To discuss the pavement performance of basalt fiber-modified asphalt mixtures,the optimum dosages of asphalt and fibers are studied by the Marshall test and the rutting test.The results demonstrate that the optimum do...To discuss the pavement performance of basalt fiber-modified asphalt mixtures,the optimum dosages of asphalt and fibers are studied by the Marshall test and the rutting test.The results demonstrate that the optimum dosages of asphalt and fibers are 4.63% and 0.3%,respectively.Then the pavement performances of basalt（polyester,xylogen）fiber-modified asphalt mixtures are investigated through high temperature stability tests,water stability tests and low temperature crack resistance tests.It indicates that the pavement performances of the fiber-modified asphalt mixtures such as rutting dynamic stability,freezing splitting tensile strength,low temperature crack resistance and so on are improved compared with control asphalt mixture.The results show that the pavement performances of asphalt mixtures can be improved by fiber-modifiers.Besides,the improvement effects of basalt fiber are superior to polyester fiber and xylogen fiber.展开更多
BACKGROUND The incidence of hypertriglyceridemic acute pancreatitis(HTG-AP)has increased yearly,but updated population-based estimates on the incidence of HTG-AP are lacking.Reducing serum triglyceride(TG)levels quick...BACKGROUND The incidence of hypertriglyceridemic acute pancreatitis(HTG-AP)has increased yearly,but updated population-based estimates on the incidence of HTG-AP are lacking.Reducing serum triglyceride(TG)levels quickly is crucial in the early treatment of HTG-AP.Decreased serum TG levels are treated by non-invasive methods,which include anti-lipidemic agents,heparin,low-molecular weight heparin,and insulin,and invasive methods,such as blood purification including hemoperfusion(HP),plasmapheresis,and continuous renal replacement therapy.However,authoritative guidelines have not been established.Early selection of appropriate treatment is important and beneficial in controlling the development of HTG-AP.AIM To evaluate the effect between patients treated with intravenous insulin(INS)and HP to guide clinical treatment.METHODS We retrospectively reviewed 371 patients with HTG-AP enrolled in the Department of Fujian Provincial Hospital form April 2012 to March 2021.The inpatient medical and radiologic records were reviewed to determine clinical features,severity,complications,mortality,recurrence rate,and treatment.Multivariate logistic regression analyses were used to analyze risk factors for severe HTG-AP.Propensity score matching was used to compare the clinical outcomes of INS and HP.RESULTS A total of 371 patients met the HTG-AP criteria.The incidence of HTG-AP was increased by approximately 2.6 times during the 10 years(8.4%in April 2012-March 2013 and 22.3%in April 2020-March 2021).The highest incidence rate of acute pancreatitis was observed for men in the age group of 30-39 years.The amylase level was elevated in 80.1%of patients but was only three times the normal value in 46.9%of patients.The frequency of severe acute pancreatitis(26.9%),organ failure(31.5%),rate of recurrence(32.9%),and mortality(3.0%)of HTG-AP was high.Improved Marshall score,modified computed tomography severity index score,baseline TG,baseline amylase,C-reactive protein(CRP),albumin,aspartate aminotransferase,low-density lipoprotein ch展开更多
An emerging infectious disease was identified as severe fever with thrombocytopenia syn- drome （SFTS） in central China since late March 2009. We found the patients with SFTS had severe clinical symptoms, and progres...An emerging infectious disease was identified as severe fever with thrombocytopenia syn- drome （SFTS） in central China since late March 2009. We found the patients with SFTS had severe clinical symptoms, and progressed rapidly to multiple organ dysfunction syndrome （MODS） with high fatality rate of 25%-30%. The aim of this study was to assess the significance of risk factors predicting the development of MODS and death in SFTS patients. Consecutive SFTS admissions between May 2009 and September 2011 were analyzed for parameters of organ function during hospitalization using Marshall scoring system for MODS, and platelet counts were recorded on admission and at 24, 48, 72 h and one week after admission. We investigated the kinetics of organ failures and analyzed the associa- tion between age, platelet count and development of MODS or death. A total of 92 SFTS patients were enrolled in this study. Among them, 32 patients with dysfunction of over 4 organs were identified, 45% of them died within 72 h, 72% died within 5 days, and 76% died within 7 days after admission. We also found cumulative Marshall score was significantly higher in death patients （11.76＋2.05） than in survival patients （4.22~1.98） （P〈0.001）. In addition, SFTS patients had older age and lower platelet counts in MODS and death groups. Furthermore, we also observed that there was a close correlation between platelet count on admission and Marshall score （P〈0.001）. High Marshall score, advanced age and lower platelet counts were the main risk factors for the development of MODS, and those factors could predict mortality in SFTS patients, suggesting prompt treatment and close monitoring of severe complications, especially MODS, are of great importance in saving patients＇ lives.展开更多
In most countries, there is a low temperature limit to lay down hot asphalt mixes because if it is too cold, it becomes impossible to get proper compaction. For cold recycled bituminous mixture(CRM), there is little i...In most countries, there is a low temperature limit to lay down hot asphalt mixes because if it is too cold, it becomes impossible to get proper compaction. For cold recycled bituminous mixture(CRM), there is little information on the effect of the low temperature on their behavior. The goal of this study is to evaluate, in laboratory, the impact of the compaction and curing temperature on the behavior of CRM. To do so, CRM containing 50%reclaimed asphalt pavement(RAP) and 50% natural aggregates treated with foamed asphalt or bituminous emulsion were mixed and cured at different temperature between 0 and23℃ for up to 10 days before being tested in indirect tension. The results show that for all mixes, a cure at lower temperature means lower tensile strength, but the decrease is more noticeable for emulsion treated materials than for foamed treated mixes. The trend is not as obvious for Marshall stability results. A second cure at ambient temperature was also done, and the analysis of the results showed that the decrease in mechanical performance remains important even after a second cure at higher temperature for all mixes treated with bituminous emulsion, but there is some mechanical gain for mixes treated with foamed asphalt.展开更多
文摘To discuss the pavement performance of basalt fiber-modified asphalt mixtures,the optimum dosages of asphalt and fibers are studied by the Marshall test and the rutting test.The results demonstrate that the optimum dosages of asphalt and fibers are 4.63% and 0.3%,respectively.Then the pavement performances of basalt（polyester,xylogen）fiber-modified asphalt mixtures are investigated through high temperature stability tests,water stability tests and low temperature crack resistance tests.It indicates that the pavement performances of the fiber-modified asphalt mixtures such as rutting dynamic stability,freezing splitting tensile strength,low temperature crack resistance and so on are improved compared with control asphalt mixture.The results show that the pavement performances of asphalt mixtures can be improved by fiber-modifiers.Besides,the improvement effects of basalt fiber are superior to polyester fiber and xylogen fiber.
文摘BACKGROUND The incidence of hypertriglyceridemic acute pancreatitis(HTG-AP)has increased yearly,but updated population-based estimates on the incidence of HTG-AP are lacking.Reducing serum triglyceride(TG)levels quickly is crucial in the early treatment of HTG-AP.Decreased serum TG levels are treated by non-invasive methods,which include anti-lipidemic agents,heparin,low-molecular weight heparin,and insulin,and invasive methods,such as blood purification including hemoperfusion(HP),plasmapheresis,and continuous renal replacement therapy.However,authoritative guidelines have not been established.Early selection of appropriate treatment is important and beneficial in controlling the development of HTG-AP.AIM To evaluate the effect between patients treated with intravenous insulin(INS)and HP to guide clinical treatment.METHODS We retrospectively reviewed 371 patients with HTG-AP enrolled in the Department of Fujian Provincial Hospital form April 2012 to March 2021.The inpatient medical and radiologic records were reviewed to determine clinical features,severity,complications,mortality,recurrence rate,and treatment.Multivariate logistic regression analyses were used to analyze risk factors for severe HTG-AP.Propensity score matching was used to compare the clinical outcomes of INS and HP.RESULTS A total of 371 patients met the HTG-AP criteria.The incidence of HTG-AP was increased by approximately 2.6 times during the 10 years(8.4%in April 2012-March 2013 and 22.3%in April 2020-March 2021).The highest incidence rate of acute pancreatitis was observed for men in the age group of 30-39 years.The amylase level was elevated in 80.1%of patients but was only three times the normal value in 46.9%of patients.The frequency of severe acute pancreatitis(26.9%),organ failure(31.5%),rate of recurrence(32.9%),and mortality(3.0%)of HTG-AP was high.Improved Marshall score,modified computed tomography severity index score,baseline TG,baseline amylase,C-reactive protein(CRP),albumin,aspartate aminotransferase,low-density lipoprotein ch
基金supported by the National Natural Science Foundation of China (No. 81171638)
文摘An emerging infectious disease was identified as severe fever with thrombocytopenia syn- drome （SFTS） in central China since late March 2009. We found the patients with SFTS had severe clinical symptoms, and progressed rapidly to multiple organ dysfunction syndrome （MODS） with high fatality rate of 25%-30%. The aim of this study was to assess the significance of risk factors predicting the development of MODS and death in SFTS patients. Consecutive SFTS admissions between May 2009 and September 2011 were analyzed for parameters of organ function during hospitalization using Marshall scoring system for MODS, and platelet counts were recorded on admission and at 24, 48, 72 h and one week after admission. We investigated the kinetics of organ failures and analyzed the associa- tion between age, platelet count and development of MODS or death. A total of 92 SFTS patients were enrolled in this study. Among them, 32 patients with dysfunction of over 4 organs were identified, 45% of them died within 72 h, 72% died within 5 days, and 76% died within 7 days after admission. We also found cumulative Marshall score was significantly higher in death patients （11.76＋2.05） than in survival patients （4.22~1.98） （P〈0.001）. In addition, SFTS patients had older age and lower platelet counts in MODS and death groups. Furthermore, we also observed that there was a close correlation between platelet count on admission and Marshall score （P〈0.001）. High Marshall score, advanced age and lower platelet counts were the main risk factors for the development of MODS, and those factors could predict mortality in SFTS patients, suggesting prompt treatment and close monitoring of severe complications, especially MODS, are of great importance in saving patients＇ lives.
文摘In most countries, there is a low temperature limit to lay down hot asphalt mixes because if it is too cold, it becomes impossible to get proper compaction. For cold recycled bituminous mixture(CRM), there is little information on the effect of the low temperature on their behavior. The goal of this study is to evaluate, in laboratory, the impact of the compaction and curing temperature on the behavior of CRM. To do so, CRM containing 50%reclaimed asphalt pavement(RAP) and 50% natural aggregates treated with foamed asphalt or bituminous emulsion were mixed and cured at different temperature between 0 and23℃ for up to 10 days before being tested in indirect tension. The results show that for all mixes, a cure at lower temperature means lower tensile strength, but the decrease is more noticeable for emulsion treated materials than for foamed treated mixes. The trend is not as obvious for Marshall stability results. A second cure at ambient temperature was also done, and the analysis of the results showed that the decrease in mechanical performance remains important even after a second cure at higher temperature for all mixes treated with bituminous emulsion, but there is some mechanical gain for mixes treated with foamed asphalt.
