Percutaneous endoscopic gastrostomy and jejunostomy:Indications and techniques

Nutritional support is essential in patients who have a limited capability to maintain their body weight.Therefore,oral feeding is the main approach for such patients.When physiological nutrition is not possible,positioning of a nasogastric,nasojejunal tube,or other percutaneous devices may be feasible alternatives.Creating a percutaneous endoscopic gastrostomy(PEG)is a suitable option to be evaluated for patients that need nutritional support for more than 4 wk.Many diseases require nutritional support by PEG,with neurological,oncological,and catabolic diseases being the most common.PEG can be performed endoscopically by various techniques,radiologically or surgically,with different outcomes and related adverse events(AEs).Moreover,some patients that need a PEG placement are fragile and are unable to express their will or sign a written informed consent.These conditions highlight many ethical problems that become difficult to manage as treatment progresses.The aim of this manuscript is to review all current endoscopic techniques for percutaneous access,their indications,postprocedural follow-up,and AEs.

China's transition to a low-carbon economy and climate resilience:The impact of sustainable modernization indicators

While sustainability is widely recognized as a necessary path for development and climate change mitigation,there is no consensus on this concept’s goals and future aspirations.Advocates of a green economy believe that economic growth is a prerequisite for long-term progress and the modernization of society.This entails gradually transitioning to a more sustainable economy and addressing carbon emissions.Therefore,there is a need for the scientific community to investigate how different forms of modernization affect carbon emissions.This study examines the impact of modernization on carbon emissions in China,the world’s largest developing economy,focusing on five indicators of sustainable modernization:ecological modernization,agricultural modernization,digitalization,industrialization,and urbanization.The study analyzes data from 31 Chinese provincial-level regions between 2005 and 2020,using the GeoDetector technique to explore the effects of these indicators on carbon emissions.The spatial analysis reveals a distinct“core-periphery”structure of carbon emissions.The findings demonstrate that ecological modernization and digitalization contribute to reducing emissions.On the other hand,industrialization and urbanization have a positive influence on carbon emissions.Interestingly,agricultural modernization initially increases carbon emissions in the short term but has a diminishing effect in the long term.

Economical and Technical Indices of Decomposition Processes of Typical Rare Earth Minerals in China

The typical treatment processes we of main rare earth resources in China, especially the economical and technical indices of the minerals decomposition of such as ionic adsorptive rare earth deposit ore, bastnasite and mixed with monazite in Baotou, was presented. The dispersive ionic adsorptive rare earth deposit ore, which is enriched on valuable middle and heavy elements, concentrated by bicarbonate precipitation after exchanging with ammonium sulphate solution. Planting and waste liquid should be focused. Bastnasite and/or monazite, which is enriched light rare earth, centralized with high content and capacity,concentrated by gravimetric, magnetic, floating, then decomposed by calcinations and leaching. Waste liquid, gases and dregs should be treated properly. Investors interested in RE industry can find out the technical and economic characters and history of various RE minerals. Engineers and workers in RE industry can also find the differences of the plants, so as to make more efforts on improving management. However, solving environment protection problems for each process should be committed extraordinarily in order to make a sustainable development of RE industry.