The Importance of Molecular and Clinical Laboratory Tests in Diagnosis and Treatment of Coronavirus Disease

900 abusers were tested for the presence of drug abuse and coronavirus disease.In the early stage,the throat and noise samples of these patients were examined by polymerase chain reaction(PCR).The mean age of the study group is 42±23.Hematological and serological examinations were performed on 131 patients.All data were analyzed by t-test and one-way analysis of variance(ANOVA).Therefore,P<0.05 is considered as the significance of the test results.The results showed that 131 patients in the study group had positive results of PCR tests and nearby they had Covid-19.Approximately 90%of patients with coronavirus disease showed positive serological tests and lymphopenic condition.All of urine or blood samples in the 131 patients were positive for the presence of abuse drugs.C-reactive protein(CRP)is one of important serologic test that detected on these patients.This study showed the importance of molecular genetics test such as PCR and also hematology and serology tests in distinguish of coronavirus diseases.

Alterations in the Results of Biochemical Laboratory Tests Due to the Administration of Antihypertensive Drugs

Objective:Perform a literary review of the interference in the results of biochemical laboratory tests caused by antihypertensive drugs.Methods:This is a review of the scientific literature with descriptive research performed according to the PRISMA model using the databases PUBMED,SCIELO,MEDLINE,LILACS,and searches of Brazilian Ministry of Health and Federal Pharmacy Council publications,reagent kits and package inserts approved by ANVISA.Literature and papers in Portuguese and English were selected,prioritizing the years 2010 to 2020.Results:The diuretic class of antihypertensive drugs causes decreases glucose tolerance,thus resulting in an increase in triglycerides.In long-term use,the drug captopril can increase serum levels of potassium,creatine kinase and decreases blood sodium.Methyldopa causes an increase in AST levels.Propranolol is associated with an increase in triglyceride levels and a decrease in HDL and glucose levels.The constant use of losartan results in an increase in HDL,a decrease in uric acid levels and a slight and transient increase in transaminases.In the Gold Analisa,Bioclin and Labtest reagent kits,most of the alterations occur due to the increase in levels of serum biomarkers according to the class of the antihypertensive drug.Conclusions:Biochemical alterations in serum can result in false-positive or false-negative reports,since it can be observed that most of the dosages caused increases due to the physiological effect of the drugs.The antihypertensive drugs that showed the highest incidence of interference were captopril,atenolol,losartan and propranolol.

Statistical analysis of physico-mechanical parameters of sandstones occurring in orogenic settings

In northeastern Sicily(Italy),sandstone rock masses widely crop out as cover deposits over crystalline terrains belonging to the orogenic belt.Despite being part of the same geological formation,these sandstones are characterized by highly different features in terms of texture and physico-mechanical properties.This poses a scientific question on the possibility of tracing these rocks to a single statistical model,which could be representative of their main engineering geological properties.Therefore,it is worth investigating on the possible reasons of such differences,that should be searched either in the current geographical sandstone distribution or in the rock texture.For this study,sandstone samples were collected from different sites and were analyzed at both the hand and thin section scales.Three sandstone types were recognized,characterized by a different texture.Then,the laboratory characterization allowed estimating their main physico-mechanical and ultrasonic properties,such as porosity,density,mechanical strength,deformability,and ultrasonic velocities.The rock mechanical strength proved linked to the rock compactness and to the presence of lithic fragments,while pores and a pseudo-matrix between grains represent weakening features.Rock data were also statistically analyzed by grouping the specimens according to a geographical criterion,with respect to their sampling area,but no link was found between location and rock properties.Finally,with the aim of achieving mathematical laws that could be used to predict some rock properties from others,useful for practical purposes when dealing with such a high property variability,single and multiple regression analyses were carried out.Results show that the Uniaxial Compressive Strength,porosity,and P-wave velocity are the best predictors for a quick,indirect estimation of the main physico-mechanical parameters.The methodological approach developed for this research can be taken as reference to study other worldwide cases,involving rocks characterized by a wide range of physico-mechanical properties and covering large regional territories.

Protective effect of retaining wall on rock avalanche:A case study of Nayong rock avalanche in China

Rock avalanches are generally difficult to prevent and control due to their high velocities and the extensive destruction they cause.However,barrier structures constructed along the path of a rock avalanche can partially mitigate the magnitudes and consequences of such catastrophic events.We selected a rock avalanche in Nayong County,Guizhou Province,China as a case to study the effect of the location and height of a retaining wall on the dynamic characteristics of rock avalanche by using both actual terrain-based laboratory-model tests and coupled PFC3D-FLAC3D numerical simulations.Our findings demonstrate that a retaining wall can largely block a rock avalanche and its protective efficacy is significantly influenced by the integrity of the retaining wall.Coupled numerical simulation can serve as a powerful tool for analyzing the interaction between a rock avalanche and a retaining wall,facilitating precise observations of its deformation and destruction.The impact-curve characteristics of the retaining wall depend upon whether or not the rock avalanche-induced destruction is taken into account.The location of the retaining wall exerts a greater influence on the outcome compared to the height and materials of the retaining wall,while implementing a stepped retaining-wall pattern in accordance with the terrain demonstrates optimal efficacy in controlling rock avalanche.

Laboratory Test on Volumetric Characteristics of Saturated Sea Sand Under Cyclic Loading

The deformation of sea coast or sandy deposits caused by earthquakes can lead to catastrophic damages to various port structures. The volumetric deformation is mainly induced by densification of sand during the dissipation of excess pore water pressure created by cyclic loading. Based on laboratory test, the reconsolidation volumetric characteristics of saturated sea sand are investigated. The experiments are conducted with a newly developed multi functional triaxial test equipment. Two types of dynamic loads are applied to the samples to clarify different kinds of affecting factors. It is found that the reconsolidation volumetric strain is correlated not only to the excess pore water pressure and the maximum shear strain during the dynamic loading, but also to the effective confining pressure. A new formula is put forward to calculate the volumetric strain during reconssolidation.

Clinical Diagnosis and Treatment Characteristics of Acute Respiratory Infections in Children and New Developments in Laboratory Testing

Acute respiratory tract infection (ARTI) in children is the most common infectious disease in childhood, and its pathogens include viruses, bacteria and fungi, mycoplasma, chlamydia and rickettsia. In recent years, with the continuous development of pathogen detection methods, the diagnosis and treatment of acute respiratory infections has received more and more clinical attention. The clinical diagnosis and treatment characteristics of acute respiratory infections in children and the research of clinical laboratory detection methods have also been continuously developed. The author collected references to review the clinical features and new developments in laboratory testing of acute respiratory tract infection in children.

A laboratory study of stress arching around an inclusion due to pore pressure changes

When the pore pressure in a porous rock changes, stress arching will occur within the rock and the surrounding region. Stress arching ratio is defined as the total stress changes in the porous rock to the pore pressure change in the region. The region may have the same or different elastic moduli with the surrounding rock, which is usually referred to as inclusion or inhomogeneity. Stress arching is responsible for many geomechanical problems encountered during production or injection; in addition, it is a crucial parameter in stress estimation during field development. This paper aims to present laboratory measurements of vertical stress arching ratio in a material surrounding the inclusion(inhomogeneity).To the authors’ knowledge, few laboratory experiments have been reported on direct measurement of stress arching. The inclusion is a cylindrical sandstone(44 mm in diameter and 50 mm in height)embedded in a larger cylindrical sandstone(150 mm in diameter and 154 mm in height), both of which are made synthetically. These two parts are separated and sealed by a internal polyurethane sleeve.Vertical stress changes are recorded by a mini hydraulic sensor embedded in surrounding rock. Laboratory results are compared to those obtained by numerical models. These models are checked with analytical formulations. The results of numerical models show a good agreement with laboratory data.The numerical results also indicate that the sensor response is affected by elastic properties of the internal sleeve. According to the sensitivity analysis performed, in the absence of the internal sleeve,properties of the inclusion have significant effects on the surrounding stress arching induced.

Analysis of laboratory and imaging examination results of patients with COVID-192 years after discharge in Chengdu

Objective:To summarize the follow-up results of laboratory examination,echocardiographic and chest CT of patients with COVID-19 at the time of 2 years after discharge in Chengdu.Methods:A total of 29 COVID-19 survivors who have participated in the 1-year follow-up and 2-year follow-up at Public Health Clinical Center of Chengdu were included in our study.Their blood laboratory tests,echocardiography and chest CT results were analyzed in order to evaluate the long-term recovery of COVID-19 survivors.Results:The most common abnormal laboratory test results at the 2-year follow-up were increased serum fibronectin(21 cases,72.4%)and decreased NK cell counts(19 cases,65.5%).Compared with laboratory test results at the 1-year follow-up,platelet count,hydroxybutyrate dehydrogenase and creatine kinase isoenzyme were decreased(all P<0.05),while serum fibrinogen,triglyceride,insulin and non-specific immunoglobulin A were increased(all P<0.05).Serum specific total SARS-CoV-2 antibody amount in COVID-19 survivors at half a year after COVID-19 vaccine was significantly higher than that before vaccination.More than half of patients(55.2%)had normal echocardiography results at the 2-year follow-up,the main abnormal results of them were valve regurgitation(7 cases,24.1%)and reduced left ventricular diastolic function(9 cases,31.0%).Compared with 1-year follow-up,7 patients had fewer abnormal cardiac ultrasound results.28 cases underwent chest CT at the 2-year follow-up,the mainly abnormal results were ground glass shadow(17.9%),pulmonary nodules(diameter<6mm)(32.1%)and scattered cable shadow(39.3%).71.4%(20/28)of them had no significant change between the two chest CT results.Conclusion:The mainly abnormal blood laboratory indicators in COVID-19 survivors at 2-year follow-up after discharge were increased serum fibronectin and decreased NK cell counts.Although echocardiography and chest CT results were no significant change between 1-year follow-up and 2-year follow-up among COVID-19 survivors,there were still some patients whose abnormal results were decreasing.Serum specific total SARS-CoV-2 antibody amount in COVID-19 survivors at half a year after COVID-19 vaccine was still significantly higher than that before vaccination,but the amount of specific antibody had a downward trend with time.

New Progress in Clinical Diagnosis, Treatment and Laboratory Testing of Acute Respiratory Infections in Children

Acute respiratory infection in children (ARTI) is the most common childhood infectious disease, and its pathogens include bacteria, fungi, viruses, chlamydia, mycoplasma and rickettsia. In recent years, with the continuous development of pathogen detection methods, the diagnosis and treatment of acute respiratory infections has received more and more attention from clinicians. The clinical diagnosis and treatment of acute respiratory infections in children and the research of laboratory detection methods have also been continuously developed. The manuscript presents a review of progress in the clinical diagnosis, treatment and laboratory testing of acute respiratory infections in children by collecting references.

Evaluation of soil fabric using elastic waves during load-unload

It is essential to assess the evolution of soil fabric as it has an important role in the mechanical responses of soils during complex loading conditions.This contribution carries out the physical experiments using three granular materials in the laboratory.The variations of compression and shear wave velocities(Vp and Vs)are investigated during load-unload cycles under dry and drained conditions.Supplementary discrete element method(DEM)simulations are performed to understand the evolution of soil fabric during the equivalent load-unload cycles using spherical particles.Vp and Vs are not always reversible even though the stress state regains its isotropic condition after unload,indicating that Vp and Vs are governed by not only the stress state but also the fabric change.The variations of Vp/Vs are density-and stress-dependent;a higher level of stress ratio(s01/s03)threshold is observed for denser packings to trigger a significant change in wave velocity ratio(Vp/Vs)for experimental results using spherical glass beads and simulation data using spherical particles.Considering the particle shape,a higher s01/s03 threshold is found for more angular particles than rounded particles.The DEM result reveals that Vp/Vs of spherical particles can be correlated linearly with the evolution of fabric ratio(Fver/Fhor)during loadunload in a pre-peak range under dry and drained conditions.

Managing Health Treatment by Optimizing Complex Lab-Developed Test Configurations: A Health Informatics Perspective

A complex Laboratory Developed Test(LDT)is a clinical test developed within a single laboratory.It is typically configured from many fea-ture constraints from clinical repositories,which are part of the existing Lab-oratory Information Management System(LIMS).Although these clinical repositories are automated,support for managing patient information with test results of an LDT is also integrated within the existing LIMS.Still,the support to configure LDTs design needs to be made available even in standard LIMS packages.The manual configuration of LDTs is a complex process and can generate configuration inconsistencies because many constraints between features can remain unsatisfied.It is a risky process and can lead patients to undergo unnecessary treatments.We proposed an optimized solution(opt-LDT)based on Genetic Algorithms to automate the configuration and resolve the inconsistencies in LDTs.Opt-LDT encodes LDT configuration as an optimization problem and generates a consistent configuration that satisfies the constraints of the features.We tested and validated opt-LDT for a local secondary care hospital in a real healthcare environment.Our results,averaged over ten runs,show that opt-LDT resolves 90%of inconsistencies while taking between 6 and 6.5 s for each configuration.Moreover,positive feedback based on a subjective questionnaire from clinicians regarding the performance,acceptability,and efficiency of opt-LDT motivates us to present our results for regulatory approval.

Experimental evaluation of asphalt mixtures with emerging additives against cracking and moisture damage

The objective of this study was to evaluate and recommend an asphalt mixture design with emerging additive technologies that would provide superior performance against asphalt concrete(AC)stripping and cracking.To achieve this objective,a laboratory test program was developed to evaluate the use of nanomaterials(nanoclay and graphene nanoplatelet),an emerging anti-stripping agent(adhere),and warm-mix asphalt technologies(ZycoTherm,Sasobit,and EvoTherm).Two mix types were evaluated,which were a stone-matrix asphalt(SMA)and a dense-graded binder mix.In addition,the modified Lottman test(AASHTO T 283)and the indirect tensile asphalt cracking test(IDEAL-CT)test were used as performance indicators of moisture damage resistance and cracking susceptibility.Results were analyzed statistically to identify and quantify the effects of the design variables and selected additives on the performance,moisture damage resistance,and durability of asphalt mixes.Based on the cracking test results,a superior cracking resistance performance was observed with ZycoTherm,irrespective of the mix type.Adhere had the lowest average cracking indices for both mix types,which suggest that it would not perform as well as the other additives in terms of cracking resistance.Overall,SMA mixes displayed greater cracking resistance than the dense-graded mixtures,which may have been the result of the reclaimed asphalt pavement(RAP)material used in the dense-graded mix and its lower asphalt binder content.In terms of moisture resistance,both nanomaterials(graphene nanoplatelet and nanoclay)did not perform well as they did not meet the minimum required tensile strength ratio(TSR)criterion(>0.80).In addition,nanomaterials showed the lowest TSR values in both mix types suggesting that their effectiveness against moisture-induced damage may not be as good as warm-mix additives.On the other hand,warm-mix additives were expected to show enhanced performance in terms of moisture resistance as compared to the other additives evaluated in this study.

A male-ABCD algorithm for hepatocellular carcinoma risk prediction in HBs Ag carriers

Objective: Hepatocellular carcinoma(HCC) development among hepatitis B surface antigen(HBs Ag) carriers shows gender disparity, influenced by underlying liver diseases that display variations in laboratory tests. We aimed to construct a risk-stratified HCC prediction model for HBs Ag-positive male adults.Methods: HBs Ag-positive males of 35-69 years old(N=6,153) were included from a multi-center populationbased liver cancer screening study. Randomly, three centers were set as training, the other three centers as validation. Within 2 years since initiation, we administrated at least two rounds of HCC screening using Bultrasonography and α-fetoprotein(AFP). We used logistic regression models to determine potential risk factors,built and examined the operating characteristics of a point-based algorithm for HCC risk prediction.Results: With 2 years of follow-up, 302 HCC cases were diagnosed. A male-ABCD algorithm was constructed including participant's age, blood levels of GGT(γ-glutamyl-transpeptidase), counts of platelets, white cells,concentration of DCP(des-γ-carboxy-prothrombin) and AFP, with scores ranging from 0 to 18.3. The area under receiver operating characteristic was 0.91(0.90-0.93), larger than existing models. At 1.5 points of risk score,26.10% of the participants in training cohort and 14.94% in validation cohort were recognized at low risk, with sensitivity of identifying HCC remained 100%. At 2.5 points, 46.51% of the participants in training cohort and 33.68% in validation cohort were recognized at low risk with 99.06% and 97.78% of sensitivity, respectively. At 4.5 points, only 20.86% of participants in training cohort and 23.73% in validation cohort were recognized at high risk,with positive prediction value of 22.85% and 12.35%, respectively.Conclusions: Male-ABCD algorithm identified individual's risk for HCC occurrence within short term for their HCC precision surveillance.

Low frequency vibration tests on a floating slab track in an underground laboratory

Low frequency vibrations induced by underground railways have attracted increasing attention in recent years. To obtain the characteristics of low frequency vibrations and the low frequency performance of a floating slab track (FST), low frequency vibration tests on an FST in an underground laboratory at Beijing Jiaotong University were carried out. The FST and an unbalanced shaker SBZ30 for dynamic simulation were designed for use in low frequency vibration experiments. Vibration measurements were performed on the bogie of the unbalanced shaker, the rail, the slab, the tunnel invert, the tunnel wall, the tunnel apex, and on the ground surface at distances varying from 0 to 80 m from the track. Measurements were also made on several floors of an adjacent building. Detailed results of low frequency vibration tests were reported. The attenuation of low frequency vibrations with the distance from the track was presented, as well as the responses of different floors of the building. The experimental results could be regarded as a reference for developing methods to control low frequency vibrations and for adopting countermeasures.

Strength and dilatancy behaviors of deep sands in Shanghai with a focus on grain size and shape effect

With rapid development of infrastructures like tunnels and open excavations in Shanghai,investigations on deeper soils have become critically important.Most of the existing laboratory works were focused on the clayey strata up to Layer 6 in Shanghai,i.e.at depth of up to 40 m.In this paper,Layers 7,9,and 11,which were mostly formed of sandy soils at depth of up to 150 m,were experimentally investigated with respect to physico-mechanical behaviors.The stressestrain behaviors were analyzed by the consolidated drained/undrained(CD/CU)triaxial tests under monotonic loading.One-dimensional(1D)oedometer tests were performed to investigate the consolidation properties of the sandy soils.Specimens were prepared at three different relative densities for each layer.Also,the micro-images and particle size analyzers were used to analyze the shape and size of the sand grains.The influences of grain size,density,and angularity on the stressestrain behaviors and compressibility were also studied.Compared to the other layers,Layer 11 had the smallest mean grain size(D50),highest compressibility,and lowest shear strength.In contrast,Layer 9 had the largest mean grain size,lowest compressibility,and highest shear strength.Layer 7 was of intermediate mean grain size,exhibiting more compressibility and less shear strength than that of Layer 9.Also,the critical state parameters and maximum dilatancy rate of different layers were discussed.

Experimental and Numerical Investigation of Stress Condition in Unstable Soil

In unstable soils, a special erosion process termed suffusion can occur under the effect of relatively low hydraulic gradient. The critical hydraulic gradient of an unstable soil is smaller than in stable soils, which is described by a reduction factor α. According to a theory of Skempton and Brogan (1994) [1], this reduction factor is related to the stress conditions in the soil. In an unstable soil, the average stresses acting in the fine portion are believed to be smaller than the average stresses in the coarse portion. It is assumed that the stress ratio and the reduction factor for the hydraulic gradient are almost equal. In order to prove this theory, laboratory tests and discrete element modelings are carried out. Models of stable and unstable soils are established, and the stresses inside the sample are analysed. It is found that indeed in unstable soils the coarse grains are subject to larger stresses. The stress ratios in stable soils are almost unity, whereas in unstable soils smaller stress ratios, which are dependent on the soil composition and on the relative density of the soil, are obtained. A comparison between the results of erosion tests and numerical modeling shows that the stress ratios and the reduction factors are strongly related, as assumed by Skempton and Brogan (1994) [1].

Revisiting the methods of determining hydraulic conductivity of saturated expansive clays in low-compressibility zone

The hydraulic conductivity of saturated clays is commonly determined either directly by monitoring water flux or indirectly based on Terzaghi’s consolidation equation.Similar results are generally obtained from the two methods,but sometimes a significant difference can be observed,in particular for expansive soils.In this study,the hydraulic conductivities determined by the two methods are first compared based on existing data in the literature.The indirect method is then revisited attempting to explain the difference identified.A modified effective stress,considering physico-chemical interaction between face-to-face oriented particles,is finally introduced to better describe the compressibility of expansive clays and to further improve the indirect method in determining hydraulic conductivity of such soils in the low-compressibility zone.Extra tests were performed on Gaomiaozi(GMZ)bentonite slurry and the results obtained allowed the modified indirect method to be verified.

A statistical analysis of geomechanical data and its effect on rock mass numerical modeling:a case study

Geomechanical data are never sufficient in quantity or adequately precise and accurate for design purposes in mining and civil engineering.The objective of this paper is to show the variability of rock properties at the sampled point in the roadway's roof,and then,how the statistical processing of the available geomechanical data can affect the results of numerical modelling of the roadway's stability.Four cases were applied in the numerical analysis,using average values(the most common in geomechanical data analysis),average minus standard deviation,median,and average value minus statistical error.The study show that different approach to the same geomechanical data set can change the modelling results considerably.The case shows that average minus standard deviation is the most conservative and least risky.It gives the displacements and yielded elements zone in four times broader range comparing to the average values scenario,which is the least conservative option.The two other cases need to be studied further.The results obtained from them are placed between most favorable and most adverse values.Taking the average values corrected by statistical error for the numerical analysis seems to be the best solution.Moreover,the confidence level can be adjusted depending on the object importance and the assumed risk level.

Improved Geotechnical Behavior of an Expansive Soil Amended with Cationic Polyacrylamide

The characteristics of soil treated with cationic polyacrylamide(CPAM)mass content of 0%,0.2%,0.4%,0.6%,0.8%,and 1%were investigated through a series of laboratory tests to explore the practical engineering effect of an expansive soil amended with environmental protection material CPAM.The results indicate that with the increasing CPAM content,the liquid limit and plasticity index of soil decrease,the plastic limit increases,and the free swelling ratio and loaded swelling ratio decrease.Besides,the improved soil has less disintegrating property and better water stability.The shear strength increases as the content increases,and the optimal content is 0.6%.Meanwhile,the cohesion of the soil first increases and then decreases,and the internal friction angle increases.Additionally,the unconfined compressive strength first increases and then decreases.The improved soil presents the characteristics of brittle failure and reaches the peak value(410.1 kPa)at the content of 0.8%after curing for 14 days.Scanning electron microscope(SEM)exhibits that the number of curved and wrinkled sections of the expansive soil is reduced after CPAM improvement.Simultaneously,the arrangement of the superimposed polymer changes from face-face to side-angle or side-face-angle,and the reticular structure formed improves the strength and spatial stability of the soil.Therefore,adding appropriate cationic polyacrylamide could improve expansive soil in engineering.

Sieving Error from Dry-Separating Silt-Sand-Gravel Soils

The dry-separation method is an alternative to the wet-preparation in the current European Standard for the determination of particle size distributions by the sieving of soils. Due to the risk of error, dry-separation is cautioned against in the standard;however, there is no additional guidance as to when it is unsuitable nor for the magnitude of error that it may introduce. This study investigates the dry-separation method as an alternative by comparing with the conventional method of Wet-preparation in terms of particle-size distributions of eight cohesionless sand-gravel soils with varying amounts of nonplastic fines. The findings indicate a gradually increasing sieving error for fractions at minus 0.5 mm with the amount of fines in the soil, and depending on the fines content of the soil, dry-separation introduced errors upwards of 45% in silt-sand-gravel soils. An empirical best-fit formula is proposed for the estimation of the error using the dry-preparation method on this type of soil. Furthermore, to avoid sieving errors, the results suggest that the dry-separation method should not be used for silt-sand-gravel soils exceeding 2% silt size fractions.