The underscores mean that it's a non-exhaustive enum. An exhaustive enum is where you list all the names of the possible enum values, and other values are illegal. A non-exhaustive enum means any value in the underlying storage is allowed. So at root this code is creating a bunch of new integer types which are all backed by u32 but which can't be directly assigned or compared to each other. That means you can't accidentally pass a SectionIndex into a function expecting an ObjectFunctionImportIndex, which would be impossible to do if those functions just took raw u32's.
The underscores mean that it's a non-exhaustive enum. An exhaustive enum is where you list all the names of the possible enum values, and other values are illegal. A non-exhaustive enum means any value in the underlying storage is allowed. So at root this code is creating a bunch of new integer types which are all backed by u32 but which can't be directly assigned or compared to each other. That means you can't accidentally pass a SectionIndex into a function expecting an ObjectFunctionImportIndex, which would be impossible to do if those functions just took raw u32's.