目的:比较机器人辅助腹腔镜与传统腹腔镜关于全子宫切除术在不同体质指数患者中的安全性及可行性。方法:回顾性收集2016年2月至2021年4月于重庆医科大学附属第一医院接受了机器人辅助腹腔镜全子宫切除术(n=416)和传统腹腔镜全子宫切除术...目的:比较机器人辅助腹腔镜与传统腹腔镜关于全子宫切除术在不同体质指数患者中的安全性及可行性。方法:回顾性收集2016年2月至2021年4月于重庆医科大学附属第一医院接受了机器人辅助腹腔镜全子宫切除术(n=416)和传统腹腔镜全子宫切除术(n=725)患者的病例资料。按照不同等级体质指数(body mass index,BMI)对患者进行分层(非超重、超重和肥胖),比较2组中各BMI亚组间患者的围术期情况、术中及术后并发症。结果:机器人组中超重亚组的手术时间短于传统腹腔镜组[(125.37±50.92) min vs.(135.68±44.55) min],机器人组中3个BMI亚组的术中出血量均少于传统腹腔镜组[(60.46±45.20) mL vs.(92.88±105.13) mL、(72.01±62.03) mL vs.(115.02±123.38) mL及(65.59±37.92) mL vs.(125.16±96.07) mL],机器人组中超重亚组和肥胖亚组的首次排气时间均短于传统腹腔镜组[(2.04±0.83) d vs.(2.19±0.63) d和(1.97±0.54) d vs.(2.19±0.54) d],差异均有统计学意义(P<0.05)。机器人组中各BMI亚组术中及术后总体并发症发生率仍低于腹腔镜组,但差异无统计学意义(P>0.05)。结论:超重和肥胖患者的全子宫切除术,机器人辅助腹腔镜相较于传统腹腔镜在围术期降低并发症等方面有一定优势。展开更多
Japan’s aging rate (ratio of elderly aged 65 and older to total population) has exceeded 20%. The aim of this study was to clarify the relationships between Health Related Quality of Life, Body Mass Index (BMI), and ...Japan’s aging rate (ratio of elderly aged 65 and older to total population) has exceeded 20%. The aim of this study was to clarify the relationships between Health Related Quality of Life, Body Mass Index (BMI), and sleep quality. Subjects were 51 adults over 55 years old with chronic disease who living in the community. Instruments and structured interviews were used giving due consideration to privacy. Interviews were conducted within 10 - 20 minutes at the out-patient department. The evaluation instruments included bodymass index, Pittsburgh Sleep Quality Index (PSQI), Health Related Quality of Life (HRQOL), and Oral Health Impact Profile (OHIP-14). A significant positive correlation (ρ = 0.321, p < 0.05) between PSQI and QOL (OHIP-14) scores was confirmed with sleep quality being lower with lower QOL scores. A negative correlation (ρ = ?0.339, p < 0.05) between physical health component summary scores (PCS) and mental health component summary scores (MCS) of HRQOL was confirmed, demonstrating that PCS was low, and the level of MCS was high. Sleep quality was found lower among those with lower oral health-related QOL scores. Moreover, in subjects with lower MCS scores, the PCS scores were found to be higher. Accordingly, it was considered appropriate that dental treatment and care, support the maintenance of activities and sleep, and mental health promotion which are likely requisites critical for elderly persons’ maintenance of independent lifestyles in their familiar community.展开更多
栖息地丧失和退化严重威胁全球两栖类动物的生存与繁衍,栖息地保护在两栖动物保育中具有高的优先性。大凉螈(Liangshantriton taliangensis)是国内外广泛关注的横断山区特有珍稀有尾类物种。结合大凉螈33个分布位点和9个环境变量数据,...栖息地丧失和退化严重威胁全球两栖类动物的生存与繁衍,栖息地保护在两栖动物保育中具有高的优先性。大凉螈(Liangshantriton taliangensis)是国内外广泛关注的横断山区特有珍稀有尾类物种。结合大凉螈33个分布位点和9个环境变量数据,本文运用最大熵(MaxEnt)模型预测了大凉螈当前潜在适宜分布区,再根据现有自然保护地(5个国家级和9个省级)分布进行了保护空缺分析,同时,借助比例体重指数法(SMI)衡量了7个种群共218个个体的身体状况,比较了保护区内外种群间的差异,利用归一化植被指数(NDVI)识别了保护区内植被变化,据此对四川栗子坪国家级自然保护区的保护成效进行了评估。结果表明,(1)影响大凉螈分布的最主要环境变量为NDVI(贡献值34.33%)、最干月份降水量(贡献值26.81%)和海拔(贡献值20.92%);(2)大凉螈适宜生境主要集中在小相岭和凉山山系,占研究区域总面积的15.38%,现有自然保护地覆盖了大凉螈23.62%的适宜生境,仍有3760.91km^(2)的保护空缺;(3)栗子坪保护区内雄性个体肥满度指数显著大于保护区外个体(t-test,P=0.006),雌性个体肥满度指数无显著差异(t-test,P=0.214),保护区内近6年NDVI值显著高于保护区建立前(Mann-Whitney U test,P<0.0001),均提示总体保护成效优。结合研究结果,提出了确立大凉螈为重要保护目标物种、扩大现有保护区、建立保护小区或拯救中心、建设生态廊道等保护地建设的物种恢复措施,以提升对大凉螈的保护能力。展开更多
Fat content of bone marrow has long been related to physiological condition in deer. To assess body condition of roe deer (Capreolus capreolus), marrow fat index was employed. Tibiae, radii, metacarpal and metatarsal ...Fat content of bone marrow has long been related to physiological condition in deer. To assess body condition of roe deer (Capreolus capreolus), marrow fat index was employed. Tibiae, radii, metacarpal and metatarsal bones of 6 roe deer were collected in Xiaodong Forestry Region during winter season in 1999, the marrow fat contents were analyzed by use of ether extraction, oven-drying, and reagent-drying method respectively, and the ages were determined by dental cementum. The results of comparison of marrow fat content for each bone after ether extraction, oven-drying, and reagent-drying indicated a high degree of similarity (P>0.05). No significant differences existed between the tibia and radius, metacarpal and metatarsal bone (P>0.05). Low level of bone marrow fat content (54.93±30.88%, measured by ether extraction method for tibia) meant that roe deer remained in a phase of undernutrition. Under low crude protein and energy content of natural vegetation and low digestibility of browse during winter, roe deer relied primarily on diet and its fat stores to partially meet energy requirements. As roe deer’s nutritional status declined, its body fat stores were mobilized and depleted, which can be reflected by the low kidney fat content (12.50±8.34%). Marrow fat index along with kidney fat index can be useful as a indicator in assessing roe deer’s body condition.展开更多
目的制订不同胎龄新生儿身长胸围指数,为评价新生儿出生时身体的匀称性提供参考数据。方法采用横断面时间段整群抽样实况调查方法,于2013年4月至2015年9月在深圳市两家医院完成了16 887例不同胎龄单胎新生儿体重、身长、顶臀长、头围、...目的制订不同胎龄新生儿身长胸围指数,为评价新生儿出生时身体的匀称性提供参考数据。方法采用横断面时间段整群抽样实况调查方法,于2013年4月至2015年9月在深圳市两家医院完成了16 887例不同胎龄单胎新生儿体重、身长、顶臀长、头围、胸围现场测量,用以制订不同胎龄新生儿身长胸围指数(BCI)。百分位曲线拟合应用Lambda Mu Sigma(LMS)方法。结果制订了2015年深圳胎龄27~42周单胎新生儿(男、女、性别混合)三分组的BCI均数和3rd^97th百分位曲线。男、女新生儿的BCI数值在胎龄27周最低,随着胎龄增加BCI数值不断增大,胎龄42周BCI数值最大。揭示胎儿宫内生长的胸廓发育伴随胎龄增加不断提高,胎龄42周胸廓发育度最佳。在胎龄27~42周,女性BCI的50th百分位曲线数值明显高于男性,增加值为0.22~1.07;t=3.05~7.87,均P<0.001(胎龄37~41周),差异有统计学意义。结论不同胎龄新生儿胸廓发育度伴随胎龄增加不断提高,胎龄42周胸廓发育度最佳。女性宫内生长胸廓发育度优于男性。展开更多
文摘目的:比较机器人辅助腹腔镜与传统腹腔镜关于全子宫切除术在不同体质指数患者中的安全性及可行性。方法:回顾性收集2016年2月至2021年4月于重庆医科大学附属第一医院接受了机器人辅助腹腔镜全子宫切除术(n=416)和传统腹腔镜全子宫切除术(n=725)患者的病例资料。按照不同等级体质指数(body mass index,BMI)对患者进行分层(非超重、超重和肥胖),比较2组中各BMI亚组间患者的围术期情况、术中及术后并发症。结果:机器人组中超重亚组的手术时间短于传统腹腔镜组[(125.37±50.92) min vs.(135.68±44.55) min],机器人组中3个BMI亚组的术中出血量均少于传统腹腔镜组[(60.46±45.20) mL vs.(92.88±105.13) mL、(72.01±62.03) mL vs.(115.02±123.38) mL及(65.59±37.92) mL vs.(125.16±96.07) mL],机器人组中超重亚组和肥胖亚组的首次排气时间均短于传统腹腔镜组[(2.04±0.83) d vs.(2.19±0.63) d和(1.97±0.54) d vs.(2.19±0.54) d],差异均有统计学意义(P<0.05)。机器人组中各BMI亚组术中及术后总体并发症发生率仍低于腹腔镜组,但差异无统计学意义(P>0.05)。结论:超重和肥胖患者的全子宫切除术,机器人辅助腹腔镜相较于传统腹腔镜在围术期降低并发症等方面有一定优势。
文摘Japan’s aging rate (ratio of elderly aged 65 and older to total population) has exceeded 20%. The aim of this study was to clarify the relationships between Health Related Quality of Life, Body Mass Index (BMI), and sleep quality. Subjects were 51 adults over 55 years old with chronic disease who living in the community. Instruments and structured interviews were used giving due consideration to privacy. Interviews were conducted within 10 - 20 minutes at the out-patient department. The evaluation instruments included bodymass index, Pittsburgh Sleep Quality Index (PSQI), Health Related Quality of Life (HRQOL), and Oral Health Impact Profile (OHIP-14). A significant positive correlation (ρ = 0.321, p < 0.05) between PSQI and QOL (OHIP-14) scores was confirmed with sleep quality being lower with lower QOL scores. A negative correlation (ρ = ?0.339, p < 0.05) between physical health component summary scores (PCS) and mental health component summary scores (MCS) of HRQOL was confirmed, demonstrating that PCS was low, and the level of MCS was high. Sleep quality was found lower among those with lower oral health-related QOL scores. Moreover, in subjects with lower MCS scores, the PCS scores were found to be higher. Accordingly, it was considered appropriate that dental treatment and care, support the maintenance of activities and sleep, and mental health promotion which are likely requisites critical for elderly persons’ maintenance of independent lifestyles in their familiar community.
文摘栖息地丧失和退化严重威胁全球两栖类动物的生存与繁衍,栖息地保护在两栖动物保育中具有高的优先性。大凉螈(Liangshantriton taliangensis)是国内外广泛关注的横断山区特有珍稀有尾类物种。结合大凉螈33个分布位点和9个环境变量数据,本文运用最大熵(MaxEnt)模型预测了大凉螈当前潜在适宜分布区,再根据现有自然保护地(5个国家级和9个省级)分布进行了保护空缺分析,同时,借助比例体重指数法(SMI)衡量了7个种群共218个个体的身体状况,比较了保护区内外种群间的差异,利用归一化植被指数(NDVI)识别了保护区内植被变化,据此对四川栗子坪国家级自然保护区的保护成效进行了评估。结果表明,(1)影响大凉螈分布的最主要环境变量为NDVI(贡献值34.33%)、最干月份降水量(贡献值26.81%)和海拔(贡献值20.92%);(2)大凉螈适宜生境主要集中在小相岭和凉山山系,占研究区域总面积的15.38%,现有自然保护地覆盖了大凉螈23.62%的适宜生境,仍有3760.91km^(2)的保护空缺;(3)栗子坪保护区内雄性个体肥满度指数显著大于保护区外个体(t-test,P=0.006),雌性个体肥满度指数无显著差异(t-test,P=0.214),保护区内近6年NDVI值显著高于保护区建立前(Mann-Whitney U test,P<0.0001),均提示总体保护成效优。结合研究结果,提出了确立大凉螈为重要保护目标物种、扩大现有保护区、建立保护小区或拯救中心、建设生态廊道等保护地建设的物种恢复措施,以提升对大凉螈的保护能力。
文摘Fat content of bone marrow has long been related to physiological condition in deer. To assess body condition of roe deer (Capreolus capreolus), marrow fat index was employed. Tibiae, radii, metacarpal and metatarsal bones of 6 roe deer were collected in Xiaodong Forestry Region during winter season in 1999, the marrow fat contents were analyzed by use of ether extraction, oven-drying, and reagent-drying method respectively, and the ages were determined by dental cementum. The results of comparison of marrow fat content for each bone after ether extraction, oven-drying, and reagent-drying indicated a high degree of similarity (P>0.05). No significant differences existed between the tibia and radius, metacarpal and metatarsal bone (P>0.05). Low level of bone marrow fat content (54.93±30.88%, measured by ether extraction method for tibia) meant that roe deer remained in a phase of undernutrition. Under low crude protein and energy content of natural vegetation and low digestibility of browse during winter, roe deer relied primarily on diet and its fat stores to partially meet energy requirements. As roe deer’s nutritional status declined, its body fat stores were mobilized and depleted, which can be reflected by the low kidney fat content (12.50±8.34%). Marrow fat index along with kidney fat index can be useful as a indicator in assessing roe deer’s body condition.
文摘目的制订不同胎龄新生儿身长胸围指数,为评价新生儿出生时身体的匀称性提供参考数据。方法采用横断面时间段整群抽样实况调查方法,于2013年4月至2015年9月在深圳市两家医院完成了16 887例不同胎龄单胎新生儿体重、身长、顶臀长、头围、胸围现场测量,用以制订不同胎龄新生儿身长胸围指数(BCI)。百分位曲线拟合应用Lambda Mu Sigma(LMS)方法。结果制订了2015年深圳胎龄27~42周单胎新生儿(男、女、性别混合)三分组的BCI均数和3rd^97th百分位曲线。男、女新生儿的BCI数值在胎龄27周最低,随着胎龄增加BCI数值不断增大,胎龄42周BCI数值最大。揭示胎儿宫内生长的胸廓发育伴随胎龄增加不断提高,胎龄42周胸廓发育度最佳。在胎龄27~42周,女性BCI的50th百分位曲线数值明显高于男性,增加值为0.22~1.07;t=3.05~7.87,均P<0.001(胎龄37~41周),差异有统计学意义。结论不同胎龄新生儿胸廓发育度伴随胎龄增加不断提高,胎龄42周胸廓发育度最佳。女性宫内生长胸廓发育度优于男性。
