A growing number of 'Young' patients less than 40 years of age are being hospitalized with a diagnosis of acute myocardial infarction (AMI) due to increased prevalence of risk factors for atherosclerosis. The aim of this study was to compare clinical characteristics and performances of AMI between young and elderly patients. We conducted a retrospective study to compare AMI in young patients and elder patients. Based on the medical record databases in our hospital, we enrolled 114 'young' AMI patients (age ≤42 years) and 179 'elder' AMI patients (≥60 years), and then collected and analyzed their demographic information, clinical performances, and coronary angiography results. In the young AMI group, the proportion of male patients was higher than that in the elder AMI group (94.7 vs. 64.2%, P<0.05). Compared with the elder AMI patients, young patients had higher rates of smoking history and positive family medical history, but lower rates of hypertension and diabetes. Elder patients with AMI were more likely to develop various clinical performances, and multiple-branch lesions; however, young AMI patients had relatively fewer symptoms, and the tissue lesions were more limited. The clinical profiles of AMI in young patients were different from that in elder AMI patients. Specific interventions should be carried out to prevent and control the prevalence of AMI in the young population. Patients and methods Study design. This retrospective, single-center, observational study was conducted during a 24-month period from January 2014 to December 2015 at Weifang People's Hospital. Consecutive patients who were diagnosed with AMI were
Artificial reefs (ARs) are one of the key man-made constructs to restore the offshore fishery resources and recover the ecological environment. However, it is found that many ARs lost their stability and function due to scour. In order to ensure the functional effect of ARs, it is of great significance to study the instability of ARs, like burying caused by scour in different flow conditions. The three-dimensional numerical model established by FLOW-3D is used to study the local scour characteristics around the AR in steady currents. The RANS equations, closed with the RNG k-ε turbulence model, are established for simulating a stable flow field around one AR. The simulation results are compared with previous experimental results and shows good agreement. Then, the effect of the opening number and the incident angles of ARs on the scour characteristics, the equilibrium scour depth and maximum scour volume are investigated. The results indicate that the scour depth and scour volume decrease with the increasing opening number. Moreover, the empirical equations of the effect of the opening number of the AR on the equilibrium scour depth and maximum scour volume are proposed based on the numerical results. The change of the incident angles will affect the change of bed shear stress at the most upstream corner of the AR. The greater bed shear stress results in a more intense scour. This study will provide theoretical support, and practical guidance for the optimized engineering design and construction of ARs.
Reef habitat in coastal ecosystems is increasingly being augmented with artificial reefs (ARs) and is simultaneously experiencing increasing hypoxia due to eutrophication and climate change. Relatively little is known about the effects of hypoxia on organisms that use complex habitat arrangements and how the presence of highly preferred AR habitat can affect the exposure of organisms to low dissolved oxygen (DO). We performed two laboratory experiments that used video recording of behavioral movement to explore 1) habitat usage and staying duration of individuals continuously exposed to 3, 5, and 7 mg/L dissolved oxygen (DO) in a complex of multiple preferred and avoided habitat types, and 2) the impact of ARs on exposure to different DO concentrations under a series of two-way replicated choice experiments with or without AR placement on the low-oxygen side. Six common reef-dependent species found in the northeastern sea areas of China were used (i.e., rockfish Sebastes schlegelii and Hexagrammos otakii, filefish Thamnaconus modestus, flatfish Pseudopleuronectes yokohamae, sea cucumber Stichopus japonicus, and crab Charybdis japonica). Results showed that lower DO levels decreased the usage of preferred habitats of the sea cucumber and the habitat-generalist filefish but increased the habitat affinity to preferred habitat types for the two habitat-specific rockfishes. Low DO had no effect on the crab’s habitat usage. In the choice experiment, all three fish species avoided 1 mg/L, and the rockfish S. schlegelii continued to avoid the lower DO when given choices involving pairs of 3, 5, and 7 mg/L, while H. otakii and the flatfish showed less avoidance. The availability of ARs affected exposure to low DO for the habitat-preferring rockfishes but was not significant for the flatfish. This study provides information for assessing the ecological effects and potential for adaptation through behavioral movement for key reef-dependent species under the increasing overlap of ARs and hypoxia anticipated in the future.
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