Aims We aim to construct a comprehensive global database of litter decomposition rate(k value)estimated by surface floor litterbags,and investigate the direct and indirect effects of impact factors such as geographic ...Aims We aim to construct a comprehensive global database of litter decomposition rate(k value)estimated by surface floor litterbags,and investigate the direct and indirect effects of impact factors such as geographic factors(latitude and altitude),climatic factors(mean annual tempePlrature,MAT;mean annual precipitation,MAP)and litter quality factors(the contents of N,P,K,Ca,Mg and C:N ratio,lignin:N ratio)on litter decomposition.Methods We compiled a large data set of litter decomposition rates(k values)from 110 research sites and conducted simple,multiple regression and path analyses to explore the relationship between the k values and impact factors at the global scale.Important findings The k values tended to decrease with latitude(LAT)and lignin content(LIGN)of litter but increased with temperature,precipitation and nutrient concentrations at the large spatial scale.Single factor such as climate,litter quality and geographic variable could not explain litter decomposition rates well.However,the combination of total nutrient(TN)elements and C:N accounted for 70.2%of the variation in the litter decomposition rates.The combination of LAT,MAT,C:N and TN accounted for 87.54%of the variation in the litter decomposition rates.These results indicate that litter quality is the most important direct regulator of litter decomposition at the global scale.This data synthesis revealed significant relationships between litter decomposition rates and the combination of climatic factor(MAT)and litter quality(C:N,TN).The global-scale empirical relationships developed here are useful for a better understanding and modeling of the effects of litter quality and climatic factors on litter decomposition rates.展开更多
Background:Gastric cancer mortality decreased substantially over the last decades in most countries worldwide.This study aimed to assess the most recent national trend of gastric cancer mortality and examine the dispa...Background:Gastric cancer mortality decreased substantially over the last decades in most countries worldwide.This study aimed to assess the most recent national trend of gastric cancer mortality and examine the disparity of gastric cancer mortality between rural and urban areas in China.Methods:The crude mortality data of gastric cancer by sex,age group,and area were obtained from China Health Statistical Yearbooks(2003-2015)covering 10%of Chinese population.The age-standardized rates of mortality(ASRM)of gastric cancer in rural and urban areas were estimated using the 2010 Chinese Census population stratified by age,sex,and area.The trend of mortality of gastric cancer was assessed by using Joinpoint analysis.Results:During the 13-year period,the ASRM was reduced from 31.5/100,000 in 2003 to 20.9/100,000 in 2015 in rural areas and from 18.9/100,000 in 2003 to 14.5/100,000 in 2015 in urban areas.In the male population,the annual percent changes of mortality were−2.2%in urban areas(95%confidence interval[CI]−3.8%to−0.6%;P<0.001)and−3.4%in rural areas(95%CI−5.1%to−1.8%;P<0.001).In the female population,the annual percent changes of mortality were−2.7%in urban areas(95%CI−4.2%to−1.2%;P<0.001)and−4.6%in rural areas(95%CI−5.5%to−3.7%;P<0.001).Conclusions:The declining trend of mortality of gastric cancer was presented from 2003 to 2015 in both rural and urban areas in China.The decrease in gastric cancer mortality is greater in rural areas than in urban areas in China.展开更多
Dynamic properties of rocks are important in a variety of rock mechanics and rock engineering problems. Due to the transient nature of the loading, dynamic tests of rock materials are very different from and much more...Dynamic properties of rocks are important in a variety of rock mechanics and rock engineering problems. Due to the transient nature of the loading, dynamic tests of rock materials are very different from and much more challenging than their static counterparts. Dynamic tests are usually conducted using the split Hopkinson bar or Kolsl^j bar systems, which include both split Hopkinson pressure bar （SHPB） and split Hopkinson tension bar （SHTB） systems. Significant progress has been made on the quantification of various rock dynamic properties, owing to the advances in the experimental techniques of SHPB system. This review aims to fully describe and critically assess the detailed procedures and principles of tech- niques for dynamic rock tests using split Hopkinson bars. The history and principles of SHPB are outlined, followed by the key loading techniques that are useful for dynamic rock tests with SHPB （i.e. pulse shaping, momentum-trap and multi-axial loading techniques）. Various measurement techniques for rock tests in SHPB （i.e. X-ray micro computed tomography （CT）, laser gap gauge （LGG）, digital image corre- lation （DIC）, Moir~ method, caustics method, photoelastic coating method, dynamic infrared thermog- raphy） are then discussed. As the main objective of the review, various dynamic measurement techniques for rocks using SHPB are described, including dynamic rock strength measurements （i.e. dynamic compression, tension, bending and shear tests）, dynamic fracture measurements （i.e. dynamic imitation and propagation fracture toughness, dynamic fracture energy and fracture velocity）, and dy- namic techniques for studying the influences of temperature and pore water.展开更多
AIM: To compare the therapeutic effect and significances of multimodality treatment for hepatocellular carcinoma (HCC) with tumor thrombi in portal vein (PVTT). METHODS: HCC patients (n=147) with tumor thrombi in the ...AIM: To compare the therapeutic effect and significances of multimodality treatment for hepatocellular carcinoma (HCC) with tumor thrombi in portal vein (PVTT). METHODS: HCC patients (n=147) with tumor thrombi in the main portal vein or the first branch of portal vein were divided into four groups by the several therapeutic methods. There were conservative treatment group in 18 out of patients (group A); and hepatic artery ligation(HAL) and/or hepatic artery infusion (HAI) group in 18 patients (group B), in whom postoperative chemoembolization was done periodically; group of removal of HCC with PVTT in 79 (group C) and group of transcatheter hepatic arterial chemoembolization (TACE) or HAI and/or portal vein infusion (PVI) after operation in 32 (group D). RESULTS: The median survival period was 12 months in our series and the 1-,3-, and 5-year survival rates were 44.3%, 24.5% and 15.2%, respectively. The median survival times were 2, 5, 12 and 16 months in group A, B, C and D, respectively. The 1-, 3- and 5-year survival rates were 5.6%, 0% and 0% in group A; 22.2%, 5.6% and 0% in group B; 53.9%, 26.9% and 16.6% in group C; 79.3%, 38.9% and 26.8% in group D, respectively. Significant difference appeared in the survival rates among the groups (P 【 0.05). CONCLUSION: Hepatic resection with removal of tumor thrombi and HCC should increase the curative effects and be encouraged for the prolongation of life span and quality of life for HCC patients with PVTT, whereas the best therapeutic method for HCC with PVTT is with regional hepatic chemotherapy or chemoembolization after hepatic resection with removal of tumor thrombi.展开更多
A linked-fault-element model is employed to invert for contemporary slip rates along major active faults in the Sichuan-Yunnan region (96°-108°E, 21°-35°N) using the least squares method. The model...A linked-fault-element model is employed to invert for contemporary slip rates along major active faults in the Sichuan-Yunnan region (96°-108°E, 21°-35°N) using the least squares method. The model is based on known fault geometry, and constrained by a GPS-derived horizontal velocity field. Our results support a model attributing the eastward extrusion of the Tibetan Plateau driven mainly by the north-northeastward indentation of the Indian plate into Tibet and the gravitational collapse of the plateau. Resisted by a relatively stable south China block, materials of the Sichuan-Yunnan region rotate clockwise around the eastern Himalayan tectonic syntaxis. During the process the Garzê-Yushu, Xianshuihe, Anninghe, Zemuhe, Daliangshan, and Xiaojiang faults, the southwest extension of the Xiaojiang fault, and the Daluo-Jinghong and Mae Chan faults constitute the northeast and east boundaries of the eastward extrusion, with their left slip rates being 0.3-14.7, 8.9-17.1, 5.1 ± 2.5, 2.8 ± 2.3, 7.1 ± 2.1, 9.4 ± 1.2, 10.1 ± 2.0, 7.3 ± 2.6, and 4.9 ± 3.0 mm/a respectively. The southwestern boundary consists of a widely distributed dextral transpressional zone other than a single fault. Right slip rates of 4.2 ± 1.3, 4.3 ± 1.1, and 8.5 ± 1.7 mm/a are detected across the Nanhua-Chuxiong-Jianshui, Wuliangshan, and Longling-Lancang faults. Crustal deformation across the Longmenshan fault is weak, with short-ening rates of 1.4 ± 1.0 and 1.6 ± 1.3 mm/a across the Baoxing-Beichuan and Beichuan-Qingchuan segments. Northwest of the Longmenshan fault lies an active deformation zone (the Longriba fault) with 5.1±1.2 mm/a right slip across. Relatively large slip rates are detected across a few faults within the Sichuan-Yunnan block: 4.4±1.3 mm/a left slip and 2.7±1.1 mm/a shortening across the Litang fault, and 2.7±2.3 mm/a right-lateral shearing and 6.7±2.3 mm/a shortening across the Yunongxi fault and its surrounding regions. In conclusion, we find that the Sichuan-Yunnan region is divided into more than a doz展开更多
Although nitrogen （N） loss through runoff and leaching from croplands is suspected to contribute to the deterioration of surrounding water systems, there is no conclusive evidence for paddy soils to prove this hypot...Although nitrogen （N） loss through runoff and leaching from croplands is suspected to contribute to the deterioration of surrounding water systems, there is no conclusive evidence for paddy soils to prove this hypothesis. In this study, field plot experiments were conducted to investigate N losses through runoff and leaching for two consecutive years with 3 N fertilization rates in rice （Oryza sativa L.）-wheat （Triticum aestivum L.） rotations in the Taihu Lake region, China. A water collection system was designed to collect runoff and leachates for both the rice and wheat seasons. Results showed that dissolved N （DN）, rather than particulate N （PN）, was the main form of N loss by runoff. The NO3^--N concentration in runoff was between 0.1 and 43.7 mg L^-1, whereas the NH4^＋-N concentration ranged from below detection limit to 8.5 mg L^-1. Total N （TN） loads by runoff were 1.0-17.9 and 5.2-38.6 kg ha^-1 during rice and wheat seasons, respectively, and the main loss occurred at the early growing stage of the crops. Nitrogen concentrations in leachates during the rice seasons were below 1.0 mg L^-1 and independent of the N application rate, whereas those during the wheat season increased to 8.2 mg L^-1 and were affected by the fertilizer rate. Annual losses of TN through runoff and leaching were 13.7-48.1 kg ha^-1 from the rice-wheat cropping system, accounting for 5.6%-8.3% of the total applied N. It was concluded that reduction in the N fertilization rate, especially when the crop was small in biomass, could lower the N pollution potential for water systems.展开更多
AIM:The prognosis of early gastric carcinoma (EGC) is generally excellent after surgery. The presence or absence of lymph node metastasis in EGC is an important prognostic factor. The survival and recurrence rates of ...AIM:The prognosis of early gastric carcinoma (EGC) is generally excellent after surgery. The presence or absence of lymph node metastasis in EGC is an important prognostic factor. The survival and recurrence rates of node-negative EGC are much better than those of node-positive EGC. This study examined the factors related to lymph node metastasis in EGC to determine the appropriate treatment for EGC.METHODS: We investigated 748 patients with EGC who underwent surgery between January 1985 and December 1999 at the Division of Gastroenterologic Surgery, Department of Surgery, Chonnam National University Hospital. Several clinicopathologic factors were investigated to analyze their relationship to lymph node metastasis: age, sex, tumor location, tumor size, gross type, histologic type, depth of invasion, extent of lymph node dissection, type of operation,and DNA ploidy.RESULTS:Lymph node metastases were found in 75 patients (10.0%). Univariate analysis showed that male sex, tumor size larger than 2.0cm, submucosal invasion of tumor, histologic differentiation, and DNA ploidy pattern were risk factors for regional lymph node metastasis in EGC patients. However, a multivariate analysis showed that three risk factors were associated with lymph node metastasis:large tumor size, undifferentiated histologic type and submucosal invasion. No statistical relationship was found for age, sex, tumor location, gross type, or DNA ploidy in multivariate analysis. The 5-year survival rate was 94.2% for those without lymph node metastasis and 87.3% for those with lymph node metastasis, and the difference was significant (P<0.05).CONCLUSION: In patients with EGC, the survival rate of patients with positive lymph nodes is significantly worse than that of patients with no lymph node metastasis. Therefore,a standard D2 lymphadenectomy should be performed in patients at high risk of lymph node metastasis: large tumor size, undifferentiated histologic type and submucosal invasion.展开更多
Ammonia volatilization losses, nitrogen utilization efficiency, and rice yields in response to urea application to a rice field were investigated in Wangzhuang Town, Changshu City, Jiangsu Province, China. The N ferti...Ammonia volatilization losses, nitrogen utilization efficiency, and rice yields in response to urea application to a rice field were investigated in Wangzhuang Town, Changshu City, Jiangsu Province, China. The N fertilizer treatments, applied in triplicate, were 0 （control）, 100, 200, 300, or 350 kg N ha^-1. After urea was applied to the surface water, a continuous airflow enclosure method was used to measure ammonia volatilization in the paddy field. Total N losses through ammonia volatilization generally increased with the N application rate, and the two higher N application rates （300 and 350 kg N ha^-1） showed a higher ratio of N lost through ammonia volatilization to applied N. Total ammonia loss by ammonia volatilization during the entire rice growth stage ranged from 9.0% to 16.7% of the applied N. Increasing the application rate generally decreased the ratio of N in the seed to N in the plant. For all N treatments, the nitrogen fertilizer utilization efficiency ranged from 30.9% to 45.9%. Surplus N with the highest N rate resulted in lodging of rice plants, a decreased rate of nitrogen fertilizer utilization, and reduced rice yields. Calculated from this experiment, the most economical N fertilizer application rate was 227 kg ha^-1 for the type of paddy soil in the Taihu Lake region. However, recommending an appropriate N fertilizer application rate such that the plant growth is enhanced and ammonia loss is reduced could improve the N utilization efficiency of rice.展开更多
AIM: To conduct a cohort study of 101 patients with hepatocellular carcinoma (HCC) presenting to a tertiary care medical referral center in Germany between 1997 and 1999. METHODS AND RESULTS: Data were retrospectively...AIM: To conduct a cohort study of 101 patients with hepatocellular carcinoma (HCC) presenting to a tertiary care medical referral center in Germany between 1997 and 1999. METHODS AND RESULTS: Data were retrospectively analyzed by chart review. In 95 cases (72 males and 23 females) sufficient data were available for analysis. Twenty five (29%) of 85 patients were HBsAg or anti HBc positive, 21/85 (25%) were anti HCV positive, and 6/85 (7%) were positive for both HBV and HCV-markers. Age was significantly lower in HBV positive patients than in the other two groups. Thirty one (34%) of 90 patients had histories of alcohol abuse. In 79/94 (84%) patients, cirrhosis was diagnosed. Of these cirrhotic patients, 29/79 (37%) belonged to Child Pugh's group (CHILD) A, 32/79 (40%) to CHILD B, and 18/79 (23%) to CHILD C. AFP was elevated in 61/91 (67%) patients. A single tumor nodule was found in 38/94 (40%), more than one nodule in 31/94 (34%), and 25/94 (26%) had a diffusely infiltrating tumor, i.e. the tumor margins could not be seen on imaging procedures. Portal vein thrombosis was present in 19/94 (20%). Imaging data consistent with lymph node metastases were found in 10/92 (11%), while distant metastases were found in 8/93 (9%). According to Okuda 28/94 (30%) were grouped to stage I, 53/94 (56%) were grouped to stage II, and 13/94 (14%) were grouped to stage II. Survival data were available for 83 patients. The Kaplan-Meier estimate for median survival was 8 4 months. Factors influencing survival were the Okuda score, the presence of portal vein thrombosis, and the presence of ascites. The presence of non complicated liver cirrhosis by itself, distant metastases, or infection with hepatitis viruses did not influence survival. AFP positivity by itself did not influence survival, though patients with an AFP value greater than 100 microg/L did experience shortened survival. Treatment besides tamoxifen or supportive care was associated with prolonged survival. The influence of therapy on survival was most pronounced in Okuda展开更多
Cattle encephalon glycoside and ignotin(CEGI)injection is a compound preparation formed by a combination of muscle extract from hea lthy rabbits and brain gangliosides from cattle,and it is generally used as a neuropr...Cattle encephalon glycoside and ignotin(CEGI)injection is a compound preparation formed by a combination of muscle extract from hea lthy rabbits and brain gangliosides from cattle,and it is generally used as a neuroprotectant in the treatment of central and peripheral nerve injuries.However,there is still a need for high-level clinical evidence from large samples to support the use of CEGI.We therefore carried out a prospective,multicenter,randomized,double-blind,parallel-group,placebo-controlled study in which we recruited 319 patients with acute cerebral infarction from 16 centers in China from October 2013 to May 2016.The patients were randomized at a 3:1 ratio into CEGI(n=239;155 male,84 female;61.2±9.2 years old)and placebo(n=80;46 male,34 female;63.2±8.28 years old)groups.All patients were given standard care once daily for 14 days,including a 200 mg aspirin enteric-coated tablet and 20 mg atorvastatin calcium,both taken orally,and intravenous infusion of 250–500 mL 0.9%sodium chloride containing 40 mg sodium tanshinone IIA sulfonate.Based on conventional treatment,patients in the CEGI and placebo groups were given 12 mL CEGI or 12 mL sterile water,respectively,in an intravenous drip of 250 mL 0.9%sodium chloride(2 mL/min)once daily for 14 days.According to baseline National Institutes of Health Stroke Scale scores,patients in the two groups were divided into mild and moderate subgroups.Based on the modified Rankin Scale results,the rate of patients with good outcomes in the CEGI group was higher than that in the placebo group,and the rate of disability in the CEGI group was lower than that in the placebo group on day 90 after treatment.In the CEGI group,neurological deficits were decreased on days 14 and 90 after treatment,as measured by the National Institutes of Health Stroke Scale and the Barthel Index.Subgroup analysis revealed that CEGI led to more significant improvements in moderate stroke patients.No drug-related adverse events occurred in the CEGI or placebo groups.In conclusion,CEGI may be a 展开更多
Experiments were carried out on a vegetable field with Peking cabbage(Brassica pekinensis (Lour.) Rupr.), cabbage (Brassica, chinensis var. oleifcra Makino and nemoto),green cabbage (Brassica chinensis L.), spinach (S...Experiments were carried out on a vegetable field with Peking cabbage(Brassica pekinensis (Lour.) Rupr.), cabbage (Brassica, chinensis var. oleifcra Makino and nemoto),green cabbage (Brassica chinensis L.), spinach (Spinacia oleracea L.) and rape(Brassica campestrisL.) to study the effects of N forms and N rates on their growth and nitrate accumulation. Theresults indicated that application of ammonium chloride, ammonium nitrate, sodium nitrate and ureasignificantly increased the yields and nitrate concentrations of Peking cabbage and spinach.Although no significant difference was found in the yields after application of the 4 N forms,nitrate N increased nitrate accumulation in vegetables much more than ammonium N. The vegetableyields were not increased continuously with N rate increase, and oversupply of N reduced the plantgrowth, leading to a yield decline. This trend was also true for nitrate concentrations in somevegetables and at some sampling times. However, as a whole, the nitrate concentrations in vegetableswere positively correlated with N rates. Thus, addition of N fertilizer to soil was the major causefor increases in nitrate concentrations in vegetables. Nitrate concentrations were much higher inroots, stems and petioles than in blades at any N rate.展开更多
Cardiac autonomic neuropathy(CAN)is an often overlooked and common complication of diabetes mellitus.CAN is associated with increased cardiovascular morbidity and mortality.The pathogenesis of CAN is complex and invol...Cardiac autonomic neuropathy(CAN)is an often overlooked and common complication of diabetes mellitus.CAN is associated with increased cardiovascular morbidity and mortality.The pathogenesis of CAN is complex and involves a cascade of pathways activated by hyperglycaemia resulting in neuronal ischaemia and cellular death.In addition,autoimmune and genetic factors are involved in the development of CAN.CAN might be subclinical for several years until the patient develops resting tachycardia,exercise intolerance,postural hypotension,cardiac dysfunction and diabetic cardiomyopathy.During its sub-clinical phase,heart rate variability that is influenced by the balance between parasympathetic and sympathetic tones can help in detecting CAN before the disease is symptomatic.Newer imaging techniques(such as scintigraphy)have allowed earlier detection of CAN in the pre-clinical phase and allowed better assessment of the sympathetic nervous system.One of the main difficulties in CAN research is the lack of a universally accepted definition of CAN;however,the Toronto Consensus Panel on Diabetic Neuropathy has recently issued guidance for the diagnosis and staging of CAN,and also proposed screening for CAN in patients with diabetes mellitus.A major challenge,however,is the lack of specific treatment to slow the progression or prevent the development of CAN.Lifestyle changes,improved metabolic control might prevent or slow the progression of CAN.Reversal will require combination of these treatments with new targeted therapeutic approaches.The aim of this article is to review the latest evidence regarding the epidemiology,pathogenesis,manifestations,diagnosis and treatment for CAN.展开更多
Objective Acute aortic dissection （AAD） is a catastrophic event with high early mortality rate, but to date, no data on the incidence of AAD in China's Mainland is available. This study aimed to estimate the inc...Objective Acute aortic dissection （AAD） is a catastrophic event with high early mortality rate, but to date, no data on the incidence of AAD in China's Mainland is available. This study aimed to estimate the incidence of AAD in China and characterize the clinical profile, management and in-hospital outcomes of this vascular event. Methods We used the China Health Insurance Research Data （the CHIRA Data） 2011 which comprises all inpatient hospital records （300,886） during the period of Jan. 1st 2011 to Dec. 31 2011 of 3,335,000 randomly sampled beneficiaries （1,718,500 men and 1,616,500 women） from 25 cities and counties in different economic-geographic regions of China's Mainland. Patients with acute aortic dissection were identified according to International Classification of Disease 10m Revision （ICD-10） of I71.0, The estimated incidence of AAD was calculated using the equation： estimated incidence = 2.0 × （40% × hospital admission rate） ＋ 60% × hospital admission rate. Results The hospital admission rate was 2.0/100,000 （65/3,325,000, 95% CI： 1.2-2.8）. The estimated annual incidence of AAD was 2.8/100,000 （95% CI： 1.9-3.6） and was higher in male than in female （3.7 vs. 1.5, P 〈 0.001）. The mean age was 58.9 ± 13.4 years. During the mean hospital stay of 23 ±6 days, the overall in-hospital mortality was 13.9% （9/65）. Conclusions Our study showed relatively lower but not negligible incidence and in-hospital mortality of AAD in the mainland of China. The mean age of patients with AAD in Chinese was younger than that reported by researches from west countries, while the male to female incidence ratio is similar to those reported by other studies.展开更多
Seasonal changes in the photosynthetic characteristics of Ammopiptantus mongolicus (Maxim. )Chen f. were studied. When the net photosynthetic rate decreased with the elevation of air temperature, thestomatal conductan...Seasonal changes in the photosynthetic characteristics of Ammopiptantus mongolicus (Maxim. )Chen f. were studied. When the net photosynthetic rate decreased with the elevation of air temperature, thestomatal conductance and stomatal limitation value tended to decline simultaneously, while the interoellularCO2 concentration was increased. According to the two criteria discriminating the stomatal limitation of Photosynthesis suggeSted by Fmrquhar and Sharkey, the seasonal changes in these parameters indicated that the decrease in Pn may not be due to stomatal factor. These studies proved that the relative contents of the large subunit of Rubisco and the photochemical activities correlated with the seasonal changes in the net photosyntheticrate, whieh may show that these two factors contribute primarily to the seasonal changeS in CO2 assimilation.展开更多
Re-measured GPS data have recently revealed that a broad NE trending dextral shear zone exists in the eastern Bayan Har block about 200 km northwest of the Longmenshan thrust on the eastern margin of the Qinghai-Tibet...Re-measured GPS data have recently revealed that a broad NE trending dextral shear zone exists in the eastern Bayan Har block about 200 km northwest of the Longmenshan thrust on the eastern margin of the Qinghai-Tibet Plateau. The strain rate along this shear zone may reach up to 4-6 mm/a. Our interpretation of satellite images and field observations indicate that this dextral shear zone corresponds to a newly generated NE trending Longriba fault zone that has been ignored before. The northeast segment of the Longriba fault zone consists of two subparallel N54°±5°E trending branch faults about 30 km apart, and late Quaternary offset landforms are well developed along the strands of these two branch faults. The northern branch fault, the Longriqu fault, has relatively large reverse component, while the southern branch fault, the Maoergai fault, is a pure right-lateral strike slip fault. According to vector synthesizing principle, the average right-lateral strike slip rate along the Longriba fault zone in the late Quaternary is calculated to be 5.4±2.0 mm/a, the vertical slip rate to be 0.7 mm/a, and the rate of crustal shortening to be 0.55 mm/a. The discovery of the Longriba fault zone may provide a new insight into the tectonics and dynamics of the eastern margin of the Qinghai-Tibet Plateau. Taken the Longriba fault zone as a boundary, the Bayan Har block is divided into two sub-blocks: the Ahba sub-block in the west and the Longmenshan sub-block in the east. The shortening and uplifting of the Longmenshan sub-block as a whole reflects that both the Longmenshan thrust and Longriba fault zone are subordinated to a back propagated nappe tectonic system that was formed during the southeastward motion of the Bayan Har block owing to intense resistance of the South China block. This nappe tectonic system has become a boundary tectonic type of an active block supporting crustal deformation along the eastern margin of the Qinghai-Tibet Plateau from late Cenozoic till now. The Longriba fault zone is just an active 展开更多
Background:Effective therapeutic options are limited for patients with advanced esophageal squamous cell carcinoma(ESCC).The incorporation of an immune checkpoint inhibitor and a molecular anti-angiogenic agent into t...Background:Effective therapeutic options are limited for patients with advanced esophageal squamous cell carcinoma(ESCC).The incorporation of an immune checkpoint inhibitor and a molecular anti-angiogenic agent into the commonly adopted chemotherapy may produce synergistic effects.Therefore,we aimed to investigate the efficacy and safety of camrelizumab plus apatinib combined with chemotherapy as the first-line treatment of advanced ESCC.Methods:In this single-arm prospective phase II trial,patients with unresectable locally advanced or recurrent/metastatic ESCC received camrelizumab 200 mg,liposomal paclitaxel 150 mg/m2,and nedaplatin 50 mg/m2 on day 1,and apatinib 250 mg on days 1-14.The treatments were repeated every 14 days for up to 9 cycles,followed by maintenance therapy with camrelizumab and apatinib.The primary endpoint was objective response rate(ORR)according to the Response Evaluation Criteria in Solid Tumors(version 1.1).Secondary endpoints included disease control rate(DCR),progression-free survival(PFS),overall survival(OS),and safety.Results:We enrolled 30 patients between August 7,2018 and February 23,2019.The median follow-up was 24.98 months(95%confidence interval[CI]:23.05-26.16 months).The centrally assessed ORR was 80.0%(95%CI:61.4%-92.3%),with a median duration of response of 9.77 months(range:1.54 to 24.82+months).The DCR reached 96.7%(95%CI:82.8%-99.9%).The median PFS was 6.85 months(95%CI:4.46-14.20 months),and the median OS was 19.43 months(95%CI:9.93 months–not reached).The most common grade 3-4 treatmentrelated adverse events(AEs)were leukopenia(83.3%),neutropenia(60.0%),and increased aspartate aminotransferase level(26.7%).Treatment-related serious AEs included febrile neutropenia,leukopenia,and anorexia in one patient(3.3%),and single cases of increased blood bilirubin level(3.3%)and toxic epidermal necrolysis(3.3%).No treatment-related deaths occurred.Conclusions:Camrelizumab plus apatinib combined with liposomal paclitaxel and nedaplatin as first-line treatment demonstrated feas展开更多
During the development of hot dry rock,the research on thermal fatigue damage caused by thermal shock of cold and heat cycles is the basis that ensures the long-term utilization of geothermal resources,but there are n...During the development of hot dry rock,the research on thermal fatigue damage caused by thermal shock of cold and heat cycles is the basis that ensures the long-term utilization of geothermal resources,but there are not enough relevant studies at present.Based on this,the thermal damage tests of granite at different temperatures(250,350,450°C)and quenching cycles(1,5,10,15 cycles)were carried out.Preliminary reveals the damage mechanism and heat transfer law of the quenching cycle effect on hot dry rock.The results show that with the increase of temperature and cycles,the uneven thermal expansion of minerals and the thermal shock caused by quenching promote the crack development of granite,resulting in the decrease of P-wave velocity,thermal conductivity and uniaxial compressive strength of granite.Meanwhile,the COMSOL was used to simulate the heat transfer of hot dry rock under different heat treatment conditions.It concluded that the increase in the number of quenching cycles reduced the heat transfer capacity of the granite,especially more than 10 quenching cycles,which also reflects that the thermal fatigue damage leads to a longer time for the temperature recovery of the hot dry rock mass.In addition,the three-dimensional nonlinear fitting relationship among thermal conductivity,temperature and cycle number was established for the first time,which can better reveal the change rule of thermal conductivity after quenching thermal fatigue effect of hot dry rock.The research results provide theoretical support for hot dry rock reservoir reconstruction and production efficiency evaluation.展开更多
基金supported by the Chinese Ecosystem Research Net(CERN)NSFC(30570350,40730102,30725006)+1 种基金by the Office of Science(BER),U.S.Department of Energy,Grant No.DE-FG03-99ER62800through the South Central Regional Center of the National Institute for Global Environmental Change under Cooperative Agreement No.DE-FC03-90ER61010.
文摘Aims We aim to construct a comprehensive global database of litter decomposition rate(k value)estimated by surface floor litterbags,and investigate the direct and indirect effects of impact factors such as geographic factors(latitude and altitude),climatic factors(mean annual tempePlrature,MAT;mean annual precipitation,MAP)and litter quality factors(the contents of N,P,K,Ca,Mg and C:N ratio,lignin:N ratio)on litter decomposition.Methods We compiled a large data set of litter decomposition rates(k values)from 110 research sites and conducted simple,multiple regression and path analyses to explore the relationship between the k values and impact factors at the global scale.Important findings The k values tended to decrease with latitude(LAT)and lignin content(LIGN)of litter but increased with temperature,precipitation and nutrient concentrations at the large spatial scale.Single factor such as climate,litter quality and geographic variable could not explain litter decomposition rates well.However,the combination of total nutrient(TN)elements and C:N accounted for 70.2%of the variation in the litter decomposition rates.The combination of LAT,MAT,C:N and TN accounted for 87.54%of the variation in the litter decomposition rates.These results indicate that litter quality is the most important direct regulator of litter decomposition at the global scale.This data synthesis revealed significant relationships between litter decomposition rates and the combination of climatic factor(MAT)and litter quality(C:N,TN).The global-scale empirical relationships developed here are useful for a better understanding and modeling of the effects of litter quality and climatic factors on litter decomposition rates.
基金This work was supported in part by National Natural Science Foundation of China (Grant 31870983).
文摘Background:Gastric cancer mortality decreased substantially over the last decades in most countries worldwide.This study aimed to assess the most recent national trend of gastric cancer mortality and examine the disparity of gastric cancer mortality between rural and urban areas in China.Methods:The crude mortality data of gastric cancer by sex,age group,and area were obtained from China Health Statistical Yearbooks(2003-2015)covering 10%of Chinese population.The age-standardized rates of mortality(ASRM)of gastric cancer in rural and urban areas were estimated using the 2010 Chinese Census population stratified by age,sex,and area.The trend of mortality of gastric cancer was assessed by using Joinpoint analysis.Results:During the 13-year period,the ASRM was reduced from 31.5/100,000 in 2003 to 20.9/100,000 in 2015 in rural areas and from 18.9/100,000 in 2003 to 14.5/100,000 in 2015 in urban areas.In the male population,the annual percent changes of mortality were−2.2%in urban areas(95%confidence interval[CI]−3.8%to−0.6%;P<0.001)and−3.4%in rural areas(95%CI−5.1%to−1.8%;P<0.001).In the female population,the annual percent changes of mortality were−2.7%in urban areas(95%CI−4.2%to−1.2%;P<0.001)and−4.6%in rural areas(95%CI−5.5%to−3.7%;P<0.001).Conclusions:The declining trend of mortality of gastric cancer was presented from 2003 to 2015 in both rural and urban areas in China.The decrease in gastric cancer mortality is greater in rural areas than in urban areas in China.
文摘Dynamic properties of rocks are important in a variety of rock mechanics and rock engineering problems. Due to the transient nature of the loading, dynamic tests of rock materials are very different from and much more challenging than their static counterparts. Dynamic tests are usually conducted using the split Hopkinson bar or Kolsl^j bar systems, which include both split Hopkinson pressure bar （SHPB） and split Hopkinson tension bar （SHTB） systems. Significant progress has been made on the quantification of various rock dynamic properties, owing to the advances in the experimental techniques of SHPB system. This review aims to fully describe and critically assess the detailed procedures and principles of tech- niques for dynamic rock tests using split Hopkinson bars. The history and principles of SHPB are outlined, followed by the key loading techniques that are useful for dynamic rock tests with SHPB （i.e. pulse shaping, momentum-trap and multi-axial loading techniques）. Various measurement techniques for rock tests in SHPB （i.e. X-ray micro computed tomography （CT）, laser gap gauge （LGG）, digital image corre- lation （DIC）, Moir~ method, caustics method, photoelastic coating method, dynamic infrared thermog- raphy） are then discussed. As the main objective of the review, various dynamic measurement techniques for rocks using SHPB are described, including dynamic rock strength measurements （i.e. dynamic compression, tension, bending and shear tests）, dynamic fracture measurements （i.e. dynamic imitation and propagation fracture toughness, dynamic fracture energy and fracture velocity）, and dy- namic techniques for studying the influences of temperature and pore water.
基金Surported by the Funds of Hundred Outsdanding Persons project of Shanghai(97BR029)Science and Technology Commission of Shanghai(984419067)
文摘AIM: To compare the therapeutic effect and significances of multimodality treatment for hepatocellular carcinoma (HCC) with tumor thrombi in portal vein (PVTT). METHODS: HCC patients (n=147) with tumor thrombi in the main portal vein or the first branch of portal vein were divided into four groups by the several therapeutic methods. There were conservative treatment group in 18 out of patients (group A); and hepatic artery ligation(HAL) and/or hepatic artery infusion (HAI) group in 18 patients (group B), in whom postoperative chemoembolization was done periodically; group of removal of HCC with PVTT in 79 (group C) and group of transcatheter hepatic arterial chemoembolization (TACE) or HAI and/or portal vein infusion (PVI) after operation in 32 (group D). RESULTS: The median survival period was 12 months in our series and the 1-,3-, and 5-year survival rates were 44.3%, 24.5% and 15.2%, respectively. The median survival times were 2, 5, 12 and 16 months in group A, B, C and D, respectively. The 1-, 3- and 5-year survival rates were 5.6%, 0% and 0% in group A; 22.2%, 5.6% and 0% in group B; 53.9%, 26.9% and 16.6% in group C; 79.3%, 38.9% and 26.8% in group D, respectively. Significant difference appeared in the survival rates among the groups (P 【 0.05). CONCLUSION: Hepatic resection with removal of tumor thrombi and HCC should increase the curative effects and be encouraged for the prolongation of life span and quality of life for HCC patients with PVTT, whereas the best therapeutic method for HCC with PVTT is with regional hepatic chemotherapy or chemoembolization after hepatic resection with removal of tumor thrombi.
基金the National Basic Research Program of China (Grant No. 2004CB418403)the Key Program of the National Natural Science Foundation of China (Grant No. 40334042)the China Earthquake Administration Research Fund (Grant No. 200708002)
文摘A linked-fault-element model is employed to invert for contemporary slip rates along major active faults in the Sichuan-Yunnan region (96°-108°E, 21°-35°N) using the least squares method. The model is based on known fault geometry, and constrained by a GPS-derived horizontal velocity field. Our results support a model attributing the eastward extrusion of the Tibetan Plateau driven mainly by the north-northeastward indentation of the Indian plate into Tibet and the gravitational collapse of the plateau. Resisted by a relatively stable south China block, materials of the Sichuan-Yunnan region rotate clockwise around the eastern Himalayan tectonic syntaxis. During the process the Garzê-Yushu, Xianshuihe, Anninghe, Zemuhe, Daliangshan, and Xiaojiang faults, the southwest extension of the Xiaojiang fault, and the Daluo-Jinghong and Mae Chan faults constitute the northeast and east boundaries of the eastward extrusion, with their left slip rates being 0.3-14.7, 8.9-17.1, 5.1 ± 2.5, 2.8 ± 2.3, 7.1 ± 2.1, 9.4 ± 1.2, 10.1 ± 2.0, 7.3 ± 2.6, and 4.9 ± 3.0 mm/a respectively. The southwestern boundary consists of a widely distributed dextral transpressional zone other than a single fault. Right slip rates of 4.2 ± 1.3, 4.3 ± 1.1, and 8.5 ± 1.7 mm/a are detected across the Nanhua-Chuxiong-Jianshui, Wuliangshan, and Longling-Lancang faults. Crustal deformation across the Longmenshan fault is weak, with short-ening rates of 1.4 ± 1.0 and 1.6 ± 1.3 mm/a across the Baoxing-Beichuan and Beichuan-Qingchuan segments. Northwest of the Longmenshan fault lies an active deformation zone (the Longriba fault) with 5.1±1.2 mm/a right slip across. Relatively large slip rates are detected across a few faults within the Sichuan-Yunnan block: 4.4±1.3 mm/a left slip and 2.7±1.1 mm/a shortening across the Litang fault, and 2.7±2.3 mm/a right-lateral shearing and 6.7±2.3 mm/a shortening across the Yunongxi fault and its surrounding regions. In conclusion, we find that the Sichuan-Yunnan region is divided into more than a doz
基金the National Natural Science Foundation of China (Nos.40571077 and 30390080)and the Knowledge Innovation Project of the Chinese Academy of Sciences (No.KZCX2-413).
文摘Although nitrogen （N） loss through runoff and leaching from croplands is suspected to contribute to the deterioration of surrounding water systems, there is no conclusive evidence for paddy soils to prove this hypothesis. In this study, field plot experiments were conducted to investigate N losses through runoff and leaching for two consecutive years with 3 N fertilization rates in rice （Oryza sativa L.）-wheat （Triticum aestivum L.） rotations in the Taihu Lake region, China. A water collection system was designed to collect runoff and leachates for both the rice and wheat seasons. Results showed that dissolved N （DN）, rather than particulate N （PN）, was the main form of N loss by runoff. The NO3^--N concentration in runoff was between 0.1 and 43.7 mg L^-1, whereas the NH4^＋-N concentration ranged from below detection limit to 8.5 mg L^-1. Total N （TN） loads by runoff were 1.0-17.9 and 5.2-38.6 kg ha^-1 during rice and wheat seasons, respectively, and the main loss occurred at the early growing stage of the crops. Nitrogen concentrations in leachates during the rice seasons were below 1.0 mg L^-1 and independent of the N application rate, whereas those during the wheat season increased to 8.2 mg L^-1 and were affected by the fertilizer rate. Annual losses of TN through runoff and leaching were 13.7-48.1 kg ha^-1 from the rice-wheat cropping system, accounting for 5.6%-8.3% of the total applied N. It was concluded that reduction in the N fertilization rate, especially when the crop was small in biomass, could lower the N pollution potential for water systems.
文摘AIM:The prognosis of early gastric carcinoma (EGC) is generally excellent after surgery. The presence or absence of lymph node metastasis in EGC is an important prognostic factor. The survival and recurrence rates of node-negative EGC are much better than those of node-positive EGC. This study examined the factors related to lymph node metastasis in EGC to determine the appropriate treatment for EGC.METHODS: We investigated 748 patients with EGC who underwent surgery between January 1985 and December 1999 at the Division of Gastroenterologic Surgery, Department of Surgery, Chonnam National University Hospital. Several clinicopathologic factors were investigated to analyze their relationship to lymph node metastasis: age, sex, tumor location, tumor size, gross type, histologic type, depth of invasion, extent of lymph node dissection, type of operation,and DNA ploidy.RESULTS:Lymph node metastases were found in 75 patients (10.0%). Univariate analysis showed that male sex, tumor size larger than 2.0cm, submucosal invasion of tumor, histologic differentiation, and DNA ploidy pattern were risk factors for regional lymph node metastasis in EGC patients. However, a multivariate analysis showed that three risk factors were associated with lymph node metastasis:large tumor size, undifferentiated histologic type and submucosal invasion. No statistical relationship was found for age, sex, tumor location, gross type, or DNA ploidy in multivariate analysis. The 5-year survival rate was 94.2% for those without lymph node metastasis and 87.3% for those with lymph node metastasis, and the difference was significant (P<0.05).CONCLUSION: In patients with EGC, the survival rate of patients with positive lymph nodes is significantly worse than that of patients with no lymph node metastasis. Therefore,a standard D2 lymphadenectomy should be performed in patients at high risk of lymph node metastasis: large tumor size, undifferentiated histologic type and submucosal invasion.
基金Project supported by the Knowledge Innovation Program of Chinese Academy of Sciences (No.KZCX2-413-3)National Natural Science Foundation of China (No.30390080)National Basic Research Program of China (No.2005CB121108)
文摘Ammonia volatilization losses, nitrogen utilization efficiency, and rice yields in response to urea application to a rice field were investigated in Wangzhuang Town, Changshu City, Jiangsu Province, China. The N fertilizer treatments, applied in triplicate, were 0 （control）, 100, 200, 300, or 350 kg N ha^-1. After urea was applied to the surface water, a continuous airflow enclosure method was used to measure ammonia volatilization in the paddy field. Total N losses through ammonia volatilization generally increased with the N application rate, and the two higher N application rates （300 and 350 kg N ha^-1） showed a higher ratio of N lost through ammonia volatilization to applied N. Total ammonia loss by ammonia volatilization during the entire rice growth stage ranged from 9.0% to 16.7% of the applied N. Increasing the application rate generally decreased the ratio of N in the seed to N in the plant. For all N treatments, the nitrogen fertilizer utilization efficiency ranged from 30.9% to 45.9%. Surplus N with the highest N rate resulted in lodging of rice plants, a decreased rate of nitrogen fertilizer utilization, and reduced rice yields. Calculated from this experiment, the most economical N fertilizer application rate was 227 kg ha^-1 for the type of paddy soil in the Taihu Lake region. However, recommending an appropriate N fertilizer application rate such that the plant growth is enhanced and ammonia loss is reduced could improve the N utilization efficiency of rice.
基金This research Was supported by a grant from Bonfor(O-107.0022)to C. Rabe
文摘AIM: To conduct a cohort study of 101 patients with hepatocellular carcinoma (HCC) presenting to a tertiary care medical referral center in Germany between 1997 and 1999. METHODS AND RESULTS: Data were retrospectively analyzed by chart review. In 95 cases (72 males and 23 females) sufficient data were available for analysis. Twenty five (29%) of 85 patients were HBsAg or anti HBc positive, 21/85 (25%) were anti HCV positive, and 6/85 (7%) were positive for both HBV and HCV-markers. Age was significantly lower in HBV positive patients than in the other two groups. Thirty one (34%) of 90 patients had histories of alcohol abuse. In 79/94 (84%) patients, cirrhosis was diagnosed. Of these cirrhotic patients, 29/79 (37%) belonged to Child Pugh's group (CHILD) A, 32/79 (40%) to CHILD B, and 18/79 (23%) to CHILD C. AFP was elevated in 61/91 (67%) patients. A single tumor nodule was found in 38/94 (40%), more than one nodule in 31/94 (34%), and 25/94 (26%) had a diffusely infiltrating tumor, i.e. the tumor margins could not be seen on imaging procedures. Portal vein thrombosis was present in 19/94 (20%). Imaging data consistent with lymph node metastases were found in 10/92 (11%), while distant metastases were found in 8/93 (9%). According to Okuda 28/94 (30%) were grouped to stage I, 53/94 (56%) were grouped to stage II, and 13/94 (14%) were grouped to stage II. Survival data were available for 83 patients. The Kaplan-Meier estimate for median survival was 8 4 months. Factors influencing survival were the Okuda score, the presence of portal vein thrombosis, and the presence of ascites. The presence of non complicated liver cirrhosis by itself, distant metastases, or infection with hepatitis viruses did not influence survival. AFP positivity by itself did not influence survival, though patients with an AFP value greater than 100 microg/L did experience shortened survival. Treatment besides tamoxifen or supportive care was associated with prolonged survival. The influence of therapy on survival was most pronounced in Okuda
文摘Cattle encephalon glycoside and ignotin(CEGI)injection is a compound preparation formed by a combination of muscle extract from hea lthy rabbits and brain gangliosides from cattle,and it is generally used as a neuroprotectant in the treatment of central and peripheral nerve injuries.However,there is still a need for high-level clinical evidence from large samples to support the use of CEGI.We therefore carried out a prospective,multicenter,randomized,double-blind,parallel-group,placebo-controlled study in which we recruited 319 patients with acute cerebral infarction from 16 centers in China from October 2013 to May 2016.The patients were randomized at a 3:1 ratio into CEGI(n=239;155 male,84 female;61.2±9.2 years old)and placebo(n=80;46 male,34 female;63.2±8.28 years old)groups.All patients were given standard care once daily for 14 days,including a 200 mg aspirin enteric-coated tablet and 20 mg atorvastatin calcium,both taken orally,and intravenous infusion of 250–500 mL 0.9%sodium chloride containing 40 mg sodium tanshinone IIA sulfonate.Based on conventional treatment,patients in the CEGI and placebo groups were given 12 mL CEGI or 12 mL sterile water,respectively,in an intravenous drip of 250 mL 0.9%sodium chloride(2 mL/min)once daily for 14 days.According to baseline National Institutes of Health Stroke Scale scores,patients in the two groups were divided into mild and moderate subgroups.Based on the modified Rankin Scale results,the rate of patients with good outcomes in the CEGI group was higher than that in the placebo group,and the rate of disability in the CEGI group was lower than that in the placebo group on day 90 after treatment.In the CEGI group,neurological deficits were decreased on days 14 and 90 after treatment,as measured by the National Institutes of Health Stroke Scale and the Barthel Index.Subgroup analysis revealed that CEGI led to more significant improvements in moderate stroke patients.No drug-related adverse events occurred in the CEGI or placebo groups.In conclusion,CEGI may be a
基金Project supported by the National Key Basic Research Support Foundation (No. G1999011707)the National Natural Science Foundation of China (Nos. 39970429, 49890330, 30070429 and 40201028).
文摘Experiments were carried out on a vegetable field with Peking cabbage(Brassica pekinensis (Lour.) Rupr.), cabbage (Brassica, chinensis var. oleifcra Makino and nemoto),green cabbage (Brassica chinensis L.), spinach (Spinacia oleracea L.) and rape(Brassica campestrisL.) to study the effects of N forms and N rates on their growth and nitrate accumulation. Theresults indicated that application of ammonium chloride, ammonium nitrate, sodium nitrate and ureasignificantly increased the yields and nitrate concentrations of Peking cabbage and spinach.Although no significant difference was found in the yields after application of the 4 N forms,nitrate N increased nitrate accumulation in vegetables much more than ammonium N. The vegetableyields were not increased continuously with N rate increase, and oversupply of N reduced the plantgrowth, leading to a yield decline. This trend was also true for nitrate concentrations in somevegetables and at some sampling times. However, as a whole, the nitrate concentrations in vegetableswere positively correlated with N rates. Thus, addition of N fertilizer to soil was the major causefor increases in nitrate concentrations in vegetables. Nitrate concentrations were much higher inroots, stems and petioles than in blades at any N rate.
文摘Cardiac autonomic neuropathy(CAN)is an often overlooked and common complication of diabetes mellitus.CAN is associated with increased cardiovascular morbidity and mortality.The pathogenesis of CAN is complex and involves a cascade of pathways activated by hyperglycaemia resulting in neuronal ischaemia and cellular death.In addition,autoimmune and genetic factors are involved in the development of CAN.CAN might be subclinical for several years until the patient develops resting tachycardia,exercise intolerance,postural hypotension,cardiac dysfunction and diabetic cardiomyopathy.During its sub-clinical phase,heart rate variability that is influenced by the balance between parasympathetic and sympathetic tones can help in detecting CAN before the disease is symptomatic.Newer imaging techniques(such as scintigraphy)have allowed earlier detection of CAN in the pre-clinical phase and allowed better assessment of the sympathetic nervous system.One of the main difficulties in CAN research is the lack of a universally accepted definition of CAN;however,the Toronto Consensus Panel on Diabetic Neuropathy has recently issued guidance for the diagnosis and staging of CAN,and also proposed screening for CAN in patients with diabetes mellitus.A major challenge,however,is the lack of specific treatment to slow the progression or prevent the development of CAN.Lifestyle changes,improved metabolic control might prevent or slow the progression of CAN.Reversal will require combination of these treatments with new targeted therapeutic approaches.The aim of this article is to review the latest evidence regarding the epidemiology,pathogenesis,manifestations,diagnosis and treatment for CAN.
文摘Objective Acute aortic dissection （AAD） is a catastrophic event with high early mortality rate, but to date, no data on the incidence of AAD in China's Mainland is available. This study aimed to estimate the incidence of AAD in China and characterize the clinical profile, management and in-hospital outcomes of this vascular event. Methods We used the China Health Insurance Research Data （the CHIRA Data） 2011 which comprises all inpatient hospital records （300,886） during the period of Jan. 1st 2011 to Dec. 31 2011 of 3,335,000 randomly sampled beneficiaries （1,718,500 men and 1,616,500 women） from 25 cities and counties in different economic-geographic regions of China's Mainland. Patients with acute aortic dissection were identified according to International Classification of Disease 10m Revision （ICD-10） of I71.0, The estimated incidence of AAD was calculated using the equation： estimated incidence = 2.0 × （40% × hospital admission rate） ＋ 60% × hospital admission rate. Results The hospital admission rate was 2.0/100,000 （65/3,325,000, 95% CI： 1.2-2.8）. The estimated annual incidence of AAD was 2.8/100,000 （95% CI： 1.9-3.6） and was higher in male than in female （3.7 vs. 1.5, P 〈 0.001）. The mean age was 58.9 ± 13.4 years. During the mean hospital stay of 23 ±6 days, the overall in-hospital mortality was 13.9% （9/65）. Conclusions Our study showed relatively lower but not negligible incidence and in-hospital mortality of AAD in the mainland of China. The mean age of patients with AAD in Chinese was younger than that reported by researches from west countries, while the male to female incidence ratio is similar to those reported by other studies.
文摘Seasonal changes in the photosynthetic characteristics of Ammopiptantus mongolicus (Maxim. )Chen f. were studied. When the net photosynthetic rate decreased with the elevation of air temperature, thestomatal conductance and stomatal limitation value tended to decline simultaneously, while the interoellularCO2 concentration was increased. According to the two criteria discriminating the stomatal limitation of Photosynthesis suggeSted by Fmrquhar and Sharkey, the seasonal changes in these parameters indicated that the decrease in Pn may not be due to stomatal factor. These studies proved that the relative contents of the large subunit of Rubisco and the photochemical activities correlated with the seasonal changes in the net photosyntheticrate, whieh may show that these two factors contribute primarily to the seasonal changeS in CO2 assimilation.
基金the National Basic Research Program of China (Grant No. 2004CB418401)the National Natural Science Foundation of China (Grant No. 40474037)
文摘Re-measured GPS data have recently revealed that a broad NE trending dextral shear zone exists in the eastern Bayan Har block about 200 km northwest of the Longmenshan thrust on the eastern margin of the Qinghai-Tibet Plateau. The strain rate along this shear zone may reach up to 4-6 mm/a. Our interpretation of satellite images and field observations indicate that this dextral shear zone corresponds to a newly generated NE trending Longriba fault zone that has been ignored before. The northeast segment of the Longriba fault zone consists of two subparallel N54°±5°E trending branch faults about 30 km apart, and late Quaternary offset landforms are well developed along the strands of these two branch faults. The northern branch fault, the Longriqu fault, has relatively large reverse component, while the southern branch fault, the Maoergai fault, is a pure right-lateral strike slip fault. According to vector synthesizing principle, the average right-lateral strike slip rate along the Longriba fault zone in the late Quaternary is calculated to be 5.4±2.0 mm/a, the vertical slip rate to be 0.7 mm/a, and the rate of crustal shortening to be 0.55 mm/a. The discovery of the Longriba fault zone may provide a new insight into the tectonics and dynamics of the eastern margin of the Qinghai-Tibet Plateau. Taken the Longriba fault zone as a boundary, the Bayan Har block is divided into two sub-blocks: the Ahba sub-block in the west and the Longmenshan sub-block in the east. The shortening and uplifting of the Longmenshan sub-block as a whole reflects that both the Longmenshan thrust and Longriba fault zone are subordinated to a back propagated nappe tectonic system that was formed during the southeastward motion of the Bayan Har block owing to intense resistance of the South China block. This nappe tectonic system has become a boundary tectonic type of an active block supporting crustal deformation along the eastern margin of the Qinghai-Tibet Plateau from late Cenozoic till now. The Longriba fault zone is just an active
基金This study was supported by the Chinese Society of Clinical Oncology(CSCO)-Hengrui Oncology Research Fund(No.Y-HR2018-364)。
文摘Background:Effective therapeutic options are limited for patients with advanced esophageal squamous cell carcinoma(ESCC).The incorporation of an immune checkpoint inhibitor and a molecular anti-angiogenic agent into the commonly adopted chemotherapy may produce synergistic effects.Therefore,we aimed to investigate the efficacy and safety of camrelizumab plus apatinib combined with chemotherapy as the first-line treatment of advanced ESCC.Methods:In this single-arm prospective phase II trial,patients with unresectable locally advanced or recurrent/metastatic ESCC received camrelizumab 200 mg,liposomal paclitaxel 150 mg/m2,and nedaplatin 50 mg/m2 on day 1,and apatinib 250 mg on days 1-14.The treatments were repeated every 14 days for up to 9 cycles,followed by maintenance therapy with camrelizumab and apatinib.The primary endpoint was objective response rate(ORR)according to the Response Evaluation Criteria in Solid Tumors(version 1.1).Secondary endpoints included disease control rate(DCR),progression-free survival(PFS),overall survival(OS),and safety.Results:We enrolled 30 patients between August 7,2018 and February 23,2019.The median follow-up was 24.98 months(95%confidence interval[CI]:23.05-26.16 months).The centrally assessed ORR was 80.0%(95%CI:61.4%-92.3%),with a median duration of response of 9.77 months(range:1.54 to 24.82+months).The DCR reached 96.7%(95%CI:82.8%-99.9%).The median PFS was 6.85 months(95%CI:4.46-14.20 months),and the median OS was 19.43 months(95%CI:9.93 months–not reached).The most common grade 3-4 treatmentrelated adverse events(AEs)were leukopenia(83.3%),neutropenia(60.0%),and increased aspartate aminotransferase level(26.7%).Treatment-related serious AEs included febrile neutropenia,leukopenia,and anorexia in one patient(3.3%),and single cases of increased blood bilirubin level(3.3%)and toxic epidermal necrolysis(3.3%).No treatment-related deaths occurred.Conclusions:Camrelizumab plus apatinib combined with liposomal paclitaxel and nedaplatin as first-line treatment demonstrated feas
基金financially supported by National Natural Science Foundation of China(Nos.U2013603,52004167,52078477,51827901,and U1965203)Sichuan International Technological innovation Cooperation Project(No.2018HH0159)。
文摘During the development of hot dry rock,the research on thermal fatigue damage caused by thermal shock of cold and heat cycles is the basis that ensures the long-term utilization of geothermal resources,but there are not enough relevant studies at present.Based on this,the thermal damage tests of granite at different temperatures(250,350,450°C)and quenching cycles(1,5,10,15 cycles)were carried out.Preliminary reveals the damage mechanism and heat transfer law of the quenching cycle effect on hot dry rock.The results show that with the increase of temperature and cycles,the uneven thermal expansion of minerals and the thermal shock caused by quenching promote the crack development of granite,resulting in the decrease of P-wave velocity,thermal conductivity and uniaxial compressive strength of granite.Meanwhile,the COMSOL was used to simulate the heat transfer of hot dry rock under different heat treatment conditions.It concluded that the increase in the number of quenching cycles reduced the heat transfer capacity of the granite,especially more than 10 quenching cycles,which also reflects that the thermal fatigue damage leads to a longer time for the temperature recovery of the hot dry rock mass.In addition,the three-dimensional nonlinear fitting relationship among thermal conductivity,temperature and cycle number was established for the first time,which can better reveal the change rule of thermal conductivity after quenching thermal fatigue effect of hot dry rock.The research results provide theoretical support for hot dry rock reservoir reconstruction and production efficiency evaluation.
