Introduction Aortic arch anomalies are congenital malformations of the position or branching of the aortic arch,or both.Double aortic arch(DAA)is a very rare malformation,affecting approximately 0.005%~0.007% of fetus...Introduction Aortic arch anomalies are congenital malformations of the position or branching of the aortic arch,or both.Double aortic arch(DAA)is a very rare malformation,affecting approximately 0.005%~0.007% of fetuses[1],and there has been no relevant literature mentioning the prenatal finding DAA in Macao till now.展开更多
Hydrogel has developed into a very important platform in solar interface evaporator.However,the current hydrogel evaporators are usually three-dimensional evaporators,which will consume a lot of raw materials.Thus,a n...Hydrogel has developed into a very important platform in solar interface evaporator.However,the current hydrogel evaporators are usually three-dimensional evaporators,which will consume a lot of raw materials.Thus,a new two-dimensional hydrogel evaporator is urgently needed to alleviate this problem.Here,a double layer hydrogel evaporator was designed by twice vacuum filtration.Furthermore,through the arched design and the introduction of concentrated brine drainage system,the hydrogel evaporator has enhanced water transportation and tailored water transportation path.Such a unique drainage evaporation system greatly improves the stability of the evaporator.Thereby,a good balance is established between photothermal conversion and water supply,and solar energy is utilized efficiently.It can remain stable in continuous evaporation for up to 12 h with an excellent evaporation rate of 2.70 kg m^(-2)h^(-1)under 1 sun irradiation.Meanwhile,the drainage system realized the 1.8×10^(-10)mol m^(-2)s^(-1)diffusion flux of concentrated brine.Through one-time freeze-drying preparation,an arch-shaped drainage evaporator was used to prepare an evaporation area of more than 20 cm^(2).With the self-made condensate collecting device in outdoor environment,the fresh water yield reaches 7.5 L m^(-2)d^(-1).This provides a new scheme for building a new hydrogel evaporator and solving the fresh water crisis.展开更多
The soil arching effect is an important factor affecting the internal load transfer of excavation-induced slopes.Physical model tests are usually used for studying the soil arching effect.Although physical model tests...The soil arching effect is an important factor affecting the internal load transfer of excavation-induced slopes.Physical model tests are usually used for studying the soil arching effect.Although physical model tests can monitor local point loads to demonstrate changes in local stresses,changes in force chains inside slopes are rarely demonstrated by physical modelling,which restricts the understanding of load transfer.To explore overall changes in stresses in slopes from a more microscopic perspective,a numerical simulation of the slope under excavation was carried out.Using built-in code and fish function programming in PFC^(3D),the slope model was developed.Monitoring areas were set up to monitor the changes in stresses and force chains during excavation.The simulation results show that excavation width affects the size of deformation area,and the deformation area expands as excavation width increases.Excavation causes load transfer and the formation of soil arching in the slope.A mechanism is proposed to explain the effect of excavation on soil arching formation and load transfer.The numerical simulation is important for revealing the load transfer of slopes during excavation,and the research results have practical value for the prevention and mitigation of landslides caused by excavation.展开更多
The existing analytical models for umbrella arch method(UAM)based on elastic foundation beams often overlook the influence of the surrounding soil beyond the beam edges on the shear stresses acting on the beam.Consequ...The existing analytical models for umbrella arch method(UAM)based on elastic foundation beams often overlook the influence of the surrounding soil beyond the beam edges on the shear stresses acting on the beam.Consequently,such models fail to adequately reflect the continuity characteristics of soil deformation.Leveraging the Pasternak foundation-Euler beam model,this study considers the generalized shear force on the beam to account for the influence of soil outside the beam ends on the shear stress.An analytical model for the deformation and internal forces of finite-length beams subjected to arbitrary loads is derived based on the initial parameter method under various conditions.The mechanical model of the elastic foundation beam for advanced umbrella arch under typical tunnel excavation cycles is established,yielding analytical solutions for the longitudinal response of the umbrella arch.The reliability of the analytical model is verified with the existing test data.The improved model addresses anomalies in existing models,such as abnormal upward deformation in the loosened segment and maximum deflection occurring within the soil mass.Additionally,dimensionless characteristic parameters reflecting the relative stiffness between the umbrella arch structure and the foundation soil are proposed.Results indicate that the magnitude of soil characteristic parameters significantly influences the deformation and internal forces of the umbrella arch.Within common ranges of soil values,the maximum deformation and internal forces of the umbrella arch under semi-logarithmic coordinates exhibit nearly linear decay with decreasing soil characteristic parameters.The impact of tunnel excavation height on the stress of unsupported sections of the umbrella arch is minor,but it is more significant for umbrella arch buried within the soil mass.Conversely,the influence of tunnel excavation advance on the umbrella arch is opposite.展开更多
Failure tests were conducted on two concrete-filled steel tubular(CFST)truss arch bridges with a span of approximately 12 m to investigate the influence of initial geometric defects on the in-plane bearing capacity of...Failure tests were conducted on two concrete-filled steel tubular(CFST)truss arch bridges with a span of approximately 12 m to investigate the influence of initial geometric defects on the in-plane bearing capacity of CFST truss arch bridges.The effects of antisymmetric defect on the ultimate bearing capacity,failure mode,structural response,and steel–concrete confinement effect of CFST truss arch bridges under quarter-point loading were analyzed.On this basis,numerical simulations were conducted to investigate the in-plane bearing capacity of CFST truss arch bridges further under different scenarios.The initial defect formof the archwas obtained by using theoretical deduction,and the theoretical basis for the weakening of the ultimate bearing capacity of the arch bridge caused by geometric defects was clarified.Results indicate that the antisymmetric defect does not change the four-hinge failure mode of the model arch under quarter-point loading but increases the local cracking area and crack density of the concrete inside the pipe.The sine geometric defect with an amplitude of L/250 resulted in a 44.4%decrease in the yield load of the single hinge of the model arch,a 10.5%decrease in the failure load of the four hinges,and a 40.9%increase in themaximum vertical deformation during failure.At the initial stage of loading,the steel pipe and the concrete inside the pipe were subjected to relatively independent forces.After reaching 67%of the ultimate load,the catenary arch ribs began to produce a steel pipe concrete constraint effect.The initial geometric defects resulted in a decrease in the load when the constraint effect occurred.The antisymmetric defects with the same amplitude have a greater impact on the in-plane bearing capacity of the CFST arch bridge than the initial geometric defects with symmetry.The linear deviation at L/4 caused by constructionmust be controlled to be less than L/600 to ensure that the internal bearing capacity of the CFST arch bridge reaches 95%of the design bearing capacity.The structural deformation caused by geometric initial defects increases linearly with the increase in defect amplitude.The bearing capacity is weakened because the structural deflection and bending moment are amplified by initial defects.展开更多
The steel tube arch rib in a large-span concrete-filled steel tube arch bridge has a large span and diameter,which also leads to a larger weld seam scale.Large-scale welding seams will inevitably cause more obvious we...The steel tube arch rib in a large-span concrete-filled steel tube arch bridge has a large span and diameter,which also leads to a larger weld seam scale.Large-scale welding seams will inevitably cause more obvious welding residual stress(WRS).For the purpose of studying the influence of WRS from large-scale welding seam on the mechanical properties of steel tube arch rib during arch rib splicing,test research and numerical simulation analysis on the WRS in arch rib splicing based on the Guangxi Pingnan Third Bridge,which is the world’s largest span concrete-filled steel tube arch bridge,were conducted in this paper,and the distribution pattern of WRS at the arch rib splicing joint was obtained.Subsequently,the WRS was introduced into the mechanical performance analysis of joints and structures to analyze its effects.The findings reveal that the distribution of WRS in the arch rib is greatly influenced by the rib plate,and the axial WRS in the heat-affected zone are primarily tensile,while the circumferential WRS are distributed in an alternating pattern of tensile and compressive stresses along the circumferential direction of the main tube.Under the influence of WRS,the ultimate bearing capacity of the joint is reduced by 29.4%,the initial axial stiffness is reduced by 4.32%,and the vertical deformation of the arch rib structure is increased by 4.7%.展开更多
Support and maintenance of tunnel excavations during operation are critical to ensure the safety and stability of tunnels.This study proposes a specialized support technology for a railroad tunnel in western China,cha...Support and maintenance of tunnel excavations during operation are critical to ensure the safety and stability of tunnels.This study proposes a specialized support technology for a railroad tunnel in western China,characterized by substantial deformation and a limited inherent self-stabilizing capacity.The method involves the application of a foam concrete compressible layer at the inverted arch of the tunnel.The effectiveness of the foam concrete layer in mitigating the effect of the surrounding rock on the tunnel inverted arch structure is investigated by a combination of indoor tests and numerical simulations.The laboratory test results show that the train load has little effect on the compressive performance of the foamed concrete compressible layer,which indicates that the foamed concrete compressible layer can be applied in the tunnel invert.By analyzing the support effect of the established model,it is found that the foam concrete compressible layer can effectively absorb the deformation pressure generated by the surrounding rock and protect the secondary lining structure,when the compressible layer density is 500 kg/m^(3) and the thickness is set to 20 cm,the supporting effect is the best.展开更多
BACKGROUND Although acute pancreatitis and walled-off necrosis(WON)are rare complications following aortic surgery,they are serious risk factors for postoperative mortality.Considering the poor general condition of th...BACKGROUND Although acute pancreatitis and walled-off necrosis(WON)are rare complications following aortic surgery,they are serious risk factors for postoperative mortality.Considering the poor general condition of the postoperative patient,more effective and less invasive treatments are favorable.CASE SUMMARY A 67-year-old man was referred to our hospital for the treatment of WON after acute pancreatitis.He had undergone total aortic arch replacement due to aortic arch aneurysm and coronary artery bypass grafting due to angina pectoris 6 weeks prior in another hospital.On the second postoperative day,laboratory data and computed tomography showed that the patient had developed acute pancreatitis.Although conservative management(antibiotics,hydration,etc.)had helped in relieving the symptoms of acute pancreatitis,peripancreatic fluid collection(PFC)persisted,accompanied by duodenal obstruction and vomiting.Contrastenhanced computed tomography showed that the heterogeneous enhancement and fluid collection in the pancreatic body and tail had increased,consistent with walled-off WON.We therefore performed endoscopic ultrasound-guided transluminal drainage for the PFC.As a result,the WON resolved gradually,resulting in improved oral intake.CONCLUSION Acute pancreatitis is a rare gastrointestinal complication following thoracic and thoracoabdominal aortic aneurysm surgery.To the best of our knowledge,this is the first case of WON after aortic arch surgery treated with endoscopic ultrasound-guided transluminal drainage for PFC.展开更多
To address the issue of extreme thermal-induced arching in CRTS II slab tracks due to joint damage,an optimized joint repair model was proposed.First,the formula for calculating the safe temperature rise of the track ...To address the issue of extreme thermal-induced arching in CRTS II slab tracks due to joint damage,an optimized joint repair model was proposed.First,the formula for calculating the safe temperature rise of the track was derived based on the principle of stationary potential energy.Considering interlayer evolution and structural crack propagation,an optimized joint repair model for the track was established and validated.Subsequently,the impact of joint repair on track damage and arch stability under extreme temperatures was studied,and a comprehensive evaluation of the feasibility of joint repair and the evolution of damage after repair was conducted.The results show that after the joint repair,the temperature rise of the initial damage of the track structure can be increased by 11℃.Under the most unfavorable heating load with a superimposed temperature gradient,the maximum stiffness degradation index SDEG in the track structure is reduced by about 81.16%following joint repair.The joint repair process could effectively reduce the deformation of the slab arching under high temperatures,resulting in a reduction of 93.96%in upward arching deformation.After repair,with the damage to interfacing shear strength,the track arch increases by 2.616 mm.展开更多
Objective: To analyze the therapeutic effect of combining dental arch splint intermaxillary traction with rigid internal fixation for the treatment of facial comminuted fractures. Methods: Sixty patients with facial c...Objective: To analyze the therapeutic effect of combining dental arch splint intermaxillary traction with rigid internal fixation for the treatment of facial comminuted fractures. Methods: Sixty patients with facial comminuted fractures admitted for treatment between July 2023 and December 2024 were selected. Using a random number table method, 30 patients were assigned to the observation group, where moderate traction using a dental arch splint combined with rigid internal fixation was applied. Another 30 patients were assigned to the control group and only received dental arch splint traction treatment. The total effective rate, postoperative recovery indicators, periodontal status, complication rate, and quality of life scores were compared between the two groups. Results: The total effective rate in the observation group was higher than that in the control group. The postoperative recovery indicators and periodontal status in the observation group were superior to those in the control group. The complication rate and quality of life score were lower in the observation group compared to the control group, with P < 0.05. Conclusion: Combining dental arch splint intermaxillary traction with rigid internal fixation can improve the periodontal status and quality of life of patients with facial comminuted fractures, shorten postoperative recovery time, reduce various complications, and enhance surgical efficacy.展开更多
Due to space constraints in urban areas,metro tunnels are typically constructed in pairs,with a small clearance.The interaction between twin tunnels leads to a significantly more complex ground deformation and stress ...Due to space constraints in urban areas,metro tunnels are typically constructed in pairs,with a small clearance.The interaction between twin tunnels leads to a significantly more complex ground deformation and stress distribution than that observed in a single tunnel scenario,particularly if the tunnels are excavated in sequence.A series of physical model tests were conducted to investigate soil deformation and stress disturbances caused by the excavation of twin tunnels.The test results indicate that the interaction between the twin tunnels was observed.Due to the soil arching effect,the excavation of Tunnel 2 increases the soil stress acting on Tunnel 1.An analytical method was proposed to determine soil stress considering the soil arching effect and the interaction between twin tunnels.The method categorized the relative locations between twin tunnels into non-influenced,partially influenced,and fully influenced scenarios.For non-influenced and fully influenced scenarios,the soil stresses above twin tunnels were calculated based on a symmetric major principal stress trace.For the partially influenced scenario,however,the soil arch above Tunnel 2 was asymmetric due to the interaction,and the stress distribution was obtained based on a new asymmetric major principal stress trace.The soil stress on Tunnel 1 was influenced by the load transferred from Tunnel 2 and calculated based on the force equilibrium.A comparison of the analytical and test results indicates that the proposed method effectively predicts the soil stress in the cover layer above twin tunnels excavated sequentially,considering the interaction and soil arching effects.展开更多
Arch bridges provide significant technical and economic benefits under suitable conditions.In particular,concrete-filled steel tubular(CFST)arch bridges and steel-reinforced concrete(SRC)arch bridges are two types of ...Arch bridges provide significant technical and economic benefits under suitable conditions.In particular,concrete-filled steel tubular(CFST)arch bridges and steel-reinforced concrete(SRC)arch bridges are two types of arch bridges that have gained great economic competitiveness and span growth potential due to advancements in construction technology,engineering materials,and construction equipment over the past 30 years.Under the leadership of the author,two record-breaking arch bridges—that is,the Pingnan Third Bridge(a CFST arch bridge),with a span of 560 m,and the Tian’e Longtan Bridge(an SRC arch bridge),with a span of 600 m—have been built in the past five years,embodying great technological breakthroughs in the construction of these two types of arch bridges.This paper takes these two arch bridges as examples to systematically summarize the latest technological innovations and practices in the construction of CFST arch bridges and SRC arch bridges in China.The technological innovations of CFST arch bridges include cable-stayed fastening-hanging cantilevered assembly methods,new in-tube concrete materials,in-tube concrete pouring techniques,a novel thrust abutment foundation for nonrocky terrain,and measures to reduce the quantity of temporary facilities.The technological innovations of SRC arch bridges involve arch skeleton stiffness selection,the development of encasing concrete materials,encasing concrete pouring,arch rib stress mitigation,and longitudinal reinforcement optimization.To conclude,future research focuses and development directions for these two types of arch bridges are proposed.展开更多
文摘Introduction Aortic arch anomalies are congenital malformations of the position or branching of the aortic arch,or both.Double aortic arch(DAA)is a very rare malformation,affecting approximately 0.005%~0.007% of fetuses[1],and there has been no relevant literature mentioning the prenatal finding DAA in Macao till now.
基金the financial support of the National Natural Science Foundation of China(No.52075309)the Youth Innovation Team of Shaanxi Universities(21JP021)。
文摘Hydrogel has developed into a very important platform in solar interface evaporator.However,the current hydrogel evaporators are usually three-dimensional evaporators,which will consume a lot of raw materials.Thus,a new two-dimensional hydrogel evaporator is urgently needed to alleviate this problem.Here,a double layer hydrogel evaporator was designed by twice vacuum filtration.Furthermore,through the arched design and the introduction of concentrated brine drainage system,the hydrogel evaporator has enhanced water transportation and tailored water transportation path.Such a unique drainage evaporation system greatly improves the stability of the evaporator.Thereby,a good balance is established between photothermal conversion and water supply,and solar energy is utilized efficiently.It can remain stable in continuous evaporation for up to 12 h with an excellent evaporation rate of 2.70 kg m^(-2)h^(-1)under 1 sun irradiation.Meanwhile,the drainage system realized the 1.8×10^(-10)mol m^(-2)s^(-1)diffusion flux of concentrated brine.Through one-time freeze-drying preparation,an arch-shaped drainage evaporator was used to prepare an evaporation area of more than 20 cm^(2).With the self-made condensate collecting device in outdoor environment,the fresh water yield reaches 7.5 L m^(-2)d^(-1).This provides a new scheme for building a new hydrogel evaporator and solving the fresh water crisis.
基金supported by the National Key Scientific Instrument and Equipment Development Projects of China(No.41827808)the Major Program of National Natural Science Foundation of China(No.42090055)+2 种基金the National Natural Science Foundation of China(Nos.42077268)the National Natural Science Foundation of China(No.42107194)the Fundamental Research Funds for the Central Universities(No.CUGL190810)。
文摘The soil arching effect is an important factor affecting the internal load transfer of excavation-induced slopes.Physical model tests are usually used for studying the soil arching effect.Although physical model tests can monitor local point loads to demonstrate changes in local stresses,changes in force chains inside slopes are rarely demonstrated by physical modelling,which restricts the understanding of load transfer.To explore overall changes in stresses in slopes from a more microscopic perspective,a numerical simulation of the slope under excavation was carried out.Using built-in code and fish function programming in PFC^(3D),the slope model was developed.Monitoring areas were set up to monitor the changes in stresses and force chains during excavation.The simulation results show that excavation width affects the size of deformation area,and the deformation area expands as excavation width increases.Excavation causes load transfer and the formation of soil arching in the slope.A mechanism is proposed to explain the effect of excavation on soil arching formation and load transfer.The numerical simulation is important for revealing the load transfer of slopes during excavation,and the research results have practical value for the prevention and mitigation of landslides caused by excavation.
基金Projects(52008403,52378421)supported by the National Natural Science Foundation of ChinaProject(2022-Key-10)supported by the Science and Technology Research and Development Program Project of China Railway Group LimitedProject(202207)supported by the Hunan Provincial Transportation Science and Technology,China。
文摘The existing analytical models for umbrella arch method(UAM)based on elastic foundation beams often overlook the influence of the surrounding soil beyond the beam edges on the shear stresses acting on the beam.Consequently,such models fail to adequately reflect the continuity characteristics of soil deformation.Leveraging the Pasternak foundation-Euler beam model,this study considers the generalized shear force on the beam to account for the influence of soil outside the beam ends on the shear stress.An analytical model for the deformation and internal forces of finite-length beams subjected to arbitrary loads is derived based on the initial parameter method under various conditions.The mechanical model of the elastic foundation beam for advanced umbrella arch under typical tunnel excavation cycles is established,yielding analytical solutions for the longitudinal response of the umbrella arch.The reliability of the analytical model is verified with the existing test data.The improved model addresses anomalies in existing models,such as abnormal upward deformation in the loosened segment and maximum deflection occurring within the soil mass.Additionally,dimensionless characteristic parameters reflecting the relative stiffness between the umbrella arch structure and the foundation soil are proposed.Results indicate that the magnitude of soil characteristic parameters significantly influences the deformation and internal forces of the umbrella arch.Within common ranges of soil values,the maximum deformation and internal forces of the umbrella arch under semi-logarithmic coordinates exhibit nearly linear decay with decreasing soil characteristic parameters.The impact of tunnel excavation height on the stress of unsupported sections of the umbrella arch is minor,but it is more significant for umbrella arch buried within the soil mass.Conversely,the influence of tunnel excavation advance on the umbrella arch is opposite.
基金National Natural Science Foundation of China(Grant No.52408314)Science and Technology Project of Sichuan Provincial TransportationDepartment(GrantNo.2023-ZL-03)Science and Technology Project of Guizhou Provincial Transportation Department(Grant No.2024-122-018).
文摘Failure tests were conducted on two concrete-filled steel tubular(CFST)truss arch bridges with a span of approximately 12 m to investigate the influence of initial geometric defects on the in-plane bearing capacity of CFST truss arch bridges.The effects of antisymmetric defect on the ultimate bearing capacity,failure mode,structural response,and steel–concrete confinement effect of CFST truss arch bridges under quarter-point loading were analyzed.On this basis,numerical simulations were conducted to investigate the in-plane bearing capacity of CFST truss arch bridges further under different scenarios.The initial defect formof the archwas obtained by using theoretical deduction,and the theoretical basis for the weakening of the ultimate bearing capacity of the arch bridge caused by geometric defects was clarified.Results indicate that the antisymmetric defect does not change the four-hinge failure mode of the model arch under quarter-point loading but increases the local cracking area and crack density of the concrete inside the pipe.The sine geometric defect with an amplitude of L/250 resulted in a 44.4%decrease in the yield load of the single hinge of the model arch,a 10.5%decrease in the failure load of the four hinges,and a 40.9%increase in themaximum vertical deformation during failure.At the initial stage of loading,the steel pipe and the concrete inside the pipe were subjected to relatively independent forces.After reaching 67%of the ultimate load,the catenary arch ribs began to produce a steel pipe concrete constraint effect.The initial geometric defects resulted in a decrease in the load when the constraint effect occurred.The antisymmetric defects with the same amplitude have a greater impact on the in-plane bearing capacity of the CFST arch bridge than the initial geometric defects with symmetry.The linear deviation at L/4 caused by constructionmust be controlled to be less than L/600 to ensure that the internal bearing capacity of the CFST arch bridge reaches 95%of the design bearing capacity.The structural deformation caused by geometric initial defects increases linearly with the increase in defect amplitude.The bearing capacity is weakened because the structural deflection and bending moment are amplified by initial defects.
基金funded by the Science and Technology Research Program of the Chongqing Municipal Education Commission(grant number KJQN202403002).
文摘The steel tube arch rib in a large-span concrete-filled steel tube arch bridge has a large span and diameter,which also leads to a larger weld seam scale.Large-scale welding seams will inevitably cause more obvious welding residual stress(WRS).For the purpose of studying the influence of WRS from large-scale welding seam on the mechanical properties of steel tube arch rib during arch rib splicing,test research and numerical simulation analysis on the WRS in arch rib splicing based on the Guangxi Pingnan Third Bridge,which is the world’s largest span concrete-filled steel tube arch bridge,were conducted in this paper,and the distribution pattern of WRS at the arch rib splicing joint was obtained.Subsequently,the WRS was introduced into the mechanical performance analysis of joints and structures to analyze its effects.The findings reveal that the distribution of WRS in the arch rib is greatly influenced by the rib plate,and the axial WRS in the heat-affected zone are primarily tensile,while the circumferential WRS are distributed in an alternating pattern of tensile and compressive stresses along the circumferential direction of the main tube.Under the influence of WRS,the ultimate bearing capacity of the joint is reduced by 29.4%,the initial axial stiffness is reduced by 4.32%,and the vertical deformation of the arch rib structure is increased by 4.7%.
基金supported by the National Natural Science Foundation of China under grant number 52179113Open Research Fund of State Key Laboratory of Geomechanics and Geotechnical Engineering Safety Grant No.SKLGME 022022,SKLGME-JBGS2401.
文摘Support and maintenance of tunnel excavations during operation are critical to ensure the safety and stability of tunnels.This study proposes a specialized support technology for a railroad tunnel in western China,characterized by substantial deformation and a limited inherent self-stabilizing capacity.The method involves the application of a foam concrete compressible layer at the inverted arch of the tunnel.The effectiveness of the foam concrete layer in mitigating the effect of the surrounding rock on the tunnel inverted arch structure is investigated by a combination of indoor tests and numerical simulations.The laboratory test results show that the train load has little effect on the compressive performance of the foamed concrete compressible layer,which indicates that the foamed concrete compressible layer can be applied in the tunnel invert.By analyzing the support effect of the established model,it is found that the foam concrete compressible layer can effectively absorb the deformation pressure generated by the surrounding rock and protect the secondary lining structure,when the compressible layer density is 500 kg/m^(3) and the thickness is set to 20 cm,the supporting effect is the best.
文摘BACKGROUND Although acute pancreatitis and walled-off necrosis(WON)are rare complications following aortic surgery,they are serious risk factors for postoperative mortality.Considering the poor general condition of the postoperative patient,more effective and less invasive treatments are favorable.CASE SUMMARY A 67-year-old man was referred to our hospital for the treatment of WON after acute pancreatitis.He had undergone total aortic arch replacement due to aortic arch aneurysm and coronary artery bypass grafting due to angina pectoris 6 weeks prior in another hospital.On the second postoperative day,laboratory data and computed tomography showed that the patient had developed acute pancreatitis.Although conservative management(antibiotics,hydration,etc.)had helped in relieving the symptoms of acute pancreatitis,peripancreatic fluid collection(PFC)persisted,accompanied by duodenal obstruction and vomiting.Contrastenhanced computed tomography showed that the heterogeneous enhancement and fluid collection in the pancreatic body and tail had increased,consistent with walled-off WON.We therefore performed endoscopic ultrasound-guided transluminal drainage for the PFC.As a result,the WON resolved gradually,resulting in improved oral intake.CONCLUSION Acute pancreatitis is a rare gastrointestinal complication following thoracic and thoracoabdominal aortic aneurysm surgery.To the best of our knowledge,this is the first case of WON after aortic arch surgery treated with endoscopic ultrasound-guided transluminal drainage for PFC.
基金Project(K2022G038)supported by the Science Technology Research and Development Program of China State Railway Group Co.,LtdProject(52178405)supported by the National Natural Science Foundation of China。
文摘To address the issue of extreme thermal-induced arching in CRTS II slab tracks due to joint damage,an optimized joint repair model was proposed.First,the formula for calculating the safe temperature rise of the track was derived based on the principle of stationary potential energy.Considering interlayer evolution and structural crack propagation,an optimized joint repair model for the track was established and validated.Subsequently,the impact of joint repair on track damage and arch stability under extreme temperatures was studied,and a comprehensive evaluation of the feasibility of joint repair and the evolution of damage after repair was conducted.The results show that after the joint repair,the temperature rise of the initial damage of the track structure can be increased by 11℃.Under the most unfavorable heating load with a superimposed temperature gradient,the maximum stiffness degradation index SDEG in the track structure is reduced by about 81.16%following joint repair.The joint repair process could effectively reduce the deformation of the slab arching under high temperatures,resulting in a reduction of 93.96%in upward arching deformation.After repair,with the damage to interfacing shear strength,the track arch increases by 2.616 mm.
基金Special Support Program for Scientific and Technological Talent“Application and Impact of Dental Arch Splint Intermaxillary Traction Combined with Rigid Internal Fixation on Oral Health in Patients with Facial Fractures”(DX2023BR18)。
文摘Objective: To analyze the therapeutic effect of combining dental arch splint intermaxillary traction with rigid internal fixation for the treatment of facial comminuted fractures. Methods: Sixty patients with facial comminuted fractures admitted for treatment between July 2023 and December 2024 were selected. Using a random number table method, 30 patients were assigned to the observation group, where moderate traction using a dental arch splint combined with rigid internal fixation was applied. Another 30 patients were assigned to the control group and only received dental arch splint traction treatment. The total effective rate, postoperative recovery indicators, periodontal status, complication rate, and quality of life scores were compared between the two groups. Results: The total effective rate in the observation group was higher than that in the control group. The postoperative recovery indicators and periodontal status in the observation group were superior to those in the control group. The complication rate and quality of life score were lower in the observation group compared to the control group, with P < 0.05. Conclusion: Combining dental arch splint intermaxillary traction with rigid internal fixation can improve the periodontal status and quality of life of patients with facial comminuted fractures, shorten postoperative recovery time, reduce various complications, and enhance surgical efficacy.
基金supported by the National Natural Science Foundation of China(Grant No.52308463)the Shanghai Rising-Star Program(Grant No.23YF1449100)the Fundamental Research Funds for the Central Universities(Grant No.2023-2-ZD08).
文摘Due to space constraints in urban areas,metro tunnels are typically constructed in pairs,with a small clearance.The interaction between twin tunnels leads to a significantly more complex ground deformation and stress distribution than that observed in a single tunnel scenario,particularly if the tunnels are excavated in sequence.A series of physical model tests were conducted to investigate soil deformation and stress disturbances caused by the excavation of twin tunnels.The test results indicate that the interaction between the twin tunnels was observed.Due to the soil arching effect,the excavation of Tunnel 2 increases the soil stress acting on Tunnel 1.An analytical method was proposed to determine soil stress considering the soil arching effect and the interaction between twin tunnels.The method categorized the relative locations between twin tunnels into non-influenced,partially influenced,and fully influenced scenarios.For non-influenced and fully influenced scenarios,the soil stresses above twin tunnels were calculated based on a symmetric major principal stress trace.For the partially influenced scenario,however,the soil arch above Tunnel 2 was asymmetric due to the interaction,and the stress distribution was obtained based on a new asymmetric major principal stress trace.The soil stress on Tunnel 1 was influenced by the load transferred from Tunnel 2 and calculated based on the force equilibrium.A comparison of the analytical and test results indicates that the proposed method effectively predicts the soil stress in the cover layer above twin tunnels excavated sequentially,considering the interaction and soil arching effects.
基金financially supported by the Guangxi Key Research and Development Plan Program(AB22036007).
文摘Arch bridges provide significant technical and economic benefits under suitable conditions.In particular,concrete-filled steel tubular(CFST)arch bridges and steel-reinforced concrete(SRC)arch bridges are two types of arch bridges that have gained great economic competitiveness and span growth potential due to advancements in construction technology,engineering materials,and construction equipment over the past 30 years.Under the leadership of the author,two record-breaking arch bridges—that is,the Pingnan Third Bridge(a CFST arch bridge),with a span of 560 m,and the Tian’e Longtan Bridge(an SRC arch bridge),with a span of 600 m—have been built in the past five years,embodying great technological breakthroughs in the construction of these two types of arch bridges.This paper takes these two arch bridges as examples to systematically summarize the latest technological innovations and practices in the construction of CFST arch bridges and SRC arch bridges in China.The technological innovations of CFST arch bridges include cable-stayed fastening-hanging cantilevered assembly methods,new in-tube concrete materials,in-tube concrete pouring techniques,a novel thrust abutment foundation for nonrocky terrain,and measures to reduce the quantity of temporary facilities.The technological innovations of SRC arch bridges involve arch skeleton stiffness selection,the development of encasing concrete materials,encasing concrete pouring,arch rib stress mitigation,and longitudinal reinforcement optimization.To conclude,future research focuses and development directions for these two types of arch bridges are proposed.
文摘2019年发表的全球ARCHES试验(NCT02677896)结果显示,与安慰剂(placebo,PBO)+雄激素剥夺治疗(androgen deprivation therapy,ADT)相比,恩扎卢胺+ADT延长了转移性激素敏感性前列腺癌(metastatic hormone-sensitive prostate cancer,mHSPC)患者的总生存期和放射影像学无进展生存期(radiographic progression-free survival,rPFS)^([1])。然而,该试验无中国患者入组。欧洲肿瘤内科学会(European Society for Medical Oncology,ESMO)2023年会议报道了中国ARCHES研究(NCT04076059)的初步结果,这是一项评估恩扎卢胺+ADTvs.PBO+ADT在中国m HSPC患者中的疗效和安全性的多中心、随机、双盲、PBO对照的Ⅲ期试验^([2])。
