Lung ultrasound score evaluation of the effect of pressure-controlled ventilation volume-guaranteed on patients undergoing laparoscopicassisted radical gastrectomy

BACKGROUND Laparoscopic-assisted radical gastrectomy(LARG)is the standard treatment for early-stage gastric carcinoma(GC).However,the negative impact of this proce-dure on respiratory function requires the optimized intraoperative management of patients in terms of ventilation.AIM To investigate the influence of pressure-controlled ventilation volume-guaranteed(PCV-VG)and volume-controlled ventilation(VCV)on blood gas analysis and pulmonary ventilation in patients undergoing LARG for GC based on the lung ultrasound score(LUS).METHODS The study included 103 patients with GC undergoing LARG from May 2020 to May 2023,with 52 cases undergoing PCV-VG(research group)and 51 cases undergoing VCV(control group).LUS were recorded at the time of entering the operating room(T0),20 minutes after anesthesia with endotracheal intubation(T1),30 minutes after artificial pneumoperitoneum(PP)establishment(T2),and 15 minutes after endotracheal tube removal(T5).For blood gas analysis,arterial partial pressure of oxygen(PaO_(2))and partial pressure of carbon dioxide(PaCO_(2))were observed.Peak airway pressure(P_(peak)),plateau pressure(Pplat),mean airway pressure(P_(mean)),and dynamic pulmonary compliance(C_(dyn))were recorded at T1 and T2,1 hour after PP establishment(T3),and at the end of the operation(T4).Postoperative pulmonary complications(PPCs)were recorded.Pre-and postoperative serum interleukin(IL)-1β,IL-6,and tumor necrosis factor-α(TNF-α)were measured by enzyme-linked immunosorbent assay.RESULTS Compared with those at T0,the whole,anterior,lateral,posterior,upper,lower,left,and right lung LUS of the research group were significantly reduced at T1,T2,and T5;in the control group,the LUS of the whole and partial lung regions(posterior,lower,and right lung)decreased significantly at T2,while at T5,the LUS of the whole and some regions(lateral,lower,and left lung)increased significantly.In comparison with the control group,the whole and regional LUS of the research group were reduced at T1,T2,and T5,with an increase in PaO_(2),decrease in PaCO_(2),reduction in P_(peak) at T1 to T4,increase in P_(mean) and C_(dyn),and decrease in Pplat at T4,all significant.The research group showed a significantly lower incidence of PPCs than the control group within 3 days postoperatively.Postoperative IL-1β,IL-6,and TNF-αsignificantly increased in both groups,with even higher levels in the control group.CONCLUSION LUS can indicate intraoperative non-uniformity and postural changes in pulmonary ventilation under PCV-VG and VCV.Under the lung protective ventilation strategy,the PCV-VG mode more significantly improved intraop-erative lung ventilation in patients undergoing LARG for GC and reduced lung injury-related cytokine production,thereby alleviating lung injury.

Prediction method for risks of coal and gas outbursts based on spatial chaos theory using gas desorption index of drill cuttings

Based on the evolution of geological dynamics and spatial chaos theory, we proposed the advanced prediction an advanced prediction method of a gas desorption index of drill cuttings to predict coal and gas outbursts. We investigated and verified the prediction method by a spatial series data of a gas desorption index of drill cuttings obtained from the 113112 coal roadway at the Shitai Mine. Our experimental results show that the spatial distribution of the gas desorption index of drill cuttings has some chaotic charac- teristics, which implies that the risk of coal and gas outbursts can be predicted by spatial chaos theory. We also found that a proper amount of sample data needs to be chosen in order to ensure the accuracy and practical maneuverability of prediction. The relative prediction error is small when the prediction pace is chosen carefully. In our experiments, it turned out that the optimum number of sample points is 80 and the optimum prediction pace 30. The corresponding advanced prediction pace basically meets the requirements of engineering applications.

Birthing ball on promoting cervical ripening and its influence on the labor process and the neonatal blood gas index

BACKGROUND Term pregnancy-induced labor refers to the use of artificial methods to induce uterine contractions and terminate pregnancy after 37 wk.It is a common method to prevent overdue pregnancy and to deal with high-risk pregnancies.In addition,it can alleviate maternal complications and cause the fetus to leave the adverse intrauterine environment early,which is beneficial to the outcome of pregnancy.AIM To explore the effect of a birthing ball on labor by inducing cervical ripening and its influence on labor and the neonatal blood gas index.METHODS Twenty-two women who were scheduled to undergo labor induction and delivery in the obstetrics department of our hospital were randomly divided into two groups:the delivery ball group(childbirth ball combined with COOK balloon induction)and the conventional group(COOK balloon induction alone).The cervical Bishop score before and after intervention,duration of labor at each stage,mode of delivery,neonatal umbilical venous blood pH,oxygen partial pressure(PO_(2)),carbon dioxide partial pressure(PCO_(2)),and the 1-min Apgar score were recorded.RESULTS After the intervention,the cervical Bishop score of the delivery ball group(7.84±1.52)was significantly higher than that of the conventional group(7.32±1.29)(P<0.05),and the cervical Bishop scores of the two groups after intervention were significantly higher than those before intervention(P<0.05).After the intervention,the first stage of labor(510.9±98.7 min),the second stage of labor(43.0±8.5 min),and the total duration of labor(560.0±120.9 min)in the delivery ball group were lower than those in the routine group,with a first stage of labor of 602.1±133.2 min,a second stage of labor of 48.4±9.1 min,and a total duration of labor of 656.8±148.5 min(P<0.05).There was no significant difference in the time of the third stage of labor between the two groups(P>0.05).There was no significant difference in the pH,PO_(2),and PCO_(2) values of newborns between the delivery ball group and the conventional group(P>0.05).The 1-min Apgar score of the delivery ball group was higher than that of the conventional group(9.10±0.38 points vs 8.94±0.31 points,P<0.05).The natural delivery rate of the delivery ball group was higher than that of the conventional group(91.00%vs 78.00%,P<0.05).CONCLUSION The use of a birthing ball combined with a COOK balloon for inducing labor has a better effect on promoting cervical ripening,shortening the time of labor,and improving the Apgar score of newborns.

JOURNAL OF NATURAL GAS CHEMISTRY CONTENTS OF VOLUME 16

A Abedini,M.,121 Aishah,A.J.,273 Aminshahidi,B.,22 An,Xia,130,244,354 Ao,Xianquan,6 Ao,Yong,86 Ayatollahi,Sh.,293 B Bahadori,Alireza,16,349 Bokade,V.V.,37,42,186 C Cai,Xiulan,31 Cao,Fahai,308 Cao,Jun,64 Cao,Weiliang,377 Cao,Zuogang,70,428 Chen,Jixiang,148,389 Chen,Shengzhou,162,409 Chen,Xirong,409

Main Indexes of Pipeline Transportation of Crude Oil and Gas

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Causality Diagram-based Scheduling Approach for Blast Furnace Gas System

Rational use of blast furnace gas(BFG) in steel industry can raise economic profit, save fossil energy resources and alleviate the environment pollution. In this paper, a causality diagram is established to describe the causal relationships among the decision objective and the variables of the scheduling process for the industrial system, based on which the total scheduling amount of the BFG system can be computed by using a causal fuzzy C-means(CFCM) clustering algorithm. In this algorithm,not only the distances among the historical samples but also the effects of different solutions on the gas tank level are considered.The scheduling solution can be determined based on the proposed causal probability of the causality diagram calculated by the total amount and the conditions of the adjustable units. The causal probability quantifies the impact of different allocation schemes of the total scheduling amount on the BFG system. An evaluation method is then proposed to evaluate the effectiveness of the scheduling solutions. The experiments by using the practical data coming from a steel plant in China indicate that the proposed approach can effectively improve the scheduling accuracy and reduce the gas diffusion.

Critical Value of CO of Forecasting Coal Spontaneous Combustion

CO has been used widely in the production process of colliery as an index gas to predict spontaneous combustion of coal. But in some collieries there are CO gas in the upper corner of the face all the times, sometime CO gas even exceeds the regulated critical index. This phenomenon is much more obvious in the fully-mechanized longwall face and fully-mechanized longwall and top-coal caving face. Although many measures of fire-proof and fire-extinguishing have been adopted, the flowing amount of CO gas can be only decreasd, but can not be eliminated completely. Using the different kinds of coal, the experiment of coal oxidation was made at the low temperature. The experiment indicates that some kinds of coal can produce CO under the condition of normal temperature oxidation, sometime the CO consistency is very high, and the intension of CO can be decreased with oxidation time prolonging. Selecting rational critical value of CO is the kev to predicting spontaneous combustion of coal correctly and reliably. The problem of selecting retional critical value of CO was studied. Finally, the amount of CO gas released by different kinds of coal was obtained under normal temperature condition.

Developing a risk assessment system for gas tunnel disasters in China

Gas disasters always restrict the tunnel constructions in mountain area, which becomes a major geological barrier against the development of underground engineering. China is rich in coal resources and has a large amount of gas with a wide range of distribution. However, China experienced not only adverse effects on coal mining but also gas disasters in underground engineering construction, such as tunnels and chambers. With the increased number of tunnels passing through coal-bearing strata, the incidence of gas accidents is also rising. Therefore, the significance of preventing and mitigating gas disasters should be emphasized, and an effective risk assessment method for gas disasters should be established. On the basis of research on over 100 gas tunnels in China, a relatively ideal gas disaster risk assessment method and system for tunnels are established through the following measures. Firstly, geo-environmental conditions and gas situations were analyzed during construction. Secondly, qualitative analysis was combined with quantitative analysis. Finally, the influencing factors of gas disasters, including geological conditions, gas,and human factors, were investigated. The gas tunnel risk assessment system includes three levels:(1) the grading assessment of a gas tunnel during the planning stage,(2) the risk assessment of gas tunnel construction during the design and construction stages,(3) the gas tunnel outburst risk assessment during the coal uncovering stage. This system was applied to the dynamic assessment of gas disaster during the construction of the Zipingpu tunnel of Dujiangyan–Wenchuan Highway(in Sichuan, Southwest China). The assessment results were consistent with the actual excavation, which verified the rationality and feasibility of the system. The developed system was believed to be back-up and applied for risk assessment of gas disaster in the underground engineering construction.

Comparative Experimental Analysis on Coal Spontaneous Combustion

The goal of this study was to investigate coal quality features and their relationship to coal spontaneous combustion characteristics in multi-seam coal mines to better predict when coal spontaneous combustion is likely to occur.To that end,coal samples of various particle sizes were obtained from five coal seams(Nos.6,8,9,12 and 20)in the Shuangyashan City Xin’an Coal Mine.The samples were then respectively heated using a temperature programming system to observe and compare similarities and differences in the sponta-neous combustion process of different particle sizes in response to rising temperature.The experimental results show,that in all five coal seams,the concentration of CO,C_(2)H_(4),and C_(2)H_(6) increased with a certain degree of regularity as a function of rising temperature.However,of these three gasses,only CO and C_(2)H_(4) can be used as indicators to predict coal mine spontaneous combustion.The critical temperature for samples from all five coal seams ranged from 50–85℃,while the dry cracking temperature of coal seams 8 and 12(80–100℃)were lower than those of 6,9,and 20(100–120℃).Furthermore,the production rate of CO,C_(2)H_(4),and C_(2)H_(6) is related to both coal particle size and temperature.The smaller the particle size,the faster the production rate;and the higher the temperature,the more gas that gets produced.All five coal seems are mainly com-posed of long flame coal.However,they differ in that the No.12 coal seam contains weak cohesive coal;the No.8 coal seam contains lean and gas coal;and the Nos.6,9,and 20 coal seams contain a certain amount of anthracite.During the programmed coal heating,the CO,C_(2)H_(4),and C_(2)H_(6) release trend for the coal seams was No.12>No.8>Nos.6,9,and 20.These results demonstrate that the presence of weak cohesive coal and anthracite highly influence the concentration of CO,C_(2)H_(4),and C_(2)H_(6) released during coal spontaneous combustion.