BACKGROUND Meckel's diverticulum is a common congenital anomaly of the gastrointestinal tract,with a higher incidence rate in children under 7 years old.The condition is characteristically asymptomatic but may bec...BACKGROUND Meckel's diverticulum is a common congenital anomaly of the gastrointestinal tract,with a higher incidence rate in children under 7 years old.The condition is characteristically asymptomatic but may become a clinical concern when complications such as intestinal obstruction,bleeding,perforation,or diverticulitis precipitate acute abdominal presentations.CASE SUMMARY This report describes the case of a middle-aged man initially suspected of having acute appendicitis,which rapidly progressed to acute peritonitis with concomitant intestinal obstruction observed during preoperative assessment.Surgical exploration confirmed the diagnosis of Meckel's diverticulum-induced internal hernia,accompanied by intestinal obstruction and necrosis.In addition,the hernial ring base exhibited entrapment resembling a surgical knot.CONCLUSION Meckel's diverticulum is a rare cause of small bowel obstruction in adults,and it should be considered in a differential diagnosis.展开更多
A multitude of climate-adaptive design approaches are embedded in regional architecture,which have a positive impact on addressing the deformed development of urban spatial patterns and the dual challenges of climate ...A multitude of climate-adaptive design approaches are embedded in regional architecture,which have a positive impact on addressing the deformed development of urban spatial patterns and the dual challenges of climate and resources.This paper examines the principles of climate adaptability embedded in the site layout and spatial organization characteristics of traditional cave dwelling villages in northern Shaanxi Province.The extracted climate adaptability principles are summarized,and the resulting design strategies that are well-suited to the contemporary urban space form are presented.Through analysis,it can be observed that traditional cave dwelling villages in northern Shaanxi are predominantly situated on south-facing slopes in proximity to water at low altitudes.These villages are characterized by compact building groups and east-west development,which is constrained by the elements of mountains and rivers.A two-level street system is generated,comprising streets parallel to the contour line and roadways perpendicular to the contour line.This results in the formation of a courtyard form enclosed by mountains.Such site layout and spatial organization exhibit excellent climate adaptability with regard to heat,ventilation,and wind storage.In light of the aforementioned considerations,the following urban spatial form design strategies are put forth:①the topographic height difference can be exploited to obtain sufficient sunshine;②the group shape can be optimized in order to reduce building energy consumption;③the best orientation of the building can be chosen to take account of both winter and summer conditions;④the height and length can be combined in order to form natural masking;⑤the D/H ratio of streets and roadways should be controlled to achieve a balance between heat gain and cooling of groups;⑥vents should be set appropriately to optimize group ventilation;⑦climate buffers should be established to increase the level of climate response.展开更多
This article presents a real engineering project showcasing the application of span-bridge construction technology for building a highway that goes over a solutional cave.An overview of the project and the details of ...This article presents a real engineering project showcasing the application of span-bridge construction technology for building a highway that goes over a solutional cave.An overview of the project and the details of applying this technology in highway construction are provided.Besides,strategies for enhancing its construction quality are also proposed.The objective of this analysis is to improve the safety and quality of similar projects.展开更多
Mollusks, arthropods and chordates which were visible to the naked eye were observed and collected in Dongbei and Shuijiang caves of Libo county five times between February and July from 2002 to 2005. Four hundred and...Mollusks, arthropods and chordates which were visible to the naked eye were observed and collected in Dongbei and Shuijiang caves of Libo county five times between February and July from 2002 to 2005. Four hundred and forty samples from Dongbei Cave were classified into three phyla, five classes, 10 orders, 20 families and 39 species or groups of species. Four hundred and ninety-eight samples from Shuijiang Cave were classified into three phyla, six classes, 11 orders, 20 families and 25 species or groups of species. Six animal communities were identified in the light belt of the two caves according to their species types and numbers of individuals in the light belt of two cave. The communities which have the highest values of species richness community diversity, maximum diversity, evenness, dominance and community similarity are respectively: B (4. 1059), H (2.4716), B (3.3322), E (0.9042), C (0.3442) and A - C (0. 5251). The community diversity and correlation of environmental factors were also studied. The temperature, humidity, content of CO2 and N2, content of organic matter and some inorganic salts in soil were analyzed by Pearson correlation. The results showed that the content of organic matter in soil is positively related to species number, species richness and maximum community diversity, with correlations of 0. 885, 0.909, 0. 868 respectively (two-tailed significance test, P ≤ 0. 05), and significantly positively related to diversity, with the coefficient of 0.611, (two-tailed significance test, P ≤ 0. 1). This suggests that the content of organic matter in soil is one of the important elements influencing the community variation of cave animals. Outside the cave, temperature and humidity are important factors impacting on community diver- sity. As the temperature in all seasons in the cave is stable and the humidity is always high (above 90% ), the temperature and humidity have weak correlation to community diversity in caves.展开更多
文摘BACKGROUND Meckel's diverticulum is a common congenital anomaly of the gastrointestinal tract,with a higher incidence rate in children under 7 years old.The condition is characteristically asymptomatic but may become a clinical concern when complications such as intestinal obstruction,bleeding,perforation,or diverticulitis precipitate acute abdominal presentations.CASE SUMMARY This report describes the case of a middle-aged man initially suspected of having acute appendicitis,which rapidly progressed to acute peritonitis with concomitant intestinal obstruction observed during preoperative assessment.Surgical exploration confirmed the diagnosis of Meckel's diverticulum-induced internal hernia,accompanied by intestinal obstruction and necrosis.In addition,the hernial ring base exhibited entrapment resembling a surgical knot.CONCLUSION Meckel's diverticulum is a rare cause of small bowel obstruction in adults,and it should be considered in a differential diagnosis.
基金Sponsored by Beijing Urban Governance Research Base of North China University of Technology(2024CSZL07).
文摘A multitude of climate-adaptive design approaches are embedded in regional architecture,which have a positive impact on addressing the deformed development of urban spatial patterns and the dual challenges of climate and resources.This paper examines the principles of climate adaptability embedded in the site layout and spatial organization characteristics of traditional cave dwelling villages in northern Shaanxi Province.The extracted climate adaptability principles are summarized,and the resulting design strategies that are well-suited to the contemporary urban space form are presented.Through analysis,it can be observed that traditional cave dwelling villages in northern Shaanxi are predominantly situated on south-facing slopes in proximity to water at low altitudes.These villages are characterized by compact building groups and east-west development,which is constrained by the elements of mountains and rivers.A two-level street system is generated,comprising streets parallel to the contour line and roadways perpendicular to the contour line.This results in the formation of a courtyard form enclosed by mountains.Such site layout and spatial organization exhibit excellent climate adaptability with regard to heat,ventilation,and wind storage.In light of the aforementioned considerations,the following urban spatial form design strategies are put forth:①the topographic height difference can be exploited to obtain sufficient sunshine;②the group shape can be optimized in order to reduce building energy consumption;③the best orientation of the building can be chosen to take account of both winter and summer conditions;④the height and length can be combined in order to form natural masking;⑤the D/H ratio of streets and roadways should be controlled to achieve a balance between heat gain and cooling of groups;⑥vents should be set appropriately to optimize group ventilation;⑦climate buffers should be established to increase the level of climate response.
文摘This article presents a real engineering project showcasing the application of span-bridge construction technology for building a highway that goes over a solutional cave.An overview of the project and the details of applying this technology in highway construction are provided.Besides,strategies for enhancing its construction quality are also proposed.The objective of this analysis is to improve the safety and quality of similar projects.
文摘Mollusks, arthropods and chordates which were visible to the naked eye were observed and collected in Dongbei and Shuijiang caves of Libo county five times between February and July from 2002 to 2005. Four hundred and forty samples from Dongbei Cave were classified into three phyla, five classes, 10 orders, 20 families and 39 species or groups of species. Four hundred and ninety-eight samples from Shuijiang Cave were classified into three phyla, six classes, 11 orders, 20 families and 25 species or groups of species. Six animal communities were identified in the light belt of the two caves according to their species types and numbers of individuals in the light belt of two cave. The communities which have the highest values of species richness community diversity, maximum diversity, evenness, dominance and community similarity are respectively: B (4. 1059), H (2.4716), B (3.3322), E (0.9042), C (0.3442) and A - C (0. 5251). The community diversity and correlation of environmental factors were also studied. The temperature, humidity, content of CO2 and N2, content of organic matter and some inorganic salts in soil were analyzed by Pearson correlation. The results showed that the content of organic matter in soil is positively related to species number, species richness and maximum community diversity, with correlations of 0. 885, 0.909, 0. 868 respectively (two-tailed significance test, P ≤ 0. 05), and significantly positively related to diversity, with the coefficient of 0.611, (two-tailed significance test, P ≤ 0. 1). This suggests that the content of organic matter in soil is one of the important elements influencing the community variation of cave animals. Outside the cave, temperature and humidity are important factors impacting on community diver- sity. As the temperature in all seasons in the cave is stable and the humidity is always high (above 90% ), the temperature and humidity have weak correlation to community diversity in caves.