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A mimic of soft tissue infection: intra-arterial injection drug use producing hand swelling and digital ischemia 被引量:1
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作者 Sean D.Foster Michael S.Lyons +1 位作者 Christopher M.Runyan Edward J.Otten 《World Journal of Emergency Medicine》 CAS 2015年第3期233-236,共4页
BACKGROUND: Inadvertent intra-arterial injection of illicit substances is a known complication of injection drug use and can lead to severe complications, including infection, ischemia and compartment syndrome. Identi... BACKGROUND: Inadvertent intra-arterial injection of illicit substances is a known complication of injection drug use and can lead to severe complications, including infection, ischemia and compartment syndrome. Identifying complications of intra-arterial injection can be difficult, as clinical manifestations overlap with other more common conditions such as cellulitis and soft tissue infection, and a history of injection drug use is frequently not disclosed.METHODS: A 37-year-old male patient presented with 24 hours of right hand pain, erythema and swelling. Despite classic "track marks", he denied a history of injection drug use, and vascular insults were not initially considered. After failing to respond to three days of aggressive treatment for suspected deep-space infection, an arteriogram demonstrated findings consistent with digital ischemia of embolic etiology.RESULTS: As a result of the delay in diagnosis, the lesion was not amenable to reperfusion and the patient required amputation of the distal digit.CONCLUSION: Practitioners should be alert to the possibility of intra-arterial injection and resulting complications when evaluating unusual extremity infections or unexplained ischemic symptoms, even in the absence of a definite history of injection drug use. 展开更多
关键词 intra-arterial injection Opioid abuse injection drug use Digital ischemia
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Accidental Intra-Arterial Injection during Test Dose of Injection of Benzyl Penicillin: Complications and Management—A Case Report
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作者 Amarjit Singh Kuldip Singh Sidhu Shivaji Rai 《Case Reports in Clinical Medicine》 2015年第6期222-226,共5页
An 18 years old female patient was given a test dose of Benzyl penicillin in the Antecubital Area on the right forearm by a staff nurse of the department. After the injection, the patient complained of severe pain in ... An 18 years old female patient was given a test dose of Benzyl penicillin in the Antecubital Area on the right forearm by a staff nurse of the department. After the injection, the patient complained of severe pain in the right forearm distal to the injection site. This was followed by blanching of the right forearm and hand. She was immediately heparinised followed by other symptomatic treatments. After 12 hours, a bluish discoloration developed on the hand, both on dorsal and palmar aspect, sparing the thumb. This recovered with medication, except the late development of dry gangrene of the tip of distal phalanx of the little finger which got shrivelled later on. Color Doppler flow study, echocardiography, and CT angiography of the right upper limb were done. Understanding of the pathogenesis and prompt action can help in saving a limb. Education of the medical professionals involved in administering injection is necessary so that they become aware of abnormal course or anomalous anatomy of vessels of upper limb. This can help to prevent the complications. 展开更多
关键词 intra-arterial injection GANGRENE Anomalous Anatomy
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Clinical observation on prognosis of mixed hemorrhoids treated with polidocanol injection combined with automatic elastic thread ligation operation 被引量:1
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作者 Yan-Mei Huang Dong Ouyang 《World Journal of Gastrointestinal Surgery》 2025年第1期209-216,共8页
BACKGROUND A total of 100 patients diagnosed with mixed hemorrhoids from October 2022 to September 2023 in our hospital were randomly divided into groups by dice rolling and compared with the efficacy of different tre... BACKGROUND A total of 100 patients diagnosed with mixed hemorrhoids from October 2022 to September 2023 in our hospital were randomly divided into groups by dice rolling and compared with the efficacy of different treatment options.AIM To analyze the clinical effect and prognosis of mixed hemorrhoids treated with polidocanol injection combined with automatic elastic thread ligation operation(RPH).METHODS A total of 100 patients with mixed hemorrhoids who visited our hospital from October 2022 to September 2023 were selected and randomly divided into the control group(n=50)and the treatment group(n=50)by rolling the dice.The procedure for prolapse and hemorrhoids(PPH)was adopted in the control group,while polidocanol foam injection+RPH was adopted in the treatment group.The therapeutic effects,operation time,wound healing time,hospital stay,pain situation(24 hours post-operative pain score,first defecation pain score),quality of life(QOL),incidence of complications(post-operative hemorrhage,edema,infection),incidence of anal stenosis 3 months post-operatively and recurrence rate 1 year post-operatively of the two groups were compared.RESULTS Compared with the control group,the total effective rate of treatment group was higher,and the difference was significant(P<0.05).The operation time/wound healing time/hospital stay in the treatment group were shorter than those in the control group(P<0.05).The pain scores at 24 hours after operation/first defecation pain score of the treatment group was significantly lower than those in the control group(P<0.05).After surgery,the QOL scores of the two groups decreased,with the treatment group having higher scores than that of the control group(P<0.05).Compared with the control group,the incidence of postoperative complications in the treatment group was lower,and the difference was significant(P<0.05);However,there was no significant difference in the incidence of postoperative bleeding between the two groups(P>0.05);There was no significant difference in the incidence of anal stenosis 3 months after operation and the recurrence rate 1 year after operation between the two groups(P>0.05).CONCLUSION For patients with mixed hemorrhoids,the therapeutic effect achieved by using polidocanol injection combined with RPH was better.The wounds of the patients healed faster,the postoperative pain was milder,QOL improved,and the incidence of complications was lower,and the short-term and long-term prognosis was good. 展开更多
关键词 Mixed hemorrhoids Polidocanol injection Automatic elastic thread ligation operation Postoperative hemorrhage The degree of pain Recurrent rate
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Systematic experimental investigation on pressure build-up characteristics of water-jet injection into a molten LBE pool 被引量:1
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作者 Hao-Ran Huang Zi-Jian Deng +1 位作者 Song-Bai Cheng Jia-Yue Chen 《Nuclear Science and Techniques》 2025年第1期161-174,共14页
In the scenario of a steam generator tube rupture accident in a lead-cooled fast reactor,secondary circuit subcooled water under high pressure is injected into an ordinary-pressure primary vessel,where a molten lead-b... In the scenario of a steam generator tube rupture accident in a lead-cooled fast reactor,secondary circuit subcooled water under high pressure is injected into an ordinary-pressure primary vessel,where a molten lead-based alloy(typically pure lead or lead-bismuth eutectic(LBE))is used as the coolant.To clarify the pressure build-up characteristics under water-jet injection,this study conducted several experiments by injecting pressurized water into a molten LBE pool at Sun Yat-sen University.To obtain a further understanding,several new experimental parameters were adopted,including the melt temperature,water subcooling,injection pressure,injection duration,and nozzle diameter.Through detailed analyses,it was found that the pressure and temperature during the water-melt interaction exhibited a consistent variation trend with our previous water-droplet injection mode LBE experiment.Similarly,the existence of a steam explosion was confirmed,which typically results in a much stronger pressure build-up.For the non-explosion cases,increasing the injection pressure,melt-pool temperature,nozzle diameter,and water subcooling promoted pressure build-up in the melt pool.However,a limited enhancement effect was observed when increasing the injection duration,which may be owing to the continually rising pressure in the interaction vessel or the isolation effect of the generated steam cavity.Regardless of whether a steam explosion occurred,the calculated mechanical and kinetic energy conversion efficiencies of the melt were relatively small(not exceeding 4.1%and 0.7%,respectively).Moreover,the range of the conversion efficiency was similar to that of previous water-droplet experiments,although the upper limit of the jet mode was slightly lower. 展开更多
关键词 Lead-cooled fast reactor Steam generator tube rupture accident Pressure build-up characteristics Experimental study Pressure water-jet injection
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Refractory lipoatrophy treated with autologous whole blood injection:A case report
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作者 Wonnam Kim Jun Su Park En Hyung Kim 《World Journal of Clinical Cases》 SCIE 2025年第2期33-38,共6页
BACKGROUND Intramuscular corticosteroid injection may cause adverse effects such as dermal and/or subcutaneous atrophy,alopecia,hypopigmentation,and hyperpigmentation.Although cutaneous atrophy can spontaneously resol... BACKGROUND Intramuscular corticosteroid injection may cause adverse effects such as dermal and/or subcutaneous atrophy,alopecia,hypopigmentation,and hyperpigmentation.Although cutaneous atrophy can spontaneously resolve,several treatment options have been suggested for this condition.CASE SUMMARY In this paper,we report a case of corticosteroid injection induced lipoatrophy treated with autologous whole blood(AWB)injection,as the condition had been unresponsive to fractional laser therapy.A 29-year-old female patient visited the dermatology clinic complaining of skin depression on her right buttock area,which had appeared six months earlier.There had been only subtle improvement at the margins after fractional CO_(2) laser treatment;therefore,after obtaining informed consent from the patient,AWB treatment was initiated.One month after the first AWB injection,the size and depth of the lesion had noticeably improved,and a slight improvement was also observed in discoloration.CONCLUSION Close observation is the initial treatment of choice for steroid induced skin atrophy;however,for patients in need of immediate cosmetic improvement,AWB injection may be a safe and cost-effective alternative. 展开更多
关键词 ATROPHY CORTICOSTEROID Subcutaneous fat Autologous whole blood injection Laser therapy Case report
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Retrospective Review Investigating the Efficacy of the Gray/Campbell Migraine Injection Protocol for OnabotulinumtoxinA (A Modified PREEMPT Injection Paradigm for Chronic Migraine Treatment)
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作者 Colin Campbell Terence K. Gray +1 位作者 Ajay Challapalli Grace Gray 《Pain Studies and Treatment》 2025年第1期14-26,共13页
Chronic migraine is a potentially debilitating condition that can be detrimental to someone’s quality of life. Clinical data has proven OnabotulinumtoxinA (BoNT-A) to be an effective prophylactic treatment for chroni... Chronic migraine is a potentially debilitating condition that can be detrimental to someone’s quality of life. Clinical data has proven OnabotulinumtoxinA (BoNT-A) to be an effective prophylactic treatment for chronic headache types, and it is now regularly employed by headache treatment centers. The PREEMPT injection protocol has become the standard treatment regimen surrounding Botox injections for chronic migraine treatment since it was granted approval by the FDA in 2010. This retrospective chart review of patients treated for chronic migraine at Maine Comprehensive Pain Management in Scarborough, Maine, presents an alteration to the standard PREEMPT injection paradigm that reinforces the efficacy of Botox for chronic migraine treatment. We will discuss our Modified PREEMPT injection paradigm, which yields a positive clinical response rate of 95% of patients achieving at least 50% improvement in their migraine headaches. This appears to be the highest established response rate in the literature to date. 展开更多
关键词 ONABOTULINUMTOXINA Botox injection
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Outcomes and adverse events following intra-arterial chemotherapy for retinoblastoma:A single center study in South India
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作者 Abhishek Das Kothapally Saiteja +2 位作者 Parag K Shah Subramaniam Prema Venkatapathy Narendran 《World Journal of Clinical Pediatrics》 2025年第3期176-186,共11页
BACKGROUND Intra-arterial chemotherapy(IAC)has become a first-line standard treatment for retinoblastoma(RB).However,studies describing its adverse events are sparse,especially from the developing world.Our study desc... BACKGROUND Intra-arterial chemotherapy(IAC)has become a first-line standard treatment for retinoblastoma(RB).However,studies describing its adverse events are sparse,especially from the developing world.Our study described the outcomes and adverse events from a single center in South India.AIM To describe the challenges,treatment outcomes,and complications of selective IAC for RB in Indian eyes.METHODS This study was a single center,retrospective study that included 17 patients with RB who underwent IAC using melphalan(5/7.5 mg)and topotecan(1/2 mg)(n=12)or melphalan(5 mg)alone(n=3)or triple therapy that included carboplatin(30 mg)along with these drugs(n=2)between January 2018 and December 2023.In all,17 IAC procedures were performed using selective ophthalmic artery cannulation.Treatment outcomes were evaluated in terms of tumor control,vitreous and subretinal seed control,complications,and globe salvage rates.RESULTS Out of the 17 patients,11 were diagnosed with unilateral RB and 6 were diag-nosed with bilateral RB.The mean age at the time of diagnosis was 19.8 months.The mean interval between the first symptom and presentation was 6.5 months.IAC was employed as the primary(n=9)or secondary(n=8)modality of treatment.Each eye received a mean of 1.5 IAC sessions(median:1 session;range:1-3 sessions).Eyes were classified according to the international classification of RB as group B(n=5),group C(n=1),group D(n=4),and group E(n=7).Following IAC,complete regression of the main tumor was seen in 15 eyes(88%)and partial regression in 2 eyes(12%).Globe salvage was achieved in 15 eyes(88%).Adverse effects included vitreous hemorrhage(n=3),rhegmatogenous retinal de-tachment(n=2),choroidal ischemia(n=1),isolated subretinal hemorrhage(n=2),retinal pigment epithelium degeneration(n=2),forehead pigmentation(n=1),third nerve palsy with complete ptosis(n=1),and 30-degree exotropia(n=1).The mean follow-up period was 28.6 months(median:24 months,range:1–72 months).CONCLUSION IAC is an effective way to control RB and globe preservation.In the Indian context we encountered many cha-llenges highlighting the importance of case selection.Further studies in India are required to thoroughly un-derstand IAC as a treatment for RB. 展开更多
关键词 RETINOBLASTOMA intra-arterial chemotherapy Treatment outcomes Adverse events INDIA
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Effects of Split Injection on Combustion,Emissions,and Intermediate Species of Natural Gas High-Pressure Direct Injection Engine
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作者 Lijiang Wei Xiuwei Lu +1 位作者 Wenqing Huang Qimin Song 《哈尔滨工程大学学报(英文版)》 2025年第1期210-223,共14页
Using natural gas(NG)as the primary fuel helps alleviate the fossil fuel crisis while reducing engine soot and nitrogen oxide(NO_(X))emissions.In this paper,the influences of a novel split injection concept on an NG h... Using natural gas(NG)as the primary fuel helps alleviate the fossil fuel crisis while reducing engine soot and nitrogen oxide(NO_(X))emissions.In this paper,the influences of a novel split injection concept on an NG high pressure direct injection(HPDI)engine are examined.Four typical split injection strategies,namely split pre-injection of pilot diesel(PD)and NG,split post-injection of PD and NG,split pre-injection of NG,and split post-injection of PD,were developed to investigate the influences on combustion and emissions.Results revealed that split pre injection of NG enhanced the atomization of PD,whereas the split post-injection of NG lowered the temperature in the core region of the PD spray,resulting in the deterioration of combustion.The effect of the split injection strategy on indicated thermal efficiency exceeded 7.5%.Split pre-injection was favorable to enhancing thermal efficiency,whereas split post-injection was not.Ignition delay,combustion duration,and premixed combustion time proportion were affected by injection strategies by 3.8%,50%,and 19.7%,respectively.Split pre-injection increased CH_(4) emission in the exhaust.Split post-injection,especially split post-injection of PD and NG,reduced the unburned CH_(4) emission by approximately 30%.When the split post-injection ratio was less than 30%,the trade-off between NO_(X) and soot was interrupted.The distribution range of hydroxyl radicals was expanded by pre-injection,and NO_(X) was generated in the region where the NG jet hit the wall.This paper provides valuable insights into the optimization of HPDI injection parameters. 展开更多
关键词 High pressure direct injection Natural gas Split injection strategy injection ratio COMBUSTION
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Effectively simplified Adriamycin-induced chronic kidney disease mouse model:Retro-orbital vein injection versus tail-vein injection
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作者 Masaki Watanabe Hayato R.Takimoto +2 位作者 Kazuki Hashimoto Yuki Ishii Nobuya Sasaki 《Animal Models and Experimental Medicine》 2025年第3期568-572,共5页
This study aimed to investigate the impact of administration routes in establishing the Adriamycin(ADR)-induced chronic kidney disease(CKD)model.Using BALB/c mice,we compared the effects of conventional tail-vein inje... This study aimed to investigate the impact of administration routes in establishing the Adriamycin(ADR)-induced chronic kidney disease(CKD)model.Using BALB/c mice,we compared the effects of conventional tail-vein injection(TV10,10 mg/kg)to those of retro-orbital sinus(orbital vein)injection(OV10,10 mg/kg;OV8,8 mg/kg).The re-sults indicated that the OV10 group exhibited CKD pathology similar to the TV10 group,with both groups demonstrating significantly higher urinary albumin/creatinine ratio(p<0.05),tubular injury(p<0.05),and degree of renal fibrosis(p<0.05)than the OV8 group.No significant differences were observed between the OV10 and TV10 groups in urinary albumin/creatinine ratio,tubular injury,and degree of renal fibrosis.These findings demonstrated that retro-orbital administration of 10 mg/kg ADR in-duces comparable effects to conventional tail-vein administration.This technique's technical simplicity may improve experimental efficiency,reproducibility,and animal welfare in CKD research.In conclusion,this study validates the utility of retro-orbital injection in CKD model establishment,demonstrating its potential to standardize and improve the reliability of future CKD research protocols. 展开更多
关键词 Adriamycin nephropathy BALB/c CKD orbital vein injection tail-vein injection
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Author Correction:Preoperative application of combination of portal venous injection of donor spleen cells and intraperitoneal injection of rapamycin prolongs the survival of cardiac allografts in mice
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《Asian Pacific Journal of Tropical Medicine》 2025年第6期288-288,共1页
Wen-lin Gong1,Chuang Sha2,Gang Du1,Zhong-gui Shan3,Zhong-quan Qi3,Su-fang Zhou1,Nuo Yang1,4,Yong-xiang Zhao1,4.First published:21 June 2017;10(5):454-460.DOI:10.1016/j.apjtm.2017.05.004 The authors would like to corre... Wen-lin Gong1,Chuang Sha2,Gang Du1,Zhong-gui Shan3,Zhong-quan Qi3,Su-fang Zhou1,Nuo Yang1,4,Yong-xiang Zhao1,4.First published:21 June 2017;10(5):454-460.DOI:10.1016/j.apjtm.2017.05.004 The authors would like to correct an error in Figure 3 in which the flow cytometric scattergram of CD4/CD44 for the control group was erroneously used for the scattergram of CD8/CD44 for the PVIDSC group.The correct scattergram of CD8/CD44 for the PVIDSC group is provided below.The error does not affect the conclusion of the study.The authors apologize for the error and the inconvenience it might have caused to readers. 展开更多
关键词 intraperitoneal injection cardiac allograft survival CD CD flow cytometric scattergram portal venous injection RAPAMYCIN
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The occurrence of propofol injection pain in the emergency department:an exploratory analysis
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作者 Mischa Veen M.Christien van der Linden 《World Journal of Emergency Medicine》 2025年第2期161-163,共3页
Propofol(2,6-di-isopropylphenol) is a short-acting,intravenous sedative drug.^([1,2]) The pharmacologic mechanism of propofol is related to its agonistic effects on the gamma-amino butyric acid receptor.^([1-3]) Propo... Propofol(2,6-di-isopropylphenol) is a short-acting,intravenous sedative drug.^([1,2]) The pharmacologic mechanism of propofol is related to its agonistic effects on the gamma-amino butyric acid receptor.^([1-3]) Propofol injection pain(PIP) is well-known in the operating room and is commonly countered by the prophylactic administration of lidocaine.In anesthesia,PIP is encountered in 28%–90% of patients.^([4,5]) However,PIPprophylaxis does not seem to be efficacious in every population.^([6,7]) Whether procedural sedation and analgesia(PSA) in the emergency department(ED) warrants lidocaine administration is unclear. 展开更多
关键词 injection ANESTHESIA PAIN
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Abdominal wall hematoma related to subcutaneous low-molecular-weight heparin injection following coronary intervention therapy:case presentation
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作者 Xiao-Hua LIU Yi-Zhou XU 《Journal of Geriatric Cardiology》 2025年第1期214-218,共5页
Subcutaneous administration of low-molecularweight heparin(LMWH)has been widely accepted as an effective anticoagulation therapy and is frequently used for patients to prevent thromboembolic events.While the usually s... Subcutaneous administration of low-molecularweight heparin(LMWH)has been widely accepted as an effective anticoagulation therapy and is frequently used for patients to prevent thromboembolic events.While the usually seen bruising around the injection site during subcutaneous LMWH treatment,the abdominal wall(AW)hematoma(AWH)was scarcely observed and reported.A previous study demonstrated the usual etiological risk of AWH involved anticoagulation therapy,chronic kidney disease,and trauma.^([1])Most of these cases had a favorable prognosis after conservative treatment. 展开更多
关键词 injection HEPARIN HEMATOMA
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Improving accuracy for intra-articular injections for capsulitis of the shoulder by changing the injection technique
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作者 Jan M A Mens Ronald T M Van Kalmthout 《World Journal of Orthopedics》 2025年第11期68-74,共7页
BACKGROUND The accuracy of blind intra-articular injections in the shoulder is rather low.Inaccurate injections tend to lead to poorer treatment outcomes.The“Delaware posterior bone touch technique”has shown higher ... BACKGROUND The accuracy of blind intra-articular injections in the shoulder is rather low.Inaccurate injections tend to lead to poorer treatment outcomes.The“Delaware posterior bone touch technique”has shown higher accuracy in young,slender,healthy volunteers than the classical“Cyriax technique”.AIM To investigate whether the Delaware technique would also be more accurate in older patients with capsulitis.METHODS We analyzed the files of 100 consecutive patients with capsulitis who were treated with an intra-articular injection containing a mixture of triamcinolone,lidocaine,and air.After the injection,the shoulder was moved to determine whether a squishing sound could be produced.The squishing sound was interpreted as an accurate injection.The scores with the new Delaware technique were compared against those with the Cyriax technique in a previous study.RESULTS Squishing was heard after 87%of the injections.This was 13%(10%points)more than the 77%in the previous study(P=0.004).CONCLUSION The Delaware technique was significantly more accurate than the Cyriax technique also in middle aged patients with capsulitis.We hypothesize that the difference is caused by a lower risk that a part of the opening of the needle is still outside the capsule. 展开更多
关键词 Capsulitis SHOULDER Intra-articular injections GLUCOCORTICOID ACCURACY
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Establishing a fault sealing discrimination method to determine the optimal injection sites and injection rate for CO_(2) storage in complex fault-block geological bodies
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作者 Zi-Yang Song Lei-Lei Yang +4 位作者 Yi Liu Fu-Jie Jiang Xiao-Feng Li Zhen-Guo Qi Zhen-Yuan Yin 《Petroleum Science》 2025年第7期2643-2659,共17页
The long-term stability of CO_(2) storage represents a pivotal challenge in geological CO_(2) storage(CGS),particularly within deep saline aquifers characterized by complex fault-block systems.While the injection site... The long-term stability of CO_(2) storage represents a pivotal challenge in geological CO_(2) storage(CGS),particularly within deep saline aquifers characterized by complex fault-block systems.While the injection sites and rate under different fault structures will directly affect the CO_(2) storage effect and the risk of leakage.This study investigates the Gaoyou Sag in the Subei Basin,a representative fault-block reservoir,through an integrated numerical-experimental approach.A three-dimensional simulation model incorporating multiphase flow dynamics was developed to characterize subsurface CO_(2) transport and dissolution processes.A novel fault seal capacity evaluation framework was proposed,integrating three critical geological indices(fault throw/reservoir thickness/caprock thicknesses)with the coupling of formation physical properties,temperature,and pressure for the rational selection of injection sites and rates.The results show that Optimal storage performance is observed when the fault throw is lower than the reservoir and caprock thicknesses.Furthermore,higher temperature and pressure promote the dissolution and diffusion of CO_(2),while compared to the structural form of faults,the physical properties of faults have a more significant effect on CO_(2) leakage.The larger reservoir space and the presence of an interlayer reduce the risk of CO_(2) leakage,and augmenting storage potential.Decreasing the injection rate increases the proportion of dissolved CO_(2),thereby enhancing the safety of CO_(2) storage. 展开更多
关键词 CCUS CO_(2)geological storage Fault-block geological bodies injection sites injection rate CO_(2)dissolution
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Influence of injection positions on combustion performance in kerosene-fueled multi-cavity Scramjet combustor
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作者 Fangbin LIU Rongchun ZHANG +1 位作者 Riheng ZHENG Qiang SUN 《Chinese Journal of Aeronautics》 2025年第5期92-108,共17页
The kerosene-fueled Scramjet with multi-cavity combustor has the potential to serve aspropulsion system for hypersonic flight.However,the impact of injection positions on combustionperformance and mechanism at high Ma... The kerosene-fueled Scramjet with multi-cavity combustor has the potential to serve aspropulsion system for hypersonic flight.However,the impact of injection positions on combustionperformance and mechanism at high Mach numbers remains uncertain.Therefore,a comparativestudy was conducted using numerical methods to explore multi-cavity Scramjet combustor perfor-mance at a flight Mach number 7.0 with different injection positions.The combustor is equippedwith 6 cavities arranged in three groups along the flow direction,each consisting of two cavities per-pendicular to the flow.It is shown that the injection location significantly influences combustionperformance:Front-injection yields higher combustion efficiency than post-injection,but post-injection is advantageous for the intake start.Additionally,regardless of injection positions,themainstream flow state near the cavities behind the injection can be categorized as supersonic flow,supersonic-subsonic coexistence flow,and subsonic flow.The optimal length from the downstreamto the trailing edge of the cavities behind the injection for achieving maximum combustion effi-ciency is determined.Further extension beyond this optimal length does not significantly increasethe combustion efficiency.In addition,the optimal length varies with different injection positions-specifically,it is about 60%longer with post-injection conditions than with front-injection con-ditions in this investigation.Moreover,significant secondary combustion within the cavities leadingto improved efficiency only occurs when mainstream flow state is either supersonic flow orsupersonic-subsonic coexistence flow.Also,with a well-optimized design,the kerosene-fueledmulti-cavity Scramjet can achieve enhanced combustion efficiency,which shows relatively smallvariation across a wide range of equivalence ratios.This might be caused by the effects of interac-tion among these multiple cavities.Therefore,these research findings can provide valuable insightsfor designing and optimizing the kerosene-fueled multi-cavity combustor in Scramjet at high Machnumbers. 展开更多
关键词 SCRAMJET injection Combustion performance Optimization MULTI-CAVITY
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Pre-injection local anesthesia does not affect experienced pain in intra-articular hip injections
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作者 Assaf Albagli Ehud Rath +6 位作者 Ido Druckmann Ben Efrima Efi Kazum Nata Parnes Alexis B Sandler John Tyler Eyal Amar 《World Journal of Orthopedics》 2025年第2期20-27,共8页
BACKGROUND Intra-articular hip injections(IAHIs)are commonly used for diagnostic and therapeutic purposes but are often associated with patient anxiety and fear.The disparity between anticipated and experienced pain d... BACKGROUND Intra-articular hip injections(IAHIs)are commonly used for diagnostic and therapeutic purposes but are often associated with patient anxiety and fear.The disparity between anticipated and experienced pain during IAHIs and the role of preinjection local anesthesia in pain modulation remains unclear.AIM To investigate the difference between anticipated and experienced pain during IAHIs and the impact of pre-injection local anesthesia.METHODS This prospective study enrolled 60 patients undergoing IAHI,30 receiving pre-injection superficial local anesthesia and 30 serving as a control group without pre-injection local anesthesia.Pain levels were assessed using numeric rating scales.RESULTS Patients significantly overestimated anticipated pain compared to experienced pain(6.43±2.48 vs 3.68±2.37,P<0.001).Pre-injection local anesthesia did not significantly reduce experienced pain(3.19±2.38 vs 4.20±2.29,P=0.130).CONCLUSION Patients overestimate anticipated pain during IAHIs.Pre-injection local anesthesia does not reduce experienced pain. 展开更多
关键词 HIP injection Patient experience PAIN Practice management
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Experimental Analysis and Modeling of Ethanol-Biodiesel-Diesel Blends Injection Behavior
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作者 Hailong Chen Yu Zhang +2 位作者 Xin Luan Mingyu Zhang Guanzhen Tao 《Fluid Dynamics & Materials Processing》 2025年第7期1753-1770,共18页
Fuel injection properties,including the injection rate(temporal aspects)and spray behavior(spatial aspects),play a crucial role in the combustion efficiency and emissions of diesel engines.This study investigates the ... Fuel injection properties,including the injection rate(temporal aspects)and spray behavior(spatial aspects),play a crucial role in the combustion efficiency and emissions of diesel engines.This study investigates the effects of different ethanol-biodiesel-diesel(EBD)blends on the injection performance in diesel engines.Experimental tests are conducted to examine key injection parameters,such as spray penetration distance,spray cone angle,and droplet size,alongside an analysis of coupling leakage.The main findings are as follows:(1)The injection behavior of ethanol and diesel differs significantly.The addition of ethanol reduces the density,viscosity,and modulus of elasticity of the fuel mixture.While the injection advance angle,penetration distance,and Sauter mean diameter show minimal changes,the spray cone angle and coupling leakage increase notably.These alterations may disrupt the“fuelair-chamber”matching characteristics of the original engine,potentially affecting performance.(2)In contrast,the injection performance of biodiesel ismore similar to that of diesel.As biodiesel content increases,the density,viscosity,and modulus of elasticity of the blended fuel also grow.Though changes in injection timing,penetration distance,and spray cone angle remain minimal,the Sauter mean diameter experiences a slight increase.The“air-fuel chamber”compatibility of the original engine is largely unaffected,though fuel atomization slightly deteriorates.Blending up to 20%biodiesel and 30%ethanol with diesel effectively compensates for the shortcomings of using single fuels,maintaining favorable injection dynamics while enhancing lubrication and sealing performance of engine components. 展开更多
关键词 Diesel engine BIODIESEL ETHANOL blended fuel injection characteristics
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Generation of transgenic chicken through ovarian injection
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作者 Jinghua Jiang Caiying Wang +2 位作者 Xuguang Du Fei Gao Sen Wu 《Animal Models and Experimental Medicine》 2025年第1期187-193,共7页
Background : Traditional DNA microinjection methods used in mammals are difficult to apply to avian species due to their unique reproductive characteristics. Genetic manipulation in chickens, particularly involving im... Background : Traditional DNA microinjection methods used in mammals are difficult to apply to avian species due to their unique reproductive characteristics. Genetic manipulation in chickens, particularly involving immature follicles within living ovaries, has not been extensively explored. This study seeks to establish an efficient method for generating transgenic chickens through ovarian injection, potentially bypassing the challenges associated with primordial germ cell (PGC) manipulation and fertilized egg microinjection. Methods : Hens were anesthetized and underwent a surgical procedure to access the ovary for DNA injection into immature follicles. The study used liposomes to deliver GFP- expressing plasmids at various dosages. After injection, hens recovered, and their eggs were fertilized through artificial insemination. Results : Transgenic chickens were successfully generated in one generation without needing G0 founders. The injection of 20 μg plasmid yielded the highest transgenic efficiency at 12.1%. GFP- positive embryos were confirmed through microscopy, and successful transgene expression was validated at the tissue level using immunostaining. TERT and GFP elements introduced in the G1 generation resulted in 4.1% positive transgene rates, as confirmed by PCR and Southern blotting. Conclusion : This ovarian injection method offers a promising alternative for avian genetic manipulation, bypassing complex PGC procedures and enabling direct generation of G1 transgenic chickens. This technique simplifies the transgenic process for chickens and has the potential to be adapted for other avian species, especially those without established PGCs culture systems. 展开更多
关键词 avian species gene manipulation ovarian injection transgenic chickens
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Inhibitory effects of Houttuynia cordata injection on hyphal growth and biofilm formation of Candida albicans
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作者 Qian-Wen Xu Ding-Hui Wang +2 位作者 Cang-Cang Zhang Da-Qiang Wu Xiao-Jia Niu 《Infectious Diseases Research》 2025年第1期28-34,共7页
Background:Houttuynia cordata injection(HCI),made from fresh Houttuynia cordata,exerts heat-clearing,detoxifying and diuretic effects.It is indicated for various infections including lung abscess,fever,leucorrhea,urin... Background:Houttuynia cordata injection(HCI),made from fresh Houttuynia cordata,exerts heat-clearing,detoxifying and diuretic effects.It is indicated for various infections including lung abscess,fever,leucorrhea,urinary tract infection and carbuncle.Candida albicans is a common opportunistic pathogen in immunocompromised individuals.This pathogenic fungus colonizes in skin,mucosa membrane and digestive tract,potentially progressing from localized mucosal infections to systemic disease.Methods:The minimum inhibitory concentration(MIC)of HCI against C.albicans strain was determined by the microdilution method.The hyphal status of C.albicans was observed after incubation in the liquid medium and evaluated by Gram staining.The biofilm formation ability was measured using XTT reduction assay and assessed by Calcofluor White staining.The expression of virulence-related genes was detected with quantitative RT-PCR.Results:The MIC of HCI against C.albicans strain was determined to be 0.5 g/mL.At this concentration,HCI exhibited inhibitory effects on hyphal formation,as confirmed by both liquid medium observation and Gram staining.HCI at the MIC also effectively inhibited C.albicans biofilm formation,which was verified through XTT reduction assay and Calcofluor White staining.Additionally,gene expression analysis revealed that HCI significantly suppressed the expression of virulence-related genes in C.albicans.Conclusion:HCI demonstrates inhibitory effects on C.albicans growth and biofilm development.It inhibits hyphal formation,affecting the yeast-to-hyphal transition.This study investigated the antifungal effects of HCI,providing potent experimental evidence for its mechanism of action against C.albicans. 展开更多
关键词 Houttuynia cordata injection Candida albicans MYCELIUM virulence factors biofilms
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Numerical simulation of the effect of hydrogen injection and oxygen enrichment interaction on PCI in a blast furnace
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作者 Huan Liu Li Huang +3 位作者 Zhenyang Wang Alberto N.Conejo Jianliang Zhang Dawei Lan 《International Journal of Minerals,Metallurgy and Materials》 2025年第7期1551-1565,共15页
Hydrogen displays the potential to partially replace pulverized coal injection(PCI)in the blast furnace,and it can reduce CO_(2)emissions.In this paper,a three-dimensional mathematical model of hydrogen and pulverized... Hydrogen displays the potential to partially replace pulverized coal injection(PCI)in the blast furnace,and it can reduce CO_(2)emissions.In this paper,a three-dimensional mathematical model of hydrogen and pulverized coal co-injection in blast furnace tuyere was established through numerical simulation,and the effect of hydrogen injection and oxygen enrichment interaction on pulverized coal combustion and raceway smelting was investigated.The simulation results indicate that when the coal injection rate decreased from 36 to 30t/h and the hydrogen injection increased from 0 to 3600 m^(3)/h,the CO_(2)emissions decreased from 1860 to 1551 kg/t,which represents a16.6%reduction,and the pulverized coal burnout decreased from 70.1%to 63.7%.The heat released from hydrogen combustion can not only promote the volatilization of pulverized coal but also affect the combustion reaction between volatilization and oxygen,which resulted in a decrease in the temperature at the end of the raceway.Co-injection of hydrogen with PCI increased the wall temperature near the upper half part of the raceway and at the outlet of the tuyere,which required a high cooling efficiency to extend the service life of the blast furnace.The increase in oxygen level compensated for the decreased average temperature in the raceway due to hydrogen injection.The increase in the oxygen content by 3%while maintaining constant hydrogen and PCI injection rates increased the burnout and average raceway temperature by 4.2%and 43 K,respectively.The mole fraction of CO and H_(2) production increased by 0.04 and 0.02,respectively.Burnout can be improved through optimization of the particle size distribution of pulverized coal. 展开更多
关键词 blast furnace HYDROGEN pulverized coal injection BURNOUT numerical simulation
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