This paper mainly discusses the origin and deposhional features of fan-deltas and braid deltas. Fan-del-tas are storm discharge-dominated, while braid deltas are usually flashy flood-dominated. The two types ofdelta, ...This paper mainly discusses the origin and deposhional features of fan-deltas and braid deltas. Fan-del-tas are storm discharge-dominated, while braid deltas are usually flashy flood-dominated. The two types ofdelta, like common deltas, were reworked by marine processes. Delta systems are classified into nine deltatypes on the basis of the subaerial depositional processes and the nature of marine reworking. Fan-deltas and braid deltas are of great significance for petroleum exploration. In divergent-marginforeland and intraplate rift-subsided basin settings fan-deltas often form combination traps for petroleum ac-cumulation.展开更多
The electric networks for the distribution to low voltage costumers can be configured in different layouts. Two main approaches are used: the European system composed by three-phase distribution transformers or the No...The electric networks for the distribution to low voltage costumers can be configured in different layouts. Two main approaches are used: the European system composed by three-phase distribution transformers or the North American system composed by single-phase distribution transformers and three-phase transformer banks of single-phase transformers. With respect to harmonic analysis, much more attention has been focused on the three-phase balanced systems arrangements than on the unbalanced four-wire delta system extensively used to supply low voltage loads of 120/240 V. Different authors have shown the three-phase power systems modeling on a phase-coordinates frame. However, the presence of significant asymmetries in the network forces the need of adding a new phase-coordinates model to represent the three-phase transformers banks of two or three single-phase transformers in its various connections. Several papers treat the use of harmonic analysis programs based on a phase-coordinates frame to study the Wye or Delta connected three-phase systems. However, the commonly used four-wire delta connected systems are not fully treated in literature. This paper presents a phase-coordinates model for the representation of the commonly used three-phase transformer banks of three or two single-phase transformers, and single-phase distribution transformers for the harmonic analysis of the four-wire delta connected systems. The harmonic analysis method based on the presented model is used to examine the characteristics of this kind of distribution system with respect to the penetration of harmonics currents from loads to the primary system.展开更多
The Mesozoic fan deltas in the north-west margin of the Junggar Basin,as important petroleum reservoirs,exhibited complex facies change and internal structures with strong heterogeneity which were controlled by the tr...The Mesozoic fan deltas in the north-west margin of the Junggar Basin,as important petroleum reservoirs,exhibited complex facies change and internal structures with strong heterogeneity which were controlled by the transformation of slope-patterns,bringing great challenges to the study of sedimentary characteristics.The Upper Karamay Formation at north-west margin of the Junggar Basin was the objective in this paper which attempts to clarify the mechanism of sedimentary response and sand-body distribution of fan delta systems under the control of slope-pattern change.Based on a data set of cores,well logs and seismic,two types of slope-pattern were identified in the study area,which include steep-to-gentle in the south and gentle-to-steep in the north.The control of difference slope-patterns on the sand-body distribution was clarified based on the analysis of the sedimentary dynamics,facies characteristics,and depositional evolution of the fan deltas.The study shows that the transport mechanism of sediments on the steep-slope was dominated by debris flows,developing coarse-grained,thick-bedded lobes with poor structural maturity of clasts.On the gentle-slope,the deposition was dominated by hyperconcentrated-traction currents,forming relatively fine-grained,thin-bedded lobes with increased sandy matrix.The sand-bodies show frequent bar-channel transformation and channel down-cutting under the steep slope setting,which exhibit migration of isolated river channels on the gentle slopes.Under the steep-to-gentle pattern,the coase-grained sediments were mainly accumulated at slope toe,generally developed equiaxial lobes.However,the coarse-grained clasts were preserved both at proximal and distal lobes on the gentle-to-steep slopes,showing obvious lateral extension of the fan delta.The slope patterns controlled sedimentary respond rates of the fan deltas during lake level change.By comparing the modern cases of fan systems worldwide,the control of slope patterns on deposition of coarse-grained fans was clarified,providing insight into hydrocarbon exploration on basin margins.展开更多
The Yellow River Delta(YRD), a critical economic zone along China's eastern coast, also functions as a vital ecological reserve in the lower Yellow River. Amidst rapid industrialization and urbanization, the regio...The Yellow River Delta(YRD), a critical economic zone along China's eastern coast, also functions as a vital ecological reserve in the lower Yellow River. Amidst rapid industrialization and urbanization, the region has witnessed significant land use/cover changes(LUCC), impacting ecosystem services(ES) and ecological security patterns(ESP). Investigating LUCC's effects on ES and ESP in the YRD is crucial for ecological security and sustainable development. This study utilized the PLUS model to simulate 2030 land use scenarios, including natural development(NDS), economic development(EDS), and ecological protection scenarios(EPS). Subsequently, the InVEST model and circuit theory were applied to assess ES and ESP under varying LUCC scenarios from 2010 to 2030. Findings indicate:(1) Notable LUCC from 2010 to 2030, marked by decreasing cropland and increasing construction land and water bodies.(2) From 2010 to 2020, improvements were observed in carbon storage,water yield, soil retention, and habitat quality, whereas 2020–2030 saw increases in water yield and soil retention but declines in habitat quality and carbon storage. Among the scenarios, EPS showed superior performance in all four ES.(3) Between 2010 and 2030, ecological sources, corridors, and pinchpoints expanded, displaying significant spatial heterogeneity. The EPS scenario yielded the most substantial increases in ecological sources,corridors, and pinchpoints, totaling 582.89 km^(2), 645.03 km^(2),and 64.43 km^(2), respectively. This study highlights the importance of EPS, offering insightful scientific guidance for the YRD's sustainable development.展开更多
Urban agglomerations,serving as pivotal centers of human activity,undergo swift alterations in ecosystem services prompted by shifts in land utilization.Strengthening the monitoring of ecosystem services in present an...Urban agglomerations,serving as pivotal centers of human activity,undergo swift alterations in ecosystem services prompted by shifts in land utilization.Strengthening the monitoring of ecosystem services in present and future urban agglomerations contributes to the rational planning of these areas and enhances the well-being of their inhabitants.Here,we analyzed land use conversion in the Yangtze River Delta(YRD)urban agglomeration during 1990-2020 and discussed the spatiotemporal response and main drivers of changes in ecosystem service value(ESV).By considering the different development strategic directions described in land use planning policies,we predicted land use conversion and its impact on ESV using the Future Land Use Simulation(FLUS)model in three scenari-os in 2025 and 2030.Results show that:1)from 1990 to 2020,land use change is mainly manifested as the continuous expansion of con-struction land to cultivated land.Among the reduced cultivated land,82.2%were occupied by construction land.2)The land use types conversion caused a loss of 21.85 billion yuan(RMB)in ESV during 1990-2020.Moreover,the large reduction of cultivated land area led to the continuous decline of food production value,accounting for 13%of the total ESV loss.3)From 2020 to 2030,land use change will mainly focus on Yangzhou and Zhenjiang in central Jiangsu Province and Taizhou in southern Zhejiang Province.Under the BAU(natural development)and ED(cultivated land protection)scenarios,construction land expansion remains dominant.In contrast,under the EP(ecological protection)scenario,the areas of water bodies and forest land increase significantly.Among the different scenarios,ESV is highest in the EP scenario,making it the optimal solution for sustainable land use.It can be seen that the space use conflict among urban,agriculture and ecology is a key factor leading to ESV change in the urban agglomeration of Yangtze River Delta.There-fore,it is crucial to maintain spatial land use coordination.Our findings provide suggestions for scientific and rational land use planning for the urban agglomeration.展开更多
目的:探讨Delta大通道内镜辅助下后路椎管减压椎间植骨融合术治疗退变性腰椎疾病的效果。方法:回顾性分析2021年9月~2022年9月我院收治的80例退变性腰椎疾病患者的病历资料,根据患者治疗方式分为观察组(38例,男17例,女21例,年龄61.0...目的:探讨Delta大通道内镜辅助下后路椎管减压椎间植骨融合术治疗退变性腰椎疾病的效果。方法:回顾性分析2021年9月~2022年9月我院收治的80例退变性腰椎疾病患者的病历资料,根据患者治疗方式分为观察组(38例,男17例,女21例,年龄61.0±4.9岁)和对照组(42例,男20例,女22例,年龄60.5±5.4岁),观察组患者采取Delta大通道内镜下Endo-PLIF治疗,对照组采取开放后路腰椎椎间融合术治疗,记录两组患者术中出血量、术后引流量、手术时间、手术切口长度、住院时间,比较患者并发症发生情况。于术前、术后1周、1个月、3个月、6个月使用视觉模拟量表(visual analogue scale,VAS)评分评估患者腰痛情况,并采用Oswestry功能障碍指数(Oswestry disability index,ODI)评估患者腰椎功能;使用改良Macnab标准对患者进行疗效评估。根据患者术后1年随访时的腰椎影像学复查结果,使用Bridwell椎间融合标准对患者手术节段融合情况进行评估。结果:观察组患者的术中出血量及术后引流量分别低于对照组(88.46±10.98mL vs 112.99±12.01mL、159.73±18.42mL vs 201.36±23.06mL,P<0.05),手术切口及住院时间分别短于对照组(1.54±0.36cm vs 5.43±1.01cm、6.79±1.22d vs 8.03±1.43d,P<0.05),手术时间长于对照组(162.33±19.57min vs 126.87±23.15min,P<0.05)。80例患者术后均获随访,随访时间15~40个月(19.0±6.3个月)。观察组患者术后1周、术后1个月的VAS评分分别为2.46±0.51分、1.21±0.38分,ODI分别为(17.84±4.15)%、(10.69±1.88)%,均低于对照组[VAS评分分别为3.68±0.62分、2.01±0.41分,ODI分别为(21.33±3.48)%、(12.33±2.17)%,均P<0.05],两组患者术后3个月、术后6个月的VAS评分比较无统计学差异(P>0.05)。观察组治疗优良率为92.11%,与对照组的85.71%比较无统计学意义(P=0.487)。两组患者融合分级比较,差异无统计学意义(Z=0.487,P=0.624)。观察组术后并发症发生率为5.26%,与对照组的9.52%比较无统计学差异(P=0.678)。结论:Delta大通道内镜辅助下后路椎管减压椎间植骨融合术治疗退变性腰椎疾病效果良好,可以减少术中出血量,缩短手术切口和住院时间,更快改善患者术后短期内疼痛、腰椎功能,安全性较好。展开更多
Two deltas developed simultaneously during the Eocene on the eastern side of a large lake that existed in the Dongying Sub-basin,which forms part of the Bohai Bay Basin in eastern China.The rivers that built the delta...Two deltas developed simultaneously during the Eocene on the eastern side of a large lake that existed in the Dongying Sub-basin,which forms part of the Bohai Bay Basin in eastern China.The rivers that built the deltas had different catchment areas,which resulted in sediments with different permeability and porosity,due to differences in sorting and mud content.Both deltas prograded,and mass flows that originated frequently on their fronts formed lobes that expanded laterally.This eventually led to merging of both deltas,a feature that has rarely been described from ancient deposits thus far.Core analysis and seismic reflection data show that the merging of the two deltas took place in nine phases,determined by phases of slower progradation or even temporary retrogradation in between.The alternation of sediments from both deltas and their eventual mixing makes the architecture of the merged deltas much more complex than that of'classical'single deltas.This affects the predictability of the spatial distribution of possible reservoir characteristics significantly,but detailed core analysis shows that the best hydrocarbon reservoirs consist of sand bodies formed in distributary channels on the delta plains,and of sandy turbidites formed in the deep-lacustrine environment in front of the merged deltas.展开更多
Due to their high reliability and cost-efficiency,submarine pipelines are widely used in offshore oil and gas resource engineering.Due to the interaction of waves,currents,seabed,and pipeline structures,the soil aroun...Due to their high reliability and cost-efficiency,submarine pipelines are widely used in offshore oil and gas resource engineering.Due to the interaction of waves,currents,seabed,and pipeline structures,the soil around submarine pipelines is prone to local scour,severely affecting their operational safety.With the Yellow River Delta as the research area and based on the renormalized group(RNG)k-εturbulence model and Stokes fifth-order wave theory,this study solves the Navier-Stokes(N-S)equation using the finite difference method.The volume of fluid(VOF)method is used to describe the fluid-free surface,and a threedimensional numerical model of currents and waves-submarine pipeline-silty sandy seabed is established.The rationality of the numerical model is verified using a self-built waveflow flume.On this basis,in this study,the local scour development and characteristics of submarine pipelines in the Yellow River Delta silty sandy seabed in the prototype environment are explored and the influence of the presence of pipelines on hydrodynamic features such as surrounding flow field,shear stress,and turbulence intensity is analyzed.The results indicate that(1)local scour around submarine pipelines can be divided into three stages:rapid scour,slow scour,and stable scour.The maximum scour depth occurs directly below the pipeline,and the shape of the scour pits is asymmetric.(2)As the water depth decreases and the pipeline suspension height increases,the scour becomes more intense.(3)When currents go through a pipeline,a clear stagnation point is formed in front of the pipeline,and the flow velocity is positively correlated with the depth of scour.This study can provide a valuable reference for the protection of submarine pipelines in this area.展开更多
BACKGROUND As of 31 December 2022,there were over 6.6 million coronavirus disease 2019(COVID-19)deaths and over 651 million cases across 200 countries worldwide.Despite the increase in vaccinations and booster shots,C...BACKGROUND As of 31 December 2022,there were over 6.6 million coronavirus disease 2019(COVID-19)deaths and over 651 million cases across 200 countries worldwide.Despite the increase in vaccinations and booster shots,COVID-19 cases and deaths continue to remain high.While the effectiveness of these vaccines has already been established by different manufacturers,the fact remains that these vaccines were created quickly for global emergency use,tested under controlled clinical conditions from voluntary subjects and age groups whose general characteristics may differ from the actual general population.AIM To conduct a systematic review to determine the real-world effectiveness of mRNA COVID-19 vaccines in the elderly during the predominance of Delta and Omicron variants in preventing COVID-19 related infection,hospital,intensive care unit(ICU)admission and intubation,and death.METHODS A combination of Medical Subject Headings and non–Medical Subject Headings was carried out to identify all relevant research articles that meets the inclusion and exclusion criteria from PubMed,Cochrane,CINAHL,Scopus,ProQuest,EMBASE,Web of Science,and Google Scholar databases,as well as qualified research studies from pre–print servers using medRxiv and Research Square,published from January 1,2021-December 31,2022.RESULTS As per the inclusion and exclusion criteria,the effectiveness of Pfizer-BioNTech and Moderna vaccines were evaluated from an estimated total study population of 26535692 using infection,hospital,ICU admission and intubation,and death as outcome measures from studies published between 2021 and 2022,conducted in New York,Finland,Canada,Costa Rica,Qatar,Greece,and Brazil.The risk of bias was evaluated using risk of bias in nonrandomized studies of interventions(ROBINS-I)tool for cohort,case-control,and cross-sectional studies.While clinical trial data on Pfizer-BioNTech and Moderna vaccines demonstrated 94%vaccine effectiveness in the elderly,the results in this study showed that vaccine effectiveness in real-world settings is marginally lower against infection(40%-89%),hospitalization(92%),ICU admission and intubation(98%-85%),and death(77%-87%)with an indication of diminished effectiveness of vaccine over time.Furthermore,2 doses of mRNA vaccines are inadequate and only provides interim protection.CONCLUSION Because of the natural diminishing effectiveness of the vaccine,the need for booster dose to restore its efficacy is vital.From a research perspective,the use of highly heterogeneous outcome measures inhibits the comparison,contrast,and integration of the results which makes data pooling across different studies problematic.While pharmaceutical intervention like vaccination is important to fight an epidemic,utilizing common outcome measurements or carrying out studies with minimal heterogeneity in outcome measurements,is equally crucial to better understand and respond to an international health crisis.展开更多
Per-and polyfluoroalkyl substances(PFASs)are emerging persistent organic pollutants(POPs).In this study,47 surface sediment samples were collected from the Yellow River Delta wetland(YRDW)to investigate the occurrence...Per-and polyfluoroalkyl substances(PFASs)are emerging persistent organic pollutants(POPs).In this study,47 surface sediment samples were collected from the Yellow River Delta wetland(YRDW)to investigate the occurrence,spatial distribution,potential sources,and ecological risks of PFASs.Twenty-three out of 26 targeted PFASs were detected in surface sediment samples from the YRDW,with totalΣ23PFASs concentrations ranging from 0.23 to 16.30 ng g^(-1) dw and a median value of 2.27 ng g^(-1) dw.Perfluorooctanoic acid(PFOA),perfluorobutanoic acid(PFBA)and perfluorooctanesulfonic acid(PFOS)were the main contaminants.The detection frequency and concentration of perfluoroalkyl carboxylic acids(PFCAs)were higher than those of perfluoroal-kanesulfonic acids(PFSAs),while those of long-chain PFASs were higher than those of short-chain PFASs.The emerging PFASs substitutes were dominated by 6:2 chlorinated polyfluoroalkyl ether sulfonic acid(6:2 Cl-PFESA).The distribution of PFASs is significantly influenced by the total organic carbon content in the sediments.The concentration of PFASs seems to be related to human activities,with high concentration levels of PFASs near locations such as beaches and villages.By using a positive matrix factorization model,the potential sources of PFASs in the region were identified as metal plating mist inhibitor and fluoropolymer manufacturing sources,metal plating industry and firefighting foam and textile treatment sources,and food packaging material sources.The risk assessment indicated that PFASs in YRDW sediments do not pose a significant ecological risk to benthic organisms in the region overall,but PFOA and PFOS exert a low to moderate risk at individual stations.展开更多
文摘This paper mainly discusses the origin and deposhional features of fan-deltas and braid deltas. Fan-del-tas are storm discharge-dominated, while braid deltas are usually flashy flood-dominated. The two types ofdelta, like common deltas, were reworked by marine processes. Delta systems are classified into nine deltatypes on the basis of the subaerial depositional processes and the nature of marine reworking. Fan-deltas and braid deltas are of great significance for petroleum exploration. In divergent-marginforeland and intraplate rift-subsided basin settings fan-deltas often form combination traps for petroleum ac-cumulation.
文摘The electric networks for the distribution to low voltage costumers can be configured in different layouts. Two main approaches are used: the European system composed by three-phase distribution transformers or the North American system composed by single-phase distribution transformers and three-phase transformer banks of single-phase transformers. With respect to harmonic analysis, much more attention has been focused on the three-phase balanced systems arrangements than on the unbalanced four-wire delta system extensively used to supply low voltage loads of 120/240 V. Different authors have shown the three-phase power systems modeling on a phase-coordinates frame. However, the presence of significant asymmetries in the network forces the need of adding a new phase-coordinates model to represent the three-phase transformers banks of two or three single-phase transformers in its various connections. Several papers treat the use of harmonic analysis programs based on a phase-coordinates frame to study the Wye or Delta connected three-phase systems. However, the commonly used four-wire delta connected systems are not fully treated in literature. This paper presents a phase-coordinates model for the representation of the commonly used three-phase transformer banks of three or two single-phase transformers, and single-phase distribution transformers for the harmonic analysis of the four-wire delta connected systems. The harmonic analysis method based on the presented model is used to examine the characteristics of this kind of distribution system with respect to the penetration of harmonics currents from loads to the primary system.
基金supported by the National Natural Science Foundation of China(Grant No.42272124)the Fundamental Research Funds for the Central Universities(No.2-9-2019-100)+1 种基金the National Major Research Program Science and Technology of China(No.2017ZX05001-002)the Key laboratory of marine reservoir evolution and hydrocarbon enrichment mechanism,Ministry of Education.
文摘The Mesozoic fan deltas in the north-west margin of the Junggar Basin,as important petroleum reservoirs,exhibited complex facies change and internal structures with strong heterogeneity which were controlled by the transformation of slope-patterns,bringing great challenges to the study of sedimentary characteristics.The Upper Karamay Formation at north-west margin of the Junggar Basin was the objective in this paper which attempts to clarify the mechanism of sedimentary response and sand-body distribution of fan delta systems under the control of slope-pattern change.Based on a data set of cores,well logs and seismic,two types of slope-pattern were identified in the study area,which include steep-to-gentle in the south and gentle-to-steep in the north.The control of difference slope-patterns on the sand-body distribution was clarified based on the analysis of the sedimentary dynamics,facies characteristics,and depositional evolution of the fan deltas.The study shows that the transport mechanism of sediments on the steep-slope was dominated by debris flows,developing coarse-grained,thick-bedded lobes with poor structural maturity of clasts.On the gentle-slope,the deposition was dominated by hyperconcentrated-traction currents,forming relatively fine-grained,thin-bedded lobes with increased sandy matrix.The sand-bodies show frequent bar-channel transformation and channel down-cutting under the steep slope setting,which exhibit migration of isolated river channels on the gentle slopes.Under the steep-to-gentle pattern,the coase-grained sediments were mainly accumulated at slope toe,generally developed equiaxial lobes.However,the coarse-grained clasts were preserved both at proximal and distal lobes on the gentle-to-steep slopes,showing obvious lateral extension of the fan delta.The slope patterns controlled sedimentary respond rates of the fan deltas during lake level change.By comparing the modern cases of fan systems worldwide,the control of slope patterns on deposition of coarse-grained fans was clarified,providing insight into hydrocarbon exploration on basin margins.
基金financially supported by the National Natural Science Foundation of China (Grant No. 41461011)。
文摘The Yellow River Delta(YRD), a critical economic zone along China's eastern coast, also functions as a vital ecological reserve in the lower Yellow River. Amidst rapid industrialization and urbanization, the region has witnessed significant land use/cover changes(LUCC), impacting ecosystem services(ES) and ecological security patterns(ESP). Investigating LUCC's effects on ES and ESP in the YRD is crucial for ecological security and sustainable development. This study utilized the PLUS model to simulate 2030 land use scenarios, including natural development(NDS), economic development(EDS), and ecological protection scenarios(EPS). Subsequently, the InVEST model and circuit theory were applied to assess ES and ESP under varying LUCC scenarios from 2010 to 2030. Findings indicate:(1) Notable LUCC from 2010 to 2030, marked by decreasing cropland and increasing construction land and water bodies.(2) From 2010 to 2020, improvements were observed in carbon storage,water yield, soil retention, and habitat quality, whereas 2020–2030 saw increases in water yield and soil retention but declines in habitat quality and carbon storage. Among the scenarios, EPS showed superior performance in all four ES.(3) Between 2010 and 2030, ecological sources, corridors, and pinchpoints expanded, displaying significant spatial heterogeneity. The EPS scenario yielded the most substantial increases in ecological sources,corridors, and pinchpoints, totaling 582.89 km^(2), 645.03 km^(2),and 64.43 km^(2), respectively. This study highlights the importance of EPS, offering insightful scientific guidance for the YRD's sustainable development.
基金Under the auspices of National Natural Science Foundation of China(No.42276234)National Social Science Foundation Major Project of China(No.23&ZD105)+1 种基金the Open Fund of the Key Laboratory of Coastal Zone Exploitation and Protection,Ministry of Natural Resources of China(No.2023CZEPK04)the Science and Technology Major Project of Ningbo(No.2021Z181)。
文摘Urban agglomerations,serving as pivotal centers of human activity,undergo swift alterations in ecosystem services prompted by shifts in land utilization.Strengthening the monitoring of ecosystem services in present and future urban agglomerations contributes to the rational planning of these areas and enhances the well-being of their inhabitants.Here,we analyzed land use conversion in the Yangtze River Delta(YRD)urban agglomeration during 1990-2020 and discussed the spatiotemporal response and main drivers of changes in ecosystem service value(ESV).By considering the different development strategic directions described in land use planning policies,we predicted land use conversion and its impact on ESV using the Future Land Use Simulation(FLUS)model in three scenari-os in 2025 and 2030.Results show that:1)from 1990 to 2020,land use change is mainly manifested as the continuous expansion of con-struction land to cultivated land.Among the reduced cultivated land,82.2%were occupied by construction land.2)The land use types conversion caused a loss of 21.85 billion yuan(RMB)in ESV during 1990-2020.Moreover,the large reduction of cultivated land area led to the continuous decline of food production value,accounting for 13%of the total ESV loss.3)From 2020 to 2030,land use change will mainly focus on Yangzhou and Zhenjiang in central Jiangsu Province and Taizhou in southern Zhejiang Province.Under the BAU(natural development)and ED(cultivated land protection)scenarios,construction land expansion remains dominant.In contrast,under the EP(ecological protection)scenario,the areas of water bodies and forest land increase significantly.Among the different scenarios,ESV is highest in the EP scenario,making it the optimal solution for sustainable land use.It can be seen that the space use conflict among urban,agriculture and ecology is a key factor leading to ESV change in the urban agglomeration of Yangtze River Delta.There-fore,it is crucial to maintain spatial land use coordination.Our findings provide suggestions for scientific and rational land use planning for the urban agglomeration.
文摘目的:探讨Delta大通道内镜辅助下后路椎管减压椎间植骨融合术治疗退变性腰椎疾病的效果。方法:回顾性分析2021年9月~2022年9月我院收治的80例退变性腰椎疾病患者的病历资料,根据患者治疗方式分为观察组(38例,男17例,女21例,年龄61.0±4.9岁)和对照组(42例,男20例,女22例,年龄60.5±5.4岁),观察组患者采取Delta大通道内镜下Endo-PLIF治疗,对照组采取开放后路腰椎椎间融合术治疗,记录两组患者术中出血量、术后引流量、手术时间、手术切口长度、住院时间,比较患者并发症发生情况。于术前、术后1周、1个月、3个月、6个月使用视觉模拟量表(visual analogue scale,VAS)评分评估患者腰痛情况,并采用Oswestry功能障碍指数(Oswestry disability index,ODI)评估患者腰椎功能;使用改良Macnab标准对患者进行疗效评估。根据患者术后1年随访时的腰椎影像学复查结果,使用Bridwell椎间融合标准对患者手术节段融合情况进行评估。结果:观察组患者的术中出血量及术后引流量分别低于对照组(88.46±10.98mL vs 112.99±12.01mL、159.73±18.42mL vs 201.36±23.06mL,P<0.05),手术切口及住院时间分别短于对照组(1.54±0.36cm vs 5.43±1.01cm、6.79±1.22d vs 8.03±1.43d,P<0.05),手术时间长于对照组(162.33±19.57min vs 126.87±23.15min,P<0.05)。80例患者术后均获随访,随访时间15~40个月(19.0±6.3个月)。观察组患者术后1周、术后1个月的VAS评分分别为2.46±0.51分、1.21±0.38分,ODI分别为(17.84±4.15)%、(10.69±1.88)%,均低于对照组[VAS评分分别为3.68±0.62分、2.01±0.41分,ODI分别为(21.33±3.48)%、(12.33±2.17)%,均P<0.05],两组患者术后3个月、术后6个月的VAS评分比较无统计学差异(P>0.05)。观察组治疗优良率为92.11%,与对照组的85.71%比较无统计学意义(P=0.487)。两组患者融合分级比较,差异无统计学意义(Z=0.487,P=0.624)。观察组术后并发症发生率为5.26%,与对照组的9.52%比较无统计学差异(P=0.678)。结论:Delta大通道内镜辅助下后路椎管减压椎间植骨融合术治疗退变性腰椎疾病效果良好,可以减少术中出血量,缩短手术切口和住院时间,更快改善患者术后短期内疼痛、腰椎功能,安全性较好。
基金financially supported by the National Natural Science Foundation of China(grant 41972146)。
文摘Two deltas developed simultaneously during the Eocene on the eastern side of a large lake that existed in the Dongying Sub-basin,which forms part of the Bohai Bay Basin in eastern China.The rivers that built the deltas had different catchment areas,which resulted in sediments with different permeability and porosity,due to differences in sorting and mud content.Both deltas prograded,and mass flows that originated frequently on their fronts formed lobes that expanded laterally.This eventually led to merging of both deltas,a feature that has rarely been described from ancient deposits thus far.Core analysis and seismic reflection data show that the merging of the two deltas took place in nine phases,determined by phases of slower progradation or even temporary retrogradation in between.The alternation of sediments from both deltas and their eventual mixing makes the architecture of the merged deltas much more complex than that of'classical'single deltas.This affects the predictability of the spatial distribution of possible reservoir characteristics significantly,but detailed core analysis shows that the best hydrocarbon reservoirs consist of sand bodies formed in distributary channels on the delta plains,and of sandy turbidites formed in the deep-lacustrine environment in front of the merged deltas.
基金China Postdoctoral Science Foundation,Grant/Award Number:2023M731999National Natural Science Foundation of China,Grant/Award Number:52301326。
文摘Due to their high reliability and cost-efficiency,submarine pipelines are widely used in offshore oil and gas resource engineering.Due to the interaction of waves,currents,seabed,and pipeline structures,the soil around submarine pipelines is prone to local scour,severely affecting their operational safety.With the Yellow River Delta as the research area and based on the renormalized group(RNG)k-εturbulence model and Stokes fifth-order wave theory,this study solves the Navier-Stokes(N-S)equation using the finite difference method.The volume of fluid(VOF)method is used to describe the fluid-free surface,and a threedimensional numerical model of currents and waves-submarine pipeline-silty sandy seabed is established.The rationality of the numerical model is verified using a self-built waveflow flume.On this basis,in this study,the local scour development and characteristics of submarine pipelines in the Yellow River Delta silty sandy seabed in the prototype environment are explored and the influence of the presence of pipelines on hydrodynamic features such as surrounding flow field,shear stress,and turbulence intensity is analyzed.The results indicate that(1)local scour around submarine pipelines can be divided into three stages:rapid scour,slow scour,and stable scour.The maximum scour depth occurs directly below the pipeline,and the shape of the scour pits is asymmetric.(2)As the water depth decreases and the pipeline suspension height increases,the scour becomes more intense.(3)When currents go through a pipeline,a clear stagnation point is formed in front of the pipeline,and the flow velocity is positively correlated with the depth of scour.This study can provide a valuable reference for the protection of submarine pipelines in this area.
文摘BACKGROUND As of 31 December 2022,there were over 6.6 million coronavirus disease 2019(COVID-19)deaths and over 651 million cases across 200 countries worldwide.Despite the increase in vaccinations and booster shots,COVID-19 cases and deaths continue to remain high.While the effectiveness of these vaccines has already been established by different manufacturers,the fact remains that these vaccines were created quickly for global emergency use,tested under controlled clinical conditions from voluntary subjects and age groups whose general characteristics may differ from the actual general population.AIM To conduct a systematic review to determine the real-world effectiveness of mRNA COVID-19 vaccines in the elderly during the predominance of Delta and Omicron variants in preventing COVID-19 related infection,hospital,intensive care unit(ICU)admission and intubation,and death.METHODS A combination of Medical Subject Headings and non–Medical Subject Headings was carried out to identify all relevant research articles that meets the inclusion and exclusion criteria from PubMed,Cochrane,CINAHL,Scopus,ProQuest,EMBASE,Web of Science,and Google Scholar databases,as well as qualified research studies from pre–print servers using medRxiv and Research Square,published from January 1,2021-December 31,2022.RESULTS As per the inclusion and exclusion criteria,the effectiveness of Pfizer-BioNTech and Moderna vaccines were evaluated from an estimated total study population of 26535692 using infection,hospital,ICU admission and intubation,and death as outcome measures from studies published between 2021 and 2022,conducted in New York,Finland,Canada,Costa Rica,Qatar,Greece,and Brazil.The risk of bias was evaluated using risk of bias in nonrandomized studies of interventions(ROBINS-I)tool for cohort,case-control,and cross-sectional studies.While clinical trial data on Pfizer-BioNTech and Moderna vaccines demonstrated 94%vaccine effectiveness in the elderly,the results in this study showed that vaccine effectiveness in real-world settings is marginally lower against infection(40%-89%),hospitalization(92%),ICU admission and intubation(98%-85%),and death(77%-87%)with an indication of diminished effectiveness of vaccine over time.Furthermore,2 doses of mRNA vaccines are inadequate and only provides interim protection.CONCLUSION Because of the natural diminishing effectiveness of the vaccine,the need for booster dose to restore its efficacy is vital.From a research perspective,the use of highly heterogeneous outcome measures inhibits the comparison,contrast,and integration of the results which makes data pooling across different studies problematic.While pharmaceutical intervention like vaccination is important to fight an epidemic,utilizing common outcome measurements or carrying out studies with minimal heterogeneity in outcome measurements,is equally crucial to better understand and respond to an international health crisis.
基金financially supported by the National Natural Science Foundation of China(NSFC)(No.42377217)the Cooperation Fund between Dongying City and Universities(No.SXHZ-2023-02-6).
文摘Per-and polyfluoroalkyl substances(PFASs)are emerging persistent organic pollutants(POPs).In this study,47 surface sediment samples were collected from the Yellow River Delta wetland(YRDW)to investigate the occurrence,spatial distribution,potential sources,and ecological risks of PFASs.Twenty-three out of 26 targeted PFASs were detected in surface sediment samples from the YRDW,with totalΣ23PFASs concentrations ranging from 0.23 to 16.30 ng g^(-1) dw and a median value of 2.27 ng g^(-1) dw.Perfluorooctanoic acid(PFOA),perfluorobutanoic acid(PFBA)and perfluorooctanesulfonic acid(PFOS)were the main contaminants.The detection frequency and concentration of perfluoroalkyl carboxylic acids(PFCAs)were higher than those of perfluoroal-kanesulfonic acids(PFSAs),while those of long-chain PFASs were higher than those of short-chain PFASs.The emerging PFASs substitutes were dominated by 6:2 chlorinated polyfluoroalkyl ether sulfonic acid(6:2 Cl-PFESA).The distribution of PFASs is significantly influenced by the total organic carbon content in the sediments.The concentration of PFASs seems to be related to human activities,with high concentration levels of PFASs near locations such as beaches and villages.By using a positive matrix factorization model,the potential sources of PFASs in the region were identified as metal plating mist inhibitor and fluoropolymer manufacturing sources,metal plating industry and firefighting foam and textile treatment sources,and food packaging material sources.The risk assessment indicated that PFASs in YRDW sediments do not pose a significant ecological risk to benthic organisms in the region overall,but PFOA and PFOS exert a low to moderate risk at individual stations.