Pancreatic trauma as a challenge before and during explorative laparotomy is associated with multiple visceral injuries or critical conditions. Its optimal management remains controversial.The current concept of damag...Pancreatic trauma as a challenge before and during explorative laparotomy is associated with multiple visceral injuries or critical conditions. Its optimal management remains controversial.The current concept of damage control surgery (DCS) has been increasingly accepted. DCS展开更多
The main features of early rehabilitation after severe brain damage are discussed in the article. The most important component for the entire rehabilitation process and the subsequent life of the patient is considered...The main features of early rehabilitation after severe brain damage are discussed in the article. The most important component for the entire rehabilitation process and the subsequent life of the patient is considered restoration of consciousness. Team seems to be a key factor in regaining consciousness along with the restoration of vital functions, movement, cognition, and behavior in these patients. The basic working principle is feedback to any minimal movement, or vegetative signal of a patient, beyond specific professional targets. A network of feedbacks with a patient and between professionals, that is, free flow of information, can be built only through work in a transdisciplinary team mode. The net of feedbacks with the patient and inter-professional ones builds up the team as Non-linear Complex System. Characteristics of “Team-Patient” system status are energy, entropy, and complexity. Teamwork techniques are individualized for resulting optimization of system condition. Increase of complexity is a powerful tool for propulsion of recovery process. Then consciousness may appear as a result of system self-organization. The article reflects the authors’ view on interdisciplinary studies of the phenomenon of consciousness through its impairment and recovery. It focuses on the work of the “proper rehabilitation team”, the mechanisms of its action and methods for researching the occurring phenomena.展开更多
Urban trees are subjected to different damaging agents throughout their lifetime. The aims of this study were to identify tree damaging agents, and to obtain a Damage Severity Index (DSI) in order to categorize tree h...Urban trees are subjected to different damaging agents throughout their lifetime. The aims of this study were to identify tree damaging agents, and to obtain a Damage Severity Index (DSI) in order to categorize tree health condition at San Juan de Aragon Park. Each tree was identified at species level in 28 randomly established plots in ten sections of the study area. Up to two types of damage were recorded per tree, based on the FIA (Forest Inventory an Analysis Program) protocol, and a DSI was obtained for each damaged tree considering location of damage, nature of the damaging agent and severity. A total of 753 trees were assessed and 12 species and 27 damaging agents were identified. Cankers, galls, the pepper tree psyllid and the red gum lerp psyllid were the most frequent damaging agents. Australian pine, red gum, Mediterranean cypress, Mexican white cedar, and California pepper were the most affected species. The DSI ranged from 3 to 17 and the average was 7.9. Sections J and H and the species California pepper, Australian pine, and Mexican white cedar presented the highest DSI. The tree population had a moderate health condition, while the aforementioned sections and tree species showed the poorest.展开更多
基金The study is supported by a grant from special project of Chinese Military Medicine Science and Technology Research "11.5" plan (No. 06Z017).
文摘Pancreatic trauma as a challenge before and during explorative laparotomy is associated with multiple visceral injuries or critical conditions. Its optimal management remains controversial.The current concept of damage control surgery (DCS) has been increasingly accepted. DCS
文摘The main features of early rehabilitation after severe brain damage are discussed in the article. The most important component for the entire rehabilitation process and the subsequent life of the patient is considered restoration of consciousness. Team seems to be a key factor in regaining consciousness along with the restoration of vital functions, movement, cognition, and behavior in these patients. The basic working principle is feedback to any minimal movement, or vegetative signal of a patient, beyond specific professional targets. A network of feedbacks with a patient and between professionals, that is, free flow of information, can be built only through work in a transdisciplinary team mode. The net of feedbacks with the patient and inter-professional ones builds up the team as Non-linear Complex System. Characteristics of “Team-Patient” system status are energy, entropy, and complexity. Teamwork techniques are individualized for resulting optimization of system condition. Increase of complexity is a powerful tool for propulsion of recovery process. Then consciousness may appear as a result of system self-organization. The article reflects the authors’ view on interdisciplinary studies of the phenomenon of consciousness through its impairment and recovery. It focuses on the work of the “proper rehabilitation team”, the mechanisms of its action and methods for researching the occurring phenomena.
文摘Urban trees are subjected to different damaging agents throughout their lifetime. The aims of this study were to identify tree damaging agents, and to obtain a Damage Severity Index (DSI) in order to categorize tree health condition at San Juan de Aragon Park. Each tree was identified at species level in 28 randomly established plots in ten sections of the study area. Up to two types of damage were recorded per tree, based on the FIA (Forest Inventory an Analysis Program) protocol, and a DSI was obtained for each damaged tree considering location of damage, nature of the damaging agent and severity. A total of 753 trees were assessed and 12 species and 27 damaging agents were identified. Cankers, galls, the pepper tree psyllid and the red gum lerp psyllid were the most frequent damaging agents. Australian pine, red gum, Mediterranean cypress, Mexican white cedar, and California pepper were the most affected species. The DSI ranged from 3 to 17 and the average was 7.9. Sections J and H and the species California pepper, Australian pine, and Mexican white cedar presented the highest DSI. The tree population had a moderate health condition, while the aforementioned sections and tree species showed the poorest.
