BACKGROUND Undernutrition is a crucial cause of morbidity and mortality among children in low-or middle-income countries(LMICs).A better understanding of maternal general healthy nutrition knowledge,as well as misbeli...BACKGROUND Undernutrition is a crucial cause of morbidity and mortality among children in low-or middle-income countries(LMICs).A better understanding of maternal general healthy nutrition knowledge,as well as misbeliefs,is highly essential,especially in such settings.In the current era of infodemics,it is very strenuous for mothers to select not only the right source for maternal nutrition information but the correct information as well.AIM To assess maternal healthy nutritional knowledge and nutrition-related misbeliefs and misinformation in an LMIC,and to determine the sources of such information and their assessment methods.METHODS This cross-sectional analytical observational study enrolled 5148 randomly selected Egyptian mothers who had one or more children less than 15 years old.The data were collected through online questionnaire forms:One was for the general nutrition knowledge assessment,and the other was for the nutritional myth score.Sources of information and ways of evaluating internet sources using the Currency,Relevance,Authority,Accuracy,and Purpose test were additionally analyzed.RESULTS The mean general nutrition knowledge score was 29±9,with a percent score of 70.8%±12.1%(total score:41).The median myth score was 9(interquartile range:6,12;total score:18).The primary sources of nutrition knowledge for the enrolled mothers were social media platforms(55%).Half of the mothers managed information for currency and authority,except for considering the author's contact information.More than 60%regularly checked information for accuracy and purpose.The mothers with significant nutrition knowledge checked periodically for the author's contact information(P=0.012).The nutrition myth score was significantly lower among mothers who periodically checked the evidence of the information(P=0.016).Mothers dependent on their healthcare providers as the primary source of their general nutritional knowledge were less likely to hold myths by 13%(P=0.044).However,using social media increased the likelihood of having myths among mothers by approximately 1.2(P=0.001).CONCLUSION Social media platforms were found to be the primary source of maternal nutrition information in the current era of infodemics.However,healthcare providers were the only source for decreasing the incidence of maternal myths among the surveyed mothers.展开更多
Background: Chronic low back pain is a leading cause of morbidity and disability globally. Low and Middle-Income Countries (LMICs) tend to be more affected, with chronic low back pain (CLBP) being among the leading pr...Background: Chronic low back pain is a leading cause of morbidity and disability globally. Low and Middle-Income Countries (LMICs) tend to be more affected, with chronic low back pain (CLBP) being among the leading presenting complaints at specialist consultation. The exact burden of this disease is sparingly known in our setting. Objective: To evaluate the burden of chronic low back pain at the Yaounde Central Hospital. Methods: This was a descriptive cross-sectional study for a period of 3 months, from March 2022 to May 2022. After obtaining ethical clearance and research authorisations, data was collected using structured questionnaires from patients with chronic low back pain presenting at the Yaounde Central Hospital during the aforementioned time frame. This data was then tabulated with the Statistical Package for Social Sciences (SPSS 23.0), and disability was assessed using the modified Roland Morris Disability Questionnaire and the Oswestry Disability Index. Data analysis was done using the International Business Machines Statistical Package for Social Sciences (IBM-SPSS) VERSION 23.0. Results: 115 cases of CLBP were included. The mean age was 52.62 years, and the sex ratio was 0.3. The average monthly income was less than 50,000 frs CFA, in 37.4% of cases. In 57.9%, patients had a job that involved physical labour. The patients had a secondary level of education in 40.9%, and alcohol consumption was observed in 36%. The average number of days of a work stoppage due to LBP was 12.75 days (±12SD), and the median duration of CLBP was 7.15 (7.5SD) years. The median pain intensity was 7 (±2SD), with leg pain and sensory neuropathy observed in 67.8% and 63.5% respectively. Lumbar X-ray was done in 45.2% and revealed lumbar osteoarthrosis in 62.4%. Hypertension as a comorbidity was observed in 26.1%. Medical treatment was used at least once in 98.3% of cases. The average cost of management per month was assessed, and the median was 52,000 FCFA (±20,876 SD). Using the Oswestry Disability Questionnaire, 46 patients, that is 40% of the study population, were classified as severely disabled with a median ODI score of 40%. The factors which were independently associated with disability were level of education, alcohol consumption, treatment modality, pain intensity, body mass index (BMI), psychological wellbeing and number of sick leave days. Conclusion: Chronic low back pain is common in our setting. There is a female predominance with the mean age of the study population situated in the 5th decade. Low-income earners and patients with a job involving physical labour were the most affected. Medical treatment was the main therapeutic modality, with the average cost of management per month being above the average monthly income of the greater majority of the patients. Several factors influenced disability, some of which were independently associated with it, such as level of education, alcohol consumption and treatment modality.展开更多
Drought is an important disaster factor disturbing the stability of the ecosystem in the middle reaches of the Yellow River(YRM).In this study,the spatiotemporal distribution of drought in the YRM from 2000 to 2021 wa...Drought is an important disaster factor disturbing the stability of the ecosystem in the middle reaches of the Yellow River(YRM).In this study,the spatiotemporal distribution of drought in the YRM from 2000 to 2021 was quantitatively investigated by constructing the TVPDI(Temperature-VegetationPrecipitation Dryness Index),and its driving mechanism was explored.The results show that:(1)a significant decreasing trend was observed in the regional annual TVPDI of the YRM,while the autumn TVPDI index showed an increasing trend during 2000-2021.(2)Plants are more susceptible to drought during the growing season.(3)Drought in YRM showed significant spatial heterogeneity,and the high gully area in the Loess Plateau and the earth-rocky mountain areas were less affected by drought than other regions.(4)The Structural Equation Model(SEM)indicated that regional soil moisture and vegetation coverage have a direct influence on regional TVPDI variation.This study has explored the regional differences of drought in different seasons and landforms in the YRM,providing a basis for carrying out targeted seasonal ecological management and refining regional environmental governance,as well as a reference for formulating differentiated ecological restoration and water resource allocation strategies according to local conditions.展开更多
This paper selects sampling sections for the mainstream and tributaries of the middle and lower reaches of the Yellow River,collects river water and sediment samples during the flood season for pollen analysis,and use...This paper selects sampling sections for the mainstream and tributaries of the middle and lower reaches of the Yellow River,collects river water and sediment samples during the flood season for pollen analysis,and uses methods such as Geodetector to explore the distribution characteristics and influencing factors of pollen.The results show significant variations in vegetation composition across different watersheds,leading to notable differences in both the percentage and concentration of pollen types.Pollen concentration in river water is generally higher in the mainstream compared to tributaries,while sediment pollen percentage and concentration are typically lower in the mainstream than in tributaries.The concentration of suspended solids is the most significant factor affecting pollen concentration in the Yellow River,with this effect being particularly prominent outside the Shanxi-Shaanxi Gorge.Abundant coarse sand and rapid flow velocities are likely responsible for the high suspended solids concentration and lower pollen concentration observed in the mainstream of the Shanxi-Shaanxi Gorge.In sediments,clay content is the primary factor influencing pollen concentration,and its interaction with silt and flow velocity has a more prominent influence on pollen concentration.At the Yellow River section below the Shanxi-Shaanxi Gorge,sediment pollen and clay concentrations significantly increase.The changes in pollen concentration in the river water before and after the reservoir are consistent with the suspended solids concentration,while the changes in sediment pollen concentration are consistent with the clay content.Notably,pollen concentrations in sediments decrease more significantly after passing through a reservoir compared to changes observed in river water samples.Overall,there is a strong correlation between river pollen and topsoil pollen,which can provide a reliable reflection of the broader vegetation landscape of the watershed.The findings can provide support for paleoenvironmental reconstruction using pollen from alluvial sediments or lakes with river inflows.展开更多
This paper discusses the characteristics and formation mechanism of thin dolomite reservoirs in the lower submember of the second member of the Permian Maokou Formation(lower Mao 2 Member)in the Wusheng-Tongnan area o...This paper discusses the characteristics and formation mechanism of thin dolomite reservoirs in the lower submember of the second member of the Permian Maokou Formation(lower Mao 2 Member)in the Wusheng-Tongnan area of the Sichuan Basin,SW China,through comprehensive analysis of geological,geophysical and geochemical data.The reservoir rocks of the lower Mao 2 Member are dominated by porphyritic vuggy dolomite and calcareous dolomite or dolomitic limestone,which have typical karst characteristics of early diagenetic stage.The dolomites at the edge of the karst system and in the fillings have dissolved estuaries,and the dolomite breccia has micrite envelope and rim cement at the edge,indicating that dolomitization is earlier than the early diagenetic karstification.The shoal facies laminated dolomite is primarily formed by the seepage reflux dolomitization of moderate-salinity seawater.The key factors of reservoir formation are the bioclastic shoal deposition superimposed with seepgae reflux dolomitization and the karstification of early diagenetic stage,which are locally reformed by fractures and hydrothermal processes.The development of dolomite vuggy reservoir is closely related to the upward-shallowing sequence,and mainly occurs in the late highstand of the fourth-order cycle.Moreover,the size of dolomite is closely related to formation thickness,and it is concentrated in the formation thickness conversion area,followed by the thinner area.According to the understanding of insufficient accommodation space in the geomorphic highland and the migration of granular shoal to geomorphic lowland in the late highstand of the third-order cycle,it is proposed that the large-scale shoal-controlled dolomite reservoirs are distributed along structural highs and slopes,and the reservoir-forming model with shoal,dolomitization and karstification jointly controlled by the microgeomorphy and sea-level fluctuation in the sedimentary period is established.On this basis,the paleogeomorphology in the lower Mao 2 Member is restored using well-seismic data,and the reservoir distribution is predicted.The prediction results have been verified by the latest results of exploration wells and tests,which provide an important reference for the prediction of thin dolomite reservoirs under similar geological setting.展开更多
Changes in river cross-section morphology have decisive influences on the flood discharge and sand transport capacity of rivers;thus,these changes strongly reflect the vitality of a river.In this paper,based on the ri...Changes in river cross-section morphology have decisive influences on the flood discharge and sand transport capacity of rivers;thus,these changes strongly reflect the vitality of a river.In this paper,based on the river cross-section and water and sediment data of two different periods(1974−1987 and 2007−2021),the trend analysis,change-point analysis and sediment rating curve method were used to analyze the change process of river cross-section morphology and its response to streamflow and sediment changes in the main river stream of the Yellow River at the Longmen hydrological station.From 1974 to 1987(except in 1977),the riverbed experi-enced siltation,and the riverbed elevation rose.Conversely,from 2007 to 2021,the riverbed experienced scouring,and the riverbed el-evation gradually decreased.The cross-section shape changed from rectangular to U-shaped(deeper on the right side)at the Longmen cross-section.The changes in streamflow and sediment processes significantly impacted the evolution of river cross-section.Stream-flow(P<0.05),sediment discharge(P<0.01),and the sediment load coefficients(P<0.01)decreased significantly.The relationship between the water depth and sediment load coefficients followed a power function.The decreasing trend in sediment discharge was sig-nificantly stronger than that in streamflow.Suspended sediment particles tended to become finer.The sediment rating curve indicates that the sediment supply from upstream decreased while the erosive power in the river channel increased,leading to a gradual decline in riverbed elevation at the Longmen cross-section from 2007 to 2021.These findings help us better understand the impacts of ecological restoration on changes in river streamflow and sediment during river evolution.展开更多
Studying the causes of summer(June–July–August)precipitation anomalies in the middle and lower reaches of the Yangtze River(MLYR)and accurately predicting rainy season precipitation are important to society and the ...Studying the causes of summer(June–July–August)precipitation anomalies in the middle and lower reaches of the Yangtze River(MLYR)and accurately predicting rainy season precipitation are important to society and the economy.In recent years,the sea surface temperature(SST)trend factor has been used to construct regression models for summer precipitation.In this study,through correlation analysis,winter SST anomaly predictors and the winter Central Pacific SST trend predictor(CPT)are identified as closely related to the following MLYR summer precipitation(YRSP).CPT can influence YRSP by inducing anomalous circulations over the North Pacific,guiding warm and moist air northward,and inhibiting the development of the anomalous anticyclone over the Northwest Pacific.This has improved the predictive skill of the seasonal regression model for YRSP.After incorporating the CPT,the correlation coefficient of the YRSP regression model improved by 40%,increasing from 0.45 to 0.63,and the root mean squared error decreased by 22%,from 1.15 to 0.90.展开更多
BACKGROUND Middle meningeal artery embolization(MMAE)is emerging as a promising treatment for chronic subdural hematoma(CSDH),serving both as an adjunct to surgery and as a primary therapeutic option depending on pati...BACKGROUND Middle meningeal artery embolization(MMAE)is emerging as a promising treatment for chronic subdural hematoma(CSDH),serving both as an adjunct to surgery and as a primary therapeutic option depending on patient presentation.Due to its low recurrence rate and minimal complications,MMAE has gained increasing acceptance among clinicians in recent years.This report presents a case of diplopia following MMAE due to the presence of a potential anastomotic artery,aiming to enhance awareness of this complication.CASE SUMMARY A 60-year-old male patient presented with a headache following head trauma,and cranial computed tomography revealed a left-sided CSDH.The patient underwent left MMAE;however,polyvinyl alcohol particles inadvertently flowed into the lacrimal artery through an anastomotic artery,resulting in diplopia due to impaired abduction of the left eye.The diplopia resolved by postoperative day 40.The patient’s headache resolved by postoperative day 7,and the hematoma completely resolved by postoperative day 108.CONCLUSION Potential anastomotic arteries in the middle meningeal artery(MMA)can lead to serious complications.Superselective angiography of the MMA or its branches prior to embolization is essential.Performing embolization distal to potential anastomotic sites can reduce risks,and the presence of an anastomosis may warrant coil embolization or termination of the procedure.展开更多
Wetlands play a critical role in the global environment.The Middle Yangtze River Basin(MYRB),known for its abundant wetland resources,has experienced notable changes resulting from the complex interplay of environment...Wetlands play a critical role in the global environment.The Middle Yangtze River Basin(MYRB),known for its abundant wetland resources,has experienced notable changes resulting from the complex interplay of environmental factors.Therefore,we investigated the spatiotemporal characteristics of wetland ecological quality in the MYRB from 2001 to 2020.Utilizing the random forest(RF)regression algorithm and patch-generated land-use simulation(PLUS)model,we forecasted variations in wetland habitat quality and their determinants under the Shared Socioeconomic Pathway-Representative Concentration Pathway(SSPRCP)framework from 2035 to 2095.The main findings are as follows:(1)The RF algorithm was optimal for land-use and land-cover(LULC)classification in the MYRB from 2001 to 2020,when notable changes were observed in water bodies and buildings.However,the forested area exhibited an increase and decrease of 3.9%and 1.2%under the SSP1-2.6 and SSP5-8.5 scenarios,respectively,whereas farmland exhibited a diminishing trend.(2)Wetlands were primarily concentrated in the central and eastern MYRB,with counties in the southwest exhibiting superior ecological-environmental quality from 2001 to 2020.Notably,wetland coverage revealed significantly high level,significant changes,frequent but relatively minor changes under the SSP1-2.6,SSP2-4.5,and SSP 5-8.5 scenarios,respectively.(3)Regions with lower habitat quality were primarily concentrated in urbanized areas characterized by frequent human activities,indicating a clear degradation in habitat quality across different scenarios.In conclusion,we established a foundational framework for future investigations into the eco-hydrological processes and ecosystem quality of watersheds.展开更多
The chronic occlusion of intracranial arteries generally has no or mild clinical symptoms,and the clinical symptoms of acute cerebral artery occlusion are mostly manifested as severe cerebral infarction symptoms,which...The chronic occlusion of intracranial arteries generally has no or mild clinical symptoms,and the clinical symptoms of acute cerebral artery occlusion are mostly manifested as severe cerebral infarction symptoms,which often make early diagnosis difficult,thus losing the best treatment opportunity.Once cerebral infarction occurs,the consequences are difficult to recover.This is also an important reason for the high misdiagnosis rate and mortality of this disease.In this paper,the characteristics of the disease were analyzed to provide clinical reference.展开更多
BACKGROUND Picky eating is a commonly observed behavior among children globally,negatively impacting their physical and mental growth.Although common characteristics distinguish peaky eaters,including food selectivity...BACKGROUND Picky eating is a commonly observed behavior among children globally,negatively impacting their physical and mental growth.Although common characteristics distinguish peaky eaters,including food selectivity,food neophobia,and food avoidance,there is no clear definition to assess this behavior.Due to the unavailability of data regarding picky eating,it wasn’t easy to estimate its prevalence.AIM To develop a regional protocol to help healthcare professionals identify and manage mild and moderate picky eating cases.METHODS A virtual roundtable discussion was held in April 2021 to gather the opinions of seven pediatricians and two pediatric dietitians from eight Middle Eastern countries who had great experience in the management of picky eating.The discussion covered different topics,including clearly defining mild and moderate picky eating,identifying the role of diet fortification in these cases,and the possibility of developing a systematic approach to diet fortification.RESULTS The panel identified picky eating as consuming an inadequate amount and variety of foods by rejecting familiar and unfamiliar food.Most of the time,moderate picky eating cases had micronutrient deficiencies with over-or undernutrition;the mild cases only showed inadequate food consumption and/or poor diet quality.Paying attention to the organic red flags like growth faltering and development delay and behavioral red flags,including food fixation and anticipatory gagging,will help healthcare professionals evaluate the picky eaters and the caregivers to care for their children.Although dietary supplementation and commercial food fortification play an important role in picky eating,they were no benefit in the Middle East.CONCLUSION The panel agreed that food fortification through a food-first approach and oral nutritional supplements would be the best for Middle Eastern children.These recommendations would facilitate identifying and managing picky-eating children in the Middle East.展开更多
Objective:To observe the specific effects of acupuncture in middle-aged and older patients with chronic nonspecific low back pain(CNSLBP).Methods:Sixty-six patients with CNSLBP were randomized into the acupuncture or ...Objective:To observe the specific effects of acupuncture in middle-aged and older patients with chronic nonspecific low back pain(CNSLBP).Methods:Sixty-six patients with CNSLBP were randomized into the acupuncture or sham acupuncture groups(n=33).In the acupuncture group,penetrating acupuncture with a long needle was delivered at Ashi points(painful/sensitive points),and the needles were manipulated by rotating technique after deqi till patients felt distending pain.The needles were retained in place for 30 min.Acupuncture was given three times per week for 4 weeks.In the sham acupuncture group,shallow needling was performed at non-meridian,non-acupoint,non-painful,and non-sensitive points.The needle retention and duration of treatment were the same as those of the acupuncture group before treatment,after the first intervention,after the whole treatment,and in follow-up visit(4 weeks after the whole treatment).The scores of the visual analog scale(VAS)for pain,range of movement(ROM)of the spine,and simplified Oswestry Dysfunction Index(ODI)were observed separately.Results:Compared to the outcomes before treatment,the VAS score,spinal ROM,and simplified ODI score were lower after the first intervention,after treatment,and in follow-up visits in the acupuncture group,indicating the statistical significance(P<0.05).When compared with the sham acupuncture group,the VAS score,spinal ROM,and simplified ODI score were significantly lower in the acupuncture group after the first intervention,after treatment,and in follow-up visit(P<0.05).The total effective rate was 90.9%in the acupuncture group,which was significantly higher than that(75.76%)in the sham acupuncturegroup(P<0.05).Conclusion:Acupuncture has a specific effect on CNSLBP in middle-aged and older patients and a superior effect on immediate analgesia.展开更多
Chronic subdural hematoma is essentially managed by surgical intervention.In recent times,middle meningeal artery embolisation has emerged as a less invasive procedure in such cases.The use of fine catheters to select...Chronic subdural hematoma is essentially managed by surgical intervention.In recent times,middle meningeal artery embolisation has emerged as a less invasive procedure in such cases.The use of fine catheters to selectively embolise the specific involved branches of the middle meningeal artery using polyvinyl alcohol particles looks promising;however,the presence of anastomotic arteries can result in reflux and embolisation of these atypical branches,causing a myriad of complications.There is a need to identify these abnormal vessels in time to have a positive outcome with the least complications.展开更多
Erratumto:Journal of Earth Science https://doi.org/10.1007/s12583-023-1946-6 The original version of this article unfortunately contained three mistakes.1.The presentation of Equation(4)was incorrect.The corrected one...Erratumto:Journal of Earth Science https://doi.org/10.1007/s12583-023-1946-6 The original version of this article unfortunately contained three mistakes.1.The presentation of Equation(4)was incorrect.The corrected one is given below.展开更多
Background The middle ear pneumatic system(MEPS)supports pressure balance,essential for sound conduction.Its volume and surface area are key indicators of pneumatization and ventilation,yet their specific contribution...Background The middle ear pneumatic system(MEPS)supports pressure balance,essential for sound conduction.Its volume and surface area are key indicators of pneumatization and ventilation,yet their specific contributions to pressure regulation need further exploration.Objective To evaluate the accuracy and sensitivity of parameters characterizing the MEPS,including volume(V),surface area(S),and surface-area-to-volume ratio(S/V),in normal ears.Materials and Methods We collected CT images of the temporal bone from 63 normal ears for this study.The volume(V),surface area(S),and surface-area-to-volume ratio(S/V)of the MEPS were measured and calculated using three-dimensional reconstruction technology.Statistical methods were used to process the data and determine the 95%reference range for the S,V,and S/V of the MEPS in the normal ear.At the same time,we analyzed the impact of differences in gender and the left and right sides on the measurements.Results The 95%reference values for the S,V,and S/V of the MEPS in normal ears were 1057.10~18239.16 mm²,609.16~9854.11 mm^(3),and 1.39~2.52 mm^(-1) respectively.There were no significant differences in the measurements between genders and between the left and right sides.Conclusions and Significance This study has established the 95%reference values for the S,V,and S/V of the MEPS in normal ears,which were 1057.10-18239.16 mm²,609.16-9854.11 mm^(3),and 1.39-2.52 mm^(-1) respectively.We found that while there is a wide variation in the V values among normal ears,there is less variability in the S/V values.This structural characteristic suggests that changes in the S/V value may have a more significant impact on the balance of middle ear pressure,and it provides important reference data for the construction and functional reconstruction of three-dimensional models of the MEPS.These findings may aid in diagnosing middle ear disorders,such as otitis media with effusion,and guide interventions to restore pressure balance.展开更多
With the development of social economy,the subjects,methods,and contents of ideological and political education have undergone changes.It is not only necessary to give full play to the role of ideological and politica...With the development of social economy,the subjects,methods,and contents of ideological and political education have undergone changes.It is not only necessary to give full play to the role of ideological and political courses but also to focus on exploring teaching forms and methods to promote the realization of the goal of“fostering virtue through education”.Under the background of the new curriculum reform,in middle school biology teaching,it is necessary to implement“fostering virtue through education”,carry out ideological and political education,effectively improve the effect of talent training,and promote the development of students’values.From the perspective of middle school biology,this paper discusses the necessity of integrating curriculum ideology and politics,analyzes the principles that should be followed in the infiltration of ideological and political elements,and puts forward specific strategies for biology teaching practice,aiming to cultivate students’good values and lay a solid foundation for their subsequent knowledge learning.展开更多
Cenozoic trachytes are characteristic of some active volcanic fields in China.In particular,the origin and mechanisms of the evolution of trachytes from the Tianchi(Changbaishan)volcano(TV,China/North Korea)are poorly...Cenozoic trachytes are characteristic of some active volcanic fields in China.In particular,the origin and mechanisms of the evolution of trachytes from the Tianchi(Changbaishan)volcano(TV,China/North Korea)are poorly known.Here,we present new geochronological,geochemical and isotopic data on two trachytic suites outcropping on the northern and southern upper slopes of TV.Detailed zircon laser ablation-multicollector-inductively coupled plasma-mass spectrometry(LA-MC-ICP-MS)U-Pb dating,Rb-Sr isochron dating of plagioclase and hornblende,^(40)Ar/^(39)Ar chronology with mineral chemistry,whole-rock element and Sr-Nd-Pb isotope data are used to explore their origins and evolutionary mechanisms during the late Middle Pleistocene.Our data indicate that the trachytes mainly consist of sanidine,orthoclase and plagioclase,with minor albite,quartz and hornblende.They formed at 0.353-0.346 Ma(lava flow from the northern slope)and 0.383-0.311 Ma(lava flow from the southern slope),respectively.The TV trachytes are characterized by high K_(2)O/Na_(2)O and AR values,with low A/CNK and Mg~#values.They are enriched in rare earth elements(REEs;except Eu),depleted in Sr and Ba,crystallizing at 742-858℃.The TV trachytes have high(^(87)Sr/^(86)Sr)_i values(0.70776-0.71195),positiveε_(Nd)(t)values(0.61-2.93)and radiogenic^(206)Pb/^(204)Pb values(17.515-17.806).These values are similar to those of the Pleistocene and Holocene TV trachytes.Geochemical data indicate that they were formed by fractional crystallization from a basaltic melt and assimilated upper crust material.The trace element pattern of the studied trachytes is consistent with an evolution from basaltic melts representative of an enriched mantle source.The vent from which the trachytic magma was erupted probably collapsed inside the caldera during the TV'Millennium'eruption(ME)in 946 AD.The contemporaneous emission of basaltic and trachytic magma during the Middle-Late Pleistocene suggests the coexistence of fissural basaltic volcanism and central-type trachytic volcanism,the latter of which was associated with a magma chamber in the upper crust during the TV cone-construction stage.展开更多
文摘BACKGROUND Undernutrition is a crucial cause of morbidity and mortality among children in low-or middle-income countries(LMICs).A better understanding of maternal general healthy nutrition knowledge,as well as misbeliefs,is highly essential,especially in such settings.In the current era of infodemics,it is very strenuous for mothers to select not only the right source for maternal nutrition information but the correct information as well.AIM To assess maternal healthy nutritional knowledge and nutrition-related misbeliefs and misinformation in an LMIC,and to determine the sources of such information and their assessment methods.METHODS This cross-sectional analytical observational study enrolled 5148 randomly selected Egyptian mothers who had one or more children less than 15 years old.The data were collected through online questionnaire forms:One was for the general nutrition knowledge assessment,and the other was for the nutritional myth score.Sources of information and ways of evaluating internet sources using the Currency,Relevance,Authority,Accuracy,and Purpose test were additionally analyzed.RESULTS The mean general nutrition knowledge score was 29±9,with a percent score of 70.8%±12.1%(total score:41).The median myth score was 9(interquartile range:6,12;total score:18).The primary sources of nutrition knowledge for the enrolled mothers were social media platforms(55%).Half of the mothers managed information for currency and authority,except for considering the author's contact information.More than 60%regularly checked information for accuracy and purpose.The mothers with significant nutrition knowledge checked periodically for the author's contact information(P=0.012).The nutrition myth score was significantly lower among mothers who periodically checked the evidence of the information(P=0.016).Mothers dependent on their healthcare providers as the primary source of their general nutritional knowledge were less likely to hold myths by 13%(P=0.044).However,using social media increased the likelihood of having myths among mothers by approximately 1.2(P=0.001).CONCLUSION Social media platforms were found to be the primary source of maternal nutrition information in the current era of infodemics.However,healthcare providers were the only source for decreasing the incidence of maternal myths among the surveyed mothers.
文摘Background: Chronic low back pain is a leading cause of morbidity and disability globally. Low and Middle-Income Countries (LMICs) tend to be more affected, with chronic low back pain (CLBP) being among the leading presenting complaints at specialist consultation. The exact burden of this disease is sparingly known in our setting. Objective: To evaluate the burden of chronic low back pain at the Yaounde Central Hospital. Methods: This was a descriptive cross-sectional study for a period of 3 months, from March 2022 to May 2022. After obtaining ethical clearance and research authorisations, data was collected using structured questionnaires from patients with chronic low back pain presenting at the Yaounde Central Hospital during the aforementioned time frame. This data was then tabulated with the Statistical Package for Social Sciences (SPSS 23.0), and disability was assessed using the modified Roland Morris Disability Questionnaire and the Oswestry Disability Index. Data analysis was done using the International Business Machines Statistical Package for Social Sciences (IBM-SPSS) VERSION 23.0. Results: 115 cases of CLBP were included. The mean age was 52.62 years, and the sex ratio was 0.3. The average monthly income was less than 50,000 frs CFA, in 37.4% of cases. In 57.9%, patients had a job that involved physical labour. The patients had a secondary level of education in 40.9%, and alcohol consumption was observed in 36%. The average number of days of a work stoppage due to LBP was 12.75 days (±12SD), and the median duration of CLBP was 7.15 (7.5SD) years. The median pain intensity was 7 (±2SD), with leg pain and sensory neuropathy observed in 67.8% and 63.5% respectively. Lumbar X-ray was done in 45.2% and revealed lumbar osteoarthrosis in 62.4%. Hypertension as a comorbidity was observed in 26.1%. Medical treatment was used at least once in 98.3% of cases. The average cost of management per month was assessed, and the median was 52,000 FCFA (±20,876 SD). Using the Oswestry Disability Questionnaire, 46 patients, that is 40% of the study population, were classified as severely disabled with a median ODI score of 40%. The factors which were independently associated with disability were level of education, alcohol consumption, treatment modality, pain intensity, body mass index (BMI), psychological wellbeing and number of sick leave days. Conclusion: Chronic low back pain is common in our setting. There is a female predominance with the mean age of the study population situated in the 5th decade. Low-income earners and patients with a job involving physical labour were the most affected. Medical treatment was the main therapeutic modality, with the average cost of management per month being above the average monthly income of the greater majority of the patients. Several factors influenced disability, some of which were independently associated with it, such as level of education, alcohol consumption and treatment modality.
基金supported by the National Natural Science Foundation of China(Grant No.41601317)"14th Five Year Plan"For Education Sciences Planning of Shanxi Province(Grant No.SZH-230067)Ideological and Political Courses at Shanxi Normal University(2023KCSZ-15)。
文摘Drought is an important disaster factor disturbing the stability of the ecosystem in the middle reaches of the Yellow River(YRM).In this study,the spatiotemporal distribution of drought in the YRM from 2000 to 2021 was quantitatively investigated by constructing the TVPDI(Temperature-VegetationPrecipitation Dryness Index),and its driving mechanism was explored.The results show that:(1)a significant decreasing trend was observed in the regional annual TVPDI of the YRM,while the autumn TVPDI index showed an increasing trend during 2000-2021.(2)Plants are more susceptible to drought during the growing season.(3)Drought in YRM showed significant spatial heterogeneity,and the high gully area in the Loess Plateau and the earth-rocky mountain areas were less affected by drought than other regions.(4)The Structural Equation Model(SEM)indicated that regional soil moisture and vegetation coverage have a direct influence on regional TVPDI variation.This study has explored the regional differences of drought in different seasons and landforms in the YRM,providing a basis for carrying out targeted seasonal ecological management and refining regional environmental governance,as well as a reference for formulating differentiated ecological restoration and water resource allocation strategies according to local conditions.
基金National Natural Science Foundation of China,No.41907382China Postdoctoral Science Foundation,No.2019M652520Henan Postdoctoral Science Foundation,No.201902025。
文摘This paper selects sampling sections for the mainstream and tributaries of the middle and lower reaches of the Yellow River,collects river water and sediment samples during the flood season for pollen analysis,and uses methods such as Geodetector to explore the distribution characteristics and influencing factors of pollen.The results show significant variations in vegetation composition across different watersheds,leading to notable differences in both the percentage and concentration of pollen types.Pollen concentration in river water is generally higher in the mainstream compared to tributaries,while sediment pollen percentage and concentration are typically lower in the mainstream than in tributaries.The concentration of suspended solids is the most significant factor affecting pollen concentration in the Yellow River,with this effect being particularly prominent outside the Shanxi-Shaanxi Gorge.Abundant coarse sand and rapid flow velocities are likely responsible for the high suspended solids concentration and lower pollen concentration observed in the mainstream of the Shanxi-Shaanxi Gorge.In sediments,clay content is the primary factor influencing pollen concentration,and its interaction with silt and flow velocity has a more prominent influence on pollen concentration.At the Yellow River section below the Shanxi-Shaanxi Gorge,sediment pollen and clay concentrations significantly increase.The changes in pollen concentration in the river water before and after the reservoir are consistent with the suspended solids concentration,while the changes in sediment pollen concentration are consistent with the clay content.Notably,pollen concentrations in sediments decrease more significantly after passing through a reservoir compared to changes observed in river water samples.Overall,there is a strong correlation between river pollen and topsoil pollen,which can provide a reliable reflection of the broader vegetation landscape of the watershed.The findings can provide support for paleoenvironmental reconstruction using pollen from alluvial sediments or lakes with river inflows.
基金Supported by the National Natural Science Foundation of China(42172166)National Natural Science Foundation and CNPC Joint Fund Project(U23B20154)CNPC-Southwest Petroleum University Science and Technology Cooperation Project(2020CX010000).
文摘This paper discusses the characteristics and formation mechanism of thin dolomite reservoirs in the lower submember of the second member of the Permian Maokou Formation(lower Mao 2 Member)in the Wusheng-Tongnan area of the Sichuan Basin,SW China,through comprehensive analysis of geological,geophysical and geochemical data.The reservoir rocks of the lower Mao 2 Member are dominated by porphyritic vuggy dolomite and calcareous dolomite or dolomitic limestone,which have typical karst characteristics of early diagenetic stage.The dolomites at the edge of the karst system and in the fillings have dissolved estuaries,and the dolomite breccia has micrite envelope and rim cement at the edge,indicating that dolomitization is earlier than the early diagenetic karstification.The shoal facies laminated dolomite is primarily formed by the seepage reflux dolomitization of moderate-salinity seawater.The key factors of reservoir formation are the bioclastic shoal deposition superimposed with seepgae reflux dolomitization and the karstification of early diagenetic stage,which are locally reformed by fractures and hydrothermal processes.The development of dolomite vuggy reservoir is closely related to the upward-shallowing sequence,and mainly occurs in the late highstand of the fourth-order cycle.Moreover,the size of dolomite is closely related to formation thickness,and it is concentrated in the formation thickness conversion area,followed by the thinner area.According to the understanding of insufficient accommodation space in the geomorphic highland and the migration of granular shoal to geomorphic lowland in the late highstand of the third-order cycle,it is proposed that the large-scale shoal-controlled dolomite reservoirs are distributed along structural highs and slopes,and the reservoir-forming model with shoal,dolomitization and karstification jointly controlled by the microgeomorphy and sea-level fluctuation in the sedimentary period is established.On this basis,the paleogeomorphology in the lower Mao 2 Member is restored using well-seismic data,and the reservoir distribution is predicted.The prediction results have been verified by the latest results of exploration wells and tests,which provide an important reference for the prediction of thin dolomite reservoirs under similar geological setting.
基金Under the auspices of the National Natural Science Foundation of China(No.42277354,U2243211)Fundamental Research Funds for the Hebei University of Water Resources and Electric Engineering(No.SYKY2113)Science Research Project of Hebei Education Department(No.QN2025293)。
文摘Changes in river cross-section morphology have decisive influences on the flood discharge and sand transport capacity of rivers;thus,these changes strongly reflect the vitality of a river.In this paper,based on the river cross-section and water and sediment data of two different periods(1974−1987 and 2007−2021),the trend analysis,change-point analysis and sediment rating curve method were used to analyze the change process of river cross-section morphology and its response to streamflow and sediment changes in the main river stream of the Yellow River at the Longmen hydrological station.From 1974 to 1987(except in 1977),the riverbed experi-enced siltation,and the riverbed elevation rose.Conversely,from 2007 to 2021,the riverbed experienced scouring,and the riverbed el-evation gradually decreased.The cross-section shape changed from rectangular to U-shaped(deeper on the right side)at the Longmen cross-section.The changes in streamflow and sediment processes significantly impacted the evolution of river cross-section.Stream-flow(P<0.05),sediment discharge(P<0.01),and the sediment load coefficients(P<0.01)decreased significantly.The relationship between the water depth and sediment load coefficients followed a power function.The decreasing trend in sediment discharge was sig-nificantly stronger than that in streamflow.Suspended sediment particles tended to become finer.The sediment rating curve indicates that the sediment supply from upstream decreased while the erosive power in the river channel increased,leading to a gradual decline in riverbed elevation at the Longmen cross-section from 2007 to 2021.These findings help us better understand the impacts of ecological restoration on changes in river streamflow and sediment during river evolution.
基金Guangdong Major Project of Basic and Applied Basic Research(2020B0301030004)National Natural Science Foundation of China(42175061)。
文摘Studying the causes of summer(June–July–August)precipitation anomalies in the middle and lower reaches of the Yangtze River(MLYR)and accurately predicting rainy season precipitation are important to society and the economy.In recent years,the sea surface temperature(SST)trend factor has been used to construct regression models for summer precipitation.In this study,through correlation analysis,winter SST anomaly predictors and the winter Central Pacific SST trend predictor(CPT)are identified as closely related to the following MLYR summer precipitation(YRSP).CPT can influence YRSP by inducing anomalous circulations over the North Pacific,guiding warm and moist air northward,and inhibiting the development of the anomalous anticyclone over the Northwest Pacific.This has improved the predictive skill of the seasonal regression model for YRSP.After incorporating the CPT,the correlation coefficient of the YRSP regression model improved by 40%,increasing from 0.45 to 0.63,and the root mean squared error decreased by 22%,from 1.15 to 0.90.
文摘BACKGROUND Middle meningeal artery embolization(MMAE)is emerging as a promising treatment for chronic subdural hematoma(CSDH),serving both as an adjunct to surgery and as a primary therapeutic option depending on patient presentation.Due to its low recurrence rate and minimal complications,MMAE has gained increasing acceptance among clinicians in recent years.This report presents a case of diplopia following MMAE due to the presence of a potential anastomotic artery,aiming to enhance awareness of this complication.CASE SUMMARY A 60-year-old male patient presented with a headache following head trauma,and cranial computed tomography revealed a left-sided CSDH.The patient underwent left MMAE;however,polyvinyl alcohol particles inadvertently flowed into the lacrimal artery through an anastomotic artery,resulting in diplopia due to impaired abduction of the left eye.The diplopia resolved by postoperative day 40.The patient’s headache resolved by postoperative day 7,and the hematoma completely resolved by postoperative day 108.CONCLUSION Potential anastomotic arteries in the middle meningeal artery(MMA)can lead to serious complications.Superselective angiography of the MMA or its branches prior to embolization is essential.Performing embolization distal to potential anastomotic sites can reduce risks,and the presence of an anastomosis may warrant coil embolization or termination of the procedure.
基金National Natural Science Foundation of China,No.42207078CUG Scholar-Scientific Research Funds at China University of Geosciences(Wuhan),No.2022166+1 种基金China Scholarship Council,No.202306410026Opening Fund of State Key Laboratory of Simulation and Regulation of Water Cycle in River Basin,China Institute of Water Resources and Hydropower Research,No.IWHR-SKL-KF202217。
文摘Wetlands play a critical role in the global environment.The Middle Yangtze River Basin(MYRB),known for its abundant wetland resources,has experienced notable changes resulting from the complex interplay of environmental factors.Therefore,we investigated the spatiotemporal characteristics of wetland ecological quality in the MYRB from 2001 to 2020.Utilizing the random forest(RF)regression algorithm and patch-generated land-use simulation(PLUS)model,we forecasted variations in wetland habitat quality and their determinants under the Shared Socioeconomic Pathway-Representative Concentration Pathway(SSPRCP)framework from 2035 to 2095.The main findings are as follows:(1)The RF algorithm was optimal for land-use and land-cover(LULC)classification in the MYRB from 2001 to 2020,when notable changes were observed in water bodies and buildings.However,the forested area exhibited an increase and decrease of 3.9%and 1.2%under the SSP1-2.6 and SSP5-8.5 scenarios,respectively,whereas farmland exhibited a diminishing trend.(2)Wetlands were primarily concentrated in the central and eastern MYRB,with counties in the southwest exhibiting superior ecological-environmental quality from 2001 to 2020.Notably,wetland coverage revealed significantly high level,significant changes,frequent but relatively minor changes under the SSP1-2.6,SSP2-4.5,and SSP 5-8.5 scenarios,respectively.(3)Regions with lower habitat quality were primarily concentrated in urbanized areas characterized by frequent human activities,indicating a clear degradation in habitat quality across different scenarios.In conclusion,we established a foundational framework for future investigations into the eco-hydrological processes and ecosystem quality of watersheds.
基金Supported by the Science and Technology Program of Nantong Health Committee,No.MA2019003 and No.MA2021017Kangda College of Nanjing Medical University,No.KD2021JYYJYB025,No.KD2022KYJJZD019,and No.KD2022KYJJZD022+1 种基金Research Project of Nantong Health and Health Commission,No.MS2023041the Science and Technology Program of Nantong City,No.Key003 and No.JCZ2022040.
文摘The chronic occlusion of intracranial arteries generally has no or mild clinical symptoms,and the clinical symptoms of acute cerebral artery occlusion are mostly manifested as severe cerebral infarction symptoms,which often make early diagnosis difficult,thus losing the best treatment opportunity.Once cerebral infarction occurs,the consequences are difficult to recover.This is also an important reason for the high misdiagnosis rate and mortality of this disease.In this paper,the characteristics of the disease were analyzed to provide clinical reference.
文摘BACKGROUND Picky eating is a commonly observed behavior among children globally,negatively impacting their physical and mental growth.Although common characteristics distinguish peaky eaters,including food selectivity,food neophobia,and food avoidance,there is no clear definition to assess this behavior.Due to the unavailability of data regarding picky eating,it wasn’t easy to estimate its prevalence.AIM To develop a regional protocol to help healthcare professionals identify and manage mild and moderate picky eating cases.METHODS A virtual roundtable discussion was held in April 2021 to gather the opinions of seven pediatricians and two pediatric dietitians from eight Middle Eastern countries who had great experience in the management of picky eating.The discussion covered different topics,including clearly defining mild and moderate picky eating,identifying the role of diet fortification in these cases,and the possibility of developing a systematic approach to diet fortification.RESULTS The panel identified picky eating as consuming an inadequate amount and variety of foods by rejecting familiar and unfamiliar food.Most of the time,moderate picky eating cases had micronutrient deficiencies with over-or undernutrition;the mild cases only showed inadequate food consumption and/or poor diet quality.Paying attention to the organic red flags like growth faltering and development delay and behavioral red flags,including food fixation and anticipatory gagging,will help healthcare professionals evaluate the picky eaters and the caregivers to care for their children.Although dietary supplementation and commercial food fortification play an important role in picky eating,they were no benefit in the Middle East.CONCLUSION The panel agreed that food fortification through a food-first approach and oral nutritional supplements would be the best for Middle Eastern children.These recommendations would facilitate identifying and managing picky-eating children in the Middle East.
基金Supported by the Bejing Municipal Administration of Hospitals Incubation Program:PZ2022012National Famous Traditional Chinese Medicine Expert Inheritance Studio Construction Project:Guozhongyao Renjiaohan[2022]No.75Construction Project for the Inheritance of National Famous Traditional Chinese Medicine Experts in the Seventh Batch:Guozhongyao Renjiao Han[2022]No.76.
文摘Objective:To observe the specific effects of acupuncture in middle-aged and older patients with chronic nonspecific low back pain(CNSLBP).Methods:Sixty-six patients with CNSLBP were randomized into the acupuncture or sham acupuncture groups(n=33).In the acupuncture group,penetrating acupuncture with a long needle was delivered at Ashi points(painful/sensitive points),and the needles were manipulated by rotating technique after deqi till patients felt distending pain.The needles were retained in place for 30 min.Acupuncture was given three times per week for 4 weeks.In the sham acupuncture group,shallow needling was performed at non-meridian,non-acupoint,non-painful,and non-sensitive points.The needle retention and duration of treatment were the same as those of the acupuncture group before treatment,after the first intervention,after the whole treatment,and in follow-up visit(4 weeks after the whole treatment).The scores of the visual analog scale(VAS)for pain,range of movement(ROM)of the spine,and simplified Oswestry Dysfunction Index(ODI)were observed separately.Results:Compared to the outcomes before treatment,the VAS score,spinal ROM,and simplified ODI score were lower after the first intervention,after treatment,and in follow-up visits in the acupuncture group,indicating the statistical significance(P<0.05).When compared with the sham acupuncture group,the VAS score,spinal ROM,and simplified ODI score were significantly lower in the acupuncture group after the first intervention,after treatment,and in follow-up visit(P<0.05).The total effective rate was 90.9%in the acupuncture group,which was significantly higher than that(75.76%)in the sham acupuncturegroup(P<0.05).Conclusion:Acupuncture has a specific effect on CNSLBP in middle-aged and older patients and a superior effect on immediate analgesia.
文摘Chronic subdural hematoma is essentially managed by surgical intervention.In recent times,middle meningeal artery embolisation has emerged as a less invasive procedure in such cases.The use of fine catheters to selectively embolise the specific involved branches of the middle meningeal artery using polyvinyl alcohol particles looks promising;however,the presence of anastomotic arteries can result in reflux and embolisation of these atypical branches,causing a myriad of complications.There is a need to identify these abnormal vessels in time to have a positive outcome with the least complications.
文摘Erratumto:Journal of Earth Science https://doi.org/10.1007/s12583-023-1946-6 The original version of this article unfortunately contained three mistakes.1.The presentation of Equation(4)was incorrect.The corrected one is given below.
基金supported by the[National Natural Science Foundation of China]under Grant[number 12172082][Catch up with and surpass technology projects]under Grant[number 2022LCJSGC24]。
文摘Background The middle ear pneumatic system(MEPS)supports pressure balance,essential for sound conduction.Its volume and surface area are key indicators of pneumatization and ventilation,yet their specific contributions to pressure regulation need further exploration.Objective To evaluate the accuracy and sensitivity of parameters characterizing the MEPS,including volume(V),surface area(S),and surface-area-to-volume ratio(S/V),in normal ears.Materials and Methods We collected CT images of the temporal bone from 63 normal ears for this study.The volume(V),surface area(S),and surface-area-to-volume ratio(S/V)of the MEPS were measured and calculated using three-dimensional reconstruction technology.Statistical methods were used to process the data and determine the 95%reference range for the S,V,and S/V of the MEPS in the normal ear.At the same time,we analyzed the impact of differences in gender and the left and right sides on the measurements.Results The 95%reference values for the S,V,and S/V of the MEPS in normal ears were 1057.10~18239.16 mm²,609.16~9854.11 mm^(3),and 1.39~2.52 mm^(-1) respectively.There were no significant differences in the measurements between genders and between the left and right sides.Conclusions and Significance This study has established the 95%reference values for the S,V,and S/V of the MEPS in normal ears,which were 1057.10-18239.16 mm²,609.16-9854.11 mm^(3),and 1.39-2.52 mm^(-1) respectively.We found that while there is a wide variation in the V values among normal ears,there is less variability in the S/V values.This structural characteristic suggests that changes in the S/V value may have a more significant impact on the balance of middle ear pressure,and it provides important reference data for the construction and functional reconstruction of three-dimensional models of the MEPS.These findings may aid in diagnosing middle ear disorders,such as otitis media with effusion,and guide interventions to restore pressure balance.
文摘With the development of social economy,the subjects,methods,and contents of ideological and political education have undergone changes.It is not only necessary to give full play to the role of ideological and political courses but also to focus on exploring teaching forms and methods to promote the realization of the goal of“fostering virtue through education”.Under the background of the new curriculum reform,in middle school biology teaching,it is necessary to implement“fostering virtue through education”,carry out ideological and political education,effectively improve the effect of talent training,and promote the development of students’values.From the perspective of middle school biology,this paper discusses the necessity of integrating curriculum ideology and politics,analyzes the principles that should be followed in the infiltration of ideological and political elements,and puts forward specific strategies for biology teaching practice,aiming to cultivate students’good values and lay a solid foundation for their subsequent knowledge learning.
基金financially supported by the project of the National Observation and Research Station of the Institute of Geology,China Earthquake Administration(Grant No.NORSCBS22-06)the Youth Science and Technology Development Project of the Jilin Earthquake Agency(Grant No.JZQ-202402)+1 种基金the Earthquake Science and Technology Spark Project(Grant No.XH23013B)the China Scholarship Council(Grant No.202104190014)。
文摘Cenozoic trachytes are characteristic of some active volcanic fields in China.In particular,the origin and mechanisms of the evolution of trachytes from the Tianchi(Changbaishan)volcano(TV,China/North Korea)are poorly known.Here,we present new geochronological,geochemical and isotopic data on two trachytic suites outcropping on the northern and southern upper slopes of TV.Detailed zircon laser ablation-multicollector-inductively coupled plasma-mass spectrometry(LA-MC-ICP-MS)U-Pb dating,Rb-Sr isochron dating of plagioclase and hornblende,^(40)Ar/^(39)Ar chronology with mineral chemistry,whole-rock element and Sr-Nd-Pb isotope data are used to explore their origins and evolutionary mechanisms during the late Middle Pleistocene.Our data indicate that the trachytes mainly consist of sanidine,orthoclase and plagioclase,with minor albite,quartz and hornblende.They formed at 0.353-0.346 Ma(lava flow from the northern slope)and 0.383-0.311 Ma(lava flow from the southern slope),respectively.The TV trachytes are characterized by high K_(2)O/Na_(2)O and AR values,with low A/CNK and Mg~#values.They are enriched in rare earth elements(REEs;except Eu),depleted in Sr and Ba,crystallizing at 742-858℃.The TV trachytes have high(^(87)Sr/^(86)Sr)_i values(0.70776-0.71195),positiveε_(Nd)(t)values(0.61-2.93)and radiogenic^(206)Pb/^(204)Pb values(17.515-17.806).These values are similar to those of the Pleistocene and Holocene TV trachytes.Geochemical data indicate that they were formed by fractional crystallization from a basaltic melt and assimilated upper crust material.The trace element pattern of the studied trachytes is consistent with an evolution from basaltic melts representative of an enriched mantle source.The vent from which the trachytic magma was erupted probably collapsed inside the caldera during the TV'Millennium'eruption(ME)in 946 AD.The contemporaneous emission of basaltic and trachytic magma during the Middle-Late Pleistocene suggests the coexistence of fissural basaltic volcanism and central-type trachytic volcanism,the latter of which was associated with a magma chamber in the upper crust during the TV cone-construction stage.