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The first documented avian influenza virus subtype H16N3 was isolated in 1975 and is currently detectable in many countries worldwide. However, the prevalence, biological characteristics and threat to humans of the avian influenza virus H16N3 subtype in China remain poorly understood. We performed avian influenza surveillance in major wild bird gatherings across the country from 2017 to 2019, resulting in the isolation of two H16N3 subtype influenza viruses. Phylogenetic analysis showed these viruses belong to the Eurasian lineage, and both viruses presented the characteristics of inter‐species reassortment. In addition, the two viruses exhibited limited growth capacity in MDCK and A549 cells. Receptor‐binding assays indicated that the two H16N3 viruses presented dual receptor‐binding profiles, being able to bind to both human and avian‐type receptors, where GBHG/NX/2/2018(H16N3) preferentially bound the avian‐type receptor, while GBHG/NX/1/2018(H16N3) showed greater binding to the human‐type receptor, even the mice virulence data showed the negative results. Segments from other species have been introduced into the H16N3 avian influenza virus, which may alter its pathogenicity and host tropism, potentially posing a threat to animal and human health in the future. Consequently, it is necessary to increase monitoring of the emergence and spread of avian influenza subtype H16N3 in wild birds. [ABSTRACT FROM AUTHOR]

Objective. The purpose of the study was to investigate the effect of combined spinal-epidural anesthesia (CSEA) and total intravenous anesthesia (TIVA) on hemodynamics and pregnancy outcomes of severe preeclampsia pregnant patients undergoing cesarean section. Methods. 126 patients with severe preeclampsia admitted to Zhangqiu District People's Hospital from August 2018 to August 2019 were selected as the study subjects and randomly divided into the experimental group (n = 63) and control group (n = 63). After undergoing cesarean section, the patients in the experimental group received CSEA, while those in the control group were given TIVA. After that, the effect of different anesthesia methods on the hemodynamics and pregnancy outcomes of pregnant women was compared. Results. There were no significant differences in age, BMI value, weight, height, gestational weeks, SBP, DBP, and residence between the two groups (P > 0.05). The operation duration, the onset time of anesthesia, and delivery time in the experimental group were significantly shorter than those in the control group, with less intraoperative blood loss in the experimental group than that in the control group (P < 0.001). In both groups, MAP and SpO2 during delivery were significantly lower than those before anesthesia, and HR was significantly higher than that before anesthesia (P < 0.001). In the experimental group, MAP and HR during delivery were significantly lower than those in the control group, and SpO2 was significantly higher than that in the control group (P < 0.001). The total effective rate of anesthesia in the experimental group was significantly higher than that in the control group (P < 0.05). The Apgar scoring of the newborns in the experimental group was significantly higher than that in the control group (P < 0.001), and the total incidence of postoperative adverse reactions in the experimental group was significantly lower than that in the control group (P < 0.05). Conclusion. CSEA is a reliable anesthesia method for improving the hemodynamics indicators in pregnant patients with severe preeclampsia; such strategy greatly increases the Apgar score of newborns and shortens the anesthesia onset time. Further research will be conducive to establishing a better anesthesia plan for such patients. [ABSTRACT FROM AUTHOR]

Due to the insufficient understanding of the outburst mechanism, the coal and gas outburst disasters in China are more serious. Gas expansion energy is the main source of energy that causes outburst. In order to explore the distribution law of gas expansion energy in outburst coal seams, a gas-solid coupling equation of outburst coal seams was established. The distribution law of coal stress field, deformation field, gas flow field, and gas expansion energy were simulated and analyzed by using COMSOL Multiphysics. The results showed that from the excavation face to the deep part of coal seam, the stress presented unloading zone, stress concentration zone, and original stress zone. The volumetric strain and permeability reached the minimum, while the gas pressure reached the maximum at the peak value of vertical stress. As time goes on, the gas pressure in the fracture near the working face gradually decreased and was less than the pressure in coal matrix. The total gas expansion energy consists of free gas and desorption gas expansion energy. Affected by the excavation, free gas expansion energy maintained a constant value in the original coal seam and gradually decreased in the area close to the working face. The expansion energy provided by desorption gas was zero in the original coal seam. And it first increased and then decreased rapidly near the working face. Compared with stress and coal seam thickness, gas pressure and initial diffusion coefficient had significant influence on gas expansion energy of coal seam. When the diffusion coefficient was greater than 1e-9 m2/s, the gas expansion energy of the coal seam near the working face was significantly higher than that of the original coal seam, which had the risk of inducing outburst. [ABSTRACT FROM AUTHOR]