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Outcomes of early versus late irrigation and debridement of pediatric open long bone fractures

World Journal of Orthopedics 2024年第6期15卷 539-546页

作者： Riya Savla yen-hong Kuo Nasim Ahmed Department of Surgery and Trauma Hackensack Meridian School of MedicineNutleyNJ 07110United States Department of Medical Sciences Hackensack Meridian School of medicineNutleyNJ 08753United States Office of Research Administration Hackensack Meridian Health Research InstituteNutleyNJ 077110United States Department of Surgery Department of Trauma and Surgical Critical CareJersey Shore University Medical CenterNeptuneNJ 07754United States Department of Surgery Department of Trauma and Surgical Critical CareHackensack Meridian School of MedicineNutleyNJ 07110United States

BACKGROUND Open long bone fractures are a major concern for pediatric patients due to the risk of surgical site infection(SSI).Early studies have recommended irrigation and debridement of open fractures within 6 hours-8 hours for the prevention of *** to the American College of Surgeons(ACS)Best Practice Guidelines,in 2015,irrigation and debridement should be done within 24 *** To identify whether early irrigation and debridement,within 8 hours,vs late,between 8 hours and 24 hours,for pediatric open long bone fractures impacts rate of *** Using retrospective data review from the National Trauma Data Bank,Trauma Quality Improvement Project(TQIP)of *** database is own by the ACS and it is the largest database for trauma quality program in the *** matching analysis was performed for the *** There were 390 pediatric patients with open long bone fractures who were incl-uded in the *** completing propensity score matching,we had 176 patients in each category,irrigation and debridement within 8 hours and irrigation and debridement between 8 hours and 24 *** found no significant differences between each group for the rate of deep SSI which was 0.6%for patients who received surgical irrigation and debridement within 8 hours and 1.1%for those who received it after 8 hours[adjusted odd ratio(AOR):0.5,95%CI:0.268-30.909,P>0.99].For the secondary outcomes studied,in terms of length of hospital stay,patients who received irrigation and debridement within 8 hours stayed for an average of 3.5 days,and those who received it after 8 hours stayed for an average of 3 days,with no significant difference found,and there were also no sig-nificant differences found between the discharge dispositions of the *** Our findings support the recommendation for managing open long bone fractures from the ACS:Complete surgical irrigation and debridement within 24 hours.

关键词： Pediatric trauma Open tibia fracture Irrigation and debridement Timing of intervention Surgical site infection

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A Petrographic and Mineralogical Study of Volcanic Rocks from the Mayaxueshan Area, North Qilian Fold Belt, NW China

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Acta Geologica Sinica(English Edition) 2002年第1期76卷 15-30页

作者： HSU Ta-Wei(徐达伟) SHAU yen-hong(萧炎宏) Department of Marine Resources National Sun Yat-Sen University Kaohsiung 80424 China Department of Marine Resources National Sun Yat-Sen University Kaohsiung 80424 China

The Ordovician volcanic rocks in the Mayaxueshan area have been pervasivelyaltered or metamorphosed and contain abundant secondary minerals such as albite, chlorite, epidote,prehnite, pumpellyite, actinolite, titanite, quartz, and/or calcite. They were denoted as spilitesor spilitic rocks in terms of their petrographic features and mineral assemblages. The metamorphicgrades of the volcanic rocks are equivalent to that of the intercalated metaclastic rocks. Thisindicates that both the spilitic volcanic rocks and metaclastic rocks in the Mayaxueshan area haveformed as a result of Caledonian regional metamorphism. We suggest that the previously denotedspilitic rocks or altered volcanic rocks should be re-denoted as metabasalts or metabasaltic *** metamorphic grade of the volcanic rocks increases with their age: prehnite-pumpellyite faciesfor the upper part of the Middle Ordovician volcanic rocks, prehnite-pumpellyite to lowergreenschist facies for the lower part of the Middle Ordovician volcanic rocks, and lower greenschistfacies for the Lower Ordovician volcanic rocks. The P-T conditions are estimated as T = 240 - 290deg C and P = 1.5-4.5 kbar for the lower part of the Middle Ordovician rocks, and T = approx 300 degC for the Lower Ordovician rocks. The variations of mineral assemblages occurring at differentdomains of the volcanic rocks were controlled by the variations of the effective bulk composition inthose domains during metamorphism. The geochemical characteristics of Mg-Al chromite in theMayaxueshan volcanic rocks are consistent with an origin of island arc environment.

关键词： Qilian Fold Belt alteration regional metamorphism volcanic rock spilite basalt

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CO_2 sequestration utilizing basic-oxygen furnace slag:Controlling factors,reaction mechanisms and V–Cr concerns

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Journal of Environmental Sciences 2016年第3期28卷 99-111页

作者： Tung-Hsin Su Huai-Jen Yang yen-hong Shau Eiichi Takazawa Yu-Chen Lee Department of Earth Sciences National Cheng-Kung UniversityTainan 70101Taiwan Department of Marine Biotechnology and Resources National Sun Yat-Sen UniversityKaohsiung 80424Taiwan Department of Geology Niigata University8050Ikarashi 2-no-choNishi-kuNiigata 950-2182Japan China Steel Corporation 1Chung-Kang Rd.Kaohsiung 81233Taiwan

Basic-oxygen furnace slag（BOF-slag） contains 〉35%CaO,a potential component for CO_*** this study,slag-water-CO_2 reaction experiments were conducted with the longest reaction duration extending to 96 hr under high CO_2 pressures of 100-300 kg/cm2 to optimize BOF-slag carbonation conditions,to address carbonation mechanisms,and to evaluate the extents of V and Cr release from slag *** slag carbonation degree generally reached the maximum values after 24 hr slag-water-CO_2 reaction and was controlled by slag particle size and reaction *** maximum carbonation degree of 71%was produced from the experiment using fine slag of〈0.5 mm under 100℃and a CO_2 pressure of 250 kg/cm^2 with a water/slag ratio of *** release from the slag to water was significantly enhanced（generally 〉2 orders） by slag *** contrast,slag carbonation did not promote chromium release until the reaction duration exceeded 24 ***,the water chromium content was generally at least an order lower than the vanadium concentration,which decreased when the reaction duration exceeded 24 ***,long reaction durations of 48-96 hr are proposed to reduce environmental impacts while keeping high carbonation *** textures and water compositions indicated that Mg-wustite,in addition to CaO-containing minerals,can also be ***,the conventional expression that only considered carbonation of the CaO-containing minerals undervalued the CO_2 sequestration capability of the BOF-slag by^20%.Therefore,the BOF-slag is a better CO_2 storage medium than that previously recognized.

关键词： Mineral CO_2 sequestration BOF-slag Carbonation

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Regulating Actuations and Shapes of Liquid Crystal Elastomers through Combining Dynamic Covalent Bonds with Cooling-Rate-Mediated Control

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Chinese Journal of Polymer Science 2024年第10期42卷 1442-1448,I0008页

作者： Ya-Wen Liu Huan Liang hong-Tu Xu En-Jian He Zhi-Jun Yang Yi-Xuan Wang yen Wei Zhen Li Yan Ji The Key Laboratory of Bioorganic Phosphorus Chemistry&Chemical Biology(Ministry of Education) Department of ChemistryTsinghua UniversityBeijing100084China Advanced Materials and Energy Center Academy of Aerospace Science and InnovationBeijing100088China

Realizing multiple locked shapes in pre-oriented liquid crystal elastomers(LCEs)is highly desired for diversifying deformations and enhancing ***,conventional LCEs only deform between two shapes for each actuation cycle upon liquid crystal-isotropic phase transitions induced by external ***,we propose to regulate the actuation modes and the locked shapes of a pre-orientated epoxy LCE by combining dynamic covalent bonds with cooling-rate-mediated *** actuation modes can be adjusted on demand by exchange reactions of dynamic covalent *** from the established actuation modes,such as elongation,bending,and spiraling,the epoxy LCE displays varied locked shapes at room temperature under different cooling *** mediums are utilized to control the cooling rate,including water,silicone oil,and copper *** approach provides a novel way for regulating the actuation modes and locked shapes of cuttingedge intelligent devices.

关键词： Liquid crystal elastomer Epoxy Dynamic covalent bond Vitrimer Cooling rate

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Review of Computational Approaches to Optimization Problems in Inhomogeneous Rods and Plates

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Communications on Applied Mathematics and Computation 2024年第1期6卷 236-256页

作者： Weitao Chen Chiu-yen Kao Department of Mathematics University of California at Riverside900 University AveRiversideCA92521USA Department of Mathematical Sciences Claremont McKenna College850 Columbia AveClaremontCA91711USA

In this paper,we review computational approaches to optimization problems of inhomogeneous rods and *** consider both the optimization of eigenvalues and the localization of *** problems are motivated by physical problems including the determination of the extremum of the fundamental vibration frequency and the localization of the vibration *** demonstrate how an iterative rearrangement approach and a gradient descent approach with projection can successfully solve these optimization problems under different boundary conditions with different densities given.

关键词： Inhomogeneous rods and plates Bi-Laplacian Optimization of eigenvalues Localization of eigenfunctions Rearrangement

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Acousto-optic scanning multi-photon lithography with high printing rate

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Opto-Electronic Advances 2024年第2期7卷 1-3页

作者： Minghui hong Pen-Tung Sah Institute of Micro-Nano Science and Technology Xiamen UniversityXiamen 361005China

As a manufacturing method that is focused on end-users,3D printing has gained a lot of attention in recent years due to its unique advantages in fabricating complex three-dimensional *** new micro-nano 3D printing methods have been developed to meet the demand for high-precision and high-yield *** them,multi-photon-photon lithography(MPL) is a promising 3D nanofabrication technology due to its capability of true 3D digital processing and nanoscale processing resolution beyond the diffraction *** has been widely used to fabricate microoptics10,11,photonic crystals12,microfluidics13,meta-surfaces14,and mechanical metamaterials15.

关键词： photon Acous scanning

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Addressing Japan’s disposal of nuclear-contaminated water from the perspective of international human rights law

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Chinese Journal of Population,Resources and Environment 2024年第1期22卷 1-9页

作者： yen-Chiang Chang Xiaonan Zhao Law School Dalian Maritime UniversityDalian 116026China Institute for Bohai and Yellow Sea Studies Dalian Maritime UniversityDalian 116026China

The discharge of nuclear-contaminated water containing radionuclides into the ocean by Japan will lead to its integration into the entire ecosystem through processes of circulation and biomagnification,eventually entering the human body via the food *** poses a substantial risk of irreversible damage to both the ecosystem and human health,a situation that will worsen with the ongoing discharge of such *** respect and protection of human rights represent an international consensus,and safeguarding fundamental human rights is a substantial obligation that states must undertake in accordance with both international and domestic *** the Fukushima nuclear disaster,Japan has continuously violated its international legal obligations to protect human rights in several areas,including the resettlement of disaster victims,the reduction of nuclear radiation levels,and the handling of contaminated *** actions have compromised and will continue to compromise the basic human rights of not only its citizens but also those of people worldwide,including environmental rights,the right to life,development rights,and food *** the aftermath of the Fukushima meltdown,the public and workers involved in handling nuclear contaminants have been continually exposed to high radiation levels,endangering their rights to life,development,and ***’s inadequate efforts in victim resettlement and environmental restoration have jeopardized the environmental and food rights of its citizens to live healthily and access food in an environment unaffected by nuclear *** release of nuclear-contaminated water poses a risk of Japan’s nuclear pollution to the people of neighboring countries and the global population at *** principle of human rights underpins the theory of a community with a shared future for humanity,and human rights are a crucial area of China’s active participation in United Nations affairs and global *** voicing concerns ove

关键词： Fukushima nuclearcontaminated water Crimes against humanity Remedy for violations of human rights Right to environment Right to life

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R-matrix for the 8-Dimensional Spin Representation of Uq(so7)

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Acta Mathematica Sinica,English Series 2024年第2期40卷 485-497页

作者： hong Mei HU Nai hong HU School of Mathematical Sciences Suzhou University of Science and TechnologySuzhou 215009P.R.China School of Mathematical Sciences MOE Key Laboratory of Mathematics and Engineering Applications&Shanghai Key Laboratory of PMMPEast China Normal UniversityShanghai 200241P.R.China

The purpose of the paper is to describe the solution to the quantum Yang-Baxter equation associated with the 8-dimensional spin representation Tsp of Uq(so7).The self-duality of Tsp and the symmetry of the corresponding braiding matrix are ***,the minimal polynomial of the braiding R-matrix of Tsp is presented explicitly in an ingenious method by taking advantage of nice features of the spin representation Tsp.

关键词： Braiding R-matrix spin module minimal polynomial

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A study that redefines the concept of a well-known orchid–pollinator attraction strategy

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National Science Review 2024年第5期11卷 98-99页

作者： hong Liu Department of Earth and Environment International Center for Tropical Botany Florida International University The Fairchild Tropical Botanic Garden

Zhang and collaborators [1] demonstrated that bees of the genus Ctenoplectra collect oil from the newly reported oilreward orchids of the genera Dendrobium and Galeola in Asia, and that the majority of the bees that carry out this act and pollinate the orchids are male. These are new discoveries with significant implications for biodiversity conservation.

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Optical Microsphere Nano-Imaging:Progress and Challenges

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Engineering 2024年第5期36卷 102-123页

作者： Guangxing Wu Minghui hong Department of Electrical and Computer Engineering National University of SingaporeSingapore 117576Singapore Pen-Tung Sah Institute of Micro-Nano Science and Technology Xiamen UniversityXiamen 361005China Innovation Laboratory for Sciences and Technologies of Energy Materials of Fujian Province(IKKEM) Xiamen 361005China

The optical diffraction effect imposes a radical obstacle preventing conventional optical microscopes from achieving an imaging resolution beyond the Abbe diffraction limit and thereby restricting their usage in a multitude of nanoscale *** the past decade,the optical microsphere nanoimaging technique has been demonstrated to be a cost-effective solution for overcoming the diffraction limit and has achieved an imaging resolution of up to about k6k8 in a real-time and label-free manner,making it highly competitive among numerous super-resolution imaging *** this review,we summarize the underlying nano-imaging mechanisms of the microsphere nanoscope and key advancements aimed at imaging performance enhancement:first,to change the working environment or modify the peripheral hardware of a single microsphere nanoscope at the system level;second,to compose the microsphere compound lens;and third,to engineer the geometry or ingredients of *** also analyze challenges yet to be overcome in optical microsphere nano-imaging,followed by an outlook of this technique.

关键词： Microsphere Nano-imaging Virtual imaging Microsphere compound lens Engineered microsphere

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