目的探究匹多莫德口服液联合蒲地兰消炎口服液治疗儿童手足口病的临床疗效。方法选取2014年5月—2016年5月在首都医科大学附属北京同仁医院治疗的手足口病儿童患者84例,随机分为对照组和治疗组,每组各42例。对照组患儿口服蒲地兰消炎口...目的探究匹多莫德口服液联合蒲地兰消炎口服液治疗儿童手足口病的临床疗效。方法选取2014年5月—2016年5月在首都医科大学附属北京同仁医院治疗的手足口病儿童患者84例,随机分为对照组和治疗组,每组各42例。对照组患儿口服蒲地兰消炎口服液,1岁以下5 m L/次,1~3岁6.7 m L/次,3岁以上10 m L/次,3次/d。治疗组患儿在对照组的基础上口服匹多莫德口服液,400 mg/次,2次/d。两组患儿均连续治疗6 d。比较两组患儿临床疗效、总病程时间、体征平均消失时间及治疗前后血常规和血清C反应蛋白(CRP)变化。结果治疗后,对照组和治疗组的总有效率分别为88.10%、97.62%,两组总有效率比较差异有统计学意义(P<0.05)。治疗后,治疗组患者的总病程时间和各种病症消失时间均显著短于对照组,两组比较差异具有统计学意义(P<0.05)。治疗后,两组患者白细胞(WBC)、中性粒细胞(GRAN)、肌酸激酶(CK)和CRP水平均显著接近正常值,同组比较差异具有统计学意义(P<0.05);且治疗后治疗组患者血常规和血清CRP改善程度优于对照组,两组比较差异具有统计学意义(P<0.05)。结论匹多莫德口服液联合蒲地兰消炎口服液对儿童手足口病具有更高的有效率和改善效果,具有一定的临床推广应用价值。展开更多
The variation in temperature on the island of Gran Canaria is studied using the method applied to the nearby island of Tenerife [1]. An upward warming trend of 0.09°C ± 0.05°C (α = 0.01) was seen from ...The variation in temperature on the island of Gran Canaria is studied using the method applied to the nearby island of Tenerife [1]. An upward warming trend of 0.09°C ± 0.05°C (α = 0.01) was seen from 1946 to date, which has accelerated since the seventies to 0.17°C ± 0.10°C (α = 0.01). The increase was higher at night (0.11°C ± 0.05°C) than by day (0.08°C ± 0.06°C), so the temperature range decreased slightly. These values are similar to those of Tenerife and the time series of anomalies for the two islands are highly correlated. On the coast the same relationship to the sea surface temperature was found as in Tenerife, but in the mid-altitude areas to windward, some differences were detected that are hypothetically attributable to the different relief of the two islands.展开更多
We report an extremely rare case of adult intussusception caused by anisakiasis. A 41-year-old man was admitted into our hospital for right lower abdominal colicky pain. Ultrasonography and computed tomography reveale...We report an extremely rare case of adult intussusception caused by anisakiasis. A 41-year-old man was admitted into our hospital for right lower abdominal colicky pain. Ultrasonography and computed tomography revealed the presence of intussusception. As pneumodynamic resolution by colonoscopy failed, surgery was performed. The anisakis body was found in the submucosal layer of the resection specimen. The patient was discharged 9 d after the operation. Anisakiasis may cause intussusception in any country where sushi or sashimi now exists as a popular food. If suspicious, detailed clinical interview as to food intake prior to symptom development is crucial.展开更多
日前,在西班牙巴塞罗那举行的“Gran Turismo世界系列赛”总决赛上,捷尼赛思发布了X Gran Berlinetta Vision Gran Turismo概念车。作为Polyphony Digital工作室的Vision Gran Turismo(以下简称“VGT”)系列之一,这款概念车将于2024年1...日前,在西班牙巴塞罗那举行的“Gran Turismo世界系列赛”总决赛上,捷尼赛思发布了X Gran Berlinetta Vision Gran Turismo概念车。作为Polyphony Digital工作室的Vision Gran Turismo(以下简称“VGT”)系列之一,这款概念车将于2024年1月在《GT赛车7》游戏中上线。展开更多
Quantitative assessment of organic carbon(OC)stocks in different habitats is crucial in ecology.Understanding the drivers affecting OC stocks across distinct carbon pools is essential for comprehending current pattern...Quantitative assessment of organic carbon(OC)stocks in different habitats is crucial in ecology.Understanding the drivers affecting OC stocks across distinct carbon pools is essential for comprehending current patterns and predicting future changes.Alpine ecosystems,important for atmospheric CO_(2)regulation and highly vulnerable to climate change,are priority study areas.This research aims to estimate OC stocks in different pools(soil,organic horizons,and aboveground vegetation)and identify factors influencing these stocks in an alpine environment.We sampled 146 sites representing six forest types and two grassland types in the Gran Paradiso National Park(northern Italian Alps).Field samples of soils,organic horizons,and data on aboveground trees were collected to assess OC stocks,along with environmental variables.Our findings reveal nuanced variations in OC stocks across different ecosystem components.In grasslands,average soil OC was 5.57 kg m^(-2),while in forests it was 4.11 kg m^(-2).Organic horizons contained an average of 0.70 kg m^(-2),and aboveground vegetation in forests stored 6.61 kg m^(-2).Linear Mixed Models indicate that soil OC is influenced by habitat type,soil type,and elevation.OC in organic horizons is affected by aspect and forest habitat type,with composting further influenced by elevation.These results contribute to OC stock inventories for alpine ecosystems and enhance our understanding of how environmental factors influence carbon storage.Importantly,they underscore the need to consider soil type and other factors beyond land use when modeling OC stocks.This insight has implications for designing effective territorial strategies to address climate change,emphasizing the importance of a multifaceted approach to carbon stock assessment and management in alpine regions.展开更多
The use of rodenticides in Gaza in the past years becomes easy due to rodent outbreak. The municipalities allow the use of rodenticides without quality control or technical supports. This situation leads to an easy pu...The use of rodenticides in Gaza in the past years becomes easy due to rodent outbreak. The municipalities allow the use of rodenticides without quality control or technical supports. This situation leads to an easy purchasing of zinc phosphide or its analog. This resulted in acute poising among adults and children. Herein we reported an accidental zinc phosphide poisoning to an adult man and discussed the associated medical complications with this case. Gastric lavage followed by atropine and vitamin K gavage on the 1st day of poisoning (hospital admission) resulted in a slight improvement of the case. Clinical symptoms included severe abdominal colic without losing conscious. Complete blood count (CBC) showed elevated levels of white blood cells (WBCs) and granulocytes (GRAN) levels indicating medical complication of the case. Biochemical analysis showed elevated levels of liver and cardiac biomarkers indicating potential liver and heart injuries. Continuous gavage of vitamin K, resulted in a gradual improvement of the case. On the 4th day of medical period, abdominal colic disappeared and CBC parameters became near the reference range. Consequently, the patient was set free from the hospital.展开更多
The main results of a study of pollen representation in surface soils from different plant communities in the upland savannas of Guayana were presented. The representation of savanna herb pollen mainly belonging to th...The main results of a study of pollen representation in surface soils from different plant communities in the upland savannas of Guayana were presented. The representation of savanna herb pollen mainly belonging to the Poaceae and Cyperaceae was high in open communities such as fernlands, grasslands and Mauritia palm swamps, but decreased as vegetation structure became more closed and woody;from savanna-forest borders to secondary forests and lastly, evergreen montane forests;mimicking the gradient of vegetation openness observed in living plant communities. Thus, the proportion of savanna herb pollen in herbaceous communities: swamps, fernlands and grasslands, reached over 80% and arboreal pollen contributed less than 10%. This ratio changed in savanna-forest borders where savanna herb pollen decreased to 60% or less and the proportion of arboreal pollen rose to 30% or higher. Lastly, in forest soils, pollen abundances from trees (Dimorphandra, Protium, Schefflera), shrubs (Miconia and other Melastomataceae) and lianas contributed higher than 60% of the pollen sum, even in open gallery forests and fallows. The lack of pollen from cassava, the main crop in the forests of the region, at these sites was remarkable. The ordination of sediment samples from 4 records from the Late Holocene with respect to the soil surface samples studied, showed that the characterization of pollen rain was useful for identifying long-term compositional and structural changes in the sedimentary records, thus providing objective indicators for the interpretation of past vegetation structure.展开更多
文摘目的探究匹多莫德口服液联合蒲地兰消炎口服液治疗儿童手足口病的临床疗效。方法选取2014年5月—2016年5月在首都医科大学附属北京同仁医院治疗的手足口病儿童患者84例,随机分为对照组和治疗组,每组各42例。对照组患儿口服蒲地兰消炎口服液,1岁以下5 m L/次,1~3岁6.7 m L/次,3岁以上10 m L/次,3次/d。治疗组患儿在对照组的基础上口服匹多莫德口服液,400 mg/次,2次/d。两组患儿均连续治疗6 d。比较两组患儿临床疗效、总病程时间、体征平均消失时间及治疗前后血常规和血清C反应蛋白(CRP)变化。结果治疗后,对照组和治疗组的总有效率分别为88.10%、97.62%,两组总有效率比较差异有统计学意义(P<0.05)。治疗后,治疗组患者的总病程时间和各种病症消失时间均显著短于对照组,两组比较差异具有统计学意义(P<0.05)。治疗后,两组患者白细胞(WBC)、中性粒细胞(GRAN)、肌酸激酶(CK)和CRP水平均显著接近正常值,同组比较差异具有统计学意义(P<0.05);且治疗后治疗组患者血常规和血清CRP改善程度优于对照组,两组比较差异具有统计学意义(P<0.05)。结论匹多莫德口服液联合蒲地兰消炎口服液对儿童手足口病具有更高的有效率和改善效果,具有一定的临床推广应用价值。
文摘The variation in temperature on the island of Gran Canaria is studied using the method applied to the nearby island of Tenerife [1]. An upward warming trend of 0.09°C ± 0.05°C (α = 0.01) was seen from 1946 to date, which has accelerated since the seventies to 0.17°C ± 0.10°C (α = 0.01). The increase was higher at night (0.11°C ± 0.05°C) than by day (0.08°C ± 0.06°C), so the temperature range decreased slightly. These values are similar to those of Tenerife and the time series of anomalies for the two islands are highly correlated. On the coast the same relationship to the sea surface temperature was found as in Tenerife, but in the mid-altitude areas to windward, some differences were detected that are hypothetically attributable to the different relief of the two islands.
文摘We report an extremely rare case of adult intussusception caused by anisakiasis. A 41-year-old man was admitted into our hospital for right lower abdominal colicky pain. Ultrasonography and computed tomography revealed the presence of intussusception. As pneumodynamic resolution by colonoscopy failed, surgery was performed. The anisakis body was found in the submucosal layer of the resection specimen. The patient was discharged 9 d after the operation. Anisakiasis may cause intussusception in any country where sushi or sashimi now exists as a popular food. If suspicious, detailed clinical interview as to food intake prior to symptom development is crucial.
文摘日前,在西班牙巴塞罗那举行的“Gran Turismo世界系列赛”总决赛上,捷尼赛思发布了X Gran Berlinetta Vision Gran Turismo概念车。作为Polyphony Digital工作室的Vision Gran Turismo(以下简称“VGT”)系列之一,这款概念车将于2024年1月在《GT赛车7》游戏中上线。
文摘Quantitative assessment of organic carbon(OC)stocks in different habitats is crucial in ecology.Understanding the drivers affecting OC stocks across distinct carbon pools is essential for comprehending current patterns and predicting future changes.Alpine ecosystems,important for atmospheric CO_(2)regulation and highly vulnerable to climate change,are priority study areas.This research aims to estimate OC stocks in different pools(soil,organic horizons,and aboveground vegetation)and identify factors influencing these stocks in an alpine environment.We sampled 146 sites representing six forest types and two grassland types in the Gran Paradiso National Park(northern Italian Alps).Field samples of soils,organic horizons,and data on aboveground trees were collected to assess OC stocks,along with environmental variables.Our findings reveal nuanced variations in OC stocks across different ecosystem components.In grasslands,average soil OC was 5.57 kg m^(-2),while in forests it was 4.11 kg m^(-2).Organic horizons contained an average of 0.70 kg m^(-2),and aboveground vegetation in forests stored 6.61 kg m^(-2).Linear Mixed Models indicate that soil OC is influenced by habitat type,soil type,and elevation.OC in organic horizons is affected by aspect and forest habitat type,with composting further influenced by elevation.These results contribute to OC stock inventories for alpine ecosystems and enhance our understanding of how environmental factors influence carbon storage.Importantly,they underscore the need to consider soil type and other factors beyond land use when modeling OC stocks.This insight has implications for designing effective territorial strategies to address climate change,emphasizing the importance of a multifaceted approach to carbon stock assessment and management in alpine regions.
文摘The use of rodenticides in Gaza in the past years becomes easy due to rodent outbreak. The municipalities allow the use of rodenticides without quality control or technical supports. This situation leads to an easy purchasing of zinc phosphide or its analog. This resulted in acute poising among adults and children. Herein we reported an accidental zinc phosphide poisoning to an adult man and discussed the associated medical complications with this case. Gastric lavage followed by atropine and vitamin K gavage on the 1st day of poisoning (hospital admission) resulted in a slight improvement of the case. Clinical symptoms included severe abdominal colic without losing conscious. Complete blood count (CBC) showed elevated levels of white blood cells (WBCs) and granulocytes (GRAN) levels indicating medical complication of the case. Biochemical analysis showed elevated levels of liver and cardiac biomarkers indicating potential liver and heart injuries. Continuous gavage of vitamin K, resulted in a gradual improvement of the case. On the 4th day of medical period, abdominal colic disappeared and CBC parameters became near the reference range. Consequently, the patient was set free from the hospital.
文摘The main results of a study of pollen representation in surface soils from different plant communities in the upland savannas of Guayana were presented. The representation of savanna herb pollen mainly belonging to the Poaceae and Cyperaceae was high in open communities such as fernlands, grasslands and Mauritia palm swamps, but decreased as vegetation structure became more closed and woody;from savanna-forest borders to secondary forests and lastly, evergreen montane forests;mimicking the gradient of vegetation openness observed in living plant communities. Thus, the proportion of savanna herb pollen in herbaceous communities: swamps, fernlands and grasslands, reached over 80% and arboreal pollen contributed less than 10%. This ratio changed in savanna-forest borders where savanna herb pollen decreased to 60% or less and the proportion of arboreal pollen rose to 30% or higher. Lastly, in forest soils, pollen abundances from trees (Dimorphandra, Protium, Schefflera), shrubs (Miconia and other Melastomataceae) and lianas contributed higher than 60% of the pollen sum, even in open gallery forests and fallows. The lack of pollen from cassava, the main crop in the forests of the region, at these sites was remarkable. The ordination of sediment samples from 4 records from the Late Holocene with respect to the soil surface samples studied, showed that the characterization of pollen rain was useful for identifying long-term compositional and structural changes in the sedimentary records, thus providing objective indicators for the interpretation of past vegetation structure.
