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Isogeometric boundary element method analysis for dielectric target shape optimization in electromagnetic scattering. 等几何边界元法分析电磁散射中的介质目标形状优化。
IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-10-01 DOI: 10.1177/00368504241294114
Chengmiao Liu, Qingxiang Pei, Ziyu Cui, Zelu Song, Gaochao Zhao, Yang Yang

In order to optimize the overall form of electromagnetic scattering in two-dimensional dielectric media, this work offers a frequency-domain boundary element method based on isogeometric analysis. The Isogeometric boundary element method (IGABEM) is used to guarantee geometric correctness during optimization and prevent over-refinement of the mesh. Non-uniform rational B-splines are used to discretize the boundary integrals of the model, enabling rapid numerical computation while ensuring high accuracy. Furthermore, as an alternative model for electromagnetic scattering shape optimization issues, a gray wolf optimizer-based back-propagation neural network (GWO-ANN) is created, with radar cross-section (RCS) as the objective function. Finally, the GWO-ANN is used as a surrogate model for shape optimization in multi-frequency electromagnetic scattering problems with the RCS as the objective function. In computational examples, this algorithm efficiently and accurately solves electromagnetic scattering problems under multiple frequencies.

为了优化二维介质中电磁散射的整体形式,这项研究提供了一种基于等几何分析的频域边界元方法。等几何边界元方法(IGABEM)用于保证优化过程中的几何正确性,并防止网格的过度细化。采用非均匀有理 B 样条对模型的边界积分进行离散处理,从而在确保高精度的同时实现快速数值计算。此外,作为电磁散射形状优化问题的替代模型,创建了基于灰狼优化器的反向传播神经网络(GWO-ANN),并将雷达截面(RCS)作为目标函数。最后,在以 RCS 为目标函数的多频电磁散射问题中,将 GWO-ANN 用作形状优化的替代模型。在计算实例中,该算法高效、准确地解决了多频率下的电磁散射问题。
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引用次数: 0
Estimation of aerodynamic entrainment in developing wind-blown sand flow. 发展中风吹沙流的气动夹带估算。
IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-10-01 DOI: 10.1177/00368504241290970
Wei He, Jie Zhang, Xiaojiang Xu

Understanding aerodynamic entrainment, a critical process in wind-blown sand dynamics, remains challenging due to the difficulty of isolating it from other mechanisms, such as impact entrainment. Aerodynamic entrainment initiates the movement of surface particles, influencing large-scale processes like sediment transport and dune formation. Previous studies focused on average aerodynamic shear stress to estimate entrainment, but the role of impulse events, which cause significant shear stress fluctuations, remains under-explored. We used 12 hot-film shear sensors to measure the spatiotemporal distribution of aerodynamic shear stress during wind-blown sand flow development. We identified impulse events exceeding the entrainment threshold and analyzed their intensity, classifying particle movement as rocking, rolling, or saltation. Results indicate that after a 2-m fetch, sediment mass flux stabilizes, with aerodynamic shear stress decreasing to 78% of the entrainment threshold. We identified key trends, including the stabilization of rocking events beyond x = 4.5 m and a significant decrease in saltation frequency, indicating fully developed wind-blown sand flow. Impulse characteristics stabilize at a greater distance (4.5 m) than sediment transport (2 m) because turbulent airflow evolves more slowly. Our findings show that impulse events significantly influence aerodynamic entrainment. These insights enhance understanding of sediment transport dynamics and improve modeling of sand dune movement.

空气动力夹带是风吹沙动力学中的一个关键过程,由于难以将其与冲击夹带等其他机制区分开来,因此了解空气动力夹带仍然具有挑战性。空气动力夹带启动了表面颗粒的运动,影响了沉积物迁移和沙丘形成等大规模过程。以往的研究侧重于用平均气动剪应力来估算夹带,但对造成显著剪应力波动的脉冲事件的作用仍未充分探讨。我们使用了 12 个热膜剪切传感器来测量风吹砂流发展过程中空气动力剪应力的时空分布。我们识别了超过夹带阈值的脉冲事件并分析了其强度,将颗粒运动分为摇摆、滚动或盐化。结果表明,2 米冲力过后,沉积物质量通量趋于稳定,空气动力剪切应力降至夹带阈值的 78%。我们发现了一些关键趋势,包括 x = 4.5 米以上的摇晃事件趋于稳定,盐渍化频率显著降低,这表明风吹沙流得到了充分发展。与沉积物迁移(2 米)相比,脉冲特征在更远的距离(4.5 米)上趋于稳定,这是因为湍流气流的演变速度更慢。我们的研究结果表明,脉冲事件会对空气动力夹带产生重大影响。这些见解加深了对沉积物输运动力学的理解,并改进了沙丘运动的建模。
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引用次数: 0
Treatments in sinonasal inverted papilloma malignancy invading the pterygopalatine fossa: A case report. 侵犯翼腭窝的鼻窦内翻性乳头状瘤的治疗1例。
IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-10-01 DOI: 10.1177/00368504241306895
Linlan Jiang, Liwen Wang, Shuyi Gao, Yuenong Jiao, Huicheng Gong

Sinonasal inverted papilloma (SNIP) is less malignant and usually occur in the maxillary sinus. However, cases invading the pterygopalatine fossa are extremely rare. In this article, we describe a rare case of a man in his early 60s who presented with left nasal congestion, headache, epistaxis, and facial numbness. The patient underwent a comprehensive treatment primarily based on surgery. Nasal endoscopy showed that the mass had invaded the left infratemporal fossa laterally and was poorly separated from the internal maxillary artery, which increased the complexity and difficulty of the surgery. In addition, the patient had previously undergone nasal cavity surgery, which made the surgery more challenging. In order to reduce the risk of recurrence, we exposed the infratemporal fossa region under nasal endoscopic guidance with a combined labial and gingival incision, and completely removed the tumor base and tumor margins. There were no postoperative complications and no recurrence was observed during the 2-year follow-up period.

鼻窦内翻性乳头状瘤(SNIP)的恶性程度较低,通常发生在上颌窦。然而,侵犯翼腭窝的病例极为罕见。在这篇文章中,我们描述了一个罕见的病例,一个60岁出头的男人,他表现为左鼻塞、头痛、鼻出血和面部麻木。患者接受了以手术为主的综合治疗。鼻内窥镜检查显示肿块外侧侵犯左侧颞下窝,与上颌内动脉分离不良,增加了手术的复杂性和难度。此外,患者之前做过鼻腔手术,这使得手术更具挑战性。为了降低复发的风险,我们在鼻内镜引导下,采用唇龈联合切口暴露颞下窝区,完全切除肿瘤基底和肿瘤边缘。术后2年随访无并发症发生,无复发。
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引用次数: 0
Multi-task learning with multi-gate mixture of transformer-based experts for predictive process monitoring in manufacturing. 基于多门混合变压器专家的多任务学习制造过程预测监控。
IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-10-01 DOI: 10.1177/00368504241292196
Jiaojiao Wang, Yao Sui, Chang Liu, Xuewen Shen, Zhongjin Li, Dingguo Yu

Manufacturing industries involve both business processes and complex manufacturing processes. Predictive process monitoring techniques are effective for managing process executions by making multi-perspective real-time predictions, preventing issues such as delivery delays. Conventional predictive process monitoring for business processes focuses on predicting the next activity, next event time, and remaining time using single-task learning, which is costly and complex. For complex manufacturing processes, predictive process monitoring primarily aims to predict the remaining time, that is, product cycle time. However, single-task learning methods fail to capture all the variations within the historical process executions. To address them, we propose the multi-gate mixture of transformer-based experts framework, which leverages a transformer network within the multi-gate mixture-of-experts multi-task learning architecture to extract sequential features and employs gated expert networks to model task commonalities and differences. Empirical results demonstrate that multi-gate mixture of transformer-based experts outperforms three alternative architectures across five real-life event logs, highlighting its generalization, effectiveness, and efficiency in predictive process monitoring.

制造业既包括业务流程,也包括复杂的制造流程。预测性流程监控技术通过进行多角度实时预测,有效地管理流程执行,防止交付延迟等问题。业务流程的传统预测流程监控侧重于使用单任务学习预测下一个活动、下一个事件时间和剩余时间,这既昂贵又复杂。对于复杂的制造过程,预测过程监控的主要目的是预测剩余时间,即产品周期时间。然而,单任务学习方法无法捕获历史流程执行中的所有变化。为了解决这些问题,我们提出了基于多门混合变压器的专家框架,该框架利用多门混合专家多任务学习架构中的变压器网络来提取序列特征,并使用门控专家网络来建模任务的共性和差异。实证结果表明,基于变压器的多门混合专家在五个实际事件日志中优于三种替代架构,突出了其在预测过程监控中的通用性、有效性和效率。
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引用次数: 0
Adenoid cystic carcinoma of palatine tonsil: A case report. 腭扁桃体腺样囊性癌1例。
IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-10-01 DOI: 10.1177/00368504241308735
Yang Guo, Qiang Huang, Huaidong Du

In head and neck, adenoid cystic carcinoma (ACC) is a rare malignant tumor. ACC mainly generated from minor salivary glands, especially in the palate. We report an extremely rare case of ACC generating in the left palatine tonsil. A 50-year-old woman with foreign body sensation in the pharynx for 6-month was admitted to our hospital. Physical examination revealed a dark red mass in the soft palate near the upper pole of the left tonsil. Preoperative imaging examinations indicated a low-density mass in the left tonsillar area on the CT plain scan, which was a hyperintense mass at the anterior superior pole of the left tonsil on T2-weighted MRI. Complete surgical resection of the mass together with the left palatine tonsil was conducted under general anesthesia. The diagnosis of ACC was established based on histopathology and immunohistochemistry results. Then, postoperative radiotherapy of 60 Gy was administered. During regular medical follow-up for 12 months, no local recurrence was observed. Complete surgical resection, with or without postoperative radiotherapy is generally acknowledged as the standard of care for ACC. Despite the extremely low incidence in palatine tonsil, clinicians should consider the differential diagnosis of ACC.

在头颈部,腺样囊性癌(ACC)是一种罕见的恶性肿瘤。ACC主要产生于小唾液腺,尤其是上颚。我们报告一个极其罕见的病例ACC产生在左腭扁桃体。我们收治了一位50岁的女性患者,她有6个月的咽部异物感。体格检查发现左侧扁桃体上极附近的软腭有一暗红色肿块。术前影像学检查显示:CT平扫示左侧扁桃体区低密度肿块,t2加权MRI示左侧扁桃体前上极高密度肿块。全麻下手术切除肿物及左腭扁桃体。根据组织病理学和免疫组织化学结果确定ACC的诊断。术后给予60 Gy放射治疗。随访12个月,未见局部复发。完全手术切除,术后或不术后放疗通常被认为是ACC的标准治疗方法。尽管在腭扁桃体的发病率极低,但临床医生应考虑ACC的鉴别诊断。
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引用次数: 0
Evaluating the suitability of incorporating sugarcane bagasse ash, polypropylene fibers, and sea sand-seawater in enhancing physico-mechanical properties of lightweight foamed concrete. 评估掺入甘蔗渣灰、聚丙烯纤维和海砂-海水提高轻质泡沫混凝土物理-机械性能的适宜性。
IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-10-01 DOI: 10.1177/00368504241306144
Vinh Ngoc Chau, Lanh Si Ho, Tuan Quoc Hoang, Viet Quoc Dang

This study aims to explore the feasibility of replacing traditional components, such as Portland cement, river sand and tap water with sugarcane bagasse ash (SCBA), polypropylene (PP) fibers, and sea sand-seawater (SSSW) in lightweight foamed concrete (LWFC) production. SCBA was used in the range from 0 to 15% as cement replacement, and PP fibers were used with dosage from 0% to 1% by volume of LWFC. Meanwhile, SSSW was used to completely replace river sand and tap water. The investigation delves into the fundamental physico-mechanical properties of LWFC, encompassing compressive strength, splitting tensile strength, and water absorption. The incorporation of SCBA initially displayed a negative impact on the early strength of LWFC, which was mitigated by the favorable effects of PP fibers and SSSW. At later ages, SCBA contributed to increased compressive strength, yet a threshold level was identified beyond which excessive SCBA adversely affected this strength property. Furthermore, statistical regression analyses were employed to interpret test results, revealing promising findings. A regression model was proposed to predict splitting tensile strength LWFC from corresponding compressive strength, yielding an R2 of 0.74. Lastly, utilizing SCBA as cement replacement and incorporating SSSW into LWFC production resulted in reduced water absorption.

本研究旨在探索用蔗渣灰(SCBA)、聚丙烯(PP)纤维和海砂-海水(SSSW)替代轻质泡沫混凝土(LWFC)生产中传统成分(如波特兰水泥、河砂和自来水)的可行性。SCBA用量为0 ~ 15%作为水泥替代品,PP纤维用量为LWFC体积比的0% ~ 1%。同时,利用SSSW完全替代河砂和自来水。该研究深入研究了LWFC的基本物理力学特性,包括抗压强度、劈裂抗拉强度和吸水率。SCBA的掺入最初对LWFC的早期强度有负面影响,但被PP纤维和SSSW的有利影响所缓解。在较晚的年龄,SCBA有助于增加抗压强度,但确定了一个阈值水平,超过该阈值水平,过量的SCBA会对强度特性产生不利影响。此外,采用统计回归分析来解释测试结果,揭示了有希望的发现。用相应的抗压强度预测劈裂抗拉强度LWFC的回归模型,R2为0.74。最后,使用SCBA作为水泥替代品,并将SSSW加入到低含水纤维生产中,可以降低吸水率。
{"title":"Evaluating the suitability of incorporating sugarcane bagasse ash, polypropylene fibers, and sea sand-seawater in enhancing physico-mechanical properties of lightweight foamed concrete.","authors":"Vinh Ngoc Chau, Lanh Si Ho, Tuan Quoc Hoang, Viet Quoc Dang","doi":"10.1177/00368504241306144","DOIUrl":"10.1177/00368504241306144","url":null,"abstract":"<p><p>This study aims to explore the feasibility of replacing traditional components, such as Portland cement, river sand and tap water with sugarcane bagasse ash (SCBA), polypropylene (PP) fibers, and sea sand-seawater (SSSW) in lightweight foamed concrete (LWFC) production. SCBA was used in the range from 0 to 15% as cement replacement, and PP fibers were used with dosage from 0% to 1% by volume of LWFC. Meanwhile, SSSW was used to completely replace river sand and tap water. The investigation delves into the fundamental physico-mechanical properties of LWFC, encompassing compressive strength, splitting tensile strength, and water absorption. The incorporation of SCBA initially displayed a negative impact on the early strength of LWFC, which was mitigated by the favorable effects of PP fibers and SSSW. At later ages, SCBA contributed to increased compressive strength, yet a threshold level was identified beyond which excessive SCBA adversely affected this strength property. Furthermore, statistical regression analyses were employed to interpret test results, revealing promising findings. A regression model was proposed to predict splitting tensile strength LWFC from corresponding compressive strength, yielding an R<sup>2</sup> of 0.74. Lastly, utilizing SCBA as cement replacement and incorporating SSSW into LWFC production resulted in reduced water absorption.</p>","PeriodicalId":56061,"journal":{"name":"Science Progress","volume":"107 4","pages":"368504241306144"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Self-adaptive rail edge detection for trams based on mathematical morphology. 基于数学形态学的有轨电车自适应轨道边缘检测。
IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-10-01 DOI: 10.1177/00368504241295788
Shizhong He, Longjiang Shen, Zuobing Zhou, Aolin Gao, Xingwen Wu

With the growing number of tram operation lines, tram-related traffic incidents, particularly train collisions, have become a major issue. Therefore, the ability to identify foreign objects on a track is critical to tram operational safety. Accurately identifying the rail edge is a critical technology for recognizing the track area and providing early warnings of potential threats. Therefore, this study proposes a self-adaptive rail-edge detection algorithm that uses mathematical morphology and computer vision technology to accurately extract rail edges. The performance of the proposed algorithm was compared to that of existing algorithms, including the Canny algorithm and two other methods described in publication. Three scenes in the level crossing area of trams were considered as the research objects, and the effects of two types of noise in the image were explored in terms of the investigated using mean square error (MSE), peak signal-to-noise ratio (PSNR), and computational time. The results showed that the proposed model exhibited strong robustness for different scenes, particularly in the presence of noise. This suggests that the proposed algorithm could be used in early warning systems of trams to identify rail edges.

随着有轨电车运营线路的不断增加,与有轨电车相关的交通事故,尤其是列车相撞事故,已成为一个重大问题。因此,识别轨道上异物的能力对有轨电车的运行安全至关重要。准确识别轨道边缘是识别轨道区域和提供潜在威胁预警的关键技术。因此,本研究提出了一种自适应轨道边缘检测算法,利用数学形态学和计算机视觉技术准确提取轨道边缘。该算法的性能与现有算法进行了比较,包括 Canny 算法和出版物中介绍的其他两种方法。以有轨电车平交道口区域的三个场景为研究对象,从调查的均方误差(MSE)、峰值信噪比(PSNR)和计算时间方面探讨了图像中两种噪声的影响。结果表明,所提出的模型在不同场景下表现出很强的鲁棒性,尤其是在存在噪声的情况下。这表明所提出的算法可用于有轨电车预警系统,以识别轨道边缘。
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引用次数: 0
Design and static and dynamic analysis of floor vibration isolators for high-speed train. 高速列车地面隔振器的设计及静态和动态分析。
IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-10-01 DOI: 10.1177/00368504241292684
Shuaishuai Wan, Leiming Song, Xiaojun Hu, Hao Lin, Hu Zhang

With the increasing speed of high-speed train, it is more and more difficult to reduce the vibration and noise inside the train. The floor of the train, as a carriage component in direct contact with passengers, is of great significance to improve its vibration and sound isolation performance to ensure the comfort of passengers. In this article, a floor vibration isolator with quasi-zero stiffness is designed based on the dimensional parameters of the traditional floor vibration isolator, and the vibration isolation performance is analyzed by the finite element model of the floor vibration isolator from the static and dynamics aspects, respectively. The load-displacement curves of the floor vibration isolator are obtained through static simulation calculations, and the dynamic analysis of the floor vibration isolator is carried out by simulation methods, which verifies the low-frequency vibration isolation performance of the floor vibration isolator under different working conditions, and the vibration isolator has a good prospect for development.

随着高速列车速度的不断提高,降低车内振动和噪音的难度也越来越大。列车地板作为与乘客直接接触的车厢部件,提高其隔振隔音性能以确保乘客的舒适性具有重要意义。本文基于传统地板隔振器的尺寸参数,设计了一种具有准零刚度的地板隔振器,并通过地板隔振器的有限元模型分别从静态和动态两个方面对其隔振性能进行了分析。通过静态仿真计算得到了地板隔振器的载荷-位移曲线,并利用仿真方法对地板隔振器进行了动态分析,验证了地板隔振器在不同工况下的低频隔振性能,该隔振器具有良好的发展前景。
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引用次数: 0
Descriptive analysis of MC4R gene variants associated with obesity listed on ClinVar. 对 ClinVar 上列出的与肥胖有关的 MC4R 基因变异进行描述性分析。
IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-10-01 DOI: 10.1177/00368504241297197
Giti Bayhaghi, Zubair A Karim, Jeane Silva

Objectives: The most recent version of ClinVar was utilized to filter variants of the MC4R gene based on location, condition, and clinical significance with the goal of obtaining benign and disease-associated variants of the MC4R gene. MC4R gene variants can lead to dysregulation of energy expenditure and appetite control, which prompted this study to delineate the distinctive features of MC4R gene variants submitted to the ClinVar repository regarding their association with obesity and related phenotypes.

Method: A thorough search was conducted in the ClinVar repository for clinically significant MC4R variants through the utilization of the gene name MC4R[gene] and MeSH terms "MC4R[gene]" and "single gene"[properties]" in the search box. Leading to the identification of clinically significant genetic variants associated with obesity.

Results: Utilizing the ClinVar clinical significance ranking system, the MC4R variants were categorized into six groups based on ClinVar/ClinGen's ranking system: pathogenic (P), likely pathogenic (LP), variant of uncertain significance (VUS), benign (B), likely benign (LB), and conflicting classifications (CC). A total of 103 pathogenic variants were observed. These variants have different clinical significance that are associated with monogenic obesity, monogenic diabetes, and body mass index quantitative traits. It was observed that over 80% of the mutations were single nucleotide variants, with nearly half being missense mutations spread throughout the topological and transmembrane domains. Furthermore, TM7 had the highest number of single nucleotide missense mutations.

Conclusion: Further analysis of the relationships between monogenic obesity and diabetes requires additional investigation to discover the underlying causes of these conditions. The study findings imply that mutations in MC4R's topological and transmembrane regions may significantly influence receptor activation and signaling. As more MC4R variants are discovered and their correlation with obesity is established, there is potential to definitively establish a strong connection between MC4R pathogenic variants and the development of obesity.

目的:利用最新版本的 ClinVar 根据位置、条件和临床意义筛选 MC4R 基因变异,目的是获得 MC4R 基因的良性变异和疾病相关变异。MC4R基因变异可导致能量消耗和食欲控制失调,这促使本研究对提交到ClinVar库的MC4R基因变异与肥胖及相关表型的关系进行了分析:通过在搜索框中使用基因名称 MC4R[基因]和 MeSH 术语 "MC4R[基因]"和 "单基因"[属性]",在 ClinVar 资源库中对具有临床意义的 MC4R 变异进行了全面搜索。结果:利用 ClinVar 临床意义排序系统,根据 ClinVar/ClinGen 的排序系统将 MC4R 变异分为六组:致病性(P)、可能致病性(LP)、意义不确定的变异(VUS)、良性(B)、可能良性(LB)和分类冲突(CC)。共观察到 103 个致病变体。这些变异具有不同的临床意义,与单基因肥胖、单基因糖尿病和体重指数定量特征有关。据观察,80%以上的变异为单核苷酸变异,近一半为错义变异,分布在拓扑结构域和跨膜结构域。此外,TM7 的单核苷酸错义突变数量最多:结论:进一步分析单基因肥胖症和糖尿病之间的关系需要进行更多的调查,以发现这些疾病的根本原因。研究结果表明,MC4R拓扑区和跨膜区的突变可能会显著影响受体的激活和信号传导。随着更多MC4R变异的发现及其与肥胖症相关性的确定,有可能最终确定MC4R致病变异与肥胖症发病之间的密切联系。
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引用次数: 0
Endocarditis and ascending aortic aneurysm with aortic valve insufficiency secondary to late syphilis: Case report. 晚期梅毒继发心内膜炎和升主动脉瘤并发主动脉瓣功能不全1例。
IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-10-01 DOI: 10.1177/00368504241308956
Henry Robayo-Amortegui, Juan Rojas-Perdomo, Eduardo Tuta-Quintero, Natalia Valenzuela-Faccini, Carlos Fuentes-Pérez, Alexander Cely-Cely, Efraín Gómez-López

Venereal syphilis, caused by Treponema pallidum, is a major global health problem. Untreated latent syphilis can progress to tertiary syphilis, often leading to severe complications such as cardiac involvement, particularly syphilitic aortitis, which may manifest decades after the initial infection. We present a case of a 46-year-old woman who developed an ascending aortic aneurysm and severe aortic valve insufficiency due to late-stage syphilis. She presented with bilateral lower limb edema, intermittent chest pain, decreased functional capacity, and dyspnea, ultimately requiring hospitalization for cardiogenic shock. Diagnostic imaging revealed significant aortic valve damage and aneurysmal dilation of the ascending aorta, while serological tests confirmed tertiary cardiovascular syphilis. Surgical intervention involved the reconstruction of the ascending aorta and replacement of the aortic valve with a bioprosthetic valve. Histopathological analysis indicated chronic endocarditis. Postoperative management included intensive care support and antibiotic treatment. The patient demonstrated satisfactory recovery, with no further complications reported at the 3-month follow-up.

由梅毒螺旋体引起的性梅毒是一个主要的全球卫生问题。未经治疗的潜伏性梅毒可发展为三期梅毒,通常导致严重的并发症,如心脏受损伤,特别是梅毒性大动脉炎,可能在初次感染后几十年才出现。我们提出一个病例46岁的妇女谁发展了上升主动脉瘤和严重的主动脉瓣功能不全,由于晚期梅毒。患者表现为双侧下肢水肿、间歇性胸痛、功能减退和呼吸困难,最终因心源性休克住院。诊断成像显示明显的主动脉瓣损伤和升主动脉动脉瘤扩张,而血清学检查证实三级心血管梅毒。手术干预包括重建升主动脉和用生物瓣膜置换主动脉瓣。组织病理学分析为慢性心内膜炎。术后管理包括重症监护支持和抗生素治疗。患者表现出令人满意的恢复,在3个月的随访中没有进一步的并发症报告。
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引用次数: 0
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