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25 pages, 17208 KiB  
Article
Simulation-Based Optimization Workflow of CO2-EOR for Hydraulic Fractured Wells in Wolfcamp A Formation
by Dung Bui, Duc Pham, Son Nguyen and Kien Nguyen
Fuels 2024, 5(4), 673-697; https://doi.org/10.3390/fuels5040037 (registering DOI) - 18 Oct 2024
Abstract
Hydraulic fracturing has enabled production from unconventional reservoirs in the U.S., but production rates often decline sharply, limiting recovery factors to under 10%. This study proposes an optimization workflow for the CO2 huff-n-puff process for multistage-fractured horizontal wells in the Wolfcamp A [...] Read more.
Hydraulic fracturing has enabled production from unconventional reservoirs in the U.S., but production rates often decline sharply, limiting recovery factors to under 10%. This study proposes an optimization workflow for the CO2 huff-n-puff process for multistage-fractured horizontal wells in the Wolfcamp A formation in the Delaware Basin. The potential for enhanced oil recovery and CO2 sequestration simultaneously was addressed using a coupled geomechanics–reservoir simulation. Geomechanical properties were derived from a 1D mechanical earth model and integrated into reservoir simulation to replicate hydraulic fracture geometries. The fracture model was validated using a robust production history matching. A fluid phase behavior analysis refined the equation of state, and 1D slim tube simulations determined a minimum miscibility pressure of 4300 psi for CO2 injection. After the primary production phase, various CO2 injection rates were tested from 1 to 25 MMSCFD/well, resulting in incremental oil recovery ranging from 6.3% to 69.3%. Different injection, soaking and production cycles were analyzed to determine the ideal operating condition. The optimal scenario improved cumulative oil recovery by 68.8% while keeping the highest CO2 storage efficiency. The simulation approach proposed by this study provides a comprehensive and systematic workflow for evaluating and optimizing CO2 huff-n-puff in hydraulically fractured wells, enhancing the recovery factor of unconventional reservoirs. Full article
(This article belongs to the Special Issue Feature Papers in Fuels)
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Figure 1
<p>Generalized flow diagram for iterative coupling [<a href="#B33-fuels-05-00037" class="html-bibr">33</a>].</p>
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<p>Modified Barton–Bandis fracture permeability model [<a href="#B30-fuels-05-00037" class="html-bibr">30</a>,<a href="#B34-fuels-05-00037" class="html-bibr">34</a>].</p>
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<p>Iterative history matching process for fracture model’s validation.</p>
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<p>Schematic stratigraphy of Wolfcamp formation [<a href="#B41-fuels-05-00037" class="html-bibr">41</a>].</p>
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<p>Lithological characteristic of the Wolfcamp A formation.</p>
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<p>Petrophysical interpretation of Wolfcamp A formation in the offset wells.</p>
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<p>1D geomechanical model for the Wolfcamp A formation.</p>
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<p>Statistics of rock properties and strength in the Wolfcamp A formation.</p>
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<p>Illustration of stress shadowing effects.</p>
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<p>Fracture geometry of Well #1 and Well #2.</p>
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<p>(<b>a</b>) History matching oil rate Well #1; (<b>b</b>) history matching oil rate Well #2.</p>
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<p>(<b>a</b>) History matching gas rate Well #1; (<b>b</b>) history matching gas rate Well #2.</p>
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<p>(<b>a</b>) History matching water rate Well #1; (<b>b</b>) history matching water rate Well #2.</p>
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<p>History matching oil cumulative and oil rate of entire field.</p>
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<p>Slim-tube simulation result for MMP.</p>
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<p>Cell-to-cell simulation result for MMP.</p>
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<p>(<b>a</b>) Cumulative oil production of Well #1 associated with 1 MMscf/d CO<sub>2</sub> injection; (<b>b</b>) cumulative oil production of Well #2 associated with 1 MMscf/d CO<sub>2</sub> injection.</p>
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<p>Cumulative oil production corresponding with different CO<sub>2</sub> injection rates.</p>
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<p>CO<sub>2</sub> storage mass corresponding with various CO<sub>2</sub> injection rates.</p>
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<p>(<b>a</b>) CO<sub>2</sub> mole fraction in fracture network with 1 MMscf/d injection rate; (<b>b</b>) CO<sub>2</sub> mole fraction in fracture network with 20 MMscf/d injection rate.</p>
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<p>(<b>a</b>) Pressure distribution after 10 years with 1 MMscf/d of CO<sub>2</sub> injection; (<b>b</b>) pressure histogram at the end of CO<sub>2</sub> huff-n-puff simulation.</p>
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<p>(<b>a</b>) Pressure distribution after 10 years with 20 MMscf/d of CO<sub>2</sub> injection; (<b>b</b>) pressure histogram at the end of CO<sub>2</sub> huff-n-puff simulation.</p>
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20 pages, 6197 KiB  
Article
Optimizing Ship Draft Observation with Wave Energy Attenuation and PaddlePaddle-OCR in an Anti-Fluctuation Device
by Yaoming Wei, Huan Du, Qinyou Hu and Hu Wang
J. Mar. Sci. Eng. 2024, 12(10), 1865; https://doi.org/10.3390/jmse12101865 (registering DOI) - 18 Oct 2024
Viewed by 112
Abstract
With the development and application of artificial intelligence (AI) in the shipping industry, using AI to replace traditional draft survey methods in bulk carriers can significantly reduce manpower, lower the risks associated with visual observations, improve measurement accuracy, and minimize the impact of [...] Read more.
With the development and application of artificial intelligence (AI) in the shipping industry, using AI to replace traditional draft survey methods in bulk carriers can significantly reduce manpower, lower the risks associated with visual observations, improve measurement accuracy, and minimize the impact of human subjective factors. Ultimately, the integration of software and hardware technologies will replace human visual observations with automated draft measurement calculations. A similar anti-fluctuation device described in this article has been used in ship draft observation based on AI-assisted proving, which can ease the fluctuation of the wave inside the pipe. Observers can directly read the water surface inside the pipe and compare it to the ship’s draft mark to obtain the final draft, effectively improving draft observation accuracy. However, some surveyors refuse to accept the readings obtained from this device, citing a lack of theoretical basis or the absence of accreditation from relevant technical authorities, leading to the rejection of results. To address these issues, this paper integrates wave energy attenuation theory with PaddlePaddle-OCR recognition to further validate the anti-fluctuation device for accurate ship draft observation. The experimental results are as follows: first, the pipe effectively suppresses the amplitude of external water surface fluctuations by 75%, explaining the fundamental theory that wave heights within the anti-fluctuation device are consistent with external swell heights. When taking a draft measurement, the system dynamically adjusts the position of the main tube in response to the ship’s movements, maintaining the stability of the measurement section and significantly reducing the difficulty of observations. Due to the reduction in fluctuation amplitude, there is a noticeable improvement in observation accuracy. Full article
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<p>The chief officer reading the draft with the surveyor shown in (<b>a</b>) and the ship’s draft immersed in still water is shown in (<b>b</b>).</p>
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<p>Illustration of structure and material selection of the anti-fluctuation device.</p>
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<p>The (<b>a</b>) illustrates the direction of water movement into the tube, with the floating mechanism automatically adjusting the position of the main tube. (<b>b</b>) explains the inner structure of the fluctuation isolation component.</p>
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<p>Ship draft identification flow chart.</p>
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<p>Draught line extraction of the feature column and analysis result.</p>
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<p>PaddlePaddle-OCR system diagram.</p>
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<p>Wave Simulation Laboratory.</p>
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<p>Date sampling of experimental images for recognition and illustrates a subset of the experimental results.</p>
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<p>The results of ten groups in the experiment. Blue color represent starting value for “still water”. Cyan Color: Indicates data points related to the “outside” Visual results. Yellow Color: Denote the section representing “inside visual” values. Red Color: Represents the “AI (average)” values.</p>
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<p>Comparison of the amplitude range outside the anti-fluctuation device with the inside device.</p>
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<p>Simulation of the variation in liquid levels inside and outside the pipe over time based on the Pierson–Moskowitz Spectrum.</p>
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<p>Comparison of the result of five groups in the experiment.</p>
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10 pages, 959 KiB  
Article
An Experimental Study of the Emission Characteristics and Soot Emission of Fatty Acid Methyl Esters (FAME) in an Industrial Burner
by István Péter Kondor and Krisztián Kun
Fuels 2024, 5(4), 650-659; https://doi.org/10.3390/fuels5040035 - 17 Oct 2024
Viewed by 433
Abstract
The aim of this research is to investigate the environmental emission effects and combustion properties of burning different types of FAME biodiesel fuels in an industrial oil burner. These burner heads are used in many areas of industry for heating various boilers and [...] Read more.
The aim of this research is to investigate the environmental emission effects and combustion properties of burning different types of FAME biodiesel fuels in an industrial oil burner. These burner heads are used in many areas of industry for heating various boilers and tube furnaces. The fuels used, the area of use, the emission norm values, and the climatic conditions are key factors in this investigation. In this research, two plant-based oils are examined, the properties of which have been compared to standard commercial heating oil. The raw material of the two tested bio-based components was rapeseed. The main gas emission parameters CO, THC, CO2, O2, HC, water content, and consumption data were measured. The measurements were performed in an AVL engine brake platform infrastructure, where gas emissions were measured with an AVL AMA i60 FTIR emission gas analyzer, fuel consumption was meticulously gauged using a fuel flow meter, fuel temperature was monitored using an AVL 745 fuel temperature conditioning system, and air consumption was measured with an AVL Flowsonix intake air flow meter. The measurement results showed that both tested biofuels can be burned stably in industrial oil burners, have favorable properties in terms of ignition and flame extinction tendencies, and there is no significant difference in emission parameters compared to standard fuel oil. Full article
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<p>Performance and fuel consumption diagram of the burner.</p>
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<p>The chemical process of producing FAME fuel.</p>
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<p>Schematic diagram of AVL FTIR.</p>
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<p>Schematic diagram of experimental setup.</p>
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<p>Changes in H<sub>2</sub>O emissions for the fuels tested.</p>
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<p>Changes in CO<sub>2</sub> emissions for the fuels tested.</p>
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<p>Changes in CO emissions for the fuels tested.</p>
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<p>Changes in NO<sub>x</sub> emissions for the fuels tested.</p>
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<p>Changes in THC emissions for the fuels tested.</p>
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13 pages, 2539 KiB  
Article
Differential Effects of Four Canonical Notch-Activating Ligands on c-Kit+ Cardiac Progenitor Cells
by Matthew Robeson, Steven L. Goudy and Michael E. Davis
Int. J. Mol. Sci. 2024, 25(20), 11182; https://doi.org/10.3390/ijms252011182 - 17 Oct 2024
Viewed by 245
Abstract
Notch signaling, an important signaling pathway in cardiac development, has been shown to mediate the reparative functions of c-kit+ progenitor cells (CPCs). However, it is unclear how each of the four canonical Notch-activating ligands affects intracellular processes in c-kit+ cells when used as [...] Read more.
Notch signaling, an important signaling pathway in cardiac development, has been shown to mediate the reparative functions of c-kit+ progenitor cells (CPCs). However, it is unclear how each of the four canonical Notch-activating ligands affects intracellular processes in c-kit+ cells when used as an external stimulus. Neonatal c-kit+ CPCs were stimulated using four different chimeric Notch-activating ligands tethered to Dynabeads, and the resulting changes were assessed using TaqMan gene expression arrays, with subsequent analysis by principal component analysis (PCA). Additionally, functional outcomes were measured using an endothelial cell tube formation assay and MSC migration assay to assess the paracrine capacity to stimulate new vessel formation and recruit other reparative cell types to the site of injury. Gene expression data showed that stimulation with Jagged-1 is associated with the greatest pro-angiogenic gene response, including the expression of VEGF and basement membrane proteins, while the other canonical ligands, Jagged-2, Dll-1, and Dll-4, are more associated with regulatory and epigenetic changes. The functional assay showed differential responses to the four ligands in terms of angiogenesis, while none of the ligands produced a robust change in migration. These data demonstrate how the four Notch-activating ligands differentially regulate CPC gene expression and function. Full article
(This article belongs to the Special Issue Notch Signaling Pathways)
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<p>Fc-Jagged functionalized beads bind and activate Notch in vitro. (<b>A</b>) Fc-Jagged1 functionalized beads aggregate on the surface of c-kit+ hCPCs compared to nonspecific human IgG functionalized beads. (<b>B</b>,<b>C</b>) Fluorescent YFP is expressed when cells are stimulated with Jagged-1 beads. The response is attenuated when the small molecule Notch inhibitor DAPT (10 µmol/L) is added to cell media. N = 6 per group. (***) <span class="html-italic">p</span> &lt; 0.005, one-way ANOVA.</p>
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<p>The four canonical Notch ligands drive substantially different gene expression profiles in c-kit+ hCPCs. (<b>A</b>) HES1 expression is upregulated in all four treatment groups, though Jag1 and Jag2 drive the strongest response. HEY1 expression is upregulated by Jag1, Jag2, and Dll4, but not Dll1. N = 4 per group, (**) <span class="html-italic">p</span> &lt; 0.005, (*) <span class="html-italic">p</span> &lt; 0.05, (n.s.) not significant, one-way ANOVA. (<b>B</b>) HES1 protein level increases upon activation of Notch by Jag1/Jag2/Dll1/Dll4. (<b>C</b>) Heat map demonstrating gene expression in response to all 4 ligands. Gene expression was normalized to IgG control beads and presented as fold change over control.</p>
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<p>PCA reveals clusters of genes that co-vary closely with particular Notch-activating ligands. (<b>A</b>) Genes associated with pro-angiogenic factors co-vary with Jag1 stimulation. (<b>B</b>) Genes associated with ECM remodeling co-vary with Jag1 stimulation. (<b>C</b>) Genes associated with Notch receptors and ligands co-vary with Jag2/Dll1/Dll4 stimulation. (<b>D</b>) Genes associated with Hitone remodeling co-vary with Jag2/Dll1/Dll4 stimulation.</p>
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<p>Endothelial cell tube formation is enhanced across all treatment groups compared to IgG, but differences between the four canonical ligands are not significant. (<b>A</b>) Representative fluorescent images of endothelial cell tubes after 6 h. (<b>B</b>) Quantified average tube length. N = 16 for each treatment group. (*) <span class="html-italic">p</span> &lt; 0.05, (**) <span class="html-italic">p</span> &lt; 0.005, (****) <span class="html-italic">p</span> &lt; 0.00005, (ns) Not significant, one-way ANOVA.</p>
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<p>MSC migration in response to conditioned media is upregulated across all treatment groups, though differences between groups are non-significant. (<b>A</b>) MSCs are seeded with serum-free media in the upper well of a transwell insert, with conditioned media positioned below. Migration is quantified after overnight incubation. (<b>B</b>) MSC migration quantified by fluorescence measurement.</p>
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<p>Illustrated design of the study. Protein G Dynabeads are functionalized overnight by incubation with Fc-conjugated Notch-activating ligands. Following functionalization, c-kit+ CPCs are incubated with functionalized beads in a well plate for 48 h. At the conclusion of this, RNA and conditioned media are collected to perform gene expression analysis via PCR array, endothelial cell tube formation assays, and a transwell assay to assess the migration of MSCs.</p>
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9 pages, 209 KiB  
Article
Risk Factors Associated with Unplanned Hospitalization Among Long-Term Care Facility Residents: A Retrospective Study in Central Taiwan
by Chiu-Hsiang Lee, Yu-An Chen, Chiu-Ming Yang, Kuang-Hua Huang, Tung-Han Tsai, Yuanmay Chang and Shwn-Huey Shieh
Healthcare 2024, 12(20), 2069; https://doi.org/10.3390/healthcare12202069 - 17 Oct 2024
Viewed by 225
Abstract
Most residents of long-term care facilities (LTCFs) are patients with chronic diseases requiring long-term care. Unplanned hospitalization of older and frailer residents from LTCFs reduces their mobility and increases the number of infections, complications, and falls that might lead to severe disability or [...] Read more.
Most residents of long-term care facilities (LTCFs) are patients with chronic diseases requiring long-term care. Unplanned hospitalization of older and frailer residents from LTCFs reduces their mobility and increases the number of infections, complications, and falls that might lead to severe disability or death. This study aimed to identify the critical risk factors associated with unplanned hospitalization among LTCF residents in Taiwan, providing insights that could inform better care practices in similar settings globally. A retrospective study was conducted using inpatient data from a medical center in central Taiwan, covering the period from 2011 to 2019. A total of 1220 LTCF residents were matched with general patients using propensity score matching. Multiple logistic regression analyses were performed to identify factors associated with unplanned hospitalization, controlling for relevant variables. LTCF residents had a significantly higher risk of unplanned hospitalization compared to general patients (OR = 1.44, 95% CI = 1.21–1.73). Key risk factors included advanced age (≥85 years, OR = 1.25, 95% CI = 1.02–1.54), the presence of comorbidities such as diabetes (OR = 1.17, 95% CI = 1.03–1.33) and renal failure (OR = 1.63, 95% CI = 1.42–1.86), high fall risk (OR = 2.67, 95% CI = 2.30–3.10), and being bedridden (OR = 6.55, 95% CI = 5.48–7.85). The presence of a tracheostomy tube also significantly increased hospitalization risk (OR = 1.73, 95% CI = 1.15–2.59). LTCF residents are at a higher risk of unplanned hospitalization, particularly those with specific comorbidities, physical limitations, and indwelling medical devices. These findings underscore the need for targeted interventions to manage these risks, potentially improving care outcomes for LTCF residents globally. Full article
27 pages, 17001 KiB  
Article
Experimental Study on the Application of “Dry Sowing and Wet Emergence” Drip Irrigation Technology with One Film, Three Tubes, and Three Rows
by Hongxin Wang and Chunxia Wang
Agronomy 2024, 14(10), 2406; https://doi.org/10.3390/agronomy14102406 - 17 Oct 2024
Viewed by 183
Abstract
In order to alleviate the shortage of water in Xinjiang cotton fields, to ensure the sustainable development of the cotton industry in southern Xinjiang, it is necessary to determine a suitable “dry sowing and wet emergence” water quantity plan for cotton fields in [...] Read more.
In order to alleviate the shortage of water in Xinjiang cotton fields, to ensure the sustainable development of the cotton industry in southern Xinjiang, it is necessary to determine a suitable “dry sowing and wet emergence” water quantity plan for cotton fields in southern Xinjiang to change the current situation. In this study, to explore the irrigation regime of “dry sowing and wet emergence” for cotton in Korla, Xinjiang, by combining field experiments and modeling simulations, the effects of different irrigation amounts on the water–heat–salt and seedling emergence characteristics of “dry sowing and wet emergence” cotton fields were investigated; the soil, water, and salt transport under different irrigation regimes was simulated by using HYDRUS-2D, and the seedling emergence rate of the cotton under different irrigation regimes was obtained through the establishment of a regression model. The results indicated that, in the field experiment, the soil water content of the 0−40 cm soil layer showed an overall trend of first increasing and then decreasing with time, while the soil salt content showed an overall trend of first decreasing and then increasing over time. The soil water content at the drip heads and cotton rows position, as well as on the 15th day, increased by an average of 5.58 cm3·cm−3 compared to before irrigation, and the soil salt content decreased by an average of 2.74 g/kg compared to before irrigation. In the irrigation water range of 675−825 m3/hm2, reducing the irrigation water amount increased the cotton emergence rate by 3.86% and the cotton vigor index by 70.53%. After the model simulation, it is recommended to choose the cotton “dry sowing and wet emergence” irrigation regime with a low to medium water amount (300−450 m3/hm2) at 14-day intervals or a low to medium water amount (300−375 m3/hm2) at 7-day intervals, which can obtain a higher seedling emergence rate. Full article
(This article belongs to the Section Water Use and Irrigation)
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<p>Meteorological data chart.</p>
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<p>Cotton planting pattern (unit: cm).</p>
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<p>Layout plan.</p>
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<p>Schematic diagram of the simulation area.</p>
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<p>Changes in the soil water content under the different water gradients. Note: the horizontal coordinate date refers to the date after the start of irrigation; T1, T2, and T3 represent the three treatments with the irrigation amounts of 525 m<sup>3</sup>/hm<sup>2</sup>, 675 m<sup>3</sup>/hm<sup>2</sup>, and 825 m<sup>3</sup>/hm<sup>2</sup>, respectively; each processed subgraph represents, from left to right, the changes in the soil water content between two drip bands, between drip irrigation belts and cotton rows, and between bare land positions in the film.</p>
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<p>Changes in the soil salt content under the different water gradients. Note: the horizontal coordinate date refers to the date after the start of irrigation; T1, T2, and T3 represent the three treatments with irrigation amounts of 525 m<sup>3</sup>/hm<sup>2</sup>, 675 m<sup>3</sup>/hm<sup>2</sup>, and 825 m<sup>3</sup>/hm<sup>2</sup>, respectively; each processed subgraph represents, from left to right, the changes in the soil salt content between two drip bands, between drip irrigation belts and cotton rows, and between bare land positions in the film.</p>
Full article ">Figure 6 Cont.
<p>Changes in the soil salt content under the different water gradients. Note: the horizontal coordinate date refers to the date after the start of irrigation; T1, T2, and T3 represent the three treatments with irrigation amounts of 525 m<sup>3</sup>/hm<sup>2</sup>, 675 m<sup>3</sup>/hm<sup>2</sup>, and 825 m<sup>3</sup>/hm<sup>2</sup>, respectively; each processed subgraph represents, from left to right, the changes in the soil salt content between two drip bands, between drip irrigation belts and cotton rows, and between bare land positions in the film.</p>
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<p>Temperature changes under different water amounts. Note: The label (<b>a</b>) in the image represents the temperature change of the T1 treatment (irrigation amounts of 525 m<sup>3</sup>/hm<sup>2</sup>), The label (<b>b</b>) in the image represents the temperature change of the T2 treatment (irrigation amounts of 675 m<sup>3</sup>/hm<sup>2</sup>), The label (<b>c</b>) in the image represents the temperature change of the T3 treatment (irrigation amounts of 825 m<sup>3</sup>/hm<sup>2</sup>).</p>
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<p>Changes in effective accumulated temperature and average temperature under different water amounts. Note: The bar chart represents the effective accumulated temperature changes at different soil depths under different treatments, while the line chart represents the average ground temperature changes at different soil depths under different treatments.</p>
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<p>Changes in seedling emergence rate under different water amounts.</p>
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<p>Seedling emergence index under different water amounts. Note: The error bar represents the standard error. The differences between different treatments were determined through Duncan’s test of variance. The different letters above the bar chart indicate significant differences between treatments when <span class="html-italic">p</span> &lt; 0.05.</p>
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<p>Changes in seedling height under different water amounts.</p>
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<p>Correlation analysis between seedling emergence rate, soil water, heat, and salt, and plant height. Note: “*” indicates <span class="html-italic">p</span> &lt; 0.05, significant correlation, “**” indicates <span class="html-italic">p</span> &lt; 0.01, significant correlation. ER (cotton seedling emergence rate), SWC<sub>10</sub> (average water content of 10 cm soil layer), SWC<sub>20</sub> (average water content of 20 cm soil layer), SSC<sub>10</sub> (average salt of 10 cm soil layer), SSC<sub>20</sub> (average salt of 20 cm soil layer), SGT<sub>5–15</sub> (average soil temperature within 5–15 cm), SGT<sub>15–25</sub> (average soil temperature within 15–25 cm), CH (plant height of cotton seedlings).</p>
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<p>Soil water changes under different scenarios. Note: the simulated soil water content in this figure is the soil water content of the 10–40 cm soil layer between the drip head and the cotton row.</p>
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<p>Soil salt changes under different scenarios. Note: the simulated soil salt content in this figure is the soil salt content of the 10–40 cm soil layer between the drip head and the cotton row.</p>
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<p>Water and salt changes under different planting patterns in S2 scenario. Note: The numbers on the left side of the image represent the cotton planting mode. For example, 1-3-3 represents one film, three tubes, and three rows. The number at the top of the image represents the number of days after stopping watering. For example, 1 represents the first day after stopping watering. The first to third lines of the image show changes in soil water content, while the fourth to sixth lines show changes in soil salt content.</p>
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<p>Water and salt changes under different planting patterns in S13 scenario. Note: The numbers on the left side of the image represent the cotton planting mode. For example, 1-3-3 represents one film, three tubes, and three rows. The number at the top of the image represents the number of days after stopping watering. For example, 1 represents the first day after stopping watering. The first to third lines of the image show changes in soil water content, while the fourth to sixth lines show changes in soil salt content.</p>
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13 pages, 1771 KiB  
Article
Single-Stage Image-Guided Percutaneous Ablation with Thoracoscopic Resection for Multiple Pulmonary Lesions in a Hybrid Operating Room: A Retrospective Study
by Ling-Kai Chang, Po-Keng Su, Pak-Si Chan, Shwetambara Malwade, Wen-Yuan Chung and Shun-Mao Yang
Cancers 2024, 16(20), 3512; https://doi.org/10.3390/cancers16203512 - 17 Oct 2024
Viewed by 197
Abstract
Background: Different approaches are required in treating patients with multiple pulmonary lesions. A multistage procedure may increase the risk of complications and patient discomfort. This study reports an initial experience with single-stage management of multiple lung lesions using percutaneous ablation with thoracoscopic resection [...] Read more.
Background: Different approaches are required in treating patients with multiple pulmonary lesions. A multistage procedure may increase the risk of complications and patient discomfort. This study reports an initial experience with single-stage management of multiple lung lesions using percutaneous ablation with thoracoscopic resection in a hybrid operating room (HOR). Methods: We retrospectively evaluated patients who underwent combined ablation and resection in an HOR between May 2022 and July 2024. All patients received a single anesthesia via endotracheal tube intubation. The clinical data, operative findings, and pathological characteristics of the lung nodules were recorded. Results: A total of 22 patients were enrolled in this study. Twenty patients underwent unilateral procedures, while the other two patients underwent bilateral procedures. Ablations were performed before lung resection in 21 patients; only 1 patient underwent surgery first. The median global operating room time was 227.0 min. The median total radiation dose (dose area product) was 14,076 μGym2. The median hospital postoperative length of stay was 2 days. Conclusions: The single-stage procedure of percutaneous ablation with thoracoscopic resection under general anesthesia in an HOR is feasible and safe. This procedure is an alternative method for managing multiple pulmonary lesions. Full article
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<p>Single-stage synchronized procedures of ablation and VATS in an HOR. (<b>A</b>) The C-arm projects the laser cross to insert the coaxial needle for the ablation procedure; (<b>B</b>) insertion of the ablation needle using arm support under a progressive view augmented fluoroscopy; (<b>C</b>) post-ablation CT showing the ablation zone while the needle was still inside the lesion; (<b>D</b>) confirmation CT scan for checking the stamped area alignment with the actual lesion location; (<b>E</b>) thoracoscopic surgery using a uniportal approach; (<b>F</b>) the dye-stamped area was identified to guide thoracoscopic resection. CT, computed tomography; VATS, video-assisted thoracic surgery; HOR, hybrid operating room.</p>
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<p>Demonstration of six cases from pre-ablation to resection. (<b>A</b>) Pre-ablation CT scan to indicate the location of the lesion to undergo ablation; (<b>B</b>) post-ablation CT showing the ablation zone and ablation needle in the zone; (<b>C</b>) CT to indicate the location of the lesion to undergo resection; (<b>D</b>) resected part of the lung showing that the lesion was successfully removed. CT, computed tomography.</p>
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<p>Combined ablation and wedge resection of the same pulmonary lobe. (<b>A</b>) Ablation placement after partial resection; (<b>B</b>) focal ablation zone away from the staple line; (<b>C</b>) post-procedure CT showed a staple line near the ablation zone; (<b>D</b>) post-procedure CT showed a staple line in the ablation zone.</p>
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14 pages, 5956 KiB  
Article
Development of a Macro X-ray Fluorescence (MA-XRF) Scanner System for In Situ Analysis of Paintings That Operates in a Static or Dynamic Method
by Renato P. de Freitas, Miguel A. de Oliveira, Matheus B. de Oliveira, André R. Pimenta, Valter de S. Felix, Marcelo O. Pereira, Elicardo A. S. Gonçalves, João V. L. Grechi, Fabricio L. e. Silva, Cristiano de S. Carvalho, Jonas G. R. S. Ataliba, Leandro O. Pereira, Lucas C. Muniz, Robson B. dos Santos and Vitor da S. Vital
Quantum Beam Sci. 2024, 8(4), 26; https://doi.org/10.3390/qubs8040026 - 17 Oct 2024
Viewed by 262
Abstract
This work presents the development of a macro X-ray fluorescence (MA-XRF) scanner system for in situ analysis of paintings. The instrument was developed to operate using continuous acquisitions, where the module with the X-ray tube and detector moves at a constant speed, dynamically [...] Read more.
This work presents the development of a macro X-ray fluorescence (MA-XRF) scanner system for in situ analysis of paintings. The instrument was developed to operate using continuous acquisitions, where the module with the X-ray tube and detector moves at a constant speed, dynamically collecting spectra for each pixel of the artwork. Another possible configuration for the instrument is static acquisitions, where the module with the X-ray tube and detector remains stationary to acquire spectra for each pixel. The work also includes the analytical characterization of the system, which incorporates a 1.00 mm collimator that allows for a resolution of 1.76 mm. Additionally, the study presents the results of the analysis of two Brazilian paintings using this instrument. The elemental maps obtained enabled the characterization of the pigments used in the creation of the artworks and materials used in restoration processes. Full article
(This article belongs to the Special Issue New Advances in Macro X-ray Fluorescence Applications)
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<p>Mechanical project containing the module with X-ray tube and detector, which was integrated into the movement system.</p>
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<p>Complete mechanical design of the MA-XRF system; X-ray generator power supply (<b>a</b>).</p>
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<p>Fitting model developed from MA-XRF scanning data of the painting “<span class="html-italic">A Morta</span>”.</p>
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<p>Verification of the scanner’s spatial resolution for distances of 12 and 13 mm using the knife−edge method. (<b>A</b>): counts × positions for distance 12 mm; (<b>B</b>): 1st derivative for distance 12 mm; (<b>C</b>): counts × positions for distance 13 mm; (<b>D</b>): 1st derivative for distance 12 mm.</p>
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<p>(<b>A</b>) Fe-Kα photon counts collected over 30 min; (<b>B</b>) spectrum from standard sample collected during 1 s; (<b>C</b>) results of the tests of sensitivity (S); (<b>D</b>) limit detection (DL).</p>
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<p>The painting “São Paulo” (1741 mm × 712 mm), collection of the D. João VI Museum, Rio de Janeiro, Brazil. The red polygon region indicates the scanning area of the painting.</p>
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<p>The painting “<span class="html-italic">A Morta</span>” (504 mm × 612 mm), collection of the Victor Meirelles Museum, Santa Catarina. The red polygon region indicates the scanning area of the painting.</p>
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<p>Comparison of the maximum XRF spectra collected in the matrix of the paintings “São Paulo” and “<span class="html-italic">A Morta</span>”.</p>
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<p>Elemental maps of the painting “São Paulo”.</p>
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<p>Elemental maps of the painting “<span class="html-italic">A Morta</span>”.</p>
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17 pages, 8713 KiB  
Article
Flexural Behavior of Concrete-Filled Steel Tube Beams Composite with Concrete Slab Deck
by Salam Maytham AlObaidi, Mohammed Abbas Mousa, Aqil M. Almusawi, Muhaned A. Shallal and Saif Alzabeebee
Infrastructures 2024, 9(10), 187; https://doi.org/10.3390/infrastructures9100187 - 17 Oct 2024
Viewed by 285
Abstract
Concrete-filled steel tube (CFST) beams have shown their flexural effectiveness in terms of stiffness, strength, and ductility. On the other hand, composite bridge girders demand durable and ductile girders to serve as tension members, while the concrete deck slab resists the compression stresses. [...] Read more.
Concrete-filled steel tube (CFST) beams have shown their flexural effectiveness in terms of stiffness, strength, and ductility. On the other hand, composite bridge girders demand durable and ductile girders to serve as tension members, while the concrete deck slab resists the compression stresses. In this study, six composite CFST beams with concrete slab decks with a span of 170 cm were investigated under a four-point bending test. The main variables of the study were the compressive strength of the concrete deck, the size of CFST beams, and the composite mechanism between the CFST girder and the concrete deck. The results showed that the flexural strength and ductility of the composite system increased by 20% with increasing concrete compressive strength. The study revealed that the higher-strength concrete slab deck enabled the CFST beam to exhibit improved flexural behavior with reduced deflections and enhanced resistance to cracking. The findings also highlighted the importance of considering the interactions between the steel tube and concrete slab deck in determining the flexural behavior of the composite system revealed by strain distribution along the composite beam profile as determined using the digital image correlation DIC technique, where a 40% increase in the flexural strength was obtained when a channel section was added to the joint of the composite section. Full article
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<p>Cross-section details of the specimens.</p>
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<p>Reinforcement details and casting of concrete deck slab.</p>
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<p>Test setup of the experimental test.</p>
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<p>Load–displacement curves of the specimens.</p>
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<p>Load–slip curves of the tested specimens, measured from the side of the beam.</p>
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<p>Full-field strain distribution of the tested specimens at ultimate load using DIC.</p>
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<p>Full-field strain distribution of the tested specimens at ultimate load using DIC.</p>
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<p>Horizontal strain distribution along the section of the tested specimens at ultimate load using DIC.</p>
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<p>Horizontal strain distribution along the section of the tested specimens at ultimate load using DIC.</p>
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<p>Horizontal strain distribution of discontinued and fully connected composite beams, the red colors refer to compression strains and blue colors indicate the tension strains.</p>
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<p>Strain evolution with loads at multiple locations of the composite beams.</p>
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<p>Strain evolution with loads at multiple locations of the composite beams.</p>
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12 pages, 528 KiB  
Systematic Review
Neurosurgical Microvascular Anastomosis: Systematic Review of the Existing Simulators and Proposal of a New Training Classification System
by Lelio Guida, Martina Sebök, Marcelo Magaldi Oliveira, Christiaan Hendrik Bas van Niftrik, Fady T. Charbel, Marco Cenzato, Luca Regli and Giuseppe Esposito
Brain Sci. 2024, 14(10), 1031; https://doi.org/10.3390/brainsci14101031 - 17 Oct 2024
Viewed by 179
Abstract
Background: The literature lacks a combined analysis of neurosurgical microvascular anastomosis training models. We performed a systematic literature search to provide an overview of the existing models and proposed a classification system based on the level of simulation and reproducibility of the microvascular [...] Read more.
Background: The literature lacks a combined analysis of neurosurgical microvascular anastomosis training models. We performed a systematic literature search to provide an overview of the existing models and proposed a classification system based on the level of simulation and reproducibility of the microvascular anastomosis. Methods: The systematic literature search followed the PRISMA guidelines. We consulted MEDLINE, Web of Knowledge, and EMBASE independently for papers about bypass training models. Every training model was analyzed according to six tasks supposed to esteem their fidelity to the real operative setting by using a scoring system from zero to two. Finally, authors classified the models into five classes, from A to E, by summing the individual scores. Results: This study included 109 papers for analysis. Training models were grouped into synthetic tubes, ex vivo models (animal vessels, fresh human cadavers, human placentas) and in vivo simulators (live animals—rats, rabbits, pigs). By applying the proposed classification system, live animals and placentas obtained the highest scores, falling into class A (excellent simulators). Human cadavers and animal vessels (ex vivo) were categorized in class B (good simulators), followed by synthetic tubes (class C, reasonable simulators). Conclusions: The proposed classification system helps the neurosurgeon to analyze the available training models for microvascular anastomosis critically, and to choose the most appropriate one according to the skills they need to improve Full article
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<p>The PRISMA flowchart of the research strategy [<a href="#B8-brainsci-14-01031" class="html-bibr">8</a>].</p>
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<p>Spider graphs presenting the features of the training models. In clockwise sense: basic microsuture models, synthetic tubes, animal vessels (in vitro), human cadavers, placenta, and live animals (in vivo).</p>
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16 pages, 3895 KiB  
Article
Computational Fluid Dynamics (CFD) in Arteriovenous (AV) Graft Implantation Through End-to-Side Anastomosis with Varying Tube Diameters Across Different Vascular Access Locations for Dialysis Treatment
by Roland Jayson Panganiban, Reniela Redem Lictaoa, Martin Lance Mesia, Jordan Angelo Amorado and Heherson Cabrera
Medicina 2024, 60(10), 1704; https://doi.org/10.3390/medicina60101704 - 17 Oct 2024
Viewed by 242
Abstract
Background/Objectives: Arteriovenous (AV) graft is a procedure for hemodialysis performed in the arm. Optimizing AV graft design is vital to enhance haemodialytic efficiency in patients with kidney disease. Despite being a standard procedure, making it work optimally is still difficult due to various [...] Read more.
Background/Objectives: Arteriovenous (AV) graft is a procedure for hemodialysis performed in the arm. Optimizing AV graft design is vital to enhance haemodialytic efficiency in patients with kidney disease. Despite being a standard procedure, making it work optimally is still difficult due to various graft diameters and anastomosis configurations, which have limited studies. This research aims to find the ideal AV graft tube diameter on blood flow and pressure gradients and the ideal body site for AV graft implantation and to study their angles for dialysate flow. Methods: Nine models were designed in Autodesk Fusion 360 with 40°, 50°, and 60° angles each having 2 mm, 5.1 mm, and 14.5 mm diameters, all following specific equations on continuity, momentum (Navier-Stokes Equation)), and the Reynolds Stress Model (RSM). The CFD simulation of these models was performed in ANSYS Fluent with an established parameter of 0.3 m/s inlet velocity and stiff/no-slip graft and artery wall boundary condition. Results: As a result, the design with a diameter of 14.5 mm and a 40° angle was overall the most ideal in terms of minimal wall shear stress and turbulence. Conclusions: Thus the brachiocephalic area or the forearm is calculated to be the most optimal implantation site. Additionally, varying angles do affect dialysate flow, as smaller values cause less stress. Full article
(This article belongs to the Section Urology & Nephrology)
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<p>Hemodialysis access locations. (<b>A</b>) Endogenous radio cephalic arteriovenous graft. (<b>B</b>) Endogenous brachiocephalic graft. (<b>C</b>) Endogenous transposed brachiobasilic graft [<a href="#B6-medicina-60-01704" class="html-bibr">6</a>].</p>
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<p>Geometric front view and diameter of the nine anastomosis models. The diameters of the nine models: 2 mm for (<b>a</b>,<b>d</b>,<b>g</b>); 5.1 mm for (<b>b</b>,<b>e</b>,<b>h</b>); and 14.5 mm for (<b>c</b>,<b>f</b>,<b>i</b>). Three angles that show in the geometric front views: 40° for (<b>a</b>–<b>c</b>), 50° for (<b>d</b>–<b>f</b>), and 60° for (<b>g</b>–<b>i</b>).</p>
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<p>Geometric front view and diameter of the nine anastomosis models. The diameters of the nine models: 2 mm for (<b>a</b>,<b>d</b>,<b>g</b>); 5.1 mm for (<b>b</b>,<b>e</b>,<b>h</b>); and 14.5 mm for (<b>c</b>,<b>f</b>,<b>i</b>). Three angles that show in the geometric front views: 40° for (<b>a</b>–<b>c</b>), 50° for (<b>d</b>–<b>f</b>), and 60° for (<b>g</b>–<b>i</b>).</p>
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<p>Mesh Model.</p>
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<p>Pressure comparison for the same anastomosis angle with different blood vessel diameters: (<b>a</b>) 2 mm, (<b>b</b>) 5.1 mm, and (<b>c</b>) 14.5 mm. The lesser the red color of the pressure contour along the anastomosis site, the less stress applied and an ideal diameter.</p>
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<p>Turbulence comparison for same blood vessel diameters with different anastomosis angles: (<b>a</b>) 40°, (<b>b</b>) 50°, and (<b>c</b>) 60°. The darker the color of red at the conjunction of the attached graft and vein, the better the blood flow.</p>
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<p>Wall Shear Stress comparison for 50-degree anastomosis angle with different blood vessel diameters.</p>
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<p>Wall Shear Stress comparison for 50-degree anastomosis angle with different blood vessel diameters.</p>
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<p>Wall Shear Stress comparison for 60-degree anastomosis angle with different blood vessels.</p>
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<p>Turbulence comparison for 2 mm wide blood vessels with different anastomosis angles.</p>
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<p>Turbulence comparison for 5.1 mm wide blood vessels with different anastomosis angles.</p>
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<p>Turbulence comparison for 5.1 mm wide blood vessels with different anastomosis angles.</p>
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10 pages, 7325 KiB  
Technical Note
The Panflute Technique: Novel 3D-Printed Patient Specific Instrumentation to Guide Curved Intra-Articular Osteotomies for Tibial Plateau Malunions
by Nick Assink, Cornelia W. Binnekamp, Hugo C. van der Veen, Job N. Doornberg, Frank F. A. IJpma and Peter A. J. Pijpker
J. Clin. Med. 2024, 13(20), 6175; https://doi.org/10.3390/jcm13206175 - 17 Oct 2024
Viewed by 174
Abstract
Background/Objectives: 3D patient-specific corrective osteotomies are optimized for use with oscillating saws, thereby rendering it incapable of executing curved osteotomies. The aim of this technical note is to introduce and evaluate the Panflute technique, which facilitates curved osteotomies with precise depth control [...] Read more.
Background/Objectives: 3D patient-specific corrective osteotomies are optimized for use with oscillating saws, thereby rendering it incapable of executing curved osteotomies. The aim of this technical note is to introduce and evaluate the Panflute technique, which facilitates curved osteotomies with precise depth control for intra-articular corrective osteotomies in posttraumatic tibial plateau malunions. Methods: A 33-year-old male patient with an intra-articular malunion was treated one year after index surgery of a lateral split-depression tibial plateau fracture with the Panflute technique. The guide design allowed for multiple drill trajectories in a curved path, recreating the original fracture lines. Cylindrical drill tubes in the guide were tailored to match bone trajectory length. This resulted in a patient-specific Panflute-like design enabling precise depth control, safeguarding posterior neurovascular structures. Secondly, the recreated fragment was reduced with a reduction guide, applied to the plate in situ, to facilitate reposition using the plate as tool and reference. Results: The procedure went without technical drawbacks or surgical complications. Postoperative assessment showed that repositioning of the osteotomized articular fragment was performed accurately: pre- to postoperative translational corrections were 5.4 to 0.5 mm posterior displacement for AP deformity (x-axis); 2.9 to 1.0 mm lateral to medial reduction (y-axis); and 5.9 to 0.6 mm cranial-caudal correction (z-axis). Clinically, at 3 months, the fracture united, the patient regained full flexion, and valgus defect-laxity resolved. Conclusions: The presented Panflute-osteotomy guide allows for a pre-planned curved osteotomy. Additionally, for every drill trajectory, the depth could be controlled. The proposed method may expand our surgical armamentarium of patient-specific 3D techniques and solutions for complex intra-articular osteotomies. Full article
(This article belongs to the Section Orthopedics)
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<p>Anteroposterior and lateral radiograph of the initial tibial plateau fracture (<b>a</b>,<b>b</b>) and of the situation 1-year postoperative (<b>c</b>,<b>d</b>).</p>
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<p>Process of 3D virtual surgical planning. (<b>a</b>) 3D reconstruction of the affected bone is created from the CT scan. (<b>b</b>) The contralateral unaffected side (orange) is mirrored and aligned to serve as a template for reduction. (<b>c</b>) The osteotomy cut (red) consisted of several drill trajectories and was planned to cut the malpositioned fragment. (<b>d</b>) The malpositioned fragment is virtually reduced to its anatomical position. (<b>e</b>) The new position is verified with the matching of the mirrored contralateral side.</p>
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<p>The ‘Panflute guide’ in anterior (<b>a</b>) and cross-sectional view (<b>b</b>). Tailoring the cylindrical drill tube to match the bone trajectory length for each hole creates a Panflute-like design that enables precise depth control and safeguards posterior vascular structures.</p>
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<p>3D-assisted surgery: The Panflute osteotomy guide (red) was positioned on top of the in situ plate and kept in position with K-wires, which later serves as a reference for the intermediate (yellow) and reposition (green) guide at a later stage of the procedure. After satisfactory positioning, a 1.8 mm drill was used through the different holes in the Panflute guide to create the osteotomy plane (<b>a</b>); after all trajectories were drilled, the guide and implant were removed, and the bone fragment—that needs to be reduced—was separated from the rest of the proximal tibia with an osteotome (<b>b</b>); the osteotomy was followed by predrilling the distal holes for the screws of the new plate using the intermediate guide (<b>c</b>); then the new plate was fixated on the osteotomized fragment using the old proximal screw holes (<b>d</b>); the reposition guide, which fitted on top of the new implant, was then used to steer the fragment to the planned position relative to the bone, after which the plate was fixated on the shaft (<b>e</b>); after fixation of the plate, the reposition guide was removed, and the wound was closed (<b>f</b>).</p>
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<p>Per-operative usage of the different surgical guides: Panflute guide (<b>left</b>), intermediate guide (<b>middle</b>), and reposition guide (<b>right</b>).</p>
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<p>Postoperative anteroposterior (<b>a</b>) and lateral radiographs (<b>b</b>) at 3 months follow-up demonstrating improved alignment and progressive consolidation.</p>
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<p>Preoperative (purple), planned (yellow), and postoperative (green) position of the reduced fragment. 3D assessment is performed to assess the fragment position before and after surgery as compared to the planned outcome. Difference is assessed in terms of translation (Δx, Δy, Δz) and rotation (Δζ, Δθ, Δφ) in three axes.</p>
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15 pages, 3633 KiB  
Article
Rib Alignment Control of Long-Span Arch Bridge in Cable-Stayed Buckle by Multi-Objective Optimization
by Mengsheng Yu, Xinyu Yao, Longlin Wang, Tianzhi Hao and Nianchun Deng
Buildings 2024, 14(10), 3281; https://doi.org/10.3390/buildings14103281 - 17 Oct 2024
Viewed by 253
Abstract
The construction duration of long-span arch bridges is excessively prolonged due to insufficient closing precision and the non-convergence of traditional cable adjustment calculation methods. This study investigates cable force management in long-span concrete-filled steel tubular (CFST) arch bridges during cable-stayed buckle construction, aiming [...] Read more.
The construction duration of long-span arch bridges is excessively prolonged due to insufficient closing precision and the non-convergence of traditional cable adjustment calculation methods. This study investigates cable force management in long-span concrete-filled steel tubular (CFST) arch bridges during cable-stayed buckle construction, aiming to improve construction safety and precision in arch rib alignment. Using the Pingnan Third Bridge and Tian’e Longtan Bridge as practical examples, the research develops a multi-objective optimization method for cable forces that integrates influence matrices, constrained minimization, and a forward iterative approach. This method offers a robust strategy for tensioning and cable-stayed buckling, enabling real-time monitoring, calculation, and adjustment during the construction of large-span CFST arch bridges. The results reveal that the iterative approach notably enhances calculation efficiency compared to conventional methods. For instance, field measurements at the Pingnan Third Bridge show a minimal arch closure error of only 3 mm. Additionally, the study addresses concerns about excessive stress in exposed steel tubes during concrete casting. By optimizing the sequence of main arch closure and concrete casting, stress in the exposed steel tube is reduced from 373 MPa to 316 MPa, thus meeting specification requirements. In summary, the multi-objective cable force optimization method demonstrates superior efficiency in determining cable tension and controlling rib alignment during cable-stayed buckle construction of long-span CFST arch bridges. Full article
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<p>Iterative calculation steps of cable force adjustment.</p>
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<p>The elevation view of the Pingnan Third Bridge.</p>
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<p>The schematic diagram of the displacement control point.</p>
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<p>Elevation of Tian’e Longtan Grand Bridge.</p>
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<p>The schematic diagram of the cable-stayed buckle construction.</p>
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<p>Relationship curve between dispersion and delta of the Pingnan Third Bridge.</p>
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<p>Relationship curve between dispersion and delta of the Tian’e Longtan Bridge.</p>
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<p>Arch rib segment division (Pingnan Third Bridge) (the number indicates the arch rib segment number).</p>
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<p>Arch rib segment division (Tian’e Longtan Bridge) (the number indicates the arch rib segment number).</p>
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<p>The comparison diagram of the initial iteration cable tension and optimized cable force of Pingnan Third Bridge (unit: kN). Note: S = South, N = North, A = Cable force after upstream optimization, B = Cable force after downstream optimization, C = Cable force before upstream optimization, D = Cable force before downstream optimization.</p>
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<p>The comparison diagram of the initial iteration cable tension and optimized cable force of the Tian’e Longtan Bridge (unit: kN). Note: S = South, N = North, A = Cable force after upstream optimization, B = Cable force after downstream optimization, C = Cable force before upstream optimization, D = Cable force before downstream optimization.</p>
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<p>The displacement result diagram of the Pingnan Third Bridge. Note: U = Up, D = Down, A = The difference between the alignment of the after cable closure and the target displacement, B = The displacement difference between south and north after cable closure, C = The displacement difference between the upstream and downstream of the installed horizontal brace segment, D = The displacement difference between south and north in the current tension stage.</p>
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<p>The displacement result diagram of the Tian’e Longtan Bridge. Note: U = Up, D = Down, A = The difference between the alignment of the after cable closure and the target displacement, B = The displacement difference between south and north after cable closure, C = The displacement difference between south and north in the current tension stage, D = The displacement difference between the upstream and downstream of the installed horizontal transverse brace segment.</p>
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<p>The displacement of in situ measured and theoretical of the Pingnan Third Bridge. Note: S = South, N = North, A = The upstream in situ measured displacement, B = The upstream theoretical displacement, C = The downstream in situ measured displacement, D = The downstream theoretical displacement.</p>
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<p>The comparison diagram of stress optimization schemes for the Tian’e Longtan Bridge.</p>
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15 pages, 3362 KiB  
Article
Changes in Travel Activities and Preferences in Gangwon Province, South Korea, Due to Social Distancing Measures during COVID-19
by Kwangmin Ham, Jiseon Hong and Eujin Julia Kim
Sustainability 2024, 16(20), 8940; https://doi.org/10.3390/su16208940 - 16 Oct 2024
Viewed by 368
Abstract
Social media data are increasingly used to assess public opinion dynamics and develop sustainable regional tourism policies. This study explored the changes in travel patterns and preferences in Gangwon Province before, during, and after the implementation of social distancing measures during the COVID-19 [...] Read more.
Social media data are increasingly used to assess public opinion dynamics and develop sustainable regional tourism policies. This study explored the changes in travel patterns and preferences in Gangwon Province before, during, and after the implementation of social distancing measures during the COVID-19 pandemic. Five hundred and twenty-six YouTube videos related to travel in Gangwon Province were collected using NodeXL, and content and statistical analyses were conducted on travel regions, main activities, and viewers’ reactions. The main findings indicated that as the intensity of social distancing measures increased, the activity of YouTube video creators also increased, particularly in the East Coast region, compared with other locations such as mountains, rivers, and traditional markets. Viewer engagement was the highest during the implementation of social distancing, showing a considerable interest in beach travel. These results have significant implications for planning safe travel during crises such as COVID-19 and for local governments to promote a responsible travel environment. Full article
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<p>Data processing and analysis methods.</p>
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<p>Changes in the number of videos related to travel in Gangwon Province.</p>
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<p>Changes in travel regions of Gangwon Province according to social distancing.</p>
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<p>Rate of increase and decrease in Gangwon Province travel regions based on social distancing.</p>
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<p>Changes in travel locations in Gangwon Province based on social distancing.</p>
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<p>Changes in travel activities in Gangwon Province based on social distancing.</p>
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<p>Relationship between views and likes.</p>
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<p>Number of likes by region.</p>
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<p>Number of likes by location.</p>
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12 pages, 2049 KiB  
Article
Optimization of Exocrine Pancreatic Insufficiency in Pancreatic Adenocarcinoma Patients
by Jaclyn V. Moore, Charles R. Scoggins, Prejesh Philips, Michael E. Egger and Robert C. G. Martin
Nutrients 2024, 16(20), 3499; https://doi.org/10.3390/nu16203499 - 15 Oct 2024
Viewed by 314
Abstract
Background/Objectives: This study explores the optimization of exocrine pancreatic insufficiency (EPI) management in pancreatic adenocarcinoma patients, focusing on the scientific advancements and technological interventions available to improve patient outcomes, including oral pancreatic enzyme replacement therapy (PERT) and immobilized lipase cartridge (RELiZORB®). [...] Read more.
Background/Objectives: This study explores the optimization of exocrine pancreatic insufficiency (EPI) management in pancreatic adenocarcinoma patients, focusing on the scientific advancements and technological interventions available to improve patient outcomes, including oral pancreatic enzyme replacement therapy (PERT) and immobilized lipase cartridge (RELiZORB®). This was a prospective Institutional Review Board (IRB)-approved study from October 2019 through to August 2021 at the Louisville Medical Center in collaboration with Norton Healthcare and the University of Louisville Division of Surgical Oncology. Patients with a diagnosis of pancreatic adenocarcinoma (Stage 2 or 3) who underwent oncologic surgical resection were included in this study. Methods: Patients were contacted at pre-defined intervals (prior to surgery, before hospital discharge, and 2, 4, 6, and 12 weeks after surgery) to complete nutrition evaluation, EPI assessment, and quality of life questionnaires to identify the severity and frequency of gastrointestinal (GI) symptoms. Results: EPI symptoms were reported in 28 of the 35 total patients studied (80%). Jejunostomy tubes were placed during oncologic surgery in 25 of the 35 total patients studied (71%), and 12 of the 25 patients with a jejunostomy tube utilized enzyme cartridges to manage EPI symptoms while on supplemental tube feeding (48%). EPI symptoms were reported in 8 of the 10 patients without a feeding tube (80%), and their EPI symptoms were managed with PERT alone. EPI interventions, both oral PERT and immobilized cartridges, were associated with a decrease in EPI symptoms after surgery and improved quality of life (QOL). Conclusions: Overall, early optimization of EPI is crucial to enhance overall patient care, return to oncology therapy after surgery, and improve quality of life in pancreatic adenocarcinoma patients. Full article
(This article belongs to the Special Issue Nutritional Therapies in Clinical Practice, Management and Care)
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<p>The EPI recommended treatment algorithm for a pancreatic cancer patient with or without a gastrostomy or a jejunal feeding tube with documented preoperative EPI symptoms. Abbreviation: colony-forming units (CFUs).</p>
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<p>The EPI recommended treatment algorithm for a pancreatic cancer patient with or without a gastrostomy or a jejunal feeding tube with no preoperative EPI symptoms. Abbreviation: colony-forming units (CFUs).</p>
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<p>Reported instances of diarrhea, urgency, overnight stools, early-morning stools, frequent stools, and gurgling decreased after initiation of enzyme cartridges. Abbreviation: bowel movement (BM).</p>
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<p>Reported instances of excess gas, bloating, fullness, nausea, pain, and uncontrolled stools slightly increased after initial initiation of enzyme cartridges. Abbreviation: bowel movement (BM).</p>
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