Foreign Body Larynx in ORL Department of University Hospital-Yalgado Ouedraogo

Introduction: Foreign bodies of the larynx are serious. They can be immediately life-threatening. The aim of this study was to report the epidemiological and clinical features that characterize this affection. Material and method: We retrospectively reviewed the clinical records of patients admitted to foreign bodies of the lower airways in the Otorhinolaryngology (ORL) department of the University Hospital-Yalgado Ouedraogo (UH-YO) from 2008 to 2012. Results: Seventeen (17) foreign body records were compiled on a group of 76 foreign bodies of the lower airways. The average age was 5 years. Patients ranged in age from 6 months to 35 years with a sex ratio of 1.4. The call signs were the penetration syndrome that was found in 4 cases (23.5%), laryngeal dyspnea was found in 8 cases (47.05%) with stage II to III and dysphonia 10 cases (58.8%). The extraction was done endoscopically in all patients, and a tracheostomy was made in 2 cases (11.7%). A death was noted in 1 case (5.9%). Conclusion: The laryngeal foreign bodies are common and maintain their classical gravity. It should be thought about in front of any dyspnea associated with dysphonia in children previously healthy. The prevention is the key weapon in our context.

A study on wildfire impacts on greenhouse gas emissions and regional air quality in South of Orléans,France

Wildfire events are increasing globally which may be partly associated with climate change,resulting in significant adverse impacts on local,regional air quality and global climate.In September 2020,a small wildfire(burned area:36.3 ha)event occurred in Souesmes(Loiret-Cher,Sologne,France),and its plume spread out over 200 km on the following day as observed by the MODIS satellite.Based on measurements at a suburban site(~50 km northwest of the fire location)in Orléans and backward trajectory analysis,young wildfire plumes were characterized.Significant increases in gaseous pollutants(CO,CH_(4),N_(2)O,VOCs,etc.)and particles(including black carbon)were found within the wildfire plumes,leading to a reduced air quality.Emission factors,defined as EF(X)=ΔX/ΔCO(where,X represents the target species),of various trace gases and black carbon within the young wildfire plumes were determined accordingly and compared with previous studies.Changes in the ambient ions(such as ammonium,sulfate,nitrate,chloride,and nitrite in the particle-and gasphase)and aerosol properties(e.g.,aerosol water content,aerosol p H)were also quantified and discussed.Moreover,we estimated the total carbon and climate-related species(e.g.,CO_(2),CH_(4),N_(2)O,and BC)emissions and compared them with fire emission inventories.Current biomass burning emission inventories have uncertainties in estimating small fire burned areas and emissions.For instance,we found that the Global Fire Assimilation System(GFAS)may underestimate emissions(e.g.,CO)of this small wildfire while other inventories(GFED and FINN)showed significant overestimation.Considering that it is the first time to record wildfire plumes in this region,related atmospheric implications are presented and discussed.

湘南铜山岭矽卡岩铜铅锌矿床矿物组合分带特征及温压条件研究

湘南铜山岭矽卡岩铜铅锌矿床产于铜山岭岩体北东缘隐伏接触带及其外围地层中,在成因上与铜山岭花岗闪长斑岩密切相关。铜山岭铜铅锌矿床具有独特的成矿分带,从岩体向外依次发育近端内矽卡岩、近端外矽卡岩、硫化物-石英脉和远端矽卡岩矿体。根据穿切关系、交代结构和矿物组合等地质特征可以把铜山岭铜铅锌矿床划分为4个矿化蚀变阶段,从早到晚依次为进变质矽卡岩、退变质矽卡岩、石英-硫化物和碳酸盐阶段,其中石英-硫化物阶段为主成矿阶段。闪锌矿成分压力计研究表明,近端内矽卡岩型团块状硫化物矿石中闪锌矿的形成压力为(3.1±1.0)×10^(8) Pa,对应的成矿深度为6~12 km,相当于中—上地壳水平,说明铜山岭铜铅锌矿床形成于较大深度。近端内矽卡岩、近端外矽卡岩和远端矽卡岩中都存在两阶段绿泥石。绿泥石成分温度计研究表明,3类矽卡岩中退变质矽卡岩阶段绿泥石的形成温度分别为345~388℃、296~376℃和296~338℃,代表各类矽卡岩形成温度的下限;石英-硫化物阶段绿泥石的形成温度分别为270~318℃、209~238℃和200~223℃,代表各类矽卡岩矿体的成矿温度。3类矽卡岩的绿泥石温度表现出逐步降低的趋势,指示近端内矽卡岩、近端外矽卡岩和远端矽卡岩矿体依次形成。

Numerical modeling and parametric sensitivity analysis of heat transfer and two-phase oil and water flow characteristics in horizontal and inclined flowlines using OpenFOAM

Estimating the oil-water temperatures in flowlines is challenging especially in deepwater and ultra-deepwater offshore applications where issues of flow assurance and dramatic heat transfer are likely to occur due to the temperature difference between the fluids and the surroundings. Heat transfer analysis is very important for the prediction and prevention of deposits in oil and water flowlines, which could impede the flow and give rise to huge financial losses. Therefore, a 3D mathematical model of oil-water Newtonian flow under non-isothermal conditions is established to explore the complex mechanisms of the two-phase oil-water transportation and heat transfer in different flowline inclinations. In this work, a non-isothermal two-phase flow model is first modified and then implemented in the InterFoam solver by introducing the energy equation using OpenFOAM® code. The Low Reynolds Number (LRN) k-ε turbulence model is utilized to resolve the turbulence phenomena within the oil and water mixtures. The flow patterns and the local heat transfer coefficients (HTC) for two-phase oil-water flow at different flowlines inclinations (0°, +4°, +7°) are validated by the experimental literature results and the relative errors are also compared. Global sensitivity analysis is then conducted to determine the effect of the different parameters on the performance of the produced two-phase hydrocarbon systems for effective subsea fluid transportation. Thereafter, HTC and flow patterns for oil-water flows at downward inclinations of 4°, and 7° can be predicted by the models. The velocity distribution, pressure gradient, liquid holdup, and temperature variation at the flowline cross-sections are simulated and analyzed in detail. Consequently, the numerical model can be generally applied to compute the global properties of the fluid and other operating parameters that are beneficial in the management of two-phase oil-water transportation.

Molecular Genotyping of Human Papillomavirus (HPV) in Hypopharyngeal Cancer

Background: In recent years, head and neck cancers have become common worldwide, ranking sixth in incidence. In 2007, in France the incidence increased by 14,697 including 11,158 among men, which places them in fourth place. The same year, 32,268 patients were hospitalized for this pathology, but 95% are associated with alcohol and tobacco poisoning. Few data exist on these cancers in Africa and Senegal. In recent years, many studies have hypothesized that about 25% of head and neck cancers are associated with high-risk oncogenic human papillomaviruses (HPV) whose role in cervical cancer was already widely established. Objective: To know the prevalence and genotypes of HPV in head and neck cancers, particularly hypopharyngeal cancer. Material and method: This study was carried out on samples of biopsies of hypopharynx cancerous tissue (ulcerative-budding lesion) and healthy oropharyngeal tissue obtained from the ENT department of the Fann hospital, then sent to the Molecular Biology Unit of the Ouakam military hospital (HMO). The nucleic acids extraction was carried out using the standard method of the Zymo research kit “Quick-DNATM Miniprep Plus kit” https://www.zymoresearch.com/. Molecular HPV detection and genotyping were performed by multiplex RT-PCR with the Seegene AnyplexTM II HPV28 kit Detection on a Biorad CFX96 automaton according to the manufacturer’s protocol for the simultaneous genotyping of 28 types of HPV including 19 at High Risk (HR) and 9 low risk (LR). Results: 156 patients were sampled, 61 Hypopharynx cancer biopsies and 95 healthy tissues. The median age of the general population was 36.5 years [12, 73];the median age of the population with hypopharyngeal cancer of 40 years. Of the general study population 24.36% (38/156) was infected with HPV. In populations with hypopharyngeal cancer, HPV prevalence was 19.67% (12/61), 17.84% (5/28) in men and 21.21% (7/33) in women. HPV6 was the most frequently encountered genotype in the cancer population. Multiple infections have also been noted in cancer patients: HPV6+HPV18, HPV6+HPV56. For patients without hypopharyngeal cancer, the HPV prevalence was 27.36% (26/95), 9.59% (7/73) in women and 89.36% (19/22) in men. Several types of HPV-HR genotypes (HPV18, HPV26, HPV69), and HPV-LR genotypes (HPV42, HPV43, HPV70, HPV6) have been detected in healthy patients but also cases of co-infections (HPV6+HPV69;HPV56+HPV44;HPV58+HPV18). Conclusion: Our results showed a higher prevalence of HPV in non-cancer patients compared to hypopharyngeal cancer patients. The genotypes (HPV 6, 18 and 56) were observed in the study population. Molecular genotyping does not show a significant involvement of HPV in hypopharyngeal cancer.

Bell’s Palsy Post COVID-19 Vaccination: A Retrospective Cross-Sectional Study in a Single Tertiary Center

Introduction: Bell’s palsy is an uncommon adverse effect of the COVID-19 vaccine that has been reported in clinical trials. Even though a few studies have linked the vaccination to Bell’s palsy, the actual mechanism is uncertain. Objectives: To describe the demographic data and COVID-19 vaccines-related data with Bell’s palsy in a tertiary centre of Malaysia, Hospital Kuala Lumpur. Methods: A retrospective cross-sectional study was observed among vaccinated recipients who developed Bell’s palsy within 60 days and sought treatment in the Otorhinolaryngology Department Hospital Kuala Lumpur, Malaysia between 1st May 2021 and 30th November 2021. The demographic data, clinical history, and vaccination history were collected from clinical records. The facial paralysis was graded according to the House-Brackmann grading system. Results: A total of 26 patients with a mean age was 38.5 years;higher incidence in younger age, below 60 years old (n = 24), specifically 18 - 30 years old (n = 11). We observed an equal number in relation to gender and onset (after the first or second dose) of facial palsy. Predominantly were Malay (n = 21) and only 6 patients had comorbidities. We found there was no difference in regard to the type of vaccine among Bell’s palsy patients;Pfizer (n = 9), followed by Sinovac (n = 9) and AstraZeneca (n = 8). Conclusion: Bell’s palsy was found to be a possible adverse event of the COVID-19 vaccine. Younger groups were noted as susceptible to this rare adverse effect. However, the benefits of vaccination outweigh the risk of Bell’s palsy, which has a good prognosis. More research with larger samples is needed to determine the true relationship between vaccination and Bell’s palsy.

Hearing Assessment among Sudanese Rheumatoid Arthritis Patients versus Non-Rheumatoid Arthritis Individuals

Background: Rheumatoid arthritis (RA) disease is one of the most common chronic autoimmune diseases that affect many body systems including the auditory system. Objectives: To assess hearing thresholds and to ascertain types of hearing loss among Sudanese rheumatoid arthritis patients attending rheumatology clinic in Omdurman military hospital and matching them with non-rheumatoid arthritis subjects. Methodology: This descriptive and analytic (comparative) hospital based cross sectional study conducted from October 2020 to April 2021 which include 66 RA patients with age range (21 - 60 years) matched with 41 non-rheumatoid arthritis group sharing same characteristics (nation, gender and age). Pure tone audiometry, tympanometry and acoustic reflexes were done for all RA patients and matched groups. Statistical analysis of the data was carried out using the association and correlation tests for associations and t-test for independent samples. Results: Thirty-six (54.5%) of RA patients had hearing impairment versus 9 (22%) non-RA in PTA test. Twenty-four RA cases (36.3%) showed asymmetrical hearing threshold and graph in PTA between right and left ears. Thirty-four (51.5%) right and 36 (54.5%) left ears were normal degree followed by 23 (34.8%) in the right and 24 (36.4%) in the left ears were mild degree hearing loss. Among hearing impaired RA patients;20 right ears (62.5%) and 19 left ears (65.5%) had sensorineural hearing loss (SNHL), conductive hearing loss 11 (34.4%) right ears and 9 (31%) left ears. Mixed HL was in 1 right ear (3.1%) and 1 left ear (3.5%). The most common degree of SNHL type was mild in (75%) and (78.9%) in right and left ears respectively, moderate and moderate severe were (20%) in the right and (15.7%) in the left ears. Fifty-eight right ears (87.9%) and 56 left ears (84.8%) had type A tympanogram while 7 (10.6%) right ears and 9 left ears (13.6%) were type As tympanogram, one right and one left ears had type Ad tympanogram. Acoustic reflex was impaired in 17 right ears and 17 left ears (25.8% for both). There were significant statistical differences in most of the specific frequency means between the study group and non-rheumatoid group in the right and left ears p-value 0.05). Also there was no significant statistical association between anti-rheumatic drugs used and hearing threshold of RA patients (p-value > 0.05). Conclusion: Hearing impairment especially sensorineural type is common in Sudanese rheumatoid arthritis patients. Conductive hearing loss is less common and most likely due to ossicles diarthrodial joint stiffness. No influence of the disease activity or used anti-rheumatic drugs on hearing threshold of the RA patients was detected in this study.

First Cases of Amygdaloid Cyst in Adults in Djibouti: Case Report of Two Patients

Amygdaloid cysts are rare cystic benign tumors due to congenital malformations resulting from an anomaly of embryonic development of the upper laterocervical region, originating from the second branchial cleft. They represent approximately 2% of all laterocervical tumors and 6% to 85% of anomalies of the second branchial cleft. This anomaly of the second branchial cleft is a frequent reason for consultation in the pediatric population but is relatively rare in adults. We report the cases of two patients aged 23 and 34 years with no particular pathological history. They were presenting a laterocervical swelling, one right and the other left, painless, evolving for two years for the first and for 10 years for the second, gradually increasing in volume without any other associated signs the diagnosis of which after radiological exploration (ultrasound and CT scan) was that of an amygdaloid cyst. A cervicotomy with anatomopathological examination of the surgical specimen confirmed the diagnosis of the amygdaloid cyst. The objective is to analyze the anatomo-clinical and therapeutic particularities of this pathology and to compare it with data from the literature.

Effect of a Thermal Spring Water on Carbohydrate-Protein Interactions in In-Vitro Models Implicating Normal Human Keratinocytes and Recombinant Lectins

Background: Sugar moiety of macromolecules is today very well known for its implications in many biological recognition mechanisms including cell-cell, extracellular matrix-cell and/or bacteria-cell interactions. In this context lectins, which are carbohydrate-binding proteins displaying a high affinity for sugar groups of other molecules, are of a great importance, notably in immune response involving bacteria, viruses and fungi. As protein-carbohydrate interactions are often mediated by ions such as calcium, zinc or magnesium, we were prompted to study the effect of a thermal spring water (which contains this type of component) on interactions existing between: 1) osidic receptors of human normal keratinocytes and 2) two lectins greatly implicated in the immune response mechanisms (i.e. the dectin-1 and the langerin), and their ligands. Materials and Methods: In a first series of experiments, we studied the effect of increasing concentrations of a thermal spring water on interactions existing between glycosylated molecules and the osidic receptors expressed at the normal human keratinocytes surface. In a second step, and in order to better understand the putative effect of our thermal spring water on the immune response, we analyzed its effect on the interactions existing between the dectin-1 (implicated in the recognition of bacteria, viruses and fungi) and the langerin (expressed by Langerhans cells, the immune cells of the cutaneous tissue), and their ligands in a model using recombinant human lectins and appropriate binding molecules. Results: We showed here that our thermal spring water was able to reinforce interactions between keratinocytes osidic receptors and some of their ligands, in a dose-related manner: From 8% to 55% of increase with 10% to 30% (v/v) of thermal spring water. In the second part of our studies, we also showed that our thermal spring water was able to modulate interactions between dectin-1 and langerin and their ligands through a biphasic effect: Interactions were enhanced by more than 40% and 20% respectively with 10% of thermal spring water, and return to their basal level or lower for higher concentrations. Conclusion: The tested thermal spring water, probably due to its ionic composition, could significantly affect interactions of osidic receptors with their ligands. This property could be of a great interest to help immune system to maintain an appropriate “vigilance state” by using the thermal water at up to a concentration of 10%, and by avoiding any runaway reaction in case of aggression, by using concentrations higher than 10%. .

Douglas-fi r(Pseudotsuga menziesii(Mirb.)Franco)in Europe:an overview of management practices

Douglas-fir(Pseudotsuga menziesii(Mirb.)Franco),one of the most commercially important tree species in western North America and one of the most valuable timber trees worldwide,was introduced to Europe in 1827.It became a major species for aff orestation in Western Europe after WWII,currently grows in 35 countries on over 0.83 million ha and is one of the most widespread nonnative tree species across the continent.A lower sensitivity to drought makes Douglas-fi r a potential alternative to the more drought-sensitive Norway spruce so its importance in Europe is expected to increase in the future.It is one of the fastest growing conifer species cultivated in Europe,with the largest reported dimensions of 2.3 m in diameter and 67.5 m in height.Pure stands have high productivity(up to 20 m 3 ha−1 a−1)and production(over 1000 m 3 ha−1).The species is generally regenerated by planting(initial stocking density from less than 1000 seedlings ha−1 to more than 4000 ha−1),using seedlings of European provenance derived from seed orchards or certifi ed seed stands.As the range of end-uses of its wood is very wide,the rotation period of Douglas-fi r is highly variable and ranges between 40 and 120 years.When the production of large-sized,knotfree timber is targeted,thinnings are always coupled with pruning up to 6 m.There is an increasing interest in growing Douglas-fi r in mixtures and managing stands through close-to-nature silviculture,but the species’intermediate shade tolerance means that it is best managed through group selection or shelterwood systems.

地塞米松不同给药方式治疗慢性分泌性中耳炎的疗效和安全性比较

目的:比较地塞米松不同给药方式治疗慢性分泌性中耳炎的疗效和安全性。方法:150例慢性分泌性中耳炎患者随机分为对照组(75例)和观察组(75例)。对照组患者于内镜下经鼓膜穿刺给予地塞米松磷酸钠注射液5 mg。观察组患者于内镜下经咽鼓管给予地塞米松磷酸钠注射液5 mg。两组均每2 d 1次,共治疗3次。观察两组患者的临床疗效,治疗前后1、2、4、8 k Hz频率骨导阈值、水通道蛋白1、水通道蛋白4水平,复发情况和鼓室积液发生情况,并记录不良反应发生情况。结果:观察组患者总有效率(93.33%)显著高于对照组(80.00%),复发率、鼓室积液发生率均显著低于对照组,差异均有统计学意义(P<0.05)。治疗前,两组患者各频率骨导阈值、水通道蛋白1、水通道蛋白4水平比较,差异均无统计学意义(P>0.05)。治疗后,两组患者各频率骨导阈值水平均显著低于同组治疗前,且观察组显著低于对照组;两组患者水通道蛋白1、水通道蛋白4水平均显著高于同组治疗前,且观察组显著高于对照组,差异均有统计学意义(P<0.05)。两组患者不良反应发生率比较,差异无统计学意义(P>0.05)。结论:内镜下经咽鼓管给予地塞米松治疗慢性分泌性中耳炎在疗效、减轻临床症状、改善各频率骨导阈值、上调水通道蛋白表达水平、降低复发和鼓室积液风险方面均显著优于经鼓膜穿刺给药,但两种给药方式的安全性相当。

胶东半岛中生代构造演化的几何学和运动学

据岩石的变质相及变形特征可把胶东半岛分为 5个地质单元 ,其构造几何关系由高至低为 :1 )板岩—砂岩单元 ;2 )高压片麻岩—石英岩单元 ;3)大理岩—角闪岩单元 ;4)超高压变质单元 ,它经历了超过 1 5 0km的深俯冲作用并快速折返至地表 ;5 )片理化的混合岩穹隆单元 ,其为超高压变质单元叠加了混合岩化作用。这些构造单元均经历了相同的变形 ,具有NW指向的剪切特征。对比大别山构造学的研究结果 ,这种变形特征代表了超高压变质地体在折返过程中的运动学表现。混合岩穹隆中所残余含柯石英榴辉岩表明了胶东半岛和苏鲁地区具有相同的构造演化过程 ,烟台—青岛—五莲断裂不是华南板块与华北板块间的缝合带。

内蒙古北部苏尼特左旗蓝片岩岩石学和年代学研究

在苏尼特左旗以南地区的中古生代造山带的混杂岩带内发现了以岩块形式出现的蓝片岩 ,其矿物组合为斜长石 +阳起石 +蓝闪石 +绿帘石 +榍石。蓝片岩化学成分说明由基性火山岩变质而成。矿物化学分析表明 ,蓝片岩中角闪石可分为钙质、钙钠质和钠质 3类。钙质闪石均为阳起石 ,钙钠质闪石为蓝透闪石和冻蓝闪石 ,钠质闪石为蓝闪石和青铝闪石及少量镁钠闪石。利用Na(M4 )和AlⅣ 的含量推测本区钙质、钙钠质和钠质 3类闪石的压力从 0 3～ 0 7Gpa ,表明蓝片岩相变质作用的压力约为 0 7GPa。用化学反应限定蓝片岩的形成温度为 2 0 0～ 3 75℃左右。4 0 Ar 3 9Ar同位素年代学测定蓝闪石的等时线年龄为 3 83± 1 3Ma(1δ)。这些结果进一步证实沿贺根山—苏尼特左旗南是一条中古生代的缝合线 ,其俯冲—碰撞的标志即为混杂岩带以及其中的蓝片岩。

铁盐水解法制备铁层柱蒙脱石及其结构特性研究

利用低角度X射线衍射、红外光谱、喇曼光谱及孔结构分析,研究了用铁盐水解法制备的铁层柱蒙脱石的结构与性质。所制得的铁层柱蒙脱石以介孔型层离结构为主,微孔型柱撑结构为辅。前者为蒙脱石片层与铁离子水解产生的聚合羟基铁簇合物堆垛而成的卡房状结构,与d值为6.4±1.0nm的X射线衍射宽峰相对应;微孔型柱撑结构则与d值约1.5nm的(001)衍射峰相对应。所合成的系列铁层柱蒙脱石中最大的比表面积和孔容分别为215.7m2/g和0.291mL/g。500℃热处理后,仍保存铁层柱蒙脱石的介孔结构。铁层柱蒙脱石富含阴离子(NO3-),并作为平衡铁水解聚合物正电荷的反离子而稳定存在,可为磷钨酸离子[PW12O40]3-所交换。铁层柱蒙脱石的新型结构和特殊性质在催化剂、载体与吸附剂等领域具新的应用前景。

重症监护新生儿的耳声发射测试

目的 用瞬态诱发性耳声发射 (transientevokedotoacousticemissions,TEOAEs)对重症监护新生病儿进行测试。方法 用英国Otodynamic公司生产的ILO 92耳声发射仪进行测试 ,刺激声为疏波短声 ,声刺激强度73- 86dBSpL ,脉冲宽度 80 μs,刺激方式为 3个正相波后紧接一个 3倍振幅的负相波的非线性模式。 结果 共有32 1个小儿进行测试 ,83.8%通过了第 1次测试 ,2 9个小儿通过第 2次TEOAEs检查 ,总共 92 .8%小儿通过测试。结论 TEOAEs是快速、简单、客观、无创 。

基于野外可见近红外光谱和水分影响校正算法的土壤剖面有机碳预测

土壤是陆地碳循环的中枢,充分发挥土壤固碳潜力有助于减缓全球气候变化。土壤有机碳(SOC)的高度分异性同时体现在空间和垂直分布上,但是许多前期研究往往只考虑了空间分异,而忽略了垂直分异。尤其在青藏高原这种高寒山区,土壤样品采集难度较大且费用昂贵。可见近红外(Vis-NIR)光谱作为传统土壤实验室化学分析的辅助手段,能够较为快速和精准地估测SOC含量。但是土壤水分等环境因素会掩盖或改变SOC的Vis-NIR光谱吸收特征进而削弱模型预测精度。外部参数正交化(EPO)和分段直接标准化(PDS)算法可以有效校正水分对光谱的影响,但其在野外新鲜土柱上的表现还不得而知。本研究旨在探索不同水分影响校正算法对野外剖面土壤光谱的校正能力,对采自中国青藏高原海拔2900~4500 m色季拉山的共26个1 m深土柱。沿深度以5 cm×5 cm为测量单元,从各单元中心采集共计386个野外原状湿样Vis-NIR光谱,并在实验室内测得相应386个研磨干样的Vis-NIR光谱以及SOC含量。经EPO和PDS算法校正土壤水分对光谱的影响后,通过随机森林建立土壤光谱和SOC含量的定量预测模型,并使用靴襻法评估不同校正处理下预测模型的不确定。土柱整体及垂直分布的精度结果表明,经PDS法转换的农田和草地土柱湿样光谱均表现出良好的水分校正效果,而EPO法仅对农田土柱有效。水分影响校正算法在不同土壤深度上也存在显著差异,EPO和PDS对农田和草地表层样本的水分校正均效果明显。两种校正方法的效果显示出地类和土层深度的依赖性。本研究为利用Vis-NIR光谱技术在高寒山区野外快速准确估算土壤碳含量的垂直分异提供了必要参考。

不同能量He离子注入单晶Si引起的损伤研究

40、160和1550keV能量的He离子在室温下注入单晶Si样品到相同的剂量5×1016ions/cm2,采用透射电子显微镜(TEM)研究了800℃退火1h在Si中引起的损伤形貌。结果表明,三种能量的He离子注入Si并经高温退火均能产生空腔,但空腔的形貌、尺寸以及分布深度都依赖于离子的能量。结合TRIM程序计算结果对空腔和其它缺陷产生对He离子能量的依赖性进行了讨论。

金嗓散结胶囊联合西医治疗反流性咽喉炎的临床研究

目的观察金嗓散结胶囊联合西医治疗反流性咽喉炎的临床疗效。方法将96例反流性咽喉炎患者按照随机数字表法分为2组,对照组48例予西医常规治疗,治疗组48例在对照组基础上联合金嗓散结胶囊治疗。2组均治疗8周后统计疗效,比较2组治疗前及治疗4、8周反流症状指数评分量表(RSI)评分及反流体征评分量表(RFS)评分变化情况,比较2组治疗前及治疗4、8周中医症状烧心反酸、喉中黏滞、咽喉黏液及声音嘶哑评分变化情况,比较2组治疗前及治疗4、8周食管黏膜镜下损伤分级变化情况,比较2组治疗前及治疗4、8周血清白细胞介素2(IL-2)、IL-6及肿瘤坏死因子α(TNF-α)水平变化情况,比较2组治疗期间不良反应发生情况。结果治疗组总有效率93.75%(45/48),不良反应发生率10.42%(5/48),对照组总有效率79.17%(38/48),不良反应发生率8.33%(4/48),治疗组总有效率高于对照组(P<0.05),但2组不良反应发生率比较差异无统计学意义(P>0.05)。2组治疗4、8周RSI评分及RFS评分与本组治疗前比较均明显降低(P<0.05),且治疗组治疗4、8周各项评分均低于对照组同期(P<0.05)。2组治疗4、8周烧心反酸、喉中黏滞、咽喉黏液及声音嘶哑评分与本组治疗前比较均明显降低(P<0.05),且治疗组治疗4、8周各项评分均低于对照组同期(P<0.05)。2组治疗4、8周食管黏膜镜下损伤分级与本组治疗前比较均明显减轻(P<0.05),且治疗组治疗4、8周损伤程度轻于对照组同期(P<0.05)。2组治疗4、8周IL-2水平与本组治疗前比较均明显升高(P<0.05),IL-6及TNF-α水平均明显降低(P<0.05),且治疗组治疗4、8周各指标改善优于对照组同期(P<0.05)。结论金嗓散结胶囊联合西医治疗反流性咽喉炎临床疗效确切,可明显改善患者的临床症状、体征,改善中医症状,促进食管黏膜修复,减轻炎性反应,无明显不良反应。