Introduction Yongxing Tunnel No.1’s complex geology near a buried oil pipeline on the Guizhou-Nanning high-speed route poses blasting risks. Prioritizing safety, efforts focus minimizing vibration impacts. Methods Research uses numerical simulations and field tests to analyze three delay times spacing charge materials for reduction. Results Optimal is 30 ms, yielding 0.52 cm/s velocity, 20%-29% lower than 28 ms 32 ms. Soil most effective spacer, achieving 0.46 cm/s, 30.30%-22.03% water air....

<title>Abstract</title> Background Reflux esophagitis (RE) is common in obese individuals and impairs quality of life. We aimed to investigate the association between RE Helicobacter pylori (Hp) infection patients provide evidence for Hp management strategies this population. Methods A retrospective cohort study was conducted on (BMI ≥ 28 kg/m²) scheduled bariatric surgery July 2019 June 2023. Patients were categorized into non-RE groups based endoscopic findings. Demographic, metabolic data...

Abstract Left atrial (LA) remodeling has been identified to predict fibrillation (AF) and heart failure. However, the role of LA diameter (LAD) in patients with failure (HF) preserved (HFpEF), mid-range (HFmrEF), reduced ejection fraction (HFrEF) remains poorly understood. A total 142 including 71 subjects AF (21 HFpEF, 22 HFmrEF, 28 HFrEF) (EF)-matched sinus rhythm (SR) were included study. Baseline characteristics echocardiographic parameters LAD compared between both groups as well among...

Hypertension is a major global health concern, and lifestyle modifications have been recommended as first-line treatment for hypertension in many guidelines. However, different guidelines may recommend types of adjustment, it unclear which ones are most effective. In this review, we compared to identify any differences and/or consensus content, efficacy, timing initiation modifications.We conducted search databases available English. We extracted information about by the guidelines.Five from...

Objective: To summarize the preliminary experience with transoral endoscopic thyroidectomy via vestibular approach (TOETVA). Methods: A total of 150 consecutive patients thyroid disease underwent TOETVA from November 2014 to February 2017 at Department Thyroid Surgery, Second Affiliated Hospital Zhejiang University School Medicine. The were comprised 138 females and 12 males. mean age was (31.7±7.6) years (ranging 15 51 years). There 108 differential carcinoma (T1 or T2 ≤3 cm, cN0 cN1a, M0)...

Obstructive sleep apnea-hypopnea syndrome (OSAS) is associated with elevated liver enzymes and fatty liver. The purpose of this study was to measure serum enzyme levels in patients evaluated by polysomnography (PSG) the factors injury OSAS patients.All referred PSG for evaluation apnea symptoms between June 2011 November 2014 were included study. Demographic data parameters recorded. Serum alanine aminotransferase, aspartate gamma-glutamyl transferase systematically measured. divided into...

Mangiferin is a kind of polyphenol chemical compound separated from these herbal medicines Mangifera indica L., Anemarrhena asphodeloides Bge. and Belamcanda chinensis which has anti-inflammatory, anti-virus, other physiological activities without toxic effects. Osteoarthritis (OA) chronic disease that also arthritis in articular cartilage or bones under the joint damaged. In addition, artificial replacements are required severe cases. At present, there not too much researches on potential...

Abstract Background: The objective of this study was to determine whether there is an association between successful uvulopalatopharyngoplasty (UPPP) and serum uric acid in patients with obstructive sleep apnea (OSA), identify the risk markers for UPPP OSA patients. Methods: We performed a prospective cohort 73 adult who underwent surgery (nasal or UPPP) at major, urban, academic hospital Huaian from 2011 2014 had preoperative postoperative clinical laboratory profiles. Demographic,...

Objective: To compare the surgical efficacy and cosmetic satisfaction of transoral endoscopic thyroidectomy by vestibular approach (TOETVA), via bilateral areola (BAA), open (OT) in treatment papillary thyroid carcinoma (PTC) stage T1b. Methods: A total 178 patients with PTC stages pT1bN0M0 pT1bN1aM0 treated from January 2017 to December 2018 were divided into TOETVA group (n=59), BAA (n=43), OT (n=76). The baseline characteristics, relevant indexes follow-up data compared between three...

With the advance of continuous intraoperative neural monitoring (C-IONM), surgeons pay more attention to distributing characteristics and operating approaches vagus nerve (VN) in thyroid surgery. According adjacent relations with common carotid artery internal jugular vein, location VN can be divided into 4 types. And type P, among them, accounts for 73%. Three surgical are applied sheath exposure. In order place probe C-IONM, sharply dissection a 10 15 mm long "pocket" would performed...

Typhoon Muifa (2022) is the strongest landfalling typhoon over China in 2022, causing long-lasting and widespread wind rainfall East Northeast China. Using end-to-end warning value chain method, this paper carried out evaluations on including observation, weather forecast, hazard impact forecasts, communication response for case. The &amp;#8220;bridges&amp;#8221; between each part are comprehensively analyzed based expert scores. In four times of landfall events, monitoring, forecasting...

The prevalence of unilateral deafness (SSD) or asymmetric hearing loss (AHL) among patients with impairments ranges from 7.2% to 15.0%, indicating a relatively significant proportion. However, these individuals often overlook their loss, resulting in delayed inadequate treatment. This oversight can lead lack binaural summation and squelch effect, as well the head shadow which significantly impact speech recognition sound localization abilities, especially noisy environments.Recently,...

To study vascular lesions of the spinal cord in aged persons, we examined number and distribution radicular arteries macroscopic arteriosclerosis system 91 autopsied cords. The average anterior per was five. artery appeared most frequently at level 6th 7th cervical segment, 4th 9th thoracic 1st lumbar segment. Adamkiewicz's usually entered from left side. Arteriosclerotic changes were less severe than those other arteries. Only one had atheromatous plaques artery. Transverse sections each...

Nowadays, with the rapid development of modern information technology, college students could not preferably choose and learn to enhance their own art appreciation capability. Therefore, colleges universities have a more urgent desire organize, develop provide good platform students' capability based on technology. This paper describes how in detail, designs analyzes technology---the "Music Corner" "Dance Corner", indicating that exchange built technology can promotes Finally, through...

To study vascular lesions of the spinal cord in elderly, a pathological atheromatous emboli was done. Among 604 patients examined at autopsy, were found 7 (1.2%). The average age these 76 years. most common underlying disorders hypertension, severe aortic atherosclerosis, and diabetes mellitus. Atheromatous also often arteries kidneys, spleen, pancreas, colon. small arachnoid lumbosacral level frequently affected by emboli. Two had spinal-cord infarctions associated with emboli: one cystic...

手术空间的建立和维持是开展腔镜甲状腺手术的关键，空间维持方法主要分为充气法、免充气法和混合维持法3种。充气法通过CO2气腹建立和维持手术空间，免充气法则借助悬吊装置维持空间，本文将详细阐述这3种空间维持方法的特点，以及在经口入路甲状腺手术中的研究进展。.

To adapt to the trends of electronic information technology industry in new era and meet demands national strategy for revitalizing country through science, technology, education, a comprehensive analysis was conducted on issues talent cultivation system universities. The problems identified included insufficient integration government, industry, academia, research, as well lack diverse collaborative practical platforms. In response challenges posed by economic context, requirements...

The development of the new economy and emerging industries presents challenges for cultivation talent in field electronic information. Emerging Engineering Education is a significant strategic choice engineering education reform our country. Universities should align themselves with their own positioning expedite traditional models. This article analyzes requirements cultivating information talents under paradigm elucidates significance constructing characteristic curriculum clusters Henan...

Abstract Introduction Obstructive sleep apnea (OSA) is associated with acute nocturnal hemodynamic and neurohormonal abnormalities that may increase the risk of coronary events, especially during deep sleeping time. This study sought to investigate circadian variation onset myocardial infarction (AMI) in OSA patients its long-term prognosis. Purpose In this study, we tested hypothesis people are more likely have AMI time than other six-hour intervals day. Additionally, assess impact...

Objective: To analyze the clinical characteristics of patients with severe immune checkpoint inhibitors (ICIs) related myocarditis. Methods: A retrospective study was conducted on 50 ICIs-related myocarditis in multidisciplinary cardio-oncology clinic Zhongshan Hospital affiliated to Fudan University from April 2020 2022. The age (63.7±10.8) years old, including 37 males and 13 females. were divided into mild group (n=37) (n=13) according severity. differences basic characteristics,...