To investigate the stratosphere-troposphere exchange(STE)process induced by the gravity waves(GWs)caused by Typhoon Molave(2020)in the upper troposphere and lower stratosphere,we analyzed the ERA5 reanalysis data prov...To investigate the stratosphere-troposphere exchange(STE)process induced by the gravity waves(GWs)caused by Typhoon Molave(2020)in the upper troposphere and lower stratosphere,we analyzed the ERA5 reanalysis data provided by the European Centre for Medium-Range Weather Forecasts and the CMA Tropical Cyclone Best Track Dataset.We also adopted the mesoscale forecast model Weather Research and Forecasting model V4.3 for numerical simulation.Most of the previous studies were about typhoon-induced STE and typhoon-induced GWs,while our research focused on the STE caused by typhoon-induced gravity waves.Our analysis shows that most of the time,the gravity wave signal of Typhoon Molave appeared below the tropopause.It was stronger on the east side of the typhoon center(10°-20°N,110°-120°E)than on the west side,suggesting an eastward tilted structure with height increase.When the GWs in the upper troposphere and lower stratosphere region on the west side of the typhoon center broke up,it produced strong turbulence,resulting in stratosphere-troposphere exchange.At this time,the average potential vorticity vertical flux increased with the average ozone mass mixing ratio.The gravity wave events and STE process simulated by the WRF model were basically consistent with the results of ERA5 reanalysis data,but the time of gravity wave breaking was different.This study indicates that after the breaking of the GWs induced by typhoons,turbulent mixing will also be generated,and thus the STE.展开更多
The Indian summer monsoon is one of the most dominant tropical circulation systems in the general circulation of the atmosphere. The country receives more than 80% of the annual rainfall during a short span of four mo...The Indian summer monsoon is one of the most dominant tropical circulation systems in the general circulation of the atmosphere. The country receives more than 80% of the annual rainfall during a short span of four months (June to September) of the southwest monsoon season. Variability in the quantum of rainfall during the monsoon season has profound impacts on water resources, power generation, agriculture, economics and ecosystems in the country. The inter annual variability of Indian Summer Monsoon Rainfall (ISMR) depends on atmospheric and oceanic conditions prevailed during the season. In this study we have made an attempt to understand the variation of the of zonal winds in the tropical Upper Troposphere and Lower Stratosphere (UT/LS) region during deficient and Excess rainfall years of Indian summer monsoon and its relation to Indian Summer Monsoon Rainfall (ISMR). It is found that in the equatorial Upper Troposphere zonal winds have westerly anomalies during deficient rainfall year’s and easterly anomaly during excess rainfall years of Indian summer monsoon and opposite zonal wind anomaly is noted in the equatorial Lower Stratosphere during the deficient and excess rainfall years of Indian summer monsoon. It is also found that the June to September upper troposphere zonal winds averaged between 15°N and 15°S latitudes have a long-term trend during 1960 to 1998. Over this period the tropical easterlies and the tropical jet stream have weakened with time.展开更多
In situ measurements of the vertical structure of ozone were made in Changchun (43.53°N, 125.13°E), China, by the Institute of Atmosphere Physics, in the summers of 2010-13. Analysis of the 89 validated oz...In situ measurements of the vertical structure of ozone were made in Changchun (43.53°N, 125.13°E), China, by the Institute of Atmosphere Physics, in the summers of 2010-13. Analysis of the 89 validated ozone profiles shows the vari- ation of ozone concentration in the upper troposphere and lower stratosphere (UTLS) caused by cut-off lows (COLs) over Changchun. During the COL events, an increase of the ozone concentration and a lower height of the tropopause are observed. Backward simulations with a trajectory model show that the ozone-rich airmass brought by the COL is from Siberia. A case study proves that stratosphere-troposphere exchange (STE) occurs in the COL. The ozone-rich air mass transported from the stratosphere to the troposphere first becomes unstable, then loses its high ozone concentration. This process usually happens during the decay stage of COLs. In order to understand the influence of COLs on the ozone in the UTLS, statistical analysis of the ozone profiles within COLs, and other profiles, are employed. The results indicate that the ozone concentrations of the in-COL profiles are significantly higher than those of the other profiles between ±4 km around the tropopause. The COLs induce an increase in UTLS column ozone by 32% on average. Meanwhile, the COLs depress the lapse-rate tropopause (LRT)/dynamical tropopause height by 1.4/1.7 km and cause the atmosphere above the tropopause to be less stable. The influence of COLs is durable because the increased ozone concentration lasts at least one day after the COL has passed over Changchun. Furthermore, the relative coefficient between LRT height and lower stratosphere (LS) column ozone is -0.62, which implies a positive correlation between COL strength and LS ozone concentration.展开更多
The behaviour of relative diffusion theory and Gifford’s random-force theory for long-range atmospheric diffusion is examined. When a puff scale is smaller than the Lagrangian length scale, √2KTL, an accelerative re...The behaviour of relative diffusion theory and Gifford’s random-force theory for long-range atmospheric diffusion is examined. When a puff scale is smaller than the Lagrangian length scale, √2KTL, an accelerative relative diffusion region exists, i.e., σy∝ t 3/2. While the puff diffusion enters a two-dimensional turbulence region, in which the diffusion scale is larger than 500 km, or time scale is larger than 1 day, divergence and convergence are main cause of horizontal diffusion. Between the two above-mentioned regimes, diffusion deviation is given by σy = √2KT. The large-scale horizontal relative diffusion parameters were obtained by analyzing the data of radioactive cloud width collected in air nuclear tests. Key words Tropospheric and lower stratospheric diffusion - Relative diffusion - Large scale turbulence - Nuclear explosion clouds This work is sponsored by the National Natural Science Foundation of China under Grant No. 49505064.The author would like to thank Prof. Chen Jiayi Department of Geophysics of Peking University and Dr. Cai Xiaoming School of Geography and Environmental Sciences of Birmingham University for their helpful discussions.展开更多
This study produced a novel characterization of the troposphere-to-stratosphere transport (TST) over the Asian monsoon region during boreal summer, using a comprehensive analysis of 60-day backward trajectories init...This study produced a novel characterization of the troposphere-to-stratosphere transport (TST) over the Asian monsoon region during boreal summer, using a comprehensive analysis of 60-day backward trajectories initialized in the stratosphere. The trajectory datasets were derived from the high-resolution Lagrangian particle dispersion model (FLEXPART) simulation driven by the wind fields acquired from the National Center for Environmental Prediction (NCEP). The results indicate that the distribution of residence time (tTST) of tropopause-crossing trajectories in the lowermost stratosphere represents a horizontal signature of the Asian summer monsoon. Vertically, the distribution of tTST can be roughly separated into two layers: a consistent lower layer with tTST 〈5 days forming a narrow band, corresponding to a layer-3 km thick following the location of the tropopause, and an upper layer at a larger distance from the local tropopause. The maximum residence time was -20 days, especially within the Asian high anticyclone consistent with its confinement effects. In general, the overall geographical distribution of dehydration points was not coincident with the location of tropopause crossing. TST trajectories, which were initialized in the stratosphere, underwent their Lagrangian cold points mostly in the tropics and subtropics 1 4 days after the TST event; they were characterized by a wide range of temperature differences, with a mean value of 3-12 K. The vertical extent of the influence of tropospheric intrusion on the Asian monsoon region in the stratosphere exhibited a peak at -16.5-18.5 km, and the uppermost height was -21 km.展开更多
The near-Earth asteroid collisions could cause catastrophic disasters to humanity and the Earth,so it is crucial to monitor asteroids.Ground-based synthetic aperture radar(SAR)is an observation technique for high reso...The near-Earth asteroid collisions could cause catastrophic disasters to humanity and the Earth,so it is crucial to monitor asteroids.Ground-based synthetic aperture radar(SAR)is an observation technique for high resolution imaging of asteroids.The ground-based SAR requires a long integration time to achieve a large synthetic aperture,and the echo signal will be seriously affected by temporal-spatial variant troposphere.Traditional spatiotemporal freezing tropospheric models are ineffective.To cope with this,this paper models and analyses the impacts of temporal-spatial variant troposphere on ground-based SAR imaging of asteroids.For the background tropo-sphere,a temporal-spatial variant ray tracing method is proposed to trace the 4D(3D spatial+temporal)refractive index network provided by the numerical weather model,and calculate the error of the background troposphere.For the tropospheric turbulence,the Andrew power spectral model is used in conjunction with multiphase screen theory,and varying errors are obtained by tracking the changing position of the pierce point on the phase screen.Through simulation,the impact of temporal-spatial variant tropospheric errors on image quality is analyzed,and the simulation results show that the X-band echo signal is seriously affected by the troposphere and the echo signal must be compensated.展开更多
The precise correction of atmospheric zenith tropospheric delay(ZTD)is significant for the Global Navigation Satellite System(GNSS)performance regarding positioning accuracy and convergence time.In the past decades,ma...The precise correction of atmospheric zenith tropospheric delay(ZTD)is significant for the Global Navigation Satellite System(GNSS)performance regarding positioning accuracy and convergence time.In the past decades,many empirical ZTD models based on whether the gridded or scattered ZTD products have been proposed and widely used in the GNSS positioning applications.But there is no comprehensive evaluation of these models for the whole China region,which features complicated topography and climate.In this study,we completely assess the typical empirical models,the IGGtropSH model(gridded,non-meteorology),the SHAtropE model(scattered,non-meteorology),and the GPT3 model(gridded,meteorology)using the Crustal Movement Observation Network of China(CMONOC)network.In general,the results show that the three models share consistent performance with RMSE/bias of 37.45/1.63,37.13/2.20,and 38.27/1.34 mm for the GPT3,SHAtropE and IGGtropSH model,respectively.However,the models had a distinct performance regarding geographical distribution,elevation,seasonal variations,and daily variation.In the southeastern region of China,RMSE values are around 50 mm,which are much higher than that in the western region,approximately 20 mm.The SHAtropE model exhibits better performance for areas with large variations in elevation.The GPT3 model and the IGGtropSH model are more stable across different months,and the SHAtropE model based on the GNSS data exhibits superior performance across various UTC epochs.展开更多
Background Understanding synaptic alteration in obsessive-compulsive disorder(OCD)is crucial for elucidating its pathological mechanisms,but in vivo research on this topic remains limited.Aims This study aimed to iden...Background Understanding synaptic alteration in obsessive-compulsive disorder(OCD)is crucial for elucidating its pathological mechanisms,but in vivo research on this topic remains limited.Aims This study aimed to identify the synaptic density indicators in OCD and explore the relationship between cognitive dysfunction and synaptic density changes in OCD.Methods This study enrolled 28 drug-naive adults with OCD aged 18-40 years and 16 healthy controls(HCs).Three-dimensional T1-weighted structural magnetic resonance imaging and 18F-SynVesT-1 positron emission tomography were conducted.Cognitive function was assessed using the Wisconsin Cart Sorting Test(WCST)in patients with OCD and HCs.Correlative analysis was performed to examine the association between synaptic density reduction and cognitive dysfunction.Results Compared with HCs,patients with OCD showed reduced synaptic density in regions of the cortico-striatothalamo-cortical circuit such as the bilateral putamen,left caudate,left parahippocampal gyrus,left insula,left parahippocampal gyrus and left middle occipital lobe(voxel p<0.001,uncorrected,with cluster level above 50 contiguous voxels).The per cent conceptual-level responses of WCST were positively associated with the synaptic density reduction in the left middle occipital gyrus(R^(2)=0.1690,p=0.030),left parahippocampal gyrus(R^(2)=0.1464,p=0.045)and left putamen(R^(2)=0.1967,p=0.018)in patients with OCD.Conclusions Adults with OCD demonstrated lower 18Flabelled difluoro analogue of 18F-SynVesT-1 compared with HCs,indicating potentially lower synaptic density.This is the first study to explore the synaptic density in patients with OCD and provides insights into potential biological targets for cognitive dysfunctions in OCD.展开更多
Three eusauropod teeth(SDUST-V1064,PMOL-AD00176,PMOL-ADt0005)are reported from the Lower Cretaceous Yixian Formation of Ningcheng,southeastern Inner Mongolia,China.Two of them(SDUST-V1064,PMOL-AD00176)are assigned to ...Three eusauropod teeth(SDUST-V1064,PMOL-AD00176,PMOL-ADt0005)are reported from the Lower Cretaceous Yixian Formation of Ningcheng,southeastern Inner Mongolia,China.Two of them(SDUST-V1064,PMOL-AD00176)are assigned to early-diverging titanosauriforms in having slightly mesiodistal expansion at the base of the tooth crown,a slenderness index value>2.0 and<4.0,and D-shaped cross section.Furthermore,SDUST-V1064 and PMOL-AD00176 are referred as an Euhelopus-like titanosauriform on the basis of having a sub-circular boss on the lingual surface and an asymmetrical crown-root margin which slants apically,respectively.CT scan data of SDUST-V1064 reveals new dental information of early-diverging titanosauriforms,for example,the enamel on the labial side thicker than that on the lingual side,an enamel/dentine ratio of 0.26 and a boss present on the lingual side of the dentine of the crown.展开更多
Introduction: Lower extremity arterial disease in diabetic patients has distinct characteristics. Objectives: To study the hospital frequency of lower extremity arterial disease and identify associated factors in diab...Introduction: Lower extremity arterial disease in diabetic patients has distinct characteristics. Objectives: To study the hospital frequency of lower extremity arterial disease and identify associated factors in diabetic patients at the Libreville University Hospital Center (CHUL). Materials and Methods: This was a cross-sectional study conducted from July 1, 2023, to January 31, 2024, in the endocrinology department of the CHUL. All patients with type 2 diabetes over the age of 18 admitted to this department, regardless of the reason for hospitalization, who provided informed consent, were included. Socio-demographic data and cardiovascular risk factors were recorded. Personal and family cardiovascular history and functional symptoms were investigated. The physical examination included measuring blood pressure, heart rate, and the ankle-brachial index in all patients. Results: A total of 219 patients were included, of whom 75 had lower extremity arterial disease, representing a prevalence of 34.24%. It was compensated in 28 cases (37.33%) and decompensated in 39 patients (52%). In eight cases (10.67%), there was critical chronic ischemia. Cardiovascular risk factors associated with diabetes were physical inactivity (89.5%), hypertension (55.25%), overweight (49.77%), obesity (22.84%), and smoking (10.04%). In multivariate analysis, only hypertension (OR = 2.09;95% CI: 1.05 - 4.17;p = 0.035) and LDL cholesterol (OR = 2.75;95% CI: 1.10 - 6.85;p = 0.03) were significantly associated with lower extremity arterial disease in diabetics at the University Hospital of Libreville. Conclusion: Lower extremity arterial disease is common in diabetic patients at the University Hospital of Libreville. It is often asymptomatic, thus requiring systematic screening.[-rId11-]展开更多
Objective: To describe the epidemiological, clinical and paraclinical characteristics of osteoarthritis of the lower limbs in obese patients at the Cocody University Teaching Hospital. Methodology: This was an analyti...Objective: To describe the epidemiological, clinical and paraclinical characteristics of osteoarthritis of the lower limbs in obese patients at the Cocody University Teaching Hospital. Methodology: This was an analytical cross-sectional study carried out in the rheumatology department of the Cocody UTH in Abidjan (Ivory Coast) from March 1 to April 30 2023. Patients who came for rheumatology consultation presenting with mechanical arthralgia of the lower limbs, who were obese, had radiographic images were included. All patients without radiographic images were excluded. Obesity was defined as a body mass index (BMI) greater than or equal to 30 kg/m. The Chi<sup>2</sup> test was used to compare proportions and determine the existence of associations between osteoarthristis and obesity, obesity severity and radiographic stage of osteoarthritis as well as the functional impact. A p-value below a predefined threshold (p = 0,05) indicates a significant relationship between the variables. Result: Out of 185 patients received for osteoarthritis of the lower limbs during the study period, 136 were obese (74%). There were 115 women (84.6%) with an average age of 56.03 with a standard deviation of 12.72 years (extremes: 22 and 84 years). The main socio-professional category was the informal sector (30%). The majority of patients had a low socio-economic level (80.2%) and lived in urban areas (92.6%). The most common past medical history was hypertension (33.08%) followed by peptic ulcer disease (16.91%). Patients had a body mass index class 1 (81.6%), class 2 (15.40%) and class 3 (2.90%). The average duration of symptom progression until diagnosis was 11 months. Genu varum was the main static disorder (56.10%) and the knee joint was the dominant topography (90.4%) with a bilateral localization (80%). The average Lequesne index was greater than 8 (59.5%). The Kellgren and Lawrence radiographic stages were stage 1 (9.20%), stage 2 (46.90%), stage 3 (29.20%) and stage 4 (6.90%). The Obesity severity was significantly associated with osteoarthritis of the knee (p = 0.042). There was no statistically significant association between obesity severity and radiographic stage of osteoarthritis (p = 0.163) or functional impact (p = 0.180). Conclusion: Osteoarthritis of the lower limbs affected obese women and was dominated by stage 2 osteoarthritis of the knee (Kellgren and Lawrence). There is an association between the severity of obesity and osteoarthritis of the knee.展开更多
Indicating the tectonic features of the Hanshan-Wuwei basin can reconstruct the framework of the basins formed in Mesozoic and further understand the Mesozoic tectonic evolution of the South China Block.Studies on sur...Indicating the tectonic features of the Hanshan-Wuwei basin can reconstruct the framework of the basins formed in Mesozoic and further understand the Mesozoic tectonic evolution of the South China Block.Studies on surface structure,regional stress field and deep geophysical characteristics of the Mesozoic Hanshan-Wuwei basin in Lower Yangtze region were carried out.NE-NNE trending folds and faults developed in the northern margin of the basins.The reconstruction of tectonic stress fields indicates four stress stages dominating the basins'evolution including NW-SE compression,N-S compression,NW-SE extension and NWW-SEE compression.2D seismic profiles reveal coexistence of thrust,strike-slip and normal faults in the basin.Combined with regional geological studies,the geodynamic processes for the formation of the Hanshan-Wuwei basin can be divided into five stages:1)During the Late Triassic,EW trending foreland basin was formed by N-S compression;2)From Mid-Jurassic to Late Jurassic,continuous compression strengthened the foreland deformation and formed thrust nappes.In this stage,the integrated foreland basin was compartmentalized or fragmented,and transferred to the broken foreland basin;3)NE-trending sinistral strike-slip movement at the beginning of the Early Cretaceous;4)Regional extension resulted in normal faults and rift basins developing in the Late Cretaceous;5)The NWW-SEE compression at the end of the Late Cretaceous caused NW sinistral strike-slip faults to form,which partly transformed the rift basin.展开更多
Mandibular advancement devices(MADs)are widely used treatments for obstructive sleep apnea.MADs function by advancing the lower jaw to open the upper airway.To increase patient comfort,most patients allow the mouth to...Mandibular advancement devices(MADs)are widely used treatments for obstructive sleep apnea.MADs function by advancing the lower jaw to open the upper airway.To increase patient comfort,most patients allow the mouth to be opened.However,not all systems maintain the lower jaw in a forward position during mouth opening,which results in the production of a retrusion that favors the collapse of the upper airway.Furthermore,the kinematic behavior of the mechanism formed by the mandible-device assembly depends on jaw morphology.This means that,during mouth opening,some devices cause lower jaw protrusion in some patients,but cause its retraction in others.In this study,we report the behavior of well-known devices currently on themarket.To do so,we developed a kinematic model of the lower jawdevice assembly.Thismodelwas validated for all devices analyzed using a high-resolution camera system.Our results show that some of the devices analyzed here did not produce the correct behavior during patient mouth opening.展开更多
The study explores the intricate interplay between land use land cover(LULC),normalized difference vegetation index(NDVI),and land surface temperature(LST)within the Lower Son River Basin in India from 1991 to 2020.Th...The study explores the intricate interplay between land use land cover(LULC),normalized difference vegetation index(NDVI),and land surface temperature(LST)within the Lower Son River Basin in India from 1991 to 2020.The region’s ecological balance has been increasingly strained due to rapid urbanization and changing land use patterns.Through a combination of Landsat TM&OLI/TIRS satellite imageries and geospatial analysis techniques,this study unveils the intricate connection between land use and land cover changes,vegetation,and land surface temperature variations.The study area is classified into three altitudinal zones(Zone Ⅰ:39–300 m,Zone Ⅱ:301–600 m and Zone Ⅲ:601–1,247 m)to examine the changes in depth.The area has seen significant changes in LULC,vegetation and LST in all the three altitudinal zones.The findings hold significant implications for sustainable land management and environmental conservation strategies in the Lower Son River Basin.As per the result,103,438 ha of vegetation was converted into agriculture land and 82,572 ha of agricultural land was transformed into settlements from 1991 to 2020.This trend shows human pressure on the land resource in the study area.Minor increase in water body is seen which is attributed to commissioning of Bansagar dam.Zone Ⅰ has seen highest settlement growth while Zone Ⅲ experienced severe deforestation of around 15%.Zone Ⅱ and Ⅲ needs attention for holistic sustenance.Analysis of LST shows that it has increased by 0.82℃ from 1991 to 2020 which is a red flag.The study underscores the critical importance of balanced land use practices to preserve ecological integrity and mitigate the adverse effects of urbanization and climate change.展开更多
Background: Diabetic mellitus was described as an evolving global epidemic of the twenty-first century, due to the exponential rise in the number of people with the condition. Lower extremity amputation is one of the ...Background: Diabetic mellitus was described as an evolving global epidemic of the twenty-first century, due to the exponential rise in the number of people with the condition. Lower extremity amputation is one of the common complications of diabetes. With increase in the number of people with diabetes there will also be increase in the number of diabetics going for lower extremity amputation, increasing both the financial as well as psychologic burden of treatment. Methodology: A prospective cross-sectional study of all diabetic patients going for lower extremity amputation will be done. All the patients with advanced diabetic foot syndrome needing lower extremity amputation are enrolled (Wagener stage IV and V), both through the clinic and emergency center. Informed consent is obtained from the patient after which data are collected using a structured questionnaire. All the investigation results of the patients were also documented. Data collected are analyzed using the SPSS version 29. Chi-square and student t-test were used to measure significant relationship between the variables at 95% confident interval. Results: Within the period of study, which extends from 1st January 2022 to 1st of January 2024, a total of 171 patients were recruited. All diabetic patients with diabetic foot Wagener grade IV and V who presented to the clinic or emergency department were enrolled in the study. We found a significant relationship between gender, previous procedure on the affected limb or amputation of the contralateral limb, knowledge of foot care among diabetics and risk of amputation. There was, however, no statistically significant relationship between. There is no statistically significance relationship between the level of education, occupation, presence of co-morbidity with the risk of amputation among diabetic patients with foot syndrome. Conclusion: Previous lower limb procedure/amputation, male gender, paucity of knowledge on foot care, prolonged duration of the disease and method of treatment are important risk factors for the risk of amputation among diabetic patients with diabetic foot syndrome.展开更多
The conventional zenith tropospheric delay(ZTD)model(known as the Saastamoinen model)does not consider seasonal variations affecting the delay,giving it low accuracy and stability.This may be improved with adjustments...The conventional zenith tropospheric delay(ZTD)model(known as the Saastamoinen model)does not consider seasonal variations affecting the delay,giving it low accuracy and stability.This may be improved with adjustments to account for annual and semi-annual variations.This method uses ZTD data provided by the Global Geodetic Observing System to analyze seasonal variations in the bias of the Saastamoinen model in Asia,and then constructs a model with seasonal variation corrections,denoted as SSA.To overcome the dependence of the model on in-situ meteorological parameters,the SSA+GPT3 model is formed by combining the SSA and GPT3(global pressure-temperature)models.The results show that the introduction of annual and semi-annual variations can substantially improve the Saastamoinen model,yielding small and time-stable variations in bias and root mean square(RMS).In summer and autumn,the bias and RMS are noticeably smaller than those from the Saastamoinen model.In addition,the SSA model performs better in low-latitude and low-altitude areas,and bias and RMS decease with the increase of latitude or altitude.The prediction accuracy of the SSA model is also evaluated for external consistency.The results show that the accuracy of the SSA model(bias:-0.38 cm,RMS:4.43 cm)is better than that of the Saastamoinen model(bias:1.45 cm,RMS:5.16 cm).The proposed method has strong applicability and can therefore be used for predictive ZTD correction across Asia.展开更多
In this editorial we comment on the article published in a recent issue of the World Journal of Clinical Cases.This article described a novel ultrasound-guided lateral recess block approach in treating a patient with ...In this editorial we comment on the article published in a recent issue of the World Journal of Clinical Cases.This article described a novel ultrasound-guided lateral recess block approach in treating a patient with lateral recess stenosis.The impact of spinal pain-related disability extends significantly,causing substantial human suffering and medical costs.Each county has its preferred treatment strategies for spinal pain.Here,we explore the lower back pain(LBP)treatment algorithm recommended in France.The treatment algorithm for LBP recommended by the French National Authority for Health emphasizes early patient activity and minimal medication use.It encourages the continuation of daily activities,limits excessive medication and spinal injections,and incorporates psychological assessments and non-pharmacological therapies for chronic cases.However,the algorithm may not aggressively address acute pain in the early stages,potentially delaying relief and increasing the risk of chronicity.Additionally,the recommended infiltrations primarily involve caudal epidural steroid injections,with limited consideration for other injection procedures,such as transforaminal or interlaminar epidural steroid injections.The fixed follow-up timeline may not accommodate patients who do not respond to initial treatment or experience intense pain,potentially delaying the exploration of alternative therapies.Despite these limitations,understanding the strengths and weaknesses of the French approach could inform adaptations in LBP treatment strategies globally,potentially enhancing patient outcomes and satisfaction across diverse healthcare systems.展开更多
Objective: To explore the effect of lower limb rehabilitation robot combined with task-oriented training on stroke patients and its influence on KFAROM score. Methods: 100 stroke patients with hemiplegia admitted to o...Objective: To explore the effect of lower limb rehabilitation robot combined with task-oriented training on stroke patients and its influence on KFAROM score. Methods: 100 stroke patients with hemiplegia admitted to our hospital from January 2023 to December 2023 were randomly divided into two groups, the control group (50 cases) was given task-oriented training assisted by nurses, and the observation group (50 cases) was given lower limb rehabilitation robot with task-oriented training. Lower limb balance, lower limb muscle strength, motor function, ankle function, knee flexion range of motion and walking ability were observed. Results: After treatment, the scores of BBS, quadriceps femoris and hamstrings in the observation group were significantly higher than those in the control group (P Conclusion: In the clinical treatment of stroke patients, the combination of task-oriented training and lower limb rehabilitation robot can effectively improve the lower limb muscle strength, facilitate the recovery of balance function, and have a significant effect on the recovery of motor function, which can improve the walking ability of stroke patients and the range of motion of knee flexion, and achieve more ideal therapeutic effectiveness.展开更多
The lower limb exoskeletons are used to assist wearers in various scenarios such as medical and industrial settings.Complex modeling errors of the exoskeleton in different application scenarios pose challenges to the ...The lower limb exoskeletons are used to assist wearers in various scenarios such as medical and industrial settings.Complex modeling errors of the exoskeleton in different application scenarios pose challenges to the robustness and stability of its control algorithm.The Radial Basis Function(RBF)neural network is used widely to compensate for modeling errors.In order to solve the problem that the current RBF neural network controllers cannot guarantee the asymptotic stability,a neural network robust control algorithm based on computed torque method is proposed in this paper,focusing on trajectory tracking.It innovatively incorporates the robust adaptive term while introducing the RBF neural network term,improving the compensation ability for modeling errors.The stability of the algorithm is proved by Lyapunov method,and the effectiveness of the robust adaptive term is verified by the simulation.Experiments wearing the exoskeleton under different walking speeds and scenarios were carried out,and the results show that the absolute value of tracking errors of the hip and knee joints of the exoskeleton are consistently less than 1.5°and 2.5°,respectively.The proposed control algorithm effectively compensates for modeling errors and exhibits high robustness.展开更多
In response to the increased frequency of flood events in recent years, it has become crucial to enhance preparedness and anticipation through precise flood risk assessments. To this end, this study aims to produce up...In response to the increased frequency of flood events in recent years, it has become crucial to enhance preparedness and anticipation through precise flood risk assessments. To this end, this study aims to produce updated and precise flood risk maps for the Lower Valley of Ouémé River Basin, located in the South of Benin. The methodology used consisted of a combination of geographical information systems (GIS) and multi-criteria analysis, including Analytical Hierarchy Process (AHP) methods to define and quantify criteria for flood risk assessment. Seven hydro-geomorphological indicators (elevation, rainfall, slope, distance from rivers, flow accumulation, soil type, and drainage density), four socio-economic vulnerability indicators (female population density, literacy rate, poverty index, and road network density), and two exposure indicators (population density and land use) were integrated to generate risk maps. The results indicate that approximately 21.5% of the Lower Valley is under high and very high flood risk, mainly in the south between Dangbo, So-Ava, and Aguégués. The study findings align with the historical flood pattern in the region, which confirms the suitability of the used method. The novelty of this work lies in its comprehensive approach, the incorporation of AHP for weighting factors, and the use of remote sensing data, GIS technology, and spatial analysis techniques which adds precision to the mapping process. This work advances the scientific understanding of flood risk assessment and offers practical insights and solutions for flood-prone regions. The detailed flood risk indicator maps obtained stand out from previous studies and provide valuable information for effective flood risk management and mitigation efforts in the Lower Valley of Ouémé.展开更多
基金Guangdong Basic and Applied Basic Research Foundation(2023A1515011323)National Natural Science Foun-dation of China(42130604,42130605,72293604)+4 种基金Guangdong Provincial Observation and Research Station for Tropical Ocean Environment in Western Coastal Waters(GSTOEW)First-Class Discipline Plan of Guangdong Province(080503032101,231420003)Fundamental Research Funds for the Central Universities(202362001,202072010)China Scholarship Council(202208440223)Natural Science Foundation of Shanghai(23ZR1473800)。
文摘To investigate the stratosphere-troposphere exchange(STE)process induced by the gravity waves(GWs)caused by Typhoon Molave(2020)in the upper troposphere and lower stratosphere,we analyzed the ERA5 reanalysis data provided by the European Centre for Medium-Range Weather Forecasts and the CMA Tropical Cyclone Best Track Dataset.We also adopted the mesoscale forecast model Weather Research and Forecasting model V4.3 for numerical simulation.Most of the previous studies were about typhoon-induced STE and typhoon-induced GWs,while our research focused on the STE caused by typhoon-induced gravity waves.Our analysis shows that most of the time,the gravity wave signal of Typhoon Molave appeared below the tropopause.It was stronger on the east side of the typhoon center(10°-20°N,110°-120°E)than on the west side,suggesting an eastward tilted structure with height increase.When the GWs in the upper troposphere and lower stratosphere region on the west side of the typhoon center broke up,it produced strong turbulence,resulting in stratosphere-troposphere exchange.At this time,the average potential vorticity vertical flux increased with the average ozone mass mixing ratio.The gravity wave events and STE process simulated by the WRF model were basically consistent with the results of ERA5 reanalysis data,but the time of gravity wave breaking was different.This study indicates that after the breaking of the GWs induced by typhoons,turbulent mixing will also be generated,and thus the STE.
文摘The Indian summer monsoon is one of the most dominant tropical circulation systems in the general circulation of the atmosphere. The country receives more than 80% of the annual rainfall during a short span of four months (June to September) of the southwest monsoon season. Variability in the quantum of rainfall during the monsoon season has profound impacts on water resources, power generation, agriculture, economics and ecosystems in the country. The inter annual variability of Indian Summer Monsoon Rainfall (ISMR) depends on atmospheric and oceanic conditions prevailed during the season. In this study we have made an attempt to understand the variation of the of zonal winds in the tropical Upper Troposphere and Lower Stratosphere (UT/LS) region during deficient and Excess rainfall years of Indian summer monsoon and its relation to Indian Summer Monsoon Rainfall (ISMR). It is found that in the equatorial Upper Troposphere zonal winds have westerly anomalies during deficient rainfall year’s and easterly anomaly during excess rainfall years of Indian summer monsoon and opposite zonal wind anomaly is noted in the equatorial Lower Stratosphere during the deficient and excess rainfall years of Indian summer monsoon. It is also found that the June to September upper troposphere zonal winds averaged between 15°N and 15°S latitudes have a long-term trend during 1960 to 1998. Over this period the tropical easterlies and the tropical jet stream have weakened with time.
基金jointly supported by the National Basic Research Program of China (Grant No.2010CB428602)the National Natural Science Foundation of China (Grant Nos.41275046 and 41025017)
文摘In situ measurements of the vertical structure of ozone were made in Changchun (43.53°N, 125.13°E), China, by the Institute of Atmosphere Physics, in the summers of 2010-13. Analysis of the 89 validated ozone profiles shows the vari- ation of ozone concentration in the upper troposphere and lower stratosphere (UTLS) caused by cut-off lows (COLs) over Changchun. During the COL events, an increase of the ozone concentration and a lower height of the tropopause are observed. Backward simulations with a trajectory model show that the ozone-rich airmass brought by the COL is from Siberia. A case study proves that stratosphere-troposphere exchange (STE) occurs in the COL. The ozone-rich air mass transported from the stratosphere to the troposphere first becomes unstable, then loses its high ozone concentration. This process usually happens during the decay stage of COLs. In order to understand the influence of COLs on the ozone in the UTLS, statistical analysis of the ozone profiles within COLs, and other profiles, are employed. The results indicate that the ozone concentrations of the in-COL profiles are significantly higher than those of the other profiles between ±4 km around the tropopause. The COLs induce an increase in UTLS column ozone by 32% on average. Meanwhile, the COLs depress the lapse-rate tropopause (LRT)/dynamical tropopause height by 1.4/1.7 km and cause the atmosphere above the tropopause to be less stable. The influence of COLs is durable because the increased ozone concentration lasts at least one day after the COL has passed over Changchun. Furthermore, the relative coefficient between LRT height and lower stratosphere (LS) column ozone is -0.62, which implies a positive correlation between COL strength and LS ozone concentration.
文摘The behaviour of relative diffusion theory and Gifford’s random-force theory for long-range atmospheric diffusion is examined. When a puff scale is smaller than the Lagrangian length scale, √2KTL, an accelerative relative diffusion region exists, i.e., σy∝ t 3/2. While the puff diffusion enters a two-dimensional turbulence region, in which the diffusion scale is larger than 500 km, or time scale is larger than 1 day, divergence and convergence are main cause of horizontal diffusion. Between the two above-mentioned regimes, diffusion deviation is given by σy = √2KT. The large-scale horizontal relative diffusion parameters were obtained by analyzing the data of radioactive cloud width collected in air nuclear tests. Key words Tropospheric and lower stratospheric diffusion - Relative diffusion - Large scale turbulence - Nuclear explosion clouds This work is sponsored by the National Natural Science Foundation of China under Grant No. 49505064.The author would like to thank Prof. Chen Jiayi Department of Geophysics of Peking University and Dr. Cai Xiaoming School of Geography and Environmental Sciences of Birmingham University for their helpful discussions.
基金the National Natural Science Foundation of China(Grant No.41105027 and 41130960)the Key Project of Basic Scientific Research and Operation fund of the Chinese Academy of Meteorological Sciences(Grant No.2011Z001)the Special Scientific Research Project of China Commonweal Trade(Meteorology)(Grant Nos. GYHY201006009 and GYHY201006053)
文摘This study produced a novel characterization of the troposphere-to-stratosphere transport (TST) over the Asian monsoon region during boreal summer, using a comprehensive analysis of 60-day backward trajectories initialized in the stratosphere. The trajectory datasets were derived from the high-resolution Lagrangian particle dispersion model (FLEXPART) simulation driven by the wind fields acquired from the National Center for Environmental Prediction (NCEP). The results indicate that the distribution of residence time (tTST) of tropopause-crossing trajectories in the lowermost stratosphere represents a horizontal signature of the Asian summer monsoon. Vertically, the distribution of tTST can be roughly separated into two layers: a consistent lower layer with tTST 〈5 days forming a narrow band, corresponding to a layer-3 km thick following the location of the tropopause, and an upper layer at a larger distance from the local tropopause. The maximum residence time was -20 days, especially within the Asian high anticyclone consistent with its confinement effects. In general, the overall geographical distribution of dehydration points was not coincident with the location of tropopause crossing. TST trajectories, which were initialized in the stratosphere, underwent their Lagrangian cold points mostly in the tropics and subtropics 1 4 days after the TST event; they were characterized by a wide range of temperature differences, with a mean value of 3-12 K. The vertical extent of the influence of tropospheric intrusion on the Asian monsoon region in the stratosphere exhibited a peak at -16.5-18.5 km, and the uppermost height was -21 km.
基金supported in part by the National Natural Science Foundation of China(Nos.62101039,62201051)in part by the Shandong Excellent Young Scientists Fund Program(Overseas)in part by China Postdoctoral Science Foundation(No.2022M720443).
文摘The near-Earth asteroid collisions could cause catastrophic disasters to humanity and the Earth,so it is crucial to monitor asteroids.Ground-based synthetic aperture radar(SAR)is an observation technique for high resolution imaging of asteroids.The ground-based SAR requires a long integration time to achieve a large synthetic aperture,and the echo signal will be seriously affected by temporal-spatial variant troposphere.Traditional spatiotemporal freezing tropospheric models are ineffective.To cope with this,this paper models and analyses the impacts of temporal-spatial variant troposphere on ground-based SAR imaging of asteroids.For the background tropo-sphere,a temporal-spatial variant ray tracing method is proposed to trace the 4D(3D spatial+temporal)refractive index network provided by the numerical weather model,and calculate the error of the background troposphere.For the tropospheric turbulence,the Andrew power spectral model is used in conjunction with multiphase screen theory,and varying errors are obtained by tracking the changing position of the pierce point on the phase screen.Through simulation,the impact of temporal-spatial variant tropospheric errors on image quality is analyzed,and the simulation results show that the X-band echo signal is seriously affected by the troposphere and the echo signal must be compensated.
基金supported by the National Natural Science Foundation of China(42204022,52174160,52274169)Open Fund of Hubei Luojia Laboratory(230100031)+2 种基金the Open Fund of State Laboratory of Information Engineering in Surveying,Mapping and Remote Sensing,Wuhan University(23P02)the Fundamental Research Funds for the Central Universities(2023ZKPYDC10)China University of Mining and Technology-Beijing Innovation Training Program for College Students(202302014,202202023)。
文摘The precise correction of atmospheric zenith tropospheric delay(ZTD)is significant for the Global Navigation Satellite System(GNSS)performance regarding positioning accuracy and convergence time.In the past decades,many empirical ZTD models based on whether the gridded or scattered ZTD products have been proposed and widely used in the GNSS positioning applications.But there is no comprehensive evaluation of these models for the whole China region,which features complicated topography and climate.In this study,we completely assess the typical empirical models,the IGGtropSH model(gridded,non-meteorology),the SHAtropE model(scattered,non-meteorology),and the GPT3 model(gridded,meteorology)using the Crustal Movement Observation Network of China(CMONOC)network.In general,the results show that the three models share consistent performance with RMSE/bias of 37.45/1.63,37.13/2.20,and 38.27/1.34 mm for the GPT3,SHAtropE and IGGtropSH model,respectively.However,the models had a distinct performance regarding geographical distribution,elevation,seasonal variations,and daily variation.In the southeastern region of China,RMSE values are around 50 mm,which are much higher than that in the western region,approximately 20 mm.The SHAtropE model exhibits better performance for areas with large variations in elevation.The GPT3 model and the IGGtropSH model are more stable across different months,and the SHAtropE model based on the GNSS data exhibits superior performance across various UTC epochs.
基金funded by the National Natural Science Foundation of China(82201702,82001405)Youth Science Foundation of Xiangya Hospital(2020Q20),Science and Technology Innovation Team Talent Project of Hunan Province(2021 RC4056)+1 种基金the clinical research foundation of the National Clinical Research Center for Geriatric Diseases(XIANGYA)(2020LNJJ01)the Hunan Natural Science Foundation Youth Program(2021JJ40979).
文摘Background Understanding synaptic alteration in obsessive-compulsive disorder(OCD)is crucial for elucidating its pathological mechanisms,but in vivo research on this topic remains limited.Aims This study aimed to identify the synaptic density indicators in OCD and explore the relationship between cognitive dysfunction and synaptic density changes in OCD.Methods This study enrolled 28 drug-naive adults with OCD aged 18-40 years and 16 healthy controls(HCs).Three-dimensional T1-weighted structural magnetic resonance imaging and 18F-SynVesT-1 positron emission tomography were conducted.Cognitive function was assessed using the Wisconsin Cart Sorting Test(WCST)in patients with OCD and HCs.Correlative analysis was performed to examine the association between synaptic density reduction and cognitive dysfunction.Results Compared with HCs,patients with OCD showed reduced synaptic density in regions of the cortico-striatothalamo-cortical circuit such as the bilateral putamen,left caudate,left parahippocampal gyrus,left insula,left parahippocampal gyrus and left middle occipital lobe(voxel p<0.001,uncorrected,with cluster level above 50 contiguous voxels).The per cent conceptual-level responses of WCST were positively associated with the synaptic density reduction in the left middle occipital gyrus(R^(2)=0.1690,p=0.030),left parahippocampal gyrus(R^(2)=0.1464,p=0.045)and left putamen(R^(2)=0.1967,p=0.018)in patients with OCD.Conclusions Adults with OCD demonstrated lower 18Flabelled difluoro analogue of 18F-SynVesT-1 compared with HCs,indicating potentially lower synaptic density.This is the first study to explore the synaptic density in patients with OCD and provides insights into potential biological targets for cognitive dysfunctions in OCD.
基金supported by the Scientific Research Foundation of Shenyang Normal University(Grant No.BS202207)Program for Innovative Research Team of Excellent Talents in University of Shandong Province(Grant No.2019KJH004)+3 种基金Taishan Scholar Program of Shandong Province(Grant No.tsqn201812070)Educational Department of Liaoning Province(Grant No.JYTQN2023422)Shandong Provincial Natural Science Foundation(Grant No.ZR2017MD031)the National Natural Science Foundation of China(Grant Nos.41972025,41688103,42161134003).
文摘Three eusauropod teeth(SDUST-V1064,PMOL-AD00176,PMOL-ADt0005)are reported from the Lower Cretaceous Yixian Formation of Ningcheng,southeastern Inner Mongolia,China.Two of them(SDUST-V1064,PMOL-AD00176)are assigned to early-diverging titanosauriforms in having slightly mesiodistal expansion at the base of the tooth crown,a slenderness index value>2.0 and<4.0,and D-shaped cross section.Furthermore,SDUST-V1064 and PMOL-AD00176 are referred as an Euhelopus-like titanosauriform on the basis of having a sub-circular boss on the lingual surface and an asymmetrical crown-root margin which slants apically,respectively.CT scan data of SDUST-V1064 reveals new dental information of early-diverging titanosauriforms,for example,the enamel on the labial side thicker than that on the lingual side,an enamel/dentine ratio of 0.26 and a boss present on the lingual side of the dentine of the crown.
文摘Introduction: Lower extremity arterial disease in diabetic patients has distinct characteristics. Objectives: To study the hospital frequency of lower extremity arterial disease and identify associated factors in diabetic patients at the Libreville University Hospital Center (CHUL). Materials and Methods: This was a cross-sectional study conducted from July 1, 2023, to January 31, 2024, in the endocrinology department of the CHUL. All patients with type 2 diabetes over the age of 18 admitted to this department, regardless of the reason for hospitalization, who provided informed consent, were included. Socio-demographic data and cardiovascular risk factors were recorded. Personal and family cardiovascular history and functional symptoms were investigated. The physical examination included measuring blood pressure, heart rate, and the ankle-brachial index in all patients. Results: A total of 219 patients were included, of whom 75 had lower extremity arterial disease, representing a prevalence of 34.24%. It was compensated in 28 cases (37.33%) and decompensated in 39 patients (52%). In eight cases (10.67%), there was critical chronic ischemia. Cardiovascular risk factors associated with diabetes were physical inactivity (89.5%), hypertension (55.25%), overweight (49.77%), obesity (22.84%), and smoking (10.04%). In multivariate analysis, only hypertension (OR = 2.09;95% CI: 1.05 - 4.17;p = 0.035) and LDL cholesterol (OR = 2.75;95% CI: 1.10 - 6.85;p = 0.03) were significantly associated with lower extremity arterial disease in diabetics at the University Hospital of Libreville. Conclusion: Lower extremity arterial disease is common in diabetic patients at the University Hospital of Libreville. It is often asymptomatic, thus requiring systematic screening.[-rId11-]
文摘Objective: To describe the epidemiological, clinical and paraclinical characteristics of osteoarthritis of the lower limbs in obese patients at the Cocody University Teaching Hospital. Methodology: This was an analytical cross-sectional study carried out in the rheumatology department of the Cocody UTH in Abidjan (Ivory Coast) from March 1 to April 30 2023. Patients who came for rheumatology consultation presenting with mechanical arthralgia of the lower limbs, who were obese, had radiographic images were included. All patients without radiographic images were excluded. Obesity was defined as a body mass index (BMI) greater than or equal to 30 kg/m. The Chi<sup>2</sup> test was used to compare proportions and determine the existence of associations between osteoarthristis and obesity, obesity severity and radiographic stage of osteoarthritis as well as the functional impact. A p-value below a predefined threshold (p = 0,05) indicates a significant relationship between the variables. Result: Out of 185 patients received for osteoarthritis of the lower limbs during the study period, 136 were obese (74%). There were 115 women (84.6%) with an average age of 56.03 with a standard deviation of 12.72 years (extremes: 22 and 84 years). The main socio-professional category was the informal sector (30%). The majority of patients had a low socio-economic level (80.2%) and lived in urban areas (92.6%). The most common past medical history was hypertension (33.08%) followed by peptic ulcer disease (16.91%). Patients had a body mass index class 1 (81.6%), class 2 (15.40%) and class 3 (2.90%). The average duration of symptom progression until diagnosis was 11 months. Genu varum was the main static disorder (56.10%) and the knee joint was the dominant topography (90.4%) with a bilateral localization (80%). The average Lequesne index was greater than 8 (59.5%). The Kellgren and Lawrence radiographic stages were stage 1 (9.20%), stage 2 (46.90%), stage 3 (29.20%) and stage 4 (6.90%). The Obesity severity was significantly associated with osteoarthritis of the knee (p = 0.042). There was no statistically significant association between obesity severity and radiographic stage of osteoarthritis (p = 0.163) or functional impact (p = 0.180). Conclusion: Osteoarthritis of the lower limbs affected obese women and was dominated by stage 2 osteoarthritis of the knee (Kellgren and Lawrence). There is an association between the severity of obesity and osteoarthritis of the knee.
基金supported by National Natural Science Foundation of China(Grant Nos.42372239,41872237 and 41573023)the projects of China Geological Survey(Grant Nos.DD20160180,DD20190083,DD20190043,DD20221633)。
文摘Indicating the tectonic features of the Hanshan-Wuwei basin can reconstruct the framework of the basins formed in Mesozoic and further understand the Mesozoic tectonic evolution of the South China Block.Studies on surface structure,regional stress field and deep geophysical characteristics of the Mesozoic Hanshan-Wuwei basin in Lower Yangtze region were carried out.NE-NNE trending folds and faults developed in the northern margin of the basins.The reconstruction of tectonic stress fields indicates four stress stages dominating the basins'evolution including NW-SE compression,N-S compression,NW-SE extension and NWW-SEE compression.2D seismic profiles reveal coexistence of thrust,strike-slip and normal faults in the basin.Combined with regional geological studies,the geodynamic processes for the formation of the Hanshan-Wuwei basin can be divided into five stages:1)During the Late Triassic,EW trending foreland basin was formed by N-S compression;2)From Mid-Jurassic to Late Jurassic,continuous compression strengthened the foreland deformation and formed thrust nappes.In this stage,the integrated foreland basin was compartmentalized or fragmented,and transferred to the broken foreland basin;3)NE-trending sinistral strike-slip movement at the beginning of the Early Cretaceous;4)Regional extension resulted in normal faults and rift basins developing in the Late Cretaceous;5)The NWW-SEE compression at the end of the Late Cretaceous caused NW sinistral strike-slip faults to form,which partly transformed the rift basin.
基金supported by the research contracts 806/31.4830 and 806/31.5511 between the private company Laboratorio Ortoplus S.L.and the University of Malaga.
文摘Mandibular advancement devices(MADs)are widely used treatments for obstructive sleep apnea.MADs function by advancing the lower jaw to open the upper airway.To increase patient comfort,most patients allow the mouth to be opened.However,not all systems maintain the lower jaw in a forward position during mouth opening,which results in the production of a retrusion that favors the collapse of the upper airway.Furthermore,the kinematic behavior of the mechanism formed by the mandible-device assembly depends on jaw morphology.This means that,during mouth opening,some devices cause lower jaw protrusion in some patients,but cause its retraction in others.In this study,we report the behavior of well-known devices currently on themarket.To do so,we developed a kinematic model of the lower jawdevice assembly.Thismodelwas validated for all devices analyzed using a high-resolution camera system.Our results show that some of the devices analyzed here did not produce the correct behavior during patient mouth opening.
文摘The study explores the intricate interplay between land use land cover(LULC),normalized difference vegetation index(NDVI),and land surface temperature(LST)within the Lower Son River Basin in India from 1991 to 2020.The region’s ecological balance has been increasingly strained due to rapid urbanization and changing land use patterns.Through a combination of Landsat TM&OLI/TIRS satellite imageries and geospatial analysis techniques,this study unveils the intricate connection between land use and land cover changes,vegetation,and land surface temperature variations.The study area is classified into three altitudinal zones(Zone Ⅰ:39–300 m,Zone Ⅱ:301–600 m and Zone Ⅲ:601–1,247 m)to examine the changes in depth.The area has seen significant changes in LULC,vegetation and LST in all the three altitudinal zones.The findings hold significant implications for sustainable land management and environmental conservation strategies in the Lower Son River Basin.As per the result,103,438 ha of vegetation was converted into agriculture land and 82,572 ha of agricultural land was transformed into settlements from 1991 to 2020.This trend shows human pressure on the land resource in the study area.Minor increase in water body is seen which is attributed to commissioning of Bansagar dam.Zone Ⅰ has seen highest settlement growth while Zone Ⅲ experienced severe deforestation of around 15%.Zone Ⅱ and Ⅲ needs attention for holistic sustenance.Analysis of LST shows that it has increased by 0.82℃ from 1991 to 2020 which is a red flag.The study underscores the critical importance of balanced land use practices to preserve ecological integrity and mitigate the adverse effects of urbanization and climate change.
文摘Background: Diabetic mellitus was described as an evolving global epidemic of the twenty-first century, due to the exponential rise in the number of people with the condition. Lower extremity amputation is one of the common complications of diabetes. With increase in the number of people with diabetes there will also be increase in the number of diabetics going for lower extremity amputation, increasing both the financial as well as psychologic burden of treatment. Methodology: A prospective cross-sectional study of all diabetic patients going for lower extremity amputation will be done. All the patients with advanced diabetic foot syndrome needing lower extremity amputation are enrolled (Wagener stage IV and V), both through the clinic and emergency center. Informed consent is obtained from the patient after which data are collected using a structured questionnaire. All the investigation results of the patients were also documented. Data collected are analyzed using the SPSS version 29. Chi-square and student t-test were used to measure significant relationship between the variables at 95% confident interval. Results: Within the period of study, which extends from 1st January 2022 to 1st of January 2024, a total of 171 patients were recruited. All diabetic patients with diabetic foot Wagener grade IV and V who presented to the clinic or emergency department were enrolled in the study. We found a significant relationship between gender, previous procedure on the affected limb or amputation of the contralateral limb, knowledge of foot care among diabetics and risk of amputation. There was, however, no statistically significant relationship between. There is no statistically significance relationship between the level of education, occupation, presence of co-morbidity with the risk of amputation among diabetic patients with foot syndrome. Conclusion: Previous lower limb procedure/amputation, male gender, paucity of knowledge on foot care, prolonged duration of the disease and method of treatment are important risk factors for the risk of amputation among diabetic patients with diabetic foot syndrome.
基金This work was supported by the Basic Science Research Program of Shaanxi Province(2023-JC-YB-057 and 2022JM-031).
文摘The conventional zenith tropospheric delay(ZTD)model(known as the Saastamoinen model)does not consider seasonal variations affecting the delay,giving it low accuracy and stability.This may be improved with adjustments to account for annual and semi-annual variations.This method uses ZTD data provided by the Global Geodetic Observing System to analyze seasonal variations in the bias of the Saastamoinen model in Asia,and then constructs a model with seasonal variation corrections,denoted as SSA.To overcome the dependence of the model on in-situ meteorological parameters,the SSA+GPT3 model is formed by combining the SSA and GPT3(global pressure-temperature)models.The results show that the introduction of annual and semi-annual variations can substantially improve the Saastamoinen model,yielding small and time-stable variations in bias and root mean square(RMS).In summer and autumn,the bias and RMS are noticeably smaller than those from the Saastamoinen model.In addition,the SSA model performs better in low-latitude and low-altitude areas,and bias and RMS decease with the increase of latitude or altitude.The prediction accuracy of the SSA model is also evaluated for external consistency.The results show that the accuracy of the SSA model(bias:-0.38 cm,RMS:4.43 cm)is better than that of the Saastamoinen model(bias:1.45 cm,RMS:5.16 cm).The proposed method has strong applicability and can therefore be used for predictive ZTD correction across Asia.
基金Supported by The National Research Foundation of Korea Grant funded by the Korea Government,No.00219725.
文摘In this editorial we comment on the article published in a recent issue of the World Journal of Clinical Cases.This article described a novel ultrasound-guided lateral recess block approach in treating a patient with lateral recess stenosis.The impact of spinal pain-related disability extends significantly,causing substantial human suffering and medical costs.Each county has its preferred treatment strategies for spinal pain.Here,we explore the lower back pain(LBP)treatment algorithm recommended in France.The treatment algorithm for LBP recommended by the French National Authority for Health emphasizes early patient activity and minimal medication use.It encourages the continuation of daily activities,limits excessive medication and spinal injections,and incorporates psychological assessments and non-pharmacological therapies for chronic cases.However,the algorithm may not aggressively address acute pain in the early stages,potentially delaying relief and increasing the risk of chronicity.Additionally,the recommended infiltrations primarily involve caudal epidural steroid injections,with limited consideration for other injection procedures,such as transforaminal or interlaminar epidural steroid injections.The fixed follow-up timeline may not accommodate patients who do not respond to initial treatment or experience intense pain,potentially delaying the exploration of alternative therapies.Despite these limitations,understanding the strengths and weaknesses of the French approach could inform adaptations in LBP treatment strategies globally,potentially enhancing patient outcomes and satisfaction across diverse healthcare systems.
文摘Objective: To explore the effect of lower limb rehabilitation robot combined with task-oriented training on stroke patients and its influence on KFAROM score. Methods: 100 stroke patients with hemiplegia admitted to our hospital from January 2023 to December 2023 were randomly divided into two groups, the control group (50 cases) was given task-oriented training assisted by nurses, and the observation group (50 cases) was given lower limb rehabilitation robot with task-oriented training. Lower limb balance, lower limb muscle strength, motor function, ankle function, knee flexion range of motion and walking ability were observed. Results: After treatment, the scores of BBS, quadriceps femoris and hamstrings in the observation group were significantly higher than those in the control group (P Conclusion: In the clinical treatment of stroke patients, the combination of task-oriented training and lower limb rehabilitation robot can effectively improve the lower limb muscle strength, facilitate the recovery of balance function, and have a significant effect on the recovery of motor function, which can improve the walking ability of stroke patients and the range of motion of knee flexion, and achieve more ideal therapeutic effectiveness.
基金Supported by National Key R&D Program of China(Grant No.2022YFB4701200)National Natural Science Foundation of China(NSFC)(Grant Nos.T2121003,52205004).
文摘The lower limb exoskeletons are used to assist wearers in various scenarios such as medical and industrial settings.Complex modeling errors of the exoskeleton in different application scenarios pose challenges to the robustness and stability of its control algorithm.The Radial Basis Function(RBF)neural network is used widely to compensate for modeling errors.In order to solve the problem that the current RBF neural network controllers cannot guarantee the asymptotic stability,a neural network robust control algorithm based on computed torque method is proposed in this paper,focusing on trajectory tracking.It innovatively incorporates the robust adaptive term while introducing the RBF neural network term,improving the compensation ability for modeling errors.The stability of the algorithm is proved by Lyapunov method,and the effectiveness of the robust adaptive term is verified by the simulation.Experiments wearing the exoskeleton under different walking speeds and scenarios were carried out,and the results show that the absolute value of tracking errors of the hip and knee joints of the exoskeleton are consistently less than 1.5°and 2.5°,respectively.The proposed control algorithm effectively compensates for modeling errors and exhibits high robustness.
文摘In response to the increased frequency of flood events in recent years, it has become crucial to enhance preparedness and anticipation through precise flood risk assessments. To this end, this study aims to produce updated and precise flood risk maps for the Lower Valley of Ouémé River Basin, located in the South of Benin. The methodology used consisted of a combination of geographical information systems (GIS) and multi-criteria analysis, including Analytical Hierarchy Process (AHP) methods to define and quantify criteria for flood risk assessment. Seven hydro-geomorphological indicators (elevation, rainfall, slope, distance from rivers, flow accumulation, soil type, and drainage density), four socio-economic vulnerability indicators (female population density, literacy rate, poverty index, and road network density), and two exposure indicators (population density and land use) were integrated to generate risk maps. The results indicate that approximately 21.5% of the Lower Valley is under high and very high flood risk, mainly in the south between Dangbo, So-Ava, and Aguégués. The study findings align with the historical flood pattern in the region, which confirms the suitability of the used method. The novelty of this work lies in its comprehensive approach, the incorporation of AHP for weighting factors, and the use of remote sensing data, GIS technology, and spatial analysis techniques which adds precision to the mapping process. This work advances the scientific understanding of flood risk assessment and offers practical insights and solutions for flood-prone regions. The detailed flood risk indicator maps obtained stand out from previous studies and provide valuable information for effective flood risk management and mitigation efforts in the Lower Valley of Ouémé.