High-water-cut mature reservoirs typically serve as the“ballast”for ensuring China’s annual crude oil production of 200 million tons.Despite the use of water flooding and chemical methods,over 40%of crude oil remai...High-water-cut mature reservoirs typically serve as the“ballast”for ensuring China’s annual crude oil production of 200 million tons.Despite the use of water flooding and chemical methods,over 40%of crude oil remains unexploited.It is critical to develop efficient revolutionary technologies to further enhance oil recovery(EOR)by a large percentage in high-water-cut mature reservoirs.To address this issue,the potential of vertical remaining oil in Daqing Oilfield is first analyzed from massive monitoring data.Using molecular dynamics simulation to design optimal synthetic routine,a copolymer without flu-orine or silicon is synthesized by modifying vinyl acetate(VAc)with maleic anhydride(MA)and styrene(St),and treated as a supercritical CO_(2)(scCO_(2))thickener.The underlying EOR mechanism of the scCO_(2) thickener is thereafter clarified by high-temperature,high-pressure oil displacement experiments.The EOR effect by thickened scCO_(2) flooding in a typical high-water-cut mature reservoir is predicted,and future technological advancements of the technique are ultimately discussed.Results show that the ver-tical remaining oil enriched in weakly swept zones is a primary target for further EOR in high-water-cut mature reservoirs.The copolymer typically exhibits good solubility,strong dispersion stability,and high thickening effect in scCO_(2).Under an ambient pressure of 10 MPa and a temperature of 50℃,the disso-lution of copolymer at a mass concentration of 0.2%can effectively increase the viscosity of scCO_(2) by 39.4 times.Due to the synergistic effect between expanding vertical swept volume and inhibiting gas channel-ing,crude oil recovery can be further enhanced by 23.1%for a typical high-water-cut mature reservoir when the scCO_(2) viscosity is increased by 50 times.Our understandings demonstrate that the thickened scCO_(2) flooding technology has significant technical advantages in high-water-cut mature reservoirs,with challenges and future development directions in field-scale applications also highlighted.展开更多
Cemented paste backfill(CPB)is a key technology for green mining in metal mines,in which tailings thickening comprises the primary link of CPB technology.However,difficult flocculation and substandard concentrations o...Cemented paste backfill(CPB)is a key technology for green mining in metal mines,in which tailings thickening comprises the primary link of CPB technology.However,difficult flocculation and substandard concentrations of thickened tailings often occur.The rheological properties and concentration evolution in the thickened tailings remain unclear.Moreover,traditional indoor thickening experiments have yet to quantitatively characterize their rheological properties.An experiment of flocculation condition optimization based on the Box-Behnken design(BBD)was performed in the study,and the two response values were investigated:concentration and the mean weighted chord length(MWCL)of flocs.Thus,optimal flocculation conditions were obtained.In addition,the rheological properties and concentration evolution of different flocculant dosages and ultrafine tailing contents under shear,compression,and compression-shear coupling experimental conditions were tested and compared.The results show that the shear yield stress under compression and compression-shear coupling increases with the growth of compressive yield stress,while the shear yield stress increases slightly under shear.The order of shear yield stress from low to high under different thickening conditions is shear,compression,and compression-shear coupling.Under compression and compression-shear coupling,the concentration first rapidly increases with the growth of compressive yield stress and then slowly increases,while concentration increases slightly under shear.The order of concentration from low to high under different thickening conditions is shear,compression,and compression-shear coupling.Finally,the evolution mechanism of the flocs and drainage channels during the thickening of the thickened tailings under different experimental conditions was revealed.展开更多
Water spewing and muck plugging often occur during earth pressure balance(EPB)shield machines tunnelling in water-rich sandy strata,even though the conventional foam has been employed to condition sandy soils.In this ...Water spewing and muck plugging often occur during earth pressure balance(EPB)shield machines tunnelling in water-rich sandy strata,even though the conventional foam has been employed to condition sandy soils.In this study,a novel thickened foaming agent suitable for EPB shield tunnelling in water-rich sandy strata is developed.In contrast to conventional foam-conditioned sands,the thickened foam-conditioned sand has a low permeability due to the consistent filling of soil pores with the thickened foam,and the initial permeability coefficient decreases by approximately two orders of magnitude.It also exhibits a suitable workability,which is attributed to the enhanced capability of the thickened foam to condition sandy soils.In addition,the effect of concentration on the stability of the foam is explained by the Gibbs-Marangoni effect,and conditioning mechanisms for the thickened foam on sands are discussed from the evolution of foam bubbles.展开更多
Pretreatment of thickened waste activated sludge （TWAS） by combined microwave and alkaline pretreatment （MAP） was studied to improve thermophilic anaerobic digestion efficiency. Uniform design was applied to deter...Pretreatment of thickened waste activated sludge （TWAS） by combined microwave and alkaline pretreatment （MAP） was studied to improve thermophilic anaerobic digestion efficiency. Uniform design was applied to determine the combination of target temperature （110-210°C）, microwave holding time （1-51 min）, and NaOH dose （0-2.5 g NaOH/g suspended solids （SS）） in terms of their effect on volatile suspended solids （VSS） solubilization. Maximum solubilization ratio （85.1%） of VSS was observed at 210°C with 0.2 g-NaOH/g-SS and 35 min holding time. The effects of 12 different pretreatment methods were investigated in 28 thermophilic batch reactors by monitoring cumulative methane production （CMP）. Improvements in methane production in the TWAS were directly related to the microwave and alkaline pretreatment of the sludge. The highest CMP was a 27% improvement over the control. In spite of the increase in soluble chemical oxygen demand concentration and the decrease in dewaterability of digested sludge, a semi-continuous thermophilic reactor fed with pretreated TWAS without neutralization （at 170~C with 1 min holding time and 0.05 g NaOH/g SS） was stable and functioned well, with volatile solid （VS） and total chemical oxygen demand （TCOD） reductions of 28% and 18%, respectively, which were higher than those of the control system. Additionally, methane yields （L@STP/g-CODaded, at standard temperature and pressure （STP） conditions of 0°C and 101.325 kPa） and （L@STP/g VSadad） increased by 17% and 13%, respectively, comoared to the control reactor.展开更多
To improve the strength-toughness of traditional U-rib（ TUR） and solve the problem of insufficient penetration between TUR and deckplate,a new local thickened U-rib（ LTUR） has been proposed to improve the fatigue ...To improve the strength-toughness of traditional U-rib（ TUR） and solve the problem of insufficient penetration between TUR and deckplate,a new local thickened U-rib（ LTUR） has been proposed to improve the fatigue resistance of the weld joint under the premise of not increasing thickness and strength of the TUR material. And a hot /warm roll-forming process（ RFP） adopting partially induction heating to 700- 1 000℃ was carried out to fabricate LTUR. The deformation behaviors in the forming process and microstructure of LTUR have been investigated.Mechanical properties and fracture mechanism of the LTUR after hot / warm RFP have been systematically discussed. Moreover,the results are compared with those obtained in cold RFP. Mechanical properties of the LTUR deformed above the critical transformation temperature（ A_（c3）） show high performance characteristics with marked fatigue resistance and superior toughness. Upon increasing the heating temperature from 700 to 900 ℃,the initial coarse ferrite-pearlite structure transform into equiaxed ultrafine ferrite（ 1- 3 μm） and precipitates such as（ Nb,Ti）（ C,N） are uniformly distributed in the matrix. The average dislocation density of the specimens after hot rollforming at heating temperature of 900 ℃ decreases dramatically compared with those of the specimens subjected to the cold RFP. Furthermore,a typical characteristic of ductile fracture mechanism and the high impact energy are more convinced that the specimens deformed above 900 ℃ have obtained an optimal combination of strength and toughness.展开更多
A sub-grid scale(SGS) combustion model, which combines the artificial thickened flame(ATF) model with the flamelet generated manifold(FGM) tabulation method, is proposed. Based on the analysis of laminar flame structu...A sub-grid scale(SGS) combustion model, which combines the artificial thickened flame(ATF) model with the flamelet generated manifold(FGM) tabulation method, is proposed. Based on the analysis of laminar flame structures, two self-contained flame sensors are used to track the diffusion and reaction processes with different spatial scales in the flame front, respectively. The dynamic formulation for the proposed SGS combustion model is also performed. Large eddy simulations(LESs) of Bunsen flame F3 are used to evaluate the different SGS combustion models. The results show that the proposed SGS model has the ability in predicting the distributions of temperature and velocity reasonably, while the predictions for the distributions of some species need further improvement. The snapshots of instantaneous normalized progress variables reveal that the flame is more remarkably and severely wrinkled at the flame tip for flame F3.More satisfactory results obtained by the dynamic model indicate that it can preserve the premixed flame propagation characteristics better.展开更多
Copper production is an essential component of the Chilean economy. During the extraction process of copper, large quantities of waste materials（tailings） are produced, which are typically stored in large tailing po...Copper production is an essential component of the Chilean economy. During the extraction process of copper, large quantities of waste materials（tailings） are produced, which are typically stored in large tailing ponds. Thickened Tailings Disposal（TTD） is an alternative to conventional tailings ponds. In TTD, a considerable amount of water is extracted from the tailings before their deposition. Once a thickened tailings layer is deposited, it loses water and it shrinks, forming a relatively regular structure of tailings blocks with vertical cracks in between, which are then filled up with ＂fresh＂ tailings once the new upper layer is deposited. The dynamic response of a representative column of this complex structure made out of tailings blocks with softer material in between was analyzed using a periodic half-space finite element model. The tailings＇ behavior was modeled using an elasto-plastic multi-yielding constitutive model, and Chilean earthquake records were used for the seismic analyses. Special attention was given to the liquefaction potential evaluation of TTD.展开更多
As one of the most distinct tectonic blocks on the Earth’s surface, Tibetan Plateau draw great attention of the geoscientists from the world. Many authors have proposed various kinds of the mechanism to try to clarif...As one of the most distinct tectonic blocks on the Earth’s surface, Tibetan Plateau draw great attention of the geoscientists from the world. Many authors have proposed various kinds of the mechanism to try to clarify the evolution of the plateau. While many studies are often restricted to crustal units, the important role of the mantle part of the lithosphere (mantle lithosphere) during and after the collision process has not been appreciated widely. The purpose of the paper is to investigate the dynamic process of the thinning (delamination and convective removal) of the thickened lithosphere and its influence upon the uplift of the plateau.1\ Thickened lithosphere root\;Parsons and McKenzie (1978) proposed that the continental lithosphere could be thought of as consisting of two distinct parts: the mechanical and thermal boundary layers. The lower, and hotter, part is the thermal boundary layer. Its viscosity is sufficiently low that the force of gravity acting on density contrasts between the thermal boundary layer and the underlying mantle lead to the episodic sinking of the thermal boundary layer and its replacement by hot asthenosphere. When continental crust shortens and thickens, the mantle directly beneath it must also be displaced downward. In other words, mountain building process shortens horizontally and thickens vertically the mechanical boundary layer, and presumably the thermal boundary layer. And the process stretches the isotherms vertically, thus reducing the geothermal gradient. Houseman’s numerical experiments (1981) show that thickening of the thermal boundary layer enhances the density contrasts between it and the underlying asthenosphere, and so leads to its removal and replacement with hot asthenosphere. This phenomenon is called the instability of the thickened lithosphere.展开更多
Framed links in thickened torus are studied. We define the mod 2 Kauffman bracket skein module of thickened torus and give an expression of a framed link in this module. From this expression we propose a new ambient i...Framed links in thickened torus are studied. We define the mod 2 Kauffman bracket skein module of thickened torus and give an expression of a framed link in this module. From this expression we propose a new ambient isotopic invariant of framed links.展开更多
BACKGROUND Allergy to cow’s milk is the most frequent allergy occurring in infants and young children.The dietary management of these patients consists of the elimination of any cow’s milk proteins from the diet,and...BACKGROUND Allergy to cow’s milk is the most frequent allergy occurring in infants and young children.The dietary management of these patients consists of the elimination of any cow’s milk proteins from the diet,and for formula-fed infants,the substitution of the usual infant formula with an adapted formula that is generally based on extensively hydrolyzed cow’s milk proteins.The American Academy of Pediatrics has established specific criteria to confirm the hypoallergenicity of a formula intended for these children.AIM To assess the hypoallergenicity of a new thickened extensively hydrolyzed casein-based formula (TeHCF) in children with cow’s milk allergy (CMA).METHODS Children diagnosed with CMA through a double-blind placebo-controlled food challenge (DBPCFC) were randomly administered increased doses of a placebo formula or the TeHCF [Allernova,new thickener including fibres (Novalac)] under double-blind conditions and medical surveillance on two separate days.Otherwise,both of these formulas and a cow’s milk-based formula were randomly introduced to children who were highly suspected of having CMA on three separate days.Immediate and late reactions occurring after the introduction of any of these formulas were thoroughly recorded by the physician at the hospital and reported by parents to the physician after hospital discharge,respectively.If the children tolerated the TeHCF during the DBPCFC,they were exclusively fed this formula during a 3-mo period where potential allergic symptoms,anthropometric parameters,as secondary outcomes,and adverse events were registered.The Cow’s Milk-related Symptoms Score (CoMiSSTM) was assessed and anthropometric parameters were compared to World Health Organization (WHO) reference data.RESULTS Of the 30 children included in the study,the CMA diagnosis of 29 (mean age: 8.03 ± 7.43 mo) patients was confirmed by a DBPCFC.The children all tolerated the TeHCF during both the challenge and the subsequent 3-mo feeding period,which they all completed.During the latter period,the CoMiSSTM remained at a very low level,never exceeding its baseline value (1.4 ± 2.0),growth parameters were within WHO reference standards and no adverse event related to the TeHCF was reported.Over the first week of this period,the proportion of patients with digestive discomfort significantly decreased from 20.7%(6/29) to 3.4%(1/29),P = 0.025.The proportion of satisfaction with the overall effect of the formula reported by the parents and investigator was high,as was the formula acceptability by the child.CONCLUSION The new TeHCF meets the hypoallergenicity criteria according to the American Academy of Pediatrics standards,confirming that the tested TeHCF is adapted to the dietary management of children with CMA.Moreover,growth was adequate in the included population.展开更多
Framed links in thickened torus is studied. We give an expression of torus knot in the Kauffman bracket skein algebra. From this expression and using the theory of Gr？bner bases, we drive the reduced polynomial of a ...Framed links in thickened torus is studied. We give an expression of torus knot in the Kauffman bracket skein algebra. From this expression and using the theory of Gr？bner bases, we drive the reduced polynomial of a framed link, which is an ambient isotopic invariant and can be computed feasibly.展开更多
The East Asia continent is characterized by a mosaic architecture with various composing blocks,such as the North and South China blocks,which had been collaged in Late Permian to Triassic in response to the break-up ...The East Asia continent is characterized by a mosaic architecture with various composing blocks,such as the North and South China blocks,which had been collaged in Late Permian to Triassic in response to the break-up of Pangea.In the Late Mesozoic.展开更多
The relationship of the crustal contact between the Indian and Eurasian plates is a key issue in understanding crustal thickening and the subduction of the Indian lithosphere beneath the Qinghai-Tibetan Plateau.Across...The relationship of the crustal contact between the Indian and Eurasian plates is a key issue in understanding crustal thickening and the subduction of the Indian lithosphere beneath the Qinghai-Tibetan Plateau.Across the middle of the Yarlung-Zangbo Suture(YZS),we deployed an~450-km-long SN-trending wide-angle reflection/refraction profile to observe the P-wave velocity(vP)structure beneath the northern Himalaya and the southern plateau.Our results show that,1.the high vP(~7.1 km/s)indicates that the Indian lower crust extends no more than 50 km north of the YZS.2.The lower crust beneath the southern part of the plateau features an extremely low vP(<6.7±0.2 km/s).3.Compared with the velocities of several typical crustal lithologies in different temperature regimes,the low vPin the lower crust can be explained by felsic-intermediate granulite,which has prevented the lower crust from further eclogitization.We propose that the dip angle of the Indian lithospheric slab beneath the YZS is partly controlled by the composition of the lower crust of the plateau.In the northern middle YZS,the crust of the southern plateau is too thick and blocks the northward advancement of the Indian lower crust,resulting in the subduction of the Indian lithospheric slab into the upper mantle.The lower crust in western and eastern Lhasa is dominated by a mafic composition,and it was delaminated after eclogitization before the Miocene.The void zone generated by delamination favors the flattening and underthrusting of the Indian lower crust.展开更多
The 3D reconstruction and quantitative characterization of drainage channels and coarse tailings particles in a bed were conducted in this study.The influence of variations in the azimuthal angle(θ)and polar angle(φ...The 3D reconstruction and quantitative characterization of drainage channels and coarse tailings particles in a bed were conducted in this study.The influence of variations in the azimuthal angle(θ)and polar angle(φ)of coarse particles on drainage channel structure was analyzed,and the drainage mechanism of the bed was studied.Results showed that water discharge in the bed reduced the size of pores and throat channels,increasing slurry concentration.The throat channel structure was a key component of the drainage process.Theφandθof particles changed predominantly along the length direction.The changes inφhad a cumulative plugging effect on the drainage channel and increased the difficulty of water discharge.The rake and rod formed a shear ring in the tailings bed with shear,and theθdistribution of particles changed from disorderly to orderly during the rotation process.The drainage channel was squeezed during the shearing process with the change inθ,which broke the channel structure,encouraged water discharge in the bed,and facilitated a further increase in slurry concentration.The findings of this work are expected to offer theoretical guidance for preparing high-concentration underflow in the tailings thickening process.展开更多
AIM:To explore the morphological and functional parameters to evaluate the effectiveness of intravitreal injections of ranibizumab(IVR)in treating macular edema(ME)secondary to retinal vein occlusion(RVO).METHODS:This...AIM:To explore the morphological and functional parameters to evaluate the effectiveness of intravitreal injections of ranibizumab(IVR)in treating macular edema(ME)secondary to retinal vein occlusion(RVO).METHODS:This retrospective study involved 65 RVO patients(65 eyes)who received IVR and were followedup for more than 3mo.ME was categorized into cystoid macular edema(CME),diffuse retinal thickening(DRT),and serous retinal detachment(SRD)according to optical coherence tomography(OCT)images.The comparison of best corrected visual acuity(BCVA;logMAR)and central macular thickness(CMT)among different follow-up points and those among 3 groups were performed by Kruskal-Wallis test.The correlation between BCVA and baseline parameters during treatment was analyzed using Spearman correlation analysis.RESULTS:BCVA tended to improve in all groups,with marked improvement in CME and DRT groups.CMT showed the greatest reduction after 1wk,and remained stable over the following 3mo.DRT patients had the worst BCVA and the highest CMT at baseline,but the differences became smaller after IVR treatment.CMT in SRD group was significantly better than in CME and DRT groups 3mo after IVR.Most patients of CME and SRD groups transitioned to a normal pattern at 3mo follow-up.DRT patients were most likely to transform into the other morphological groups,while SRD patients showed minimal transitions.BCVA at baseline was identified as the most important prognostic indicator in all 3 groups.Additionally,DRT patients with a longer clinical course,higher CMT and central retinal vein occlusion(CRVO)tend to exhibit worse BCVA after treatment.In addition,CRVO patients are more likely to have worse BCVA at 2 and 3mo follow-up compared with branch retinal vein occlusion(BRVO)patients in CME group.SRD patients with higher baseline CMT were prone to experiencing worse BCVA after treatment.CONCLUSION:The effectiveness of IVR is strongly correlated with baseline BCVA in all 3 groups.Baseline parameters including clinical course,CMT,and RVO position are also useful in predicting the BCVA at different time points after treatment.展开更多
BACKGROUND Diagnostic laparoscopy is a minimally invasive surgical method to diagnose intra-abdominal diseases.AIM To evaluate patients with unexplained ascites who could not be definitively diagnosed via advanced rad...BACKGROUND Diagnostic laparoscopy is a minimally invasive surgical method to diagnose intra-abdominal diseases.AIM To evaluate patients with unexplained ascites who could not be definitively diagnosed via advanced radiological and endoscopic methods and serological,cytological,and microbiological examinations and,therefore,underwent diag-nostic laparoscopy.METHODS This retrospective analysis evaluated 82 patients who underwent diagnostic laparoscopy due to unexplained ascites.Patients’medical records were obtained from the hospital database.Their age,sex,complaints at admission,laboratory results,radiological imaging results,diagnostic laparoscopy reports,and pa-thology reports were analyzed.RESULTS The serum-ascites albumin gradient was<1.1 in 96.3%of the patients(n=79).Among patients,22(26.8%)had benign diagnoses and 60(73.2%)had malignant diagnoses.In addition,55(67.1%)were deceased,and the median follow-up time from diagnosis to death was four months.The overall follow-up time ranged from 1 to 142 months,with a median of 14 months.Patients’diagnoses were significantly associated with their survival(P<0.05,χ2 test).The mortality rate was 86.7%among patients with malignant diagnoses and 13.6%among patients with benign diagnoses.CONCLUSION Diagnostic laparoscopy is minimally invasive,has a low complication rate,and requires a short hospital stay.It can be safely performed to diagnose and treat ascites that remain unexplained after advanced radiological and endoscopic examinations.展开更多
Static adsorption and dynamic damage experiments were carried out on typical 8#deep coal rock of the Carboniferous Benxi Formation in the Ordos Basin,NW China,to evaluate the adsorption capacity of hydroxypropyl guar ...Static adsorption and dynamic damage experiments were carried out on typical 8#deep coal rock of the Carboniferous Benxi Formation in the Ordos Basin,NW China,to evaluate the adsorption capacity of hydroxypropyl guar gum and polyacrylamide as fracturing fluid thickeners on deep coal rock surface and the permeability damage caused by adsorption.The adsorption morphology of the thickener was quantitatively characterized by atomic force microscopy,and the main controlling factors of the thickener adsorption were analyzed.Meanwhile,the adsorption mechanism of the thickener was revealed by Zeta potential,Fourier infrared spectroscopy and X-ray photoelectron spectroscopy.The results show that the adsorption capacity of hydroxypropyl guar gum on deep coal surface is 3.86 mg/g,and the permeability of coal rock after adsorption decreases by 35.24%–37.01%.The adsorption capacity of polyacrylamide is 3.29 mg/g,and the permeability of coal rock after adsorption decreases by 14.31%–21.93%.The thickness of the thickener adsorption layer is positively correlated with the mass fraction of thickener and negatively correlated with temperature,and a decrease in pH will reduce the thickness of the hydroxypropyl guar gum adsorption layer and make the distribution frequency of the thickness of polyacrylamide adsorption layer more concentrated.Functional group condensation and intermolecular force are chemical and physical forces for adsorbing fracturing fluid thickener in deep coal rock.Optimization of thickener mass fraction,chemical modification of thickener molecular,oxidative thermal degradation of polymer and addition of desorption agent can reduce the potential damages on micro-nano pores and cracks in coal rock.展开更多
As of 2023, endometrial cancer (EC) ranks second among malignant tumors of the female reproductive system in China, following cervical cancer, posing a significant burden on the country’s healthcare system. Postmenop...As of 2023, endometrial cancer (EC) ranks second among malignant tumors of the female reproductive system in China, following cervical cancer, posing a significant burden on the country’s healthcare system. Postmenopausal asymptomatic endometrial thickening is primarily benign, often involving endometrial polyps. However, previous clinical studies indicate a relatively high malignancy rate for postmenopausal endometrial polyps, suggesting the necessity for active intervention, particularly in cases with high-risk factors for EC. This article reviews the research progress on risk factors for endometrial lesions in postmenopausal patients with asymptomatic endometrial thickening, aiming to provide insights for clinical diagnosis and treatment.展开更多
Objective:To investigate the predictive value of diaphragm thickening fraction(DTF)combined with cough peak expiratory flow(CPEF)on the success rate of weaning from mechanical ventilation.Methods:The clinical data of ...Objective:To investigate the predictive value of diaphragm thickening fraction(DTF)combined with cough peak expiratory flow(CPEF)on the success rate of weaning from mechanical ventilation.Methods:The clinical data of patients undergoing invasive mechanical ventilation via oral endotracheal intubation in the ICU of our hospital from January 2022 to December 2023 were studied.All patients underwent a 30-minute spontaneous breathing trial(SBT)using low-level pressure support ventilation(PSV)after meeting the clinical weaning screening criteria.Among them,150 patients who met the clinical weaning criteria were weaned from the ventilator.They were divided into a successful weaning group(n=100)and a failed weaning group(n=50)based on the weaning outcome.Clinical data,including age,gender,APACHE II score,duration of mechanical ventilation,DTF,and CPEF,were collected from 150 patients.The differences in clinical data between the two groups were compared,and the correlation between DTF,CPEF,and the success rate of weaning was analyzed.Results:There were no significant differences between the two groups in gender ratio(χ^(2)=0.884,P=0.347>0.05),age(t=0.350,P=0.727>0.05),and APACHE II score(t=1.295,P=0.197>0.05),but there was a significant difference in the duration of mechanical ventilation(t=3.766,P<0.001).The DTF and CPEF values in the successful weaning group were significantly higher than those in the failed weaning group(P<0.05).ROC curves were drawn to predict the weaning results using DTF,CPEF,and the combination of DTF and CPEF.The results showed that the specificity of the combination of DTF and CPEF was comparable to that of either metric alone,but the sensitivity and AUC were significantly higher than those of either metric alone.Conclusion:The combination of DTF and CPEF can be used as an effective indicator to evaluate the weaning efficacy of mechanically ventilated patients,which has important clinical significance for guiding clinical weaning treatment,improving the success rate of weaning,reducing the incidence of ventilator-associated pneumonia,and shortening the length of hospital stay.展开更多
Inspired by the thermal stability mechanism of thermophilic protein,which presents ionic bonds that have better stability at higher temperatures,this paper proposes the introduction of electrostatic interactions by ad...Inspired by the thermal stability mechanism of thermophilic protein,which presents ionic bonds that have better stability at higher temperatures,this paper proposes the introduction of electrostatic interactions by adding carboxyl-modified silica(C-SiO2),PAA,and CaCl_(2) to achieve higher viscosity over 25℃.The rheological behavior of C-SiO_(2)-based shear thickening fluid(CS-STF)was investigated at a temperature range of 25–55℃.Unlike SiO_(2)-based STF,which exhibits single-step thickening and a negative correlation between viscosity and temperature.As the C-SiO_(2) content was 41%(w/w)and the mass ratio of PAA:CaCl_(2):C-SiO_(2) was 3:1:10,the CS-STF displayed a double-thickening behavior,and the peak viscosity reached 1330 Pa·s at 35℃.From the yarn pull-out test,the inter-yarn force was significantly increased with the increasing CS-STF content.Treating UHMWPE fabrics with CS-STF improved the impact resistance effectively.In the blunt impact test,the U-CS fabrics with high CS-STF content(121.45 wt%)experienced penetration failure under high impact energy(18 J)due to stress concentration caused by the shear thickening behavior.The knife stabbing test demonstrated that U-CS fabrics with appropriate content(88.38 wt%)have the best stabbing resistance in various impact energies.Overall,this study proposed a high-performence STF showing double-thickening and enhancing shear-thickening behavior at a wide temperature range,the composite fabrics with the performance of resisting both the blunt and stab impact had broad application prospects in the field of personal protection.展开更多
基金the National Natural Science Foundation of China(U22B6005,52174043,52474035)the Beijing Natural Science Foundation(3242019)the China National Petroleum Corporation(CNPC)Innovation Foundation(2022DQ02-0208 and 2024DQ02-0114).
文摘High-water-cut mature reservoirs typically serve as the“ballast”for ensuring China’s annual crude oil production of 200 million tons.Despite the use of water flooding and chemical methods,over 40%of crude oil remains unexploited.It is critical to develop efficient revolutionary technologies to further enhance oil recovery(EOR)by a large percentage in high-water-cut mature reservoirs.To address this issue,the potential of vertical remaining oil in Daqing Oilfield is first analyzed from massive monitoring data.Using molecular dynamics simulation to design optimal synthetic routine,a copolymer without flu-orine or silicon is synthesized by modifying vinyl acetate(VAc)with maleic anhydride(MA)and styrene(St),and treated as a supercritical CO_(2)(scCO_(2))thickener.The underlying EOR mechanism of the scCO_(2) thickener is thereafter clarified by high-temperature,high-pressure oil displacement experiments.The EOR effect by thickened scCO_(2) flooding in a typical high-water-cut mature reservoir is predicted,and future technological advancements of the technique are ultimately discussed.Results show that the ver-tical remaining oil enriched in weakly swept zones is a primary target for further EOR in high-water-cut mature reservoirs.The copolymer typically exhibits good solubility,strong dispersion stability,and high thickening effect in scCO_(2).Under an ambient pressure of 10 MPa and a temperature of 50℃,the disso-lution of copolymer at a mass concentration of 0.2%can effectively increase the viscosity of scCO_(2) by 39.4 times.Due to the synergistic effect between expanding vertical swept volume and inhibiting gas channel-ing,crude oil recovery can be further enhanced by 23.1%for a typical high-water-cut mature reservoir when the scCO_(2) viscosity is increased by 50 times.Our understandings demonstrate that the thickened scCO_(2) flooding technology has significant technical advantages in high-water-cut mature reservoirs,with challenges and future development directions in field-scale applications also highlighted.
基金financially supported by the National Natural Science Foundation of China(Nos.52130404 and 52304121)the Fundamental Research Funds for the Central Universities(No.FRF-TP-22-112A1)+4 种基金the Guangdong Basic and Applied Basic Research Foundation(No.2021A 1515110161)the ANID(Chile)through Fondecyt project 1210610the Centro de Modelamiento Matemático(BASAL funds for Centers of Excellence FB210005)the CRHIAM project ANID/FONDAP/15130015 and ANID/FONDAP/1523A0001the Anillo project ANID/ACT210030。
文摘Cemented paste backfill(CPB)is a key technology for green mining in metal mines,in which tailings thickening comprises the primary link of CPB technology.However,difficult flocculation and substandard concentrations of thickened tailings often occur.The rheological properties and concentration evolution in the thickened tailings remain unclear.Moreover,traditional indoor thickening experiments have yet to quantitatively characterize their rheological properties.An experiment of flocculation condition optimization based on the Box-Behnken design(BBD)was performed in the study,and the two response values were investigated:concentration and the mean weighted chord length(MWCL)of flocs.Thus,optimal flocculation conditions were obtained.In addition,the rheological properties and concentration evolution of different flocculant dosages and ultrafine tailing contents under shear,compression,and compression-shear coupling experimental conditions were tested and compared.The results show that the shear yield stress under compression and compression-shear coupling increases with the growth of compressive yield stress,while the shear yield stress increases slightly under shear.The order of shear yield stress from low to high under different thickening conditions is shear,compression,and compression-shear coupling.Under compression and compression-shear coupling,the concentration first rapidly increases with the growth of compressive yield stress and then slowly increases,while concentration increases slightly under shear.The order of concentration from low to high under different thickening conditions is shear,compression,and compression-shear coupling.Finally,the evolution mechanism of the flocs and drainage channels during the thickening of the thickened tailings under different experimental conditions was revealed.
基金The financial support from the National Natural Science Foundation of China(Grant No.52022112)the Fundamental Research Funds for the Central South University(Grant No.2023ZZTS0366)are acknowledged and appreciated.The authors are also grateful for the help from Dr.Ji Zhao of China University of Mining and Technology.
文摘Water spewing and muck plugging often occur during earth pressure balance(EPB)shield machines tunnelling in water-rich sandy strata,even though the conventional foam has been employed to condition sandy soils.In this study,a novel thickened foaming agent suitable for EPB shield tunnelling in water-rich sandy strata is developed.In contrast to conventional foam-conditioned sands,the thickened foam-conditioned sand has a low permeability due to the consistent filling of soil pores with the thickened foam,and the initial permeability coefficient decreases by approximately two orders of magnitude.It also exhibits a suitable workability,which is attributed to the enhanced capability of the thickened foam to condition sandy soils.In addition,the effect of concentration on the stability of the foam is explained by the Gibbs-Marangoni effect,and conditioning mechanisms for the thickened foam on sands are discussed from the evolution of foam bubbles.
基金supported by the Natural Science Foundation of Tianjin, China (No. 08JCYBJC13200)the National Natural Science Foundation of China (No. 50808128)
文摘Pretreatment of thickened waste activated sludge （TWAS） by combined microwave and alkaline pretreatment （MAP） was studied to improve thermophilic anaerobic digestion efficiency. Uniform design was applied to determine the combination of target temperature （110-210°C）, microwave holding time （1-51 min）, and NaOH dose （0-2.5 g NaOH/g suspended solids （SS）） in terms of their effect on volatile suspended solids （VSS） solubilization. Maximum solubilization ratio （85.1%） of VSS was observed at 210°C with 0.2 g-NaOH/g-SS and 35 min holding time. The effects of 12 different pretreatment methods were investigated in 28 thermophilic batch reactors by monitoring cumulative methane production （CMP）. Improvements in methane production in the TWAS were directly related to the microwave and alkaline pretreatment of the sludge. The highest CMP was a 27% improvement over the control. In spite of the increase in soluble chemical oxygen demand concentration and the decrease in dewaterability of digested sludge, a semi-continuous thermophilic reactor fed with pretreated TWAS without neutralization （at 170~C with 1 min holding time and 0.05 g NaOH/g SS） was stable and functioned well, with volatile solid （VS） and total chemical oxygen demand （TCOD） reductions of 28% and 18%, respectively, which were higher than those of the control system. Additionally, methane yields （L@STP/g-CODaded, at standard temperature and pressure （STP） conditions of 0°C and 101.325 kPa） and （L@STP/g VSadad） increased by 17% and 13%, respectively, comoared to the control reactor.
文摘To improve the strength-toughness of traditional U-rib（ TUR） and solve the problem of insufficient penetration between TUR and deckplate,a new local thickened U-rib（ LTUR） has been proposed to improve the fatigue resistance of the weld joint under the premise of not increasing thickness and strength of the TUR material. And a hot /warm roll-forming process（ RFP） adopting partially induction heating to 700- 1 000℃ was carried out to fabricate LTUR. The deformation behaviors in the forming process and microstructure of LTUR have been investigated.Mechanical properties and fracture mechanism of the LTUR after hot / warm RFP have been systematically discussed. Moreover,the results are compared with those obtained in cold RFP. Mechanical properties of the LTUR deformed above the critical transformation temperature（ A_（c3）） show high performance characteristics with marked fatigue resistance and superior toughness. Upon increasing the heating temperature from 700 to 900 ℃,the initial coarse ferrite-pearlite structure transform into equiaxed ultrafine ferrite（ 1- 3 μm） and precipitates such as（ Nb,Ti）（ C,N） are uniformly distributed in the matrix. The average dislocation density of the specimens after hot rollforming at heating temperature of 900 ℃ decreases dramatically compared with those of the specimens subjected to the cold RFP. Furthermore,a typical characteristic of ductile fracture mechanism and the high impact energy are more convinced that the specimens deformed above 900 ℃ have obtained an optimal combination of strength and toughness.
基金Project supported by the National Natural Science Foundation of China(Nos.91441117 and 51576182)
文摘A sub-grid scale(SGS) combustion model, which combines the artificial thickened flame(ATF) model with the flamelet generated manifold(FGM) tabulation method, is proposed. Based on the analysis of laminar flame structures, two self-contained flame sensors are used to track the diffusion and reaction processes with different spatial scales in the flame front, respectively. The dynamic formulation for the proposed SGS combustion model is also performed. Large eddy simulations(LESs) of Bunsen flame F3 are used to evaluate the different SGS combustion models. The results show that the proposed SGS model has the ability in predicting the distributions of temperature and velocity reasonably, while the predictions for the distributions of some species need further improvement. The snapshots of instantaneous normalized progress variables reveal that the flame is more remarkably and severely wrinkled at the flame tip for flame F3.More satisfactory results obtained by the dynamic model indicate that it can preserve the premixed flame propagation characteristics better.
基金National Research Center for Integrated Natural Disaster Management,CONICYT/FONDAP/15110017
文摘Copper production is an essential component of the Chilean economy. During the extraction process of copper, large quantities of waste materials（tailings） are produced, which are typically stored in large tailing ponds. Thickened Tailings Disposal（TTD） is an alternative to conventional tailings ponds. In TTD, a considerable amount of water is extracted from the tailings before their deposition. Once a thickened tailings layer is deposited, it loses water and it shrinks, forming a relatively regular structure of tailings blocks with vertical cracks in between, which are then filled up with ＂fresh＂ tailings once the new upper layer is deposited. The dynamic response of a representative column of this complex structure made out of tailings blocks with softer material in between was analyzed using a periodic half-space finite element model. The tailings＇ behavior was modeled using an elasto-plastic multi-yielding constitutive model, and Chilean earthquake records were used for the seismic analyses. Special attention was given to the liquefaction potential evaluation of TTD.
文摘As one of the most distinct tectonic blocks on the Earth’s surface, Tibetan Plateau draw great attention of the geoscientists from the world. Many authors have proposed various kinds of the mechanism to try to clarify the evolution of the plateau. While many studies are often restricted to crustal units, the important role of the mantle part of the lithosphere (mantle lithosphere) during and after the collision process has not been appreciated widely. The purpose of the paper is to investigate the dynamic process of the thinning (delamination and convective removal) of the thickened lithosphere and its influence upon the uplift of the plateau.1\ Thickened lithosphere root\;Parsons and McKenzie (1978) proposed that the continental lithosphere could be thought of as consisting of two distinct parts: the mechanical and thermal boundary layers. The lower, and hotter, part is the thermal boundary layer. Its viscosity is sufficiently low that the force of gravity acting on density contrasts between the thermal boundary layer and the underlying mantle lead to the episodic sinking of the thermal boundary layer and its replacement by hot asthenosphere. When continental crust shortens and thickens, the mantle directly beneath it must also be displaced downward. In other words, mountain building process shortens horizontally and thickens vertically the mechanical boundary layer, and presumably the thermal boundary layer. And the process stretches the isotherms vertically, thus reducing the geothermal gradient. Houseman’s numerical experiments (1981) show that thickening of the thermal boundary layer enhances the density contrasts between it and the underlying asthenosphere, and so leads to its removal and replacement with hot asthenosphere. This phenomenon is called the instability of the thickened lithosphere.
基金Guangdong Province Innovation Talent Project (2015KQNCX107) for YouthsGuangdong University of Education special fund (2016ARF06) for doctoral research
文摘Framed links in thickened torus are studied. We define the mod 2 Kauffman bracket skein module of thickened torus and give an expression of a framed link in this module. From this expression we propose a new ambient isotopic invariant of framed links.
文摘BACKGROUND Allergy to cow’s milk is the most frequent allergy occurring in infants and young children.The dietary management of these patients consists of the elimination of any cow’s milk proteins from the diet,and for formula-fed infants,the substitution of the usual infant formula with an adapted formula that is generally based on extensively hydrolyzed cow’s milk proteins.The American Academy of Pediatrics has established specific criteria to confirm the hypoallergenicity of a formula intended for these children.AIM To assess the hypoallergenicity of a new thickened extensively hydrolyzed casein-based formula (TeHCF) in children with cow’s milk allergy (CMA).METHODS Children diagnosed with CMA through a double-blind placebo-controlled food challenge (DBPCFC) were randomly administered increased doses of a placebo formula or the TeHCF [Allernova,new thickener including fibres (Novalac)] under double-blind conditions and medical surveillance on two separate days.Otherwise,both of these formulas and a cow’s milk-based formula were randomly introduced to children who were highly suspected of having CMA on three separate days.Immediate and late reactions occurring after the introduction of any of these formulas were thoroughly recorded by the physician at the hospital and reported by parents to the physician after hospital discharge,respectively.If the children tolerated the TeHCF during the DBPCFC,they were exclusively fed this formula during a 3-mo period where potential allergic symptoms,anthropometric parameters,as secondary outcomes,and adverse events were registered.The Cow’s Milk-related Symptoms Score (CoMiSSTM) was assessed and anthropometric parameters were compared to World Health Organization (WHO) reference data.RESULTS Of the 30 children included in the study,the CMA diagnosis of 29 (mean age: 8.03 ± 7.43 mo) patients was confirmed by a DBPCFC.The children all tolerated the TeHCF during both the challenge and the subsequent 3-mo feeding period,which they all completed.During the latter period,the CoMiSSTM remained at a very low level,never exceeding its baseline value (1.4 ± 2.0),growth parameters were within WHO reference standards and no adverse event related to the TeHCF was reported.Over the first week of this period,the proportion of patients with digestive discomfort significantly decreased from 20.7%(6/29) to 3.4%(1/29),P = 0.025.The proportion of satisfaction with the overall effect of the formula reported by the parents and investigator was high,as was the formula acceptability by the child.CONCLUSION The new TeHCF meets the hypoallergenicity criteria according to the American Academy of Pediatrics standards,confirming that the tested TeHCF is adapted to the dietary management of children with CMA.Moreover,growth was adequate in the included population.
基金Supported by Guangdong Province Innovation Talent Project for Youths(Grant No.2015KQNCX107)Guangdong University of Education Special Fund for Doctoral Research(Grant No.2016ARF06)
文摘Framed links in thickened torus is studied. We give an expression of torus knot in the Kauffman bracket skein algebra. From this expression and using the theory of Gr？bner bases, we drive the reduced polynomial of a framed link, which is an ambient isotopic invariant and can be computed feasibly.
基金financially supported by National Key R&D Program of China(Grant No.2017YFC0601402)
文摘The East Asia continent is characterized by a mosaic architecture with various composing blocks,such as the North and South China blocks,which had been collaged in Late Permian to Triassic in response to the break-up of Pangea.In the Late Mesozoic.
基金supported by the National Key R&D Program of China(Grant No.2016YFC0600301)the National Natural Science Foundation of China(Grant 42030308,41974053,and 41888101)
文摘The relationship of the crustal contact between the Indian and Eurasian plates is a key issue in understanding crustal thickening and the subduction of the Indian lithosphere beneath the Qinghai-Tibetan Plateau.Across the middle of the Yarlung-Zangbo Suture(YZS),we deployed an~450-km-long SN-trending wide-angle reflection/refraction profile to observe the P-wave velocity(vP)structure beneath the northern Himalaya and the southern plateau.Our results show that,1.the high vP(~7.1 km/s)indicates that the Indian lower crust extends no more than 50 km north of the YZS.2.The lower crust beneath the southern part of the plateau features an extremely low vP(<6.7±0.2 km/s).3.Compared with the velocities of several typical crustal lithologies in different temperature regimes,the low vPin the lower crust can be explained by felsic-intermediate granulite,which has prevented the lower crust from further eclogitization.We propose that the dip angle of the Indian lithospheric slab beneath the YZS is partly controlled by the composition of the lower crust of the plateau.In the northern middle YZS,the crust of the southern plateau is too thick and blocks the northward advancement of the Indian lower crust,resulting in the subduction of the Indian lithospheric slab into the upper mantle.The lower crust in western and eastern Lhasa is dominated by a mafic composition,and it was delaminated after eclogitization before the Miocene.The void zone generated by delamination favors the flattening and underthrusting of the Indian lower crust.
基金financially supported by the National Key R&D Program of China(No.2022YFC2903803)National Natural Science Foundation of China(No.52130404)+4 种基金Guangdong Basic and Applied Basic Research Foundation(No.2021A1515110161)ANID(Chile)through Fondecyt project 1210610Centro de Modelamiento Matemático(BASAL funds for Centers of Excellence FB210005)CRHIAM project ANID/FONDAP/15130015Anillo project ANID/ACT210030。
文摘The 3D reconstruction and quantitative characterization of drainage channels and coarse tailings particles in a bed were conducted in this study.The influence of variations in the azimuthal angle(θ)and polar angle(φ)of coarse particles on drainage channel structure was analyzed,and the drainage mechanism of the bed was studied.Results showed that water discharge in the bed reduced the size of pores and throat channels,increasing slurry concentration.The throat channel structure was a key component of the drainage process.Theφandθof particles changed predominantly along the length direction.The changes inφhad a cumulative plugging effect on the drainage channel and increased the difficulty of water discharge.The rake and rod formed a shear ring in the tailings bed with shear,and theθdistribution of particles changed from disorderly to orderly during the rotation process.The drainage channel was squeezed during the shearing process with the change inθ,which broke the channel structure,encouraged water discharge in the bed,and facilitated a further increase in slurry concentration.The findings of this work are expected to offer theoretical guidance for preparing high-concentration underflow in the tailings thickening process.
基金Supported by the Suzhou Medical Innovation Application Research Project(SZM2023027).
文摘AIM:To explore the morphological and functional parameters to evaluate the effectiveness of intravitreal injections of ranibizumab(IVR)in treating macular edema(ME)secondary to retinal vein occlusion(RVO).METHODS:This retrospective study involved 65 RVO patients(65 eyes)who received IVR and were followedup for more than 3mo.ME was categorized into cystoid macular edema(CME),diffuse retinal thickening(DRT),and serous retinal detachment(SRD)according to optical coherence tomography(OCT)images.The comparison of best corrected visual acuity(BCVA;logMAR)and central macular thickness(CMT)among different follow-up points and those among 3 groups were performed by Kruskal-Wallis test.The correlation between BCVA and baseline parameters during treatment was analyzed using Spearman correlation analysis.RESULTS:BCVA tended to improve in all groups,with marked improvement in CME and DRT groups.CMT showed the greatest reduction after 1wk,and remained stable over the following 3mo.DRT patients had the worst BCVA and the highest CMT at baseline,but the differences became smaller after IVR treatment.CMT in SRD group was significantly better than in CME and DRT groups 3mo after IVR.Most patients of CME and SRD groups transitioned to a normal pattern at 3mo follow-up.DRT patients were most likely to transform into the other morphological groups,while SRD patients showed minimal transitions.BCVA at baseline was identified as the most important prognostic indicator in all 3 groups.Additionally,DRT patients with a longer clinical course,higher CMT and central retinal vein occlusion(CRVO)tend to exhibit worse BCVA after treatment.In addition,CRVO patients are more likely to have worse BCVA at 2 and 3mo follow-up compared with branch retinal vein occlusion(BRVO)patients in CME group.SRD patients with higher baseline CMT were prone to experiencing worse BCVA after treatment.CONCLUSION:The effectiveness of IVR is strongly correlated with baseline BCVA in all 3 groups.Baseline parameters including clinical course,CMT,and RVO position are also useful in predicting the BCVA at different time points after treatment.
文摘BACKGROUND Diagnostic laparoscopy is a minimally invasive surgical method to diagnose intra-abdominal diseases.AIM To evaluate patients with unexplained ascites who could not be definitively diagnosed via advanced radiological and endoscopic methods and serological,cytological,and microbiological examinations and,therefore,underwent diag-nostic laparoscopy.METHODS This retrospective analysis evaluated 82 patients who underwent diagnostic laparoscopy due to unexplained ascites.Patients’medical records were obtained from the hospital database.Their age,sex,complaints at admission,laboratory results,radiological imaging results,diagnostic laparoscopy reports,and pa-thology reports were analyzed.RESULTS The serum-ascites albumin gradient was<1.1 in 96.3%of the patients(n=79).Among patients,22(26.8%)had benign diagnoses and 60(73.2%)had malignant diagnoses.In addition,55(67.1%)were deceased,and the median follow-up time from diagnosis to death was four months.The overall follow-up time ranged from 1 to 142 months,with a median of 14 months.Patients’diagnoses were significantly associated with their survival(P<0.05,χ2 test).The mortality rate was 86.7%among patients with malignant diagnoses and 13.6%among patients with benign diagnoses.CONCLUSION Diagnostic laparoscopy is minimally invasive,has a low complication rate,and requires a short hospital stay.It can be safely performed to diagnose and treat ascites that remain unexplained after advanced radiological and endoscopic examinations.
基金Supported by National Natural Science Foundation of China(51674209)Sichuan Province Youth Science and Technology Innovation Team(2021JDTD0017).
文摘Static adsorption and dynamic damage experiments were carried out on typical 8#deep coal rock of the Carboniferous Benxi Formation in the Ordos Basin,NW China,to evaluate the adsorption capacity of hydroxypropyl guar gum and polyacrylamide as fracturing fluid thickeners on deep coal rock surface and the permeability damage caused by adsorption.The adsorption morphology of the thickener was quantitatively characterized by atomic force microscopy,and the main controlling factors of the thickener adsorption were analyzed.Meanwhile,the adsorption mechanism of the thickener was revealed by Zeta potential,Fourier infrared spectroscopy and X-ray photoelectron spectroscopy.The results show that the adsorption capacity of hydroxypropyl guar gum on deep coal surface is 3.86 mg/g,and the permeability of coal rock after adsorption decreases by 35.24%–37.01%.The adsorption capacity of polyacrylamide is 3.29 mg/g,and the permeability of coal rock after adsorption decreases by 14.31%–21.93%.The thickness of the thickener adsorption layer is positively correlated with the mass fraction of thickener and negatively correlated with temperature,and a decrease in pH will reduce the thickness of the hydroxypropyl guar gum adsorption layer and make the distribution frequency of the thickness of polyacrylamide adsorption layer more concentrated.Functional group condensation and intermolecular force are chemical and physical forces for adsorbing fracturing fluid thickener in deep coal rock.Optimization of thickener mass fraction,chemical modification of thickener molecular,oxidative thermal degradation of polymer and addition of desorption agent can reduce the potential damages on micro-nano pores and cracks in coal rock.
文摘As of 2023, endometrial cancer (EC) ranks second among malignant tumors of the female reproductive system in China, following cervical cancer, posing a significant burden on the country’s healthcare system. Postmenopausal asymptomatic endometrial thickening is primarily benign, often involving endometrial polyps. However, previous clinical studies indicate a relatively high malignancy rate for postmenopausal endometrial polyps, suggesting the necessity for active intervention, particularly in cases with high-risk factors for EC. This article reviews the research progress on risk factors for endometrial lesions in postmenopausal patients with asymptomatic endometrial thickening, aiming to provide insights for clinical diagnosis and treatment.
文摘Objective:To investigate the predictive value of diaphragm thickening fraction(DTF)combined with cough peak expiratory flow(CPEF)on the success rate of weaning from mechanical ventilation.Methods:The clinical data of patients undergoing invasive mechanical ventilation via oral endotracheal intubation in the ICU of our hospital from January 2022 to December 2023 were studied.All patients underwent a 30-minute spontaneous breathing trial(SBT)using low-level pressure support ventilation(PSV)after meeting the clinical weaning screening criteria.Among them,150 patients who met the clinical weaning criteria were weaned from the ventilator.They were divided into a successful weaning group(n=100)and a failed weaning group(n=50)based on the weaning outcome.Clinical data,including age,gender,APACHE II score,duration of mechanical ventilation,DTF,and CPEF,were collected from 150 patients.The differences in clinical data between the two groups were compared,and the correlation between DTF,CPEF,and the success rate of weaning was analyzed.Results:There were no significant differences between the two groups in gender ratio(χ^(2)=0.884,P=0.347>0.05),age(t=0.350,P=0.727>0.05),and APACHE II score(t=1.295,P=0.197>0.05),but there was a significant difference in the duration of mechanical ventilation(t=3.766,P<0.001).The DTF and CPEF values in the successful weaning group were significantly higher than those in the failed weaning group(P<0.05).ROC curves were drawn to predict the weaning results using DTF,CPEF,and the combination of DTF and CPEF.The results showed that the specificity of the combination of DTF and CPEF was comparable to that of either metric alone,but the sensitivity and AUC were significantly higher than those of either metric alone.Conclusion:The combination of DTF and CPEF can be used as an effective indicator to evaluate the weaning efficacy of mechanically ventilated patients,which has important clinical significance for guiding clinical weaning treatment,improving the success rate of weaning,reducing the incidence of ventilator-associated pneumonia,and shortening the length of hospital stay.
基金the Major Science and Technology Demonstration Projects in Jiangsu Province(Grant No.BE2022608).
文摘Inspired by the thermal stability mechanism of thermophilic protein,which presents ionic bonds that have better stability at higher temperatures,this paper proposes the introduction of electrostatic interactions by adding carboxyl-modified silica(C-SiO2),PAA,and CaCl_(2) to achieve higher viscosity over 25℃.The rheological behavior of C-SiO_(2)-based shear thickening fluid(CS-STF)was investigated at a temperature range of 25–55℃.Unlike SiO_(2)-based STF,which exhibits single-step thickening and a negative correlation between viscosity and temperature.As the C-SiO_(2) content was 41%(w/w)and the mass ratio of PAA:CaCl_(2):C-SiO_(2) was 3:1:10,the CS-STF displayed a double-thickening behavior,and the peak viscosity reached 1330 Pa·s at 35℃.From the yarn pull-out test,the inter-yarn force was significantly increased with the increasing CS-STF content.Treating UHMWPE fabrics with CS-STF improved the impact resistance effectively.In the blunt impact test,the U-CS fabrics with high CS-STF content(121.45 wt%)experienced penetration failure under high impact energy(18 J)due to stress concentration caused by the shear thickening behavior.The knife stabbing test demonstrated that U-CS fabrics with appropriate content(88.38 wt%)have the best stabbing resistance in various impact energies.Overall,this study proposed a high-performence STF showing double-thickening and enhancing shear-thickening behavior at a wide temperature range,the composite fabrics with the performance of resisting both the blunt and stab impact had broad application prospects in the field of personal protection.
