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Lower Bound of Distance Between Unitary Orbits of Normal Elements in C^(*)-algebras of Tracial Rank One
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作者 WANG Ruofei LUO Zheng 《数学进展》 北大核心 2026年第1期171-182,共12页
This paper studies certain estimates for the lower bound of distance between unitary orbits of normal elements.We show that the distance between unitary orbits of normal elements of simple C^(*)-algebras of tracial ra... This paper studies certain estimates for the lower bound of distance between unitary orbits of normal elements.We show that the distance between unitary orbits of normal elements of simple C^(*)-algebras of tracial rank no more than k has a lower bound.Furthermore,if k≤1 and normal elements are commuting,then the lower bound will be better.Another result establishes a connection involving the spectrum distance operator Dc between a C^(*)-algebra of stable rank one C^(*)-algebra and its hereditary C^(*)-subalgebra. 展开更多
关键词 unitary orbit hereditary C^(*)-subalgebra tracial rank one lower bound
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Classification Method of Lower Limbs Motor Imagery Based on Functional Connectivity and Graph Convolutional Network
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作者 Yang Liu Qi Lu +2 位作者 Junjie Wu Huaichang Yin Shiwei Cheng 《Computers, Materials & Continua》 2026年第3期1674-1689,共16页
The development of brain-computer interfaces(BCI)based on motor imagery(MI)has greatly improved patients’quality of life with movement disorders.The classification of upper limb MI has been widely studied and applied... The development of brain-computer interfaces(BCI)based on motor imagery(MI)has greatly improved patients’quality of life with movement disorders.The classification of upper limb MI has been widely studied and applied in many fields,including rehabilitation.However,the physiological representations of left and right lower limb movements are too close and activated deep in the cerebral cortex,making it difficult to distinguish their features.Therefore,classifying lower limbs motor imagery is more challenging.In this study,we propose a feature extraction method based on functional connectivity,which utilizes phase-locked values to construct a functional connectivity matrix as the features of the left and right legs,which can effectively avoid the problem of physiological representations of the left and right lower limbs being too close to each other during movement.In addition,considering the topology and the temporal characteristics of the electroencephalogram(EEG),we designed a temporal-spatial convolutional network(TSGCN)to capture the spatiotemporal information for classification.Experimental results show that the accuracy of the proposed method is higher than that of existing methods,achieving an average classification accuracy of 73.58%on the internal dataset.Finally,this study explains the network mechanism of left and right foot MI from the perspective of graph theoretic features and demonstrates the feasibility of decoding lower limb MI. 展开更多
关键词 Brain-computer interface lower limb motor imagery functional connectivity temporal-spatial convolutional network
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Effect of neurodynamic mobilization on lower limb function in patients with mild post-traumatic knee osteoarthritis
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作者 Jun-Rong Hu Meng-Xiao He +4 位作者 Shan-Shan Wei Han-Wen Ren Cheng-Hao Liu Xiao-Long Liu Zhen-Cheng Chen 《World Journal of Orthopedics》 2026年第1期106-118,共13页
BACKGROUND The therapeutic role of neurodynamic mobilization in improving lower limb function in patients with mild post-traumatic knee osteoarthritis remains poorly understood.AIM To further elucidate the role of neu... BACKGROUND The therapeutic role of neurodynamic mobilization in improving lower limb function in patients with mild post-traumatic knee osteoarthritis remains poorly understood.AIM To further elucidate the role of neurodynamic mobilization in facilitating knee joint functional recovery.METHODS Thirty-two patients with post-traumatic knee osteoarthritis treated at Chonghua Hospital of Traditional Chinese Medicine(Guilin)from March 2024 to August 2025 were randomly assigned to a control group(n=16)or an intervention group(n=16).Both groups received eight weeks of conventional treatment;and the intervention group additionally underwent neurodynamic mobilization.Outcomes including pain assessed by the visual analogue scale,active range of motion,Lysholm score,stork stand test,single hop test,and Y-balance test were assessed before and after the intervention.RESULTS There were no significant differences between the two groups in baseline characteristics,including gender,age,body mass index,or surgical side(P>0.05).Two-way repeated-measures analysis of variance demonstrated significant time×group interaction effects for the visual analogue scale score(F=13.364,P<0.05),Lysholm knee score(F=20.385,P<0.05),stork stand test(F=103.756,P<0.05),and Y-balance test score(F=8.089,P<0.05).CONCLUSION Neurodynamic mobilization effectively reduces pain,improves knee function,and enhances lower limb balance in patients with mild post-traumatic knee osteoarthritis. 展开更多
关键词 Mild post-traumatic knee osteoarthritis Neurodynamic mobilization lower limb function Randomized controlled trial REHABILITATION
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Feasibility of water vapor thermal therapy for treating lower urinary tract symptoms in men with localized prostate cancer on active surveillance:a case series
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作者 Mustufa Babar Farooz Babar +2 位作者 Noah Hawks-Ladds Justin Loloi Michael Ciatto 《The Canadian Journal of Urology》 2026年第1期193-199,共7页
Background:Prostate cancer is a common malignancy,with many men on active surveillance for localized,low-risk disease also experiencing lower urinary tract symptoms(LUTS)from benign prostatic hyperplasia(BPH).Water Va... Background:Prostate cancer is a common malignancy,with many men on active surveillance for localized,low-risk disease also experiencing lower urinary tract symptoms(LUTS)from benign prostatic hyperplasia(BPH).Water Vapor Thermal Therapy(WVTT)is a minimally invasive BPH treatment,but its safety and efficacy in this setting are unclear.Case Description:We report three men with localized PCa on active surveillance who underwent WVTT for LUTS.Conclusions:WVTT appears safe and potentially effective in treating LUTS,especially in those with lower-risk disease and smaller prostate volumes.Further research is needed to confirm safety,efficacy,and optimal patient selection. 展开更多
关键词 lower urinary tract symptoms benign prostatic hyperplasia prostatic neoplasms active surveillance case report
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Deep Learning in Electromyography Signal-based Lower Limb Angle Prediction and Activity Classification
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作者 Gundala Jhansi Rani Mohammad Farukh Hashmi 《Journal of Bionic Engineering》 2026年第1期274-290,共17页
This research presents a Human Lower Limb Activity Recognition(HLLAR)system that identifies specific activities and predicts the angles of the knees simultaneously,based on the EMG signals.The HLLAR systems streamline... This research presents a Human Lower Limb Activity Recognition(HLLAR)system that identifies specific activities and predicts the angles of the knees simultaneously,based on the EMG signals.The HLLAR systems streamlines the research on the lower limb activities.The HILLAR model includes Discrete Hermite Wavelets Transform-based Synchrosqueezing(DHWTS),Deep Two-Layer Multiscale Convolutional Neural Network(DTLMCNN),and Generalized Regression Neural Network(GRNN)as feature extraction,activity recognition,and knee angle prediction respectively.Electromyography signal-based automatic lower limb activity detection is crucial to rehabilitation and human movement analysis.Yet several of these methods face issues in feature extraction in complex data,overlapping signals,extraction of crucial parameters,and adaptation constraints.This research aims classify lower limb activities and predict knee joint angles from electromy-ography signals using HILLAR model.The model is validated on two datasets,comprising 26 subjects performing three classes of activities:walking,standing,and sitting.The proposed model obtained a classification accuracy of 99.95%,along with significant achievements in precision(99.93%),recall(99.91%),and F1-score(99.93%).The generalized regression neural network predicted angles of the knee joint with a root mean squared error of 1.25%.Robustness is demonstrated through consistent results in five-fold cross-validation and statistical significance testing(p-value=0.004,McNemar's test).Additionally,the proposed model showed superior performance over baseline methods by reducing error rates by 18%and decreasing processing time to 0.98 s. 展开更多
关键词 ELECTROMYOGRAPHY lower limb motion recognition Knee joint angle prediction Convolutional neural network Wavelet transform
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Posterior Cramer-Rao lower bounds for multitarget bearings-only tracking
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作者 Guo Lei Tang Bin +1 位作者 Liu Gang Xiao Fei 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2008年第6期1127-1132,共6页
Usually, only the Cramer-Rao lower bound (CRLB) of single target is taken into consideration in the state estimate of passive tracking systems. As for the case of multitarget, there are few works done due to its com... Usually, only the Cramer-Rao lower bound (CRLB) of single target is taken into consideration in the state estimate of passive tracking systems. As for the case of multitarget, there are few works done due to its complexity. The recursion formula of the posterior Cramer-Rao lower bound (PCRLB) in multitarget bearings-only tracking with the three kinds of data association is presented. Meanwhile, computer simulation is carried out for data association. The final result shows that the accuracy probability of data association has an important impact on the PCRLB. 展开更多
关键词 multiple target tracking bearings-only tracking posterior cramer-rao lower bounder data association.
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Forecast of the Burden of Lower Respiratory Infections in the Elderly Aged 70 and above in China from 1990 to 2050,GBD2021 被引量:1
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作者 Miaomiao Zhang Ruiyi Zhang +1 位作者 Yuchang Zhou Maigeng Zhou 《Biomedical and Environmental Sciences》 2025年第5期539-546,共8页
Objective This study aims to analyze the burden of lower respiratory infections in Chinese elderly people aged 70 and above.Methods This study utilized Global Burden of Disease(GBD)1990-2050 prediction data to analyze... Objective This study aims to analyze the burden of lower respiratory infections in Chinese elderly people aged 70 and above.Methods This study utilized Global Burden of Disease(GBD)1990-2050 prediction data to analyze changes in mortality rates and disability-adjusted life year(DALY)rates for lower respiratory infections in the elderly population(aged 70 and above)in China from 1990 to 2050.It also discusses future trends in the burden of lower respiratory infections(LRI)in China under different scenarios.Results According to GBD predictions,the burden of lower respiratory infections in the elderly aged 70 years and above in China is lower than the global average.The burden has been decreasing from 1990 to 2020,but is projected to increase from 2020 to 2050.Scenario-based predictions suggest that,under scenarios involving improvements in nutrition and vaccination,the burden of lower respiratory infections in the elderly in China is expected to be the lowest in 2050.Conclusion This study indicates that the burden of lower respiratory infections in elderly people aged 70 years and above in China remains a significant public health issue and may worsen.The government should consider strengthening the preventive measures and management strategies for respiratory infections in the elderly population. 展开更多
关键词 lower respiratory infections China Mortality rate Trends DALY
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Climate aridification and intensified human interference undermined water storage in the Lower Yellow River region 被引量:1
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作者 Xilin Wu Xiaoming Feng Bojie Fu 《Geography and Sustainability》 2025年第4期246-256,共11页
Understanding the relationships between human activities and hydrological processes is critical for sustainable water resources management, especially under the threat of increasing climate extremes. China's Lower... Understanding the relationships between human activities and hydrological processes is critical for sustainable water resources management, especially under the threat of increasing climate extremes. China's Lower Yellow River(LYR) region is one of the world's most water-scarce and human-impacted areas, yet comprehensive information on its water resources is lacking. This study adopted a water resources system(WRS) analytical framework to investigate the water crisis facing the region. The findings reveal that over the last decade, the system's resilience has been undermined by the combined impacts of climate aridification and intensified human interference. Specifically, a delicate balance between natural groundwater depletion and irrigation replenishment has been disrupted by a series of drought events since 2012. Increased groundwater extraction during droughts, coupled with an imbalanced allocation of surface water resources, has led to a persistent decline in water storage that has continued even after the droughts have ended. To mitigate future climate risks in the LYR,we recommend implementing more adaptive strategies, such as flexible water regulation policies and combined surface-groundwater management. Lessons from the LYR have important implications for other regions facing water resource challenges. 展开更多
关键词 Water resources system lower Yellow River GROUNDWATER Socio-hydrology Sustainable water management
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Peroral endoscopic myotomy for achalasia and patients with normal lower-esophageal-sphincter integrated relaxation pressure:A propensity-score-matched retrospective study 被引量:1
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作者 Xiao Li Xiao-Bin Zhang +9 位作者 Jia-Kang Shao Bo Zhang Long-Song Li Rui-Qing Zhu Jia-Le Zou Jia-Feng Wang Xin Zhao Qing-Zhen Wu Ning-Li Chai En-Qiang Linghu 《World Journal of Gastroenterology》 2025年第12期27-36,共10页
BACKGROUND Most patients who were included in previous studies on achalasia had increased lower esophageal sphincter(LES)pressure.Peroral endoscopic myotomy(POEM)has been confirmed to be effective at relieving the cli... BACKGROUND Most patients who were included in previous studies on achalasia had increased lower esophageal sphincter(LES)pressure.Peroral endoscopic myotomy(POEM)has been confirmed to be effective at relieving the clinical symptoms of achalasia associated with increased LES pressure.AIM To identify the safety and efficacy of POEM for patients with normal LES integrated relaxation pressure(LES-IRP).METHODS The clinical data of patients who underwent POEM successfully in The First Medical Center of Chinese PLA General Hospital were retrospectively analyzed.A total of 481 patients who underwent preoperative high-resolution manometry(HRM)at our hospital were ultimately included in this research.According to the HRM results,the patients were divided into two groups:71 patients were included in the normal LES-IRP group(LES-IRP<15 mmHg)and 410 patients were included in the increased LES-IRP group(LES-IRP≥15 mmHg).Clinical characteristics,procedure-related parameters,adverse events,and outcomes were compared between the two groups to evaluate the safety and efficacy of POEM for patients with normal LES-IRP.RESULTS Among the 481 patients included in our study,209 were males and 272 were females,with a mean age of 44.2 years.All patients underwent POEM without severe adverse events.The median pre-treatment Eckardt scores of the normal LES-IRP and increased LES-IRP groups were 7.0 and 7.0(P=0.132),respectively,decreasing to 1.0 and 1.0 post-treatment(P=0.572).The clinical success rate of the normal LES-IRP group was 87.3%(62/71),and that of the increased LES-IRP group was 91.2%(374/410)(P=0.298).Reflux symptoms were measured by the GerdQ questionnaire,and the percentages of patients with GerdQ scores≥9 in the normal LES-IRP and increased LES-IRP groups were 8.5%and 10.7%,respectively(P=0.711).After matching,the rates of clinical success and the rates of GerdQ score≥9 were not significantly different between the two groups.CONCLUSION Our results suggest that POEM is safe and effective for achalasia and patients with normal LES-IRP.In addition,in patients with normal LES-IRP,compared with those with increased LES-IRP,POEM was not associated with a greater incidence of reflux symptoms. 展开更多
关键词 Peroral endoscopic myotomy ACHALASIA lower esophageal sphincter integrated relaxation pressure Safety Efficacy
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Foreign Bodies in the Lower Airways: Patient Pathways and Management at the ENT Department of Donka National Hospital, Guinea
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作者 Ibrahima Diallo Mamadou Mouctar Ramata Diallo +13 位作者 Ismaël Dabo Sayon Kourouma Mamadou Aliou Diallo Alseny Camara Alseny Cissé Raphan Mady Kaba Keïta Aminata G. Diallo Mamadou Cellou Bah Youssouf Bapaté Barry Alpha Oumar Barry Abdoulaye Bayo Mohamed Casimir Kaman Abdoulaye Keita Alpha Oumar Diallo 《International Journal of Otolaryngology and Head & Neck Surgery》 2025年第1期39-46,共8页
Introduction: Foreign bodies (FB) in the lower airways (LAs) constitute a potentially life-threatening emergency requiring immediate management. The objective of our study was to describe the patient pathway and manag... Introduction: Foreign bodies (FB) in the lower airways (LAs) constitute a potentially life-threatening emergency requiring immediate management. The objective of our study was to describe the patient pathway and management of foreign bodies in the lower airways. Methodology: This was a descriptive study with retrospective data collection conducted over a 6-year period (January 1, 2014, to December 31, 2019) in the ENT and Head and Neck Surgery Department of Donka National Hospital. Results: We observed a prevalence of 1.79%. The average age was 5.71 years, with a sex ratio of 1.2. However, 82.61% of the cases originated from rural areas. We noted that 78.83% of patients were referred after visiting 1 to 2 healthcare facilities (75.36%). The consultation delay was 3 days. Penetration syndrome was present in 98.56% of cases. The foreign body incidents occurred during play in 54.84% and during meals in 29.09% of cases. Radiographs were performed in 93.9% of cases. Endoscopy was used for both diagnostic and therapeutic purposes in all patients. The foreign bodies were located in the trachea (37.68%), larynx (26.08%), and bronchi (21.73%). Non-organic foreign bodies were predominant (52.17%). Postoperative outcomes were uncomplicated in 95.98% of cases, and the lethality rate was 2.85%. Conclusion: The pathway of patients with foreign bodies in the airways remains unpredictable in our context due to parental hesitations. Early management reduces morbidity and mortality rates. 展开更多
关键词 PATHWAY Foreign Bodies lower Airways Treatment GUINEA
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Surgical Management of Varicose Veins of the Lower Limbs: Retrospective Study of 280 Patients
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作者 Papa Amath Diagne Abdoul Aziz Thiaw +14 位作者 Momar Sokhna Diop Ndeye Fatou Sow Abdoul Ahad Mbengue Papa Ousmane Ba Mory Camara Soda Mareme Mbaye Moussa Seck Diop Jean Claude Dione Abdoul Khoudoss Diallo Moussa Mareme Samba Ibrahima Wade Anta Mbaye Sall Magaye Gaye Papa Adama Dieng Amadou Gabriel Ciss 《Surgical Science》 2025年第2期110-114,共5页
Varicose veins of the lower limbs are a cosmopolitan condition, thought to be rare in Africa but widespread in Europe. The aim of this study is to analyze the indications and evaluate the results of surgical managemen... Varicose veins of the lower limbs are a cosmopolitan condition, thought to be rare in Africa but widespread in Europe. The aim of this study is to analyze the indications and evaluate the results of surgical management of varicose pathology of the IM in Dakar. We enrolled 280 patients, with a mean age of 36 and a sex ratio of 2. Factors favouring venous disease were dominated by prolonged orthostatism and multiparity. The average consultation time was 6 years. The reasons for consultation were functional manifestations, progressive complications and aesthetics. The venous trunks concerned were the great saphenous vein (GSV) in 58.9% of cases, the small saphenous vein (SSV) in 29% of cases, perforating veins and varicose veins were unsystematized in 28.5% of cases. Surgery was performed under spinal anaesthesia. Surgical procedures were dominated by stripping of the GSV, crossectomy of the SSV and staged ligations. One patient developed meningismus immediately after the operation. Average follow-up was 2 years. Mortality was null. 展开更多
关键词 Varicose Veins lower Limbs STRIPPING
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Open Lower Limb Trauma in Children
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作者 Abakar Djibrine Mahamat-Nour Olivier N’garinguem +3 位作者 Bembo Lamega Ali Haouane Nazira Kalki Djiannone Ouchemi Choua 《Open Journal of Orthopedics》 2025年第2期110-116,共7页
Purpose: To evaluate open lower limb trauma management in children. Me-thod: We conducted a twelve-month cross-sectional prospective study. Results: Open trauma of lower limb had 7.9% of hospital frequency. Mean age w... Purpose: To evaluate open lower limb trauma management in children. Me-thod: We conducted a twelve-month cross-sectional prospective study. Results: Open trauma of lower limb had 7.9% of hospital frequency. Mean age was 8 years with a sex ratio of 2.45. In 68.4% of cases, trauma occurred in road traffic accidents. Average consultation time was 2.4 hours. Trauma mainly affected the leg in 39.5% of cases, and the thigh in 34.2%. Soft tissue wounds occurred in 52.6% of cases, and open fractures in 47.4%. Average response time was one hour. Wound trimming and suturing were performed in 76.3% of cases and combined with bone nailing in 15.8%. The outcome was favorable in 92.1% of cases. Average hospital stay was 4.37 days. Conclusion: Open trauma to the lower limb is a frequent and occurs mainly in road traffic accidents. Management was early, with a favorable outcome for most patients and a short hospital stay. 展开更多
关键词 Open Trauma Open Fractures lower Limb CHILDREN CHUME CHAD
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Sarcopterygians from the Lochkovian(Lower Devonian)of Nanning,Guangxi,China
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作者 LI Mao-Kun CUI Xin-Dong +1 位作者 ZHU Min QIAO Tuo 《古脊椎动物学报(中英文)》 北大核心 2025年第1期1-19,共19页
Here we report a left cheek plate of Psarolepis,a postparietal shield of Youngolepis,a skull of Diabolepis,and a scale of Styloichthys from the Lianhuashan and Nahkaoling formations(Lochkovian,Lower Devonian)of Nannin... Here we report a left cheek plate of Psarolepis,a postparietal shield of Youngolepis,a skull of Diabolepis,and a scale of Styloichthys from the Lianhuashan and Nahkaoling formations(Lochkovian,Lower Devonian)of Nanning,Guangxi.This marks the first report of Diabolepis and Styloichthys beside Qujing,Yunnan,and the latest occurrence of Psarolepis to date.The fossil community displays significant similarities to the Xujiachong Assemblage,and provides new data for the Lower Devonian stratigraphic correlation between southwestern China and northern Vietnam.Given the latest dating constraint based on the conodont evidence,we regard that the Xujiachong Assemblage has a much longer range than previously supposed,extending from the latest Lochkovian to the end of Pragian.We propose that the transition of the Nahkaoling and Lianhuashan formations in Nanning might correspond to the Guijiatun Formation in Qujing.The relatively large size of fish individuals from Guangxi is probably attributed to the increase in the oxygen content of the ocean. 展开更多
关键词 Nanning Guangxi Lochkovian lower Devonian Xujiachong Assemblage Lianhuashan Formation Nahkaoling Formation Sarcopterygians
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Shale gas prospect of the Lower Permian in the South Yellow Sea Basin of the Lower Yangtze area: Insights from the whole-cored CSDP-2 borehole
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作者 Yu-mao Pang Zhao-meng Wei +3 位作者 Xing-wei Guo Chuan-sheng Yang Rui-shan Ma Xun-hua Zhang 《China Geology》 2025年第4期707-724,共18页
Shale gas is abundant in the Paleozoic of the Yangtze Platform,and several high-yield shale gas fields have been built in the Upper Yangtze Platform,China.The Permian of the South Yellow Sea Basin(SYSB)in the Lower Ya... Shale gas is abundant in the Paleozoic of the Yangtze Platform,and several high-yield shale gas fields have been built in the Upper Yangtze Platform,China.The Permian of the South Yellow Sea Basin(SYSB)in the Lower Yangtze area is considered a potential target for shale gas exploration;however,the fundamental geological conditions of shale gas have not been studied.Based on the first whole-cored scientific drilling borehole(CSDP-2)in the SYSB,detailed tests involving petrology,organic geochemistry,and reservoir physical properties were conducted to evaluate the shale gas potential of the Lower Permian.The Lower Permian is dominated by organic-rich siliceous,clay,and clay-mixed shales.The average total organic carbon content is 5.99%,and the organic matter is mainly type Ⅱ_(1)−Ⅱ_(2),which has entered the high-over mature evolution stage.The pore types of organic-rich shales mainly include organic pores,dissolution pores,and intergranular pores,of which the meso-/macropores are well developed.The average porosity is 3.04%,and the total specific surface area and pore volume are 3.47 m^(2)/g and 7.21×10^(−3) cm^(3)/g,respectively.The average Langmuir volume obtained from the methane adsorption isotherms is 2.70 cm^(3)/g,and methane is mainly adsorbed in the meso-/macropores.The lower Permian shales are rich in methane as indicated by gas logging results,with an average content of 7.3%,which can reach up to 65.9%.A comparison of the study area with typical shale gas fields shows that the Lower Permian is brittle and shallowly buried and has a high potential for shale gas exploration and low-cost development.The depression areas of the SYSB are overlain by thick Mesozoic-Cenozoic sediments,show higher organic matter maturity,and may have greater shale gas potential.The shale gas exploration breakthrough of the study area is of great significance to ensure the energy supply of economically developed areas on the east China. 展开更多
关键词 Shale gas Continental Shelf Drilling Program South Yellow Sea Basin lower Yangtze Platform lower Permian Shale reservoir evaluation Oil-gas exploration engineering
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Unmasking frailty in coronary artery disease:impact on outcomes after lower limb amputation
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作者 Abdul Rasheed Bahar Yasemin Bahar +7 位作者 Busra Cangut Paawanjot Kaur Vaishnavi Sirekulam Mohamad Hasan Jawadi Naveed Tarar Mohamed Saleh Alrayyashi Olayiwola Bolaji M.Chadi Alraies 《Journal of Geriatric Cardiology》 2025年第11期900-910,共11页
Background Frailty is a major determinant of outcomes in patients with coronary artery disease(CAD)undergoing lower limb amputation.This study evaluates the impact of frailty on in-hospital outcomes in these patients.... Background Frailty is a major determinant of outcomes in patients with coronary artery disease(CAD)undergoing lower limb amputation.This study evaluates the impact of frailty on in-hospital outcomes in these patients.Methods We performed a retrospective analysis of the National Inpatient Sample(2016–2021)to identify adult patients with CAD who underwent lower limb amputation.Frailty was defined using the Johns Hopkins Adjusted Clinical Groups(ACG)frailty indicator.Multivariable logistic regression was used to assess the independent association of frailty with in-hospital outcomes,and propensity score matching(PSM)was performed to further account for confounding factors.Results After PSM,9,990 patients were included in each cohort.Frail patients experienced higher rates of in-hospital mortality(3.9%vs.1.5%,P<0.001),acute limb ischemia(3.8%vs.3.1%,P=0.015),fasciotomy(2.1%vs.1.4%,P<0.001),stump infection(7.9%vs.6.6%,P<0.001),cardiogenic shock(0.9%vs.0.7%,P=0.032),sudden cardiac arrest(2.7%vs.2.1%,P=0.004),mechanical circulatory support(0.3%vs.0.2%,P=0.028),major adverse cardiac and cerebrovascular events(7.7%vs.5.4%,P<0.001),and sepsis(18.3%vs.13.8%,P<0.001).In multivariable logistic regression analysis,frailty remained an independent predictor of inhospital mortality and major complications.Conclusion Frailty is independently associated with increased in-hospital mortality and adverse events among CAD patients undergoing lower limb amputation.Incorporating frailty assessment into preoperative evaluation may improve risk stratification and guide clinical decision-making in this high-risk population. 展开更多
关键词 FRAILTY propensity score matching coronary artery disease hospital outcomes lower limb amputation coronary artery disease cad undergoing logistic regression lower limb amputationfrailty
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Surgical outcome of a transposed lateral pendular flap for the reconstruction of medial and central lower lid defects
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作者 Yomna Amr Alahmadawy Radwa Taher Elzanaty Shaimaa Abdelsalam Arfeen 《International Journal of Ophthalmology(English edition)》 2025年第8期1450-1455,共6页
AIM:To evaluate the outcome and the degree of patient satisfaction with the reconstruction of full-thickness medial and central lower lid defects using a pendular flap of the remaining lateral part of the lower lid.ME... AIM:To evaluate the outcome and the degree of patient satisfaction with the reconstruction of full-thickness medial and central lower lid defects using a pendular flap of the remaining lateral part of the lower lid.METHODS:Totally 20 patients with full thickness medial or central lower lid defects that could not be repaired by direct closure with or without cantholysis.A sliding full-thickness composite flap was created from the lateral part of the remaining lid to cover the defect.The posterior lamella of the induced lateral defect was repaired by either a periosteal flap alone or in combination with a free tarsal graft.Postoperative cosmetic and functional outcomes were evaluated.RESULTS:The mean age of the patients was 46.3±18.1y(20-70y).The defects ranged from 30%-80%of the lid width and resulted from the excision of lid tumors in 11 patients(55%)and from trauma in 9(45%)patients.Postoperative complications included one case of lateral graft ectropion,2 cases of lid retraction and 3 cases of marginal graft necrosis.Most of the patients had an acceptable final cosmetic outcome.CONCLUSION:Reconstruction of moderate-sized defects in the medial/central lower lid via a sliding flap yielded acceptable cosmetic and functional outcomes with high patient satisfaction.Large defects≥50%of the horizontal length are at greater risk of complications.Reconstruction of medial defects by this technique was associated with a greater incidence of complications. 展开更多
关键词 lower lid defects lateral pendular flap RECONSTRUCTION
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Investigation and risk factor analysis of anxiety and depression in patients with lower extremity arteriosclerosis obliterans
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作者 Xiao-Gao Wang Ying Wang +3 位作者 Yong Gao Ran Lu Ze-Yu Guan Shi-Yuan Chen 《World Journal of Psychiatry》 2025年第8期214-225,共12页
BACKGROUND The prevalence of lower extremity arteriosclerosis obliterans(LEASO)in China is progressively increasing with the increment in age.Certain patients may be diagnosed with lower extremity arterial stenosis an... BACKGROUND The prevalence of lower extremity arteriosclerosis obliterans(LEASO)in China is progressively increasing with the increment in age.Certain patients may be diagnosed with lower extremity arterial stenosis and occlusion that resist complete curative efforts,which will invariably impose a substantial psychological strain on them.AIM To investigate the anxiety and depression conditions among patients with LEASO and analyze the associated risk factors.METHODS The Affiliated Hospital of Bengbu Medical University from January 2019 to December 2022.Their demographic and clinical data were obtained through the basic information questionnaire.The social support situation was assessed with the social support rating scale,and the hospital anxiety and depression scale were used to analyze their depression and anxiety levels.RESULTS The prevalence rate of anxiety was 44.0%among the 159 patients,with a total Self-Rating Anxiety Scale score of 49.01±9.65.The incidence of depression was 40.9%,and the total self-rating depression scale score reached 49.91±9.18.The overall social support score for all participants averaged 24.82±5.80.The correlation analysis between social support scores and anxiety and depression scores revealed that the total social support score,subjective social support,objective social support,as well as the degree of social support utilization,all exhibited a significant negative correlation with the anxiety and depression scores,which was statistically significant(P<0.05).The univariate analysis revealed statistically significant differences in the depression and anxiety states among patients with varying pain manifestations,disease stages,disease durations,and social support magnitudes(P<0.05).The multivariate analysis further demonstrated that patients presenting with intermittent claudication,rest pain,and pain,whose disease course was within half a year,and who had relatively low social support,were more predisposed to anxiety.Intriguingly,a monthly income of>6000 yuan was considered a protective factor in this context(P<0.05).Similarly,patients with intermittent claudication,rest pain,gangrene,and pain,and who had relatively low social support,were more liable to succumb to depressive moods(P<0.05).CONCLUSION Patients with LEASO typically receive relatively scant social support.Notably,those who concurrently present with symptoms,such as pain,claudication,and gangrene,are at a substantially increased risk of developing depression and anxiety disorders.A significant negative correlation is manifested between the social support level that patients receive and the severity of their anxiety and depression symptoms.Hence,the lower the social support score,the greater the propensity for patients to experience anxiety and depressive emotions.Therefore,during clinical practice,the crucial role that social support plays in safeguarding patients’physical and mental well-being as well as facilitating the effectiveness of disease treatment needs to be particularly emphasized. 展开更多
关键词 lower extremity arteriosclerosis obliterans ANXIETY DEPRESSION Social support RELEVANCE
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Major and trace elements in marine black shales from the Lower Cambrian,Yangtze Plate,SW China:implications for depositional environment
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作者 Ling GUO Zexin FANG +1 位作者 Xiaoxia PENG Jianni LIU 《Journal of Oceanology and Limnology》 2025年第6期1769-1791,共23页
Early Cambrian organic-rich shales in the Yangtze Plate are key shale gas exploration targets in China,but their sedimentary environments are not well understood.This lack of knowledge complicates the evaluation of th... Early Cambrian organic-rich shales in the Yangtze Plate are key shale gas exploration targets in China,but their sedimentary environments are not well understood.This lack of knowledge complicates the evaluation of these targets and associated risks.Assessing shale depositional environments is also challenging due to the fine-grained nature of the sediments and subtle compositional variations.Herein,marine black shales of the Lower Cambrian Shiyantou(SYT)Formation(Fm)and Yu'anshan(YAS)Fm are investigated through a series of experiment,including thin sections,scanning electron microscopy,and major and trace elements analysis.Results show that five lithofacies can be identified in the SYT and YAS shales:(1)calcareous mudstone;(2)wavy-laminated sand,silt,and clay bearing mudstone;(3)laminated and massive mudstone;(4)planar-laminated pyritic mudstone,and(5)thin bedded sand and siltstone.Average content of major elements SiO_(2),Al_(2)O_(3),MgO,Fe_(2)O_(3),K_(2)O,CaO,Na_(2)O,TiO_(2),P_(2)O_(5),and MnO of SYT Fm are 57.03%,12.74%,4.20%,3.97%,3.93%,3.35%,1.09%,0.68%,0.28%,and 0.05%,respectively.Average content of major elements SiO_(2),Al_(2)O_(3),MgO,Fe_(2)O_(3),K_(2)O,CaO,Na_(2)O,TiO_(2),P_(2)O_(5),and MnO of Yu'anshan Fm are 54.93%,14.52%,5.26%,6.00%,3.77%,3.88%,0.15%,0.63%,0.19%,and 0.10%,respectively.Samples from SYT Fm are enriched in Li,V,Cr,Co,Zr,Cs,and U relative to Upper Continental Crust(UCC)and most of shale samples from YAS Fm are enriched in Li,V,Co,and U relative to UCC.The marine black shales are deposited in dynamic anoxic to oxic environment in upper Yangtze Plate,which indicated the seabed had already oxidized in the Cambrian Stages 2 and 3.The Chemical Index of Alteration(CIA)values ranged 51.84–79.46 indicate a warm and humid climate in the 2 stages.These findings are consistent with the region's paleogeography and previous studies.They hold significance for sedimentologists,paleontologists,and other researchers involved in petroleum geology. 展开更多
关键词 lower Cambrian shale lithofacies depositional environment redox condition palaeo-climate
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Effects of hyperalkaline solutions on the water retention properties and microstructure of the opalinus clay from the lower sandy facies of mont terri site,Switzerland
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作者 Yara Barakat Nadia Mokni +2 位作者 Yu-Jun Cui Pierre Delage Frédéric Bernier 《Journal of Rock Mechanics and Geotechnical Engineering》 2025年第3期1723-1737,共15页
In Switzerland,the Opalinus Clay has been selected as a potential host rock for the deep geological disposal of radioactive waste due to its low hydraulic conductivity and favorable swelling properties.During the oper... In Switzerland,the Opalinus Clay has been selected as a potential host rock for the deep geological disposal of radioactive waste due to its low hydraulic conductivity and favorable swelling properties.During the operational phase of the repository,the host rock will be exposed to pH values as high as 13.5 due to concrete degradation,which will certainly affect its hydraulic properties.This study investigates the effect of pH increase on the water retention properties of Opalinus Clay.A series of samples from the lower sandy facies of the Mont Terri site in Switzerland,at initial dry state,were exposed to a hyperalkaline solution of pH=13.5 and to the synthetic water of pH=7.5 at different water contents.After equilibrium,the total suction was measured with a dew point potentiometer and microstructural analyses were conducted via mercury intrusion porosimetry(MIP)and nitrogen adsorption-desorption technique.It was found that the total suction decreased with hydration and pH increase.Since the two investigated solutions have the same osmotic suction,the decrease in total suction was attributed to the decrease in matric suction.Indeed,the total porosity increased with saturation and pH increase.This was confirmed by MIP data that evidenced an increase in the proportion of macropores,and by Barret eJoynereHalenda(BJH)data that showed mesopore generation.The specific surface area(SSA)also increased.The previous results were due to mineral hydration and,exclusively in the case of alkaline solution,to(1)the dissolution of quartz and calcite and(2)the acid-base reactions,which were concentrated at the edges of the clay particles,leading to an increase in negatively charged groups and thus to a face-to-face association of the clay particles(dispersion),causing an increase in the repulsive forces between the clay particles.In addition,the weakening of covalent bonds led to the primary dissolution of clay minerals,i.e.silicon and aluminum detachment. 展开更多
关键词 Opalinus clay lower sandy facies Water retention properties Porosity MICROSTRUCTURE DISSOLUTION
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Mixed Infections in the Female Lower Genital Tract:Unlocking the Current Landscape and Future Directions
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作者 Wen-hua Jiang Xin-wei Zhao +2 位作者 Xi-ming Jin Wen-jia Wang Zhuo Chen 《Current Medical Science》 2025年第3期438-448,共11页
Understanding mixed infections in the female lower genital tract is a critical challenge in modern infection research.The interplay of multiple pathogens complicates disease progression,often resulting in treatment fa... Understanding mixed infections in the female lower genital tract is a critical challenge in modern infection research.The interplay of multiple pathogens complicates disease progression,often resulting in treatment failure,recurrent infections,and significant public health and economic burdens.These infections are further exacerbated by disrupted host immune responses,which hinder the recovery of the vaginal microecosystem.Additionally,microbial biofilms—a fundamental mode of pathogen coexistence—contribute to the persistence and drug resistance of these infections,complicating management strategies.This review examines the pathogenesis,diagnosis,and treatment of mixed infections in the female lower genital tract while exploring potential avenues for future research.These findings emphasize the need for greater focus on these infections and offer insights to enhance further research in this area. 展开更多
关键词 Mixed infections Female lower genital tract Vaginal microbiome Biofilms Research advancements
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