目的探讨日间手术模式下射频消融(RFA)闭合术治疗下肢静脉曲张的临床疗效及安全性。方法收集2021年12月至2022年5月新疆维吾尔自治区人民医院收治的日间手术模式下治疗的101例大隐静脉曲张患者(112条肢体)的临床资料,按照手术方法的不...目的探讨日间手术模式下射频消融(RFA)闭合术治疗下肢静脉曲张的临床疗效及安全性。方法收集2021年12月至2022年5月新疆维吾尔自治区人民医院收治的日间手术模式下治疗的101例大隐静脉曲张患者(112条肢体)的临床资料,按照手术方法的不同将患者分为高位结扎组(n=50)和RFA组(n=51)。比较两组患者围手术期相关指标、围手术期并发症发生率及术后3个月大隐静脉主干闭塞率。结果RFA组患者的术前禁食、禁水时间,手术时间,术后禁食、禁水时间,术后下床时间均短于高位结扎组患者,术中出血量少于高位结扎组患者,术中VAS评分高于高位结扎组患者,术后6 h VAS评分低于高位结扎组患者,差异均有统计学意义(P<0.05)。术后3个月,RFA组患者的大隐静脉主干闭合率为98.2%(56/57),高位结扎组患者的大隐静脉主干闭合率为100%(55/55)。两组患者围手术期并发症的总发生率比较,差异无统计学意义(P>0.05)。结论RFA在日间手术模式下治疗下肢静脉曲张安全、有效,能够缩短术前禁食、禁水时间,手术时间,术后禁食、禁水时间,术后下床时间,减少术中出血量和术后疼痛程度,且不会增加围手术期相关并发症。展开更多
为了准确识别颈动脉斑块的重要生物标志物,在改进生物标志物所包含信息量的度量方法的基础上,通过向前逐步回归建立了基于变换AUC(Transformed area under curve)的颈动脉斑块稳定性预测模型。首先,在ROC(Receiver operating characteri...为了准确识别颈动脉斑块的重要生物标志物,在改进生物标志物所包含信息量的度量方法的基础上,通过向前逐步回归建立了基于变换AUC(Transformed area under curve)的颈动脉斑块稳定性预测模型。首先,在ROC(Receiver operating characteristic)空间提出变换AUC,并给出该指标在双正态分布模型和自由分布模型下的估计方法;然后,使用R统计软件,对比分析变换AUC与AUC等常用评估指标对非传统生物标志物的评估性能;最后,基于浙江医院提供的影像数据,利用变换AUC度量生物标志物的信息量,使用向前逐步回归筛选模型的方法建立高精度的颈动脉斑块稳定性预测模型。研究结果表明,该颈动脉斑块稳定性预测模型的AUC值达到0.9以上,能够准确识别斑块的稳定性,为临床医师对患者进行个性化诊疗提供更精准的参考依据。展开更多
This paper studies the relationship between net primary productivity (NPP) and annual average air temperature (GT) at 0cm above ground in permafrost regions by using revised Chikugo NPP model,cubic spline interpolatin...This paper studies the relationship between net primary productivity (NPP) and annual average air temperature (GT) at 0cm above ground in permafrost regions by using revised Chikugo NPP model,cubic spline interpolating functions,and non-linear regression methods.The source regions of the Yangtze and Yellow Rivers were selected as the research areas.Results illustrate that:(1) There is significant non-linear relationship between NPP and GT in various typical years;(2) The maximum value of NPP is 6.17,5.87,7.73,and 5.41 DM·t·hm-2 ·a-1 respectively,and the corresponding GT is 7.1,10.0,21.2,and 8.9 o C respectively in 1980,1990,2000 and 2007;(3) In 1980,the sensitivity of NPP to GT is higher than in 1990,2000 and 2007.This tendency shows that the NPP presents change from fluctuation to an adaptation process over time;(4) During 1980～2007,the accumulated NPP was reduced to 8.05,and the corresponding carrying capacity of theoretical livestock reduced by 11%;(5) The shape of the demonstration region of ecological compensation system,livelihood support system,and science appraisal system in the source regions of Yangtze and Yellow Rivers are an important research for increasing the adaptation capacity and balancing protection and development.展开更多
Mountain areas are often rich in ecological diversity and recreational opportunities. Mountain tourism is thought to be an effective and important means for maintaining and expanding rural economies and, thus, improvi...Mountain areas are often rich in ecological diversity and recreational opportunities. Mountain tourism is thought to be an effective and important means for maintaining and expanding rural economies and, thus, improving the living conditions of rural societies. As mountain tourism service research is a professional field with several disciplines involved, a multi-disciplinary management platform is needed and it facilitates participation in sustainable mountain development by diverse stakeholders. With the source regions of the Yangtze and the Yellow River as a case study, this paper presents a conceptual framework for an adaptation management of mountain tourism services according to technical, policy, social and economic dimensions. The framework is based on a vulnerability assessment of mountain ecosystems, and can serve as a reference for the development of tourism service in other mountain areas.展开更多
文摘目的探讨日间手术模式下射频消融(RFA)闭合术治疗下肢静脉曲张的临床疗效及安全性。方法收集2021年12月至2022年5月新疆维吾尔自治区人民医院收治的日间手术模式下治疗的101例大隐静脉曲张患者(112条肢体)的临床资料,按照手术方法的不同将患者分为高位结扎组(n=50)和RFA组(n=51)。比较两组患者围手术期相关指标、围手术期并发症发生率及术后3个月大隐静脉主干闭塞率。结果RFA组患者的术前禁食、禁水时间,手术时间,术后禁食、禁水时间,术后下床时间均短于高位结扎组患者,术中出血量少于高位结扎组患者,术中VAS评分高于高位结扎组患者,术后6 h VAS评分低于高位结扎组患者,差异均有统计学意义(P<0.05)。术后3个月,RFA组患者的大隐静脉主干闭合率为98.2%(56/57),高位结扎组患者的大隐静脉主干闭合率为100%(55/55)。两组患者围手术期并发症的总发生率比较,差异无统计学意义(P>0.05)。结论RFA在日间手术模式下治疗下肢静脉曲张安全、有效,能够缩短术前禁食、禁水时间,手术时间,术后禁食、禁水时间,术后下床时间,减少术中出血量和术后疼痛程度,且不会增加围手术期相关并发症。
文摘为了准确识别颈动脉斑块的重要生物标志物,在改进生物标志物所包含信息量的度量方法的基础上,通过向前逐步回归建立了基于变换AUC(Transformed area under curve)的颈动脉斑块稳定性预测模型。首先,在ROC(Receiver operating characteristic)空间提出变换AUC,并给出该指标在双正态分布模型和自由分布模型下的估计方法;然后,使用R统计软件,对比分析变换AUC与AUC等常用评估指标对非传统生物标志物的评估性能;最后,基于浙江医院提供的影像数据,利用变换AUC度量生物标志物的信息量,使用向前逐步回归筛选模型的方法建立高精度的颈动脉斑块稳定性预测模型。研究结果表明,该颈动脉斑块稳定性预测模型的AUC值达到0.9以上,能够准确识别斑块的稳定性,为临床医师对患者进行个性化诊疗提供更精准的参考依据。
基金supported by the National Basic Research Program of China (973 Program,Grant No. 2007CB411507 and Grant No.2010CB951704)
文摘This paper studies the relationship between net primary productivity (NPP) and annual average air temperature (GT) at 0cm above ground in permafrost regions by using revised Chikugo NPP model,cubic spline interpolating functions,and non-linear regression methods.The source regions of the Yangtze and Yellow Rivers were selected as the research areas.Results illustrate that:(1) There is significant non-linear relationship between NPP and GT in various typical years;(2) The maximum value of NPP is 6.17,5.87,7.73,and 5.41 DM·t·hm-2 ·a-1 respectively,and the corresponding GT is 7.1,10.0,21.2,and 8.9 o C respectively in 1980,1990,2000 and 2007;(3) In 1980,the sensitivity of NPP to GT is higher than in 1990,2000 and 2007.This tendency shows that the NPP presents change from fluctuation to an adaptation process over time;(4) During 1980～2007,the accumulated NPP was reduced to 8.05,and the corresponding carrying capacity of theoretical livestock reduced by 11%;(5) The shape of the demonstration region of ecological compensation system,livelihood support system,and science appraisal system in the source regions of Yangtze and Yellow Rivers are an important research for increasing the adaptation capacity and balancing protection and development.
基金supported by the grant from the National Basic Research Program of China (973 Program, No. 2007CB411507)Open Fund from the State Key Laboratory of Cryosphere Science (SKLCS 08-05)
文摘Mountain areas are often rich in ecological diversity and recreational opportunities. Mountain tourism is thought to be an effective and important means for maintaining and expanding rural economies and, thus, improving the living conditions of rural societies. As mountain tourism service research is a professional field with several disciplines involved, a multi-disciplinary management platform is needed and it facilitates participation in sustainable mountain development by diverse stakeholders. With the source regions of the Yangtze and the Yellow River as a case study, this paper presents a conceptual framework for an adaptation management of mountain tourism services according to technical, policy, social and economic dimensions. The framework is based on a vulnerability assessment of mountain ecosystems, and can serve as a reference for the development of tourism service in other mountain areas.
