Cascading multi-segment rupture process of the 2023 Turkish earthquake doublet on a complex fault system revealed by teleseismic P wave back projection method

In this study,the vertical components of broadband teleseismic P wave data recorded by China Earthquake Network are used to image the rupture processes of the February 6th,2023 Turkish earthquake doublet via back projection analysis.Data in two frequency bands(0.5-2 Hz and 1-3 Hz)are used in the imaging processes.The results show that the rupture of the first event extends about 200 km to the northeast and about 150 km to the southwest,lasting~90 s in total.The southwestern rupture is triggered by the northeastern rupture,demonstrating a sequential bidirectional unilateral rupture pattern.The rupture of the second event extends approximately 80 km in both northeast and west directions,lasting~35 s in total and demonstrates a typical bilateral rupture feature.The cascading ruptures on both sides also reflect the occurrence of selective rupture behaviors on bifurcated faults.In addition,we observe super-shear ruptures on certain fault sections with relatively straight fault structures and sparse aftershocks.

Hepatic rupture secondary to HELLP syndrome: outcomes in three cases

Hypertensive disorders of pregnancy,including chronic hypertension,gestational hypertension,and preeclampsia,are the most common complications in pregnant women,affecting approximately 15%of pregnancies.[1,2]Hemolysis,elevated liver enzymes,and low platelet count(HELLP syndrome)can occur in 0.2%-0.6%of all pregnancies,and 10%-15%of patients are diagnosed with preeclampsia.[3,4]Among its severe complications,liver hematoma is remarkable and may lead to liver rupture.Prompt identification of HELLP syndrome is crucial for proper therapeutic management and to avoid fatal outcomes[4,5]since when a hepatic hematoma occurs,the risk of rupture increases to 12%.[3,5]

Rupture of a giant jejunal mesenteric cystic lymphangioma misdiagnosed as ovarian torsion: A case report

BACKGROUND Cystic lymphangioma is a rare benign tumor that affects the lymphatic system.Mesenteric lymphangiomas in the small bowel are extremely uncommon.CASE SUMMARY We present a 21-year-old female patient who complained of abdominal pain.The diagnosis of ovarian torsion was suspected after abdominopelvic unenhanced computed tomography and ultrasound revealed a large cyst in contact with the bladder,ovary,and uterus.The patient underwent emergency laparotomy per-formed by gynecologists,but it was discovered that the cystic tumor originated from the jejunum.Gastrointestinal surgeons were then called in to perform a cystectomy.Pathological examination confirmed the diagnosis of cystic lymphangioma of the mesentery.The patient had an uneventful postoperative recovery.CONCLUSION Mesenteric lymphangiomas can cause abdominal pain,and imaging techniques can help determine their characteristics,location,and size.Complete surgical excision and pathological examination are considered the standard treatment and diagnostic method.

Spontaneous coronary artery rupture after lung cancer surgery:A case report and review of literature

BACKGROUND Spontaneous coronary artery rupture(SCAR)is a rare and life-threatening complication after lung cancer surgery.We present a case of SCAR following left upper lobectomy,successfully managed through emergency thoracotomy and coronary artery ligation.CASE SUMMARY A 61-year-old male patient underwent left upper lobectomy and mediastinal lymph node dissection for lung cancer.The surgery was performed using singleport video-assisted thoracoscopic surgery,and there were no observed complications during the procedure.However,19 h after surgery,the patient experienced chest discomfort and subsequently developed severe symptoms,including nausea,vomiting,and a drop in blood pressure.Urgent measures were taken,leading to the diagnosis of SCAR.The patient underwent emergency thoracotomy and coronary artery ligation,successfully stopping the bleeding and stabilizing the condition.Despite postoperative complications,the patient made a successful recovery and was discharged from the hospital.CONCLUSION SCAR is a rare but life-threatening complication following lung cancer surgery.Immediate thoracotomy has been shown to be a life-saving measure,while stenting is not the preferred initial approach.

Preliminary report of coseismic surface rupture(part)of Türkiye's M_(W)7.8 earthquake by remote sensing interpretation

Both M_(W) 7.8 and M_(W) 7.5 earthquakes occurred in southeastern Türkiye on February 6,2023,resulting in numerous buildings collapsing and serious casualties.Understanding the distribution of coseismic surface ruptures and secondary disasters surrounding the epicentral area is important for post-earthquake emergency and disaster assessments.High-resolution Maxar and GF-2 satellite data were used after the events to extract the location of the rupture surrounding the first epicentral area.The results show that the length of the interpreted surface rupture zone(part of)is approximately 75 km,with a coseismic sinistral dislocation of 2-3 m near the epicenter;however,this reduced to zero at the tip of the southwest section of the East Anatolia Fault Zone.Moreover,dense soil liquefaction pits were triggered along the rupture trace.These events are in the western region of the Eurasian Seismic Belt and result from the subduction and collision of the Arabian and African Plates toward the Eurasian Plate.The western region of the Chinese mainland and its adjacent areas are in the eastern section of the Eurasian Seismic Belt,where seismic activity is controlled by the collision of the Indian and Eurasian Plates.Both China and Türkiye have independent tectonic histories.

Is Induction of Labor with Early Rupture of Membranes Associated with an Increased Rate of Clinical Chorioamnionitis?

Objective: The objective of this study was to determine if early rupture of membranes (ROM) in women undergoing induction of labor (IOL) at term is associated with an increased rate of clinical chorioamnionitis. Study Design: A retrospective cohort study was performed on women undergoing IOL. Early ROM was defined as ROM at a modified Bishop score less than 5, cervical dilation less than 4 cm, or cervical effacement less than 80%. The rate of clinical chorioamnionitis was compared between women with early and late ROM. Results: The rate of clinical chorioamnionitis was 8.6% (24/279). ROM at an effacement of less than 80% was associated with a rate of clinical chorioamnionitis of 15.4% (12/78) compared to 6.0% (12/201) at an effacement of equal to or greater than 80%, p = 0.017. The rate of cesarean delivery was higher for patients with early ROM by any definition: 32% compared to 17.5% by modified Bishop score (p = 0.031), 32.4% versus 18.2% by cervical dilation (p = 0.049), and 33.3% versus 14.9% by cervical effacement (p = 0.001). Conclusions: In patients undergoing IOL, early ROM may be associated with an increased rate of clinical chorioamnionitis when performed at a cervical effacement of less than 80% and an increased rate of cesarean delivery.

Increased Risk of Neonatal Pneumonia in Pregnant Women with Atypical Pre-Labor Rupture of Membrane Assessed at Pregnancy Week 39

Purpose: Neonatal pneumonia is a major newborn disease with a high morbidity rate. We aimed to evaluate whether atypical prelabor rupture of membranes (PROM) is a high-risk factor for causing neonatal pneumonia in a prospective real-world study. Patients and Methods: A total of 250 pregnant women at pregnancy week 39 were non-selectively recruited. All were examined by PROM and neonatal pneumonia related clinical, bedside and lab tests, including body temperature, blood pressure, increased vagina discharge, posterior vault pooling, abdominal tenderness, WBC count, nitrazine test, amniotic fluid index, Leakection (a sICAM-1 based lateral flow immunoassay) and vagina streptococcus examinations. Increased vagina discharge with a Leakection positivity was adopted as a working criterium for identifying atypical PROM. Neonatal pneumonia was diagnosed based on the clinical presentation and lab tests. Results: Twenty cases of neonatal pneumonia (8.0%) were diagnosed after the deliveries of the 250 pregnant women. In these neonatal pneumonia cases, 12 (16.7%) occurred in 72 deliveries with atypical PROM, 2 (16.7%) in 12 deliveries with typical PROM, and 6 (3.6%) in 166 deliveries with non-PROM. Conclusion: In this real-world study, we find that a systematic screening at pregnancy week 39 was very meaningful in revealing atypical PROM. Moreover, atypical PROM is a major risk factor for neonatal pneumonia. Therefore, an early diagnosis and intervention on atypical PROM could potentially reduce the occurrence of neonatal pneumonia.

Ruptured Ectopic Pregnancy: Epidemiology and Management in the General Surgery Department of the Ignace Deen National Hospital, Conakry University Hospital

Introduction: The aim of this study was to contribute to improving the quality of GEUR management in the general surgery department and in the maternity ward of the Ignace Deen national hospital, Conakry University Hospital. Methodology: This was a retrospective, descriptive study lasting two years (January 1, 2020 to December 31, 2022), carried out in the general surgery and gyneco-obstetrics departments of the Ignace Deen national hospital, Conakry University Hospital. We included all patients with a ruptured ectopic pregnancy who received surgical treatment during the study period. Results: We collected 13,524 cases of surgical interventions in the two services, among them, we recorded 89 cases or 0.66% GEUR. The average age of the patients was 24.26 years. Brides were the most represented with 80.96% of cases. Women practicing a liberal profession were 51.69% (n = 46) and housewives 26.97% (n = 24). Clinically, amenorrhea was noted in all patients, i.e. 100%, abdominal-pelvic pain in 95.2% (n = 85) of cases, metrorrhagia in 94.08% (n = 84), abdominal-pelvic sensitivity in 97.44% (n = 87) of cases and anemia in 85.39% of cases. The GEUR was ampullary in 69.66% (n = 62) cases. Salpingectomy was performed in 90.72% (n = 81). The surgical outcomes were satisfactory in 98.87% (n = 88) of cases. We recorded one case of surgical site infection. We have not recorded any deaths. The average length of hospitalization was 4 days. Conclusion: GEUR is relatively high in our context. A good understanding of the prognostic factors of GEUR, awareness and family planning could reduce GEUR.

New physics of supersonic ruptures

Until recently,it is believed that the rupture speed above the pressure wave is impossible since spontaneously propagating ruptures are driven by the energy released due to the rupture motion,which is transferred through the medium to the rupture tip region at the maximum speed equal to the pressure wave speed.However,the apparent violation of classic theories has been revealed by new experimental results demonstrating supersonic shear ruptures.This paper presents a detailed analysis of the recently discovered shear rupture mechanism(fan hinged),which suggests a new physics of energy supply to the tip of supersonic ruptures.The key element of this mechanism is the fan‐shaped structure of the head of extreme ruptures,which is formed as a result of an intense tensile cracking process with the creation of intercrack slabs that act as hinges between the shearing rupture faces.The fan structure is featured with the following extraordinary properties:extremely low friction approaching zero;amplification of shear stresses above the material strength at low applied shear stresses;creation of a self‐disbalancing stress state causing a spontaneous rupture growth;abnormally high energy release;generation of driving energy directly at the rupture tip which excludes the need to transfer energy through the medium.The fan mechanism operates in intact rocks at stress conditions corresponding to seismogenic depths and in pre‐existing extremely smooth interfaces due to identical tensile cracking processes at these conditions.This is Paper 1(of two companion papers)which discusses the fan theory and extreme ruptures in experiments on extremely smooth interfaces.Paper 2 entitled“Fan‐hinged shear instead of frictional stick‐slip as the main and most dangerous mechanism of natural,induced and volcanic earthquakes in the earth's crust”considers extreme ruptures in intact rocks.Further study of this subject is a major challenge for deep underground science,earthquake and fracture mechanics,physics,and tribology.

Spontaneous Rupture of Urinary Bladder (SRUB): An Exceptional Presentation

Background: Spontaneous rupture of urinary bladder (SRUB) without trauma is an extremely rare pathology. The incidence is estimated to about 1/126,000. It is difficult to diagnose. Aim: To present an exceptional case report and emphasize on the difficulty of diagnosis. Case Presentation: We report the case of a 63-year-old man. The initial diagnosis of SRUB was obscured by a urinary retention. The pelvic ultrasound finally led to the diagnosis. We will pay particular attention to the circumstances of the diagnosis and the therapeutic measures applied. Conclusion: SRUB is exceptional and misdiagnosis is usual. Management is most of the time surgical.

Source rupture characteristics of the September 5,2022 Luding M_(S)6.8 earthquake at the Xianshuihe fault zone in southwest China

On September 5,2022,at Beijing time 12:52 p.m.,an M_(S)6.8 earthquake struck Luding County,GarzêTibetan Autonomous Prefecture,Sichuan Province.The epicenter of the earthquake was at the intersection of the Sichuan-Yunnan,Bayankala,and South China blocks.The tectonic background is extremely complex,and strong earthquakes occur frequently.Based on a predetermined focal location and focal mechanism solution for the earthquake,we reversed the focal depth and rupture process of the earthquake by fitting the teleseismic P and SH waves recorded by the global seismic network.The results show that the focal depth is 16 km,with the main rupture having a length of about 45 km near the epicenter,with a maximum displacement of 1.02 m.Although the rupture mainly propagates from the north–northwest(NNW)to the south–southeast(SSE)along the fault strike,there is a small-scale rupture slip zone at shallow depths in the north–northeast(NNE)direction along the epicenter of the seismogenic fault.This rupture image corresponds to the cluster distribution of aftershocks in the NNW and SSE directions starting from the epicenter,corresponding to the distribution of recorded landslides.The earthquake occurred on the Moxi fault,located in the southeastern section of the Xianshuihe fault.The major tectonic feature in this area is the southeastward movement of the Chuandian block relative to the Bayanhar block.

Fault rupture propagation in soil with intercalation using nonlocal model and softening modulus modification

Fault rupture propagation is more complex in the overlying soil with intercalation than in homogeneous soil,and it is challenging to simulate this phenomenon accurately using the finite element method.To address this issue,an improved nonlocal model that incorporates softening modulus modification is proposed.The methodology has the advantage that the solutions are independent of both mesh sizes and characteristic lengths,while maintaining objective softening rates of materials.Using the proposed methodology,a series of numerical simulations are conducted to investigate the effects of different mechanical parameters,such as elastic modulus,friction angle and dilation angle of the soil within the intercalation,as well as the impact of geometries,such as the depth and thickness of the intercalation,on the fault rupture progress.This study not only provides significant insights into the mechanisms of fault rupture propagation,specifically in relation to intercalations,but also shows a great value in promoting the current research on fault rupture.

CFD analysis of a CiADS fuel assembly during the steam generator tube rupture accident based on the LBEsteamEulerFoam

Steam generator tube rupture(SGTR) accident is an important scenario needed to be considered in the safety analysis of lead-based fast reactors. When the steam generator tube breaks close to the main pump, water vapor will enter the reactor core, resulting in a two-phase flow of heavy liquid metal and water vapor in fuel assemblies. The thermal-hydraulic problems caused by the SGTR accident may seriously threaten reactor core's safety performance. In this paper, the open-source CFD calculation software OpenFOAM was used to encapsulate the improved Euler method into the self-developed solver LBEsteamEulerFoam. By changing different heating boundary conditions and inlet coolant types, the two-phase flow in the fuel assembly with different inlet gas content was simulated under various accident conditions. The calculation results show that the water vapor may accumulate in edge and corner channels. With the increase in inlet water vapor content, outlet coolant velocity increases gradually. When the inlet water vapor content is more than 15%, the outlet coolant temperature rises sharply with strong temperature fluctuation. When the inlet water vapor content is in the range of 5–20%, the upper part of the fuel assembly will gradually accumulate to form large bubbles. Compared with the VOF method, Euler method has higher computational efficiency. However, Euler method may cause an underestimation of the void fraction, so it still needs to be calibrated with future experimental data of the two-phase flow in fuel assembly.

Ruptured gastric artery aneurysms in polyarteritis nodosa successfully treated with embolization

Dear editor,Polyarteritis nodosa(PAN) is a rare form of vasculitis involving small-and medium-sized vessels in multiple organs. Severe gastrointestinal(GI) hemorrhage in PAN due to multiple ruptures of aneurysms of arteries is uncommon and life-threatening.

Synergistic effect of total ionizing dose on single-event gate rupture in SiC power MOSFETs

The synergistic effect of total ionizing dose(TID) and single event gate rupture(SEGR) in SiC power metal–oxide–semiconductor field effect transistors(MOSFETs) is investigated via simulation. The device is found to be more sensitive to SEGR with TID increasing, especially at higher temperature. The microscopic mechanism is revealed to be the increased trapped charges induced by TID and subsequent enhancement of electric field intensity inside the oxide layer.

Repair of posterior ventricular septal rupture by right atrial approach

Ventricular septal rupture(VSR)is a serious complication that may occur after myocardial infarction(MI).[1]If left untreated,it will lead to high morbidity and mortality.Although several surgical interventions have been developed,mortality and complications associated with surgical management are still high,especially in terms of transventricular approaches.[2]

Multiple flexor tendon ruptures due to osteochondroma of the hamate:A case report

BACKGROUND Closed rupture of the little and ring finger flexor tendons caused by the hamate is mostly associated with a fracture or nonunion of the hamate hook.Only one case of a closed rupture of the finger flexor tendon caused by osteochondroma in the hamate has been reported.Here,we present a case study to highlight the possibility of hamate osteochondroma as a rare cause of finger closed flexor tendon rupture based on our clinical experience and literature review.CASE SUMMARY A 48-year-old man who had been a rice-field farmer for 7–8 h a day for the past 30 years visited our clinic due to the loss of right little finger and ring finger flexion involving both the proximal and distal interphalangeal joints.The patient was diagnosed with a complete rupture of the ring and little finger flexors because of the hamate and was pathologically diagnosed with an osteochondroma.Exploratory surgery was performed,and a complete rupture of the ring and little finger flexors due to an osteophyte-like lesion of the hamate was observed,which was pathologically diagnosed as an osteochondroma.CONCLUSION One should consider that osteochondroma in the hamate may be the cause of closed tendon ruptures.

Acute abdomen caused by spontaneous rupture of degenerative hysteromyoma during pregnancy:A case report

BACKGROUND Hysteromyoma is not a rare tumor among pregnant women.During pregnancy,the symptoms caused by hysteromyoma can be improved through conservative treatment in most cases.However,in order to ensure the safety of mothers and children,surgeries are necessary in some special cases.CASE SUMMARY We report a case of pregnancy complicated with hysteromyoma red degeneration.The patient had peritonitis after sudden abdominal pain during the 20th week of pregnancy.Laparoscopic exploration suggested rupture and bleeding of hysteromyoma,which were improved after drainage and an anti-inflammatory treatment.A cesarean section was performed after full term.This case shows the complications of rupture after red degeneration of hysteromyoma during pregnancy.CONCLUSION We should be alert to rupture of hysteromyoma during pregnancy,and active laparoscopic exploration is essential to improve the prognosis of such patients.

Influence of Ru Content on Microstructural Stability and Stress Rupture Property of DD15 Alloy

A fourth generation single crystal(SC)nickel based cast superalloy DD15 with 1%Ru,3%Ru,5%Ru was prepared using vacuum induction single crystal furnace in order to optimize the properties and cost of DD15 alloy.The exposure experiment of three alloys was conducted at 1100℃for 1000 h.The stress rupture properties tests were performed at 1100℃temperature and 137 MPa pressure.The composition optimization of Ru element in DD15 alloy had been studied.It was found that the alloys with different Ru contents all consist of cuboidalγ′phase embedded coherent inγphase.Theγ′phase of the alloy all has a size of about 300-500 nm and a volume content of more than sixty percent.The dimension ofγ′precipitates is reduced and uniform with increase of Ru content.Ru element can reduce the distribution ratio of high melting point element,so the microstructural stability is enhanced with Ru content increasing.No topologically close-packed(TCP)phase precipitated in the 5%Ru alloy even after 1000 h exposure.The stress rupture life of the alloy is significantly improved as Ru content rising.The raft breadth decreases slightly as Ru content increases.The specimen with 1%Ru and 3%Ru exhibits the presence of TCP phases and without TCP phases precipitated in fracture specimen with 5%Ru.The density and integrity ofγ/γ′interfacial dislocation network increase as Ru content of the alloy rises.

Ruptured teratoma mimicking a pelvic inflammatory disease and ovarian malignancy:A case report

BACKGROUND We report a case of ruptured ovarian teratoma mimicking pelvic inflammatory disease(PID)and ovarian malignancy.The case indicates the need for reviewing the information on ovarian teratomas,as the symptoms are vague,and,therefore,diagnosis and treatment had to be structured accordingly.CASE SUMMARY A 60-year-old woman was admitted to the emergency department with acute lower abdominal pain.She experienced weight loss and increased abdominal girth.Pelvic ultrasound and computed tomography revealed a 14-cm pelvic tumor.Laboratory examination revealed leukocytosis(white blood cell count:12620/μL,segment:87.7%)and high levels of C-reactive protein(18.2 mg/dL).Elevated levels of the tumor marker cancer antigen 19-9(367.8 U/mL,normal value<35 U/mL)were also noted.Due to the impression of a ruptured tuboovarian abscess or a tumor with malignancy,she immediately underwent an exploratory laparotomy.A ruptured ovarian tumor with fat balls,hair strands,cartilage,and yellowish fluid was observed on the right side.Right salpingooophorectomy was performed.A pathological examination revealed a mature cystic teratoma.The patient recovered after surgery and was discharged on postoperative day three.No antibiotics were administered.CONCLUSION This case illustrates the differential diagnosis of an ovarian tumor.Therefore,surgery is the mainstay for treating a ruptured teratoma.