Objective To investigate and analyze the clinical and pathological features of surgical treatment for primary bronchogenic carcinoma in adolescent patients. Methods A retrospective review is presented of patients less...Objective To investigate and analyze the clinical and pathological features of surgical treatment for primary bronchogenic carcinoma in adolescent patients. Methods A retrospective review is presented of patients less than 30 years with surgical treatment of bronchogenic展开更多
This study focuses on the characteristics of the 30 60-day oscillation (MJO) associated with the interannual variability of the thermal state in the western Pacific warm pool. The composite results show that, the ampl...This study focuses on the characteristics of the 30 60-day oscillation (MJO) associated with the interannual variability of the thermal state in the western Pacific warm pool. The composite results show that, the amplitude of MJO convection over the tropical western Pacific tends to intensify (reduce) in the WARM (COLD) case. The negative correlations between MJO convection in the WARM and in the COLD cases are examined to be significant over most of the Asian-Pacific region. The evolutions of MJO convection and lower circulation, on the one hand, exhibit larger differences between the WARM and COLD cases, but on the other hand, display a unique feature in that a well-developed MJO cyclone (anticyclone) is anchored over the Asian-Western Pacific domain at the peak enhanced (suppressed) MJO convection phase over the western Pacific warm pool, either in the WARM or in the COLD case. This unique feature of MJO shows a Gill-type response of lower circulation to the convection and is inferred to be an inherent appearance of MJO. The context in the paper suggests there may exist interactions between MJO and the interannual variability of the thermal state in the western Pacific warm pool.展开更多
In this paper, the nonlinear Kelvin wave equations with 'positive-only' nonlinear (conditional) heating at the equator are reduced to a sixth-order nonlinear ordinary differential equation by using the Galerki...In this paper, the nonlinear Kelvin wave equations with 'positive-only' nonlinear (conditional) heating at the equator are reduced to a sixth-order nonlinear ordinary differential equation by using the Galerkin spectral truncated method. The stability analysis indicates that when the heating parameter increases, the supercritical pitchfork and Hopf bifurcations can occur for the prescribed three heating profiles. Numerical calculations are made with the help of the fourth-order Rung-Kutta method. It is found that the convection heating-related Hopf bifurcation can lead to limit cycle and chaotic solutions. In a wide range of heating parameter, the solutions possess 30-60-day periods, and are dominated by wavenumbers one and two, especially by wavenumber-one. In addition, the zonal winds of the low-frequency solutions have a phase reversal between the upper and lower tropospheres. Thus, it appears that the convection heating-related Hopf bifurcation might be a possible mechanism of 30-60-day oscillation in the tropical atmosphere.展开更多
This study investigates the structure and propagation of intraseasonal sea surface temperature（SST） variability in the South China Sea（SCS） on the 30-60-day timescale during boreal summer（May-September）. TRMM-ba...This study investigates the structure and propagation of intraseasonal sea surface temperature（SST） variability in the South China Sea（SCS） on the 30-60-day timescale during boreal summer（May-September）. TRMM-based SST, GODAS oceanic reanalysis and ERA-Interim atmospheric reanalysis datasets from 1998 to 2013 are used to examine quantitatively the atmospheric thermodynamic and oceanic dynamic mechanisms responsible for its formation. Power spectra show that the 30-60-day SST variability is predominant, accounting for 60% of the variance of the 10-90-day variability over most of the SCS. Composite analyses demonstrate that the 30-60-day SST variability is characterized by the alternate occurrence of basin-wide positive and negative SST anomalies in the SCS, with positive（negative） SST anomalies accompanied by anomalous northeasterlies（southwesterlies）. The transition and expansion of SST anomalies are driven by the monsoonal trough-ridge seesaw pattern that migrates northward from the equator to the northern SCS. Quantitative diagnosis of the composite mixed-layer heat budgets shows that, within a strong 30-60-day cycle, the atmospheric thermal forcing is indeed a dominant factor, with the mixed-layer net heat flux（MNHF） contributing around 60% of the total SST tendency, while vertical entrainment contributes more than 30%. However, the entrainment-induced SST tendency is sometimes as large as the MNHF-induced component, implying that ocean processes are sometimes as important as surface fluxes in generating the30-60-day SST variability in the SCS.展开更多
Background： Pancreatectomies have been identified as procedures with an increased risk of readmission.In surgical patients, readmissions within 30 days of discharge are usually procedure-related. We sought to determi...Background： Pancreatectomies have been identified as procedures with an increased risk of readmission.In surgical patients, readmissions within 30 days of discharge are usually procedure-related. We sought to determine predictors of 30-day readmission following pancreatic resections in a large healthcare system.Methods： We retrospectively collected information from the records of 383 patients who underwent pancreaticresections from 2004–2013. To find the predictors of readmission in the 30 days after discharge,we performed a univariate screen of possible variables using the Fisher’s exact test for categorical variables and the Mann–Whitney U test for continuous variables. Multivariate analysis was used to determinethe independent factors.展开更多
Introduction:Acute type A aortic dissection(ATAAD)is a catastrophic disease with fatal outcomes.Malperfusion syndrome(MPS)is a serious complication of ATAAD,with an incidence of 20–40%.Many studies have shown that MP...Introduction:Acute type A aortic dissection(ATAAD)is a catastrophic disease with fatal outcomes.Malperfusion syndrome(MPS)is a serious complication of ATAAD,with an incidence of 20–40%.Many studies have shown that MPS is the main risk factor for poor ATAAD prognosis.However,a risk scoring system for ATAAD based on MPS is lacking.Here,we designed a risk scoring system for ATAAD to assess mortality through quantitative assessment of relevant organ malperfusion and subsequently develop rational treatment strategies.Methods and analysis:This was a prospective observational study.Patients’perioperative clinical data were col-lected to establish a database of ATAAD(N≥3000)and determine whether these patients had malperfusion complica-tions.The Anzhen risk scoring system was established on the basis of organ malperfusion by using a random forest survival model and a logistics model.The better method was then chosen to establish a revised risk scoring system.Ethics and dissemination:This study received ethical approval from the Ethics Committees of Beijing Anzhen Hospital,Capital Medical University(KS2019034-1).Patient consent was waived because biological samples were not collected,and no patient rights were violated.Findings will be disseminated at scientific conferences and in peer-reviewed publications.展开更多
文摘Objective To investigate and analyze the clinical and pathological features of surgical treatment for primary bronchogenic carcinoma in adolescent patients. Methods A retrospective review is presented of patients less than 30 years with surgical treatment of bronchogenic
基金supported by the National Natural Science Foundation of China under Grant No.40275013the National Key Programme for Developing Basic Sciences(G1998040900-part 1)LASG,Institute of Atmospheric Physics,Chinese Academy of Sciences.
文摘This study focuses on the characteristics of the 30 60-day oscillation (MJO) associated with the interannual variability of the thermal state in the western Pacific warm pool. The composite results show that, the amplitude of MJO convection over the tropical western Pacific tends to intensify (reduce) in the WARM (COLD) case. The negative correlations between MJO convection in the WARM and in the COLD cases are examined to be significant over most of the Asian-Pacific region. The evolutions of MJO convection and lower circulation, on the one hand, exhibit larger differences between the WARM and COLD cases, but on the other hand, display a unique feature in that a well-developed MJO cyclone (anticyclone) is anchored over the Asian-Western Pacific domain at the peak enhanced (suppressed) MJO convection phase over the western Pacific warm pool, either in the WARM or in the COLD case. This unique feature of MJO shows a Gill-type response of lower circulation to the convection and is inferred to be an inherent appearance of MJO. The context in the paper suggests there may exist interactions between MJO and the interannual variability of the thermal state in the western Pacific warm pool.
文摘In this paper, the nonlinear Kelvin wave equations with 'positive-only' nonlinear (conditional) heating at the equator are reduced to a sixth-order nonlinear ordinary differential equation by using the Galerkin spectral truncated method. The stability analysis indicates that when the heating parameter increases, the supercritical pitchfork and Hopf bifurcations can occur for the prescribed three heating profiles. Numerical calculations are made with the help of the fourth-order Rung-Kutta method. It is found that the convection heating-related Hopf bifurcation can lead to limit cycle and chaotic solutions. In a wide range of heating parameter, the solutions possess 30-60-day periods, and are dominated by wavenumbers one and two, especially by wavenumber-one. In addition, the zonal winds of the low-frequency solutions have a phase reversal between the upper and lower tropospheres. Thus, it appears that the convection heating-related Hopf bifurcation might be a possible mechanism of 30-60-day oscillation in the tropical atmosphere.
基金supported by the SOA Program on Global Change and Air–Sea Interactions (Grant No.GASI-IPOVAI03)the National Basic Research Program of China (Grant No.2014CB953902)+1 种基金the Natural Science Foundation of China (Grant Nos.91537103 and 41375087)the Priority Research Program of the Chinese Academy of Sciences (Grant Nos.QYZDY-SSWDQC018 and XDA11010402)
文摘This study investigates the structure and propagation of intraseasonal sea surface temperature（SST） variability in the South China Sea（SCS） on the 30-60-day timescale during boreal summer（May-September）. TRMM-based SST, GODAS oceanic reanalysis and ERA-Interim atmospheric reanalysis datasets from 1998 to 2013 are used to examine quantitatively the atmospheric thermodynamic and oceanic dynamic mechanisms responsible for its formation. Power spectra show that the 30-60-day SST variability is predominant, accounting for 60% of the variance of the 10-90-day variability over most of the SCS. Composite analyses demonstrate that the 30-60-day SST variability is characterized by the alternate occurrence of basin-wide positive and negative SST anomalies in the SCS, with positive（negative） SST anomalies accompanied by anomalous northeasterlies（southwesterlies）. The transition and expansion of SST anomalies are driven by the monsoonal trough-ridge seesaw pattern that migrates northward from the equator to the northern SCS. Quantitative diagnosis of the composite mixed-layer heat budgets shows that, within a strong 30-60-day cycle, the atmospheric thermal forcing is indeed a dominant factor, with the mixed-layer net heat flux（MNHF） contributing around 60% of the total SST tendency, while vertical entrainment contributes more than 30%. However, the entrainment-induced SST tendency is sometimes as large as the MNHF-induced component, implying that ocean processes are sometimes as important as surface fluxes in generating the30-60-day SST variability in the SCS.
文摘Background： Pancreatectomies have been identified as procedures with an increased risk of readmission.In surgical patients, readmissions within 30 days of discharge are usually procedure-related. We sought to determine predictors of 30-day readmission following pancreatic resections in a large healthcare system.Methods： We retrospectively collected information from the records of 383 patients who underwent pancreaticresections from 2004–2013. To find the predictors of readmission in the 30 days after discharge,we performed a univariate screen of possible variables using the Fisher’s exact test for categorical variables and the Mann–Whitney U test for continuous variables. Multivariate analysis was used to determinethe independent factors.
基金supported by the Beijing Municipal Science and Technology Commission[No.Z191100006619093&Z191100006619094]the National Science Foundation of China(No.81970393).
文摘Introduction:Acute type A aortic dissection(ATAAD)is a catastrophic disease with fatal outcomes.Malperfusion syndrome(MPS)is a serious complication of ATAAD,with an incidence of 20–40%.Many studies have shown that MPS is the main risk factor for poor ATAAD prognosis.However,a risk scoring system for ATAAD based on MPS is lacking.Here,we designed a risk scoring system for ATAAD to assess mortality through quantitative assessment of relevant organ malperfusion and subsequently develop rational treatment strategies.Methods and analysis:This was a prospective observational study.Patients’perioperative clinical data were col-lected to establish a database of ATAAD(N≥3000)and determine whether these patients had malperfusion complica-tions.The Anzhen risk scoring system was established on the basis of organ malperfusion by using a random forest survival model and a logistics model.The better method was then chosen to establish a revised risk scoring system.Ethics and dissemination:This study received ethical approval from the Ethics Committees of Beijing Anzhen Hospital,Capital Medical University(KS2019034-1).Patient consent was waived because biological samples were not collected,and no patient rights were violated.Findings will be disseminated at scientific conferences and in peer-reviewed publications.
