The deformation and failure of coal walls in front of a working face cause significant difficulties during mining operations.This study reveals the nonuniform distribution of bearing pressure in front of coal walls ba...The deformation and failure of coal walls in front of a working face cause significant difficulties during mining operations.This study reveals the nonuniform distribution of bearing pressure in front of coal walls based on in situ monitoring data and numerical simulation.Therefore,an eccentric compression mechanical model was established to study the deformation and failure characteristics of a coal wall.The slenderness ratio of the compression bar is introduced to define coal walls.The results showed that instability failure occurs when λ>λ_(c) and material failure occurs when λ≤λ_(c).The instability failure-type coal wall spalling was related to the mining height,eccentricity of roof pressure,the horizontal force,and the reaction moment of the floor.The material failure-type coal wall spalling was related to the cohesion,the internal friction angle of the coal,the upper pressure,and the horizontal force of coal walls.Unstable and destructive coal wall peeling usually occurs at a height of 0.5–0.6 times the mining height,while material damage to coal wall peeling is determined to occur within the range of 0.4-0.6 times the mining depth.The findings contribute to the understanding of the deformation and failure of coal walls.展开更多
Background Frailty is common and significantly impacts prognosis in heart failure(HF). The Vulnerable Elders Survey-13(VES-13), widely used in oncogeriatrics and public health, remains unexplored as a frailty screenin...Background Frailty is common and significantly impacts prognosis in heart failure(HF). The Vulnerable Elders Survey-13(VES-13), widely used in oncogeriatrics and public health, remains unexplored as a frailty screening tool in HF outpatients. In this study, we prospectively evaluated VES-13 against a multimodal screening assessment in detecting frailty and predicting individual risk of adverse prognosis.Methods Frailty was assessed at the initial visit using both a multimodal approach, incorporating Barthel Index, Older American Resources and Services scale, Pfeiffer Test, abbreviated Geriatric Depression Scale, age > 85 years, lacking support systems,and VES-13. Patients scoring ≥ 3 on VES-13 or meeting at least one multimodal criterion were classified as frail. Endpoints included all-cause mortality, a composite of death or HF hospitalization, and recurrent HF hospitalizations.Results A total of 301 patients were evaluated. VES-13 identified 40.2% as frail and the multimodal assessment 33.2%. In Cox regression analyses, frailty identified by VES-13 showed greater prognostic significance than the multimodal assessment for allcause mortality(HR = 3.70 [2.15–6.33], P < 0.001 vs. 2.40 [1.46–4.0], P = 0.001) and the composite endpoint(HR = 3.13 [2.02–4.84], P< 0.001 vs. 1.96 [1.28–2.99], P = 0.002). Recurrent HF hospitalizations were four times more frequent in VES-13 frail patients while two times in those identified as frail by the multimodal assessment. Additionally, stratifying patients by VES-13 tertiles provided robust risk differentiation.Conclusions VES-13, a simple frailty tool, outperformed a comprehensive multimodal assessment and could be easily integrated into routine HF care, highlighting its clinical utility in identifying patients at risk for poor outcomes.展开更多
Heart failure(HF)is a complex clinical syndrome that promotes high morbidity and multi-systemic damage.Skeletal muscle can be directly affected by HF through a loss of physical capacity and various inflammatory,hormon...Heart failure(HF)is a complex clinical syndrome that promotes high morbidity and multi-systemic damage.Skeletal muscle can be directly affected by HF through a loss of physical capacity and various inflammatory,hormonal,and metabolic mechanisms observed in this cardiac condition,which collectively contribute to a high prevalence of sarcopenia in HF patients.Therefore,the aim of this review was to compile the main recent clinical and epidemiological data on muscle health in HF patients.Nine studies were selected from systematic reviews and clinical trials,which demonstrated a high prevalence of sarcopenia in patients with HF,particularly in males,hospitalized patients,the elderly,and those with HF with reduced ejection fraction.Oxidative stress markers and higher levels of natriuretic peptides were also observed in HF patients who exhibited damaged muscle parameters.Furthermore,the overall deterioration of prognosis in HF was associated with criteria defining sarcopenia,such as low muscle strength and lean mass loss.These findings reinforce the importance of evaluating skeletal muscle in HF patients,which can provide improvements in morbidity and functionality.展开更多
Reservoir-induced landslides in China's Three Gorges Reservoir area are prone to tensile cracks due to the influenceof their own weight and fluctuationsin water levels.The presence of cracks indicates that the ten...Reservoir-induced landslides in China's Three Gorges Reservoir area are prone to tensile cracks due to the influenceof their own weight and fluctuationsin water levels.The presence of cracks indicates that the tensile stress in the area has exceeded the tensile strength of the soil,leading to local instability.To explore the impact of tensile failure behavior on the stability and failure modes of reservoir landslides,the Huangtupo Riverside Slump#1 is taken as a case study.By considering local tensile failure,potential tensile cracks are incorporated into the analysis via the limit equilibrium method and reliability theory.The reliability of landslides under different tensile failure scenarios is quantified.Strain-softening characteristics of the soil are combined to further analyze the failure transmission path of the landslide.Finally,these potential failure modes were validated through physical model tests.The results show that cracks developing at rear positions reduce the stability of the slope and increase the probability of instability.During the destruction process,retrogressive failures with multiple sliding surfaces are likely to occur.However,tensile failure at the forefront reduces the likelihood of an individual slide mass descending.Progressive failure results in both regular and skip transmission patterns.Additionally,cracks and water level changes can also lead to shifts in the positions of the most dangerous blocks.Therefore,in practical landslide analysis and prevention,it is necessary to consider local tensile damage and identify potential tensile crack locations in advance to optimize prevention measures and accurately evaluate landslide risk.展开更多
Wellbore drilling disturbs the equilibrium stress state in the rock mass,resulting in stress redistribution around the opening.Wellbore stability in the altered stress state is vital for engineering applications,as th...Wellbore drilling disturbs the equilibrium stress state in the rock mass,resulting in stress redistribution around the opening.Wellbore stability in the altered stress state is vital for engineering applications,as the wellbore instability results in cost overrun.Accurate estimation of rock mechanical properties,in-situ stresses,and required mud pressure is crucial for safe drilling.If the mud pressure is lower than required,the shear failure of the rock takes place,and conversely,if the mud pressure is higher than the upper limit,tensile failure occurs.A strength criterion that can accurately predict the mud pressure may help significantly reduce nonproductive time and cost in well drilling.The commonly used Mogi-Coulomb(MGC)failure criterion for estimating critical mud pressure neglects the few fundamental aspects of rock failure characteristics observed in the laboratory,such as nonlinear strength response in major-minor principal stress space and prediction of multiple failure stress values near the triaxial axial extension boundary.The present study uses the Modified Mohr-Coulomb true-triaxial failure criterion(MMC_TT),which predicts the strength of rock better than the MGC in laboratory true-triaxial tests to overcome the limitations.Moreover,based on the data from previously published five vertical wells in the Krishna-Godavari basin(K-G basin),an empirical relationship is proposed to obtain the strength parameters for the MMC_TT criterion for shaley sedimentary rocks as the existing correlations do not cater for the parameters required for MMC_TT criterion.The comparative study of the MMC_TT with MGC,Modified Mohr-Coulomb triaxial,and Mohr-Coulomb failure criteria,showed that for most of the K-G basin wells,the MMC_TT criterion predicted close to the MGC.However,for well-13,the MMC_TT criterion results are closer to the mud pressure used in actual drilling than the MGC.展开更多
With the integration of large-scale renewable energy sources(RESs),the line commutated converter(LCC)based high-voltage direct-current(HVDC)inverter side suffers from degraded grid strength and escalating commutation ...With the integration of large-scale renewable energy sources(RESs),the line commutated converter(LCC)based high-voltage direct-current(HVDC)inverter side suffers from degraded grid strength and escalating commutation failure(CF)risks.In comparison with the widely used grid-following(GFL)RESs,grid-forming(GFM)RESs exhibit the favorable characteristics of voltage sources.Therefore,the hybrid operation of GFL-/GFM-RESs holds great potential in voltage support and may help CF suppression.This paper first analyzes the impacts of RESs on the first and subsequent CFs,respectively.It reveals that GFM-RESs alleviate the deterioration of grid voltage induced by GFL-RESs,thereby suppressing the first CF.However,current fault ride-through controls of RESs cannot fulfill the reactive power dynamic demand during the CF recovery process and rarely help mitigate subsequent CFs.Moreover,the limited overcurrent capability of GFM-RES hinders its ability to ride through CF.Based on the mechanism analysis,a CF suppression strategy based on the hybrid GFL/GFM operation is proposed.The proposed strategy optimized the controls of RESs to fulfill reactive power dynamics and offer voltage support during the CF process.Case studies are undertaken on the studied system and the CIGRE benchmark,respectively.The simulation results confirm the effectiveness of the proposed strategy for suppressing CF.展开更多
BACKGROUND Anxiety,depression,and other negative emotions are common among patients with chronic renal failure(CRF).Analyzing the factors related to negative emotions is necessary to provide targeted nursing care.AIM ...BACKGROUND Anxiety,depression,and other negative emotions are common among patients with chronic renal failure(CRF).Analyzing the factors related to negative emotions is necessary to provide targeted nursing care.AIM To explore the correlations among life satisfaction,pleasure levels,and negative emotions in patients with CRF.METHODS One hundred patients with CRF who received therapy at the First Affiliated Hospital of Jinzhou Medical University between December 2022 and February 2025 were included.The Depression,Anxiety,and Stress Scale(DASS-21),Satisfaction with Life Scale(SWLS),and Temporal Experience of Pleasure Scale(TEPS)were used to evaluate negative emotions,life satisfaction,and pleasure level,respectively.Pearson’s correlation coefficient analyzed the correlation between life satisfaction,pleasure level,and negative emotions.Linear regression analysis identified the factors affecting negative emotions.RESULTS The average DASS-21 score among patients with CRF was 51.90±2.30,with subscale scores of 17.90±1.50 for depression,18.53±1.18 for anxiety,and 15.47±2.36 for stress,all significantly higher than the domestic norm(P<0.05).The average SWLS score was 22.17±4.90.Correlation analysis revealed a negative correlation between the SWLS and total DASS-21 scores(P<0.05),but not with the individual depression,anxiety,or stress dimensions.The average TEPS score was 67.80±8.34.TEPS scores were negatively correlated with the DASS-21 score and the stress dimension(P<0.05),but not with depression or anxiety.Linear regression analysis showed that TEPS scores significantly influenced DASS-21 scores(P<0.05).CONCLUSION Patients with CRF experience high levels of negative emotions,which are negatively correlated with life satisfaction and pleasure.Furthermore,pleasure level had an impact on negative emotions.展开更多
BACKGROUND Congenital hypothyroidism(CH)is a common condition in both preterm and term infants characterized by either thyroid gland absence or hypofunctionality.The clinical association of refractory lactic acidosis ...BACKGROUND Congenital hypothyroidism(CH)is a common condition in both preterm and term infants characterized by either thyroid gland absence or hypofunctionality.The clinical association of refractory lactic acidosis and heart failure has rarely been observed in cases of pediatric patients with CH pathology.Here,we explored the etiological relationship between CH,heart failure,and refractory lactic acidosis to reflect the importance of thyroid function screening in neonates with heart disease.CASE SUMMARY A 33-day-old extremely premature female infant presented with tachypnea,respiratory distress,recurrent infections,and abdominal distension postnatal.On admission to our facility,she had cardiomegaly,hepatomegaly,and lactic acidosis(revealed on blood gas analysis),with lactate progressively rising to 25 mmol/L.Chest radiographs showed pulmonary congestion,while echocardiography revealed cardiac enlargement,left ventricular wall thickening,and pericardial effusion.Initial management aimed at correcting acidosis and treating heart failure proved ineffective.After reassessment,thyroid function tests showed significantly decreased triiodothyronine,free triiodothyronine,thyroxine,and free thyroxine levels,with a significantly increased thyroidstimulating hormone level,confirming a CH diagnosis.Levothyroxine was administered,resulting in rapid correction of lactic acidosis and gradual improvement of thyroid function and systemic symptoms,culminating in full recovery and discharge.We also reviewed the relevant literature on thyroid and cardiac dysfunctions in order to explore their deeper association.CONCLUSION This case links CH-induced heart failure with refractory lactic acidosis,urging prompt thyroid screening in affected neonates to reduce mortality.展开更多
Objective:This integrative review aims to synthesize observational evidence on the prevalence,predictors,and psychosocial correlates of death anxiety in patients with hear t failure(HF).Methods:A comprehensive literat...Objective:This integrative review aims to synthesize observational evidence on the prevalence,predictors,and psychosocial correlates of death anxiety in patients with hear t failure(HF).Methods:A comprehensive literature search was conducted using 5 major databases:Scopus,Pub Med,Science Direct,Embase,and Pro Quest.Inclusion criteria were primary research studies published in English between January 2014 and March 2025 that quantitatively assessed death anxiety among patients with HF and explored its associations with demographic,clinical,or psychosocial variables.Results:A total of 12 eligible studies were identified and systematically reviewed,revealing that death anxiety is moderate to high among most samples.Key predictors of this anxiety included older age,feelings of loneliness,low socioeconomic status,and longer duration of HF.Additionally,several studies highlighted protective factors such as spiritual orientation,religious coping,and resilience.Interventions,including cognitive-behavioral therapy(CBT)and illness perception training,showed significant reductions in death anxiety.Conclusions:Death anxiety is a prevalent and impactful concern among Patients with HF,influenced by both individual and contextual factors.Routine assessment and integration of psychosocial and spiritual care—alongside evidence-based psychological interventions—are essential to address this critical aspect of HF management.展开更多
The axial load-bearing capacity of grouted anchorage systems is critical for rock reinforcement and reflects the interactions among system components.Hence,the mechanical response and failure characteristics of the an...The axial load-bearing capacity of grouted anchorage systems is critical for rock reinforcement and reflects the interactions among system components.Hence,the mechanical response and failure characteristics of the anchorage system under axial loading are of vital importance.They serve as the foundation for establishing the mechanical model of the anchorage system and provide significant guidance for the optimization design of bolts and the assessment of anchorage conditions.However,as the most widely used research method,current pullout tests have not paid sufficient attention to simulating actual rock mass stiffness,have not fully revealed the radial mechanical response during the pullout process,and have not clarified the locations and modes of pullout failure.To address these issues,a testing method simulating hard rock stiffness and strength was developed using elasticity and stiffness equivalence theories.Tests revealed three anchorage failure modes under equivalent hard rock stiffness:tooth cutting,sliding,and sliding-tooth cutting composite failure,with the composite failure being dominant.The pullout load-displacement curves exhibited bimodal patterns for composite failure and single peaks for tooth cutting and sliding failures.Post-peak softening showed up-convex curves for tooth cutting and down-concave curves for sliding failure,while bolt yielding displayed distinct plateaus.The radial stress trends at the rock-grout interface paralleled pullout load curves,with sliding failure exhibiting approximately 10 MPa lower peak radial stress compared to tooth cutting failure.Anchorage length most strongly affected peak load,while grout properties predominantly governed failure mode.展开更多
Chronic heart failure(CHF)impairs cognitive function.Xijiaqi Formula(XJQ),a traditional Chinese medicine(TCM)used clinically to treat CHF,demonstrates potential for improving cognition in CHF patients.However,its prec...Chronic heart failure(CHF)impairs cognitive function.Xijiaqi Formula(XJQ),a traditional Chinese medicine(TCM)used clinically to treat CHF,demonstrates potential for improving cognition in CHF patients.However,its precise mechanism in treating post-CHF cognitive dysfunction remains unclear.This study systematically investigates XJQ’s effects on post-CHF cognitive dysfunction and the underlying mechanisms.The components of XJQ were identified through liquid chromatography-mass spectrometry.CHF was induced in rats via ligation of the left anterior descending coronary artery,followed by six weeks of XJQ treatment.Cardiac function was evaluated through echocardiography and hemodynamic parameters,while cognitive function was assessed using Morris water maze(MWM)and open field tests(OFT).XJQ treatment enhanced both cardiac and cognitive functions in CHF rats.Network pharmacology identified 12 core active components of XJQ and indicated its effect on cognitive dysfunction involved regulating synapses,inflammation,and phosphodiesterase 4(PDE4)-dependent cyclic adenosine monophosphate(cAMP)signaling.XJQ inhibited microglial and astrocyte activation,decreased proinflammatory cytokines,and mitigated neuronal damage.Notably,XJQ promoted synaptic repair and dendritic growth by downregulating PDE4 and upregulating cAMP,protein kinase A(PKA),cAMP-response element binding protein(CREB),brain-derived neurotrophic factor(BDNF),PSD95,and synapsin I levels.Molecular docking and Bio-layer interferometry assays confirmed direct binding of quercetin,kaempferol,isorhamnetin,and darutoside to PDE4.In conclusion,XJQ alleviates neuroinflammation and enhances synaptic plasticity to improve cognitive dysfunction in CHF rats via the PDE4/cAMP/PKA/CREB signaling pathway.These findings provide valuable insight into the heart-brain axis.展开更多
Objective: To conduct a scoping review of kinesiophobia among primary caregivers of patients with chronic heart failure (CHF). Methods: Following a scoping review methodological framework, PubMed, Web of Science, Emba...Objective: To conduct a scoping review of kinesiophobia among primary caregivers of patients with chronic heart failure (CHF). Methods: Following a scoping review methodological framework, PubMed, Web of Science, Embase, Cochrane Library, CINAHL, CNKI, SinoMed, Wanfang, and VIP were searched from inception to 30 June 2025. Relevant studies on kinesiophobia in primary caregivers of CHF patients were identified, summarized, and analyzed. Results: A total of 24 studies were included. Caregivers generally showed insufficient exercise-related knowledge, particularly regarding appropriate exercise intensity and risk recognition. At the cognitive-affective level, caregivers exhibited a pronounced “substitutive” kinesiophobia, characterized by excessive worry about potential adverse events induced by patients’ physical activity. At the behavioral level, this was reflected in restricting patients’ activities and avoiding assisting with exercise, which in turn reduced patients’ adherence to cardiac rehabilitation. Conclusion: Kinesiophobia among primary caregivers of CHF patients arises mainly from cognitive deficits and protective psychological mechanisms. Individualized education and professional guidance are needed to enhance caregivers’ exercise management competence and thereby optimize patients’ rehabilitation outcomes.展开更多
Objective:Heart failure(HF)is a complex clinical syndrome that affects nearly 64 million individuals globally.Frequent hospital readmissions lead to poor health outcomes,impact quality of life(QoL),and are associated ...Objective:Heart failure(HF)is a complex clinical syndrome that affects nearly 64 million individuals globally.Frequent hospital readmissions lead to poor health outcomes,impact quality of life(QoL),and are associated with high mortality rates.This study assessed readmissions,mortality,and QoL outcomes in patients with HF in a tertiary care hospital setting.Methods:Patients aged≥18 years with HF,who visited the tertiary care hospital in Karad,India were included in the study(November2019 to October 2021).Demographics,disease characteristics,and condition at discharge were recorded using the medical records of patients.The quantitative data included readmission rates and mortality rates.The qualitative aspects describing patients'QoL were assessed using a patient-reported 21-question QoL questionnaire.Results:A total of 98 patients,predominantly male(63.3%),with a mean age of 62.9 years were included.The majority of the patients(80.6%)required<15 days of hospitalization.The 2-year readmission rate was 24.4%,while the mortality rate was 43.9%.Self-care pattern showed that patients seemed to be taking mild to average care while taking good care was rare.The QoL data showed that 22.4% were living a good quality life,44.9% average,while 32.7% were living a low-quality life.Better education and better self-care were associated with a low rate of readmission.Conclusions:We were able to assess the incidence of readmission,mortality,and QoL in patients with HF in a tertiary care hospital setting.The study showed that HF impacts patients'physical,emotional,and psychological wellbeing.展开更多
According to the dynamic interaction process between cyber flow and power flow in grid cyber-physical systems(GCPS),attackers could gradually trigger large-scale power failures through cooperative cyber-attacks,subseq...According to the dynamic interaction process between cyber flow and power flow in grid cyber-physical systems(GCPS),attackers could gradually trigger large-scale power failures through cooperative cyber-attacks,subsequently forming cross-domain cascading failures(CDCF)that cross cyber-domain and power-domain and endanger the stable running of GCPS.To reveal the evolutionary mechanism of CDCF,an optimal attack scheme evaluation method is proposed,considering the spatiotemporal synergy of multiple attack-event-chains.First,in accordance with the spatiotemporal synergy of multiple attack-event-chains,the CDCF evolutionary mechanism is analyzed from the attackers'perspective,and a CDCF mathematical model is established.Furthermore,an attack graph model of CDCF evolution and its hazard calculation method are proposed.Then,the attackers'decision-making process for the optimal attack scheme of CDCF is deduced based on the attack graph model.Finally,both the evaluation and implementation processes of the optimal attack scheme are simulated in the GCPS experimental system based on IEEE-39 bus systems.展开更多
Objective To determine whether frailty is a risk factor for hospitalization and mortality in older adults enrolled in the "Chronic Heart Failure Program" at a hospital in Lima, Peru, between 2018–2021.Metho...Objective To determine whether frailty is a risk factor for hospitalization and mortality in older adults enrolled in the "Chronic Heart Failure Program" at a hospital in Lima, Peru, between 2018–2021.Methods This was an ambispective cohort study. A total of 85 older adults participating in the Chronic Heart Failure Program at Guillermo Almenara National Hospital were included. Each had an initial frailty assessment, forming two cohorts: frail and non-frail older adults. Medical records were reviewed, and patients were followed for one year to track events of interest(hospitalization and mortality). Overall survival and risk factors for hospitalization and death were determined.Results During follow-up, 15.3% of the older adults died, and frailty was identified in 58.8% of the patients. Overall survival using the Kaplan-Meier method was 96.5% at 3 months after entering the Chronic Heart Failure Program;92.9% at 6 months;and85.9% at one year. Multivariate analysis using Poisson regression found that frailty was not a risk factor for hospitalization(a RR =0.92;95% CI: 0.42–2.03). Survival analysis using the Cox proportional hazards model showed that frailty was also not a risk factor for mortality after one year of follow-up(a HR = 1.32;95% CI: 0.27–6.53).Conclusions Our research does not confirm frailty as a risk factor for hospitalization or mortality in older adults enrolled in the“Chronic Heart Failure Program” after one year of follow-up.展开更多
Dynamic disturbances with various frequencies could trigger different failure modes of deep excavations.Superimposed on this static stress are dynamic disturbances due to various dynamic vibrations,e.g.excavation blas...Dynamic disturbances with various frequencies could trigger different failure modes of deep excavations.Superimposed on this static stress are dynamic disturbances due to various dynamic vibrations,e.g.excavation blasting,blasting,tunnel boring machine(TBM)vibration,rockburst wave,earthquakes.Specifically,these dynamic sources are characterized by a wide range of wave frequencies f,resulting in differences in failure modes.A series of true-triaxial compression tests were conducted on granite to simulate the excavation-induced stress path in three-dimensional(3D)stresses.Subsequently,a dynamic disturbance with various frequencies was applied to a cuboid specimen,to reveal the behavior associated with brittle failure.The dynamic disturbance with frequencies f of 5 Hz,10 Hz,and 40 Hz generates less disturbed energy components in the granite together with higher peak strength.However,dynamic disturbances with f of 20 Hz and 30 Hz resulted in a lower peak strength;the peak strength of the rock increases sp albeit it decreases at first,then increases.This U-shaped phenomenon relates to the natural frequency of the granite under such stress conditions.Different rock lithologies consisting of diverse mineral composition,respond differently to each sensitive resonance frequency.Interestingly,the weak disturbance stress with a high frequency f and low amplitude A increases the ratio of crack damage to peak strength(scd/sp)in the granite.This leads to the inhibition of the expansion of the granite during the dynamic disturbance process.Multiple penetrating tensileeshear cracks appear in the s3-direction as the disturbance frequency f increases.展开更多
The J55 tubing thread fastener in an electric pump well experienced corrosion failure.The causes of the failure were investigated through physical and chemical property tests,corrosion product analysis,and microbial a...The J55 tubing thread fastener in an electric pump well experienced corrosion failure.The causes of the failure were investigated through physical and chemical property tests,corrosion product analysis,and microbial analysis.The results show that the metallographic structure and composition of the J55 tubing were normal.CO 2 corrosion was not the main cause of the thread fastener failure.The actual cause of the corrosion failure was microbiological corrosion,such as sulfate-reducing bacteria,thiosulfate-reducing bacteria,and iron-oxidizing bacteria.展开更多
Investigating the damage evolution of surrounding rock under thermal shock cycles is crucial for ensuring the stability of engineering rock masses.This study performed Brazilian splitting tests on granite specimens un...Investigating the damage evolution of surrounding rock under thermal shock cycles is crucial for ensuring the stability of engineering rock masses.This study performed Brazilian splitting tests on granite specimens under varying temperature and cycle conditions,employing acoustic emission monitoring,digital image correlation,and three-dimensional scanning technology.A systematic analysis was conducted on the patterns of damage evolution,failure precursor,and response mechanisms under combined thermal and cyclic loading.Experimental results show that both P-wave velocity and tensile strength degrade significantly with increasing temperature and cycle count,with temperature having a more pronounced effect than cycle count.Notably,damage evolution exhibits a dual-threshold behavior in which degradation accelerates markedly above 400℃ and stabilizes after 5 thermal cycles.Fracture surfaces evolve from initially planar to rugged morphologies,with peak-valley height differences at 600℃ being approximately three times greater than those at 200℃.Furthermore,based on acoustic emission energy entropy analysis,we introduce a novel failure precursor indicator where the sustained increase and critical surge in average entropy serve as reliable early-warning signals for impending rock failure.These findings establish a solid theoretical basis and practical methodology for damage assessment and instability early-warning systems in high-temperature rock engineering.展开更多
Background:High-mobility group box 1(HMGB1)is a critical damage-associated molecular pattern protein that participates in diverse physiological and pathological processes.However,its relevance to the prognosis of arti...Background:High-mobility group box 1(HMGB1)is a critical damage-associated molecular pattern protein that participates in diverse physiological and pathological processes.However,its relevance to the prognosis of artificial liver support therapy in patients with acute liver injury(ALF)remains unclear.Methods:Bioinformatics analyses were performed to identify HMGB1-interacting proteins and associated inflammatory signaling pathways.Peripheral blood samples were collected from ALF patients before and after artificial liver support therapy,and serum HMGB1 concentrations were quantified using ELISA.Primary mouse hepatocytes were stimulated with lipopolysaccharide(LPS)in vitro and HMGB1 expression was verified by western blot.Results:Single-cell transcriptomic profiling showed that HMGB1 is widely expressed across tissues and predominantly localized in the nucleus.In the liver,HMGB1 was primarily expressed in hepatocytes and hepatic stellate cells.STRING database analysis revealed that human HMGB1 interacts with multiple proteins,including TLR4,TP53,and BECN1.The constructed interaction network comprised 11 nodes with an average local clustering coefficient of 0.888,and the protein–protein interaction enrichment P-value was 1.42×10^(-5),indicating significant enrichment.Gene Ontology and KEGG pathway enrichment analyses demonstrated that HMGB1 is closely linked to inflammatory and injury-related signaling pathways,including the TLR and NLR pathways.Metabolomic profiling revealed significant metabolic alterations between patients with ALF and healthy controls under both positive and negative ion modes and functional analysis showed necroptosis was activated.The cell viability gradually decreased with time and dose under LPS treatment and extracellular HMGB1 was upregulated in LPS induced ALF model and patients(P<0.05).Serum HMGB1/RIPK3/MLKL levels were markedly elevated in ALF patients compared with controls(P<0.05)and progressively declined following artificial liver support therapy.Furthermore,elevated HMGB1 concentrations were positively correlated with unfavorable clinical outcomes.Conclusion:Peripheral blood HMGB1 levels are significantly increased in patients with acute liver failure,decrease following artificial liver support therapy,and are positively associated with poor clinical prognosis.展开更多
Formation control of multiple spacecraft has attracted extensive research attention.However,achieving reliable performance under sensor failures remains a significant challenge.This paper develops an integrated framew...Formation control of multiple spacecraft has attracted extensive research attention.However,achieving reliable performance under sensor failures remains a significant challenge.This paper develops an integrated framework that jointly designs distributed observers and local controllers to ensure robust formation control in the presence of external disturbances and sensor malfunctions.Treating the spacecraft formation as a single interconnected system,each spacecraft constructs a distributed observer that estimates the overall system state by incorporating both its own measurements and the predicted control information shared among the spacecraft.Based on the observer estimates,a local control law is synthesized to maintain the desired formation.Rigorous theoretical analysis and numerical simulations demonstrate that the proposed integrated approach effectively guarantees formation stability and resilience against sensor failures and disturbances.展开更多
基金Youth Innovation Team of Shandong Higher Education Institutions,Grant/Award Number:2022KJ214Shandong Postdoctoral Science Foundation,Grant/Award Number:SDCXZG‐202303031+2 种基金China Postdoctoral Science Foundation,Grant/Award Number:2023M732109National Natural Science Foundation of China,Grant/Award Number:52209141Natural Science Foundation of Shandong Province,China,Grant/Award Number:ZR2021QE069。
文摘The deformation and failure of coal walls in front of a working face cause significant difficulties during mining operations.This study reveals the nonuniform distribution of bearing pressure in front of coal walls based on in situ monitoring data and numerical simulation.Therefore,an eccentric compression mechanical model was established to study the deformation and failure characteristics of a coal wall.The slenderness ratio of the compression bar is introduced to define coal walls.The results showed that instability failure occurs when λ>λ_(c) and material failure occurs when λ≤λ_(c).The instability failure-type coal wall spalling was related to the mining height,eccentricity of roof pressure,the horizontal force,and the reaction moment of the floor.The material failure-type coal wall spalling was related to the cohesion,the internal friction angle of the coal,the upper pressure,and the horizontal force of coal walls.Unstable and destructive coal wall peeling usually occurs at a height of 0.5–0.6 times the mining height,while material damage to coal wall peeling is determined to occur within the range of 0.4-0.6 times the mining depth.The findings contribute to the understanding of the deformation and failure of coal walls.
文摘Background Frailty is common and significantly impacts prognosis in heart failure(HF). The Vulnerable Elders Survey-13(VES-13), widely used in oncogeriatrics and public health, remains unexplored as a frailty screening tool in HF outpatients. In this study, we prospectively evaluated VES-13 against a multimodal screening assessment in detecting frailty and predicting individual risk of adverse prognosis.Methods Frailty was assessed at the initial visit using both a multimodal approach, incorporating Barthel Index, Older American Resources and Services scale, Pfeiffer Test, abbreviated Geriatric Depression Scale, age > 85 years, lacking support systems,and VES-13. Patients scoring ≥ 3 on VES-13 or meeting at least one multimodal criterion were classified as frail. Endpoints included all-cause mortality, a composite of death or HF hospitalization, and recurrent HF hospitalizations.Results A total of 301 patients were evaluated. VES-13 identified 40.2% as frail and the multimodal assessment 33.2%. In Cox regression analyses, frailty identified by VES-13 showed greater prognostic significance than the multimodal assessment for allcause mortality(HR = 3.70 [2.15–6.33], P < 0.001 vs. 2.40 [1.46–4.0], P = 0.001) and the composite endpoint(HR = 3.13 [2.02–4.84], P< 0.001 vs. 1.96 [1.28–2.99], P = 0.002). Recurrent HF hospitalizations were four times more frequent in VES-13 frail patients while two times in those identified as frail by the multimodal assessment. Additionally, stratifying patients by VES-13 tertiles provided robust risk differentiation.Conclusions VES-13, a simple frailty tool, outperformed a comprehensive multimodal assessment and could be easily integrated into routine HF care, highlighting its clinical utility in identifying patients at risk for poor outcomes.
文摘Heart failure(HF)is a complex clinical syndrome that promotes high morbidity and multi-systemic damage.Skeletal muscle can be directly affected by HF through a loss of physical capacity and various inflammatory,hormonal,and metabolic mechanisms observed in this cardiac condition,which collectively contribute to a high prevalence of sarcopenia in HF patients.Therefore,the aim of this review was to compile the main recent clinical and epidemiological data on muscle health in HF patients.Nine studies were selected from systematic reviews and clinical trials,which demonstrated a high prevalence of sarcopenia in patients with HF,particularly in males,hospitalized patients,the elderly,and those with HF with reduced ejection fraction.Oxidative stress markers and higher levels of natriuretic peptides were also observed in HF patients who exhibited damaged muscle parameters.Furthermore,the overall deterioration of prognosis in HF was associated with criteria defining sarcopenia,such as low muscle strength and lean mass loss.These findings reinforce the importance of evaluating skeletal muscle in HF patients,which can provide improvements in morbidity and functionality.
基金supported by the Major Program of National Natural Science Foundation of China(Grant No.42090055)the National Key ScientificInstruments and Equipment Development Projects of China(Grant No.41827808)the National Nature Science Foundation of China(Grant No.42207216).
文摘Reservoir-induced landslides in China's Three Gorges Reservoir area are prone to tensile cracks due to the influenceof their own weight and fluctuationsin water levels.The presence of cracks indicates that the tensile stress in the area has exceeded the tensile strength of the soil,leading to local instability.To explore the impact of tensile failure behavior on the stability and failure modes of reservoir landslides,the Huangtupo Riverside Slump#1 is taken as a case study.By considering local tensile failure,potential tensile cracks are incorporated into the analysis via the limit equilibrium method and reliability theory.The reliability of landslides under different tensile failure scenarios is quantified.Strain-softening characteristics of the soil are combined to further analyze the failure transmission path of the landslide.Finally,these potential failure modes were validated through physical model tests.The results show that cracks developing at rear positions reduce the stability of the slope and increase the probability of instability.During the destruction process,retrogressive failures with multiple sliding surfaces are likely to occur.However,tensile failure at the forefront reduces the likelihood of an individual slide mass descending.Progressive failure results in both regular and skip transmission patterns.Additionally,cracks and water level changes can also lead to shifts in the positions of the most dangerous blocks.Therefore,in practical landslide analysis and prevention,it is necessary to consider local tensile damage and identify potential tensile crack locations in advance to optimize prevention measures and accurately evaluate landslide risk.
文摘Wellbore drilling disturbs the equilibrium stress state in the rock mass,resulting in stress redistribution around the opening.Wellbore stability in the altered stress state is vital for engineering applications,as the wellbore instability results in cost overrun.Accurate estimation of rock mechanical properties,in-situ stresses,and required mud pressure is crucial for safe drilling.If the mud pressure is lower than required,the shear failure of the rock takes place,and conversely,if the mud pressure is higher than the upper limit,tensile failure occurs.A strength criterion that can accurately predict the mud pressure may help significantly reduce nonproductive time and cost in well drilling.The commonly used Mogi-Coulomb(MGC)failure criterion for estimating critical mud pressure neglects the few fundamental aspects of rock failure characteristics observed in the laboratory,such as nonlinear strength response in major-minor principal stress space and prediction of multiple failure stress values near the triaxial axial extension boundary.The present study uses the Modified Mohr-Coulomb true-triaxial failure criterion(MMC_TT),which predicts the strength of rock better than the MGC in laboratory true-triaxial tests to overcome the limitations.Moreover,based on the data from previously published five vertical wells in the Krishna-Godavari basin(K-G basin),an empirical relationship is proposed to obtain the strength parameters for the MMC_TT criterion for shaley sedimentary rocks as the existing correlations do not cater for the parameters required for MMC_TT criterion.The comparative study of the MMC_TT with MGC,Modified Mohr-Coulomb triaxial,and Mohr-Coulomb failure criteria,showed that for most of the K-G basin wells,the MMC_TT criterion predicted close to the MGC.However,for well-13,the MMC_TT criterion results are closer to the mud pressure used in actual drilling than the MGC.
基金supported by the National Natural Science Foundation of China under Grant 52225704 and Grant U23B20120.
文摘With the integration of large-scale renewable energy sources(RESs),the line commutated converter(LCC)based high-voltage direct-current(HVDC)inverter side suffers from degraded grid strength and escalating commutation failure(CF)risks.In comparison with the widely used grid-following(GFL)RESs,grid-forming(GFM)RESs exhibit the favorable characteristics of voltage sources.Therefore,the hybrid operation of GFL-/GFM-RESs holds great potential in voltage support and may help CF suppression.This paper first analyzes the impacts of RESs on the first and subsequent CFs,respectively.It reveals that GFM-RESs alleviate the deterioration of grid voltage induced by GFL-RESs,thereby suppressing the first CF.However,current fault ride-through controls of RESs cannot fulfill the reactive power dynamic demand during the CF recovery process and rarely help mitigate subsequent CFs.Moreover,the limited overcurrent capability of GFM-RES hinders its ability to ride through CF.Based on the mechanism analysis,a CF suppression strategy based on the hybrid GFL/GFM operation is proposed.The proposed strategy optimized the controls of RESs to fulfill reactive power dynamics and offer voltage support during the CF process.Case studies are undertaken on the studied system and the CIGRE benchmark,respectively.The simulation results confirm the effectiveness of the proposed strategy for suppressing CF.
文摘BACKGROUND Anxiety,depression,and other negative emotions are common among patients with chronic renal failure(CRF).Analyzing the factors related to negative emotions is necessary to provide targeted nursing care.AIM To explore the correlations among life satisfaction,pleasure levels,and negative emotions in patients with CRF.METHODS One hundred patients with CRF who received therapy at the First Affiliated Hospital of Jinzhou Medical University between December 2022 and February 2025 were included.The Depression,Anxiety,and Stress Scale(DASS-21),Satisfaction with Life Scale(SWLS),and Temporal Experience of Pleasure Scale(TEPS)were used to evaluate negative emotions,life satisfaction,and pleasure level,respectively.Pearson’s correlation coefficient analyzed the correlation between life satisfaction,pleasure level,and negative emotions.Linear regression analysis identified the factors affecting negative emotions.RESULTS The average DASS-21 score among patients with CRF was 51.90±2.30,with subscale scores of 17.90±1.50 for depression,18.53±1.18 for anxiety,and 15.47±2.36 for stress,all significantly higher than the domestic norm(P<0.05).The average SWLS score was 22.17±4.90.Correlation analysis revealed a negative correlation between the SWLS and total DASS-21 scores(P<0.05),but not with the individual depression,anxiety,or stress dimensions.The average TEPS score was 67.80±8.34.TEPS scores were negatively correlated with the DASS-21 score and the stress dimension(P<0.05),but not with depression or anxiety.Linear regression analysis showed that TEPS scores significantly influenced DASS-21 scores(P<0.05).CONCLUSION Patients with CRF experience high levels of negative emotions,which are negatively correlated with life satisfaction and pleasure.Furthermore,pleasure level had an impact on negative emotions.
文摘BACKGROUND Congenital hypothyroidism(CH)is a common condition in both preterm and term infants characterized by either thyroid gland absence or hypofunctionality.The clinical association of refractory lactic acidosis and heart failure has rarely been observed in cases of pediatric patients with CH pathology.Here,we explored the etiological relationship between CH,heart failure,and refractory lactic acidosis to reflect the importance of thyroid function screening in neonates with heart disease.CASE SUMMARY A 33-day-old extremely premature female infant presented with tachypnea,respiratory distress,recurrent infections,and abdominal distension postnatal.On admission to our facility,she had cardiomegaly,hepatomegaly,and lactic acidosis(revealed on blood gas analysis),with lactate progressively rising to 25 mmol/L.Chest radiographs showed pulmonary congestion,while echocardiography revealed cardiac enlargement,left ventricular wall thickening,and pericardial effusion.Initial management aimed at correcting acidosis and treating heart failure proved ineffective.After reassessment,thyroid function tests showed significantly decreased triiodothyronine,free triiodothyronine,thyroxine,and free thyroxine levels,with a significantly increased thyroidstimulating hormone level,confirming a CH diagnosis.Levothyroxine was administered,resulting in rapid correction of lactic acidosis and gradual improvement of thyroid function and systemic symptoms,culminating in full recovery and discharge.We also reviewed the relevant literature on thyroid and cardiac dysfunctions in order to explore their deeper association.CONCLUSION This case links CH-induced heart failure with refractory lactic acidosis,urging prompt thyroid screening in affected neonates to reduce mortality.
文摘Objective:This integrative review aims to synthesize observational evidence on the prevalence,predictors,and psychosocial correlates of death anxiety in patients with hear t failure(HF).Methods:A comprehensive literature search was conducted using 5 major databases:Scopus,Pub Med,Science Direct,Embase,and Pro Quest.Inclusion criteria were primary research studies published in English between January 2014 and March 2025 that quantitatively assessed death anxiety among patients with HF and explored its associations with demographic,clinical,or psychosocial variables.Results:A total of 12 eligible studies were identified and systematically reviewed,revealing that death anxiety is moderate to high among most samples.Key predictors of this anxiety included older age,feelings of loneliness,low socioeconomic status,and longer duration of HF.Additionally,several studies highlighted protective factors such as spiritual orientation,religious coping,and resilience.Interventions,including cognitive-behavioral therapy(CBT)and illness perception training,showed significant reductions in death anxiety.Conclusions:Death anxiety is a prevalent and impactful concern among Patients with HF,influenced by both individual and contextual factors.Routine assessment and integration of psychosocial and spiritual care—alongside evidence-based psychological interventions—are essential to address this critical aspect of HF management.
基金supported by the National Natural Science Foundation of China(Grant No.52279116)the Key Projects of the Yalong River Joint Fund of the National Natural Science Foundation of China(Grant No.U1865203).
文摘The axial load-bearing capacity of grouted anchorage systems is critical for rock reinforcement and reflects the interactions among system components.Hence,the mechanical response and failure characteristics of the anchorage system under axial loading are of vital importance.They serve as the foundation for establishing the mechanical model of the anchorage system and provide significant guidance for the optimization design of bolts and the assessment of anchorage conditions.However,as the most widely used research method,current pullout tests have not paid sufficient attention to simulating actual rock mass stiffness,have not fully revealed the radial mechanical response during the pullout process,and have not clarified the locations and modes of pullout failure.To address these issues,a testing method simulating hard rock stiffness and strength was developed using elasticity and stiffness equivalence theories.Tests revealed three anchorage failure modes under equivalent hard rock stiffness:tooth cutting,sliding,and sliding-tooth cutting composite failure,with the composite failure being dominant.The pullout load-displacement curves exhibited bimodal patterns for composite failure and single peaks for tooth cutting and sliding failures.Post-peak softening showed up-convex curves for tooth cutting and down-concave curves for sliding failure,while bolt yielding displayed distinct plateaus.The radial stress trends at the rock-grout interface paralleled pullout load curves,with sliding failure exhibiting approximately 10 MPa lower peak radial stress compared to tooth cutting failure.Anchorage length most strongly affected peak load,while grout properties predominantly governed failure mode.
基金supported by the National Natural Science Foundation of China(Nos.82430116 and 82574622)the Special Fund of Central Committee High Level Chinese Medicine Hospital(Nos.DZMG-LJRC-0014,DZMG-ZJXY-23013)+1 种基金Chinese Medicine Inheritance and Innovation“Thousand Million”Talents Project(Qihuang Project 2021)Qihuang Scholarsthe Medical and Health Industry Development Project of Tongzhou District(2023).
文摘Chronic heart failure(CHF)impairs cognitive function.Xijiaqi Formula(XJQ),a traditional Chinese medicine(TCM)used clinically to treat CHF,demonstrates potential for improving cognition in CHF patients.However,its precise mechanism in treating post-CHF cognitive dysfunction remains unclear.This study systematically investigates XJQ’s effects on post-CHF cognitive dysfunction and the underlying mechanisms.The components of XJQ were identified through liquid chromatography-mass spectrometry.CHF was induced in rats via ligation of the left anterior descending coronary artery,followed by six weeks of XJQ treatment.Cardiac function was evaluated through echocardiography and hemodynamic parameters,while cognitive function was assessed using Morris water maze(MWM)and open field tests(OFT).XJQ treatment enhanced both cardiac and cognitive functions in CHF rats.Network pharmacology identified 12 core active components of XJQ and indicated its effect on cognitive dysfunction involved regulating synapses,inflammation,and phosphodiesterase 4(PDE4)-dependent cyclic adenosine monophosphate(cAMP)signaling.XJQ inhibited microglial and astrocyte activation,decreased proinflammatory cytokines,and mitigated neuronal damage.Notably,XJQ promoted synaptic repair and dendritic growth by downregulating PDE4 and upregulating cAMP,protein kinase A(PKA),cAMP-response element binding protein(CREB),brain-derived neurotrophic factor(BDNF),PSD95,and synapsin I levels.Molecular docking and Bio-layer interferometry assays confirmed direct binding of quercetin,kaempferol,isorhamnetin,and darutoside to PDE4.In conclusion,XJQ alleviates neuroinflammation and enhances synaptic plasticity to improve cognitive dysfunction in CHF rats via the PDE4/cAMP/PKA/CREB signaling pathway.These findings provide valuable insight into the heart-brain axis.
文摘Objective: To conduct a scoping review of kinesiophobia among primary caregivers of patients with chronic heart failure (CHF). Methods: Following a scoping review methodological framework, PubMed, Web of Science, Embase, Cochrane Library, CINAHL, CNKI, SinoMed, Wanfang, and VIP were searched from inception to 30 June 2025. Relevant studies on kinesiophobia in primary caregivers of CHF patients were identified, summarized, and analyzed. Results: A total of 24 studies were included. Caregivers generally showed insufficient exercise-related knowledge, particularly regarding appropriate exercise intensity and risk recognition. At the cognitive-affective level, caregivers exhibited a pronounced “substitutive” kinesiophobia, characterized by excessive worry about potential adverse events induced by patients’ physical activity. At the behavioral level, this was reflected in restricting patients’ activities and avoiding assisting with exercise, which in turn reduced patients’ adherence to cardiac rehabilitation. Conclusion: Kinesiophobia among primary caregivers of CHF patients arises mainly from cognitive deficits and protective psychological mechanisms. Individualized education and professional guidance are needed to enhance caregivers’ exercise management competence and thereby optimize patients’ rehabilitation outcomes.
文摘Objective:Heart failure(HF)is a complex clinical syndrome that affects nearly 64 million individuals globally.Frequent hospital readmissions lead to poor health outcomes,impact quality of life(QoL),and are associated with high mortality rates.This study assessed readmissions,mortality,and QoL outcomes in patients with HF in a tertiary care hospital setting.Methods:Patients aged≥18 years with HF,who visited the tertiary care hospital in Karad,India were included in the study(November2019 to October 2021).Demographics,disease characteristics,and condition at discharge were recorded using the medical records of patients.The quantitative data included readmission rates and mortality rates.The qualitative aspects describing patients'QoL were assessed using a patient-reported 21-question QoL questionnaire.Results:A total of 98 patients,predominantly male(63.3%),with a mean age of 62.9 years were included.The majority of the patients(80.6%)required<15 days of hospitalization.The 2-year readmission rate was 24.4%,while the mortality rate was 43.9%.Self-care pattern showed that patients seemed to be taking mild to average care while taking good care was rare.The QoL data showed that 22.4% were living a good quality life,44.9% average,while 32.7% were living a low-quality life.Better education and better self-care were associated with a low rate of readmission.Conclusions:We were able to assess the incidence of readmission,mortality,and QoL in patients with HF in a tertiary care hospital setting.The study showed that HF impacts patients'physical,emotional,and psychological wellbeing.
基金supported by National Natural Science Foundation of China(51977155 and 61833008).
文摘According to the dynamic interaction process between cyber flow and power flow in grid cyber-physical systems(GCPS),attackers could gradually trigger large-scale power failures through cooperative cyber-attacks,subsequently forming cross-domain cascading failures(CDCF)that cross cyber-domain and power-domain and endanger the stable running of GCPS.To reveal the evolutionary mechanism of CDCF,an optimal attack scheme evaluation method is proposed,considering the spatiotemporal synergy of multiple attack-event-chains.First,in accordance with the spatiotemporal synergy of multiple attack-event-chains,the CDCF evolutionary mechanism is analyzed from the attackers'perspective,and a CDCF mathematical model is established.Furthermore,an attack graph model of CDCF evolution and its hazard calculation method are proposed.Then,the attackers'decision-making process for the optimal attack scheme of CDCF is deduced based on the attack graph model.Finally,both the evaluation and implementation processes of the optimal attack scheme are simulated in the GCPS experimental system based on IEEE-39 bus systems.
文摘Objective To determine whether frailty is a risk factor for hospitalization and mortality in older adults enrolled in the "Chronic Heart Failure Program" at a hospital in Lima, Peru, between 2018–2021.Methods This was an ambispective cohort study. A total of 85 older adults participating in the Chronic Heart Failure Program at Guillermo Almenara National Hospital were included. Each had an initial frailty assessment, forming two cohorts: frail and non-frail older adults. Medical records were reviewed, and patients were followed for one year to track events of interest(hospitalization and mortality). Overall survival and risk factors for hospitalization and death were determined.Results During follow-up, 15.3% of the older adults died, and frailty was identified in 58.8% of the patients. Overall survival using the Kaplan-Meier method was 96.5% at 3 months after entering the Chronic Heart Failure Program;92.9% at 6 months;and85.9% at one year. Multivariate analysis using Poisson regression found that frailty was not a risk factor for hospitalization(a RR =0.92;95% CI: 0.42–2.03). Survival analysis using the Cox proportional hazards model showed that frailty was also not a risk factor for mortality after one year of follow-up(a HR = 1.32;95% CI: 0.27–6.53).Conclusions Our research does not confirm frailty as a risk factor for hospitalization or mortality in older adults enrolled in the“Chronic Heart Failure Program” after one year of follow-up.
基金supported by the National Natural Science Foundation of China(Grant Nos.52222810 and 52178383).
文摘Dynamic disturbances with various frequencies could trigger different failure modes of deep excavations.Superimposed on this static stress are dynamic disturbances due to various dynamic vibrations,e.g.excavation blasting,blasting,tunnel boring machine(TBM)vibration,rockburst wave,earthquakes.Specifically,these dynamic sources are characterized by a wide range of wave frequencies f,resulting in differences in failure modes.A series of true-triaxial compression tests were conducted on granite to simulate the excavation-induced stress path in three-dimensional(3D)stresses.Subsequently,a dynamic disturbance with various frequencies was applied to a cuboid specimen,to reveal the behavior associated with brittle failure.The dynamic disturbance with frequencies f of 5 Hz,10 Hz,and 40 Hz generates less disturbed energy components in the granite together with higher peak strength.However,dynamic disturbances with f of 20 Hz and 30 Hz resulted in a lower peak strength;the peak strength of the rock increases sp albeit it decreases at first,then increases.This U-shaped phenomenon relates to the natural frequency of the granite under such stress conditions.Different rock lithologies consisting of diverse mineral composition,respond differently to each sensitive resonance frequency.Interestingly,the weak disturbance stress with a high frequency f and low amplitude A increases the ratio of crack damage to peak strength(scd/sp)in the granite.This leads to the inhibition of the expansion of the granite during the dynamic disturbance process.Multiple penetrating tensileeshear cracks appear in the s3-direction as the disturbance frequency f increases.
文摘The J55 tubing thread fastener in an electric pump well experienced corrosion failure.The causes of the failure were investigated through physical and chemical property tests,corrosion product analysis,and microbial analysis.The results show that the metallographic structure and composition of the J55 tubing were normal.CO 2 corrosion was not the main cause of the thread fastener failure.The actual cause of the corrosion failure was microbiological corrosion,such as sulfate-reducing bacteria,thiosulfate-reducing bacteria,and iron-oxidizing bacteria.
基金supported by National Natural Science Foundation of China (Nos.52264006,52364004,and 52464005)the Guizhou Provincial Science and Technology Foundation (No.GCC[2022]005-1)。
文摘Investigating the damage evolution of surrounding rock under thermal shock cycles is crucial for ensuring the stability of engineering rock masses.This study performed Brazilian splitting tests on granite specimens under varying temperature and cycle conditions,employing acoustic emission monitoring,digital image correlation,and three-dimensional scanning technology.A systematic analysis was conducted on the patterns of damage evolution,failure precursor,and response mechanisms under combined thermal and cyclic loading.Experimental results show that both P-wave velocity and tensile strength degrade significantly with increasing temperature and cycle count,with temperature having a more pronounced effect than cycle count.Notably,damage evolution exhibits a dual-threshold behavior in which degradation accelerates markedly above 400℃ and stabilizes after 5 thermal cycles.Fracture surfaces evolve from initially planar to rugged morphologies,with peak-valley height differences at 600℃ being approximately three times greater than those at 200℃.Furthermore,based on acoustic emission energy entropy analysis,we introduce a novel failure precursor indicator where the sustained increase and critical surge in average entropy serve as reliable early-warning signals for impending rock failure.These findings establish a solid theoretical basis and practical methodology for damage assessment and instability early-warning systems in high-temperature rock engineering.
基金supported by the National Natural Science Foundation of China(No.82360120)the Kunming Medical University Joint Special Project on Applied Basic Research(202401AY070001-134),and project iGandanF-1082022-RGG049+2 种基金the Open Project of Yunnan Provincial Clinical Medical Center for Digestive System Diseases(2022LCZXXF-XH07/17)the 14th Undergraduate Scientific Research Project of Mudanjiang Medical University(2024057)Yunnan Provincial Key Laboratory of Clinical Virology(No.2023A4010403-04).
文摘Background:High-mobility group box 1(HMGB1)is a critical damage-associated molecular pattern protein that participates in diverse physiological and pathological processes.However,its relevance to the prognosis of artificial liver support therapy in patients with acute liver injury(ALF)remains unclear.Methods:Bioinformatics analyses were performed to identify HMGB1-interacting proteins and associated inflammatory signaling pathways.Peripheral blood samples were collected from ALF patients before and after artificial liver support therapy,and serum HMGB1 concentrations were quantified using ELISA.Primary mouse hepatocytes were stimulated with lipopolysaccharide(LPS)in vitro and HMGB1 expression was verified by western blot.Results:Single-cell transcriptomic profiling showed that HMGB1 is widely expressed across tissues and predominantly localized in the nucleus.In the liver,HMGB1 was primarily expressed in hepatocytes and hepatic stellate cells.STRING database analysis revealed that human HMGB1 interacts with multiple proteins,including TLR4,TP53,and BECN1.The constructed interaction network comprised 11 nodes with an average local clustering coefficient of 0.888,and the protein–protein interaction enrichment P-value was 1.42×10^(-5),indicating significant enrichment.Gene Ontology and KEGG pathway enrichment analyses demonstrated that HMGB1 is closely linked to inflammatory and injury-related signaling pathways,including the TLR and NLR pathways.Metabolomic profiling revealed significant metabolic alterations between patients with ALF and healthy controls under both positive and negative ion modes and functional analysis showed necroptosis was activated.The cell viability gradually decreased with time and dose under LPS treatment and extracellular HMGB1 was upregulated in LPS induced ALF model and patients(P<0.05).Serum HMGB1/RIPK3/MLKL levels were markedly elevated in ALF patients compared with controls(P<0.05)and progressively declined following artificial liver support therapy.Furthermore,elevated HMGB1 concentrations were positively correlated with unfavorable clinical outcomes.Conclusion:Peripheral blood HMGB1 levels are significantly increased in patients with acute liver failure,decrease following artificial liver support therapy,and are positively associated with poor clinical prognosis.
基金supported by the National Natural Science Foundation of China(62088101,62522307,62273045,U2341213)Beijing Nova Program(20230484481)。
文摘Formation control of multiple spacecraft has attracted extensive research attention.However,achieving reliable performance under sensor failures remains a significant challenge.This paper develops an integrated framework that jointly designs distributed observers and local controllers to ensure robust formation control in the presence of external disturbances and sensor malfunctions.Treating the spacecraft formation as a single interconnected system,each spacecraft constructs a distributed observer that estimates the overall system state by incorporating both its own measurements and the predicted control information shared among the spacecraft.Based on the observer estimates,a local control law is synthesized to maintain the desired formation.Rigorous theoretical analysis and numerical simulations demonstrate that the proposed integrated approach effectively guarantees formation stability and resilience against sensor failures and disturbances.
