Logistic regression analysis of clinical and computed tomography features of pulmonary abscesses and risk factors for pulmonary abscess-related empyema

OBJECTIVES: This study was conducted to investigate the risk factors for pulmonary abscess-related empyema by investigating the clinical characteristics and chest computed tomography imaging features of patients with pulmonary abscesses. METHODS: We retrospectively analyzed the chest computed tomography findings and clinical features of 101 cases of pulmonary abscess, including 25 cases with empyema (the experimental group) and 76 cases with no empyema (the control group). The potential risk factors for pulmonary abscess-related empyema were compared between the groups by using univariate and multivariate logistic regression analyses. RESULTS: The incidence of pulmonary abscess-related empyema was 24.8% (25/101). Univariate analysis showed that male gender, diabetes, pleuritic symptoms, white blood cells 410 109 /L, albumin level o25 g/L, and positive sputum cultures were potential clinical-related risk factors and that an abscess 45 cm in diameter and transpulmonary fissure abscesses were potential computed tomography imaging-related risk factors for pulmonary abscess-related empyema. Multivariate logistic regression analysis showed that transpulmonary fissure abscesses (odds ratio=9.102, p=0.003), diabetes (odds ratio=9.066, p=0.003), an abscess 45 cm in diameter (odds ratio=8.998, p=0.002), and pleuritic symptoms (odds ratio=5.395, p=0.015) were independent risk factors for pulmonary abscess-related empyema. CONCLUSIONS: Transpulmonary fissure abscesses, diabetes, giant pulmonary abscesses, and pleuritic symptoms increased the risk of empyema among patients with pulmonary abscesses

Optimized Scheme for Accelerating the Slagging Reaction and Slag–Metal–Gas Emulsification in a Basic Oxygen Furnace

Basic oxygen furnace (BOF) steelmaking is widely used in the metallurgy field. The slagging reaction is a necessary process that oxidizes C, Mn, Si, P, S, and other impurities and therefore directly affects the quality of the resultant steel. Relevant research has suggested that intensifying the stirring effect can accelerate the slagging reaction and that the dynamic characteristics of the top blow are the key factor in exploring the related complex physical and chemical phenomena. To address the issue, the standard k-ω turbulence model and level-set method were adopted in the present work and a fluid dynamics model was developed for a BOF. Accordingly, the slag–metal–gas emulsion interaction and stirring effect were investigated, and the interference mechanism of a multi-nozzle supersonic coherent jet was revealed. Finally, a self-adjustment method based on fuzzy control is proposed for the oxygen lance. The results indicate that the transfer efficiency of jet kinetic energy at the gas–liquid interface is the critical factor for the slagging reaction and that multi-nozzle oxygen lances with a certain twisted angle have important advantages with respect to stirring effects and splashing inhibition. The fuzzy control method predicts that the optimal nozzle twist angle is within the range of 7.2° to 7.8°. The results presented herein can provide theoretical support and beneficial reference information for BOF steelmaking

Logistic regression analysis of clinical and computed tomography features of pulmonary abscesses and risk factors for pulmonary abscess-related empyema

OBJECTIVES: This study was conducted to investigate the risk factors for pulmonary abscess-related empyema by investigating the clinical characteristics and chest computed tomography imaging features of patients with pulmonary abscesses. METHODS: We retrospectively analyzed the chest computed tomography findings and clinical features of 101 cases of pulmonary abscess, including 25 cases with empyema (the experimental group) and 76 cases with no empyema (the control group). The potential risk factors for pulmonary abscess-related empyema were compared between the groups by using univariate and multivariate logistic regression analyses. RESULTS: The incidence of pulmonary abscess-related empyema was 24.8% (25/101). Univariate analysis showed that male gender, diabetes, pleuritic symptoms, white blood cells >10×109/L, albumin level 5 cm in diameter and transpulmonary fissure abscesses were potential computed tomography imaging-related risk factors for pulmonary abscess-related empyema. Multivariate logistic regression analysis showed that transpulmonary fissure abscesses (odds ratio=9.102, p=0.003), diabetes (odds ratio=9.066, p=0.003), an abscess >5 cm in diameter (odds ratio=8.998, p=0.002), and pleuritic symptoms (odds ratio=5.395, p=0.015) were independent risk factors for pulmonary abscess-related empyema. CONCLUSIONS: Transpulmonary fissure abscesses, diabetes, giant pulmonary abscesses, and pleuritic symptoms increased the risk of empyema among patients with pulmonary abscesses