Lateral femoral tunnel preparation and graft fixation for anterior cruciate ligament reconstruction–A discussion

This article provides a discussion and commentary around the recent advances in arthroscopic anterior cruciate ligament reconstruction(ACLR),with a focus on the aspects of lateral femoral tunnel preparation and graft fixation techniques.The paper explores and comments on a recently published review by Dai et al,titled"Research progress on preparation of lateral femoral tunnel and graft fixation in ACLR",while providing insight into its relevance within the field of ACLR,and recommendations for future research.

Progressive fracture processes around tunnel triggered by blast disturbances under biaxial compression with different lateral pressure coefficients

To investigate the progressive fracture processes around a tunnel triggered by static stress and dynamic disturbance,experiments and numerical simulations were performed.The results show that the spatial distributions of acoustic emission(AE)events become very different as lateral pressure coefficients change.The combined effect of static stress and dynamic disturbance causes the damage around the tunnel,and initial stress conditions control the damage morphology.The blast disturbance cannot fundamentally change the damaged area but will deepen the extent of damage and accelerate the failure speed.The more significant the difference between the vertical and horizontal stresses is,the higher the impact on the tunnel by the dynamic disturbance is.The AE activity recovers to a relatively stable state within a short time after the blast and conforms to power-law characteristics.

Rock mechanical problems and optimization for the long and deep diversion tunnels at Jinping Ⅱ hydropower station

According to site-specific environments such as high water pressures, high in-situ stresses and strong rockbursts, the design scheme of the long and deep diversion tunnels at Jinping II hydropower station was optimized to ensure construction safety. New drainage tunnels were considered. Furthermore, lining structures and grouting pressures were modified during the excavation of tunnels. The construction scheme was updated dynamically based on the complex geological conditions. For instances, the diversion tunnels were first excavated by drilling and blasting method at the first stage of construction, and then by the combination method of tunnel boring machine （TBM） and drilling and blasting, and finally by drilling and blasting method. Through optimized scheme and updated construction scheme, the excavation of diversion tunnel #1 was successfully completed in June, 2011. This paper summarizes the key issues in rock mechanics associated with the construction of the long and deep diversion tunnels at Jinping II hydropower station. The experiences of design and construction obtained from this project could provide reference to similar projects.

Risk identification and risk mitigation during metro station construction by enlarging shield tunnel combined with cut-and-cover method

Constructing a metro station by enlarging shield tunnels combined with a mining/cut-and-cover method provides a new method to solve the contradictions of construction time limits of shield tunnels and stations. As a new-style construction method, there are several specific risks involved in the construction process. Based on the test section of Sanyuanqiao station on Beijing metro line 10, and combined with the existing methods of risk identification at present, including a review of world-wide operational experience of similar projects, the study of generic guidance on hazards associated with the type of work being undertaken, and discussions with qualified and experienced staff from the project team, etc., the specific risks during the construction process of the metro station constructed by enlarging shield tunnels combined with the cut-and-cover method are identified. The results show that the specific risks mainly come from three construction processes which include constructing upper enclosure structures, excavating the soil between shield tunnels and demolishing shield segments. Then relevant risk mitigation measures are put forward. The results can provide references for scheme improvement and a comprehensive risk assessment of the new-style construction method.

Excavation influence of triangular-distribution tunnels for wind pavilion group of a metro station

For the Guanshui Road Station tunnel project of Guiyang Metro Line 2,the wind pavilion group was moved out of the main tunnel to reduce the number of openings in the main tunnel,and the wind pavilion group was excavated in a triangular configuration at the entrance of the main tunnel.Based on the finite element software ABAQUS,a three-dimensional model is established to study the influence of different triangular-distribution tunnels excavation schemes on the surface settlement and tunnel stability.The objective of this study is to reveal the change rules of surface settlement,deformation and force in the support structures and the surrounding rock and identify the best excavation scheme for this tunnel configuration.Results show that to control the surface settlement and the deformation of the support structures,the optimal excavation sequence involves excavating the upper fresh air exhaust tunnel before the lower running tunnel.To control the stress of the support structures,the optimal excavation involves excavating the lower running tunnel before the upper fresh air exhaust tunnel.In this project,the most reasonable excavation sequence of the tunnel is from top to bottom.The most reasonable thickness of tunnel penetration is 5 m.

Total Cavopulmonary Connection:Lateral Tunnel Anastomosis or Extracardiac Conduit?——an Analysis of 114 Consecutive Patients

Objective To compare the postoperative outcomes of patients with the diagnostic univentricular heart undergoing lateral tunnel （LT） operation with extracardiac conduit （EC） operation. Methods- From June 1996 to July 2007, 114 consecutive patients with a single ventricle underwent total cavopulmonary connection （TCPC） in Children＇s Heart Center, lAniversity Hospital Giessen and Marburg GmbH, Germany. A LT was performed in 19 （16.7%） patients, and an EC in 95 （83.3%） patients. The mean age of EC group was 50.8±31.6 （ranging from 22 to 212） months, and that of LT group was 61.5±41.2 （ranging from 30 to 168） months. Early and midterm outcomes of two groups were analyzed.Results One died in LT group （5.3%） and three in EC group （3.2%）. The overall mortality was 3.5%. There was no significant difference in mortality between EC-and-LT groups （P〉0.05）. The postoperative pulmonary arterial pressure, oxygen saturation, and effusion time of two groups had no significant difference （all P〉0.05）. No significant difference in the occurrences of complications （arrhythmias, enteropathy, and thrombosis） was found between two groups after operation （P〉0.05）. Conclusions There seems no difference between LT and EC in the clinical results in the early and middle postoperative stage. Glenn anastomosis followed by an EC seems to have some advantages.

Analysis of Smoke Distribution in the Subway Station with Various Main Tunnel Ventilations

Fire-driven flow analysis in the underground subway station has been performed with various main tunnel ventilations. Shin-gum-ho station （depth： 46 m） in Seoul is selected as a simulation model. The ventilation mode is assumed to be emergency state. Various main tunnel ventilations are applied to operate in a proper way for helping of smoke exhaustion in platform. The entire station is covered for simulation. Ventilation diffusers are modeled as 95 square shapes of 0.6 m × 0.6 m in the lobby and as 222 square shapes of 0.6 m × 0.6 m and four rectangular shapes of 1.2 m × 0.8 m in the platform. The total of 7.5 million grids is generated and whole domain is divided to 22 blocks for MPI （massage passing interface） efficiency of calculation. LES （large eddy simulation） is applied to solve the momentum equation. Smagorinsky model （Cs = 0.2） is used as SGS （subgrid scale） model. The distribution of CO （carbon monoxide） is calculated for various capacity of main tunnel ventilation and compared with each other.

Excavation of Inlet Tunnels at Geheyan Power Station

The Geheyan Power Station on the Qingjiang river has four inlet tunnels, on the right bank, with its excavation diameter of 11.3 m to 12.5 m, after lining diameter of 9.5 m, axis to axis spacing of 24 m. The thickness of the pillar between tunnels should usually be more than two times of tunnel diameter to ensure the stability of surrounding rock during excavation. In this paper, the excavation methods of tunnels with the pillar thickness as small as the tunnel diameter, such as smooth surface blasting, shotcrete support protection, are emphatically discussed.

Allowance of Lateral Breakthrough Error for Super Long Tunnels from 20km to 50km

Up to now there is no specification about the allowance of lateral breakthrough error for super long tunnel from 20 km to 50 km. On the basis of the design of GPS networks located outside and inside tunnel traverse network, we propose a method for calculating the influence value caused by control surveying errors. Through a lot of simulative calculations and combination with piercing practice of super tunnels in Wan Jiazai Project, Shanxi province, we present an allowance table of lateral breakthrough error for super long tunnels from 20 km to 50 km.

The Use of Underground Metro Stations and Tunnels as Protective Structures in Case of Nuclear Emergencies

This paper discusses the use of Underground Metro stations and tunnels as protective structures in case of nuclear emergencies. Six lines are taken as a case study to investigate the use of their underground stations and tunnels. The research explains the structural design of Underground Metro and the necessary needs for hidden people inside Underground Metro used as shelters. The research investigates the calculations of the number of hidden persons inside Underground Metro used as shelters. A field study has been conducted to an Underground Metro station to detemaine the peaceful use and the emergency use of all basements of the station. Also, the field study aims to determine the existing spaces and the needed spaces of the Underground Metro station to dual--used as a nuclear shelter. Three Underground Metro stations have been selected and a field study has been conducted to determine the usages of these basements, the planning, general and design features for each one of them, and whether they can be used as protective structures for citizens in emergencies. These basements were compared for their protective factors. Also, their capacities for sheltering were calculated.

World’s first implementation of close-fit pipe jacking of twin tunnels for construction of subway station--Innovation in equipment and construction technology

1 Project overview The Shasan station of Phase II of Shenzhen’s urban rail transit Line 12 is situated in Bao’an District,Shenzhen.It comprises a two-level underground island platform station,measuring 212 m in length,and 22.6 m in width,with an overburden thickness of about 7.0 m.Fig.1 illustrates the presence of a large underground reinforced concrete stormwater culvert,measuring 11.5 m by 3.6 m,traversing the station’s center.

Unloading performances and stabilizing practices for columnar jointed basalt:A case study of Baihetan hydropower station

The columnar jointed rock mass(CJR), composed of polygonal cross-sectional columns cut by several groups of joints in various directions, was exposed during the excavations of the Baihetan hydropower station, China. In order to investigate the unloading performances and the stability conditions during excavation of the columns, an experimental field study was performed. Firstly, on-site investigations indicated that the geotechnical problems, including rock relaxation, cracking and collapse, were the most prominent for the CJR Class I that contains intensive joint network and the smallest column sizes.Comprehensive field tests, including deformation measurement by multi-point extensometers, ultrasonic wave testing, borehole television observation and stress monitoring of rock anchors, revealed that the time-dependent relaxation of the CJRs was marked. The practical excavation experiences for the Baihetan columnar jointed rock masses, such as blasting scheme, supporting time of shotcrete and rock bolts, were presented in the excavations of the diversion tunnels. These detailed investigations and practical construction experiences can provide helpful information for similar geotechnical works in jointed rock mass.

Non-contact monitoring and analysis system for tunnel surrounding rock deformation of underground engineering

It is very important to monitor surrounding rock deformation in tunnel construction. The principle, function, development and application of the system composed of a total station and computer for monitoring and analyzing surrounding rock deformation were discussed. The new methods of two free station of 3D measurement and its mathematic adjustment mode were presented. The development of software for total station on-board and post for computer were also described. Without centering it and measuring its height, the total station controlled by the software on-board can fulfill the whole measurements to target points. Monitoring data can be processed by the post software and results of regression analysis, forecasting information of the tunnel surrounding rock deformation can be provided in time. The practical use shows that this system is practicable, highly accurate and efficient. It satisfies the needs of safety and information construction in tunnel construction of underground engineering.

Some Issues on Cement Grouting of Hydraulic Tunnel

Based on the practices of construction supervision to cement grouting at the reservoir emptying and power tunnels of the TSQ stage Ⅰ Hydropower station, some issues on quality control of cement grouting of hydraulic tunnel are discussed, and corresponding suggestions are put forward for revision of current standard (SL62-94). It is regarded that the refilling grouting could not be used for remedying the thickness of concrete lining; the end sealing of refilling grouting section should not be neglected; higher grouting pressure would be used. For the consolidation grouting, grout return pipe should be placed at the grout hole top for pure pressure type grouting; five-grade water cement ratio of grout mix is suggested; a certain standard should be specified for changing the grout to thicker mix by skipping the intermediate grade; the standard for ending the grouting should be relaxed. In current grouting standard, some terms should be complemented for contact grouting of steel penstock and spiral case and for plug grouting of circular-anchor hole.

Visualizing interface states in In_(2)Se_(3)–WSe_(2)monolayer lateral heterostructures

Recent findings of two-dimensional(2D)ferroelectric(FE)materials provide more possibilities for the development of 2D FE heterostructure electronic devices based on van der Waals materials and the application of FE devices under the limit of atomic layer thickness.In this paper,we report the in-situ fabrication and probing of electronic structures of In_(2)Se_(3)–WSe_(2) lateral heterostructures,compared with most vertical FE heterostructures at present.Through molecular beam epitaxy,we fabricated lateral heterostructures with monolayer WSe_2(three atomic layers)and monolayer In_(2)Se_(3)(five atomic layers).Type-Ⅱband alignment was found to exist in either the lateral heterostructure composed of anti-FEβ′-In_(2)Se_(3) and WSe_(2) or the lateral heterostructure composed of FEβ*-In_(2)Se_(3)and WSe_2,and the band offsets could be modulated by ferroelectric polarization.More interestingly,interface states in both lateral heterostructures acted as narrow gap quantum wires,and the band gap of the interface state in theβ*-In_(2)Se_(3)–WSe_(2)heterostructure was smaller than that in theβ′-In_(2)Se_(3)heterostructure.The fabrication of 2D FE heterostructure and the modulation of interface state provide a new platform for the development of FE devices.

Dynamic responses and failure mechanisms of the existing tunnel under transient excavation unloading of an adjacent tunnel

Engineering disasters(e.g.rock slabbing and rockburst)of the tunnel groups induced by the transient excavation of an adjacent tunnel threaten the stability of the existing tunnel,especially for those excavated by using the drill and blast tunneling(D&B).However,the dynamic response and failure mechanism of surrounding rocks of the existing tunnel caused by adjacent transient excavation are not clear due to the difficulty in conducting field tests and laboratory experiments.Therefore,a novel transient unloading experimental system for deep tunnel excavation was proposed in this study.The real stress path and the unloading rate can be reproduced by using this proposed system.The experiments were conducted for observing the dynamic response of the existing tunnel induced by adjacent transient excavation under different lateral pressure coefficients l(?0.4,0.6,0.8,1,1.2,1.4,1.6,1.8)with a polymethyl methacrylate(PMMA)specimen.The propagation of the impact wave and unloading surface wave was detected through the digital image correlation(DIC)analysis.The reflection of the unloading surface wave on the incident side of the existing tunnel(tunnel-E)was observed and analyzed.Moreover,the dynamic characteristics of the stress redistribution,the particle displacement and vibration velocity of surrounding rocks of tunnel-E were analyzed and summarized.In addition,the Mohr-Coulomb(MeC)failure criterion with tension cut-off was adopted to evaluate the stability of the existing tunnel under adjacent transient excavation.The results indicate that the incident side of the existing tunnel under the dynamic disturbance of transient excavation of an adjacent tunnel was more prone to fail,followed by the shadow side and the top/bottom side.

肌萎缩侧索硬化与腕管综合征的正中神经运动传导及F波比较

目的通过对肌萎缩侧索硬化(amyotrophic lateral sclerosis,ALS)、腕管综合征(carpal tunnel syndrome,CTS)及健康对照组正中神经的神经传导及F波指标的对比分析,探讨无创鉴别ALS和CTS的电生理指标。方法回顾性分析作者医院2019年1月至2020年10月收治的ALS患者(n=45)及CTS患者(n=53),并选择同期健康体检者(n=58)作为健康对照,对三组正中神经的神经传导及F波指标进行分析,并对ALS组临床资料(包括ALS的病程、起病部位、病情进展方式、近或远端起病方式等)与正中神经F波指标进行相关性分析。结果远端运动潜伏期(distal motor latency,DML)、复合肌肉动作电位(compound muscle action potential,CMAP)、感觉神经传导速度(sensory nerve conduction velocity,SCV)三组间差异有统计学意义(均P<0.05),且三组间两两比较差异均有统计学意义(均P<0.05)。F波出波率(F-wave persistent,FP)、重复F波百分比(the percentage of repeated F waves,RFP)、巨大F波(giant F waves,GF)出现与不出现受试者比值、重复巨大F波(repeated giant F waves,RGF)出现与不出现受试者比值在三组间差异有统计学意义(均P<0.05)。与CTS组比较,ALS组正中神经DML〔(4.51±0.91)ms比(4.02±0.76)ms,P<0.05〕更短、CMAP波幅下降更明显〔(10.76±3.98)mV比(5.15±3.86)mV,P<0.05〕、SCV更快〔(42.54±12.07)m/s比(58.81±6.21)m/s,P<0.05〕、F波最短潜伏期与M波潜伏期差(difference between F-wave minimal latency and M-wave latency,Fmin-M)更长〔(20.05±3.44)ms比(22.05±2.47)ms,P<0.05〕、FP降低〔95.0(80.0,100.0)%比50.0(25.0,85.0)%,U=2046.50,P<0.05〕、RFP更高〔0(0,10.0)%比15.0(0,27.5)%,U=885.00,P<0.05〕、GF出现与不出现受试者比值〔3/50比14/31,χ^(2)=98.00,P<0.05〕及RGF出现与不出现受试者比值更高〔0/53比7/38,χ^(2)=98.00,P<0.05〕。ALS组FP与病程(r=-0.49,P=0.003)、病情进展方式(r=-0.43,P=0.020)及起病部位(r=-0.50,P=0.003)呈负相关,RFP与病情进展方式(r=-0.42,P=0.022)及起病部位(r=-0.45,P=0.008)呈负相关。结论正中神经感觉传导相对保留而CMAP波幅降低是ALS鉴别于CTS的重要电生理特点。出现正中神经RGF是ALS与CTS鉴别的重要指标;ALS在腕以远和腕以近均有运动传导障碍,不能将远端运动潜伏期延长作为鉴别ALS与CTS的指标。

深层隧道进流式泵站前池流态及整流措施研究

为改善深层隧道进流式泵站前池内的旋流、偏流等不良流态,基于RNG k-ε湍流模型对前池流态进行数值模拟,研究适用于此类城市排涝泵站的整流措施。数值计算结果表明:泵站前池、进水池内存在局部立面旋滚、螺旋流、斜向流、流速分布上高下低等不良水力现象,致使泵站进水流道水力条件不佳;采用双层环形板和两组导流墩的组合式整流措施可抑制前池、进水池中的立面旋滚、螺旋流和斜向流流态,从而有效改善流道的进水条件,提高进水流道进口处流速分布均匀度,使泵进水状况变好,提高泵站运行的可靠性。

Calculation of CO Behavior in the Platform for Deeply Underground Subway Station with Different Fire Strengths

Effect of different fire strengths on the smoke distribution in the subway station is investigated. Shin-Gum-Ho station （line #5） in Seoui is selected as a case study for variation of CO （carbon monoxide） distribution caused by the fire in the platform. The ventilation in the station is set to be an air supply mod in the lobby and an air exhaustion mod in the platform. One-side main tunnel ventilation （7,000 m3/min） is applied to operate in the tunnel. The fire is assumed to break out in the middle of train parked in the platform tunnel. Two kinds of fire strength are used. One is 10 MW and the other is 20 MW. Ventilation diffusers in the station are modeled as 317 square shapes ＆ four rectangular shapes in the lobby and platform. The total of 7.5 million grids is generated and whole domain is divided to 22 blocks for parallel computation. Large eddy simulation method is applied to solve the momentum equation. The behavior of CO is calculated according to different fire strengths and compared with each other.

加氢站氢气泄漏扩散特性的小尺寸实验与模拟研究

为探究泄漏量、环境风速对加氢站内氢气泄漏扩散的影响,使用氦气代替氢气,开展小尺寸风洞实验与数值模拟研究,分析泄漏量、环境风速对氢气泄漏扩散特性的影响规律。研究结果表明:下风向有障碍物存在时会导致其附近风速降低,泄漏气体的扩散距离反而增大;在垂直于风向的水平方向上,气体扩散距离受到泄漏量和风速的影响较小,在高度和风向方向上,气体扩散距离大致与泄漏量和风速比值的均方根成正比;可燃区域体积大致与泄漏量成正比,与风速成反比;通过相似原理得到全尺寸加氢站氢气扩散距离和可燃区域体积的计算公式,其计算值与全尺寸模拟结果相符合。研究结果可为加氢站事故预防提供一定参考。