Laser powder bed fusion(L-PBF)of Mg alloys has provided tremendous opportunities for customized production of aeronautical and medical parts.Layer thickness(LT)is of great significance to the L-PBF process but has not...Laser powder bed fusion(L-PBF)of Mg alloys has provided tremendous opportunities for customized production of aeronautical and medical parts.Layer thickness(LT)is of great significance to the L-PBF process but has not been studied for Mg alloys.In this study,WE43 Mg alloy bulk cubes,porous scaffolds,and thin walls with layer thicknesses of 10,20,30,and 40μm were fabricated.The required laser energy input increased with increasing layer thickness and was different for the bulk cubes and porous scaffolds.Porosity tended to occur at the connection joints in porous scaffolds for LT40 and could be eliminated by reducing the laser energy input.For thin wall parts,a large overhang angle or a small wall thickness resulted in porosity when a large layer thicknesses was used,and the porosity disappeared by reducing the layer thickness or laser energy input.A deeper keyhole penetration was found in all occasions with porosity,explaining the influence of layer thickness,geometrical structure,and laser energy input on the porosity.All the samples achieved a high fusion quality with a relative density of over 99.5%using the optimized laser energy input.The increased layer thickness resulted to more precipitation phases,finer grain sizes and decreased grain texture.With the similar high fusion quality,the tensile strength and elongation of bulk samples were significantly improved from 257 MPa and 1.41%with the 10μm layer to 287 MPa and 15.12%with the 40μm layer,in accordance with the microstructural change.The effect of layer thickness on the compressive properties of porous scaffolds was limited.However,the corrosion rate of bulk samples accelerated with increasing the layer thickness,mainly attributed to the increased number of precipitation phases.展开更多
BACKGROUND Coronary heart disease is associated with coronary atherosclerosis indicated by carotid intima-media thickness(CIMT)thickening and altered vascular elasticity.The epicardial adipose layer can secrete proinf...BACKGROUND Coronary heart disease is associated with coronary atherosclerosis indicated by carotid intima-media thickness(CIMT)thickening and altered vascular elasticity.The epicardial adipose layer can secrete proinflammatory factors that promote the formation of coronary atherosclerosis.Thus,the epicardial fat layer thickness(EAT)may also predict coronary heart disease.AIM To determine the role of common carotid artery ultrasound parameters and EAT in the early diagnosis of coronary artery disease.METHODS Based on coronary angiography,patients with newly suspected coronary heart disease were divided into case(n=107)and control(n=41)groups.The carotid ultrasound parameters,including vascular stiffness(β),elastic coefficient(EP),pulse wave conduction velocity(PWV-β),CIMT,and EAT were compared between the case and control groups and among patients with different lesion numbers in the case group.Pearson correlation was used to evaluate the early diagnostic value of EAT,common carotid artery elasticity,and CIMT for coronary heart disease.RESULTS EP,β,PWV-β,CIMT,and EAT were significantly higher in the case group compared with the levels in the control group(all P<0.001).In the case group,lesions were detected in one vessel in 34 patients,two vessels in 38 patients,and three vessels in 35 patients.Within the case group,β,EP,PWV-β,CIMT,and EAT levels significantly increased with an increased number of lesions(all P<0.001).EAT positively correlated withβ,EP,PWV-β,and CIMT(all P<0.01).The area under the curve for diagnosing coronary heart disease using EAT combined with CIMT and carotid elasticity was 0.893,and the sensitivity and specificity were 0.890 and 0.837.CONCLUSION EAT correlated well with changes in carotid artery elasticity and CIMT in patients with coronary heart disease.The combination of EAT,carotid artery elasticity,and CIMT facilitates the early diagnosis of coronary heart disease.展开更多
The thermoelastic behaviors of such as temperature distribution, displacements, and stresses in thermal barrier coatings (TBC) are seriously influenced by top coat thickness and edge conditions. The top coat of TBC sp...The thermoelastic behaviors of such as temperature distribution, displacements, and stresses in thermal barrier coatings (TBC) are seriously influenced by top coat thickness and edge conditions. The top coat of TBC specimens prepared with TriplexPro?-200 system was controlled by changing the processing parameter and feedstock, showing the various thicknesses and microstructures. A couple of governing partial differential equations were derived based on the thermoelastic theory. Since the governing equations were too involved to solve analytically, a finite volume method was developed to obtain approximations. The thermoelastic behaviors of TBC specimens with the various thicknesses and microstructures were estimated through mathematical approaches with different edge conditions. The results demonstrated that the microstructure and thickness of the top coat, and the edge condition in theoretical analysis were crucial factors to be considered in controlling the thermoelastic characteristics of plasma-sprayed TBCs.展开更多
AIM: To evaluate the quantitatively changes in lipid layer thickness(LLT) when 3% diquafosol eye drop is used for dry eye patients using the tear film interferometer. METHODS: A total 124 participants(32 males, 92 fem...AIM: To evaluate the quantitatively changes in lipid layer thickness(LLT) when 3% diquafosol eye drop is used for dry eye patients using the tear film interferometer. METHODS: A total 124 participants(32 males, 92 females;mean age, 28.9 y) diagnosed with dry eye disease(DED) received topical instillation of 4 ophthalmic solutions in one eye: diquafosol, normal saline, 0.1% sodium hyaluronate and 0.3% gatifloxacin, in a masked manner. LLT was measured using an interferometer at baseline and 20 min after the instillation of each ophthalmic solutions.RESULTS: Changes of LLT after instillation(nm, mean± standard error) were as follows: 12.6±2.0 for diquafosol(P<0.001), 1.2±2.2 for normal saline(P=0.301), 1.5±2.0 for hyaluronate(P=0.495), and 0.5±3.2 for gatifloxacin(P=0.884).CONCLUSION: Topical instillation of diquafosol increases tear film LLT in DED patients. Diquafosol 3% eye drop might be effective treatment option of evaporative DED with meibomian gland dysfunction.展开更多
A mathematical model for the analysis of a gas-solid reacting system is presented. This model is an alternative to the classical shrinking-core model. The model has a structure that can be easily transformed into a ca...A mathematical model for the analysis of a gas-solid reacting system is presented. This model is an alternative to the classical shrinking-core model. The model has a structure that can be easily transformed into a canonical control form, which is proper for controller synthesis. Analytical solution of the model to describe the open-loop behavior is expressed in terms of the Lambert function. The Lambert function is evaluated from aTaylorexpansion series. Besides, a controller is proposed to regulate the reacted layer thickness using initially the diffusion coefficient as control input. The control law is synthesized employing the feedback linearization technique. Main contributions of this work are the synthesis of the layer thickness controller, and the employment of the process temperature as substitute of the diffusion coefficient as the control input.展开更多
In the Southeast Margin of the Tibetan Plateau, low-velocity sedimentary layers that would significantly affect the accuracy of the H-κ stacking of receiver functions are widely distributed.In this study, we use tele...In the Southeast Margin of the Tibetan Plateau, low-velocity sedimentary layers that would significantly affect the accuracy of the H-κ stacking of receiver functions are widely distributed.In this study, we use teleseismic waveform data of 475 events from 97 temporary broadband seismometers deployed by ChinArray Phase I to obtain crustal thicknesses and Poisson's ratios within the Chuxiong-Simao Basin and adjacent area, employing an improved method in which the receiver functions are processed through a resonance-removal filter, and the H-κ stacking is time-corrected.Results show that the crustal thickness ranges from 30 to 55 km in the study area, reaching its thickest value in the northwest and thinning toward southwest, southeast and northeast.The apparent variation of crustal thickness around the Red River Fault supports the view of southeastern escape of the Tibetan Plateau.Relatively thin crustal thickness in the zone between Chuxiong City and the Red River Fault indicates possible uplift of mantle in this area.The positive correlation between crustal thickness and Poisson's ratio is likely to be related to lower crust thickening.Comparison of results obtained from different methods shows that the improved method used in our study can effectively remove the reverberation effect of sedimentary layers.展开更多
Three-dimensional direct numerical simulations of the wake flow downstream of a near-wall circular cylinder at different gap ratios and boundary layer thicknesses are carried out by using the iterative immersed bounda...Three-dimensional direct numerical simulations of the wake flow downstream of a near-wall circular cylinder at different gap ratios and boundary layer thicknesses are carried out by using the iterative immersed boundary method.The non-dimensional gap between the cylinder and the wall,G/D=0.2,0.6 and 1.0,the non-dimensional boundary layer thickness,δ/D=0.0,0.7 and 1.6,the Reynolds number,Re=350,and the aspect ratio of the cylinder,L/D=25are adopted.High-resolution visualizations of the complex vortex structures at differentδ/D and G/D are presented.The transition of the streamwise vortex mode,the combined effects ofδ/D and G/D on the flow statistics,the pressure and shear stress distribution and the hydrodynamic forces are analyzed.Results show that with decreasing G/D and increasingδ/D,the gap flow and its vortex-shedding are significantly weakened,together with an elongated wake and an enlarged low-velocity area near the wall,leading to the wake mode transition from the two-sided to one-sided vortex-shedding.Different relative positions of the cylinder regarding the boundary layer alter the flow features of the shear layers.With an increase inδ/D,the front stagnation point shifts to the upper surface,and the distance between the flow divergence point and the maximum pressure position increases.The mean drag coefficient and r.m.s.values of drag and lift coefficients decrease with a decrease in G/D and an increase inδ/D,while the mean lift coefficient increases with decreasing G/D but decreases with increasingδ/D.展开更多
The upper Ming section of L oilfield is a typical offshore heavy oil bottom-water reservoir with thick fluvial layers. All horizontal wells are developed by natural energy. Due to the few drilling holes and influence ...The upper Ming section of L oilfield is a typical offshore heavy oil bottom-water reservoir with thick fluvial layers. All horizontal wells are developed by natural energy. Due to the few drilling holes and influence by the resolution of seismic data, it is difficult to describe reservoirs with thickness over 20 meters. In this paper, seismic resonance amplitude inversion technology is introduced to restore the real response of thick reservoirs and interbeds by drilling and drilling verification, and the geological bodies with different thickness are displayed by frequency division RGB three primary colors. Flow units of heavy oil reservoirs with bottom water are divided according to the three major factors of interlayer, lithologic internal boundary and water-oil thickness ratio which have the greatest influence on horizontal well development, thick sand bodies are divided into 10 different flow units in three levels, each unit is separated from each other, and the reservoir structure, water-cut characteristics and water-flooding characteristics are different. The reliability of the research is improved by using the dynamic data of horizontal wells and newly drilled passing wells, which provides a basis for tapping the potential of heavy oil reservoirs with bottom water.展开更多
An extreme sea storm process can lead to a jack-up rig under the combined loading condition of vertical load(V), horizontal load(H), and moment(M) to have stability problems. This paper presents the analysis of combin...An extreme sea storm process can lead to a jack-up rig under the combined loading condition of vertical load(V), horizontal load(H), and moment(M) to have stability problems. This paper presents the analysis of combined bearing capacities of a circular spudcan on layered clays with a strong layer overlying a comparatively weaker layer. Numerical models combined with displacement-based load tests, swipe tests, and constant ratio displacement probe tests are adopted to calculate the uniaxial bearing capacities, failure envelopes in combined V-H, V-M planes, and failure envelopes in a combined V-H-M load space, respectively. A parametric study on the effects of vertical load level V, the layer strength ratio s_(u,t)/s_(u,b), and the hard layer thickness t_1 on the bearing capacities is then performed. Results show that the vertical load level is a key factor that influences the values of H and M and the size of the H-M failure envelope. The existence of the underlying weak clay decreases the bearing capacities in all directions, and the vertical capacity Vult is affected more than the horizontal(H_(ult)) and moment(M_(ult)) capacities based on a single uniform deposit. The influence of the underlying weak clay on H-M failure envelope is mainly shown where H and M are coupled in the same direction. In contrast, little difference is observed when H and M are coupled in opposite directions.展开更多
Tillage layer thickness (TLT) of farmland could be regarded as one of physical indexes in assessing soil productivity and quality. In recent years, tillage layer shallowing was found in China in various regions, mainl...Tillage layer thickness (TLT) of farmland could be regarded as one of physical indexes in assessing soil productivity and quality. In recent years, tillage layer shallowing was found in China in various regions, mainly due to the adoption of non-tillage or rotary tillage practices, but only little rough and non-quantitative information is available so far on the issue. This research took Anhui, a typical agricultural province in Eastern China as an example and compared the TLTs of 87 typical profiles on provincial scale and 210 on county scale from 1980s to 2010s. The results showed that TLTs of 3.7% and 17.2% of samples in 1980s and 2010s respectively were larger than 20 cm. From 1980s to 2010s the mean TLT increased from 16.3 to 17.4 cm on the provincial scale and from 15.0 to 15.5 cm on the county scale respectively. In the middle and southern regions the mean TLTs increased by 0.4-0.7 cm on the provincial scale and 0.3-3.2 cm on the county scale respectively, but decreased by 2.0 cm in northern region on the county scale. The mean TLT increased by 0.8 cm for paddy-field and 1.4 cm for dry-land on the provincial scale. TLT was influenced comprehensively by the factors of soil texture, the depth of rotary tillage and the farming positivity of the farmers. Generally, TLT of farmland with coarse soil texture was higher than that of farmland with fine soil texture, in 1980s TLT in region of poor-economic condition usually was deeper than in region of good-economic condition, and the adoption of rotary tillage led widely TLTs of farmlands to about 15 cm in 2010s.展开更多
Forests and grasslands in arid and semi-arid regions receive high-intensity ultraviolet(UV) radiation year-round. However, how the UV radiation affects the litter decomposition on the forest floor remains unclear. H...Forests and grasslands in arid and semi-arid regions receive high-intensity ultraviolet(UV) radiation year-round. However, how the UV radiation affects the litter decomposition on the forest floor remains unclear. Here, we conducted a field-based experiment in 2011 in the southeastern Horqin Sandy Land, Northeast China, to investigate the effects of UV radiation, litter layer thickness, and their interaction on the mass loss and chemical properties of decomposing litter from Xiaozhuan poplar(Populus × xiaozhuanica) and Mongolian pine(Pinus sylvestris var. mongolica) plantation trees. We found that UV radiation accelerated the decomposition rates of both the Xiaozhuan poplar litter and Mongolian pine litter. For both species, the thick-layered litter had a lower mass loss than the thin-layered litter. The interaction between UV radiation and litter layer thickness significantly affected the litter mass loss of both tree species. However, the effects of UV radiation on the chemical properties of decomposing litter differed between the two species, which may be attributed to the contrasting initial leaf litter chemical properties and morphology. UV radiation mostly had positive effects on the lignin concentration and lignin/N ratio of Xiaozhuan poplar litter, while it had negative effects on the N concentration of Mongolian pine litter. Moreover, litter layer thickness and its interaction with UV radiation showed mostly positive effects on the N concentration and lignin/N ratio of Xiaozhuan poplar litter and the ratios of C/N and lignin/N of Mongolian pine litter, and mostly negative effects on the C/N ratio of Xiaozhuan poplar litter and the N concentration of Mongolian pine litter. Together, these results reveal the important roles played by UV radiation and litter layer thickness in the process of litter decomposition in this semi-arid region, and highlight how changes in the litter layer thickness can exert strong influences on the photodegradation of litter in tree plantations.展开更多
The active layer,acting as an intermediary of water and heat exchange between permafrost and atmosphere,greatly influences biogeochemical cycles in permafrost areas and is notably sensitive to climate fluctuations.Uti...The active layer,acting as an intermediary of water and heat exchange between permafrost and atmosphere,greatly influences biogeochemical cycles in permafrost areas and is notably sensitive to climate fluctuations.Utilizing the Chinese Meteorological Forcing Dataset to drive the Community Land Model,version 5.0,this study simulates the spatial and temporal characteristics of active layer thickness(ALT)on the Tibetan Plateau(TP)from 1980 to 2020.Results show that the ALT,primarily observed in the central and western parts of the TP where there are insufficient station observations,exhibits significant interdecadal changes after 2000.The average thickness on the TP decreases from 2.54 m during 1980–1999 to 2.28 m during 2000–2020.This change is mainly observed in the western permafrost region,displaying a sharp regional inconsistency compared to the eastern region.A persistent increasing trend of ALT is found in the eastern permafrost region,rather than an interdecadal change.The aforementioned changes in ALT are closely tied to the variations in the surrounding atmospheric environment,particularly air temperature.Additionally,the area of the active layer on the TP displays a profound interdecadal change around 2000,arising from the permafrost thawing and forming.It consistently decreases before 2000 but barely changes after 2000.The regional variation in the permafrost active layer over the TP revealed in this study indicates a complex response of the contemporary climate under global warming.展开更多
AIM:To assess the performance of macular ganglion cell-inner plexiform layer thickness(mGCIPLT)and 10-2 visual field(VF)parameters in detecting early glaucoma and evaluating the severity of advanced glaucoma.METHODS:T...AIM:To assess the performance of macular ganglion cell-inner plexiform layer thickness(mGCIPLT)and 10-2 visual field(VF)parameters in detecting early glaucoma and evaluating the severity of advanced glaucoma.METHODS:Totally 127 eyes from 89 participants(36 eyes of 19 healthy participants,45 eyes of 31 early glaucoma patients and 46 eyes of 39 advanced glaucoma patients)were included.The relationships between the optical coherence tomography(OCT)-derived parameters and VF sensitivity were determined.Patients with early glaucoma were divided into eyes with or without central 10°of the VF damages(CVFDs),and the diagnostic performances of OCT-derived parameters were assessed.RESULTS:In early glaucoma,the mGCIPLT was significantly correlated with 10-2 VF pattern standard deviation(PSD;with average mGCIPLT:β=-0.046,95%CI,-0.067 to-0.024,P<0.001).In advanced glaucoma,the mGCIPLT was related to the 24-2 VF mean deviation(MD;with average mGCIPLT:β=0.397,95%CI,0.199 to 0.595,P<0.001),10-2 VF MD(with average mGCIPLT:β=0.762,95%CI,0.485 to 1.038,P<0.001)and 24-2 VF PSD(with average mGCIPLT:β=0.244,95%CI,0.124 to 0.364,P<0.001).Except for the minimum and superotemporal mGCIPLT,the decrease of mGCIPLT in early glaucomatous eyes with CVFDs was more severe than that of early glaucomatous eyes without CVFDs.The area under the curve(AUC)of the average mGCIPLT(AUC=0.949,95%CI,0.868 to 0.982)was greater than that of the average circumpapillary retinal nerve fiber layer thickness(cpRNFLT;AUC=0.827,95%CI,0.674 to 0.918)and rim area(AUC=0.799,95%CI,0.610 to 0.907)in early glaucomatous eyes with CVFDs versus normal eyes.CONCLUSION:The 10-2 VF and mGCIPLT parameters are complementary to 24-2 VF,cpRNFLT and ONH parameters,especially in detecting early glaucoma with CVFDs and evaluating the severity of advanced glaucoma in group level.展开更多
In order to compare the influence of different soil types and stratification on water infiltration capacity,two main types of soil in the desert steppe,sierozem(S)and aeolian sandy soil(A),were selected,and infiltrati...In order to compare the influence of different soil types and stratification on water infiltration capacity,two main types of soil in the desert steppe,sierozem(S)and aeolian sandy soil(A),were selected,and infiltration simulation tests were conducted on homogeneous soil and layered soil(layer thickness 5,10,and 20 cm),respectively.The results show that during the whole experiment,there was a small difference between S5A95(aeolian sandy soil 95 cm thick was covered with sierozem 5 cm thick)and S10A90(aeolian sandy soil 90 cm thick was covered with sierozem 10 cm thick)in the wetting front process,infiltration rate and cumulative infiltration,but there was a significant difference between S5A95 and S20A80(aeolian sandy soil 80 cm thick was covered with sierozem 20 cm thick).In the initial infiltration stage,there was no significant difference between A5S95(sierozem 95 cm thick was covered with aeolian sandy soil 5 cm thick)and A10S90(sierozem 90 cm thick was covered with aeolian sandy soil 10 cm thick).However,with the increase of infiltration time,the wetting front process,A5S95,A10S90 and A20S80 had significant differences in terms of wetting front process,infiltration rate and cumulative infiltration.The infiltration capacity of A was significantly higher than that of S.Combined with linear R 2 value and model parameters,the three infiltration models were comprehensively compared,and the fitting process and results of the general empirical model for the infiltration process of homogeneous soil and layered soil showed good results.Three models were used to simulate the water infiltration process of layered soil with different textures,and the order of the effect is as follows:general empirical model>Kostiakov model>Philip model.Soil type and layer thickness had a great influence on water infiltration process.When sierozem was covered with aeolian sandy soil 20 cm thick,the infiltration capacity was the best.As aeolian sandy soil was covered with sierozem 10 cm thick,the infiltration effect was the worst.Therefore,once coarse graying occurs on the surface of sierozem(the thickness of sand is more than 20 cm)or when the content of fine particles overlying aeolian sandy soil(the thickness of silt and clay soil is more than 10 cm)during ecological restoration is high,the soil hydrological characteristics will change significantly,which may lead to changes in vegetation types and even ecosystem structure.展开更多
Examining the retinal tissue has the potential to provide a unique method and technique to quantify Alzheimer’s disease-related changes in participants at various stages of the disease.In this metaanalysis,we aimed t...Examining the retinal tissue has the potential to provide a unique method and technique to quantify Alzheimer’s disease-related changes in participants at various stages of the disease.In this metaanalysis,we aimed to investigate the association of various optical coherence tomography parameters with Alzheimer’s disease and whether retinal measurements can be used to diffe rentiate between Alzheimer’s disease and control subjects.Scientific databases including Google Schola r,Web of Science,and PubMed were systematically searched for published articles that evaluated retinal nerve fiber layer thickness and retinal microvascular network in Alzheimer’s disease and control subjects.Seventy-three studies(5850 participants,including 2249 Alzheimer’s disease patients and 3601controls) were included in this meta-analysis.Relative to controls,Alzheimer’s disease patients had a significantly lower global retinal nerve fiber layer thickness(standardized mean difference [SMD]=-0.79,95% confidence intervals [CI]:-1.03 to-0.54,P <0.00001) as well as each quadrant being thinner in Alzheimer’s disease versus controls.Regarding macular paramete rs,values measured by optical coherence tomography were significantly lower in Alzheimer’s disease than controls for macular thickness(pooled SMD:-0.44,95% CI:-0.67 to-0.20,P=0.0003),foveal thickness(pooled SMD=-0.39,95% CI:-0.58 to-0.19,P <0.0001),ganglion cell inner plexiform layer(SMD=-1.26,95% CI:-2.24 to-0.27,P=0.01) and macular volume(pooled SMD=-0.41,95% CI-0.76 to-0.07,P=0.02).Analysis using optical coherence tomography angiography parameters revealed mixed results between Alzheimer’s disease and controls.Superficial vessel density(pooled SMD=-0.42,95% CI:-0.68 to-0.17,P=0.0001) and deep vessel density(pooled SMD=-0.46,95% CI:-0.75 to-0.18,P=0.001) were found to be thinner in Alzheimer’s disease patients whereas the foveal avascular zone(SMD=0.84,95% CI:0.17-1.51,P=0.01) was larger in controls.Vascular density and thickness of various retinal laye rs were decreased in Alzheimer’s disease patients compared to controls.Our results provide evidence for optical coherence tomography technology having the potential to detect retinal and microvascular changes in patients diagnosed with Alzheimer’s disease and aid in monito ring and early diagnosis methods.展开更多
We present the results of two ground-based radio-echo-sounding(RES) and GPS surveys performed in the vicinity of new Chinese Taishan station,Princess Elizabeth Land,East Antarctica,obtained in two austral summers du...We present the results of two ground-based radio-echo-sounding(RES) and GPS surveys performed in the vicinity of new Chinese Taishan station,Princess Elizabeth Land,East Antarctica,obtained in two austral summers during CHINARE 21(2004/2005) and CHINARE 29(2012/2013).The radar surveys measured ice thickness and internal layers using 60- and 150-MHz radar systems,and GPS measurements showed smooth surface slopes around the station with altitudes of 2607-2636 m above sea level(a.s.l.).Radar profiles indicate an average ice thickness of 1900 m,with a maximum of 1949 m and a minimum of 1856 m,within a square area measuring approximately 2 km × 2 km in the vicinity of the station.The ice thickness beneath the station site is 1870 m.The subglacial landscape beneath the station is quiet sharp and ranges from 662 to 770 m a.s.l.,revealing part of a mountainous topography.The ice volume in the grid is estimated to be 7.6 km^3.Along a 60-MHz radar profile with a length of 17.6 km at the region covering the station site,some disturbed internal layers are identified and traced;the geometry of internal layers within the englacial stratigraphy may imply a complex depositional process in the area.展开更多
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...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.展开更多
Objective: To explore the combined effects of hemorheology and kinetics on the thickness of the retinal nerve fiber layer (RNFL, Retinal Nerve Fiber layer) in patients with diabetic retinopathy (DR, Diabetic retinopat...Objective: To explore the combined effects of hemorheology and kinetics on the thickness of the retinal nerve fiber layer (RNFL, Retinal Nerve Fiber layer) in patients with diabetic retinopathy (DR, Diabetic retinopathy). Method: From March to October 2017, 94 patients with DR and 94 healthy subjects from the First Affiliated Hospital of Changsha Medical College were selected for the current status survey. The blood rheology (Hematocrit Hct, ESR, erythrocyte deformation index DE, plasma viscosity PV, erythrocyte aggregation index AE) and hemodynamic parameters (Central Arterial Resistance Index RI, End-diastolic mean blood flow velocity EDV, Peak systolic mean flow velocity PSV) of the two groups were analyzed. Using principal components to analyze the intrinsic association of each indicator. Regression analysis method to analyze the comprehensive effects of various indicators on RNFL thickness in patients with DR. Result: Hct, ESR, DE, PV, and RI in the disease group were higher than those in the healthy group, while the EDV and PSV in the disease group were lower than those in the healthy group. The difference was statistically significant. Factor analysis was carried out for each index, and two principal components were extracted (the blood flow rheology contribution rate was 67.30%, and the hemodynamic contribution rate was 24.63%). Nasal RNFL thickness is related to Hct, ESR, PV, RI, PSV;Upper RNFL thickness is related to ESR, DE, PV, AE, EDV, PSV;RNFL thickness is related to ESR, DE, AE, RI, PSV;The thickness of RNFL below is related to DE, AE, RI, EDV, and the difference is statistically significant. Regression analysis found that the influence of 8 indicators on the RNFL thickness of patients was: PSV (OR=1.76), DE (OR=1.62), EDV (OR=1.57), RI (OR=1.33), PV (OR=1.12), AE (OR=1.03), Hct (OR=0.96), ESR (OR=0.62). Result: Hemorheology and hemodynamics have significant effects on the thickness of retinal nerve fiber layer in patients with diabetic retinopathy. The mean systolic velocity, erythrocyte deformation index, and end-diastolic mean blood flow velocity are the main influencing factors.展开更多
基金funded by the National Key Research and Development Program of China(2018YFE0104200)National Natural Science Foundation of China(51875310,52175274,82172065)Tsinghua Precision Medicine Foundation.
文摘Laser powder bed fusion(L-PBF)of Mg alloys has provided tremendous opportunities for customized production of aeronautical and medical parts.Layer thickness(LT)is of great significance to the L-PBF process but has not been studied for Mg alloys.In this study,WE43 Mg alloy bulk cubes,porous scaffolds,and thin walls with layer thicknesses of 10,20,30,and 40μm were fabricated.The required laser energy input increased with increasing layer thickness and was different for the bulk cubes and porous scaffolds.Porosity tended to occur at the connection joints in porous scaffolds for LT40 and could be eliminated by reducing the laser energy input.For thin wall parts,a large overhang angle or a small wall thickness resulted in porosity when a large layer thicknesses was used,and the porosity disappeared by reducing the layer thickness or laser energy input.A deeper keyhole penetration was found in all occasions with porosity,explaining the influence of layer thickness,geometrical structure,and laser energy input on the porosity.All the samples achieved a high fusion quality with a relative density of over 99.5%using the optimized laser energy input.The increased layer thickness resulted to more precipitation phases,finer grain sizes and decreased grain texture.With the similar high fusion quality,the tensile strength and elongation of bulk samples were significantly improved from 257 MPa and 1.41%with the 10μm layer to 287 MPa and 15.12%with the 40μm layer,in accordance with the microstructural change.The effect of layer thickness on the compressive properties of porous scaffolds was limited.However,the corrosion rate of bulk samples accelerated with increasing the layer thickness,mainly attributed to the increased number of precipitation phases.
文摘BACKGROUND Coronary heart disease is associated with coronary atherosclerosis indicated by carotid intima-media thickness(CIMT)thickening and altered vascular elasticity.The epicardial adipose layer can secrete proinflammatory factors that promote the formation of coronary atherosclerosis.Thus,the epicardial fat layer thickness(EAT)may also predict coronary heart disease.AIM To determine the role of common carotid artery ultrasound parameters and EAT in the early diagnosis of coronary artery disease.METHODS Based on coronary angiography,patients with newly suspected coronary heart disease were divided into case(n=107)and control(n=41)groups.The carotid ultrasound parameters,including vascular stiffness(β),elastic coefficient(EP),pulse wave conduction velocity(PWV-β),CIMT,and EAT were compared between the case and control groups and among patients with different lesion numbers in the case group.Pearson correlation was used to evaluate the early diagnostic value of EAT,common carotid artery elasticity,and CIMT for coronary heart disease.RESULTS EP,β,PWV-β,CIMT,and EAT were significantly higher in the case group compared with the levels in the control group(all P<0.001).In the case group,lesions were detected in one vessel in 34 patients,two vessels in 38 patients,and three vessels in 35 patients.Within the case group,β,EP,PWV-β,CIMT,and EAT levels significantly increased with an increased number of lesions(all P<0.001).EAT positively correlated withβ,EP,PWV-β,and CIMT(all P<0.01).The area under the curve for diagnosing coronary heart disease using EAT combined with CIMT and carotid elasticity was 0.893,and the sensitivity and specificity were 0.890 and 0.837.CONCLUSION EAT correlated well with changes in carotid artery elasticity and CIMT in patients with coronary heart disease.The combination of EAT,carotid artery elasticity,and CIMT facilitates the early diagnosis of coronary heart disease.
文摘The thermoelastic behaviors of such as temperature distribution, displacements, and stresses in thermal barrier coatings (TBC) are seriously influenced by top coat thickness and edge conditions. The top coat of TBC specimens prepared with TriplexPro?-200 system was controlled by changing the processing parameter and feedstock, showing the various thicknesses and microstructures. A couple of governing partial differential equations were derived based on the thermoelastic theory. Since the governing equations were too involved to solve analytically, a finite volume method was developed to obtain approximations. The thermoelastic behaviors of TBC specimens with the various thicknesses and microstructures were estimated through mathematical approaches with different edge conditions. The results demonstrated that the microstructure and thickness of the top coat, and the edge condition in theoretical analysis were crucial factors to be considered in controlling the thermoelastic characteristics of plasma-sprayed TBCs.
文摘AIM: To evaluate the quantitatively changes in lipid layer thickness(LLT) when 3% diquafosol eye drop is used for dry eye patients using the tear film interferometer. METHODS: A total 124 participants(32 males, 92 females;mean age, 28.9 y) diagnosed with dry eye disease(DED) received topical instillation of 4 ophthalmic solutions in one eye: diquafosol, normal saline, 0.1% sodium hyaluronate and 0.3% gatifloxacin, in a masked manner. LLT was measured using an interferometer at baseline and 20 min after the instillation of each ophthalmic solutions.RESULTS: Changes of LLT after instillation(nm, mean± standard error) were as follows: 12.6±2.0 for diquafosol(P<0.001), 1.2±2.2 for normal saline(P=0.301), 1.5±2.0 for hyaluronate(P=0.495), and 0.5±3.2 for gatifloxacin(P=0.884).CONCLUSION: Topical instillation of diquafosol increases tear film LLT in DED patients. Diquafosol 3% eye drop might be effective treatment option of evaporative DED with meibomian gland dysfunction.
文摘A mathematical model for the analysis of a gas-solid reacting system is presented. This model is an alternative to the classical shrinking-core model. The model has a structure that can be easily transformed into a canonical control form, which is proper for controller synthesis. Analytical solution of the model to describe the open-loop behavior is expressed in terms of the Lambert function. The Lambert function is evaluated from aTaylorexpansion series. Besides, a controller is proposed to regulate the reacted layer thickness using initially the diffusion coefficient as control input. The control law is synthesized employing the feedback linearization technique. Main contributions of this work are the synthesis of the layer thickness controller, and the employment of the process temperature as substitute of the diffusion coefficient as the control input.
基金supported by the National Natural Science Foundation of China (Project 41730212)the Basic Research Project of the Institute of Earthquake Forecasting, China Earthquake Administration (2017IES0102)
文摘In the Southeast Margin of the Tibetan Plateau, low-velocity sedimentary layers that would significantly affect the accuracy of the H-κ stacking of receiver functions are widely distributed.In this study, we use teleseismic waveform data of 475 events from 97 temporary broadband seismometers deployed by ChinArray Phase I to obtain crustal thicknesses and Poisson's ratios within the Chuxiong-Simao Basin and adjacent area, employing an improved method in which the receiver functions are processed through a resonance-removal filter, and the H-κ stacking is time-corrected.Results show that the crustal thickness ranges from 30 to 55 km in the study area, reaching its thickest value in the northwest and thinning toward southwest, southeast and northeast.The apparent variation of crustal thickness around the Red River Fault supports the view of southeastern escape of the Tibetan Plateau.Relatively thin crustal thickness in the zone between Chuxiong City and the Red River Fault indicates possible uplift of mantle in this area.The positive correlation between crustal thickness and Poisson's ratio is likely to be related to lower crust thickening.Comparison of results obtained from different methods shows that the improved method used in our study can effectively remove the reverberation effect of sedimentary layers.
基金financially supported by the National Key R&D Program of China (Grant No.2022YFB2603000)the National Natural Science Foundation of China (Grant Nos.51779172 and 52179076)。
文摘Three-dimensional direct numerical simulations of the wake flow downstream of a near-wall circular cylinder at different gap ratios and boundary layer thicknesses are carried out by using the iterative immersed boundary method.The non-dimensional gap between the cylinder and the wall,G/D=0.2,0.6 and 1.0,the non-dimensional boundary layer thickness,δ/D=0.0,0.7 and 1.6,the Reynolds number,Re=350,and the aspect ratio of the cylinder,L/D=25are adopted.High-resolution visualizations of the complex vortex structures at differentδ/D and G/D are presented.The transition of the streamwise vortex mode,the combined effects ofδ/D and G/D on the flow statistics,the pressure and shear stress distribution and the hydrodynamic forces are analyzed.Results show that with decreasing G/D and increasingδ/D,the gap flow and its vortex-shedding are significantly weakened,together with an elongated wake and an enlarged low-velocity area near the wall,leading to the wake mode transition from the two-sided to one-sided vortex-shedding.Different relative positions of the cylinder regarding the boundary layer alter the flow features of the shear layers.With an increase inδ/D,the front stagnation point shifts to the upper surface,and the distance between the flow divergence point and the maximum pressure position increases.The mean drag coefficient and r.m.s.values of drag and lift coefficients decrease with a decrease in G/D and an increase inδ/D,while the mean lift coefficient increases with decreasing G/D but decreases with increasingδ/D.
文摘The upper Ming section of L oilfield is a typical offshore heavy oil bottom-water reservoir with thick fluvial layers. All horizontal wells are developed by natural energy. Due to the few drilling holes and influence by the resolution of seismic data, it is difficult to describe reservoirs with thickness over 20 meters. In this paper, seismic resonance amplitude inversion technology is introduced to restore the real response of thick reservoirs and interbeds by drilling and drilling verification, and the geological bodies with different thickness are displayed by frequency division RGB three primary colors. Flow units of heavy oil reservoirs with bottom water are divided according to the three major factors of interlayer, lithologic internal boundary and water-oil thickness ratio which have the greatest influence on horizontal well development, thick sand bodies are divided into 10 different flow units in three levels, each unit is separated from each other, and the reservoir structure, water-cut characteristics and water-flooding characteristics are different. The reliability of the research is improved by using the dynamic data of horizontal wells and newly drilled passing wells, which provides a basis for tapping the potential of heavy oil reservoirs with bottom water.
基金supported by the National Key R&D Program of China (No. 2016YFC0302301)the National Natural Science Foundation of China (No. 51479183)
文摘An extreme sea storm process can lead to a jack-up rig under the combined loading condition of vertical load(V), horizontal load(H), and moment(M) to have stability problems. This paper presents the analysis of combined bearing capacities of a circular spudcan on layered clays with a strong layer overlying a comparatively weaker layer. Numerical models combined with displacement-based load tests, swipe tests, and constant ratio displacement probe tests are adopted to calculate the uniaxial bearing capacities, failure envelopes in combined V-H, V-M planes, and failure envelopes in a combined V-H-M load space, respectively. A parametric study on the effects of vertical load level V, the layer strength ratio s_(u,t)/s_(u,b), and the hard layer thickness t_1 on the bearing capacities is then performed. Results show that the vertical load level is a key factor that influences the values of H and M and the size of the H-M failure envelope. The existence of the underlying weak clay decreases the bearing capacities in all directions, and the vertical capacity Vult is affected more than the horizontal(H_(ult)) and moment(M_(ult)) capacities based on a single uniform deposit. The influence of the underlying weak clay on H-M failure envelope is mainly shown where H and M are coupled in the same direction. In contrast, little difference is observed when H and M are coupled in opposite directions.
文摘Tillage layer thickness (TLT) of farmland could be regarded as one of physical indexes in assessing soil productivity and quality. In recent years, tillage layer shallowing was found in China in various regions, mainly due to the adoption of non-tillage or rotary tillage practices, but only little rough and non-quantitative information is available so far on the issue. This research took Anhui, a typical agricultural province in Eastern China as an example and compared the TLTs of 87 typical profiles on provincial scale and 210 on county scale from 1980s to 2010s. The results showed that TLTs of 3.7% and 17.2% of samples in 1980s and 2010s respectively were larger than 20 cm. From 1980s to 2010s the mean TLT increased from 16.3 to 17.4 cm on the provincial scale and from 15.0 to 15.5 cm on the county scale respectively. In the middle and southern regions the mean TLTs increased by 0.4-0.7 cm on the provincial scale and 0.3-3.2 cm on the county scale respectively, but decreased by 2.0 cm in northern region on the county scale. The mean TLT increased by 0.8 cm for paddy-field and 1.4 cm for dry-land on the provincial scale. TLT was influenced comprehensively by the factors of soil texture, the depth of rotary tillage and the farming positivity of the farmers. Generally, TLT of farmland with coarse soil texture was higher than that of farmland with fine soil texture, in 1980s TLT in region of poor-economic condition usually was deeper than in region of good-economic condition, and the adoption of rotary tillage led widely TLTs of farmlands to about 15 cm in 2010s.
基金supported by the National Natural Science Foundation of China (31270668,41373038)the National Basic Research Program of China (2012CB416902)the China Postdoctoral Science Foundation (2016M601342)
文摘Forests and grasslands in arid and semi-arid regions receive high-intensity ultraviolet(UV) radiation year-round. However, how the UV radiation affects the litter decomposition on the forest floor remains unclear. Here, we conducted a field-based experiment in 2011 in the southeastern Horqin Sandy Land, Northeast China, to investigate the effects of UV radiation, litter layer thickness, and their interaction on the mass loss and chemical properties of decomposing litter from Xiaozhuan poplar(Populus × xiaozhuanica) and Mongolian pine(Pinus sylvestris var. mongolica) plantation trees. We found that UV radiation accelerated the decomposition rates of both the Xiaozhuan poplar litter and Mongolian pine litter. For both species, the thick-layered litter had a lower mass loss than the thin-layered litter. The interaction between UV radiation and litter layer thickness significantly affected the litter mass loss of both tree species. However, the effects of UV radiation on the chemical properties of decomposing litter differed between the two species, which may be attributed to the contrasting initial leaf litter chemical properties and morphology. UV radiation mostly had positive effects on the lignin concentration and lignin/N ratio of Xiaozhuan poplar litter, while it had negative effects on the N concentration of Mongolian pine litter. Moreover, litter layer thickness and its interaction with UV radiation showed mostly positive effects on the N concentration and lignin/N ratio of Xiaozhuan poplar litter and the ratios of C/N and lignin/N of Mongolian pine litter, and mostly negative effects on the C/N ratio of Xiaozhuan poplar litter and the N concentration of Mongolian pine litter. Together, these results reveal the important roles played by UV radiation and litter layer thickness in the process of litter decomposition in this semi-arid region, and highlight how changes in the litter layer thickness can exert strong influences on the photodegradation of litter in tree plantations.
基金supported by the Second Tibetan Plateau Scientific Expedition and Research(STEP)program[grant number 2019QZKK0102]the Youth Innovation Promotion Association CAS[grant number 2021073]the special fund of the Yunnan University“double firstclass”construction.
文摘The active layer,acting as an intermediary of water and heat exchange between permafrost and atmosphere,greatly influences biogeochemical cycles in permafrost areas and is notably sensitive to climate fluctuations.Utilizing the Chinese Meteorological Forcing Dataset to drive the Community Land Model,version 5.0,this study simulates the spatial and temporal characteristics of active layer thickness(ALT)on the Tibetan Plateau(TP)from 1980 to 2020.Results show that the ALT,primarily observed in the central and western parts of the TP where there are insufficient station observations,exhibits significant interdecadal changes after 2000.The average thickness on the TP decreases from 2.54 m during 1980–1999 to 2.28 m during 2000–2020.This change is mainly observed in the western permafrost region,displaying a sharp regional inconsistency compared to the eastern region.A persistent increasing trend of ALT is found in the eastern permafrost region,rather than an interdecadal change.The aforementioned changes in ALT are closely tied to the variations in the surrounding atmospheric environment,particularly air temperature.Additionally,the area of the active layer on the TP displays a profound interdecadal change around 2000,arising from the permafrost thawing and forming.It consistently decreases before 2000 but barely changes after 2000.The regional variation in the permafrost active layer over the TP revealed in this study indicates a complex response of the contemporary climate under global warming.
基金National Natural Science Foundation of China(No.81860170).
文摘AIM:To assess the performance of macular ganglion cell-inner plexiform layer thickness(mGCIPLT)and 10-2 visual field(VF)parameters in detecting early glaucoma and evaluating the severity of advanced glaucoma.METHODS:Totally 127 eyes from 89 participants(36 eyes of 19 healthy participants,45 eyes of 31 early glaucoma patients and 46 eyes of 39 advanced glaucoma patients)were included.The relationships between the optical coherence tomography(OCT)-derived parameters and VF sensitivity were determined.Patients with early glaucoma were divided into eyes with or without central 10°of the VF damages(CVFDs),and the diagnostic performances of OCT-derived parameters were assessed.RESULTS:In early glaucoma,the mGCIPLT was significantly correlated with 10-2 VF pattern standard deviation(PSD;with average mGCIPLT:β=-0.046,95%CI,-0.067 to-0.024,P<0.001).In advanced glaucoma,the mGCIPLT was related to the 24-2 VF mean deviation(MD;with average mGCIPLT:β=0.397,95%CI,0.199 to 0.595,P<0.001),10-2 VF MD(with average mGCIPLT:β=0.762,95%CI,0.485 to 1.038,P<0.001)and 24-2 VF PSD(with average mGCIPLT:β=0.244,95%CI,0.124 to 0.364,P<0.001).Except for the minimum and superotemporal mGCIPLT,the decrease of mGCIPLT in early glaucomatous eyes with CVFDs was more severe than that of early glaucomatous eyes without CVFDs.The area under the curve(AUC)of the average mGCIPLT(AUC=0.949,95%CI,0.868 to 0.982)was greater than that of the average circumpapillary retinal nerve fiber layer thickness(cpRNFLT;AUC=0.827,95%CI,0.674 to 0.918)and rim area(AUC=0.799,95%CI,0.610 to 0.907)in early glaucomatous eyes with CVFDs versus normal eyes.CONCLUSION:The 10-2 VF and mGCIPLT parameters are complementary to 24-2 VF,cpRNFLT and ONH parameters,especially in detecting early glaucoma with CVFDs and evaluating the severity of advanced glaucoma in group level.
基金Supported by the Natural Science Foundation of Ningxia Hui Autonomous Region(2022AAC03661)Financial Project of Geological Bureau of Ningxia Hui Autonomous Region(NXCZ20220201).
文摘In order to compare the influence of different soil types and stratification on water infiltration capacity,two main types of soil in the desert steppe,sierozem(S)and aeolian sandy soil(A),were selected,and infiltration simulation tests were conducted on homogeneous soil and layered soil(layer thickness 5,10,and 20 cm),respectively.The results show that during the whole experiment,there was a small difference between S5A95(aeolian sandy soil 95 cm thick was covered with sierozem 5 cm thick)and S10A90(aeolian sandy soil 90 cm thick was covered with sierozem 10 cm thick)in the wetting front process,infiltration rate and cumulative infiltration,but there was a significant difference between S5A95 and S20A80(aeolian sandy soil 80 cm thick was covered with sierozem 20 cm thick).In the initial infiltration stage,there was no significant difference between A5S95(sierozem 95 cm thick was covered with aeolian sandy soil 5 cm thick)and A10S90(sierozem 90 cm thick was covered with aeolian sandy soil 10 cm thick).However,with the increase of infiltration time,the wetting front process,A5S95,A10S90 and A20S80 had significant differences in terms of wetting front process,infiltration rate and cumulative infiltration.The infiltration capacity of A was significantly higher than that of S.Combined with linear R 2 value and model parameters,the three infiltration models were comprehensively compared,and the fitting process and results of the general empirical model for the infiltration process of homogeneous soil and layered soil showed good results.Three models were used to simulate the water infiltration process of layered soil with different textures,and the order of the effect is as follows:general empirical model>Kostiakov model>Philip model.Soil type and layer thickness had a great influence on water infiltration process.When sierozem was covered with aeolian sandy soil 20 cm thick,the infiltration capacity was the best.As aeolian sandy soil was covered with sierozem 10 cm thick,the infiltration effect was the worst.Therefore,once coarse graying occurs on the surface of sierozem(the thickness of sand is more than 20 cm)or when the content of fine particles overlying aeolian sandy soil(the thickness of silt and clay soil is more than 10 cm)during ecological restoration is high,the soil hydrological characteristics will change significantly,which may lead to changes in vegetation types and even ecosystem structure.
基金National Health and Medical Research Council (NHMRC) Australia (to VG)。
文摘Examining the retinal tissue has the potential to provide a unique method and technique to quantify Alzheimer’s disease-related changes in participants at various stages of the disease.In this metaanalysis,we aimed to investigate the association of various optical coherence tomography parameters with Alzheimer’s disease and whether retinal measurements can be used to diffe rentiate between Alzheimer’s disease and control subjects.Scientific databases including Google Schola r,Web of Science,and PubMed were systematically searched for published articles that evaluated retinal nerve fiber layer thickness and retinal microvascular network in Alzheimer’s disease and control subjects.Seventy-three studies(5850 participants,including 2249 Alzheimer’s disease patients and 3601controls) were included in this meta-analysis.Relative to controls,Alzheimer’s disease patients had a significantly lower global retinal nerve fiber layer thickness(standardized mean difference [SMD]=-0.79,95% confidence intervals [CI]:-1.03 to-0.54,P <0.00001) as well as each quadrant being thinner in Alzheimer’s disease versus controls.Regarding macular paramete rs,values measured by optical coherence tomography were significantly lower in Alzheimer’s disease than controls for macular thickness(pooled SMD:-0.44,95% CI:-0.67 to-0.20,P=0.0003),foveal thickness(pooled SMD=-0.39,95% CI:-0.58 to-0.19,P <0.0001),ganglion cell inner plexiform layer(SMD=-1.26,95% CI:-2.24 to-0.27,P=0.01) and macular volume(pooled SMD=-0.41,95% CI-0.76 to-0.07,P=0.02).Analysis using optical coherence tomography angiography parameters revealed mixed results between Alzheimer’s disease and controls.Superficial vessel density(pooled SMD=-0.42,95% CI:-0.68 to-0.17,P=0.0001) and deep vessel density(pooled SMD=-0.46,95% CI:-0.75 to-0.18,P=0.001) were found to be thinner in Alzheimer’s disease patients whereas the foveal avascular zone(SMD=0.84,95% CI:0.17-1.51,P=0.01) was larger in controls.Vascular density and thickness of various retinal laye rs were decreased in Alzheimer’s disease patients compared to controls.Our results provide evidence for optical coherence tomography technology having the potential to detect retinal and microvascular changes in patients diagnosed with Alzheimer’s disease and aid in monito ring and early diagnosis methods.
基金financially supported by the National Natural Science Foundation of China(Grant No.41376192,40906101)the National Basic Research Program of China(973 Program)(Grant No.2013CBA01804 and 2012CB957702)+2 种基金the Foreign Cooperation Support Program of Chinese Arctic and Antarctic Administration,SOA,China(Grand No.IC201214)the Natural Science Foundation of Shanghai,China(Grand No.13ZR1445300)the Chinese Polar Environment Comprehensive Investigation&Assessment Programmes(CHINARE2014-01-01)
文摘We present the results of two ground-based radio-echo-sounding(RES) and GPS surveys performed in the vicinity of new Chinese Taishan station,Princess Elizabeth Land,East Antarctica,obtained in two austral summers during CHINARE 21(2004/2005) and CHINARE 29(2012/2013).The radar surveys measured ice thickness and internal layers using 60- and 150-MHz radar systems,and GPS measurements showed smooth surface slopes around the station with altitudes of 2607-2636 m above sea level(a.s.l.).Radar profiles indicate an average ice thickness of 1900 m,with a maximum of 1949 m and a minimum of 1856 m,within a square area measuring approximately 2 km × 2 km in the vicinity of the station.The ice thickness beneath the station site is 1870 m.The subglacial landscape beneath the station is quiet sharp and ranges from 662 to 770 m a.s.l.,revealing part of a mountainous topography.The ice volume in the grid is estimated to be 7.6 km^3.Along a 60-MHz radar profile with a length of 17.6 km at the region covering the station site,some disturbed internal layers are identified and traced;the geometry of internal layers within the englacial stratigraphy may imply a complex depositional process in the area.
文摘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.
文摘Objective: To explore the combined effects of hemorheology and kinetics on the thickness of the retinal nerve fiber layer (RNFL, Retinal Nerve Fiber layer) in patients with diabetic retinopathy (DR, Diabetic retinopathy). Method: From March to October 2017, 94 patients with DR and 94 healthy subjects from the First Affiliated Hospital of Changsha Medical College were selected for the current status survey. The blood rheology (Hematocrit Hct, ESR, erythrocyte deformation index DE, plasma viscosity PV, erythrocyte aggregation index AE) and hemodynamic parameters (Central Arterial Resistance Index RI, End-diastolic mean blood flow velocity EDV, Peak systolic mean flow velocity PSV) of the two groups were analyzed. Using principal components to analyze the intrinsic association of each indicator. Regression analysis method to analyze the comprehensive effects of various indicators on RNFL thickness in patients with DR. Result: Hct, ESR, DE, PV, and RI in the disease group were higher than those in the healthy group, while the EDV and PSV in the disease group were lower than those in the healthy group. The difference was statistically significant. Factor analysis was carried out for each index, and two principal components were extracted (the blood flow rheology contribution rate was 67.30%, and the hemodynamic contribution rate was 24.63%). Nasal RNFL thickness is related to Hct, ESR, PV, RI, PSV;Upper RNFL thickness is related to ESR, DE, PV, AE, EDV, PSV;RNFL thickness is related to ESR, DE, AE, RI, PSV;The thickness of RNFL below is related to DE, AE, RI, EDV, and the difference is statistically significant. Regression analysis found that the influence of 8 indicators on the RNFL thickness of patients was: PSV (OR=1.76), DE (OR=1.62), EDV (OR=1.57), RI (OR=1.33), PV (OR=1.12), AE (OR=1.03), Hct (OR=0.96), ESR (OR=0.62). Result: Hemorheology and hemodynamics have significant effects on the thickness of retinal nerve fiber layer in patients with diabetic retinopathy. The mean systolic velocity, erythrocyte deformation index, and end-diastolic mean blood flow velocity are the main influencing factors.