Severe acute pancreatitis(SAP)can induce acute respiratory distress syndrome(ARDS)and abdominal compartment syndrome(ACS).Although prone position ventilation(PPV)can improve outcomes in patients with ARDS,there is sig...Severe acute pancreatitis(SAP)can induce acute respiratory distress syndrome(ARDS)and abdominal compartment syndrome(ACS).Although prone position ventilation(PPV)can improve outcomes in patients with ARDS,there is significant controversy regarding its concurrent use with ACS owing to concerns of increased risk of intra-abdominal pressure(IAP).[1]We present a case of successful PPV application without adverse eff ects.展开更多
This article reviews the characteristics of psychological disorders in young and middle-aged acute coronary syndrome(ACS)patients,the mechanisms and effects of various psychological intervention strategies,factors inf...This article reviews the characteristics of psychological disorders in young and middle-aged acute coronary syndrome(ACS)patients,the mechanisms and effects of various psychological intervention strategies,factors influencing return to work,and current research problems and development trends,to provide scientific evidence for psychological rehabilitation and social function recovery of young and middle-aged ACS patients.展开更多
Most research on carbon storage in forests has focused on qualitative studies of carbon storage and influ-encing factors rather than on quantifying the effect of the spatial distribution of carbon storage and of its i...Most research on carbon storage in forests has focused on qualitative studies of carbon storage and influ-encing factors rather than on quantifying the effect of the spatial distribution of carbon storage and of its influencing factors at different scales.Here we described the spatial dis-tribution of aboveground carbon storage(ACS)in a 20-ha plot in a subtropical evergreen broad-leaved forest to evalu-ate and quantify the relative effects of biotic factors(species diversity and structural diversity)and abiotic factors(soil and topographic factors)on ACS at different scales.Scale effects of the spatial distribution of ACS were significant,with higher variability at smaller scales,but less at larger scales.The distribution was also spatially heterogeneous,with more carbon storage on north-and east-facing slopes than on south-and west-facing slopes.At a smaller scale,species diversity and structural diversity each had a direct positive impact on ACS,but soil factors had no significant direct impact.At increasing scales,topographic and soil fac-tors gradually had a greater direct influence,whereas the influence of species diversity gradually decreased.Structural diversity had the greatest impact,followed by topographic factors and soil factors,while species diversity had a rela-tively smaller impact.These findings suggest studies on ACS in subtropical evergreen broadleaf forests in southern China should consider scale effects,specifically on the heterogene-ity of ACS distribution at small scales.Studies and conser-vation efforts need to focus on smaller habitat types with particular emphasis on habitat factors such as aspect and soil conditions,which have significant influences on community species diversity,structural diversity,and ACS distribution.展开更多
目的探讨芪参益气滴丸联合尼可地尔对急性冠脉综合征(ACS)患者经皮冠状动脉介入治疗(PCI)术后心功能、炎症因子水平及主要不良心血管事件(MACE)的影响。方法选取2022年4月至2024年4月常州市武进中医医院收治的80例ACS行PCI术患者,按随...目的探讨芪参益气滴丸联合尼可地尔对急性冠脉综合征(ACS)患者经皮冠状动脉介入治疗(PCI)术后心功能、炎症因子水平及主要不良心血管事件(MACE)的影响。方法选取2022年4月至2024年4月常州市武进中医医院收治的80例ACS行PCI术患者,按随机数字表法分为对照组(40例,常规治疗联合尼可地尔)与观察组(40例,常规治疗联合尼可地尔+芪参益气滴丸),两组均治疗4周。比较两组治疗前后心功能指标[左室射血分数(LVEF)、左室舒张末期内径(LVEDD)、N末端B型利钠肽前体(NT-proBNP)]、炎症因子[超敏C反应蛋白(hs-CRP)、白介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)]水平,随访6个月记录MACE发生率。结果治疗后,观察组LVEF显著高于对照组[(58.31±5.07 vs 53.22±4.78)%],差异有统计学意义(P<0.05),LVEDD、NT-proBNP、hs-CRP、IL-6、TNF-α水平以及MACE总发生率均显著低于对照组[(48.17±3.05 vs 51.32±3.41)mm,(452.63±89.42 vs 698.25±112.37)pg/mL,(2.13±0.58 vs 4.26±0.94)mg/L,(5.22±1.06 vs 8.75±1.43)pg/mL,(3.16±0.72 vs 6.32±1.15)pg/mL,7.50%vs 25.00%],差异有统计学意义(P<0.05)。结论芪参益气滴丸联合尼可地尔可有效改善ACS患者PCI术后心功能,抑制全身炎症反应,降低MACE风险,具有协同增效作用。展开更多
文摘Severe acute pancreatitis(SAP)can induce acute respiratory distress syndrome(ARDS)and abdominal compartment syndrome(ACS).Although prone position ventilation(PPV)can improve outcomes in patients with ARDS,there is significant controversy regarding its concurrent use with ACS owing to concerns of increased risk of intra-abdominal pressure(IAP).[1]We present a case of successful PPV application without adverse eff ects.
基金Supported by Humanities and Social Sciences Project of Hubei Provincial Department of Education(22Q149&19Y090).
文摘This article reviews the characteristics of psychological disorders in young and middle-aged acute coronary syndrome(ACS)patients,the mechanisms and effects of various psychological intervention strategies,factors influencing return to work,and current research problems and development trends,to provide scientific evidence for psychological rehabilitation and social function recovery of young and middle-aged ACS patients.
基金supported by the Guangxi Natural Science Foundation Program(2022GXNSFAA035583,2021GXNSFBA196052)the National Natural Science Foundation of China(32060305,32460270).
文摘Most research on carbon storage in forests has focused on qualitative studies of carbon storage and influ-encing factors rather than on quantifying the effect of the spatial distribution of carbon storage and of its influencing factors at different scales.Here we described the spatial dis-tribution of aboveground carbon storage(ACS)in a 20-ha plot in a subtropical evergreen broad-leaved forest to evalu-ate and quantify the relative effects of biotic factors(species diversity and structural diversity)and abiotic factors(soil and topographic factors)on ACS at different scales.Scale effects of the spatial distribution of ACS were significant,with higher variability at smaller scales,but less at larger scales.The distribution was also spatially heterogeneous,with more carbon storage on north-and east-facing slopes than on south-and west-facing slopes.At a smaller scale,species diversity and structural diversity each had a direct positive impact on ACS,but soil factors had no significant direct impact.At increasing scales,topographic and soil fac-tors gradually had a greater direct influence,whereas the influence of species diversity gradually decreased.Structural diversity had the greatest impact,followed by topographic factors and soil factors,while species diversity had a rela-tively smaller impact.These findings suggest studies on ACS in subtropical evergreen broadleaf forests in southern China should consider scale effects,specifically on the heterogene-ity of ACS distribution at small scales.Studies and conser-vation efforts need to focus on smaller habitat types with particular emphasis on habitat factors such as aspect and soil conditions,which have significant influences on community species diversity,structural diversity,and ACS distribution.
文摘目的探讨芪参益气滴丸联合尼可地尔对急性冠脉综合征(ACS)患者经皮冠状动脉介入治疗(PCI)术后心功能、炎症因子水平及主要不良心血管事件(MACE)的影响。方法选取2022年4月至2024年4月常州市武进中医医院收治的80例ACS行PCI术患者,按随机数字表法分为对照组(40例,常规治疗联合尼可地尔)与观察组(40例,常规治疗联合尼可地尔+芪参益气滴丸),两组均治疗4周。比较两组治疗前后心功能指标[左室射血分数(LVEF)、左室舒张末期内径(LVEDD)、N末端B型利钠肽前体(NT-proBNP)]、炎症因子[超敏C反应蛋白(hs-CRP)、白介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)]水平,随访6个月记录MACE发生率。结果治疗后,观察组LVEF显著高于对照组[(58.31±5.07 vs 53.22±4.78)%],差异有统计学意义(P<0.05),LVEDD、NT-proBNP、hs-CRP、IL-6、TNF-α水平以及MACE总发生率均显著低于对照组[(48.17±3.05 vs 51.32±3.41)mm,(452.63±89.42 vs 698.25±112.37)pg/mL,(2.13±0.58 vs 4.26±0.94)mg/L,(5.22±1.06 vs 8.75±1.43)pg/mL,(3.16±0.72 vs 6.32±1.15)pg/mL,7.50%vs 25.00%],差异有统计学意义(P<0.05)。结论芪参益气滴丸联合尼可地尔可有效改善ACS患者PCI术后心功能,抑制全身炎症反应,降低MACE风险,具有协同增效作用。
