改良跟骨接骨板系统联合缝线锚钉治疗Liu-GangⅣ型肱骨大结节劈裂骨折

背景:既往有许多学者研究单独的肱骨大结节骨折及其手术方式。但是,对于肱骨大结节劈裂骨折(Liu-GangⅣ型)合并肩袖损伤,几乎没有学者进行深入的细化研究。目的:比较切开复位改良的跟骨接骨板系统联合缝线锚钉和PHILOS锁定内固定系统联合强生2#号线治疗肱骨大结节劈裂骨折合并肩袖损伤(Liu-GangⅣ型)的临床疗效。方法:回顾性分析2012年5月至2022年5月30例肱骨大结节劈裂骨折合并肩袖损伤患者(Liu-GangⅣ型)的病历资料,分为改良的跟骨接骨板系统联合缝线锚钉组(A组)和PHILOS锁定内固定系统联合强生2#号线组(B组),每组15例。记录所有患者术中出血量、手术时间和切口长度,术后末次随访(>1年),评估其疼痛目测类比评分、Constant-Murley评分以及肩关节外展、前屈、外旋和背伸活动。结果与结论:①A组手术切口长度、手术时间和出血量均小于B组(P<0.05);②两组目测类比评分和Constant-Murley评分相比差异无显著性意义(P>0.05);③术后末次随访A组患者前屈功能优于B组(P<0.05);A组外展功能、外旋、背伸与B组相比差异无显著性意义(P>0.05);④并发症方面,A组1例肩关节疼痛不适(7%);B组2例肩峰下撞击综合征,2例大结节上移,2例肩关节疼痛(40%),两组并发症发生率相比差异有显著性意义(P=0.031);⑤提示采用改良的跟骨接骨板系统联合缝线锚钉治疗肱骨大结节劈裂骨折(Liu-GangⅣ型),不仅可以更好地恢复肩关节前屈功能,而且手术切口较小、出血量较少、手术时间较短,且并发症较少。

Ganges and Brahmaputra River System: Need for a Multi-Country Plan for Cleaning, Mitigation, Restoration and Protection

The Ganges and Brahmaputra River system is in the plains of the northern Indian subcontinent. The river is a wide sluggish stream flowing through densely populated and fertile agricultural regions of the world. The Ganges is known as the Hinduism holy river. In Bangladesh, the Brahmaputra is joined by the Teesta River. The western branch of the Brahmaputra confluences with the Ganges and contains most of the river flow. The eastern branch joins the Meghna River near Dhaka. The basin covers parts of four countries including India, Nepal, China, and Bangladesh. Of greater concern, however, has been the degradation in quality of the river water itself. The primary objective of this research is to encourage the development of a multi-country clean-up, mitigation, and protection plan for the Ganges-Brahmaputra rivers. This article constitutes a real tool for the restoration, enhancement and protection of the Ganges-Brahmaputra River system and its environment. The Ganges and Brahmaputra rivers are known for stream bank erosion, shifting channels, and sandbars that continually emerge in their course. The Ganges and Brahmaputra watershed is home to hundreds of millions of people, with the result that the river’s water over much of its course is highly polluted. Arsenic contamination of groundwater in Bangladesh continues to be the largest case of human poisoning in history. Catastrophic floods have prompted the World Bank to prepare a long-term flood-control plan for the region. Scores of cities and towns contribute to treated sewage into the river and its main tributaries, and dozens of manufacturing facilities contribute industrial waste. Also contributing to high pollution levels are agricultural runoff, the remnants of partially burned or unburned bodies from funeral pyres, and animal carcasses. High levels of disease-causing bacteria, as well as such toxic substances as chromium, cadmium, and arsenic, have been found in the Ganges and Brahmaputra. External research and funding of adsorptive media systems to help mitigate the high arsenic levels in drinking water (river and groundwater) is needed. The Ganges-Brahmaputra River system is of colossal importance to its entire environment. Restoration and protection measures must be adopted appropriately and at the scale of the concerned countries.

文本解读与历史研究——以古藏文中的词语chu Gang、lta zhig、rje blas为例

古藏文中的chu Gang、lta zhig、rje blas等三个词语,屡次出现在吐蕃时期的石碑文、敦煌文、简牍文等中,在后期的部分《甘珠尔》《丹珠尔》文献中,也以变异或拆解的形式出现多次。通过古藏文学者对此类词语的解读和辨认,解答了chu Gang、lta zhig、rje blas等三个词语的部分含义。但随着文字考古研究的不断深入,古藏文的文化及阐释语境有了更大的拓展,也给研究古藏文的学者们提供了更全面的阐释空间。比如:古藏文chu Gang一词,在吐蕃时期仅用来表达君臣之间的忠信关系,至后宏时期其意义逐渐延伸,可以指称婚姻里的忠诚与信任,因此不能将其单纯地理解为英勇忠良之意;而lta zhi一词的语义不断虚化,逐渐具有了介词和虚词的功能,其所指也因语句搭配而发生变化,一味地将其解释为“他”或“他本人”是不准确的;通过词语考究和语素分析发现,rje dlas一词中的“rje”指的是君王,而“dlas”(藏文dlas后来作slas)则指帐中亲信,因此,rje dlas一词可以用来表达忠诚侍奉君王的一种责任和义务,rje dlas一词的这一含义也被后来的历史叙事所继承,部分教法史在叙述“六大决议法”(bkav gros chen mo)时,常以“保护赞普,不遗余力地侍奉”(rjevi sku vtsho zhing zho sha blar dbul)来扩解rje dlas一词。

Gang调度在云计算任务迁移和饥饿处理中的性能和成本评估

基于亚马逊的弹性计算云(EC2)的架构,对云计算模型中群调度的应用进行研究.研究中整合了作业迁移和作业饥饿处理机制,并同时考虑其性能与成本.在任意时刻可用的虚拟机的数量处于动态变化中,其规模取决于正在被服务的作业的需求.通过仿真研究某些模型,以分析具有作业迁移和饥饿处理机制的群调度的性能与总体成本.结果充分显示该调度策略可被有效地部署在云端,云平台可用于高性能计算或高性能的企业应用中.

A Review on Ben Cao Gang Mu Ying Jiao Dui Zhao(《本草纲目影校对照》A Contrast between the Photocopy and Collation of Compendium of Materia Medica)

Ben Cao Gang Mu Ying Jiao Dui Zhao(《本草纲目影校对照》A Contrast between the Photocopy and Collation of Compendium ofMateria Medica),completed by Zhang Zhibin and Zheng Jinsheng,is the latest variorum on Ben Cao Gang Mu(《本草纲目》Compendium ofMateria Medica).Adopting five different Jinling editions as the master copy,the book carefully collates the complex contents on the original book by contrasting the photocopies with the supplement and correction,which makes it easy to use.What is more,full-form punctuation is used to mark the reference books and proper nouns,which is a big success feat in the research history of Ben Cao Gang Mu.

Comments on Ben Cao Gang Mu Cai Se Yao Tu(《本草纲目彩色药图》Colored Illustrations of Compendium of Chinese Materia Medica)

This article gives a brief introduction of Ben Cao GangMu Cai Se Yao Tu(《本草纲目彩色药图》ColoredHerb Illustrations of Compendium of Materia Medico)and explains the history of herb illustrations in each dynasty,the illustration of Ben Cao Gang Mu(《本草纲目》Compendium of Materia Me died)and the value and the significance of Ben Cao GangMu Cai Se Yao Tu in detail.

MOUZ GANG! CS GANG! 我们不做大哥好多年

今年对于CSer们来说是陌生的一年,但同时也是兴奋的一年,Fnatic、PGS等后起之秀继续去年的辉煌,夺得了一个又一个让人羡慕的头衔,PGS的稳定发挥和彪悍的个人技术更是让人想起了原来的王者SK.swe。但是回头看来,那些曾经给我们无数感动和回忆的名字却又似乎离我们越来越远。NIP离胜利总是差那么一点。

16-23S rRNA Spacer Region Polymorphism in Gangetic River Water Isolates of Salmonella

Salmonella is one of the major pathogenic bacteria present in contaminated water. 16-23S rRNA spacer region has been reported to be polymorphic at serovar level in Salmonella. Salmonella isolates obtained from Ganges river water were studied for 16-23S rRNA spacer region polymorphism. Thirty three isolates belonging to eight serovars (S. Typhimurium, S. Abuja, S. Pantypridd, S. Lagos, S. Chinkual, S. Zwickau, S. Goldenberg and S. Oritamerin) were studied for the polymorphism. Out of 33 isolates, 15 different profiles were observed no serovar specific profile. Our findings indicate that 16-23S rRNA spacer region is not specific at serovar level, but can be used for differentiation of different Salmonella isolates.

Arsenic Polluted Groundwater and Its Countermeasures in the Middle Basin of the Ganges, Uttar Pradesh State, India

The arsenic contamination of groundwater in Uttar Pradesh State was first recognized in 2003 and is now seen at 20 Districts out of 70 Districts. University of Miyazaki has performed the arsenic mitigation project in Bahraich District, severest arsenic-affected one in the 20 Districts, from June 2008 until now, with JICA (Japan International Cooperation Agency). The integrated mitigation, such as the raising awareness of villager, installing of alternative water supply units and healthcare of arsenocosis patients, have been executed at the 2 villages. The symptom of the arsenocosis patients was not so severe, which will be, therefore, improved by drinking arsenic-safe water supplied through arsenic removal units, installed by this project. In this paper, following results is discussed for the situation and mechanism of arsenic contamination of groundwater, objected in connection with the installation of arsenic removal units: 1) Groundwater is almost contaminated with arsenic in deep tubewell (depth: about 30 m), but scarcely in shallow tubewell (depth: about 10 m);2) Arsenic contaminated groundwater is under the reduced condition with the oxidized condition for no-arsenic contaminated groundwater;3) Arsenic concentration shows almost linear correlation with concentrations of Fe2+ and -N;4) Ground is composed of sand with high arsenic content at around 25 m depth;5) Arsenic exists mainly in the phase of reducible fraction or weak acid soluble fraction but no oxidizable fraction in the ground.

Soil Clay Mineralogical Phase Analysis of Ganges Floodplain Soils by XRD and XRF

Soil minerals study is vital in terms of investigating the major soil forming compounds and to find out the fate of minor and trace elements in soils. It is also essential for the soil-plant interaction purpose. To identify soil mineral phases especially clay minerals, X-ray diffraction (XRD) has been a popular technique. The clay mineralogical information of soils in Bangladesh is limited, especially in Ganges flood plain region (Agro Ecological Zone (AEZ) 12 and 13). Therefore, to overcome this limitation, in this study, we performed XRD analysis of <2 mm fractions soil samples of AEX 12 and 13. However, identifying mineralogical phases by XRD in <2 mm fractions soils is not so straight-forward due to many practical problems. We fully matched only two mineralogical phases in all the soil samples which is quartz and potassium-Aluminum-Silicate. However, the full XRD peaks indicate that more minerals are also present, but due to heterogeneity of soils samples, it is difficult to find other minerals phases by only XRD peak of <2 mm fractions. Therefore, to find more information about mineralogical phases, we performed XRF analysis that provides the elemental composition of minerals phase as oxide. XRF analysis indicated the presence of secondary minerals like illite and chlorite. The presence of high percentage Fe oxide not only indicated the iron mineral phase (goethite and ferrihydrite) but also indicated iron rich high charge smectite minerals (beidellite). The presence of iron rich smectite minerals in the Ganges sediments reported in several previous studies. Thus, we concluded that only XRD in <2 mm fractions of soils is not adequate to identify the mineralogical phases of soil samples. Others analyses like XRF, XRD in <2 μm fractions will be necessary to locate an entire image of soil mineralogical phases.

A Dynamic Programming Algorithm on Project- Gang Investment Decision Making

The investment decision making of Project Gang, the projects that are associated with one another on economy and technique, is studied. In order to find out the best Scheme that can make the maximum profit, a dynamic programming algorithm on the investment decision making of Project Gang is brought forward, and this algorithm can find out the best Scheme of distributing the m resources to the n Items in the time of O(m 2 n).

Strategies for Dealing with Gang Activity in Urban Communities

As disturbing as youth and gun violence is, it is not hard to reduce the mortality rate because it is preventable. The information provided in this research will help to get policies waiting to be reviewed by legislators, and any new proposal that reaches the appropriate legislative chamber, reviewed without obstacles and will help to prevent youth violence. Upon completion of this research, the study shows that rates of youth violence have decreased based on programs implemented at the state government level with a stronger juvenile justice system holding offenders accountable to ensure public safety and reduce youth violence and victimization. The study shows that community and school involvement with law enforcement and government agencies are some of the strategies needed to help reduce gun violence and rebuild communities.

Historical Figures Promoting the Communication of Ben Cao Gang Mu (《本草纲目》Compendium of Materia Medica) in Japan

Ben Cao Gang Mu(《本草纲目》Compendium of Materia Medica)written by Li Shizhen(李时珍)was first introduced to Japan in the early 17th century and played an important role in the development of Japanese Material Medica and natural history in the Edo period.Tokugawa Ieyasu(德川家康),a shogun general,and Hayashi Razan(林罗山),a famous Confucianist in the Edo period,first recommended Ben Cao Gang Mu in Japan.Then,there emerged more scholars at herbal medicine in Japan who studied and taught Ben Cao Gang Mu through family teaching and master-apprenticeship training.Among them,the work of scholars such as Kaibara Ekiken(贝原益轩),Okamoto Ippou(冈本一抱),Matsuoka Gentatsu(松冈玄达),Ono Ranzan(小野蘭山),Iwasaki Kan-en(岩崎灌园),and Maeda Toshiyasu(前田利保)is of great significance to promote the wide communication and acceptance of Ben Cao Gang Mu in the Edo period in Japan.The rise of the Ben Cao Gang Mu in Japan fueled the development of Japanese herbal science and natural history to a new level.

Potential Economic Pitfalls Call for Removal of Institutional Drawbacks——An Interview with Mr. FAN Gang (樊纲), Ph.D. of Economics, Doctoral Advisor, Director of National Research Institute of Economics

The continuous rise of consumer price index (CPI) has increased concern over China's macroeconomic situation. Will inflation have a disastrous impact on the Chinese economy? What risks are brewing behind the booming real estate and stock markets? Have bubbles already occurred in the Chinese economy? From his office in Guohong Building, Beijing, Dr. Fan Gang gave his views on these questions in an exclusive interview with China Economist.

Historical Background of Ben Cao Gang Mu (《本草纲目》 Compendium of Materia Medica)

The compilation of Compendium of Materia Medica by IA Shizhen is the product of both his great dream of writing and years of diligent work and it was also all round related to the historical times when he lived.At that time,the appreciation from the Emperor,competitive publication of medical works by the state kings and the rapid developments in medicine in the Ming dynasty all contributed to the establishment of a solid foundation for the success of Compendium of Materia Medica.This paper explored the contributing factors of the great work from a perspective of the historical environment.

“Going out”Is a Must,the Earlier the Bettei——An Interview with Wang Gang,general manager of SHANNXI heavy duty automobile import & export,ltd.

In August,2008,the export of heavy trucks began to face the daunting challenge presented by the current global climate.Under the influence of a financial crisis,the international automotive market has been smothered in an unpleasant atmosphere.With

The Translation and Dissemination of Ben Cao Gang Mu in Japan and America

Ben Cao Gang Mu(Compendium of Materia Medica),written by Li Shizhen,an outstanding medical expert in the Ming Dynasty,lasted 27 years and had three drafts changed.Once published,it was translated to all over the world with its great influence and spread in many countries in Asia,Europe,and America successively,becoming one of the best medical works ever and translated into different foreign languages.This paper focuses on the dissemination of Ben Cao Gang Mu in America and Japan to explore the differences between the Japanese world and the English world in the translation and introduction of traditional Chinese medicine classics.

Cui Gang meets with BSJ Director Stephen Wedderburn

SAC Vice-Administrator Cui Gang met with the visiting delegation of Bureau of Standards Jamaica(BSJ)led by its Director Stephen Wedderburn on November 14,2017.The two sides briefed on their progresses in standardization work.They had in-depth discussions and reached broad consensus on major issues such as carrying out standards mutual recognition,enhancing cooperation within COPANT and ISO/TC 93 and signing a bilateral cooperation agreement.