The circular explosion wave produced by the abrupt discharge of gas from a high-temperature heat source serves as a crucial model for addressing explosion phenomena in compressible flow.The reflection of the primary s...The circular explosion wave produced by the abrupt discharge of gas from a high-temperature heat source serves as a crucial model for addressing explosion phenomena in compressible flow.The reflection of the primary shock and its propagation within a confined domain are studied both theoretically and numerically in this research.Under the assumption of strong shock,the scaling law governing propagation of the main shock is proposed.The dimensionless frequency of reflected shock propagation is associated with the confined distance.The numerical simulation for the circular explosion problem in a confined domain is performed for validation.Under the influence of confinement,the principal shock wave systematically undergoes reflection within the domain until it weakens,leading to the non-monotonic attenuation of kinetic energy in the explosion fireball and periodic oscillations of the fireball volume with a certain frequency.The simulation results indicate that the frequency of kinetic energy attenuation and the volume oscillation of the explosive fireball align consistently with the scaling law.展开更多
This study is the result of long-term efforts of the authors’team to assess ground response of gob-side entry by roof cutting(GSERC)with hard main roof,aiming at scientific control for GSERC deformation.A comprehensi...This study is the result of long-term efforts of the authors’team to assess ground response of gob-side entry by roof cutting(GSERC)with hard main roof,aiming at scientific control for GSERC deformation.A comprehensive field measurement program was conducted to determine entry deformation,roof fracture zone,and anchor bolt(cable)loading.The results indicate that GSERC deformation presents asymmetric characteristics.The maximum convergence near roof cutting side is 458 mm during the primary use process and 1120 mm during the secondary reuse process.The entry deformation is closely associated with the primary development stage,primary use stage,and secondary reuse stage.The key block movement of roof cutting structure,a complex stress environment,and a mismatch in the supporting design scheme are the failure mechanism of GSERC.A controlling ideology for mining states,including regional and stage divisions,was proposed.Both dynamic and permanent support schemes have been implemented in the field.Engineering practice results indicate that the new support scheme can efficiently ensure long-term entry safety and could be a reliable approach for other engineering practices.展开更多
Based on the daily meteorological observation data of seven meteorological stations in southern Tibet from 1980 to 2021 (April-October), the temporal and spatial variation characteristics and influencing factors of ar...Based on the daily meteorological observation data of seven meteorological stations in southern Tibet from 1980 to 2021 (April-October), the temporal and spatial variation characteristics and influencing factors of aridity index ( AI ) in the growing season of major grain producing areas in Tibet were studied by using climate tendency rate, Mann-Kendal test, Morlet wavelet analysis, GIS hybrid interpolation method, Pearson correlation coefficient, contribution rate analysis and other methods. The results showed that the average AI in the main grain producing areas of Tibet was 1.7, which belonged to the semi-arid area, and the overall trend was decreasing (humidifying) (-0.036/10 a). The linear decreasing trend was different in different regions, and the area around Lhatse County was the most significant (-0.26/10 a). AI had no obvious abrupt change, and had long- and medium-term fluctuation characteristics of 24 years, 6 years. The spatial distribution was uneven, and had the characteristics of ‘shrinking arid area and expanding humid area . The contribution rates of the main climate influencing factors of AI varied in different regions. In general, the contribution rates after quantification was as follows: precipitation (34.9%)>relative humidity (28.4%)>sunshine (19.9%)>maximum temperature (12.4%).展开更多
Objective: The aim was to show that Minimally Invasive total arterial revascularization for left main stem coronary artery disease, via a left anterior Mini thoracotomy using bilateral internal thoracic arteries is fe...Objective: The aim was to show that Minimally Invasive total arterial revascularization for left main stem coronary artery disease, via a left anterior Mini thoracotomy using bilateral internal thoracic arteries is feasible, reproducible and safe. Further, there has been no exclusive data or experience with minimally invasive coronary artery bypass grafting in left main stem disease. Methods: From April 2019 to March 2024, 41 patients with left main stem stenosis, left main equivalent disease and unprotected left main with triple vessel disease underwent off pump minimally invasive multivessel coronary artery bypass grafting using either in situ pedicled Bilateral Internal Thoracic arteries or Left and Right Internal Thoracic artery Y composite conduits at three centers. Bilateral Internal Thoracic arteries were harvested under direct vision. All patients had an Intra-Aortic Balloon Pump inserted via the femoral artery prior to induction of anesthesia, to prevent any hemodynamic instability, arrhythmias, and was removed following completion of the procedure in the operating room without any complications. Efficacy and outcomes were evaluated by i) Primary (MACCE)-Major Adverse Cardiac and Cardiovascular events and ii) Secondary outcome measures including total length of stay, return to full physical activity and quality of life. Mean follow-up was 1.4 years (Maximum was 2.5 years). Results: 41 patients with left main stem coronary artery stenosis, underwent total arterial revascularization using bilateral internal thoracic arteries. Left main stem stenosis was present in 29 patients, Unprotected left main stem stenosis with triple vessel disease in 7 and left main equivalence in 5 patients. In this cohort, 29 patients with only left main stem stenosis had 2 grafts each, 7 patients with left main and triple vessel disease had 3 grafts and 5 patients with left main equivalent disease had 2 grafts respectively. The average number of grafts was 2.2. One patient was converted to open sternotomy as an emergency because of hemodynamic instability and myocardial revascularization was done on cardiopulmonary bypass (2.2%). The average hospital stay was 3.7 days. Ejection fraction was 45% ± 5%. There was one mortality (2.2%) but no major morbidity. The average ICU and hospital stay was 24 ± 4 hours and 3.7 days. All patients were free from major adverse cardiac and cerebrovascular events at follow-up. Conclusions: Multivessel total arterial revascularization using left and right internal thoracic arteries, was performed via a left anterior Mini thoracotomy on patients with left main stem disease and showed that it was safe, reproducible and will help extend the armamentarium of the surgeon in minimally invasive Coronary artery bypass grafting. Concomitantly it helped enhance the potential for shorter hospital stay, increased survival, decreased morbidity, and earlier return to full activity. Furthermore, the safety, efficacy, and outcomes of minimally invasive coronary artery bypass grafting in this high-risk group evaluated by primary and secondary outcome measures have been good in this study.展开更多
The article hypothesizes that DE and DM (UCM) are a “Form of Motion of a Special Nature”, where “Form of Motion” means “Eternal Motion” as the power of dynamics of different levels and varying degrees of self-su...The article hypothesizes that DE and DM (UCM) are a “Form of Motion of a Special Nature”, where “Form of Motion” means “Eternal Motion” as the power of dynamics of different levels and varying degrees of self-sufficiency, and by “Special Nature”, gravitational and two other properties of matter, “tied” to the “Eternal Movement” and completely dependent on it. Carriers of key properties of a “Special Nature” have been established: “0”-DE particles and “3”-DM particles (UDM). The unity of their inherent “motionally-gravitational” properties and the peculiarity of the relationship between “motion” and “gravity” are revealed: the higher the intensity of “Eternal Motion”, the stronger the gravitational properties of matter are manifested (and vice versa). The relationship of “time” with the “vibration frequency” and the “mass” of photons with the “degree of bonding and deformation properties of the field” is shown. The maximum level of gravity has been determined, which allows Nature to successfully create the Universe: such a landmark is the proximity to the property of the Primary Source—the “pure graviton” of the OSP space, the most powerful “motionally-gravitational” particle of the Universe. The reasons for the emergence of such an identity of the gravitational properties of particles with the indicators of a “pure graviton” are established: for “0”-DE particles, this is the acquisition of the function of “freedom of movement”;for “3”-DM particles (UDM), the creation of a special structure—a “double field” (“Main” and “Small”). The presence in the “double field” of specific “tools” for the creation of the worlds of the Universe—gravitational “waves” gives rise to impulses (shocks) of varying intensity and shape. A list of functions performed by “waves” in the “Main” and “Small” fields has been compiled. The specific conditions for the formation of “UDM Streams”, their transformation into a “Vortex” and, under the influence of a powerful Initial Impulse (push), sending them to the “place” of the creation of galaxies, are shown. It is suggested that there is a “Cycle of Matter in Nature” in the closed structure of our Universe due to the “work” of “waves” and the functioning of special “factories” in the form of exotic space objects—Black holes.展开更多
BACKGROUND Main portal vein tumor thrombus(MPVTT), which has a high incidence, is the major complication of terminal liver cancer. The occurrence of MPVTT is always a negative prognostic factor for patients with hepat...BACKGROUND Main portal vein tumor thrombus(MPVTT), which has a high incidence, is the major complication of terminal liver cancer. The occurrence of MPVTT is always a negative prognostic factor for patients with hepatocellular carcinoma(HCC).Therefore, attention should be paid to the treatment of MPVTT and its complications.AIM To evaluate the efficacy of transarterial chemoembolization/transarterial embolization(TACE/TAE)+^(125)I seeds implantation with transjugular intrahepatic portosystemic shunt(TIPS) in treating MPVTT and its complications.METHODS From January 2007 to March 2015, 85 consecutive patients with MPVTT were nonrandomly assigned to undergo treatment with TACE/TAE + TIPS and ^(125)I implantation(TIPS-^(125)I group) or TACE/TAE + TIPS only(TIPS only group) in Beijing Shijitan Hospital, and all clinical data were collected. During 24 mo follow-up, the incidence of overall survival, stent stenosis and symptom recurrence was analyzed to evaluate the efficacy of TIPS-^(125)I.RESULTS During 24 mo follow-up of all patients, we collected data at 6, 12 and 24 mo. The rates of survival were 80%, 45%, and 20%, respectively, in the TIPS-^(125)I group,whereas those in the TIPS only group were 64.4%, 24.4%, and 4.4%, respectively(P < 0.05). The rates of symptom recurrence were 7.5%, 22.5%, and 35%,respectively, in the TIPS-^(125)I group, whereas those in the TIPS only group were31.1%, 62.2%, and 82.2%(P < 0.05). The rates of stent restenosis were 12.5%,27.5%, and 42.5%, respectively, in the TIPS-^(125)I group, and 42.2%, 68.9%, and84.4%, respectively, in the TIPS only group(P < 0.05). TIPS-^(125)I was found to be significantly favorable in treating MPVTT and its complications in patients with HCC.CONCLUSION TACE/TAE+^(125)I combined with TIPS is effective in treating MPVTT and its complications, improving quality of life of patients and reducing mortality.展开更多
Deep convection systems (DCSs) can rapidly lift water vapor and other pollutants from the lower troposphere to the upper troposphere and lower stratosphere. The main detrainment height determines the level to which th...Deep convection systems (DCSs) can rapidly lift water vapor and other pollutants from the lower troposphere to the upper troposphere and lower stratosphere. The main detrainment height determines the level to which the air parcel is lifted. We analyzed the main detrainment height over the Tibetan Plateau and its southern slope based on the CloudSat Cloud Profiling Radar 2B_GEOPROF dataset and the Aura Microwave Limb Sounder Level 2 cloud ice product onboard the Atrain constellation of Earth-observing satellites. It was found that the DCSs over the Tibetan Plateau and its southern slope have a higher main detrainment height (about 10-16 km) than other regions in the same latitude. The mean main detrainment heights are 12.9 and 13.3 km over the Tibetan Plateau and its southern slope, respectively. The cloud ice water path decreases by 16.8% after excluding the influences of DCSs, and the height with the maximum increase in cloud ice water content is located at 178 hPa (about 13 km). The main detrainment height and outflow horizontal range are higher and larger over the central and eastern Tibetan Plateau, the west of the southern slope, and the southeastern edge of the Tibetan Plateau than that over the northwestern Tibetan Plateau. The main detrainment height and outflow horizontal range are lower and broader at nighttime than during daytime.展开更多
To calculate the flow resistance of a main cable dehumidification system,this study considers the air flow in the main cable as the flow in a porous medium,and adopts the Hagen–Poiseuille equation by using average hy...To calculate the flow resistance of a main cable dehumidification system,this study considers the air flow in the main cable as the flow in a porous medium,and adopts the Hagen–Poiseuille equation by using average hydraulic radius and capillary bundle models.A mathematical derivation is combined with an experimental study to obtain a semi-empirical flow resistance formula.Additionally,Fluent software is used to simulate the flow resistance across the main cable relative to the experimental values.Based on the actual measured results for a Yangtze River bridge,this study verifies the semi-empirical formula,and indicates that it can be applied in actual engineering.展开更多
North Africa, which is one of the main oil and gas producing regions in the world, is best known for its subsalt Paleozoic-Triassic reservoirs and Paleozoic source rocks. Hydrocarbon abundance varies greatly from one ...North Africa, which is one of the main oil and gas producing regions in the world, is best known for its subsalt Paleozoic-Triassic reservoirs and Paleozoic source rocks. Hydrocarbon abundance varies greatly from one structural domain to another areally and from one stratigraphic interval to another vertically. Analyses of the essential elements and geological processes of the Paleozoic petroleum system indicate that the distribution of the Lower Silurian shale source rocks, the development of a thick Mesozoic overburden, the presence of the Upper Triassic-Lower Jurassic evaporite seal are the most important factors goveming the distribution of the Paleozoic-sourced hydrocarbons in North Africa. The Mesozoic sequence plays a critical role for hydrocarbons to accumulate by enabling the maturation of the Paleozoic source rocks during the Mesozoic-Paleogene times and preserving the accumulated hydrocarbons. Basins and surrounding uplifts, particularly the latter, with a thick Mesozoic sequence and a regional evaporite seal generally have abundant hydrocarbons. Basins where only a thin Mesozoic overburden was developed tend to have a very poor to moderate hydrocarbon prospectivity.展开更多
The necessity of the main cable anticorrosion for suspension bridge is described, and operating principles and composition of main cable dehumidification system are analyzed. An idea using the waste heat of high tempe...The necessity of the main cable anticorrosion for suspension bridge is described, and operating principles and composition of main cable dehumidification system are analyzed. An idea using the waste heat of high temperature outlet air of dehumidification system to heat up regeneration air of rotary-type dehumidifier is put forward in this paper. The concrete scheme is to install a heat exchanger on air-out pipeline of roots blower and air-in pipeline of regeneration electric heater of rotary dehumidifier. Air preheated by the heat exchanger enters regeneration electric heater of rotary-type dehumidifier. Energy conservation of main cable dehumidification system for the Yangtze River highway bridge is calculated, and the results show that energy conservation rate can reach 44 %.展开更多
Determining the main controlling factors of earthquake-triggered geohazards is a prerequisite for studying earthquake geohazards and post-disaster emergency response.By studying these factors,the geomorphic and geolog...Determining the main controlling factors of earthquake-triggered geohazards is a prerequisite for studying earthquake geohazards and post-disaster emergency response.By studying these factors,the geomorphic and geological factors controlling the nature,condition,and distribution of earthquake-induced geohazards can be analyzed.Such insights facilitate earthquake disaster prediction and emergency response planning.The authors combined field investigations and spatial data analysis to examine geohazards induced by seismic events,examining ten earthquakes including the Wenchuan,Yushu,Lushan events,to elucidate the main control factors of seismic geohazard.The authors observed that seismic geohazard occurrence is usually affected by many factors,among which active nature of the seismogenic fault,seismic peak ground acceleration(PGA),topographic slope and geomorphic height differences,and distance from the fault zone and river system are the most important.Compared with strike-slip earthquakes,thrust earthquakes induce more high-altitude and high-speed remote landslides,which can cause great harm.Slopes of 0°–40°are prone to secondary seismic geohazards,which are mainly concentrated 0–6 km from the river system.Secondary geohazards are not only related to seismogenic fault but also influenced by the associated faults in the earthquake area.The maximum seismic PGA and secondary seismic geohazard number are positively correlated,and the horizontal and vertical ground motions play leading and promoting roles in secondary geohazard formation,respectively.Through the research,the spatial distribution of seismic geohazards is predicted,providing a basis for the formulation of emergency response plans following disasters.展开更多
In this paper, the marine ship observation data sets in the seventh (October 16-December 4. 1989) and eighth (June 1-July 16, 1990) cruises of PRC -US tropical ocean and global atmosphere (TOGA) joint scientific inves...In this paper, the marine ship observation data sets in the seventh (October 16-December 4. 1989) and eighth (June 1-July 16, 1990) cruises of PRC -US tropical ocean and global atmosphere (TOGA) joint scientific investigation in the tropical western Pacific are used to analyze the elements such as sea surface temperature (SST), surface wind field, fluxes and net heat budget, which are important physical parameters of underlying earth's surface influencing the global mean circulation evolution on seasonal and interannual time scales. These diagnostic analyses are very beneficial to the understanding of the regional climate characteristics and the air-sea interaction mechanism, and the improving of surface flux parameterizations and regional or global climate model.展开更多
Main Exhauster is one of the main equipment of sintering production. It needs to consume a lot of electricity. Therefore, the system' s reconstruction for energy-saving will effectively reduce electricity for the pro...Main Exhauster is one of the main equipment of sintering production. It needs to consume a lot of electricity. Therefore, the system' s reconstruction for energy-saving will effectively reduce electricity for the production. The paper takes an iron and steel enterprise that had successfully transformed the synchronous motors of main exhauster of sintering as an example, which describes the application of high-voltage variable frequency speed regulation system in main exhauster of Sintering, so as to provide a reference for other iron and steel enterprises.展开更多
Some concrete methods are suggested in the article to control noises in main driving system of XK-736-type NC miller by analyzing working conditions of gears in the main driving system and bearings in the spindle gear...Some concrete methods are suggested in the article to control noises in main driving system of XK-736-type NC miller by analyzing working conditions of gears in the main driving system and bearings in the spindle gearshift system. Without changing the original design, noises are reduced ideally by modifying gear top, and by controlling the profile error ; the central distance of meshing gear, the quality of the inner and outer rings of bearings ; and the fit accuracy among bearing, hole and axis. The results may provide a reference for diagnosing and maintaining in future use.展开更多
Left main coronary compression syndrome(LMCS)may complicate pulmonary artery aneurysms(PAA),usually developed in the context of pulmonary arterial hypertension(PAH).We report the case of a 51-year-old female patient w...Left main coronary compression syndrome(LMCS)may complicate pulmonary artery aneurysms(PAA),usually developed in the context of pulmonary arterial hypertension(PAH).We report the case of a 51-year-old female patient with an atrial septal defect(unsuitable for device closure)complicated by a PAA generating a 90%left main stenosis.The significant PAH held us back from immediate surgery.After specific dual PAH-targeted therapy(sildenafil and bosentan),the atrial septal defect could be closed with a unidirectional valved patch;the PAAinduced LMCS was treated by reductive arterioplasty.The postoperative course was uneventful.Follow-up showed clinical improvement,but PAH treatment was still needed.After three months,coronary angiography showed only an insignificant residual left main stenosis,proving that reductive pulmonary arterioplasty was effective in treating LMCS.Any PAA requires further evaluation for LMCS,a dangerous but treatable complication.The“treat-repair-treat”strategy and shunt-closure with a unidirectional valved patch can both improve surgical prospects of LMCS with shunt-related PAH.展开更多
The goal of asset management is to identify and track the maintenance and replacement of assets that have reached their useful life. For that reason, gathering data and collecting information is a critical step when d...The goal of asset management is to identify and track the maintenance and replacement of assets that have reached their useful life. For that reason, gathering data and collecting information is a critical step when developing an asset management plan. Such data gathering includes physical and operational properties of the assets as well as collecting and tracking important events during the lifespan of the asset (i.e., pipe breaks, replacement year, maintenance performed, etc.). Critical factors in the asset management plan may be overlooked when there is no data or poor quality data. However, many utilities lack the resources for examining buried infrastructure and lack good quality work order data, so other methods of data collection are needed. The concept for this paper was to develop a means to acquire data on the assets for a condition assessment to identify pipes that were most likely to break and those with the highest consequences for same. Three utilities were used as examples. It was found that for buried infrastructure, much more information was known than anticipated but the actual predictions relied on only a few factors related to pipe type. However, there is a need to track the consequences, in this case breaks, which would indicate a failure. The latter would be useful for predicting future maintenance needs and the most at-risk assets, but is often missing in utility systems as many utilities do not adequately track breaks sufficiently. In this case two utilities were analyzed and predication on a third was developed.展开更多
Based on the connotation of high-quality development of water parks,this study established an evaluation system from distinctive water conservancy characteristics,excellent ecological environment,strong cultural atmos...Based on the connotation of high-quality development of water parks,this study established an evaluation system from distinctive water conservancy characteristics,excellent ecological environment,strong cultural atmosphere,strong development momentum,safe and efficient management,and significant comprehensive benefits,including 23 main contents and 52 evaluation indicators.Delphi method was used to score,and the evaluation results were divided into 3 levels,thus forming the evaluation system of high-quality development of water parks.This evaluation system has been preliminarily applied to the collection and selection of typical cases of the first national high-quality development of water parks.A total of 30 typical cases of high-quality development of water parks in China were collected and selected,and the first batch of 10 benchmark scenic spots were announced for key recommendation,and considerable application results have been achieved.展开更多
基金the National Natural Science Foundation of China(Nos.11988102,92052201,11825204,12032016,12372220,and 12372219)。
文摘The circular explosion wave produced by the abrupt discharge of gas from a high-temperature heat source serves as a crucial model for addressing explosion phenomena in compressible flow.The reflection of the primary shock and its propagation within a confined domain are studied both theoretically and numerically in this research.Under the assumption of strong shock,the scaling law governing propagation of the main shock is proposed.The dimensionless frequency of reflected shock propagation is associated with the confined distance.The numerical simulation for the circular explosion problem in a confined domain is performed for validation.Under the influence of confinement,the principal shock wave systematically undergoes reflection within the domain until it weakens,leading to the non-monotonic attenuation of kinetic energy in the explosion fireball and periodic oscillations of the fireball volume with a certain frequency.The simulation results indicate that the frequency of kinetic energy attenuation and the volume oscillation of the explosive fireball align consistently with the scaling law.
基金Project(WPUKFJJ2019-19)supported by the Open Fund of State Key Laboratory of Water Resource Protection and Utilization in Coal Mining,ChinaProject(51974317)supported by the National Natural Science Foundation of China。
文摘This study is the result of long-term efforts of the authors’team to assess ground response of gob-side entry by roof cutting(GSERC)with hard main roof,aiming at scientific control for GSERC deformation.A comprehensive field measurement program was conducted to determine entry deformation,roof fracture zone,and anchor bolt(cable)loading.The results indicate that GSERC deformation presents asymmetric characteristics.The maximum convergence near roof cutting side is 458 mm during the primary use process and 1120 mm during the secondary reuse process.The entry deformation is closely associated with the primary development stage,primary use stage,and secondary reuse stage.The key block movement of roof cutting structure,a complex stress environment,and a mismatch in the supporting design scheme are the failure mechanism of GSERC.A controlling ideology for mining states,including regional and stage divisions,was proposed.Both dynamic and permanent support schemes have been implemented in the field.Engineering practice results indicate that the new support scheme can efficiently ensure long-term entry safety and could be a reliable approach for other engineering practices.
基金Supported by Natural Science Foundation of Tibet Autonomous Region(XZ202001ZR0082G)National Key Research and Development Program of China(2020YFA0608203)Key Research and Development of Science and Technology Program of Tibet Autonomous Region(CGZH2024000002)。
文摘Based on the daily meteorological observation data of seven meteorological stations in southern Tibet from 1980 to 2021 (April-October), the temporal and spatial variation characteristics and influencing factors of aridity index ( AI ) in the growing season of major grain producing areas in Tibet were studied by using climate tendency rate, Mann-Kendal test, Morlet wavelet analysis, GIS hybrid interpolation method, Pearson correlation coefficient, contribution rate analysis and other methods. The results showed that the average AI in the main grain producing areas of Tibet was 1.7, which belonged to the semi-arid area, and the overall trend was decreasing (humidifying) (-0.036/10 a). The linear decreasing trend was different in different regions, and the area around Lhatse County was the most significant (-0.26/10 a). AI had no obvious abrupt change, and had long- and medium-term fluctuation characteristics of 24 years, 6 years. The spatial distribution was uneven, and had the characteristics of ‘shrinking arid area and expanding humid area . The contribution rates of the main climate influencing factors of AI varied in different regions. In general, the contribution rates after quantification was as follows: precipitation (34.9%)>relative humidity (28.4%)>sunshine (19.9%)>maximum temperature (12.4%).
文摘Objective: The aim was to show that Minimally Invasive total arterial revascularization for left main stem coronary artery disease, via a left anterior Mini thoracotomy using bilateral internal thoracic arteries is feasible, reproducible and safe. Further, there has been no exclusive data or experience with minimally invasive coronary artery bypass grafting in left main stem disease. Methods: From April 2019 to March 2024, 41 patients with left main stem stenosis, left main equivalent disease and unprotected left main with triple vessel disease underwent off pump minimally invasive multivessel coronary artery bypass grafting using either in situ pedicled Bilateral Internal Thoracic arteries or Left and Right Internal Thoracic artery Y composite conduits at three centers. Bilateral Internal Thoracic arteries were harvested under direct vision. All patients had an Intra-Aortic Balloon Pump inserted via the femoral artery prior to induction of anesthesia, to prevent any hemodynamic instability, arrhythmias, and was removed following completion of the procedure in the operating room without any complications. Efficacy and outcomes were evaluated by i) Primary (MACCE)-Major Adverse Cardiac and Cardiovascular events and ii) Secondary outcome measures including total length of stay, return to full physical activity and quality of life. Mean follow-up was 1.4 years (Maximum was 2.5 years). Results: 41 patients with left main stem coronary artery stenosis, underwent total arterial revascularization using bilateral internal thoracic arteries. Left main stem stenosis was present in 29 patients, Unprotected left main stem stenosis with triple vessel disease in 7 and left main equivalence in 5 patients. In this cohort, 29 patients with only left main stem stenosis had 2 grafts each, 7 patients with left main and triple vessel disease had 3 grafts and 5 patients with left main equivalent disease had 2 grafts respectively. The average number of grafts was 2.2. One patient was converted to open sternotomy as an emergency because of hemodynamic instability and myocardial revascularization was done on cardiopulmonary bypass (2.2%). The average hospital stay was 3.7 days. Ejection fraction was 45% ± 5%. There was one mortality (2.2%) but no major morbidity. The average ICU and hospital stay was 24 ± 4 hours and 3.7 days. All patients were free from major adverse cardiac and cerebrovascular events at follow-up. Conclusions: Multivessel total arterial revascularization using left and right internal thoracic arteries, was performed via a left anterior Mini thoracotomy on patients with left main stem disease and showed that it was safe, reproducible and will help extend the armamentarium of the surgeon in minimally invasive Coronary artery bypass grafting. Concomitantly it helped enhance the potential for shorter hospital stay, increased survival, decreased morbidity, and earlier return to full activity. Furthermore, the safety, efficacy, and outcomes of minimally invasive coronary artery bypass grafting in this high-risk group evaluated by primary and secondary outcome measures have been good in this study.
文摘The article hypothesizes that DE and DM (UCM) are a “Form of Motion of a Special Nature”, where “Form of Motion” means “Eternal Motion” as the power of dynamics of different levels and varying degrees of self-sufficiency, and by “Special Nature”, gravitational and two other properties of matter, “tied” to the “Eternal Movement” and completely dependent on it. Carriers of key properties of a “Special Nature” have been established: “0”-DE particles and “3”-DM particles (UDM). The unity of their inherent “motionally-gravitational” properties and the peculiarity of the relationship between “motion” and “gravity” are revealed: the higher the intensity of “Eternal Motion”, the stronger the gravitational properties of matter are manifested (and vice versa). The relationship of “time” with the “vibration frequency” and the “mass” of photons with the “degree of bonding and deformation properties of the field” is shown. The maximum level of gravity has been determined, which allows Nature to successfully create the Universe: such a landmark is the proximity to the property of the Primary Source—the “pure graviton” of the OSP space, the most powerful “motionally-gravitational” particle of the Universe. The reasons for the emergence of such an identity of the gravitational properties of particles with the indicators of a “pure graviton” are established: for “0”-DE particles, this is the acquisition of the function of “freedom of movement”;for “3”-DM particles (UDM), the creation of a special structure—a “double field” (“Main” and “Small”). The presence in the “double field” of specific “tools” for the creation of the worlds of the Universe—gravitational “waves” gives rise to impulses (shocks) of varying intensity and shape. A list of functions performed by “waves” in the “Main” and “Small” fields has been compiled. The specific conditions for the formation of “UDM Streams”, their transformation into a “Vortex” and, under the influence of a powerful Initial Impulse (push), sending them to the “place” of the creation of galaxies, are shown. It is suggested that there is a “Cycle of Matter in Nature” in the closed structure of our Universe due to the “work” of “waves” and the functioning of special “factories” in the form of exotic space objects—Black holes.
基金the Beijing Municipal Science and Technology Commission project,the Capital of the Public Health Cultivation-Transcatheter Implantation combined with TACE/TAE in the treatment of portal vein tumor thrombus in clinical research,No.Z171100000417031
文摘BACKGROUND Main portal vein tumor thrombus(MPVTT), which has a high incidence, is the major complication of terminal liver cancer. The occurrence of MPVTT is always a negative prognostic factor for patients with hepatocellular carcinoma(HCC).Therefore, attention should be paid to the treatment of MPVTT and its complications.AIM To evaluate the efficacy of transarterial chemoembolization/transarterial embolization(TACE/TAE)+^(125)I seeds implantation with transjugular intrahepatic portosystemic shunt(TIPS) in treating MPVTT and its complications.METHODS From January 2007 to March 2015, 85 consecutive patients with MPVTT were nonrandomly assigned to undergo treatment with TACE/TAE + TIPS and ^(125)I implantation(TIPS-^(125)I group) or TACE/TAE + TIPS only(TIPS only group) in Beijing Shijitan Hospital, and all clinical data were collected. During 24 mo follow-up, the incidence of overall survival, stent stenosis and symptom recurrence was analyzed to evaluate the efficacy of TIPS-^(125)I.RESULTS During 24 mo follow-up of all patients, we collected data at 6, 12 and 24 mo. The rates of survival were 80%, 45%, and 20%, respectively, in the TIPS-^(125)I group,whereas those in the TIPS only group were 64.4%, 24.4%, and 4.4%, respectively(P < 0.05). The rates of symptom recurrence were 7.5%, 22.5%, and 35%,respectively, in the TIPS-^(125)I group, whereas those in the TIPS only group were31.1%, 62.2%, and 82.2%(P < 0.05). The rates of stent restenosis were 12.5%,27.5%, and 42.5%, respectively, in the TIPS-^(125)I group, and 42.2%, 68.9%, and84.4%, respectively, in the TIPS only group(P < 0.05). TIPS-^(125)I was found to be significantly favorable in treating MPVTT and its complications in patients with HCC.CONCLUSION TACE/TAE+^(125)I combined with TIPS is effective in treating MPVTT and its complications, improving quality of life of patients and reducing mortality.
基金supported by the National Key Research and Development Program on Monitoring, Early Warning and Prevention of Major Natural Disasters (Grant No. 2018YFC1506006)the National Natural Science Foundation of China (Project Nos. 41875108 and 41475037)
文摘Deep convection systems (DCSs) can rapidly lift water vapor and other pollutants from the lower troposphere to the upper troposphere and lower stratosphere. The main detrainment height determines the level to which the air parcel is lifted. We analyzed the main detrainment height over the Tibetan Plateau and its southern slope based on the CloudSat Cloud Profiling Radar 2B_GEOPROF dataset and the Aura Microwave Limb Sounder Level 2 cloud ice product onboard the Atrain constellation of Earth-observing satellites. It was found that the DCSs over the Tibetan Plateau and its southern slope have a higher main detrainment height (about 10-16 km) than other regions in the same latitude. The mean main detrainment heights are 12.9 and 13.3 km over the Tibetan Plateau and its southern slope, respectively. The cloud ice water path decreases by 16.8% after excluding the influences of DCSs, and the height with the maximum increase in cloud ice water content is located at 178 hPa (about 13 km). The main detrainment height and outflow horizontal range are higher and larger over the central and eastern Tibetan Plateau, the west of the southern slope, and the southeastern edge of the Tibetan Plateau than that over the northwestern Tibetan Plateau. The main detrainment height and outflow horizontal range are lower and broader at nighttime than during daytime.
基金Ministry of Communications and Provincial and Joint Research Project[2008-353-332-170].
文摘To calculate the flow resistance of a main cable dehumidification system,this study considers the air flow in the main cable as the flow in a porous medium,and adopts the Hagen–Poiseuille equation by using average hydraulic radius and capillary bundle models.A mathematical derivation is combined with an experimental study to obtain a semi-empirical flow resistance formula.Additionally,Fluent software is used to simulate the flow resistance across the main cable relative to the experimental values.Based on the actual measured results for a Yangtze River bridge,this study verifies the semi-empirical formula,and indicates that it can be applied in actual engineering.
文摘North Africa, which is one of the main oil and gas producing regions in the world, is best known for its subsalt Paleozoic-Triassic reservoirs and Paleozoic source rocks. Hydrocarbon abundance varies greatly from one structural domain to another areally and from one stratigraphic interval to another vertically. Analyses of the essential elements and geological processes of the Paleozoic petroleum system indicate that the distribution of the Lower Silurian shale source rocks, the development of a thick Mesozoic overburden, the presence of the Upper Triassic-Lower Jurassic evaporite seal are the most important factors goveming the distribution of the Paleozoic-sourced hydrocarbons in North Africa. The Mesozoic sequence plays a critical role for hydrocarbons to accumulate by enabling the maturation of the Paleozoic source rocks during the Mesozoic-Paleogene times and preserving the accumulated hydrocarbons. Basins and surrounding uplifts, particularly the latter, with a thick Mesozoic sequence and a regional evaporite seal generally have abundant hydrocarbons. Basins where only a thin Mesozoic overburden was developed tend to have a very poor to moderate hydrocarbon prospectivity.
基金National Science and Technology Support Program of China ( No. 2009BAG15B01)Key Pro-grams for Science and Technology Development of Chinese Transportation Industry( No. 2008-353-332-170)
文摘The necessity of the main cable anticorrosion for suspension bridge is described, and operating principles and composition of main cable dehumidification system are analyzed. An idea using the waste heat of high temperature outlet air of dehumidification system to heat up regeneration air of rotary-type dehumidifier is put forward in this paper. The concrete scheme is to install a heat exchanger on air-out pipeline of roots blower and air-in pipeline of regeneration electric heater of rotary dehumidifier. Air preheated by the heat exchanger enters regeneration electric heater of rotary-type dehumidifier. Energy conservation of main cable dehumidification system for the Yangtze River highway bridge is calculated, and the results show that energy conservation rate can reach 44 %.
基金supported by the National Natural Science Foundation of China(41977258)the National Key Research and Development Program of China(2017YFC1501005 and 2018YFC1504704)。
文摘Determining the main controlling factors of earthquake-triggered geohazards is a prerequisite for studying earthquake geohazards and post-disaster emergency response.By studying these factors,the geomorphic and geological factors controlling the nature,condition,and distribution of earthquake-induced geohazards can be analyzed.Such insights facilitate earthquake disaster prediction and emergency response planning.The authors combined field investigations and spatial data analysis to examine geohazards induced by seismic events,examining ten earthquakes including the Wenchuan,Yushu,Lushan events,to elucidate the main control factors of seismic geohazard.The authors observed that seismic geohazard occurrence is usually affected by many factors,among which active nature of the seismogenic fault,seismic peak ground acceleration(PGA),topographic slope and geomorphic height differences,and distance from the fault zone and river system are the most important.Compared with strike-slip earthquakes,thrust earthquakes induce more high-altitude and high-speed remote landslides,which can cause great harm.Slopes of 0°–40°are prone to secondary seismic geohazards,which are mainly concentrated 0–6 km from the river system.Secondary geohazards are not only related to seismogenic fault but also influenced by the associated faults in the earthquake area.The maximum seismic PGA and secondary seismic geohazard number are positively correlated,and the horizontal and vertical ground motions play leading and promoting roles in secondary geohazard formation,respectively.Through the research,the spatial distribution of seismic geohazards is predicted,providing a basis for the formulation of emergency response plans following disasters.
文摘In this paper, the marine ship observation data sets in the seventh (October 16-December 4. 1989) and eighth (June 1-July 16, 1990) cruises of PRC -US tropical ocean and global atmosphere (TOGA) joint scientific investigation in the tropical western Pacific are used to analyze the elements such as sea surface temperature (SST), surface wind field, fluxes and net heat budget, which are important physical parameters of underlying earth's surface influencing the global mean circulation evolution on seasonal and interannual time scales. These diagnostic analyses are very beneficial to the understanding of the regional climate characteristics and the air-sea interaction mechanism, and the improving of surface flux parameterizations and regional or global climate model.
文摘Main Exhauster is one of the main equipment of sintering production. It needs to consume a lot of electricity. Therefore, the system' s reconstruction for energy-saving will effectively reduce electricity for the production. The paper takes an iron and steel enterprise that had successfully transformed the synchronous motors of main exhauster of sintering as an example, which describes the application of high-voltage variable frequency speed regulation system in main exhauster of Sintering, so as to provide a reference for other iron and steel enterprises.
基金supported by the University Research Projects of the Education Department of Zhejiang Province in 2011 under Grant No.Y20111926
文摘Some concrete methods are suggested in the article to control noises in main driving system of XK-736-type NC miller by analyzing working conditions of gears in the main driving system and bearings in the spindle gearshift system. Without changing the original design, noises are reduced ideally by modifying gear top, and by controlling the profile error ; the central distance of meshing gear, the quality of the inner and outer rings of bearings ; and the fit accuracy among bearing, hole and axis. The results may provide a reference for diagnosing and maintaining in future use.
文摘Left main coronary compression syndrome(LMCS)may complicate pulmonary artery aneurysms(PAA),usually developed in the context of pulmonary arterial hypertension(PAH).We report the case of a 51-year-old female patient with an atrial septal defect(unsuitable for device closure)complicated by a PAA generating a 90%left main stenosis.The significant PAH held us back from immediate surgery.After specific dual PAH-targeted therapy(sildenafil and bosentan),the atrial septal defect could be closed with a unidirectional valved patch;the PAAinduced LMCS was treated by reductive arterioplasty.The postoperative course was uneventful.Follow-up showed clinical improvement,but PAH treatment was still needed.After three months,coronary angiography showed only an insignificant residual left main stenosis,proving that reductive pulmonary arterioplasty was effective in treating LMCS.Any PAA requires further evaluation for LMCS,a dangerous but treatable complication.The“treat-repair-treat”strategy and shunt-closure with a unidirectional valved patch can both improve surgical prospects of LMCS with shunt-related PAH.
文摘The goal of asset management is to identify and track the maintenance and replacement of assets that have reached their useful life. For that reason, gathering data and collecting information is a critical step when developing an asset management plan. Such data gathering includes physical and operational properties of the assets as well as collecting and tracking important events during the lifespan of the asset (i.e., pipe breaks, replacement year, maintenance performed, etc.). Critical factors in the asset management plan may be overlooked when there is no data or poor quality data. However, many utilities lack the resources for examining buried infrastructure and lack good quality work order data, so other methods of data collection are needed. The concept for this paper was to develop a means to acquire data on the assets for a condition assessment to identify pipes that were most likely to break and those with the highest consequences for same. Three utilities were used as examples. It was found that for buried infrastructure, much more information was known than anticipated but the actual predictions relied on only a few factors related to pipe type. However, there is a need to track the consequences, in this case breaks, which would indicate a failure. The latter would be useful for predicting future maintenance needs and the most at-risk assets, but is often missing in utility systems as many utilities do not adequately track breaks sufficiently. In this case two utilities were analyzed and predication on a third was developed.
文摘Based on the connotation of high-quality development of water parks,this study established an evaluation system from distinctive water conservancy characteristics,excellent ecological environment,strong cultural atmosphere,strong development momentum,safe and efficient management,and significant comprehensive benefits,including 23 main contents and 52 evaluation indicators.Delphi method was used to score,and the evaluation results were divided into 3 levels,thus forming the evaluation system of high-quality development of water parks.This evaluation system has been preliminarily applied to the collection and selection of typical cases of the first national high-quality development of water parks.A total of 30 typical cases of high-quality development of water parks in China were collected and selected,and the first batch of 10 benchmark scenic spots were announced for key recommendation,and considerable application results have been achieved.