Analysis of impact pressure,rock-breaking effect,and ground vibration induced by the disposable CO_(2)fracturing tube

The technology of expansion fracturing with liquid CO_(2)(EFLCO_(2))has attracted increasing attention due to reduced vibration and damage.The disposable fracturing tube has been developed and is gradually replacing the Cardox tube.However,there is a lack of impact pressure testing of disposable tubes under real working conditions,selection of gas explosion design parameters,and systematic analysis of blasting vibration.This limitation has constrained the widespread application of disposable fracturing tubes in engineering.A joint monitoring of the pressure-time curves in the disposable tubes and boreholes was conducted.The rock-breaking effect of varying hole spacing parameters in the EFLCO_(2)design was analyzed,and a systematic study was carried out on the vibration peak value,frequency,and energy characteristics.The results show that(1)the pressure distribution characteristics,stress peak value,and duration in the disposable tubes are different from those of Cardox tubes,which show multi-peak distribution,low-pressure peak value,and short duration.The correlation between the pressure in the disposable tube,filling pressure,and liquid CO_(2)weight is established,and a theoretical calculation method for the borehole wall pressure is proposed;(2)The hole spacing in rocks of different hardness is suggested;and(3)At the same scale distance,the peak particle velocity(PPV)caused by EFLCO_(2)(PPVCO_(2))is significantly smaller than that caused by blasting(PPVexplosive).The ratio of PPVexplosive to PPVCO_(2)is a power function related to scale distance,and a distance-related zonality exist in this relationship.The frequency composition of the vibration signal caused by EFLCO_(2)is relatively simple with a narrow frequency band.Its PPV and energy are mainly concentrated in the low-frequency band.This research contributes to the optimization of disposable fracturing tubes,gas explosion design,and vibration hazard control.

Effect of low-speed waterjet pressure on the rock-breaking performance of unsubmerged cavitating abrasive waterjet

Unsubmerged cavitating abrasive waterjet(UCAWJ)has been shown to artificially create a submerged environment that produces shear cavitation,which effectively enhances rock-breaking performance.The shear cavitation generation and collapse intensity depend on the pressure difference between the intermediate high-speed abrasive waterjet and the coaxial low-speed waterjet.However,the effect of the pressure of the coaxial low-speed waterjet is pending.For this purpose,the effect of low-speed waterjet pressure on rock-breaking performance at different standoff distances was experimentally investigated,and the effects of erosion time and ruby nozzle diameter on erosion performance were discussed.Finally,the micromorphology of the sandstone was observed at different locations.The results show that increased erosion time and ruby nozzle diameter can significantly improve the rock-breaking performance.At different standoff distances,the mass loss increases first and then decreases with the increase of low-speed waterjet pressure,the maximum mass loss is 10.4 g at a low-speed waterjet pressure of0.09 MPa.The surface morphology of cavitation erosion was measured using a 3D profiler,the increase in both erosion depth and surface roughness indicated a significant increase in the intensity of the shear cavitation collapse.At a low-speed waterjet pressure of 0.18 MPa,the cavitation erosion surface depth can reach 600μm with a roughness of 127μm.

Numerical simulation of rock-breaking and influence laws of dynamic load parameters during axial-torsional coupled impact drilling with a single PDC cutter

Axial and torsional impact drilling technology is used to improve the drilling efficiency of hard rock formation in the deep underground.Still,the corresponding theory is not mature,and there are few correlative research reports on the rock-breaking mechanism of axial and torsional coupled impact drilling tools.Considering the influence of the impact hammer geometry and movement on the dynamic load parameters(i.e.,wavelength,amplitude,frequency,and phase difference),a numerical model that includes a hard formation and single polycrystalline diamond compact cutter was established.The Riedel-Hiermaier-Thoma model,which considers the dynamic damage and strength behavior of rocks,was adopted to analyze the rock damage under axial and torsional impact loads.The numerical simu-lation results were verified by the experimental results.It was found that compared with conventional drilling,the penetration depths of axial,torsional,and axial-torsional coupled impact drilling increased by 31.3%,5.6%,and 34.7%,respectively.Increasing the wavelength and amplitude of the axial impact stress wave improved the penetration depth.When the bit rotation speed remained unchanged,increasing the frequency in the axial and circumferential directions had little effect on the penetration depth.However,as the frequency increased,the cutting surface became increasingly smooth,which reduced the occurrence of bit vibration.When the phase difference between the axial and circumfer-ential stress waves was 25%,the penetration depth significantly increased.In addition,the bit vibration problem can be effectively reduced.Finally,the adjustment of engineering and tool structure parameters is proposed to optimize the efficiency of the axial-torsional coupled impact drilling tool.

美国教师评估与退出机制的构建及其启示:基于对IMPACT教师评估系统的剖析

为探索我国教师评估与退出机制的建立与运行,采用文本分析方法对美国华盛顿哥伦比亚特区IMPACT评估系统操作指南进行分析,总结IMPACT评估系统的运行体系与特点,为我国教师评估与退出机制提供借鉴。IMPACT评估系统通过覆盖全体的评估对象、专业多元的评估责任主体、丰富具体的评估内容、清晰透明的评估流程以及奖罚分明的评估结果对华盛顿特区公立学校系统教师进行评估,整个系统呈现出评估内容专业化、评估过程公正化、评估结果差异化和评估系统动态化等特点。综观IMPACT评估系统的设计与运行,我国在构建教师评估与退出机制时,应注意在体系建设上强调政府提供制度支持;在评估内容与标准上关注教师能力;在评估责任主体上要兼顾多方利益群体;在系统设计上要因地制宜;最后在系统实施过程中更要注重宽严适度。

Flow structure and rock-breaking feature of the self-rotating nozzle for radial jet drilling

For improving the hole-enlarging capability,roundness and rock-breaking efficiency of the nozzle in radial jet drilling,a new structure of self-rotating nozzle was put forward.The flow structure and rock-breaking features of the self-rotating nozzle were investigated with sliding mesh model and labortary tests and also compared with the straight and the swirling integrated nozzle and multi-orifice nozzle which have been applied in radial jet drilling.The results show that the self-rotating jet is energy concentrated,has longer effective distance,better hole-enlarging capability and roundness and impacts larger circular area at the bottom of the drilling hole,compared with the other two nozzles.Forward jet flow generated from the nozzle is peak shaped,and the jet velocity attenuates slowly at the outer edge.Due to periodic rotary percussion,the pressure fluctuates periodically on rock surface,improving shear and tensile failures on the rock matrix and thereby enhancing rock-breaking efficiency.The numerical simulation results of the flow structure of the nozzle are consistent with the experiments.This study provides an innovative approach for radial jet drilling technology in the petroleum industry.

Experimental study on motion and mechanical characteristics of the vertical wheel in the rock-breaking process

Polycrystalline diamond compact(PDC)drill bit often performs with low ROP,short service life and poor stability under complicated and difficult to drill formations.Therefore,a vertical wheel PDC bit is proposed,which is a new drill bit technology applying an integrated unit combining the tooth wheel and the rotary shaft thereof.Besides,the experiments on motion and mechanical characteristics of the vertical wheel under the conditions of tooth shape and number of teeth,normal deflection angle of the wheel,and different cutting depth were carried out using variable parameter experimental device,and the movement,force law,and crushing specific work of vertical wheel under different experimental conditions were obtained.The comparative experiments of PDC cutting rock breaking under the conditions of parallel cutting of PDC unit and pre-damage of the wheel were also carried out,and the cutting load of PDC teeth under pre-damage conditions is between 38.72% and 70.95%lower than that of parallel cutting was obtained.Finally,a comparative experiment of indoor drilling between vertical wheel PDC bit and conventional PDC bit was carried out.Results show than when drilling in gravel rock,under the same WOB,the torque response of vertical wheel PDC bit is equivalent to that of the PDC bit,while the ROP of vertical wheel PDC bit is 22.94%-53.33% higher than that of conventional PDC bit,and the threedimensional acceleration of the vertical wheel PDC bit is 19.17%-76.23% of that of the PDC bit.The experimental results contribute to a better understanding of vertical wheels and provide technical support for their use in PDC bits.

Composite rock-breaking of high-pressure CO_(2)jet&polycrystallinediamond-compact(PDC)cutter using a coupled SPH/FEM model

CO_(2) drilling is a promising underbalance drilling technology with great advantages,such as lower cutting force,intense cooling and excellent lubrication.However,in the underbalance drilling,the mechanism of the coupling CO_(2) jet and polycrystalline-diamond-compact(PDC)cutter are still unclear.Whereby,we established a coupled smoothed particle hydrodynamics/finite element method(SPH/FEM)model to simulate the composite rock-breaking of high-pressure CO_(2) jet&PDC cutter.Combined with the experimental research results,the mechanism of composite rock-breaking is studied from the perspectives of rock stress field,cutting force and jet field.The results show that the composite rock-breaking can effectively relieve the influence of vibration and shock on PDC cutter.Meanwhile,the high-pressure CO_(2) jet has a positive effect on carrying rock debris,which can effectively reduce the temperature rising and the thermal wear of the PDC cutter.In addition,the effects of CO_(2) jet parameters on composite rock-breaking were studied,such as jet impact velocity,nozzle diameter,jet injection angle and impact distance.The studies show that when the impact velocity of the CO_(2) jet is greater than 250 m/s,the CO_(2) jet could quickly break the rock.It is found that the optimal range of nozzle diameter is 1.5–2.5 mm,the best injection angle of CO_(2) jet is 60,the optimal impact distance is 10 times the nozzle diameter.The above studies could provide theoretical supports and technical guidance for composite rock-breaking,which is useful for the CO_(2) underbalance drilling and drill bit design.

Heat-fluid-solid coupling mechanism of supercritical carbon dioxide jet in rock-breaking

Aiming at the synergistic rock-breaking mechanism of supercritical carbon dioxide(SC-CO_(2))jet pressure and tem-perature difference,a heat-fluid-solid calculation model of rock-breaking stress was established and verified to be effective,and the variations of jet flow field and rock stress with jet standoff distance of SC-CO_(2),water and nitrogen were studied.With the increase of jet standoff distance,the jet pressure of SC-CO_(2) decreases and the jet temperature difference increases.The SC-CO_(2) jet is higher in pressure than the nitrogen jet and differs little from the water jet.Temperature difference of SC-CO_(2) jet is 5 times that of water jet and more than 2.5 ti mes that of nitrogen jet when the jet standoff distance is larger than 10.The tem-perature stress is the main reason why SC-CO_(2) jet is superior to water and nitrogen jets in rock-breaking.The rock under the SC-CO_(2) jet has greater rock stress,effective rock-breaking jet standoff distance and rock-breaking area.The jet pressure plays a major role in rock-breaking when the jet standoff distance is small,while the jet temperature difference plays a major role in rock-breaking when the jet standoff distance is large.The SC-CO_(2) jet is an efficient volume rock-breaking method,which results in tensile and shear failure on the rock surface under short time jet and large area tensile failure inside the rock simultaneously under long time jet.

Correction:Impact of Transition Metal Layer Vacancy on the Structure and Performance of P2 Type Layered Sodium Cathode Material

Following publication of the original article[1],the authors reported that the author Hun-Gi Jung should be affiliated as 3,4 and 5 instead of 4 and 5.The author’s name“A.-Yeon Kim”needed to be updated to“A-Yeon Kim”,removing the period.The correct author’s name and affiliation have been provided in this Correction.The original article[1]has been corrected.

Velocity equation for grenades while impacting on dry sand media

This paper deals with the collision of sphere shape grenades with sand media.The central issue of the article is the establishing of an empirical velocity equation of the grenade while impacting on sand that is used to solve motion equations of the mechanical mechanism inside the impact grenade fuze.The paper focuses on impact velocities that are lower than 5 m s^(-1).An experiment was conducted to study the velocity of the grenade while impacting on dry sand.A high-speed camera video was used to capture the grenade positions.The grenade velocity in the impact process was generated from these video data.Some types of fitting curves are used to regress the velocity equation of the grenade while interacting with the sand media and the best-fitting model is chosen.The result shows the regression curve has a high correlation with the experiment data for grenade velocities below 5 m s^(-1).The received regression equation is useful for analyzing the working ability of the inertial mechanism inside the impact grenade or analyzing and choosing the appropriate parameters of each part in the inertial mechanism to meet the required characteristics of the mechanism.

废冰箱回收利用环境效益评估——基于IMPACT WORLD+方法

废电器是产生量大且增速快的一类固体废物.我国构建的废电器回收体系是实施碳达峰?碳中和的重要举措,但废电器回收利用体系的环境效益尚不清楚.利用IMPACTWORLD+方法,从不同环境影响类型出发评估废电器回收处理的环境效益,并通过损害类型指标量化评价.结果表明,废冰箱回收利用的损害类型指标“人体健康”和“生态环境质量”的结果分别为-10592.501EUR2015和-8211.357EUR2015,合计为-18803.857EUR2015,即环境收益相当于18803.857EUR2015.据此估算,中国2021年废电器回收处理体系中仅废冰箱回收利用的环境收益可达12.82亿EUR2015.研究结果表明废电器回收处理的环境收益十分可观,有望为废电器回收行业的可持续发展提供新的助力.

Effects of projectile parameters on the momentum transfer and projectile melting during hypervelocity impact

The effects of projectile/target impedance matching and projectile shape on energy,momentum transfer and projectile melting during collisions are investigated by numerical simulation.By comparing the computation results with the experimental results,the correctness of the calculation and the statistical method of momentum transfer coefficient is verified.Different shapes of aluminum,copper and heavy tungsten alloy projectiles striking aluminum,basalt,and pumice target for impacts up to 10 km/s are simulated.The influence mechanism of the shape of the projectile and projectile/target density on the momentum transfer was obtained.With an increase in projectile density and length-diameter ratio,the energy transfer time between the projectile and targets is prolonged.The projectile decelerates slowly,resulting in a larger cratering depth.The energy consumed by the projectile in the excavation stage increased,resulting in lower mass-velocity of ejecta and momentum transfer coefficient.The numerical simulation results demonstrated that for different projectile/target combinations,the higher the wave impedance of the projectile,the higher the initial phase transition velocity and the smaller the mass of phase transition.The results can provide theoretical guidance for kinetic impactor design and material selection.

The impact of demographic dynamics on food consumption and its environmental outcomes:Evidence from China

With increasing population and changing demographics,food consumption has experienced a significant transition in quantity and quality.However,a dearth of knowledge remains regarding its environmental impacts and how it responds to demographic dynamics,particularly in emerging economies like China.Using the two-stage Quadratic Almost Demand System(QUAIDS)model,this study empirically examines the impact of demographic dynamics on food consumption and its environmental outcomes based on the provincial data from 2000 to 2020 in China.Under various scenarios,according to changes in demographics,we extend our analysis to project the long-term trend of food consumption and its environmental impacts,including greenhouse gas(GHG)emissions,water footprint(WF),and land appropriation(LA).The results reveal that an increase in the proportion of senior people significantly decreases the consumption of grain and livestock meat and increases the consumption of poultry,egg,and aquatic products,particularly for urban residents.Moreover,an increase in the proportion of males in the population leads to higher consumption of poultry and aquatic products.Correspondingly,in the current scenario of an increased aging population and sex ratio,it is anticipated that GHG emissions,WF,and LA are likely to decrease by 1.37,2.52,and 3.56%,respectively.More importantly,in the scenario adhering to the standards of nutritional intake according to the Dietary Guidelines for Chinese Residents in 2022,GHG emissions,WF,and LA in urban areas would increase by 12.78,20.94,and 18.32%,respectively.Our findings suggest that changing demographics should be considered when designing policies to mitigate the diet-environment-health trilemma and achieve sustainable food consumption.

Impact resistance performance and optimization of the sand-EPE composite cushion in rock sheds

Rock sheds are widely used to prevent rockfall disasters along roads in mountainous areas.To improve the capacity of rock sheds for resisting rockfall impact,a sand and expandable polyethylene(EPE)composite cushion was proposed.A series of model experiments of rockfall impact on rock sheds were conducted,and the buried depth of the EPE foam board in the sand layer was considered.The impact load and dynamic response of the rock shed were investigated.The results show that the maximum impact load and dynamic response of the rock shed roof are all significantly less than those of the sand cushion.Moreover,as the distance between the EPE foam board and rock shed roof decreases,the maximum rockfall impact force and impact pressure gradually decrease,and the maximum displacement,acceleration and strain of the rock shed first decrease and then change little.In addition,the vibration acceleration and vertical displacement of the rock shed roof decrease from the centre to the edge and decrease faster along the longitudinal direction than that along the transverse direction.In conclusion,the buffering effect of the sand-EPE composite cushion is better than that of the pure sand cushion,and the EPE foam board at a depth of 1/3 the thickness of the sand layer is appropriate.

Reinforcing effects of polypropylene on energy absorption and fracturing of cement-based tailings backfill under impact loading

Polypropylene(PP)fiber-reinforced cement-based tailings backfill(FRCTB)is a green compound material with superior crack resistance and has good prospects for application in underground mining.However,FRCTB exhibits susceptibility to dynamic events,such as impact ground pressure and blast vibrations.This paper investigates the energy and crack distribution behavior of FRCTB under dynamic impact,considering the height/diameter(H/D)effect.Split Hopkinson pressure bar,industrial computed tomography scan,and scanning electron microscopy(SEM)experiments were carried out on six types of FRCTB.Laboratory outcomes confirmed fiber aggregation at the bottom of specimens.When H/D was less than 0.8,the proportion of PP fibers distributed along theθangle direction of80°-90°increased.For the total energy,all samples presented similar energy absorption,reflectance,and transmittance.However,a rise in H/D may cause a rise in the energy absorption rate of FRCTB during the peak phase.A positive correlation existed between the average strain rate and absorbed energy per unit volume.The increase in H/D resulted in a decreased crack volume fraction of FRCTB.When the H/D was greater than or equal to 0.7,the maximum crack volume fraction of FRCTB was observed close to the incidence plane.Radial cracks were present only in the FRCTB with an H/D ratio of 0.5.Samples with H/D ratios of 0.5 and 0.6 showed similar distributions of weakly and heavily damaged areas.PP fibers can limit the emergence and expansion of cracks by influencing their path.SEM observations revealed considerable differences in the bonding strengths between fibers and the FRCTB.Fibers that adhered particularly well to the substrate were attracted together with the hydration products adhering to surfaces.These results show that FRCTB is promising as a sustainable and green backfill for determining the design properties of mining with backfill.

Impact pressure of waves generated by landslides on bank slopes

Impulse waves that are generated by landslides in narrow reservoir areas threaten the stability of buildings and bank slopes.To discuss the action process and evolution law of the wave pressure on bank slopes,a three-dimensional physical model test that considers impulse waves generated by landslides was performed,and factors including landslide width,thickness,slope angles of the sliding surface,and bank slope angle were considered.Based on wave forms on the bank slopes,wave pressure curve characteristics,and peak value,the action process of wave pressure could be divided into the following stages:maximum pulsating pressure stage,wave impact stage(when waves break),and stationary pulsation stage.It was found that wave breaking is dependent on the value of the surf similarity parameterξ.The distribution pattern of impact pressure decays linearly on both sides of the maximum impact pressure point,and the attenuation degree decreases when it attains 40%of the maximum value.Thus,it is proposed that the prediction formula for the maximum effective impact pressure of the bank slope be related to the reciprocal of wave steepness,relative water depth,and slope rate.The prediction formula provides strong theoretical support for early safety warning and for predicting the bank slope under impulse waves generated by landslides.

Impacts of Future Changes in Heavy Precipitation and Extreme Drought on the Economy over South China and Indochina

Heavy precipitation and extreme drought have caused severe economic losses over South China and Indochina(INCSC)in recent decades.Given the areas with large gross domestic product(GDP)in the INCSC region are distributed along the coastline and greatly affected by global warming,understanding the possible economic impacts induced by future changes in the maximum consecutive 5-day precipitation(RX5day)and the maximum consecutive dry days(CDD)is critical for adaptation planning in this region.Based on the latest data released by phase 6 of the Coupled Model Intercomparison Project(CMIP6),future projections of precipitation extremes with bias correction and their impacts on GDP over the INCSC region under the fossil-fueled development Shared Socioeconomic Pathway(SSP5-8.5)are investigated.Results indicate that RX5day will intensify robustly throughout the INCSC region,while CDD will lengthen in most regions under global warming.The changes in climate consistently dominate the effect on GDP over the INCSC region,rather than the change of GDP.If only considering the effect of climate change on GDP,the changes in precipitation extremes bring a larger impact on the economy in the future to the provinces of Hunan,Jiangxi,Fujian,Guangdong,and Hainan in South China,as well as the Malay Peninsula and southern Cambodia in Indochina.Thus,timely regional adaptation strategies are urgent for these regions.Moreover,from the sub-regional average viewpoint,over two thirds of CMIP6 models agree that maintaining a lower global warming level will reduce the economic impacts from heavy precipitation over the INCSC region.

Enhanced structural damage behavior of liquid-filled tank by reactive material projectile impact

A series of ballistic experiments were performed to investigate the damage behavior of high velocity reactive material projectiles(RMPs) impacting liquid-filled tanks,and the corresponding hydrodynamic ram(HRAM) was studied in detail.PTFE/Al/W RMPs with steel-like and aluminum-like densities were prepared by a pressing/sintering process.The projectiles impacted a liquid-filled steel tank with front aluminum panel at approximately 1250 m/s.The corresponding cavity evolution characteristics and HRAM pressure were recorded by high-speed camera and pressure acquisition system,and further compared to those of steel and aluminum projectiles.Significantly different from the conical cavity formed by the inert metal projectile,the cavity formed by the RMP appeared as an ellipsoid with a conical front.The RMPs were demonstrated to enhance the radial growth velocity of cavity,the global HRAM pressure amplitude and the front panel damage,indicating the enhanced HRAM and structural damage behavior.Furthermore,combining the impact-induced fragmentation and deflagration characteristics,the cavity evolution of RMPs under the combined effect of kinetic energy impact and chemical energy release was analyzed.The mechanism of enhanced HRAM pressure induced by the RMPs was further revealed based on the theoretical model of the initial impact wave and the impulse analysis.Finally,the linear correlation between the deformation-thickness ratio and the non-dimensional impulse for the front panel was obtained and analyzed.It was determined that the enhanced near-field impulse induced by the RMPs was the dominant reason for the enhanced structural damage behavior.

基于IMPACT模式的延续性护理在2型糖尿病合并冠心病患者中的作用研究

目的分析基于确定-定义-产生-应用-计算-跟踪(determine-definition-generate-application-computing-track,IMPACT)模式的延续性护理在2型糖尿病合并冠状动脉粥样硬化性心脏病(简称冠心病)患者中的作用。方法选取2023年11月—2024年5月三明市第一医院收治的80例2型糖尿病合并冠心病患者为研究对象,根据不同护理的方法分为对照组、研究组,各40例。对照组实施常规护理,研究组在对照组基础上实施基于IMPACT模式的延续性护理。比较两组血糖水平、负性情绪、自护能力评分。结果干预后,研究组空腹血糖、餐后2 h血糖水平均低于对照组,差异有统计学意义(P均<0.05)。干预后,研究组汉密尔顿焦虑量表评分、汉密尔顿抑郁量表评分均低于对照组,差异有统计学意义(P均<0.05)。干预后,研究组自我护理能力测量量表评分高于对照组,差异有统计学意义(P均<0.05)。结论基于IMPACT模式的延续性护理能够改善2型糖尿病合并冠心病患者的血糖水平、改善负性情绪并提升其自护能力。

Impact of primary percutaneous coronary intervention on ST-segment elevation myocardial infarction patients:A comprehensive analysis

BACKGROUND Myocardial infarction,particularly ST-segment elevation myocardial infarction(STEMI),is a key global mortality cause.Our study investigated predictors of mortality in 96 STEMI patients undergoing primary percutaneous coronary intervention at Erbil Cardiac Center.Multiple factors were identified influencing in-hospital mortality.Significantly,time from symptom onset to hospital arrival emerged as a decisive factor.Consequently,our study hypothesis is:"Reducing time from symptom onset to hospital arrival significantly improves STEMI prognosis."AIM To determine the key factors influencing mortality rates in STEMI patients.METHODS We studied 96 consecutive STEMI patients undergoing primary percutaneous coronary intervention(PPCI)at the Erbil Cardiac Center.Their clinical histories were compiled,and coronary evaluations were performed via angiography on admission.Data included comorbid conditions,onset of cardiogenic shock,complications during PPCI,and more.Post-discharge,one-month follow-up assessments were completed.Statistical significance was set at P<0.05.RESULTS Our results unearthed several significant findings.The in-hospital and 30-d mortality rates among the 96 STEMI patients were 11.2%and 2.3%respectively.On the investigation of independent predictors of in-hospital mortality,we identified atypical presentation,onset of cardiogenic shock,presence of chronic kidney disease,Thrombolysis In Myocardial Infarction grades 0/1/2,triple vessel disease,ventricular tachycardia/ventricular fibrillation,coronary dissection,and the no-reflow phenomenon.Specifically,the recorded average time from symptom onset to hospital arrival amongst patients who did not survive was significantly longer(6.92±3.86 h)compared to those who survived(3.61±1.67 h),P<0.001.These findings underscore the critical role of timely intervention in improving the survival outcomes of STEMI patients.CONCLUSION Our results affirm that early hospital arrival after symptom onset significantly improves survival rates in STEMI patients,highlighting the critical need for prompt intervention.