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Risk factors for anastomotic leakage after low anterior resection without diversional stomas
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作者 Xiaolong Chen Libo Feng +8 位作者 Yu Liu Xiaolong Wu Jie Xu Peng Chen Zhonglin Zuo Yi Liu Qingwei Zou Qing Liu Dong Xia 《Oncology and Translational Medicine》 2018年第3期101-107,共7页
Objective The most important complication after low anterior resection(LAR) for mid-low rectal cancer is symptomatic anastomotic leakage(AL). More than one-third of patients with rectal cancer who underwent LAR will h... Objective The most important complication after low anterior resection(LAR) for mid-low rectal cancer is symptomatic anastomotic leakage(AL). More than one-third of patients with rectal cancer who underwent LAR will have functional stomas during primary operation. The aim of this retrospective study was to evaluate the risk factors associated with clinical AL following LAR without diversional stomas.Methods Between 2012 and 2017, information about 578 consecutive patients with rectal tumors less than 12 cm from the anal verge who underwent LAR without diversional stomas by the same surgical team was collected retrospectively. A standardized extraperitonealized anastomosis and pelvic drainage were conducted for all patients during primary operations, and the outcome of interest was clinical AL. The associations between AL and 14 patient-related and surgical variables were examined by both univariate chi-square test and multivariate logistic regression analysis.Results The AL rate was 7.27%(42 of 578). Univariate and multivariate analyses showed that male sex(P = 0.018), mid-low rectal cancer(located 10 cm or less above the anal verge)(P = 0.041), presence of diabetes(odds ratio = 2.117), longer duration of operation(odds ratio = 1.890), and intraoperative contamination(odds ratio = 2.163) were risk factors of AL for LAR without diversional stoma and independently predictive of clinical AL. Nearly 83.3%(35 of 42) of leakage could be cured by persistent pelvic irrigation-suction-drainage without surgical intervention. Only 7 patients(16.7%) with severe complications, such as peritonitis, and fistula, required reoperation, and functional stoma was used as a salvage treatment.Conclusion From the findings of this retrospective survey, we identified that mid-low rectal cancer and male sex were independent risk factors for developing clinical AL after LAR without diversional stomas, as well as longer duration of operation, presence of diabetes, and contamination of the operative field. Moreover, we deemed that LAR without diversional stomas for mid-low rectal cancers was safe, effective, and feasible. Extraperitonealized anastomosis and pelvic drainage obtained a relatively low rate of AL and avoided unnecessary functional stomas. Pelvic irrigation-suction-drainage was an effective procedure to resolve AL, and functional stoma was potentially used as a salvage modality for serious leakage. 展开更多
关键词 anastomotic leakage (AL) low anterior resection (LAR) diversional stomas
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The mechanisms of thermal solidification agent promoting steam diversion in heavy oil reservoirs
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作者 Zhan-Xi Pang Qian-Hui Wang +2 位作者 Qiang Meng Bo Wang Dong Liu 《Petroleum Science》 SCIE EI CAS CSCD 2024年第3期1902-1914,共13页
At high cycles of steam huff&puff,oil distribution in reservoirs becomes stronger heterogeneity due to steam channeling.Thermal solidification agent can be used to solve this problem.Its solution is a lowviscosity... At high cycles of steam huff&puff,oil distribution in reservoirs becomes stronger heterogeneity due to steam channeling.Thermal solidification agent can be used to solve this problem.Its solution is a lowviscosity liquid at normal temperature,but it can be solidified above 80℃.The plugging degree is up to 99%at 250℃.The sweep efficiency reaches 59.2%,which is 7.3%higher than pure steam injection.In addition,simultaneous injection of viscosity reducer and/or nitrogen foams can further enhance oil recovery.The mechanism of this technology depends on its strong plugging ability,which changes the flowing pattern of steam to effectively mobilize remaining oil.Viscosity reducer and nitrogen foams further expand the sweep range and extends the effective period.Therefore,thermal solidification agent can plug steam channeling paths and adjust steam flowing direction to significantly enhance oil recovery at high cycles of steam huff&puff. 展开更多
关键词 Heavy oil reservoir Steam huff&puff Steam channeling Steam diversion Plugging performance Mechanism analysis
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An integrated north–south paleo-Dadu-Anning River: New insights from bulk major and trace element analyses of the Xigeda Formation
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作者 Yong Zheng Hai-bing Li +3 位作者 Jia-wei Pan Ping Wang Ya Lai Zheng Gong 《China Geology》 CAS CSCD 2024年第1期91-103,共13页
The Xianshuihe-Anninghe fault extends SE–S and constitutes the southeastern margin of the Tibetan Plateau.However,the Dadu River which is associated with the fault does not flow following the path,but makes a 90º... The Xianshuihe-Anninghe fault extends SE–S and constitutes the southeastern margin of the Tibetan Plateau.However,the Dadu River which is associated with the fault does not flow following the path,but makes a 90ºturn within a distance of 1 km at Shimian,heading east,and joins the Yangtze River,finally flowing into the East China Sea.Adjacent to the abrupt turn,a low and wide pass near the Daqiao reservoir at Mianning separates the N–S course of the Dadu River from the headwater of the Anning River which then flows south into the Yunnan Province along the Anninghe fault.Therefore,many previous studies assumed southward flow of the paleo-Dadu River from the Shimian to the Anning River.However,evidences for the capture of the integrated N–S paleo-Dadu-Anning River,its timing,and causes are still insufficient.This study explored the paleo-drainage pattern of the Dadu and Anning Rivers based on bulk mineral and geochemical analyses of the large quantities of fluvial/lacustrine sediments along the trunk of the Dadu and Anning Rivers.Similar with sands in the modern Dadu River,the Xigeda sediments also exhibit a granitoid affinity with the bulk major mineral compositions of quartz(>50%),anorthite(about 10%),orthoclase(about 5%),muscovite(about 5%),and clinochlore(about 4%).Correspondingly,bulk major elements show high SiO_(2),with all samples>60%,and some of them>70%,low TiO_(2)(≤0.75%),P_(2)O_(5)(≤0.55%),FeO*(≤5%),and relatively high CaO(1.02%–8.51%),Na_(2)O(1.60%–2.52%),and K_(2)O(2.17%–2.71%),with a uniform REE patterns.Therefore,synthesizing all these results indicate that these lacustrine sediments have similar material sources,which are mainly derived from its course in the Songpan-Ganzi flysch block,implying that the paleo-Dadu originally flowed southward into the Anning River and provided materials to the Xigeda ancient lake.The rearrangement of the paleo-Dadu River appears to be closely related to the locally focused uplift driven by strong activities of the XianshuiheXiaojiang fault system. 展开更多
关键词 Dadu River Anninghe fault River diversion Xigeda Formation Tectonic uplift PROVENANCE Songpan-Ganzi flysch Ancient lake Xianshuihe-Xiaojiang fault system Tibetan Plateau
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Fracture propagation law of temporary plugging and diversion fracturing in shale reservoirs under completion experiments of horizontal well with multi-cluster sand jetting perforation
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作者 ZOU Yushi LI Yanchao +3 位作者 YANG Can ZHANG Shicheng MA Xinfang ZOU Longqing 《Petroleum Exploration and Development》 SCIE 2024年第3期715-726,共12页
This study conducted temporary plugging and diversion fracturing(TPDF)experiments using a true triaxial fracturing simulation system within a laboratory setting that replicated a lab-based horizontal well completion w... This study conducted temporary plugging and diversion fracturing(TPDF)experiments using a true triaxial fracturing simulation system within a laboratory setting that replicated a lab-based horizontal well completion with multi-cluster sand jetting perforation.The effects of temporary plugging agent(TPA)particle size,TPA concentration,single-cluster perforation number and cluster number on plugging pressure,multi-fracture diversion pattern and distribution of TPAs were investigated.A combination of TPAs with small particle sizes within the fracture and large particle sizes within the segment is conducive to increasing the plugging pressure and promoting the diversion of multi-fractures.The addition of fibers can quickly achieve ultra-high pressure,but it may lead to longitudinal fractures extending along the wellbore.The temporary plugging peak pressure increases with an increase in the concentration of the TPA,reaching a peak at a certain concentration,and further increases do not significantly improve the temporary plugging peak pressure.The breaking pressure and temporary plugging peak pressure show a decreasing trend with an increase in single-cluster perforation number.A lower number of single-cluster perforations is beneficial for increasing the breaking pressure and temporary plugging peak pressure,and it has a more significant control on the propagation of multi-cluster fractures.A lower number of clusters is not conducive to increasing the total number and complexity of artificial fractures,while a higher number of clusters makes it difficult to achieve effective plugging.The TPAs within the fracture is mainly concentrated in the complex fracture areas,especially at the intersections of fractures.Meanwhile,the TPAs within the segment are primarily distributed near the perforation cluster apertures which initiated complex fractures. 展开更多
关键词 shale temporary plugging and diversion fracturing multi-cluster sand jetting perforation distribution of temporary plugging agent fracture propagation law
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Obstructive uropathy: Overview of the pathogenesis, etiology and management of a prevalent cause of acute kidney injury
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作者 Xabier Pérez-Aizpurua Ramiro Cabello Benavente +6 位作者 Gonzalo Bueno Serrano JoséMaría Alcázar Peral Blanca Gómez-Jordana Mañas Jaime Tufet i Jaumot Joaquín Ruiz de Castroviejo Blanco Felipe Osorio Ospina Carmen Gonzalez-Enguita 《World Journal of Nephrology》 2024年第2期5-15,共11页
Obstructive uropathy is defined as the structural or functional interruption of urinary outflow at any level in the urinary tract.It is regarded as one of the most prevalent causes of acute kidney injury(AKI),accounti... Obstructive uropathy is defined as the structural or functional interruption of urinary outflow at any level in the urinary tract.It is regarded as one of the most prevalent causes of acute kidney injury(AKI),accounting for 5%–10%of cases.Acute severe obstruction of the urinary tract is a potentially threatening situation for the kidneys and therefore requires prompt identification and management to relieve obstruction.The aim of the present article is to review and synthesize available evidence on obstructive uropathy,providing a clinical guideline for clinicians.A literature review on obstructive uropathy in the context of AKI was performed,focusing on the least clarified aspects regarding diagnosis and management.Recent literature searching was conducted in English and top-level evidence articles including systematic reviews,metanalyses and large series were prioritized.Acute obstruction of the urinary tract is a diagnostic and therapeutical challenge that may lead to important clinical complications together with direct structural and hemodynamic damage to the kidney.Early recognition of the leading cause and its exact location is essential to ensure prompt urinary drainage together with the most suitable drainage technique selection.A multidisciplinary approach,including urologists,nephrologists,and other medical specialties,is best suited to correctly manage concomitant hemodynamic changes,fluid and electrolyte imbalances,and other related issues.Obstructive uropathy is one of the leading causes of AKI.Recognition of patients suitable for early diversion and feasibility or adequate selection of the indicated technique is sometimes challeng-ing.A thorough understanding of the physiopathology behind the development of urinary obstruction is vital for correct diagnosis and management. 展开更多
关键词 Obstructive uropathy Urinary tract obstruction Obstruction of the urinary tract Acute kidney injury Urinary diversion Renal recovery
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Water hammer protection for diversion systems in front of pumps in long-distance water supply projects 被引量:4
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作者 Lin Shi Jian Zhang +3 位作者 Xiao-dong Yu Sheng Chen Wen-long Zhao Xu-yun Chen 《Water Science and Engineering》 EI CAS CSCD 2023年第2期211-218,共8页
For a water supply system with long-distance diversion pipelines, in addition to the water hammer problems that occur beyond pumps, the safety of the water diversion pipeline in front of pumps also deserves attention.... For a water supply system with long-distance diversion pipelines, in addition to the water hammer problems that occur beyond pumps, the safety of the water diversion pipeline in front of pumps also deserves attention. In this study, a water hammer protection scheme combined with an overflow surge tank and a regulating valve was developed. A mathematical model of the overflow surge tank was developed, and an analytical formula for the height of the overflow surge tank was derived. Furthermore, a practical water supply project was used to evaluate the feasibility of the combined protection scheme and analyze the sensitivity of valve regulation rules. The results showed that the combined protection scheme effectively reduced the height of the surge tank, lessened the difficulties related to construction, and reduced the necessary financial investment for the project. The two-stage closing rule articulated as fast first and then slow could minimize the overflow volume of the surge tank when the power failure occurred, while the two-stage opening rule articulated as slow first and then fast could be more conducive to the safety of the water supply system when the pump started up. 展开更多
关键词 Long-distance diversion pipeline Water supply Water hammer Overflow surge tank Regulating valve
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Water diversion and agricultural production:Evidence from China 被引量:1
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作者 YANG Rui XU Hang 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2023年第4期1244-1257,共14页
Water diversion can alleviate water shortages caused by the uneven distribution of water resources.China’s Southto-North Water Diversion Project(SNWD)is the largest water diversion project worldwide.Based on the pref... Water diversion can alleviate water shortages caused by the uneven distribution of water resources.China’s Southto-North Water Diversion Project(SNWD)is the largest water diversion project worldwide.Based on the prefecturelevel data of China’s Huang-Huai-Hai Plain from 2000 to 2020,this study employs an empirical strategy of Differencesin-Differences(DID)to analyze the impact of SNWD on agricultural production.The results show that SNWD has significantly increased agricultural production,measured by the agricultural value added.The estimated results of the benchmark model remain robust when the contemporaneous policy is addressed,an alternative outcome is used,subsamples are estimated,and alternative estimation techniques are employed.This study argues that the potential impact mechanism may be that SNWD significantly increases the acreage for cash crops but reduces that for grain crops.Heterogeneity analysis shows that in prefectures with high temperature or land potential,SNWD’s impact on agricultural value added is relatively low.In contrast,in areas with prolonged sunshine or high slopes,SNWD’s impact on agricultural value added is relatively large.Given the low added value of grain crops,the government should consider strengthening food security by subsidizing water supply to sustain grain production. 展开更多
关键词 South-to-North Water Diversion Project agricultural production Differences-in-Differences China
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Plugging behaviors of temporary plugging particles in hydraulic fractures 被引量:1
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作者 GUO Jianchun ZHAN Li +5 位作者 LU Qianli QI Tianjun LIU Yuxuan WANG Xin CHEN Chi GOU Xinghao 《Petroleum Exploration and Development》 SCIE 2023年第2期464-472,共9页
Using the visualized experimental device of temporary plugging in hydraulic fractures, the plugging behaviors of temporary plugging particles with different sizes and concentrations in hydraulic fractures were experim... Using the visualized experimental device of temporary plugging in hydraulic fractures, the plugging behaviors of temporary plugging particles with different sizes and concentrations in hydraulic fractures were experimentally analyzed under the conditions of different carrier fluid displacements and viscosities. The results show that the greater the carrier fluid viscosity and displacement, the more difficult it is to form a plugging layer, and that the larger the size and concentration of the temporary plugging particle, the less difficult it is to form a plugging layer. When the ratio of particle size to fracture width is 0.45, the formation of the plugging layer is mainly controlled by the mass concentration of the temporary plugging particle and the viscosity of the carrier fluid, and a stable plugging layer cannot form if the mass concentration of the temporary plugging particle is less than 20 kg/m^(3)or the viscosity of the carrier fluid is greater than 3 mPa·s. When the ratio of particle size to fracture width is 0.60, the formation of the plugging layer is mainly controlled by the mass concentration of the temporary plugging particle, and a stable plugging layer cannot form if the mass concentration of the temporary plugging particle is less than 10 kg/m^(3). When the ratio of particle size to fracture width is 0.75, the formation of the plugging layer is basically not affected by other parameters, and a stable plugging layer can form within the experimental conditions. The formation process of plugging layer includes two stages and four modes. The main controlling factors affecting the formation mode are the ratio of particle size to fracture width, carrier fluid displacement and carrier fluid viscosity. 展开更多
关键词 hydraulic fracture temporary plugging and diversion temporary plugging particle plugging characteristics construction parameters combination
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Comparative assessment of mechanical and chemical fluid diversion techniques during hydraulic fracturing in horizontal wells
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作者 Maunish S.Shah Subhash N.Shah 《Petroleum Science》 SCIE EI CAS CSCD 2023年第6期3582-3597,共16页
The application of fluid diversion during hydraulic fracturing is an evolving technology and has become popular amongst E&P operators over the past few years.The primary objective of the fluid diversion is to impr... The application of fluid diversion during hydraulic fracturing is an evolving technology and has become popular amongst E&P operators over the past few years.The primary objective of the fluid diversion is to improve hydraulic fracturing treatment by increasing stimulated reservoir volume and improving hydrocarbon recovery.This is possible by achieving any of the following objectives:creating uniform distribution of treatment slurry within the target zone;treating unstimulated and under-stimulated zones;or by increasing fracture density by creating a complex fracture network.The fluid diversion application is also helpful in decreasing the number of stages(by increasing stage length)for multi-stage plug-n-perf(PnP)fracturing treatment.It is also applied to prevent fracture-driven interactions between adjacent wells,which is currently a major issue,especially in shale.In addition,for successful refracturing treatment,the diverter application is essential for isolating the existing fractures and redirecting the treatment slurry to the desired unstimulated zones.The diversion methods can be broadly categorized into the mechanical and chemical diversion.Several established mechanical diversion techniques are frac plugs,expandable casing patches,expandable liners,swellable packers,straddle packer assembly,sand plugs,frac sleeves,perforation ball sealers,and limited entry technique.The different chemical diversion techniques are particulates,fibers,gels,surfactants,perforation pods,and composite diverting.This paper describes the current status of established mechanical and chemical diverter technologies and examines their comparative advantages and challenges.Various techniques are suitable for diverter application,but the technique is selected based on the desired objective and conditions of the wellbore and reservoir.The general guidelines for selecting diversion techniques and operational considerations are also provided in the paper.The diagnosis of diversion treatment plays an essential role in diversion technique selection and optimization of selection parameters for the subsequent treatments.Therefore,the application of conventional surface pressure monitoring techniques and advanced diagnostic tools to evaluate diversion effectiveness are briefly described.Presently no standard laboratory testing method is established for the performance evaluation of diverting agents.Therefore,researchers have implemented various laboratory methods,which are briefly summarized in the paper.Significant insight into the diversion technology and guidelines for its selection and successful implementation is provided to help engineers to increase the effectiveness of hydraulic fracturing treatments.The limitations of individual diversion techniques are clarified,which provide the future scope of research for improvement in various diversion technologies. 展开更多
关键词 Fluid diversion Diverter Diverting agents Multi-stage fracturing Hydraulic fracturing Horizontal well
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Contemporary outcomes of patients undergoing robotic-assisted radical cystectomy:A comparative analysis between intracorporeal ileal conduit and neobladder urinary diversions
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作者 Jordan M.Rich Shivaram Cumarasamy +6 位作者 Daniel Ranti Etienne Lavallee Kyrollis Attalla John P.Sfakianos Nikhil Waingankar Peter N.Wiklund Reza Mehrazin 《Asian Journal of Urology》 CSCD 2023年第4期446-452,共7页
Objective We aimed to compare perioperative and oncologic outcomes for patients undergoing robotic-assisted radical cystectomy(RARC)with intracorporeal ileal conduit(IC)and neobladder(NB)urinary diversion.Methods Pati... Objective We aimed to compare perioperative and oncologic outcomes for patients undergoing robotic-assisted radical cystectomy(RARC)with intracorporeal ileal conduit(IC)and neobladder(NB)urinary diversion.Methods Patients undergoing RARC with intracorporeal urinary diversion between January 2017 and January 2022 at the Icahn School of Medicine at Mount Sinai,New York,NY,USA were indexed.Baseline demographics,clinical characteristics,perioperative,and oncologic outcomes were analyzed.Survival was estimated with Kaplan-Meier plots.Results Of 261 patients(206[78.9%]male),190(72.8%)received IC while 71(27.2%)received NB diversion.Median age was greater in the IC group(71[interquartile range,IQR 65-78]years vs.64[IQR 59-67]years,p<0.001)and BMI was 26.6(IQR 23.2-30.4)kg/m^(2).IC group was more likely to have prior abdominal or pelvic radiation(15.8%vs.2.8%,p=0.014).American Association of Anesthesiologists scores were comparable between groups.The IC group had a higher proportion of patients with pathological tumor stage 2(pT2)tumors(34[17.9%]vs.10[14.1%],p=0.008)and pathological node stages pN2-N3(28[14.7%]vs.3[4.2%],p<0.001).The IC group had less median operative time(272[IQR 246-306]min vs.341[IQR 303-378]min,p<0.001)and estimated blood loss(250[150-500]mL vs.325[200-575]mL,p=0.002).Thirty-and 90-day complication rates were 44.4%and 50.2%,respectively,and comparable between groups.Clavien-Dindo grades 3-5 complications occurred in 27(10.3%)and 34(13.0%)patients within 30 and 90 days,respectively,with comparable rates between groups.Median follow-up was 324(IQR 167-552)days,and comparable between groups.Kaplan-Meier estimate for overall survival at 24 months was 89%for the IC cohort and 93%for the NB cohort(hazard ratio 1.23,95%confidence interval 1.05-2.42,p=0.02).Kaplan-Meier estimate for recurrence-free survival at 24 months was 74%for IC and 87%for NB(hazard ratio 1.81,95%confidence interval 0.82-4.04,p=0.10).Conclusion Patients undergoing intracorporeal IC urinary diversion had higher postoperative cancer stage,increased nodal involvement,similar complications outcomes,decreased overall survival,and similar recurrence-free survival compared to patients undergoing RARC with intracorporeal NB urinary diversion. 展开更多
关键词 ROBOTIC Radical cystectomy INTRACORPOREAL Ileal conduit Neobladder Urinary diversion Oncologic outcome
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Effectiveness of groundwater extraction in Beijing since the ingauration of the first phase of the South-to-North Water Diversion Project, China
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作者 Yuan-yuan Gao Qing-yu Sun +1 位作者 Ai-xin Wen Yan-pei Cheng 《Journal of Groundwater Science and Engineering》 2023年第3期294-307,共14页
This study assess the effectiveness of groundwater pressure extraction in Beijing since the opening of the first phase of the South-to-North Water Diversion Project,using survey and evaluation methods.Firstly,an analy... This study assess the effectiveness of groundwater pressure extraction in Beijing since the opening of the first phase of the South-to-North Water Diversion Project,using survey and evaluation methods.Firstly,an analysis of water consumption structure and the usage of diverted river water in Beijing in recent years was conducted.Secondly,the volume of groundwater pressure extraction in Beijing after the 33 project's inauguration was examined,revealing a decrease from 1.96 billion m^(3) in 2014 to 1.35 billion m^(3) in 2020.The proportion of water supply reduced from 52.3%in 2014 to 33.3%in 2020,leading to an optimized water supply structure.By the end of 2020,groundwater pressure extraction in Beijing is estimated at 446 million m3,with a substantial reduction in over-exploitation of groundwater.Groundwater resources have been effectively replenished,and the strategic reserve capacity has been enhanced.Furthermore,this study evaluates the change in groundwater levels as an indicator of the effectiveness of pressure extraction.The declining trend of groundwater levels in Beijing has been effectively mitigated,and there has been a consistent rebound in groundwater levels over the past five years. 展开更多
关键词 Beijing City South-to-North Water Diversion Groundwater Over-exploitation Groundwater Pressure Extraction
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What Is the Impact of Major Diversion Attitude on Undergraduates' Learning Gains?--The Mediating Role of Course Perception
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作者 Qintao Sun Yueqi Shi 《教育技术与创新》 2023年第1期1-15,共15页
Major diversion is an important part of the large-category student enrollment and training model.The degree to which undergraduates recognize the logic of the major diversion system,their satisfaction with the diverte... Major diversion is an important part of the large-category student enrollment and training model.The degree to which undergraduates recognize the logic of the major diversion system,their satisfaction with the diverted major,and their major identity after diversion all influence their subsequent learning process and outcomes.The questionnaire survey of undergraduates in this study discovered that major diversion attitude has a significant positive effect on undergraduates'learning gains;the mediating effect test discovered that course perception plays a partially mediating role between major diversion attitude and learning gains.Therefore,under the large-category student enrollment and training model,it is necessary to improve the major diversion system in terms of formulation,major selection guidance,and major identity promotion.Furthermore,strengthening the logical connection and content coupling of different types of courses,dealing with the proportion,priority,and sequence of courses,optimizing the allocation of course resources,and reasonably planning and setting courses all play an important role in improving undergraduate learning gains. 展开更多
关键词 the large-category enrollment and training major diversion attitude course perception learning gains
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某水电站导流隧洞开挖爆破振动监测与分析 被引量:3
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作者 邓华锋 张国栋 +2 位作者 王乐华 邓成进 周济芳 《水电能源科学》 北大核心 2010年第9期89-92,共4页
通过现场监测与分析导流隧洞爆破开挖振动情况,得到了不同围岩级别的爆破振动波速衰减方程,根据爆破振动速度允许标准求出了导流隧洞围岩和新浇衬砌混凝土爆破安全控制参数;分析了振动速度超过安全控制标准的原因并及时调整爆破参数,从... 通过现场监测与分析导流隧洞爆破开挖振动情况,得到了不同围岩级别的爆破振动波速衰减方程,根据爆破振动速度允许标准求出了导流隧洞围岩和新浇衬砌混凝土爆破安全控制参数;分析了振动速度超过安全控制标准的原因并及时调整爆破参数,从而有效控制了爆破振动破坏效应;根据现场实际情况,提出了几种后期隧道爆破施工中控制爆破振动的措施并取得了较好的效果。 展开更多
关键词 某水电站 导流隧洞 开挖爆破振动 监测与分析 Hydropower Station DIVERSION Tunnel 爆破振动速度 有效控制 隧道爆破施工 衬砌混凝土 允许标准 现场 围岩级别 隧洞围岩 衰减方程 破坏效应 控制参数 控制标准 爆破开挖 爆破参数
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导流洞出口体形对下游河道影响的试验研究 被引量:1
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作者 雷刚 张建民 向丽 《水力发电》 北大核心 2010年第12期91-94,共4页
结合具体工程的水力学试验,针对导流洞布置集中、导流量大、下游河道流态不易控制等问题,对导流洞出口处体形进行优化研究。通过取消两条导流洞之间的导墙和降低导流洞出口底板高度等措施,使水流能量得到衰减和扩散;适当改变导流洞出口... 结合具体工程的水力学试验,针对导流洞布置集中、导流量大、下游河道流态不易控制等问题,对导流洞出口处体形进行优化研究。通过取消两条导流洞之间的导墙和降低导流洞出口底板高度等措施,使水流能量得到衰减和扩散;适当改变导流洞出口轴线方向,使下游河道主流适当向中心线偏移,减小对下游的冲刷。试验表明,体形优化后,各项水力学指标均明显降低,得到了所需要的理想流态,可保证下游河道以及周围主要水工建筑物的安全。 展开更多
关键词 导流洞 出口处 体形优化 下游河道 试验研究 Type DIVERSION Tunnel Influence 建筑物的安全 水力学指标 水力学试验 轴线方向 优化研究 水流能量 适当改变 流态 中心线 易控制 导流量 问题
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Modified Indiana Pouch Following Radical Cystectomy
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作者 余虓 叶章群 +7 位作者 杨为民 胡志全 王少刚 曾晓勇 章慧平 曾令启 商学军 杨奕 《The Chinese-German Journal of Clinical Oncology》 CAS 2003年第1期34-35,60,共3页
Objective To investigate the indications, operation techniques and clinical effects of a modified technique of Indiana pouch. Methods A modified technique of Indiana pouch was performed on 5 patients following radi... Objective To investigate the indications, operation techniques and clinical effects of a modified technique of Indiana pouch. Methods A modified technique of Indiana pouch was performed on 5 patients following radical cystectomy. Results 5 cases showed satisfactory therapeutic effects with of follow-up range of 6 to 30 months. All patients were continent day and night with easy catherization. The number of micturations was 5 to 6 times in the daytime and 1 to 3 times in the nighttime. Cystography of 4 cases showed that pouches were spheroidic and volumes were between 400 to 500 ml. Conclusion The advantages of the modified Indiana pouch are as follows: easy manipulation; low tension and high volume in pouches; no reflux; satisfactory urinary continence and few complications. Therefore, it is worthy of clinical popularization. 展开更多
关键词 bladder tumor urinary diversion Indiana pouch
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大山口引水隧洞开挖与支护的数值分析 被引量:1
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作者 余超 邓成进 +1 位作者 侍克斌 李俊美 《水电能源科学》 北大核心 2010年第10期86-89,共4页
基于开挖施工过程,分析计算了开挖卸荷和支护后围岩位移工况及应力分布,并采用有限差分软件FLAC3D对围岩的位移与应力进行了比较,综合评价了洞室在开挖支护后的稳定性。结果表明,开挖卸荷未支护条件下围岩稳定性较差,可能影响开挖施工,... 基于开挖施工过程,分析计算了开挖卸荷和支护后围岩位移工况及应力分布,并采用有限差分软件FLAC3D对围岩的位移与应力进行了比较,综合评价了洞室在开挖支护后的稳定性。结果表明,开挖卸荷未支护条件下围岩稳定性较差,可能影响开挖施工,及时采取支护措施后围岩的位移场和应力场可得到改善,稳定性提高。可为设计和施工支护提供参考。 展开更多
关键词 大山口 引水隧洞 开挖与支护 数值分析 Power Station DIVERSION Tunnel 围岩稳定性 开挖卸荷 开挖施工 位移场和应力场 有限差分软件 综合评价 支护条件 支护措施 应力分布 围岩位移 施工支护 施工过程 开挖支护 分析计算
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Relationship between diversion colitis and quality of life in rectal cancer 被引量:15
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作者 Dong Nyoung Son Dong Jin Choi +5 位作者 Si Uk Woo Jin Kim Bo Ra Keom Chul Hwan Kim Se Jin Baek Seon Hahn Kim 《World Journal of Gastroenterology》 SCIE CAS 2013年第4期542-549,共8页
AIM:To investigated the incidence of diversion colitis(DC) and impact of DC symptoms on quality of life(QoL) after ileostomy reversal in rectal cancer.METHODS:We performed a prospective study with 30 patients who unde... AIM:To investigated the incidence of diversion colitis(DC) and impact of DC symptoms on quality of life(QoL) after ileostomy reversal in rectal cancer.METHODS:We performed a prospective study with 30 patients who underwent low anterior resection and the creation of a temporary ileostomy for the rectal cancer between January 2008 and July 2009 at the Department of Surgery,Korea University Anam Hospital.The participants totally underwent two rounds of the examinations.At first examination,endoscopies,tissue biopsies,and questionnaire survey about the symptom were performed 3-4 mo after the ileostomy creations.At second examination,endoscopies,tissue biopsies,and questionnaire survey about the symptom and QoL were performed 5-6 mo after the ileostomy reversals.Clinicopathological data were based on the histopathological reports and clinical records of the patients.RESULTS:At the first examination,all of the patients presented with inflammation,which was mild in 15(50%) patients,moderate in 11(36.7%) and severe in 4(13.3%) by endoscopy and mild in 14(46.7%) and moderate in 16(53.3%) by histology.At the second examination,only 11(36.7%) and 17(56.7%) patients had mild inflammation by endoscopy and histology,respectively.There was no significant difference in DC grade between the endoscopic and the histological findings at first or second examination.The symptoms detected on the first and second questionnaires were mucous discharge in 12(40%) and 5(17%) patients,bloody discharge in 5(17%) and 3(10%) patients,abdominal pain in 4(13%) and 2(7%) patients and tenesmus in 9(30%) and 5(17%) patients,respectively.We found no correlation between the endoscopic or histological findings and the symptoms such as mucous discharge,bleeding,abdominal pain and tenesmus in both time points.Diarrhea was detected in 9 patients at the second examination;this number correlated with the severity of DC(0%,0%,66.7%,33.3% vs 0%,71.4%,23.8%,4.8%,P = 0.001) and the symptom-related QoL(r =-0.791,P < 0.001).CONCLUSION:The severity of DC is related to diarrhea after an ileostomy reversal and may adversely affect QoL. 展开更多
关键词 DIVERSION COLITIS Quality of life DIARRHEA ILEOSTOMY RECTAL cancer
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Diversion colitis and pouchitis: A mini-review 被引量:11
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作者 Kentaro Tominaga Kenya Kamimura +3 位作者 Kazuya Takahashi Junji Yokoyama Satoshi Yamagiwa Shuji Terai 《World Journal of Gastroenterology》 SCIE CAS 2018年第16期1734-1747,共14页
Diversion colitis is characterized by inflammation of the mucosa in the defunctioned segment of the colon after colostomy or ileostomy. Similar to diversion colitis, diversion pouchitis is an inflammatory disorder occ... Diversion colitis is characterized by inflammation of the mucosa in the defunctioned segment of the colon after colostomy or ileostomy. Similar to diversion colitis, diversion pouchitis is an inflammatory disorder occurring in the ileal pouch, resulting from the exclusion of the fecal stream and a subsequent lack of nutrients from luminal bacteria. Although the vast majority of patients with surgically-diverted gastrointestinal tracts remain asymptomatic, it has been reported that diversion colitis and pouchitis might occur in almost all patients with diversion. Surgical closure of the stoma, with reestablishment of gut continuity, is the only curative intervention available for patients with diversion disease. Pharmacologic treatments using short-chain fatty acids, mesalamine, or corticosteroids are reportedly effective for those who are not candidates for surgical reestablishment; however, there are no established assessment criteria for determining the severity of diversion colitis, and no management strategies to date. Therefore, in this mini-review, we summarize and review various recently-reported treatments for diversion disease. We are hopeful that the information summarized here will assist physicians who treat patients with diversion colitis and pouchitis, leading to better case management. 展开更多
关键词 DIVERSION COLITIS DIVERSION POUCHITIS ILEITIS Inflammatory BOWEL disease
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A numerical study on water diversion ratio of the Changjiang(Yangtze)estuary in dry season 被引量:19
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作者 李路 朱建荣 +1 位作者 吴辉 王彪 《Chinese Journal of Oceanology and Limnology》 SCIE CAS CSCD 2010年第3期700-712,共13页
We studied the flood, ebb and tidal averaged along (net) water diversion ratio (WDR) during dry season in the Changjiang (Yangtze) estuary, China, along with the effects of northerly wind, river discharge, tide and th... We studied the flood, ebb and tidal averaged along (net) water diversion ratio (WDR) during dry season in the Changjiang (Yangtze) estuary, China, along with the effects of northerly wind, river discharge, tide and their interactions on WDR using the improved version of three-dimensional numerical model ECOM. Using data for annual mean wind speed and river discharge during January, we determined that the flood, ebb, net WDR values in the North Branch of the estuary were 3.48%, 1.68%,-4.06% during spring tide, and 4.82%, 2.34%,-2.79% during neap tide, respectively. Negative net WDR values denote the transport of water from the North Branch into the South Branch. Using the same data, the corresponding ratios were 50.09%, 50.92%, 54.97%, and 52.33%, 50.15%, 43.86% in the North Channel and 38.56%, 44.78%, 103.96%, and 36.92%, 43.17%, 60.97% in the North Passage, respectively. When northerly wind speed increased, landward Ekman transport was enhanced in the North Branch, increasing the flood WDR, while the ebb WDR declined and the net WDR exhibited a significant decrease. Similarly, in the North Channel, the flood WDR is increased, the ebb WDR reduced, and the net WDR showed a marked decrease. In the North Passage, the flood WDR also increased while the ebb and net WDR declined. As the river discharge increased, the flood and ebb WDR of the North Branch increased slightly and the net WDR increased markedly. In the North Channel the flood and ebb WDR changed very slightly, while the net WDR declined during spring tides and increased during neap tides. The WDR in the North Passage changed slightly during flood and ebb tides while the net WDR showed a marked increase. The WDR values of different bifurcations and the responses to northerly wind, river discharge, and tide are discussed in comparison with variations in river topography, horizontal wind-induced circulation, and tidal-induced residual current. 展开更多
关键词 water diversion ratio northerly wind river discharge TIDE the Changjiang (Yangtze) estuary
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Spatio-temporal distribution of phytoplankton in the Danjiangkou Reservoir, a water source area for the South-to-North Water Diversion Project (Middle Route), China 被引量:12
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作者 殷大聪 郑凌凌 宋立荣 《Chinese Journal of Oceanology and Limnology》 SCIE CAS CSCD 2011年第3期531-540,共10页
One of the water source areas of the South-to-North Water Diversion Project is the Danjiangkou Reservoir (DJKR). To understand seasonal variation in phytoplankton composition, abundance and distribution in the DJKR ... One of the water source areas of the South-to-North Water Diversion Project is the Danjiangkou Reservoir (DJKR). To understand seasonal variation in phytoplankton composition, abundance and distribution in the DJKR area before water diversion, as well as to estimate potential risks of water quality after water diversion, we conducted an investigation on phytoplankton in the DJKR from August 2008 to May 2009. The investigation included 10 sampling sites, each with four depths of 0.5, 5, 10, and 20 m. In this study, 117 taxa belonging to 76 genera were identified, consisting of diatoms (39 taxa), green algae (47 taxa), blue-green algae (19 taxa), and others (12 taxa). Annual average phytoplankton abundance was 2.01×10^6 ind./L, and the highest value was 14.72 ×10^6 ind/L (at site 3 in August 2008). Phytoplankton abundance in front of the Danjiangkou Dam (DJKD) was higher than that of the Danjiang Reservoir Basin. Phytoplankton distribution showed a vertical declining trend from 0.5 m to 20 m at most sites in August 2008 (especially at sites of 1, 2, 4 and 10), but no distinct pattern in other sampling months. In December 2008 and March 2009, Stephanodiseus sp. was the most abundant species, amounting to 55.23% and 72.34%, respectively. We propose that high abundance ofStephanodiscus sp. may have contributed greatly to the frequent occurrence of Stephanodiscus sp. blooms in middle-low reaches of the Hanjiang River during the early spring of 2009. In comparison with previous studies conducted from 1992 to 2006, annual average phytoplankton density, green algae and blue-green algae species, as well as major nutrient concentrations increased, while phytoplankton diversity indices declined. This indicates a gradual decline in water quality. More research should be conducted and countermeasures taken to prevent further deterioration of water quality in the DJKR. 展开更多
关键词 Danjiangkou Reservoir PHYTOPLANKTON South-to-North Water Diversion Project EUTROPHICATION
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