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
Human temporal bone specimens are used in experiments to measure the sound transfer function of the middle ear.This standard method for the development of middle ear implants requires temporal bones that possess appro...Human temporal bone specimens are used in experiments to measure the sound transfer function of the middle ear.This standard method for the development of middle ear implants requires temporal bones that possess appropriate mechanical properties and structural stability and are free from pathological conditions.A laser Doppler vibrometer is commonly employed to measure the vibration of the stapes footplate.These experiments are typically conducted in the middle ear by leaving the inner ear intact,exposing the stapes footplate through the tympanic cavity,and directing the laser beam onto the footplate.However,previous studies have shown that the influence of inner ear impedance on the middle ear transfer function cannot be ignored,and any surgical manipulation may cause a change in inner ear pressure,resulting in instability in the middle ear transfer function.Therefore,this study aims to eliminate the influence of the inner ear and to establish a new experimental method in human temporal bone specimens that is more suitable for the study of sound conduction in middle ear implants.As a result,a range for middle ear transfer function was developed,which serves as a reference for assessing the conformity of temporal bone specimens to experimental standards,and the stability of this range was demonstrated under experimental conditions.展开更多
The Middle East has long been in turmoil,and the new round of the Palestinian-Israeli conflict has further highlighted the urgency of security governance in the region.The Global Security Initiative(GSI)proposed by Ch...The Middle East has long been in turmoil,and the new round of the Palestinian-Israeli conflict has further highlighted the urgency of security governance in the region.The Global Security Initiative(GSI)proposed by China provides theoretical guidance and practical paths for China’s participation in Middle East security governance.China’s engagement in Middle East security governance not only meets the expectations of Middle East countries but also fully demonstrates its responsibility as a major country,which is of great significance for China to explore participation in global security governance and address the global security deficit.展开更多
Amid overlapping crises and uncertainties as the world enters an era of turbulence and transformation,the countries of the Global South are swiftly emerging from the periphery of world politics to the forefront of int...Amid overlapping crises and uncertainties as the world enters an era of turbulence and transformation,the countries of the Global South are swiftly emerging from the periphery of world politics to the forefront of international cooperation,playing an increasingly vital role in advancing humanity’s collective progress.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
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
Based on the waterflooding development in carbonate reservoirs in the Middle East,this study analyzes the geological characteristics and waterflooding behaviors/patterns of different types of high permeability zones(H...Based on the waterflooding development in carbonate reservoirs in the Middle East,this study analyzes the geological characteristics and waterflooding behaviors/patterns of different types of high permeability zones(HPZs),and proposes rational waterflooding strategies and modes.Four types of HPZs,i.e.sedimentation-dominated,sedimentation-diagenesis coupling,biogenic and composite,are identified in the carbonate reservoirs in the Middle East.Based on their distribution patterns,flow mechanisms,and waterflooding behaviors/patterns,five waterflooding modes are established:(1)the mode with stepwise-infilled areal vertical well pattern,for composite HFZs in patchy distribution;(2)the mode with regular row vertical well pattern for TypeⅠchannel“network”HFZs(with dominant water flow pathways at the base),and the mode with irregular differentiated vertical well pattern for TypeⅡchannel“network”HFZs(where multi-stage superimposition leads to“layered flooding”),for sedimentation-diagenesis coupling HFZs;(3)the mode with row horizontal wells through bottom injection and top production,for biogenic HFZs characterized by thin,contiguous distribution and rapid advancing of injected water along a工-shaped path;and(4)the mode with progressive waterflooding through edge water injection via vertical well and oil production via horizontal well,for sedimentation-dominated HFZs characterized by thick,contiguous distribution and flood first in upper anti-rhythmic reservoirs.Development practices demonstrate that the proposed waterflooding modes are efficient in the highly heterogeneous carbonate reservoirs in the Middle East,with balanced employment of reserves in the adjacent reservoirs and enhanced oil recovery.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
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
Situated in the semi-arid regions of North China,the Nihewan Basin documents the fluvio-lacustrine sequence and Pleistocene archaeological sites,offering an excellent opportunity to investigate human adaptation to env...Situated in the semi-arid regions of North China,the Nihewan Basin documents the fluvio-lacustrine sequence and Pleistocene archaeological sites,offering an excellent opportunity to investigate human adaptation to environmental change in East Asia,especially in North China.However,paleoenvironmental datasets from Middle Pleistocene archaeological sites are not fully understood.Focusing on the evidence from the 0.63-0.49 Ma-old site of Jijiazhuang(Nihewan Basin,North China),this paper presents the results of various environmental indicators from the site context.Moreover,it explores the links between hominin behavioral adaptations and ecological variability during the extra-long interglacial period in North China.Sedimentological features of the excavated section indicate that the site was formed in the margin of the Nihewan paleolake.Based on well-constructed pollen,sediment grain size,color reflectance,and major geochemical element analyses,five stages of environmental changes were identified during site formation.This study indicates that hominins occupied the site at the early part of Stage 2,when the Nihewan paleolake had a relatively low water level and the climate was temperate,with strong weathering intensity dominated by wooded grassland landscapes.In conclusion,the results suggest that the extra-long duration of interglacial or mild stadial climate events(MISs 15-13)in the Northern Hemisphere may have provided favorable conditions for increased technological innovations and adaptive strategies among Middle Pleistocene hominins in the Nihewan Basin even in North China.展开更多
In this study,the climatology and long-term trends of middle atmospheric temperatures at mid-latitudes are investigated using Rayleigh/Sodium lidar observations collected from January 2010 to December 2021 over Hefei,...In this study,the climatology and long-term trends of middle atmospheric temperatures at mid-latitudes are investigated using Rayleigh/Sodium lidar observations collected from January 2010 to December 2021 over Hefei,China(32°N,117°E).The seasonal variations and vertical profiles of lidar-derived temperatures demonstrate strong agreement with temperature measurements from the Microwave Limb Sounder(MLS)instrument on the Earth Observing System(EOS)Aura satellite.In terms of seasonal variation,middle atmospheric temperatures primarily exhibit annual oscillations(AO)and semi-annual oscillations(SAO).Harmonic analysis of the lidar and MLS temperature data reveals close phase alignment for both AO and SAO,with AO amplitudes ranging from 2 to 6 K,and SAO amplitudes from 1 to 4 K.The dependence of temperature on solar forcing was analyzed using the F10.7 index as a proxy,showing positive solar response coefficients at all altitudes,with a maximum of 15±1.1 K/100 SFU observed near 42–44 km.After removing the temperature response to solar cycle variations,a cooling trend in mid-latitude temperatures is evident across all altitudes,ranging from 3 to 6 K/decade.展开更多
This study aims to investigate the impact of middle ear effusion(MEE)on sound transmission in the human ear and its potential diagnostic significance.Firstly,the material properties of specific structures were adjuste...This study aims to investigate the impact of middle ear effusion(MEE)on sound transmission in the human ear and its potential diagnostic significance.Firstly,the material properties of specific structures were adjusted based on the existing human ear finite element(FE)model,and the accuracy of the model was validated using experimental data.Secondly,six FE models were developed to simulate varying degrees of MEE by systematically altering the material properties of the middle ear cavity(MEC)at different anatomical locations.Finally,the effects of these six FE models,representing varying degrees of MEE,on sound transmission characteristics and energy absorption(EA)rate in the human ear were systematically analyzed.When the degree of MEE is less than 50%of the MEC volume,its impact on the sound transmission characteristics of the human ear remains minimal,resulting in an estimated hearing loss of approximately 3 dB,with EA rate remaining close to normal levels.Once the effusion exceeds 50%of the MEC volume,a significant deterioration in acoustic transmission is observed,accompanied by a flattening of the EA curve and a drop in EA rates to below 20%.When the effusion completely fills the MEC,the maximum hearing loss reaches 46.47 dB,and the EA rate approaches zero across the entire frequency range.These findings provide theoretical insights into the biomechanical effects of MEE on human auditory transmission and offer a reference for clinical diagnosis and evaluation.展开更多
Under the background of exam-oriented education in China,art education has been marginalized,and the career success of junior middle school art teachers is being challenged.The influencing factors have become a topic ...Under the background of exam-oriented education in China,art education has been marginalized,and the career success of junior middle school art teachers is being challenged.The influencing factors have become a topic worthy of exploration.Therefore,this study aims to investigate the influence on career success and career self-development among junior middle school art teachers in Shenzhen,China.This study conducted a questionnaire survey among junior middle school art teachers in Shenzhen,China.The results show that career self-management affects the career success of art teachers.On this basis,this study proposes some strategies to help the group of art teachers achieve higher career success by improving their career self-management levels.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
The Qinling orogenic belt in central China underwent long-term tectonic evolution during an amalgamation between the North China and South China cratons.However,intense compressional deformation and uplift erosion res...The Qinling orogenic belt in central China underwent long-term tectonic evolution during an amalgamation between the North China and South China cratons.However,intense compressional deformation and uplift erosion resulted in the transformation and disappearance of much geological record from the Qinling orogenic belt,and the tectonic evolution of this belt remains poorly constrained during the Triassic.Located in the northernmost margin of the South China Craton,the Sichuan Basin preserves the complete Triassic sedimentary succession,and can provide significant information for understanding the Triassic tectonic evolution of the Qinling orogenic belt.We present detrital zircon U-Pb dating,trace element and in situ Lu-Hf isotope data for the Middle Triassic Leikoupo Formation and the Late Triassic Xujiahe Formation samples from the eastern Sichuan Basin,South China.The detrital zircon U-Pb ages of the Leikoupo Formation show seven age clusters of 280-242,350-300,500-400,1000-800,2000-1750,2100-2000 and 2600-2400 Ma,while those of the Xujiahe Formation show five age clusters of 300-200,500-350,1050-950,2000-1750 and 2600-2400 Ma.Combined with published paleocurrent and paleogeographic data,the sediments of the Leikoupo Formation are interpreted to be sourced from the North China Craton,Yangtze Craton and North Qinling orogenic belt,and the potential main source regions of the Xujiahe Formation included the South and North Qinling orogenic belts.Provenance analysis indicates that the North Qinling orogenic belt was in inherited uplift and coeval denudation in the Middle Triassic.The proportion of the detritus formed in the South Qinling orogenic belt increases gradually from the Leikoupo to Xujiahe formations.This significant provenance change indicates that rapid tectonic uplift and extensive denudation of the South Qinling orogenic belt occurred in the early Late Triassic,which is related to the collision between the North China and South China cratons during the Triassic.展开更多
The deep geologic processes between the Xing’an-Mongolian Orogenic Belt and the North China Craton in the Mesozoic are crucial to reveal the magmatic and tectonic evolution and their constraints on mineralization in ...The deep geologic processes between the Xing’an-Mongolian Orogenic Belt and the North China Craton in the Mesozoic are crucial to reveal the magmatic and tectonic evolution and their constraints on mineralization in the Jiapigou-Haigou collage zone.In this paper,We have presented the geochronology,geochemistry and Sr-Nd-Hf isotopic compositions of the Middle Jurassic granitic complexes in the Songjianghe area,Jilin Province.The granitic complexes can be categorized into four groups based on their geologic characteristics,with corresponding zircon U-Pb isotope ages of 177 Ma,172 Ma,169 Ma and 168-167 Ma,respectively.These granitoids exhibit calcalkaline to high-K calc-alkaline,metaluminous to weakly peraluminous Ⅰ-type characteristics,which show relative enrichment in LILEs(Rb,Sr,Ba)and depletion in HFSEs(Nb,Zr).Geochemical analyses reveal high initial^(87)Sr/^(86)Sr ratios of 0.70633-0.70740,coupled with lowεNd(t)values ranging from−10.65 to−13.23.The zircon analyses show similarly negativeεHf(t)values ranging from−16.9 to−3.2.The integrated elemental and Hf-Sr-Nd isotopic signatures demonstrate that the primitive magmas of the four group rocks were primarily derived from partial melting of thickened Archean lower crust,with the exception of the Group Ⅳ rocks,which exhibit significant evidence of crustal contamination.The residual mineral assemblages during the magma-forming process varied from amphibole to eclogite facies.These findings indicate that magmatism in the Songjianghe region likely resulted from the accretion and delamination of the Archean crust in the collage zone during the subduction of the Paleo-Pacific Plate beneath the Eurasian continent.展开更多
BACKGROUND Middle pancreatectomy(MP)is a surgical procedure that removes non-invasive lesions in the pancreatic neck and body,allowing for the preservation of pan-creatic function.However,MP is associated with a highe...BACKGROUND Middle pancreatectomy(MP)is a surgical procedure that removes non-invasive lesions in the pancreatic neck and body,allowing for the preservation of pan-creatic function.However,MP is associated with a higher risk of postoperative complications,and there’s no clear consensus on which anastomotic method is preferable.In recent years,our team has developed a new method called inter-locking main pancreatic duct-jejunal(IMPD-J)internal bridge drainage to MP.AIM To compare perioperative and postoperative outcomes in patients who underwent IMPD-J bridge drainage and those underwent traditional duct-to-mucosa pancreatojejunostomy.METHODS Patients who underwent MP in our hospital between October 1,2011 and July 31,2023 were enrolled in this study.Patients were divided into two groups based on their pancreatojejunostomy technique:IMPD-J bridge drainage group and duct-to-mucosa pancreatojejunostomy group.Demographic data(age,gender,body mass index,hypertension,diabetes,etc.)and perioperative indicators[operation time,intraoperative bleeding,clinically relevant postoperative pancreatic fistula(CR-POPF),delayed gastric emptying,etc.]were recorded and analyzed statist-ically.RESULTS A total of 53 patients were enrolled in this study,including 23 in the IMPD-J Bridge Drainage group and 30 in the traditional duct-to-mucosa pancreatojejun-ostomy group.There were no significant differences in demographic or preope-rative characteristics between the groups.Compared to traditional duct-to-mucosa pancreaticojejunostomy,IMPD-J bridge drainage had a significant shorter operation time(4.3±1.3 hours vs 5.8±1.8 hours,P=0.002),nasogastric tube retention days(5.3±1.7 days vs 6.5±2.0 days,P=0.031),lower incidence of delayed gastric emptying(8.7%vs 36.7%,P=0.019),and lower incidence of CR-POPF(39.1%vs 70.0%,P=0.025).Multivariate logistic regression analysis showed that pancreaticojejunostomy type(odds ratio=4.219,95%confidence interval=1.238-14.379,P=0.021)and plasma prealbumin(odds ratio=1.132,95%confidence interval=1.001-1.281,P=0.049)were independent risk factor for CR-POPF.In IMPD-J bridge drainage group,only one patient experienced recurrent pancreatitis due to the large diameter of the silicone tube and had it removed six months after surgery.CONCLUSION Compared to traditional duct-to-mucosa pancreatojejunostomy,IMPD-J bridge drainage has the advantages of simplicity and fewer perioperative complications,with favorable long-term outcomes.展开更多
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.
文摘Human temporal bone specimens are used in experiments to measure the sound transfer function of the middle ear.This standard method for the development of middle ear implants requires temporal bones that possess appropriate mechanical properties and structural stability and are free from pathological conditions.A laser Doppler vibrometer is commonly employed to measure the vibration of the stapes footplate.These experiments are typically conducted in the middle ear by leaving the inner ear intact,exposing the stapes footplate through the tympanic cavity,and directing the laser beam onto the footplate.However,previous studies have shown that the influence of inner ear impedance on the middle ear transfer function cannot be ignored,and any surgical manipulation may cause a change in inner ear pressure,resulting in instability in the middle ear transfer function.Therefore,this study aims to eliminate the influence of the inner ear and to establish a new experimental method in human temporal bone specimens that is more suitable for the study of sound conduction in middle ear implants.As a result,a range for middle ear transfer function was developed,which serves as a reference for assessing the conformity of temporal bone specimens to experimental standards,and the stability of this range was demonstrated under experimental conditions.
文摘The Middle East has long been in turmoil,and the new round of the Palestinian-Israeli conflict has further highlighted the urgency of security governance in the region.The Global Security Initiative(GSI)proposed by China provides theoretical guidance and practical paths for China’s participation in Middle East security governance.China’s engagement in Middle East security governance not only meets the expectations of Middle East countries but also fully demonstrates its responsibility as a major country,which is of great significance for China to explore participation in global security governance and address the global security deficit.
文摘Amid overlapping crises and uncertainties as the world enters an era of turbulence and transformation,the countries of the Global South are swiftly emerging from the periphery of world politics to the forefront of international cooperation,playing an increasingly vital role in advancing humanity’s collective progress.
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.
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Supported by the China National Petroleum Corporation Major Science and Technology Project(2023ZZ19-01,2023ZZ19-07).
文摘Based on the waterflooding development in carbonate reservoirs in the Middle East,this study analyzes the geological characteristics and waterflooding behaviors/patterns of different types of high permeability zones(HPZs),and proposes rational waterflooding strategies and modes.Four types of HPZs,i.e.sedimentation-dominated,sedimentation-diagenesis coupling,biogenic and composite,are identified in the carbonate reservoirs in the Middle East.Based on their distribution patterns,flow mechanisms,and waterflooding behaviors/patterns,five waterflooding modes are established:(1)the mode with stepwise-infilled areal vertical well pattern,for composite HFZs in patchy distribution;(2)the mode with regular row vertical well pattern for TypeⅠchannel“network”HFZs(with dominant water flow pathways at the base),and the mode with irregular differentiated vertical well pattern for TypeⅡchannel“network”HFZs(where multi-stage superimposition leads to“layered flooding”),for sedimentation-diagenesis coupling HFZs;(3)the mode with row horizontal wells through bottom injection and top production,for biogenic HFZs characterized by thin,contiguous distribution and rapid advancing of injected water along a工-shaped path;and(4)the mode with progressive waterflooding through edge water injection via vertical well and oil production via horizontal well,for sedimentation-dominated HFZs characterized by thick,contiguous distribution and flood first in upper anti-rhythmic reservoirs.Development practices demonstrate that the proposed waterflooding modes are efficient in the highly heterogeneous carbonate reservoirs in the Middle East,with balanced employment of reserves in the adjacent reservoirs and enhanced oil recovery.
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.
基金National Natural Science Foundation of China,No.42371165,No.41872029。
文摘Situated in the semi-arid regions of North China,the Nihewan Basin documents the fluvio-lacustrine sequence and Pleistocene archaeological sites,offering an excellent opportunity to investigate human adaptation to environmental change in East Asia,especially in North China.However,paleoenvironmental datasets from Middle Pleistocene archaeological sites are not fully understood.Focusing on the evidence from the 0.63-0.49 Ma-old site of Jijiazhuang(Nihewan Basin,North China),this paper presents the results of various environmental indicators from the site context.Moreover,it explores the links between hominin behavioral adaptations and ecological variability during the extra-long interglacial period in North China.Sedimentological features of the excavated section indicate that the site was formed in the margin of the Nihewan paleolake.Based on well-constructed pollen,sediment grain size,color reflectance,and major geochemical element analyses,five stages of environmental changes were identified during site formation.This study indicates that hominins occupied the site at the early part of Stage 2,when the Nihewan paleolake had a relatively low water level and the climate was temperate,with strong weathering intensity dominated by wooded grassland landscapes.In conclusion,the results suggest that the extra-long duration of interglacial or mild stadial climate events(MISs 15-13)in the Northern Hemisphere may have provided favorable conditions for increased technological innovations and adaptive strategies among Middle Pleistocene hominins in the Nihewan Basin even in North China.
基金supported by the National Natural Science Foundation of China(Grant 42125402,42174183 and 42304165)the National Key Technologies R&D Program of China(Grant 2022YFF0503703)+7 种基金the B-type Strategic Priority Program of CAS(Grant XDB0780000)the Chinese Meridian Projectthe Fundamental Research Funds for the Central Universitiesthe Joint Open Fund of Mengcheng National Geophysical Observatory(MENGO-202406,MENGO-202407)the National Natural Science Foundation of China(NSFC)Distinguished Overseas Young Talents ProgramBasic Research Project of the National Key Laboratory of Deep Space Exploration(NKLDSE2023A002)the Pre-research project on Civil Aerospace Technologies No.D010305 and D010301 funded by China National Space Administration(CNSA)Supported by the Specialized Research Fund for State Key Laboratory of Solar Activity and Space Weathe.
文摘In this study,the climatology and long-term trends of middle atmospheric temperatures at mid-latitudes are investigated using Rayleigh/Sodium lidar observations collected from January 2010 to December 2021 over Hefei,China(32°N,117°E).The seasonal variations and vertical profiles of lidar-derived temperatures demonstrate strong agreement with temperature measurements from the Microwave Limb Sounder(MLS)instrument on the Earth Observing System(EOS)Aura satellite.In terms of seasonal variation,middle atmospheric temperatures primarily exhibit annual oscillations(AO)and semi-annual oscillations(SAO).Harmonic analysis of the lidar and MLS temperature data reveals close phase alignment for both AO and SAO,with AO amplitudes ranging from 2 to 6 K,and SAO amplitudes from 1 to 4 K.The dependence of temperature on solar forcing was analyzed using the F10.7 index as a proxy,showing positive solar response coefficients at all altitudes,with a maximum of 15±1.1 K/100 SFU observed near 42–44 km.After removing the temperature response to solar cycle variations,a cooling trend in mid-latitude temperatures is evident across all altitudes,ranging from 3 to 6 K/decade.
基金supported by the National Natural Science Foundation of China(52275296)the Priority Academic Program Development of Jiangsu Higher Education Institutions.
文摘This study aims to investigate the impact of middle ear effusion(MEE)on sound transmission in the human ear and its potential diagnostic significance.Firstly,the material properties of specific structures were adjusted based on the existing human ear finite element(FE)model,and the accuracy of the model was validated using experimental data.Secondly,six FE models were developed to simulate varying degrees of MEE by systematically altering the material properties of the middle ear cavity(MEC)at different anatomical locations.Finally,the effects of these six FE models,representing varying degrees of MEE,on sound transmission characteristics and energy absorption(EA)rate in the human ear were systematically analyzed.When the degree of MEE is less than 50%of the MEC volume,its impact on the sound transmission characteristics of the human ear remains minimal,resulting in an estimated hearing loss of approximately 3 dB,with EA rate remaining close to normal levels.Once the effusion exceeds 50%of the MEC volume,a significant deterioration in acoustic transmission is observed,accompanied by a flattening of the EA curve and a drop in EA rates to below 20%.When the effusion completely fills the MEC,the maximum hearing loss reaches 46.47 dB,and the EA rate approaches zero across the entire frequency range.These findings provide theoretical insights into the biomechanical effects of MEE on human auditory transmission and offer a reference for clinical diagnosis and evaluation.
文摘Under the background of exam-oriented education in China,art education has been marginalized,and the career success of junior middle school art teachers is being challenged.The influencing factors have become a topic worthy of exploration.Therefore,this study aims to investigate the influence on career success and career self-development among junior middle school art teachers in Shenzhen,China.This study conducted a questionnaire survey among junior middle school art teachers in Shenzhen,China.The results show that career self-management affects the career success of art teachers.On this basis,this study proposes some strategies to help the group of art teachers achieve higher career success by improving their career self-management levels.
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supported by the National Key Research and Development Program of China(Grant No.2017YFC0602704)the National Natural Science Foundation of China(Grant No.U20B6001 and 91755211).
文摘The Qinling orogenic belt in central China underwent long-term tectonic evolution during an amalgamation between the North China and South China cratons.However,intense compressional deformation and uplift erosion resulted in the transformation and disappearance of much geological record from the Qinling orogenic belt,and the tectonic evolution of this belt remains poorly constrained during the Triassic.Located in the northernmost margin of the South China Craton,the Sichuan Basin preserves the complete Triassic sedimentary succession,and can provide significant information for understanding the Triassic tectonic evolution of the Qinling orogenic belt.We present detrital zircon U-Pb dating,trace element and in situ Lu-Hf isotope data for the Middle Triassic Leikoupo Formation and the Late Triassic Xujiahe Formation samples from the eastern Sichuan Basin,South China.The detrital zircon U-Pb ages of the Leikoupo Formation show seven age clusters of 280-242,350-300,500-400,1000-800,2000-1750,2100-2000 and 2600-2400 Ma,while those of the Xujiahe Formation show five age clusters of 300-200,500-350,1050-950,2000-1750 and 2600-2400 Ma.Combined with published paleocurrent and paleogeographic data,the sediments of the Leikoupo Formation are interpreted to be sourced from the North China Craton,Yangtze Craton and North Qinling orogenic belt,and the potential main source regions of the Xujiahe Formation included the South and North Qinling orogenic belts.Provenance analysis indicates that the North Qinling orogenic belt was in inherited uplift and coeval denudation in the Middle Triassic.The proportion of the detritus formed in the South Qinling orogenic belt increases gradually from the Leikoupo to Xujiahe formations.This significant provenance change indicates that rapid tectonic uplift and extensive denudation of the South Qinling orogenic belt occurred in the early Late Triassic,which is related to the collision between the North China and South China cratons during the Triassic.
基金supported by the Natural Science Foundation of Jilin Province of China(grant no.20230101075JC)the National Natural Science Foundation of China(grant no.42072085).
文摘The deep geologic processes between the Xing’an-Mongolian Orogenic Belt and the North China Craton in the Mesozoic are crucial to reveal the magmatic and tectonic evolution and their constraints on mineralization in the Jiapigou-Haigou collage zone.In this paper,We have presented the geochronology,geochemistry and Sr-Nd-Hf isotopic compositions of the Middle Jurassic granitic complexes in the Songjianghe area,Jilin Province.The granitic complexes can be categorized into four groups based on their geologic characteristics,with corresponding zircon U-Pb isotope ages of 177 Ma,172 Ma,169 Ma and 168-167 Ma,respectively.These granitoids exhibit calcalkaline to high-K calc-alkaline,metaluminous to weakly peraluminous Ⅰ-type characteristics,which show relative enrichment in LILEs(Rb,Sr,Ba)and depletion in HFSEs(Nb,Zr).Geochemical analyses reveal high initial^(87)Sr/^(86)Sr ratios of 0.70633-0.70740,coupled with lowεNd(t)values ranging from−10.65 to−13.23.The zircon analyses show similarly negativeεHf(t)values ranging from−16.9 to−3.2.The integrated elemental and Hf-Sr-Nd isotopic signatures demonstrate that the primitive magmas of the four group rocks were primarily derived from partial melting of thickened Archean lower crust,with the exception of the Group Ⅳ rocks,which exhibit significant evidence of crustal contamination.The residual mineral assemblages during the magma-forming process varied from amphibole to eclogite facies.These findings indicate that magmatism in the Songjianghe region likely resulted from the accretion and delamination of the Archean crust in the collage zone during the subduction of the Paleo-Pacific Plate beneath the Eurasian continent.
文摘BACKGROUND Middle pancreatectomy(MP)is a surgical procedure that removes non-invasive lesions in the pancreatic neck and body,allowing for the preservation of pan-creatic function.However,MP is associated with a higher risk of postoperative complications,and there’s no clear consensus on which anastomotic method is preferable.In recent years,our team has developed a new method called inter-locking main pancreatic duct-jejunal(IMPD-J)internal bridge drainage to MP.AIM To compare perioperative and postoperative outcomes in patients who underwent IMPD-J bridge drainage and those underwent traditional duct-to-mucosa pancreatojejunostomy.METHODS Patients who underwent MP in our hospital between October 1,2011 and July 31,2023 were enrolled in this study.Patients were divided into two groups based on their pancreatojejunostomy technique:IMPD-J bridge drainage group and duct-to-mucosa pancreatojejunostomy group.Demographic data(age,gender,body mass index,hypertension,diabetes,etc.)and perioperative indicators[operation time,intraoperative bleeding,clinically relevant postoperative pancreatic fistula(CR-POPF),delayed gastric emptying,etc.]were recorded and analyzed statist-ically.RESULTS A total of 53 patients were enrolled in this study,including 23 in the IMPD-J Bridge Drainage group and 30 in the traditional duct-to-mucosa pancreatojejun-ostomy group.There were no significant differences in demographic or preope-rative characteristics between the groups.Compared to traditional duct-to-mucosa pancreaticojejunostomy,IMPD-J bridge drainage had a significant shorter operation time(4.3±1.3 hours vs 5.8±1.8 hours,P=0.002),nasogastric tube retention days(5.3±1.7 days vs 6.5±2.0 days,P=0.031),lower incidence of delayed gastric emptying(8.7%vs 36.7%,P=0.019),and lower incidence of CR-POPF(39.1%vs 70.0%,P=0.025).Multivariate logistic regression analysis showed that pancreaticojejunostomy type(odds ratio=4.219,95%confidence interval=1.238-14.379,P=0.021)and plasma prealbumin(odds ratio=1.132,95%confidence interval=1.001-1.281,P=0.049)were independent risk factor for CR-POPF.In IMPD-J bridge drainage group,only one patient experienced recurrent pancreatitis due to the large diameter of the silicone tube and had it removed six months after surgery.CONCLUSION Compared to traditional duct-to-mucosa pancreatojejunostomy,IMPD-J bridge drainage has the advantages of simplicity and fewer perioperative complications,with favorable long-term outcomes.
