Clinicopathological differences between patients with schistosomal appendicitis and non schistosomal appendicitis:A retrospectively study of past ten years

BACKGROUND Chronic schistosomiasis causes multiple organ and multiple system diseases,especially the digestive system.Schistosome eggs are mainly deposited in the stomach,liver and colorectal,but a few eggs are deposited in the appendix and cause disease.At present,there are few studies on schistosomal appendicitis.AIM To explore the differences in epidemiological,clinical and pathological characteristics between schistosomal appendicitis and non-schistosomal appendicitis over the past decade in order to assess the impact of schistosomiasis on appendicitis.METHODS The differences of general data,clinical data and laboratory examination data of patients with appendicitis from October 2013 to October 2023 were retrospectively analyzed.All patients were divided into two groups for analysis.There were 136 patients in schistosomal appendicitis group and 5418 patients in non-schistosomal appendicitis group.RESULTS Schistosomal appendicitis accounted for 2.45%of all patients with appendicitis,and the annual proportion in the past decade was 2.2%,2.9%,1.8%,1.9%,3.4%,3.1%,1.9%,1.6%,3%,2.6%,respectively.The prevalence of schistosomal appendicitis was middle-aged and elderly males,with an average age of 61.73±15.335 years.The main population of non-schistosomal appendicitis was middle-aged men,with an average age of 35.8±24.013 years(P<0.001).The distribution of pathological types of appendicitis was different between the two groups(P<0.001).The incidence of acute suppurative appendicitis in non-schistosomal appendicitis was higher than that in schistosomal appendicitis[odds ratio(OR)=0.504;95%confidence interval(CI):0.349-0.728;P<0.001].The proportion of acute attack of chronic appendicitis in schistosomal appendicitis was higher than that in non-schistosomal appendicitis(OR=2.614;95%CI:1.815-3.763;P<0.001).The proportion of schistosomal appendicitis patients complicated with colorectal cancer was higher than that of nonschistosomal appendicitis patients(OR=5.087;95%CI:1.427-18.132;P=0.012).There was no difference in clinical symptoms between the two groups.In the laboratory examination,there was a significant difference in white blood cells between schistosomal appendicitis and non-schistosomal appendicitis.The level of white blood cells in schistosomal appendicitis group was slightly higher than the upper limit of the normal range.Other statistically significant indicators were in the normal range.CONCLUSION Schistosomal appendicitis is a severe condition that is often associated with intestinal malignancies,potentially leading to a poor prognosis.Schistosomal appendicitis is more likely to be misdiagnosed and missed diagnosed in clinical work because of its nonspecific clinical manifestations and laboratory examination.It is crucial to differentiate schistosomal appendicitis in middle-aged and elderly male patients presenting with appendicitis,and to ensure early detection and treatment.

Numerical stress-deformation analysis of cut-off wall in clay-core rockfill dam on thick overburden

The cut-off wall in a clay-core rockfill dam built on a thick overburden layer is subjected to a large compressive pressure under the action of the loads such as the dead weight of both the dam and the overburden layer, the frictional force induced by the differential settlement between the cut-off wall and surrounding soils, and the water pressure. Thus, reduction of the stress of the cut-off wall has become one of the main problems for consideration in engineering design. In this paper, numerical analysis of a core rockfill dam built on a thick overburden layer was conducted and some factors influencing the stress-strain behaviors of the cut-off wall were investigated. The factors include the improvement of the overburden layer, the modeling approach for interfacial contact between the cut-off wall and surrounding soils, the modulus of the cut-off wall concrete, and the connected pattern between the cut-off wall and the clay core. The result shows that improving the overburden layer,selecting plastic concrete with a low modulus and high strength, and optimizing the connection between the cut-off wall and the clay core of the dam are effective measures of reducing the deformations and compressive stresses of the cut-off wall. In addition, both the Goodman element and the mud-layer element are suitable for simulating the interfacial contact between the cut-off wall and surrounding soils.

Effect of solution treatment time on plasticity and ductile fracture of 7075 aluminum alloy sheet in hot stamping process

The effect of solution treatment time on the post-formed plasticity and ductile fracture of 7075 aluminum alloy in the hot stamping process was studied.Tensile tests were conducted on the specimens subjected to the hot stamping process with different solution treatment time.The digital image correlation(DIC)analysis was used to obtain the strain of the specimen.Based on the experiments and modeling,the Yld2000-3d yield criterion and the DF2014 ductile fracture criterion were calibrated and used to characterize the anisotropy and fracture behavior of the metal,respectively.Furthermore,the microstructure of specimens was studied.The experimental and simulation results indicate that the 7075 aluminum alloy retains distinct anisotropy after the hot stamping process,and there is no obvious effect of extending the solution treatment time on the material anisotropy.However,it is found that a longer solution treatment time can increase the fracture strain of the aluminum alloy during the hot stamping process,which may be related to the decrease of the second-phase particles size.

Fluidization characteristics of different sizes of quartz particles in the fluidized bed

Fluidization characteristics of quartz particles with different sizes are experimentally investigated in a fluidized bed with an inner diameter of 300 mm and height of 8250 mm.Results show that the average solid holdup increases with the increase in superficial gas velocity and the decrease in initial solid holdup in the dense zone of the fluidized bed.The average cross-sectional solid holdup decreases with increasing bed height and superficial gas velocity.The bed expansion coefficient increases with the increase in superficial gas velocity and the decrease in solid holdup.Correlations of average solid holdup,average cross-sectional solid holdup and bed expansion coefficient are also established and discussed.These correlations can provide guidelines for better understanding of the fluidization characteristics.

Metal–Organic Frameworks-Mediated Assembly of Gold Nanoclusters for Sensing Applications

Gold nanoclusters(AuNCs)are an emerging type of ultrasmall nanomaterials possessing unique physicochemical characteristics.Metal–organic frameworks(MOFs),a singular kind of porous solid and crystalline material,have attracted tremendous attention in recent years.The combination of AuNCs and MOFs can integrate and improve the prominent properties of both components,such as high catalytic activities,tunable optical properties,good biocompatibility,surface functionality and stability,which make the composites of MOFs and AuNCs promising for sensing applications.This review systematically summarizes the recent progress on the sensing of various analytes via MOFs-mediated AuNCs assemblies based on strategies of luminescence sensing,colorimetric sensing,electrochemiluminescence sensing,and electrochemical and photoelectrochemical sensing.A brief outlook regarding the future development of MOFs-mediated AuNCs assemblies for sensing application is presented as well.

Energy dissipation of atomic-scale friction based on one- dimensional Prandtl-Tomlinson model

The energy transition and dissipation of atomic-scale friction are investigated using the one-dimensional Prandtl-Tomlinson model.A systematic study of the factors influencing the energy dissipation is conducted,indicating that the energy that accumulated during the stick stage does not always dissipate completely during stick-slip motion.We adopt the energy-dissipation ratio(EDR)to describe the relationship between the energy dissipated permanently in the system and the conservative reversible energy that can be reintroduced to the driving system after the slip process.The EDR can change continuously from 100%to 0,covering the stick-slip,intermediate,and smooth-sliding regimes,depending on various factors such as the stiffness,potential-energy corrugation,damping coefficient,sliding velocity,and the temperature of the system.Among these,the parameterη,which depends on both the surface potential and the lateral stiffness,is proven in this paper to have the most significant impact on the EDR.According toη-T phase diagrams of the EDR,the smooth-sliding superlubricity and thermolubricity are found to be unified with regard to the energy dissipation and transition.An analytical formulation for the EDR that can be used to quantitatively predict the amount of energy dissipation is derived from a lateral-force curve.

Cr-Fe-Co-Ni-Zr高熵金属玻璃体系中的超大尺度反常相分离

金属玻璃中的反常相分离是一个长期未解决的问题,由于受到微观结构假象以及缺乏直接的大尺度(超过纳米尺度)证据的影响,自从1969年首次被提出以来一直备受争议.本研究综合应用无干扰可见光显微镜、原子力显微镜、扫描电子显微镜和双球差校正原子分辨分析电镜,在具有负混合热的Cr–Fe–Co–Ni–Zr高熵金属玻璃体系中确认了一种超大尺度上的反常玻璃相分离现象.分离的第二相具有数十微米的尺度并且可由冷却速率调控.引入类似偏晶前的液体不混融机制来解释反常相分离,这一机制不仅有利于理解金属玻璃中的反常相分离行为,而且也有助于理解其他领域的相分离行为,比如细胞中的液-液相分离行为.

The influence of ultrasonic vibration on parts properties during incremental sheet forming

The integration of ultrasonic vibration into sheet forming process can significantly reduce the forming force and bring benefits including the enhancement of surface quality,the enhancement of formability and the reduction of spring-back.However,the influencing mechanisms of the high-frequency vibration on parts properties during the incremental sheet forming(ISF)process are not well known,preventing a more efficient forming system.This paper comprehensively investigates the effects of different process parameters(vibration amplitude,step-down size,rotation speed and forming angle)on the micro-hardness,minimum thickness,forming limit and residual stress of the formed parts.First,a series of truncated pyramids were formed with an experimental platform designed for the ultrasonic-assisted incremental sheet forming.Then,microhardness tests,minimum thickness measurements and residual stress tests were performed for the formed parts.The results showed that the surface micro-hardness of the formed part was reduced since the vibration stress induced by the ultrasonic vibration within the material which eliminated the original internal stress.The superimposed University,Beijing 100083,People’s Republic of China ultrasonic vibration can effectively uniform the residual stress and thickness distribution,arid improve the forming limit in the case of the small deformation rate.In addition,through the tensile fracture analysis of the formed part,it is shown that the elongation of material is improved and the elastic modulus and hardening index are decreased.The findings of the present work lay the foundation for a better integration of the ultrasonic vibration system into the incremental sheet forming process.

Exceptionally shear-stable and ultra-strong Ir-Ni-Ta high-temperature metallic glasses at micro/nano scales

Ir-Ni-Ta metallic glasses(MGs)exhibit an array of superior high-temperature properties,making them attractive for applications at high temperatures or in harsh environments.However,Ir-Ni-Ta bulk MGs are quite brittle and often fracture catastrophically even before plastic yielding,significantly undercutting their high-strength advantage.Here,we show that the Ir-Ni-Ta MGs are not intrinsically brittle,but rather malleable when the feature size is reduced to micro/nano-scales.All tested Ir-Ni-Ta MG micropillars with a diameter ranging from~500 nm to~5μm display a large plastic strain above 25%(the maximum up to 35%),together with a yield strength up to 7 GPa,well exceeding the strength recorded in most metallic materials.The intrinsic shear stability of Ir-Ni-Ta MGs,as characterized by the normalized shear displacement during a shear event,is much larger than those malleable Zr-and Cu-based MGs.Our results suggest that Ir-Ni-Ta MGs are excellent candidates for micro/nanoscale structural applications used at high-temperature or extreme conditions.