This is the second paper of two, which describe the results of an integrated research effort to develop a four-step simplified approach for design of raft foundations against dip-slip (normal and thrust) fault ruptu...This is the second paper of two, which describe the results of an integrated research effort to develop a four-step simplified approach for design of raft foundations against dip-slip (normal and thrust) fault rupture. The first two steps dealing with fault rupture propagation in the free-field were presented in the companion paper. This paper develops an approximate analytical method to analyze soil-foundation-structure interaction (SFSI), involving two additional phenomena: (i) fault rupture diversion (Step 3); and (ii) modification of the vertical displacement profile (Step 4). For the first phenomenon (Step 3), an approximate energy-based approach is developed to estimate the diversion of a fault rupture due to presence of a raft foundation. The normalized critical load for complete diversion is shown to be a function of soil strength, coefficient of earth pressure at rest, bedrock depth, and the horizontal position of the foundation relative to the outcropping fault rupture. For the second phenomenon (Step 4), a heuristic approach is proposed, which "scans" through possible equilibrium positions to detect the one that best satisfies force and moment equilibrium. Thus, we account for the strong geometric nonlinearities that govern this interaction, such as uplifting and second order (P-△) effects. Comparisons with centrifuge-validated finite element analyses demonstrate the efficacy of the method. Its simplicity makes possible its utilization for preliminary design.展开更多
Over the past few decades, earthquake engineering research mainly focused on the effects of strong seismic shaking. After the 1999 earthquakes in Turkey and Taiwan, and thanks to numerous cases where fault rupture cau...Over the past few decades, earthquake engineering research mainly focused on the effects of strong seismic shaking. After the 1999 earthquakes in Turkey and Taiwan, and thanks to numerous cases where fault rupture caused substantial damage to structures, the importance of faulting-induced deformation has re-emerged. This paper, along with its companion (Part Ⅱ), exploits parametric results of finite element analyses and centrifuge model testing in developing a four-step semi-analytical approach for analysis of dip-slip (normal and thrust) fault rupture propagation through sand, its emergence on the ground surface, and its interaction with raft foundations. The present paper (Part Ⅰ) focuses on the effects of faulting in the absence of a structure (i.e., in the free-field). The semi-analytical approach comprises two-steps: the first deals with the rupture path and the estimation of the location of fault outcropping, and the second with the tectonically- induced displacement profile at the ground surface. In both cases, simple mechanical analogues are used to derive simplified semi-analytical expressions. Centrifuge model test data, in combination with parametric results from nonlinear finite element analyses, are utilized for model calibration. The derived semi-analytical expressions are shown to compare reasonably well with more rigorous experimental and theoretical data, thus providing a useful tool for a first estimation of near-fault seismic hazard.展开更多
Hypertensive disorders of pregnancy,including chronic hypertension,gestational hypertension,and preeclampsia,are the most common complications in pregnant women,affecting approximately 15%of pregnancies.[1,2]Hemolysis...Hypertensive disorders of pregnancy,including chronic hypertension,gestational hypertension,and preeclampsia,are the most common complications in pregnant women,affecting approximately 15%of pregnancies.[1,2]Hemolysis,elevated liver enzymes,and low platelet count(HELLP syndrome)can occur in 0.2%-0.6%of all pregnancies,and 10%-15%of patients are diagnosed with preeclampsia.[3,4]Among its severe complications,liver hematoma is remarkable and may lead to liver rupture.Prompt identification of HELLP syndrome is crucial for proper therapeutic management and to avoid fatal outcomes[4,5]since when a hepatic hematoma occurs,the risk of rupture increases to 12%.[3,5]展开更多
In this study,the vertical components of broadband teleseismic P wave data recorded by China Earthquake Network are used to image the rupture processes of the February 6th,2023 Turkish earthquake doublet via back proj...In this study,the vertical components of broadband teleseismic P wave data recorded by China Earthquake Network are used to image the rupture processes of the February 6th,2023 Turkish earthquake doublet via back projection analysis.Data in two frequency bands(0.5-2 Hz and 1-3 Hz)are used in the imaging processes.The results show that the rupture of the first event extends about 200 km to the northeast and about 150 km to the southwest,lasting~90 s in total.The southwestern rupture is triggered by the northeastern rupture,demonstrating a sequential bidirectional unilateral rupture pattern.The rupture of the second event extends approximately 80 km in both northeast and west directions,lasting~35 s in total and demonstrates a typical bilateral rupture feature.The cascading ruptures on both sides also reflect the occurrence of selective rupture behaviors on bifurcated faults.In addition,we observe super-shear ruptures on certain fault sections with relatively straight fault structures and sparse aftershocks.展开更多
BACKGROUND Cystic lymphangioma is a rare benign tumor that affects the lymphatic system.Mesenteric lymphangiomas in the small bowel are extremely uncommon.CASE SUMMARY We present a 21-year-old female patient who compl...BACKGROUND Cystic lymphangioma is a rare benign tumor that affects the lymphatic system.Mesenteric lymphangiomas in the small bowel are extremely uncommon.CASE SUMMARY We present a 21-year-old female patient who complained of abdominal pain.The diagnosis of ovarian torsion was suspected after abdominopelvic unenhanced computed tomography and ultrasound revealed a large cyst in contact with the bladder,ovary,and uterus.The patient underwent emergency laparotomy per-formed by gynecologists,but it was discovered that the cystic tumor originated from the jejunum.Gastrointestinal surgeons were then called in to perform a cystectomy.Pathological examination confirmed the diagnosis of cystic lymphangioma of the mesentery.The patient had an uneventful postoperative recovery.CONCLUSION Mesenteric lymphangiomas can cause abdominal pain,and imaging techniques can help determine their characteristics,location,and size.Complete surgical excision and pathological examination are considered the standard treatment and diagnostic method.展开更多
BACKGROUND Spontaneous coronary artery rupture(SCAR)is a rare and life-threatening complication after lung cancer surgery.We present a case of SCAR following left upper lobectomy,successfully managed through emergency...BACKGROUND Spontaneous coronary artery rupture(SCAR)is a rare and life-threatening complication after lung cancer surgery.We present a case of SCAR following left upper lobectomy,successfully managed through emergency thoracotomy and coronary artery ligation.CASE SUMMARY A 61-year-old male patient underwent left upper lobectomy and mediastinal lymph node dissection for lung cancer.The surgery was performed using singleport video-assisted thoracoscopic surgery,and there were no observed complications during the procedure.However,19 h after surgery,the patient experienced chest discomfort and subsequently developed severe symptoms,including nausea,vomiting,and a drop in blood pressure.Urgent measures were taken,leading to the diagnosis of SCAR.The patient underwent emergency thoracotomy and coronary artery ligation,successfully stopping the bleeding and stabilizing the condition.Despite postoperative complications,the patient made a successful recovery and was discharged from the hospital.CONCLUSION SCAR is a rare but life-threatening complication following lung cancer surgery.Immediate thoracotomy has been shown to be a life-saving measure,while stenting is not the preferred initial approach.展开更多
Both M_(W) 7.8 and M_(W) 7.5 earthquakes occurred in southeastern Türkiye on February 6,2023,resulting in numerous buildings collapsing and serious casualties.Understanding the distribution of coseismic surface r...Both M_(W) 7.8 and M_(W) 7.5 earthquakes occurred in southeastern Türkiye on February 6,2023,resulting in numerous buildings collapsing and serious casualties.Understanding the distribution of coseismic surface ruptures and secondary disasters surrounding the epicentral area is important for post-earthquake emergency and disaster assessments.High-resolution Maxar and GF-2 satellite data were used after the events to extract the location of the rupture surrounding the first epicentral area.The results show that the length of the interpreted surface rupture zone(part of)is approximately 75 km,with a coseismic sinistral dislocation of 2-3 m near the epicenter;however,this reduced to zero at the tip of the southwest section of the East Anatolia Fault Zone.Moreover,dense soil liquefaction pits were triggered along the rupture trace.These events are in the western region of the Eurasian Seismic Belt and result from the subduction and collision of the Arabian and African Plates toward the Eurasian Plate.The western region of the Chinese mainland and its adjacent areas are in the eastern section of the Eurasian Seismic Belt,where seismic activity is controlled by the collision of the Indian and Eurasian Plates.Both China and Türkiye have independent tectonic histories.展开更多
BACKGROUND Splenic rupture associated with Behçet’s syndrome(BS)is extremely rare,and there is no consensus on its management.In this case report,a patient with BSassociated splenic rupture was successfully trea...BACKGROUND Splenic rupture associated with Behçet’s syndrome(BS)is extremely rare,and there is no consensus on its management.In this case report,a patient with BSassociated splenic rupture was successfully treated with splenic artery embolization(SAE)and had a good prognosis after the intervention.CASE SUMMARY The patient was admitted for pain in the left upper abdominal quadrant.He was diagnosed with splenic rupture.Multiple oral and genital aphthous ulcers were observed,and acne scars were found on his back.He had a 2-year history of BS diagnosis,with symptoms of oral and genital ulcers.At that time,he was treated with oral corticosteroids for 1 month,but the symptoms did not alleviate.He underwent SAE to treat the rupture.On the first day after SAE,the patient reported a complete resolution of abdominal pain and was discharged 5 d later.Three months after the intervention,a computed tomography examination showed that the splenic hematoma had formed a stable cystic effusion,suggesting a good prognosis.CONCLUSION SAE might be a good choice for BS-associated splenic rupture based on good surgical practice and material selection.展开更多
Objective: The objective of this study was to determine if early rupture of membranes (ROM) in women undergoing induction of labor (IOL) at term is associated with an increased rate of clinical chorioamnionitis. Study...Objective: The objective of this study was to determine if early rupture of membranes (ROM) in women undergoing induction of labor (IOL) at term is associated with an increased rate of clinical chorioamnionitis. Study Design: A retrospective cohort study was performed on women undergoing IOL. Early ROM was defined as ROM at a modified Bishop score less than 5, cervical dilation less than 4 cm, or cervical effacement less than 80%. The rate of clinical chorioamnionitis was compared between women with early and late ROM. Results: The rate of clinical chorioamnionitis was 8.6% (24/279). ROM at an effacement of less than 80% was associated with a rate of clinical chorioamnionitis of 15.4% (12/78) compared to 6.0% (12/201) at an effacement of equal to or greater than 80%, p = 0.017. The rate of cesarean delivery was higher for patients with early ROM by any definition: 32% compared to 17.5% by modified Bishop score (p = 0.031), 32.4% versus 18.2% by cervical dilation (p = 0.049), and 33.3% versus 14.9% by cervical effacement (p = 0.001). Conclusions: In patients undergoing IOL, early ROM may be associated with an increased rate of clinical chorioamnionitis when performed at a cervical effacement of less than 80% and an increased rate of cesarean delivery.展开更多
Purpose: Neonatal pneumonia is a major newborn disease with a high morbidity rate. We aimed to evaluate whether atypical prelabor rupture of membranes (PROM) is a high-risk factor for causing neonatal pneumonia in a p...Purpose: Neonatal pneumonia is a major newborn disease with a high morbidity rate. We aimed to evaluate whether atypical prelabor rupture of membranes (PROM) is a high-risk factor for causing neonatal pneumonia in a prospective real-world study. Patients and Methods: A total of 250 pregnant women at pregnancy week 39 were non-selectively recruited. All were examined by PROM and neonatal pneumonia related clinical, bedside and lab tests, including body temperature, blood pressure, increased vagina discharge, posterior vault pooling, abdominal tenderness, WBC count, nitrazine test, amniotic fluid index, Leakection (a sICAM-1 based lateral flow immunoassay) and vagina streptococcus examinations. Increased vagina discharge with a Leakection positivity was adopted as a working criterium for identifying atypical PROM. Neonatal pneumonia was diagnosed based on the clinical presentation and lab tests. Results: Twenty cases of neonatal pneumonia (8.0%) were diagnosed after the deliveries of the 250 pregnant women. In these neonatal pneumonia cases, 12 (16.7%) occurred in 72 deliveries with atypical PROM, 2 (16.7%) in 12 deliveries with typical PROM, and 6 (3.6%) in 166 deliveries with non-PROM. Conclusion: In this real-world study, we find that a systematic screening at pregnancy week 39 was very meaningful in revealing atypical PROM. Moreover, atypical PROM is a major risk factor for neonatal pneumonia. Therefore, an early diagnosis and intervention on atypical PROM could potentially reduce the occurrence of neonatal pneumonia.展开更多
Introduction: The aim of this study was to contribute to improving the quality of GEUR management in the general surgery department and in the maternity ward of the Ignace Deen national hospital, Conakry University Ho...Introduction: The aim of this study was to contribute to improving the quality of GEUR management in the general surgery department and in the maternity ward of the Ignace Deen national hospital, Conakry University Hospital. Methodology: This was a retrospective, descriptive study lasting two years (January 1, 2020 to December 31, 2022), carried out in the general surgery and gyneco-obstetrics departments of the Ignace Deen national hospital, Conakry University Hospital. We included all patients with a ruptured ectopic pregnancy who received surgical treatment during the study period. Results: We collected 13,524 cases of surgical interventions in the two services, among them, we recorded 89 cases or 0.66% GEUR. The average age of the patients was 24.26 years. Brides were the most represented with 80.96% of cases. Women practicing a liberal profession were 51.69% (n = 46) and housewives 26.97% (n = 24). Clinically, amenorrhea was noted in all patients, i.e. 100%, abdominal-pelvic pain in 95.2% (n = 85) of cases, metrorrhagia in 94.08% (n = 84), abdominal-pelvic sensitivity in 97.44% (n = 87) of cases and anemia in 85.39% of cases. The GEUR was ampullary in 69.66% (n = 62) cases. Salpingectomy was performed in 90.72% (n = 81). The surgical outcomes were satisfactory in 98.87% (n = 88) of cases. We recorded one case of surgical site infection. We have not recorded any deaths. The average length of hospitalization was 4 days. Conclusion: GEUR is relatively high in our context. A good understanding of the prognostic factors of GEUR, awareness and family planning could reduce GEUR.展开更多
On September 5,2022,at Beijing time 12:52 p.m.,an M_(S)6.8 earthquake struck Luding County,GarzêTibetan Autonomous Prefecture,Sichuan Province.The epicenter of the earthquake was at the intersection of the Sichua...On September 5,2022,at Beijing time 12:52 p.m.,an M_(S)6.8 earthquake struck Luding County,GarzêTibetan Autonomous Prefecture,Sichuan Province.The epicenter of the earthquake was at the intersection of the Sichuan-Yunnan,Bayankala,and South China blocks.The tectonic background is extremely complex,and strong earthquakes occur frequently.Based on a predetermined focal location and focal mechanism solution for the earthquake,we reversed the focal depth and rupture process of the earthquake by fitting the teleseismic P and SH waves recorded by the global seismic network.The results show that the focal depth is 16 km,with the main rupture having a length of about 45 km near the epicenter,with a maximum displacement of 1.02 m.Although the rupture mainly propagates from the north–northwest(NNW)to the south–southeast(SSE)along the fault strike,there is a small-scale rupture slip zone at shallow depths in the north–northeast(NNE)direction along the epicenter of the seismogenic fault.This rupture image corresponds to the cluster distribution of aftershocks in the NNW and SSE directions starting from the epicenter,corresponding to the distribution of recorded landslides.The earthquake occurred on the Moxi fault,located in the southeastern section of the Xianshuihe fault.The major tectonic feature in this area is the southeastward movement of the Chuandian block relative to the Bayanhar block.展开更多
Until recently,it is believed that the rupture speed above the pressure wave is impossible since spontaneously propagating ruptures are driven by the energy released due to the rupture motion,which is transferred thro...Until recently,it is believed that the rupture speed above the pressure wave is impossible since spontaneously propagating ruptures are driven by the energy released due to the rupture motion,which is transferred through the medium to the rupture tip region at the maximum speed equal to the pressure wave speed.However,the apparent violation of classic theories has been revealed by new experimental results demonstrating supersonic shear ruptures.This paper presents a detailed analysis of the recently discovered shear rupture mechanism(fan hinged),which suggests a new physics of energy supply to the tip of supersonic ruptures.The key element of this mechanism is the fan‐shaped structure of the head of extreme ruptures,which is formed as a result of an intense tensile cracking process with the creation of intercrack slabs that act as hinges between the shearing rupture faces.The fan structure is featured with the following extraordinary properties:extremely low friction approaching zero;amplification of shear stresses above the material strength at low applied shear stresses;creation of a self‐disbalancing stress state causing a spontaneous rupture growth;abnormally high energy release;generation of driving energy directly at the rupture tip which excludes the need to transfer energy through the medium.The fan mechanism operates in intact rocks at stress conditions corresponding to seismogenic depths and in pre‐existing extremely smooth interfaces due to identical tensile cracking processes at these conditions.This is Paper 1(of two companion papers)which discusses the fan theory and extreme ruptures in experiments on extremely smooth interfaces.Paper 2 entitled“Fan‐hinged shear instead of frictional stick‐slip as the main and most dangerous mechanism of natural,induced and volcanic earthquakes in the earth's crust”considers extreme ruptures in intact rocks.Further study of this subject is a major challenge for deep underground science,earthquake and fracture mechanics,physics,and tribology.展开更多
Fault rupture propagation is more complex in the overlying soil with intercalation than in homogeneous soil,and it is challenging to simulate this phenomenon accurately using the finite element method.To address this ...Fault rupture propagation is more complex in the overlying soil with intercalation than in homogeneous soil,and it is challenging to simulate this phenomenon accurately using the finite element method.To address this issue,an improved nonlocal model that incorporates softening modulus modification is proposed.The methodology has the advantage that the solutions are independent of both mesh sizes and characteristic lengths,while maintaining objective softening rates of materials.Using the proposed methodology,a series of numerical simulations are conducted to investigate the effects of different mechanical parameters,such as elastic modulus,friction angle and dilation angle of the soil within the intercalation,as well as the impact of geometries,such as the depth and thickness of the intercalation,on the fault rupture progress.This study not only provides significant insights into the mechanisms of fault rupture propagation,specifically in relation to intercalations,but also shows a great value in promoting the current research on fault rupture.展开更多
Steam generator tube rupture(SGTR) accident is an important scenario needed to be considered in the safety analysis of lead-based fast reactors. When the steam generator tube breaks close to the main pump, water vapor...Steam generator tube rupture(SGTR) accident is an important scenario needed to be considered in the safety analysis of lead-based fast reactors. When the steam generator tube breaks close to the main pump, water vapor will enter the reactor core, resulting in a two-phase flow of heavy liquid metal and water vapor in fuel assemblies. The thermal-hydraulic problems caused by the SGTR accident may seriously threaten reactor core's safety performance. In this paper, the open-source CFD calculation software OpenFOAM was used to encapsulate the improved Euler method into the self-developed solver LBEsteamEulerFoam. By changing different heating boundary conditions and inlet coolant types, the two-phase flow in the fuel assembly with different inlet gas content was simulated under various accident conditions. The calculation results show that the water vapor may accumulate in edge and corner channels. With the increase in inlet water vapor content, outlet coolant velocity increases gradually. When the inlet water vapor content is more than 15%, the outlet coolant temperature rises sharply with strong temperature fluctuation. When the inlet water vapor content is in the range of 5–20%, the upper part of the fuel assembly will gradually accumulate to form large bubbles. Compared with the VOF method, Euler method has higher computational efficiency. However, Euler method may cause an underestimation of the void fraction, so it still needs to be calibrated with future experimental data of the two-phase flow in fuel assembly.展开更多
Dear editor,Polyarteritis nodosa(PAN) is a rare form of vasculitis involving small-and medium-sized vessels in multiple organs. Severe gastrointestinal(GI) hemorrhage in PAN due to multiple ruptures of aneurysms of ar...Dear editor,Polyarteritis nodosa(PAN) is a rare form of vasculitis involving small-and medium-sized vessels in multiple organs. Severe gastrointestinal(GI) hemorrhage in PAN due to multiple ruptures of aneurysms of arteries is uncommon and life-threatening.展开更多
The synergistic effect of total ionizing dose(TID) and single event gate rupture(SEGR) in SiC power metal–oxide–semiconductor field effect transistors(MOSFETs) is investigated via simulation. The device is found to ...The synergistic effect of total ionizing dose(TID) and single event gate rupture(SEGR) in SiC power metal–oxide–semiconductor field effect transistors(MOSFETs) is investigated via simulation. The device is found to be more sensitive to SEGR with TID increasing, especially at higher temperature. The microscopic mechanism is revealed to be the increased trapped charges induced by TID and subsequent enhancement of electric field intensity inside the oxide layer.展开更多
Ventricular septal rupture(VSR)is a serious complication that may occur after myocardial infarction(MI).[1]If left untreated,it will lead to high morbidity and mortality.Although several surgical interventions have be...Ventricular septal rupture(VSR)is a serious complication that may occur after myocardial infarction(MI).[1]If left untreated,it will lead to high morbidity and mortality.Although several surgical interventions have been developed,mortality and complications associated with surgical management are still high,especially in terms of transventricular approaches.[2]展开更多
BACKGROUND Hysteromyoma is not a rare tumor among pregnant women.During pregnancy,the symptoms caused by hysteromyoma can be improved through conservative treatment in most cases.However,in order to ensure the safety ...BACKGROUND Hysteromyoma is not a rare tumor among pregnant women.During pregnancy,the symptoms caused by hysteromyoma can be improved through conservative treatment in most cases.However,in order to ensure the safety of mothers and children,surgeries are necessary in some special cases.CASE SUMMARY We report a case of pregnancy complicated with hysteromyoma red degeneration.The patient had peritonitis after sudden abdominal pain during the 20th week of pregnancy.Laparoscopic exploration suggested rupture and bleeding of hysteromyoma,which were improved after drainage and an anti-inflammatory treatment.A cesarean section was performed after full term.This case shows the complications of rupture after red degeneration of hysteromyoma during pregnancy.CONCLUSION We should be alert to rupture of hysteromyoma during pregnancy,and active laparoscopic exploration is essential to improve the prognosis of such patients.展开更多
BACKGROUND Closed rupture of the little and ring finger flexor tendons caused by the hamate is mostly associated with a fracture or nonunion of the hamate hook.Only one case of a closed rupture of the finger flexor te...BACKGROUND Closed rupture of the little and ring finger flexor tendons caused by the hamate is mostly associated with a fracture or nonunion of the hamate hook.Only one case of a closed rupture of the finger flexor tendon caused by osteochondroma in the hamate has been reported.Here,we present a case study to highlight the possibility of hamate osteochondroma as a rare cause of finger closed flexor tendon rupture based on our clinical experience and literature review.CASE SUMMARY A 48-year-old man who had been a rice-field farmer for 7–8 h a day for the past 30 years visited our clinic due to the loss of right little finger and ring finger flexion involving both the proximal and distal interphalangeal joints.The patient was diagnosed with a complete rupture of the ring and little finger flexors because of the hamate and was pathologically diagnosed with an osteochondroma.Exploratory surgery was performed,and a complete rupture of the ring and little finger flexors due to an osteophyte-like lesion of the hamate was observed,which was pathologically diagnosed as an osteochondroma.CONCLUSION One should consider that osteochondroma in the hamate may be the cause of closed tendon ruptures.展开更多
基金OSE (the Greek Railway Organization)the EU Fifth Framework Programme Under Grant No. EVG1-CT-2002-00064
文摘This is the second paper of two, which describe the results of an integrated research effort to develop a four-step simplified approach for design of raft foundations against dip-slip (normal and thrust) fault rupture. The first two steps dealing with fault rupture propagation in the free-field were presented in the companion paper. This paper develops an approximate analytical method to analyze soil-foundation-structure interaction (SFSI), involving two additional phenomena: (i) fault rupture diversion (Step 3); and (ii) modification of the vertical displacement profile (Step 4). For the first phenomenon (Step 3), an approximate energy-based approach is developed to estimate the diversion of a fault rupture due to presence of a raft foundation. The normalized critical load for complete diversion is shown to be a function of soil strength, coefficient of earth pressure at rest, bedrock depth, and the horizontal position of the foundation relative to the outcropping fault rupture. For the second phenomenon (Step 4), a heuristic approach is proposed, which "scans" through possible equilibrium positions to detect the one that best satisfies force and moment equilibrium. Thus, we account for the strong geometric nonlinearities that govern this interaction, such as uplifting and second order (P-△) effects. Comparisons with centrifuge-validated finite element analyses demonstrate the efficacy of the method. Its simplicity makes possible its utilization for preliminary design.
基金OSE(the Greek Railway Organization)the EU Fifth Framework Programme Under Grant No.EVG1-CT-2002-00064
文摘Over the past few decades, earthquake engineering research mainly focused on the effects of strong seismic shaking. After the 1999 earthquakes in Turkey and Taiwan, and thanks to numerous cases where fault rupture caused substantial damage to structures, the importance of faulting-induced deformation has re-emerged. This paper, along with its companion (Part Ⅱ), exploits parametric results of finite element analyses and centrifuge model testing in developing a four-step semi-analytical approach for analysis of dip-slip (normal and thrust) fault rupture propagation through sand, its emergence on the ground surface, and its interaction with raft foundations. The present paper (Part Ⅰ) focuses on the effects of faulting in the absence of a structure (i.e., in the free-field). The semi-analytical approach comprises two-steps: the first deals with the rupture path and the estimation of the location of fault outcropping, and the second with the tectonically- induced displacement profile at the ground surface. In both cases, simple mechanical analogues are used to derive simplified semi-analytical expressions. Centrifuge model test data, in combination with parametric results from nonlinear finite element analyses, are utilized for model calibration. The derived semi-analytical expressions are shown to compare reasonably well with more rigorous experimental and theoretical data, thus providing a useful tool for a first estimation of near-fault seismic hazard.
文摘Hypertensive disorders of pregnancy,including chronic hypertension,gestational hypertension,and preeclampsia,are the most common complications in pregnant women,affecting approximately 15%of pregnancies.[1,2]Hemolysis,elevated liver enzymes,and low platelet count(HELLP syndrome)can occur in 0.2%-0.6%of all pregnancies,and 10%-15%of patients are diagnosed with preeclampsia.[3,4]Among its severe complications,liver hematoma is remarkable and may lead to liver rupture.Prompt identification of HELLP syndrome is crucial for proper therapeutic management and to avoid fatal outcomes[4,5]since when a hepatic hematoma occurs,the risk of rupture increases to 12%.[3,5]
基金supported by the National Key R&D Program of China(No.2022YFF0800601)National Scientific Foundation of China(Nos.41930103 and 41774047).
文摘In this study,the vertical components of broadband teleseismic P wave data recorded by China Earthquake Network are used to image the rupture processes of the February 6th,2023 Turkish earthquake doublet via back projection analysis.Data in two frequency bands(0.5-2 Hz and 1-3 Hz)are used in the imaging processes.The results show that the rupture of the first event extends about 200 km to the northeast and about 150 km to the southwest,lasting~90 s in total.The southwestern rupture is triggered by the northeastern rupture,demonstrating a sequential bidirectional unilateral rupture pattern.The rupture of the second event extends approximately 80 km in both northeast and west directions,lasting~35 s in total and demonstrates a typical bilateral rupture feature.The cascading ruptures on both sides also reflect the occurrence of selective rupture behaviors on bifurcated faults.In addition,we observe super-shear ruptures on certain fault sections with relatively straight fault structures and sparse aftershocks.
文摘BACKGROUND Cystic lymphangioma is a rare benign tumor that affects the lymphatic system.Mesenteric lymphangiomas in the small bowel are extremely uncommon.CASE SUMMARY We present a 21-year-old female patient who complained of abdominal pain.The diagnosis of ovarian torsion was suspected after abdominopelvic unenhanced computed tomography and ultrasound revealed a large cyst in contact with the bladder,ovary,and uterus.The patient underwent emergency laparotomy per-formed by gynecologists,but it was discovered that the cystic tumor originated from the jejunum.Gastrointestinal surgeons were then called in to perform a cystectomy.Pathological examination confirmed the diagnosis of cystic lymphangioma of the mesentery.The patient had an uneventful postoperative recovery.CONCLUSION Mesenteric lymphangiomas can cause abdominal pain,and imaging techniques can help determine their characteristics,location,and size.Complete surgical excision and pathological examination are considered the standard treatment and diagnostic method.
文摘BACKGROUND Spontaneous coronary artery rupture(SCAR)is a rare and life-threatening complication after lung cancer surgery.We present a case of SCAR following left upper lobectomy,successfully managed through emergency thoracotomy and coronary artery ligation.CASE SUMMARY A 61-year-old male patient underwent left upper lobectomy and mediastinal lymph node dissection for lung cancer.The surgery was performed using singleport video-assisted thoracoscopic surgery,and there were no observed complications during the procedure.However,19 h after surgery,the patient experienced chest discomfort and subsequently developed severe symptoms,including nausea,vomiting,and a drop in blood pressure.Urgent measures were taken,leading to the diagnosis of SCAR.The patient underwent emergency thoracotomy and coronary artery ligation,successfully stopping the bleeding and stabilizing the condition.Despite postoperative complications,the patient made a successful recovery and was discharged from the hospital.CONCLUSION SCAR is a rare but life-threatening complication following lung cancer surgery.Immediate thoracotomy has been shown to be a life-saving measure,while stenting is not the preferred initial approach.
基金funded by the Basic Research Program of the Institute of Earthquake Forecasting,China Earthquake Administration(Grant Nos.CEAIEF20220102,2021IEF0505,and CEAIEF2022050502)the National Natural Science Foundation of China(Grant Nos.42072248 and 42041006)the National Key Research and Development Program of China(Grant Nos.2021YFC3000601-3 and 2019YFE0108900)。
文摘Both M_(W) 7.8 and M_(W) 7.5 earthquakes occurred in southeastern Türkiye on February 6,2023,resulting in numerous buildings collapsing and serious casualties.Understanding the distribution of coseismic surface ruptures and secondary disasters surrounding the epicentral area is important for post-earthquake emergency and disaster assessments.High-resolution Maxar and GF-2 satellite data were used after the events to extract the location of the rupture surrounding the first epicentral area.The results show that the length of the interpreted surface rupture zone(part of)is approximately 75 km,with a coseismic sinistral dislocation of 2-3 m near the epicenter;however,this reduced to zero at the tip of the southwest section of the East Anatolia Fault Zone.Moreover,dense soil liquefaction pits were triggered along the rupture trace.These events are in the western region of the Eurasian Seismic Belt and result from the subduction and collision of the Arabian and African Plates toward the Eurasian Plate.The western region of the Chinese mainland and its adjacent areas are in the eastern section of the Eurasian Seismic Belt,where seismic activity is controlled by the collision of the Indian and Eurasian Plates.Both China and Türkiye have independent tectonic histories.
文摘BACKGROUND Splenic rupture associated with Behçet’s syndrome(BS)is extremely rare,and there is no consensus on its management.In this case report,a patient with BSassociated splenic rupture was successfully treated with splenic artery embolization(SAE)and had a good prognosis after the intervention.CASE SUMMARY The patient was admitted for pain in the left upper abdominal quadrant.He was diagnosed with splenic rupture.Multiple oral and genital aphthous ulcers were observed,and acne scars were found on his back.He had a 2-year history of BS diagnosis,with symptoms of oral and genital ulcers.At that time,he was treated with oral corticosteroids for 1 month,but the symptoms did not alleviate.He underwent SAE to treat the rupture.On the first day after SAE,the patient reported a complete resolution of abdominal pain and was discharged 5 d later.Three months after the intervention,a computed tomography examination showed that the splenic hematoma had formed a stable cystic effusion,suggesting a good prognosis.CONCLUSION SAE might be a good choice for BS-associated splenic rupture based on good surgical practice and material selection.
文摘Objective: The objective of this study was to determine if early rupture of membranes (ROM) in women undergoing induction of labor (IOL) at term is associated with an increased rate of clinical chorioamnionitis. Study Design: A retrospective cohort study was performed on women undergoing IOL. Early ROM was defined as ROM at a modified Bishop score less than 5, cervical dilation less than 4 cm, or cervical effacement less than 80%. The rate of clinical chorioamnionitis was compared between women with early and late ROM. Results: The rate of clinical chorioamnionitis was 8.6% (24/279). ROM at an effacement of less than 80% was associated with a rate of clinical chorioamnionitis of 15.4% (12/78) compared to 6.0% (12/201) at an effacement of equal to or greater than 80%, p = 0.017. The rate of cesarean delivery was higher for patients with early ROM by any definition: 32% compared to 17.5% by modified Bishop score (p = 0.031), 32.4% versus 18.2% by cervical dilation (p = 0.049), and 33.3% versus 14.9% by cervical effacement (p = 0.001). Conclusions: In patients undergoing IOL, early ROM may be associated with an increased rate of clinical chorioamnionitis when performed at a cervical effacement of less than 80% and an increased rate of cesarean delivery.
文摘Purpose: Neonatal pneumonia is a major newborn disease with a high morbidity rate. We aimed to evaluate whether atypical prelabor rupture of membranes (PROM) is a high-risk factor for causing neonatal pneumonia in a prospective real-world study. Patients and Methods: A total of 250 pregnant women at pregnancy week 39 were non-selectively recruited. All were examined by PROM and neonatal pneumonia related clinical, bedside and lab tests, including body temperature, blood pressure, increased vagina discharge, posterior vault pooling, abdominal tenderness, WBC count, nitrazine test, amniotic fluid index, Leakection (a sICAM-1 based lateral flow immunoassay) and vagina streptococcus examinations. Increased vagina discharge with a Leakection positivity was adopted as a working criterium for identifying atypical PROM. Neonatal pneumonia was diagnosed based on the clinical presentation and lab tests. Results: Twenty cases of neonatal pneumonia (8.0%) were diagnosed after the deliveries of the 250 pregnant women. In these neonatal pneumonia cases, 12 (16.7%) occurred in 72 deliveries with atypical PROM, 2 (16.7%) in 12 deliveries with typical PROM, and 6 (3.6%) in 166 deliveries with non-PROM. Conclusion: In this real-world study, we find that a systematic screening at pregnancy week 39 was very meaningful in revealing atypical PROM. Moreover, atypical PROM is a major risk factor for neonatal pneumonia. Therefore, an early diagnosis and intervention on atypical PROM could potentially reduce the occurrence of neonatal pneumonia.
文摘Introduction: The aim of this study was to contribute to improving the quality of GEUR management in the general surgery department and in the maternity ward of the Ignace Deen national hospital, Conakry University Hospital. Methodology: This was a retrospective, descriptive study lasting two years (January 1, 2020 to December 31, 2022), carried out in the general surgery and gyneco-obstetrics departments of the Ignace Deen national hospital, Conakry University Hospital. We included all patients with a ruptured ectopic pregnancy who received surgical treatment during the study period. Results: We collected 13,524 cases of surgical interventions in the two services, among them, we recorded 89 cases or 0.66% GEUR. The average age of the patients was 24.26 years. Brides were the most represented with 80.96% of cases. Women practicing a liberal profession were 51.69% (n = 46) and housewives 26.97% (n = 24). Clinically, amenorrhea was noted in all patients, i.e. 100%, abdominal-pelvic pain in 95.2% (n = 85) of cases, metrorrhagia in 94.08% (n = 84), abdominal-pelvic sensitivity in 97.44% (n = 87) of cases and anemia in 85.39% of cases. The GEUR was ampullary in 69.66% (n = 62) cases. Salpingectomy was performed in 90.72% (n = 81). The surgical outcomes were satisfactory in 98.87% (n = 88) of cases. We recorded one case of surgical site infection. We have not recorded any deaths. The average length of hospitalization was 4 days. Conclusion: GEUR is relatively high in our context. A good understanding of the prognostic factors of GEUR, awareness and family planning could reduce GEUR.
基金the Central Publicinterest Scientific Institution Basal Research Fund(2021IEF0501 and CEAIEF20220205)the National Natural Science Foundation of China(42074100).
文摘On September 5,2022,at Beijing time 12:52 p.m.,an M_(S)6.8 earthquake struck Luding County,GarzêTibetan Autonomous Prefecture,Sichuan Province.The epicenter of the earthquake was at the intersection of the Sichuan-Yunnan,Bayankala,and South China blocks.The tectonic background is extremely complex,and strong earthquakes occur frequently.Based on a predetermined focal location and focal mechanism solution for the earthquake,we reversed the focal depth and rupture process of the earthquake by fitting the teleseismic P and SH waves recorded by the global seismic network.The results show that the focal depth is 16 km,with the main rupture having a length of about 45 km near the epicenter,with a maximum displacement of 1.02 m.Although the rupture mainly propagates from the north–northwest(NNW)to the south–southeast(SSE)along the fault strike,there is a small-scale rupture slip zone at shallow depths in the north–northeast(NNE)direction along the epicenter of the seismogenic fault.This rupture image corresponds to the cluster distribution of aftershocks in the NNW and SSE directions starting from the epicenter,corresponding to the distribution of recorded landslides.The earthquake occurred on the Moxi fault,located in the southeastern section of the Xianshuihe fault.The major tectonic feature in this area is the southeastward movement of the Chuandian block relative to the Bayanhar block.
文摘Until recently,it is believed that the rupture speed above the pressure wave is impossible since spontaneously propagating ruptures are driven by the energy released due to the rupture motion,which is transferred through the medium to the rupture tip region at the maximum speed equal to the pressure wave speed.However,the apparent violation of classic theories has been revealed by new experimental results demonstrating supersonic shear ruptures.This paper presents a detailed analysis of the recently discovered shear rupture mechanism(fan hinged),which suggests a new physics of energy supply to the tip of supersonic ruptures.The key element of this mechanism is the fan‐shaped structure of the head of extreme ruptures,which is formed as a result of an intense tensile cracking process with the creation of intercrack slabs that act as hinges between the shearing rupture faces.The fan structure is featured with the following extraordinary properties:extremely low friction approaching zero;amplification of shear stresses above the material strength at low applied shear stresses;creation of a self‐disbalancing stress state causing a spontaneous rupture growth;abnormally high energy release;generation of driving energy directly at the rupture tip which excludes the need to transfer energy through the medium.The fan mechanism operates in intact rocks at stress conditions corresponding to seismogenic depths and in pre‐existing extremely smooth interfaces due to identical tensile cracking processes at these conditions.This is Paper 1(of two companion papers)which discusses the fan theory and extreme ruptures in experiments on extremely smooth interfaces.Paper 2 entitled“Fan‐hinged shear instead of frictional stick‐slip as the main and most dangerous mechanism of natural,induced and volcanic earthquakes in the earth's crust”considers extreme ruptures in intact rocks.Further study of this subject is a major challenge for deep underground science,earthquake and fracture mechanics,physics,and tribology.
基金supported by the National Natural Science Foundation of China(Grant Nos.51988101 and 42007262).
文摘Fault rupture propagation is more complex in the overlying soil with intercalation than in homogeneous soil,and it is challenging to simulate this phenomenon accurately using the finite element method.To address this issue,an improved nonlocal model that incorporates softening modulus modification is proposed.The methodology has the advantage that the solutions are independent of both mesh sizes and characteristic lengths,while maintaining objective softening rates of materials.Using the proposed methodology,a series of numerical simulations are conducted to investigate the effects of different mechanical parameters,such as elastic modulus,friction angle and dilation angle of the soil within the intercalation,as well as the impact of geometries,such as the depth and thickness of the intercalation,on the fault rupture progress.This study not only provides significant insights into the mechanisms of fault rupture propagation,specifically in relation to intercalations,but also shows a great value in promoting the current research on fault rupture.
基金supported partly by the Ministry of Science and Technology of the People's Republic of China (No. 2020YFB1902100)the Shanghai Municipal Commission of Economy and Informatization (No. GYQJ-2018-2-02)。
文摘Steam generator tube rupture(SGTR) accident is an important scenario needed to be considered in the safety analysis of lead-based fast reactors. When the steam generator tube breaks close to the main pump, water vapor will enter the reactor core, resulting in a two-phase flow of heavy liquid metal and water vapor in fuel assemblies. The thermal-hydraulic problems caused by the SGTR accident may seriously threaten reactor core's safety performance. In this paper, the open-source CFD calculation software OpenFOAM was used to encapsulate the improved Euler method into the self-developed solver LBEsteamEulerFoam. By changing different heating boundary conditions and inlet coolant types, the two-phase flow in the fuel assembly with different inlet gas content was simulated under various accident conditions. The calculation results show that the water vapor may accumulate in edge and corner channels. With the increase in inlet water vapor content, outlet coolant velocity increases gradually. When the inlet water vapor content is more than 15%, the outlet coolant temperature rises sharply with strong temperature fluctuation. When the inlet water vapor content is in the range of 5–20%, the upper part of the fuel assembly will gradually accumulate to form large bubbles. Compared with the VOF method, Euler method has higher computational efficiency. However, Euler method may cause an underestimation of the void fraction, so it still needs to be calibrated with future experimental data of the two-phase flow in fuel assembly.
文摘Dear editor,Polyarteritis nodosa(PAN) is a rare form of vasculitis involving small-and medium-sized vessels in multiple organs. Severe gastrointestinal(GI) hemorrhage in PAN due to multiple ruptures of aneurysms of arteries is uncommon and life-threatening.
基金Project supported by the National Natural Science Foundation of China(Grant No.12004329)Open Project of State Key Laboratory of Intense Pulsed Radiation Simulation and Effect(Grant No.SKLIPR2115)+1 种基金Postgraduate Research and Practice Innovation Program of Jiangsu Province(Grant No.SJCX22_1704)Innovative Science and Technology Platform Project of Cooperation between Yangzhou City and Yangzhou University,China(Grant Nos.YZ202026301 and YZ202026306)。
文摘The synergistic effect of total ionizing dose(TID) and single event gate rupture(SEGR) in SiC power metal–oxide–semiconductor field effect transistors(MOSFETs) is investigated via simulation. The device is found to be more sensitive to SEGR with TID increasing, especially at higher temperature. The microscopic mechanism is revealed to be the increased trapped charges induced by TID and subsequent enhancement of electric field intensity inside the oxide layer.
文摘Ventricular septal rupture(VSR)is a serious complication that may occur after myocardial infarction(MI).[1]If left untreated,it will lead to high morbidity and mortality.Although several surgical interventions have been developed,mortality and complications associated with surgical management are still high,especially in terms of transventricular approaches.[2]
文摘BACKGROUND Hysteromyoma is not a rare tumor among pregnant women.During pregnancy,the symptoms caused by hysteromyoma can be improved through conservative treatment in most cases.However,in order to ensure the safety of mothers and children,surgeries are necessary in some special cases.CASE SUMMARY We report a case of pregnancy complicated with hysteromyoma red degeneration.The patient had peritonitis after sudden abdominal pain during the 20th week of pregnancy.Laparoscopic exploration suggested rupture and bleeding of hysteromyoma,which were improved after drainage and an anti-inflammatory treatment.A cesarean section was performed after full term.This case shows the complications of rupture after red degeneration of hysteromyoma during pregnancy.CONCLUSION We should be alert to rupture of hysteromyoma during pregnancy,and active laparoscopic exploration is essential to improve the prognosis of such patients.
文摘BACKGROUND Closed rupture of the little and ring finger flexor tendons caused by the hamate is mostly associated with a fracture or nonunion of the hamate hook.Only one case of a closed rupture of the finger flexor tendon caused by osteochondroma in the hamate has been reported.Here,we present a case study to highlight the possibility of hamate osteochondroma as a rare cause of finger closed flexor tendon rupture based on our clinical experience and literature review.CASE SUMMARY A 48-year-old man who had been a rice-field farmer for 7–8 h a day for the past 30 years visited our clinic due to the loss of right little finger and ring finger flexion involving both the proximal and distal interphalangeal joints.The patient was diagnosed with a complete rupture of the ring and little finger flexors because of the hamate and was pathologically diagnosed with an osteochondroma.Exploratory surgery was performed,and a complete rupture of the ring and little finger flexors due to an osteophyte-like lesion of the hamate was observed,which was pathologically diagnosed as an osteochondroma.CONCLUSION One should consider that osteochondroma in the hamate may be the cause of closed tendon ruptures.