BACKGROUND Awake fiberoptic nasotracheal intubation(AFNI)is the preferred airway ma-nagement strategy for patients with difficult airways.However,this procedure can cause significant physical and psychological distres...BACKGROUND Awake fiberoptic nasotracheal intubation(AFNI)is the preferred airway ma-nagement strategy for patients with difficult airways.However,this procedure can cause significant physical and psychological distress.This case report explores the application of a sphenopalatine ganglion(SPG)block as an alternative anal-gesic modality to mitigate the discomfort associated with AFNI.CASE SUMMARY A 63-year-old female with a history of right maxillary osteosarcoma underwent craniotomy for a suspected malignant brain lesion.The patient’s medical history included prior surgery,chemotherapy,and radiation therapy,resulting in signi-ficant jaw impairment and limited neck mobility.Considering the anticipated air-way challenges,AFNI was planned.A SPG block was performed under real-time ultrasound guidance,providing effective analgesia during nasotracheal intuba-tion.CONCLUSION The SPG block represents a promising analgesic approach in AFNI,offering po-tential benefits in alleviating pain involving the nasal and nasopharyngeal regions as well as improving patient cooperation.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
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
Objective The Huashan group（composed of the lower Hongshansi Formation and the upper Liufangzui Formation）is an important Neoproterozoic stratigraphic unit along the northern margin of the Yangtze Block.Previous doc...Objective The Huashan group（composed of the lower Hongshansi Formation and the upper Liufangzui Formation）is an important Neoproterozoic stratigraphic unit along the northern margin of the Yangtze Block.Previous documents have focused on the geochronological and geochemical aspects of the Neoproterozoic sedimentary basin in the Dahongshan region.However.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
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
BACKGROUND Regional anesthesia is a promising method in patients with post coronavirus disease 2019(COVID-19)pulmonary sequelae for preserving pulmonary function and preventing postoperative pulmonary complications,co...BACKGROUND Regional anesthesia is a promising method in patients with post coronavirus disease 2019(COVID-19)pulmonary sequelae for preserving pulmonary function and preventing postoperative pulmonary complications,compared with general anesthesia.CASE SUMMARY We provided surgical anesthesia and analgesia suitable for breast surgery by performing pectoral nerve block type II(PECS-II),parasternal,and intercostobrachial nerve blocks with intravenous dexmedetomidine administration in a 61-year-old female patient with severe pulmonary sequelae after COVID-19infection.CONCLUSION Sufficient analgesia for 7 h was provided via PECS-II,parasternal,and intercostobrachial blocks perioperatively.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
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
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
文摘BACKGROUND Awake fiberoptic nasotracheal intubation(AFNI)is the preferred airway ma-nagement strategy for patients with difficult airways.However,this procedure can cause significant physical and psychological distress.This case report explores the application of a sphenopalatine ganglion(SPG)block as an alternative anal-gesic modality to mitigate the discomfort associated with AFNI.CASE SUMMARY A 63-year-old female with a history of right maxillary osteosarcoma underwent craniotomy for a suspected malignant brain lesion.The patient’s medical history included prior surgery,chemotherapy,and radiation therapy,resulting in signi-ficant jaw impairment and limited neck mobility.Considering the anticipated air-way challenges,AFNI was planned.A SPG block was performed under real-time ultrasound guidance,providing effective analgesia during nasotracheal intuba-tion.CONCLUSION The SPG block represents a promising analgesic approach in AFNI,offering po-tential benefits in alleviating pain involving the nasal and nasopharyngeal regions as well as improving patient cooperation.
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).
基金financially supported by the National Natural Science Foundation of China(grant No. 41402103,41502114 and 41372124)
文摘Objective The Huashan group（composed of the lower Hongshansi Formation and the upper Liufangzui Formation）is an important Neoproterozoic stratigraphic unit along the northern margin of the Yangtze Block.Previous documents have focused on the geochronological and geochemical aspects of the Neoproterozoic sedimentary basin in the Dahongshan region.However.
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BACKGROUND Regional anesthesia is a promising method in patients with post coronavirus disease 2019(COVID-19)pulmonary sequelae for preserving pulmonary function and preventing postoperative pulmonary complications,compared with general anesthesia.CASE SUMMARY We provided surgical anesthesia and analgesia suitable for breast surgery by performing pectoral nerve block type II(PECS-II),parasternal,and intercostobrachial nerve blocks with intravenous dexmedetomidine administration in a 61-year-old female patient with severe pulmonary sequelae after COVID-19infection.CONCLUSION Sufficient analgesia for 7 h was provided via PECS-II,parasternal,and intercostobrachial blocks perioperatively.
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.
