BACKGROUND Odontogenic infection is one of the common infectious diseases in oral and maxillofacial head and neck regions.Clinically,if early odontogenic infections such as acute periapical periodontitis,alveolar absc...BACKGROUND Odontogenic infection is one of the common infectious diseases in oral and maxillofacial head and neck regions.Clinically,if early odontogenic infections such as acute periapical periodontitis,alveolar abscess,and pericoronitis of wisdom teeth are not treated timely,effectively and correctly,the infected tissue may spread up to the skull and brain,down to the thoracic cavity,abdominal cavity and other areas through the natural potential fascial space in the oral and maxillofacial head and neck.Severe multi-space infections are formed and can eventually lead to life-threatening complications(LTCs),such as intracranial infection,pleural effusion,empyema,sepsis and even death.CASE SUMMARY We report a rare case of death in a 41-year-old man with severe odontogenic multi-space infections in the oral and maxillofacial head and neck regions.One week before admission,due to pain in the right lower posterior teeth,the patient placed a cigarette butt dipped in the pesticide"Miehailin"into the"dental cavity"to relieve the pain.Within a week,the infection gradually spread bilaterally to the floor of the mouth,submandibular space,neck,chest,waist,back,temporal and other areas.The patient had difficulty breathing,swallowing and eating,and was transferred to our hospital as an emergency admission.Following admission,oral and maxillofacial surgeons immediately organized consultations with doctors in otolaryngology,thoracic surgery,general surgery,hematology,anesthesia and the intensive care unit to assist with treatment.The patient was treated with the highest level of antibiotics(vancomycin)and extensive abscess incision and drainage in the oral,maxillofacial,head and neck,chest and back regions.Unfortunately,the patient died of septic shock and multiple organ failure on the third day after admission.CONCLUSION Odontogenic infection can cause serious multi-space infections in the oral and maxillofacial head and neck regions,which can result in multiple LTCs.The management and treatment of LTCs such as multi-space infections should be multidisciplinary led by oral and maxillofacial surgeons.展开更多
Green roofs play a vital role in promoting sustainable urban development and achieving carbon neutrality by enhancing carbon sequestration, oxygen release, and efficiency of land use. Despite these benefits, living ro...Green roofs play a vital role in promoting sustainable urban development and achieving carbon neutrality by enhancing carbon sequestration, oxygen release, and efficiency of land use. Despite these benefits, living roof coverage in China remains limited. To address the challenges in policy formulation, operational monitoring, and the absence of multi-scale retrofit strategies supported by robust assessment methods, this study develops a comprehensive evaluation framework. The framework integrates vector data, building age information, and point-of-interest(POI) data, and applies an optimized Prophet model to classify six major climate zones. This approach facilitates the selection of appropriate plant species and substrates while quantifying the potential for carbon sequestration and oxygen release. An assessment of 90 cities reveals approximately 1.3861 billion square meters of rooftop area suitable for green roof implementation, with an estimated annual carbon sequestration potential of 67.30 million tons and oxygen release of 30.36 million tons. Commercial buildings contribute significantly, comprising 65% of the total suitable area. Climate zones 2 and 3 exhibit the most favorable outcomes. The current study provides a reliable quantitative reference for evaluating the carbon sequestration and oxygen release capacities of green roofs and supports the formulation of effective retrofit policies.展开更多
文摘BACKGROUND Odontogenic infection is one of the common infectious diseases in oral and maxillofacial head and neck regions.Clinically,if early odontogenic infections such as acute periapical periodontitis,alveolar abscess,and pericoronitis of wisdom teeth are not treated timely,effectively and correctly,the infected tissue may spread up to the skull and brain,down to the thoracic cavity,abdominal cavity and other areas through the natural potential fascial space in the oral and maxillofacial head and neck.Severe multi-space infections are formed and can eventually lead to life-threatening complications(LTCs),such as intracranial infection,pleural effusion,empyema,sepsis and even death.CASE SUMMARY We report a rare case of death in a 41-year-old man with severe odontogenic multi-space infections in the oral and maxillofacial head and neck regions.One week before admission,due to pain in the right lower posterior teeth,the patient placed a cigarette butt dipped in the pesticide"Miehailin"into the"dental cavity"to relieve the pain.Within a week,the infection gradually spread bilaterally to the floor of the mouth,submandibular space,neck,chest,waist,back,temporal and other areas.The patient had difficulty breathing,swallowing and eating,and was transferred to our hospital as an emergency admission.Following admission,oral and maxillofacial surgeons immediately organized consultations with doctors in otolaryngology,thoracic surgery,general surgery,hematology,anesthesia and the intensive care unit to assist with treatment.The patient was treated with the highest level of antibiotics(vancomycin)and extensive abscess incision and drainage in the oral,maxillofacial,head and neck,chest and back regions.Unfortunately,the patient died of septic shock and multiple organ failure on the third day after admission.CONCLUSION Odontogenic infection can cause serious multi-space infections in the oral and maxillofacial head and neck regions,which can result in multiple LTCs.The management and treatment of LTCs such as multi-space infections should be multidisciplinary led by oral and maxillofacial surgeons.
文摘Green roofs play a vital role in promoting sustainable urban development and achieving carbon neutrality by enhancing carbon sequestration, oxygen release, and efficiency of land use. Despite these benefits, living roof coverage in China remains limited. To address the challenges in policy formulation, operational monitoring, and the absence of multi-scale retrofit strategies supported by robust assessment methods, this study develops a comprehensive evaluation framework. The framework integrates vector data, building age information, and point-of-interest(POI) data, and applies an optimized Prophet model to classify six major climate zones. This approach facilitates the selection of appropriate plant species and substrates while quantifying the potential for carbon sequestration and oxygen release. An assessment of 90 cities reveals approximately 1.3861 billion square meters of rooftop area suitable for green roof implementation, with an estimated annual carbon sequestration potential of 67.30 million tons and oxygen release of 30.36 million tons. Commercial buildings contribute significantly, comprising 65% of the total suitable area. Climate zones 2 and 3 exhibit the most favorable outcomes. The current study provides a reliable quantitative reference for evaluating the carbon sequestration and oxygen release capacities of green roofs and supports the formulation of effective retrofit policies.
