BACKGROUND It is expected that transfer of spinal accessory nerve to suprascapular nerve,which is widely used in the restoration of the shoulder function in brachial plexus birth injury(BPBI),impairs the trapezius fun...BACKGROUND It is expected that transfer of spinal accessory nerve to suprascapular nerve,which is widely used in the restoration of the shoulder function in brachial plexus birth injury(BPBI),impairs the trapezius function.AIM To hypothesize that the lower trapezius muscle remains functional after this neve transfer.METHODS In a retrospective cross-sectional study,patients with BPBI who underwent nerve transfer from accessory nerve to supraclavicular were followed for at least six months following the operation and demographic data were extracted from the database.To assess the lower trapezius function,shoulder abduction and external rotation were examined,and electromyography and nerve conduction velocity(EMG-NCV)was performed.RESULTS A total of 19 patients with a mean age of 2.69±1.40 years and a mean follow-up of 10.5 months were included in the study.Shoulder abduction was disabled completely only in one patient(5.26%);10(52.63%)had good,3(15.78%)moderate,and 5(26.31%)had poor shoulder abduction.Regarding external rotation,one(5.26%)was unable to externally rotate the shoulder;among 18(94.73%)patients who had satisfactory results,8(42.10%)were evaluated to be good,5(26.31%)moderate,and 5(26.31%)poor.EMG-NCV showed functional lower trapezius in all patients;its function was evaluated to be good in 11(57.89%),moderate in 6(31.57%),and poor in 2(10.52%)cases.CONCLUSION This study supports the hypothesis that the lower trapezius muscle has a dual motor innervation which provides the possibility of further trapezius tendon transfer to restore a better shoulder function.展开更多
The rapid acceleration of global warming and intensifying human activities have exacerbated the fragility and climate sensitivity of ecosystems worldwide,particularly in arid regions.Vegetation,a key component of ecos...The rapid acceleration of global warming and intensifying human activities have exacerbated the fragility and climate sensitivity of ecosystems worldwide,particularly in arid regions.Vegetation,a key component of ecosystems,is critical in enhancing the ecological environment.The Ertix River Basin(ERB)is a transboundary watershed that spans multiple countries,mostly in arid regions.However,research on the fractional vegetation coverage(FVC)and its driving factors in the ERB remains limited.Investigating the spatiotemporal changes in the FVC and its relationship with various factors in the ERB can offer scientific support for optimizing regional vegetation restoration policies and promoting the coordinated development of human-environment interactions.The Moderate-resolution Imaging Spectroradiometer(MODIS)MYD13Q1 V6 data were obtained via the Google Earth Engine platform,and methods including the pixel dichotomy method,Theil-Sen median trend analysis,and Mann‒Kendall test were employed to examine the spatiotemporal dynamics of the FVC in the ERB from 2003 to 2023,with future trend forecast using the Hurst index.The impacts of natural and socioeconomic factors on the FVC were evaluated through the partial least squares-structural equation model(PLS-SEM).The results indicated that the FVC in the ERB showed a slight degradation trend with an average annual decrease of 0.046%during 2003-2023,with significant changes occurring in 2004,2010,and 2019.Spatially,53.380%of the study area was degraded,and the change in the FVC increased gradually from southeast to northwest.The FVC in 63.000%of the study area was highly stable and displayed long-term persistence;and the direct impact of natural factors(path coefficient of 0.617)on the FVC was significantly higher than that of socioeconomic factors(0.167).Among the natural factors,precipitation(0.999)was the most significant.This study reveals the significant impacts of natural and socioeconomic factors on vegetation dynamics in arid regions,and provides a scientific basis for transnational ecological conservation.展开更多
文摘BACKGROUND It is expected that transfer of spinal accessory nerve to suprascapular nerve,which is widely used in the restoration of the shoulder function in brachial plexus birth injury(BPBI),impairs the trapezius function.AIM To hypothesize that the lower trapezius muscle remains functional after this neve transfer.METHODS In a retrospective cross-sectional study,patients with BPBI who underwent nerve transfer from accessory nerve to supraclavicular were followed for at least six months following the operation and demographic data were extracted from the database.To assess the lower trapezius function,shoulder abduction and external rotation were examined,and electromyography and nerve conduction velocity(EMG-NCV)was performed.RESULTS A total of 19 patients with a mean age of 2.69±1.40 years and a mean follow-up of 10.5 months were included in the study.Shoulder abduction was disabled completely only in one patient(5.26%);10(52.63%)had good,3(15.78%)moderate,and 5(26.31%)had poor shoulder abduction.Regarding external rotation,one(5.26%)was unable to externally rotate the shoulder;among 18(94.73%)patients who had satisfactory results,8(42.10%)were evaluated to be good,5(26.31%)moderate,and 5(26.31%)poor.EMG-NCV showed functional lower trapezius in all patients;its function was evaluated to be good in 11(57.89%),moderate in 6(31.57%),and poor in 2(10.52%)cases.CONCLUSION This study supports the hypothesis that the lower trapezius muscle has a dual motor innervation which provides the possibility of further trapezius tendon transfer to restore a better shoulder function.
基金funded by the Third Xinjiang Comprehensive Scientific Investigation Project,China(2022xjkk0702)the Western Young Scholars Project of the Chinese Academy of Sciences(2022-XBQNXZ-001)the Tianshan Talent Development Program,China(2022TSYCCX0006).
文摘The rapid acceleration of global warming and intensifying human activities have exacerbated the fragility and climate sensitivity of ecosystems worldwide,particularly in arid regions.Vegetation,a key component of ecosystems,is critical in enhancing the ecological environment.The Ertix River Basin(ERB)is a transboundary watershed that spans multiple countries,mostly in arid regions.However,research on the fractional vegetation coverage(FVC)and its driving factors in the ERB remains limited.Investigating the spatiotemporal changes in the FVC and its relationship with various factors in the ERB can offer scientific support for optimizing regional vegetation restoration policies and promoting the coordinated development of human-environment interactions.The Moderate-resolution Imaging Spectroradiometer(MODIS)MYD13Q1 V6 data were obtained via the Google Earth Engine platform,and methods including the pixel dichotomy method,Theil-Sen median trend analysis,and Mann‒Kendall test were employed to examine the spatiotemporal dynamics of the FVC in the ERB from 2003 to 2023,with future trend forecast using the Hurst index.The impacts of natural and socioeconomic factors on the FVC were evaluated through the partial least squares-structural equation model(PLS-SEM).The results indicated that the FVC in the ERB showed a slight degradation trend with an average annual decrease of 0.046%during 2003-2023,with significant changes occurring in 2004,2010,and 2019.Spatially,53.380%of the study area was degraded,and the change in the FVC increased gradually from southeast to northwest.The FVC in 63.000%of the study area was highly stable and displayed long-term persistence;and the direct impact of natural factors(path coefficient of 0.617)on the FVC was significantly higher than that of socioeconomic factors(0.167).Among the natural factors,precipitation(0.999)was the most significant.This study reveals the significant impacts of natural and socioeconomic factors on vegetation dynamics in arid regions,and provides a scientific basis for transnational ecological conservation.
