BACKGROUND Chinese surgeons often rely on intraoperative exploration of the esophageal hiatus to determine the need for concurrent type I hiatal hernia(HH)repair during laparoscopic sleeve gastrectomy.However,no stand...BACKGROUND Chinese surgeons often rely on intraoperative exploration of the esophageal hiatus to determine the need for concurrent type I hiatal hernia(HH)repair during laparoscopic sleeve gastrectomy.However,no standardized criteria for the esophageal hiatus size or indications for exploration exist in China.AIM To investigate normal anatomical parameter ranges of the esophageal hiatus in patients with obesity.METHODS A total of 158 patients,aged 20-49 years,was analyzed from January 2020 to June 2024.The patients were classified into the no reflux esophagitis(RE)no HH group(HHG),RE group,and type I HHG.The transverse and sagittal diameters and cross-sectional area of the esophageal hiatus were measured using multiplanar reconstruction of the computed tomography images.RESULTS Body mass index was positively correlated with area and transverse and sagittal diameters of the esophageal hiatus(r=0.72,0.69,and 0.54,respectively;P<0.01).In the no RE no HHG and RE group,the esophageal hiatus size in the subgroup with obesity was greater than that in the non-obesity subgroup(area:326.15±78 mm2 vs 208.12±64.44 mm2,transverse diameters:15.97±2.06 mm vs 13.37±1.99 mm,sagittal diameters:15.7±2.08 mm vs 11.73±2.08 mm;P<0.01).Patients with obesity showed no significant differences in esophageal hiatus size with or without RE or HH.CONCLUSION The esophageal hiatus size increased with body mass index and was larger in patients with obesity than in those without obesity.展开更多
The 1998–2012 global warming hiatus has aroused great public interest over the past several years. Based on the air temperature measurements from 622 meteorological stations in China, the temperature response to the ...The 1998–2012 global warming hiatus has aroused great public interest over the past several years. Based on the air temperature measurements from 622 meteorological stations in China, the temperature response to the global warming hiatus was analyzed at national and regional scales. We found that air temperature changed –0.221℃/10 a during 1998–2012, which was lower than the long-term trend for 1960–1998 by 0.427℃/10 a. Therefore, the warming hiatus in China was more pronounced than the global mean. Winter played a dominant role in the nationwide warming hiatus, contributing 74.13%, while summer contributed the least among the four seasons. Furthermore, the warming hiatus was spatial heterogeneous across different climate conditions in China. Comparing the three geographic zones, the monsoon region of eastern China, arid region of northwestern China, and high frigid region of the Tibetan Plateau, there was significant cooling in eastern and northwestern China. In eastern China, which contributed 53.79%, the trend magnitudes were 0.896℃/10 a in winter and 0.134℃/10 a in summer. In the Tibetan Plateau, air temperature increased by 0.204℃/10 a, indicating a lack of a significant warming hiatus. More broadly, the warming hiatus in China may have been associated with the negative phase of PDO and reduction in sunspot numbers and total solar radiation. Finally, although a warming hiatus occurred in China from 1998 to 2012, air temperature rapidly increased after 2012 and will likely to continuously warm in the next few years.展开更多
AIM: To determine if the severity of gastroesophageal reflux disease is dependent on the size of a hiatus hernia. METHODS: Seventy-five patients with either a small(n = 25), medium(n = 25) or large(n = 25) hiatus hern...AIM: To determine if the severity of gastroesophageal reflux disease is dependent on the size of a hiatus hernia. METHODS: Seventy-five patients with either a small(n = 25), medium(n = 25) or large(n = 25) hiatus hernia(assessed by high resolution esophageal manometry) were investigated using 24-h esophageal monitoring and a self-assessed symptom questionnaire. The questionnaire comprised the following items, each graded from 0 to 3 according to severity: heartburn; pharyngeal burning sensation; acid regurgitation; and chest pain. RESULTS: The percentage total reflux time was significantly longer in the group with hernia of 5 cm or more compared with the group with a hernia of < 3 cm(P < 0.002), and the group with a hernia of 3 to < 5 cm(P < 0.04). Pharyngeal burning sensation, heartburn and acid regurgitation were more common with large hernias than small hernias, but the frequency of chest pain was similar in all three hernia groups. CONCLUSION: Patients with a large hiatus hernia are more prone to have pathological gastroesophageal reflux and to have more acid symptoms than patients with a small hiatus hernia. However, it is unlikely that patients with an absence of acid symptoms will have pathological reflux regardless of hernia size.展开更多
Observed hiatus or accelerated warming phenomena are compared with numerical simulations from the Coupled Model Intercomparison Project Phase 5 （CMIP5） archives,and the associated physical mechanisms are explored ba...Observed hiatus or accelerated warming phenomena are compared with numerical simulations from the Coupled Model Intercomparison Project Phase 5 （CMIP5） archives,and the associated physical mechanisms are explored based on the CMIP5 models.Decadal trends in total ocean heat content （OHC） are strongly constrained by net top-of-atmosphere （TOA） radiation.During hiatus decades,most CMIP5 models exhibit a significant decrease in the SST and upper OHC and a significant increase of heat penetrating into the subsurface or deep ocean,opposite to the accelerated warming decades.The shallow meridional overturning of the Pacific subtropical cell experiences a significant strengthening （slowdown） for the hiatus （accelerated warming） decades associated with the strengthened （weakened） trade winds over the tropical Pacific.Both surface heating and ocean dynamics contribute to the decadal changes in SST over the Indian Ocean,and the Indonesian Throughflow has a close relationship with the changes of subsurface temperature in the Indian Ocean.The Atlantic Meridional Overturing Circulation （Antarctic Bottom Water） tends to weaken （strengthen） during hiatus decades,opposite to the accelerated warming decades.In short,the results highlight the important roles of air-sea interactions and ocean circulations for modulation of surface and subsurface temperature.展开更多
Global mean surface air temperature(SAT)has remained relative stagnant since the late 1990s,a phenomenon known as global warming hiatus.Despite widespread concern and discussion,there is still an open question about w...Global mean surface air temperature(SAT)has remained relative stagnant since the late 1990s,a phenomenon known as global warming hiatus.Despite widespread concern and discussion,there is still an open question about whether this hiatus exists,partly due to the biases in observations.The stable isotopic composition of precipitation in mid-and high-latitude continents closely tracks change of the air temperature,providing an alternative to evaluate global warming hiatus.Here we use the long-term precipitation δ^18O records available to investigate changes in SAT over the period 1970–2016.The results reveal slight decline in δ^18O anomaly from 1998 to 2012,with a slope of?0.0004‰decade?1 which is significantly different from that of pre-1998 interval This downwardδ18O anomaly trend suggests a slight cooling for about?0.001℃ decade?1,corroborating the recent hiatus in global warming.Our work provides new evidence for recent global warming hiatus and highlights the potential of utilizing precipitation isotope for tracking climate changes.展开更多
The ability of 3D ultrasound volume contrast imaging in C-plane （VCI-C） in the assessment of female levator hiatus was analyzed in eighty normal nullipaxas. Interoperator variability in levator hiatus measurements w...The ability of 3D ultrasound volume contrast imaging in C-plane （VCI-C） in the assessment of female levator hiatus was analyzed in eighty normal nullipaxas. Interoperator variability in levator hiatus measurements was analyzed. The comparison of the axial image of magnetic resonance imaging （MRI） and C-plane image of volume contrast imaging （VCI） in thirty normal nulliparas was also done. It shows that VCI-C can clearly demonstrate the structure and accurately quantitates the size of the levator hiatus. It is reliable, convenient and without contraindication in assessment of female levator hiatus. The technology opens up entirely new modality for assessing female pelvic floor.展开更多
An abrupt temperature change and a warming hiatus have strongly influenced the global climate.This study focused on these changes in Inner Mongolia, China. This study used the central clustering method, Mann-Kendall m...An abrupt temperature change and a warming hiatus have strongly influenced the global climate.This study focused on these changes in Inner Mongolia, China. This study used the central clustering method, Mann-Kendall mutation test and other methods to explore the abrupt temperature change and warming hiatus in three different temperature zones of the study region based on average annual data series.Among the temperature metrics investigated, average minimum temperature(Tnav) shifted the earliest,followed by average temperature(Tnv) and average maximum temperature(Txav). The latest change was observed in summer(1990 s), whereas the earliest was observed in winter(1970 s). Before and after the abrupt temperature change, Tnav fluctuated considerably, whereas there was only a slight change in Txav.Before and after the abrupt temperature change, the winter temperature changed more dramatically than the summer temperature. Before the abrupt temperature change, Tnav in the central region(0.322°C/10 a)and west region(0.48°C/10 a) contributed the most to the increasing temperatures. After the abrupt temperature change, Tnav in winter in the central region(0.519°C/10 a) and in autumn in the west region(0.729°C/10 a) contributed the most to the temperature increases. Overall, in the years in which temperature shifts occurred early, a warming hiatus also appeared early. The three temperature metrics in spring(1991)in the east region were the first to exhibit a warming hiatus. In the east region, Txav displayed the lowest rate of increase(0.412°C/a) in the period after the abrupt temperature change and before the warming hiatus,and the highest rate of increase after the warming hiatus.展开更多
Taken as an example the Upper Permian reef section on the carbonate platformmargin at Ziyun, Guizhou, the paper discusses the missing time of a hiatus surface, an impor-tant problem in chemical sequence stratigraphy, ...Taken as an example the Upper Permian reef section on the carbonate platformmargin at Ziyun, Guizhou, the paper discusses the missing time of a hiatus surface, an impor-tant problem in chemical sequence stratigraphy, with the concept of cosmic chemistry. Then thepaper proposes a series of new concepts for chemical sequence stratigraphy, including the con-densation surface, relative compaction factor and time missing factor. Finally a quantitativecurve of Late Permian relative sea-level change in the Ziyun area is presented with timecoordinates.展开更多
"Warming hiatus" occurred in the AltaySayan Mountain Region, Siberia in c. 1997–2014. We analyzed evergreen conifer(EGC) stands area(satellite data) and trees(Siberian pine, Pinus sibirica Du Tour, Siberian..."Warming hiatus" occurred in the AltaySayan Mountain Region, Siberia in c. 1997–2014. We analyzed evergreen conifer(EGC) stands area(satellite data) and trees(Siberian pine, Pinus sibirica Du Tour, Siberian fir, Abies sibirica Ledeb.) growth increment(dendrochronology data) response to climate variables before and during the hiatus. During the hiatus, EGC area increased in the highlands(>1000 m)(+30%), whereas at low and middle elevations(<1000 m. a.s.l.) the EGC area decreased(-7%). The EGC area increase was observed on the rain-ward northwest slopes mainly. In highlands, EGC area increase mainly correlated with summer air temperature, whereas at low and middle elevations EGC area decrease correlated with drought index SPEI and vapor pressure deficit(VPD). EGC mortality(fir and Siberian pine) in lowland was caused by the synergy of water stress(inciting factor) and barkbeetle attacks(contributing factor). Tree growth increment(GI) dynamics differs with respect to elevation. At high elevation(1700 m) GI permanently increased since warming onset, whereas at the middle(900 m) and low elevations(450 m) GI increased until c. 1983 yr. with followed depression. That GI "breakpoint" occurred about a decade before hiatus onset. In spite of growth depression, during hiatus GI was higher than that in pre-warming period. At high elevation, GI positively responded to elevated June temperatures and negatively to moisture increase(precipitation, root zone moisture content, VPD, and SPEI). At low elevation GI negatively responded to June temperatures and positively to moisture increase. For both, low and high elevation, these patterns persisted throughout the study period(1967–2014). On the contrary, at middle elevations GI dependence on climate variables switch after breakpoint year(1983). Before breakpoint, June air temperature(positive correlation) and moisture(negative correlations) controlled GI. Further temperature increase leads GI depression and switched correlation signs to opposite(from positive to negative with temperature, and from negative to positive with moisture variables).展开更多
In this study, the possible effects of subduction rate on global warming hiatus were investigated using Simple Ocean Data Assimilation（SODA） data. This study first analyzed the characteristics of the temporal and sp...In this study, the possible effects of subduction rate on global warming hiatus were investigated using Simple Ocean Data Assimilation（SODA） data. This study first analyzed the characteristics of the temporal and spatial distribution of global subduction rate, which revealed that the North Atlantic meridional overturning circulation region and the Antarctic Circumpolar Current region are the two main sea areas with great subduction variations.On this basis, four key areas were selected to explore the relationship between the local subduction rate and the global mean sea surface temperature. In addition, the reason for the variations in subduction rate was preliminarily explored. The results show good correspondence of the subduction of the key areas in the North Atlantic meridional overturning the circulation region and the Antarctic Circumpolar Current region to the global warming hiatus, with the former leading by about 10 years. The subduction process may be a physical mechanism by which the North Atlantic overturning circulation and the Antarctic Circumpolar Current act on the stagnation of global warming. Advection effect plays an important role in the variations in subduction in the key regions. In the Antarctic Circumpolar Current region, the magnitude of sea surface wind stress is closely related to the local changes in subduction.展开更多
Based on regular surface meteorological observations and NCEP/DOE reanalysis data, this study investigates the evolution of surface sensible heat（SH） over the central and eastern Tibetan Plateau（CE-TP） under the r...Based on regular surface meteorological observations and NCEP/DOE reanalysis data, this study investigates the evolution of surface sensible heat（SH） over the central and eastern Tibetan Plateau（CE-TP） under the recent global warming hiatus. The results reveal that the SH over the CE-TP presents a recovery since the slowdown of the global warming. The restored surface wind speed together with increased difference in ground-air temperature contribute to the recovery in SH.During the global warming hiatus, the persistent weakening wind speed is alleviated due to the variation of the meridional temperature gradient. Meanwhile, the ground surface temperature and the difference in ground-air temperature show a significant increasing trend in that period caused by the increased total cloud amount, especially at night. At nighttime, the increased total cloud cover reduces the surface effective radiation via a strengthening of atmospheric counter radiation and subsequently brings about a clear upward trend in ground surface temperature and the difference in ground-air temperature.Cloud–radiation feedback plays a significant role in the evolution of the surface temperature and even SH during the global warming hiatus. Consequently, besides the surface wind speed, the difference in ground-air temperature becomes another significant factor for the variation in SH since the slowdown of global warming, particularly at night.展开更多
The Eocene succession of the El Basatin Section in Gebel Mokattam, east of Cairo, consists, from base to top, of two main units; the Mokattam and Maadi Formations. The Mokattam Formation consists of two Members, the B...The Eocene succession of the El Basatin Section in Gebel Mokattam, east of Cairo, consists, from base to top, of two main units; the Mokattam and Maadi Formations. The Mokattam Formation consists of two Members, the Building Stone Member and the Giushi Member. The Upper Building Stone Member yielded six species of Nummulites belonging to the Upper Lutetian. These species are: Nummulites farisi Hussein et al., 2004; Nummulites cf. praegizehensis Boukhary and Hussein-Kamel, 1993; Nummulites cf. gizehensis(Forsk?l, 1775); Nummulites discorbinus(Schlotheim 1820) and Arxina schwageri(Silvestri, 1928) emended by Boukhary et al. 2012 and Nummulites crassichordatus Boukhary et al., 2010. The Giushi Member yielded three species that indicate a Bartonian age. These species, which continued from their first appearance in the Upper Building Stone Members, are N. discorbinus, A. schwageri and N. crassichordatus. The Maadi Formation, which has been previously considered to be of Bartonian–Priabonian age, is devoid of fossils in the study section. The two members of the Mokattam Formation represent a carbonate platform facies. The deposition of the Upper Building Stone Member was disturbed during the Lutetian by slumping and a convolute-bedding interval, indicating a short hiatus. The subsequent regression resulted in a very shallow marine to near-shore facies in the above Maadi Formation.展开更多
Temperature is a crucial factor that affects in flue nza tran smissi on. Therefore, several studies have correlated various aspects of in flue nza with temperature from the global warming period during which temperatu...Temperature is a crucial factor that affects in flue nza tran smissi on. Therefore, several studies have correlated various aspects of in flue nza with temperature from the global warming period during which temperature exhibits a clear trend. The global warming hiatus has been existing since the year 1998. This provides an opportunity to investigate the effect of temperature on the transmission of influenza from the viewpoint that temperature is trendless.展开更多
Foreign body ingestion is a common complaint in gastrointestinal clinics. It is usually not difficult to diagnose because most of the patients report a definitive history of accidental foreign body ingestion. However,...Foreign body ingestion is a common complaint in gastrointestinal clinics. It is usually not difficult to diagnose because most of the patients report a definitive history of accidental foreign body ingestion. However, in rare cases, patients do not have a clear history. Thus, the actual condition of the patient is difficult to diagnosis or is misdiagnosed; consequently, treatment is delayed or the wrong treatment is administered, respectively. This report describes a fatal case of esophageal perforation caused by an unknowingly ingested fishbone, which resulted in lower esophageal necrosis, chest cavity infection, posterior mediastinum fester, and significant upper gastrointestinal accumulation of blood. However, his clinical symptoms and imaging data are very similar with esophageal hiatal hernia. Unfortunately, because the patient was too late in consulting a physician, he finally died of chest infection and hemorrhage caused by thoracic aortic rupture. First, this case report underlines the importance of immediate consultation with a physician as soon as symptoms are experienced so as not to delay diagnosis and treatment, and thus avoid a fatal outcome. Second, diagnostic imaging should be performed in the early stage, without interference by clinical judgment. Third, when computed tomography reveals esophageal hiatus hernia with stomach incarceration, posterior mediastinal hematoma, and pneumatosis caused by esophageal, a foreign body should be suspected. Finally, medical professionals are responsible for making people aware of the danger of foreign body ingestion, especially among children, those who abuse alcohol, and those who wear dentures, particularly among the elderly, whose discriminability of foreign bodies is decreased, to avoid dire consequences.展开更多
In order to determine the age of the sedimentary hiatus and its geological significance, a study of the calcareous nannofossil biostratigraphy was carried out. Detailed stratigraphical data of the Late Oligocene-Early...In order to determine the age of the sedimentary hiatus and its geological significance, a study of the calcareous nannofossil biostratigraphy was carried out. Detailed stratigraphical data of the Late Oligocene-Early Miocene diagnostic species thus obtained. The nannofossil zonation of this interval was subdivided and the Oligocene-Miocene boundary was further determined. Several last Late Oligocene events were recognized, indicating a long-term sedimentary hiatus in the uppermost Upper Oligocene. The time span of the hiatus was estimated for about 2.2 Ma, at least from 23.9 to 26.1 Ma. The lithological and geophysical data from Site 1148 indicate some abrupt sedimentary changes that occurred below and above the hiatus. This hiatus at Site 1148 was probably related to the tectonic change, a major ridge jump during the seafloor spreading in the Late Oligocene South China Sea.展开更多
The observed global mean temperature is the highest on record for the past decade but has plateaued to form an apparent"hiatus"in global temperature rise,with an almost zero short-term trend. Several speaker...The observed global mean temperature is the highest on record for the past decade but has plateaued to form an apparent"hiatus"in global temperature rise,with an almost zero short-term trend. Several speakers presented results on the hiatus and suggested possible mechanisms.展开更多
Objective:: To explore the role of tentorium cerebelli hiatus incision in treating severe and most severe brain injuries complicated by tentorial herniation. Methods: From July 1994 to July 1999 tentorium cerebelli hi...Objective:: To explore the role of tentorium cerebelli hiatus incision in treating severe and most severe brain injuries complicated by tentorial herniation. Methods: From July 1994 to July 1999 tentorium cerebelli hiatus incision was done based on intracranial hematoma evacuation and bone flap craniectomy decompression in 70 cases of severe and most severe brain injuries complicated by tentorial herniation. Results: Of the 70 cases, GCS 3-5 was in 23 and GCS 6-8 in 47; satisfactory recovery in 39 cases ( 55.7 %), moderate disability in 12 ( 17.1 %), severe deficit in 6 ( 8.6 %), vegetative survival in 4 ( 5.7 %) and 8 ( 11.4 %) died. Conclusions: Tentoriun cerebelli incision is helpful in alleviating secondary brain stem injury from tentorial herniation and in reducing the disability and death rate of the patients.展开更多
Up to now, accurate determination of the growth age and hiatuses of the Co-rich crust is still a difficult work, which constrains the researches on the genesis, growth process, controlling factors, regional tectonics,...Up to now, accurate determination of the growth age and hiatuses of the Co-rich crust is still a difficult work, which constrains the researches on the genesis, growth process, controlling factors, regional tectonics, paleo-oceanographic background, etc. of the Co-rich crust. This paper describes our work in determining the initial growth age of the Co-rich crust to be of the late Cretaceous Campanian Stage (about 75-80 Ma), by selecting the Co-rich crust with clear multi-layer structures in a central Pacific seamount for layer-by-layer sample analysis and using a number of chronological methods, such as Co flux dating, dating by correlation with 187Os/188Os evolution curves of seawater, and stratigraphic divi- sion by calcareous nannofossils. We have also discovered growth hiatuses with different time intervals in the early Paleocene, middle Eocene, late Eocene and early-middle Miocene, respectively. These re- sults have provided an important age background for further researches on the Co-rich crust growth process and the paleo-oceanographic environment evolution thereby revealed in the said region.展开更多
The global warming slowdown or warming hiatus, began around the year 2000 and has persisted for nearly 15 years. Most studies have focused on the interpretation of the hiatus in temperature. In this study, changes in ...The global warming slowdown or warming hiatus, began around the year 2000 and has persisted for nearly 15 years. Most studies have focused on the interpretation of the hiatus in temperature. In this study, changes in a global aridity index （AI） were analyzed by using a newly developed dynamical adjustment method that can successfully identify and separate dynamically induced and radiatively forced aridity changes in the raw data. The AI and Palmer Drought Severity Index produced a wetting zone over the mid-to-high latitudes of the Northern Hemisphere in recent decades. The dynamical adjustment analysis suggested that this wetting zone occurred in response to the global warming hiatus. The dynamically induced AI （DAI） played a major role in the AI changes during the hiatus period, and its relationships with the North Atlantic Oscillation （NAO）, Pacific Decadal Oscillation （PDO）, and Atlantic Multi-decadal Oscillation （AMO） also indicated that different phases of the NAO, PDO, and AMO contributed to dif- ferent performances of the DAI over the Northern Hemisphere. Although the aridity wetting over the mid-to-high lat- itudes may relieve long-term drying in certain regions, the hiatus is temporary, and so is the relief. Accelerated glob- al warming will return when the NAO, PDO, and AMO revert to their opposite phases in the future, and the wetting zone is likely to disappear.展开更多
文摘BACKGROUND Chinese surgeons often rely on intraoperative exploration of the esophageal hiatus to determine the need for concurrent type I hiatal hernia(HH)repair during laparoscopic sleeve gastrectomy.However,no standardized criteria for the esophageal hiatus size or indications for exploration exist in China.AIM To investigate normal anatomical parameter ranges of the esophageal hiatus in patients with obesity.METHODS A total of 158 patients,aged 20-49 years,was analyzed from January 2020 to June 2024.The patients were classified into the no reflux esophagitis(RE)no HH group(HHG),RE group,and type I HHG.The transverse and sagittal diameters and cross-sectional area of the esophageal hiatus were measured using multiplanar reconstruction of the computed tomography images.RESULTS Body mass index was positively correlated with area and transverse and sagittal diameters of the esophageal hiatus(r=0.72,0.69,and 0.54,respectively;P<0.01).In the no RE no HHG and RE group,the esophageal hiatus size in the subgroup with obesity was greater than that in the non-obesity subgroup(area:326.15±78 mm2 vs 208.12±64.44 mm2,transverse diameters:15.97±2.06 mm vs 13.37±1.99 mm,sagittal diameters:15.7±2.08 mm vs 11.73±2.08 mm;P<0.01).Patients with obesity showed no significant differences in esophageal hiatus size with or without RE or HH.CONCLUSION The esophageal hiatus size increased with body mass index and was larger in patients with obesity than in those without obesity.
基金National Basic Research Program of China(973 Program),No.2013CBA01801Promotion Project for Young Teachers in Northwest Normal University,No.NWNU-LKQN-15-8
文摘The 1998–2012 global warming hiatus has aroused great public interest over the past several years. Based on the air temperature measurements from 622 meteorological stations in China, the temperature response to the global warming hiatus was analyzed at national and regional scales. We found that air temperature changed –0.221℃/10 a during 1998–2012, which was lower than the long-term trend for 1960–1998 by 0.427℃/10 a. Therefore, the warming hiatus in China was more pronounced than the global mean. Winter played a dominant role in the nationwide warming hiatus, contributing 74.13%, while summer contributed the least among the four seasons. Furthermore, the warming hiatus was spatial heterogeneous across different climate conditions in China. Comparing the three geographic zones, the monsoon region of eastern China, arid region of northwestern China, and high frigid region of the Tibetan Plateau, there was significant cooling in eastern and northwestern China. In eastern China, which contributed 53.79%, the trend magnitudes were 0.896℃/10 a in winter and 0.134℃/10 a in summer. In the Tibetan Plateau, air temperature increased by 0.204℃/10 a, indicating a lack of a significant warming hiatus. More broadly, the warming hiatus in China may have been associated with the negative phase of PDO and reduction in sunspot numbers and total solar radiation. Finally, although a warming hiatus occurred in China from 1998 to 2012, air temperature rapidly increased after 2012 and will likely to continuously warm in the next few years.
文摘AIM: To determine if the severity of gastroesophageal reflux disease is dependent on the size of a hiatus hernia. METHODS: Seventy-five patients with either a small(n = 25), medium(n = 25) or large(n = 25) hiatus hernia(assessed by high resolution esophageal manometry) were investigated using 24-h esophageal monitoring and a self-assessed symptom questionnaire. The questionnaire comprised the following items, each graded from 0 to 3 according to severity: heartburn; pharyngeal burning sensation; acid regurgitation; and chest pain. RESULTS: The percentage total reflux time was significantly longer in the group with hernia of 5 cm or more compared with the group with a hernia of < 3 cm(P < 0.002), and the group with a hernia of 3 to < 5 cm(P < 0.04). Pharyngeal burning sensation, heartburn and acid regurgitation were more common with large hernias than small hernias, but the frequency of chest pain was similar in all three hernia groups. CONCLUSION: Patients with a large hiatus hernia are more prone to have pathological gastroesophageal reflux and to have more acid symptoms than patients with a small hiatus hernia. However, it is unlikely that patients with an absence of acid symptoms will have pathological reflux regardless of hernia size.
基金supported by the National Key Program for Developing Basic Sciences (Grant No.2010CB950502)the "Strategic Priority Research Program Climate Change: Carbon Budget and Relevant Issues" of the Chinese Academy of Sciences (Grant No.XDA05110302)+1 种基金the National Natural Science Foundation of China (Grant No.41376019)the Jiangsu Collaborative Innovation Center for Climate Change
文摘Observed hiatus or accelerated warming phenomena are compared with numerical simulations from the Coupled Model Intercomparison Project Phase 5 （CMIP5） archives,and the associated physical mechanisms are explored based on the CMIP5 models.Decadal trends in total ocean heat content （OHC） are strongly constrained by net top-of-atmosphere （TOA） radiation.During hiatus decades,most CMIP5 models exhibit a significant decrease in the SST and upper OHC and a significant increase of heat penetrating into the subsurface or deep ocean,opposite to the accelerated warming decades.The shallow meridional overturning of the Pacific subtropical cell experiences a significant strengthening （slowdown） for the hiatus （accelerated warming） decades associated with the strengthened （weakened） trade winds over the tropical Pacific.Both surface heating and ocean dynamics contribute to the decadal changes in SST over the Indian Ocean,and the Indonesian Throughflow has a close relationship with the changes of subsurface temperature in the Indian Ocean.The Atlantic Meridional Overturing Circulation （Antarctic Bottom Water） tends to weaken （strengthen） during hiatus decades,opposite to the accelerated warming decades.In short,the results highlight the important roles of air-sea interactions and ocean circulations for modulation of surface and subsurface temperature.
基金This work were supported by the China Young 1000-Talent Program and the National Nature Science Foundation of China(No.41876039).
文摘Global mean surface air temperature(SAT)has remained relative stagnant since the late 1990s,a phenomenon known as global warming hiatus.Despite widespread concern and discussion,there is still an open question about whether this hiatus exists,partly due to the biases in observations.The stable isotopic composition of precipitation in mid-and high-latitude continents closely tracks change of the air temperature,providing an alternative to evaluate global warming hiatus.Here we use the long-term precipitation δ^18O records available to investigate changes in SAT over the period 1970–2016.The results reveal slight decline in δ^18O anomaly from 1998 to 2012,with a slope of?0.0004‰decade?1 which is significantly different from that of pre-1998 interval This downwardδ18O anomaly trend suggests a slight cooling for about?0.001℃ decade?1,corroborating the recent hiatus in global warming.Our work provides new evidence for recent global warming hiatus and highlights the potential of utilizing precipitation isotope for tracking climate changes.
基金the Scientific Research Project of Shanghai Municipal Health Bureau (No. 2008083)
文摘The ability of 3D ultrasound volume contrast imaging in C-plane （VCI-C） in the assessment of female levator hiatus was analyzed in eighty normal nullipaxas. Interoperator variability in levator hiatus measurements was analyzed. The comparison of the axial image of magnetic resonance imaging （MRI） and C-plane image of volume contrast imaging （VCI） in thirty normal nulliparas was also done. It shows that VCI-C can clearly demonstrate the structure and accurately quantitates the size of the levator hiatus. It is reliable, convenient and without contraindication in assessment of female levator hiatus. The technology opens up entirely new modality for assessing female pelvic floor.
基金supported by the Program for Young Talents of Science and Technology in Universities of the Inner Mongolia Autonomous Regionthe National Key Research and Development Plan (2017YFC0404305)the National Natural Science Foundation of China (51669016)
文摘An abrupt temperature change and a warming hiatus have strongly influenced the global climate.This study focused on these changes in Inner Mongolia, China. This study used the central clustering method, Mann-Kendall mutation test and other methods to explore the abrupt temperature change and warming hiatus in three different temperature zones of the study region based on average annual data series.Among the temperature metrics investigated, average minimum temperature(Tnav) shifted the earliest,followed by average temperature(Tnv) and average maximum temperature(Txav). The latest change was observed in summer(1990 s), whereas the earliest was observed in winter(1970 s). Before and after the abrupt temperature change, Tnav fluctuated considerably, whereas there was only a slight change in Txav.Before and after the abrupt temperature change, the winter temperature changed more dramatically than the summer temperature. Before the abrupt temperature change, Tnav in the central region(0.322°C/10 a)and west region(0.48°C/10 a) contributed the most to the increasing temperatures. After the abrupt temperature change, Tnav in winter in the central region(0.519°C/10 a) and in autumn in the west region(0.729°C/10 a) contributed the most to the temperature increases. Overall, in the years in which temperature shifts occurred early, a warming hiatus also appeared early. The three temperature metrics in spring(1991)in the east region were the first to exhibit a warming hiatus. In the east region, Txav displayed the lowest rate of increase(0.412°C/a) in the period after the abrupt temperature change and before the warming hiatus,and the highest rate of increase after the warming hiatus.
基金This study was supported by the National Climbing Project "Sequence Stratigraphy and Sea-level Eustasy on the Margins of the Chinese Palaeocontinent"(No.8502208)and the China Postdoctoral Foundation.
文摘Taken as an example the Upper Permian reef section on the carbonate platformmargin at Ziyun, Guizhou, the paper discusses the missing time of a hiatus surface, an impor-tant problem in chemical sequence stratigraphy, with the concept of cosmic chemistry. Then thepaper proposes a series of new concepts for chemical sequence stratigraphy, including the con-densation surface, relative compaction factor and time missing factor. Finally a quantitativecurve of Late Permian relative sea-level change in the Ziyun area is presented with timecoordinates.
基金supported by the Russian Foundation for Basic Research (grants #18-0500432)supported by the Russian Science Foundation (1774-10113)
文摘"Warming hiatus" occurred in the AltaySayan Mountain Region, Siberia in c. 1997–2014. We analyzed evergreen conifer(EGC) stands area(satellite data) and trees(Siberian pine, Pinus sibirica Du Tour, Siberian fir, Abies sibirica Ledeb.) growth increment(dendrochronology data) response to climate variables before and during the hiatus. During the hiatus, EGC area increased in the highlands(>1000 m)(+30%), whereas at low and middle elevations(<1000 m. a.s.l.) the EGC area decreased(-7%). The EGC area increase was observed on the rain-ward northwest slopes mainly. In highlands, EGC area increase mainly correlated with summer air temperature, whereas at low and middle elevations EGC area decrease correlated with drought index SPEI and vapor pressure deficit(VPD). EGC mortality(fir and Siberian pine) in lowland was caused by the synergy of water stress(inciting factor) and barkbeetle attacks(contributing factor). Tree growth increment(GI) dynamics differs with respect to elevation. At high elevation(1700 m) GI permanently increased since warming onset, whereas at the middle(900 m) and low elevations(450 m) GI increased until c. 1983 yr. with followed depression. That GI "breakpoint" occurred about a decade before hiatus onset. In spite of growth depression, during hiatus GI was higher than that in pre-warming period. At high elevation, GI positively responded to elevated June temperatures and negatively to moisture increase(precipitation, root zone moisture content, VPD, and SPEI). At low elevation GI negatively responded to June temperatures and positively to moisture increase. For both, low and high elevation, these patterns persisted throughout the study period(1967–2014). On the contrary, at middle elevations GI dependence on climate variables switch after breakpoint year(1983). Before breakpoint, June air temperature(positive correlation) and moisture(negative correlations) controlled GI. Further temperature increase leads GI depression and switched correlation signs to opposite(from positive to negative with temperature, and from negative to positive with moisture variables).
基金The National Natural Science Foundation of China under contract No.41605052the Public Science and Technology Research Funds Projects of Ocean under contract No.201505013
文摘In this study, the possible effects of subduction rate on global warming hiatus were investigated using Simple Ocean Data Assimilation（SODA） data. This study first analyzed the characteristics of the temporal and spatial distribution of global subduction rate, which revealed that the North Atlantic meridional overturning circulation region and the Antarctic Circumpolar Current region are the two main sea areas with great subduction variations.On this basis, four key areas were selected to explore the relationship between the local subduction rate and the global mean sea surface temperature. In addition, the reason for the variations in subduction rate was preliminarily explored. The results show good correspondence of the subduction of the key areas in the North Atlantic meridional overturning the circulation region and the Antarctic Circumpolar Current region to the global warming hiatus, with the former leading by about 10 years. The subduction process may be a physical mechanism by which the North Atlantic overturning circulation and the Antarctic Circumpolar Current act on the stagnation of global warming. Advection effect plays an important role in the variations in subduction in the key regions. In the Antarctic Circumpolar Current region, the magnitude of sea surface wind stress is closely related to the local changes in subduction.
基金supported by the National Natural Science Foundation of China(41425019,41661144016,91537214)the Public Science and Technology Research Funds Projects of the Ocean(201505013)
文摘Based on regular surface meteorological observations and NCEP/DOE reanalysis data, this study investigates the evolution of surface sensible heat（SH） over the central and eastern Tibetan Plateau（CE-TP） under the recent global warming hiatus. The results reveal that the SH over the CE-TP presents a recovery since the slowdown of the global warming. The restored surface wind speed together with increased difference in ground-air temperature contribute to the recovery in SH.During the global warming hiatus, the persistent weakening wind speed is alleviated due to the variation of the meridional temperature gradient. Meanwhile, the ground surface temperature and the difference in ground-air temperature show a significant increasing trend in that period caused by the increased total cloud amount, especially at night. At nighttime, the increased total cloud cover reduces the surface effective radiation via a strengthening of atmospheric counter radiation and subsequently brings about a clear upward trend in ground surface temperature and the difference in ground-air temperature.Cloud–radiation feedback plays a significant role in the evolution of the surface temperature and even SH during the global warming hiatus. Consequently, besides the surface wind speed, the difference in ground-air temperature becomes another significant factor for the variation in SH since the slowdown of global warming, particularly at night.
文摘The Eocene succession of the El Basatin Section in Gebel Mokattam, east of Cairo, consists, from base to top, of two main units; the Mokattam and Maadi Formations. The Mokattam Formation consists of two Members, the Building Stone Member and the Giushi Member. The Upper Building Stone Member yielded six species of Nummulites belonging to the Upper Lutetian. These species are: Nummulites farisi Hussein et al., 2004; Nummulites cf. praegizehensis Boukhary and Hussein-Kamel, 1993; Nummulites cf. gizehensis(Forsk?l, 1775); Nummulites discorbinus(Schlotheim 1820) and Arxina schwageri(Silvestri, 1928) emended by Boukhary et al. 2012 and Nummulites crassichordatus Boukhary et al., 2010. The Giushi Member yielded three species that indicate a Bartonian age. These species, which continued from their first appearance in the Upper Building Stone Members, are N. discorbinus, A. schwageri and N. crassichordatus. The Maadi Formation, which has been previously considered to be of Bartonian–Priabonian age, is devoid of fossils in the study section. The two members of the Mokattam Formation represent a carbonate platform facies. The deposition of the Upper Building Stone Member was disturbed during the Lutetian by slumping and a convolute-bedding interval, indicating a short hiatus. The subsequent regression resulted in a very shallow marine to near-shore facies in the above Maadi Formation.
基金funded by the National Natural Science Foundation of China [No.31460296 and 31560315]the Key Project of Guangxi Scientific Research and Technology Development Plan [AB17190534]the central government directed special funds for local science and technology development project [AZ1949015]
文摘Temperature is a crucial factor that affects in flue nza tran smissi on. Therefore, several studies have correlated various aspects of in flue nza with temperature from the global warming period during which temperature exhibits a clear trend. The global warming hiatus has been existing since the year 1998. This provides an opportunity to investigate the effect of temperature on the transmission of influenza from the viewpoint that temperature is trendless.
基金Supported by the Key Discipline Construction Program of Inte-grative Pain Medicine of Traditional Chinese Medicine and West-ern Medicine of Zhejiang Province,China No.2012-XK-A31Zhejiang Provincial Program for Cultivation of High-level Innovative Health Talents of the Health Department of Zhejiang Province,China No.2012-RC-22
文摘Foreign body ingestion is a common complaint in gastrointestinal clinics. It is usually not difficult to diagnose because most of the patients report a definitive history of accidental foreign body ingestion. However, in rare cases, patients do not have a clear history. Thus, the actual condition of the patient is difficult to diagnosis or is misdiagnosed; consequently, treatment is delayed or the wrong treatment is administered, respectively. This report describes a fatal case of esophageal perforation caused by an unknowingly ingested fishbone, which resulted in lower esophageal necrosis, chest cavity infection, posterior mediastinum fester, and significant upper gastrointestinal accumulation of blood. However, his clinical symptoms and imaging data are very similar with esophageal hiatal hernia. Unfortunately, because the patient was too late in consulting a physician, he finally died of chest infection and hemorrhage caused by thoracic aortic rupture. First, this case report underlines the importance of immediate consultation with a physician as soon as symptoms are experienced so as not to delay diagnosis and treatment, and thus avoid a fatal outcome. Second, diagnostic imaging should be performed in the early stage, without interference by clinical judgment. Third, when computed tomography reveals esophageal hiatus hernia with stomach incarceration, posterior mediastinal hematoma, and pneumatosis caused by esophageal, a foreign body should be suspected. Finally, medical professionals are responsible for making people aware of the danger of foreign body ingestion, especially among children, those who abuse alcohol, and those who wear dentures, particularly among the elderly, whose discriminability of foreign bodies is decreased, to avoid dire consequences.
文摘In order to determine the age of the sedimentary hiatus and its geological significance, a study of the calcareous nannofossil biostratigraphy was carried out. Detailed stratigraphical data of the Late Oligocene-Early Miocene diagnostic species thus obtained. The nannofossil zonation of this interval was subdivided and the Oligocene-Miocene boundary was further determined. Several last Late Oligocene events were recognized, indicating a long-term sedimentary hiatus in the uppermost Upper Oligocene. The time span of the hiatus was estimated for about 2.2 Ma, at least from 23.9 to 26.1 Ma. The lithological and geophysical data from Site 1148 indicate some abrupt sedimentary changes that occurred below and above the hiatus. This hiatus at Site 1148 was probably related to the tectonic change, a major ridge jump during the seafloor spreading in the Late Oligocene South China Sea.
文摘The observed global mean temperature is the highest on record for the past decade but has plateaued to form an apparent"hiatus"in global temperature rise,with an almost zero short-term trend. Several speakers presented results on the hiatus and suggested possible mechanisms.
文摘Objective:: To explore the role of tentorium cerebelli hiatus incision in treating severe and most severe brain injuries complicated by tentorial herniation. Methods: From July 1994 to July 1999 tentorium cerebelli hiatus incision was done based on intracranial hematoma evacuation and bone flap craniectomy decompression in 70 cases of severe and most severe brain injuries complicated by tentorial herniation. Results: Of the 70 cases, GCS 3-5 was in 23 and GCS 6-8 in 47; satisfactory recovery in 39 cases ( 55.7 %), moderate disability in 12 ( 17.1 %), severe deficit in 6 ( 8.6 %), vegetative survival in 4 ( 5.7 %) and 8 ( 11.4 %) died. Conclusions: Tentoriun cerebelli incision is helpful in alleviating secondary brain stem injury from tentorial herniation and in reducing the disability and death rate of the patients.
基金China Ocean Mineral Resources Research and Development Associa-tion "10th Five Year" Topic (Grant No. DY105-01-04-14)International Science and Technology Cooperation Project from Ministry of Science and Technology of China (Grant No: 2006DFB21620)the National Natural Science Foundation of China (Grant No. 40706029)
文摘Up to now, accurate determination of the growth age and hiatuses of the Co-rich crust is still a difficult work, which constrains the researches on the genesis, growth process, controlling factors, regional tectonics, paleo-oceanographic background, etc. of the Co-rich crust. This paper describes our work in determining the initial growth age of the Co-rich crust to be of the late Cretaceous Campanian Stage (about 75-80 Ma), by selecting the Co-rich crust with clear multi-layer structures in a central Pacific seamount for layer-by-layer sample analysis and using a number of chronological methods, such as Co flux dating, dating by correlation with 187Os/188Os evolution curves of seawater, and stratigraphic divi- sion by calcareous nannofossils. We have also discovered growth hiatuses with different time intervals in the early Paleocene, middle Eocene, late Eocene and early-middle Miocene, respectively. These re- sults have provided an important age background for further researches on the Co-rich crust growth process and the paleo-oceanographic environment evolution thereby revealed in the said region.
基金Supported by the National Natural Science Foundation of China(41575006,41521004,and 91637312)China 111 Project(B13045)
文摘The global warming slowdown or warming hiatus, began around the year 2000 and has persisted for nearly 15 years. Most studies have focused on the interpretation of the hiatus in temperature. In this study, changes in a global aridity index （AI） were analyzed by using a newly developed dynamical adjustment method that can successfully identify and separate dynamically induced and radiatively forced aridity changes in the raw data. The AI and Palmer Drought Severity Index produced a wetting zone over the mid-to-high latitudes of the Northern Hemisphere in recent decades. The dynamical adjustment analysis suggested that this wetting zone occurred in response to the global warming hiatus. The dynamically induced AI （DAI） played a major role in the AI changes during the hiatus period, and its relationships with the North Atlantic Oscillation （NAO）, Pacific Decadal Oscillation （PDO）, and Atlantic Multi-decadal Oscillation （AMO） also indicated that different phases of the NAO, PDO, and AMO contributed to dif- ferent performances of the DAI over the Northern Hemisphere. Although the aridity wetting over the mid-to-high lat- itudes may relieve long-term drying in certain regions, the hiatus is temporary, and so is the relief. Accelerated glob- al warming will return when the NAO, PDO, and AMO revert to their opposite phases in the future, and the wetting zone is likely to disappear.
