BACKGROUND Gastric cancer(GC)poses a significant threat to public health.However,the clinicopathological features and tumor biological behaviors vary among the GC patients,leading to individual variations in lymph nod...BACKGROUND Gastric cancer(GC)poses a significant threat to public health.However,the clinicopathological features and tumor biological behaviors vary among the GC patients,leading to individual variations in lymph node metastasis.Consequently,the stratification of lymph node dissection according to the specific type,particularly upper GC,has emerged as a prominent area of research.AIM To investigate the distribution of metastatic lymph nodes in patients with upper and lower GC and to analyze the differences in related pathological elements and prognosis.METHODS Differential analysis between upper and lower GC patients with various clinicopathological factors was performed using the chi-square test and rank-sum regression models were used to analyze risk factors affecting patient prognosis.The Kaplan-Meier method was used to construct survival curves associated with prognostic risk factors for GC.RESULTS Significant differences were observed between the two GC populations regarding tumor diameter,histological grade,pT stage,pN stage,tumor-node-metastasis(pTNM)stage,vascular invasion,and adjuvant chemotherapy usage(all P<0.05).Lymph node metastasis rates were highest for Siewert type II patients in groups Nos.1,3,2 and 7;for Siewert type III patients in groups Nos.3,1,2 and 7;and for other/unclassified patients in groups Nos.1,3,7,2.In the lower GC samples,the sequences were Nos.3,6,7,4.Pathological type,pT stage,pTNM stage,and positive vascular invasion were independent risk factors for development of lymph node metastasis.Age,pathological type,pT stage,pN stage,pTNM stage,vascular invasion,and absence of adjuvant chemotherapy were identified as independent prognostic factors.CONCLUSION Upper GC showed a significantly higher malignancy grade and different lymph node metastasis pattern than lower GC.展开更多
Non-variceal upper gastrointestinal bleeding(GIB)remains a significant clinical challenge with a 30-day mortality of up to 11%.Peptic ulcers are the most common cause,followed by other conditions like Mallory-Weiss sy...Non-variceal upper gastrointestinal bleeding(GIB)remains a significant clinical challenge with a 30-day mortality of up to 11%.Peptic ulcers are the most common cause,followed by other conditions like Mallory-Weiss syndrome,Dieulafoy’s lesions,and gastric neoplasms.Treatment strategies include acid-suppressive therapy,endoscopic interventions,and surgical or radiological procedures.Endoscopic techniques such as over-the-scope clips,coagulation graspers,and endoscopic ultrasound-guided treatments have significantly improved outcomes,reducing rebleeding rates and the need for surgery.Injectable therapies,mechanical hemostasis via clips,and thermal modalities(e.g.,electrocoagulation,argon plasma coagulation)remain standard approaches for active bleeding.Newer hemostatic powders,such as TC-325,offer promising non-contact treatments,particularly in cases of refractory bleeding or malignancy.Doppler endoscopic probes aid in risk stratification by detecting residual arterial blood flow,improving the efficacy of endoscopic therapy and reducing rebleeding risks.For small bowel bleeding,endoscopic management with enteroscopy and thermal therapies remains key,though medical therapies are evolving.Lower GIB,which often involves conditions like diverticular disease and angioectasia,requires a comprehensive approach combining endoscopic,radiologic,and surgical interventions.Pharmacologic management focuses on balancing antithrombotic therapy with bleeding risks,with reversal agents playing a crucial role in life-threatening bleeding episodes.This review highlights advances in diagnostic tools and endoscopic therapies that have enhanced management outcomes for GIB across various etiologies.展开更多
Maintaining the stability of the excavation face is key for ensuring the safety of underwater shield tunnel construction.However,the majority of current studies on the stability of excavation face focus on the homogen...Maintaining the stability of the excavation face is key for ensuring the safety of underwater shield tunnel construction.However,the majority of current studies on the stability of excavation face focus on the homogeneous strata,with limited research conducted on the upper loose and lower dense strata.Active instability tests are conducted in this study,in concert with the digital image correlation(DIC)technique,to investigate the effects of different water pressure ratios in upper loose and lower dense water-rich strata.The accuracy of these model tests is verified using numerical simulations.The results indicate that as water pressure ratio decreases,there is an increase in both the peak displacement of surface settlement and the seepage path range of water ahead of the excavation face expands.In contrast,decreasing water pressure ratio will break the limit equilibrium state of the strata faster,cause the earth pressure on the cutterhead to change more rapidly,and increase the instability range of the strata.展开更多
The pores in shales are mainly of nanometer-scale, and their pore size distribution is very important for the preservation and exploitation of shale gas. This study focused on the organic-rich Lower Silurian black sha...The pores in shales are mainly of nanometer-scale, and their pore size distribution is very important for the preservation and exploitation of shale gas. This study focused on the organic-rich Lower Silurian black shale from four wells in the Upper Yangtze Platform, and their TOC, mineralogical composition and pore characterization were investigated. Low pressure N2 and CO2 adsorption were conducted at 77.35 K and 273.15 K, respectively, and the pore structures were characterized by modified Brunauer-Emmett-Teller (BET), Dubinin-Radushkevich (DR), t-plot, Barrett- Joyner-Halenda (BJH) and density functional theory (DFT) methods and then the relationship between pore structure and shale gas sorption capacity was discussed. The results indicate that (1) The Lower Silurian shale has high TOC content of 0.92%~96%, high quartz content of 30.6%-69.5%, and high clays content of 24.1%-51.2%. The total specific surface area varies from 7.56 m^2/g to 25.86 m^2/g. Both the total specific surface area and quartz content are positively associated with the TOC content. (2) Shale samples with higher TOC content have more micropores, which results in more complex nanopore structure. Micropore volumes/surface areas and non-micropore surface areas all increase with the increasing TOC content. (3) A combination of N2 and CO2 adsorption provides the most suitable detection range (~0.3-60 nm) and has high reliability and accuracy for nanopore structure characterization. (4) The TOC content is the key factor to control the gas sorption capacity of the Lower Silurian shale in the Upper Yangtze Platform.展开更多
In South China four depositional sequences are recognized in the upper part of Upper Devonian and Tournaisian. They are named SQ0 SQ1, SQ2 and SQ3 in ascending order. SQ0 is Strunian (uppermost Devonian), and the othe...In South China four depositional sequences are recognized in the upper part of Upper Devonian and Tournaisian. They are named SQ0 SQ1, SQ2 and SQ3 in ascending order. SQ0 is Strunian (uppermost Devonian), and the other three Tournaisian in age. These four depositional sequences appear to correlate fairly well with the four sequence recognized in Europe, North America and other areas. This may suggest that these sequences are synchronous depos- its resulted from the eustatic changes. The present study on sequence stratigraphy, biostratigraphy and event stratigraphy indicates that in neritic facies areas of South China, the Devonian-Carboniferous boundary, matching the boundary between Siphonodella praesulcata zone and S. sulcata zone in pelagic facies areas, is not only higher than the top of the Cystophrentis zone, but also higher than the top of the Devonian-Carboniferous boundary event bed. In neritic facies areas, the Devonian-Carbonifrerous boundary is marked by the most distinct transgressive surface within the Cystophrentiseudouralina interval zone, i. e. at the base of the TST of the SQ1. This boundary coincides with the top surface of the event bed resulted from the eustatic fall, and approximately corresponds to the basal part of Rseudouralina assemblage zone.展开更多
Detailed studies on Late Devonian to Early Carboniferous carbonate rocks in central Hunan, southern China have led to the recognition of 25 lithofacies which can be grouped into: (I) inner ramp peritidal platform, ...Detailed studies on Late Devonian to Early Carboniferous carbonate rocks in central Hunan, southern China have led to the recognition of 25 lithofacies which can be grouped into: (I) inner ramp peritidal platform, (2) inner ramp organic hank and mound, (3) mid ramp, (4) outer ramp, and (5) shelf basin facies associations. The peritidal platform facies association dominates the Zimenqiao Formation (Namurian A or late Datangian) and is characterized by gypsum and dolostone-containing sequences, indicating a peritidal platform environment. The other four facies associations dominate the Menggongao Formation (late Famennian), Liujiatang Formation (Tournaisian or Yangruanian), Shidengzi Formations (early Visean or early Datangian). Five upward-shallowing cycles were distinguished in these three Formations. The predominant facies associations developed in each Formation demonstrate an overall transgression-regression cycle in the Late Devonian to Early Carboniferous in central Hunan. The overall transgressive sequence was preserved in the Shaodong, Menggongao, and Liujiatang Formations, and the overall regressive sequence was preserved in the Liujiatang, Shidengzi, Ceshui and Zimenqiao Formations.展开更多
Control of various factors, including mineral components, primary productivity and redox level, on the total organic carbon(TOC) in the lower Cambrian black shale from southeastern margin of Upper Yangtze(Taozichong, ...Control of various factors, including mineral components, primary productivity and redox level, on the total organic carbon(TOC) in the lower Cambrian black shale from southeastern margin of Upper Yangtze(Taozichong, Longbizui and Yanbei areas) is discussed in detail in this article. Mineral components in the study strata are dominated by quartz and clay minerals. Quartz in the Niutitang Formation is mainly of biogenic origin, and the content is in positive correlation with TOC, while the content of clay minerals is negatively correlated with TOC. Primary productivity, represented by the content of Mobio(biogenic molybdenum), Babio(biogenic barium) and phosphorus, is positively correlated with TOC. The main alkanes in studied samples are nCC, and odd–even priority values are closed to 1(0.73–1.13), which suggest the organic matter source was marine plankton. Element content ratios of U/Th and Ni/Co and compound ratio Pr/Ph indicate dysoxic–anoxic bottom water, with weak positive relative with TOC. In total, three main points can be drawn to explain the relationship between data and the factors affecting organic accumulation:(1) quartz-rich and clay-mineral-poor deep shelf–slope–basin environment was favorable for living organisms;(2) high productivity provided the material foundation for organic generation;(3) the redox conditions impact slightly on the content of organic matter under high productivity and dysoxic–anoxic condition.展开更多
The Tazhong paleouplift is divided into the upper and the lower structural layers, bounded by the unconformity surface at the top of the Ordovician carbonate rock. The reservoirs in the two layers from different parts...The Tazhong paleouplift is divided into the upper and the lower structural layers, bounded by the unconformity surface at the top of the Ordovician carbonate rock. The reservoirs in the two layers from different parts vary in number, type and reserves, but the mechanism was rarely researched before. Therefore, an explanation of the mechanism will promote petroleum exploration in Tazhong paleouplift. After studying the evolution and reservoir distribution of the Tazhong paleouplift, it is concluded that the evolution in late Caledonian, late Hercynian and Himalayan periods resulted in the upper and the lower structural layers. It is also defined that in the upper structural layer, structural and stratigraphic overlap reservoirs are developed at the top and the upper part of the paleouplift, which are dominated by oil reservoirs, while for the lower structural layer, lithological reservoirs are developed in the lower part of the paleouplift, which are dominated by gas reservoirs, and more reserves are discovered in the lower structural layer than the upper. Through a comparative analysis of accumulation conditions of the upper and the lower structural layers, the mechanism of enrichment differences is clearly explained. The reservoir and seal conditions of the lower structural layer are better than those of the upper layer, which is the reason why more reservoirs have been found in the former. The differences in the carrier system types, trap types and charging periods between the upper and the lower structural layers lead to differences in the reservoir types and distribution. An accumulation model is established for the Tazhong paleouplift. For the upper structural layer, the structural reservoirs and the stratigraphic overlap reservoirs are formed at the upper part of the paleouplift, while for the lower structural layer, the weathering crust reservoirs are formed at the top, the reef-flat reservoirs are formed on the lateral margin, the karst and inside reservoirs are formed in the lower part of the paleouplift.展开更多
In situ measurements of the vertical structure of ozone were made in Changchun (43.53°N, 125.13°E), China, by the Institute of Atmosphere Physics, in the summers of 2010-13. Analysis of the 89 validated oz...In situ measurements of the vertical structure of ozone were made in Changchun (43.53°N, 125.13°E), China, by the Institute of Atmosphere Physics, in the summers of 2010-13. Analysis of the 89 validated ozone profiles shows the vari- ation of ozone concentration in the upper troposphere and lower stratosphere (UTLS) caused by cut-off lows (COLs) over Changchun. During the COL events, an increase of the ozone concentration and a lower height of the tropopause are observed. Backward simulations with a trajectory model show that the ozone-rich airmass brought by the COL is from Siberia. A case study proves that stratosphere-troposphere exchange (STE) occurs in the COL. The ozone-rich air mass transported from the stratosphere to the troposphere first becomes unstable, then loses its high ozone concentration. This process usually happens during the decay stage of COLs. In order to understand the influence of COLs on the ozone in the UTLS, statistical analysis of the ozone profiles within COLs, and other profiles, are employed. The results indicate that the ozone concentrations of the in-COL profiles are significantly higher than those of the other profiles between ±4 km around the tropopause. The COLs induce an increase in UTLS column ozone by 32% on average. Meanwhile, the COLs depress the lapse-rate tropopause (LRT)/dynamical tropopause height by 1.4/1.7 km and cause the atmosphere above the tropopause to be less stable. The influence of COLs is durable because the increased ozone concentration lasts at least one day after the COL has passed over Changchun. Furthermore, the relative coefficient between LRT height and lower stratosphere (LS) column ozone is -0.62, which implies a positive correlation between COL strength and LS ozone concentration.展开更多
In the South Yellow Sea Basin,Mesozoic–Paleozoic marine strata are generally well developed with large thickness,and no substantial breakthroughs have been made in hydrocarbon exploration.Through research,it is belie...In the South Yellow Sea Basin,Mesozoic–Paleozoic marine strata are generally well developed with large thickness,and no substantial breakthroughs have been made in hydrocarbon exploration.Through research,it is believed that the Upper Permian–Lower Triassic can be regarded as a long-term base-level cycle.Based on drilling data,characteristics of the lithology–electric property combination cyclicity,and the special lithology,the long-term base-level cycle was divided into five medium-term base-level cycles(MC1–MC5).On this basis,the Permian–Triassic sedimentary systems and their filling model were analyzed in accordance with the change of base-level cycle and transition of sedimentary environment,as well as characteristics of the drilling sedimentary facies and seismic facies.The results show that there were six sedimentary systems(fluvial,delta,tidal flat,open platform,restricted platform,and continental shelf)developed in the Upper Permian–Lower Triassic,the sedimentary systems were distributed such that the water was deep in the northwest and shallow in the southeast,and there were two base-level cycle filling models(a relatively stable tidal flat facies and a rapidly transgressive continental shelf facies to stable platform facies)developed in the Upper Permian–Lower Triassic.These models can provide a basis for evaluation of the Mesozoic–Paleozoic hydrocarbon geology in the South Yellow Sea Basin.展开更多
The pattern of population distribution of the common hippopotamus was examined along the 165 km stretch of the Luangwa River in eastern Zambia. The study area was divided between the upper (A-D) and lower (E-H) study ...The pattern of population distribution of the common hippopotamus was examined along the 165 km stretch of the Luangwa River in eastern Zambia. The study area was divided between the upper (A-D) and lower (E-H) study blocks. Population data are collected between 1976-2008 and this study 2009-2012 showed a significant difference in the pattern of density distribution between upper and lower study blocks. Upper blocks had higher density of 41/km than lower blocks 29/km. Length of study blocks was discounted as density was used to determine distribution pattern. Results obtained suggest that primary production in each study block as influenced by river geomorphologic features such as river bends and confluences characterized higher hippopotamus density in the upper blocks. Further research is required to investigate other factors that may have interplayed with food (above ground grass biomass) and river meander features to separate upper and lower blocks.展开更多
Objective The Upper Ordovician Wufeng Formation-Lower Silurian Longmaxi Formation is one of the priority interval for shale gas exploration in the Sichuan Basin and its peripheral areas, and commercial shale gas has b...Objective The Upper Ordovician Wufeng Formation-Lower Silurian Longmaxi Formation is one of the priority interval for shale gas exploration in the Sichuan Basin and its peripheral areas, and commercial shale gas has been discovered from this interval in Jiaoshiba, Changning and Weiyuan shale gas fields in Sichuan Province. However, there is no significant discovery in other parts of the basin due to the different quality of black shale and the differences of tectonic evolution. Based on the progress of shale gas geological theory and exploration discoveries, as well as the theory of "source rock and cap rock controls on hydrocarbon accumulation", of the Upper Ordovician the main controlling factors Wufeng Formation-Lower Silurian Longmaxi Formation shale gas enrichment in the Sichuan Basin and its peripheral areas were analyzed, and the source rock and cap rock controls on the shale gas were also discussed. The results can provide new insights for the next shale gas exploration in this area.展开更多
Mesozoic marine shale oil was found in the Qiangtang Basin by a large number of hydrocarbon geological surveys and shallow drilling sampling.Based on systematic observation and experimental analysis of outcrop and cor...Mesozoic marine shale oil was found in the Qiangtang Basin by a large number of hydrocarbon geological surveys and shallow drilling sampling.Based on systematic observation and experimental analysis of outcrop and core samples,the deposition and development conditions and characteristics of marine shale are revealed,the geochemical and reservoir characteristics of marine shale are evaluated,and the layers of marine shale oil in the Mesozoic are determined.The following geological understandings are obtained.First,there are two sets of marine organic-rich shales,the Lower Jurassic Quse Formation and the Upper Triassic Bagong Formation,in the Qiangtang Basin.They are mainly composed of laminated shale with massive mudstone.The laminated organic-rich shale of the Quse Formation is located in the lower part of the stratum,with a thickness of 50–75 m,and mainly distributed in southern Qiangtang Basin and the central-west of northern Qiangtang Basin.The laminated organic-rich shale of the Bagong Formation is located in the middle of the stratum,with a thickness of 250–350 m,and distributed in both northern and southern Qiangtang Basin.Second,the two sets of laminated organic-rich shales develop foliation,and various types of micropores and microfractures.The average content of brittle minerals is 70%,implying a high fracturability.The average porosity is 5.89%,indicating good reservoir physical properties to the level of moderate–good shale oil reservoirs.Third,the organic-rich shale of the Quse Formation contains organic matters of types II1 and II2,with the average TOC of 8.34%,the average content of chloroform bitumen'A'of 0.66%,the average residual hydrocarbon generation potential(S1+S2)of 29.93 mg/g,and the Ro value of 0.9%–1.3%,meeting the standard of high-quality source rock.The organic-rich shale of the Bagong Formation contains mixed organic matters,with the TOC of 0.65%–3.10%and the Ro value of 1.17%–1.59%,meeting the standard of moderate source rock.Fourth,four shallow wells(depth of 50–250 m)with oil shows have been found in the organic shales at 50–90 m in the lower part of the Bagong Formation and 30–75 m in the middle part of the Quse Formation.The crude oil contains a high content of saturated hydrocarbon.Analysis and testing of outcrop and shallow well samples confirm the presence of marine shale oil in the Bagong Formation and the Quse Formation.Good shale oil intervals in the Bagong Formation are observed in layers 18–20 in the lower part of the section,where the shales with(S0+S1)higher than 1 mg/g are 206.7 m thick,with the maximum and average(S0+S1)of 1.92 mg/g and 1.81 mg/g,respectively.Good shale oil intervals in the Quse Formation are found in layers 4–8 in the lower part of the section,where the shales with(S0+S1)higher than 1 mg/g are 58.8 m thick,with the maximum and average(S0+S1)of 6.46 mg/g and 2.23 mg/g,respectively.展开更多
Attribute reduction is one of the most important problems in rough set theory. This paper introduces the concept of lower approximation reduction in ordered information systems with fuzzy decision. Moreover, the judgm...Attribute reduction is one of the most important problems in rough set theory. This paper introduces the concept of lower approximation reduction in ordered information systems with fuzzy decision. Moreover, the judgment theorem and discernable matrix are obtained, in which case an approach to attribute reduction in ordered information system with fuzzy decision is constructed. As an application of lower approximation reduction, some examples are applied to examine the validity of works obtained in our works..展开更多
In this paper, we use the well known KKM type theorem for generalized convex spaces due to Park (Elements of the KKM theory for generalized convex spaces, Korean J. Comp. Appl. Math., 7(2000), 1-28) to obtain an a...In this paper, we use the well known KKM type theorem for generalized convex spaces due to Park (Elements of the KKM theory for generalized convex spaces, Korean J. Comp. Appl. Math., 7(2000), 1-28) to obtain an almost fixed point theorem for upper [resp., lower] semicontinuous multimaps in locally G-convex spaces, and then give a fixed point theorem for upper semicontinuous multimap with closed Γ-convex values.展开更多
Amplitude-integrated EEG (aEEG) is a popular method for monitoring cerebral function. Although various commercial aEEG recorders have been produced, a detailed aEEG algorithm currently is not available. The upper and ...Amplitude-integrated EEG (aEEG) is a popular method for monitoring cerebral function. Although various commercial aEEG recorders have been produced, a detailed aEEG algorithm currently is not available. The upper and lower margins in the aEEG tracing are the discriminating features for data inspection and tracing classification. However, most aEEG devices require that these margins be measured semi-subjectively. This paper proposes a step-by-step signal-processing method to calculate a compact aEEG tracing and the upper/lower margin using raw EEG data. The high accuracy of the algorithm was verified by comparison with a recognized commercial aEEG device based on a representative testing dataset composed of 72 aEEG data. The introduced digital algorithm achieved compact aEEG tracing with a small data size. Moreover, the algorithm precisely represented the upper and lower margins in the tracing for objective data interpretation. The described method should facilitate aEEG signal processing and further establish the clinical and experimental application of aEEG methods.展开更多
In the present paper, an attempt is made to obtain the degree of approximation of conjugate of functions (signals) belonging to the generalized weighted W(LP, ξ(t)), (p ≥ 1)-class, by using lower triangular matrix o...In the present paper, an attempt is made to obtain the degree of approximation of conjugate of functions (signals) belonging to the generalized weighted W(LP, ξ(t)), (p ≥ 1)-class, by using lower triangular matrix operator of conjugate series of its Fourier series.展开更多
In the Upper-Yangtze region, especially in Guizhou Province and its adjacent areas, the Lower Cambrian is well developed and is marked by a succession from black shales of the basin facies to carbonate rocks of the pl...In the Upper-Yangtze region, especially in Guizhou Province and its adjacent areas, the Lower Cambrian is well developed and is marked by a succession from black shales of the basin facies to carbonate rocks of the platform facies. The drowning event of the platform occurring at the turn from Sinian to Cambrian resulted in a set of black shales, i.e. the Niutitang Formation, which makes up the bottom part of the Lower Cambrian. With the shoaling of the sedimentary environment, a set of carbonate rocks, i.e. the Qingxudong Formation, was formed in the top part of the Lower Cambrian. Thus, the Lower Cambrian in the study area makes up one second-order sequence that can be further subdivided into five third-order sequences, and forms a regularly cyclic succession of transgression-regression. There is a regularly vertical stacking pattern for the third-order sequences in the second-order sequence. From bottom to top, the succession of the "CS (condensed section) +HST (high-stand system tract)" of the third-order sequences is changed into the succession of the "TST (transgressive system tract)+CS+HST". Correspondingly, the drowning-type sequence boundary is changed into the exposure-type one. Therefore, both the second-order and the third-order sequences have similar sedimentary-facies architectures. A concomitant with these temporal changes, the Lower Cambrian with a thickness of 1000 m that contains five third-order sequences is changed into a condensed succession that cannot identify third-order sequences toward the southeast with the deepening of the sedimentary environment. According to the elementary features of the third-order sequences, i.e. the regularity o sedimentary-facies successions in space and the synchronism of sedimentary-environment changes in time, the detailed division of the third-order sequences at main logged sections in different paleogeographical background becomes the basis to establish the sequence-stratigraphic framework that can demonstrate two types of facies-changing surface and two types of diachronism in the stratigraphic records. This sequence-stratigraphic framework shows a growing process of the carbonate platform from the base of the condensed succession formed by black shales of basin facies. Resulting from the rapid transgression at the turn from Sinian to Cambrian the ecological space became open, which formed the antecedent condition of paleogeographical setting for "the Cambrian Biological Explosion". Ultimately, the genetic relationship between the depositional events and the biological-diversity events is very complex and there remain lots of problems that need further research in the future.展开更多
This paper presents new existence results for singular discrete boundary value problems. In particular our nonlinearity may be singular in its dependent variable and is allowed to change sign.
It is hard for the existing methods to obtain the expression of the system reliability for most of the practical complex systems with a large number of components and possible stales. A new regression algorithm based ...It is hard for the existing methods to obtain the expression of the system reliability for most of the practical complex systems with a large number of components and possible stales. A new regression algorithm based on the lower and upper bounds is presented in this paper, which can obtain the system reliability analytically without concerning the structure of the complex system. The method has been applied to a real system and the reliability results are compared with those acquired by the classical method and the parametric method. The effectiveness and accuracy of the proposed method have been testified.展开更多
文摘BACKGROUND Gastric cancer(GC)poses a significant threat to public health.However,the clinicopathological features and tumor biological behaviors vary among the GC patients,leading to individual variations in lymph node metastasis.Consequently,the stratification of lymph node dissection according to the specific type,particularly upper GC,has emerged as a prominent area of research.AIM To investigate the distribution of metastatic lymph nodes in patients with upper and lower GC and to analyze the differences in related pathological elements and prognosis.METHODS Differential analysis between upper and lower GC patients with various clinicopathological factors was performed using the chi-square test and rank-sum regression models were used to analyze risk factors affecting patient prognosis.The Kaplan-Meier method was used to construct survival curves associated with prognostic risk factors for GC.RESULTS Significant differences were observed between the two GC populations regarding tumor diameter,histological grade,pT stage,pN stage,tumor-node-metastasis(pTNM)stage,vascular invasion,and adjuvant chemotherapy usage(all P<0.05).Lymph node metastasis rates were highest for Siewert type II patients in groups Nos.1,3,2 and 7;for Siewert type III patients in groups Nos.3,1,2 and 7;and for other/unclassified patients in groups Nos.1,3,7,2.In the lower GC samples,the sequences were Nos.3,6,7,4.Pathological type,pT stage,pTNM stage,and positive vascular invasion were independent risk factors for development of lymph node metastasis.Age,pathological type,pT stage,pN stage,pTNM stage,vascular invasion,and absence of adjuvant chemotherapy were identified as independent prognostic factors.CONCLUSION Upper GC showed a significantly higher malignancy grade and different lymph node metastasis pattern than lower GC.
文摘Non-variceal upper gastrointestinal bleeding(GIB)remains a significant clinical challenge with a 30-day mortality of up to 11%.Peptic ulcers are the most common cause,followed by other conditions like Mallory-Weiss syndrome,Dieulafoy’s lesions,and gastric neoplasms.Treatment strategies include acid-suppressive therapy,endoscopic interventions,and surgical or radiological procedures.Endoscopic techniques such as over-the-scope clips,coagulation graspers,and endoscopic ultrasound-guided treatments have significantly improved outcomes,reducing rebleeding rates and the need for surgery.Injectable therapies,mechanical hemostasis via clips,and thermal modalities(e.g.,electrocoagulation,argon plasma coagulation)remain standard approaches for active bleeding.Newer hemostatic powders,such as TC-325,offer promising non-contact treatments,particularly in cases of refractory bleeding or malignancy.Doppler endoscopic probes aid in risk stratification by detecting residual arterial blood flow,improving the efficacy of endoscopic therapy and reducing rebleeding risks.For small bowel bleeding,endoscopic management with enteroscopy and thermal therapies remains key,though medical therapies are evolving.Lower GIB,which often involves conditions like diverticular disease and angioectasia,requires a comprehensive approach combining endoscopic,radiologic,and surgical interventions.Pharmacologic management focuses on balancing antithrombotic therapy with bleeding risks,with reversal agents playing a crucial role in life-threatening bleeding episodes.This review highlights advances in diagnostic tools and endoscopic therapies that have enhanced management outcomes for GIB across various etiologies.
基金supported by the National Natural Science Foundation of China(No.51978019)the Natural Science Foundation of Beijing Municipality(No.8222004),China.
文摘Maintaining the stability of the excavation face is key for ensuring the safety of underwater shield tunnel construction.However,the majority of current studies on the stability of excavation face focus on the homogeneous strata,with limited research conducted on the upper loose and lower dense strata.Active instability tests are conducted in this study,in concert with the digital image correlation(DIC)technique,to investigate the effects of different water pressure ratios in upper loose and lower dense water-rich strata.The accuracy of these model tests is verified using numerical simulations.The results indicate that as water pressure ratio decreases,there is an increase in both the peak displacement of surface settlement and the seepage path range of water ahead of the excavation face expands.In contrast,decreasing water pressure ratio will break the limit equilibrium state of the strata faster,cause the earth pressure on the cutterhead to change more rapidly,and increase the instability range of the strata.
基金the financial support of the National Science and Technology Major Project(No.2016ZX05034-001)National Natural Science Foundation of China(No.41472112)
文摘The pores in shales are mainly of nanometer-scale, and their pore size distribution is very important for the preservation and exploitation of shale gas. This study focused on the organic-rich Lower Silurian black shale from four wells in the Upper Yangtze Platform, and their TOC, mineralogical composition and pore characterization were investigated. Low pressure N2 and CO2 adsorption were conducted at 77.35 K and 273.15 K, respectively, and the pore structures were characterized by modified Brunauer-Emmett-Teller (BET), Dubinin-Radushkevich (DR), t-plot, Barrett- Joyner-Halenda (BJH) and density functional theory (DFT) methods and then the relationship between pore structure and shale gas sorption capacity was discussed. The results indicate that (1) The Lower Silurian shale has high TOC content of 0.92%~96%, high quartz content of 30.6%-69.5%, and high clays content of 24.1%-51.2%. The total specific surface area varies from 7.56 m^2/g to 25.86 m^2/g. Both the total specific surface area and quartz content are positively associated with the TOC content. (2) Shale samples with higher TOC content have more micropores, which results in more complex nanopore structure. Micropore volumes/surface areas and non-micropore surface areas all increase with the increasing TOC content. (3) A combination of N2 and CO2 adsorption provides the most suitable detection range (~0.3-60 nm) and has high reliability and accuracy for nanopore structure characterization. (4) The TOC content is the key factor to control the gas sorption capacity of the Lower Silurian shale in the Upper Yangtze Platform.
文摘In South China four depositional sequences are recognized in the upper part of Upper Devonian and Tournaisian. They are named SQ0 SQ1, SQ2 and SQ3 in ascending order. SQ0 is Strunian (uppermost Devonian), and the other three Tournaisian in age. These four depositional sequences appear to correlate fairly well with the four sequence recognized in Europe, North America and other areas. This may suggest that these sequences are synchronous depos- its resulted from the eustatic changes. The present study on sequence stratigraphy, biostratigraphy and event stratigraphy indicates that in neritic facies areas of South China, the Devonian-Carboniferous boundary, matching the boundary between Siphonodella praesulcata zone and S. sulcata zone in pelagic facies areas, is not only higher than the top of the Cystophrentis zone, but also higher than the top of the Devonian-Carboniferous boundary event bed. In neritic facies areas, the Devonian-Carbonifrerous boundary is marked by the most distinct transgressive surface within the Cystophrentiseudouralina interval zone, i. e. at the base of the TST of the SQ1. This boundary coincides with the top surface of the event bed resulted from the eustatic fall, and approximately corresponds to the basal part of Rseudouralina assemblage zone.
基金supported by the National Natural Science Foundation of China(No.41030213)the Major National S&T Program of China(2011ZX05009-002)
文摘Detailed studies on Late Devonian to Early Carboniferous carbonate rocks in central Hunan, southern China have led to the recognition of 25 lithofacies which can be grouped into: (I) inner ramp peritidal platform, (2) inner ramp organic hank and mound, (3) mid ramp, (4) outer ramp, and (5) shelf basin facies associations. The peritidal platform facies association dominates the Zimenqiao Formation (Namurian A or late Datangian) and is characterized by gypsum and dolostone-containing sequences, indicating a peritidal platform environment. The other four facies associations dominate the Menggongao Formation (late Famennian), Liujiatang Formation (Tournaisian or Yangruanian), Shidengzi Formations (early Visean or early Datangian). Five upward-shallowing cycles were distinguished in these three Formations. The predominant facies associations developed in each Formation demonstrate an overall transgression-regression cycle in the Late Devonian to Early Carboniferous in central Hunan. The overall transgressive sequence was preserved in the Shaodong, Menggongao, and Liujiatang Formations, and the overall regressive sequence was preserved in the Liujiatang, Shidengzi, Ceshui and Zimenqiao Formations.
基金supported by the National Natural Science Foundation Research (Grant 41672130, 41728004)the National Key S&T Special Projects (Grant 2016ZX05061-003-001)+1 种基金the National Postdoctoral Innovative Talent Support Program (Grant BX201700289)China Postdoctoral Science Foundation (Grant 2017M620296)
文摘Control of various factors, including mineral components, primary productivity and redox level, on the total organic carbon(TOC) in the lower Cambrian black shale from southeastern margin of Upper Yangtze(Taozichong, Longbizui and Yanbei areas) is discussed in detail in this article. Mineral components in the study strata are dominated by quartz and clay minerals. Quartz in the Niutitang Formation is mainly of biogenic origin, and the content is in positive correlation with TOC, while the content of clay minerals is negatively correlated with TOC. Primary productivity, represented by the content of Mobio(biogenic molybdenum), Babio(biogenic barium) and phosphorus, is positively correlated with TOC. The main alkanes in studied samples are nCC, and odd–even priority values are closed to 1(0.73–1.13), which suggest the organic matter source was marine plankton. Element content ratios of U/Th and Ni/Co and compound ratio Pr/Ph indicate dysoxic–anoxic bottom water, with weak positive relative with TOC. In total, three main points can be drawn to explain the relationship between data and the factors affecting organic accumulation:(1) quartz-rich and clay-mineral-poor deep shelf–slope–basin environment was favorable for living organisms;(2) high productivity provided the material foundation for organic generation;(3) the redox conditions impact slightly on the content of organic matter under high productivity and dysoxic–anoxic condition.
基金supported by the National 973 Key Development Program for Basic Research of China(S/N: 2006CB202308)the National Natural Science Foundation of China(Grant No.40972088)
文摘The Tazhong paleouplift is divided into the upper and the lower structural layers, bounded by the unconformity surface at the top of the Ordovician carbonate rock. The reservoirs in the two layers from different parts vary in number, type and reserves, but the mechanism was rarely researched before. Therefore, an explanation of the mechanism will promote petroleum exploration in Tazhong paleouplift. After studying the evolution and reservoir distribution of the Tazhong paleouplift, it is concluded that the evolution in late Caledonian, late Hercynian and Himalayan periods resulted in the upper and the lower structural layers. It is also defined that in the upper structural layer, structural and stratigraphic overlap reservoirs are developed at the top and the upper part of the paleouplift, which are dominated by oil reservoirs, while for the lower structural layer, lithological reservoirs are developed in the lower part of the paleouplift, which are dominated by gas reservoirs, and more reserves are discovered in the lower structural layer than the upper. Through a comparative analysis of accumulation conditions of the upper and the lower structural layers, the mechanism of enrichment differences is clearly explained. The reservoir and seal conditions of the lower structural layer are better than those of the upper layer, which is the reason why more reservoirs have been found in the former. The differences in the carrier system types, trap types and charging periods between the upper and the lower structural layers lead to differences in the reservoir types and distribution. An accumulation model is established for the Tazhong paleouplift. For the upper structural layer, the structural reservoirs and the stratigraphic overlap reservoirs are formed at the upper part of the paleouplift, while for the lower structural layer, the weathering crust reservoirs are formed at the top, the reef-flat reservoirs are formed on the lateral margin, the karst and inside reservoirs are formed in the lower part of the paleouplift.
基金jointly supported by the National Basic Research Program of China (Grant No.2010CB428602)the National Natural Science Foundation of China (Grant Nos.41275046 and 41025017)
文摘In situ measurements of the vertical structure of ozone were made in Changchun (43.53°N, 125.13°E), China, by the Institute of Atmosphere Physics, in the summers of 2010-13. Analysis of the 89 validated ozone profiles shows the vari- ation of ozone concentration in the upper troposphere and lower stratosphere (UTLS) caused by cut-off lows (COLs) over Changchun. During the COL events, an increase of the ozone concentration and a lower height of the tropopause are observed. Backward simulations with a trajectory model show that the ozone-rich airmass brought by the COL is from Siberia. A case study proves that stratosphere-troposphere exchange (STE) occurs in the COL. The ozone-rich air mass transported from the stratosphere to the troposphere first becomes unstable, then loses its high ozone concentration. This process usually happens during the decay stage of COLs. In order to understand the influence of COLs on the ozone in the UTLS, statistical analysis of the ozone profiles within COLs, and other profiles, are employed. The results indicate that the ozone concentrations of the in-COL profiles are significantly higher than those of the other profiles between ±4 km around the tropopause. The COLs induce an increase in UTLS column ozone by 32% on average. Meanwhile, the COLs depress the lapse-rate tropopause (LRT)/dynamical tropopause height by 1.4/1.7 km and cause the atmosphere above the tropopause to be less stable. The influence of COLs is durable because the increased ozone concentration lasts at least one day after the COL has passed over Changchun. Furthermore, the relative coefficient between LRT height and lower stratosphere (LS) column ozone is -0.62, which implies a positive correlation between COL strength and LS ozone concentration.
基金Projects(41506080,41702162)supported by the National Natural Science Foundation of ChinaProjects(DD20160152,DD20160147,GZH200800503)supported by China Geological Survey+1 种基金Projects(XQ-2005-01,2009GYXQ10)supported by China Ministry of Land and ResourcesProject(201602004)supported by the Postdoctoral Innovation Foundation of Shandong Province,China
文摘In the South Yellow Sea Basin,Mesozoic–Paleozoic marine strata are generally well developed with large thickness,and no substantial breakthroughs have been made in hydrocarbon exploration.Through research,it is believed that the Upper Permian–Lower Triassic can be regarded as a long-term base-level cycle.Based on drilling data,characteristics of the lithology–electric property combination cyclicity,and the special lithology,the long-term base-level cycle was divided into five medium-term base-level cycles(MC1–MC5).On this basis,the Permian–Triassic sedimentary systems and their filling model were analyzed in accordance with the change of base-level cycle and transition of sedimentary environment,as well as characteristics of the drilling sedimentary facies and seismic facies.The results show that there were six sedimentary systems(fluvial,delta,tidal flat,open platform,restricted platform,and continental shelf)developed in the Upper Permian–Lower Triassic,the sedimentary systems were distributed such that the water was deep in the northwest and shallow in the southeast,and there were two base-level cycle filling models(a relatively stable tidal flat facies and a rapidly transgressive continental shelf facies to stable platform facies)developed in the Upper Permian–Lower Triassic.These models can provide a basis for evaluation of the Mesozoic–Paleozoic hydrocarbon geology in the South Yellow Sea Basin.
文摘The pattern of population distribution of the common hippopotamus was examined along the 165 km stretch of the Luangwa River in eastern Zambia. The study area was divided between the upper (A-D) and lower (E-H) study blocks. Population data are collected between 1976-2008 and this study 2009-2012 showed a significant difference in the pattern of density distribution between upper and lower study blocks. Upper blocks had higher density of 41/km than lower blocks 29/km. Length of study blocks was discounted as density was used to determine distribution pattern. Results obtained suggest that primary production in each study block as influenced by river geomorphologic features such as river bends and confluences characterized higher hippopotamus density in the upper blocks. Further research is required to investigate other factors that may have interplayed with food (above ground grass biomass) and river meander features to separate upper and lower blocks.
基金supported by the National Natural Science Foundation of China(grant No.41202103)
文摘Objective The Upper Ordovician Wufeng Formation-Lower Silurian Longmaxi Formation is one of the priority interval for shale gas exploration in the Sichuan Basin and its peripheral areas, and commercial shale gas has been discovered from this interval in Jiaoshiba, Changning and Weiyuan shale gas fields in Sichuan Province. However, there is no significant discovery in other parts of the basin due to the different quality of black shale and the differences of tectonic evolution. Based on the progress of shale gas geological theory and exploration discoveries, as well as the theory of "source rock and cap rock controls on hydrocarbon accumulation", of the Upper Ordovician the main controlling factors Wufeng Formation-Lower Silurian Longmaxi Formation shale gas enrichment in the Sichuan Basin and its peripheral areas were analyzed, and the source rock and cap rock controls on the shale gas were also discussed. The results can provide new insights for the next shale gas exploration in this area.
基金Supported by the PetroChina Science and Technology Major Project(2021DJ08)National Natural Science Foundation of China(42241203).
文摘Mesozoic marine shale oil was found in the Qiangtang Basin by a large number of hydrocarbon geological surveys and shallow drilling sampling.Based on systematic observation and experimental analysis of outcrop and core samples,the deposition and development conditions and characteristics of marine shale are revealed,the geochemical and reservoir characteristics of marine shale are evaluated,and the layers of marine shale oil in the Mesozoic are determined.The following geological understandings are obtained.First,there are two sets of marine organic-rich shales,the Lower Jurassic Quse Formation and the Upper Triassic Bagong Formation,in the Qiangtang Basin.They are mainly composed of laminated shale with massive mudstone.The laminated organic-rich shale of the Quse Formation is located in the lower part of the stratum,with a thickness of 50–75 m,and mainly distributed in southern Qiangtang Basin and the central-west of northern Qiangtang Basin.The laminated organic-rich shale of the Bagong Formation is located in the middle of the stratum,with a thickness of 250–350 m,and distributed in both northern and southern Qiangtang Basin.Second,the two sets of laminated organic-rich shales develop foliation,and various types of micropores and microfractures.The average content of brittle minerals is 70%,implying a high fracturability.The average porosity is 5.89%,indicating good reservoir physical properties to the level of moderate–good shale oil reservoirs.Third,the organic-rich shale of the Quse Formation contains organic matters of types II1 and II2,with the average TOC of 8.34%,the average content of chloroform bitumen'A'of 0.66%,the average residual hydrocarbon generation potential(S1+S2)of 29.93 mg/g,and the Ro value of 0.9%–1.3%,meeting the standard of high-quality source rock.The organic-rich shale of the Bagong Formation contains mixed organic matters,with the TOC of 0.65%–3.10%and the Ro value of 1.17%–1.59%,meeting the standard of moderate source rock.Fourth,four shallow wells(depth of 50–250 m)with oil shows have been found in the organic shales at 50–90 m in the lower part of the Bagong Formation and 30–75 m in the middle part of the Quse Formation.The crude oil contains a high content of saturated hydrocarbon.Analysis and testing of outcrop and shallow well samples confirm the presence of marine shale oil in the Bagong Formation and the Quse Formation.Good shale oil intervals in the Bagong Formation are observed in layers 18–20 in the lower part of the section,where the shales with(S0+S1)higher than 1 mg/g are 206.7 m thick,with the maximum and average(S0+S1)of 1.92 mg/g and 1.81 mg/g,respectively.Good shale oil intervals in the Quse Formation are found in layers 4–8 in the lower part of the section,where the shales with(S0+S1)higher than 1 mg/g are 58.8 m thick,with the maximum and average(S0+S1)of 6.46 mg/g and 2.23 mg/g,respectively.
文摘Attribute reduction is one of the most important problems in rough set theory. This paper introduces the concept of lower approximation reduction in ordered information systems with fuzzy decision. Moreover, the judgment theorem and discernable matrix are obtained, in which case an approach to attribute reduction in ordered information system with fuzzy decision is constructed. As an application of lower approximation reduction, some examples are applied to examine the validity of works obtained in our works..
文摘In this paper, we use the well known KKM type theorem for generalized convex spaces due to Park (Elements of the KKM theory for generalized convex spaces, Korean J. Comp. Appl. Math., 7(2000), 1-28) to obtain an almost fixed point theorem for upper [resp., lower] semicontinuous multimaps in locally G-convex spaces, and then give a fixed point theorem for upper semicontinuous multimap with closed Γ-convex values.
文摘Amplitude-integrated EEG (aEEG) is a popular method for monitoring cerebral function. Although various commercial aEEG recorders have been produced, a detailed aEEG algorithm currently is not available. The upper and lower margins in the aEEG tracing are the discriminating features for data inspection and tracing classification. However, most aEEG devices require that these margins be measured semi-subjectively. This paper proposes a step-by-step signal-processing method to calculate a compact aEEG tracing and the upper/lower margin using raw EEG data. The high accuracy of the algorithm was verified by comparison with a recognized commercial aEEG device based on a representative testing dataset composed of 72 aEEG data. The introduced digital algorithm achieved compact aEEG tracing with a small data size. Moreover, the algorithm precisely represented the upper and lower margins in the tracing for objective data interpretation. The described method should facilitate aEEG signal processing and further establish the clinical and experimental application of aEEG methods.
文摘In the present paper, an attempt is made to obtain the degree of approximation of conjugate of functions (signals) belonging to the generalized weighted W(LP, ξ(t)), (p ≥ 1)-class, by using lower triangular matrix operator of conjugate series of its Fourier series.
文摘In the Upper-Yangtze region, especially in Guizhou Province and its adjacent areas, the Lower Cambrian is well developed and is marked by a succession from black shales of the basin facies to carbonate rocks of the platform facies. The drowning event of the platform occurring at the turn from Sinian to Cambrian resulted in a set of black shales, i.e. the Niutitang Formation, which makes up the bottom part of the Lower Cambrian. With the shoaling of the sedimentary environment, a set of carbonate rocks, i.e. the Qingxudong Formation, was formed in the top part of the Lower Cambrian. Thus, the Lower Cambrian in the study area makes up one second-order sequence that can be further subdivided into five third-order sequences, and forms a regularly cyclic succession of transgression-regression. There is a regularly vertical stacking pattern for the third-order sequences in the second-order sequence. From bottom to top, the succession of the "CS (condensed section) +HST (high-stand system tract)" of the third-order sequences is changed into the succession of the "TST (transgressive system tract)+CS+HST". Correspondingly, the drowning-type sequence boundary is changed into the exposure-type one. Therefore, both the second-order and the third-order sequences have similar sedimentary-facies architectures. A concomitant with these temporal changes, the Lower Cambrian with a thickness of 1000 m that contains five third-order sequences is changed into a condensed succession that cannot identify third-order sequences toward the southeast with the deepening of the sedimentary environment. According to the elementary features of the third-order sequences, i.e. the regularity o sedimentary-facies successions in space and the synchronism of sedimentary-environment changes in time, the detailed division of the third-order sequences at main logged sections in different paleogeographical background becomes the basis to establish the sequence-stratigraphic framework that can demonstrate two types of facies-changing surface and two types of diachronism in the stratigraphic records. This sequence-stratigraphic framework shows a growing process of the carbonate platform from the base of the condensed succession formed by black shales of basin facies. Resulting from the rapid transgression at the turn from Sinian to Cambrian the ecological space became open, which formed the antecedent condition of paleogeographical setting for "the Cambrian Biological Explosion". Ultimately, the genetic relationship between the depositional events and the biological-diversity events is very complex and there remain lots of problems that need further research in the future.
文摘This paper presents new existence results for singular discrete boundary value problems. In particular our nonlinearity may be singular in its dependent variable and is allowed to change sign.
基金National Natural Science Foundation of China(No.40927001)
文摘It is hard for the existing methods to obtain the expression of the system reliability for most of the practical complex systems with a large number of components and possible stales. A new regression algorithm based on the lower and upper bounds is presented in this paper, which can obtain the system reliability analytically without concerning the structure of the complex system. The method has been applied to a real system and the reliability results are compared with those acquired by the classical method and the parametric method. The effectiveness and accuracy of the proposed method have been testified.