The Funan-Huoqiu area is located in the border tectonic belt between the North China and South China active block regions. By means of seismological and geological surveys and synthetic analysis, evidences of tectonic...The Funan-Huoqiu area is located in the border tectonic belt between the North China and South China active block regions. By means of seismological and geological surveys and synthetic analysis, evidences of tectonic deformation in lower intensity have been found in the area since Late Pleistocene, where small earthquakes are distributed linearly along the main faults, conjugate shear joints are developed in the Upper Pleistocene nearby the faults. In the south of the studied region, fissures with different lengths, widths and directions occurred successively in Gushi, Huoqiu, Funan and other places of the area, in the 1970’s, and the direction of the fissures is approximately consistent with that of the Feizhong fault and Wanglaorenji fault. The authors hold that the clustering of small earthquakes, the conjugate shear joints developed in the Upper Pleistocene, the crumpled deformation of materials on fault plane, and the development of modern surface fissures in the area all reflect that the energy in the crust was slowly released, and that the weak deformation took place in corresponding faults. There was only one destructive earthquake taking place in the area (the Jiangkouji {M_S43/4} earthquake). Altogather, there has been weak activity in the area since the Late Quaternary, and it is mainly shown as a creep-slip.展开更多
Breast cancer is the most prevalent cancer in women worldwide, and pain following mastectomy is a major post-surgical complication. This paper highlights the risk factors for chronic pain in breast surgery and evaluat...Breast cancer is the most prevalent cancer in women worldwide, and pain following mastectomy is a major post-surgical complication. This paper highlights the risk factors for chronic pain in breast surgery and evaluates various regional block techniques used to reduce post-operative pain, and minimize hospital stays in high-risk patients. Further research is needed to evaluate the effectiveness of novel regional anaesthesia techniques in an enhanced recovery context, and to assess their role in preventing or reducing chronic pain.展开更多
As an effective solution for protecting the underlying permafrost and preventing roadway damages, the block-rock embankment(BRE) has been widely used on the Qinghai–Tibet Railway, Qinghai–Tibet Highway, and Ching–H...As an effective solution for protecting the underlying permafrost and preventing roadway damages, the block-rock embankment(BRE) has been widely used on the Qinghai–Tibet Railway, Qinghai–Tibet Highway, and Ching–Hong Road;and it will be promoted for other roadways in the future. To evaluate the adaptability of BRE, the catastrophe-progression method was adopted for the evaluation. By analyzing the factors affecting the stability of BRE and utilizing engineering experience, we were able to establish the mathematical model and divide the adaptability of BRE into five grades. After the verifying analysis of 28 practical engineering examples, the evaluation results are broadly in line with practical application effects. Therefore, the adaptability of BRE can be evaluated and predicted more accurately with this evaluation model.展开更多
The western margin of Yangtze block and southwestern Sanjiang region absorbed much attention from geologists. It has been proved that there occurred a series of plate subduction, collision, assembly, rifting and break...The western margin of Yangtze block and southwestern Sanjiang region absorbed much attention from geologists. It has been proved that there occurred a series of plate subduction, collision, assembly, rifting and breakup processes between them since Palaeozoic and the tectonic evolutionary relationship between them is clear. But in Proterozoic this kind of links between them became unclear. Did they undergo the assembly and breakup processes of the Rodinia super continent? This paper will take a primary discussion on this question on the basis of basement component, structure characteristics and magmatic activities.1\ Basement features\;(1) In western margin of Yangtze block its basement is composed of crystalline basement and folded basement, a so\|called double\|layer structure. The crystalline basement is made up of Kangding group, Pudeng Formation and Dibadu Formation, among them Kangding group is a representative and composed mainly of migmatite, compositing gneiss, hornblende schist and granulitite. The isotopic age of crystalline basement is older than 1900Ma, so its geological time is late Archaean to early Proterozoic. The folded basement is composed of Dahongshan group, Hekou group, Kunyang group, Huili group and Yanbian group. Their rock associations are made up mainly of spilite\|keratophyre formation, carbonate formation, clastic rock and clastic rock formation with some basic volcanic rocks. The folded basement is assigned to be early and middle Proterozoic (1000～1700M a).展开更多
Background: Propofol is often the drug of choice for ambulatory orthopedic cases. However, propofol can be associated with apnea or other events requiring airway interventions. Dexmedetomidine (Dex) has the unique pha...Background: Propofol is often the drug of choice for ambulatory orthopedic cases. However, propofol can be associated with apnea or other events requiring airway interventions. Dexmedetomidine (Dex) has the unique pharmacologic profile of providing sedation without respiratory depression. This is particularly relevant in patients with morbid obesity and/or challenging airways. The hypotheses were: 1) Propofol would cause more apnea or require more airway manipulations than dexmedetomidine;2) Propofol would have shorter post anesthesia unit recovery times;and 3) Dexmedetomidine would be associated with more bradycardia and hypotension. Methods: After IRB approval, 50 patients were randomized to receive either propofol or Dex for Total Intravenous anesthesia (TIVA) after interscalene brachial plexus block was performed preoperatively under ultrasound guidance. The main end points that we measured where: airway interventions, intra-operative bradycardia, hypotension, and PACU length of stay. Results: There were more airway interventions in the propofol group compared to the Dex group. Additionally, the Dex group had significantly longer PACU stays. Conclusion: We would recommend that Dex should be preferentially considered for patients predisposed to airway obstruction;however, the standard use of Dex over Propofol needed to reconsider since the use of Dex as the agent for TIVA was associated with longer PACU stays.展开更多
Due to unique geographical position and climatic characteristics,there are more economic,social,resource,environmental and other problems in urban construction of arid region. Old urban block of Kashgar and typical bl...Due to unique geographical position and climatic characteristics,there are more economic,social,resource,environmental and other problems in urban construction of arid region. Old urban block of Kashgar and typical block of Masdar ecological city of Abu Dhabi are taken as the research objects. Based on summarizing the characteristics of traditional block and newly built ecological block in arid region,comparative analysis on their space forms and environmental designs is conducted,and the association mechanism between ecological adaptability and space form is generalized. From the aspects of block layout,block space,open space and architectural form,ecological design strategy of the block in arid region is proposed,which could provide the reference for development and construction of ecological city in arid region of China.展开更多
Regional geochemical division is a mapping technique to divide an area into slices where the associations between geochemical elements are relatively simple and uniform. The result of division is expressed on a 2 D ma...Regional geochemical division is a mapping technique to divide an area into slices where the associations between geochemical elements are relatively simple and uniform. The result of division is expressed on a 2 D map. The scheme of regional geochemical division includes non supervised pattern recognition, elementary statistics and factor analysis. A practical example in a gold prospecting area in Jilin, China, and the corresponding explanation are presented. Regional geochemical division is a basic approach to the delineation of the geochemical blocks as well.展开更多
Erector spinae plane block (ESPB) is a novel fascial plane block that was first described in 2016. It is considered an alternative for brachial plexus blocks in shoulder surgeries as the erector spinae muscle extends ...Erector spinae plane block (ESPB) is a novel fascial plane block that was first described in 2016. It is considered an alternative for brachial plexus blocks in shoulder surgeries as the erector spinae muscle extends to the cervical level. Herein, we present a successful multilevel ESPB plus an interscalene block using liposomal bupivacaine in a 45-year-old female patient with metastatic sarcoma who presented for scapula and proximal humerus resection. The post-operative course was smooth, and the patient was discharged home on post-operative day 2 with minimal narcotic requirements.展开更多
Introduction/Purpose: The “transverse abdominal plane block” or TAP block was described by Rafi in 2001. It describes an approach to the neurofascial plane of the transverse abdominal muscle via the Jean-Louis Petit...Introduction/Purpose: The “transverse abdominal plane block” or TAP block was described by Rafi in 2001. It describes an approach to the neurofascial plane of the transverse abdominal muscle via the Jean-Louis Petit triangle and provides analgesia of the entire homolateral hemi abdomen. The aim of our study was to compare post-operative analgesia and post-operative morphine requirements between transverse abdominal plane block (TAP) and peri-orificial infiltration during laparoscopic abdominal surgery. Material and method: Prospective, randomized study conducted over a 2-year period. The study was conducted in the operating theatre of the Saint Louis Regional Hospital in Senegal. All adult patients undergoing laparoscopic abdominal surgery were included. Clinical aspects, pain scales and morphine consumption were analyzed. Results: A total of 60 patients were enrolled: 30 patients in the TAP group and 30 patients in the infiltration group. The average age was 32.9 years. The indications for laparoscopy were acute appendicitis in 50% of cases, gallbladder stones in 16% and inguinal hernia in 8%. For the TAP group, the mean numerical pain scale was 3.9 at 6 hours post-operatively and 2.1 at 24 hours post-operatively. For the infiltration group, the mean numerical pain scale was 4.3 at 6 hours post-op and 3 at 24 hours post-op. Morphine consumption at 6 hours post-op was on average 0.4 mg/patient for the TAP group and 0.9 mg/patient for the infiltration group. Discussion/conclusion: Analgesia provided by ultrasound-guided TAP block for laparoscopic abdominal surgery appears to be identical to periorificial infiltration. However, the simplicity and reproducibility of ultrasound-guided TAP block gives it a definite advantage.展开更多
随着快速康复外科(enhanced recovery after surgery,EARS)及舒适化医疗理念的发展,经皮椎间孔镜技术已成功应用于部分脊柱手术,其通过孔道式入路及内镜技术实现损伤最小化。为了避免术中医源性神经损伤,常采用区域阻滞联合静脉镇痛药...随着快速康复外科(enhanced recovery after surgery,EARS)及舒适化医疗理念的发展,经皮椎间孔镜技术已成功应用于部分脊柱手术,其通过孔道式入路及内镜技术实现损伤最小化。为了避免术中医源性神经损伤,常采用区域阻滞联合静脉镇痛药作为其主要的麻醉方式以保留病人意识及神经易感性。围手术期良好的镇痛管理不仅是术者手术操作顺利进行的基础,更是加快病人功能锻炼及康复的关键。现已有多种区域阻滞方式联合可视化技术成功应用于经皮椎间孔镜下腰椎手术的围手术期镇痛。本文将依次介绍近年应用于椎间孔镜技术区域阻滞的方案及其优劣势,旨在使病人更舒适更安全的完成微创手术,缩短病人术后功能锻炼和康复时间,提高满意度及再手术意愿,实现快速康复理念。展开更多
文摘The Funan-Huoqiu area is located in the border tectonic belt between the North China and South China active block regions. By means of seismological and geological surveys and synthetic analysis, evidences of tectonic deformation in lower intensity have been found in the area since Late Pleistocene, where small earthquakes are distributed linearly along the main faults, conjugate shear joints are developed in the Upper Pleistocene nearby the faults. In the south of the studied region, fissures with different lengths, widths and directions occurred successively in Gushi, Huoqiu, Funan and other places of the area, in the 1970’s, and the direction of the fissures is approximately consistent with that of the Feizhong fault and Wanglaorenji fault. The authors hold that the clustering of small earthquakes, the conjugate shear joints developed in the Upper Pleistocene, the crumpled deformation of materials on fault plane, and the development of modern surface fissures in the area all reflect that the energy in the crust was slowly released, and that the weak deformation took place in corresponding faults. There was only one destructive earthquake taking place in the area (the Jiangkouji {M_S43/4} earthquake). Altogather, there has been weak activity in the area since the Late Quaternary, and it is mainly shown as a creep-slip.
文摘Breast cancer is the most prevalent cancer in women worldwide, and pain following mastectomy is a major post-surgical complication. This paper highlights the risk factors for chronic pain in breast surgery and evaluates various regional block techniques used to reduce post-operative pain, and minimize hospital stays in high-risk patients. Further research is needed to evaluate the effectiveness of novel regional anaesthesia techniques in an enhanced recovery context, and to assess their role in preventing or reducing chronic pain.
文摘As an effective solution for protecting the underlying permafrost and preventing roadway damages, the block-rock embankment(BRE) has been widely used on the Qinghai–Tibet Railway, Qinghai–Tibet Highway, and Ching–Hong Road;and it will be promoted for other roadways in the future. To evaluate the adaptability of BRE, the catastrophe-progression method was adopted for the evaluation. By analyzing the factors affecting the stability of BRE and utilizing engineering experience, we were able to establish the mathematical model and divide the adaptability of BRE into five grades. After the verifying analysis of 28 practical engineering examples, the evaluation results are broadly in line with practical application effects. Therefore, the adaptability of BRE can be evaluated and predicted more accurately with this evaluation model.
文摘The western margin of Yangtze block and southwestern Sanjiang region absorbed much attention from geologists. It has been proved that there occurred a series of plate subduction, collision, assembly, rifting and breakup processes between them since Palaeozoic and the tectonic evolutionary relationship between them is clear. But in Proterozoic this kind of links between them became unclear. Did they undergo the assembly and breakup processes of the Rodinia super continent? This paper will take a primary discussion on this question on the basis of basement component, structure characteristics and magmatic activities.1\ Basement features\;(1) In western margin of Yangtze block its basement is composed of crystalline basement and folded basement, a so\|called double\|layer structure. The crystalline basement is made up of Kangding group, Pudeng Formation and Dibadu Formation, among them Kangding group is a representative and composed mainly of migmatite, compositing gneiss, hornblende schist and granulitite. The isotopic age of crystalline basement is older than 1900Ma, so its geological time is late Archaean to early Proterozoic. The folded basement is composed of Dahongshan group, Hekou group, Kunyang group, Huili group and Yanbian group. Their rock associations are made up mainly of spilite\|keratophyre formation, carbonate formation, clastic rock and clastic rock formation with some basic volcanic rocks. The folded basement is assigned to be early and middle Proterozoic (1000～1700M a).
文摘Background: Propofol is often the drug of choice for ambulatory orthopedic cases. However, propofol can be associated with apnea or other events requiring airway interventions. Dexmedetomidine (Dex) has the unique pharmacologic profile of providing sedation without respiratory depression. This is particularly relevant in patients with morbid obesity and/or challenging airways. The hypotheses were: 1) Propofol would cause more apnea or require more airway manipulations than dexmedetomidine;2) Propofol would have shorter post anesthesia unit recovery times;and 3) Dexmedetomidine would be associated with more bradycardia and hypotension. Methods: After IRB approval, 50 patients were randomized to receive either propofol or Dex for Total Intravenous anesthesia (TIVA) after interscalene brachial plexus block was performed preoperatively under ultrasound guidance. The main end points that we measured where: airway interventions, intra-operative bradycardia, hypotension, and PACU length of stay. Results: There were more airway interventions in the propofol group compared to the Dex group. Additionally, the Dex group had significantly longer PACU stays. Conclusion: We would recommend that Dex should be preferentially considered for patients predisposed to airway obstruction;however, the standard use of Dex over Propofol needed to reconsider since the use of Dex as the agent for TIVA was associated with longer PACU stays.
基金Supported by the National Natural Science Foundation of China(51578366)Independent Innovation Fund of Tianjin University(2017XSC-0127)Science and Technology Plan Project of Ministry of Housing and Urban-rural Development in 2017(2017-k2-012)
文摘Due to unique geographical position and climatic characteristics,there are more economic,social,resource,environmental and other problems in urban construction of arid region. Old urban block of Kashgar and typical block of Masdar ecological city of Abu Dhabi are taken as the research objects. Based on summarizing the characteristics of traditional block and newly built ecological block in arid region,comparative analysis on their space forms and environmental designs is conducted,and the association mechanism between ecological adaptability and space form is generalized. From the aspects of block layout,block space,open space and architectural form,ecological design strategy of the block in arid region is proposed,which could provide the reference for development and construction of ecological city in arid region of China.
文摘Regional geochemical division is a mapping technique to divide an area into slices where the associations between geochemical elements are relatively simple and uniform. The result of division is expressed on a 2 D map. The scheme of regional geochemical division includes non supervised pattern recognition, elementary statistics and factor analysis. A practical example in a gold prospecting area in Jilin, China, and the corresponding explanation are presented. Regional geochemical division is a basic approach to the delineation of the geochemical blocks as well.
文摘Erector spinae plane block (ESPB) is a novel fascial plane block that was first described in 2016. It is considered an alternative for brachial plexus blocks in shoulder surgeries as the erector spinae muscle extends to the cervical level. Herein, we present a successful multilevel ESPB plus an interscalene block using liposomal bupivacaine in a 45-year-old female patient with metastatic sarcoma who presented for scapula and proximal humerus resection. The post-operative course was smooth, and the patient was discharged home on post-operative day 2 with minimal narcotic requirements.
文摘Introduction/Purpose: The “transverse abdominal plane block” or TAP block was described by Rafi in 2001. It describes an approach to the neurofascial plane of the transverse abdominal muscle via the Jean-Louis Petit triangle and provides analgesia of the entire homolateral hemi abdomen. The aim of our study was to compare post-operative analgesia and post-operative morphine requirements between transverse abdominal plane block (TAP) and peri-orificial infiltration during laparoscopic abdominal surgery. Material and method: Prospective, randomized study conducted over a 2-year period. The study was conducted in the operating theatre of the Saint Louis Regional Hospital in Senegal. All adult patients undergoing laparoscopic abdominal surgery were included. Clinical aspects, pain scales and morphine consumption were analyzed. Results: A total of 60 patients were enrolled: 30 patients in the TAP group and 30 patients in the infiltration group. The average age was 32.9 years. The indications for laparoscopy were acute appendicitis in 50% of cases, gallbladder stones in 16% and inguinal hernia in 8%. For the TAP group, the mean numerical pain scale was 3.9 at 6 hours post-operatively and 2.1 at 24 hours post-operatively. For the infiltration group, the mean numerical pain scale was 4.3 at 6 hours post-op and 3 at 24 hours post-op. Morphine consumption at 6 hours post-op was on average 0.4 mg/patient for the TAP group and 0.9 mg/patient for the infiltration group. Discussion/conclusion: Analgesia provided by ultrasound-guided TAP block for laparoscopic abdominal surgery appears to be identical to periorificial infiltration. However, the simplicity and reproducibility of ultrasound-guided TAP block gives it a definite advantage.
文摘随着快速康复外科(enhanced recovery after surgery,EARS)及舒适化医疗理念的发展,经皮椎间孔镜技术已成功应用于部分脊柱手术,其通过孔道式入路及内镜技术实现损伤最小化。为了避免术中医源性神经损伤,常采用区域阻滞联合静脉镇痛药作为其主要的麻醉方式以保留病人意识及神经易感性。围手术期良好的镇痛管理不仅是术者手术操作顺利进行的基础,更是加快病人功能锻炼及康复的关键。现已有多种区域阻滞方式联合可视化技术成功应用于经皮椎间孔镜下腰椎手术的围手术期镇痛。本文将依次介绍近年应用于椎间孔镜技术区域阻滞的方案及其优劣势,旨在使病人更舒适更安全的完成微创手术,缩短病人术后功能锻炼和康复时间,提高满意度及再手术意愿,实现快速康复理念。
