The Dynamic Plateau Monsoon Index and Its Association with General Circulation Anomalies

Based on monthly ECMWF reanalysis-Interim （ERA-Interim） reanalysis data, along with monthly precipitation and temperature data, the Dynamic Plateau Monsoon Index （DPMI） is defined. The results of a contrast analysis of the DPMI versus the Traditional Plateau Monsoon Index （TPMI） are described. The response of general circulation to northern Qinghai-Xizang Plateau summer monsoon anomalies and the correlation of the DPMI with general circulation anomalies are investigated. The results show that, the DPMI reflected meteorological elements better and depicted climate variation more accurately than the TPMI. In years when the plateau summer monsoon is strong, the low over the plateau and the trough near the eastern coast of Asia are deeper and higher than normal over South China. This correlation corresponds to two anomalous cyclones over the plateau and the eastern coast of Asia and an anomalous anticyclone in South China. The plateau and its adjacent regions are affected by anomalous southwesterly winds that transport more moisture to South China and cause more precipitation. The lower reaches of the Yangtze River appear to receive more precipitation by means of the strong westerly water vapor flow transported from the ＂large triangle affecting the region＂. In years when the plateau summer monsoon is weak, these are opposite. The plateau monsoon is closely related to the intensity and position of the South Asian high, and the existence of a teleconnection pattern in the mid-upper levels suggests a possible linkage of the East Asian monsoon and the Indian monsoon to the plateau summer monsoon.

A Note on General Third Geometric-arithmetic Index of Special Chemical Molecular Structures

In theoretical chemistry, the geometric-arithmetic indices were introduced to measure the stability of alkanes and the strain energy of cycloalkanes. In this note, we report the general third geometric-arithmetic index of unilateral polyomino chain and unilateral hexagonal chain. Also, the third geometric-arithmetic index of these chemical structures are presented.

Is hepatic steatosis associated with left ventricular mass index increase in the general population?

AIM To investigate the association between hepatic steatosis and change in left ventricular mass index(LVMI) over five years, and examine whether systolic and diastolic blood pressures are mediators of the association between hepatic steatosis and LVMI using a general population sample.METHODS We analyzed data from the Study of Health in Pomerania. The study population comprised 1298individuals aged 45 to 81 years. Hepatic steatosis was defined as the presence of a hyperechogenic pattern of the liver together with elevated serum alanine transferase levels. Left ventricular mass was determined echocardiographically and indexed to height2.7. Path analyses were conducted to differentiate direct and indirect paths from hepatic steatosis to LVMI encompassing systolic and diastolic blood pressure as potential mediating variables.RESULTS Hepatic steatosis was a significant predictor for all measured echocardiographic characteristics at baseline. Path analyses revealed that the association of hepatic steatosis with LVMI change after five years was negligibly small(β =-0.12, s.e. = 0.21, P = 0.55). Systolic blood pressure at baseline was inversely associated with LVMI change(β =-0.09, s.e. = 0.03, P < 0.01), while no association between diastolic blood pressure at baseline and LVMI change was evident(β = 0.03, s.e. = 0.05, P = 0.56). The effect of the indirect path from hepatic steatosis to LVMI via systolic baseline blood pressure was small(β =-0.20, s.e. = 0.10, P = 0.07). No indirect effect was observed for the path via diastolic baseline blood pressure(β = 0.03, s.e. = 0.06, P = 0.60). Similar associations were observed in the subgroup of individuals not receiving beta-blockers, calcium channel blockers, or drugs acting on the reninangiotensin system.CONCLUSION Baseline associations between hepatic steatosis and LVMI do not extend to associations with LVMI change after five years. More studies are needed to study the longitudinal effects of hepatic steatosis on LVMI.

The Bispectral Index Interest during General Anesthesia at the University Hospital of Parakou (Republic of Benin) in 2019

Background: The bispectral index (BIS) derived from the electroencephalogram is an additional means of monitoring the depth of narcosis. Objective: To compare the monitoring of the depth of narcosis by the BIS associated with clinical data versus standard monitoring at the University Hospital of Parakou in Benin in 2019. Methods: This was an observational study for descriptive and analytical purposes with prospective data collection, carried out in general surgery and intensive care unit for 4 months. The inclusion criteria were: an age ≥ 18 years, an ASA score ≤ 3, surgery under general anesthesia and informed consent of the patient. Two groups were formed: non-BIS group monitored by clinical parameters (PA, FC, FR, EtCO2, and SpO2) only and BIS group monitored by bispectral index in addition to clinical parameters. Patients were seen 48 hours after the procedure. Results: 36 patients were collected. The mean age was 40.63 ± 16.77 years with a sex ratio of 3. ASA 1 patients represented 86.11% of the sample and ASA2 patients 13.89%. The average doses of Propofol were not significantly reduced in the BIS group (p = 0.555). On the other hand, the period of intraoperative recovery (p-value = 0.007) and the NVPO (p = 0.043;OR = 0.10;95% CI [0.01 - 0.97]) were significantly reduced by the use of BIS. One case of intraoperative memorization (2.78%) was however found in the BIS group. Conclusion: The bispectral index makes it possible to significantly reduce the risk of intraoperative awakening and PONV, and not significantly reduce the consumption of Propofol.

Application value of dexmedetomidine in anesthesia for elderly patients undergoing radical colon cancer surgery

BACKGROUND Colon cancer presents a substantial risk to the well-being of elderly people worldwide.With advancements in medical technology,surgical treatment has become the primary approach for managing colon cancer patients.However,due to age-related physiological changes,especially a decline in cognitive function,older patients are more susceptible to the effects of surgery and anesthesia,increasing the relative risk of postoperative cognitive dysfunction(POCD).There-fore,in the surgical treatment of elderly patients with colon cancer,it is of pa-ramount importance to select an appropriate anesthetic approach to reduce the occurrence of POCD,protect brain function,and improve surgical success rates.METHODS One hundred and seventeen patients with colon cancer who underwent elective surgery under general anesthesia were selected and divided into two groups:A and B.Group A received Dex before anesthesia induction,and B group received an equivalent amount of normal saline.Changes in the mini-mental state exami-nation,regional cerebral oxygen saturation(rSO2),bispectral index,glucose uptake rate(GluER),lactate production rate(LacPR),serum S100βand neuron-specific enolase(NSE),POCD,and adverse anesthesia reactions were compared between the two groups.RESULTS Surgical duration,duration of anesthesia,and intraoperative blood loss were comparable between the two groups(P>0.05).The overall dosage of anesthetic drugs used in group A,including propofol and remifentanil,was significantly lower than that used in group B(P<0.05).Group A exhibited higher rSO2 values at the time of endotracheal intubation,30 min after the start of surgery,and immediately after extubation,higher GluER values and lower LacPR values at the time of endotra-cheal intubation,30 min after the start of surgery,immediately after extubation,and 5 min after extubation(P<0.05).Group A exhibited lower levels of serum S100βand NSE 24 h postoperatively and a lower incidence of cognitive dysfunction on the 1st and 5th postoperative days(P<0.05).CONCLUSION The use of Dex in elderly patients undergoing radical colon cancer surgery helps maintain rSO2 Levels and reduce cerebral metabolic levels and the incidence of anesthesia-and surgery-induced cognitive dysfunction.

The Correlation between the Zeroth-Order General Randic Indices and the π-Electronic Energies of Hexagonal Systems

A formula was proved for computing the zeroth-order general Randic index of a hexagonal system to explore the correlation between the zeroth-order general Randic index and the π-electronic energy of a hexagonal system.As a consequence,the extremal hexagonal systems with minimum or maximum zeroth-order general Randic index were completely characterized.Moreover,by using the least-square fit method and regression analysis,a new and close relation was found between the zeroth-order general Randic index and the π-electronic energy of a hexagonal system.So the zeroth-order general Randic index is a good measure of the π-electronic energies for benzenoid hydrocarbons.

Evaluation of Partial Pressure of Arterial Oxygen in Obese Patients in Supine Position during General Anesthesia

Background: Anesthetists should measure the concentration of supplemental oxygen to determine whether patients’ partial pressure of arterial oxygen (PaO2) is correct during general anesthesia. However, the standard PaO2 value in obese patients in the supine position is unknown. We evaluated the PaO2 with respect to the Broca-Katsura obesity index. Materials and Methods: From January 2001 to December 2013, we evaluated 472 patients aged ≥16 years old that underwent general anesthesia in the supine position. The anesthetic charts of 472 patients with an American Society of Anesthesiologists physical status of I or II were retrospectively reviewed to investigate the PaO2. Results: In patients aged 16 to 2 was 165.7 ± 25.6 mmHg at a Broca-Katsura index of 2 was 152.1 ± 23.8 mmHg at a Broca-Katsura index of 2 tended to decrease with age from 16 to 2 tended to decrease with age from 16 to <65 years at a Broca-Katsura index of 20% to <40%.

Outcome of In-Hospital Cardiac Arrest in Adult General Wards

Objective: Few studies have focused on factors influencing outcomes of patients with in-hospital cardiac arrest (IHCA) in general wards. The goal of this study was to report the outcomes of adult patients with IHCA in the general wards and identified the prognostic factors. Methods: Adult patients with IHCA having received cardiopulmonary resuscitation in general wards from January 2008 to December 2011 were retrospectively reviewed from our registry system. The primary outcome was survival to hospital discharge, while the secondary outcome was sustained return of spontaneous circulation (ROSC). Results: A total of 544 general ward patients were analyzed for event variables and resuscitation results. The rate of establishing a ROSC was 40.1% and the rate of survival to discharge was 5.1%. Ventricular tachycardia/ventricular fibrillation (VT/VF) was the initial rhythm in 3.9% of patients. Pre-arrest factors including a high Charlson comorbidity index (CCI) ≥ 9 (OR 0.251, 95% CI 0.098 - 0.646), cardiac comorbidity (OR 0.612, 95% CI 0.401 - 0.933), and arrest time on the midnight shift (OR 0.403, 95% CI 0.252 - 0.642) were independently associated with a low possibility of ROSC. The initial VT/VF presenting rhythms (OR 0.135, 95% CI 0.030 - 0.601) were independently associated with a high survival rate, whereas patients with deteriorated disease course were independently associated with a decreased hospital survival (OR 3.902, 95% CI 1.619 - 9.403). Conclusions: We demonstrated that pre-arrest factors can predict patient outcome after IHCA in general wards, including the association of a CCI ≥ 9 and cardiac comorbidity with poor ROSC, and deteriorated disease course as an independent predictor of a low survival rate.

Comprehensive evaluation method of epidemic prewarning and treatment for COVID-19 in general hospitals

In recent years, due to frequent occurrence of public health emergencies, outbreaks of major infectious diseases represented by COVID-19have brought great harm to the lives and health of people. General hospitals are indispensable in disease prevention and control. The studyanalyzed a comprehensive evaluation method of epidemic prewarning and treatment for COVID‑19 in general hospitals through literature reviewand provided a reference for constructing urban public health prewarning and treatment system.

Prediction of Water Table Based on General Regression Neural Network

Traditional methods for water table prediction have such defects as extensive calculation and reliance on the presupposition of a homogeneous and regular aquifer.Based on the fundamentals of the general regression neural network(GRNN),this article sets up a GRNN model for water level prediction.Case study indicates that this model,even with limited information,has satisfactory prediction accuracy,which,coupled with a simple model structure and relatively high calculation efficiency,mean a vast application prospect for the model.

Spatial distribution and ecological risk of heavy metals and their source apportionment in soils from a typical mining area, Inner Mongolia, China

Determining the distributions and sources of heavy metals in soils and assessing ecological risks are fundamental tasks in the control and management of pollution in mining areas.In this study,we selected 244 sampling sites around a typical lead(Pb)and zinc(Zn)mining area in eastern Inner Mongolia Autonomous Region of China and measured the content of six heavy metals,including cuprum(Cu),Zn,Pb,arsenic(As),cadmium(Cd),and chromium(Cr).The ecological risk of heavy metals was comprehensively evaluated using the Geo-accumulation index,Nemerow general pollution index,and potential ecological risk index.The heavy metals were traced using correlation analysis and principal component analysis.The results showed that the highest content of heavy metals was found in 0–5 cm soil layer in the study area.The average content of Zn,As,Pb,Cu,Cr,and Cd was 670,424,235,162,94,and 4 mg/kg,respectively,all exceeding the risk screening value of agricultural soil in China.The areas with high content of soil heavy metals were mainly distributed near the tailings pond.The study area was affected by a combination of multiple heavy metals,with Cd and As reaching severe pollution levels.The three pathways of exposure for carcinogenic and noncarcinogenic risks were ranked as inhalation>oral ingestion>dermal absorption.The heavy metals in the study area posed certain hazards to human health.Specifically,oral ingestion of these heavy metals carried carcinogenic risks for both children and adults,as well as noncarcinogenic risks for children.There were differences in the sources of different heavy metals.The tailings pond had a large impact on the accumulation of Cd,Zn,and Pb.The source of Cr was the soil parent material,the source of As was mainly the soil matrix,and the source of Cu was mainly the nearby Cu ore.The purpose of this study is to more accurately understand the extent,scope,and source of heavy metals pollution near a typical mining area,providing effective help to solve the problem of heavy metals pollution.

Sum-connectivity index of a graph

Let G be a simple connected graph, and let di be the degree of its i-th vertex. The sure,connectivity index of the graph G is defined as χ（G） =∑vivj∈E（G）（di＋dj）-1/2.We discuss the effect onχ（G）of inserting an edge into a graph. Moreover, we obtain the relations between sum-connectivity index and Randid index.

BIS Monitoring on Intraoperative Awareness： A Meta-analysis

Intraoperative awareness is a very serious complication of general anesthesia. Several studies have evaluated the potential association between bispectral index （BIS） and intraoperative awareness, however, the results obtained were controversial. Therefore, we performed a metaanalysis to further assess the association between the BIS monitoring and the incidence of intraoperative awareness. A comprehensive search was conducted to identify all eligible studies from the online literature databases published prior to Feb. 2017. A total of five studies with 17 432 cases and 16 749 controls were included. An odds ratio （OR） and a 95% confidence interval （CI） were calculated to examine the strength of the association. The results showed that in the overall analysis, the association between the BIS monitoring and the incidence of intraoperative awareness was not significant （OR=0.58, 95% CI= 0.22-1.58, P=0.29）. A stratified analysis by comparing different anesthesia methods revealed that BIS monitoring group showed a lower incidence of intraoperative awareness in patients with intravenous anesthesia when compared with non-BIS monitoring group （OR=0.20, 95% CI=0.08-0.49, P=-0.0004）, whereas there was no statistically significant difference in the incidence of intraoperative awareness between BIS and non-BIS monitoring groups in patients with inhalation anesthesia （OR=1. 13, 95% CI=0.56- 2.26, P=-0.73）. In conclusion, our meta-analysis showed that BIS monitoring had no appreciable advantage in the reduction of the intraoperative awareness incidence in inhalation anesthesia, while showed a remarkable superiority in intravenous anesthesia.

New Brunn-Minkowski Type Inequalities for General Width-Integral of Index i

Recently, the general width-integral of index i was introduced and some of its isoperimetric inequalities were established. In this paper, we establish some new Brunn-Minkowski type inequalities for general width-integral of index i.