Purpose: To summarize and analyze the early treatment of multiple injuries combined with severe pelvic fractures, especially focus on the hemostasis methods for severe pelvic fractures, so as to improve the successful...Purpose: To summarize and analyze the early treatment of multiple injuries combined with severe pelvic fractures, especially focus on the hemostasis methods for severe pelvic fractures, so as to improve the successful rate of rescue for the fatal hemorrhagic shock caused by pelvic fractures. Methods: A retrospective analysis was conducted in 68 cases of multiple trauma combined with severe pelvic fractures in recent 10 years (from Jan. 2006 to Dec. 2015). There were 57 males and 11 females. Their age ranged from 19 to 75 years, averaging 42 years. Causes of injury included traffic accidents in 34 cases (2 cases of truck rolling), high falling injuries in 17 cases, crashing injuries in 15 cases, steel cable wound in 1 case, and seat belt traction injury in 1 case. There were 31 cases of head injury, 11 cases of chest injury, 56 cases of abdominal and pelvic injuries, and 37 cases of spinal and limb injuries. Therapeutic methods included early anti-shock measures, surgical hemostasis based on internal iliac artery devasculization for pelvic hemorrhage, and early treatment for combined organ damage and complications included embolization and repair of the liver, spleen and kidney, splenectomy, nephrectomy, intestinal resection, colostomy, bladder ostomy, and urethral repair, etc. Patients in this series received blood transfusion volume of 1200e10,000 mL, with an average volume of 2850 mL. Postoperative followup ranged from 6 months to 1.5 years. Results: The average score of ISS in this series was 38.6 points. 49 cases were successfully treated and the total survival rate was 72.1%. Totally 19 patients died (average ISS score 42.4), including 6 cases of hemorrhagic shock, 8 cases of brain injury, 1 case of cardiac injury, 2 cases of pulmonary infection, 1 case of pulmonary embolism, and 1 case of multiple organ failure. Postoperative complications included 1 case of urethral stricture (after secondary repair), 1 case of sexual dysfunction (combined with urethral rupture), 1 case of lower limb amputation (femoral ar展开更多
Infantile hepatic hemangiomas(IHHs)are common benign tumors seen in the liver of infants.IHHs are true infantile hemangiomas(IHs)and have phases of proliferation and involution parallel to those of cutaneous IHs.The d...Infantile hepatic hemangiomas(IHHs)are common benign tumors seen in the liver of infants.IHHs are true infantile hemangiomas(IHs)and have phases of proliferation and involution parallel to those of cutaneous IHs.The definition and classification of IHH are still confusing in the literature.The mechanisms during the pathogenesis of IHH have yet to be discovered.The clinical manifestations of IHH are heterogeneous.Although most IHH lesions are asymptomatic,some lesions can lead to severe complications,such as hypothyroidism,consumptive coagulopathy,and high-output congestive cardiac failure.Consequently,some patients can possibly encounter a fatal clinical condition.The heterogeneity of the lesions and the occurrence of disease-related comorbidities can make the treatment of IHH challenging.Oral propranolol is emerging as an effective systemic approach to IHH with obvious responses in tumor remission and symptom regression.However,the precise clinical characteristics and treatment strategies for patients with severe IHH have not yet beenwell established.Here,we summarize the epidemiology,pathogenicmechanism,clinical manifestations,diagnosis,and treatment of IHH.Recent updates and future perspectives for IHH will also be elaborated.展开更多
Consumptive hypothyroidism is often the clinical condition that results from neoplasms producing their own selenodionases that convert T4 needed to be converted to active T3 into an active form of thyroid hormone, rT3...Consumptive hypothyroidism is often the clinical condition that results from neoplasms producing their own selenodionases that convert T4 needed to be converted to active T3 into an active form of thyroid hormone, rT3. This often requires treatment with high doses of IV T4, with or without doses of T3 as well, until the neoplasm is treated. This principle is demonstrated in the below case of a 65 y/o female with medical history significant for Ia Kappa multiple myeloma, complete heart block s/p AICD placement, and papillary thyroid cancer status post thyroidectomy in 2020, who had initially presented <span>with persistent bone pain, progressive encephalopathy and failure to thrive</span> with more than a 50 lb weight loss over a few months. Labs on presentation <span>were not remarkable for progression of her underlying multiple myeloma</span>, however<span style="font-family:;" "="">,</span><span style="font-family:;" "=""> she was found to have a new significantly elevated TSH. She underwent imaging with a CT chest, abdomen, and pelvis, which showed new hepatic lesions, subcutaneous nodules, and new pulmonary nodules with associated lymphadenopathy and a left-sided pleural effusion. CT-guided liver biopsy evinced a metastatic neuroendocrine carcinoma, further supported by an elevated calcitonin and chromogranin. She was treated with high dose IV T4 at 1.38 mcg/kg however continued to worsening thyroid function labs. She was then started on Liothyronine at 20 mcg and subsequently improved. This <span>patient’s case illustrates the importance of considering consumptive hypo</span>thy<span>roidism when thyroid profile abnormalities and symptoms of severe hypo</span>thyroidism are seen in the context of malignant neoplasms, and further illu<span>strates the important of considering T3 as part of the treatment regimen</span> when IV T4 is not resulting in improvement.</span>展开更多
Digital services interfaced with mobile phone lines are gradually being regarded as a core product in this modern age due to the high transmission speed of mobile technology.The research in this paper is based on the ...Digital services interfaced with mobile phone lines are gradually being regarded as a core product in this modern age due to the high transmission speed of mobile technology.The research in this paper is based on the concept of product inter-dependence and actively explores the different consumptive motivations between the consumers' behavior of phone-call users and those who use digital services.This study also attempts to use a modifi ed diffusion model to estimate the consumers' collective behavior with a longitudinal approach.In this study,it can be inferred that psychological consumer motivations should dominate marketing policies.Thus,it was found that digital service users have more self-motivation and autonomy when adopting a new product because they have significantly higher innovative at-tributes than the segment of phone-call users.With these findings,we claim that we have discovered an unprec-edented concept for marketing managers who welcome the challenges of mobile digital services in the future.展开更多
The sensor system is one of the modern and important methods of irrigation management in arid and semi-arid areas, which is water as the limiting factor for crop production. The study was applied for 2016 and 2017 sea...The sensor system is one of the modern and important methods of irrigation management in arid and semi-arid areas, which is water as the limiting factor for crop production. The study was applied for 2016 and 2017 seasons out in Al-Yousifya, 15 km Southwest of Baghdad. A study was conducted to evaluate coefficient uniformity, uniformity distribution and application efficiency for furrow, surface drip and subsurface drip irrigation methods and it was (98, 97 and 89)% and (97, 96 and 88)% for 2016 and 2017 seasons;respectively. And control the volumetric moisture content according to the rhizosphere depth for depths of 10, 20 and 30 cm by means of the sensor system. The results indicated that the height consumptive water use of furrow 707.91 and 689.69 mm<span style="white-space:nowrap;">·</span>season<sup>-1</sup> and the lowest for subsurface drip with emitter deep at 20 cm 313.93 and 293.50 mm<span style="white-space:nowrap;">·</span>season<sup>-1</sup> for 2016 and 2017 seasons;respectively. As well, the highest value of water use efficiency for subsurface in drip irrigation at a depth of 20 cm, was 2.71 and 2.99 kg<span style="white-space:nowrap;">·</span>m<sup>-3</sup> and the lowest value for furrow irrigation was 1.12 and 1.20 kg<span style="white-space:nowrap;">·</span>m<sup>-3</sup> for the 2016 and 2017 seasons;respectively.展开更多
A 67-year-old female patient presented with weight loss, diarrhoea and thrombocytopaenia of unknown aetiology. A computerised tomography (CT) scan demonstrated a mass in the head of the pancreas with liver metastases....A 67-year-old female patient presented with weight loss, diarrhoea and thrombocytopaenia of unknown aetiology. A computerised tomography (CT) scan demonstrated a mass in the head of the pancreas with liver metastases. A liver biopsy demonstrated a well-differentiated neuroendocrine carcinoma. She was commenced on a somatostatin analogue. Three months later she presented with spontaneous bleeding. Blood test demonstrated results consistent with disseminated intravascular coagulation (DIC). A restaging CT scan showed evidence of disease progression. The DIC was felt to be due to the underlying progressive malignancy. Having considered the potential risks associated with cytotoxic therapy in the context of a consumptive coagulopathy, the patient was commenced on weekly Carboplatin. The patient’s blood counts improved rapidly, and her bruising and bleeding resolved. Following a few weeks of stable blood results and clinical stability, her cytotoxic treatment was changed to a combination of Carboplatin and Etoposide, and to date she remains well on treatment.展开更多
Ecological footprint theory and its application achievements in global and regional sustainable development systems are studied by consulting the published literature, which finds that the application of ecological fo...Ecological footprint theory and its application achievements in global and regional sustainable development systems are studied by consulting the published literature, which finds that the application of ecological footprint theory to regional sustainability evaluation has leaded to a perplexity that the indicated result was inconsistent with the philosophy of sustainable development theory. Illuminated by the mechanical system of the movement of matters, it comes up that ecological footprint based on consumption of biologic production could not tell whether the ecological pressure acts on the specified region, and the original ecological footprint theory also undervalued the development impartiality of a region. A modification on this theory is made by introducing consumptive ecological footprint and productive ecological footprint, in which the latter is taken as the indicator of regional sustainability. The development impartiality can be demonstrated by comparison between the global ecological deficit per capita and regional consumptive ecological deficit per capita.展开更多
Abstract: A new setup of measuring temperature is developed, which the probe is a micro- power consumptive one with CMOS circuit and is driven by optical power. For transmitting the measured signal and optical power s...Abstract: A new setup of measuring temperature is developed, which the probe is a micro- power consumptive one with CMOS circuit and is driven by optical power. For transmitting the measured signal and optical power signal in a long distance, the fiber technology is applied in this setup.展开更多
The current study was carried out at Agricultural College, University of Baghdad in the vegetable farm, Department of Horticulture during 2013 spring growing season. Yield response to irrigation of different crops is ...The current study was carried out at Agricultural College, University of Baghdad in the vegetable farm, Department of Horticulture during 2013 spring growing season. Yield response to irrigation of different crops is of major importance in production planning where water resources are limited. This study aims to determine the effect of different irrigation treatment （deficit irrigation） and potassium humate fertilizer on yield, content of nitrogen, potassium, and phosphor in tuber of potato and water use efficiency in the Abu-Graib Region, Iraq. Potato was grown under drip irrigation with three treatments： irrigation applied when evaporation 75%, 100% and 125% from pan A, and three potassium humate fertilizers： 0, 1.2 and 2.4 kg/ha with three times additions. The seasonal potato evapotranspiration ranged from 267 mm to 372 mm. The drip irrigation treatment had significant effecting tuber yield of potato recorder 29,530, 27,630 and 24,880 kg/ha for 125%, 100% and 75% from pan A evapotranspiration, respectively. Humus fertilizers addition has the lowest value of ETa 309 mm and maximum value of yield 2,930 kg/ha. Water use efficiency （WUE） and irrigation water use efficiency （IWUE） values increased with increasing humus fertilizers, recording 9.92, 14.52, 8.59, 12.42 and 7.51, 10.70 kg/m3 for potassium humate K3 （2.4 kg/ha）, K2 （1.2 kg/ha） and KI （0.0 kg/ha）, respectively. Plants irrigated with 125% from class pans A evaporation, produced a significant increase in N, P and K content in tubers recorder 0.96%, 0.58% and 1.52%, respectively. Potassium humus-fertilizer significant differences among K1, K2 and K3 on high of plants reached 41.52, 50.08 and 56.39 cm, respectively, number of stems/plant 2.69, 3.22 and 3.78, respectively, leaves area index recorder 2.80, 3.35 and 3.73.展开更多
文摘Purpose: To summarize and analyze the early treatment of multiple injuries combined with severe pelvic fractures, especially focus on the hemostasis methods for severe pelvic fractures, so as to improve the successful rate of rescue for the fatal hemorrhagic shock caused by pelvic fractures. Methods: A retrospective analysis was conducted in 68 cases of multiple trauma combined with severe pelvic fractures in recent 10 years (from Jan. 2006 to Dec. 2015). There were 57 males and 11 females. Their age ranged from 19 to 75 years, averaging 42 years. Causes of injury included traffic accidents in 34 cases (2 cases of truck rolling), high falling injuries in 17 cases, crashing injuries in 15 cases, steel cable wound in 1 case, and seat belt traction injury in 1 case. There were 31 cases of head injury, 11 cases of chest injury, 56 cases of abdominal and pelvic injuries, and 37 cases of spinal and limb injuries. Therapeutic methods included early anti-shock measures, surgical hemostasis based on internal iliac artery devasculization for pelvic hemorrhage, and early treatment for combined organ damage and complications included embolization and repair of the liver, spleen and kidney, splenectomy, nephrectomy, intestinal resection, colostomy, bladder ostomy, and urethral repair, etc. Patients in this series received blood transfusion volume of 1200e10,000 mL, with an average volume of 2850 mL. Postoperative followup ranged from 6 months to 1.5 years. Results: The average score of ISS in this series was 38.6 points. 49 cases were successfully treated and the total survival rate was 72.1%. Totally 19 patients died (average ISS score 42.4), including 6 cases of hemorrhagic shock, 8 cases of brain injury, 1 case of cardiac injury, 2 cases of pulmonary infection, 1 case of pulmonary embolism, and 1 case of multiple organ failure. Postoperative complications included 1 case of urethral stricture (after secondary repair), 1 case of sexual dysfunction (combined with urethral rupture), 1 case of lower limb amputation (femoral ar
基金This work was supported by the Project of‘0 to 1’of Sichuan University(grant No.2022SCUH0033)the 1·3·5 Project for Disciplines of Excellence Clinical Research Incubation Project,West China Hospital of Sichuan University(grant Nos.2019HXFH056,2020HXFH048,and ZYJC21060).
文摘Infantile hepatic hemangiomas(IHHs)are common benign tumors seen in the liver of infants.IHHs are true infantile hemangiomas(IHs)and have phases of proliferation and involution parallel to those of cutaneous IHs.The definition and classification of IHH are still confusing in the literature.The mechanisms during the pathogenesis of IHH have yet to be discovered.The clinical manifestations of IHH are heterogeneous.Although most IHH lesions are asymptomatic,some lesions can lead to severe complications,such as hypothyroidism,consumptive coagulopathy,and high-output congestive cardiac failure.Consequently,some patients can possibly encounter a fatal clinical condition.The heterogeneity of the lesions and the occurrence of disease-related comorbidities can make the treatment of IHH challenging.Oral propranolol is emerging as an effective systemic approach to IHH with obvious responses in tumor remission and symptom regression.However,the precise clinical characteristics and treatment strategies for patients with severe IHH have not yet beenwell established.Here,we summarize the epidemiology,pathogenicmechanism,clinical manifestations,diagnosis,and treatment of IHH.Recent updates and future perspectives for IHH will also be elaborated.
文摘Consumptive hypothyroidism is often the clinical condition that results from neoplasms producing their own selenodionases that convert T4 needed to be converted to active T3 into an active form of thyroid hormone, rT3. This often requires treatment with high doses of IV T4, with or without doses of T3 as well, until the neoplasm is treated. This principle is demonstrated in the below case of a 65 y/o female with medical history significant for Ia Kappa multiple myeloma, complete heart block s/p AICD placement, and papillary thyroid cancer status post thyroidectomy in 2020, who had initially presented <span>with persistent bone pain, progressive encephalopathy and failure to thrive</span> with more than a 50 lb weight loss over a few months. Labs on presentation <span>were not remarkable for progression of her underlying multiple myeloma</span>, however<span style="font-family:;" "="">,</span><span style="font-family:;" "=""> she was found to have a new significantly elevated TSH. She underwent imaging with a CT chest, abdomen, and pelvis, which showed new hepatic lesions, subcutaneous nodules, and new pulmonary nodules with associated lymphadenopathy and a left-sided pleural effusion. CT-guided liver biopsy evinced a metastatic neuroendocrine carcinoma, further supported by an elevated calcitonin and chromogranin. She was treated with high dose IV T4 at 1.38 mcg/kg however continued to worsening thyroid function labs. She was then started on Liothyronine at 20 mcg and subsequently improved. This <span>patient’s case illustrates the importance of considering consumptive hypo</span>thy<span>roidism when thyroid profile abnormalities and symptoms of severe hypo</span>thyroidism are seen in the context of malignant neoplasms, and further illu<span>strates the important of considering T3 as part of the treatment regimen</span> when IV T4 is not resulting in improvement.</span>
文摘Digital services interfaced with mobile phone lines are gradually being regarded as a core product in this modern age due to the high transmission speed of mobile technology.The research in this paper is based on the concept of product inter-dependence and actively explores the different consumptive motivations between the consumers' behavior of phone-call users and those who use digital services.This study also attempts to use a modifi ed diffusion model to estimate the consumers' collective behavior with a longitudinal approach.In this study,it can be inferred that psychological consumer motivations should dominate marketing policies.Thus,it was found that digital service users have more self-motivation and autonomy when adopting a new product because they have significantly higher innovative at-tributes than the segment of phone-call users.With these findings,we claim that we have discovered an unprec-edented concept for marketing managers who welcome the challenges of mobile digital services in the future.
文摘The sensor system is one of the modern and important methods of irrigation management in arid and semi-arid areas, which is water as the limiting factor for crop production. The study was applied for 2016 and 2017 seasons out in Al-Yousifya, 15 km Southwest of Baghdad. A study was conducted to evaluate coefficient uniformity, uniformity distribution and application efficiency for furrow, surface drip and subsurface drip irrigation methods and it was (98, 97 and 89)% and (97, 96 and 88)% for 2016 and 2017 seasons;respectively. And control the volumetric moisture content according to the rhizosphere depth for depths of 10, 20 and 30 cm by means of the sensor system. The results indicated that the height consumptive water use of furrow 707.91 and 689.69 mm<span style="white-space:nowrap;">·</span>season<sup>-1</sup> and the lowest for subsurface drip with emitter deep at 20 cm 313.93 and 293.50 mm<span style="white-space:nowrap;">·</span>season<sup>-1</sup> for 2016 and 2017 seasons;respectively. As well, the highest value of water use efficiency for subsurface in drip irrigation at a depth of 20 cm, was 2.71 and 2.99 kg<span style="white-space:nowrap;">·</span>m<sup>-3</sup> and the lowest value for furrow irrigation was 1.12 and 1.20 kg<span style="white-space:nowrap;">·</span>m<sup>-3</sup> for the 2016 and 2017 seasons;respectively.
文摘A 67-year-old female patient presented with weight loss, diarrhoea and thrombocytopaenia of unknown aetiology. A computerised tomography (CT) scan demonstrated a mass in the head of the pancreas with liver metastases. A liver biopsy demonstrated a well-differentiated neuroendocrine carcinoma. She was commenced on a somatostatin analogue. Three months later she presented with spontaneous bleeding. Blood test demonstrated results consistent with disseminated intravascular coagulation (DIC). A restaging CT scan showed evidence of disease progression. The DIC was felt to be due to the underlying progressive malignancy. Having considered the potential risks associated with cytotoxic therapy in the context of a consumptive coagulopathy, the patient was commenced on weekly Carboplatin. The patient’s blood counts improved rapidly, and her bruising and bleeding resolved. Following a few weeks of stable blood results and clinical stability, her cytotoxic treatment was changed to a combination of Carboplatin and Etoposide, and to date she remains well on treatment.
文摘Ecological footprint theory and its application achievements in global and regional sustainable development systems are studied by consulting the published literature, which finds that the application of ecological footprint theory to regional sustainability evaluation has leaded to a perplexity that the indicated result was inconsistent with the philosophy of sustainable development theory. Illuminated by the mechanical system of the movement of matters, it comes up that ecological footprint based on consumption of biologic production could not tell whether the ecological pressure acts on the specified region, and the original ecological footprint theory also undervalued the development impartiality of a region. A modification on this theory is made by introducing consumptive ecological footprint and productive ecological footprint, in which the latter is taken as the indicator of regional sustainability. The development impartiality can be demonstrated by comparison between the global ecological deficit per capita and regional consumptive ecological deficit per capita.
文摘Abstract: A new setup of measuring temperature is developed, which the probe is a micro- power consumptive one with CMOS circuit and is driven by optical power. For transmitting the measured signal and optical power signal in a long distance, the fiber technology is applied in this setup.
文摘The current study was carried out at Agricultural College, University of Baghdad in the vegetable farm, Department of Horticulture during 2013 spring growing season. Yield response to irrigation of different crops is of major importance in production planning where water resources are limited. This study aims to determine the effect of different irrigation treatment （deficit irrigation） and potassium humate fertilizer on yield, content of nitrogen, potassium, and phosphor in tuber of potato and water use efficiency in the Abu-Graib Region, Iraq. Potato was grown under drip irrigation with three treatments： irrigation applied when evaporation 75%, 100% and 125% from pan A, and three potassium humate fertilizers： 0, 1.2 and 2.4 kg/ha with three times additions. The seasonal potato evapotranspiration ranged from 267 mm to 372 mm. The drip irrigation treatment had significant effecting tuber yield of potato recorder 29,530, 27,630 and 24,880 kg/ha for 125%, 100% and 75% from pan A evapotranspiration, respectively. Humus fertilizers addition has the lowest value of ETa 309 mm and maximum value of yield 2,930 kg/ha. Water use efficiency （WUE） and irrigation water use efficiency （IWUE） values increased with increasing humus fertilizers, recording 9.92, 14.52, 8.59, 12.42 and 7.51, 10.70 kg/m3 for potassium humate K3 （2.4 kg/ha）, K2 （1.2 kg/ha） and KI （0.0 kg/ha）, respectively. Plants irrigated with 125% from class pans A evaporation, produced a significant increase in N, P and K content in tubers recorder 0.96%, 0.58% and 1.52%, respectively. Potassium humus-fertilizer significant differences among K1, K2 and K3 on high of plants reached 41.52, 50.08 and 56.39 cm, respectively, number of stems/plant 2.69, 3.22 and 3.78, respectively, leaves area index recorder 2.80, 3.35 and 3.73.
