BACKGROUND Delayed union,malunion,and nonunion are serious complications in the healing of fractures.Predicting the risk of nonunion before or after surgery is challenging.AIM To compare the most prevalent predictive ...BACKGROUND Delayed union,malunion,and nonunion are serious complications in the healing of fractures.Predicting the risk of nonunion before or after surgery is challenging.AIM To compare the most prevalent predictive scores of nonunion used in clinical practice to determine the most accurate score for predicting nonunion.METHODS We collected data from patients with tibial shaft fractures undergoing surgery from January 2016 to December 2020 in three different trauma hospitals.In this retrospective multicenter study,we considered only fractures treated with intramedullary nailing.We calculated the tibia FRACTure prediction healING days(FRACTING)score,Nonunion Risk Determination score,and Leeds-Genoa Nonunion Index(LEG-NUI)score at the time of definitive fixation.RESULTS Of the 130 patients enrolled,89(68.4%)healed within 9 months and were classified as union.The remaining patients(n=41,31.5%)healed after more than 9 months or underwent other surgical procedures and were classified as nonunion.After calculation of the three scores,LEG-NUI and FRACTING were the most accurate at predicting healing.CONCLUSION LEG-NUI and FRACTING showed the best performances by accurately predicting union and nonunion.展开更多
目的科学评价芙蓉李果实成熟期间的营养品质,建立色度值表观特征与营养品质的关系。方法以福建省主栽品种芙蓉李为研究对象,对其成熟期间果糖、葡萄糖、蔗糖、苹果酸、奎尼酸、琥珀酸、柠檬酸、富马酸、矢车菊素-3-芸香糖苷、矢车菊素-3...目的科学评价芙蓉李果实成熟期间的营养品质,建立色度值表观特征与营养品质的关系。方法以福建省主栽品种芙蓉李为研究对象,对其成熟期间果糖、葡萄糖、蔗糖、苹果酸、奎尼酸、琥珀酸、柠檬酸、富马酸、矢车菊素-3-芸香糖苷、矢车菊素-3-葡萄糖苷、多酚、黄酮、类胡萝卜素等13个品质指标进行分析和综合评价。结果芙蓉李成熟期间,各品质指标的含量变化存在显著差异(P<0.05),综合运用相关分析、因子分析、绝对因子分析-多元线性回归(absolute principal component scores-multiple linear regression,APCS-MLR)分析筛选可反映芙蓉李综合品质的主要指标。因子分析提取出3个主因子,贡献率分别为52.677%、23.468%、11.649%,累计贡献率为87.794%。综合APCS-MLR等数理统计分析,主因子1主要对果糖、矢车菊素-3-芸香糖苷、矢车菊素-3-葡萄糖苷贡献较大,贡献率分别为53.00%、73.85%、55.54%;主因子2主要对蔗糖、富马酸、果糖、柠檬酸的贡献率较大,分别为28.26%、18.70%、16.14%、15.59%;主因子3主要对多酚(29.13%)和黄酮(28.28%)有较大贡献率;选取3个主因子总贡献率高于60%的果糖、葡萄糖、矢车菊素-3-芸香糖苷、矢车菊素-3-葡萄糖苷作为综合品质评价的主要指标。分别对已筛选出的4个主要评价指标与色度值进行多元线性逐步回归分析,建立4个主要指标与色度值的表观预测模型,各模型均具有较好的拟合度,预测值与实测值的均方根误差较小;进一步验证结果表明,通过色度值对4个指标的预测具有较高的可靠性和准确性。结论本研究筛选出的主要指标及预测模型可更加简单、便捷地评价芙蓉李果实成熟期间的综合品质。展开更多
Based on the B08RDP（Beijing 2008 Olympic Games Mesoscale Ensemble Prediction Research and Development Project） that was launched by the World Weather Research Programme（WWRP） in 2004,a regional ensemble prediction...Based on the B08RDP（Beijing 2008 Olympic Games Mesoscale Ensemble Prediction Research and Development Project） that was launched by the World Weather Research Programme（WWRP） in 2004,a regional ensemble prediction system（REPS） at a 15-km horizontal resolution was developed at the National Meteorological Center（NMC） of the China Meteorological Administration（CMA）.Supplementing to the forecasters＇ subjective affirmation on the promising performance of the REPS during the 2008 Beijing Olympic Games（BOG）,this paper focuses on the objective verification of the REPS for precipitation forecasts during the BOG period.By use of a set of advanced probabilistic verification scores,the value of the REPS compared to the quasi-operational global ensemble prediction system（GEPS） is assessed for a 36-day period（21 July-24 August 2008）.The evaluation here involves different aspects of the REPS and GEPS,including their general forecast skills,specific attributes（reliability and resolution）,and related economic values.The results indicate that the REPS generally performs significantly better for the short-range precipitation forecasts than the GEPS,and for light to heavy rainfall events,the REPS provides more skillful forecasts for accumulated 6-and 24-h precipitation.By further identifying the performance of the REPS through the attribute-focused measures,it is found that the advantages of the REPS over the GEPS come from better reliability（smaller biases and better dispersion） and increased resolution.Also,evaluation of a decision-making score reveals that a much larger group of users benefits from using the REPS forecasts than using the single model（the control run） forecasts,especially for the heavy rainfall events.展开更多
BACKGROUND:Early assessment of the severity of acute pancreatitis is essential to the proper management of the disease.It is dependent on the criteria of the Atlanta classification system.DATA SOURCES:PubMed search of...BACKGROUND:Early assessment of the severity of acute pancreatitis is essential to the proper management of the disease.It is dependent on the criteria of the Atlanta classification system.DATA SOURCES:PubMed search of recent relevant articles was performed to identify information about the severity and prognosis of acute pancreatitis.RESULTS:The scoring systems included the Ranson’s or Glasgow’s criteria ≥3,the APACHE II classification system ≥8,and the Balthazar’s criteria ≥4 according to the computed tomography enhanced scanning findings.The single factors on admission included age >65 years,obesity,hemoconcentration(>44%),abnormal chest X-ray,creatinine >2 mg/dl,C-reactive protein>150 mg/dl,procalcitonin >1.8 ng/ml,albumin <2.5 mg/dl,calcium <8.5 mg/dl,early hyperglycemia,increased intra-abdominal pressure,macrophage migration inhibitory factor,or a combination of IL-10 >50 pg/ml with calcium <6.6 mg/dl.CONCLUSION:The prediction of the severity of acute pancreatitis is largely based on well defined multiple factor scoring systems as well as several single risk factors.展开更多
Background: Prediction of complications after pancreatoduodenectomy (PD) remains of interest. Blood parameters and biomarkers during rst and second postoperative days (POD1, POD2) may be early indi- cators of complica...Background: Prediction of complications after pancreatoduodenectomy (PD) remains of interest. Blood parameters and biomarkers during rst and second postoperative days (POD1, POD2) may be early indi- cators of complications. Methods: This case-control study included 50 patients. Baseline, POD1 and POD2 values of leukocytes, neutrophils, lymphocytes, platelets, hemoglobin, C-reactive protein (CRP), procalcitonin and arterial lactate were compared between individuals presenting Clavien ≥ III morbidity, pancreatic stula (PF) or clinically relevant PF (CRPF) and those without these morbidities. Common variables reaching signi cance were further analyzed in order to calculate a predictive score. Results: Severe morbidity, PF and CRPF rates were 28.0%, 26.0% and 14.0%, respectively. Patients with severe morbidity had lower leukocytes on POD2 (P=0.04). Patients with PF presented higher CRP on POD2 (P=0.001), higher lactate on POD1 (P=0.007) and POD2 (P=0.008), and lower lymphocytes on POD1 (P=0.007) and POD2 (P=0.008). Patients with CRPF had lower leukocytes and neutrophils on POD1 (P =0.048, P =0.038), lower lymphocytes on POD1 (P =0.001) and POD2 (P =0.003), and higher CRP on POD2 (P =0.001). Baseline parameters and procalcitonin obtained no statistical associations. Score was de ned according to lymphocytes on POD1 < 650/μL and CRP on POD2 ≥ 250 mg/L allocating patients in 3 risk categories. PF and CRPF rates were statistically higher as risk category increased (P<0.001). Receiver operating characteristic curves and Hosmer Lemeshow tests showed a good accuracy. Conclusions: Impaired immunological reaction during early postoperative period (lower leukocytes and, particularly, lymphocytes) in response to surgical aggression would favor complications after PD. Likewise, acidosis (higher arterial lactate) could behave as risk factor of PF. An elevated CRP on POD2 is also an early biomarker of PF. Our novel score based on postoperative lymphocyte count and CRP seems reliable for early prediction of PF.展开更多
文摘BACKGROUND Delayed union,malunion,and nonunion are serious complications in the healing of fractures.Predicting the risk of nonunion before or after surgery is challenging.AIM To compare the most prevalent predictive scores of nonunion used in clinical practice to determine the most accurate score for predicting nonunion.METHODS We collected data from patients with tibial shaft fractures undergoing surgery from January 2016 to December 2020 in three different trauma hospitals.In this retrospective multicenter study,we considered only fractures treated with intramedullary nailing.We calculated the tibia FRACTure prediction healING days(FRACTING)score,Nonunion Risk Determination score,and Leeds-Genoa Nonunion Index(LEG-NUI)score at the time of definitive fixation.RESULTS Of the 130 patients enrolled,89(68.4%)healed within 9 months and were classified as union.The remaining patients(n=41,31.5%)healed after more than 9 months or underwent other surgical procedures and were classified as nonunion.After calculation of the three scores,LEG-NUI and FRACTING were the most accurate at predicting healing.CONCLUSION LEG-NUI and FRACTING showed the best performances by accurately predicting union and nonunion.
文摘目的科学评价芙蓉李果实成熟期间的营养品质,建立色度值表观特征与营养品质的关系。方法以福建省主栽品种芙蓉李为研究对象,对其成熟期间果糖、葡萄糖、蔗糖、苹果酸、奎尼酸、琥珀酸、柠檬酸、富马酸、矢车菊素-3-芸香糖苷、矢车菊素-3-葡萄糖苷、多酚、黄酮、类胡萝卜素等13个品质指标进行分析和综合评价。结果芙蓉李成熟期间,各品质指标的含量变化存在显著差异(P<0.05),综合运用相关分析、因子分析、绝对因子分析-多元线性回归(absolute principal component scores-multiple linear regression,APCS-MLR)分析筛选可反映芙蓉李综合品质的主要指标。因子分析提取出3个主因子,贡献率分别为52.677%、23.468%、11.649%,累计贡献率为87.794%。综合APCS-MLR等数理统计分析,主因子1主要对果糖、矢车菊素-3-芸香糖苷、矢车菊素-3-葡萄糖苷贡献较大,贡献率分别为53.00%、73.85%、55.54%;主因子2主要对蔗糖、富马酸、果糖、柠檬酸的贡献率较大,分别为28.26%、18.70%、16.14%、15.59%;主因子3主要对多酚(29.13%)和黄酮(28.28%)有较大贡献率;选取3个主因子总贡献率高于60%的果糖、葡萄糖、矢车菊素-3-芸香糖苷、矢车菊素-3-葡萄糖苷作为综合品质评价的主要指标。分别对已筛选出的4个主要评价指标与色度值进行多元线性逐步回归分析,建立4个主要指标与色度值的表观预测模型,各模型均具有较好的拟合度,预测值与实测值的均方根误差较小;进一步验证结果表明,通过色度值对4个指标的预测具有较高的可靠性和准确性。结论本研究筛选出的主要指标及预测模型可更加简单、便捷地评价芙蓉李果实成熟期间的综合品质。
基金Supported by the Scientific Fund for Chinese Returnees of the Ministry of Human Resources and Social Security of Chinathe Special Public Welfare Research Fund for Meteorological Profession of China Meteorological Administration (GYHY201006015)
文摘Based on the B08RDP（Beijing 2008 Olympic Games Mesoscale Ensemble Prediction Research and Development Project） that was launched by the World Weather Research Programme（WWRP） in 2004,a regional ensemble prediction system（REPS） at a 15-km horizontal resolution was developed at the National Meteorological Center（NMC） of the China Meteorological Administration（CMA）.Supplementing to the forecasters＇ subjective affirmation on the promising performance of the REPS during the 2008 Beijing Olympic Games（BOG）,this paper focuses on the objective verification of the REPS for precipitation forecasts during the BOG period.By use of a set of advanced probabilistic verification scores,the value of the REPS compared to the quasi-operational global ensemble prediction system（GEPS） is assessed for a 36-day period（21 July-24 August 2008）.The evaluation here involves different aspects of the REPS and GEPS,including their general forecast skills,specific attributes（reliability and resolution）,and related economic values.The results indicate that the REPS generally performs significantly better for the short-range precipitation forecasts than the GEPS,and for light to heavy rainfall events,the REPS provides more skillful forecasts for accumulated 6-and 24-h precipitation.By further identifying the performance of the REPS through the attribute-focused measures,it is found that the advantages of the REPS over the GEPS come from better reliability（smaller biases and better dispersion） and increased resolution.Also,evaluation of a decision-making score reveals that a much larger group of users benefits from using the REPS forecasts than using the single model（the control run） forecasts,especially for the heavy rainfall events.
文摘BACKGROUND:Early assessment of the severity of acute pancreatitis is essential to the proper management of the disease.It is dependent on the criteria of the Atlanta classification system.DATA SOURCES:PubMed search of recent relevant articles was performed to identify information about the severity and prognosis of acute pancreatitis.RESULTS:The scoring systems included the Ranson’s or Glasgow’s criteria ≥3,the APACHE II classification system ≥8,and the Balthazar’s criteria ≥4 according to the computed tomography enhanced scanning findings.The single factors on admission included age >65 years,obesity,hemoconcentration(>44%),abnormal chest X-ray,creatinine >2 mg/dl,C-reactive protein>150 mg/dl,procalcitonin >1.8 ng/ml,albumin <2.5 mg/dl,calcium <8.5 mg/dl,early hyperglycemia,increased intra-abdominal pressure,macrophage migration inhibitory factor,or a combination of IL-10 >50 pg/ml with calcium <6.6 mg/dl.CONCLUSION:The prediction of the severity of acute pancreatitis is largely based on well defined multiple factor scoring systems as well as several single risk factors.
文摘Background: Prediction of complications after pancreatoduodenectomy (PD) remains of interest. Blood parameters and biomarkers during rst and second postoperative days (POD1, POD2) may be early indi- cators of complications. Methods: This case-control study included 50 patients. Baseline, POD1 and POD2 values of leukocytes, neutrophils, lymphocytes, platelets, hemoglobin, C-reactive protein (CRP), procalcitonin and arterial lactate were compared between individuals presenting Clavien ≥ III morbidity, pancreatic stula (PF) or clinically relevant PF (CRPF) and those without these morbidities. Common variables reaching signi cance were further analyzed in order to calculate a predictive score. Results: Severe morbidity, PF and CRPF rates were 28.0%, 26.0% and 14.0%, respectively. Patients with severe morbidity had lower leukocytes on POD2 (P=0.04). Patients with PF presented higher CRP on POD2 (P=0.001), higher lactate on POD1 (P=0.007) and POD2 (P=0.008), and lower lymphocytes on POD1 (P=0.007) and POD2 (P=0.008). Patients with CRPF had lower leukocytes and neutrophils on POD1 (P =0.048, P =0.038), lower lymphocytes on POD1 (P =0.001) and POD2 (P =0.003), and higher CRP on POD2 (P =0.001). Baseline parameters and procalcitonin obtained no statistical associations. Score was de ned according to lymphocytes on POD1 < 650/μL and CRP on POD2 ≥ 250 mg/L allocating patients in 3 risk categories. PF and CRPF rates were statistically higher as risk category increased (P<0.001). Receiver operating characteristic curves and Hosmer Lemeshow tests showed a good accuracy. Conclusions: Impaired immunological reaction during early postoperative period (lower leukocytes and, particularly, lymphocytes) in response to surgical aggression would favor complications after PD. Likewise, acidosis (higher arterial lactate) could behave as risk factor of PF. An elevated CRP on POD2 is also an early biomarker of PF. Our novel score based on postoperative lymphocyte count and CRP seems reliable for early prediction of PF.
