Liberation characteristics of coal middlings comminuted by jaw crusher and ball mill

The associated minerals make coal middlings possess a relatively high ash content.Subsequent liberation through size reduction can cause recovery increase.However,effect of comminution facilities on mineral liberation of middlings was ignored.This paper studied the liberation characteristics of middlings crushed with different kinds of fragmentation forces.Middlings of 3 mm+0.5 mm sampled from a dense medium cyclone were comminuted by a jaw crusher and a ball mill to 0.5 mm with similar size distribution respectively.The generating mechanism of fnes was also analyzed.Full densimetric analyses indicate that mineral liberation of the product crushed by the jaw crusher is better than that by the ball mill at each fraction.For sizes of 0.125 mm+0.074 mm and 0.074 mm,yields of the product with ash content 11%comminuted by jaw crusher are nearly 20%higher than that by the ball mill.Sectional micrographs observed by the scanning electron microscopy(SEM)also show the same law for these two fractions and some intergrowth particles still exist in the fraction of 0.5 mm+0.25 mm.

Coal petrology characteristics of middlings from Qianjiaying fat coal mine

The objective of this paper is to evaluate the coal petrology characteristics of slack middlings(13–0.5 mm)of dense media separation and flotation middlings from Qianjiaying fat coal preparation plant.Phase composition,macerals distribution,microlithotype and mineral occurrence of the two middlings were studied by XRD analysis and polarized light microscopy observation.Macerals distribution and wettability of the float-and-sink products separated from the middlings after grinding was investigated to determine the liberation degree.Studies show that there are more vitrinite and mineral,but less inertinite in slack middlings than in flotation middlings.Macerals associated with mineral in slack middlings is 69.85%,by volume,which is 17.86%higher than that in flotation middlings.Minerals in slack middlings are dominated by pyrite and clay,which are disseminated with the diameter less than2 lm.The main mineral in flotation middlings is clay with size range of 2–20 lm.Single macerals in the slack middlings are diffcult to liberate due to the fne-grained minerals.After grinding,macerals associated with minerals in the slack middlings decrease to 46.73%,by volume,which is higher than in flotation middlings by 25.89%,by volume.For slack middlings with poor liberation degree,density fractions below1.8 g/cm3is hydrophobic with contact angle above 71.5°.For the well liberated flotation middlings,there is signifcant wettability difference among the float-and-sink products.This research is the theoretical basis to realize re-separation of middlings.

Episodic hydrothermal alteration on Middle Permian carbonate reservoirs and its geological significance in southwestern Sichuan Basin,SW China

To analyze the episodic alteration of Middle Permian carbonate reservoirs by complex hydrothermal fluid in southwestern Sichuan Basin,petrology,geochemistry,fluid inclusion and U-Pb dating researches are conducted.The fractures and vugs of Middle Permian Qixia–Maokou formations are filled with multi-stage medium-coarse saddle dolomites and associated hydrothermal minerals,which indicates that the early limestone/dolomite episodic alteration was caused by the large-scale,high-temperature,deep magnesium-rich brine along flowing channels such as basement faults or associated fractures under the tectonic compression and napping during the Indosinian.The time of magnesium-rich hydrothermal activity was from the Middle Triassic to the Late Triassic.The siliceous and calcite fillings were triggered by hydrothermal alteration in the Middle and Late Yanshanian Movement and Himalayan Movement.Hydrothermal dolomitization is controlled by fault,hydrothermal property,flowing channel and surrounding rock lithology,which occur as equilibrium effect of porosity and permeability.The thick massive grainstone/dolomites were mainly altered by modification such as hydrothermal dolomitization/recrystallization,brecciation and fracture-vugs filling.Early thin-medium packstones were mainly altered by dissolution and infilling of fracturing,bedding dolomitization,dissolution and associated mineral fillings.The dissolved vugs and fractures are the main reservoir space under hydrothermal conditions,and the connection of dissolved vugs and network fractures is favorable for forming high-quality dolomite reservoir.Hydrothermal dolomite reservoirs are developed within a range of 1 km near faults,with a thickness of 30–60 m.Hydrothermal dolomite reservoirs with local connected pore/vugs and fractures have exploration potential.

Middle hepatic vein variation provides a safe path for anterior transection of hepatocellular carcinoma in caudate lobe

To the Editor:Hepatocellular carcinoma(HCC)is one of the main causes of cancer related death worldwide,and new cases are expected to continue to increase in future[1].Surgical resection is still the best way to remove the tumor and improve patient’s prognosis.However,resection of caudate lobe often presents a technical challenge,even to accomplished hepatic surgeons.Caudate lobe is located anterior to the inferior vena cava(IVC)and posterior to the bifurcation of the portal vein(PV),generally consists of three regions:the paracaval portion,the left Spiegel lobe and the process portion[2].The anatomy of the paracaval portion includes the liver parenchyma ventral to the hepatic IVC and the area between the Spiegel lobe and the right lobe adjacent to the middle hepatic vein(MHV)ventrally,which was classified by Couinaud as segment IX[3].Here,we presented a case of HCC with successful downstaging therapy,as well as variation of MHV,which provides a safe path for anterior transection of segment IX.

The Middle Miocene lobe-shaped and band-shaped submarine fans in the Lingshui Sag,Qiongdongnan Basin:source-to-sink system,genesis and implication

Deepwater oil and gas exploration is the key to sustainable breakthroughs in petroleum exploration worldwide.The Central Canyon gas field has confirmed the Lingshui Sag is a hydrocarbon-generating sag,and the deepwater reservoirs in the Lingshui Sag still have more fabulous oil and gas exploration potential.Based on drilling data and three-dimensional(3D)seismic data,this paper uses seismic facies analysis,seismic attribute analysis,and coherence slice analysis to identify the types of submarine fans(lobe-shaped and band-shaped submarine fans)that developed in the Lingshui Sag during the Middle Miocene,clarify the source-to-sink system of the submarine fans and discuss the genesis mechanism of the submarine fans.The results show that:(1)the deepwater source-to-sink system of the Lingshui Sag in the Middle Miocene mainly consisted of a“delta(sediment supply)-submarine canyon(sediment transport channel)-submarine fan(deepwater sediment sink)”association;(2)the main factor controlling the formation of the submarine fans developed in the Lingshui Sag was on the relative sea level decline;and(3)the bottom current reworked the lobe-shaped submarine fan that developed in the northern Lingshui Sag and formed the band-shaped submarine fan with a greater sand thickness.This paper aims to provide practical geological knowledge for subsequent petroleum exploration and development in the deepwater area of the Qiongdongnan Basin through a detailed analysis of the Middle Miocene submarine fan sedimentary system developed in the Lingshui Sag.

Coral records of Mid-Holocene sea-level highstands and climate responses in the northern South China Sea

High-resolution sea-level data and high-precision dating of corals in the northern South China Sea(SCS)during the Holocene provide a reference and historical background for current and future sea-level changes and a basis for scientific assessment of the evolutionary trend of coral reefs in the SCS.Although sporadic studies have been performed around Hainan Island in the northern SCS,the reconstructed sea level presents different values or is controversial because the indicative meaning of the sea-level indicators were neither quantified nor uniform criteria.Here,we determined the quantitative relationship between modern living coral and sea level by measuring the top surfaces of 27 live Porites corals from the inner reef flat along the east coast of Hainan Island and assessed the accuracy of results obtained using coral as sea-level indicators.Additionally,three in situ fossil Porites corals were analyzed based on elevation measurements,digital X-ray radiography,and U-Th dating.The survey results showed that the indicative meanings for the modern live Porites corals is(146.09±8.35)cm below the mean tide level(MTL).It suggested that their upward growth limit is constrained by the sea level,and the lowest low water is the highest level of survival for the modern live Porites corals.Based on the newly defined indicative meanings,6 new sea-level index points(SLIPs)were obtained and 19 published SLIPs were recalculated.Those SLIPs indicated a relative sea level fluctuation between(227.7±9.8)cm to(154.88±9.8)cm MTL between(5393±25)cal a BP and(3390±12)cal a BP,providing evidences of the Mid-Holocene sea-level highstand in the northern SCS.Besides that,our analysis demonstrated that different sea-level histories may be produced based on different indicative meanings or criteria.The dataset of 276 coral U-Th ages indicates that coral reef development in the northern SCS comprised the initial development,boom growth,decline,and flourishing development again.A comparison with regional records indicated that synergistic effects of climatic and environmental factors were involved in the development of coral reefs in the northern SCS.Thus,the cessation of coral reef development during the Holocene in the northern SCS was probably associated with the dry and cold climate in South China,as reflected in the synchronous weakening of the ENSO and East Asian summer monsoon induced by the reduction of the 65°N summer insolation,which forced the migration of the Intertropical Convergence Zone.

Age and geochemical evolution of granite magmatism in Olkhon region from Caledonian syncollisional ore-free granite to the rare metal granite and pegmatite of Middle Paleozoic intraplate setting

The detailed description of two granite complexes in the Olkhon subterrane is given.The Early Paleozoic Sharanur complex was formed by granitization of gneisses of the Olkhon series.It includes migmatites,granite-gneisses,granites and pegmatites of normal alkalinity;they belong to the type of syncollisional granites.The Middle Paleozoic Aya granite complex includes mother Aya massif of amazonite-bearing granites and several types of rare-metal pegmatites.They have elevated alkalinity,low of Ba,Sr,and high LILE and HFSE elements contents.The Aya pegmatites lie in northwest cracks of stretching and associated with the rise of the territory under the influence of the North Asian plume.These cracks and pegmatites mark the beginning of a new intraplate geodynamic setting.Two geochemical types are distinguished among the pegmatites of this complex.These are amazonite pegmatites of Li-F type with Ta mineralization and complex type pegmatite with Be-Rb-Nb-Ta and Li-F mineralization(the Ilixin vein).The Tashkiney pegmatite vein is similar to Ilixin,but lies in the gneisses of the Olkhon series.It shows high concentrations of Be,Nb,Ta,as well as W,Sn,but lacks Li and F,due to a greater depth and higher temperature of the melt crystallization of this pegmatite.

Characteristics and main controlling factors of intra-platform shoal thin-layer dolomite reservoirs:A case study of Middle Permian Qixia Formation in Gaoshiti-Moxi area of Sichuan Basin,SW China

Based on the study of the distribution of intra-platform shoals and the characteristics of dolomite reservoirs in the Middle Permian Qixia Formation in the Gaoshiti–Moxi area of the Sichuan Basin,SW China,the controlling factors of reservoir development were analyzed,and the formation model of“intra-platform shoal thin-layer dolomite reservoir”was established.The Qixia Formation is a regressive cycle from bottom to top,in which the first member(Qi1 Member)develops low-energy open sea microfacies,and the second member(Qi2 Member)evolves into intra-platform shoal and inter-shoal sea with decreases in sea level.The intra-platform shoal is mainly distributed near the top of two secondary shallowing cycles of the Qi2 Member.The most important reservoir rock of the Qixia Formation is thin-layer fractured-vuggy dolomite,followed by vuggy dolomite.The semi-filled saddle dolomite is common in fracture-vug,and intercrystalline pores and residual dissolution pores combined with fractures to form the effective pore-fracture network.Based on the coupling analysis of sedimentary and diagenesis characteristics,the reservoir formation model of“pre-depositional micro-paleogeomorphology controlling shoal,sedimentary shoal controlling dolomite,penecontemporaneous dolomite benefiting preservation of pores,and late hydrothermal action effectively improving reservoir quality”was systematically established.The“first-order high zone”micro-paleogeomorphology before the deposition of the Qixia Formation controlled the development of large area of intra-platform shoals in Gaoshiti area during the deposition of the Qi2 Member.Shoal facies is the basic condition of early dolomitization,and the distribution range of intra-platform shoal and dolomite reservoir is highly consistent.The grain limestone of shoal facies is transformed by two stages of dolomitization.The penecontemporaneous dolomitization is conducive to the preservation of primary pores and secondary dissolved pores.The burial hydrothermal fluid enters the early dolomite body along the fractures associated with the Emeishan basalt event,makes it recrystallized into medium–coarse crystal dolomite.With the intercrystalline pores and the residual vugs after the hydrothermal dissolution along the fractures,the high-quality intra-platform shoal-type thin-layer dolomite reservoirs are formed.The establishment of this reservoir formation model can provide important theoretical support for the sustainable development of Permian gas reservoirs in the Sichuan Basin.

Exercise preconditioning alleviates ischemia-induced memory deficits by increasing circulating adiponectin

Cerebral ischemia is a major health risk that requires preventive approaches in addition to drug therapy.Physical exercise enhances neurogenesis and synaptogenesis,and has been widely used for functional rehabilitation after stroke.In this study,we determined whether exercise training before disease onset can alleviate the severity of cerebral ischemia.We also examined the role of exercise-induced circulating factors in these effects.Adult mice were subjected to 14 days of treadmill exercise training before surgery for middle cerebral artery occlusion.We found that this exercise pre-conditioning strategy effectively attenuated brain infarct area,inhibited gliogenesis,protected synaptic proteins,and improved novel object and spatial memory function.Further analysis showed that circulating adiponectin plays a critical role in these preventive effects of exercise.Agonist activation of adiponectin receptors by Adipo Ron mimicked the effects of exercise,while inhibiting receptor activation abolished the exercise effects.In summary,our results suggest a crucial role of circulating adiponectin in the effects of exercise pre-conditioning in protecting against cerebral ischemia and supporting the health benefits of exercise.

Digital Twin Modeling and Simulation Optimization of Transmission Front and Middle Case Assembly Line

As the take-off of China’s macro economy,as well as the rapid development of infrastructure construction,real estate industry,and highway logistics transportation industry,the demand for heavy vehicles is increasing rapidly,the competition is becoming increasingly fierce,and the digital transformation of the production line is imminent.As one of themost important components of heavy vehicles,the transmission front andmiddle case assembly lines have a high degree of automation,which can be used as a pilot for the digital transformation of production.To ensure the visualization of digital twins(DT),consistent control logic,and real-time data interaction,this paper proposes an experimental digital twin modeling method for the transmission front and middle case assembly line.Firstly,theDT-based systemarchitecture is designed,and theDT model is created by constructing the visualization model,logic model,and data model of the assembly line.Then,a simulation experiment is carried out in a virtual space to analyze the existing problems in the current assembly line.Eventually,some improvement strategies are proposed and the effectiveness is verified by a new simulation experiment.

Types,composition and diagenetic evolution of authigenic clay minerals in argillaceous limestone of sepiolite-bearing strata:A case study of Mao-1 Member of Middle Permian Maokou Formation,eastern Sichuan Basin,SW China

The types,occurrence and composition of authigenic clay minerals in argillaceous limestone of sepiolite-bearing strata of the first member of the Middle Permian Maokou Formation(Mao-1 Member)in eastern Sichuan Basin were investigated through outcrop section measurement,core observation,thin section identification,argon ion polishing,X-ray diffraction,scanning electron microscope,energy spectrum analysis and laser ablation-inductively coupled plasma-mass spectrometry.The diagenetic evolution sequence of clay minerals was clarified,and the sedimentary-diagenetic evolution model of clay minerals was established.The results show that authigenic sepiolite minerals were precipitated in the Si4+and Mg2+-rich cool aragonite sea and sepiolite-bearing strata were formed in the Mao-1 Member.During burial diagenesis,authigenic clay minerals undergo two possible evolution sequences.First,from the early diagenetic stage A to the middle diagenetic stage A1,the sepiolite kept stable in the shallow-buried environment lack of Al3+.It began to transform into stevensite in the middle diagenetic stage A2,and then evolved into disordered talc in the middle diagenetic stage B1and finally into talc in the period from the middle diagenetic stage B2to the late diagenetic stage.Thus,the primary diagenetic evolution sequence of authigenic clay minerals,i.e.sepiolite-stevensite-disordered talc-talc,was formed in the Mao-1 Member.Second,in the early diagenetic stage A,as Al3+carried by the storm and upwelling currents was involved in the diagenetic process,trace of sepiolite started to evolve into smectite,and a part of smectite turned into chlorite.From the early diagenetic stage B to the middle diagenesis stage A1,a part of smectite evolved to illite/smectite mixed layer(I/S).The I/S evolved initially into illite from the middle diagenesis stage A2to the middle diagenesis stage B2,and then totally into illite in the late diagenesis stage.Thus,the secondary diagenetic evolution sequence of authigenic clay minerals,i.e.sepiolite-smectite-chlorite/illite,was formed in the Mao-1 Member.The types and evolution of authigenic clay minerals in argillaceous limestone of sepiolite-bearing strata are significant for petroleum geology in two aspects.First,sepiolite can adsorb and accumulate a large amount of organic matters,thereby effectively improving the quality and hydrocarbon generation potential of the source rocks of the Mao-1 Member.Second,the evolution from sepiolite to talc is accompanied by the formation of numerous organic matter pores and clay shrinkage pores/fractures,as well as the releasing of the Mg2+-rich diagenetic fluid,which allows for the dolomitization of limestone within or around the sag.As a result,the new assemblages of self-generation and self-accumulation,and lower/side source and upper/lateral reservoir,are created in the Middle Permian,enhancing the hydrocarbon accumulation efficiency.

Abaca Fiber as a Potential Reinforcer for Acoustic Absorption Material at Middle-High Frequencies

Recently,abacafibers have become the focus of specialized research due to their intriguing characteristics,with their outstanding mechanical properties being a particularly notable.In the conducted study,the abacafibers underwent a preliminary treatment process involving an alkaline solution,which was composed of 0.5%sodium hydroxide(NaOH)and 50%acetic acid(CH3COOH).This process entailed immersing eachfiber in the solution for a period of one hour.This treatment led to a 52.36%reduction in lignin content compared to the levels before treatment,resulting in a dramatic decrease in the full width at half maximum(FWHM)in the XRD spectra from 1.13 to 0.13.This change indicates that thefibers became more crystalline following the treatment.The abacafibers were also characterized using BET(Brunauer Emmett Teller)measurements,which revealed that the aver-age pore length ranged from 33–49 nm and the surface area was between 13–28 m^(2)·g^(-1).The morphology of the abacafiber after alkali an hydrolisis treatment(AFAH)appeared rougher and more uniform.DMA measurements revealed a significant rise in the storage modulus of the singlefiber post-treatment,with dependencies on both frequency and temperature.AFAH exhibited an optimal absorption coefficient ofα=0.9 for frequencies above 2500 Hz.The combined effect of alkalization and hydrolyzation treatments,while resulting in an enhancement in the mechanical properties of thefibers,also reduced high-intensity noise produced by sources such as machin-ery,aircraft takeoffs and landings,etc.,across a broader working frequency range.

High-frequency repetitive transcranial magnetic stimulation promotes neural stem cell proliferation after ischemic stroke

Prolife ration of neural stem cells is crucial for promoting neuronal regeneration and repairing cerebral infarction damage.Transcranial magnetic stimulation(TMS)has recently emerged as a tool for inducing endogenous neural stem cell regeneration,but its underlying mechanisms remain unclea r In this study,we found that repetitive TMS effectively promotes the proliferation of oxygen-glucose deprived neural stem cells.Additionally,repetitive TMS reduced the volume of cerebral infa rction in a rat model of ischemic stro ke caused by middle cerebral artery occlusion,im p roved rat cognitive function,and promoted the proliferation of neural stem cells in the ischemic penumbra.RNA-sequencing found that repetitive TMS activated the Wnt signaling pathway in the ischemic penumbra of rats with cerebral ischemia.Furthermore,PCR analysis revealed that repetitive TMS promoted AKT phosphorylation,leading to an increase in mRNA levels of cell cycle-related proteins such as Cdk2 and Cdk4.This effect was also associated with activation of the glycogen synthase kinase 3β/β-catenin signaling pathway,which ultimately promotes the prolife ration of neural stem cells.Subsequently,we validated the effect of repetitive TMS on AKT phosphorylation.We found that repetitive TMS promoted Ca2+influx into neural stem cells by activating the P2 calcium channel/calmodulin pathway,thereby promoting AKT phosphorylation and activating the glycogen synthase kinase 3β/β-catenin pathway.These findings indicate that repetitive TMS can promote the proliferation of endogenous neural stem cells through a Ca2+influx-dependent phosphorylated AKT/glycogen synthase kinase 3β/β-catenin signaling pathway.This study has produced pioneering res ults on the intrinsic mechanism of repetitive TMS to promote neural function recove ry after ischemic stro ke.These results provide a stro ng scientific foundation for the clinical application of repetitive TMS.Moreover,repetitive TMS treatment may not only be an efficient and potential approach to support neurogenesis for further therapeutic applications,but also provide an effective platform for the expansion of neural stem cells.

Drug-coated balloon angioplasty for the treatment of intracranial arterial stenosis in a young stroke patient:A case report

BACKGROUND Intracranial arterial narrowing is a significant factor leading to brief episodes of reduced blood flow to the brain,known as transient ischemic attacks,or fullblown strokes.While atherosclerosis is commonly associated with intracranial arterial narrowing,it is frequently of a non-atherosclerotic nature in younger patients.CASE SUMMARY Here,we present the case of a young stroke patient with narrowing of the middle cerebral artery(MCA),characterized as non-atherosclerotic lesions,who experienced an ischemic stroke despite receiving standard drug therapy.The patient underwent digital subtraction angiography(DSA)to assess the entire network of blood vessels in the brain,revealing significant narrowing(approximately 80%)in the M1 segment of the right MCA.Subsequently,the patient underwent Drug-Coated Balloon Angioplasty to treat the stenosis in the right MCA's M1 segment.Follow-up DSA confirmed the resolution of stenosis in this segment.Although the remaining branches showed satisfactory blood flow,the vessel wall exhibited irregularities.A review of DSA conducted six months later showed no evident stenosis in the right MCA,with a smooth vessel wall.CONCLUSION The use of drug-coated balloon angioplasty demonstrated favorable outcomes in repairing and reshaping the blood vessel wall in young patients.Therefore,it may be considered a promising treatment option for similar cases.

Relationship between ultrasound parameters of the umbilical and middle cerebral arteries and intrauterine fetal distress

BACKGROUND By comprehensively analyzing the blood flow parameters of the umbilical and middle cerebral arteries,doctors can more accurately identify fetal intrauterine distress,as well as assess its severity,so that timely interventions can be implemented to safeguard the health and safety of the fetus.AIM To identify the relationship between ultrasound parameters of the umbilical and middle cerebral arteries and intrauterine distress.METHODS Clinical data of pregnant women admitted between January 2021 and January 2023 were collected and divided into the observation and control groups(n=50 each),according to the presence or absence of intrauterine distress.The ultrasound hemodynamic parameters of the uterine artery(UtA),fetal middle cerebral artery(MCA),and umbilical artery(UmA)were compared with neonatal outcomes and occurrence of intrauterine distress in the two groups.RESULTS Comparison of ultrasonic hemodynamic parameters,resistance index(RI),pulsatility index(PI),and systolic maximal blood flow velocity of UmA compared to diastolic blood flow velocity(S/D),revealed higher values of fetal MCA,PI,and S/D of UmA in pregnant women with UtA compared to controls(P<0.05),while there was no difference between the two groups in terms of RI(P<0.05)The incidence of a neonatal Apgar score of 8-10 points was lower in the observation group(66.7%)than in the control group(90.0%),and neonatal weight(2675.5±27.6 g)was lower than in the control group(3117.5±31.2 g).Further,cesarean section rate was higher in the observation group(70.0%)than in the control group(11.7%),and preterm labor rate was higher in the observation group(40.0%)than in the control group(10.0%).The incidence of fetal distress,neonatal growth restriction and neonatal asphyxia were also higher in the observation group(all P<0.05).CONCLUSION Fetal MCA,UmA,and maternal UtA hemodynamic abnormalities all develop in pregnant women with intrauterine distress during late pregnancy,which suggests that clinical attention should be paid to them,and monitoring should be strengthened to provide guidance for clinical intervention.

Acute macular neuroretinopathy following COVID-19 infection:Three case reports

BACKGROUND During the Coronavirus disease 2019(COVID-19)pandemic,a notable increase in acute macular neuroretinopathy(AMN)cases was observed.This study aimed to investigate the potential association between AMN and COVID-19 by examining 3 cases in China.CASE SUMMARY The first case involved a 30-year-old man who presented with progressive vision loss following a COVID-19 infection.Optical coherence tomography(OCT)and near-infrared imaging identified hallmark AMN lesions,hyperreflective disruptions within the outer plexiform layer,and hyporeflective anomalies in the ellipsoid zone,leading to an AMN diagnosis.Despite partial visual recovery,OCT angiography(OCTA)revealed persistent microvascular changes,specifically a decreased vascular density in the deep capillary plexus.The second case was a 24-year-old woman who experienced blurred vision and exhibited bilateral cottonwool spots on fundus examination post-COVID-19.Imaging confirmed the presence of AMN along with paracentral acute middle maculopathy(PAMM).Follow-up OCTA found a progressive reduction in vascular density,indicating ongoing microvascular compromise.The third case was a 28-year-old woman who reported sensations of occlusion in her right eye following a COVID-19 infection.Imaging confirmed both AMN and PAMM,revealing similar decreases of microvascular density on OCTA despite a significant improvement in visual acuity.We noted that all 3 patients had received the COVID-19 vaccine prior to the appearance of symptoms.CONCLUSION The findings highlight the diagnostic utility of advanced ocular imaging in detecting AMN in COVID-19 patients and the importance of comprehensive eye examinations.

First experience in laparoscopic surgery in low and middle income countries: A systematic review

BACKGROUND Laparoscopic surgery has reduced morbidity and mortality rates,shorter post-operative recovery periods and lower complication rates than open surgery.It is routine practice in high-income countries and is becoming increasingly common in countries with limited resources.However,introducing laparoscopic surgery in low-and-middle-income countries(LMIC)can be expensive and requires resour-ces,equipment,and trainers.AIM To report the challenges and benefits of introducing laparoscopic surgery in LMIC as well as to identify solutions to these challenges for countries with limited finances and resources.METHODS MEDLINE,EMBASE and Cochrane databases were searched for studies reporting first experience in laparoscopic surgery in LMIC.Included studies were published between 1996 and 2022 with full text available in English.Exclusion criteria were studies considering only open surgery,ear,nose,and throat,endoscopy,arthro-scopy,hysteroscopy,cystoscopy,transplant,or bariatric surgery.RESULTS Ten studies out of 3409 screened papers,from eight LMIC were eligible for inclusion in the final analysis,totaling 2497 patients.Most reported challenges were related to costs of equipment and training programmes,equipment pro-blems such as faulty equipment,and access to surgical kits.Training-related challenges were reliance on foreign trainers and lack of locally trained surgeons and theatre staff.The benefits of introducing laparoscopic surgery were economic and clinical,including a reduction in hospital stay,complications,and morbidi-ty/mortality.The introduction of laparoscopic surgery also provided training opportunities for junior doctors.CONCLUSION Despite financial and technical challenges,many studies emphasise the overall benefit of introducing laparoscopic surgery in LMICs such as reduced hospital stay and the related lower cost for patients.While many of the clinical centres in LMICs have proposed practical solutions to the challenges reported,more support is critically required,in particular regarding training.

中东在变乱交织中谋求发展

War and peace were two key themes for the development of the Middle East in 2023. In the midst of turmoil, the Middle East policies of extra-territorial powers were being rebalanced, all regional countries were striving for development, and China's voice and program were among the most prominent highlights of the Middle East in 2023.

国际暴恐势力趁乱扩张

The year 2023 witnessed frequent conflicts in South Asia, Africa, and the Middle East, fueling the existing security crises and paving the way for the expansion of international terrorism. The United States(US) is now pursuing a “counterterrorism light” strategy, reducing investments in the fight against terrorism, and focusing on so-called great power competition. In such a context, security turbulence has severely affected counterterrorism in many world regions, pushing international counterterrorism efforts into a tight corner.

Confucius and American Democracy

UPON the establishment of European universities in the Middle Ages,the educational system in Western countries became characterized by an essentially Eurocentric worldview.This was reflected in the study of Latin and Greek in high school,and in basing public life and political systems on philosophies of classical antiquity.The work of the influential Chinese philosopher Confucius(551-479 B.C.),a near-contemporary of the major Greek philosophers Socrates(469-399 B.C.),Plato(428-348 B.C.)and Aristotle(384-322 B.C.),whose ethical and political ideas entered into the constitutions of European states,remained unknown.