Granular behaviour under bi-directional shear with constant vertical stress and constant volume

This paper aims to investigate the role of bi-directional shear in the mechanical behaviour of granular materials and macro-micro relations by conducting experiments and discrete element method(DEM)modelling.The bi-directional shear consists of a static shear consolidation and subsequent shear under constant vertical stress and constant volume conditions.A side wall node loading method is used to exert bi-directional shear of various angles.The results show that bi-directional shear can significantly influence the mechanical behaviour of granular materials.However,the relationship between bidirectional shear and mechanical responses relies on loading conditions,i.e.constant vertical stress or constant volume conditions.The stress states induced by static shear consolidation are affected by loading angles,which are enlarged by subsequent shear,consistent with the relationship between bidirectional shear and principal stresses.It provides evidence for the dissipation of stresses accompanying static liquefaction of granular materials.The presence of bi-directional principal stress rotation(PSR)is demonstrated,which evidences why the bi-directional shear of loading angles with components in two directions results in faster dissipations of stresses with static liquefaction.Contant volume shearing leads to cross-anisotropic stress and fabric at micro-contacts,but constant vertical stress shearing leads to complete anisotropic stress and fabric at micro-contacts.It explains the differentiating relationship between stress-strain responses and fabric anisotropy under these two conditions.Micromechanical signatures such as the slip state of micro-contacts and coordination number are also examined,providing further insights into understanding granular behaviour under bi-directional shear.

Pattern of Referral of Obstetric Patients at a Tertiary Care Hospital in Southern Nigeria

Background: Health challenges that are difficult to manage at primary health centres should be referred to secondary health facilities, and if untreated, to the tertiary hospitals. A good referral should include the patient’s biography, such as age, gender, tribe, religion, occupation, medical history, the reason for the referral, treatments received, and clinical diagnosis. Objectives: To evaluate the referral patterns, indications for referrals, and feto-maternal outcomes for obstetric patients who were referred to the University of Port Harcourt Teaching Hospital. Materials and Methods: A prospective study of patients admitted to the Obstetric unit from January 1, 2021, to December 31, 2022. Data was collected from patients while on admission or clinic visits and recorded in an excel spread sheet. Data was analyzed with the Statistical Package for Social Sciences (SPSS) version 25. Results: Of the 3469 patients were admitted to the obstetric unit, 1476 and 1993 were admitted in 2021 and 2022, respectively. Most (70.35%) of the patients were in the 20-34 years age group, parity 1-4 was the most frequent (66.49%), while 85.39% of patients were booked. 10.46% of the booked patients were referred from other facilities, whereas 89.54% of patients were booked at our facility from the onset. Most common indications of referrals were previous caesarean section (CS) at term (40.09%) and hypertensive disorders of pregnancy (17.59%). The outcome for 2021 indicated 17 maternal deaths, 132 fetal deaths and 1010 live births, giving maternal mortality ratio (MMR) as 1810.44 per 100,000 live births and perinatal mortality ratio (PMR) of 130.7 per 1000 births respectively. In 2022, there were 17 maternal deaths, 130 fetal deaths and 1297 deliveries, giving a MMR of 1399 per 100,000 live births and a PMR of 100.2 per 1000 births. Conclusion: The pattern of referral among obstetric patients in this study shows that a lot of the patients do not get adequate care at the lower cadre of the referral system, hence adequate facilities should be made available in primary and secondary health centres to tackle obstetric emergencies.

Application of CFD and FEA Coupling to Predict Structural Dynamic Responses of A Trimaran in Uni-and Bi-Directional Waves

To predict the wave loads of a flexible trimaran in different wave fields,a one-way interaction numerical simulation method is proposed by integrating the fluid solver(Star-CCM+)and structural solver(Abaqus).Differing from the existing coupled CFD-FEA method for monohull ships in head waves,the presented method equates the mass and stiffness of the whole ship to the hull shell so that any transverse and longitudinal section stress of the hull in oblique waves can be obtained.Firstly,verification study and sensitivity analysis are carried out by comparing the trimaran motions using different mesh sizes and time step schemes.Discussion on the wave elevation of uni-and bi-directional waves is also carried out.Then a comprehensive analysis on the structural responses of the trimaran in different uni-directional regular wave and bi-directional cross sea conditions is carried out,respectively.Finally,the differences in structural response characteristics of trimaran in different wave fields are studied.The results show that the present method can reduce the computational burden of the two-way fluid-structure interaction simulations.

A chaotic hierarchical encryption/watermark embedding scheme for multi-medical images based on row-column confusion and closed-loop bi-directional diffusion

Security during remote transmission has been an important concern for researchers in recent years.In this paper,a hierarchical encryption multi-image encryption scheme for people with different security levels is designed,and a multiimage encryption(MIE)algorithm with row and column confusion and closed-loop bi-directional diffusion is adopted in the paper.While ensuring secure communication of medical image information,people with different security levels have different levels of decryption keys,and differentiated visual effects can be obtained by using the strong sensitivity of chaotic keys.The highest security level can obtain decrypted images without watermarks,and at the same time,patient information and copyright attribution can be verified by obtaining watermark images.The experimental results show that the scheme is sufficiently secure as an MIE scheme with visualized differences and the encryption and decryption efficiency is significantly improved compared to other works.

Pilot Study of Molecular Mechanism on Vasculogenic Mimicry in Bi-directional Differentiated Malignant Tumors

Objective: To investigate the role of collagen IV and PAS positive substancesecreted by tumor cells in vasculogenic mimicry (VM) and the effects of VM on tumor cells expressingVEGF. Methods: 158 cases of bi-direction differential malignant tumor specimens withparaffin-embedded were enrolled into our study and made tissue microarray which were dual-stainedwith CD31-PAS and stained with collagen IV. The difference of the areas and distribution withpattern surrounded by between CD31 and PAS positive respectively were identified via grid-counting,as well as the difference of VEGF expression with VE absent and present. Results: The basementmembrane of VM was both PAS and collagen IV positive. VEGF expression in the bi-directiondifferential malignant tumor was higher VM-absent than VM-present and the difference wasstatistically significance in malignant melanoma and alveolar rhabdomyosarcoma (P 【 0.05).Conclusion: PAS positive substance and collagen IV compose the wall of VE and VE could provide theoxygen and nutrition for tumor growth and progression.

Description and Factors Affecting the Referral of Presumptive Tuberculosis Patients in China

To describe and analyze the factors affecting the referral of presumptive tuberculosis patients between health-care facilities that are not affiliated with the National TB Control Program （NTP） and NTP-designated medical facilities in China, we carried out a retrospective study based on data collected in the Tuberculosis Information Management System in 2015. Out of 324,221 presumptive pulmonary tuberculosis （PTB） cases reported by non-NTP health-care facilities, 302,006 （93.1%） reported cases successfully arrived at designated medical facilities and 22,215 cases （6.9%） were lost to follow-up. The arrival rate of presumptive cases among male patients （92.9%） was slightly lower than that among female ones （93.7%）, and this difference is statistically significant. The majority （73.3%） of reported cases were local permanent residents. Migrants have a higher risk of being lost to follow-up compared with local residents （adjusted odds ratios 4.126 and 5.003, respectively）. Compared with farmers and herdsmen, pre-school children, unemployed laborers, retirees, and people with other occupations （adjusted odds ratios 2.361, 1.274, 1.068, and 1.993, respectively） had higher rates of loss to follow-up during the referral and tracing processes. In conclusion, this study demonstrates that the high referral rate of presumptive TB cases from non-NTP health-care facilities to designated medical facilities in China is due to implementation of effective active case identification strategies. In addition, migrant populations, pre-school children, unemployed laborers, and retirees were identified as high-risk groups that contribute to the loss to follow-up.

Multi-agent system application in accordance with game theory in bi-directional coordination network model

The multi-agent system is the optimal solution to complex intelligent problems. In accordance with the game theory, the concept of loyalty is introduced to analyze the relationship between agents' individual income and global benefits and build the logical architecture of the multi-agent system. Besides, to verify the feasibility of the method, the cyclic neural network is optimized, the bi-directional coordination network is built as the training network for deep learning, and specific training scenes are simulated as the training background. After a certain number of training iterations, the model can learn simple strategies autonomously. Also,as the training time increases, the complexity of learning strategies rises gradually. Strategies such as obstacle avoidance, firepower distribution and collaborative cover are adopted to demonstrate the achievability of the model. The model is verified to be realizable by the examples of obstacle avoidance, fire distribution and cooperative cover. Under the same resource background, the model exhibits better convergence than other deep learning training networks, and it is not easy to fall into the local endless loop.Furthermore, the ability of the learning strategy is stronger than that of the training model based on rules, which is of great practical values.

Construction and analysis of a plant transformation binary vector pBDGG harboring a bi-directional promoter fusing dual visible reporter genes

The constitutive promoter of cauliflower mosaic virus 35S （CaMV 35S） is a polar unidirectional promoter and is widely used in plant genetic engineering. In the present study, the unidirectional CaMV 35S promoter has been modified to a bi-directional promoter by fusing its minimal promoter element to the 5＇ end of CaMV 35S promoter in the opposite orientation. To qualitatively and quantitatively estimate its bi-directional transcriptional function and activity, two visible reporter genes, gusA （13-glucuronidase, GUS） and gfp （green fluorescent protein, GFP）, were fused to the two ends of the promoter in bi-orientations ending with NOS terminator sequences, respectively. Stable expression of gusA and gfp genes in transgenic tobacco （Nicotiana tabacum L.） was visulized by histochemically staining for GUS and fluorescence microscopic observation under UV for GFP in transgenic plants. The expression of two reporter genes showed that the constructed bi-directional promoter did have the bi-directional transcriptional function in both expected orientations. The quantitative estimation of GUS and GFP were determined on a HITACHI F1000 Fluorescence Spectrophotometer with various wavelengths of excitation and emission. The GUS activity varied from g to 250 pmol 4-MU/min/mg protein and the GFP content varied from 0.9 to 1.8 μg/ mg protein in various lines of transgenic tobacco plants. Higher GUS activity generally coupled with lower GFP content, and vice versa.

Experimental Investigation of Local Scour Around A New Pile-Group Foundation for Offshore Wind Turbines in Bi-Directional Current

The local scour around a new pile-group foundation of offshore wind turbine subjected to a bi-directional current was physically modeled with a bi-directional flow flume. In a series of experiments, the flow velocity and topography of the seabed were measured based on a system composed of plane positioning equipment and an ADV.Experimental results indicate that the development of the scour hole was fast at the beginning, but then the scour rate decreased until reaching equilibrium. Erosion would occur around each pile of the foundation. In most cases, the scour pits were connected in pairs and the outside widths of the scour holes were larger than the inner widths. The maximum scour depth occurred at the side pile of the foundation for each test. In addition, a preliminary investigation shows that the larger the flow velocity, the larger the scour hole dimensions but the shorter equilibrium time. The field maximum scour depth around the foundation was obtained based on the physical experiments with the geometric length scales of 1:27.0, 1:42.5 and 1:68.0, and it agrees with the scour depth estimated by the HEC-18 equation.

Study on Application of Bi-directional Combination Technology Integrating Residue Hydrotreating with Catalytic Cracking RICP

After analysing the disadvantages of the traditional residue hydrotreating-catalytic cracking combination process, RIPP has proposed a bi-directional combination technology integrating residue hydrotreating with catalytic cracking called RICP which does not further recycles the FCC heavy cycle oil (HCO) inside the FCC unit and delivers HCO to the residue hydrotreating unit as a diluting oil for the residue that is concurrently subjected to hydrotreating prior to being used as the FCC feed oil. The RICP technology can stimulate residue hydrotreating reactions through utilization of HCO along with an in- creased yield of FCC light distillate, resulting in enhanced petroleum utilization and economic benefits of the refinery.

Quantitative measurements of one-dimensional OH absolute concentration profiles in a methane/air flat flame by bi-directional laser-induced fluorescence

The one-dimensional （1D） spatial distributions of OH absolute concentration in methane/air laminar premixed flat flame under different equivalence ratios at atmospheric pressure are investigated by using bi-directional laser-induced flu- orescence （LIF） detection scheme combined with the direct absorption spectroscopy. The effective peak absorption cross section and the average temperature at a height of 2 mm above the burner are obtained by exciting absorption on the Q1（8） rotational line in the A2∑＋ （Dt = 0） ←- X2∏ （v = 0） at 309.240 nm. The measured values are 1.86×10-15 cm2 and 1719 K, respectively. Spatial filtering and frequency filtering methods of reducing noise are used to deal with the experi- mental data, and the smoothing effects are also compared using the two methods. The spatial distribution regularities of OH concentration are obtained with the equivalence ratios ranging from 0.8 to 1.3. The spatial resolution of the measured result is 84μm. Finally, a comparison is made between the experimental result of this paper and other relevant study results.

A High-Speed Bi-Directional Visible Light Communication System Based on RGB-LED

In this paper, we propose and experimentally demonstrate a bi-directional indoor communication system based on visible light RGB-LED. Spectrally efficient modulation formats （QAM-OFDM）, advanced digital signal processing, pre- and post- equalization are adopted to compensate the severe frequency response of indoor channel. In this system, we utilize red-green-blue Light emitting diodes （LEDs）, of which each color can be used to carry different signals. For downlink, the low frequencies of each color are used while for uplink, the high frequencies are used. The overall data rate of downlink and uplink are 1.15-Gb/s and 300-Mb/s. The bit error ratios （BERs） for all channels after 0.7 m indoor delivery are below pre-forward- error-correction （pre-FEC） threshold of 3.8×10-3. To the best of our knowledge, this is the highest data rate in bi-directional visible light communication system.

Application of bi-directional static loading test to deep foundations

Bi-directional static loading test adopting load cells is widely used around the world at present, with increase in diameter and length of deep foundations. In this paper, a new simple conversion method to predict the equivalent pile head load-settlement curve considering elastic shortening of deep foundation was put forward according to the load transfer mechanism. The proposed conversion method was applied to root caisson foundation in a bridge and to large diameter pipe piles in a sea wind power plant. Some new load cells, test procedure, and construction technology were adopted based on the applications to different deep foundations, which could enlarge the application scopes of bi-directional loading test. A new type of bi-directional loading test for pipe pile was conducted, in which the load cell was installed and loaded after the pipe pile with special connector has been set up. Unlike the conventional bi-directional loading test, the load cell can be reused and shows an evident economic benefit.

Bending and free vibrational analysis of bi-directional functionally graded beams with circular cross-section

The bending and free vibrational behaviors of functionally graded(FG)cylindrical beams with radially and axially varying material inhomogeneities are investigated.Based on a high-order cylindrical beam model,where the shear deformation and rotary inertia are both considered,the two coupled governing differential motion equations for the deflection and rotation are established.The analytical bending solutions for various boundary conditions are derived.In the vibrational analysis of FG cylindrical beams,the two governing equations are firstly changed to a single equation by means of an auxiliary function,and then the vibration mode is expanded into shifted Chebyshev polynomials.Numerical examples are given to investigate the effects of the material gradient indices on the deflections,the stress distributions,and the eigenfrequencies of the cylindrical beams,respectively.By comparing the obtained numerical results with those obtained by the three-dimensional(3D)elasticity theory and the Timoshenko beam theory,the effectiveness of the present approach is verified.

Stress Relaxation and Sensitivity Weight for Bi-Directional Evolutionary Structural Optimization to Improve the Computational Efficiency and Stabilization on Stress-Based Topology Optimization

Stress-based topology optimization is one of the most concerns of structural optimization and receives much attention in a wide range of engineering designs.To solve the inherent issues of stress-based topology optimization,many schemes are added to the conventional bi-directional evolutionary structural optimization(BESO)method in the previous studies.However,these schemes degrade the generality of BESO and increase the computational cost.This study proposes an improved topology optimization method for the continuum structures considering stress minimization in the framework of the conventional BESO method.A global stress measure constructed by p-norm function is treated as the objective function.To stabilize the optimization process,both qp-relaxation and sensitivity weight scheme are introduced.Design variables are updated by the conventional BESO method.Several 2D and 3D examples are used to demonstrate the validity of the proposed method.The results show that the optimization process can be stabilized by qp-relaxation.The value of q and p are crucial to reasonable solutions.The proposed sensitivity weight scheme further stabilizes the optimization process and evenly distributes the stress field.The computational efficiency of the proposed method is higher than the previous methods because it keeps the generality of BESO and does not need additional schemes.

Failed biliary cannulation: Clinical and technical outcomes after tertiary referral endoscopic retrograde cholangiopancreatography

AIM: Prospective evaluation of repeat endoscopic retrograde cholangiopancreatography (ERCP) for failed Schutz grade 1 biliary cannulation in a high-volume center. METHODS: Prospective intention-to-treat analysis of patients referred for biliary cannulation following recent unsuccessful ERCP. RESULTS: Fifty-one patients (35 female; mean age: 62.5 years; age range: 40-87 years) with previous failed biliary cannulation were referred for repeat ERCP. The indication for ERCP was primarily choledocholithiasis (45%) or pancreatic malignancy (18%). Successful biliary can- nulation was 100%. The precut needle knife sphincterotomy (NKS) rate was 27.4%. Complications occurred in 3.9% (post-ERCP pancreatitis). An identif iable reason for initial unsuccessful biliary cannulation was present in 55% of cases. Compared to a cohort of 940 nave pa-pilla patients (female 61%; mean age: 59.9 years; age range: 18-94 years) who required sphincterotomy over the same time period, there was no statistical difference in the cannulation success rate (100% vs 98%) or postERCP pancreatitis (3.1% vs 3.9%). Precut NKS use was more frequent (27.4% vs 12.7%) (P = 0.017). CONCLUSION: Referral to a high-volume center following unsuccessful ERCP is associated with high technical success, with a favorable complication rate, compared to routine ERCP procedures.

Epidemiologic Profile of Maternal Deaths in Two Referral Hospitals in Cameroon

Introduction: Our objective was to compare the epidemiologic profile of maternal mortality in two structures serving as referral levels of care in Cameroon. Methodology: This cross-sectional, comparative study took place at the maternities of the Yaoundé Central Hospital (YCH) and the Bamenda Regional Hospital (BRH) from December 1st 2014 to May 31st 2015, a 6 months’ period. The medical records of deceased women over 5 years, from January 2010 to December 2014, were collected. We calculated the MMR (Maternal mortality rate) and studied the causes and risk factors associated with maternal death. The Epi info software 3.5.4 was used to analyze data with a significance level of P < 0.05. Results: The maternal mortality ratio (MMR) was 964 and 247 per 100,000 live births for YCH and BRH, respectively. More deaths occurred within the aged group range 20 to 34 years, 76.8% at YCH and 64.7% at BRH. At YCH, 70.7% of these patients were referrals versus 32.4% at BRH. Complication from abortion was often implicated at BRH (P = 0.007;OR = 0.31;CI = 0.13 - 0.74). Others causes were hemorrhage (YCH = 43.4%;BRH = 35.5%), hypertensive diseases (YCH = 17.2%;BRH = 14.7%) and infections (YCH = 8.1%;BRH = 17.6%). At YCH time elapsed from admission to death was <3 h (P = 0.005;OR = 6.63;CI = 1.49 - 29.5). Conclusion: Both hospitals have similar causes of maternal deaths, differing only in the context within which the deaths occurred. Improving access to good quality health care, satisfying unmet needs for family planning, availability of blood products and the establishment of health insurance could decrease the maternal mortality rate.

The Epidemiological Characteristics of Beijing Lineage Mycobacterium tuberculosis from a National Referral Center in China

Our study was to investigate the epidemiological characteristics of M.tuberculosis from a national tuberculosis referral center in China. All strains isolated from TB patients, were genotyped by the RD105 deletion, 8 and 51 SNP loci and VNTR. The high differentiation SNPs of modern Beijing strains were analyzed for protein function and structure. 413 M. tuberculosis were included. Of 379 Beijing lineage M. tuberculosis, ＇modern＇ and ＇ancient＇ strains respectively represented 85.5% （324/379） and 14.5% （55/379）. Rv2494 （V48A） and Rv0245 （Sl03F） were confirmed as high differentiation SNPs associated with modern strains. In a word, Modern Beijing lineage M.tuberculosis was dominant and the structural models suggested that modern sub-lineage may more easily survive in ＇extreme＇ host condition.

Hard exudates referral system in eye fundus utilizing speeded up robust features

In the paper a referral system to assist the medical experts in the screening/referral of diabetic retinopathy is suggested. The system has been developed by a sequential use of different existing mathematical techniques. These techniques involve speeded up robust features（SURF）, K-means clustering and visual dictionaries（VD）. Three databases are mixed to test the working of the system when the sources are dissimilar. When experiments were performed an area under the curve（AUC） of 0.9343 was attained. The results acquired from the system are promising.

Bi-Directional Giant Magneto Impedance Sensor

A thin film giant magneto impedance (GMI) based on magnetic field sensor has been developed using electrodeposited Ni-Fe permalloy. Chemical composition, surface morphology, and magnetic properties of Ni-Fe permalloy were char-acterized as a function of plateup parameters, and process conditions were established to deposit a Ni-Fe thin film with a high permeability (~1000) and a low coercivity (0.6 Oersted). Conventional GMI sensors are uni-directional and are several millimeters long. In this work, a spiral-shaped sensor using electroplated Ni-Fe permalloy to detect bi-directional magnetic field is reported. Excellent bi-directional magnetic field sensing has been demonstrated using the 1 mm2 compact double-spiral structure.