Clinical Effectiveness of the Plate Screw Internal Fixation Technique in the Treatment of Patients with Traumatic Fractures of Long Bones in the Lower Extremities

Objective: To investigate the effectiveness of the plate screw internal fixation technique on the clinical outcomes of patients with traumatic fractures of long bones in the lower extremities. Methods: From January 2022 to December 2023, 70 patients with traumatic fractures of long bones in the lower extremities were admitted to the hospital and randomly divided into two groups: the control group and the observation group, each consisting of 35 cases. The control group underwent traditional closed interlocking intramedullary nailing, while the observation group received internal fixation with steel plates and screws. Relevant surgical indicators, treatment effectiveness, and postoperative complication rates were compared between the two groups. Results: The observation group exhibited significantly short surgical duration (80.65 ± 5.01 vs. 88.36 ± 5.26 minutes), fracture healing time (13.27 ± 0.32 vs. 15.52 ± 0.48 weeks), and hospitalization days (10.49 ± 1.13 vs. 16.57 ± 1.15 days) compared to the control group (P = 0.000). The effective treatment rate was significantly higher in the observation group (29/82.86%) than in the control group (21/60.00%), with a significant difference observed (χ2 = 4.480, P = 0.034). Additionally, the complication rate in the observation group (2/5.71%) was significantly lower than that in the control group (8/22.86%), with a correlated difference (χ2 = 4.200, P = 0.040). Conclusion: The plate screw internal fixation technique demonstrates significant clinical efficacy in treating traumatic fractures of long bones in the lower extremities. It improves the healing rate, reduces complications, and represents a safe and effective treatment strategy worthy of widespread use and application.

Changes in groundwater levels and the response of natural vegetation to transfer of water to the lower reaches of the Tarim River

Restoration and reconstruction of the degraded Tarim River ecosystem is an important challenge. A goal of an ecological water conveyance project is to protect and restore the natural vegetation in the lower reaches of Tadm River by transferring water from Bosten Lake, through the river channel, to the lower reaches. This study describes the changes in groundwater depth during the water transfer and the respondence of riparian vegetation to alterations in groundwater levels. The results indicate that groundwater depth along the Tarim River channel has a significant spatial-temporal component. Groundwater levels closest to the river channel show the most immediate and pronounced changes as a response to water transfer while those further away respond more slowly, although the observed change appears to be longer in duration. With a rise in the groundwater level, natural vegetation responded with higher growth rates, biomass and biodiversity. These favorable changes show that it is feasible to protect and restore the degraded natural vegetation by raising the groundwater depth. Plant communities are likely to reflect the hysteresis phenomenon, requiting higher water levels to initiate and stimulate desired growth than what may be needed to maintain the plant community. Because different species have different ecologies, including different root depths and densities and water needs, their response to increasing water availability will be spatially and temporally heterogenous. The response of vegetation is also influenced by microtopography and watering style. This paper discusses strategies for the protection and restoration of the degraded vegetation in the lower reaches of the Tarim River and provides information to complement ongoing theoretical research into ecological restoration in add or semi-arid ecosystems.

The relationship between dolomite textures and their formation temperature: a case study from the Permian-Triassic of the Sichuan Basin and the Lower Paleozoic of the Tarim Basin

Study of dolomite texture can contribute to understanding the process of dolomitization.This research reports textures and homogenization temperatures of dolomites from the Permian-Triassic strata in the Sichuan Basin and the Lower Paleozoic strata in the Tarim Basin,which provided insights into relationships between dolomite textures and their formation temperatures.Our results are summarized as follows：1） dolomites with well-preserved texture indicate low dolomitization temperature.However,in certain diagenetic environments,the hydrothermal dolomitization may completely or partially preserve the original texture of dolomites.2） The formation temperatures of non-planar dolomites are always higher than those of planar dolomites.3） The formation temperatures of dolomite cements are generally higher than those of replacive dolomites.4） Although the formation temperatures of saddle dolomite cements have a wide range,they show higher values than those of the planar subhedral to euhedral dolomite cements.Thus,saddle dolomites could generally be an indicator of high precipitation temperature.5） The fluid Mg/Ca ratio is another element controlling dolomite morphology.Micritic dolomites,which precipitate from hypersaline fluids with a high Mg/Ca ratio in a subaerial environment could also have features of non-planar anhedral crystal shape because of rapid nucleation and crystallization during dolomitization.

Differences of Hydrocarbon Enrichment between the Upper and the Lower Structural Layers in the Tazhong Paleouplift

The Tazhong paleouplift is divided into the upper and the lower structural layers, bounded by the unconformity surface at the top of the Ordovician carbonate rock. The reservoirs in the two layers from different parts vary in number, type and reserves, but the mechanism was rarely researched before. Therefore, an explanation of the mechanism will promote petroleum exploration in Tazhong paleouplift. After studying the evolution and reservoir distribution of the Tazhong paleouplift, it is concluded that the evolution in late Caledonian, late Hercynian and Himalayan periods resulted in the upper and the lower structural layers. It is also defined that in the upper structural layer, structural and stratigraphic overlap reservoirs are developed at the top and the upper part of the paleouplift, which are dominated by oil reservoirs, while for the lower structural layer, lithological reservoirs are developed in the lower part of the paleouplift, which are dominated by gas reservoirs, and more reserves are discovered in the lower structural layer than the upper. Through a comparative analysis of accumulation conditions of the upper and the lower structural layers, the mechanism of enrichment differences is clearly explained. The reservoir and seal conditions of the lower structural layer are better than those of the upper layer, which is the reason why more reservoirs have been found in the former. The differences in the carrier system types, trap types and charging periods between the upper and the lower structural layers lead to differences in the reservoir types and distribution. An accumulation model is established for the Tazhong paleouplift. For the upper structural layer, the structural reservoirs and the stratigraphic overlap reservoirs are formed at the upper part of the paleouplift, while for the lower structural layer, the weathering crust reservoirs are formed at the top, the reef-flat reservoirs are formed on the lateral margin, the karst and inside reservoirs are formed in the lower part of the paleouplift.

Evaluation of oasis stability in the lower reaches of the Tarim River

Oasis stability in the lower reaches of the Tarim River was assessed at the landscape scale（including changes in landscape pattern and land use in the oasis） and at the regional scale（including the cold-island effect and NDVI of the oasis） based on the methods of landscape ecology,GIS and Remote Sensing（RS）.Thematic Mapping（TM） remote sensing images from 1990,2000 and 2009 were employed along with the related meteorological and hydrological data pertaining to the reclamation area of the oasis in the lower reaches of the Tarim River.The results indicated that landscape heterogeneity and oasis complexity increased between 1990 and 2000.The comprehensive index of the degree of land use,the average index of the cold-island effect,NDVI value and oasis stability all decreased.However,the change trends in the indices referred to above were opposite between 2000 and 2009,and oasis stability was enhanced to some extent.

Tumor size as a prognostic factor in patients with advanced gastric cancer in the lower third of the stomach

AIM: To explore the impact of tumor size on outcomes in patients with advanced gastric cancer in the lower third of the stomach. METHODS: We retrospectively analyzed the clinical records of 430 patients with advanced gastric cancer in the lower third of the stomach who underwent distal subtotal gastrectomy and D2 lymphadenectomy in our hospital from January 1998 to June 2004. Receiver-operating characteristic (ROC) curve analysis was used to determine the appropriate cutoff value for tumor size, which was measured as maximum tumor diameter. Based on this cutoff value, patients were divided into two groups: those with large-sized tumors (LSTs) and those with small-sized tumors (SSTs). The correlations between other clinicopathologic factors and tumor size were investigated, and the 5-year overall survival (OS) rate was compared between the two groups. Potential prognostic factors were evaluated by univariate KaplanMeier survival analysis and multivariate Cox's propor-tional hazard model analysis. The 5-year OS rates in the two groups were compared according to pT stage and pN stage. RESULTS: The 5-year OS rate in the 430 patients with advanced gastric cancer in the lower third of the stomach was 53.7%. The mean ± SD tumor size was 4.9 ± 1.9 cm, and the median tumor size was 5.0 cm. ROC analysis indicated that the sensitivity and specificity results for the appropriate tumor size cutoff value of 4.8 cm were 80.0% and 68.2%, respectively (AUC=0.795, 95%CI: 0.751-0.839, P=0.000). Using this cutoff value, 222 patients (51.6%) had LSTs (tumor size ≥ 4.8 cm) and 208 (48.4%) had SSTs (tumor size<4.8 cm). Tumor size was significantly correlated with histological type (P=0.039), Borrmann type (P=0.000), depth of tumor invasion (P=0.000), lymph node metastasis (P=0.000), tumor-nodes metastasis stage (P=0.000), mean number of metastatic lymph nodes (P=0.000) and metastatic lymph node ratio (P=0.000). Patients with LSTs had a significantly lower 5-year OS rate than those with SSTs (37.1% vs 63.3%, P=0.000). Univariate analysis showed that depth of tumor invasion (c 2=69.581, P=0.000), lymph node metastasis (c 2=138.815, P=0.000), tumor size (c 2=78.184, P=0.000) and metastatic lymph node ratio (c 2=139.034, P=0.000) were significantly associated with 5-year OS rate. Multivariate analysis revealed that depth of tumor invasion (P=0.000), lymph node metastasis (P=0.019) and tumor size (P=0.000) were independent prognostic factors. Gastric cancers were divided into 12 subgroups: pT2N0; pT2N1; pT2N2; pT2N3; pT3N0; pT3N1; pT3N2; pT3N3; pT4aN0; pT4aN1; pT4aN2; and pT4aN3. In patients with pT2-3N3 stage tumors and patients with pT4a stage tumors, 5-year OS rates were significantly lower for LSTs than for SSTs (P<0.05 each), but there were no significant differences in the 5-year OS rates in LST and SST patients with pT23N0-2 stage tumors (P > 0.05). CONCLUSION: Using a tumor size cutoff value of 4.8cm, tumor size is a prognostic factor in patients with pN3 stage or pT4a stage advanced gastric cancer located in the lower third of the stomach.

Impaired consciousness caused by injury of the lower ascending reticular activating system: evaluation by diffusion tensor tractography

A 34-year-old male patient underwent conservative management for traumatic hemorrhage in the right frontal lobe（Figure 1A）.The patient lost consciousness for approximately 4 weeks and experienced post-traumatic amnesia continuously from the time of the accident.The patient’s Glasgow Coma Scale score（Teasdale et al.,1974）was 6

Discovery of Oil and Gas Shows in the Lower Cretaceous of the Hongmiaozi Basin, Southeastern Songlibao Peripheral Basin

Objective The Hongmiaozi Basin in the southeastern part of the Songliao peripheral basin is a new oil and gas exploration area with a very low exploration level.This basin covers an area of 795 km;.It is adjacent to the Liuhe Basin and Tonghua Basin in the north,and to the Huanren Basin in the south.In order to identify the basic oil and gas geological characteristics,the deep structures and the

Dike Breach Risks of Different Flood Conditions in the Lower Yellow River

Based on the analysis of hanging rivers' actuality in the lower Yellow River and researches related to the evaluation of dike breach risks,it is put forward that the influencing factors of dike beach risks in the lower Yellow River should involve four aspects,the flow and sediment movement,the regional crustal stability,the variation of river regime and the stability of river dikes.With this,the evaluation indexes system of dike breach risks is established,and with the support of geographic information systems technology,the model of multi-hierarchical fuzzy comprehensive judgment is applied to estimate the dike beach risks of the hanging rivers in the lower Yellow River under different flood conditions.The evaluation results of dike breach risks show the following distributing regularities of dike breach risks in the lower Yellow River:(1) Dike breach risks increase with the increase of the flood.(2) Dike breach risks decrease with the changes of river patterns along the channel.(3) There are great risks of dike breach in the wandering reaches,and it is relatively higher in the south bank than in the north in wandering reaches.(4) There is a higher dike breach risk in the north bank than in the south in winding reaches.Simultaneously,the evaluation results manifest that the evaluation indexes system established from the flow and sediment movement,the regional crustal stability,the variation of river regime and the stability of river dikes can represent the actual situation of the lower Yellow River more comprehensively.The application of multihierarchical fuzzy comprehensive judgment can preferably resolve the problem of hanging river dike breach,which has numerous influencing factors and complicated functionary mechanisms.The applications of geographic information systems technology with powerful spatial analysis functions make dike beach risks quantificationally displayed in different spatial positions,and reflect the differences of dike beach risks in different spatial positions of the channel in the lower Yellow River.

Microfossils from the Chert in the Lower Cambrian Shuijingtuo Formation at Miaohe, Zigui, Hubei Province

This paper reports for the first time on the microfossils discovered in the black cherts of the basal part of the Lower Cambrian Shuijingtuo Formation at Miaohe village, Zigui County, Hubei Province, all of which were observed in thin sections. Nine genera, 9 species and 3 indeterminate species (including a new species) are described. According to these microfossils, the conclusion is made that the microfossil zone may be equivalent to the small shelly fossil assemblage zones 2—3 of the Meishucun stage. They have provided another important line of evidence for the correlation of the Sinian-Cambrian boundary strata with those of the adjacent areas.

Numerical evaluation of the effects of the Dongzhuang reservoir on channel deposition in the Lower Wei River in China

Jing River is a tributary of the Wei River which is the largest tributary of the Yellow River. Sediments eroded from the upland of the Jing River basin are one of the major contributors of sediment entering the lower Wei River(LWR). The Dongzhuang reservoir is designed to be constructed on the lower Jing River for flood control and water resources regulation, and this may change the sustainable management of the LWR as changed channel deposition by trapping sediments and releasing concentration-limited flow. Its effects on the LWR, especially the deposition distribution, should be analyzed. The steady quasi-two-dimensional dynamic model was adopted to estimate the deposition processes in the LWR. Then, the qualitative effects of the Dongzhuang reservoir on channel deposition were evaluated and compared with historical data, including capacity loss in other reservoirs and measured deposition in the LWR. Analyses indicated that the annual deposition in the LWR will decrease by approximately two-thirds due to the reservoir’s operation. After 15 years of operation, the effects of the Dongzhuang reservoir on the lower channel will decrease gradually. Moreover, its effects on lateral distribution in different sub-reaches are different. After the reservoir’s operation, the floodplain of the Xianyang–Lintong(XY-LT) sub-reach will change its sediment regime from deposition to erosion. For the Lintong–Huaxian(LT-HX) sub-reach, deposition in the main channel will be more serious during the first 30 years of operation. For the Huaxian–Tongguan (HX-TG) sub-reach, the reservoir will have almost no effects on the lateral distribution. All these analyses may benefit the sustainable management of the Wei River and the Yellow River.

Fluvial Processes in the Meandering Reach of the Lower Wei River During the Course of Degradation

This paper presents an analysis of the changes of the longitudinal and lateral profiles in the meander- ing reach of the Lower Wei River over the period from October 1973 to October 1976 during the course of degradation.Analysis results indicated that retrogressive erosion and subsequent downstream erosion occurred in the reach due to the lowering in the Tongguan elevation and the inflowing water carrying low sediment con- centrations.At the end of the degradation,the main channel widths of the majority ...

Exposed Cross-section of the Archaean Lower Crustin the Shanxi-Hebei-Inner Mongolia Border Region:Problems and Prospects

The Archaean lower crust represented by granulite facies rocks, which is rare in China, is found to be exposed in the Shanxi-Hebei-Inner Mongolia border region. Studies of the regional structure and deformation and metamorphism of the region indicate that there occurred at least two phases of deformation and metamorphism in the region. Early-phase nearly E-W-directed deformational structure is well preserved in the Zhangjiakou-Xuanhua area. Observations of the features of the geological structure from north to south (in the Hengshan metamorphic terrain) have revealed a possible exposed cross-section through the Archaean lower crust. The structure was superimposed by a NE-SW-trending high-temperature ductile shear zone in the Datong area in the late phase, thus reworking the Archaean sequence.

The Discovery of the Bivalve Fossil Arguniella from the Lower Cretaceous Shangkuli Formation in Northern Greater Khingan Mountains, China: Implications for Stratigraphic Correlation

Objective Typical Early Cretaceous non-marine bivalve fossils from Eastern Asia are represented by the Arguniella-Sphaerium assemblage,and they were important members of the Jehol Biota.Historically,the genus Arguniella in western Liaoning had been mistakenly identified as the Jurassic Ferganoconcha,re-identified as Arguniella with。

Eddy Currents and Electro-magnetic Forces on the Lower Hybrid Ware Launching Antenna on the Superconducting Tokamak HT-7

This paper analyzes the eddy currents and the electro-magnetic forces on the lower hybrid wave (LHW) launching antenna on the superconducting Tohamak HT-7 by using a finite element circult method. A new iterative algorithm is developed to analyze the coupled magnetic fields Which are very difficult to be calculated. The method and results obtained are helpful to study the eddy currents and electro-magnetic forces on metal plates which are placed in a rather complicated electro-magnetic environment.

REMOTE SENSING APPLICATION RESEARCH OF WATER POWER AT THE INITIAL EXPLOITING STAGE IN THE LOWER REACHES OF YALONG RIVER

There are abundant water power resources in the Yalong River which are suitable for the large hydroelectric engineering. But a reliability study should be made for the valley which liable to frequent earthquakes. The color infrared aerophotos, multi-spectral photography and thermal infrared scanning had been specially done besides MSS image, processing. Researches on remote sensing applications to engineering geology, hydrogeology, deformation of neo-tectonics, Iandslide, mud-rock flow, ecological environment and geographical information system had been carried out by more than 20 research units.

The role of fluids in the lower crust and upper mantle:A tribute to Jacques Touret

This special issue of Geoscience Frontiers is a tribute volume honoring the life and career of Jacques Touret. A set of research papers has been assembled, which broadly reflect his research interests over his 50 plus year career. These papers Focus on the role that fluids play during the Formation and evolution of the Earth＇s crust. Below I provide a brief summary of the life of Jacques Touret, along with a select bibliography of his more important papers. This is then followed by a brief introduction to the papers assembled for this special issue.

The Lower Cretaceous Giant Dyke Swarms in the Arctic and Its Significance for linking of Siberia-Iceland Hot-Spot Track

Siberia-Iceland hot-spot track is the one of hot-spot track preserved on continent.Although this hot-spot track has clear plume"heads"-Siberia large igneous province,owing to thick continental lithosphere,its continuing

Knowledge of Patients and Their Accompanying Persons about Obliterative Arteriopathy of the Lower Limbs at Conakry University Hospital in 2022

Introduction: Obliterative arterial disease of the lower limbs is a marker of advanced atherosclerosis. It is one of the world’s most common cardiovascular diseases, present in one in five people over the age of 60, and carries an increased risk of morbidity and mortality. The aim of this study was to assess the knowledge of patients and their carers about obliterative arteriopathy of the lower limbs at Conakry University Hospital. Material and Methods: We conducted a descriptive cross-sectional study lasting 3 months, from March 12 to June 12, 2022 in the hospitals of the University Hospital of Conakry (Donka and Ignace Deen). Following free and informed consent, they were interviewed on the basis of a pre-established questionnaire. Socio-demographic data (age, gender, level of education) were collected, and knowledge of obliterative arterial disease of the lower limbs. Results: The study involved 159 people, comprising 106 patients (66.66%) and 53 accompanying persons (33.34%) in the hospitals of the University Hospital of Conakry (Donka and Ignace Deen). The 60 to 79 age group was the most represented (44.7%), with an average age of 55.4 ± 15.9 years and extremes of 20 to 84 years. Half (47.8%) had not attended school, and almost all (96.4%) of those who had attended school had a low level of education (primary and secondary). Almost all of them (91.2%) had never heard of AOMI. Only 5% identified at least one risk factor, diabetes, hypertension and smoking. Amputation was the most frequently identified complication. About 98% did not know that AOMI is associated with myocardial infarction and stroke, and 93.7% did not know of any complications. Almost all the participants (99.4%) had poor knowledge of the following complications. Conclusion: Obliterative arterial disease of the lower limbs could be prevented or delayed by screening and controlling risk factors. Our results show a huge deficit in knowledge of this pathology, including risk factors, preventive measures, clinical signs and complications among patients and their relatives. A study conducted outside the hospital environment would provide a better understanding of the extent to which the general population is unaware of this disease.