To compare blood loss and transfusion rates in geriatric hip fracture patients on direct oral anticoagulants undergoing surgery ≤ 24 hours from admission (Expedited group) versus 24-72 (Delayed group). Design: Retrospective cohort study. Level I Trauma Center. Patients aged ≥ 65 with a femoral neck, intertrochanteric, or subtrochanteric (AO/OTA 31A, 31B, 32) factor Xa inhibitors (apixaban rivaroxaban) prior to April 2014 2024 were included.Outcome Measures Comparisons: Primary outcomes...

Laparoscopy-assisted gastrectomy for advanced gastric cancer still remains controversial. The aim of this study is to compare oncologic feasibility and technical safety laparoscopic versus open with D2 lymphadenectomy by comparing patients' short-term postoperative outcomes. One hundred one patients laparoscopy-assisted 101 were one-to-one matched then compared in terms operative outcomes hospital courses. group showed significantly longer operating time (297.4 vs. 198.1 min, P < 0.001),...

Geriatric patients who sustain hip fractures and are taking factor Xa inhibitors (Xa-I) experience surgical delay. Our institution developed a pharmacokinetic protocol to formally guide expedite timing for these patients. The is based on the patient's renal function of last Xa-I dose. For with impaired function, longer wait times recommended. purpose this study was determine effects geriatric fracture Xa-I.Retrospective cohort study.Level 1 trauma center.A total 164 aged 65 older were before...

To quantify the amount of strain across an anterior cruciate ligament reconstruction (ACLR) before and after a lateral meniscus (LM) posterior root complex tear determine whether meniscal repair effectively protects ACLR against excessive strain.Fresh-frozen cadaveric knees were tested with 88-N drawer force internal external torque 5-Nm applied at 0°, 15°, 30°, 60°, 90° flexion. A simulated pivot shift was also 0, 15, 30° Rotation translation tibia, ACL graft recorded. Testing repeated for...

Several studies have investigated sports participation in patients who undergo total shoulder arthroplasty (TSA). However, there are limited data the setting of hemiarthroplasty (HA) and reverse (rTSA), particularly regarding frequency common sports.The majority TSA or HA will be able to maintain active lifestyles with high levels after their procedure, while rTSA lower participation.Case series; Level evidence, 4.We identified underwent TSA, rTSA, stemmed HA, humeral head resurfacing (the...

Aging has a detrimental impact on the interfacial interaction and bonding between asphalt-binder aggregates, which influence ultimately performance of asphalt mixtures pavements. Evaluation mechanical properties interface aggregates thus become hot research topic, particularly as function aging. In this study, tensile strength, compressive elastic modulus, recovery energy were measured quantified using molecular dynamic simulation. Whilst free volume exhibited sensitivity to aging, strength...

Varus after antegrade medullary nailing of the proximal femur is associated with worse outcomes. Anecdotally, a more medialized "trochiformis" entry beneficial to avoid varus valgus-bend (greater trochanteric entry) femoral nails. However, optimal point remains unknown. The purpose this study was define for reconstruction nailing.Using standing alignment radiographs from 51 patients, we templated ideal straight and nails three major manufacturers using TraumaCad software. We measured...

Asphalt binder is a complex mixture of dark brown polymers composed hydrocarbons with generally poor fire resistance. To improve its flame retardancy when used in tunnel asphalt pavements, new inorganic flame-retardant filler (FR) containing magnesium hydroxide, aluminum phosphate, and melamine salt was explored. Thereafter, limiting oxygen index (LOI) smoke suppression tests for the flame-retarded (FRA) mastics mixed FR styrene-butadiene-styrene (SBS) copolymer were conducted....

To evaluate the physical and rheological properties of rejuvenated styrene‐butadiene‐styrene‐modified asphalt (SBSMA) binders designed for rapid in‐place pavement recycling, an aged SBSMA binder was with three rejuvenators (i.e., Types I, II, III) in different dosages. The were obtained to determine optimal type dosage first second rejuvenation. Performance grade (PG) tests, multiple stress creep recovery (MSCR) linear amplitude sweep (LAS) tests conducted measure using dynamic shear...

Although the undrained shear strength has been widely studied for evaluating factor of safety in slope, effects initial stress induced by slope inclination are not fully understood. Some studies begin considering conditions where secondary direction along inclination, namely unidirectional shears. In submarine environment, however, two directions required to properly evaluate true multidirectional because random wave and seismic load. This paper reports bi-directional behavior Leighton...

To investigate the influence of multiple cycles aging and rejuvenation on rheological, chemical, morphological properties styrene–butadiene–styrene (SBS)-modified asphalt-binders, asphalt-binders were aged using two laboratory simulation methods, namely a rolling thin film oven (RTFO) test for short-term pressure vessel (PAV) long-term aging. The then rejuvenated with three types rejuvenators (Type I, II, III) different dosages (i.e., 6%, 10%, 14% first, second, third rejuvenation,...

It is well recognized that the liquefaction resistance closely related to consolidation stress in soils. However, previous studies investigated effects of unidirectional loads rather than multi-directional on resistance. In this study, two types granular materials, spherical glass beads and irregularly-shaped sands, are tested under undrained conditions with uni- bi-directional investigate The can be explained terms material anisotropy. simple shear tests, stress- strain-controlled loading...

With the global warming and energy crisis becoming increasingly serious, conservation emission reduction have become an important theme of development in manufacturing industry. Energy Management System (EMS) is widely used to monitor control consumption production. However, traditional chart-based display board limits interaction between human workshop. Virtual Reality (VR) technology Augmented (AR) with its strong immersion provide a new way for visualization consumption. In particular,...

Steel slag pervious concrete (SSPC) is a novel sustainable and ecofriendly pavement material. The constituent elements making up SSPC are typically cement, steel slag, superplasticizer, sand, water. To improve its strength cracking resistance, an optimum amount of anticrack additives (ACA) was added to SSPC. In this paper, the relationships between mechanical properties microscopic characteristics with ACA were studied using universal testing machine (UTM), X-ray diffractometer (XRD),...

Objective To investigate the efforts of CD4+ CD25+ regulatory T (Treg) cell adjustment Treg cells proportion in peripheral blood patients with gastric cancer before or after surgery.Methods The samples were collected from 10 healthy volunteers,58 2 days and 7 operation.The detected by flow cytometry.Results increased significantly compared that control group (1.1±0.4) ％ / (1.5±0.5) (P ＜ 0.05),and further operation (1.5±0.55) (1.9±0.8) 0.01).Conclusion anti-tumor activity is inhibited surgery...

In today's society, information leakage events continue to occur, and various innovative high-complexity network attacks emerge in endlessly. order ensure the integrity of data practicability authenticity transmission process, cryptosystems are usually adopted security information. this paper, an asymmetric short integer parallel optimization algorithm is proposed, which combines a double Logistic chaotic system with hash algorithm, applies extensible precision chaos reduce rounding error...

Objective To establish a method for preparing orthotropic transplantable hepatocellular carcinoma in mice. Methods According to the liver detailed anatomical structure of mouse, 50 μl mouse ascites containing 1×106 and 5×105 hematoma H22 cells was input 12 Kunming mice through percutaneous intraperitoneal injection by syringe, respectively, orthotopic model. The growth status observed, pathological changes tumor metastasis tissues were detected. formation analyzed. Results The...