BackgroundStudies on human cytomegalovirus (HCMV) and Epstein-Barr virus (EBV) have focused primarily on the immunosuppressed population. Few studies have considered immunocompetent and not severely immunocompromised patients. We determined the infection rates of HCMV and EBV, their risk factors and their influence on liver function in patients with HBV-related acute-on-chronic liver failure (ACLF).MethodsPatients infected with ACLF-based hepatitis B virus (HBV) from 1 December 2016 to 31 May 2018 were enrolled in our study and were divided into infected and uninfected groups. The risk factors for HCMV and EBV infection and their influence on liver function were analysed.ResultsA total of 100 hospitalized patients with ACLF due to HBV infection were enrolled in this study. Of these patients, 5% presented HCMV deoxyribonucleic acid (DNA) and 23.0% presented EBV DNA. An HBV DNA count of < 1000 IU/mL increased the occurrence of HCMV infection (P = 0.003). Age, especially older than 60 years, was a risk factor for EBV infection (P = 0.034, P = 0.033). HCMV-infected patients had lower alanine aminotransferase (ALT) levels; albumin levels and Child–Pugh scores in EBV-infected patients were higher than those in uninfected patients.ConclusionsHCMV and EBV were detected in patients with ACLF caused by HBV infection. Lower replication of HBV (HBV DNA < 1000 IU/mL) may increase the probability of HCMV infection; age, especially older than 60 years of age, was a risk factor for EBV infection. HCMV infection may inhibit HBV proliferation and did not increase liver injury, while co-infection with EBV may influence liver function and may result in a poor prognosis.

BackgroundCubital tunnel syndrome is common nerve compression syndrome among peripheral nerve compression diseases. However, the syndrome caused by intraneural ganglion cysts has been rarely reported. Medical approaches, like ultrasound-guided aspiration and open surgical treatment remain to be discussed.Case presentationA 57-year-old woman presented with occasional pain, numbness and paralysis in her left hand and a palpable, painless mass in the ulnar side of her left elbow. Ultrasound-guided aspiration of the mass was performed to decompress the ulnar nerve. The patient experienced an evident release of pain in her hand, but symptoms of numbness and paralysis recurred 3 months later which greatly bothered the patient’s daily life. After evaluation, we had to perform an open surgery to excise the cyst. External neurolysis and anterior subcutaneous transposition were done. The patient was followed up for 2 years, and she made a complete recovery with no functional limitation.ConclusionsThe symptoms caused by intraneural ganglion cyst can be alleviated by accurate puncture. But puncture may be not complete and symptoms could recur. Complete external neurolysis can be counted as a complete and reliable treatment. Therefore, early diagnosis, careful preoperative imaging assessment and full decompression can be expected to receive a good rehabilitation.

A practical method to analyze the mechanical behavior of the asymmetric extradosed cable-stayed (AECS) bridge is provided in this paper. The work includes the analysis of the equivalent membrane tension of the cables, the ratio of side-span cable force to middle-span cable force, and the deflection of the main girder subject to uniformly distributed load. The Ritz method is a simple and efficient way to solve composite structures, such as the AECS bridge, compared with the traditional force method, displacement method, or finite element method. The theoretical results obtained from the Ritz method are in good agreement with that from the finite element analysis, which shows the accuracy of this approach. Then, a parametric study of AECS bridges is carried out by using the proposed equations directly, instead of using the traditional finite element modeling process, which requires a lot of modeling work. As a result, reasonable values of very important parameters are suggested, which helps the readers reach a better understanding of the mechanical behavior of AECS bridges. More importantly, it helps the designers to enhance the efficiency in the stage of conceptual design.

This paper analyzes the relevant factors of the type-selection of DaQing highway interchange, and with the study of the importance of the interchange in the road network, the volume of traffic, and site condition, investment cost. This paper presents rhombic -shape and single-horn type schemes. Further, this paper compares the two schemes from the technical and economical aspects such as the traffic conditions ,cost and the status of area-cover, then recommends rhombic -shape scheme. General Situation of the EngineeringNational Highway conditions of terrain and distribution of obstacles Within the scope of Daqing interchange the north ground of Provincial Highway 23 is relatively flat, the ground elevation is about 10m-12m, and on the south side the ground is undulate with the elevation 14m~23m.There are crowded buildings and houses and a river named Nan is about 280m distant from the interchange. The river flows from east to west. There is a primary school near by the interchange. On the west side of the main line there are mountain and local roads and irrigation river. Interchange Type Schemes IntroductionDaqing interchange type scheme is restricted by many factors, such as terrain conditions and specifications for requirements of the distance between the interchange and another interchange, an interchange and a tunnel ②③ .This paper presents two schemes: rhombic -shape and single-horn type schemes. scheme I Rhombic -shape which schemes the main line crosses over Provincial Highway 23.The design speed of the ramps is 40 km/h. Each direction have one ramp and with the roadbed width of 8.5m.