The beginnings of laparoscopic liver resection(LLR)were at the start of the 1990s,with the initial reports being published in 1991 and 1992.These were followed by reports of left lateral sectionectomy in 1996.In the y...The beginnings of laparoscopic liver resection(LLR)were at the start of the 1990s,with the initial reports being published in 1991 and 1992.These were followed by reports of left lateral sectionectomy in 1996.In the years following,the procedures of LLR were expanded to hemi-hepatectomy,sectionectomy,segmentectomy and partial resection of posterosuperior segments,as well as the parenchymal preserving limited anatomical resection and modified anatomical(extended and/or combining limited)resection procedures.This expanded range of LLR procedures,mimicking the expansion of open liver resection in the past,was related to advances in both technology(instrumentation)and technical skill with conceptual changes.During this period of remarkable development,two international consensus conferences were held(2008 in Louisville,KY,United States,and 2014 in Morioka,Japan),providing up-to-date summarizations of the status and perspective of LLR.The advantages of LLR have become clear,and include reduced intraoperative bleeding,shorter hospital stay,and-especially for cirrhotic patients-lower incidence of complications(e.g.,postoperative ascites and liver failure).In this paper,we review and discuss the developments of LLR in operative procedures(extent and style of liver resections)during the first quarter century since its inception,from the aspect of relationships with technological/technical developments with conceptual changes.展开更多
Erhai Lake is the second largest freshwater lake on the Yunnan Plateau, Southwest China. In recent decades, a number of exotic fish species have been introduced into the lake and the fish community has changed conside...Erhai Lake is the second largest freshwater lake on the Yunnan Plateau, Southwest China. In recent decades, a number of exotic fish species have been introduced into the lake and the fish community has changed considerably. We evaluated the status of the fish community based on surveys with multimesh gillnet, trap net, and benthic fyke-net between May 2009 and April 2012. In addition, we evaluated the change in the community using historical data （1952-2010） describing the fish community and fishery harvest. The current fish community is dominated by small-sized fishes, including Pseudorasbora parva, Rhinogobius giurinus, Micropercops swinhonis, Hemiculter leucisculus, and Rhinogobius cliffordpopei. These accounted for 87.7% of the 22 546 total specimens collected. Omnivorous and carnivorous species dominated the community. A canonical correspondence analysis （CCA） plot revealed that the distribution of fishes in the lake is influenced by aquatic plants, water temperature, pH, and season. The abundance of indigenous species has declined sharply, and a majority of endemic species have been extirpated from the lake （a decrease from seven to two species）. In contrast, the number of exotic species has increased since the 1960s to a total of 22 at present. The fishery harvest decreased initially following the 1960s, but has since increased due to the introduction of non-native fish and stocking of native fish. The fishery harvest was significantly correlated with total nitrogen, not total phosphorus, during the past 20 years. Based on our results, we discuss recommendations for the restoration and conservation of the fish resources in Erhai Lake.展开更多
The world is facing a big challenge of climatic change, mainly due to increasing concentrations of GHGs （greenhouse gases） in the atmosphere. Many researches indicated that the climate change occurred disproportiona...The world is facing a big challenge of climatic change, mainly due to increasing concentrations of GHGs （greenhouse gases） in the atmosphere. Many researches indicated that the climate change occurred disproportionately on developing countries such as MENA （Middle East and North Africa） countries. The climatic model CGCM3.1 （T47） 2 is used in this research to explain the changes in average temperatures and the rainfall on the MENA region with special emphases on Iraq. Historical records （1900-2009） and future （2020-2099） were studied and compared; each period was divided to four sub-periods of thirty years. The results showed that the average monthly temperature for the four historical periods fluctuated between the lowest and highest value as follows： 9.2-32.9, 10.3-32.7, 9.3-32.8 and 8.6-33.9 （℃）. The rainfall for historical periods kept on the same distribution during the past 109 years, and fluctuated between the lowest and highest value of 21.3 mm and 37.6 mm with an average that reached up to 26.51 mm. For the future period, the maximum average monthly temperature reached up to 37.41 （℃） during June and minimum average monthly temperature reached up to 4.24 （℃） during January. The average monthly temperature fluctuated giving a clear impression that the future portends a higher temperature. The average monthly rainfall, for the future period, fluctuated between the lowest and highest value of 12.91 mm and 20.63 mm with an average that reached 16.84 mm which represent a reduction percentage of about 36.47% relative to the historical record of rainfall for the sanae months.展开更多
文摘The beginnings of laparoscopic liver resection(LLR)were at the start of the 1990s,with the initial reports being published in 1991 and 1992.These were followed by reports of left lateral sectionectomy in 1996.In the years following,the procedures of LLR were expanded to hemi-hepatectomy,sectionectomy,segmentectomy and partial resection of posterosuperior segments,as well as the parenchymal preserving limited anatomical resection and modified anatomical(extended and/or combining limited)resection procedures.This expanded range of LLR procedures,mimicking the expansion of open liver resection in the past,was related to advances in both technology(instrumentation)and technical skill with conceptual changes.During this period of remarkable development,two international consensus conferences were held(2008 in Louisville,KY,United States,and 2014 in Morioka,Japan),providing up-to-date summarizations of the status and perspective of LLR.The advantages of LLR have become clear,and include reduced intraoperative bleeding,shorter hospital stay,and-especially for cirrhotic patients-lower incidence of complications(e.g.,postoperative ascites and liver failure).In this paper,we review and discuss the developments of LLR in operative procedures(extent and style of liver resections)during the first quarter century since its inception,from the aspect of relationships with technological/technical developments with conceptual changes.
基金Supported by the National Special Research Fund for Non-Profit Sector(Agriculture)(No.200903048-04)the Major Science and Technology Program for Water Pollution Control and Treatment of China(No.2012ZX07105-004)the State Key Program of National Natural Science Foundation of China(No.30830025)
文摘Erhai Lake is the second largest freshwater lake on the Yunnan Plateau, Southwest China. In recent decades, a number of exotic fish species have been introduced into the lake and the fish community has changed considerably. We evaluated the status of the fish community based on surveys with multimesh gillnet, trap net, and benthic fyke-net between May 2009 and April 2012. In addition, we evaluated the change in the community using historical data （1952-2010） describing the fish community and fishery harvest. The current fish community is dominated by small-sized fishes, including Pseudorasbora parva, Rhinogobius giurinus, Micropercops swinhonis, Hemiculter leucisculus, and Rhinogobius cliffordpopei. These accounted for 87.7% of the 22 546 total specimens collected. Omnivorous and carnivorous species dominated the community. A canonical correspondence analysis （CCA） plot revealed that the distribution of fishes in the lake is influenced by aquatic plants, water temperature, pH, and season. The abundance of indigenous species has declined sharply, and a majority of endemic species have been extirpated from the lake （a decrease from seven to two species）. In contrast, the number of exotic species has increased since the 1960s to a total of 22 at present. The fishery harvest decreased initially following the 1960s, but has since increased due to the introduction of non-native fish and stocking of native fish. The fishery harvest was significantly correlated with total nitrogen, not total phosphorus, during the past 20 years. Based on our results, we discuss recommendations for the restoration and conservation of the fish resources in Erhai Lake.
文摘The world is facing a big challenge of climatic change, mainly due to increasing concentrations of GHGs （greenhouse gases） in the atmosphere. Many researches indicated that the climate change occurred disproportionately on developing countries such as MENA （Middle East and North Africa） countries. The climatic model CGCM3.1 （T47） 2 is used in this research to explain the changes in average temperatures and the rainfall on the MENA region with special emphases on Iraq. Historical records （1900-2009） and future （2020-2099） were studied and compared; each period was divided to four sub-periods of thirty years. The results showed that the average monthly temperature for the four historical periods fluctuated between the lowest and highest value as follows： 9.2-32.9, 10.3-32.7, 9.3-32.8 and 8.6-33.9 （℃）. The rainfall for historical periods kept on the same distribution during the past 109 years, and fluctuated between the lowest and highest value of 21.3 mm and 37.6 mm with an average that reached up to 26.51 mm. For the future period, the maximum average monthly temperature reached up to 37.41 （℃） during June and minimum average monthly temperature reached up to 4.24 （℃） during January. The average monthly temperature fluctuated giving a clear impression that the future portends a higher temperature. The average monthly rainfall, for the future period, fluctuated between the lowest and highest value of 12.91 mm and 20.63 mm with an average that reached 16.84 mm which represent a reduction percentage of about 36.47% relative to the historical record of rainfall for the sanae months.
