The complex anatomy of petrous part of temporal bone makes the craniotomy around this area challenging. To avoid damaging the interior structures of petrous part of temporal bone, the authors used computed tomography to get the projection of the petrous part of temporal bone on skulls, making the external contours of petrous part clear, thus protecting its interior structure as a reference in craniotomy. The objective of this study was to find out the three-dimensional location of 4 points of petrous part of temporal bone. Parameters of 120 patients (240 observations) between 25 and 65 years who were free of abnormalities and pathological changes in temporal bone were measured on high-resolution spiral multiple slice computed tomographic multiple planar reconstruction images that were parallel to the base plane. The data were analyzed by SPSS, statistical software with the comparison between sides and sexes. The authors found the accurate locations that 4 points of petrous part of temporal bone with mastoidale as the origin. Then the authors connect the 3 vertexes of underside and the petrous apex and lengthen it until intersect with skulls to get the external landmarks. In the end, the authors get the safe range that can be applied to the clinical surgery.
In a unified fashion, we establish Lieb-Schultz-Mattis (LSM) theorems and their generalizations in systems with long-range interactions. We show that, for a quantum spin chain, if the interactions decay fast enough as their ranges increase and the Hamiltonian has an anomalous symmetry, the Hamiltonian cannot have a unique gapped symmetric ground state. If the Hamiltonian contains only 2-spin interactions, these theorems hold when the interactions decay faster than $1/r^2$, with $r$ the distance between the two interacting spins. Moreover, any pure state with an anomalous symmetry, which may not be a ground state of any natural Hamiltonian, must be long-range entangled. The symmetries we consider include on-site internal symmetries combined with lattice translation symmetries, and they can also extend to purely internal but non-on-site symmetries. Moreover, these internal symmetries can be discrete or continuous. We explore the applications of the theorems through various examples.
Abstract Background and Aims Proteinuria has been routinely screened in hospitalized patients at admission, but the changes in urinary protein during hospitalization is usually neglected. The epidemiology and clinical implication of new-onset proteinuria during hospitalization remains unclear. We aim to examine the associations between new-onset proteinuria during hospitalization with all-cause mortality, cardiovascular mortality, and composite kidney outcomes after discharge. Method We conducted a multicenter cohort of hospitalized adults without proteinuria at admission and with at least one repeated urinary protein test before discharge from the China Renal Data System. New-onset proteinuria was defined as a change in the urine dipstick protein test from negative to 1+ or more during hospitalization. The primary outcome was all-cause mortality after discharge. Secondary outcomes included cardiovascular mortality and composite kidney outcomes of sustained new-onset eGFR<60 ml/min/1.73 m2, >40% decline in eGFR, maintain dialysis, kidney transplant, or end stage renal disease. The associations between new-onset proteinuria and study outcomes were assessed by Cox proportional hazard models. Results Among 219,669 inpatients with mean age of 54 years, new-onset proteinuria occurred in 7.3% of the study population during hospitalization. After a mean follow-up of 4.9 years, patients with new-onset proteinuria during hospitalization was significantly associated with increased risk of all-cause mortality (hazard ratio [HR] 1.16; 95% confidence interval [CI], 1.07-1.25), cardiovascular deaths (HR 1.25; 95% CI, 1.07-1.46), and adverse kidney outcomes (HR 1.51; 95% CI, 1.14-2.01), compared to those without proteinuria. These associations were independent of the occurrence of AKI and remained consistent across subgroups and multiple sensitivity analyses, regardless of the severity and recovery status of new-onset proteinuria. Conclusion The presence of new-onset proteinuria during hospitalization demonstrated significant prognostic value and should be carefully monitored to improve patient care.
Abstract Emerging evidence has indicated that remnant cholesterol (RC) could predict cardiovascular disease (CVD) incidence. Nevertheless, the relationship of RC with CVD risk, especially within the general Chinese population remains scarce. The purpose of the present research was to assess that RC concentrations and CVD outcomes in general Chinese adults are related. The Cox proportional hazard model was established to explore the relationship for RC and the outcomes of CVD and CVD subgroups. A restricted cubic spline (RCS) was utilized to investigate the dose-response connection between RC and the risk of CVD outcomes, and the ROC curve was used to calculate the corresponding cut-off values. Moreover, stratified analysis was carried out to investigate the potential effect modification in the association between RC and CVD outcomes. Significant positive associations were found between e levated categorical RC and increased risk of CVD (HR Q4, 1.80; 95% CI 1.15–2.79; P-trend = 0.008), Atherosclerotic cardiovascular disease (HR Q4, 2.00; 95% CI 1.22–3.27; P-trend = 0.007), Stroke (HR Q4, 1.66; 95% CI 1.02–2.69; P-trend = 0.040), and Ischemic stroke (HR Q4, 1.87, 95% CI 1.08–3.25; P-trend = 0.034), respectively. Our study suggested that the incidence of CVD outcomes increased when RC levels were above 0.75 mmol/L. Importantly, the CVD risks related with RC were more likely to be those aged＞60 years, females, BMI < 24 kg/m 2 , and who with hypertension and unhealthy diet patterns. In conclusion, aberrant high level of RC is associated with elevated CVD risk, and independent of low-density lipoprotein cholesterol (LDL-C). Our data reveal urgent primary prevention for subjects with high RC levels to low incidence of CVD, especially for the elderly, females, and those with hypertension and unhealthy diet patterns.
Objective
To evaluate effect intervened by the linden relaxation technique (LRT) in the group of long-term naval shipmen's anxiety on surface ship.
Methods
Selected naval surface ship unit 1402 shipmen serve as study subjects. 140 anxiety shipmen (70≥SAS score≥50) screen out with Zung' self-rating anxiety scale (SAS). The person's group with anxiety mood, but did not meet the diagnostic criteria for anxiety disorders of DSM-IV. Anxiety shipmen were random divided into the linden relaxation technique group (n=70) and No-intervention control group (n=70). In the LRT intervention group: LRT exercises time course was 1 time/day, and 30 min/time to persist 10 days.The control group without relaxation training.Before and after interventions, anxiety level separately were evaluated with SAS.
Results
Before intervention, there were not statistically significant between intervention group and control group in SAS anxiety scores, respectively((54.00±4.43) vs (53.91±4.88)). After intervention, there were statistically significant between intervention group and control group anxiety scores, respectively was((40.57±8.98) vs (53.13±5.51)). The difference before and after intervention, anxiety scoring in intervention group(13.43±7.82) was lower than that of the control group (0.79±3.41). After following 2 months, SAS scores in the intervention group was more lower (36.76±8.57) than the right finish intervention, there was significant different; but there was not significant different belong to the control group (52.34±5.50).
Conclusion
Linden relaxation technique improves anxiety mood in the naval servicemen.
Key words:
Linden relaxation technique; Naval sailor; Anxiety
Background Emerging evidence has indicated that remnant cholesterol (RC) could predict cardiovascular disease (CVD) incidence. Nevertheless, the relationship between RC and CVD risk, especially within the general Chinese population, remains scarce. Objective The present research aimed to assess whether RC concentrations and CVD outcomes in general Chinese adults are related. Methods The Cox proportional hazard model was established to explore the relationship between RC and the outcomes of CVD and CVD subgroups. A restricted cubic spline (RCS) was utilized to investigate the dose–response connection between RC and the risk of CVD outcomes, and the ROC curve was used to calculate the corresponding cutoff values. Moreover, stratified analysis was conducted to investigate the potential effect modification in the association between RC and CVD outcomes. Results Significant positive associations were found between elevated categorical RC and increased risk of CVD (HR Q4, 1.80; 95% CI 1.15–2.79; P -value = 0.008), atherosclerotic cardiovascular disease (HR Q4, 2.00; 95% CI 1.22–3.27; P -value = 0.007), stroke (HR Q4, 1.66; 95% CI 1.02–2.69; P -value = 0.040), and ischemic stroke (HR Q4, 1.87, 95% CI 1.08–3.25; P -value = 0.034), respectively. Our study suggested that the incidence of CVD outcomes increased when RC levels were above 0.75 mmol/L. Importantly, the CVD risks related to RC were more likely to be those found in subjects aged above 60 years, women, subjects with BMI <24 kg/m 2 , and subjects with hypertension and unhealthy diet patterns. Conclusions Aberrant high level of RC is associated with elevated CVD risk, independent of low-density lipoprotein cholesterol (LDL-C). Our data reveal urgent primary prevention for subjects with high RC levels to a low incidence of CVD, especially for the elderly, women, and those with hypertension and unhealthy diet patterns.
Background: Cooking oil is closed with daily life and broad of human health. However, associations between the consumption ratio of animal cooking oil to vegetable cooking oil (CRAV) and T2DM remain absent. We aimed to prospectively examine the effect of a balanced intake of animal cooking oil and vegetable cooking oil on T2DM.Methods: A 10-year prospective study of 9280 adults was conducted in Guizhou, China, from 2010 to 2020. During the follow-up, multivariable adjusted Cox proportional hazard regression models were fitted to assess the association between CRAV and the subsequent incident T2DM.Findings: A total of 747 cases were documented during a median follow-up time of 8.58 years. Compared with those in the first quintiles, the HRs and 95% CIs for the highest quintiles were 1.28 (1.01, 1.63) for animal cooking oil and 1.56 (1.25, 1.95) for vegetable cooking oil after multivariable adjustment, (P=0.00059 and P<0.0001 for trend), respectively. The multivariable adjusted HRs and 95% CIs for the second to fifth quintiles of CRAV were 0.79 (0.64, 0.99), 0.65 (0.51, 0.83), 0.68 (0.54, 0.85), and 0.87 (0.68, 1.12) (P =0.26 for trend), compared to the first quintile.Interpretation: Higher animal cooking oil and vegetable cooking oil consumption are both associated with a higher risk of T2DM, while CRAV is associated with a lower risk of T2DM. These results imply that a proper proportion of cooking oil intake is beneficial for a reduced risk of T2DM.Funding Information: The study was supported by Guizhou province science and technology support program (Qiankehe [2018]2819) and [2021]446.Declaration of Interests: We declare no conflict of interest.Ethics Approval Statement: We obtained the approval of institutional Review Committee of the Guizhou Center for Disease Control and Prevention (No. S2017- 02) for the implementation of this study. All participants signed written informed consent.
'/%3e%3cuse xlink:href='%23a' transform='rotate(23.036 .093 25.536)'/%3e%3cuse xlink:href='%23a' transform='rotate(45.87 1.273 16.18)'/%3e%3cuse xlink:href='%23a' transform='rotate(69.945 .996 12.078)'/%3e%3cuse xlink:href='%23a' transform='rotate(20.66 -19.689 31.932)'/%3e%3c/svg%3e)
