: The inhibition of CD4+CD25+ Tregs in patients with ST-segment elevation myocardial infarction could be regulated with atorvastatin given before percutaneous coronary intervention.
Summary
The problem of predicting the geometric structure of induced fractures is highly complex and significant in the fracturing stimulation of rock reservoirs. In the traditional continuous fracturing models, the mechanical properties of reservoir rock are input as macroscopic quantities. These models neglect the microcracks and discontinuous characteristics of rock, which are important factors influencing the geometric structure of the induced fractures. In this paper, we simulate supercritical CO2 fracturing based on the bonded particle model to investigate the effect of original natural microcracks on the induced‐fracture network distribution. The microcracks are simulated explicitly as broken bonds that form and coalesce into macroscopic fractures in the supercritical CO2 fracturing process. A calculation method for the distribution uniformity index (DUI) is proposed. The influence of the total number and DUI of initial microcracks on the mechanical properties of the rock sample is studied. The DUI of the induced fractures of supercritical CO2 fracturing and hydraulic fracturing for different DUIs of initial microcracks are compared, holding other conditions constant. The sensitivity of the DUI of the induced fractures to that of initial natural microcracks under different horizontal stress ratios is also probed. The numerical results indicate that the distribution of induced fractures of supercritical CO2 fracturing is more uniform than that of common hydraulic fracturing when the horizontal stress ratio is small.
Expression levels of interleukin-18 (IL-18) and IL-35 in the serum of patients with sepsis and without thrombocytopenia and patients with sepsis thrombocytopenia (TCP) were detected to preliminarily investigate their clinical significance. One hundred and sixty-six patients admitted to Jinan Central Hospital Affiliated to Shandong University from July 2013 to September 2015 were retrospectively analysed. There were 96 patients with sepsis without thrombocytopenia in the sepsis group, and 70 patients with sepsis TCP in the sepsis TCP group. In the same period, 80 healthy subjects were selected as the control group. Fluorescent quantitative PCR was used for the detection the expression of mRNA levels of IL-18 and IL-35, and Enzyme-linked immunosorbent assay for the detection of the protein concentrations of IL-18 and IL-35 in the serum of peripheral blood. The correlation between IL-18, IL-35 and platelets was analyzed. There were significant differences in albumin, creatinine, total bilirubin and platelet count between the sepsis group and the sepsis TCP group (P<0.05); the expression levels of mRNA of IL-18 and IL-35 in a karyocyte in peripheral blood in the sepsis group and the sepsis TCP group were higher than those in the control group (P<0.05); the expression of mRNA of IL-18 and IL-35 in the sepsis TCP group was higher than those in the sepsis group (P<0.05). The concentration of IL-18 and IL-35 in the sepsis TCP group was higher than in the sepsis group (P<0.05); IL-18 and IL-35 were negatively correlated with platelets (r=-0.8749,-0.6228, P<0.001). There was a significant positive correlation between serum IL-18 and IL-35 in the control group, sepsis group, and sepsis TCP group (r=0.5124, 0.5718, 0.5511, P<0.001). IL-18 and IL-35 were negatively correlated with the reduced degree of platelets in patients with sepsis and are likely to play an important role in the pathogenetic process of sepsis TCP.
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