期刊文献+
共找到146,761篇文章
< 1 2 250 >
每页显示 20 50 100
Failure mechanism of the coal wall at the working face based on an eccentric compression mechanical model
1
作者 Maolin Tian Jiabao Wang +4 位作者 Changsheng Wang Shijie Sun Lijun Han Qingbin Meng Sunhao Zhang 《Deep Underground Science and Engineering》 2026年第1期127-143,共17页
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
关键词 coal wall spalling eccentric compression mechanical model failure mechanism instability failure shear failure
原文传递
Transmission patterns of progressive damage and reliability analysis of reservoir-induced landslides considering local tensile failure
2
作者 Minghao Miao Huiming Tang +5 位作者 Yinlong Jiang Kun Fang Changdong Li Cheng He Peng Cao Sha Lu 《Journal of Rock Mechanics and Geotechnical Engineering》 2026年第2期913-931,共19页
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
关键词 Reliability analysis Tensile failure Reservoir landslide Progressive damage failure mode Tensile crack
在线阅读 下载PDF
Utility of the Vulnerable Elders Survey-13(VES-13) in detecting frailty and predicting prognosis in heart failure outpatients
3
作者 Thaïs Roig Elisabet Zamora +15 位作者 Josep Lupón Beatriz González Ana Pulido Eva Crespo Patricia Velayos Carmen Rivas Violeta Díaz Yolanda López Andrea Borrellas Mar Domingo María Ruiz Pau Codina Evelyn Santiago-Vacas MiquelÀMas Ramón Miralles Antoni Bayes-Genis 《Journal of Geriatric Cardiology》 2026年第1期17-26,共10页
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
关键词 barthel i FRAILTY heart failure hf Heart failure multimodal screening assessment multimodal approach detecting frailty Vulnerable Elders Survey
暂未订购
Impact of heart failure on skeletal muscle:an overview
4
作者 Lucian Batista de Oliveira Marina Baltar de Albuquerque +2 位作者 Amalia Pinheiro Jácome Bezerra Cavalcanti Fábio Moura Francisco Bandeira 《Journal of Geriatric Cardiology》 2026年第2期113-120,共8页
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
关键词 natriuretic peptides heart failure muscle health clinical epidemiological data SARCOPENIA skeletal muscle oxidative stress heart failure hf
暂未订购
Optimal mud pressure design using nonlinear failure criteria for wellbores in shaley sedimentary reservoir
5
作者 Ravindra K.Burnwal Aditya Singh 《Deep Underground Science and Engineering》 2026年第1期144-159,共16页
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
关键词 critical mud pressure Krishna-Godavari basin Modified Mohr-Coulomb failure criterion Mogi-Coulomb failure criterion Wellbore stability analysis
原文传递
Hybrid Operation of Grid-following and Grid-forming Renewable Energy Sources for Commutation Failure Suppression of LCC-HVDC
6
作者 Jiali Kui Jiabing Hu +4 位作者 Jianhang Zhu Yingbiao Li Tiezhu Wang Shicong Ma Jianbo Guo 《CSEE Journal of Power and Energy Systems》 2026年第1期31-43,共13页
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
关键词 Commutation failure grid-following grid-forming LCC-HVDC suppression strategy
原文传递
Formation control for multiple spacecraft with disturbances and sensor failures
7
作者 LI Yufei LYU Yuezu PENG Wenliang 《Journal of Systems Engineering and Electronics》 2026年第1期18-25,共8页
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
关键词 formation control multiple spacecraft DISTURBANCE sensor failure
在线阅读 下载PDF
Pullout response and failure characteristics of anchorage system in hard rocks
8
作者 Chuanqing Zhang Qiangqiang Zhang +2 位作者 Qiang Cui Xunguo Zhu Qiming Xie 《Journal of Rock Mechanics and Geotechnical Engineering》 2026年第3期1966-1991,共26页
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
关键词 Anchorage system Pullout test failure characteristics Mechanical responses STIFFNESS
在线阅读 下载PDF
Death anxiety in patients with heart failure:an updated integrative review
9
作者 Wanich Suksatan 《Frontiers of Nursing》 2026年第1期7-14,共8页
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
关键词 death anxiety heart failure integrative review psychological intervention SPIRITUALITY
暂未订购
Decade of insights on causes of scleral buckle failure in retinal detachment
10
作者 Hu Cheng Liu Yin +6 位作者 Du Fan Zhu Li Xiang Nian Huang Zhijian Yan Ying Zeng Bo Chen Xiao 《国际眼科杂志》 2026年第2期197-201,共5页
AIM:To investigate the underlying causes of surgical failure and reoperation management in patients with rhegmatogenous retinal detachment(RRD)who underwent scleral buckle surgery at our institution.METHODS:This was a... AIM:To investigate the underlying causes of surgical failure and reoperation management in patients with rhegmatogenous retinal detachment(RRD)who underwent scleral buckle surgery at our institution.METHODS:This was a single-center,retrospective,descriptive study.The clinical data of 368 patients(387 eyes)with RRD who underwent scleral buckling(SB)surgery between August 2013 and July 2023 at our institution were collected.The aim was to analyze the causes of recurrence and the rationale for selecting reoperation methods.RESULTS:Totally 368 patients(387 eyes)were included in the analysis,comprising 222 males and 146 females.The average age was 30.26±14.18 years,and the mean follow-up duration was(48.33±20.39)mo.The success rate of SB surgery was 90.2%.Recurrent retinal detachment occurred in 38 eyes.Based on surgical records,the causes of SB failure were analyzed.The recurrence causes included abnormal compression ridge position(position,height,or width)in 14 eyes(36.8%,14/38),hole omission in 11 eyes(29.0%,11/38),proliferative vitreoretinopathy(PVR)in 10 eyes(26.3%,10/38),and new holes in 3 eyes(7.9%,3/38).Among these,8 eyes(21.1%,8/38)underwent repeat SB surgery,while the remaining 30 eyes(78.9%,30/38)underwent pars plana vitrectomy(PPV).Regarding tamponade agents,silicone oil was used in 11 eyes(36.7%,11/30),C_(3)F_(8) gas in 12 eyes(40.0%,12/30),and sterile air in 7 eyes(23.3%,7/30).CONCLUSION:SB surgery demonstrates a high success rate in the treatment of RRD.However,abnormal compression ridge position,missed holes during surgery,and PVR are the primary causes of SB failure.After addressing the reasons for failure,re-SB surgery or PPV can be effective alternatives. 展开更多
关键词 retinal detachment scleral buckling cause of failure REOPERATION
暂未订购
Correlation between life satisfaction,pleasure level,and negative emotion in patients with chronic renal failure
11
作者 Lin-Lin Zhang You-Li Zhang +3 位作者 Ting Liu Jian Wang Chen Chen Xiao-Yu Wang 《World Journal of Psychiatry》 2026年第1期291-298,共8页
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
关键词 Chronic renal failure HEMODIALYSIS Negative emotion Life satisfaction PLEASURE CORRELATION
暂未订购
Kinesiophobia in Primary Caregivers of Patients with Chronic Heart Failure: A Scoping Review
12
作者 Jiaqi Chen Wenjuan Lai +3 位作者 Yumei He Mingjie Cai Pinmei Zou Hui Xu 《Journal of Clinical and Nursing Research》 2026年第2期28-39,共12页
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
关键词 Chronic heart failure CAREGIVERS KINESIOPHOBIA Homebased rehabilitation Scoping review
暂未订购
Preterm heart failure and refractory lactic acidosis caused by congenital hypothyroidism:A case report and review of literature
13
作者 Hong-Ju Chen Jiao Li +3 位作者 Xiao-Ming Xu Bo Zhang Bo-Chao Cheng Jing Shi 《World Journal of Clinical Cases》 2026年第1期43-51,共9页
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
关键词 Congenital hypothyroidism Lactic acidosis Heart failure NEONATE PRETERM Case report
暂未订购
Incidence of readmission,mortality,and quality of life in patients with heart failure:a comprehensive assessment at a tertiary care hospital in India
14
作者 Mahesh Bhupal Chendake Abhijeet Bhausaheb Shelke Vaishali Rajsinh Mohite 《Frontiers of Nursing》 2026年第1期121-129,共9页
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
关键词 heart failure MORTALITY quality of life READMISSION standard of living
暂未订购
Optimal Cyber-attack Evaluation for Cross-domain Cascading Failures Considering Spatiotemporal Synergy of Multiple Attack-event-chains
15
作者 Yihan Liu Yufei Wang +1 位作者 Hongru Wang Qi Wang 《CSEE Journal of Power and Energy Systems》 2026年第1期495-507,共13页
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
关键词 Attack graph cascading failure cyber-attacks grid cyber-physical system optimal attack scheme
原文传递
Effect of dynamic disturbance frequency on brittle failure of granite in deep excavation
16
作者 Ben-Guo He Hanyi Liu +1 位作者 Xia-Ting Feng Hongyuan Fu 《Journal of Rock Mechanics and Geotechnical Engineering》 2026年第2期1002-1015,共14页
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
关键词 True-triaxial compression Disturbance frequency Brittle failure Characteristic strength Deep excavation
在线阅读 下载PDF
Corrosion failure analysis of J55 tubing thread fastener in an electric pump well in an oil field
17
作者 QI Yameng ZHOU Xiong 《Baosteel Technical Research》 2026年第1期35-39,共5页
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
关键词 electric pump well tubing thread corrosion perforation microbiological corrosion failure analysis
在线阅读 下载PDF
Mitochondrial dysfunction: a new target for traditional Chinese medicine in the treatment of chronic heart failure
18
作者 Fuyun Jia Yadong Wang +8 位作者 Shengwei Gao Rui Zhang Shichuan Chen Hui Zhang Yinan Ma Zhengwei Zhang Junchi Guo Xi Zhang Qiang Xu 《Chinese Journal of Natural Medicines》 2026年第3期289-299,共11页
Chronic heart failure(CHF) remains a global health challenge with limited therapeutic options. Mitochondrial dysfunction is a key pathological feature, and traditional Chinese medicine(TCM) shows unique potential in t... Chronic heart failure(CHF) remains a global health challenge with limited therapeutic options. Mitochondrial dysfunction is a key pathological feature, and traditional Chinese medicine(TCM) shows unique potential in targeting this mechanism. Evidence from human and animal models of heart failure indicates that TCM can restore mitochondrial function by regulating mitochondrial Ca^(2+) homeostasis, oxidative stress, energy metabolism, mitochondrial dynamics, and mitophagy. TCM-based treatment of CHF offers notable clinical advantages, including improved therapeutic efficacy, enhanced cardiac function, and reduced incidence of major cardiovascular events. Experimental studies demonstrate that TCM decoctions and monomers modulate signaling pathways such as PPAR–RXRα, NF-κB, and PI3K/AKT to alleviate oxidative stress. TCM also increases AMPK activity via phosphorylation of PGC-1α, indirectly promoting mitochondrial biogenesis;attenuates calcium influx and enhances Ca^(2+) reuptake, thereby ameliorating myocardial mitochondrial dysfunction in CHF;and improves CHF by rebalancing mitochondrial dynamics and autophagy. 展开更多
关键词 Mitochondrial dysfunction Traditional Chinese medicine Chronic heart failure
原文传递
Experimental study on damage evolution and failure precursor characteristics of granite under thermal shock cycles
19
作者 Zhenjiang Huang Mingxuan Shen +5 位作者 Yu Zhao Chaolin Wang Jing Bi Yongfa Zhang Shuang Dang Yuhang Zhao 《International Journal of Mining Science and Technology》 2026年第1期125-148,共24页
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
关键词 GRANITE Thermal shock cycles Acoustic emission Thermal damage failure precursor
在线阅读 下载PDF
Xijiaqi Formula attenuates cognitive dysfunction by inhibiting neuroinflammation and promoting neuroplasticity in rats with chronic heart failure
20
作者 Jie Chen Xuefen Wu +8 位作者 Qian Zhang Hongcai Shang Wanting Li Linnan Zhou Xinyu Chu Guiyang Xia Huan Xia Xiaohong Wei Sheng Lin 《Chinese Journal of Natural Medicines》 2026年第1期73-88,共16页
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
关键词 Xijiaqi Formula Cognitive dysfunction Chronic heart failure Synaptic plasticity NEUROINFLAMMATION PDE4
原文传递
上一页 1 2 250 下一页 到第
使用帮助 返回顶部