Runoff series of the Yangtze River presents an intricate variation tendency under the reinforced influence of human activities.The Morlet Wavelet Transform method has been applied to analyze the annual runoff data fro...Runoff series of the Yangtze River presents an intricate variation tendency under the reinforced influence of human activities.The Morlet Wavelet Transform method has been applied to analyze the annual runoff data from 1950 to 2011 at the Yangtze River Estuary.It can clearly reveal the multi-time scales structure,break point,change and distribution of periodic variation in the different time scales of the runoff series.The main conclusions are that:1) Repeated periodic oscillations accompanied by an extremely large fluctuation are presented in the runoff series with an obvious difference between wet and dry years,and the major periods of the time series are about 3,8,16 and 23 years respectively.Among them,the presented maximum periodic oscillation is 23 years scale.2) In the 23-year time scale,the wet periods are 1950-1958,1969-1980 and 1992-2003,and the dry periods are 1959-1968,1981-1991 and 2004-2011.3) It can be predicted from the view of long time scales that the low annual runoff will likely occur in the near future.展开更多
Background The continual and rapid development of techniques which are used for diagnosis and treatment makes management of colorectal cancer more difficult depending on single discipline.Colorectal cancer multidiscip...Background The continual and rapid development of techniques which are used for diagnosis and treatment makes management of colorectal cancer more difficult depending on single discipline.Colorectal cancer multidisciplinary team （MDT） working model is recommended by UK and other countries,but there is little information on the impact of MDT working on management of colorectal cancer in China.The aim of this study was to assess the effect on management of colorectal cancer after the inception of an MDT.Methods A total of 595 consecutive colorectal cancer patients were referred to the Department of Gastroenterological Surgery,the pre-MDT cohort include 297 patients,recruited from January 1999 to November 2002,and the MDT cohort had 298 patients enrolled from December 2002 to September 2006.Information recorded included：TNM stage from histological reports,degree of differentiation,the number of examined lymph nodes and CT TNM staging performed or not,and its accuracy,including local and distant recurrence.Results The number of examined lymph nodes and the accuracy of TNM staging by CT in the MDT group were significantly more than those in pre-MDT group.CT TNM staging was more accurate in the MDT group compared to the pre-MDT group （P=-0.044）.The rate of tumor recurrence in the MDT group was lower than pre-MDT group （log-rank test,P 〈0.001）.Multivariate analysis revealed that age （P=0.001）,management after inception of the MDT （P=0.002）,degree of differentiation （P=0.003）,number of examined lymph nodes （P=0.002）,and TNM stage （P=0.000） were important factors that independently influence overall survival.Conclusions The inception of MDT working improved the diagnostic accuracy and overall survival of colorectal cancer patients.MDT working promoted communication and cooperation between disciplines and ensured high-quality diagnosis,evidence-based decision making,and optimal treatment planning.展开更多
基金supported by the National Key Basic Research Program of China (Grant No. 2012CB957704) Marine Public Welfare Program of China (Grant No. 201305003)
文摘Runoff series of the Yangtze River presents an intricate variation tendency under the reinforced influence of human activities.The Morlet Wavelet Transform method has been applied to analyze the annual runoff data from 1950 to 2011 at the Yangtze River Estuary.It can clearly reveal the multi-time scales structure,break point,change and distribution of periodic variation in the different time scales of the runoff series.The main conclusions are that:1) Repeated periodic oscillations accompanied by an extremely large fluctuation are presented in the runoff series with an obvious difference between wet and dry years,and the major periods of the time series are about 3,8,16 and 23 years respectively.Among them,the presented maximum periodic oscillation is 23 years scale.2) In the 23-year time scale,the wet periods are 1950-1958,1969-1980 and 1992-2003,and the dry periods are 1959-1968,1981-1991 and 2004-2011.3) It can be predicted from the view of long time scales that the low annual runoff will likely occur in the near future.
文摘Background The continual and rapid development of techniques which are used for diagnosis and treatment makes management of colorectal cancer more difficult depending on single discipline.Colorectal cancer multidisciplinary team （MDT） working model is recommended by UK and other countries,but there is little information on the impact of MDT working on management of colorectal cancer in China.The aim of this study was to assess the effect on management of colorectal cancer after the inception of an MDT.Methods A total of 595 consecutive colorectal cancer patients were referred to the Department of Gastroenterological Surgery,the pre-MDT cohort include 297 patients,recruited from January 1999 to November 2002,and the MDT cohort had 298 patients enrolled from December 2002 to September 2006.Information recorded included：TNM stage from histological reports,degree of differentiation,the number of examined lymph nodes and CT TNM staging performed or not,and its accuracy,including local and distant recurrence.Results The number of examined lymph nodes and the accuracy of TNM staging by CT in the MDT group were significantly more than those in pre-MDT group.CT TNM staging was more accurate in the MDT group compared to the pre-MDT group （P=-0.044）.The rate of tumor recurrence in the MDT group was lower than pre-MDT group （log-rank test,P 〈0.001）.Multivariate analysis revealed that age （P=0.001）,management after inception of the MDT （P=0.002）,degree of differentiation （P=0.003）,number of examined lymph nodes （P=0.002）,and TNM stage （P=0.000） were important factors that independently influence overall survival.Conclusions The inception of MDT working improved the diagnostic accuracy and overall survival of colorectal cancer patients.MDT working promoted communication and cooperation between disciplines and ensured high-quality diagnosis,evidence-based decision making,and optimal treatment planning.
