tons/year when operated on one shift basis.In this plant after the separation of the skull by the use of lancing facilities and dropballs,the slag is crushed,classified and magnetically separated.Magnetic con-0301-7516/$-see front matter D 2003Elsevier B.V .All rights reserved.doi:10.1016/j.minpro.2003.08.005*Corresponding author.Fax:+90-312-2101330.E-mail address:topkaya@.tr (Y .Topkaya)./locate/ijminproInt.J.Miner.Process.74(2004)31–39centrates produced in the particle size ranges of 10–50and 50–500mm are charged to Kardemir blast furnace and converters,respectively.The amount of magnetic pieces separated from the open-hearth slag varies in the range of 5–8%of the slag processed.The 10–30mm non-magnetic pieces are sold as railroad ballast to Turkish Railroads and the 30–65mm non-magnetic fraction is marketed as aggregates for road construction and for other purposes.No magnetic separation is applied to the À10mm product of the slag-processing plant and this material is added into sinter mix as a source of iron and fluxes.Research related to the production of cement as well as grit material for shipping industry from the À10mm slag fraction is in progress.The effects of use of various products of the slag-processing plant at Kardemir integrated iron and steel works as blast furnace charge material and as scrap for the converters are given in this study together with the effect of slag addition into sinter mix on the physical,chemical,mineralogical and reduction properties of the sinter produced.es of slag concentrates at Kardemir ing slag concentrates as a blast furnace feed The magnetic concentrate in the size range of 10–30mm produced at the slag-processing plant was charged into the Kardemir No.3blast furnace.Chem-ical analysis indicated that the 10–30mm particle size magnetic concentrate contained 70–85%Fe.In the first group of tests which lasted 1month,700tons of this material was fed into the Kardemir No.3blast furnace in quantities of 20–25tons/day,which con-stituted f 1%by weight of the iron-bearing burden (sinter +pellets +lump ore).An increase of about 12tons/day was observed in the daily hot metal output of the furnace.In the second group of tests which lasted 2weeks,900tons of this material was used,which wascharged into the same furnace in quantities of f 60tons/day which constituted f 2.7%by weight of the iron-bearing burden.The hot metal production was increased from 1500to 1525tons/day during this period.No operational difficulty was encountered in these tests and it appeared that larger quantities could be used.A change was made in the slag-processing unit so that the slag was crushed and classified to the sizes of À10,10–50and 50–500mm instead of 10–30and 30–500mm sizes and the magnetic part of the 10–50mm was charged to the blast furnace.This change resulted in production of a larger quantity of magnetic material to be charged into the blast furna-ces.The Fe content of the 10–50mm magnetic concentrate was also found to be in the 70–85%Fe range.Two groups of tests were made with the 10–50mm size magnetic slag concentrate.The slag concen-trate constituted 4.5%by weight of the iron-bearing burden in the first group of these tests as shown in Table 1where the average percentages by weight of the slag concentrate,sinter and pellet used together with the average daily production rates,coke rates and tar rates are presented.The charge make-up could not be kept constant in this group of tests due to opera-tional reasons.In spite of lower quantities of sinter and pellet in the charge,addition of the slag concen-trate at a quantity of 4.5%into the charge resulted in a 70tons/day (f 5%)increase in the production rate,an f 20kg/ton hot metal (f 4%)decrease in the coke rate of the Kardemir No.3blast furnace when the tar rate was decreased from 42.8to 33.7kg/ton hot metal.Care was spent to keep the relative quantities of sinter and pellet in the charge in the second group of tests the data of which is presented in Table 2.The quantity of slag concentrate in the charge was 10.3%by weight of the iron-bearing burden in this group of tests and the effect of this larger quantity of the slag concentrate on the performance of the blast furnaceTable 1Average charge make-up,production rate,coke rate and tar rate in the first group of tests (Sevinc ß,2001)Slag concentrate in charge (%)by weight Sinter in charge (%)by weight Pellet in charge (%)by weight Daily production rate tons hot metal Coke rate kg coke/ton hot metal Tar rate kg tar/ton hot metal 0.05327140952542.84.54820147950533.7Y.Topkaya et al./Int.J.Miner.Process.74(2004)31–3932was larger:an 85tons/day (f 6%)increase in the production rate,a 49kg/ton hot metal (f 9%)de-crease in the coke rate when the tar rate was increased from 37.4to 42.9kg/ton hot metal.No important change was observed in the chemical analysis of the hot metal except for a slight (less than 0.01%)decrease in the sulfur content.ing slag concentrates as BOF feedBy processing the open-hearth furnace slag,metal-lic pieces in the size range of 50–500mm were also produced.These metallic pieces were used together with skull,which was obtained by dropping a steel ball on to the huge slag pieces.They were added in varying amounts to the converters at Kardemir.Dur-ing the production of steel at 100-ton capacity con-verters of Kardemir,normally 20tons of scrap is charged together with hot metal from the blast furna-ces.In a series of tests conducted in the melt shop,various amounts of 50–500mm scrap (CDH)and skull (OMS)obtained from slag were mixed with the normal scrap (S)and charged into the converter.The metallic yield,defined as the ratio of weight of steel produced to the weight of metallic material (hot metal +S +CDH +OMS)charged into the converter,was determined from the known weights of the charge materials and of the liquid steel produced.The weight of S +CDH +OMS used in these tests was kept constant at 20tons/heat.The results of these tests are presented in Fig.1where the metallic yield is plotted against the type of charged scrap.As it can be seen from Fig.1,the metallic yield was decreased with the use of skull and/or scrap obtained from slag.The results were not surprising,since both skull and magnetic pieces obtained from the slag-processing unit were not as good quality as normal scrap due to the presence of slag stuck onto these materials,which could not be separated completely at the skull sepa-ration,or the slag-processing plant.Costs of OMS and especially CDH are very low however as their costs consist of only transportation and operation costs for Kardemir and use of these materials decrease the cost of the metallic charge to the converter.At the timeFig.1.Metallic yield values with different types of scrap (Sevinc ß,2001).Table 2Average charge make-up,production rate,coke rate and tar rate in the second group of tests (Sevinc ß,2001)Slag concentrate in charge (%)by weight Sinter in charge (%)by weight Pellet in charge (%)by weight Daily production rate tons hot metal Coke rate kg coke/ton hot metal Tar rate kg tar/ton hot metal 05723141653337.410.35721150148442.9Y.Topkaya et al./Int.J.Miner.Process.74(2004)31–3933these tests were conducted,the price of scrap was f75%of the cost of the hot metal and the costs of OMS and CDH were f11%and f2%,respective-ly,of the cost of the hot metal,as determined by Kardemir officials.Unit costs for liquid steel(origi-nating from the metallic charge only),defined as the ratio of the cost of the metallic charge to the metallic yield,calculated and expressed as the percentage of the unit cost of the(hot metal+normal scrap)are also presented in Fig.1.Replacement of some of the scrap by OMS or CDH is seen to decrease the unit cost of the liquid steel in spite of decrease in the metallic yield and lowest cost is seen in the H+5000kg OMScharge;the unit cost is also low for the H+5000kg CDH charge.Based on these results replacement of some of the scrap by OMS and/or CDH has been decided to be useful by Kardemir officials and these materials are charged into the converters during nor-mal production.Visual observations indicate that the slag volume increases by use of OMS and/or CDH and handling of these materials is more difficult than that of normal scrap.Due to these,the quantity of OMS and/or CDH used singly or in combination in one charge is limited by5tons.ing slag concentrates as sinter feedThe chemical analysis of theÀ10mm slag fraction indicated that it contained25–30%Fe,17–22% SiO2,5–8%Mn,2.5–4.5%Al2O3,31–35%CaO and7.5–9%MgO.Since no magnetic separation was applied to this fraction,it was found to contain some metallic pieces of iron as well.As seen from the chemical analysis,the slag contained a large quantity of useful elements or fluxing materials such as Fe, Mn,CaO,MgO,etc.In order to utilize the useful components of theÀ10mm slag fraction,it was added to the sinter mix of Kardemir.The slag was added to the sinter mix up to4%by weight of the iron bearing charge.Chemical analysis of the sinters pro-duced,presented in Table3,indicated that as the amount ofÀ10mm slag addition to the sinter mix was increased from0%to4%in steps of1%,the iron content of sinter decreased and the CaO,MgO,Mn, P2O5contents increased(Sevincßand Topkaya,2001). There was also a slight increase in the basicity of the sinter product.Sinters having0–4%by weight of slag addition were charged into the Kardemir No.3blast furnace.No beneficial or detrimentral effect of use of slag-added sinters on the operation of the blast furnace could be detected except that the phosphorus content of the hot metal was increased.Based on these results, the addition ofÀ10mm slag into the sinter mix up to 4%by weight of the iron-bearing burden has been decided by Kardemir officials to be used as a standard practice at Kardemir.3.Properties of slag-added sinters produced at KardemirNo significant change in the operation of the Kardemir No.3blast furnace could be detected when slag-added sinters were used in the burden as stated above.Addition of slag into the sinter mix is expected to affect the properties of the product sinter,however. Based on this expectation,physical,chemical,miner-alogical and reduction properties of the sinters were determined.The results of these studies are presented in this section.3.1.Chemical and mineralogical propertiesChemical analyses of theÀ10mm slag fraction and the slag-added sinters produced were given above.TheÀ10mm slag fraction and sinter samples containing0%,1%,2%,3%and4%slag were subjected to X-ray diffraction studies and mineralog-ical investigation under an optical microscope with the objective of determination of phases existing in their structures.X-ray diffraction pattern of theÀ10 mm slag fraction is given in Fig.2together with the different phases detected to be present in its structure. Table3Chemical compositions of sinters with varying percentages of slag addition%Slag01234%Fe51.7151.1351.3350.8650.81 %FeO11.3111.5312.5712.6411.93 %Mn 1.27 1.25 1.27 1.34 1.39 %CaO12.1112.6412.4712.9112.69 %MgO 2.16 2.12 2.08 2.34 2.49 %SiO28.098.358.208.218.28 %P2O50.010.020.030.040.04 Basicity(%CaO/%SiO2)1.50 1.51 1.52 1.57 1.53Y.Topkaya et al./Int.J.Miner.Process.74(2004)31–39 34From this figure and mineralogical study under mi-croscope (C ßag˘atay,1999),the À10mm slag fraction was concluded to be composed of primarily FeO (wustite),2CaO ÁSiO 2(dicalcium silicate)and various CaO –FeO –SiO 2solid solutions like CaFeSiO 4(ferro-monticellite).X-ray diffraction patterns of sin-ter samples containing 0%,1%,2%,3%and 4%slag were found to be similar and were like that given in Fig.3for the sinter sample containing 2%slag.The results of the X-ray diffraction studies together with the results of mineralogical studies conducted onsinter samples containing 1%and 4%slag (C ßag˘atay,2001)indicated that addition of slag into the sinter mix at Kardemir did not change the mineralogical structure of the sinter and that all sinter samples contained magnetite (Fe 3O 4),hematite (Fe 2O 3),wus-tite (FeO),ferro-monticellite (CaFeSiO 4),dicalcium silicate (Ca 2SiO 4),calcium ferrites (CaFe 5O 7,Ca 4Fe 14O 25,Ca 2Fe 7O 11)and an amorphous glassy phase.Although slag addition into the sintermixFig.3.X-ray diffraction pattern of the 2%slag added sinter.()Fe 2O 3(hematite),()Fe 3O 4(magnetite),()FeO (wustite),(o )CaFeSiO 4(ferro-monticellite),()Ca 2SiO 4(dicalcium silicate),()CaFe 5O 7,()Ca 4Fe 14O 25,()Ca 2Fe 7O 11,(4)MgSiO 3.Fig.2.X-ray diffraction pattern of the À10mm open-hearth furnace slag.(o )CaFeSiO 4(ferro-monticellite),(5)MgFe 2O 4(spinel),()FeO (wustite),()Ca 2SiO 4(dicalcium silicate),(4)Ca 3Si 2O 7(kilchoanite),()K 2MgSi 5O 12,()K 2MgSi 5O 12.Y.Topkaya et al./Int.J.Miner.Process.74(2004)31–3935has been found not to result in the formation of new phases,increase in slag addition has been found to give rise to decrease in hematite and increase in Fe (II)contents of the sinters.The sinters were observed to be very heterogeneous,as can be seen from the microstructures of the sinter samples containing 1%and 4%slag presented in Figs.4–7,possibly due to the relatively coarse grain size of some raw materials,the limited diffusion possible during the short period at melt conditions and variations in the peak temper-ature reached.3.2.PorosityTrue and apparent densities of the sinter samples were measured to determine the total porosity.True densities were measured by use of crushed and ground sinter samples and water pycnometer and apparent densities of the of the sinter samples with the original size of 10–12.5mm were measured by the mercury pycnometer as described in the Turkish Standard TS 4379.Total porosity,e ,was then calculated from thetrue density,d T ,and apparent density,d A ,values by the formula (1)and the results are presented in Table 4:e ¼1Àd A d TÂ100:ð1ÞIn a previous study (Sevinc ßet al.,1987),a totalporosity of about 29%was found for Turkish Divrig˘i iron ore pellets and total porosities of the Turkish lump ores of Hekimhan,Koruyeri and Attepe were found to be in the 25.5–29.6%range,while total porosities of the Turkish lump ores of Kesikko ¨pru ¨and Avnik were found to be less than 6%.Pellets are known to have porous structures due to finely dis-persed micropores and Hekimhan,Koruyeri and Attepe ores are mostly composed of goethiteandFig.4.Magnetite crystals {1},hematite recrystallised along <111>directions {2},glassy material {3},(1%slag addedsinter).Fig.5.Magnetite crystals {1}and wustite in rod like form {5}surrounding magnetite crystals (1%slag addedsinter).Fig.6.Dendritic calcium ferrite crystals {4},below are magnetite {1}(4%slag addedsinter).Fig.7.Magnetite {1}and wustite {5}crystals are between each other;some calcium ferrite {4}is in the middle (4%slag added sinter).Y.Topkaya et al./Int.J.Miner.Process.74(2004)31–3936Table 4True density,apparent density and total porosity values of the Kardemir sinters %Slag addition to sinter1234Apparent density (g/cm 3)min. 3.27 3.11 3.27 3.16 3.17Apparent density (g/cm 3)max. 3.31 3.13 3.40 3.22 3.25True density (g/cm 3)average4.27 4.23 4.24 4.23 4.22Total porosity (%)max.23.4526.7022.6825.2824.89Total porosity (%)min.22.5126.2319.623.8622.99Fig.8.Gakushin reducibility test results.limonite type of iron oxides and are known to be porous.Kesikko ¨pru ¨and Avnik ores are magnetite and magnetite–hematite type ores and are known to be compact.The results presented in Table 4,according-ly,indicate that the Kardemir iron ore sinters had total porosities to provide sufficient surface area for gas-eous reduction. 3.3.ReducibilityThe Japanese standard JIS 8713known asGakushin test was used to determine the reducibilities of the sinters.500g (F 1particle)of sinter oven dried at 105j C for 1–1.5h was placed inside the test tube and reduced with a reducing gas composed of 70%N 2–30%CO with a total flow rate of 15l/min at 900j C.The reducing gas was passed through the system for 3h during which period the weight loss of the test tube was recorded.By the reduction reactions,oxygen in iron oxides combines with CO and leaves the system as CO 2giving rise to a loss in the weight of the system.Total weight of oxygen bound to iron can be determined from the chemical analysis of the sinters by stoichiometric calculations.The extent of reduction defined as (Eq.(2)):%Reduction ¼Weight of oxygen removed from iron oxides by the reducing gasTotal weight of oxygen bound to iron before reductionÂ100ð2Þcould thus be calculated as a function of time.The results of the reducibility experiments are presented graphically in Fig.8where %reductions for different sinter samples are plotted against time.The data presented in Fig.5was found to obey the porous solid model kinetic Eq.(3)(Hughes,1982):Àln ð1À%R =100Þ¼kt ð3Þwhere k is the reaction rate constant (min À1),also referred to as the reducibiliy index,and t is time in minutes.This model assumes that the reducing gas penetrates uniformly into the pores of the solid particles and that the reaction is rate-limited by gas–solid reaction on the pore walls.The reducibility indices for the different sinter samples determined from the slopes of the Àln(1À%R /100)vs.time plots are presented in Table 5.Y.Topkaya et al./Int.J.Miner.Process.74(2004)31–3937Fig.8and Table5indicate that reducibility of sinters decrease with increase in the quantity of slag added into the sinter mix.Reducibility depends on many factors like porosity,size of particles and phases found in the structure.Size of the samples was fixed in the experiments since the samples were taken in a size range of10–12.5mm and porosities of the sinter samples were not very different from each other as stated above.Decrease in reducibility of the sinters with increase in the quantity of slag added into thesinter mix is probably related to the mineralogical structures.Jasienska and Durak(1999)studied reduc-ibilities of different phases that may exist in iron sinters by reducing synthetically prepared specimens by pure CO gas at850j C and found that certain calcium ferrites like Ca3Fe15O25,CaFe4O4,CaFe3O5 and CaFe2O4are highly reducible while the reduc-ibility of fayalite is very low and that reducibility of magnetite is lower than that of hematite.A reducibil-ity value for wustite,FeO,is not given in his study but it is known that its reducibility is quite low.Highly reducible calcium ferrites and fayalite did not exist in Kardemir sinters and slag addition did not result in formation of new phases as stated in Section 3.1 above.Decrease in reducibility of Kardemir sinters with increase in quantity of slag added into the sinter mix probably is due to the accompanying decrease in hematite and increase in Fe(II),present in the system mostly as wustite and ferro-monticellite.3.4.Reduction–disintegration propertiesThe international standard ISO4696-1was chosen as the procedure for determining the reduction–dis-integration properties of the iron ore sinters in this study.Oven dried samples of500g(F1particle) weight were reduced with a reducing gas composed of70%N2–30%CO with a total flow rate of15l/min for30min at550j C.At the end of reduction,the system was cooled to below100j C and the sinter samples were taken out of the test tube,weighed and then placed in130mm inner diameter,200mm long tumbler drum.The tumbler drum was rotated at30 rpm for30min and the samples were taken from the tumbler drum for screening.Reduction–disintegration indices,RDI+6.7,RDI+3.35and RDIÀ0.5values,de-fined as the weights of the+6.7mm fraction,the +3.35mm fraction and theÀ0.5mm fraction, respectively,expressed as the percentage of the weight of the sample before tumbling were then determined. The results presented in Table6indicate that RDI+6.7 and RDI+3.35indices of the sinters increase slightly with increase in the quantity of slag added into the sinter mix and that the RDIÀ0.5index,referred to as the dusting index,is not very much influenced.A low reduction–degradation breakdown index, RDI+3.35mm,is considered bad for blast furnace operation as this causes formation of fines within the furnace,which may result in hanging,slipping, checking,reduced wind rates and generally irregular practice leading to decreased furnace productivity and variable hot metal analysis.The limiting level is debatable but plant experience has shown that levels below55–60%are undesirable(Bagnal,1977).The values found for Kardemir sinters,which are all higher than80%,can be accepted as good values. 4.ConclusionsThe slag-processing plant built at Kardemir has been found to be a good solution to process more than 5million tons of slag that has accumulated in the waste stockyard within the past50years.In this plant, after crushing and classification of the slag to various sizes,the magnetic pieces present in the slag areTable5Reducibility indices of Kardemir sinters%Slagadditionto sinter01234Reducibility indices, k(minÀ1)0.00680.00660.00590.00620.0055Table6Results of reduction–disintegration tests%Slag added to sinter01234RDI+6.7(+6.7mm part as%)58.7159.3962.1167.5562.47RDI+3.35(+3.35mm part as%)83.5282.7984.7286.2484.70RDIÀ0.5(À0.5mm part as%)3.624.51 4.45 3.23 3.74Y.Topkaya et al./Int.J.Miner.Process.74(2004)31–3938separated by electromagnets.The magnetic10–50 mm product of the slag-processing unit is charged to blast furnaces as raw material and the magnetic pieces in the range of50–500mm are charged to BOF as scrap.No magnetic separation is applied to theÀ10 mm fraction and this material is added into sinter mix as a source of iron and fluxing materials.Use of the magnetic10–50mm product of the slag-processing plant has been found to increase the pro-duction rate and decrease the coke rate of the Kardemir No.3blast furnace.This material has been charged into the Kardemir No.3blast furnace at quantities exceeding10%by weight of the iron-bearing burden and no operational problems have been encountered. The only problem with this material is its limited production at the slag-processing plant.Use of the magnetic50–500mm product of the slag-processing plant together with skull produced from open-hearth slag to replace scrap in the BOF has been found to decrease the metallic yield defined as the ratio of weight of steel produced to the weight of metallic material charged into the converter.The unit cost of the steel produced has been found to be decreased,however,by use of the magnetic50–500 mm product of the slag-processing plant in the BOF due to the very low cost of this material compared to scrap.Visual observations indicate that the slag vol-ume increases by use of OMS and/or CDH and handling of these materials is more difficult than that of normal scrap.Due to these,the quantity of OMS and/or CDH used singly or in combination in one charge is limited by5tons.TheÀ10mm fraction of the slag-processing plant was added into the sinter mix up to4%by weight of the iron bearing charge and sinters thus produced were charged into the Kardemir No.3blast furnace.No beneficial or detrimental effect of the use of slag-added sinters on the operation of the blast furnace could be detected.Experimental studies conducted on sinters produced at Kardemir indicated that physical,chemi-cal and mineralogical properties were not significantly affected by the quantity of slag added into the sinter mix and that the porosities,reducibilities,reduction–disintegration properties of the slag-added sinters were reasonably good.Based on these results use of4%by weight of the iron bearing charge ofÀ10mm slag in the sinter mix has become a standard practice at Kardemir iron and steel works. AcknowledgementsThis investigation was supported by the Scientific and Technical Research Council of Turkey(TU¨BI˙-TAK)and Kardemir Iron and Steel works. ReferencesBagnal,E.,1977.Influence of feed material properties on sinter for blast furnace.In:Sartry,K.V.S.(Ed.),Agglomeration77,vol.2.American Institute of Mining,Metallurgical and Petroleum En-gineers,pp.587–603.Cßag˘atay,A.,1999.Mineralogical Study ofÀ10mm Open-Hearth Furnace Steelmaking Slag.Cßag˘atay Mineralogical Investigation, Ankara,Turkey.Cßag˘atay,A.,2001.Mineralogical Study of1%and4%Open-Hearth Steelmaking Slag Added Iron Ore Sinters.Cßag˘atay Mineralog-ical Investigation,Ankara,Turkey.Cßamcı,L.,Aydın,S.,2000.Utilization of integrated iron and steel works’solid wastes in sponge iron production.Proceedings of the10th International Metallurgical and Materials Con-gress.Chamber of Metallurgical Engineers of Turkey,Ankara, pp.182–194.Hughes,A.,1982.The reduction of iron ores by H2and CO and their mixtures.Thermochimica Acta59,361–372. Jasienska,S.,Durak,J.,1999.Effect of reduction conditions on structure and phase composition of blast furnace charge com-posed of alkaline sinters and acidic pellets.Solid State Ionics 117,129–143.Sevincß,N.,Topkaya,Y.,2001.Utilization of solid metallurgical wastes.Project Reports,Metallurgical and Materials Engineering Department.Middle East Technical University,Ankara,Turkey. Sevincß,N.,Topkaya,Y.,Geveci,A.,Timucßin,M.,1987.Determi-nation of physical,chemical,mineralogical and reduction prop-erties of some lump iron ores and Divrig˘i pellet,used at I˙sdemir.Project Report,Metallurgical and Materials Engineering Depart-ment.Middle East Technical University,Ankara,Turkey. Szekely,J.,1996.Steelmaking and industrial ecology—is steel a green material?ISIJ International36,121–132.Thakur,P.K.,2000.Utilisation of steel melting slag to generate wealth from waste.Proceedings of the Conference on Environ-mental Management in Metallurgical Industries.BHU,Varanasi, India,pp.187–193.Yadav,U.S.,Das,B.K.,Kumar,A.,2001.Recovery of mineral value from integrated steel plant waste.In:Barbosa,J.P.,et al.(Ed.),Proceedings of the VI Southern Hemisphere Meeting on Mineral Technology,vol.2.CETEM,Rio de Janeiro,Brazil, pp.719–725.Y.Topkaya et al./Int.J.Miner.Process.74(2004)31–3939。