Summers骨凿提升上颌窦的临床应用

目的评价Summers骨凿在上颌窦闭合式内提升、植骨及同期牙种植术中的效果。方法对上颌后牙区牙槽骨严重吸收的66例患者,采用Summers骨凿预备种植床,植入人工骨并同期植入种植体,术后6个月完成种植修复。结果66例患者上颌窦提升高度2-5 mm,术后皆无上颌窦炎发生。牙科CT扫描显示窦内形成一圆形光滑的突起,提升部位表面光滑完整,无黏膜穿破表现。6个月后X线片显示植入的骨材料无明显吸收,种植体骨结合完成。种植修复完成12-24个月后复查,无种植体松动、脱落,牙龈组织健康,种植体上部结构功能恢复满意。X线片显示：种植体与骨结合紧密,种植体周围骨垂直吸收小于1 mm。结论Summers骨凿可安全地提升上颌窦底,并可避免异位取骨,值得临床推广。

使用Summers骨凿行上颌窦底提升不植骨的临床观察

目的:观察分析不植骨的骨凿上颌窦底提升技术(osteotome sinus floor elevation,OSFE)应用在重度萎缩(余留牙槽嵴高度<6 mm)的上颌后牙区种植方案中的可能性。方法:对1名缺牙患者术前、术后即刻、术后6月锥体束CT资料进行分析,观察上颌窦底提升术后窦底的影像学变化。结果:通过OSFE技术植入2颗10 mm种植体,未作骨移植。6月后完成二期手术,随后完成固定义齿修复,随访观察2年,种植体正常行使功能。影像学检查显示上颌窦底发生改建,提升区域有新骨形成。结论:使用Summers骨凿技术可以在RBH高度小于6 mm的病例完成上颌窦底提升并同期植入种植体。

联合应用CAS-KIT工具盒和Summers骨凿的上颌窦内提升术的应用评价

目的：研究联合应用CAS-KIT工具盒和Summers骨凿的上颌窦内提升术同期植入种植体的临床效果。方法：对20例30颗垂直骨量不足的上颌后牙联合应用CAS-KIT工具盒和Summers骨凿的上颌窦内提升术同期牙种植，种植体上部结构修复完成后6～36个月定期复查。结果：观察期内，30枚种植体与周围组织均形成良好的骨性结合，能行使较好的咀嚼功能。结论： CAS-KIT工具盒和Summers骨凿的联合应用充分发挥了各自的优点，扩大了上颌窦内提升术的适应症；避开了CAS-KIT工具盒液压升降装置的使用不便和Summers骨凿在敲击中产生的不适感，是一种更为安全可靠的方法。

IBS内提骨凿与Summers骨凿行上颌窦内提升效果比较的实验研究

目的:建立上颌窦内提升的山羊动物实验模型,比较IBS内提骨凿与Summers骨凿进行山羊上颌窦内提升的效果。方法:大量预实验对山羊上颌窦解剖分析,结合山羊CBCT对上颌窦提升位点探讨,建立上颌窦内提升的山羊动物实验模型。对18只本地山羊36个上颌窦左右随机分为实验组与对照组,实验组运用IBS内提骨凿,对照组运用Summers骨凿,18只山羊依据上颌窦提升高度为5,8,10mm随机分为3组,每组6只羊头,统计每组实验组与对照组的穿孔数并记录穿孔时上颌窦提升的高度。结果:建立了以山羊上颌第一磨牙腭侧6-8mm的位点进行上颌窦内提升的动物实验模型。每组实验组6个上颌窦穿孔数分别为0、1、3;对照组6个上颌窦穿孔数分别为1、5、6。实验组与对照组行上颌窦内提升高度为5mm时两者安全性无明显差异[(5.00±0.00) mm vs(4.92±0.20) mm,P>0.05],实验组与对照组行上颌窦内提升高度为8mm时两者差异显著[(7.83±0.41) mm vs (6.58±1.32) mm,P<0.05],实验组与对照组行上颌窦内提升高度为10mm时两者安全性差异显著[(9.17±1.57) mm vs (6.08±0.97) mm,P<0.05]。结论:山羊上颌第一磨牙腭侧6-8mm的位点进行上颌窦内提升效果显著,当提升高度小于5mm,两者提升效果无明显差异,提升高度大于5mm,两骨凿相较而言,IBS内提骨凿较Summers骨凿有更好的提升效果及安全性。

Northward Heat Flux in Midwest Summers

Watching the winds in northwest Iowa during more than 30 summers has led me to two conclusions about the local atmosphere at ground level: there is a net northward transport of heat and water taking place throughout the summer;warm humid winds from the south continually alternate with cool dry winds from the north. The proposed northward heat transfer is consistent with the constraint, placed on the motions of the oceans and the atmosphere, of the earth’s heat balance due to the increased absorption of solar radiation at low latitudes compared to that at high latitudes. At mid-latitudes in the interior of continents, like North America, it is the job of the atmosphere alone to constantly help satisfy the global heat balance. Although qualitative in nature, the predicted northward heat flux is strongly based on frequent observations over lengthy time intervals.

Impacts of Polar Vortex,NPO,and SST Configurations on Unusually Cool Summers in Northeast China.Part I:Analysis and Diagnosis

This study unveils the evolution of two major early signals in the North Pacific atmosphere-ocean system that heralded abnormal high-pressure blockings and cold-vortex activities across Northeast China, based on an analysis of the configurations of major modes including the polar vortex, the North Pacific Oscillation （NPO）, and SST in the preceding winter and spring and atmospheric low-frequency disturbances in Northeast China. We analyzed these aspects to understand the atmosphere ocean physical coupling processes characterized by the two early signals, and here we explain the possible mechanisms through which dipole circulation anomalies affect the summer low-temperature processes in Northeast China. We further analyzed the interdecadal variation background and associated physical processes of the two early signals.

Numerical Experiments on the Impact of Spring North Pacific SSTA on NPO and Unusually Cool Summers in Northeast China

A set of numerical experiments designed to analyze the oceanic forcing in spring show that the combined forcing of cold （warm） El Ni（n）o （La Ni（n）a） phases in the Ni（n）o4 region and sea surface temperature anomalies （SSTA） in the westerly drifts region would result in abnormally enhanced NorthEast Cold Vortex （NECV） activities in early summer.In spring,the central equatorial Pacific El Ni（n）o phase and westerly drift SSTA forcing would lead to the retreat of non-adiabatic waves,inducing elliptic low-frequency anomalies of tropical air flows.This would enhance the anomalous cyclone-anticyclonecyclone-anticyclone low-frequency wave train that propagates from the tropics to the extratropics and further to the mid-high latitudes,constituting a major physical mechanism that contributes to the early summer circulation anomalies in the subtropics and in the North Pacific mid-high latitudes.The central equatorial Pacific La Ni（n）a forcing in the spring would,on the one hand,induce teleconnection anomalies of high pressure from the Sea of Okhotsk to the Sea of Japan in early summer,and on the other hand indirectly trigger a positive low-frequency East Asia-Pacific teleconnection （EAP） wave train in the lower troposphere.

Characteristics of Atmospheric Rivers over the East Asia in Middle Summers from 2001 to 2016

Atmospheric Rivers(ARs) are narrow and elongated water vapor belts in troposphere with meridional transport across the mid-latitudes towards high-latitudes. Compared with ARs occurred over the northeastern Pacific, the western coast of North America and Europe, the ARs over the East Asia have received less attention. In this paper, the characteristics of ARs which affected China in the area 20?–60?N, 95?–165?E in the middle summer season from 2001 to 2016 were investigated by using European Center for Medium-Range Weather Forecasts(ECMWF) ERA-Interim reanalysis data and Multi-functional Transport Satellites-1 R(MTSAT-1 R) infrared data. Totally, 134 ARs occurred during that period, and averagely 8.4 ARs occurred per year. Statistically, 101 ARs were in east-west orientation, and 33 ARs were in north-south orientation, which accounts for about 75% and 25%, respectively. Herein we report the occurrence number, duration time, intensity, length, width, ratio of length to width, and extension orientation of these ARs, which provide the basic information for those who have interest in ARs over the East Asia.

A novel diurnal and seasonal variation analysis of BTEX in Bengaluru urban area

In the urban atmosphere of Bengaluru, various volatile organic compounds(VOCs), particularly Benzene,Toluene, Ethylbenzene, and Xylene(BTEX), have shown an increasing trend in concentration. The present research was conducted during summer and monsoon seasons, focusing on Kadubeesanahalli, a high-traffic area within the Bengaluru Metropolitan City. Hourly sample data was collected using a BTEX analyzer(Model GC955-600) and subsequently transformed into daily, monthly, and seasonal values. The study revealed distinct patterns in benzene concentrations. Benzene levels were lowest during the early morning hours, specifically from 1:00 a.m.to 7:00 a.m.. Concentrations then increased from 7:00 a.m. to 9:00 a.m. and again from 4:00 p.m. to 11:00 p.m.,corresponding to the morning and evening peak traffic hours. However, between 10:00 a.m. and 4:00 p.m., the concentration decreased due to reduced traffic levels. These diurnal variations in benzene concentration are influenced by meteorological parameters. Comparing the two seasons, higher concentrations of Benzene, EthylBenzene, and MP-xylene were observed during the summer season. This increase is attributed to the elevated temperatures during summer, which promote the vaporization of BTEX compounds. Conversely, lower BTEX concentrations were recorded during the monsoon season due to the wet deposition process. The observed positive correlation(r > 0.5) among BTEX parameters strongly suggests a common source, most likely originating from vehicular emissions.

Characteristics and triggering mechanisms of early negative Indian Ocean Dipole

Negative Indian Ocean Dipole(nIOD)can exert great impacts on global climate and can also strongly influence the climate in China.Early nIOD is a major type of nIOD,which can induce more pronounced climate anomalies in summer than La Niña-related nIOD.However,the characteristics and triggering mechanisms of early nIOD are unclear.Our results based on reanalysis datasets indicate that the early nIOD and La Niña-related nIOD are the two major types of nIOD,and the former accounts for over one third of all the nIOD events in the past six decades.These two types of nIODs are similar in their intensities,but are different in their spatial patterns and seasonal cycles.The early nIOD,which develops in spring and peaks in summer,is one season earlier than the La Niña-related nIOD.The spatial pattern of the wind anomaly associated with early nIOD exhibits a winter monsoon-like pattern,with strong westerly anomalies in the equatorial Indian Ocean and eastly anomalies in the northern Indian Ocean.Opposite to the triggering mechanism of early positve IOD,the early nIOD is induced by delayed Indian summer monsoon onset.The results of this study are helpful for improving the prediction skill of IOD and its climate impacts.

Effects of Slow-release Nitrogen Fertilizer on Yield and Nitrogen Accumulation of Summer Maize in Shajiang Black Soil Area

[Objectives] This study was conducted to verify the field application effect of slow-release nitrogen fertilizer on summer maize in Shajiang black soil area by simultaneous sowing and fertilization, and explore the application scope and nitrogen metabolism mechanism, so as to lay a foundation for fertilizer reduction and efficiency improvement. [Methods] With maize variety Beiqing 340 and sulfur-coated urea as experimental materials, five nitrogen application levels were set, namely, control (C0), slow-release nitrogen 70 kg/hm^(2) (C70), slow-release nitrogen 140 kg/hm^(2) (C140), slow-release nitrogen 210 kg/hm^(2) (C210) and slow-release nitrogen 280 kg/hm^(2) (C280). The phosphorus and potassium fertilizers were all in accordance with the unified standard. [Results] With the application rate of slow-release nitrogen increasing, the nitrogen accumulation in organs increased first and then decreased after tasseling stage of maize. In order to reduce the fertilizing amount and increase efficiency, 210 kg/hm^(2) of slow-release nitrogen fertilizer was the best fertilizing amount for summer maize in Shajiang black soil area. [Conclusions] This study provides reference for fertilizer reduction, efficiency improvement and sustainable development of summer maize in Shajiang black soil area.

Multi-decadal Changes of the Impact of El Niño Events on Tibetan Plateau Summer Precipitation

Precipitation on the Tibetan Plateau(TP)has an important effect on the water supply and demand of the downstream population.Involving recent climate change,the multi-decadal variations of the impact of El Niño-Southern Oscillation(ENSO)events on regional climate were observed.In this work,the authors investigated the changes in summer precipitation over TP during 1950-2019.At the multi-decadal scale,the authors found that the inhabiting impact of El Niño events on the TP summer precipitation has strengthened since the late 1970s.The main factor contributing to this phenomenon is the significant amplification in the decadal amplitude of El Niño during 1978-2019 accompanied by a discernible escalation in the frequency of El Niño events.This phenomenon induces anomalous perturbations in sea surface temperatures(SST)within the tropical Indo-Pacific region,consequently weakening the atmospheric vapor transport from the western Pacific to the TP.Additionally,conspicuous anomalies in subsidence motion are observed longitudinally and latitudinally across the TP which significantly contributes to a curtailed supply of atmospheric moisture.These results bear profound implications for the multi-decadal prediction of the TP climate.

Combined effects of high temperature and waterlogging on yield and stem development of summer maize

The purpose of this study was to identify the physiological mechanism underlying the effects of high temperature and waterlogging on summer maize.The stem development and yield of the maize hybrid Denghai 605 in response to high-temperature stress,waterlogging stress,and their combination applied for six days at the third-leaf,sixth-leaf,and tasseling stages were recorded.The combined stresses reduced lignin biosynthetic enzyme activity and lignin accumulation,leading to abnormal stem development.Reduction of the area and number of vascular bundles in stems led to reduced dry matter accumulation and allocation.Decreased grain dry weight at all three stages reduced grain yield relative to a control.In summary,high temperature,waterlogging,and their combined stress impaired stem development and grain yield of summer maize.The combined stresses were more damaging than either stress alone.

Enhanced Seasonal Predictability of Spring Soil Moisture over the Indo-China Peninsula for Eastern China Summer Precipitation under Non-ENSO Conditions

Seasonal prediction of summer precipitation over eastern China is closely linked to the East Asian monsoon circulation,which is largely affected by the El Niño-Southern Oscillation(ENSO).In this study,results show that spring soil moisture(SM)over the Indo-China peninsula(ICP)could be a reliable seasonal predictor for eastern China summer precipitation under non-ENSO conditions.When springtime SM anomalies are present over the ICP,they trigger a structured response in summertime precipitation over most of eastern China.The resultant south-to-north,tri-polar configuration of precipitation anomalies has a tendency to yield increased(decreased)precipitation in the Yangtze River basin and decreased(increased)in South and North China with a drier(wetter)spring soil condition in the ICP.The analyses show that ENSO exerts a powerful control on the East Asian circulation system in the ENSO-decaying summer.In the case of ENSO forcing,the seasonal predictability of the ICP spring SM for eastern China summer precipitation is suppressed.However,in the absence of the influence of ENSO sea surface temperature anomalies from the preceding winter,the SM anomalies over the ICP induce abnormal local heating and a consequent geopotential height response owing to its sustained control on local temperature,which could,in turn,lead to abnormal eastern China summer precipitation by affecting the East Asian summer monsoon circulation.The present findings provide a better understanding of the complexity of summer climate predictability over eastern China,which is of potential significance for improving the livelihood of the people.

Recent Advances in Understanding Multi-scale Climate Variability of the Asian Monsoon

Studies of the multi-scale climate variability of the Asian monsoon are essential to an advanced understanding of the physical processes of the global climate system.In this paper,the progress achieved in this field is systematically reviewed,with a focus on the past several years.The achievements are summarized into the following topics:(1)the onset of the South China Sea summer monsoon;(2)the East Asian summer monsoon;(3)the East Asian winter monsoon;and(4)the Indian summer monsoon.Specifically,new results are highlighted,including the advanced or delayed local monsoon onset tending to be synchronized over the Arabian Sea,Bay of Bengal,Indochina Peninsula,and South China Sea;the basic features of the record-breaking mei-yu in 2020,which have been extensively investigated with an emphasis on the role of multi-scale processes;the recovery of the East Asian winter monsoon intensity after the early 2000s in the presence of continuing greenhouse gas emissions,which is believed to have been dominated by internal climate variability(mostly the Arctic Oscillation);and the accelerated warming over South Asia,which exceeded the tropical Indian Ocean warming,is considered to be the main driver of the Indian summer monsoon rainfall recovery since 1999.A brief summary is provided in the final section along with some further discussion on future research directions regarding our understanding of the Asian monsoon variability.

Study on the Sediment Transport Flux and Mechanism in the Bohai Strait at the Tidal and Monthly Scales in Summer

Based on the data of tidal currents and suspended sediment concentrations observed synchronously at 11 stations in the Bohai Strait lasting for 25 hours,the temporal and spatial variations of currents and suspended sediment concentrations in the Bohai Strait in summer were analyzed.The Study preliminarily discussed the transport mechanism,transport trend and transport flux of suspended sediments in summer,using flux-mechanism decomposition method and numerical simulation.The suspended sediment transport was mainly controlled by advection and next influenced by vertical net circulation,while resuspension is relatively weak in Bohai Strait.The single-width fluxes of investigation stations varied from 3.8 to 89.1 gm^(−1) s^(−1),with the maximum value in Miaodao Strait.The suspended sediment transport trends in Laotieshan channel along the vertical section are obviously distinct.The waters mainly flow out of the Bohai Sea in surface layer,while into the Bohai Sea in bottom layer.However,the transport trends of other channels in the centre and south are consistent vertically.The sediments in the Bohai Strait follows the transport pattern of moving outward from the south and inward from the north in summer,i.e.,the sediments are carried out of the Bohai Sea through the Laotieshan channel,while into the Bohai Sea through other channels.And the outflow flux exceeds the inflow flux in August with the net water flux of 1.4×10^(10)m^(3),basically same as the deliveries of the rivers into the Bohai Sea.Moreover,the suspended sediment flux is 0.33 Mt under the action of tidal residual currents in the Yellow Sea in August.

Skilful Forecasts of Summer Rainfall in the Yangtze River Basin from November

Variability in the East Asian summer monsoon(EASM)brings the risk of heavy flooding or drought to the Yangtze River basin,with potentially devastating impacts.Early forecasts of the likelihood of enhanced or reduced monsoon rainfall can enable better management of water and hydropower resources by decision-makers,supporting livelihoods and major economic and population centres across eastern China.This paper demonstrates that the EASM is predictable in a dynamical forecast model from the preceding November,and that this allows skilful forecasts of summer mean rainfall in the Yangtze River basin at a lead time of six months.The skill for May–June–July rainfall is of a similar magnitude to seasonal forecasts initialised in spring,although the skill in June–July–August is much weaker and not consistently significant.However,there is some evidence for enhanced skill following El Niño events.The potential for decadal-scale variability in forecast skill is also examined,although we find no evidence for significant variation.

Monsoon Break over the South China Sea during Summer: Statistical Features and Associated Atmospheric Anomalies

This study identifies break events of the South China Sea(SCS)summer monsoon(SCSSM)based on 42 years of data from 1979 to 2020,and investigates their statistical characteristics and associated atmospheric anomalies.A total of 214 break events are identified by examining the convection evolution during each monsoon season.It is found that most events occur between June and September and show a roughly even distribution.Short-lived events(3–7 days)are more frequent,accounting for about two thirds of total events,with the residual one third for long-lived events(8–24 days).The SCSSM break is featured by drastic variations in various atmospheric variables.Particularly,the convection and precipitation change from anomalous enhancement in adjoining periods to a substantial suppression during the break,with the differences being more than 60 W m−2 for outgoing longwave radiation(OLR)and 10 mm d−1 for precipitation.This convection/precipitation suppression is accompanied by an anomalous anticyclone in the lower troposphere,corresponding to a remarkable westward retreat of the monsoon trough from the Philippine Sea to the Indochina Peninsula,which reduces the transportation of water vapor into the SCS.Besides,the pseudo-equivalent potential temperature()declines sharply,mainly attributable to the local specific humidity reduction caused by downward dry advection.Furthermore,it is found that the suppressed convection and anomalous anticyclone responsible for the monsoon break form near the equatorial western Pacific and then propagate northwestward to the SCS.

Recent Enhancement in Co-Variability of the Western North Pacific Summer Monsoon and the Equatorial Zonal Wind

The western North Pacific summer monsoon(WNPSM)is an important subcomponent of the Asian summer monsoon.The equatorial zonal wind(EZW)in the lower troposphere over the western Pacific may play a critical role in the evolution of the El Niño-Southern Oscillation(ENSO).The possible linkage between the EZW over the western Pacific and the offequatorial monsoonal winds associated with the WNPSM and its decadal changes have not yet been fully understood.Here,we find a non-stationary relationship between the WNPSM and the western Pacific EZW,significantly strengthening their correlation around the late 1980s/early 1990s.This observed shift in the WNPSM–EZW relationship could be explained by the changes in the related sea surface temperature(SST)configurations across the tropical oceans.The enhanced influence from the springtime tropical North Atlantic,summertime tropical central Pacific,and maritime continent SST anomalies may be working together in contributing to the recent intensified WNPSM–EZW co-variability.The observed recent strengthening of the WNPSM–EZW relationship may profoundly impact the climate system,including prompting more effective feedback from the WNPSM on subsequent ENSO evolution and bolstering a stronger biennial tendency of the WNPSM–ENSO coupled system.The results obtained herein imply that the WNPSM,EZW,ENSO,and the tropical North Atlantic SST may be closely linked within a unified climate system with a quasi-biennial rhythm occurring during recent decades,accompanied by a reinforcement of the WNPSM–ENSO interplay quite possibly triggered by enhanced tropical Pacific–Atlantic cross-basin interactions.These results highlight the importance of the tropical Atlantic cross-basin influences in shaping the spatial structure of WNPSM-related wind anomalies and the WNPSM–ENSO interaction.