目的:探讨Delta大通道内镜辅助下后路椎管减压椎间植骨融合术治疗退变性腰椎疾病的效果。方法:回顾性分析2021年9月~2022年9月我院收治的80例退变性腰椎疾病患者的病历资料,根据患者治疗方式分为观察组(38例,男17例,女21例,年龄61.0...目的:探讨Delta大通道内镜辅助下后路椎管减压椎间植骨融合术治疗退变性腰椎疾病的效果。方法:回顾性分析2021年9月~2022年9月我院收治的80例退变性腰椎疾病患者的病历资料,根据患者治疗方式分为观察组(38例,男17例,女21例,年龄61.0±4.9岁)和对照组(42例,男20例,女22例,年龄60.5±5.4岁),观察组患者采取Delta大通道内镜下Endo-PLIF治疗,对照组采取开放后路腰椎椎间融合术治疗,记录两组患者术中出血量、术后引流量、手术时间、手术切口长度、住院时间,比较患者并发症发生情况。于术前、术后1周、1个月、3个月、6个月使用视觉模拟量表(visual analogue scale,VAS)评分评估患者腰痛情况,并采用Oswestry功能障碍指数(Oswestry disability index,ODI)评估患者腰椎功能;使用改良Macnab标准对患者进行疗效评估。根据患者术后1年随访时的腰椎影像学复查结果,使用Bridwell椎间融合标准对患者手术节段融合情况进行评估。结果:观察组患者的术中出血量及术后引流量分别低于对照组(88.46±10.98mL vs 112.99±12.01mL、159.73±18.42mL vs 201.36±23.06mL,P<0.05),手术切口及住院时间分别短于对照组(1.54±0.36cm vs 5.43±1.01cm、6.79±1.22d vs 8.03±1.43d,P<0.05),手术时间长于对照组(162.33±19.57min vs 126.87±23.15min,P<0.05)。80例患者术后均获随访,随访时间15~40个月(19.0±6.3个月)。观察组患者术后1周、术后1个月的VAS评分分别为2.46±0.51分、1.21±0.38分,ODI分别为(17.84±4.15)%、(10.69±1.88)%,均低于对照组[VAS评分分别为3.68±0.62分、2.01±0.41分,ODI分别为(21.33±3.48)%、(12.33±2.17)%,均P<0.05],两组患者术后3个月、术后6个月的VAS评分比较无统计学差异(P>0.05)。观察组治疗优良率为92.11%,与对照组的85.71%比较无统计学意义(P=0.487)。两组患者融合分级比较,差异无统计学意义(Z=0.487,P=0.624)。观察组术后并发症发生率为5.26%,与对照组的9.52%比较无统计学差异(P=0.678)。结论:Delta大通道内镜辅助下后路椎管减压椎间植骨融合术治疗退变性腰椎疾病效果良好,可以减少术中出血量,缩短手术切口和住院时间,更快改善患者术后短期内疼痛、腰椎功能,安全性较好。展开更多
Per-and polyfluoroalkyl substances(PFASs)are emerging persistent organic pollutants(POPs).In this study,47 surface sediment samples were collected from the Yellow River Delta wetland(YRDW)to investigate the occurrence...Per-and polyfluoroalkyl substances(PFASs)are emerging persistent organic pollutants(POPs).In this study,47 surface sediment samples were collected from the Yellow River Delta wetland(YRDW)to investigate the occurrence,spatial distribution,potential sources,and ecological risks of PFASs.Twenty-three out of 26 targeted PFASs were detected in surface sediment samples from the YRDW,with totalΣ23PFASs concentrations ranging from 0.23 to 16.30 ng g^(-1) dw and a median value of 2.27 ng g^(-1) dw.Perfluorooctanoic acid(PFOA),perfluorobutanoic acid(PFBA)and perfluorooctanesulfonic acid(PFOS)were the main contaminants.The detection frequency and concentration of perfluoroalkyl carboxylic acids(PFCAs)were higher than those of perfluoroal-kanesulfonic acids(PFSAs),while those of long-chain PFASs were higher than those of short-chain PFASs.The emerging PFASs substitutes were dominated by 6:2 chlorinated polyfluoroalkyl ether sulfonic acid(6:2 Cl-PFESA).The distribution of PFASs is significantly influenced by the total organic carbon content in the sediments.The concentration of PFASs seems to be related to human activities,with high concentration levels of PFASs near locations such as beaches and villages.By using a positive matrix factorization model,the potential sources of PFASs in the region were identified as metal plating mist inhibitor and fluoropolymer manufacturing sources,metal plating industry and firefighting foam and textile treatment sources,and food packaging material sources.The risk assessment indicated that PFASs in YRDW sediments do not pose a significant ecological risk to benthic organisms in the region overall,but PFOA and PFOS exert a low to moderate risk at individual stations.展开更多
Owing to climate change and human activity,the Qingshuigou of the Yellow River Delta(YRD)has undergone dynamic changes in erosion and deposition.Therefore,studying these changes is important to ensure ecological prote...Owing to climate change and human activity,the Qingshuigou of the Yellow River Delta(YRD)has undergone dynamic changes in erosion and deposition.Therefore,studying these changes is important to ensure ecological protection and sustainable development.In this study,the trend of erosion-deposition evolution in the Qingshuigou was investigated based on 38 coastline phases extracted from Landsat series images of the YRD at one-year intervals from 1984 to 2021.The periodicity of the scouring and deposition evolution was also analyzed using wavelet analysis.Results showed that the total area of the Qingshuigou was affected by deposition and erosion and that the fluctuation first increased and then decreased.The total area reached a maximum in 1993.The depositional area first increased and then decreased,whereas the overall erosion area decreased.Deposition and erosion areas showed periodic changes to some extent;however,the periodic signal intensity decreased.Furthermore,factors including channel morphological evolution and variations in water and sediment discharge affect the spatiotemporal dynamics of erosion and deposition processes.The application of nonconsistency tests finally revealed that deposition area and flushing magnitude exhibited non-stationarities,which are potentially attributed to impacts from climatic change drivers.展开更多
Approximately 12-72 million people worldwide are co-infected with hepatitis B virus(HBV)and hepatitis delta virus(HDV).This concurrent infection can lead to several severe outcomes with hepatic disease,such as cirrhos...Approximately 12-72 million people worldwide are co-infected with hepatitis B virus(HBV)and hepatitis delta virus(HDV).This concurrent infection can lead to several severe outcomes with hepatic disease,such as cirrhosis,fulminant hepatitis,and hepatocellular carcinoma,being the most common.Over the past few decades,a correlation between viral hepatitis and autoimmune diseases has been reported.Furthermore,autoantibodies have been detected in the serum of patients co-infected with HBV/HDV,and autoimmune features have been reported.However,to date,very few cases of clinically significant autoimmune hepatitis(AIH)have been reported in patients with HDV infection,mainly in those who have received treatment with pegylated interferon.Interestingly,there are some patients with HBV infection and AIH in whom HDV infection is unearthed after receiving treatment with immunosuppressants.Consequently,several questions remain unanswered with the challenge to distinguish whether it is autoimmune or“autoimmune-like”hepatitis being the most crucial.Second,it remains uncertain whether autoimmunity is induced by HBV or delta virus.Finally,we investigated whether the cause of AIH lies in the previous treatment of HDV with pegylated interferon.These pressing issues should be elucidated to clarify whether new antiviral treatments for HDV,such as Bulevirtide or immu-nosuppressive drugs,are more appropriate for the management of patients with HDV and AIH.展开更多
With the loss of substantial natural wetlands in coastal zones,artificial wetlands provide alternative habitats for many shorebirds.Scientific management of artificial wetlands used by shorebirds plays an important ro...With the loss of substantial natural wetlands in coastal zones,artificial wetlands provide alternative habitats for many shorebirds.Scientific management of artificial wetlands used by shorebirds plays an important role in maintaining the stability of shorebird population.Satellite tracking technique can obtain high-precision location information of individuals day and night,providing a good technical support for the study of quantitative relationship between waterfowls and their habitats.In this study,satellite tracking method,Remote Sensing(RS)and Geographic Information System(GIS)technology were used to analyze the activity pattern and habitat utilization characteristics of Pied Avocet during breeding period in an artificial wetland complex in the Yellow River Delta(YRD),China.The results showed that the breeding Pied Avocets had a small range of activity,with a total core and main home range of 33.10 km^(2) and 216.30 km^(2),respectively.This species tended to forage in the pond and salt pan during the day and night,respectively,with an unfixed staying time in the breeding ground.The distance between breeding ground and feeding ground was less than 6 km.It is emphasized that in addition to improving the conditions of the remaining natural habitats,effective managing artificial habitats is a priority for shorebird conservation.This research could provide reference for the management of artificial wetlands in coastal zones and supply technique support for the protection of shorebirds and their habitats,and alleviate human-bird conflicts and sustainable development of coastal zones.展开更多
Covert communication can conceal the existence of wireless transmission and thus has the ability to address information security transfer issue in many applications of the booming Internet of Things(IoT).However,the p...Covert communication can conceal the existence of wireless transmission and thus has the ability to address information security transfer issue in many applications of the booming Internet of Things(IoT).However,the proliferation of sensing devices has generated massive amounts of data,which has increased the burden of covert communication.Considering the spatiotemporal correlation of data collection causing redundancy between data,eliminating duplicate data before transmission is beneficial for shortening transmission time,reducing the average received signal power of warden,and ultimately realizing covert communication.In this paper,we propose to apply delta compression technology in the gateway to reduce the amount of data generated by IoT devices,and then sent it to the cloud server.To this end,a cost model and evaluation method that is closer to the actual storage mode of computer systems is been constructed.Based on which,the delta version sequence obtained by existing delta compression algorithms is no longer compact,manifested by the still high cost.In this situation,we designed the correction scheme based on instructions merging(CSIM)correction to save costs by merging instructions.Firstly,the delta version sequence is divided into five categories and corresponding merge rules were derived.Then,for any COPY/ADD class delta compression algorithm,merge according to strict to relaxed to selection rules while generating instructions.Finally,a more cost-effective delta version sequence can be gained.The experimental results on random data show that the delta version sequences output by the CSIM corrected 1.5-pass and greedy algorithms have better performance in cost reducing.展开更多
文摘目的:探讨Delta大通道内镜辅助下后路椎管减压椎间植骨融合术治疗退变性腰椎疾病的效果。方法:回顾性分析2021年9月~2022年9月我院收治的80例退变性腰椎疾病患者的病历资料,根据患者治疗方式分为观察组(38例,男17例,女21例,年龄61.0±4.9岁)和对照组(42例,男20例,女22例,年龄60.5±5.4岁),观察组患者采取Delta大通道内镜下Endo-PLIF治疗,对照组采取开放后路腰椎椎间融合术治疗,记录两组患者术中出血量、术后引流量、手术时间、手术切口长度、住院时间,比较患者并发症发生情况。于术前、术后1周、1个月、3个月、6个月使用视觉模拟量表(visual analogue scale,VAS)评分评估患者腰痛情况,并采用Oswestry功能障碍指数(Oswestry disability index,ODI)评估患者腰椎功能;使用改良Macnab标准对患者进行疗效评估。根据患者术后1年随访时的腰椎影像学复查结果,使用Bridwell椎间融合标准对患者手术节段融合情况进行评估。结果:观察组患者的术中出血量及术后引流量分别低于对照组(88.46±10.98mL vs 112.99±12.01mL、159.73±18.42mL vs 201.36±23.06mL,P<0.05),手术切口及住院时间分别短于对照组(1.54±0.36cm vs 5.43±1.01cm、6.79±1.22d vs 8.03±1.43d,P<0.05),手术时间长于对照组(162.33±19.57min vs 126.87±23.15min,P<0.05)。80例患者术后均获随访,随访时间15~40个月(19.0±6.3个月)。观察组患者术后1周、术后1个月的VAS评分分别为2.46±0.51分、1.21±0.38分,ODI分别为(17.84±4.15)%、(10.69±1.88)%,均低于对照组[VAS评分分别为3.68±0.62分、2.01±0.41分,ODI分别为(21.33±3.48)%、(12.33±2.17)%,均P<0.05],两组患者术后3个月、术后6个月的VAS评分比较无统计学差异(P>0.05)。观察组治疗优良率为92.11%,与对照组的85.71%比较无统计学意义(P=0.487)。两组患者融合分级比较,差异无统计学意义(Z=0.487,P=0.624)。观察组术后并发症发生率为5.26%,与对照组的9.52%比较无统计学差异(P=0.678)。结论:Delta大通道内镜辅助下后路椎管减压椎间植骨融合术治疗退变性腰椎疾病效果良好,可以减少术中出血量,缩短手术切口和住院时间,更快改善患者术后短期内疼痛、腰椎功能,安全性较好。
基金financially supported by the National Natural Science Foundation of China(NSFC)(No.42377217)the Cooperation Fund between Dongying City and Universities(No.SXHZ-2023-02-6).
文摘Per-and polyfluoroalkyl substances(PFASs)are emerging persistent organic pollutants(POPs).In this study,47 surface sediment samples were collected from the Yellow River Delta wetland(YRDW)to investigate the occurrence,spatial distribution,potential sources,and ecological risks of PFASs.Twenty-three out of 26 targeted PFASs were detected in surface sediment samples from the YRDW,with totalΣ23PFASs concentrations ranging from 0.23 to 16.30 ng g^(-1) dw and a median value of 2.27 ng g^(-1) dw.Perfluorooctanoic acid(PFOA),perfluorobutanoic acid(PFBA)and perfluorooctanesulfonic acid(PFOS)were the main contaminants.The detection frequency and concentration of perfluoroalkyl carboxylic acids(PFCAs)were higher than those of perfluoroal-kanesulfonic acids(PFSAs),while those of long-chain PFASs were higher than those of short-chain PFASs.The emerging PFASs substitutes were dominated by 6:2 chlorinated polyfluoroalkyl ether sulfonic acid(6:2 Cl-PFESA).The distribution of PFASs is significantly influenced by the total organic carbon content in the sediments.The concentration of PFASs seems to be related to human activities,with high concentration levels of PFASs near locations such as beaches and villages.By using a positive matrix factorization model,the potential sources of PFASs in the region were identified as metal plating mist inhibitor and fluoropolymer manufacturing sources,metal plating industry and firefighting foam and textile treatment sources,and food packaging material sources.The risk assessment indicated that PFASs in YRDW sediments do not pose a significant ecological risk to benthic organisms in the region overall,but PFOA and PFOS exert a low to moderate risk at individual stations.
基金supported by the National Key Research and Development Program of China(No.2022YFC3204301).
文摘Owing to climate change and human activity,the Qingshuigou of the Yellow River Delta(YRD)has undergone dynamic changes in erosion and deposition.Therefore,studying these changes is important to ensure ecological protection and sustainable development.In this study,the trend of erosion-deposition evolution in the Qingshuigou was investigated based on 38 coastline phases extracted from Landsat series images of the YRD at one-year intervals from 1984 to 2021.The periodicity of the scouring and deposition evolution was also analyzed using wavelet analysis.Results showed that the total area of the Qingshuigou was affected by deposition and erosion and that the fluctuation first increased and then decreased.The total area reached a maximum in 1993.The depositional area first increased and then decreased,whereas the overall erosion area decreased.Deposition and erosion areas showed periodic changes to some extent;however,the periodic signal intensity decreased.Furthermore,factors including channel morphological evolution and variations in water and sediment discharge affect the spatiotemporal dynamics of erosion and deposition processes.The application of nonconsistency tests finally revealed that deposition area and flushing magnitude exhibited non-stationarities,which are potentially attributed to impacts from climatic change drivers.
文摘Approximately 12-72 million people worldwide are co-infected with hepatitis B virus(HBV)and hepatitis delta virus(HDV).This concurrent infection can lead to several severe outcomes with hepatic disease,such as cirrhosis,fulminant hepatitis,and hepatocellular carcinoma,being the most common.Over the past few decades,a correlation between viral hepatitis and autoimmune diseases has been reported.Furthermore,autoantibodies have been detected in the serum of patients co-infected with HBV/HDV,and autoimmune features have been reported.However,to date,very few cases of clinically significant autoimmune hepatitis(AIH)have been reported in patients with HDV infection,mainly in those who have received treatment with pegylated interferon.Interestingly,there are some patients with HBV infection and AIH in whom HDV infection is unearthed after receiving treatment with immunosuppressants.Consequently,several questions remain unanswered with the challenge to distinguish whether it is autoimmune or“autoimmune-like”hepatitis being the most crucial.Second,it remains uncertain whether autoimmunity is induced by HBV or delta virus.Finally,we investigated whether the cause of AIH lies in the previous treatment of HDV with pegylated interferon.These pressing issues should be elucidated to clarify whether new antiviral treatments for HDV,such as Bulevirtide or immu-nosuppressive drugs,are more appropriate for the management of patients with HDV and AIH.
基金Under the auscpices of Shandong Provincial Natural Science Foundation (No.ZR2020QD090)Research Funds of Beijing VMinFull Limted (No.VMF2021RS)+1 种基金National Natural Science Foundation of China (No.42176221)Seed Project of Yantai Institute of Coastal Zone Research,Chinese Academy of Sciences (No.YICE351030601)。
文摘With the loss of substantial natural wetlands in coastal zones,artificial wetlands provide alternative habitats for many shorebirds.Scientific management of artificial wetlands used by shorebirds plays an important role in maintaining the stability of shorebird population.Satellite tracking technique can obtain high-precision location information of individuals day and night,providing a good technical support for the study of quantitative relationship between waterfowls and their habitats.In this study,satellite tracking method,Remote Sensing(RS)and Geographic Information System(GIS)technology were used to analyze the activity pattern and habitat utilization characteristics of Pied Avocet during breeding period in an artificial wetland complex in the Yellow River Delta(YRD),China.The results showed that the breeding Pied Avocets had a small range of activity,with a total core and main home range of 33.10 km^(2) and 216.30 km^(2),respectively.This species tended to forage in the pond and salt pan during the day and night,respectively,with an unfixed staying time in the breeding ground.The distance between breeding ground and feeding ground was less than 6 km.It is emphasized that in addition to improving the conditions of the remaining natural habitats,effective managing artificial habitats is a priority for shorebird conservation.This research could provide reference for the management of artificial wetlands in coastal zones and supply technique support for the protection of shorebirds and their habitats,and alleviate human-bird conflicts and sustainable development of coastal zones.
基金supported by regional innovation capability guidance plan of Shaanxi Provincial Department of science and Technology(2022QFY01-14)Plan Project of the Xi’an Science and Technology(22GXFW0047)under Grant+1 种基金Science,Technology Plan Project of Xi’an Bei lin District(GX2214)under GrantKey R&D projects of Xianyang Science and Technology Bureau(2021ZDYF-NY-0019)。
文摘Covert communication can conceal the existence of wireless transmission and thus has the ability to address information security transfer issue in many applications of the booming Internet of Things(IoT).However,the proliferation of sensing devices has generated massive amounts of data,which has increased the burden of covert communication.Considering the spatiotemporal correlation of data collection causing redundancy between data,eliminating duplicate data before transmission is beneficial for shortening transmission time,reducing the average received signal power of warden,and ultimately realizing covert communication.In this paper,we propose to apply delta compression technology in the gateway to reduce the amount of data generated by IoT devices,and then sent it to the cloud server.To this end,a cost model and evaluation method that is closer to the actual storage mode of computer systems is been constructed.Based on which,the delta version sequence obtained by existing delta compression algorithms is no longer compact,manifested by the still high cost.In this situation,we designed the correction scheme based on instructions merging(CSIM)correction to save costs by merging instructions.Firstly,the delta version sequence is divided into five categories and corresponding merge rules were derived.Then,for any COPY/ADD class delta compression algorithm,merge according to strict to relaxed to selection rules while generating instructions.Finally,a more cost-effective delta version sequence can be gained.The experimental results on random data show that the delta version sequences output by the CSIM corrected 1.5-pass and greedy algorithms have better performance in cost reducing.
