Effect of Single- versus Double-Layer Uterine Closure during Caesarean Section on Niche Formation and Menstrual Irregularity

Background: The myometrium at the location of the CS (caesarean section) scars, also known as residual myometrium thickness (RMT), is larger after a double-layer uterine closure procedure than following a single-layer one. It may lessen the formation of a niche that is the myometrium’s disruption at the location of the scar of the uterus. Gynecological manifestations, obstetric problems in a future pregnancy and birth, and maybe subfertility are linked to thin RMT and a niche. Objective: To ascertain if double-layer unlocked closure of the uterus is better than single-layer one in terms of post-menstrual spotting and niche development following a first CS. Patients and Methods: In this randomized clinical study, 287 patients were evaluated for qualifying. Of all eligible individuals, 57 patients were excluded from the study based on the inclusion criteria. Results: The variation in ages, gestational age, body mass index (BMI), and cesarean section indications between the two assigned groups is statistically insignificant. However, postmenstrual spotting was statistically significantly more common in single-layer group compared to in double-group. The current study revealed ultrasound findings suggestive of niche formation was statistically significantly more common in single-layer group compared to in double-layer group. Conclusion: As evident from the current study, it demonstrates the advantages of double-layer unlocked closure of the uterus over single-layer one in terms of post-menstrual spotting and niche development following first-time cs. Thus, we deduced that fewer niches are formed, and fewer menstrual spotting occurs in the presence of double unlocked layers closure. To ascertain the impact of uterus closure method on post-operative niche development and the risk of obstetrics and gynaecological problems, further prospective trials with extended follow-up periods are required.

Supramolecular polymer-based gel fracturing fluid with a double network applied in ultra-deep hydraulic fracturing

A gel based on polyacrylamide,exhibiting delayed crosslinking characteristics,emerges as the preferred solution for mitigating degradation under conditions of high temperature and extended shear in ultralong wellbores.High viscosity/viscoelasticity of the fracturing fluid was required to maintain excellent proppant suspension properties before gelling.Taking into account both the cost and the potential damage to reservoirs,polymers with lower concentrations and molecular weights are generally preferred.In this work,the supramolecular action was integrated into the polymer,resulting in significant increases in the viscosity and viscoelasticity of the synthesized supramolecular polymer system.The double network gel,which is formed by the combination of the supramolecular polymer system and a small quantity of Zr-crosslinker,effectively resists temperature while minimizing permeability damage to the reservoir.The results indicate that the supramolecular polymer system with a molecular weight of(268—380)×10^(4)g/mol can achieve the same viscosity and viscoelasticity at 0.4 wt%due to the supramolecular interaction between polymers,compared to the 0.6 wt%traditional polymer(hydrolyzed polyacrylamide,molecular weight of 1078×10^(4)g/mol).The supramolecular polymer system possessed excellent proppant suspension properties with a 0.55 cm/min sedimentation rate at 0.4 wt%,whereas the0.6 wt%traditional polymer had a rate of 0.57 cm/min.In comparison to the traditional gel with a Zrcrosslinker concentration of 0.6 wt%and an elastic modulus of 7.77 Pa,the double network gel with a higher elastic modulus(9.00 Pa)could be formed only at 0.1 wt%Zr-crosslinker,which greatly reduced the amount of residue of the fluid after gel-breaking.The viscosity of the double network gel was66 m Pa s after 2 h shearing,whereas the traditional gel only reached 27 m Pa s.

Distribution and Formation Causes of PM_(2.5) and O_(3) Double High Pollution Events in China during 2013–20

Fine particulate matter(PM_(2.5))and ozone(O_(3))double high pollution(DHP)events have occurred frequently over China in recent years,but their causes are not completely clear.In this study,the spatiotemporal distribution of DHP events in China during 2013–20 is analyzed.The synoptic types affecting DHP events are identified with the Lamb–Jenkinson circulation classification method.The meteorological and chemical causes of DHP events controlled by the main synoptic types are further investigated.Results show that DHP events(1655 in total for China during 2013–20)mainly occur over the North China Plain,Yangtze River Delta,Pearl River Delta,Sichuan Basin,and Central China.The occurrence frequency increases by 5.1%during 2013–15,and then decreases by 56.1%during 2015–20.The main circulation types of DHP events are“cyclone”and“anticyclone”,accounting for over 40%of all DHP events over five main polluted regions in China,followed by southerly or easterly flat airflow types,like“southeast”,“southwest”,and“east”.Compared with non-DHP events,DHP events are characterized by static or weak wind,high temperature(20.9℃ versus 23.1℃)and low humidity(70.0%versus 64.9%).The diurnal cycles of meteorological conditions cause PM_(2.5)(0300–1200 LST,Local Standard Time=UTC+8 hours)and O_(3)(1500–2100 LST)to exceed the national standards at different periods of the DHP day.Three pollutant conversion indices further indicate the rapid secondary conversions during DHP events,and thus the concentrations of NO_(2),SO_(2) and volatile organic compounds decrease by 13.1%,4.7%and 4.4%,respectively.The results of this study can be informative for future decisions on the management of DHP events.

Steering the energy sharing of electrons in nonsequential double ionization with orthogonally polarized two-color field

Using the semiclassical ensemble model,the dependence of relative amplitude for the recollision dynamics in nonsequential double ionization(NSDI)of neon atom driven by the orthogonally polarized two-color field(OTC)laser field is theoretically studied.And the dynamics in two typical collision pathways,recollision-impact-ionization(RII)and recollisionexcitation with subsequent ionization(RESI),is systematically explored.Our results reveal that the V-shaped structure in the correlated momentum distribution is mainly caused by the RII mechanism when the relative amplitude of the OTC laser field is zero,and the first ionized electrons will quickly skim through the nucleus and share few energy with the second electron.As the relative amplitude increases,the V-shaped structure gradually disappears and electrons are concentrated on the diagonal in the electron correlation spectrum,indicating that the energy sharing after electrons collision is symmetric for OTC laser fields with large relative amplitudes.Our studies show that changing the relative amplitude of the OTC laser field can efficiently control the electron–electron collisions and energy exchange efficiency in the NSDI process.

Analysis of rotor eddy current loss and thermal deformation of magnetic liquid double suspension bearing

Magnetic-liquid double suspension bearing(MLDSB)is a new type of suspension bearing based on electromagnetic suspension and supplemented by hydrostatic supporting.Without affecting the electromagnetic suspension force,the hydrostatic supporting effect is increased,and the real-time coupling of magnetic and liquid supporting can be realized.However,due to the high rotation speed,the rotor part produces eddy current loss,resulting in a large temperature rise and large ther-mal deformation,which makes the oil film thickness deviate from the initial design.The support and bearing characteristics are seriously affected.Therefore,this paper intends to explore the internal effects of eddy current loss of the rotor on the temperature rise and thermal deformation of MLDSB.Firstly,the 2D magnetic flow coupling mathematical model of MLDSB is established,and the eddy current loss distribution characteristics of the rotor are numerically simulated by Maxwell software.Secondly,the internal influence of mapping relationship of structural operating parameters such as input current,coil turns and rotor speed on rotor eddy current loss is revealed,and the changing trend of rotor eddy current loss under different design parameters is explored.Thirdly,the eddy cur-rent loss is loaded into the heat transfer finite element calculation model as a heat source,and the temperature rise of the rotor and its thermal deformation are simulated and analyzed,and the influ-ence of eddy current loss on rotor temperature rise and thermal deformation is revealed.Finally,the pressure-flow curve and the distribution law of the internal flow field are tested by the particle image velocimetry(PIV)system.The results show that eddy current loss increases linearly with the in-crease of coil current,coil turns and rotor speed.The effect of rotational speed on eddy current loss is much higher than that of coil current and coil turns.The maximum temperature rise,minimum temperature rise and maximum thermal deformation of the rotor increase with the increase of eddy current loss.The test results of flow-pressure and internal trace curves are basically consistent with the theoretical simulation,which effectively verifies the correctness of the theoretical simulation.The research results can provide theoretical basis for the design and safe and stable operation of magnetic fluid double suspension bearings.

Study on the Change Character of Double Rice Cold Damage in Hunan and Hubei Province during the Past 50 Years

Based on the meteorological data of representative meteorological stations in Hunan and Hubei from 1961 to 2008 years,the change character of double rice cold damage under the background of climate change were analyzed adopting 30 years glide accumulation method.The analysis showed that the 30 years sliding cumulative days of mild low-temperature during spring sowing in Hunan and Hubei were decreased in the recent 50 years,as well as the 30 years sliding cumulative days of moderate low-temperature in central south Hubei,northern and western Hunan.However,there was an increase in southern Hunan,so was the 30 years sliding cumulative days of severe low-temperature.The 30 years sliding cumulative days of mild low-temperature in May reduced in Hunan and Hubei.Instead,that of moderate low-temperature in May in central south Hubei was on the rise,and it was opposite in northern and southern Hunan,but there was no obvious change in western Hunan.The 30 years sliding cumulative days of severe low-temperature showed a decreasing tendency in May in central south Hubei,northern and western Hunan,and southern Hunan showed a contrary tendency.The 30 years sliding cumulative days of mild cold dew wind in Hunan and Hubei were decreased,that of moderate cold dew wind in central south Hubei,northern and western Hunan had the same tendency,but there was a contrary tendency in southern Hunan.The 30 years sliding cumulative days of severe cold dew wind was decreased in central south Hubei and increased in western Hunan,without cold dew wind in northern and southern Hunan.

Applying Double Electric Fields to Avoid Deteriorating Movable Sensitive Parts in MEMS During Anodic Bonding

Anodic bonding between silicon and glass with dou bl e electric fields is presented.By this means,the damage caused by the electric f ield to the movable part during bonding can be avoided and the experiment result s show that.

Study and Application of "Three High and One Ensuring" Cultivation Mode of Double Cropping Rice

A set of "three high and one ensuring" cultivation mode of double cropping rice, the core of which was high panicle bearing tiller rate, high seed setting rate, high grain plumpness and ensuring high quality, was explored through many years of research. In this study, the effect of "three high and one ensuring" cultivation mode of double cropping rice was compared and investigated by field experiment and multiple location demonstration. The field experiment indicated that "three high and one ensuring" cultivation mode promoted the vegetative growth during early stage, inhibited the formation of ineffective tillers, promoted the growth of effective tillers and the formation of panicles, improved the panicle bearing tiller rate, increased the total number of spikelets, enhanced the seed setting rate and grain plumpness, increased the grain yield by 12.22%-19.73% at highly significant level, and improved the rice quality. Furthermore, the field demonstration also verified the results of field experiment.

EFFICIENCY ANALYSIS OF DOUBLE CRANK RING-PLATE-TYPE PIN-CYCLOIDAL GEAR PLANETARY DRIVE

From the general formula for calculating the efficiency of planetary geartrains, the efficiency of the double crank ring-plate-type pin-cycloidal gear planetary drive isderived. To prove the theory, an experimental study has been conducted. The tested value of theefficiency of a sample set of the new-type drive in the experiment agrees with the calculated one.It shows that the new-type drive is of not merely high bearing capacity, but also quite highefficiency.

深水采油树Spring-Seal密封圈接触模型构建与实验测试

为提高深水采油树在高压、高温、低温等工况下长时间工作的稳定性,对采油树密封圈进行重新设计,提出Spring-Seal密封圈(以下简称S密封圈);基于赫兹接触理论、填料密封接触理论,重新构建S密封圈接触力学模型;建立有限元仿真分析模型,分析不同条件下S密封圈的密封性能,同时验证新建接触模型的合理性;利用实验测试S密封圈的实际密封效果。研究结果表明:S密封圈在高压、高温、低温等工况下能够长时间稳定工作且密封性能良好。研究结果可为S密封圈的接触研究及工程运用提供理论参考。

Study of the seismic performance of expansion double spherical seismic isolation bearings for continuous girder bridges

The development of an expansion double spherical seismic isolation (DSSI) bearing by modifying the fixed DSSI bearing is described in this paper. The expansion DSSI bearing is characterized by its good energy dissipation and horizontal displacement capacity and has been successfully integrated into the seismic design of several important engineering projects in China. It is envisioned to be used as a substitute for ordinary expansion bearings in continuous girder bridges to distribute the longitudinal earthquake action among all the piers. Its development, configuration and working mechanism are introduced first. The test method and the seismic performance of an expansion DSSI bearing are then briefly described. A theoretical analysis followed by a numerical analysis for an actual four-span continuous girder bridge are provided as an example, and it is concluded that the expansion DSSI bearing can be integrated into the seismic design of continuous girder bridges.

Model for water pollution remote sensing based on double scattering and its application in the Zhujiang River outfall

It is a valid route for quantitatively remote sensing on water pollution to build a model according to the physical mechanisms of scattering and absorbing of suspended substance, pollutant, and molecules of water. Remote sensing model for water pollution based on single scattering is simple and easy to be used, but the precision is affected by turbidity of water. The characteristics of the energy composition of multiple scattering, are analyzed and it is proposed that, based on the model of single scattering, if the flux of the second scattering is considered additionally, the precision of the model will be remarkably improved and the calculation is still very simple. The factor of the second scattering is deduced to build a double scattering model, and the practical arithmetic for the calculation of the model is put forward. The result of applying this model in the water area around the Zhujiang(Pearl) River outfall shows that the precision is obviously improved. The result also shows that the seriously polluted water area is distributed in the northeast of Lingding Sea, the Victoria Bay of Hong Kong, and the Shengzhen Bay.

An Incursion of Off-Equatorial Subsurface Cold Water and Its Role in Triggering the “Double Dip” La Nia Event of 2011

Based on Global Ocean Data Assimilation System （GODAS） and NCEP reanalysis data, atmospheric and oceanic pro- cesses possibly responsible for the onset of the 2011/12 La Nifia event, which followed the 2010/11 La Nifia even--referred to as a ＂double dip＂ La Nifia--are investigated. The key mechanisms involved in activating the 2011/12 La Nifia are illus- trated by these datasets. Results show that neutral conditions were already evident in the equatorial eastern Pacific during the decaying phase of the 2010/11 La Nifia. However, isothermal analyses show obviously cold water still persisting at the surface and at subsurface depths in off-equatorial regions throughout early 2011, being most pronounced in the tropical South Pacific. The negative SST anomalies in the tropical South Pacific acted to strengthen a southern wind across the equator. The subsurface cold water in the tropical South Pacific then spread northward and broke into the equatorial region at the thermo- cline depth. This incursion process of off-equatorial subsurface cold water successfully interrupted the eastern propagation of warm water along the equator, which had previously accumulated at subsurface depths in the warm pool during the 2010/11 La Nifia event. Furthermore, the incursion process strengthened as a result of the off-equatorial effects, mostly in the tropical South Pacific. The negative SST anomalies then reappeared in the central basin in summer 2011, and acted to trigger local coupled air-sea interactions to produce atmospheric-oceanic anomalies that developed and evolved with the second cooling in the fall of 2011.

Crystallographic texture and earing behavior analysis for different second cold reductions of double-reduction tinplate

Since the production of tinplate with non-earing properties is difficult, especially when it is produced via the double-reduction process, the optimal degree of second cold reduction is particularly important for achieving desirable drawing properties. The evolution of texture and the earing propensity of double-reduction tinplate with different extents of second reduction were investigated in this study. Optical microscopy and scanning electron microscopy were used to observe the changes in the microstructure at various extents of reduction. Two common testing methods, X-ray diffraction（XRD） and electron backscatter diffraction, were used to investigate the texture of the specimens, which revealed the effects of deformation percentage on the final texture development and the change in the grain boundary. The earing rate was determined via earing tests involving measurement of the height of any ear. The results obtained from both XRD analyses and earing tests revealed the same ideal value for the second cold reduction on the basis of the relationship between crystallographic texture and the degree of earing.

Ordering and disordering of in situ grown MgAl-layered double hydroxide and its effect on the structural and corrosion resistance properties

A MgAl-layered double hydroxide(MgAl-LDH)protective film was developed on AA6082 substrates via the in situ hydrothermal growth method to obtain a distinct cauliflower-like LDH structure,and coated substrates were further heat-treated in air at temperatures from 100 to 250℃ to further improve the corrosion resistance of MgAl-LDH by taking advantage of the LDH memory effect;also,the effect of calcination on MgAl-LDH structural stability and the corresponding corrosion resistance properties were investigated.The structural characterization of uncalcined and calcined LDH films were examined using scanning electron microscopy,energy-dispersive spectroscopy,X-ray diffraction,thermogravimetric analysis,differential scanning calorimetry,and Fourier transform infrared spectroscopy.The corresponding corrosion protection efficiency of the developed coating was studied through potentiodynamic polarization experiments and by electrochemical impedance spectroscopy.Compared with uncalcined MgAl-LDH,the calcined film showed a relatively lower corrosion current density and a higher impedance value,especially after heat treatment at 250℃.The findings demonstrate that calcination strongly affects the oriented growth of the LDH and causes an increase in the surface area and contraction of the basal spacing,which in turn caused a compact structure that substantially influenced the LDH corrosion resistance properties.

Very-High Color Rendering Index Hybrid White Organic Light-Emitting Diodes with Double Emitting Nanolayers

A very-high color rendering index white organic light-emitting diode(WOLED) based on a simple structure was successfully fabricated. The optimized device exhibits a maximum total efficiency of 13.1 and 5.4 lm/W at 1,000 cd/m2. A peak color rendering index of 90 and a relatively stable color during a wide range of luminance were obtained. In addition, it was demonstrated that the 4,40,400-tri(9-carbazoyl) triphenylamine host influenced strongly the performance of this WOLED.These results may be beneficial to the design of both material and device architecture for high-performance WOLED.

Numerical simulation of dynamic thermal process during doublesided asymmetrical TIG backing welding of large thick plates

The dynamic thermal process during double-sided asymmetrical TIG backing welding of large thick plates （ 1 000 mm×700 mm×50 mm） is numerically simulated using MSC. MARC. The effect of arc distance on the thermal cycle in weld zone during double-sided asymmetrical T1G backing welding is investigated. The results show that the workpiece experiences double-peak thermal cycle in double-sided asymmetrical TIG backing welding. On the one hand, the fore arc has the pre- heating effect on the rear pass, and the pre-heating temperature depends on the distance between the double arcs, the heat input of fore arc, and the initial temperature of workpiece. On the other hand, the rear arc has the post-heating effect on the fore pass. The mutual effects of two heat sources decrease with the increase of arc distance.

Anterior cruciate ligament reconstruction using a double bundle hamstring autograft configuration in patients under 30 years

BACKGROUND Anterior cruciate ligament reconstruction(ACLR)has a high incidence of re-tear in younger patients.Despite comparable functional outcomes,the incidence of retear using single and double bundle ACLR methods has not been well reported.AIM To hypothesize that double bundle hamstring ACLR has a lower graft rupture rate compared with single bundle hamstring ACLR grafts in young patients.METHODS One hundred and twelve patients<30 years of age at the time of primary double bundle ACLR were eligible for study participation.91(81.3%)could be contacted,with a mean age of 20.4 years(range 13-29)and mean post-operative follow-up time of 59 mo(range 25-107).Telephone questionnaires evaluated the incidence(and timing)of subsequent re-tear and contralateral ACL tear,further surgeries,incidence and time to return to sport,and patient satisfaction.RESULTS Of the 91 patients,there were 6(6.6%,95%CI:1.4-11.7)ACL graft re-ruptures,with a mean time to re-rupture of 28 mo(range 12-84).Fourteen patients(15.4%)experienced a contralateral ACL rupture and 14 patients(15.4%)required further surgery to their ipsilateral knee.fifty patients(54.9%)returned to pre-injury level of sport.Of those<20 years(n=45),4 patients(8.9%,95%CI:0.4-17.3)experienced a re-rupture,with mean time to re-injury 15 mo(range 12-24).Comparative analysis with existing literature and revealed a non-significant Chisquared statistic of 2.348(P=0.125).CONCLUSION A trend existed toward lower graft rupture rates in young patients undergoing double bundle ACLR utilizing a hamstring autograft,compared with rates reported after single bundle ACLR.

Effect of Empowering Education on Refined Nursing of Patients with Internal Double J Tubes after Surgery for Ureteral Stricture

Objective: To investigate the effect of the theory of enabling education on the fine management of patients with internal double J tubes after ureteral stricture. Methods: Eighty patients with built-in double J tubes after ureteral stricture were selected from the urology department of a grade a hospital in Guangzhou. The patients were divided into control group and observation group by random number method, with 40 patients in each group. The control group received refined nursing after surgery, while the observation group received refined nursing including the theory of empowerment education after surgery on the basis of the control group. Results: After the intervention, the observation group had a higher standard rate of quality indicators, higher self-efficacy score than the control group (P ≤ 0.05), lower scores of ureteral stent-related symptoms, urinary system symptoms, pain symptoms, total health status, job performance, additional problems and total scores than the control group (P ≤ 0.05), and statistically significant differences were found in the total health status dimension and total scores (P ≤ 0.01). The nursing satisfaction survey, the scores of clinical nursing, health education, psychological counseling and nurse-patient communication were all higher than those in the control group (P ≤ 0.05), and the differences in health education and nurse-patient communication were statistically significant (P ≤ 0.01). Conclusion: The theory of enabling education can improve patients’ self-nursing level, promote the implementation of refined nursing quantitative indicators and nursing measures, relieve the poor symptoms of ureteral stricture patients, and improve patients’ satisfaction with nursing work.

Treatable focal region modulated by double excitation signal superimposition to realize platform temperature distribution during transcranial brain tumor therapy with high-intensity focused ultrasound

Recently, the phase compensation technique has allowed the ultrasound to propagate through the skull and focus into the brain. However, the temperature evolution during treatment is hard to control to achieve effective treatment and avoid over-high temperature. Proposed in this paper is a method to modulate the temperature distribution in the focal region. It superimposes two signals which focus on two preset different targets with a certain distance. Then the temperature distribution is modulated by changing triggering time delay and amplitudes of the two signals. The simulation model is established based on an 82-element transducer and computed tomography （CT） data of a volunteer＇s head. A finite- difference time-domain （FDTD） method is used to calculate the temperature distributions. The results show that when the distances between the two targets respectively are 7.5-12.5 mm on the acoustic axis and 2.0-3.0 mm in the direction perpendicular to the acoustic axis, a focal region with a uniform temperature distribution （64-65 ℃） can be created. Moreover, the volume of the focal region formed by one irradiation can be adjusted （26.8-266.7 mm3） along with the uniform temperature distribution. This method may ensure the safety and efficacy of HIFU brain tumor therapy.