Firstly, the hydrological and meteorological features of the upper reaches of the Yellow River above Tangnag are analyzed based on observation data, and effects of EI Nino and La Ni na events on the high and low flow ...Firstly, the hydrological and meteorological features of the upper reaches of the Yellow River above Tangnag are analyzed based on observation data, and effects of EI Nino and La Ni na events on the high and low flow in the upper Yellow River are discussed. The results show El Nino and La Nina events possess consanguineous relationship wi th runoff in the upper Yellow River. As a whole, the probability of low fl ow occurrence in the upper Yellow River is relatively great along wit h the occurrence of El Nino event. Moreover, the flood in the upper Yellow River occurs frequently with the occurrence of La Nina event. Besides, the results also show dissimilarity of El Nino event occurri ng time exerts greater impact on high flow and low flow in the uppe r Yellow River, that is, the probability of drought will be greater in the sam e year if El Nino event occurs in spring, the high-flow may happen in this y ear if El Nino occurs in summer or autumn; the longer the continuous period of El Nino is, the lower the runoff in the upper Yellow River is.展开更多
End stage-renal-disease (ESRD) is associated with dyslipidemia and premature atherosclerosis. The study evaluates the effect of hemodialysis (HD) on HDL-remodeling between pre- and post-HD. Was conducted a cross-secti...End stage-renal-disease (ESRD) is associated with dyslipidemia and premature atherosclerosis. The study evaluates the effect of hemodialysis (HD) on HDL-remodeling between pre- and post-HD. Was conducted a cross-sectional study with 50 ESRD male patients, undergoing HD at Ana Neri Hospital, Salvador, Brazil. All individuals were on HD for at least 3 months, into a three sessions protocol for 3 - 4 hours per week, with a polysulfone low-flow basic-dialyzing-membrane and unfractionated-heparin. HDL Phospholipid-incorporation was measured by 14C-PL-scintillation-counting, expressed as %14C-PL/mL/hour. Paraoxonase (PON-1) activity was measured by spectrophotometry using paraoxon as substrate. Cardiovascular risk ratios and atherogenic index of plasma were calculated. Total cholesterol, HDL-C and non-HDL-C increased at post-HD on all age groups, but without triglycerides (TG) changes. TG/HDL-C decreased in 30 - 39 and 40 - 49 year (y) at post-HD (p 0.05). LDL-C/apoB increased in >60 y, after HD (p < 0.05). HDL-C/apo-AI increased in 40 - 49 y (p 0.05) and >60 (p 0.01). On the other hand, non-HDL-C/HDL-C reduced in 40 - 49 and >60 y, at post-HD (p 0.05). The linear-correlation between %14C-PL-incorporation and non-HDL-C/HDL-C was negative in 30 - 39 y, both at pre-HD (r = -0.90;p = 0.002) and post-HD (r = -0.78;p = 0.022). Linear-correlation between PON-1 and %14C-PL-incorporation was positive in >60 y, both at pre- (r = 0.63;p = 0.029) and post-HD (r = 0.65;p = 0.022). PON-1 activity increased at pre- (59 ± 30) and post-HD (73 ± 38) in 50 - 59 y (p 0.05). The %14C-PL-incorporation was reduced in >60 y (p 0.05), when compared to pre- and post-HD. ESRD patients undergoing HD shows important changes on lipid-profile, PON-1-activity, cardiac risk ratios and HDL-remodeling. These results demonstrate the influence of HD with a polysulfone low-flow basic-dialyzing-membrane and unfractionated-heparin on lipoprotein metabolism.展开更多
Objective to analyze the value of low-flow sevoflurane in anesthesia maintenance during laparoscopic surgery to maintain the stability of patients signs during operation and ensure the safety of patients after operati...Objective to analyze the value of low-flow sevoflurane in anesthesia maintenance during laparoscopic surgery to maintain the stability of patients signs during operation and ensure the safety of patients after operation. Methods: 60 patients who underwent laparoscopic surgery in our hospital from April 2020 to April 2022 were selected as samples. After they were enrolled into the group, they were divided into standardized groups, and different anesthesia schemes were given to carry out the comparative analysis, namely the control group (Levantin anesthesia maintenance) and the observation group (low flow sevoflurane anesthesia maintenance). Statistic the differences of anesthesia indexes of different groups of samples, and the effects of different anesthesia schemes on the changes of patients signs and safety. Results: the time required for each stage of anesthesia in the two groups was measured. The results showed that the clinical indexes of the patients in the observation group were better, the time of onset of anesthesia, complete block, and the time required for patients to wake up after operation were shorter, and the dosage of anesthetic drugs was lower (P 0.05). Before anesthesia induction, there was no significant difference in baseline data (including heart rate, systolic blood pressure, diastolic blood pressure) among patient groups (P > 0.05). After anesthesia, the patients physical signs were monitored again before and 10 minutes after the establishment of pneumoperitoneum, all of which showed that the changes of the patients physical signs in the observation group were more stable, with significant difference compared with the control group (P 0.05). The indexes of heart rate, systolic blood pressure and diastolic blood pressure in the immediate observation group were better, P 0.05. The incidence of unsafe events during and after operation in the two groups was evaluated. The evaluation value of the observation group was 6.67%, which was significantly lower than that of the control group by 26.67%, P 0.05. Conclusion: low-flow sevoflurane is adopted in anesthesia maintenance scheme of laparoscopic surgery, which has significant value in maintaining the stability of patients signs during operation and ensuring the safety of patients after operation.展开更多
基金Knowledge Innovation Project of Cold and Arid Regions Environmental and Engineering Research Institute of CAS, No.210100, No.210016 Knowledge Innovation Project of CAS, No.KZCX1-10-03National Natural Science Foundation of China, No.4
文摘Firstly, the hydrological and meteorological features of the upper reaches of the Yellow River above Tangnag are analyzed based on observation data, and effects of EI Nino and La Ni na events on the high and low flow in the upper Yellow River are discussed. The results show El Nino and La Nina events possess consanguineous relationship wi th runoff in the upper Yellow River. As a whole, the probability of low fl ow occurrence in the upper Yellow River is relatively great along wit h the occurrence of El Nino event. Moreover, the flood in the upper Yellow River occurs frequently with the occurrence of La Nina event. Besides, the results also show dissimilarity of El Nino event occurri ng time exerts greater impact on high flow and low flow in the uppe r Yellow River, that is, the probability of drought will be greater in the sam e year if El Nino event occurs in spring, the high-flow may happen in this y ear if El Nino occurs in summer or autumn; the longer the continuous period of El Nino is, the lower the runoff in the upper Yellow River is.
文摘End stage-renal-disease (ESRD) is associated with dyslipidemia and premature atherosclerosis. The study evaluates the effect of hemodialysis (HD) on HDL-remodeling between pre- and post-HD. Was conducted a cross-sectional study with 50 ESRD male patients, undergoing HD at Ana Neri Hospital, Salvador, Brazil. All individuals were on HD for at least 3 months, into a three sessions protocol for 3 - 4 hours per week, with a polysulfone low-flow basic-dialyzing-membrane and unfractionated-heparin. HDL Phospholipid-incorporation was measured by 14C-PL-scintillation-counting, expressed as %14C-PL/mL/hour. Paraoxonase (PON-1) activity was measured by spectrophotometry using paraoxon as substrate. Cardiovascular risk ratios and atherogenic index of plasma were calculated. Total cholesterol, HDL-C and non-HDL-C increased at post-HD on all age groups, but without triglycerides (TG) changes. TG/HDL-C decreased in 30 - 39 and 40 - 49 year (y) at post-HD (p 0.05). LDL-C/apoB increased in >60 y, after HD (p < 0.05). HDL-C/apo-AI increased in 40 - 49 y (p 0.05) and >60 (p 0.01). On the other hand, non-HDL-C/HDL-C reduced in 40 - 49 and >60 y, at post-HD (p 0.05). The linear-correlation between %14C-PL-incorporation and non-HDL-C/HDL-C was negative in 30 - 39 y, both at pre-HD (r = -0.90;p = 0.002) and post-HD (r = -0.78;p = 0.022). Linear-correlation between PON-1 and %14C-PL-incorporation was positive in >60 y, both at pre- (r = 0.63;p = 0.029) and post-HD (r = 0.65;p = 0.022). PON-1 activity increased at pre- (59 ± 30) and post-HD (73 ± 38) in 50 - 59 y (p 0.05). The %14C-PL-incorporation was reduced in >60 y (p 0.05), when compared to pre- and post-HD. ESRD patients undergoing HD shows important changes on lipid-profile, PON-1-activity, cardiac risk ratios and HDL-remodeling. These results demonstrate the influence of HD with a polysulfone low-flow basic-dialyzing-membrane and unfractionated-heparin on lipoprotein metabolism.
文摘Objective to analyze the value of low-flow sevoflurane in anesthesia maintenance during laparoscopic surgery to maintain the stability of patients signs during operation and ensure the safety of patients after operation. Methods: 60 patients who underwent laparoscopic surgery in our hospital from April 2020 to April 2022 were selected as samples. After they were enrolled into the group, they were divided into standardized groups, and different anesthesia schemes were given to carry out the comparative analysis, namely the control group (Levantin anesthesia maintenance) and the observation group (low flow sevoflurane anesthesia maintenance). Statistic the differences of anesthesia indexes of different groups of samples, and the effects of different anesthesia schemes on the changes of patients signs and safety. Results: the time required for each stage of anesthesia in the two groups was measured. The results showed that the clinical indexes of the patients in the observation group were better, the time of onset of anesthesia, complete block, and the time required for patients to wake up after operation were shorter, and the dosage of anesthetic drugs was lower (P 0.05). Before anesthesia induction, there was no significant difference in baseline data (including heart rate, systolic blood pressure, diastolic blood pressure) among patient groups (P > 0.05). After anesthesia, the patients physical signs were monitored again before and 10 minutes after the establishment of pneumoperitoneum, all of which showed that the changes of the patients physical signs in the observation group were more stable, with significant difference compared with the control group (P 0.05). The indexes of heart rate, systolic blood pressure and diastolic blood pressure in the immediate observation group were better, P 0.05. The incidence of unsafe events during and after operation in the two groups was evaluated. The evaluation value of the observation group was 6.67%, which was significantly lower than that of the control group by 26.67%, P 0.05. Conclusion: low-flow sevoflurane is adopted in anesthesia maintenance scheme of laparoscopic surgery, which has significant value in maintaining the stability of patients signs during operation and ensuring the safety of patients after operation.
