In agricultural catchments where groundwater (GW) base flow discharge contributes substantially towards stream flow, the information linking GW inflow/outflow with contaminant import/export is scarce. However, this in...In agricultural catchments where groundwater (GW) base flow discharge contributes substantially towards stream flow, the information linking GW inflow/outflow with contaminant import/export is scarce. However, this information is essential to address aquatic ecosystem health hazard/risk associated with nitrate export and subsequent loading in sensitive surface water bodies (SWB). The objectives of this study were to assess the temporal dynamics of (i) rain water inflow/outflow behaviour in three agricultural catchments in the humid tropics of far-northeast Queensland of Australia, (ii) solute import via inflow and subsequent export in outflow, and (iii) the association between GW inflow/outflow and solute import/export. Approximately 71% of the average seasonal rainfall percolated (inflow) into the porous basaltic regolith of the Johnstone River Catchment (JRC) compared with 44% into the alluvial regolith in the Mulgrave River Catchment (MRC) and 29% into the metamorphic regolith in the Tully River Catchment (TRC), respectively. The outflows from the basaltic, alluvial, and metamorphic regoliths were 56%, 36%, and 55% of the inflows, respectively. The cumulative nitrate import per season was 25 k/ha in the JRC compared with 11 kg/ha in MRC and 34 kg/ha in TRC. The corresponding exports were 24 kg/ha, 8 kg/ha 26 kg/ha in JRC, MRC, and TRC, respectively. The total dissolved solute (TDS) exports were 82%, 77%, 75%, of the corresponding imports in JRC, MRC, and TRC, respectively. Simple correlations indicated that nitrate export was positively correlated with the outflow in each one of the regolith and similar trends were observed between inflow and import. The import/export mass balance for nitrate shows that 73% to 96% of the imports were exported during the same rainy season, suggesting the potential for nitrate associated ecosystem health hazard/risk in sensitive SWB receiving the outflows.展开更多
Objective Cerebral venous outflow disorders(CVOD)can impair cerebral perfusion and produce diverse,often debilitating symptoms,substantially reducing quality of life.Intermittent hypoxiahyperoxia training(IHHT)has dem...Objective Cerebral venous outflow disorders(CVOD)can impair cerebral perfusion and produce diverse,often debilitating symptoms,substantially reducing quality of life.Intermittent hypoxiahyperoxia training(IHHT)has demonstrated therapeutic potential across various pathologies and may represent a promising non-pharmacological approach for CVOD management.Methods Patients with imaging-confirmed CVOD underwent 14 IHHT sessions,each comprising four cycles of 10-minute hypoxia(11%O_(2))stimulation and 20-minute hyperoxia(38%O_(2)).Physiological parameters and adverse events were monitored throughout the intervention.Clinical scales,24-hour ambulatory blood pressure,blood tests,jugular ultrasound,and perfusion imaging were assessed preand post-intervention.Results No participants experienced intolerable discomfort or severe adverse events;vital signs remained within normal ranges.No significant changes were observed in 24-hour blood pressure,blood cell counts,lipid profiles,or other blood markers.Notably,60%of patients(n=12)reported overall symptom improvement on the Patient Global Impression of Change scale.Headache severity,as measured by the visual analogue scale,significantly decreased(6.33±1.22 vs.4.89±2.03,P=0.016).In patients with internal jugular vein(IJV)stenosis,significant improvements were observed in regional cerebral blood flow(including the insula,occipital lobe,internal capsule,and lenticula)and left J3-segment IJV flow volume(107.27[47.50,160.00]vs.140.83[55.00,210.00]mL/min,P=0.011).Conclusion The current IHHT protocol is safe and well-tolerated in patients with CVOD.IHHT may alleviate CVOD-related symptoms by improving oxygen saturation,cerebral perfusion,and venous outflow pattern,supporting its potential as a non-invasive therapeutic strategy.展开更多
The performance of hepatic surgery without a parenchyma-sparing strategy carries significant risks for patient survival because of the not negligible occurrence of postoperative liver failure.The key factor of modern ...The performance of hepatic surgery without a parenchyma-sparing strategy carries significant risks for patient survival because of the not negligible occurrence of postoperative liver failure.The key factor of modern hepatic surgery is the use of the intraoperative ultrasound(IOUS),not only to stage the disease,but more importantly to guide resection with the specific aim to maximize the sparing of the functional parenchyma.Whether in patients with hepatocellular carcinoma and underlying liver cirrhosis,or in patients with colorectal liver metastasis,IOUS allows the performance of the so-called "radical but conservative surgery",which is the pivotal factor to offer a chance of cure to an increasing proportion of patients,who until few years ago were considered only for palliative care.Using some new IOUS-guided surgical maneuvers,which are based on the liver inflow and outflow modulations,more precise anatomically subsegmental-and segmentaloriented resections can be effectively performed.The present work describes the rationale and the surgical technique for a precise tailoring of the area of hepatic resection using the most recent attainments in IOUS.Such important technical achievements should be a fundamental part of the surgical armamentarium of the modern liver surgeon.展开更多
In situ inflow and outflow permeability tests with the BAT probe at SarapuíII soft clay test site are presented.A description of the BAT permeability test is provided,discussing its advantages and shortcomings,es...In situ inflow and outflow permeability tests with the BAT probe at SarapuíII soft clay test site are presented.A description of the BAT permeability test is provided,discussing its advantages and shortcomings,especially in the case of very soft clays under low stresses.Pore pressures were monitored during probe installation and were found to be slightly lower than piezocone u2 pore pressures,consistent with the position of the filter.The role of filter tip saturation was investigated after the usual saturation procedure provided an unsatisfactory pore pressure response during probe installation.Results show that the vacuum saturation procedure provides adequate response during installation and increases the reliability of the coefficient of permeability determination in early measurements.Both inflow and outflow tests yielded similar results,indicating that careful execution of the test can lead to good test repeatability regardless of the loading condition.Various sequences of alternated inflow and outflow tests have yielded similar results,indicating that soil reconsolidation and filter clogging were negligible in the tests performed.Data are presented concerning the relationship between index parameters and the in situ coefficient of permeability for SarapuíII clay,which plot outside the range of existing databases.展开更多
According to the boundary condition with the zero,negative,or positive velocity,the initial boundary problem for compressible multi-phase flow with the Dirichlet-type boundary condition can be classified into three ca...According to the boundary condition with the zero,negative,or positive velocity,the initial boundary problem for compressible multi-phase flow with the Dirichlet-type boundary condition can be classified into three cases:impermeable problem,inflow problem,or outflow problem.In this paper,we review the recent progress on the existence and nonlinear stability of the stationary solution to the outflow/inflow problems for viscous multi-phase flow.展开更多
To help the clinical screening and diagnosis of abdominal aortic aneurysm(AAA), we evaluated the effect of inflow angle (IA) and outflow bifurcation angle(BA) on the distribution of blood flow and wall shear stress(WS...To help the clinical screening and diagnosis of abdominal aortic aneurysm(AAA), we evaluated the effect of inflow angle (IA) and outflow bifurcation angle(BA) on the distribution of blood flow and wall shear stress(WSS) in an idealized AAA model. A 2D incompressible Newtonian flow is assumed and the computational simulation is performed using finite volume method. The results showed that the largest WSS often located at the proximal and the distal end of the AAA. An increase in IA resulted in an increase in maximum WSS. We also found that WSS was maximal when BA was 90°. IA and BA are two important geometrical factors, they may help AAA risk assessment along with the commonly used AAA diameter.展开更多
Prediction of water inflow into a tunnel is a crucial prerequisite for the waterproof and drainage design of mountain tunnels in water-rich areas.Based on the proposed Baiyun Mountain Tunnel project in Guangzhou,a num...Prediction of water inflow into a tunnel is a crucial prerequisite for the waterproof and drainage design of mountain tunnels in water-rich areas.Based on the proposed Baiyun Mountain Tunnel project in Guangzhou,a numerical percolation model of random fractured rock of a tunnel underpassing a water reservoir is established to study the seepage characteristics of surrounding rock,the law of water inflow,and the change of lining water pressure,considering the local artificial boundary conditions for seepage in large rock mass,.In addition,the influences of rock permeability,fracture aperture,grouting circle thickness,and penetration are analyzed.The results show that:(1)Only fractures with aperture wider than 0.1 mm can play a significant role in water conduction in rocks with the permeability lower than 10^(-11)m^(2);(2)The greater the permeability difference between the fractures and rocks,the more remarkable the effects of fractures on the surrounding rock seepage field and cavern water inflow;(3)The sensitivity of grouting waterproof function to grouting circle thickness,grouting ring penetration,and rock permeability is significantly higher than that of tunnel buried depth and fracture aperture;(4)The lining water head is much more sensitive to the grouting circle thickness and penetration than to the tunnel buried depth;(5)With the grouting range enlarging,the impact of grouting circle permeability on the precipitation pressure role of the grouting ring increases;(6)For the interesting tunnel designed to be built at the depth of 70 m,the grouting circle with the thickness of 0.5 m and permeability of 10-^(14)m^(2)is recommended.展开更多
Water inflow into mountain tunnels exhibits high variability and nonlinear seepage behavior,leading to significant prediction inaccuracies and poor pattern recognition when conventional analytical methods are applied....Water inflow into mountain tunnels exhibits high variability and nonlinear seepage behavior,leading to significant prediction inaccuracies and poor pattern recognition when conventional analytical methods are applied.This study proposes a dynamic water inflow prediction method specifically designed for mountain tunnels.The method is based on groundwater dynamics theory,employing nonDarcian law as the governing equation and deriving analytical solutions applicable to both confined and phreatic aquifer conditions.The method incorporates spatiotemporal variations along the tunnel alignment,enabling both short-term and long-term dynamic predictions of water inflow.The study examines the nonlinear characteristics of the seepage field during tunnel water inrush.The research findings indicate that the predictive results are consistent with the hypothesized two-stage water inflow pattern,with relative errors for key parameters,such as maximum water inflow,normal water inflow,and duration of water inflow,remaining within 10%.The magnitude of water inflow is positively correlated with the permeability coefficient,head height;it is negatively correlated with the axial distance to the tunnel face and the non-Darcian influence coefficient.Both water inflow and water pressure are subject to non-Darcian effects within a defined influence zone extending approximately 1.3 times the tunnel diameter.Comparisons with established predictive methods,numerical simulations,and data from existing tunnel projects confirm the effectiveness of the proposed method.Moreover,the method was successfully applied to a mountain tunnel in the Tibet Plateau region in southwestern China,where it achieved prediction errors within 3%to 8%,demonstrating high reliability.展开更多
This study employs the self-organizing map method to investigate the upper-tropospheric outflow patterns of tropical cyclones(TCs)over the western North Pacific from 1979 to 2019,using the 200 hPa horizontal wind fiel...This study employs the self-organizing map method to investigate the upper-tropospheric outflow patterns of tropical cyclones(TCs)over the western North Pacific from 1979 to 2019,using the 200 hPa horizontal wind fields from the ERA5 reanalysis datasets.According to the number and orientation of TC outflow channels,as well as the wind speed,the outflow patterns are classified into five categories:southwestward single-channel pattern S1(26.1%);northwestward single-channel pattern S2(23.6%);northeastward single-channel pattern S3(23.6%);double-channel outflow pattern D(20.8%);and high latitude outflow pattern H(6.0%).Composite analysis shows that the orientations of the TC outflow channels are aligned with the direction of the environmental vertical wind shear and closely related to the distribution of the environmental inertial instability,upper-level divergence,and inner-core convective activities.TC intensity and intensity changes for different outflow patterns are also significantly different.Patterns S1 and S2 usually appear in the development phase and are thus prone to TC intensification,while patterns S3 and H usually occur in the weakening phase and are thus prone to TC weakening.The double-channel pattern(D)has the largest mean intensity and accounts for more than 60%of super-typhoon samples.展开更多
We present the existence/non-existence criteria for large-amplitude boundary layer solutions to the inflow problem of the one-dimensional(1D)full compressible NavierStokes equations on a half line R_+.Instead of the c...We present the existence/non-existence criteria for large-amplitude boundary layer solutions to the inflow problem of the one-dimensional(1D)full compressible NavierStokes equations on a half line R_+.Instead of the classical center manifold approach for the existence of small-amplitude boundary layer solutions in the previous results,the delicate global phase plane analysis,based on the qualitative theory of ODEs,is utilized to obtain the sufficient and necessary conditions for the existence/non-existence of large boundary layer solutions to the half-space inflow problem when the right end state belongs to the supersonic,transonic,and subsonic regions,respectively,which completely answers the existence/nonexistence of boundary layer solutions to the half-space inflow problem of 1D full compressible Navier-Stokes equations.展开更多
BACKGROUND Hepatic venous outflow obstruction(HVOO)is a rare but serious complication of liver transplantation,particularly in piggyback liver transplantation techniques where the inferior vena cava(IVC)is preserved.C...BACKGROUND Hepatic venous outflow obstruction(HVOO)is a rare but serious complication of liver transplantation,particularly in piggyback liver transplantation techniques where the inferior vena cava(IVC)is preserved.CASE SUMMARY A transplanted liver patient underwent retransplantation due to hepatic artery thrombosis and subsequently developed HVOO caused by graft compression of the IVC.A novel approach using a retrohepatic tissue expander effectively relieved the IVC compression,restored venous outflow,and stabilized hemodynamics.We discuss this case in the context of current treatment options and advances in HVOO management,from endovascular interventions such as balloon dilation and stenting to innovative surgical solutions such as graft repositioning and retrohepatic implants.CONCLUSION This case shows how important personalized treatments are for managing HVOO and how tissue expanders can be an adjustable and less invasive option.展开更多
文摘In agricultural catchments where groundwater (GW) base flow discharge contributes substantially towards stream flow, the information linking GW inflow/outflow with contaminant import/export is scarce. However, this information is essential to address aquatic ecosystem health hazard/risk associated with nitrate export and subsequent loading in sensitive surface water bodies (SWB). The objectives of this study were to assess the temporal dynamics of (i) rain water inflow/outflow behaviour in three agricultural catchments in the humid tropics of far-northeast Queensland of Australia, (ii) solute import via inflow and subsequent export in outflow, and (iii) the association between GW inflow/outflow and solute import/export. Approximately 71% of the average seasonal rainfall percolated (inflow) into the porous basaltic regolith of the Johnstone River Catchment (JRC) compared with 44% into the alluvial regolith in the Mulgrave River Catchment (MRC) and 29% into the metamorphic regolith in the Tully River Catchment (TRC), respectively. The outflows from the basaltic, alluvial, and metamorphic regoliths were 56%, 36%, and 55% of the inflows, respectively. The cumulative nitrate import per season was 25 k/ha in the JRC compared with 11 kg/ha in MRC and 34 kg/ha in TRC. The corresponding exports were 24 kg/ha, 8 kg/ha 26 kg/ha in JRC, MRC, and TRC, respectively. The total dissolved solute (TDS) exports were 82%, 77%, 75%, of the corresponding imports in JRC, MRC, and TRC, respectively. Simple correlations indicated that nitrate export was positively correlated with the outflow in each one of the regolith and similar trends were observed between inflow and import. The import/export mass balance for nitrate shows that 73% to 96% of the imports were exported during the same rainy season, suggesting the potential for nitrate associated ecosystem health hazard/risk in sensitive SWB receiving the outflows.
基金sponsored by the National Natural Science Foundation of China(Nos.82027802,82101389,82274401,and 81971114)Beijing Nova Program(No.20230484286)+1 种基金Beijing Natural Science Foundation(7254366)the General Project of Science and Technology of Beijing Municipal Education Commission(No.KM202110025018).
文摘Objective Cerebral venous outflow disorders(CVOD)can impair cerebral perfusion and produce diverse,often debilitating symptoms,substantially reducing quality of life.Intermittent hypoxiahyperoxia training(IHHT)has demonstrated therapeutic potential across various pathologies and may represent a promising non-pharmacological approach for CVOD management.Methods Patients with imaging-confirmed CVOD underwent 14 IHHT sessions,each comprising four cycles of 10-minute hypoxia(11%O_(2))stimulation and 20-minute hyperoxia(38%O_(2)).Physiological parameters and adverse events were monitored throughout the intervention.Clinical scales,24-hour ambulatory blood pressure,blood tests,jugular ultrasound,and perfusion imaging were assessed preand post-intervention.Results No participants experienced intolerable discomfort or severe adverse events;vital signs remained within normal ranges.No significant changes were observed in 24-hour blood pressure,blood cell counts,lipid profiles,or other blood markers.Notably,60%of patients(n=12)reported overall symptom improvement on the Patient Global Impression of Change scale.Headache severity,as measured by the visual analogue scale,significantly decreased(6.33±1.22 vs.4.89±2.03,P=0.016).In patients with internal jugular vein(IJV)stenosis,significant improvements were observed in regional cerebral blood flow(including the insula,occipital lobe,internal capsule,and lenticula)and left J3-segment IJV flow volume(107.27[47.50,160.00]vs.140.83[55.00,210.00]mL/min,P=0.011).Conclusion The current IHHT protocol is safe and well-tolerated in patients with CVOD.IHHT may alleviate CVOD-related symptoms by improving oxygen saturation,cerebral perfusion,and venous outflow pattern,supporting its potential as a non-invasive therapeutic strategy.
文摘The performance of hepatic surgery without a parenchyma-sparing strategy carries significant risks for patient survival because of the not negligible occurrence of postoperative liver failure.The key factor of modern hepatic surgery is the use of the intraoperative ultrasound(IOUS),not only to stage the disease,but more importantly to guide resection with the specific aim to maximize the sparing of the functional parenchyma.Whether in patients with hepatocellular carcinoma and underlying liver cirrhosis,or in patients with colorectal liver metastasis,IOUS allows the performance of the so-called "radical but conservative surgery",which is the pivotal factor to offer a chance of cure to an increasing proportion of patients,who until few years ago were considered only for palliative care.Using some new IOUS-guided surgical maneuvers,which are based on the liver inflow and outflow modulations,more precise anatomically subsegmental-and segmentaloriented resections can be effectively performed.The present work describes the rationale and the surgical technique for a precise tailoring of the area of hepatic resection using the most recent attainments in IOUS.Such important technical achievements should be a fundamental part of the surgical armamentarium of the modern liver surgeon.
文摘In situ inflow and outflow permeability tests with the BAT probe at SarapuíII soft clay test site are presented.A description of the BAT permeability test is provided,discussing its advantages and shortcomings,especially in the case of very soft clays under low stresses.Pore pressures were monitored during probe installation and were found to be slightly lower than piezocone u2 pore pressures,consistent with the position of the filter.The role of filter tip saturation was investigated after the usual saturation procedure provided an unsatisfactory pore pressure response during probe installation.Results show that the vacuum saturation procedure provides adequate response during installation and increases the reliability of the coefficient of permeability determination in early measurements.Both inflow and outflow tests yielded similar results,indicating that careful execution of the test can lead to good test repeatability regardless of the loading condition.Various sequences of alternated inflow and outflow tests have yielded similar results,indicating that soil reconsolidation and filter clogging were negligible in the tests performed.Data are presented concerning the relationship between index parameters and the in situ coefficient of permeability for SarapuíII clay,which plot outside the range of existing databases.
基金supported by the National Natural Science Foundation of China(nos.11931010,11871047)the key research project of Academy for Multidisciplinary Studies,Capital Normal University,and by the Capacity Building for Sci-Tech Innovation-Fundamental Scientific Research Funds(no.007/20530290068).
文摘According to the boundary condition with the zero,negative,or positive velocity,the initial boundary problem for compressible multi-phase flow with the Dirichlet-type boundary condition can be classified into three cases:impermeable problem,inflow problem,or outflow problem.In this paper,we review the recent progress on the existence and nonlinear stability of the stationary solution to the outflow/inflow problems for viscous multi-phase flow.
文摘To help the clinical screening and diagnosis of abdominal aortic aneurysm(AAA), we evaluated the effect of inflow angle (IA) and outflow bifurcation angle(BA) on the distribution of blood flow and wall shear stress(WSS) in an idealized AAA model. A 2D incompressible Newtonian flow is assumed and the computational simulation is performed using finite volume method. The results showed that the largest WSS often located at the proximal and the distal end of the AAA. An increase in IA resulted in an increase in maximum WSS. We also found that WSS was maximal when BA was 90°. IA and BA are two important geometrical factors, they may help AAA risk assessment along with the commonly used AAA diameter.
文摘Prediction of water inflow into a tunnel is a crucial prerequisite for the waterproof and drainage design of mountain tunnels in water-rich areas.Based on the proposed Baiyun Mountain Tunnel project in Guangzhou,a numerical percolation model of random fractured rock of a tunnel underpassing a water reservoir is established to study the seepage characteristics of surrounding rock,the law of water inflow,and the change of lining water pressure,considering the local artificial boundary conditions for seepage in large rock mass,.In addition,the influences of rock permeability,fracture aperture,grouting circle thickness,and penetration are analyzed.The results show that:(1)Only fractures with aperture wider than 0.1 mm can play a significant role in water conduction in rocks with the permeability lower than 10^(-11)m^(2);(2)The greater the permeability difference between the fractures and rocks,the more remarkable the effects of fractures on the surrounding rock seepage field and cavern water inflow;(3)The sensitivity of grouting waterproof function to grouting circle thickness,grouting ring penetration,and rock permeability is significantly higher than that of tunnel buried depth and fracture aperture;(4)The lining water head is much more sensitive to the grouting circle thickness and penetration than to the tunnel buried depth;(5)With the grouting range enlarging,the impact of grouting circle permeability on the precipitation pressure role of the grouting ring increases;(6)For the interesting tunnel designed to be built at the depth of 70 m,the grouting circle with the thickness of 0.5 m and permeability of 10-^(14)m^(2)is recommended.
基金the financial support provided by the Key Laboratory of Urban Underground Engineering of Ministry of Education,Beijing Jiaotong University(Grant Nos.TUL2024-05)。
文摘Water inflow into mountain tunnels exhibits high variability and nonlinear seepage behavior,leading to significant prediction inaccuracies and poor pattern recognition when conventional analytical methods are applied.This study proposes a dynamic water inflow prediction method specifically designed for mountain tunnels.The method is based on groundwater dynamics theory,employing nonDarcian law as the governing equation and deriving analytical solutions applicable to both confined and phreatic aquifer conditions.The method incorporates spatiotemporal variations along the tunnel alignment,enabling both short-term and long-term dynamic predictions of water inflow.The study examines the nonlinear characteristics of the seepage field during tunnel water inrush.The research findings indicate that the predictive results are consistent with the hypothesized two-stage water inflow pattern,with relative errors for key parameters,such as maximum water inflow,normal water inflow,and duration of water inflow,remaining within 10%.The magnitude of water inflow is positively correlated with the permeability coefficient,head height;it is negatively correlated with the axial distance to the tunnel face and the non-Darcian influence coefficient.Both water inflow and water pressure are subject to non-Darcian effects within a defined influence zone extending approximately 1.3 times the tunnel diameter.Comparisons with established predictive methods,numerical simulations,and data from existing tunnel projects confirm the effectiveness of the proposed method.Moreover,the method was successfully applied to a mountain tunnel in the Tibet Plateau region in southwestern China,where it achieved prediction errors within 3%to 8%,demonstrating high reliability.
基金supported by the National Natural Science Foundation of China[grant numbers 42192553 and 61827091]。
文摘This study employs the self-organizing map method to investigate the upper-tropospheric outflow patterns of tropical cyclones(TCs)over the western North Pacific from 1979 to 2019,using the 200 hPa horizontal wind fields from the ERA5 reanalysis datasets.According to the number and orientation of TC outflow channels,as well as the wind speed,the outflow patterns are classified into five categories:southwestward single-channel pattern S1(26.1%);northwestward single-channel pattern S2(23.6%);northeastward single-channel pattern S3(23.6%);double-channel outflow pattern D(20.8%);and high latitude outflow pattern H(6.0%).Composite analysis shows that the orientations of the TC outflow channels are aligned with the direction of the environmental vertical wind shear and closely related to the distribution of the environmental inertial instability,upper-level divergence,and inner-core convective activities.TC intensity and intensity changes for different outflow patterns are also significantly different.Patterns S1 and S2 usually appear in the development phase and are thus prone to TC intensification,while patterns S3 and H usually occur in the weakening phase and are thus prone to TC weakening.The double-channel pattern(D)has the largest mean intensity and accounts for more than 60%of super-typhoon samples.
基金partially supported by the NSFC(12171459,12288201,12090014,12421001)CAS Project for Young Scientists in Basic Research(YSBR-031)。
文摘We present the existence/non-existence criteria for large-amplitude boundary layer solutions to the inflow problem of the one-dimensional(1D)full compressible NavierStokes equations on a half line R_+.Instead of the classical center manifold approach for the existence of small-amplitude boundary layer solutions in the previous results,the delicate global phase plane analysis,based on the qualitative theory of ODEs,is utilized to obtain the sufficient and necessary conditions for the existence/non-existence of large boundary layer solutions to the half-space inflow problem when the right end state belongs to the supersonic,transonic,and subsonic regions,respectively,which completely answers the existence/nonexistence of boundary layer solutions to the half-space inflow problem of 1D full compressible Navier-Stokes equations.
文摘BACKGROUND Hepatic venous outflow obstruction(HVOO)is a rare but serious complication of liver transplantation,particularly in piggyback liver transplantation techniques where the inferior vena cava(IVC)is preserved.CASE SUMMARY A transplanted liver patient underwent retransplantation due to hepatic artery thrombosis and subsequently developed HVOO caused by graft compression of the IVC.A novel approach using a retrohepatic tissue expander effectively relieved the IVC compression,restored venous outflow,and stabilized hemodynamics.We discuss this case in the context of current treatment options and advances in HVOO management,from endovascular interventions such as balloon dilation and stenting to innovative surgical solutions such as graft repositioning and retrohepatic implants.CONCLUSION This case shows how important personalized treatments are for managing HVOO and how tissue expanders can be an adjustable and less invasive option.
