3D Physical Simulation of Water Flooding Characteristics of Buried Hill Reservoir with Different Fracture Systems

In order to understand the water-flooding characteristics of different fracture systems in metamorphic rock buried hill reservoirs and the mechanism of improving water-flooding development effect, a three-dimensional physical model of fractured reservoirs is established according to the similarity criterion based on the prototype of metamorphic buried hill reservoirs in JZ Oilfield in Bohai Bay Basin. Combined with the fractured reservoir characteristics of JZ Oilfield, the water displacement characteristics of the top-bottom staggered injection-production well pattern in different fracture network mode and different fracture development degree of buried hill reservoir are studied. The experimental results show that: 1) the more serious the fracture system irregularity is, the shorter the water-free oil production period is and the lower the water-free oil recovery is. After water breakthrough of production wells, the water cut rises faster, and the effect of water flooding development is worse;2) under the condition of non-uniform fracture development, the development effect of the bottom fracture undeveloped is better than that of the middle fracture undeveloped. Water injection wells are deployed in areas with relatively few fractures, while oil wells are deployed in fractured areas with higher oil recovery and better development effect.

A Study on Propagation Mechanism of Fracture Systems in Rock Masses by Discontinuity Displacement Method

The main task of fracture mechanics of rock masses is the study on the propagating mechanism of fractures in rock masses , which can be efficiently conducted by discontinuty displacement (DD) numerical evaluation . Firstly ,the element stress and displacement are analysed and the principle and steps of the numerical calculation of stress intensity factor and fracture extension force are introduced .The numerical results of parallel and echelon fracture systems ,which are compared with real field fractures .are presented. Finally . a simple engineering application example is presented .

Interaction among fractures and stress field computation of fracture systems

The interaction problem among fractures under the action of compressional stress is studied in this paper by using the finite element method and boundary element method respectively.The mechanical criteria which differentiate between the independent fractures and fracture systems and their computation methods are presented in this paper.The proportional conditions between length and spacing of fractures that exist interaction for several kinds of fracture groups of different geometric arrangement are given.The effect of interaction among fractures on the displacement field,stress field and strain energy distribution are computed.The relations between the fracture system of conjugate array and conjugate earthquakes are also discussed in this paper.

Characterization of Complex Fracture System in Volume Fracturing of Shale Gas Reservoir

After volume fracturing of horizontal wells in shale gas reservoir, an extremely complex fracture system is formed. The space area of the fracture system is the reservoir reconstruction volume of shale gas reservoir. The geometric parameters such as crack length, crack width, crack height, and characteristic parameters such as crack permeability and fracture conductivity proposed for a single crack in conventional fracturing are insufficient to describe and characterize the complex network fracture system after volume fracturing. In this paper, the discrete fracture modeling method is used to establish the volume fracturing network fracture model of horizontal wells in shale gas reservoir by using the random modeling method within the determined reservoir space. The model is random and selective, and can fully provide different forms of volume fracturing fracture expansion, such as conventional fracture morphology, line network model and arbitrarily distributed network fractures. The research results provide a theoretical basis for the development plan and stimulation plan of shale gas reservoir, and have important reference value and significance for other unconventional gas reservoir fracturing.

Systemic modulation of skeletal mineralization by magnesium implant promoting fracture healing: Radiological exploration enhanced with PCA-based machine learning in a rat femoral model

The clinical application of magnesium(Mg)and its alloys for bone fractures has been well supported by in vitro and in vivo trials.However,there were studies indicating negative effects of high dose Mg intake and sustained local release of Mg ions on bone metabolism or repair,which should not be ignored when developing Mg-based implants.Thus,it remains necessary to assess the biological effects of Mg implants in animal models relevant to clinical treatment modalities.The primary purpose of this study was to validate the beneficial effects of intramedullary Mg implants on the healing outcome of femoral fractures in a modified rat model.In addition,the mineralization parameters at multiple anatomical sites were evaluated,to investigate their association with healing outcome and potential clinical applications.Compared to the control group without Mg implantation,postoperative imaging at week 12 demonstrated better healing outcomes in the Mg group,with more stable unions in 3D analysis and high-mineralized bridging in 2D evaluation.The bone tissue mineral density(TMD)was higher in the Mg group at the non-operated femur and lumbar vertebra,while no differences between groups were identified regarding the bone tissue volume(TV),TMD and bone mineral content(BMC)in humerus.In the surgical femur,the Mg group presented higher TMD,but lower TV and BMC in the distal metaphyseal region,as well as reduced BMC at the osteotomy site.Principal component analysis(PCA)-based machine learning revealed that by selecting clinically relevant parameters,radiological markers could be constructed for differentiation of healing outcomes,with better performance than 2D scoring.The study provides insights and preclinical evidence for the rational investigation of bioactive materials,the identification of potential adverse effects,and the promotion of diagnostic capabilities for fracture healing.

Systematic prediction of the gas content, fractures, and brittleness in fractured shale reservoirs with TTI medium

The main objective is to optimize the development of shale gas-rich areas by predicting seismic sweet spot parameters in shale reservoirs. We systematically assessed the fracture development, fracture gas content, and rock brittleness in fractured gas-bearing shale reservoirs. To better characterize gas-bearing shale reservoirs with tilted fractures, we optimized the petrophysical modeling based on the equivalent medium theory. Based on the advantages of shale petrophysical modeling, we not only considered the brittle mineral fraction but also the combined effect of shale porosity, gas saturation, and total organic carbon(TOC) when optimizing the brittleness index. Due to fractures generally functioning as essential channels for fluid storage and movement, fracture density and fracture fluid identification factors are critical geophysical parameters for fractured reservoir prediction. We defined a new fracture gas indication factor(GFI) to detect fracture-effective gas content. A new linear PP-wave reflection coefficient equation for a tilted transversely isotropic(TTI) medium was rederived, realizing the direct prediction of anisotropic fracture parameters and the isotropic elasticity parameters from offset vector tile(OVT)-domain seismic data. Synthetic seismic data experiments demonstrated that the inversion algorithm based on the L_P quasinorm sparsity constraint and the split-component inversion strategy exhibits high stability and noise resistance. Finally, we applied our new prediction method to evaluate fractured gas-bearing shale reservoirs in the Sichuan Basin of China, demonstrating its effectiveness.

Identifying flow regime in the aquifer of fractured rock system in Germi Chai Basin,Iran

Considering the importance of fractured rock aquifers in the hydrogeologic process,this research aimed to analyze the flow regime,internal degree of karstification,and estimate storage volume in fractured rock aquifers of the Germi Chai Basin in northwest Iran,which is attributed to its active tectonics,erosion,and the lithological diversity.Given the geological setting,the hypothesis is that this basin is characterized by a high degree of karstification and diffuse or intermediate flow regime leading to variation in discharge flow rate.The hydrodynamic and hadrochemical analysis was conducted on 9 well distributed springs across the basin from 2019 to 2020.The maximum flow rate in most of the springs appeared in the early wet season despite their different levels of fluctuations on the monthly discharge time series.Analyzing the spring recession curve form revealed an aquifer containing multiple micro-regimes withαrecession coefficients and a degree of karstification ranging between 0.001 to 0.06 and 0.55 to 2.61,respectively.These findings indicated a dominant diffuse and intermediate flow system resulting from the development of a high density of fractures in this area.The electrical conductivity of the spring changes inversely proportional to the change in flow discharge,indicating the reasonable hydrological response of the aquifer to rainfall events.Hydrograph analysis revealed that the delay time of spring discharge after rainfall events mostly varies between 10 to 30 days.The total dynamic storage volume of the spring for a given period(2019-2020)was estimated to be approximately 1324 million cubic meters reflecting the long-term drainage potential and high perdurability of dynamic storage.Estimating the maximum and minimum ratio revealed that the springs recharging system in Germi Chai Basin comes under the slow aquifers category.This finding provides valuable insight into the hydrogeological properties of fractured rock aquifers contributing to effective water management strategy.

Clinical effect of operative vs nonoperative treatment on humeral shaft fractures:Systematic review and meta-analysis of clinical trials

BACKGROUND Whether operation is superior to non-operation for humeral shaft fracture remains debatable.We hypothesized that operation could decrease the nonunion and reintervention rates and increase the functional outcomes.AIM To compare the clinical efficacy between operative and nonoperative approaches for humeral shaft fractures.METHODS We searched the PubMed,Web of Science,ScienceDirect,and Cochrane databases from 1990 to December 2023 for clinical trials and cohort studies comparing the effects of operative and conservative methods on humeral shaft fractures.Two investigators independently extracted data from the eligible studies,and the other two assessed the methodological quality of each study.The quality of the included studies was assessed using the Cochrane risk bias or Newcastle-Ottawa Scale.The nonunion,reintervention and the overall complications and functional scores were pooled and analyzed using Review Manager software(version 5.3).RESULTS A total of four randomized control trials and 13 cohort studies were included,with 1285 and 1346 patients in the operative and nonoperative groups,respectively.Patients in the operative group were treated with a plate or nail,whereas those in the conservative group were managed with splint or functional bracing.Four studies were assessed as having a high risk of bias,and the other 13 were of a low risk of bias according to the Newcastle-Ottawa Scale or Cochrane risk bias tool.The operative group had a significantly decreased rate of nonunion[odds ratio(OR)0.30;95%CI:0.23 to 0.40,reintervention(OR:0.33;95%CI:0.24 to 0.47),and overall complications(OR:0.62;95%CI:0.49 to 0.78)].The pooled effect of the Disabilities of Arm,Shoulder,and Hand score showed a significant difference at 3[mean difference(MD)-8.26;95%CI:-13.60 to-2.92],6(MD:-6.72;95%CI:-11.34 to-2.10),and 12 months(MD:-2.55;95%CI:-4.36 to-0.74).The pooled effect of Visual Analog Scale scores and the Constant-Murley score did not significantly differ between the two groups.CONCLUSION This systematic review and meta-analysis revealed a trend of rapid functional recovery and decreased rates of nonunion and reintervention after operation for humeral shaft fracture compared to conservative treatment.

Progress of systematic psychological interventions in elderly patients with femoral fractures:A comprehensive review

This review aims to gain a deeper understanding of the psychological state of elderly patients with femoral fractures and provide more theoretical and practical support for clinical treatment and care.Through a literature analysis,we found that elderly patients with femoral fractures face various psychological issues such as anxiety,depression,sleep disorders,and social isolation.The application of systematic nursing interventions in clinical practice,including cognitivebehavioral therapy,mindfulness therapy,family therapy,art therapy,interpersonal therapy,emotion-focused therapy,and relaxation training,has yielded significant results.Systematic psychological interventions can improve the psychological state and quality of life of elderly patients with femoral fractures.Therefore,promoting the application and practice of systematic psychological interventions in the clinical care of elderly patients with fractures will provide more effective psychological services to a wider group of patients with fractures in the future.

Meta-analysis of the clinical efficacy of the Gamma3 nail vs Gamma3U-blade system in the treatment of intertrochanteric fractures

BACKGROUND The traditional Gamma3 nail is a mainstream treatment for femoral intertrochanteric fractures.Literature reports that the Gamma3U-blade system can increase the stability of the Gamma3 nail and reduce complication incidence.However,comparative studies between the Gamma3U-blade and Gamma3 systems are limited;hence,this meta-analysis was performed to explore the clinical efficacy of these two surgical methods.AIM To investigate the clinical efficacy of Gamma3 and Gamma3 U-blade for intertrochanteric fractures.METHODS A computerized search for Chinese and English literature published from 2010 to 2022 was conducted in PubMed,Cochrane,CNKI,Wanfang,and VIP databases.The search keywords were gamma 3,gamma 3 U blade,and intertrochanteric fracture.Additionally,literature tracking was performed on the references of published literature.The data were analyzed using Revman 5.3 software.Two individuals checked the inputs for accuracy.Continuous variables were described using mean difference and standard deviation,and outcome effect sizes were expressed using ratio OR and 95%confidence interval(CI).High heterogeneity was considered at(P<0.05,I2>50%),moderate heterogeneity at I2 from 25%to 50%,and low heterogeneity at(P≥0.05,I2<50%).RESULTS Following a comprehensive literature search,review,and analysis,six articles were selected for inclusion in this study.This selection comprised five articles in English and one in Chinese,with publication years spanning from 2016 to 2022.The study with the largest sample size,conducted by Seungbae in 2021,included a total of 304 cases.Statistical analysis:A total of 1063 patients were included in this meta-analysis.The main outcome indicators were:Surgical time:The Gamma3U blade system had a longer surgical time compared to Gamma3 nails(P=0.006,I2=76%).Tip-apex distance:No statistical significance or heterogeneity was observed(P=0.65,I2=0%).Harris Hip score:No statistical significance was found,and low heterogeneity was detected(P=0.26,I2=22%).Union time:No statistical significance was found,and high heterogeneity was detected(P=0.05,I2=75%).CONCLUSION Our study indicated that the Gamma3 system reduces operative time compared to the Gamma3 U-blade system in treating intertrochanteric fractures.Both surgical methods proved to be safe and effective for this patient group.These findings may offer valuable insights and guidance for future surgical protocols in hip fracture patients.

Functional Outcomes of Adult Tibia Shaft Fractures Treated with Solid Intramedullary Nails versus Hollow Nails: A Systematic Review

Introduction: The management of fractures of the tibia shaft is an important aspect of orthopaedic care, and the selection of the surgical method for fixation can substantially impact patient outcomes. The current review aims to compare the outcomes of adult tibia fractures treated with solid nails to those treated with hollow nails. Methods: A search on Scopus, PubMed, and Cochrane Library, using three keywords (Outcome, Tibia shaft fractures, Nail) was conducted in April 2023. Results were compiled and two independent reviewers screened and selected eligible articles After removing duplicates, titles and abstracts were read to exclude ineligible studies. Full-text articles of the remaining papers were read to select eligible studies which were further critically appraised to ascertain their methodological quality. The data extracted from the selected papers were synthesized using a combination of pooling of results, tests of statistical difference (t-test and chi-square) and narrative synthesis methods. Results: A total of 2295 articles were obtained from the databases and citation searching. A total of 9 papers were identified as eligible and included in the review. Findings revealed that there is no statistical difference in the outcomes of tibia fractures treated with either solid or hollow nail groups such as duration of surgery (p = 0.541), rate of delayed and non-union (p = 0.342), and rate of surgical site infections (p = 0.395). Conclusion: Intramedullary nailing of tibia shaft fractures with either solid or hollow nails have similar functional outcomes.

Pulp health and calcific healing of a complicated crown–root fracture with additional root fracture in a maxillary incisor: A case report

BACKGROUND Complicated crown–root fracture (CRF) involves severe injury to the crown, root,and pulp, and may be accompanied by multiple root fractures. The loss of a toothhas lifelong consequences for children and teenagers, but the maintenance of pulphealth and the calcific healing of multiple root fractures are rarely reported in theliterature.CASE SUMMARY This case reports healing of a permanent tooth with complicated crown–root andadditional root fractures, in which pulp health was maintained. A 10-year-old girlfell and fractured the root of her maxillary left central incisor at the cervical level.After the coronal fragment was repositioned, the tooth was splinted until thetooth was no longer mobile, 2 years later. Eight years after treatment, the toothhas remained asymptomatic with vital pulp and localized gingival overgrowth.Cone-beam computed tomography revealed not only calcified healing of the CRFbut also spontaneous healing in an additional undiagnosed root fracture. Thefracture line on the enamel could not be healed by hard tissue and formed agroove in the cervical crown. It was speculated that the groove was related to thelocalized gingival overgrowth.CONCLUSION This case provides a clinical perspective of the treatment of a tooth with acomplicated CRF and an additional root fracture.

Correlation between anxiety, depression, and social stress in young patients with thoracolumbar spine fractures

BACKGROUND Traumatic injuries,such as falling,car accidents,and crushing mostly cause spinal fractures in young and middle-aged people,and>50%of them are thoracolumbar fractures.This kind of fracture is easily combined with serious injuries to peripheral nerves and soft tissues,which causes paralysis of the lower limbs if there is no timely rehabilitation treatment.Young patients with thoracolumbar fractures find it difficult to recover after the operation,and they are prone to depression,low self-esteem,and other negative emotions.AIM To investigate the association between anxiety,depression,and social stress in young patients with thoracolumbar spine fractures and the effect on rehabilitation outcomes.METHODS This study retrospectively analyzed 100 patients admitted to the orthopedic department of Honghui Hospital,Xi’an Jiaotong University who underwent thoracolumbar spine fracture surgery from January 2022 to June 2023.The general data of the patients were assessed with the Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),life events scale,and social support rating scale(SSRS)to identify the correlation between anxiety,depression scores,and social stress and social support.The Japanese Orthopedic Association(JOA)was utilized to evaluate the rehabilitation outcomes of the patients and to analyze the effects of anxiety and depression scores on rehabilitation.RESULTS According to the scores of HAMD and HAMA in all patients,the prevalence of depression in patients was 39%(39/100),and the prevalence of anxiety was 49%(49/100).Patients were categorized into non-depression(n=61)and depression(n=39),non-anxiety(n=51),and anxiety(n=49)groups.Statistically significant differences in gender,occupation,Pittsburgh Sleep Quality Index(PSQI)score,and monthly family income were observed between the non-depression and depression groups(P<0.05).A significant difference in occupation and PSQI score was found between the non-anxiety and anxiety groups.Both depression(r=0.207,P=0.038)and anxiety scores(r=0.473,P<0.001)were significantly and positively correlated with negative life events.The difference in negative life event scores as well as SSRS total and item scores was statist-ically significant between patients in the non-depression and depression groups(P<0.05).The difference between the non-anxiety and anxiety groups was statistically significant(P<0.05)in the negative life event scores as well as the total SSRS scores.Additionally,JOA scores were significantly lower in both anxious and depressed patients.CONCLUSION Young patients with thoracolumbar fractures are prone to anxiety and depression.Patients’anxiety and depression are closely associated with social pressure,which reduces the life pressure of young patients with thoracolumbar fractures,enhances social support,and improves the psychology of anxiety and depression.,which affects patients’recovery.

Teriparatide as a non-surgical salvage therapy for prolonged humerus fracture nonunion:A case report and literature review

BACKGROUND Fracture nonunion represents a challenging complication during fracture repair,often necessitating surgical intervention.Teriparatide,a recombinant human parathyroid hormone,has demonstrated promise in enhancing fracture healing,although its efficacy in treating established nonunion remains under investigation.CASE SUMMARY We report a case of a 27-year-old male who presented with a right humerus fracture following a traffic accident.Despite undergoing open reduction and internal fixation,the fracture resulted in a delayed union and subsequent nonunion.After 4 years of conservative management,teriparatide treatment was initiated due to persistent nonunion.Teriparatide injections were administered daily for 6 months,resulting in complete fracture healing and resolution of pain.CONCLUSION Our case demonstrates the successful use of teriparatide in treating a prolonged nonunion of a humerus fracture.Teriparatide may provide a valuable therapeutic option for established bone nonunion,even in cases that have not responded to conservative treatments.

Using fracture mechanics method to analyze the failure mechanism and equilibrium equation of interfacial loess-mudstone landslides

Loess-mudstone landslides are common in the Loess Plateau.Investigations into the mechanical theory of loess-mudstone landslides have become a challenging undertaking due to the distinctive interfacial properties of loess-mudstone and the unique water sensitivity characteristics of mudstone.Hence,it is imperative to develop innovative mechanical models and mathematical equations specifically tailored to loess-mudstone landslides.In this study,we analyze the fracture mechanism of the loess-mudstone sliding zone using plastic fracture mechanics and develop a unique fracture yield model.To calculate the energy release rate during the expansion of the loess-mudstone interface tip region,the shear fracture energy G is applied,which reflects both the yield failure criterion and the fracture failure criterion.To better understand the instability mechanism of loess-mudstone landslides,equilibrium equations based on G are established for tractive,compressive,and tensile loess-mudstone landslides.Based on the equilibrium equation,the critical length Lc of the sliding zone can be used for the safety evaluation of loess-mudstone landslides.In this way,this study proposes a new method for determining the failure mechanism and equilibrium equation of loessmudstone landslides,which resolves their starting mechanism,mechanical equilibrium equations,and safety evaluation indicators,thus justifying the scientific significance and practical value of this research.

An adjustable bio-sealing method for rock fracture leakage mitigation

This study proposed a repeated adjustable mixture injection strategy(RAM)based microbial induced carbonate precipitation(MICP)for efficient mitigation of rock fracture leakage.Granite fractures with small apertures were investigated,and bio-sealing experiments were conducted using five different cementation solution(CS)concentrations(0.25−2 M).The results showed that the RAM-based bio-sealing method can seal and bond the small aperture rock fractures with high efficiency and uniform precipitation by adjusting the CS concentration.The RAM-based bio-sealing mechanism is attributed to the following four stages:(1)fixation of bacterial flocs onto the fracture surfaces,(2)precipitation of CaCO3 onto the fracture surfaces,(3)growth of pre-precipitated CaCO3 and adhesion of new-suspended CaCO3,and(4)bridging and clogging processes.The optimal CS concentration of 1 M resulted in a fracture filling rate up to 85%,a transmissivity reduction of 4 orders of magnitude,and a shear strength ranging from 512 kPa to 688 kPa.The bio-sealing effect was found to be influenced by the CS concentration on bacterial attachment,calcium carbonate yield and calcium carbonate bulk density.The CS concentration of 1 M promoted bacterial attachment,and increased calcium carbonate yield as well as calcium carbonate bulk density,while concentrations above 1 M had the opposite effect.The bulk density of calcium carbonate played a crucial role in the sealing and bonding performance of bio-sealed fractures,particularly at comparable filling ratios and bridging areas.The bulk density was regulated by the size of calcium carbonate crystals and was determined by Ca2+concentration in the CS.This study provides valuable insights into the RAM-based bio-sealing method,highlighting its potential for efficient rock fracture leakage mitigation through precise control of CS concentration and understanding the underlying mechanisms.

High cycle fatigue performance at 650℃and corresponding fracture behaviors of GH4169 joint produced by linear friction welding

GH4169 joints manufactured by Linear Friction Welding(LFW)are subjected to tensile test and stair-case method to evaluate the High Cycle Fatigue(HCF)performance at 650℃.The yield and ultimate tensile strengths are 582 MPa and 820 MPa,respectively.The HCF strength of joint reaches 400 MPa,which is slightly lower than that of Base Metal(BM),indicating reliable quality of this type of joint.The microstructure observation results show that all cracks initiate at the inside of specimens and transfer into deeper region with decrease of external stress,and the crack initiation site is related with microhardness of matrix.The Electron Backscattered Diffraction(EBSD)results of the observed regions with different distances to fracture show that plastic deformation plays a key role in HCF,and the Schmid factor of most grains near fracture exceeds 0.4.In addition,the generation of twins plays a vital role in strain concentration release and coordinating plastic deformation among grains.

Deformation mechanism and NPR anchor cable truss coupling support in tunnel through fault fracture zone

To address the issue of extensive deformation in the Tabaiyi Tunnel caused by the fault zone,nuclear magnetic resonance(NMR)technology was employed to analyze the physical and mechanical properties of waterabsorbing mudstone.This analysis aimed to understand the mechanism behind the significant deformations.Drawing from the principle of excavation stress compensation,a support scheme featuring NPR anchorcables and an asymmetric truss support system was devised.To validate the scheme,numerical analysis using a combination of the Discrete Element Method(DEM)-Finite Element Method(FEM)was conducted.Additionally,similar material model tests and engineering measurements were carried out.Field experiments were also performed to evaluate the NPR anchor-cable and truss support system,focusing on anchor cable forces,pressures between the truss and surrounding rock,pressures between the initial support and secondary lining,as well as the magnitude of settlement and convergence deformation in the surrounding rock.The results indicate that the waterinduced expansion of clay minerals,resulting from damage caused by fissure water,accelerated the softening of the mudstone's internal structure,leading to significant deformations in the Tabaiyi Tunnel under high tectonic stress.The original support design fell short as the length of the anchor rods was smaller than the expansion depth of the plastic zone.As a result,the initial support structure bore the entire load from the surrounding rock,and a non-coupled deformation contact was observed between the double-arch truss and the surrounding rock.The adoption of NPR asymmetric anchor-cable support effectively restrained the expansion and asymmetric distribution characteristics of the plastic zone.Considering the mechanical degradation caused by water absorption in mudstone,the rigid constraint provided by the truss proved crucial for controlling the stability of the surrounding rock.These research findings hold significant implications for managing large deformations in soft rock tunnels situated within fractured zones under high tectonic stress conditions.

Mesoscopic fracture damage evolution and fractal damage constitutive model of heat-treated red sandstone under direct tensile impact loadings

Understanding the mesoscopic tensile fracture damage of rock is the basis of evaluating the deterioration process of mechanical properties of heat-damaged rock. For this, tensile tests of rocks under high-temperature treatment were conducted with a ϕ75 mm split Hopkinson tension bar (SHTB) to investigate the mesoscopic fracture and damage properties of rock. An improved scanning electron microscopy (SEM) experimental method was used to analyze the tensile fracture surfaces of rock samples. Qualitative and quantitative analyses were performed to assess evolution of mesoscopic damage of heat-damaged rock under tensile loading. A constitutive model describing the mesoscopic fractal damage under thermo-mechanical coupling was established. The results showed that the high temperatures significantly reduced the tensile strength and fracture surface roughness of the red sandstone. The three-dimensional (3D) reconstruction of the fracture surface of the samples that experienced tensile failure at 900 °C showed a flat surface. The standard deviation of elevation and slope angle of specimen fracture surface first increased and then decreased with increasing temperature. The threshold for brittle fracture of the heat-damaged red sandstone specimens was 600 °C. Beyond this threshold temperature, local ductile fracture occurred, resulting in plastic deformation of the fracture surface during tensile fracturing. With increase of temperature, the internal meso-structure of samples was strengthened slightly at first and then deteriorated gradually, which was consistent with the change of macroscopic mechanical properties of red sandstone. The mesoscopic characteristics, such as the number, mean side length, maximum area, porosity, and fractal dimension of crack, exhibited an initial decline, followed by a gradual increase. The development of microcracks in samples had significant influence on mesoscopic fractal dimension. The mesoscopic fractal characteristics were used to establish a mesoscopic fractal damage constitutive model for red sandstone, and the agreement between the theoretical and experimental results validated the proposed model.

Effect of extended nursing based on self-efficacy theory on the anxiety of patients with intertrochanteric fracture

BACKGROUND Extended care based on self-efficacy theory to elderly patients with intertrochanteric fractures will provide data reference to optimize the care plan of these patients,reduce patients’concurrent mental diseases,and improve prognosis.AIM To analyze the value of extended nursing based on the self-efficacy theory in older patients with intertrochanteric fractures.METHODS Older patients with intertrochanteric fractures(n=88)admitted to our hospital between January 2021 and December 2024 were randomly divided into two groups-the control group(n=44,routine nursing)and the observation group(n=44,extended nursing)-via balloting and treated for 12 weeks.The mental state,pain severity,limb function,and self-nursing ability of all patients before and after nursing were analyzed.RESULTS After nursing,the Hamilton Anxiety Scale and General Self-Efficacy Scale scores of patients in the two groups improved.Notably,Hamilton Anxiety Scale and General Self-Efficacy Scale scores in the observation group were lower and higher,respectively,than those in the control group(P<0.05).The pain severity in the observation group(2.64±0.22)was lower than that in the control group(2.85±0.41)(P<0.05).The recovery rate of limb function was higher in the observation group than in the control group(P<0.05).In addition,the self-nursing ability scores of the patients in both groups increased,with a significantly higher score in the observation group(P<0.05).CONCLUSION Extended nursing based on the self-efficacy theory can significantly improve mental state,relieve pain,and promote the recovery of limb function and self-nursing ability in older patients with intertrochanteric fractures.