Special stent for draining the abdominal abscess respectively from colon and duodenum:A case report

BACKGROUND Postoperative abdominal infections are an important and heterogeneous health challenge.Many samll abdominal abscesses are resolved with antibiotics,but larger or symptomatic abscesses may require procedural management.CASE SUMMARY A 65-year-old male patient who suffered operation for the left hepatocellular carcinoma eight months ago,came to our hospital with recurrent abdominal pain,vomit,and fever for one month.Abdominal computed tomography showed that a big low-density dumbbell-shaped mass among the liver and intestine.Colonoscopy showed a submucosal mass with a fistula at colon of liver region.Gastroscopy showed a big rupture on the submucosal mass at the descending duodenum and a fistula at the duodenal bulb.Under colonoscopy,the brown liquid and pus were drained from the mass with“special stent device”.Under gastroscopy,we closed the rupture of the mass with a loop and six clips for purse stitching at the descending duodenum,and the same method as colonoscopy was used to drain the brown liquid and pus from the mass.The symptom of abdominal pain,vomit and fever were relieved after the treatment.CONCLUSION The special stent device could be effectively for draining the abdominal abscess respectively from colon and duodenum.

Semi-analytical solution for drained expansion analysis of a hollow cylinder of critical state soils

The expansion of a thick-walled hollow cylinder in soil is of non-self-similar nature that the stress/deformation paths are not the same for different soil material points.As a result,this problem cannot be solved by the common self-similar-based similarity techniques.This paper proposes a novel,exact solution for rigorous drained expansion analysis of a hollow cylinder of critical state soils.Considering stress-dependent elastic moduli of soils,new analytical stress and displacement solutions for the nonself-similar problem are developed taking the small strain assumption in the elastic zone.In the plastic zone,the cavity expansion response is formulated into a set of first-order partial differential equations(PDEs)with the combination use of Eulerian and Lagrangian descriptions,and a novel solution algorithm is developed to efficiently solve this complex boundary value problem.The solution is presented in a general form and thus can be useful for a wide range of soils.With the new solution,the non-self-similar nature induced by the finite outer boundary is clearly demonstrated and highlighted,which is found to be greatly different to the behaviour of cavity expansion in infinite soil mass.The present solution may serve as a benchmark for verifying the performance of advanced numerical techniques with critical state soil models and be used to capture the finite boundary effect for pressuremeter tests in small-sized calibration chambers.

Palliative long-term abdominal drains vs large volume paracenteses for the management of refractory ascites in end-stage liver disease

BACKGROUND Long-term abdominal drains(LTAD)are a cost-effective palliative measure to manage malignant ascites in the community,but their use in patients with end-stage chronic liver disease and refractory ascites is not routine practice.The safety and cost-effectiveness of LTAD are currently being studied in this setting,with preliminary positive results.We hypothesised that palliative LTAD are as effective and safe as repeat palliative large volume paracentesis(LVP)in patients with cirrhosis and refractory ascites and may offer advantages in patients’quality of life.AIM To compare the effectiveness and safety of palliative LTAD and LVP in refractory ascites secondary to end-stage chronic liver disease.METHODS A retrospective,observational cohort study comparing the effectiveness and safety outcomes of palliative LTAD and regular palliative LVP as a treatment for refractory ascites in consecutive patients with end-stage chronic liver disease followed-up at our United Kingdom tertiary centre between 2018 and 2022 was conducted.Fisher’s exact tests and the Mann-Whitney U test were used to compare qualitative and quantitative variables,respectively.Kaplan-Meier survival estimates were generated to stratify time-related outcomes according to the type of drain.RESULTS Thirty patients had a total of 35 indwelling abdominal drains and nineteen patients underwent regular LVP.The baseline characteristics were similar between the groups.Prophylactic antibiotics were more frequently prescribed in patients with LTAD(P=0.012),while the incidence of peritonitis did not differ between the two groups(P=0.46).The incidence of acute kidney injury(P=0.014)and ascites/drain-related hospital admissions(P=0.004)were significantly higher in the LVP group.The overall survival was similar in the two groups(log-rank P=0.26),but the endpoint-free survival was significantly shorter in the LVP group(P=0.003,P<0.001,P=0.018 for first ascites/drain-related admission,acute kidney injury and drain-related complications,respectively).CONCLUSION The use of LTAD in the management of refractory ascites in palliated end-stage liver disease is effective,safe,and may reduce hospital admissions and utilisation of healthcare resources compared to LVP.

Modelling smear effect of vertical drains using a diameter reduction method

Vertical drains are used to accelerate consolidation of clays in ground improvement projects.Smear zones exist around these drains,where permeability is reduced due to soil disturbance caused by the installation process.Hansbo solution is widely used in practice to consider the effects of drain discharge capacity and smear on the consolidation process.In this study,a computationally efficient diameter reduction method(DRM)obtained from the Hansbo solution is proposed to consider the smear effect without the need to model the smear zone physically.Validated by analytical and numerical results,a diameter reduction factor is analytically derived to reduce the diameter of the drain,while achieving similar solutions of pore pressure dissipation profile as the classical full model of the smear zone and drain.With the DRM,the excess pore pressure u obtained from the reduced drain in the original un-disturbed soil zone is accurate enough for practical applications in numerical models.Such performance of DRM is independent of soil material property.Results also show equally accurate performance of DRM under conditions of multi-layered soils and coupled radial-vertical groundwater flow.

Study of the Efficiency of Vertical Drains by an FEM Method in Soil Treatment for Road Projects: Case of the Development and Bitumination Works of the ROCADE Porto-Novo in Benin

This article aims to study the efficiency of coupled vertical drains for the treatment of long-lasting compressible clay soils for the road project platform of the ring road of Porto Novo, capital of Benin. The experimental data allowed us to estimate a consolidation of 29% in 9 months, justifying the drainage of the soil. In order to study the efficiency of drainage, a FEM model was proposed simulating different scenarios. These include a drainless road, pavements equipped with vertical drains with meshes of 0.5 m 0.5 m, 1 m 1 m and 1.5 m 1.5 m respectively and horizontal drains. The results expressed in terms of variations in vertical stresses, effective stresses and shear deformations revealed significant variations in pavement performance depending on the mesh size of the vertical drains. The configuration with a mesh of 0.5 m 0.5 m showed the least deformations, thus indicating a reduction in deformations and better stress distribution. However, the other mesh configurations showed variable results, underlining the importance of choosing the right mesh for the specific project conditions.

基于Drain3与Loganomaly的网络安全日志分析与事件响应

随着信息技术的发展,网络安全问题日益凸显,为了保障网络系统的稳定运行,对HDFS-v1日志进行研究。首先,利用Drain3算法对日志进行解析,有效避免了构造深度较大、不平衡的树,实验结果显示其精确率、召回率、F1度量及准确度均高达100%;其次,基于Loganomaly算法进行异常检测,训练结果训练集、验证集损失值分别为0.21、0.18,预测结果精确度为96.889%,召回率为93.604%,F1度量为95.218%;接着,再用Drain3算法对异常日志分类;最后,通过远程控制实现异常事件响应,发送报警邮件,确保在HDFS发生紧急情况时能够快速、有效地处理故障,保障大数据处理任务的稳定进行。

Coupling Aquaculture—Crop Productions and Using of Water Drained from Ponds Rearing Clarias gariepinus as Fertilizer for Okra Production (Abelmoschus esculentus var. Clemson spineless, L. Moench)

The present study concerns the revalorization of drained water from aquaculture ponds rearing Clarias gariepinus on okra crops. The rearing was carried out at the farm of Gaston Berger University in 100 m2 ponds. In each pond, the individuals of C. garipinus with an average weight of 6 ± 0.3 g were stocked at a density of 11 per m2. The water temperature and pH were measured during the experiment. The control fishing is carried out every month to monitor variations in the weight and size of reared individuals. The plant production is carried out in elementary plots measuring 3 m × 1.5 m. Each plot was fertilized with either: drained water from C. gariepinus rearing (DWC), poultry droppings (PD), cow dung (CD) and mineral fertilizer (NPK). Treatments are carried out in tripliqua with either river water (RW), RW + the recommended dose of NPK (RD-NPK), RW + RD-PD, RW + RD-CD, DWC, DWC + 25% RD-NPK, DWC + 50% RD-NPK, DWC + 75% RD-NPK, DWC + 25% RD-PD, DWC + 50% RD-PD, DWC + 75% RD-PD, DWC + 25% RD-CD, DWC + 50% RD-CD, DWC + 75% RD-CD. Growth parameters and yield of okra were determined. The average temperature in the rearing environment was 27.6 ± 1.5˚C and pH 7.9 ± 1.1. After six (06) months of rearing, C. gariepinus individuals reached an average weight of 850.12 ± 1.3 g and an average height of 52.44 ± 1.1 cm. The daily weight gain and specific growth rates over this period were 3.9 g per day and 2.8% per day, respectively. The treatment T1 (RW + DR-NPK) gave the highest mean collar diameter and mean plant height with 2.3 ± 0.9 cm and 61.6 ± 32 cm, respectively. In T4 (DWC), the mean height of plants was 38.8 ± 23.5 cm and mean collar diameter 1.4 ± 0.8 cm. The growth performance in T4 was comparable to that of RD-CD (T3), but different from RD-NPK (T1) and RD-PD (T2). The highest average number, average weight, average length and average diameter of fruits were noted in treatments T13 (RW + RD-75%CD) and T7 (DWC + 75% RD-NPK). The best yields were noted in T1 (RW + RD-NPK) = 10.8 ± 5.4 t·ha−1, T5 (DWC + 25% RD-NPK) = 9.2 ± 4.6 t·ha−1 and T4 (DWC) = 8.6 ± 4.3 t·ha−1 which are comparable and higher than those obtained in T2 = 5.7 ± 2.8 t·ha−1 and T3 = 7.5 ± 3.8 t·ha−1.

Pancreatic paraganglioma with draining vessels

A pancreatic paraganglioma is a rare neoplasm that is difficult to distinguish from a pancreatic neuroendocrine tumour. Here we present a case of pancreatic paraganglioma that was surgically resected following preoperative diagnosis of a pancreatic neuroendocrine tumour. Careful evaluation of the endoscopic ultrasonography findings revealed abundant draining ves-sels,which could have led to a correct preoperative diagnosis of pancreatic paraganglioma.

Numerical Analysis of Slag Carry-Over during Molten Steel Draining

Slag carry-over during the draining of molten steel from a teeming ladle is numerically studied here. Two-phase isothermal transient 3D Computational Fluid Dynamics simulations were employed to simulate the draining process. Two nozzle diameters, two nozzle positions and three slag heights were considered. From mass balances, the slag carry-over in terms of mass flow rate was obtained for each of the above variables. Besides, the draining times of the teeming ladle were estimated from theoretical considerations and CDF simulations, and compared.

Some problems on the research and development of the application of methane draining boring technology to prevent hazards in underground coal mines in Vietnam

Underground coal mining activities in the Quangninh coal basin (in the North ofVietnam) have been carried out at a depth of-130 m to-150 m,and in the near future thismining depth will become-300 m and-500 m.Together with the increasing coal output,the quantity of methane and other mine gases emitted from coal beds during mining activitieswill grow bigger and bigger.According to the forecast of the coal mining industry,ifmines go deeper downward,all underground coal mines in the Quangninh basin will beclassified into the mine group with the dangerous level of methane bearings.Mine gascontrol and management operations with conventional ventilation are less effective andentail high expenses.One of the main solutions is to carry out short,medium and longboreholes for controlling and recovering methane and other mine gases from coal bedsbefore mining activities.Efficiency of drilling activities for methane gas recovery from coalseams with horizontal bore holes at underground coal mines depends on many factors includingthe mine gas draining borehole layout at the roadways,gas content in the coalbeds,technologies for mine gas draining boring activities,and so on.Methane gas existsin the coal beds under the adhesive state with stable physical and chemical bonds.In orderto recover these gases,it is necessary to carry out boreholes and create artificial joints(collecting pits) in coal beds with the impulse method (hydraulic separation method).

A rare variation of the hemiazygos vein draining into the persistent left superior vena cava

During the dissection of a 72-year old male cadaver,the hemiazygos vein(HAV)coursing the left side that drains into the persistent left superior vena cava was observed.The HAV was formed at the junction of the 9th to 11th right posterior intercostal veins,right subcostal vein,5th to 11th left posterior intercostal veins,and left subcostal vein;then ascended posteriorly to the thoracic aorta.After collecting the accessory hemiazygos vein,it crossed over the aorta and the pedicle of the left lung via the hemiazygos arch,then converged with a communicative branch(vein of Marshall)that emerged from the left brachiocephalic vein to form the persistent left superior vena cava and entered the pericardium.

Sewage draining schemes of Qinhuangdao City in Beidaihe Area,China

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Research progress on the application of traditional Chinese medicine in the draining water method of chronic heart failure

Chronic heart failure(CHF)is a public health problem that seriously affects the quality of life of patients with poor prognosis.Western medicine has been mature in the treatment of CHF,but it still has some limitations and adverse reactions in improving the clinical symptoms of CHF.TCM has a long history of understanding of CHF,and in recent years,TCM has summarized and developed the experience of predecessors in the treatment of CHF,In particular,diuretic therapy,combined with Warming Yang,tonifying Qi,promoting blood circulation and removing blood stasis,has achieved good curative effect in treating CHF.When combined with basic treatment of Western medicine,it can reduce the adverse reactions of Western medicine.This review is to summarize.

RESEARCH ON GUARANTEED WATER DEPTH FOR SAFE DRAINING AT ZUYUAN SEWAGE OUTLET

To select the location of sewage outlet in the sewage disposal program of Shanghai is a rather comprehensive problem which covers many fields and has great influences. The sewage outlet at Zuyuan, about 10 km away from Wusongkou, is situated on the south bank of the South Channel in the Yangtze Estuary. In order to determine the water depth which can guaranteed the safe draining of sewage at the outlet, a statistical method is adopted in this paper for the determination of the guarantee rate of safe draining at Zuyuan sewage outlet by means of the characteristics of fluvial process and previous topographic data, and the guaranteed water depth for safe draining is then determined.

Gunsight suture with subcutaneous vacuum drainage during enterostomy decreased the surgical site infection rate in obese rectal cancer patients:A retrospective study

Background:Surgical site infection(SSI)is the most common complication after stoma closure and is particularly common in obese patients.To reduce the incidence of SSI,various skin closure techniques have been proposed;however,the best technique is still under debate.The purpose of this study was to explore the effectiveness of subcutaneous vacuum drains(SVDs)after two surgical suture techniques following stoma reversal in obese patients. Methods:Data from 190 obese patients with rectal cancer who underwent stoma reversal for enterostomy between February 2012 and April 2023 at Jinxiang Hospital Affiliated to Jining Medical University were retrospectively analyzed.These patients were divided into two groups:gunsight suture(GS)with SVD and primary linear suture(PLS)with SVD.The GS group and PLS group included 90 and 100 patients,respectively.The clinical characteristics and short-term outcomes were compared between the two groups.Postoperative pain scores were analyzed using a generalized estimation equation. Results:Surgery was successfully performed in both groups.The rate of SSI in the GS group was significantly lower than that in the PLS group(2.2%vs 9.0%,P=0.046).Patients in the GS group had a significantly shorter wound healing time than did patients in the PLS group,as well as a significantly shorter postoperative fasting time(P<0.05).No significant differences were found between the groups in terms of the postoperative hospital stay,operative time,and estimated blood loss(P>0.05).The results of the generalized estimation equation analysis showed that the GS group had significantly lower pain scores at 12,24,48,and 72 h after surgery than the PLS group(P<0.05).Moreover,the GS group showed significantly better alleviation of wound pain between 12 and 72 h after surgery(P<0.05). Conclusions:The GS technique with SVD may be recommended for wound closure of a nonfunctioning stoma in obese patients.

Abscess drain migration into the colon following laparoscopic cholecystectomy

Percutaneous abscess drainage is a procedure commonly performed by interventional radiologists to provide source control on infections using CT or ultrasound guidance.The interventionalist has many different sizes and shapes of catheters to treat abscesses of varying sizes and locations,but the general approach to each abscess is similar:provide a percutaneous route for purulence,bacteria,necrotic tissue,and other debris to escape the body.While generally considered a low-risk procedure,adverse events can occur due to operator error or other means.We present a unique case of an abscess drain placed into a right upper quadrant abscess that formed following laparoscopic cholecystectomy that perforated and entered the colon.Astute physicians,both in the emergency department and the radiology reading room,were able to rapidly rule out more common post-operative complications and make the correct diagnosis,likely preventing dangerous sequelae from developing in this patient.

Ambipolar performance improvement of the C-shaped pocket TFET with dual metal gate and gate–drain underlap

Dual-metal gate and gate–drain underlap designs are introduced to reduce the ambipolar current of the device based on the C-shaped pocket TFET(CSP-TFET).The effects of gate work function and gate–drain underlap length on the DC characteristics and analog/RF performance of CSP-TFET devices,such as the on-state current(I_(on)),ambipolar current(I_(amb)),transconductance(g_(m)),cut-off frequency(f_(T))and gain–bandwidth product(GBP),are analyzed and compared in this work.Also,a combination of both the dual-metal gate and gate–drain underlap designs has been proposed for the C-shaped pocket dual metal underlap TFET(CSP-DMUN-TFET),which contains a C-shaped pocket area that significantly increases the on-state current of the device;this combination design substantially reduces the ambipolar current.The results show that the CSP-DMUN-TFET demonstrates an excellent performance,including high I_(on)(9.03×10^(-4)A/μm),high I_(on)/I_(off)(~10^(11)),low SS_(avg)(~13 mV/dec),and low I_(amb)(2.15×10^(-17)A/μm).The CSP-DMUN-TFET has the capability to fully suppress ambipolar currents while maintaining high on-state currents,making it a potential replacement in the next generation of semiconductor devices.

Recent evidence for subcutaneous drains to prevent surgical site infections after abdominal surgery:A systematic review and metaanalysis

BACKGROUND Surgical site infections(SSIs)increase mortality,hospital stays,additional medical treatment,and medical costs.Subcutaneous drains prevent SSIs in gynecological and breast surgeries;however,their clinical impact in abdominal surgery remains unclear.AIM To investigate whether subcutaneous drains were beneficial in abdominal surgery using a systematic review and meta-analysis.METHODS The database search used PubMed,MEDLINE,and the Cochrane Library.The following inclusion criteria were set for the systematic review:(1)Randomized controlled trial studies comparing SSIs after abdominal surgery with or without subcutaneous drains;and(2)Studies that described clinical outcomes,such as SSIs,seroma formation,the length of hospital stays,and mortality.RESULTS Eight studies were included in this meta-analysis.The rate of total SSIs was significantly lower in the drained group(54/771,7.0%)than in the control group(89/759,11.7%),particularly in gastrointestinal surgery.Furthermore,the rate of superficial SSIs was slightly lower in the drained group(31/517,6.0%)than in the control group(49/521,9.4%).No significant differences were observed in seroma formation between the groups.Hospital stays were shorter in the drained group than in the control group.CONCLUSION Subcutaneous drains after abdominal surgery prevented SSIs and reduced hospital stays but did not significantly affect seroma formation.The timing of drain removal needs to be reconsidered in future studies.

水平联合竖直排水板真空预压处理工程废浆试验研究

传统真空预压法(VP)在加固工程废浆时存在预制竖向排水板(PVD)易淤堵、周围土体形成土柱以及真空度随深度衰减等问题,考虑到预制水平排水板(PHD)在真空预压法处理软土地基中的特点,提出一种水平联合竖直排水板真空预压(PHD-PVD-VP)处理工程废浆的方法。通过4组大型室内模型试验,对工程废浆加固过程中的排水、沉降以及孔隙水压力进行监测,并借助扫描电镜得到的排水板滤膜微观图片,分析不同初始PHD真空压力下PHD-PVD-VP对工程废浆的加固效果。试验结果表明,PHD-PVD-VP处理工程废浆时减少了土颗粒径向移动速率,延缓“土柱”的形成及缓解土颗粒嵌入排水板滤膜的淤堵效应,提升了土体整体固结效果;40 kPa的初始PHD真空压力使PHD-PVD-VP对工程废浆的排水固结效果最佳,处理后土体的平均含水率和十字板剪切强度分别为40.9%和25.5 kPa,有效地缓解了PHD和PVD的淤堵并改善了土体固结的均匀性。通过微观结构分析发现,PHD初始真空压力的大小同时影响着PHD与PVD滤膜的淤堵情况,从而影响其排水性能,40 kPa的初始PHD真空压力使得两种排水板的排水性能都得到充分发挥。

页岩气分离器阀套式排污阀冲蚀特性研究

为解决页岩气开采过程中砂粒经过分离器后对排污阀造成严重冲蚀的问题,以长宁页岩气田某井为例,基于FLUENT软件,采用数值模拟的方法模拟在不同速度、砂量、粒径、形状系数和阀门开度情况下砂粒对排污阀冲蚀特性,并评估影响排污阀冲蚀特性的主要因素,明确排污阀的冲蚀情况。结果表明:阀瓣与节流孔冲蚀破坏是造成排污阀失效的主要原因;随着阀门开度减小,阀内压差呈指数式增长,在阀瓣和节流孔处流速最大,砂粒形状系数减小,对阀门冲蚀越严重;基于敏感性分析,各因素对阀门冲蚀特性影响程度为:ξ_(l)(速度)=0.73,ξ_(m)(砂粒粒径)=0.71,ξ_(n)(砂量)=0.70,ξ_(q)(形状系数)=0.67。因此,建议通过增大阀门内部流通面积将流体流速控制在7m/s以内,提高除砂器除砂能力,避免粒径较大的砂粒(砂粒粒径>60μm)进入排污阀,将进入排污阀的砂粒粒径控制在60μm内,为现场设备评价优化提供有效手段。