Assessing Mechanical Properties and Response of Expansive Soft Rock in Tunnel Excavation: A Numerical Simulation Study.

This study investigates the dynamics of moisture absorption and swelling in soft rock during tunnel excavation, emphasizing the response to support resistance. Utilizing COMSOL numerical simulations, we conduct a comparative analysis of various strength criteria and non-associated flow rules. The results demonstrate that the Mohr-Coulomb criterion combined with the Drucker-Prager model under compressive loads imposes stricter limitations on water absorption and expansion than when paired with the Drucker-Prager model under tensile loads. Restricted rock expansion leads to decreased horizontal displacement and ground uplift, increased displacement in the tunnel's bottom arch, and significantly reduced displacement in the top arch. The study also considers the effects of shear dilation, burial depth, and support resistance on the stress and displacement of the surrounding rock. Increased shear dilation angles correlate with greater rock expansion, resulting in increased horizontal displacement and ground uplift. The research study concludes that support resistance is critical in limiting the movement of the tunnel's bottom arch and impacting the stability of the surrounding rock. Additionally, the extent of rock damage during the excavation of expansive soft rock tunnels is found to be minimal. Overall, this study provides valuable insights into the processes of soft rock tunnel excavation and contributes to the development of more efficient support systems.

A State-Dependent Elasto-Plastic Model for Hydrate-Bearing Cemented Sand Considering Damage and Cementation Effects.

In order to optimize the efficiency and safety of gas hydrate extraction, it is essential to develop a credible constitutive model for sands containing hydrates. A model incorporating both cementation and damage was constructed to describe the behavior of hydrate-bearing cemented sand. This model is based on the critical state theory and builds upon previous studies. The damage factor Ds is incorporated to consider soil degradation and the reduction in hydrate cementation, as described by plastic shear strain. A computer program was developed to simulate the mechanisms of cementation and damage evolution, as well as the stress-strain curves of hydrate-bearing cemented sand. The results indicate that the model replicates the mechanical behavior of soil cementation and soil deterioration caused by impairment well. By comparing the theoretical curves with the experimental data, the compliance of the model was calculated to be more than 90 percent. The new state-dependent elasto-plastic constitutive model based on cementation and damage of hydrate-bearing cemented sand could provide vital guidance for the construction of deep-buried tunnels, extraction of hydrocarbon compounds, and development of resources.

Study on the Constitutive Relationship between Ordinary Concrete and Nano-Titanium Dioxide-Modified Concrete at High Temperature.

After high-temperature treatment, both nano-titanium dioxide-modified concrete and ordinary concrete exhibit typical splitting failure. High-temperature heating reduces the mechanical properties and brittleness of concrete and improves the ductility of concrete. The stress-strain relationship of the specimens was obtained through the uniaxial compression test of ordinary concrete and nano-titanium dioxide-modified concrete cube specimens under normal temperature and high-temperature conditions. In addition, the relationship between temperature and damage variables was established, and the unified constitutive model containing damage variables after room temperature and high-temperature treatment of ordinary concrete and nano-titanium dioxide-modified concrete were established. It provides a reference for future research on the mechanical properties of high-performance concrete structures after high temperatures (fire).

Special Issue: Advancement of Functionalized Mineral Materials and Rock.

Mineral materials have historically been extensively utilised in human society, and they hold significant prominence in various domains such as military, aerospace, electronics, and environmental conservation [...].

Special Issue "Construction Materials and Other Related Materials: Basic Theory, Applied Technology and Advanced Research Methods".

The rapid advancement of science and technology has facilitated the creation of new technologies and techniques, leading to the convergence and diversification of fields [...].

Evolutionary Analysis of Heterogeneous Granite Microcracks Based on Digital Image Processing in Grain-Block Model.

Rocks are natural materials with a heterogeneous microstructure, and the heterogeneity of the microstructure plays a crucial role in the evolution of microcracks during the compression process. A numerical model of a rock with a heterogeneous structure under compression is developed by digital image processing techniques and the discrete element method. On the grain scale, the damage mechanism and microcrack characteristics of a heterogeneous Biotite granite under compression fracture are investigated. First, the process of constructing a digital image-based heterogeneous grain model is described. The microscopic characteristics of geometric heterogeneity, elastic heterogeneity, and contact heterogeneity are all considered in the numerical model. Then, the model is calibrated according to the macroscopic properties of biotite granite obtained in the laboratory, and the numerically simulated microcrack cracking processes and damage modes are obtained with a high degree of agreement compared to the experiments. Numerical simulations have shown the following: (1) Microcracking occurs first at the weak side of the grain boundaries, and the appearance of intragranular shear cracks indicates that the rock has reached its peak strength. (2) The stress concentration caused by the heterogeneity of the microstructure is an essential factor that causes rock cracks and induces rupture. Intragranular cracks occur successively in quartz, feldspar (plagioclase), and biotite, with far more intragranular cracks in quartz and feldspar (plagioclase) than in biotite. (3) Microcracking in quartz occurs as clusters, fork and fracture features, and in feldspar (plagioclase) it tends to cause penetration microcracking, which usually surrounds or terminates at the biotite. (4) As the confining pressure increases, the tensile break between the grains is suppressed and the number of shear cracks increases. At the macro level, the rock failure mode of the numerical model changes from split damage to shear destruction, which is consistent with the law shown in laboratory experiments.

The Mechanism of Fracture and Damage Evolution of Granite in Thermal Environment.

In the study of rock mechanics, the variation of rock mechanical characteristics in high-temperature environments is always a major issue. The discrete element method and Voronoi modeling method were used to study the mechanical characteristics and crack evolution of granite specimens subjected to the high temperature and uniaxial compression test in order to study the internal crack evolution process of granite under the influence of high temperatures. Meanwhile, dependable findings were acquired when compared to experimental outcomes. A modified failure criterion was devised, and a Fish function was built to examine the evolution behavior of tensile and shear cracks during uniaxial compression, in order to better understand the evolution process of micro-cracks in granite specimens. Shear contacts occurred first, and the number of shear cracks reached its maximum value earliest, according to the findings. The number of tensile contacts then rapidly grew, whereas the number of shear cracks steadily declined. Furthermore, it was found that when temperature rises, the number of early tensile cracks grows. This study develops a fracture prediction system for rock engineering in high-temperature conditions.

Damage Evolution Constitutive Behavior of Rock in Thermo-Mechanical Coupling Processes.

For thermal and loaded rock in engineering structures for some projects, triple-shear Drucker-Prager yield criteria, compaction coefficient K, damage variable correction factor δ, and thermal damage variable DT are introduced in a new thermomechanical (TM) constitutive model for the entire process. The compaction stage of rock in uniaxial compression test and the strain softening of rock caused by thermal attack are considered in this article. The damage evolution of rocks is described by a damage variable and a constitutive equation, which are in agreement with the actual thermal experimental breakage. The uniaxial compressive strength of granite subjected to a TM coupling effect can be predicted properly by this new unified constitutive model. The new TM unified constitutive model considering the compaction stage and post-failure stage is in good agreement with the test curves throughout the entire process. The coupling effect of heat and load in the total damage of rock has obvious nonlinear properties, but the coupling effect significantly weakens the specimens. By using the new TM unified constitutive model, the whole process of changes in rock damage with strain after high temperature can be calculated. Meanwhile, the model well represents the stress-strain curve at the post-failure stage. It is expected that this model can provide references for studying the mechanical response of the rock damage propagation characteristics in the future.

Corrosion Performance of Nano-TiO2-Modified Concrete under a Dry-Wet Sulfate Environment.

This study compared the effects of the sulfate dry-wet cycle on the properties of ordinary concrete and nano-TiO2-modified concrete, including the mass loss rate, ultrasonic wave velocity, compressive strength, and XRD characteristics. In addition, a series of compression simulations carried out using the PFC2D software are also presented for comparison. The results show the following: (1) with an increase in dry-wet cycles, the damage to the concrete gradually increased, and adding nano-TiO2 into ordinary concrete can improve the material's sulfate resistance; (2) after 50 sulfate dry-wet cycles, the mass loss rate of ordinary concrete was -3.744%, while that of nano-TiO2-modified concrete was -1.363%; (3) the compressive strength of ordinary concrete was reduced from 41.53 to 25.12 MPa (a reduction of 39.51%), but the compressive strength of nano-TiO2-modified concrete was reduced from 49.91 to 32.12 MPa (a reduction of 35.64%); (4) after a sulfate dry-wet cycle, the nano-TiO2-modified concrete surface produced white crystalline products, considered to be ettringite based on the XRD analysis; (5) when considering the peak stress and strain of the concrete samples, the numerical results agreed well with the test results, indicating the reliability of the method.

Effect of Soil Geomechanical Properties and Geo-Environmental Factors on Landslide Predisposition at Mount Oku, Cameroon.

In this work, we explored a novel approach to integrate both geo-environmental and soil geomechanical parameters in a landslide susceptibility model. A total of 179 shallow to deep landslides were identified using Google Earth images and field observations. Moreover, soil geomechanical properties of 11 representative soil samples were analyzed. The relationship between soil properties was evaluated using the Pearson correlation coefficient and geotechnical diagrams. Membership values were assigned to each soil property class, using the fuzzy membership method. The information value method allowed computing the weight value of geo-environmental factor classes. From the soil geomechanical membership values and the geo-environmental factor weights, three landslide predisposition models were produced, two separate models and one combined model. The results of the soil testing allowed classifying the soils in the study area as highly plastic clays, with high water content, swelling, and shrinkage potential. Some geo-environmental factor classes revealed their landslide prediction ability by displaying high weight values. While the model with only soil properties tended to underrate unstable and stable areas, the model combining soil properties and geo-environmental factors allowed a more precise identification of stability conditions. The geo-environmental factors model and the model combining geo-environmental factors and soil properties displayed predictive powers of 80 and 93%, respectively. It can be concluded that the spatial analysis of soil geomechanical properties can play a major role in the detection of landslide prone areas, which is of great interest for site selection and planning with respect to sustainable development at Mount Oku.

Parálisis facial: guía de práctica clínica de la Sociedad Española de ORL / Facial paralysis: Clinical practice guideline of the Spanish Society of Otolaryngology

La parálisis de Bell es la forma más común de paresia o parálisis facial. Sin embargo, no todos los pacientes con parálisis facial tienen una parálisis de Bell. Otras causas frecuentes incluyen las secuelas del tratamiento del neurinoma del VIII par, el cáncer de cabeza y cuello, la iatrogenia, el zóster ótico y los traumatismos. El abordaje de cada una de estas situaciones es totalmente diferente. El objetivo de esta guía es servir de consejo para el tratamiento y el seguimiento de los pacientes con parálisis facial. Nuestra idea es que la guía sea práctica, haciendo hincapié en recomendaciones efectivas y útiles en el manejo diario de los pacientes. Esta guía ha sido promovida por la Sociedad Española de ORL y escrita por médicos con experiencia en la enfermedad del nervio facial, incluyendo al menos un especialista de cada comunidad autónoma. Redactada en un formato de preguntas y respuestas, incluye 56 cuestiones relevantes relacionadas con el nervio facial

Bell's palsy is the most common diagnosis associated with facial nerve weakness or paralysis. However, not all patients with facial paresis/paralysis have Bell's palsy. Other common causes include treatment of vestibular schwannoma, head and neck tumours, iatrogenic injuries, Herpes zoster, or trauma. The approach to each of these conditions varies widely. The purpose of this guideline is to provide clinicians with guidance on the treatment and monitoring of patients with different causes of facial paralysis. We intend to draft a practical guideline, focusing on operationalised recommendations deemed to be useful in the daily management of patients. This guideline was promoted by the Spanish Society of Otolaryngology and developed by a group of physicians with an interest in facial nerve disorders, including at least one physician from each Autonomous Community. In a question and answer format, it includes 56 relevant topics related to the facial nerve

Facial paralysis: Clinical practice guideline of the Spanish Society of Otolaryngology. / Parálisis facial: guía de práctica clínica de la Sociedad Española de ORL.

Bell's palsy is the most common diagnosis associated with facial nerve weakness or paralysis. However, not all patients with facial paresis/paralysis have Bell's palsy. Other common causes include treatment of vestibular schwannoma, head and neck tumours, iatrogenic injuries, Herpes zoster, or trauma. The approach to each of these conditions varies widely. The purpose of this guideline is to provide clinicians with guidance on the treatment and monitoring of patients with different causes of facial paralysis. We intend to draft a practical guideline, focusing on operationalised recommendations deemed to be useful in the daily management of patients. This guideline was promoted by the Spanish Society of Otolaryngology and developed by a group of physicians with an interest in facial nerve disorders, including at least one physician from each Autonomous Community. In a question and answer format, it includes 56 relevant topics related to the facial nerve.

Cuerpo extraño intraocular tras un viaje a Camerún / Intraocular foreign body after a trip to Cameroon

No disponible

A prospective observational study of bacteraemia in adults admitted to an urban Mozambican hospital.

BACKGROUND: Bacteraemia is a common cause of fever among patients presenting to hospitals in sub-Saharan Africa. The worldwide rise of antibiotic resistance makes empirical therapy increasingly difficult, especially in resource-limited settings. OBJECTIVES: To describe the incidence of bacteraemia in febrile adults presenting to Maputo Central Hospital (MCH), an urban referral hospital in the capital of Mozambique, and characterise the causative organisms and antibiotic susceptibilities. We aimed to describe the antibiotic prescribing habits of local doctors, to identify areas for quality improvement. METHODS: Inclusion criteria were: (i) ≥18 years of age; (ii) axillary temperature ≥38°C or ≤35°C; (iii) admission to MCH medical wards in the past 24 hours; and (iv) no receipt of antibiotics as an inpatient. Blood cultures were drawn from enrolled patients and incubated using the BacT/Alert automated system (bioMérieux, France). Antibiotic susceptibilities were tested using the Kirby-Bauer disc diffusion method. RESULTS: Of the 841 patients enrolled, 63 (7.5%) had a bloodstream infection. The most common isolates were Staphylococcus aureus, Escherichia coli, and non-typhoidal Salmonella. Antibiotic resistance was common, with 20/59 (33.9%) of all bacterial isolates showing resistance to ceftriaxone, the broadest-spectrum antibiotic commonly available at MCH. Receipt of insufficiently broad empirical antibiotics was associated with poor in-hospital outcomes (odds ratio 8.05; 95% confidence interval 1.62 - 39.91; p=0.04). CONCLUSION: This study highlights several opportunities for quality improvement, including educating doctors to have a higher index of suspicion for bacteraemia, improving local antibiotic guidelines, improving communication between laboratory and doctors, and increasing the supply of some key antibiotics.

Pooled Nucleic Acid Testing to Detect Antiretroviral Treatment Failure in HIV-Infected Patients in Mozambique.

BACKGROUND: In resource-limited settings, viral load monitoring of HIV-infected patients receiving antiretroviral therapy (ART) is not readily available because of high costs. Here, we compared the accuracy and costs of quantitative and qualitative pooled methods with standard viral load testing. METHODS: Blood was collected prospectively from 461 patients receiving first-line ART in Mozambique who had not been evaluated previously with viral load testing. Screening for virologic failure of ART was performed quantitatively (ie, standard viral loads) and qualitatively [one and 2 rounds of polymerase chain reaction (PCR)]. Individual samples and minipools of 5 samples were then analyzed using both methods. The relative efficiency, accuracy, and costs of each method were calculated based on viral load thresholds for ART failure. RESULTS: Standard viral load testing of individual samples revealed a high rate of ART failure (19%-23%) across all virologic failure thresholds, and the majority of the patients (93%) with viral loads >1500 copies per milliliter had genotypic resistance to drugs in their ART regimen. Pooled quantitative screening and deconvolution testing had positive and negative predictive values exceeding 95% with cost savings of $11,250 compared with quantitative testing of each sample individually. Pooled qualitative screening and deconvolution testing had a higher cost savings of $30,147 for 1 PCR round and $25,535 for 2 PCR rounds compared with quantitative testing each sample individually. Both pooled qualitative PCR methods had positive and negative predictive values ≥90%, but the pooled 1-round PCR method had a sensitivity of 64%. CONCLUSIONS: Given the high rate of undiagnosed ART failure and drug resistance in this cohort, it is clear that virologic monitoring is urgently needed in this population. Here, we compared alternative methods of virologic monitoring with standard viral load testing of individual samples and found these methods to be cost saving and accurate. The test characteristics of each method will likely need to be considered for each local population before it is adopted.

The EPIYA-ABCC motif pattern in CagA of Helicobacter pylori is associated with peptic ulcer and gastric cancer in Mexican population.

BACKGROUND: Helicobacter pylori chronic infection is associated with chronic gastritis, peptic ulcer, and gastric cancer. Cytotoxin-associated gene A (cagA)-positive H. pylori strains increase the risk of gastric pathology. The carcinogenic potential of CagA is linked to its polymorphic EPIYA motif variants. The goals of this study were to investigate the frequency of cagA-positive Helicobacter pylori in Mexican patients with gastric pathologies and to assess the association of cagA EPIYA motif patterns with peptic ulcer and gastric cancer. METHODS: A total of 499 patients were studied; of these, 402 had chronic gastritis, 77 had peptic ulcer, and 20 had gastric cancer. H. pylori DNA, cagA, and the EPIYA motifs were detected in total DNA from gastric biopsies by PCR. The type and number of EPIYA segments were determined by the electrophoretic patterns. To confirm the PCR results, 20 amplicons of the cagA 3' variable region were sequenced, and analyzed in silico, and the amino acid sequence was predicted with MEGA software, version 5. The odds ratio (OR) was calculated to determine the associations between the EPIYA motif type and gastric pathology and between the number of EPIYA-C segments and peptic ulcers and gastric cancer. RESULTS: H. pylori DNA was found in 287 (57.5%) of the 499 patients, and 214 (74%) of these patients were cagA-positive. The frequency of cagA-positive H. pylori was 74.6% (164/220) in chronic gastritis patients, 73.6% (39/53) in peptic ulcer patients, and 78.6% (11/14) in gastric cancer patients. The EPIYA-ABC pattern was more frequently observed in chronic gastritis patients (79.3%, 130/164), while the EPIYA-ABCC sequence was more frequently observed in peptic ulcer (64.1%, 25/39) and gastric cancer patients (54.5%, 6/11). However, the risks of peptic ulcer (OR = 7.0, 95% CI = 3.3-15.1; p < 0.001) and gastric cancer (OR = 5.9, 95% CI = 1.5-22.1) were significantly increased in individuals who harbored the EPIYA-ABCC cagA gene pattern. CONCLUSIONS: cagA-positive H. pylori is highly prevalent in southern Mexico, and all CagA variants were of the western type. The cagA alleles that code for EPIYA-ABCC motif patterns are associated with peptic ulcers and gastric cancer.

Transcaruncular electrocoagulation of anterior ethmoidal artery for the treatment of severe epistaxis.

OBJECTIVE: The irrigation of the upper third of the nasal fossa is supplied by the anterior ethmoidal artery. We describe a surgical technique to deal with epistaxis due to anterior ethmoidal artery bleeding. PATIENTS AND METHODS: From January 2006 to March 2010 transcaruncular coagulation of the anterior ethmoidal artery was done on nine patients with epistaxis of the upper third of the nasal fossa. RESULTS: The procedure was successful on all cases. No bleeding relapse, major complications, or nasal or orbital sequelae were present in any of the patients. DISCUSSION/CONCLUSIONS: Transcaruncular electrocoagulation of the anterior ethmoidal artery is a safe and effective technique to deal with upper third nasal fossa bleeding.

Influencia de las Emociones Negativas (Ansiedad, Depresión e Ira) sobre la Eficacia de un Programa de Tratamiento Cognitivo Conductual de Deshabituación al Tabaco / Influence of Negative Emotions (Anxiety, Depression and Anger) on the Efficiency of Cognitive-Behavioral Quit Smoking Program

Resumen. El objetivo de esta investigación es analizar la influencia de la ansiedad, la ira y la depresión, como emociones negativas, sobre el éxito en la aplicación de un tratamiento psicológico de carácter cognitivo-conductual para dejar de fumar. Estas tres respuestas emocionales fueron evaluadas en una muestra final de 180 personas antes de iniciar el tratamiento. Los resultados muestran que la depresión y la ira ejercen una importante influencia sobre el éxito terapéutico; es decir, habiendo dejado de fumar, mientras que la ansiedad no muestra efectos significativos. Sujetos con elevadas puntuaciones en depresión presentan importantes dificultades para finalizar el programa de manera exitosa, mientras que sujetos con puntuaciones elevadas en ira muestran una buena adherencia y un importante porcentaje de éxito en el tratamiento (AU)

Abstract. The main goal of this research is to analyze the influence of anxiety, anger and depression, as negative emotions, on the efficiency of a cognitive-behavioral treatment program for giving up smoking. These three emotional responses were assessed in a final sample of 180 subjects before starting the treatment program. Subjects with high scores in depression showed significant difficulties in completing the program in a successful way, while subjects with higher scores in anger presented a good adherence and therefore, a high level of success in giving up smoking after the treatment (AU)

Mixoma del ventriculo derecho: informe de un caso clínico y revisión de la literatura / Right ventricular myxoma: a case report and review of the literature

Se estudió una paciente de 17 años de edad con manifestaciones clínicas de embolismo pulmonar. La ecocardiografía bidimensional mostró una masa tumoral intraventricular derecha. Se efectuó resección quirurgica y el estudio histopatológico lo catalogó como mixoma. Su evolución post-operatoria fué satisfactoria. Este es el primer caso de un mixoma intraventricular derecho diagnosticado en vida en nuestro hospital. Se revisa la bibliografia de esta infrecuente localización del tumor