The deformation caused by tunnel excavation is quite important for safety,especially when it is adjacent to the existing tunnel.Nevertheless,the investigation of deformation characteristics in overlapped curved shield...The deformation caused by tunnel excavation is quite important for safety,especially when it is adjacent to the existing tunnel.Nevertheless,the investigation of deformation characteristics in overlapped curved shield tunneling remains inadequate.The analytical solution for calculating the deformation of the ground and existing tunnel induced by overlapped curved shield tunneling is derived by the Mirror theory,Mindlin solution and Euler-Bernoulli-Pasternak model,subsequently validated through both finite element simulation and field monitoring.It is determined that the overcutting plays a crucial role in the ground settlement resulting from curved shield tunneling compared to straight shield tunneling.The longitudinal settlement distribution can be categorized into five areas,with the area near the tunnel surface experiencing the most dramatic settlement changes.The deformation of the existing tunnel varies most significantly with turning radius compared to tunnel clearance and grouting pressure,especially when the turning radius is less than 30 times the tunnel diameter.The tunnel crown exhibits larger displacement than the tunnel bottom,resulting in a distinctive‘vertical egg'shape.Furthermore,an optimized overcutting mode is proposed,involving precise control of the extension speed and angular velocity of the overcutting cutter,which effectively mitigates ground deformation,ensuring the protection of the existing tunnel during the construction.展开更多
This article examines the influence of annealing temperature on fracture toughness and forming limit curves of dissimilar aluminum/silver sheets.In the cold roll bonding process,after brushing and acid washing,the pre...This article examines the influence of annealing temperature on fracture toughness and forming limit curves of dissimilar aluminum/silver sheets.In the cold roll bonding process,after brushing and acid washing,the prepared surfaces are placed on top of each other and by rolling with reduction more than 50%,the bonding between layers is established.In this research,the roll bonding process was done at room temperature,without the use of lubricants and with a 70%thickness reduction.Then,the final thickness of the Ag/Al bilayer sheet reached 350μm by several stages of cold rolling.Before cold rolling,it should be noted that to decrease the hardness created due to plastic deformation,the roll-bonded samples were subjected to annealing heat treatment at 400℃for 90 min.Thus,the final samples were annealed at 200,300 and 400℃for 90 min and cooled in a furnace to examine the annealing temperature effects.The uniaxial tensile and microhardness tests measured mechanical properties.Also,to investigate the fracture mechanism,the fractography of the cross-section was examined by scanning electron microscope(SEM).To evaluate the formability of Ag/Al bilayer sheets,forming limit curves were obtained experimentally through the Nakazima test.The resistance of composites to failure due to cracking was also investigated by fracture toughness.The results showed that annealing increases the elongation and formability of the Ag/Al bilayer sheet while reduces the ultimate tensile strength and fracture toughness.However,the changing trend is not the same at different temperatures,and according to the results,the most significant effect is obtained at 300℃and aluminum layers.It was also determined that by increasing annealing temperature,the fracture mechanism from shear ductile with small and shallow dimples becomes ductile with deep cavities.展开更多
BACKGROUND Intrathecal bupivacaine is the traditional anesthetic drug used in spinal anesthesia for caesarean sections(CSs),but ropivacaine has emerged as a potential alter-native.This meta-analysis compares the effic...BACKGROUND Intrathecal bupivacaine is the traditional anesthetic drug used in spinal anesthesia for caesarean sections(CSs),but ropivacaine has emerged as a potential alter-native.This meta-analysis compares the efficacy and safety of intrathecal hyper-baric bupivacaine vs hyperbaric ropivacaine for cesarean sections.AIM To systematically evaluate and compare the efficacy and safety of intrathecal hyperbaric bupivacaine and hyperbaric ropivacaine for spinal anesthesia in CSs.METHODS A thorough search of electronic databases was carried out to find pertinent randomized controlled trials(RCTs)comparing intrathecal hyperbaric ropi-vacaine and hyperbaric bupivacaine during CSs.PubMed,Cochrane database,Google Scholar,and Scopus were searched,and papers from January 2000 to January 2024 were deemed eligible and filtered using predetermined inclusion and exclusion criteria.Studies were assessed for methodological quality,and data were extracted for time to adequate anesthesia(sensory and motor blockade),duration of sensory and motor block,hemodynamic changes and side effect profile.The standardized mean difference with 95%CI was used for continuous data.Dichotomous variables were assessed using the Mantel-Haenszel test and the random effect model to compute the odds ratio.RESULTS Total 8 RCTs were selected from a pool of 119 search results for meta-analysis.The meta-analysis evaluated pooled effect sizes and assessed heterogeneity among the studies.The primary objective was to compare key outcomes to identify any significant variances in efficacy and safety profiles between two local anesthetics.The analysis revealed that the difference in the onset of sensory blockade between the two local anesthetics was statistically insignificant(P=0.1586).However,the onset of motor blockade appeared to be faster with bupivacaine(P=0.03589).Additionally,the regression of sensory and motor blockade occurred earlier in the ropivacaine group.Furthermore,the duration of the first analgesic effect was shorter with a significance level of P<0.05.Regarding side effects profile,including hypotension,nausea,and shivering,the study did not observe any significant differences between the two groups.CONCLUSION This meta-analysis offers insights into the effectiveness and safety of hyperbaric bupivacaine vs ropivacaine for cesarean sections.Hyperbaric ropivacaine had a comparable safety profile and faster regression of sensory and motor blockade than hyperbaric bupivacaine,perhaps aiding early mobilization of parturient and facilitating mother-child bonding.Choosing ropivacaine may offer benefits beyond efficacy for cesarean section patients and short surgical procedures.展开更多
A Receiver Operating Characteristic(ROC)analysis of a power is important and useful in clinical trials.A Classical Conditional Power(CCP)is a probability of a classical rejection region given values of true treatment ...A Receiver Operating Characteristic(ROC)analysis of a power is important and useful in clinical trials.A Classical Conditional Power(CCP)is a probability of a classical rejection region given values of true treatment effect and interim result.For hypotheses and reversed hypotheses under normal models,we obtain analytical expressions of the ROC curves of the CCP,find optimal ROC curves of the CCP,investigate the superiority of the ROC curves of the CCP,calculate critical values of the False Positive Rate(FPR),True Positive Rate(TPR),and cutoff of the optimal CCP,and give go/no go decisions at the interim of the optimal CCP.In addition,extensive numerical experiments are carried out to exemplify our theoretical results.Finally,a real data example is performed to illustrate the go/no go decisions of the optimal CCP.展开更多
Objective Primary liver cancer,predominantly hepatocellular carcinoma(HCC),is a significant global health issue,ranking as the sixth most diagnosed cancer and the third leading cause of cancer-related mortality.Accura...Objective Primary liver cancer,predominantly hepatocellular carcinoma(HCC),is a significant global health issue,ranking as the sixth most diagnosed cancer and the third leading cause of cancer-related mortality.Accurate and early diagnosis of HCC is crucial for effective treatment,as HCC and non-HCC malignancies like intrahepatic cholangiocarcinoma(ICC)exhibit different prognoses and treatment responses.Traditional diagnostic methods,including liver biopsy and contrast-enhanced ultrasound(CEUS),face limitations in applicability and objectivity.The primary objective of this study was to develop an advanced,lightweighted classification network capable of distinguishing HCC from other non-HCC malignancies by leveraging the automatic analysis of brightness changes in CEUS images.The ultimate goal was to create a user-friendly and cost-efficient computer-aided diagnostic tool that could assist radiologists in making more accurate and efficient clinical decisions.Methods This retrospective study encompassed a total of 161 patients,comprising 131 diagnosed with HCC and 30 with non-HCC malignancies.To achieve accurate tumor detection,the YOLOX network was employed to identify the region of interest(ROI)on both B-mode ultrasound and CEUS images.A custom-developed algorithm was then utilized to extract brightness change curves from the tumor and adjacent liver parenchyma regions within the CEUS images.These curves provided critical data for the subsequent analysis and classification process.To analyze the extracted brightness change curves and classify the malignancies,we developed and compared several models.These included one-dimensional convolutional neural networks(1D-ResNet,1D-ConvNeXt,and 1D-CNN),as well as traditional machine-learning methods such as support vector machine(SVM),ensemble learning(EL),k-nearest neighbor(KNN),and decision tree(DT).The diagnostic performance of each method in distinguishing HCC from non-HCC malignancies was rigorously evaluated using four key metrics:area under the receiver operating characteristic(AUC),accuracy(ACC),sensitivity(SE),and specificity(SP).Results The evaluation of the machine-learning methods revealed AUC values of 0.70 for SVM,0.56 for ensemble learning,0.63 for KNN,and 0.72 for the decision tree.These results indicated moderate to fair performance in classifying the malignancies based on the brightness change curves.In contrast,the deep learning models demonstrated significantly higher AUCs,with 1D-ResNet achieving an AUC of 0.72,1D-ConvNeXt reaching 0.82,and 1D-CNN obtaining the highest AUC of 0.84.Moreover,under the five-fold cross-validation scheme,the 1D-CNN model outperformed other models in both accuracy and specificity.Specifically,it achieved accuracy improvements of 3.8%to 10.0%and specificity enhancements of 6.6%to 43.3%over competing approaches.The superior performance of the 1D-CNN model highlighted its potential as a powerful tool for accurate classification.Conclusion The 1D-CNN model proved to be the most effective in differentiating HCC from non-HCC malignancies,surpassing both traditional machine-learning methods and other deep learning models.This study successfully developed a user-friendly and cost-efficient computer-aided diagnostic solution that would significantly enhances radiologists’diagnostic capabilities.By improving the accuracy and efficiency of clinical decision-making,this tool has the potential to positively impact patient care and outcomes.Future work may focus on further refining the model and exploring its integration with multimodal ultrasound data to maximize its accuracy and applicability.展开更多
In this paper,we present a modeling of the soil-water characteristic curve for residual and sedimentary soils of Bom Brinquedo Hill’s,located in Antonina,Brazil.This mountain range region is characterized as a natura...In this paper,we present a modeling of the soil-water characteristic curve for residual and sedimentary soils of Bom Brinquedo Hill’s,located in Antonina,Brazil.This mountain range region is characterized as a natural disaster risk area,requiring continuous research related to the stability of the area.To obtain the soil-water characteristic curve,undisturbed samples of residual and sedimentary soil were collected,followed by suction testing using the filter paper method.Considering the bimodal characteristic presented by the soil,LABFIT software was employed for curve fitting using the generic formulation“Harris+C”.The results of the tests indicated that the phenomenon of hysteresis had a greater influence in situations with higher suction levels.When comparing the residual moisture values of the macropores between residual soil and sedimentary soil,the former exhibited the lower value.This suggests that the residual soil has a coarser grain size and larger pores,which facilitates the release of water retained in the soil’s macropores.展开更多
Background: Cesarean sections have become increasingly prevalent in both developed and developing nations. Nevertheless, postoperative complications, including surgical site infections (SSIs), remain a substantial con...Background: Cesarean sections have become increasingly prevalent in both developed and developing nations. Nevertheless, postoperative complications, including surgical site infections (SSIs), remain a substantial concern that contributes to heightened morbidity and mortality. This study is designed to evaluate the frequency and key determining factors associated with surgical site infections following cesarean section procedures in a tertiary care hospital in Bangladesh. Materials and Methods: This observational cross-sectional study, conducted at the Gynecology Department of Dhaka Medical College Hospital, involved 100 patients aged 15 - 45 who had cesarean deliveries. Data was collected during hospitalization and post-discharge and analyzed to determine the prevalence and relationship between socio-demographic characteristics and surgical site infection. Results: Among the study participants, 14% developed surgical site infections following cesarean operations. More than half of these patients were under the age of 25, with a mean age of 24.45 ± 4.44 years. Surgical site infections were more prevalent in individuals over 30 years old (P-value Conclusion: Post-cesarean surgical site infections are notably prevalent among the participants in this study. Several risk factors have been identified, including age, body mass index (BMI), socioeconomic status, anemia, preterm delivery, personal hygiene practices, regular menstrual cycles, and adherence to antenatal check-ups. The implementation of an effective awareness program, coupled with updated antibiotic protocols, is crucial for significantly reducing the incidence of these infections.展开更多
On a compact Riemann surface with finite punctures P_(1),…P_(k),we define toric curves as multivalued,totallyunramified holomorphic maps to P^(n)with monodromy in a maximal torus of PSU(n+1).Toric solutions to SU(n+1...On a compact Riemann surface with finite punctures P_(1),…P_(k),we define toric curves as multivalued,totallyunramified holomorphic maps to P^(n)with monodromy in a maximal torus of PSU(n+1).Toric solutions to SU(n+1)Todasystems on X\{P_(1);…;P_(k)}are recognized by the associated toric curves in.We introduce character n-ensembles as-tuples of meromorphic one-forms with simple poles and purely imaginary periods,generating toric curves on minus finitelymany points.On X,we establish a correspondence between character-ensembles and toric solutions to the SU(n+1)system with finitely many cone singularities.Our approach not only broadens seminal solutions with two conesingularities on the Riemann sphere,as classified by Jost-Wang(Int.Math.Res.Not.,2002,(6):277-290)andLin-Wei-Ye(Invent.Math.,2012,190(1):169-207),but also advances beyond the limits of Lin-Yang-Zhong’s existencetheorems(J.Differential Geom.,2020,114(2):337-391)by introducing a new solution class.展开更多
Prior to 2012,the integration of designed vertical or horizontal curves into microtunnel alignments was unheard of in Ontario.Straight and relatively short microtunnels,less than 200m long,were the local accepted indu...Prior to 2012,the integration of designed vertical or horizontal curves into microtunnel alignments was unheard of in Ontario.Straight and relatively short microtunnels,less than 200m long,were the local accepted industry standard.Following the release of a large number of infrastructure projects in the suburban Greater Toronto Area(GTA),clients and design consultants encouraged contractors to present value engineered alternatives to proposed project alignments and construction methods.Such an initiative has allowed contractors to develop cost effective solutions,which harnessed the application of state-of-the-art microtunnelling methods and equipment.As a result,several recent projects now feature pre-designed curved microtunnels as part of the tender documents.This paper discusses,in technical detail,three recent projects,whereby,long distance curved microtunnels were successfully constructed.Each of the projects had tunnel drives exceeding 300m in length,ranging in diameter from 1200mm ID to 1500mm ID,incorporating the use of Vertical,Horizontal,and Spatial Curves.Critical parameters such as pre-project planning and engineering are highlighted,while the importance of post-tunnelling assessments is also discussed.展开更多
Tissue clearing combined with high-resolution confocal imaging is a cutting-edge approach for dissecting the three-dimensional(3D)architecture of tissues and deciphering cellular spatial interactions under physiologic...Tissue clearing combined with high-resolution confocal imaging is a cutting-edge approach for dissecting the three-dimensional(3D)architecture of tissues and deciphering cellular spatial interactions under physiological and pathological conditions.Deciphering the spatial interaction of leptin receptor-expressing(LepR^(+))stromal cells with other compartments in the bone marrow is crucial for a deeper understanding of the stem cell niche and the skeletal tissue.In this study,we introduce an optimized protocol for the 3D analysis of skeletal tissues,enabling the visualization of hematopoietic and stromal cells,especially LepR+stromal cells,within optically cleared bone hemisections.Our method preserves the 3D tissue architecture and is extendable to other hematopoietic sites such as calvaria and vertebrae.The protocol entails tissue fixation,decalcification,and cryosectioning to reveal the marrow cavity.Completed within approximately 12 days,this process yields highly transparent tissues that maintain genetically encoded or antibody-stained fluorescent signals.The bone hemisections are compatible with diverse antibody labeling strategies.Confocal microscopy of these transparent samples allows for qualitative and quantitative image analysis using Aivia or Bitplane Imaris software,assessing a spectrum of parameters.With proper storage,the fluorescent signal in the stained and cleared bone hemisections remains intact for at least 2–3 months.This protocol is robust,straightforward to implement,and highly reproducible,offering a valuable tool for tissue architecture and cellular interaction studies.展开更多
Accurately predicting battery degradation is crucial for battery system management.However,due to the complexities of aging mechanisms and limitations of historical data,comprehensively indicating battery degradation ...Accurately predicting battery degradation is crucial for battery system management.However,due to the complexities of aging mechanisms and limitations of historical data,comprehensively indicating battery degradation solely through maximum capacity loss assessment is challenging.While machine learning offers promising solutions,it often overlooks domain knowledge,resulting in reduced accu racy,increased computational burden and decreased interpretability.Here,this study proposes a method to predict the voltage-capacity(V-Q) curve during battery degradation with limited historical data.This process is achieved through two physically interpretable components:a lightweight interpretable physical model and a physics-informed neural network.These components incorporate domain knowledge into machine learning to improve V-Q curve prediction performance and enhance interpretability.Extensive validation was conducted on 52 batteries of different types under different testing conditions.The proposed method can accurately predict future V-Q.curves for hundreds of cycles using only one-present-cycle V-Q curve,with root mean square error and mean absolute error basically less than 0.035 Ah and R^(2) basically less than 98.5%.This means that incremental capacity curves can be extracted from the predicted results for a more comprehensive and accurate battery degradation analysis.Furthermore,the method can flexibly adjust prediction length and density to cater to the practical needs of long-cycle prediction and data generation.This study provides a viable method for rapid degradation prediction and is expected to be generalized to in-vehicle implementations.展开更多
The El Pintado 1 Silurian section in Seville Province,Spain,described by Loydell et al.(2015),has been ratified by the IUGS as the replacement GSSP for the base of the Telychian Stage,to replace the Cefn Cerig quarry ...The El Pintado 1 Silurian section in Seville Province,Spain,described by Loydell et al.(2015),has been ratified by the IUGS as the replacement GSSP for the base of the Telychian Stage,to replace the Cefn Cerig quarry section in the Llandovery area of Wales,which was found to be within a sedimentary mélange and therefore not a continuous section.No section other than El Pintado 1 has been found to be continuously fossiliferous across the Aeronian/Telychian boundary.展开更多
Acute pulmonary edema is a leading cause of death in patients with preeclampsia.The authors reported a case of a pregnant woman at 25 weeks of gestation with severe preeclampsia complicated by pulmonary edema,who requ...Acute pulmonary edema is a leading cause of death in patients with preeclampsia.The authors reported a case of a pregnant woman at 25 weeks of gestation with severe preeclampsia complicated by pulmonary edema,who required an emergency cesarean section,posing a significant challenge to the anesthesiologist.The patient had developed Type 1 respiratory failure and needed supplemental oxygen with high-flow nasal oxygen.Due to contraindications for neuraxial anesthesia,the cesarean section was performed under general anesthesia.After induction of anesthesia,the patient’s hypoxemia worsened.Eventually,after treatment with fluid restriction,diuretics,and albumin,oxygenation improved gradually,and the procedure was performed successfully.Both the patient and the newborn had a good prognosis.展开更多
This research extends the literature on the environmental Phillips curve(EPC)and environmental Kuznets curve(EKC)by focusing on the 38 member economies of the Organization for Economic Co-operation and Development(OEC...This research extends the literature on the environmental Phillips curve(EPC)and environmental Kuznets curve(EKC)by focusing on the 38 member economies of the Organization for Economic Co-operation and Development(OECD).Using panel data from 2000 to 2021,the study employs several econometric techniques,including fixed effects,feasible generalized least squares,two-stage least squares,and the generalized method of moments.Our primary findings reveal that unemployment has a significant negative impact on CO_(2)emissions,thereby supporting the validity of the EPC hypothesis within OECD countries.This suggests a trade-off between unemployment and reductions in CO_(2)emissions.Similarly,the results validate the EKC hypothesis,with further analysis indicating that the EKC exhibits an N-shaped curve-an important contribution to the literature on environmental dynamics in advanced economies.Additionally,the results show that both trade openness and renewable energy usage have significantly improved environmental quality in OECD economies.Finally,extensive causality testing identifies both one-way and two-way causal relationships among the key variables examined.These findings have important policy implications for the management of environmental quality and macroeconomic variables in the OECD context.展开更多
The identification and characterization of rock types is a core activity in geology and related fields,including mining,petroleum,environmental science,industry,and construction.Traditionally,this task is performed by...The identification and characterization of rock types is a core activity in geology and related fields,including mining,petroleum,environmental science,industry,and construction.Traditionally,this task is performed by human specialists who analyze and describe the type,composition,texture,shape,and other properties of rock samples,whether collected in-situ or prepared in a laboratory.However,the process is subjective,dependent on the specialist’s experience,and time-consuming.This study proposes an artificial intelligence-based approach that combines computer vision and natural language processing to generate both textual and verbal descriptions from images of rock thin sections.A dataset of images and corresponding textual descriptions is used to train a hybrid deep learning model.Features extracted from the images using EfficientNetB7 are processed by a Transformer network to generate textual descriptions,which are then converted into verbal responses using a speech synthesis service.The experimental results show an accuracy of 0.892 and a BLEU score of 0.71.This model offers potential utility for research,professional,and academic applications and has been deployed as a web application for public use.展开更多
Objective:The objective of this study is to determine the effect of nurse-led instructional video(NLIV)on anxiety,satisfaction,and recovery among mothers admitted for cesarean section(CS).Materials and Methods:A quasi...Objective:The objective of this study is to determine the effect of nurse-led instructional video(NLIV)on anxiety,satisfaction,and recovery among mothers admitted for cesarean section(CS).Materials and Methods:A quasi-experimental design was carried out on the mothers scheduled for CS.Eighty participants were selected by a purposive sampling technique,which were divided(40 participants in each group)into an experimental group and a control group.Nurse-led informational video(NLIV)was shown to the experimental group,and routine care was provided for the control group.Modified hospital anxiety scale(HADS),scale for measuring maternal satisfaction in cesarean birth,and obstetric quality of recovery following cesarean delivery were used to assess anxiety,satisfaction,and recovery.Results:Both the experimental and control groups showed significant reductions in anxiety by the first postintervention day(P<0.001),with the experimental group experiencing a greater mean reduction(mean difference[MD]=4.37)than the control group(MD=3.35)but the intergroup difference was not statistically significant(P>0.05).The experimental group reported significantly higher satisfaction scores(175.55±9.42)on the 3rd postoperative day compared to the control group(151.93±14.89;P<0.001).Similarly,the experimental group’s recovery scores(79.90±6.24)were considerably higher than those of the control group(62.45±15.18;P<0.001).On the 3rd postintervention day,satisfaction was significantly associated with age(P<0.001),and recovery with gravidity(P<0.05).Conclusions:NLIV can be used in the preoperative period to reduce anxiety related to CS and to improve satisfaction and recovery after the CS.展开更多
Traditional manufacturing processes for lightweight curved profiles are often associated with lengthy procedures,high costs,low efficiency,and high energy consumption.In order to solve this problem,a new staggered ext...Traditional manufacturing processes for lightweight curved profiles are often associated with lengthy procedures,high costs,low efficiency,and high energy consumption.In order to solve this problem,a new staggered extrusion(SE)process was used to form the curved profile of AZ31 magnesium alloy in this paper.The study investigates the mapping relationship between the curvature,microstructure,and mechanical properties of the formed profiles by using different eccentricities of the die.Scanning electron microscopy(SEM)and electron backscatter diffraction techniques are employed to examine the effects of different eccentricity values(e)on grain morphology,recrystallization mechanisms,texture,and Schmid factors of the products.The results demonstrate that the staggered extrusion method promotes the deep refinement of grain size in the extruded products,with an average grain size of only 15%of the original billet,reaching 12.28μm.The tensile strength and elongation of the curved profiles after extrusion under the eccentricity value of 10 mm,20 mm and 30 mm are significantly higher than those of the billet,with the tensile strength is increased to 250,270,235 MPa,and the engineering strain elongation increased to 10.5%,12.1%,15.9%.This indicates that staggered extrusion enables curvature control of the profiles while improving their strength.展开更多
OBJECTIVE:To evaluate the clinical outcome of Traditional Chinese Medicine(TCM)syndrome differentiation combined with hysteroscopic treatment for uterine incision defect after cesarean section[previous cesarean scar d...OBJECTIVE:To evaluate the clinical outcome of Traditional Chinese Medicine(TCM)syndrome differentiation combined with hysteroscopic treatment for uterine incision defect after cesarean section[previous cesarean scar defect(PCSD)]after cesarean section.METHODS:This is a single-center retrospective study.A total of 120 PCSD patients were enrolled from February 2022 to February 2023 and divided into two groups according to different treatment methods,the TCM group(n=60)and the control group(n=60).The control group was treated with hysteroscopy,and the TCM group combined TCM syndrome differentiation with hysteroscopy.Clinical outcome included menstrual scores,menstrual days,TCM symptom scores and intrauterine pregnancy recurrence rate was analyzed in two groups.RESULTS:The total response rate of the TCM group was significantly higher than that of the control group(P<0.05);after treatment,the menstrual scores,menstrual days and TCM symptoms of the two groups were decreased,and the menstrual scores,menstrual days and TCM symptoms of the TCM group were all lower than that of the control group(P<0.05);the recurrence rate of the TCM group was significantly lower than that of the control group(P<0.05).Follow-up results showed higher healing of incisional scar diverticulum in the TCM group than in the control group(P<0.05).The duration of menstruation before and after treatment,and the TCM group was better than the control group(P<0.05).CONCLUSION:TCM syndrome differentiation combined with hysteroscopy presented favorable outcome on the prolonged menstrual period of PCSD,which could significantly improve the recovery of menstruation,relief the symptoms of TCM,reduce the recurrence rate and accelerate wound healing.展开更多
The purpose of this article is to explore the design of compound interchange interweaving sections on expressways.During the research phase,based on the support of the literature research method,the classification and...The purpose of this article is to explore the design of compound interchange interweaving sections on expressways.During the research phase,based on the support of the literature research method,the classification and development of the interchange system,as well as the design forms of the compound interchange interweaving section,were analyzed.Subsequently,based on the case method,the design of the compound interchange interweaving section of the ShiWu and ShiBai expressways in Shiyan,Hubei Province,was discussed,and a design scheme and scheme comparison were proposed.It is hoped that this article can provide technical reference and ideas for China’s road and bridge engineering teams,ensuring that the design results can not only guarantee the normal passage of traffic on the North Intersection Expressway but also ensure the straight-line traffic capacity of the main highway under the background of dislocation intersection,achieving smooth and safe transitions between different expressways.展开更多
基金financially supported by the National Natural Science Foundation of China(Grant No.52078334)the National Key Research and Development Program of China(Grant No.2017YFC0805402)the Tianjin Research Innovation Project for Postgraduate Students(Grant No.2021YJSB141).
文摘The deformation caused by tunnel excavation is quite important for safety,especially when it is adjacent to the existing tunnel.Nevertheless,the investigation of deformation characteristics in overlapped curved shield tunneling remains inadequate.The analytical solution for calculating the deformation of the ground and existing tunnel induced by overlapped curved shield tunneling is derived by the Mirror theory,Mindlin solution and Euler-Bernoulli-Pasternak model,subsequently validated through both finite element simulation and field monitoring.It is determined that the overcutting plays a crucial role in the ground settlement resulting from curved shield tunneling compared to straight shield tunneling.The longitudinal settlement distribution can be categorized into five areas,with the area near the tunnel surface experiencing the most dramatic settlement changes.The deformation of the existing tunnel varies most significantly with turning radius compared to tunnel clearance and grouting pressure,especially when the turning radius is less than 30 times the tunnel diameter.The tunnel crown exhibits larger displacement than the tunnel bottom,resulting in a distinctive‘vertical egg'shape.Furthermore,an optimized overcutting mode is proposed,involving precise control of the extension speed and angular velocity of the overcutting cutter,which effectively mitigates ground deformation,ensuring the protection of the existing tunnel during the construction.
基金Project(4013311)supported by the National Science Foundation of Iran(INSF)。
文摘This article examines the influence of annealing temperature on fracture toughness and forming limit curves of dissimilar aluminum/silver sheets.In the cold roll bonding process,after brushing and acid washing,the prepared surfaces are placed on top of each other and by rolling with reduction more than 50%,the bonding between layers is established.In this research,the roll bonding process was done at room temperature,without the use of lubricants and with a 70%thickness reduction.Then,the final thickness of the Ag/Al bilayer sheet reached 350μm by several stages of cold rolling.Before cold rolling,it should be noted that to decrease the hardness created due to plastic deformation,the roll-bonded samples were subjected to annealing heat treatment at 400℃for 90 min.Thus,the final samples were annealed at 200,300 and 400℃for 90 min and cooled in a furnace to examine the annealing temperature effects.The uniaxial tensile and microhardness tests measured mechanical properties.Also,to investigate the fracture mechanism,the fractography of the cross-section was examined by scanning electron microscope(SEM).To evaluate the formability of Ag/Al bilayer sheets,forming limit curves were obtained experimentally through the Nakazima test.The resistance of composites to failure due to cracking was also investigated by fracture toughness.The results showed that annealing increases the elongation and formability of the Ag/Al bilayer sheet while reduces the ultimate tensile strength and fracture toughness.However,the changing trend is not the same at different temperatures,and according to the results,the most significant effect is obtained at 300℃and aluminum layers.It was also determined that by increasing annealing temperature,the fracture mechanism from shear ductile with small and shallow dimples becomes ductile with deep cavities.
文摘BACKGROUND Intrathecal bupivacaine is the traditional anesthetic drug used in spinal anesthesia for caesarean sections(CSs),but ropivacaine has emerged as a potential alter-native.This meta-analysis compares the efficacy and safety of intrathecal hyper-baric bupivacaine vs hyperbaric ropivacaine for cesarean sections.AIM To systematically evaluate and compare the efficacy and safety of intrathecal hyperbaric bupivacaine and hyperbaric ropivacaine for spinal anesthesia in CSs.METHODS A thorough search of electronic databases was carried out to find pertinent randomized controlled trials(RCTs)comparing intrathecal hyperbaric ropi-vacaine and hyperbaric bupivacaine during CSs.PubMed,Cochrane database,Google Scholar,and Scopus were searched,and papers from January 2000 to January 2024 were deemed eligible and filtered using predetermined inclusion and exclusion criteria.Studies were assessed for methodological quality,and data were extracted for time to adequate anesthesia(sensory and motor blockade),duration of sensory and motor block,hemodynamic changes and side effect profile.The standardized mean difference with 95%CI was used for continuous data.Dichotomous variables were assessed using the Mantel-Haenszel test and the random effect model to compute the odds ratio.RESULTS Total 8 RCTs were selected from a pool of 119 search results for meta-analysis.The meta-analysis evaluated pooled effect sizes and assessed heterogeneity among the studies.The primary objective was to compare key outcomes to identify any significant variances in efficacy and safety profiles between two local anesthetics.The analysis revealed that the difference in the onset of sensory blockade between the two local anesthetics was statistically insignificant(P=0.1586).However,the onset of motor blockade appeared to be faster with bupivacaine(P=0.03589).Additionally,the regression of sensory and motor blockade occurred earlier in the ropivacaine group.Furthermore,the duration of the first analgesic effect was shorter with a significance level of P<0.05.Regarding side effects profile,including hypotension,nausea,and shivering,the study did not observe any significant differences between the two groups.CONCLUSION This meta-analysis offers insights into the effectiveness and safety of hyperbaric bupivacaine vs ropivacaine for cesarean sections.Hyperbaric ropivacaine had a comparable safety profile and faster regression of sensory and motor blockade than hyperbaric bupivacaine,perhaps aiding early mobilization of parturient and facilitating mother-child bonding.Choosing ropivacaine may offer benefits beyond efficacy for cesarean section patients and short surgical procedures.
基金supported by the National Social Science Fund of China(Grand No.21XTJ001).
文摘A Receiver Operating Characteristic(ROC)analysis of a power is important and useful in clinical trials.A Classical Conditional Power(CCP)is a probability of a classical rejection region given values of true treatment effect and interim result.For hypotheses and reversed hypotheses under normal models,we obtain analytical expressions of the ROC curves of the CCP,find optimal ROC curves of the CCP,investigate the superiority of the ROC curves of the CCP,calculate critical values of the False Positive Rate(FPR),True Positive Rate(TPR),and cutoff of the optimal CCP,and give go/no go decisions at the interim of the optimal CCP.In addition,extensive numerical experiments are carried out to exemplify our theoretical results.Finally,a real data example is performed to illustrate the go/no go decisions of the optimal CCP.
文摘Objective Primary liver cancer,predominantly hepatocellular carcinoma(HCC),is a significant global health issue,ranking as the sixth most diagnosed cancer and the third leading cause of cancer-related mortality.Accurate and early diagnosis of HCC is crucial for effective treatment,as HCC and non-HCC malignancies like intrahepatic cholangiocarcinoma(ICC)exhibit different prognoses and treatment responses.Traditional diagnostic methods,including liver biopsy and contrast-enhanced ultrasound(CEUS),face limitations in applicability and objectivity.The primary objective of this study was to develop an advanced,lightweighted classification network capable of distinguishing HCC from other non-HCC malignancies by leveraging the automatic analysis of brightness changes in CEUS images.The ultimate goal was to create a user-friendly and cost-efficient computer-aided diagnostic tool that could assist radiologists in making more accurate and efficient clinical decisions.Methods This retrospective study encompassed a total of 161 patients,comprising 131 diagnosed with HCC and 30 with non-HCC malignancies.To achieve accurate tumor detection,the YOLOX network was employed to identify the region of interest(ROI)on both B-mode ultrasound and CEUS images.A custom-developed algorithm was then utilized to extract brightness change curves from the tumor and adjacent liver parenchyma regions within the CEUS images.These curves provided critical data for the subsequent analysis and classification process.To analyze the extracted brightness change curves and classify the malignancies,we developed and compared several models.These included one-dimensional convolutional neural networks(1D-ResNet,1D-ConvNeXt,and 1D-CNN),as well as traditional machine-learning methods such as support vector machine(SVM),ensemble learning(EL),k-nearest neighbor(KNN),and decision tree(DT).The diagnostic performance of each method in distinguishing HCC from non-HCC malignancies was rigorously evaluated using four key metrics:area under the receiver operating characteristic(AUC),accuracy(ACC),sensitivity(SE),and specificity(SP).Results The evaluation of the machine-learning methods revealed AUC values of 0.70 for SVM,0.56 for ensemble learning,0.63 for KNN,and 0.72 for the decision tree.These results indicated moderate to fair performance in classifying the malignancies based on the brightness change curves.In contrast,the deep learning models demonstrated significantly higher AUCs,with 1D-ResNet achieving an AUC of 0.72,1D-ConvNeXt reaching 0.82,and 1D-CNN obtaining the highest AUC of 0.84.Moreover,under the five-fold cross-validation scheme,the 1D-CNN model outperformed other models in both accuracy and specificity.Specifically,it achieved accuracy improvements of 3.8%to 10.0%and specificity enhancements of 6.6%to 43.3%over competing approaches.The superior performance of the 1D-CNN model highlighted its potential as a powerful tool for accurate classification.Conclusion The 1D-CNN model proved to be the most effective in differentiating HCC from non-HCC malignancies,surpassing both traditional machine-learning methods and other deep learning models.This study successfully developed a user-friendly and cost-efficient computer-aided diagnostic solution that would significantly enhances radiologists’diagnostic capabilities.By improving the accuracy and efficiency of clinical decision-making,this tool has the potential to positively impact patient care and outcomes.Future work may focus on further refining the model and exploring its integration with multimodal ultrasound data to maximize its accuracy and applicability.
文摘In this paper,we present a modeling of the soil-water characteristic curve for residual and sedimentary soils of Bom Brinquedo Hill’s,located in Antonina,Brazil.This mountain range region is characterized as a natural disaster risk area,requiring continuous research related to the stability of the area.To obtain the soil-water characteristic curve,undisturbed samples of residual and sedimentary soil were collected,followed by suction testing using the filter paper method.Considering the bimodal characteristic presented by the soil,LABFIT software was employed for curve fitting using the generic formulation“Harris+C”.The results of the tests indicated that the phenomenon of hysteresis had a greater influence in situations with higher suction levels.When comparing the residual moisture values of the macropores between residual soil and sedimentary soil,the former exhibited the lower value.This suggests that the residual soil has a coarser grain size and larger pores,which facilitates the release of water retained in the soil’s macropores.
文摘Background: Cesarean sections have become increasingly prevalent in both developed and developing nations. Nevertheless, postoperative complications, including surgical site infections (SSIs), remain a substantial concern that contributes to heightened morbidity and mortality. This study is designed to evaluate the frequency and key determining factors associated with surgical site infections following cesarean section procedures in a tertiary care hospital in Bangladesh. Materials and Methods: This observational cross-sectional study, conducted at the Gynecology Department of Dhaka Medical College Hospital, involved 100 patients aged 15 - 45 who had cesarean deliveries. Data was collected during hospitalization and post-discharge and analyzed to determine the prevalence and relationship between socio-demographic characteristics and surgical site infection. Results: Among the study participants, 14% developed surgical site infections following cesarean operations. More than half of these patients were under the age of 25, with a mean age of 24.45 ± 4.44 years. Surgical site infections were more prevalent in individuals over 30 years old (P-value Conclusion: Post-cesarean surgical site infections are notably prevalent among the participants in this study. Several risk factors have been identified, including age, body mass index (BMI), socioeconomic status, anemia, preterm delivery, personal hygiene practices, regular menstrual cycles, and adherence to antenatal check-ups. The implementation of an effective awareness program, coupled with updated antibiotic protocols, is crucial for significantly reducing the incidence of these infections.
基金supported by the National Natural Science Foundation of China(11931009,12271495,11971450,and 12071449)Anhui Initiative in Quantum Information Technologies(AHY150200)the Project of Stable Support for Youth Team in Basic Research Field,Chinese Academy of Sciences(YSBR-001).
文摘On a compact Riemann surface with finite punctures P_(1),…P_(k),we define toric curves as multivalued,totallyunramified holomorphic maps to P^(n)with monodromy in a maximal torus of PSU(n+1).Toric solutions to SU(n+1)Todasystems on X\{P_(1);…;P_(k)}are recognized by the associated toric curves in.We introduce character n-ensembles as-tuples of meromorphic one-forms with simple poles and purely imaginary periods,generating toric curves on minus finitelymany points.On X,we establish a correspondence between character-ensembles and toric solutions to the SU(n+1)system with finitely many cone singularities.Our approach not only broadens seminal solutions with two conesingularities on the Riemann sphere,as classified by Jost-Wang(Int.Math.Res.Not.,2002,(6):277-290)andLin-Wei-Ye(Invent.Math.,2012,190(1):169-207),but also advances beyond the limits of Lin-Yang-Zhong’s existencetheorems(J.Differential Geom.,2020,114(2):337-391)by introducing a new solution class.
文摘Prior to 2012,the integration of designed vertical or horizontal curves into microtunnel alignments was unheard of in Ontario.Straight and relatively short microtunnels,less than 200m long,were the local accepted industry standard.Following the release of a large number of infrastructure projects in the suburban Greater Toronto Area(GTA),clients and design consultants encouraged contractors to present value engineered alternatives to proposed project alignments and construction methods.Such an initiative has allowed contractors to develop cost effective solutions,which harnessed the application of state-of-the-art microtunnelling methods and equipment.As a result,several recent projects now feature pre-designed curved microtunnels as part of the tender documents.This paper discusses,in technical detail,three recent projects,whereby,long distance curved microtunnels were successfully constructed.Each of the projects had tunnel drives exceeding 300m in length,ranging in diameter from 1200mm ID to 1500mm ID,incorporating the use of Vertical,Horizontal,and Spatial Curves.Critical parameters such as pre-project planning and engineering are highlighted,while the importance of post-tunnelling assessments is also discussed.
基金National Natural Science Foundation of China(grant number 82272563 to B.S.)National Science and Technology Major Project of the Ministry of Science and Technology of China(grant number 2023ZD0501202 to B.S.)+4 种基金institutional grants allocated to the National Institute of Biological Sciences,Beijing(NIBS)from the Chinese Ministry of Science and Technology,Beijing Municipal Commission of Science and Technology,and Tsinghua Universitythe support from China Pharmaceutical University(grant number 3150140001 to S.F.)National Natural Science Foundation of China(grant numbers 82203653 to S.F.,82371957 to L.W.,and 82371956 to X.C.)Beijing Municipal Public Welfare Development and Reform Pilot Project for Medical Research Institutes(grant number JYY2023-8 to X.C.)Research Grants Council of University Grants Committee Hong Kong(grant numbers 14113723,14108720,14121721,14202920,N_CUHK472/22,C7030-18G,T13-402/17-N,and AoE/M-402/20)。
文摘Tissue clearing combined with high-resolution confocal imaging is a cutting-edge approach for dissecting the three-dimensional(3D)architecture of tissues and deciphering cellular spatial interactions under physiological and pathological conditions.Deciphering the spatial interaction of leptin receptor-expressing(LepR^(+))stromal cells with other compartments in the bone marrow is crucial for a deeper understanding of the stem cell niche and the skeletal tissue.In this study,we introduce an optimized protocol for the 3D analysis of skeletal tissues,enabling the visualization of hematopoietic and stromal cells,especially LepR+stromal cells,within optically cleared bone hemisections.Our method preserves the 3D tissue architecture and is extendable to other hematopoietic sites such as calvaria and vertebrae.The protocol entails tissue fixation,decalcification,and cryosectioning to reveal the marrow cavity.Completed within approximately 12 days,this process yields highly transparent tissues that maintain genetically encoded or antibody-stained fluorescent signals.The bone hemisections are compatible with diverse antibody labeling strategies.Confocal microscopy of these transparent samples allows for qualitative and quantitative image analysis using Aivia or Bitplane Imaris software,assessing a spectrum of parameters.With proper storage,the fluorescent signal in the stained and cleared bone hemisections remains intact for at least 2–3 months.This protocol is robust,straightforward to implement,and highly reproducible,offering a valuable tool for tissue architecture and cellular interaction studies.
基金jointly supported by the National Natural Science Foundation of China(Grant No.52277213,52177210,and 52207229)key project of science and technology research program of Chongqing Education Commission of China (Grant No. KJZD-K202201103,KJZD-K202301108)Chongqing Graduate Research Innovation Project (Grant No.CYS240657).
文摘Accurately predicting battery degradation is crucial for battery system management.However,due to the complexities of aging mechanisms and limitations of historical data,comprehensively indicating battery degradation solely through maximum capacity loss assessment is challenging.While machine learning offers promising solutions,it often overlooks domain knowledge,resulting in reduced accu racy,increased computational burden and decreased interpretability.Here,this study proposes a method to predict the voltage-capacity(V-Q) curve during battery degradation with limited historical data.This process is achieved through two physically interpretable components:a lightweight interpretable physical model and a physics-informed neural network.These components incorporate domain knowledge into machine learning to improve V-Q curve prediction performance and enhance interpretability.Extensive validation was conducted on 52 batteries of different types under different testing conditions.The proposed method can accurately predict future V-Q.curves for hundreds of cycles using only one-present-cycle V-Q curve,with root mean square error and mean absolute error basically less than 0.035 Ah and R^(2) basically less than 98.5%.This means that incremental capacity curves can be extracted from the predicted results for a more comprehensive and accurate battery degradation analysis.Furthermore,the method can flexibly adjust prediction length and density to cater to the practical needs of long-cycle prediction and data generation.This study provides a viable method for rapid degradation prediction and is expected to be generalized to in-vehicle implementations.
基金funded by project PDI2021-125585NB-I00 of the Spanish Ministry of Science,Innovation and Universities‒Agencia Estatal de Investigacion.JF thanks the Grant Agency of the Czech Republic for support of his study(GA23-06198S).
文摘The El Pintado 1 Silurian section in Seville Province,Spain,described by Loydell et al.(2015),has been ratified by the IUGS as the replacement GSSP for the base of the Telychian Stage,to replace the Cefn Cerig quarry section in the Llandovery area of Wales,which was found to be within a sedimentary mélange and therefore not a continuous section.No section other than El Pintado 1 has been found to be continuously fossiliferous across the Aeronian/Telychian boundary.
文摘Acute pulmonary edema is a leading cause of death in patients with preeclampsia.The authors reported a case of a pregnant woman at 25 weeks of gestation with severe preeclampsia complicated by pulmonary edema,who required an emergency cesarean section,posing a significant challenge to the anesthesiologist.The patient had developed Type 1 respiratory failure and needed supplemental oxygen with high-flow nasal oxygen.Due to contraindications for neuraxial anesthesia,the cesarean section was performed under general anesthesia.After induction of anesthesia,the patient’s hypoxemia worsened.Eventually,after treatment with fluid restriction,diuretics,and albumin,oxygenation improved gradually,and the procedure was performed successfully.Both the patient and the newborn had a good prognosis.
文摘This research extends the literature on the environmental Phillips curve(EPC)and environmental Kuznets curve(EKC)by focusing on the 38 member economies of the Organization for Economic Co-operation and Development(OECD).Using panel data from 2000 to 2021,the study employs several econometric techniques,including fixed effects,feasible generalized least squares,two-stage least squares,and the generalized method of moments.Our primary findings reveal that unemployment has a significant negative impact on CO_(2)emissions,thereby supporting the validity of the EPC hypothesis within OECD countries.This suggests a trade-off between unemployment and reductions in CO_(2)emissions.Similarly,the results validate the EKC hypothesis,with further analysis indicating that the EKC exhibits an N-shaped curve-an important contribution to the literature on environmental dynamics in advanced economies.Additionally,the results show that both trade openness and renewable energy usage have significantly improved environmental quality in OECD economies.Finally,extensive causality testing identifies both one-way and two-way causal relationships among the key variables examined.These findings have important policy implications for the management of environmental quality and macroeconomic variables in the OECD context.
文摘The identification and characterization of rock types is a core activity in geology and related fields,including mining,petroleum,environmental science,industry,and construction.Traditionally,this task is performed by human specialists who analyze and describe the type,composition,texture,shape,and other properties of rock samples,whether collected in-situ or prepared in a laboratory.However,the process is subjective,dependent on the specialist’s experience,and time-consuming.This study proposes an artificial intelligence-based approach that combines computer vision and natural language processing to generate both textual and verbal descriptions from images of rock thin sections.A dataset of images and corresponding textual descriptions is used to train a hybrid deep learning model.Features extracted from the images using EfficientNetB7 are processed by a Transformer network to generate textual descriptions,which are then converted into verbal responses using a speech synthesis service.The experimental results show an accuracy of 0.892 and a BLEU score of 0.71.This model offers potential utility for research,professional,and academic applications and has been deployed as a web application for public use.
文摘Objective:The objective of this study is to determine the effect of nurse-led instructional video(NLIV)on anxiety,satisfaction,and recovery among mothers admitted for cesarean section(CS).Materials and Methods:A quasi-experimental design was carried out on the mothers scheduled for CS.Eighty participants were selected by a purposive sampling technique,which were divided(40 participants in each group)into an experimental group and a control group.Nurse-led informational video(NLIV)was shown to the experimental group,and routine care was provided for the control group.Modified hospital anxiety scale(HADS),scale for measuring maternal satisfaction in cesarean birth,and obstetric quality of recovery following cesarean delivery were used to assess anxiety,satisfaction,and recovery.Results:Both the experimental and control groups showed significant reductions in anxiety by the first postintervention day(P<0.001),with the experimental group experiencing a greater mean reduction(mean difference[MD]=4.37)than the control group(MD=3.35)but the intergroup difference was not statistically significant(P>0.05).The experimental group reported significantly higher satisfaction scores(175.55±9.42)on the 3rd postoperative day compared to the control group(151.93±14.89;P<0.001).Similarly,the experimental group’s recovery scores(79.90±6.24)were considerably higher than those of the control group(62.45±15.18;P<0.001).On the 3rd postintervention day,satisfaction was significantly associated with age(P<0.001),and recovery with gravidity(P<0.05).Conclusions:NLIV can be used in the preoperative period to reduce anxiety related to CS and to improve satisfaction and recovery after the CS.
基金Project(JQ2022E004)supported by the Natural Science Foundation of Heilongjiang Province,China。
文摘Traditional manufacturing processes for lightweight curved profiles are often associated with lengthy procedures,high costs,low efficiency,and high energy consumption.In order to solve this problem,a new staggered extrusion(SE)process was used to form the curved profile of AZ31 magnesium alloy in this paper.The study investigates the mapping relationship between the curvature,microstructure,and mechanical properties of the formed profiles by using different eccentricities of the die.Scanning electron microscopy(SEM)and electron backscatter diffraction techniques are employed to examine the effects of different eccentricity values(e)on grain morphology,recrystallization mechanisms,texture,and Schmid factors of the products.The results demonstrate that the staggered extrusion method promotes the deep refinement of grain size in the extruded products,with an average grain size of only 15%of the original billet,reaching 12.28μm.The tensile strength and elongation of the curved profiles after extrusion under the eccentricity value of 10 mm,20 mm and 30 mm are significantly higher than those of the billet,with the tensile strength is increased to 250,270,235 MPa,and the engineering strain elongation increased to 10.5%,12.1%,15.9%.This indicates that staggered extrusion enables curvature control of the profiles while improving their strength.
文摘OBJECTIVE:To evaluate the clinical outcome of Traditional Chinese Medicine(TCM)syndrome differentiation combined with hysteroscopic treatment for uterine incision defect after cesarean section[previous cesarean scar defect(PCSD)]after cesarean section.METHODS:This is a single-center retrospective study.A total of 120 PCSD patients were enrolled from February 2022 to February 2023 and divided into two groups according to different treatment methods,the TCM group(n=60)and the control group(n=60).The control group was treated with hysteroscopy,and the TCM group combined TCM syndrome differentiation with hysteroscopy.Clinical outcome included menstrual scores,menstrual days,TCM symptom scores and intrauterine pregnancy recurrence rate was analyzed in two groups.RESULTS:The total response rate of the TCM group was significantly higher than that of the control group(P<0.05);after treatment,the menstrual scores,menstrual days and TCM symptoms of the two groups were decreased,and the menstrual scores,menstrual days and TCM symptoms of the TCM group were all lower than that of the control group(P<0.05);the recurrence rate of the TCM group was significantly lower than that of the control group(P<0.05).Follow-up results showed higher healing of incisional scar diverticulum in the TCM group than in the control group(P<0.05).The duration of menstruation before and after treatment,and the TCM group was better than the control group(P<0.05).CONCLUSION:TCM syndrome differentiation combined with hysteroscopy presented favorable outcome on the prolonged menstrual period of PCSD,which could significantly improve the recovery of menstruation,relief the symptoms of TCM,reduce the recurrence rate and accelerate wound healing.
文摘The purpose of this article is to explore the design of compound interchange interweaving sections on expressways.During the research phase,based on the support of the literature research method,the classification and development of the interchange system,as well as the design forms of the compound interchange interweaving section,were analyzed.Subsequently,based on the case method,the design of the compound interchange interweaving section of the ShiWu and ShiBai expressways in Shiyan,Hubei Province,was discussed,and a design scheme and scheme comparison were proposed.It is hoped that this article can provide technical reference and ideas for China’s road and bridge engineering teams,ensuring that the design results can not only guarantee the normal passage of traffic on the North Intersection Expressway but also ensure the straight-line traffic capacity of the main highway under the background of dislocation intersection,achieving smooth and safe transitions between different expressways.
