OBJECTIVE:In recent years,the number of clinical research reports on acupuncture and manipulation for the treatment of greater occipital neuralgia has gradually increased,but the quality is uneven.There is currently n...OBJECTIVE:In recent years,the number of clinical research reports on acupuncture and manipulation for the treatment of greater occipital neuralgia has gradually increased,but the quality is uneven.There is currently no literature evaluating the quality of published reports,which is not conducive to the promotion of clinical use of these therapies.Therefore,this article assessed the reporting quality of randomized controlled trials on acupuncture and manipulation for greater occipital neuralgia.METHODS:Cochrane Library,PubMed,Web of Science,Embase,China National Knowledge Infrastructure(CNKI),VIP,WanFang Data,and Chinese BioMedical Literature Database(CBM)from inception to May 20,2024 were searched.The reporting quality of included randomized controlled trials was independently evaluated by two investigators using the CONSORT statement,STRICTA checklist,and Cochrane bias of risk assessment tool.A third investigator resolved any disagreement.RESULTS:A total of 62 articles were included.Based on the CONSORT statement,59.46%(22/37)of all entries had a reporting rate of less than 50%,mainly including“Identification as a randomized trial in the title(1/62,1.61%),”“How sample size was determined(7/62,11.29%),”“Implementation(1/62,1.61%),”“Blinding(1/62,1.61%),”and“Reports of Funding(4/62,6.45%).”According to the STRICTA checklist,29.41%(5/17)of all entries had a reporting rate of less than 50%,mainly including“Details of other interventions(7/58,12.07%),”“Setting and context of treatment(0/58,0%),”and“Description of participating acupuncturists(0/58,0%).”CONCLUSION:The reporting quality of randomized controlled trials on acupuncture and manipulation therapy for greater occipital neuralgia remains low.Future researchers need to make greater efforts to strictly adhere to the CONSORT statement and STRICTA checklist during trial design,implementation,and reporting.This will facilitate the standardization of research in this field and enhance the reliability and reproducibility of the research results.展开更多
High-purity SiO_(2)nanoparticles(SNPs)play a crucial role in various electronic applications,such as semiconductors,solar cells,optical fibers,lenses,and insulating layers,given their purity and particle size,which si...High-purity SiO_(2)nanoparticles(SNPs)play a crucial role in various electronic applications,such as semiconductors,solar cells,optical fibers,lenses,and insulating layers,given their purity and particle size,which significantly impact device efficiency.This study fo-cuses on the synthesis and characterization of pure SNPs through the chemical etching of greater club rush.White powder SNPs were pre-pared using HCl etching,and their thermal behaviors were analyzed via thermogravimetric analysis/differential scanning calorimetry.Structural properties were investigated using X-ray fluorescence,scanning electron microscopy,and transmission electron microscopy.X-ray absorption near-edge structure was employed to assess the oxidation state of the SNPs.The morphology of the SNPs after the first etching was amorphous,with sizes ranging from 50 to 100 nm,which increased to 50-200 nm after the second etching.Despite this size variation,the SNPs maintained a high purity level of 99.8wt%SiO_(2),comparable with industry standards.Notably,the second etching with 0.1-M HCl significantly enhanced the purity level,achieving 99.8wt%SiO_(2)mass.Furthermore,HCl etching facilitated the formation of SiO_(2)in the Si^(4+)oxidation state,akin to industrial SNPs.These findings underscore the critical role of HCl etching in synthesizing high-purity SNPs,with potential applications in advanced electronic devices.展开更多
Recently,the first cross-border matchmaking meeting of 2025 for the application of offshore wind power research outcomes took place in Yangjiang,Guangdong Province.Hosted by the GBA Institute of Industry and Talent(GB...Recently,the first cross-border matchmaking meeting of 2025 for the application of offshore wind power research outcomes took place in Yangjiang,Guangdong Province.Hosted by the GBA Institute of Industry and Talent(GBAIIT),the event spotlighted the cross-axis wind turbine(CAWT),a technology developed by the task force headed by Chong Wen Tong,a fellow with the Academy of Sciences Malaysia and director of the Center for Energy Sciences at the University of Malaya.展开更多
Establishing the Greater Food Approach and promoting the Yangtze River Economic Belt s national major regional development strategy can better support and serve the agricultural power and Chinese-style modernization.T...Establishing the Greater Food Approach and promoting the Yangtze River Economic Belt s national major regional development strategy can better support and serve the agricultural power and Chinese-style modernization.This paper introduces the characteristics of fruit industry in 16 autonomous prefectures and 47 autonomous counties under the jurisdiction of the Yangtze River Economic Belt.It studies the intellectual property resources of brand marks from the aspects of geographical indications,collective trademarks,certification trademarks,well-known trademarks in China and national design patents,and analyzes the main problems of brand and high-quality development of fruit industry in these ethnic autonomous areas.Finally,it puts forward some strategies,such as improving the protection of intellectual property rights of geographical indications,using intellectual property rights of brand signs,building modern seed industry upgrading project,drawing lessons from the experience of thousand villages demonstration project,ensuring that large-scale poverty does not occur,and building a diversified food supply system.展开更多
Soaring bird migration often relies on suitable terrain and airflow;therefore,route selection is vital for successful migration.While age and experience have been identified as key factor influencing migration route s...Soaring bird migration often relies on suitable terrain and airflow;therefore,route selection is vital for successful migration.While age and experience have been identified as key factor influencing migration route selection among soaring raptors in the African-Eurasian Flyway,how they shape the migration route of soaring raptors in East Asia is still largely unknown.In this study,we investigated potential variations in the routes and timing in autumn migration of juvenile and older soaring birds,using count data of Greater Spotted Eagles(Clanga clanga)from two coastal sites and two inland sites in China.From 2020 to 2023,we recorded a total of 340 individuals,with the highest site averaging over 90 individuals per autumn,making it one of the world’s top single-season counts and thus a globally important site for this species.We found that 82% and 61% records from coastal sites were juveniles,significantly higher than inland sites(15% and 24%).Juveniles at all four sites exhibited markedly earlier median passage time than non-juveniles,with brief overlapping in their main migration periods.Both coastal sites are located on the tip of peninsulas stretching southwest,requiring long overwater flights if crossing the Bohai Bay or Beibu Gulf,which would be energetically demanding and increase mortality risk.Experienced individuals may have learned to avoid such terrain and subsequent detour,while juveniles are more prone to enter these peninsulas due to lack of experience and opportunities for social learning,or following other raptor species that are more capable of powered flight.Our findings highlight the importance of age and experience in migration route selection of large soaring birds.展开更多
Geese have undergone significant changes in their distribution and population size due to human-induced impacts.To improve our understanding of the two main geese populations in East Asia—Greater White-fronted(Anser ...Geese have undergone significant changes in their distribution and population size due to human-induced impacts.To improve our understanding of the two main geese populations in East Asia—Greater White-fronted(Anser albifrons;GWFG)and Bean Geese(Anser fabalis sensu lato;BEAG),which includes the Tundra A.f.serrirostris(TDBG)and Taiga Bean Geese A.f.middendorffii(TGBG),this study estimated their long-and short-term trends and the migration strategies based on their distribution during the migratory and wintering seasons,using nationwide census data collected over 24 years in South Korea.The TRIM(TRends and Indices for Monitoring data)analysis supported a robust long-term population increase since 1999,recently stabilizing around 150,000 individuals in GWFG and 100,000 in TDBG,respectively.But TGBG stabilized at around 7000 with no significant change of population over time.The shorter-term trends within a season suggested that wintering populations of GWFG and TDBG in China might stop over in Korea in their autumn migration before their sea-crossing,evidenced by the large congregation near the Yellow Sea coast followed by a gradual decrease.In contrast to autumn,there was no similar peak in spring migration,suggesting the potential for elliptical migration of some populations around the Yellow Sea.Our findings indicate a growing East Asian population and imply one of the migration strategies of the Greater White-fronted and Tundra Bean Geese.By collaborating with recent tracking data,long-term monitoring efforts could offer more detailed insights into population trends and migration strategies,thereby contributing to the effective management and conservation of goose species in East Asia.展开更多
The urban heat island(UHI) is an environmental problem of wide concern because it poses a threat to both the human living environment and the sustainable development of cities. Knowledge of the spatiotemporal characte...The urban heat island(UHI) is an environmental problem of wide concern because it poses a threat to both the human living environment and the sustainable development of cities. Knowledge of the spatiotemporal characteristics and the driving factors of UHI is essential for mitigating their impact. However, current understanding of the UHI in the Guangdong–Hong Kong–Macao Greater Bay Area(GBA) is inadequate. Combined with data(e.g., land surface temperature and land use.) acquired from the Google Earth Engine and other sources for the period 2001–2020, this study examined the diurnal and seasonal variabilities, spatial heterogeneities, temporal trends, and drivers of surface UHI intensity(SUHII) in the GBA. The SUHII was calculated based on the urban–rural dichotomy, which has been proven an effective method. The average SUHII was generally 0–2°C, and the SUHII in daytime was generally greater than that at night. The maximum(minimum) SUHII was found in summer(winter);similarly, the largest(smallest) diurnal difference in SUHII was during summer(winter). Generally, the Mann–Kendall trend test and the Sen's slope estimator revealed a statistically insignificant upward trend in SUHII on all time scales. The influence of driving factors on SUHII was examined using the Geo-Detector model. It was found that the number of continuous impervious pixels had the greatest impact, and that the urban–rural difference in the enhanced vegetation index had the smallest impact, suggesting that anthropogenic heat emissions and urban size are the main influencing factors. Thus, controlling urban expansion and reducing anthropogenic heat generation are effective approaches for alleviating surface UHI.展开更多
Rapid morphological and socioeconomic changes have accelerated the urbanization process and urban land use transformation in China.Megacities comprise clusters of urban cities and exhibit both newly formed and well-de...Rapid morphological and socioeconomic changes have accelerated the urbanization process and urban land use transformation in China.Megacities comprise clusters of urban cities and exhibit both newly formed and well-developed urban land use development beyond administrative boundaries.It is necessary to distinguish the changing effects of spatial-varying driving factors on newly formed urban land uses from well-developed built-up areas in megacities.This study proposed a multi-spatial urbanization framework to quantify region-level socioeconomics,cluster-level ecological morphologies,and grid-level urban functional morphologies.A three-level Bayesian hierarchical model was developed to investigate the impacts of multi-spatial driving factors on urban land use transformation in megacities.The study period focused on the urbanization process between 2000 and 2018 in Guangdong-Hong Kong-Macao Greater Bay Area(GBA).Results revealed that compared with well-developed urban built-up land,changing impacts of three-level driving factors in urban land use transformation could be captured based on the proposed Bayesian hierarchical model.The region-level total population was associated with increasing possibilities in forming new residential land than the well-developed ones in 35 districts/counties/cities in GBA.Cluster-level ecological attributes with higher proportion,lower edge density of urban built areas,and lower-degree ecological complexity showed increasing probability on newly formed industrial and public land.Grid-level urban functional factors including public transportation density and shopping/dining distribution exhibited significantly decreasing probability(coefficients:−2.12 to−0.51)on contributing newly formed land uses compared with the well-developed areas,whereas business/industry distribution represented higher(coefficients:0.99 and 0.15)and lower probabilities(coefficient:−0.22)of forming industrial/public land and residential land separately.This research shows a new attempt to distinguish multi-spatial morphological and socioeconomic effects in urban land use transformation in megacities.展开更多
The inter-city linkage heat data provided by Baidu Migration is employed as a characterization of inter-city linkages in order to facilitate the study of the network linkage characteristics and hierarchical structure ...The inter-city linkage heat data provided by Baidu Migration is employed as a characterization of inter-city linkages in order to facilitate the study of the network linkage characteristics and hierarchical structure of urban agglomeration in the Greater Bay Area through the use of social network analysis method.This is the inaugural application of big data based on location services in the study of urban agglomeration network structure,which represents a novel research perspective on this topic.The study reveals that the density of network linkages in the Greater Bay Area urban agglomeration has reached 100%,indicating a mature network-like spatial structure.This structure has given rise to three distinct communities:Shenzhen-Dongguan-Huizhou,Guangzhou-Foshan-Zhaoqing,and Zhuhai-Zhongshan-Jiangmen.Additionally,cities within the Greater Bay Area urban agglomeration play different roles,suggesting that varying development strategies may be necessary to achieve staggered development.The study demonstrates that large datasets represented by LBS can offer novel insights and methodologies for the examination of urban agglomeration network structures,contingent on the appropriate mining and processing of the data.展开更多
Decline in wildlife populations is manifest globally, regionally and locally. A wildlife decline of 68% has been reported in Kenya’s rangelands with Baringo County experiencing more than 85% wildlife loss in the last...Decline in wildlife populations is manifest globally, regionally and locally. A wildlife decline of 68% has been reported in Kenya’s rangelands with Baringo County experiencing more than 85% wildlife loss in the last four decades. Greater Kudu (Tragelaphus strepsiceros) is endemic to Lake Bogoria landscape in Baringo County and constitutes a major tourist attraction for the region necessitating use of its photo on the County’s logo and thus a flagship species. Tourism plays a central role in Baringo County’s economy and is a major source of potential growth and employment creation. The study was carried out to assess spatio-temporal change of dispersal areas of Greater Kudu (GK) in Lake Bogoria landscape in the last four years for enhanced adaptive management and improved livelihoods. GK population distribution primary data collected in December 2022 and secondary data acquired from Lake Bogoria National Game Reserve (LBNGR) for 2019 and 2020 were digitized using in a Geographic Information System (GIS). Measures of dispersion and point pattern analysis (PPA) were used to analyze dispersal of GK population using GIS. Spatio-temporal change of GK dispersal in LBNR was evident thus the null hypothesis was rejected. It is recommended that anthropogenic activities contributing to GK’s habitat degradation be curbed by providing alternative livelihood sources and promoting community adoption of sustainable technologies for improved livelihoods.展开更多
[Objective] This study aims to analyze the natural regeneration characteristics and growth factors of two cut-over lands of Larix gmelini forests in Greater Khingan Mountains. [Method] A database was established based...[Objective] This study aims to analyze the natural regeneration characteristics and growth factors of two cut-over lands of Larix gmelini forests in Greater Khingan Mountains. [Method] A database was established based on the information of natural regeneration cut-over sample plots of Larix gmelini forests in Greater Khingan Mountains. Natural regeneration characteristics of clear-cutting sample plot and shelterwood-cutting sample plot of Larix gmelini in the northern regions of Greater Khingan Mountains were investigated by programming analysis. [Result] The natural regeneration of two principal felling systems was both good, and that of shelterwood-cutting sample plot was better. There were significant linear regression relationships among various growth factors of naturally regenerated plants. [Conclusion] This study provided scientific theoretical guidance for subsequent deforestation and regeneration in Greater Khingan Mountains.展开更多
Based on geographic information system(GIS) spatial analysis technology, the spatial pattern of raster grid transport accessibility for the Guangdong-Hong Kong-Macao Greater Bay area was studied and the states of spat...Based on geographic information system(GIS) spatial analysis technology, the spatial pattern of raster grid transport accessibility for the Guangdong-Hong Kong-Macao Greater Bay area was studied and the states of spatial connectedness were simulated using highway passenger transport, railway passenger transport, port passenger transport and aviation passenger transport data. The result shows that transport accessibility within the Guangdong-Hong Kong-Macao Greater Bay area costs ‘one hour’ and the spatial distribution of accessibility in the area presents clear ‘core-periphery’ spatial characteristics, with Guangzhou, Foshan, Shenzhen constituting the core. The transport accessibility of Guangdong-Hong Kong-Macao is high. Average accessibility of urban nodes as measured by travel time is 0.99 h, and the areas accessible within 1.42 h occupy 79.14% of the total area. Most of the areas with the lowest accessibility are found in the peripheral area, with the worst accessibility being 4.73 h. Compared with the west-side cities, the economically developed east-side cities of the Guangdong-Hong Kong-Macao Greater Bay area have higher connectivity with roads, railways, ports, and aviation transport. Guangzhou, Foshan, Zhuhai, Shenzhen, Hong Kong and Macao are closely linked. The higher the accessibility, the closer the intercity connectedness.展开更多
Background:Migration theory suggests,and some empirical studies show, that in order to compete for the best breeding sites and increase reproductive success,long-distance avian migrants tend to adopt a time minimizati...Background:Migration theory suggests,and some empirical studies show, that in order to compete for the best breeding sites and increase reproductive success,long-distance avian migrants tend to adopt a time minimization strategy during spring migration, resulting in shorter duration spring migration compared to that in autumn.Methods:Using GPS/GSM transmitters,we tracked the full migrations of 11 Greater White-fronted Geese (Anser albifrons) between southeast China and the Russian Arctic,to reveal the migration timing and routes of the East Asian population, and compare the difference in duration between spring and autumn migration of this population.Results:We found that migration in spring (79 ± 12 days) took more than twice as long to cover the same distance as in autumn (35 ±7 days).This difference in migration duration was mainly determined by significantly more time spent in spring (59±16 days) than in autumn (23± 6days) at significantly more stopover sites. Conclusions:We suggest that these geese, thought to be partial capital breeders, spent almost three quarters of total migration time at spring stopover sites to acquire energy stores for ultimate investment in reproduction, although we cannot reject the hypothesis that timing of the spring thaw also contributed to stopover duration.In autumn,they acquired necessary energy stores on the breeding grounds sufficient to reach Northeast China staging areas almost without stop, which reduced stopover times in autumn and resulted in the faster autumn migration than spring.展开更多
The Urban Heat Island (UHI) results in significant and sometimes dramatic increases in air temperature differences between the urban environment and its surrounding areas. The heat island structure may extend from the...The Urban Heat Island (UHI) results in significant and sometimes dramatic increases in air temperature differences between the urban environment and its surrounding areas. The heat island structure may extend from the ground to the top of roofs and canopy levels above ground. The Urban Heat Island effect is a leading factor in a long list of human health problems which are expected to increase with the rapid growth of urban populations and projected future climate change. Urban heat island studies can be conducted through either direct measurements of air temperature using automobile transects and weather station networks or through measuring surface temperature using airborne or satellite remote sensing. In this study, UHI was investigated over the Greater Cairo during both summer and winter seasons over two different dates. Landsat 7 ETM+ data were used and the mono-window algorithm was applied in the study. Results emphasis that both types of heat islands exist in the study area i.e. the surface and the atmospheric heat islands. Temperature differences ranged between 0.5°C to 3.5°C and these are much related to the existing land use/covers. It could be concluded that expansion of urban areas in Greater Cairo has led to increased thermal radiation of land surface on the highly populated areas.展开更多
The Greater Khingan Mountains （Daxinganling） are China＇s important ecological protective screen and also the region most sensitive to climate changes. To gain an in-depth understanding and reveal the climate change...The Greater Khingan Mountains （Daxinganling） are China＇s important ecological protective screen and also the region most sensitive to climate changes. To gain an in-depth understanding and reveal the climate change characteristic in this high-latitude, cold and data-insufficient region is of great importance to maintaining ecological safety and corre- sponding to global climate changes. In this article, the annual average temperature, precipi- tation and sunshine duration series were firstly constructed using tree-ring data and the me- teorological observation data. Then, using the climate tendency rate method, moving-t-testing method, Yamamoto method and wavelet analysis method, we have investigated the climate changes in the region during the past 307 years. Results indicate that, since 1707, the annual average temperature increased significantly, the precipitation increased slightly and the sun- shine duration decreased, with the tendency rates of 0.06~C/10a, 0.79 mm/10a and -5.15 h/10a, respectively （P〈~0.01）. Since the 21 st century, the period with the greatest increase of the annual average temperature （also with the greatest increase of precipitation） corresponds to the period with greatest decrease of sunshine duration. Three sudden changes of the an- nual average temperature and sunshine duration occurred in this period while two sudden changes of precipitation occurred. The strong sudden-change years of precipitation and sunshine duration are basically consistent with the sudden-change years of annual average temperature, suggesting that in the mid-1860s, the climatic sudden change or transition really existed in this region. In the time domain, the climatic series of this region exhibit obvious local variation characteristics. The annual average temperature and sunshine duration exhibit the periodic variations of 25 years while the precipitation exhibits a periodic variation of 20 years. Based on these periodic characteristics, one can infer that in the period from 2013 to 2030, the temperature will be at a high-temperature stage, the precipitation will be at an abundant-precipitation stage and the sunshine duration will be at an less-sunshine stage. In terms of spatial distribution, the leading distribution type of the annual average temperature in this region shows integrity, i.e：, it is easily higher or lower in the whole region; and the second distribution type is more （or less） in the southwest parts and less （or more） in the northeast parts. Precipitation and sunshine duration exhibit complex spatial distribution and include four spatial distribution types. The present study can provide scientific basis for the security in- vestigation of homeland, ecological and water resources as well as economic development programming in China＇s northern borders.展开更多
BACKGROUND: Bile leak remains a main complication in liver transplantation patients with poor biliary tract conditions, mainly caused by an insufficient blood supply or dysplasia of the biliary tract. Although Roux-en...BACKGROUND: Bile leak remains a main complication in liver transplantation patients with poor biliary tract conditions, mainly caused by an insufficient blood supply or dysplasia of the biliary tract. Although Roux-en-Y modus operandi can be adopted, the risk of other complications of the biliary tract such as infection increases. Using pedicled greater omentum flaps to wrap the anastomotic stoma, which increases the biliary tract blood supply, may reduce the incidence of bile leak. METHODS: Fourteen patients undergoing piggy-back liver transplantation and having poor biliary tract conditions were treated with pedicled greater omentum flaps to wrap the anastomotic stoma of the biliary tract. Their clinical data were analyzed retrospectively. RESULTS: Of the 14 patients, only one (7.1%) had a mild bile leak on the 8th day post-operation and fully recovered after symptomatic treatment. The other patients had no biliary complications. CONCLUSIONS: Using pedicled greater omentum flaps to wrap the anastomotic stoma of the biliary tract is an effective way to prevent bile leak in liver transplantation patients, especially those with poor biliary tract conditions. However, experience with this surgical technique still needs to be further explored.展开更多
To report an extragastrointestinal stromal tumor （EGIST） that occurs outside the gastrointestinal tract and shows unique clinicopathologic and immunohistochemical features. In our case, we experienced multiple soft ...To report an extragastrointestinal stromal tumor （EGIST） that occurs outside the gastrointestinal tract and shows unique clinicopathologic and immunohistochemical features. In our case, we experienced multiple soft tissue tumors that originate primarily in the greater omentum, and in immunohistochemical analysis, the tumors showed features that correspond to malignant EGIST. Two large omental masses measured 15 cm×10 cm and 5 cm×4 cm sized and several small ovoid fragments were attached to small intestine, mesentery and peritoneum. On histologic findings, the masses were separated from small bowel serosa and had high mitotic count （115/50 HPFs）. In the results of immunohistochemical stains, the tumor showed CDl17 （c-kit） positive reactivity and high Ki-67 labeling index. On mutation analysis, the c-kit gene mutation was found in the juxtamembrane domain （exon 11）and it was heterozygote. Platelet-derived growth factor receptor （PDGFR） gene mutation was also found in the juxtamemembrane （exon 12） and it was polymorphism. From above findings, we proposed that there may be several mutational pathways to malignant EGIST, so further investigations could be needed to approach this unfavorable disease entity.展开更多
BACKGROUND Most greater tuberosity fractures can be treated without surgery but some have a poor prognosis.The surgical procedures for avulsion fractures of the humeral greater tuberosity include screw fixation,suture...BACKGROUND Most greater tuberosity fractures can be treated without surgery but some have a poor prognosis.The surgical procedures for avulsion fractures of the humeral greater tuberosity include screw fixation,suture anchor fixation,and plate fixation,all of which have treatment-associated complications.To decrease surgical complications,we used a modified suture bridge procedure under direct vision and a minimally invasive small incision to fix fractures of the greater tuberosity of the humerus.AIM To investigate the clinical efficacy and outcomes of minimally invasive modified suture bridge open reduction of greater tuberosity evulsion fractures.METHODS Sixteen patients diagnosed between January 2016 and January 2019 with an avulsion-type greater tuberosity fracture of the proximal humerus and treated by minimally invasive open reduction and modified suture bridges with anchors were studied retrospectively.All were followed up by clinical examination and radiographs at 3 and 6 wk,3,6 and 12 mo after surgery,and thereafter every 6 mo.Outcomes were assessed preoperatively and postoperatively by a visual analog scale(VAS),the University of California Los Angeles(UCLA)shoulder score,the American Shoulder and Elbow Surgeon score(ASES),and range of motion(ROM)for shoulders.RESULTS Seven men and nine women,with an average age of 44.94 years,were evaluated.The time between injury and surgery was 1-2 d,with an average of 1.75 d.The mean operation time was 103.1±7.23 min.All patients achieved bone union within 3 mo after surgery.VAS scores were significantly decreased(P=0.002),and the mean degrees of forward elevation(P=0.047),mean degrees of abduction(P=0.035),ASES score(P=0.092)were increased at 3 wk.The UCLA score was increased at 6 wk(P=0.029)after surgery.The average degrees of external rotation and internal rotation both improved at 3 mo after surgery(P=0.012 and P=0.007,respectively).No procedure-related deaths or incision-related superficial or deep tissue infections occurred.CONCLUSION Modified suture bridge was effective for the treatment of greater tuberosity evulsion fractures,was easier to perform,and had fewer implants than other procedures.展开更多
Extrathoracic solitary fibrous tumors(SFTs) have been described at almost every anatomic location of human body,but reports of SFT in the abdominal cavity are rare.We herein present a rare case of SFT originating from...Extrathoracic solitary fibrous tumors(SFTs) have been described at almost every anatomic location of human body,but reports of SFT in the abdominal cavity are rare.We herein present a rare case of SFT originating from greater omentum.Computed tomography revealed a 15.8 cm × 21.0 cm solid mass located at superior aspect of stomach.Open laparotomy confirmed its mesenchymal origin.Microscopically,its tissue was composed of non-organized and spindle-shaped cells exhibiting atypical nuclei,which were divided up by branching vessel and collagen bundles.Immunohistochemical staining showed that this tumor was negative for CD117,CD99,CD68,cytokeratin,calretinin,desmin,epithelial membrane antigen,F8 and S-100,but positive for CD34,bcl-2,α-smooth muscle actin and vimentin.The patient presented no evidence of recurrence during follow-up.SFT arising from abdominal cavity can be diagnosed by histological findings and immunohistochemical markers,especially for CD34 and bcl-2 positive cases.展开更多
文摘OBJECTIVE:In recent years,the number of clinical research reports on acupuncture and manipulation for the treatment of greater occipital neuralgia has gradually increased,but the quality is uneven.There is currently no literature evaluating the quality of published reports,which is not conducive to the promotion of clinical use of these therapies.Therefore,this article assessed the reporting quality of randomized controlled trials on acupuncture and manipulation for greater occipital neuralgia.METHODS:Cochrane Library,PubMed,Web of Science,Embase,China National Knowledge Infrastructure(CNKI),VIP,WanFang Data,and Chinese BioMedical Literature Database(CBM)from inception to May 20,2024 were searched.The reporting quality of included randomized controlled trials was independently evaluated by two investigators using the CONSORT statement,STRICTA checklist,and Cochrane bias of risk assessment tool.A third investigator resolved any disagreement.RESULTS:A total of 62 articles were included.Based on the CONSORT statement,59.46%(22/37)of all entries had a reporting rate of less than 50%,mainly including“Identification as a randomized trial in the title(1/62,1.61%),”“How sample size was determined(7/62,11.29%),”“Implementation(1/62,1.61%),”“Blinding(1/62,1.61%),”and“Reports of Funding(4/62,6.45%).”According to the STRICTA checklist,29.41%(5/17)of all entries had a reporting rate of less than 50%,mainly including“Details of other interventions(7/58,12.07%),”“Setting and context of treatment(0/58,0%),”and“Description of participating acupuncturists(0/58,0%).”CONCLUSION:The reporting quality of randomized controlled trials on acupuncture and manipulation therapy for greater occipital neuralgia remains low.Future researchers need to make greater efforts to strictly adhere to the CONSORT statement and STRICTA checklist during trial design,implementation,and reporting.This will facilitate the standardization of research in this field and enhance the reliability and reproducibility of the research results.
基金supported by the Suranaree University of Technology(SUT)Center of Excellence(CoE)on Advanced Functional Materials(AFM),School of Physics,Suranaree University of Technology,Nakhon Ratchasima,Thailand,the External Grants and Scholarships for Graduate Students,Suranaree University of Technology,Nakhon Ratchasima,Thailand,and the Research Network on Nanotechnology(RNN),Suranaree University of Technology,Nakhon Ratchasima,Thailand.
文摘High-purity SiO_(2)nanoparticles(SNPs)play a crucial role in various electronic applications,such as semiconductors,solar cells,optical fibers,lenses,and insulating layers,given their purity and particle size,which significantly impact device efficiency.This study fo-cuses on the synthesis and characterization of pure SNPs through the chemical etching of greater club rush.White powder SNPs were pre-pared using HCl etching,and their thermal behaviors were analyzed via thermogravimetric analysis/differential scanning calorimetry.Structural properties were investigated using X-ray fluorescence,scanning electron microscopy,and transmission electron microscopy.X-ray absorption near-edge structure was employed to assess the oxidation state of the SNPs.The morphology of the SNPs after the first etching was amorphous,with sizes ranging from 50 to 100 nm,which increased to 50-200 nm after the second etching.Despite this size variation,the SNPs maintained a high purity level of 99.8wt%SiO_(2),comparable with industry standards.Notably,the second etching with 0.1-M HCl significantly enhanced the purity level,achieving 99.8wt%SiO_(2)mass.Furthermore,HCl etching facilitated the formation of SiO_(2)in the Si^(4+)oxidation state,akin to industrial SNPs.These findings underscore the critical role of HCl etching in synthesizing high-purity SNPs,with potential applications in advanced electronic devices.
文摘Recently,the first cross-border matchmaking meeting of 2025 for the application of offshore wind power research outcomes took place in Yangjiang,Guangdong Province.Hosted by the GBA Institute of Industry and Talent(GBAIIT),the event spotlighted the cross-axis wind turbine(CAWT),a technology developed by the task force headed by Chong Wen Tong,a fellow with the Academy of Sciences Malaysia and director of the Center for Energy Sciences at the University of Malaya.
基金Supported by Special Soft Science Research Project for Hubei Province Science and Technology Innovation Talents and Services(2022EDA060).
文摘Establishing the Greater Food Approach and promoting the Yangtze River Economic Belt s national major regional development strategy can better support and serve the agricultural power and Chinese-style modernization.This paper introduces the characteristics of fruit industry in 16 autonomous prefectures and 47 autonomous counties under the jurisdiction of the Yangtze River Economic Belt.It studies the intellectual property resources of brand marks from the aspects of geographical indications,collective trademarks,certification trademarks,well-known trademarks in China and national design patents,and analyzes the main problems of brand and high-quality development of fruit industry in these ethnic autonomous areas.Finally,it puts forward some strategies,such as improving the protection of intellectual property rights of geographical indications,using intellectual property rights of brand signs,building modern seed industry upgrading project,drawing lessons from the experience of thousand villages demonstration project,ensuring that large-scale poverty does not occur,and building a diversified food supply system.
基金Counting at GTL funded by the Shenzhen Zhilan FoundationAlashan SEE Ecological Association+1 种基金Beijing Xianfeng FoundationCounting at PXL was funded by the Alashan SEE Chongqing Center
文摘Soaring bird migration often relies on suitable terrain and airflow;therefore,route selection is vital for successful migration.While age and experience have been identified as key factor influencing migration route selection among soaring raptors in the African-Eurasian Flyway,how they shape the migration route of soaring raptors in East Asia is still largely unknown.In this study,we investigated potential variations in the routes and timing in autumn migration of juvenile and older soaring birds,using count data of Greater Spotted Eagles(Clanga clanga)from two coastal sites and two inland sites in China.From 2020 to 2023,we recorded a total of 340 individuals,with the highest site averaging over 90 individuals per autumn,making it one of the world’s top single-season counts and thus a globally important site for this species.We found that 82% and 61% records from coastal sites were juveniles,significantly higher than inland sites(15% and 24%).Juveniles at all four sites exhibited markedly earlier median passage time than non-juveniles,with brief overlapping in their main migration periods.Both coastal sites are located on the tip of peninsulas stretching southwest,requiring long overwater flights if crossing the Bohai Bay or Beibu Gulf,which would be energetically demanding and increase mortality risk.Experienced individuals may have learned to avoid such terrain and subsequent detour,while juveniles are more prone to enter these peninsulas due to lack of experience and opportunities for social learning,or following other raptor species that are more capable of powered flight.Our findings highlight the importance of age and experience in migration route selection of large soaring birds.
基金supported by“The analysis of biogeographical and phenological migration pattern of birds as vectors of avian influenza(0525–202300058)”of the Korea Environment Institute“Long-term change of waterbird population in climate change(NIBR202318101,NIBR202416101)”of the National Institute of Biological Resources in South Korea.
文摘Geese have undergone significant changes in their distribution and population size due to human-induced impacts.To improve our understanding of the two main geese populations in East Asia—Greater White-fronted(Anser albifrons;GWFG)and Bean Geese(Anser fabalis sensu lato;BEAG),which includes the Tundra A.f.serrirostris(TDBG)and Taiga Bean Geese A.f.middendorffii(TGBG),this study estimated their long-and short-term trends and the migration strategies based on their distribution during the migratory and wintering seasons,using nationwide census data collected over 24 years in South Korea.The TRIM(TRends and Indices for Monitoring data)analysis supported a robust long-term population increase since 1999,recently stabilizing around 150,000 individuals in GWFG and 100,000 in TDBG,respectively.But TGBG stabilized at around 7000 with no significant change of population over time.The shorter-term trends within a season suggested that wintering populations of GWFG and TDBG in China might stop over in Korea in their autumn migration before their sea-crossing,evidenced by the large congregation near the Yellow Sea coast followed by a gradual decrease.In contrast to autumn,there was no similar peak in spring migration,suggesting the potential for elliptical migration of some populations around the Yellow Sea.Our findings indicate a growing East Asian population and imply one of the migration strategies of the Greater White-fronted and Tundra Bean Geese.By collaborating with recent tracking data,long-term monitoring efforts could offer more detailed insights into population trends and migration strategies,thereby contributing to the effective management and conservation of goose species in East Asia.
基金National Natural Science Foundation of China,No.42071123,No.42201104。
文摘The urban heat island(UHI) is an environmental problem of wide concern because it poses a threat to both the human living environment and the sustainable development of cities. Knowledge of the spatiotemporal characteristics and the driving factors of UHI is essential for mitigating their impact. However, current understanding of the UHI in the Guangdong–Hong Kong–Macao Greater Bay Area(GBA) is inadequate. Combined with data(e.g., land surface temperature and land use.) acquired from the Google Earth Engine and other sources for the period 2001–2020, this study examined the diurnal and seasonal variabilities, spatial heterogeneities, temporal trends, and drivers of surface UHI intensity(SUHII) in the GBA. The SUHII was calculated based on the urban–rural dichotomy, which has been proven an effective method. The average SUHII was generally 0–2°C, and the SUHII in daytime was generally greater than that at night. The maximum(minimum) SUHII was found in summer(winter);similarly, the largest(smallest) diurnal difference in SUHII was during summer(winter). Generally, the Mann–Kendall trend test and the Sen's slope estimator revealed a statistically insignificant upward trend in SUHII on all time scales. The influence of driving factors on SUHII was examined using the Geo-Detector model. It was found that the number of continuous impervious pixels had the greatest impact, and that the urban–rural difference in the enhanced vegetation index had the smallest impact, suggesting that anthropogenic heat emissions and urban size are the main influencing factors. Thus, controlling urban expansion and reducing anthropogenic heat generation are effective approaches for alleviating surface UHI.
基金supported by the General Research Fund[grant numbers 15602619,15603920,14605920,and 14611621]the Collaborative Research Fund[grant numbers C5062-21GF and C4023-20GF]from the Hong Kong Research Grants Council+1 种基金the Research Institute for Land and Space of the Hong Kong Polytechnic University[grant number 1-CD81]the Research Committee on Research Sustainability of Major Research Grants Council Funding Schemes of the Chinese University of Hong Kong.
文摘Rapid morphological and socioeconomic changes have accelerated the urbanization process and urban land use transformation in China.Megacities comprise clusters of urban cities and exhibit both newly formed and well-developed urban land use development beyond administrative boundaries.It is necessary to distinguish the changing effects of spatial-varying driving factors on newly formed urban land uses from well-developed built-up areas in megacities.This study proposed a multi-spatial urbanization framework to quantify region-level socioeconomics,cluster-level ecological morphologies,and grid-level urban functional morphologies.A three-level Bayesian hierarchical model was developed to investigate the impacts of multi-spatial driving factors on urban land use transformation in megacities.The study period focused on the urbanization process between 2000 and 2018 in Guangdong-Hong Kong-Macao Greater Bay Area(GBA).Results revealed that compared with well-developed urban built-up land,changing impacts of three-level driving factors in urban land use transformation could be captured based on the proposed Bayesian hierarchical model.The region-level total population was associated with increasing possibilities in forming new residential land than the well-developed ones in 35 districts/counties/cities in GBA.Cluster-level ecological attributes with higher proportion,lower edge density of urban built areas,and lower-degree ecological complexity showed increasing probability on newly formed industrial and public land.Grid-level urban functional factors including public transportation density and shopping/dining distribution exhibited significantly decreasing probability(coefficients:−2.12 to−0.51)on contributing newly formed land uses compared with the well-developed areas,whereas business/industry distribution represented higher(coefficients:0.99 and 0.15)and lower probabilities(coefficient:−0.22)of forming industrial/public land and residential land separately.This research shows a new attempt to distinguish multi-spatial morphological and socioeconomic effects in urban land use transformation in megacities.
文摘The inter-city linkage heat data provided by Baidu Migration is employed as a characterization of inter-city linkages in order to facilitate the study of the network linkage characteristics and hierarchical structure of urban agglomeration in the Greater Bay Area through the use of social network analysis method.This is the inaugural application of big data based on location services in the study of urban agglomeration network structure,which represents a novel research perspective on this topic.The study reveals that the density of network linkages in the Greater Bay Area urban agglomeration has reached 100%,indicating a mature network-like spatial structure.This structure has given rise to three distinct communities:Shenzhen-Dongguan-Huizhou,Guangzhou-Foshan-Zhaoqing,and Zhuhai-Zhongshan-Jiangmen.Additionally,cities within the Greater Bay Area urban agglomeration play different roles,suggesting that varying development strategies may be necessary to achieve staggered development.The study demonstrates that large datasets represented by LBS can offer novel insights and methodologies for the examination of urban agglomeration network structures,contingent on the appropriate mining and processing of the data.
文摘Decline in wildlife populations is manifest globally, regionally and locally. A wildlife decline of 68% has been reported in Kenya’s rangelands with Baringo County experiencing more than 85% wildlife loss in the last four decades. Greater Kudu (Tragelaphus strepsiceros) is endemic to Lake Bogoria landscape in Baringo County and constitutes a major tourist attraction for the region necessitating use of its photo on the County’s logo and thus a flagship species. Tourism plays a central role in Baringo County’s economy and is a major source of potential growth and employment creation. The study was carried out to assess spatio-temporal change of dispersal areas of Greater Kudu (GK) in Lake Bogoria landscape in the last four years for enhanced adaptive management and improved livelihoods. GK population distribution primary data collected in December 2022 and secondary data acquired from Lake Bogoria National Game Reserve (LBNGR) for 2019 and 2020 were digitized using in a Geographic Information System (GIS). Measures of dispersion and point pattern analysis (PPA) were used to analyze dispersal of GK population using GIS. Spatio-temporal change of GK dispersal in LBNR was evident thus the null hypothesis was rejected. It is recommended that anthropogenic activities contributing to GK’s habitat degradation be curbed by providing alternative livelihood sources and promoting community adoption of sustainable technologies for improved livelihoods.
基金Supported by Forestry Industry Public Welfare Project of State Forestry Bureau of China(201204205)~~
文摘[Objective] This study aims to analyze the natural regeneration characteristics and growth factors of two cut-over lands of Larix gmelini forests in Greater Khingan Mountains. [Method] A database was established based on the information of natural regeneration cut-over sample plots of Larix gmelini forests in Greater Khingan Mountains. Natural regeneration characteristics of clear-cutting sample plot and shelterwood-cutting sample plot of Larix gmelini in the northern regions of Greater Khingan Mountains were investigated by programming analysis. [Result] The natural regeneration of two principal felling systems was both good, and that of shelterwood-cutting sample plot was better. There were significant linear regression relationships among various growth factors of naturally regenerated plants. [Conclusion] This study provided scientific theoretical guidance for subsequent deforestation and regeneration in Greater Khingan Mountains.
基金Under the auspices of National Natural Science Foundation of China(No.41671160,41701169)
文摘Based on geographic information system(GIS) spatial analysis technology, the spatial pattern of raster grid transport accessibility for the Guangdong-Hong Kong-Macao Greater Bay area was studied and the states of spatial connectedness were simulated using highway passenger transport, railway passenger transport, port passenger transport and aviation passenger transport data. The result shows that transport accessibility within the Guangdong-Hong Kong-Macao Greater Bay area costs ‘one hour’ and the spatial distribution of accessibility in the area presents clear ‘core-periphery’ spatial characteristics, with Guangzhou, Foshan, Shenzhen constituting the core. The transport accessibility of Guangdong-Hong Kong-Macao is high. Average accessibility of urban nodes as measured by travel time is 0.99 h, and the areas accessible within 1.42 h occupy 79.14% of the total area. Most of the areas with the lowest accessibility are found in the peripheral area, with the worst accessibility being 4.73 h. Compared with the west-side cities, the economically developed east-side cities of the Guangdong-Hong Kong-Macao Greater Bay area have higher connectivity with roads, railways, ports, and aviation transport. Guangzhou, Foshan, Zhuhai, Shenzhen, Hong Kong and Macao are closely linked. The higher the accessibility, the closer the intercity connectedness.
基金supported by the National Key Research and Development Programme of China(Grant No.2016YFC0500406)the Chinese Academy of Sciences Key Strategic Programme,Water Ecological Security Assessment,the Major Research Strategy for Middle and Lower Yangtze River(Grant No.ZDRWZS-2017-3-3)the National Natural Science Foundation of China(Grant Nos.31661143027,31670424,31700330)
文摘Background:Migration theory suggests,and some empirical studies show, that in order to compete for the best breeding sites and increase reproductive success,long-distance avian migrants tend to adopt a time minimization strategy during spring migration, resulting in shorter duration spring migration compared to that in autumn.Methods:Using GPS/GSM transmitters,we tracked the full migrations of 11 Greater White-fronted Geese (Anser albifrons) between southeast China and the Russian Arctic,to reveal the migration timing and routes of the East Asian population, and compare the difference in duration between spring and autumn migration of this population.Results:We found that migration in spring (79 ± 12 days) took more than twice as long to cover the same distance as in autumn (35 ±7 days).This difference in migration duration was mainly determined by significantly more time spent in spring (59±16 days) than in autumn (23± 6days) at significantly more stopover sites. Conclusions:We suggest that these geese, thought to be partial capital breeders, spent almost three quarters of total migration time at spring stopover sites to acquire energy stores for ultimate investment in reproduction, although we cannot reject the hypothesis that timing of the spring thaw also contributed to stopover duration.In autumn,they acquired necessary energy stores on the breeding grounds sufficient to reach Northeast China staging areas almost without stop, which reduced stopover times in autumn and resulted in the faster autumn migration than spring.
文摘The Urban Heat Island (UHI) results in significant and sometimes dramatic increases in air temperature differences between the urban environment and its surrounding areas. The heat island structure may extend from the ground to the top of roofs and canopy levels above ground. The Urban Heat Island effect is a leading factor in a long list of human health problems which are expected to increase with the rapid growth of urban populations and projected future climate change. Urban heat island studies can be conducted through either direct measurements of air temperature using automobile transects and weather station networks or through measuring surface temperature using airborne or satellite remote sensing. In this study, UHI was investigated over the Greater Cairo during both summer and winter seasons over two different dates. Landsat 7 ETM+ data were used and the mono-window algorithm was applied in the study. Results emphasis that both types of heat islands exist in the study area i.e. the surface and the atmospheric heat islands. Temperature differences ranged between 0.5°C to 3.5°C and these are much related to the existing land use/covers. It could be concluded that expansion of urban areas in Greater Cairo has led to increased thermal radiation of land surface on the highly populated areas.
基金National Natural Science Foundation of China,No.41165005,No.40865005
文摘The Greater Khingan Mountains （Daxinganling） are China＇s important ecological protective screen and also the region most sensitive to climate changes. To gain an in-depth understanding and reveal the climate change characteristic in this high-latitude, cold and data-insufficient region is of great importance to maintaining ecological safety and corre- sponding to global climate changes. In this article, the annual average temperature, precipi- tation and sunshine duration series were firstly constructed using tree-ring data and the me- teorological observation data. Then, using the climate tendency rate method, moving-t-testing method, Yamamoto method and wavelet analysis method, we have investigated the climate changes in the region during the past 307 years. Results indicate that, since 1707, the annual average temperature increased significantly, the precipitation increased slightly and the sun- shine duration decreased, with the tendency rates of 0.06~C/10a, 0.79 mm/10a and -5.15 h/10a, respectively （P〈~0.01）. Since the 21 st century, the period with the greatest increase of the annual average temperature （also with the greatest increase of precipitation） corresponds to the period with greatest decrease of sunshine duration. Three sudden changes of the an- nual average temperature and sunshine duration occurred in this period while two sudden changes of precipitation occurred. The strong sudden-change years of precipitation and sunshine duration are basically consistent with the sudden-change years of annual average temperature, suggesting that in the mid-1860s, the climatic sudden change or transition really existed in this region. In the time domain, the climatic series of this region exhibit obvious local variation characteristics. The annual average temperature and sunshine duration exhibit the periodic variations of 25 years while the precipitation exhibits a periodic variation of 20 years. Based on these periodic characteristics, one can infer that in the period from 2013 to 2030, the temperature will be at a high-temperature stage, the precipitation will be at an abundant-precipitation stage and the sunshine duration will be at an less-sunshine stage. In terms of spatial distribution, the leading distribution type of the annual average temperature in this region shows integrity, i.e：, it is easily higher or lower in the whole region; and the second distribution type is more （or less） in the southwest parts and less （or more） in the northeast parts. Precipitation and sunshine duration exhibit complex spatial distribution and include four spatial distribution types. The present study can provide scientific basis for the security in- vestigation of homeland, ecological and water resources as well as economic development programming in China＇s northern borders.
文摘BACKGROUND: Bile leak remains a main complication in liver transplantation patients with poor biliary tract conditions, mainly caused by an insufficient blood supply or dysplasia of the biliary tract. Although Roux-en-Y modus operandi can be adopted, the risk of other complications of the biliary tract such as infection increases. Using pedicled greater omentum flaps to wrap the anastomotic stoma, which increases the biliary tract blood supply, may reduce the incidence of bile leak. METHODS: Fourteen patients undergoing piggy-back liver transplantation and having poor biliary tract conditions were treated with pedicled greater omentum flaps to wrap the anastomotic stoma of the biliary tract. Their clinical data were analyzed retrospectively. RESULTS: Of the 14 patients, only one (7.1%) had a mild bile leak on the 8th day post-operation and fully recovered after symptomatic treatment. The other patients had no biliary complications. CONCLUSIONS: Using pedicled greater omentum flaps to wrap the anastomotic stoma of the biliary tract is an effective way to prevent bile leak in liver transplantation patients, especially those with poor biliary tract conditions. However, experience with this surgical technique still needs to be further explored.
文摘To report an extragastrointestinal stromal tumor （EGIST） that occurs outside the gastrointestinal tract and shows unique clinicopathologic and immunohistochemical features. In our case, we experienced multiple soft tissue tumors that originate primarily in the greater omentum, and in immunohistochemical analysis, the tumors showed features that correspond to malignant EGIST. Two large omental masses measured 15 cm×10 cm and 5 cm×4 cm sized and several small ovoid fragments were attached to small intestine, mesentery and peritoneum. On histologic findings, the masses were separated from small bowel serosa and had high mitotic count （115/50 HPFs）. In the results of immunohistochemical stains, the tumor showed CDl17 （c-kit） positive reactivity and high Ki-67 labeling index. On mutation analysis, the c-kit gene mutation was found in the juxtamembrane domain （exon 11）and it was heterozygote. Platelet-derived growth factor receptor （PDGFR） gene mutation was also found in the juxtamemembrane （exon 12） and it was polymorphism. From above findings, we proposed that there may be several mutational pathways to malignant EGIST, so further investigations could be needed to approach this unfavorable disease entity.
基金China Scholarship Council,No.201808080126Incubation Fund of Shandong Provincial Hospital,No.2020FY019+1 种基金Young Scholars Program of Shandong Provincial HospitalNatural Science Foundation of Shandong Province,No.ZR202102180575.
文摘BACKGROUND Most greater tuberosity fractures can be treated without surgery but some have a poor prognosis.The surgical procedures for avulsion fractures of the humeral greater tuberosity include screw fixation,suture anchor fixation,and plate fixation,all of which have treatment-associated complications.To decrease surgical complications,we used a modified suture bridge procedure under direct vision and a minimally invasive small incision to fix fractures of the greater tuberosity of the humerus.AIM To investigate the clinical efficacy and outcomes of minimally invasive modified suture bridge open reduction of greater tuberosity evulsion fractures.METHODS Sixteen patients diagnosed between January 2016 and January 2019 with an avulsion-type greater tuberosity fracture of the proximal humerus and treated by minimally invasive open reduction and modified suture bridges with anchors were studied retrospectively.All were followed up by clinical examination and radiographs at 3 and 6 wk,3,6 and 12 mo after surgery,and thereafter every 6 mo.Outcomes were assessed preoperatively and postoperatively by a visual analog scale(VAS),the University of California Los Angeles(UCLA)shoulder score,the American Shoulder and Elbow Surgeon score(ASES),and range of motion(ROM)for shoulders.RESULTS Seven men and nine women,with an average age of 44.94 years,were evaluated.The time between injury and surgery was 1-2 d,with an average of 1.75 d.The mean operation time was 103.1±7.23 min.All patients achieved bone union within 3 mo after surgery.VAS scores were significantly decreased(P=0.002),and the mean degrees of forward elevation(P=0.047),mean degrees of abduction(P=0.035),ASES score(P=0.092)were increased at 3 wk.The UCLA score was increased at 6 wk(P=0.029)after surgery.The average degrees of external rotation and internal rotation both improved at 3 mo after surgery(P=0.012 and P=0.007,respectively).No procedure-related deaths or incision-related superficial or deep tissue infections occurred.CONCLUSION Modified suture bridge was effective for the treatment of greater tuberosity evulsion fractures,was easier to perform,and had fewer implants than other procedures.
文摘Extrathoracic solitary fibrous tumors(SFTs) have been described at almost every anatomic location of human body,but reports of SFT in the abdominal cavity are rare.We herein present a rare case of SFT originating from greater omentum.Computed tomography revealed a 15.8 cm × 21.0 cm solid mass located at superior aspect of stomach.Open laparotomy confirmed its mesenchymal origin.Microscopically,its tissue was composed of non-organized and spindle-shaped cells exhibiting atypical nuclei,which were divided up by branching vessel and collagen bundles.Immunohistochemical staining showed that this tumor was negative for CD117,CD99,CD68,cytokeratin,calretinin,desmin,epithelial membrane antigen,F8 and S-100,but positive for CD34,bcl-2,α-smooth muscle actin and vimentin.The patient presented no evidence of recurrence during follow-up.SFT arising from abdominal cavity can be diagnosed by histological findings and immunohistochemical markers,especially for CD34 and bcl-2 positive cases.
