目的评价加速康复外科(ERAS)在双平面机器人辅助经皮骶髂关节螺钉固定治疗骶骨骨折中的临床效果。方法选取2018年12月至2020年12月内蒙古医科大学附属医院采用双平面机器人辅助经皮骶髂关节螺钉固定治疗的24例骶骨纵形骨折患者作为研究...目的评价加速康复外科(ERAS)在双平面机器人辅助经皮骶髂关节螺钉固定治疗骶骨骨折中的临床效果。方法选取2018年12月至2020年12月内蒙古医科大学附属医院采用双平面机器人辅助经皮骶髂关节螺钉固定治疗的24例骶骨纵形骨折患者作为研究对象,随机分为ERAS组与常规组(n=12),其中常规组采取常规围手术期管理模式,ERAS组在常规管理基础上实施ERAS精细化围手术期管理方案,对两组患者围手术期指标、影像学结果和疗效指标进行对比分析。结果对两组患者螺钉置入位置进行影像学检查(X线、CT扫描),均达到满意程度;Matta影像评分两组相近(P>0.05)。ERAS组术后2 d疼痛视觉模拟量表评分、术后3 d Braden压疮评分和末次随访Majeed评分均优于常规组,住院时间短于常规组,两组比较,差异具有统计学意义(P<0.05)。结论在机器人辅助经皮骶髂关节螺钉固定围手术期管理中运用ERAS理念,疼痛缓解更加有效、压疮风险更低、住院时间更短,更有利于骶骨骨折患者术后骨盆功能恢复,可在脊柱外科机器人手术中推广和应用。展开更多
Alexandrium minutum from the China Sea produces a range of toxins and causes damage to the local ecosystems and aquaculture.This is essential to understand environmental factors affecting potential distribution.Potent...Alexandrium minutum from the China Sea produces a range of toxins and causes damage to the local ecosystems and aquaculture.This is essential to understand environmental factors affecting potential distribution.Potential distributions of A.minutum in the China Sea were predicted based on maximum entropy modeling,and dominant environmental variables were studied through analyses of variable contributions and response curves.The results showed that highly suitable areas were mainly located in the southwest of the Yellow Sea,the Laizhou Bay,and north of Haizhou Bay.The coast of the South China Sea was predicted as a low-suitability area,and the coast of the East China Sea as an unsuitable area.Mean temperature of the coldest month(T_min)had the largest drop in permutation importance but a low percent contribution.The probability of presence of A.minutum increased with increasing concentration of nitrate(NO3−)and annual mean temperature(T_ann)over a wide range of them.The response curves decreased with increasing concentration of phosphate(PO43−)and ratio of NO_(3)^(−)to PO_(4)^(3−)(N_P_ratio)when PO_(4)^(3)−is above 0.049μmolL^(-1) and N_P_ratio above 4,indicating that low values of PO_(4)^(3−) concentration and N_P_ratio favour the occurrence of A.minutum.As a predictor,the variance of annual temperature(T_Var)had the highest percent contribution and gains.PO_(4)^(3−) was predicted to have much more information than the other variables,and exhibited the second largest drop in permutation importance and percent contribution.The T_Var and PO_(4)^(3−) are the most important dominant predictor variables.展开更多
Several studies have documented that during‘green tide’events,comprising green macroalgae blooms in aquatic ecosystems,dissolved inorganic phosphorus(DIP)levels remain relatively steady despite the absorption of a l...Several studies have documented that during‘green tide’events,comprising green macroalgae blooms in aquatic ecosystems,dissolved inorganic phosphorus(DIP)levels remain relatively steady despite the absorption of a large amount of DIP.In this study,surface sediment samples and a sediment core were extracted using a modified sequential extraction scheme,and water and surface sediment samples were analyzed in April 2017 to better understand phosphorus(P)cycling and replenishment in Subei shoal.We used a simple model on equilibrium of adsorption-desorption to present the buffering capacity of phosphate.The total P(TP)in the surface sediments ranged from 12.2 to 28.4μmol g^(-1)(average 15.5μmol g^(-1))and was dominated by inorganic P.TP,exchangeable P,reactive and reductive Fe/Al bound P,and authigenic apatite P significantly decreased northward and eastward from Subei shoal,contrary to the detrital P and organic P results.Dissolved and particulate inorganic P in the water samples ranged from 0.01 to 0.54μmol L^(-1)(average 0.19μmol L^(-1))and 0.9 to 19.6μmol g^(-1)(average 4.9μmol g^(-1)),respectively.The applied model showed that suspended particulate matter is an important regulator of DIP behavior.Thus,modification of SPM can alter the DIP buffering capacity.The calculated buffering capacity in the surface layer of the sea water was>60 within Subei shoal and always>10 along the path of floating Ulva prolifera,providing a reasonable explanation for the steady concentration of DIP and its replenishment during the blooming of this green macroalgae.展开更多
文摘目的评价加速康复外科(ERAS)在双平面机器人辅助经皮骶髂关节螺钉固定治疗骶骨骨折中的临床效果。方法选取2018年12月至2020年12月内蒙古医科大学附属医院采用双平面机器人辅助经皮骶髂关节螺钉固定治疗的24例骶骨纵形骨折患者作为研究对象,随机分为ERAS组与常规组(n=12),其中常规组采取常规围手术期管理模式,ERAS组在常规管理基础上实施ERAS精细化围手术期管理方案,对两组患者围手术期指标、影像学结果和疗效指标进行对比分析。结果对两组患者螺钉置入位置进行影像学检查(X线、CT扫描),均达到满意程度;Matta影像评分两组相近(P>0.05)。ERAS组术后2 d疼痛视觉模拟量表评分、术后3 d Braden压疮评分和末次随访Majeed评分均优于常规组,住院时间短于常规组,两组比较,差异具有统计学意义(P<0.05)。结论在机器人辅助经皮骶髂关节螺钉固定围手术期管理中运用ERAS理念,疼痛缓解更加有效、压疮风险更低、住院时间更短,更有利于骶骨骨折患者术后骨盆功能恢复,可在脊柱外科机器人手术中推广和应用。
基金supported by the National Key Research and the Development Program of China(No.2019YFE 0124700)the China National Key Research and Development Program(No.2022YFC3106002)+1 种基金the National Natural Science Foundation of China(No.U1901215)the Startup Foundation for Introducing Talent of NUIST(No.2020r028).
文摘Alexandrium minutum from the China Sea produces a range of toxins and causes damage to the local ecosystems and aquaculture.This is essential to understand environmental factors affecting potential distribution.Potential distributions of A.minutum in the China Sea were predicted based on maximum entropy modeling,and dominant environmental variables were studied through analyses of variable contributions and response curves.The results showed that highly suitable areas were mainly located in the southwest of the Yellow Sea,the Laizhou Bay,and north of Haizhou Bay.The coast of the South China Sea was predicted as a low-suitability area,and the coast of the East China Sea as an unsuitable area.Mean temperature of the coldest month(T_min)had the largest drop in permutation importance but a low percent contribution.The probability of presence of A.minutum increased with increasing concentration of nitrate(NO3−)and annual mean temperature(T_ann)over a wide range of them.The response curves decreased with increasing concentration of phosphate(PO43−)and ratio of NO_(3)^(−)to PO_(4)^(3−)(N_P_ratio)when PO_(4)^(3)−is above 0.049μmolL^(-1) and N_P_ratio above 4,indicating that low values of PO_(4)^(3−) concentration and N_P_ratio favour the occurrence of A.minutum.As a predictor,the variance of annual temperature(T_Var)had the highest percent contribution and gains.PO_(4)^(3−) was predicted to have much more information than the other variables,and exhibited the second largest drop in permutation importance and percent contribution.The T_Var and PO_(4)^(3−) are the most important dominant predictor variables.
基金supported by the National Natural Science Foundation of China(No.U1901215)the National Key Research and Development Program of China(No.2019YFE0124700)+1 种基金the China National Key Research and Development Program(No.2022YFC3106002)the Startup Foundation for Introducing Talent of NUIST(No.2020r028)。
文摘Several studies have documented that during‘green tide’events,comprising green macroalgae blooms in aquatic ecosystems,dissolved inorganic phosphorus(DIP)levels remain relatively steady despite the absorption of a large amount of DIP.In this study,surface sediment samples and a sediment core were extracted using a modified sequential extraction scheme,and water and surface sediment samples were analyzed in April 2017 to better understand phosphorus(P)cycling and replenishment in Subei shoal.We used a simple model on equilibrium of adsorption-desorption to present the buffering capacity of phosphate.The total P(TP)in the surface sediments ranged from 12.2 to 28.4μmol g^(-1)(average 15.5μmol g^(-1))and was dominated by inorganic P.TP,exchangeable P,reactive and reductive Fe/Al bound P,and authigenic apatite P significantly decreased northward and eastward from Subei shoal,contrary to the detrital P and organic P results.Dissolved and particulate inorganic P in the water samples ranged from 0.01 to 0.54μmol L^(-1)(average 0.19μmol L^(-1))and 0.9 to 19.6μmol g^(-1)(average 4.9μmol g^(-1)),respectively.The applied model showed that suspended particulate matter is an important regulator of DIP behavior.Thus,modification of SPM can alter the DIP buffering capacity.The calculated buffering capacity in the surface layer of the sea water was>60 within Subei shoal and always>10 along the path of floating Ulva prolifera,providing a reasonable explanation for the steady concentration of DIP and its replenishment during the blooming of this green macroalgae.
