1,530 research outputs found

    Evaluation of coal longwall caving characteristics using an innovative UDEC Trigon approach

    Get PDF
    Author version of article. The version of record is available from the publisher via DOI: 1016/j.compgeo.2013.09.020Copyright © 2013 Elsevier Ltd. All rights reserved.The paper presents an innovative numerical approach to simulate progressive caving of strata above a longwall coal mining panel. A proposed Trigon logic is incorporated within UDEC to successfully capture the progressive caving of strata which is characterized by fracture generation and subsequent propagation. A new damage index, D, is proposed that can quantify regions of both compressive shear and tensile failure within the modelled longwall. Many features of progressive caving are reproduced in the model and found to fit reasonably well with field observations taken from a case study in the Ruhr coalfield. The modelling study reveals that compressive shear failure, rather than tensile failure, is the dominant failure mechanism in the caved strata above the mined-out area. The immediate roof beds act like beams and can collapse in beam bending when vertical stress is dominant or in beam shear fracture when horizontal stress is dominant. The proposed numerical approach can be used to guide the design of longwall panel layout and rock support mechanisms

    Identifying the degree of luminescence signal bleaching in fluvial sediments from the Inner Mongolian reaches of the Yellow River

    Get PDF
    Abstract The partial bleaching of the luminescence signal prior to deposition results in age overestimation, and can be a problem in delineating fluvial evolution within an OSL chronological framework. The Inner Mongolian reaches of the Yellow River are characterised by a high sediment load and complex sources of sediments. To test the incomplete bleaching occurring in this type of environment, the residual doses and the luminescence signal characteristics of different particle size fractions from 14 modern fluvial sediment samples were investigated. Furthermore, 26 OSL ages derived from drilling cores were compared with 11 radiocarbon ages. Our results show that the residual equivalent doses principally range between 0.16 and 0.49 Gy for silt grains, and between 0.35 and 3.72 Gy for sand grains of modern samples. This suggests that medium-grained quartz has been well bleached prior to deposition, and is preferable to coarse-grained quartz when dating fluvial sediments in this region. The results also show that the De values of coarse-grained fractions display a stronger correlation with distance downstream. In addition, a comparison of OSL and radiocarbon ages from drilling cores establishes further confidence that any initial bleaching of these sediments was sufficient. As a result, we believe that the studied fluvial samples were well bleached prior to deposition.</jats:p

    Methyl-CpG binding protein 2 is associated with the prognosis and mortality of elderly patients with hip fractures

    Get PDF
    Objectives: To investigate the expression level and clinical significance of Methyl-CpG binding Protein&nbsp;2 (MECP2) in elderly patients with hip fractures. Methods: This prospective observational study included&nbsp;367&nbsp;elderly patients with hip fractures between April&nbsp;2016 and December&nbsp;2018. All the patients were treated with internal fixation or joint replacement. In addition, 50&nbsp;healthy elderly individuals were enrolled as healthy controls. The serum levels of MECP2 and inflammatory factors Interleukin (IL)-1β, IL-6, IL-8, and Tumor Necrosis Factor (TNF)-α was determined by enzyme-linked immunosorbent assay. Data on patients' basic characteristics and postoperative complications were collected. The Harris score was used to assess hip function at&nbsp;1-month, 3-months, and 6-months after surgery. Patient quality of life was measured using the Barthel Index (BI) score&nbsp;3-months after surgery. The&nbsp;1-year mortality was analyzed using the Kaplan-Meier curve, and logical regression was used to analyze the risk factors for mortality. Results: No significant differences were observed in the basic clinical characteristics of all patients. The serum MECP2 levels were remarkably high in patients with hip fractures and negatively correlated with serum IL-1β, IL-6, and TNF-α levels. Patients with higher MECP2 predicted higher dynamic Harris scores, lower postoperative complications, lower&nbsp;1-year mortality, and higher BI scores. Logical regression showed that age was the only independent risk factor for postoperative&nbsp;1-year mortality in elderly patients with hip fractures. Conclusion: Lower MECP2 predicted poor prognosis and higher&nbsp;1-year mortality in elderly patients with hip fractures

    CADASIL accelerated by acute hypotension: Arterial and venous contribution to leukoaraiosis

    Get PDF
    Objective: To underline the importance of blood pressure regulation in cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) and to describe changes that occur in the veins in this condition, specifically venous collagenosis associated with leukoaraiosis. Methods: Case report with neuroimaging and pathologic data. Results: A 61-year-old man with genetically confirmed CADASIL was initially lucid following a motor vehicle accident but subsequently became hypotensive (60/40 mm Hg) due to an open femur fracture and required intubation. Multiple new white matter infarcts appeared on brain imaging. A second hypotensive episode days later was associated with new coin-sized infarcts in the bilateral corona radiata and cerebellar peduncles, and resulted in quadriplegia. No embolic source was found on cardiac or vascular imaging. He died 5 weeks post trauma. Autopsy revealed extensive subcortical and periventricular leukoencephalopathy and multiple cavitations involving deep subcortical gray and white matter. Small arteries had thickened walls, disruption of the muscularis, and intimal periodic acid-Schiff (PAS)-positive material. Both larger periventricular and small caliber veins had thickened walls that were PAS-negative and trichrome-positive, consistent with venous collagenosis. There was no pathologic evidence of global hypoxia or diffuse axonal injury. Conclusions: The findings suggest rapid acceleration of CADASIL pathology from acute hypotension in the setting of impaired vasoreactivity. In addition, collagenosis of veins in the affected white matter regions suggests that the veins may play an important, though largely overlooked, role in maintaining white matter integrity

    High-Energy Extracorporeal Shock Wave for Early Stage Osteonecrosis of the Femoral Head: A Single-Center Case Series

    Get PDF
    Our retrospective study assessed the effects of treatment of early stage ONFH with extracorporeal shock wave therapy. 335 patients (528 hips) were treated with shockwave therapy in our institution. Each patient underwent two sessions. The hips were divided into two groups according to whether the lateral pillar of the femoral head (LPFH) was preserved: LPFH and non-LPFH groups. Patients were followed up at 3, 6, and 12 months after the treatment. Most of the patients (83.9% hips) demonstrated pain reduction and improved mobility of the treated joint (visual analogue scale score, P=0.00006; Harris hip score, P=0.00091). During the follow-up period, 16 hips failed following femoral head collapse and required hip arthroplasty (2 hips in LPFH group and 14 hips in non-LPFH group). The lesion size decreased after ESWT. However, the differences were statistically not significant (LPFH group, P=0.091; non-LPFH group, P=0.087). A significant reduction in bone marrow edema was observed after treatment (LPFH group, P=0.007; non-LPFH group, P=0.016). High-energy extracorporeal shock wave therapy resulted in considerable improvement in early stage ONFH, which can effectively relieve pain and improve the function of the hip

    Correlating lesion size and location to deficits after ischemic stroke: the influence of accounting for altered peri-necrotic tissue and incidental silent infarcts

    Get PDF
    <p>Abstract</p> <p>Background</p> <p>Investigators frequently quantify and evaluate the location and size of stroke lesions to help uncover cerebral anatomical correlates of deficits observed after first-ever stroke. However, it is common to discover silent infarcts such as lacunes in patients identified clinically as 'first-ever' stroke, and it is unclear if including these incidental findings may impact lesion-based investigations of brain-behaviour relationships. There is also debate concerning how to best define the boundaries of necrotic stroke lesions that blend in an ill-defined way into surrounding tissue, as it is unclear whether including this altered peri-necrotic tissue region may influence studies of brain-behaviour relationships. Therefore, for patients with clinically overt stroke, we examined whether including altered peri-necrotic tissue and incidental silent strokes influenced either lesion volume correlations with a measure of sensorimotor impairment or the anatomical localization of this impairment established using subtraction lesion analysis.</p> <p>Methods</p> <p>Chronic stroke lesions of 41 patients were manually traced from digital T1-MRI to sequentially include the: necrotic lesion core, altered peri-necrotic tissue, silent lesions in the same hemisphere as the index lesion, and silent lesions in the opposite hemisphere. Lesion volumes for each region were examined for correlation with motor impairment scores, and subtraction analysis was used to highlight anatomical lesion loci associated with this deficit.</p> <p>Results</p> <p>For subtraction lesion analysis, including peri-necrotic tissue resulted in a larger region of more frequent damage being seen in the basal ganglia. For correlational analysis, only the volume of the lesion core was significantly associated with motor impairment scores (r = -0.35, <it>p </it>= 0.025). In a sub-analysis of patients with small subcortical index lesions, adding silent lesions in the opposite hemisphere to the volume of the index stroke strengthened the volume-impairment association.</p> <p>Conclusions</p> <p>Including peri-necrotic tissue strengthened lesion localization analysis, but the influence of peri-necrotic tissue and incidental lesions on lesion volume correlations with motor impairment was negligible barring a small index lesion. Overall, the potential influence of incidental lesions and peri-necrotic tissue on brain-behaviour relationships may depend on the characteristics of the index stroke and on whether one is examining the relationship between lesion volume and impairment or lesion location and impairment.</p

    Detection of hepatitis B surface antigen, hepatitis B core antigen, and hepatitis B virus DNA in parotid tissues

    Get PDF
    SummaryObjectiveTo examine the presence of hepatitis B surface antigen (HBsAg), hepatitis B core antigen (HBcAg), and hepatitis B virus (HBV) DNA in parotid tissues from patients with positive serum HBV markers.MethodsHBsAg and HBcAg were examined in parotid biopsy tissues from patients with suspected parotid tumor and positive serum HBV markers by immunocytochemistry, and HBV DNA was detected in parotid tissues by PCR.ResultsAmong the 22 patients with a parotid tumor, only one was pathologically confirmed as a neoplasm; all others were benign. HBsAg and HBcAg were present in parotid cells with positive rates of 45.5% (10/22) and 40.9% (9/22), respectively, with an overall positive rate of 54.5% (12/22). Of the 22 cases with serum markers of HBV infection, seven (31.8%) had both HBsAg and HBcAg in the parotid cells. HBV DNA was present in seven of the 12 samples in which hepatitis B antigen was detected (58.3%).ConclusionsHBV in saliva might originate from the infected salivary glands and the infectious saliva could transmit HBV
    • …
    corecore