BACKGROUND Diabetic nephropathy(DN)is frequently seen in the development of diabetes mellitus,and its pathogenic factors are complicated.Its current treatment is controversial,and there is a lack of a relevant efficac...BACKGROUND Diabetic nephropathy(DN)is frequently seen in the development of diabetes mellitus,and its pathogenic factors are complicated.Its current treatment is controversial,and there is a lack of a relevant efficacy prediction model.AIM To determine the effects of paricalcitol combined with hemodiafiltration on bonemetabolism-related indexes in patients with DN and chronic renal failure(CRF),and to construct an efficacy prediction model.METHODS We retrospectively analyzed 422 patients with DN and CRF treated in Cangzhou Central Hospital between May 2020 and May 2022.We selected 94 patients who met the inclusion and exclusion criteria.Patients were assigned to a dialysis group(n=45)and a joint group(n=49)in relation to therapeutic regimen.The clinical efficacy of the two groups was compared after treatment.The changes in laboratory indexes after treatment were evaluated,and the two groups were compared for the incidence of adverse reactions.The predictive value of laboratory indexes on the clinical efficacy on patients was analyzed.RESULTS The dialysis group showed a notably worse improvement in clinical efficacy than the joint group(P=0.017).After treatment,the joint group showed notably lower serum levels of serum creatinine,uric acid(UA)and blood urea nitrogen(BUN)than the dialysis group(P<0.05).After treatment,the joint group had lower serum levels of phosphorus,procollagen type I amino-terminal propeptide(PINP)and intact parathyroid hormone than the dialysis group,but a higher calcium level(P<0.001).Both groups had a similar incidence of adverse reactions(P>0.05).According to least absolute shrinkage and selection operator regression analysis,UA,BUN,phosphorus and PINP were related to treatment efficacy.According to further comparison,the non-improvement group had higher risk scores than the improvement group(P<0.0001),and the area under the curve of the risk score in efficacy prediction was 0.945.CONCLUSION For treatment of CRF and DN,combined paricalcitol and hemodiafiltration can deliver higher clinical efficacy and improve the bone metabolism of patients,with good safety.展开更多
We suggest a possible explanation of the influence of pre-seismic activity on the registration rate of natural ELF(extremely low frequency)/VLF(very low frequency) pulses and the changes of their characteristics. The ...We suggest a possible explanation of the influence of pre-seismic activity on the registration rate of natural ELF(extremely low frequency)/VLF(very low frequency) pulses and the changes of their characteristics. The main idea is as follows. The distribution of the electric field around a thundercloud depends on the conductivity profile of the atmosphere. Quasi-static electric fields of a thundercloud decrease in those tropospheric regions where an increase of air conductivity is generated by pre-seismic activities due to emanation of radioactive gas and water into the lower atmosphere. The electric field becomes reduced in the lower troposphere, and the probability decreases of the cloud-to-ground (CG) strokes in such “contaminated” areas. Simultaneously, the electric field grows inside and above the thunderclouds, and hence, we anticipate a growth in the number of horizontal and tilted inter-cloud (or intra-cloud) (both termed as IC discharges) strokes. Spatial orientation of lightning strokes reduces vertical projection of their individual amplitudes, while the rate (median number strokes per a unit time) of discharges grows. We demonstrate that channel tilt of strokes modifies the spectral content of ELF/VLF radio noise and changes the rate of detected pulses during the earthquake preparation phase.展开更多
Introduction: Correct adjustment of dry weight after hemodialysis (HD) with no signs of hypervolemia is important. Intradialytic hypotension (IDH) is the most common complication during HD. IDH occurs in 15% to 30% an...Introduction: Correct adjustment of dry weight after hemodialysis (HD) with no signs of hypervolemia is important. Intradialytic hypotension (IDH) is the most common complication during HD. IDH occurs in 15% to 30% and possibly in up to 50% of dialysis sessions. IDH augments mortality essentially due to chronic overhydration and the inability to reach the proper dry weight. On-line hemodiafiltration (ol-HDF) has been reported to reduce the frequency of IDH. The aim of this study was to assess the effect of ol-HDF on hemodynamic stability and dry weight adjustment compared with low-flux HD. Methods: IDH-prone HD patients at our center were enrolled. This study was designed as a crossover trial with two phases (A arm: low-flux HD for 8 weeks followed by ol-HDF for 8 weeks vs. B arm: ol-HDF for 8 weeks followed by low-flux HD for 8 weeks) and two treatment arms (ol-HDF vs. low-flux HD), each phase lasting 8 weeks. We measured the proportion of body water using a body composition monitor (BCM). Results: In a comparison of the systolic blood pressure (SBP) and diastolic blood pressure (DBP) reductions from the baseline blood pressure between the HD and ol-HDF groups, statistically significant differences were observed only in the SBP of the B arm (SBP: HD vs. HDF, -9.83 ± 6.64 vs. -4.62 ± 1.61 mmHg, p = 0.036;DBP: HD vs. HDF, -3.29 ± 4.05 vs. -1.86 ± 1.49 mmHg, p = 0.261). Neither the mean of the interdialytic body weight gains nor the frequency of IDH was different between the A and B arms (p = 0.817 and p = 0.562, respectively). In terms of dialysis modality, there were no significant differences in the amount of overhydration between the conventional HD and ol-HDF groups during the two study phases, as measured by the BCM (A arm: p = 0.875, B arm: p = 0.655). Conclusion: Our study did not show a better benefit of ol-HDF to reach the dry weight compared with low-flux HD in IDH-prone patients.展开更多
1引言。地震电磁辐射现象是指伴随着地震孕育过程而产生的电磁辐射源释放出的某种电磁信号,且大多出现在地震前几天至几小时内地震孕育的后期,近地表大气层、上大气层、电离层、甚至磁层都存在电磁辐射异常(Pulinets et al,2004)。因此...1引言。地震电磁辐射现象是指伴随着地震孕育过程而产生的电磁辐射源释放出的某种电磁信号,且大多出现在地震前几天至几小时内地震孕育的后期,近地表大气层、上大气层、电离层、甚至磁层都存在电磁辐射异常(Pulinets et al,2004)。因此,具有短临预测的应用前景。于海雁等(2010)对DEMETER卫星记录的电磁数据研究发现,电磁辐射呈现出很强的平面波特征,传播方向为上行传播;曾中超等(2009)利用DEMETER卫星于地震前3—7天在震中附近记录到了电子浓度、电子温度和氧离子浓度出现的剧烈变化(变化率均超20%)。展开更多
There has been enormous progress in the field of electromagnetic phenomena associated with earthquakes (EQs) and EQ prediction during the last three decades, and it is recently agreed that electromagnetic effects do a...There has been enormous progress in the field of electromagnetic phenomena associated with earthquakes (EQs) and EQ prediction during the last three decades, and it is recently agreed that electromagnetic effects do appear prior to an EQ. A few phenomena are well recognized as being statistically correlated with EQs as promising candidates for short-term EQ predictors: the first is ionospheric perturbation not only in the lower ionosphere as seen by subionospheric VLF (very low frequency, 3 kHz f 30 kHz)/LF (low frequency, 30 kHz f 300 kHz) propagation but also in the upper F region as detected by ionosondes, TEC (total electron content) observations, satellite observations, etc, and the second is DC earth current known as SES (Seismic electric signal). In addition to the above two physical phenomena, this review highlights the following four physical wave phenomena in ULF (ultra low frequency, frequency Hz)/ELF (extremely low frequency, 3 Hz frequency 3 kHz) ranges, including 1) ULF lithospheric radiation (i.e., direct radiation from the lithosphere), 2) ULF magnetic field depression effect (as an indicator of lower ionospheric perturbation), 3) ULF/ELF electromagnetic radiation (radiation in the atmosphere), and 4) Schumann resonance (SR) anomalies (as an indicator of the perturbations in the lower ionosphere and stratosphere). For each physical item, we will repeat the essential points and also discuss recent advances and future perspectives. For the purpose of future real EQ prediction practice, we pay attention to the statistical correlation of each phenomenon with EQs, and its predictability in terms of probability gain. Of course, all of those effects are recommended as plausible candidates for short-term EQ prediction, and they can be physically explained in terms of the unified concept of the lithosphere-atmosphere-ionosphere coupling (LAIC) process, so a brief description of this coupling has been carried out by using these four physical parameters though the mechanism of each phenomenon is still poorly understood. In conclusion, we have to emphasize the importance of more statistical studies for more abundant datasets sometimes with the use of AI (artificial intelligence) techniques, more case studies for huge (M greater than 7) EQ events, recommendation of critical analyses, and finally multi-parameters observation (even though it is tough work).展开更多
文摘BACKGROUND Diabetic nephropathy(DN)is frequently seen in the development of diabetes mellitus,and its pathogenic factors are complicated.Its current treatment is controversial,and there is a lack of a relevant efficacy prediction model.AIM To determine the effects of paricalcitol combined with hemodiafiltration on bonemetabolism-related indexes in patients with DN and chronic renal failure(CRF),and to construct an efficacy prediction model.METHODS We retrospectively analyzed 422 patients with DN and CRF treated in Cangzhou Central Hospital between May 2020 and May 2022.We selected 94 patients who met the inclusion and exclusion criteria.Patients were assigned to a dialysis group(n=45)and a joint group(n=49)in relation to therapeutic regimen.The clinical efficacy of the two groups was compared after treatment.The changes in laboratory indexes after treatment were evaluated,and the two groups were compared for the incidence of adverse reactions.The predictive value of laboratory indexes on the clinical efficacy on patients was analyzed.RESULTS The dialysis group showed a notably worse improvement in clinical efficacy than the joint group(P=0.017).After treatment,the joint group showed notably lower serum levels of serum creatinine,uric acid(UA)and blood urea nitrogen(BUN)than the dialysis group(P<0.05).After treatment,the joint group had lower serum levels of phosphorus,procollagen type I amino-terminal propeptide(PINP)and intact parathyroid hormone than the dialysis group,but a higher calcium level(P<0.001).Both groups had a similar incidence of adverse reactions(P>0.05).According to least absolute shrinkage and selection operator regression analysis,UA,BUN,phosphorus and PINP were related to treatment efficacy.According to further comparison,the non-improvement group had higher risk scores than the improvement group(P<0.0001),and the area under the curve of the risk score in efficacy prediction was 0.945.CONCLUSION For treatment of CRF and DN,combined paricalcitol and hemodiafiltration can deliver higher clinical efficacy and improve the bone metabolism of patients,with good safety.
文摘We suggest a possible explanation of the influence of pre-seismic activity on the registration rate of natural ELF(extremely low frequency)/VLF(very low frequency) pulses and the changes of their characteristics. The main idea is as follows. The distribution of the electric field around a thundercloud depends on the conductivity profile of the atmosphere. Quasi-static electric fields of a thundercloud decrease in those tropospheric regions where an increase of air conductivity is generated by pre-seismic activities due to emanation of radioactive gas and water into the lower atmosphere. The electric field becomes reduced in the lower troposphere, and the probability decreases of the cloud-to-ground (CG) strokes in such “contaminated” areas. Simultaneously, the electric field grows inside and above the thunderclouds, and hence, we anticipate a growth in the number of horizontal and tilted inter-cloud (or intra-cloud) (both termed as IC discharges) strokes. Spatial orientation of lightning strokes reduces vertical projection of their individual amplitudes, while the rate (median number strokes per a unit time) of discharges grows. We demonstrate that channel tilt of strokes modifies the spectral content of ELF/VLF radio noise and changes the rate of detected pulses during the earthquake preparation phase.
文摘Introduction: Correct adjustment of dry weight after hemodialysis (HD) with no signs of hypervolemia is important. Intradialytic hypotension (IDH) is the most common complication during HD. IDH occurs in 15% to 30% and possibly in up to 50% of dialysis sessions. IDH augments mortality essentially due to chronic overhydration and the inability to reach the proper dry weight. On-line hemodiafiltration (ol-HDF) has been reported to reduce the frequency of IDH. The aim of this study was to assess the effect of ol-HDF on hemodynamic stability and dry weight adjustment compared with low-flux HD. Methods: IDH-prone HD patients at our center were enrolled. This study was designed as a crossover trial with two phases (A arm: low-flux HD for 8 weeks followed by ol-HDF for 8 weeks vs. B arm: ol-HDF for 8 weeks followed by low-flux HD for 8 weeks) and two treatment arms (ol-HDF vs. low-flux HD), each phase lasting 8 weeks. We measured the proportion of body water using a body composition monitor (BCM). Results: In a comparison of the systolic blood pressure (SBP) and diastolic blood pressure (DBP) reductions from the baseline blood pressure between the HD and ol-HDF groups, statistically significant differences were observed only in the SBP of the B arm (SBP: HD vs. HDF, -9.83 ± 6.64 vs. -4.62 ± 1.61 mmHg, p = 0.036;DBP: HD vs. HDF, -3.29 ± 4.05 vs. -1.86 ± 1.49 mmHg, p = 0.261). Neither the mean of the interdialytic body weight gains nor the frequency of IDH was different between the A and B arms (p = 0.817 and p = 0.562, respectively). In terms of dialysis modality, there were no significant differences in the amount of overhydration between the conventional HD and ol-HDF groups during the two study phases, as measured by the BCM (A arm: p = 0.875, B arm: p = 0.655). Conclusion: Our study did not show a better benefit of ol-HDF to reach the dry weight compared with low-flux HD in IDH-prone patients.
文摘1引言。地震电磁辐射现象是指伴随着地震孕育过程而产生的电磁辐射源释放出的某种电磁信号,且大多出现在地震前几天至几小时内地震孕育的后期,近地表大气层、上大气层、电离层、甚至磁层都存在电磁辐射异常(Pulinets et al,2004)。因此,具有短临预测的应用前景。于海雁等(2010)对DEMETER卫星记录的电磁数据研究发现,电磁辐射呈现出很强的平面波特征,传播方向为上行传播;曾中超等(2009)利用DEMETER卫星于地震前3—7天在震中附近记录到了电子浓度、电子温度和氧离子浓度出现的剧烈变化(变化率均超20%)。
文摘There has been enormous progress in the field of electromagnetic phenomena associated with earthquakes (EQs) and EQ prediction during the last three decades, and it is recently agreed that electromagnetic effects do appear prior to an EQ. A few phenomena are well recognized as being statistically correlated with EQs as promising candidates for short-term EQ predictors: the first is ionospheric perturbation not only in the lower ionosphere as seen by subionospheric VLF (very low frequency, 3 kHz f 30 kHz)/LF (low frequency, 30 kHz f 300 kHz) propagation but also in the upper F region as detected by ionosondes, TEC (total electron content) observations, satellite observations, etc, and the second is DC earth current known as SES (Seismic electric signal). In addition to the above two physical phenomena, this review highlights the following four physical wave phenomena in ULF (ultra low frequency, frequency Hz)/ELF (extremely low frequency, 3 Hz frequency 3 kHz) ranges, including 1) ULF lithospheric radiation (i.e., direct radiation from the lithosphere), 2) ULF magnetic field depression effect (as an indicator of lower ionospheric perturbation), 3) ULF/ELF electromagnetic radiation (radiation in the atmosphere), and 4) Schumann resonance (SR) anomalies (as an indicator of the perturbations in the lower ionosphere and stratosphere). For each physical item, we will repeat the essential points and also discuss recent advances and future perspectives. For the purpose of future real EQ prediction practice, we pay attention to the statistical correlation of each phenomenon with EQs, and its predictability in terms of probability gain. Of course, all of those effects are recommended as plausible candidates for short-term EQ prediction, and they can be physically explained in terms of the unified concept of the lithosphere-atmosphere-ionosphere coupling (LAIC) process, so a brief description of this coupling has been carried out by using these four physical parameters though the mechanism of each phenomenon is still poorly understood. In conclusion, we have to emphasize the importance of more statistical studies for more abundant datasets sometimes with the use of AI (artificial intelligence) techniques, more case studies for huge (M greater than 7) EQ events, recommendation of critical analyses, and finally multi-parameters observation (even though it is tough work).