Effectively and accurately modelling the spatial relation of fracture surfaces is crucial in the design and construction of large hydropower dams having a complex underlying geology. However, fracture surfaces are ran...Effectively and accurately modelling the spatial relation of fracture surfaces is crucial in the design and construction of large hydropower dams having a complex underlying geology. However, fracture surfaces are randomly formed and vary greatly with respect to their spatial distribution, which makes the construction of accurate 3-D models challenging. In this study, we use an optimal Monte Carlo simulation and dynamic conditioning to construct a fracture network model. We found the optimal Monte Carlo simulation to effectively reduce the error associated with the Monte Carlo method and use dynamic conditioning to ensure the consistency of the model with the actual distribution of fractures on the excavation faces and outcrops. We applied this novel approach to a hydropower station on the Jinshajiang River, China. The simulation results matched the real sampled values well, confirming that the model is capable of effectively and accurately simulating the spatial relations in a fracture network.展开更多
With an extension of the geological entropy concept in porous media,the approach called directional entrogram is applied to link hydraulic behavior to the anisotropy of the 3D fracture networks.A metric called directi...With an extension of the geological entropy concept in porous media,the approach called directional entrogram is applied to link hydraulic behavior to the anisotropy of the 3D fracture networks.A metric called directional entropic scale is used to measure the anisotropy of spatial order in different directions.Compared with the traditional connectivity indexes based on the statistics of fracture geometry,the directional entropic scale is capable to quantify the anisotropy of connectivity and hydraulic conductivity in heterogeneous 3D fracture networks.According to the numerical analysis of directional entrogram and fluid flow in a number of the 3D fracture networks,the hydraulic conductivities and entropic scales in different directions both increase with spatial order(i.e.,trace length decreasing and spacing increasing)and are independent of the dip angle.As a result,the nonlinear correlation between the hydraulic conductivities and entropic scales from different directions can be unified as quadratic polynomial function,which can shed light on the anisotropic effect of spatial order and global entropy on the heterogeneous hydraulic behaviors.展开更多
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 compli...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.展开更多
目的探讨(1-3)-β-D葡聚糖联合降钙素原(procalcitonin,PCT)、CD4^(+)T淋巴细胞多指标在艾滋病患者马尔尼菲篮状菌感染早期诊断临床研究。方法回顾性选取我院2020年1月—2022年6月住院的120例艾滋病患者为研究对象。依据实验室结果,将...目的探讨(1-3)-β-D葡聚糖联合降钙素原(procalcitonin,PCT)、CD4^(+)T淋巴细胞多指标在艾滋病患者马尔尼菲篮状菌感染早期诊断临床研究。方法回顾性选取我院2020年1月—2022年6月住院的120例艾滋病患者为研究对象。依据实验室结果,将其分为马尔尼菲篮状菌感染确诊组(血或组织液培育养出马尔尼菲篮状菌),简称A组(62例),及马尔尼菲篮状菌感染临床诊断组[根据临床症状、体征、血常规及(1-3)-β-D葡聚糖、PCT、CD4^(+)T淋巴细胞多指标诊断],简称B组(58例)。检测患者(1-3)-β-D葡聚糖、PCT、CD4^(+)T淋巴细胞的表达水平,采用受试者工作特征(receiver-operating characteristic,ROC)曲线下面积(area under the curve,AUC)评估上述指标联合检测对艾滋病患者感染马尔尼菲篮状菌的诊断效能。结果A组的(1-3)-β-D葡聚糖和PCT水平均高于B组,CD4^(+)T淋巴细胞个数低于B组(P<0.05);(1-3)-β-D葡聚糖、PCT、CD4^(+)T淋巴细胞联合检测的AUC为0.933,(1-3)-β-D葡聚糖单独检测的AUC是0.812,PCT单独检测的AUC为0.883,CD4^(+)T淋巴细胞单独检测的AUC是0.810,(1-3)-β-D葡聚糖、PCT和CD4^(+)T淋巴细胞联合检测的AUC皆优于三项单独检测,表明(1-3)-β-D葡聚糖、PCT和CD4^(+)T淋巴细胞联合检测的诊断价值皆优于单一指标诊断,且联合检测的特异度、约登指数分别为92.43%和0.580,均高于三项单独检测。结论(1-3)-β-D葡聚糖联合PCT和CD4^(+)T淋巴细胞多指标对艾滋病马尔尼菲篮状菌感染具有非常高的临床诊断价值,能够帮助医生分析出高危风险患者,及时制定治疗方案,同时也承担预后效果的判断依据,对治疗艾滋病马尔尼菲篮状菌感染具有非常重要的研究价值。展开更多
The experimental results of 3-D fracture under compression are introduced in brief and the theory of stress criterion of 3-D fracture is studied. Methods to imitate initial fractures are developed. It is pointed that ...The experimental results of 3-D fracture under compression are introduced in brief and the theory of stress criterion of 3-D fracture is studied. Methods to imitate initial fractures are developed. It is pointed that there are important defects in the extreme value (EV) method ever proposed by Palaniswamy and Knauss. The major defect lies in that only two Euler angles (2EA) are considered, but another one is neglected. If the variation of all the three Euler angles (3EA) are considered, one can get better result which is consistent with the observation of faulting that extends on curved surfaces but not on planes. The method of evaluating maximal normal stress direction vector (NSDV) is proposed and further proved to be equivalent to the 3EA method. It is proved that the NSDV method can be further optimized to the method of composition of the first principal differential plane (CFPDP). The results from CFPDP method can fit the curved surfaces of initial growth observed in the experiments of 3-D fracture. The CFPDP method can also be used to interpret the 3-D fractures of the slipping section between the asperities in the buried fault plane that is modeled as ellipse crack. The results of 3-D fracture can be applied to interpreting the related problems of faulting including the mechanism of a lot of shatter rocks with different dimensions, the cause of earthquakes occurred at the edge of plate under low shear stress, and the mechanism of anisotropy caused by the extensive dilatancy anisotropy (EDA) cracks.展开更多
Structure plane is one of the important factors affecting the stability and failure mode of rock mass engineering.Rock mass structure characterization is the basic work of rock mechanics research and the important con...Structure plane is one of the important factors affecting the stability and failure mode of rock mass engineering.Rock mass structure characterization is the basic work of rock mechanics research and the important content of numerical simulation.A new 3-dimensional rough discrete fracture network(RDFN3D)model and its modeling method based on the Weierstrass-Mandelbrot(W-M)function were presented in this paper.The RDFN3D model,which improves and unifies the modelling methods for the complex structural planes,has been realized.The influence of fractal dimension,amplitude,and surface precision on the modeling parameters of RDFN3D was discussed.The reasonable W-M parameters suitable for the roughness coefficient of JRC were proposed,and the relationship between the mathematical model and the joint characterization was established.The RDFN3D together with the smooth 3-dimensional discrete fracture network(DFN3D)models were successfully exported to the drawing exchange format,which will provide a wide application in numerous numerical simulation codes including both the continuous and discontinuous methods.The numerical models were discussed using the COMSOL Multiphysics code and the 3-dimensional particle flow code,respectively.The reliability of the RDFN3D model was preliminarily discussed and analyzed.The roughness and spatial connectivity of the fracture networks have a dominant effect on the fluid flow patterns.The research results can provide a new geological model and analysis model for numerical simulation and engineering analysis of jointed rock mass.展开更多
The key to managing fracture is to achieve stable internal fixation,and currently,biologically and mechanically appropriate internal fixation devices are urgently needed.With excellent biocompatibility and corrosion r...The key to managing fracture is to achieve stable internal fixation,and currently,biologically and mechanically appropriate internal fixation devices are urgently needed.With excellent biocompatibility and corrosion resistance,titanium–niobium alloys have the potential to become a new generation of internal fixation materials for fractures.However,the role and mechanism of titanium–niobium alloys on promoting fracture healing are still undefined.Therefore,in this study,we systematically evaluated the bone-enabling properties of Ti45Nb via in vivo and in vitro experiments.In vitro,we found that Ti45Nb has an excellent ability to promote MC3T3-E1 cell adhesion and proliferation without obvious cytotoxicity.Alkaline phosphatase(ALP)activity and alizarin red staining and semiquantitative analysis showed that Ti45Nb enhanced the osteogenic differentiation of MC3T3-E1 cells compared to the Ti6Al4V control.In the polymerase chain reaction experiment,the expression of osteogenic genes in the Ti45Nb group,such as ALP,osteopontin(OPN),osteocalcin(OCN),type 1 collagen(Col-1)and runt-related transcription factor-2(Runx2),was significantly higher than that in the control group.Meanwhile,in the western blot experiment,the expression of osteogenic-related proteins in the Ti45Nb group was significantly increased,and the expression of PI3K–Akt-related proteins was also higher,which indicated that Ti45Nb might promote fracture healing by activating the PI3K–Akt signaling pathway.In vivo,we found that Ti45Nb implants accelerated fracture healing compared to Ti6Al4V,and the biosafety of Ti45Nb was confirmed by histological evaluation.Furthermore,immunohistochemical staining confirmed that Ti45Nb may promote osteogenesis by upregulating the PI3K/Akt signaling pathway.Our study demonstrated that Ti45Nb exerts an excellent ability to promote fracture healing as well as enhance osteoblast differentiation by activating the PI3K/Akt signaling pathway,and its good biosafety has been confirmed,which indicates its clinical translation potential.展开更多
Osteomyelitis of the calcaneus can be a limb threatening diagnosis, which is typically treated with antibiotic therapy with or without partial resection of the bone. Extensive infection of the bone commonly results in...Osteomyelitis of the calcaneus can be a limb threatening diagnosis, which is typically treated with antibiotic therapy with or without partial resection of the bone. Extensive infection of the bone commonly results in limb amputation via transtibial or transfemoral amputation, which can increase morbidity and mortality. This case report involves a 29-year-old male who sustained bilateral calcaneal fracture after a fall, who developed osteomyelitis of the right calcaneus after being treated with internal/external fixation and antibiotic therapy. In order to preserve the limb total calcaneal replacement with 3D printed implant was done.展开更多
Nonlinear flow behavior of fluids through three-dimensional(3D)discrete fracture networks(DFNs)considering effects of fracture number,surface roughness and fracture aperture was experimentally and numerically investig...Nonlinear flow behavior of fluids through three-dimensional(3D)discrete fracture networks(DFNs)considering effects of fracture number,surface roughness and fracture aperture was experimentally and numerically investigated.Three physical models of DFNs were 3D-printed and then computed tomography(CT)-scanned to obtain the specific geometry of fractures.The validity of numerically simulating the fluid flow through DFNs was verified via comparison with flow tests on the 3D-printed models.A parametric study was then implemented to establish quantitative relations between the coefficients/parameters in Forchheimer’s law and geometrical parameters.The results showed that the 3D-printing technique can well reproduce the geometry of single fractures with less precision when preparing complex fracture networks,numerical modeling precision of which can be improved via CT-scanning as evidenced by the well fitted results between fluid flow tests and numerical simulations using CT-scanned digital models.Streamlines in DFNs become increasingly tortuous as the fracture number and roughness increase,resulting in stronger inertial effects and greater curvatures of hydraulic pressure-low rate relations,which can be well characterized by the Forchheimer’s law.The critical hydraulic gradient for the onset of nonlinear flow decreases with the increasing aperture,fracture number and roughness,following a power function.The increases in fracture aperture and number provide more paths for fluid flow,increasing both the viscous and inertial permeabilities.The value of the inertial permeability is approximately four orders of magnitude greater than the viscous permeability,following a power function with an exponent a of 3,and a proportional coefficient b mathematically correlated with the geometrical parameters.展开更多
Three-dimensional (3D) five-directional braided (SiO2)/SiO2 composites were prepared by silicasol-infiltration-sintering (SIS) method. The flexural properties and microstructures were studied. The flexural stren...Three-dimensional (3D) five-directional braided (SiO2)/SiO2 composites were prepared by silicasol-infiltration-sintering (SIS) method. The flexural properties and microstructures were studied. The flexural strength and flexural elastic modulus were found to be 73 MPa and 12 GPa, respectively. The results of stress vs deflection curve and SEM examinations revealed that the fracture mechanism of 3D, five-directional braided (SiO2)/SiO2 composite was a mixture mode of ductile and brittle. The ductile mode was attributed to the weak bonding strength of fiber/matrix at low temperature. The brittle fracture might be caused by the propagation of micro defect or crack, which existed in the as-prepared composites for the ten-cycle process.展开更多
Accurate 3-dimensional(3-D)reconstruction technology for nondestructive testing based on digital radiography(DR)is of great importance for alleviating the drawbacks of the existing computed tomography(CT)-based method...Accurate 3-dimensional(3-D)reconstruction technology for nondestructive testing based on digital radiography(DR)is of great importance for alleviating the drawbacks of the existing computed tomography(CT)-based method.The commonly used Monte Carlo simulation method ensures well-performing imaging results for DR.However,for 3-D reconstruction,it is limited by its high time consumption.To solve this problem,this study proposes a parallel computing method to accelerate Monte Carlo simulation for projection images with a parallel interface and a specific DR application.The images are utilized for 3-D reconstruction of the test model.We verify the accuracy of parallel computing for DR and evaluate the performance of two parallel computing modes-multithreaded applications(G4-MT)and message-passing interfaces(G4-MPI)-by assessing parallel speedup and efficiency.This study explores the scalability of the hybrid G4-MPI and G4-MT modes.The results show that the two parallel computing modes can significantly reduce the Monte Carlo simulation time because the parallel speedup increment of Monte Carlo simulations can be considered linear growth,and the parallel efficiency is maintained at a high level.The hybrid mode has strong scalability,as the overall run time of the 180 simulations using 320 threads is 15.35 h with 10 billion particles emitted,and the parallel speedup can be up to 151.36.The 3-D reconstruction of the model is achieved based on the filtered back projection(FBP)algorithm using 180 projection images obtained with the hybrid G4-MPI and G4-MT.The quality of the reconstructed sliced images is satisfactory because the images can reflect the internal structure of the test model.This method is applied to a complex model,and the quality of the reconstructed images is evaluated.展开更多
Determining the width of an induced hydraulic fracture is the first step for applying wellbore strengthening and hydraulic fracturing techniques. However, current 2-D analytical solutions obtained from the plane strai...Determining the width of an induced hydraulic fracture is the first step for applying wellbore strengthening and hydraulic fracturing techniques. However, current 2-D analytical solutions obtained from the plane strain assumption may have large uncertainties when the fracture height is small. To solve this problem, a 3-D finite element method(FEM) is used to model wellbore strengthening and calculate the fracture width. Comparisons show that the 2-D plane strain solution is the asymptote of the 3-D FEM solution. Therefore, the 2-D solution may overestimate the fracture width. This indicates that the2-D solution may not be applicable in 3-D conditions. Based on the FEM modeling, a new 3-D semi-analytical solution for determining the fracture width is proposed, which accounts for the e ects of 3-D fracture dimensions, stress anisotropy and borehole inclination. Compared to the 2-D solution, this new 3-D semi-analytical solution predicts a smaller fracture width.This implies that the 2-D-based old design for wellbore strengthening may overestimate the fracture width, which can be reduced using the proposed 3-D solution. It also allows an easy way to calculate the fracture width in complex geometrical and geological conditions. This solution has been verified against 3-D finite element calculations for field applications.展开更多
Background:Hai Honghua medicinal liquor(HHML),a famous hospital formula composed of 19 traditional Chinese medicines,has been successfully applied in treating soft tissue injury,fresh closed fracture,limb dysfunction ...Background:Hai Honghua medicinal liquor(HHML),a famous hospital formula composed of 19 traditional Chinese medicines,has been successfully applied in treating soft tissue injury,fresh closed fracture,limb dysfunction after fracture healing,shoulder,neck and leg pain,knee joint pain and other clinical multiple diseases for 30 years in clinical.However,research on the material basis of HHML for the treatment of fracture healing-related disorders is still in a gap.Therefore,it is particularly important to explore the active ingredients,core targets and potential pharmacological mechanisms of HHML to promote fracture healing.Methods:We screened the core active components of each traditional Chinese medicine in formula and its action targets through the Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform and Encyclopedia of Traditional Chinese Medicine database.The fracture related targets were retrieved from several different public databases,including GeneCards,Online Mendelian Inheritance in Man,DisGeNET and Therapeutic Target Database.Bioinformatics analysis to obtain key bioactive components,underlying targets and signaling pathways,containing the Venn diagram of the intersection with components and diseases gene targets,protein–protein interaction,as well as the Gene Ontology and the Kyoto Encyclopedia of Genes and Genomes analysis,and finally molecular docking.Results:A total of 249 bioactive ingredients of HHML and 325 HHML-fracture-related targets were screened.The network analysis revealed that quercetin,luteolin,kaempferol,Licochalcone A,naringenin and 8-Isopentenyl-kaempferol may be potential candidate agents.Multiple targets are involved including TP53,MAPK3,STAT3,AKT1,MAPK1,HSP90AA1,ESR1 and PIK3CA may be closely linked targets.PI3K-AKT signaling pathway may play a significant role of HHML in treatment of fracture.What’s more,molecular docking suggested that 8-isopentenyl kaempferol,glycyrrhiza chalcone A,and naringenin bound to AKT1,PIK3CA,and ESR1,respectively,exhibiting lower energy and more stable characteristics.Conclusions:The findings indicate the potential active ingredients,target proteins and molecular mechanisms of HHML for the treatment of fractures to provide the exact idea for the next research on the mechanism of action of HHML formula for fracture treatment.展开更多
In current research,a series of triaxial tests,which were employed to simulate three typical mining layouts(i.e.,top-coal caving,non-pillar mining and protected coal seam mining),were conducted on coal by using MTS815...In current research,a series of triaxial tests,which were employed to simulate three typical mining layouts(i.e.,top-coal caving,non-pillar mining and protected coal seam mining),were conducted on coal by using MTS815 Flex Test GT rock mechanics test system,and the fracture networks in the broken coal samples were qualitatively and quantitatively investigated by employing CT scanning and 3D reconstruction techniques.This work aimed at providing a detail description on the micro-structure and fractureconnectivity characteristics of rupture coal samples under different mining layouts.The results show that:(i)for protected coal seam mining layout,the coal specimens failure is in a compression-shear manner and oppositely,(ii)the tension-shear failure phenomenon is observed for top-coal caving and non-pillar mining layouts.By investigating the connectivity features of the generated fractures in the direction ofσ_1,under different mining layouts,it is found that the connectivity level of the fractures of the samples corresponding to non-pillar mining layout was the highest.展开更多
This study explored the feasibility of employing computer-aided design(CAD)and 3 dimensional(3D)-printed personalized guide plate for the mini-invasive percutaneous internal screw fixation of fractured scaphoid.The st...This study explored the feasibility of employing computer-aided design(CAD)and 3 dimensional(3D)-printed personalized guide plate for the mini-invasive percutaneous internal screw fixation of fractured scaphoid.The study consisted of two parts:(1)experimentation on upper limbs from corpses and(2)preliminary clinical application.Corpse experiments involved upper limbs of 6 adult corpses.The specimens of upper limbs were subjected to plain CT scan.Then the CT data were input into computer to conduct 3D reconstruction of wrist region.The direction and depth of the guide wire and screw were designed on the basis of the principle that screw should lie at the center of scaphoid and the long axis of the screw should be aligned with that of the scaphoid.The carpal bone model and the guide plate were designed and 3D-printed.By using the guide plates,the guide wire was placed and the cannulated compression screw was inserted.The wrist region was examined by X-ray and CT to observe the location of the screw in the scaphoid.The scaphoid was longitudinally excised to grossly observe the location and evaluate the result of screw insertion.For clinical application,the guide plate was employed in 4 patients with fresh scaphoid fracture using the aforementioned operative technique.Our results showed that,in the 6 corpse limbs,the guide plate well fitted the skin surface and the guide wire and screw were accurately put in place in one session.X-ray examination and gross observation confirmed that the screw was satisfactorily positioned and the result met the requirements of the preoperative design.For 4 patients,the guide wire and screw were all precisely inserted into place in one session.The operation time and X-ray exposure times were apparently reduced.The imaging examination exhibited satisfactory results and the hand functioned well.It was concluded that the operative guide plate used for the miniinvasive percutaneous internal screw fixation of fractured scaphoid not only can assist in accurate placement of screw but also shorten operation time and reduce insertion and X-ray exposure times,thereby reducing the radiation injury and damage to the substance and the blood circulation of carpal bone.Its use can also improve the learning curve of surgeons.展开更多
As main part of underground rock mass,the three-dimensional(3D)morphology of natural fractures plays an important role in rock mass stability.Based on previous studies on 3D morphology,this study probes into the law a...As main part of underground rock mass,the three-dimensional(3D)morphology of natural fractures plays an important role in rock mass stability.Based on previous studies on 3D morphology,this study probes into the law and mechanism regarding the influence of the confining pressure constraints on 3D morphological features of natural fractures.First,fracture surfaces were obtained by true triaxial compression test and 3D laser scanning.Then 3D morphological parameters of fractures were calculated by using Grasselli’s model.The results show that the failure mode of granites developed by true triaxial stress can be categorized into tension failure and shear failure.Based on the spatial position of fractures,they can be divided into tension fracture surface,S-1 shear fracture surface,and S-2 shear fracture surface.Micro-failure of the tension fracture surface is dominated by mainly intergranular fracture;the maximum height of asperities on the fracture surface and the 3D roughness of fracture surfaces are influenced by σ_(3) only and they are greater than those of shear fracture surfaces,a lower overall uniformity than tension fracture surface.S-1 shear fracture surface and S-2 shear fracture surface are dominated by intragranular and intergranular coupling fracture.The maximum height of asperities on the fracture surface and 3D roughness of fracture surface are affected by σ_(1),σ_(2),and σ_(3).With the increase of σ_(2) or σ_(3),the cutting off of asperities on the fracture surface becomes more common,the maximum height of asperities and 3D roughness of fracture surface further decrease,and the overall uniformity gets further improved.The experimental results are favorable for selecting technical parameters of enhanced geothermal development and the safety of underground mine engineering.展开更多
基金supported by the National Basic Research Program of China (973 Program, No. 2013CB035904)the Innovative Research Groups of the National Natural Science Foundation of China (No. 51321065)the National Natural Science Foundation of China (No. 51439005)
文摘Effectively and accurately modelling the spatial relation of fracture surfaces is crucial in the design and construction of large hydropower dams having a complex underlying geology. However, fracture surfaces are randomly formed and vary greatly with respect to their spatial distribution, which makes the construction of accurate 3-D models challenging. In this study, we use an optimal Monte Carlo simulation and dynamic conditioning to construct a fracture network model. We found the optimal Monte Carlo simulation to effectively reduce the error associated with the Monte Carlo method and use dynamic conditioning to ensure the consistency of the model with the actual distribution of fractures on the excavation faces and outcrops. We applied this novel approach to a hydropower station on the Jinshajiang River, China. The simulation results matched the real sampled values well, confirming that the model is capable of effectively and accurately simulating the spatial relations in a fracture network.
基金supported by the National Natural Science Foundation of China(Nos.42077243,52209148,and 52079062).
文摘With an extension of the geological entropy concept in porous media,the approach called directional entrogram is applied to link hydraulic behavior to the anisotropy of the 3D fracture networks.A metric called directional entropic scale is used to measure the anisotropy of spatial order in different directions.Compared with the traditional connectivity indexes based on the statistics of fracture geometry,the directional entropic scale is capable to quantify the anisotropy of connectivity and hydraulic conductivity in heterogeneous 3D fracture networks.According to the numerical analysis of directional entrogram and fluid flow in a number of the 3D fracture networks,the hydraulic conductivities and entropic scales in different directions both increase with spatial order(i.e.,trace length decreasing and spacing increasing)and are independent of the dip angle.As a result,the nonlinear correlation between the hydraulic conductivities and entropic scales from different directions can be unified as quadratic polynomial function,which can shed light on the anisotropic effect of spatial order and global entropy on the heterogeneous hydraulic behaviors.
基金Supported by The Clinical Medical Science and Technology Development Fund Project of Jiangsu University,No.JLY2021185.
文摘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.
文摘目的探讨(1-3)-β-D葡聚糖联合降钙素原(procalcitonin,PCT)、CD4^(+)T淋巴细胞多指标在艾滋病患者马尔尼菲篮状菌感染早期诊断临床研究。方法回顾性选取我院2020年1月—2022年6月住院的120例艾滋病患者为研究对象。依据实验室结果,将其分为马尔尼菲篮状菌感染确诊组(血或组织液培育养出马尔尼菲篮状菌),简称A组(62例),及马尔尼菲篮状菌感染临床诊断组[根据临床症状、体征、血常规及(1-3)-β-D葡聚糖、PCT、CD4^(+)T淋巴细胞多指标诊断],简称B组(58例)。检测患者(1-3)-β-D葡聚糖、PCT、CD4^(+)T淋巴细胞的表达水平,采用受试者工作特征(receiver-operating characteristic,ROC)曲线下面积(area under the curve,AUC)评估上述指标联合检测对艾滋病患者感染马尔尼菲篮状菌的诊断效能。结果A组的(1-3)-β-D葡聚糖和PCT水平均高于B组,CD4^(+)T淋巴细胞个数低于B组(P<0.05);(1-3)-β-D葡聚糖、PCT、CD4^(+)T淋巴细胞联合检测的AUC为0.933,(1-3)-β-D葡聚糖单独检测的AUC是0.812,PCT单独检测的AUC为0.883,CD4^(+)T淋巴细胞单独检测的AUC是0.810,(1-3)-β-D葡聚糖、PCT和CD4^(+)T淋巴细胞联合检测的AUC皆优于三项单独检测,表明(1-3)-β-D葡聚糖、PCT和CD4^(+)T淋巴细胞联合检测的诊断价值皆优于单一指标诊断,且联合检测的特异度、约登指数分别为92.43%和0.580,均高于三项单独检测。结论(1-3)-β-D葡聚糖联合PCT和CD4^(+)T淋巴细胞多指标对艾滋病马尔尼菲篮状菌感染具有非常高的临床诊断价值,能够帮助医生分析出高危风险患者,及时制定治疗方案,同时也承担预后效果的判断依据,对治疗艾滋病马尔尼菲篮状菌感染具有非常重要的研究价值。
基金supported by National Natural Science Foundation of China(No. 41090292)
文摘The experimental results of 3-D fracture under compression are introduced in brief and the theory of stress criterion of 3-D fracture is studied. Methods to imitate initial fractures are developed. It is pointed that there are important defects in the extreme value (EV) method ever proposed by Palaniswamy and Knauss. The major defect lies in that only two Euler angles (2EA) are considered, but another one is neglected. If the variation of all the three Euler angles (3EA) are considered, one can get better result which is consistent with the observation of faulting that extends on curved surfaces but not on planes. The method of evaluating maximal normal stress direction vector (NSDV) is proposed and further proved to be equivalent to the 3EA method. It is proved that the NSDV method can be further optimized to the method of composition of the first principal differential plane (CFPDP). The results from CFPDP method can fit the curved surfaces of initial growth observed in the experiments of 3-D fracture. The CFPDP method can also be used to interpret the 3-D fractures of the slipping section between the asperities in the buried fault plane that is modeled as ellipse crack. The results of 3-D fracture can be applied to interpreting the related problems of faulting including the mechanism of a lot of shatter rocks with different dimensions, the cause of earthquakes occurred at the edge of plate under low shear stress, and the mechanism of anisotropy caused by the extensive dilatancy anisotropy (EDA) cracks.
基金This work was financially supported by the National Key R&D Program of China(No.2021YFC2900500)the National Natural Science Foundation of China(Nos.52074020 and 42202306)+2 种基金the Open Fund of State Key Laboratory of Water Resource Protection and Utilization in Coal Mining(No.WPUKFJJ2019-06)the Interdisciplinary Research Project for Young Teachers of USTB(Fundamental Research Funds for the Central Universities)(No.FRF-IDRY-21001)the Natural Science Foundation of Jiangsu Province,China(No.BK20200993).
文摘Structure plane is one of the important factors affecting the stability and failure mode of rock mass engineering.Rock mass structure characterization is the basic work of rock mechanics research and the important content of numerical simulation.A new 3-dimensional rough discrete fracture network(RDFN3D)model and its modeling method based on the Weierstrass-Mandelbrot(W-M)function were presented in this paper.The RDFN3D model,which improves and unifies the modelling methods for the complex structural planes,has been realized.The influence of fractal dimension,amplitude,and surface precision on the modeling parameters of RDFN3D was discussed.The reasonable W-M parameters suitable for the roughness coefficient of JRC were proposed,and the relationship between the mathematical model and the joint characterization was established.The RDFN3D together with the smooth 3-dimensional discrete fracture network(DFN3D)models were successfully exported to the drawing exchange format,which will provide a wide application in numerous numerical simulation codes including both the continuous and discontinuous methods.The numerical models were discussed using the COMSOL Multiphysics code and the 3-dimensional particle flow code,respectively.The reliability of the RDFN3D model was preliminarily discussed and analyzed.The roughness and spatial connectivity of the fracture networks have a dominant effect on the fluid flow patterns.The research results can provide a new geological model and analysis model for numerical simulation and engineering analysis of jointed rock mass.
基金This work was supported by the National Natural Science Foundation of China(Nos.81972058,81902194 and 82202680)the Science and Technology Commission of Shanghai Municipality(No.22YF1422900)+3 种基金the Shanghai Municipal Key Clinical Specialty,China(No.shslczdzk06701)the National Facility for Translational Medicine(Shanghai),China(No.TMSZ-2020-207)the Shanghai Engineering Research Center of Orthopedic Innovative Instruments and Personalized Medicine Instruments and Personalized Medicine(No.19DZ2250200)the Key R&D Program of Ningxia,China(Nos.2020BCH01001 and 2021BEG02037).
文摘The key to managing fracture is to achieve stable internal fixation,and currently,biologically and mechanically appropriate internal fixation devices are urgently needed.With excellent biocompatibility and corrosion resistance,titanium–niobium alloys have the potential to become a new generation of internal fixation materials for fractures.However,the role and mechanism of titanium–niobium alloys on promoting fracture healing are still undefined.Therefore,in this study,we systematically evaluated the bone-enabling properties of Ti45Nb via in vivo and in vitro experiments.In vitro,we found that Ti45Nb has an excellent ability to promote MC3T3-E1 cell adhesion and proliferation without obvious cytotoxicity.Alkaline phosphatase(ALP)activity and alizarin red staining and semiquantitative analysis showed that Ti45Nb enhanced the osteogenic differentiation of MC3T3-E1 cells compared to the Ti6Al4V control.In the polymerase chain reaction experiment,the expression of osteogenic genes in the Ti45Nb group,such as ALP,osteopontin(OPN),osteocalcin(OCN),type 1 collagen(Col-1)and runt-related transcription factor-2(Runx2),was significantly higher than that in the control group.Meanwhile,in the western blot experiment,the expression of osteogenic-related proteins in the Ti45Nb group was significantly increased,and the expression of PI3K–Akt-related proteins was also higher,which indicated that Ti45Nb might promote fracture healing by activating the PI3K–Akt signaling pathway.In vivo,we found that Ti45Nb implants accelerated fracture healing compared to Ti6Al4V,and the biosafety of Ti45Nb was confirmed by histological evaluation.Furthermore,immunohistochemical staining confirmed that Ti45Nb may promote osteogenesis by upregulating the PI3K/Akt signaling pathway.Our study demonstrated that Ti45Nb exerts an excellent ability to promote fracture healing as well as enhance osteoblast differentiation by activating the PI3K/Akt signaling pathway,and its good biosafety has been confirmed,which indicates its clinical translation potential.
文摘Osteomyelitis of the calcaneus can be a limb threatening diagnosis, which is typically treated with antibiotic therapy with or without partial resection of the bone. Extensive infection of the bone commonly results in limb amputation via transtibial or transfemoral amputation, which can increase morbidity and mortality. This case report involves a 29-year-old male who sustained bilateral calcaneal fracture after a fall, who developed osteomyelitis of the right calcaneus after being treated with internal/external fixation and antibiotic therapy. In order to preserve the limb total calcaneal replacement with 3D printed implant was done.
基金the Natural Science Foundation of Zhejiang Province(Grant No.LR19E090001)the Natural Science Foundation of China(Grant Nos.42077252,42011530122,and 51979272).
文摘Nonlinear flow behavior of fluids through three-dimensional(3D)discrete fracture networks(DFNs)considering effects of fracture number,surface roughness and fracture aperture was experimentally and numerically investigated.Three physical models of DFNs were 3D-printed and then computed tomography(CT)-scanned to obtain the specific geometry of fractures.The validity of numerically simulating the fluid flow through DFNs was verified via comparison with flow tests on the 3D-printed models.A parametric study was then implemented to establish quantitative relations between the coefficients/parameters in Forchheimer’s law and geometrical parameters.The results showed that the 3D-printing technique can well reproduce the geometry of single fractures with less precision when preparing complex fracture networks,numerical modeling precision of which can be improved via CT-scanning as evidenced by the well fitted results between fluid flow tests and numerical simulations using CT-scanned digital models.Streamlines in DFNs become increasingly tortuous as the fracture number and roughness increase,resulting in stronger inertial effects and greater curvatures of hydraulic pressure-low rate relations,which can be well characterized by the Forchheimer’s law.The critical hydraulic gradient for the onset of nonlinear flow decreases with the increasing aperture,fracture number and roughness,following a power function.The increases in fracture aperture and number provide more paths for fluid flow,increasing both the viscous and inertial permeabilities.The value of the inertial permeability is approximately four orders of magnitude greater than the viscous permeability,following a power function with an exponent a of 3,and a proportional coefficient b mathematically correlated with the geometrical parameters.
基金Funded by the Basic Research Project of Science and Technology of Jiangsu Province(No.BK2009002)the National Natural ScienceFoundation of China(No.61176062)the Fundamental Research Funds for the Central Universities(No.NS2013061)
文摘Three-dimensional (3D) five-directional braided (SiO2)/SiO2 composites were prepared by silicasol-infiltration-sintering (SIS) method. The flexural properties and microstructures were studied. The flexural strength and flexural elastic modulus were found to be 73 MPa and 12 GPa, respectively. The results of stress vs deflection curve and SEM examinations revealed that the fracture mechanism of 3D, five-directional braided (SiO2)/SiO2 composite was a mixture mode of ductile and brittle. The ductile mode was attributed to the weak bonding strength of fiber/matrix at low temperature. The brittle fracture might be caused by the propagation of micro defect or crack, which existed in the as-prepared composites for the ten-cycle process.
基金the China Natural Science Fund(No.52171253)the Natural Science Foundation of Sichuan(No.2022NSFSCO949).
文摘Accurate 3-dimensional(3-D)reconstruction technology for nondestructive testing based on digital radiography(DR)is of great importance for alleviating the drawbacks of the existing computed tomography(CT)-based method.The commonly used Monte Carlo simulation method ensures well-performing imaging results for DR.However,for 3-D reconstruction,it is limited by its high time consumption.To solve this problem,this study proposes a parallel computing method to accelerate Monte Carlo simulation for projection images with a parallel interface and a specific DR application.The images are utilized for 3-D reconstruction of the test model.We verify the accuracy of parallel computing for DR and evaluate the performance of two parallel computing modes-multithreaded applications(G4-MT)and message-passing interfaces(G4-MPI)-by assessing parallel speedup and efficiency.This study explores the scalability of the hybrid G4-MPI and G4-MT modes.The results show that the two parallel computing modes can significantly reduce the Monte Carlo simulation time because the parallel speedup increment of Monte Carlo simulations can be considered linear growth,and the parallel efficiency is maintained at a high level.The hybrid mode has strong scalability,as the overall run time of the 180 simulations using 320 threads is 15.35 h with 10 billion particles emitted,and the parallel speedup can be up to 151.36.The 3-D reconstruction of the model is achieved based on the filtered back projection(FBP)algorithm using 180 projection images obtained with the hybrid G4-MPI and G4-MT.The quality of the reconstructed sliced images is satisfactory because the images can reflect the internal structure of the test model.This method is applied to a complex model,and the quality of the reconstructed images is evaluated.
基金partially supported by National Key R&D Program of China (2017YFC0804108) during the 13th Five-Year Plan PeriodNational Science Foundation of China (51774136)+1 种基金Natural Science Foundation of Hebei Province of China (D2017508099)the Program for Innovative Research Team in the University sponsored by Ministry of Education of China (IRT-17R37)
文摘Determining the width of an induced hydraulic fracture is the first step for applying wellbore strengthening and hydraulic fracturing techniques. However, current 2-D analytical solutions obtained from the plane strain assumption may have large uncertainties when the fracture height is small. To solve this problem, a 3-D finite element method(FEM) is used to model wellbore strengthening and calculate the fracture width. Comparisons show that the 2-D plane strain solution is the asymptote of the 3-D FEM solution. Therefore, the 2-D solution may overestimate the fracture width. This indicates that the2-D solution may not be applicable in 3-D conditions. Based on the FEM modeling, a new 3-D semi-analytical solution for determining the fracture width is proposed, which accounts for the e ects of 3-D fracture dimensions, stress anisotropy and borehole inclination. Compared to the 2-D solution, this new 3-D semi-analytical solution predicts a smaller fracture width.This implies that the 2-D-based old design for wellbore strengthening may overestimate the fracture width, which can be reduced using the proposed 3-D solution. It also allows an easy way to calculate the fracture width in complex geometrical and geological conditions. This solution has been verified against 3-D finite element calculations for field applications.
基金This work was supported by the Project of State Administration of Traditional Chinese Medicine of Sichuan Province of China(No.2021MS407).
文摘Background:Hai Honghua medicinal liquor(HHML),a famous hospital formula composed of 19 traditional Chinese medicines,has been successfully applied in treating soft tissue injury,fresh closed fracture,limb dysfunction after fracture healing,shoulder,neck and leg pain,knee joint pain and other clinical multiple diseases for 30 years in clinical.However,research on the material basis of HHML for the treatment of fracture healing-related disorders is still in a gap.Therefore,it is particularly important to explore the active ingredients,core targets and potential pharmacological mechanisms of HHML to promote fracture healing.Methods:We screened the core active components of each traditional Chinese medicine in formula and its action targets through the Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform and Encyclopedia of Traditional Chinese Medicine database.The fracture related targets were retrieved from several different public databases,including GeneCards,Online Mendelian Inheritance in Man,DisGeNET and Therapeutic Target Database.Bioinformatics analysis to obtain key bioactive components,underlying targets and signaling pathways,containing the Venn diagram of the intersection with components and diseases gene targets,protein–protein interaction,as well as the Gene Ontology and the Kyoto Encyclopedia of Genes and Genomes analysis,and finally molecular docking.Results:A total of 249 bioactive ingredients of HHML and 325 HHML-fracture-related targets were screened.The network analysis revealed that quercetin,luteolin,kaempferol,Licochalcone A,naringenin and 8-Isopentenyl-kaempferol may be potential candidate agents.Multiple targets are involved including TP53,MAPK3,STAT3,AKT1,MAPK1,HSP90AA1,ESR1 and PIK3CA may be closely linked targets.PI3K-AKT signaling pathway may play a significant role of HHML in treatment of fracture.What’s more,molecular docking suggested that 8-isopentenyl kaempferol,glycyrrhiza chalcone A,and naringenin bound to AKT1,PIK3CA,and ESR1,respectively,exhibiting lower energy and more stable characteristics.Conclusions:The findings indicate the potential active ingredients,target proteins and molecular mechanisms of HHML for the treatment of fractures to provide the exact idea for the next research on the mechanism of action of HHML formula for fracture treatment.
基金financially supported by the Major State Fundamental Research Project of China(Nos.2011CB201201and2010CB226802)the National Natural Science Foundation of China(No.51204113)the Youth Science and Technology Fund of Sichuan Province(No.2012JQ0031)
文摘In current research,a series of triaxial tests,which were employed to simulate three typical mining layouts(i.e.,top-coal caving,non-pillar mining and protected coal seam mining),were conducted on coal by using MTS815 Flex Test GT rock mechanics test system,and the fracture networks in the broken coal samples were qualitatively and quantitatively investigated by employing CT scanning and 3D reconstruction techniques.This work aimed at providing a detail description on the micro-structure and fractureconnectivity characteristics of rupture coal samples under different mining layouts.The results show that:(i)for protected coal seam mining layout,the coal specimens failure is in a compression-shear manner and oppositely,(ii)the tension-shear failure phenomenon is observed for top-coal caving and non-pillar mining layouts.By investigating the connectivity features of the generated fractures in the direction ofσ_1,under different mining layouts,it is found that the connectivity level of the fractures of the samples corresponding to non-pillar mining layout was the highest.
文摘This study explored the feasibility of employing computer-aided design(CAD)and 3 dimensional(3D)-printed personalized guide plate for the mini-invasive percutaneous internal screw fixation of fractured scaphoid.The study consisted of two parts:(1)experimentation on upper limbs from corpses and(2)preliminary clinical application.Corpse experiments involved upper limbs of 6 adult corpses.The specimens of upper limbs were subjected to plain CT scan.Then the CT data were input into computer to conduct 3D reconstruction of wrist region.The direction and depth of the guide wire and screw were designed on the basis of the principle that screw should lie at the center of scaphoid and the long axis of the screw should be aligned with that of the scaphoid.The carpal bone model and the guide plate were designed and 3D-printed.By using the guide plates,the guide wire was placed and the cannulated compression screw was inserted.The wrist region was examined by X-ray and CT to observe the location of the screw in the scaphoid.The scaphoid was longitudinally excised to grossly observe the location and evaluate the result of screw insertion.For clinical application,the guide plate was employed in 4 patients with fresh scaphoid fracture using the aforementioned operative technique.Our results showed that,in the 6 corpse limbs,the guide plate well fitted the skin surface and the guide wire and screw were accurately put in place in one session.X-ray examination and gross observation confirmed that the screw was satisfactorily positioned and the result met the requirements of the preoperative design.For 4 patients,the guide wire and screw were all precisely inserted into place in one session.The operation time and X-ray exposure times were apparently reduced.The imaging examination exhibited satisfactory results and the hand functioned well.It was concluded that the operative guide plate used for the miniinvasive percutaneous internal screw fixation of fractured scaphoid not only can assist in accurate placement of screw but also shorten operation time and reduce insertion and X-ray exposure times,thereby reducing the radiation injury and damage to the substance and the blood circulation of carpal bone.Its use can also improve the learning curve of surgeons.
基金support from the National Natural Science Foundation of China(Nos.51974173 and 52004147)the Natural Science Foundation of Shandong Province(Nos.ZR2020QD122 and ZR2020QE129).
文摘As main part of underground rock mass,the three-dimensional(3D)morphology of natural fractures plays an important role in rock mass stability.Based on previous studies on 3D morphology,this study probes into the law and mechanism regarding the influence of the confining pressure constraints on 3D morphological features of natural fractures.First,fracture surfaces were obtained by true triaxial compression test and 3D laser scanning.Then 3D morphological parameters of fractures were calculated by using Grasselli’s model.The results show that the failure mode of granites developed by true triaxial stress can be categorized into tension failure and shear failure.Based on the spatial position of fractures,they can be divided into tension fracture surface,S-1 shear fracture surface,and S-2 shear fracture surface.Micro-failure of the tension fracture surface is dominated by mainly intergranular fracture;the maximum height of asperities on the fracture surface and the 3D roughness of fracture surfaces are influenced by σ_(3) only and they are greater than those of shear fracture surfaces,a lower overall uniformity than tension fracture surface.S-1 shear fracture surface and S-2 shear fracture surface are dominated by intragranular and intergranular coupling fracture.The maximum height of asperities on the fracture surface and 3D roughness of fracture surface are affected by σ_(1),σ_(2),and σ_(3).With the increase of σ_(2) or σ_(3),the cutting off of asperities on the fracture surface becomes more common,the maximum height of asperities and 3D roughness of fracture surface further decrease,and the overall uniformity gets further improved.The experimental results are favorable for selecting technical parameters of enhanced geothermal development and the safety of underground mine engineering.