非小细胞肺癌术后并发乳糜胸对患者生活质量影响的研究

目的:探讨非小细胞肺癌术后并发乳糜胸对患者生活质量的影响。方法:采用生活质量测定量表(QLQ-C30)回顾性分析第四军医大学唐都医院胸外科自2013年至2016年中收治的1015例肺癌手术患者的生活质量,发生乳糜胸组记为A组,未发生乳糜胸组记为B组。对比术前和术后1、3、6和12个月的生活质量有无统计学差异。结果:(1)术后1月时,除了社会功能、便秘、腹泻以外,两组生活质量指标评分均显著低于术前,且B组均显著低于A组,有统计学差异(表3,P0.05)。在手术后3月及以后逐渐恢复,至12月时,各组指标与术前基本相同(表3,P0.05);(2)两组术后生活质量相比较,术后1、3月,除社会功能、便秘、腹泻以外,其余生活质量功能指标B组均显著优于A组,有统计学差异(表3,P0.05)。在手术后6月及以后,B组所有指标与A组无统计学差异(表3,P0.05)。结论:肺癌根治术后发生乳糜胸患者生活质量显著低于未发生乳糜胸患者,因此应合理选择手术方式,注意术中操作,降低乳糜胸发生率,提高肺癌患者术后的生活质量。     

基于指标自动筛选的新疆开孔河流域生态健康评价

生态健康评价对了解区域生态健康状况和促进区域可持续发展具有重要意义,如何自动筛选出能反映生态系统特性的重要指标,是生态健康定量评估的关键问题。基于压力-状态-响应(PSR,Press-State-Response)框架和生态等级网络框架(EHN,Ecological Hierarchy Network),通过文献调研和因果分析建立要素层与指标层之间的交叉联系,构建了生态健康评价"网状"指标体系;在保证指标体系完备性基础上,通过结合主成分分析和熵权法的候选指标权重的客观计算,基于目标优化理论构建了评价指标的自动筛选模型,并基于中选指标计算了新疆开孔河流域2001—2017年生态健康指数(EHCI,Ecological Health Comprehensive Indexes),分析其空间分异和时间变化特征。结果表明:利用所建立的评价指标自动筛选模型,开孔河流域生态健康评价指标由31个候选指标自动筛选出了17个中选指标,用54.8%的指标表达了85.98%的信息,中选的17个指标在干旱/半干旱区域有关文献中应用较多,使用频次比例都在20%以上,其中归一化植被指数(NDVI,Normalized Difference Vegetation Index)、年降水量和植被覆盖度(FVC,Fractional Vegetation Coverage)3个指标的使用频次百分比均超过了50%,说明指标自动筛选模型的合理性;开孔河流域空间分布差异显著,总体上西北高、东南低,东南部和中部绿洲区外围生态健康状况较差,西北部河谷地带和中部两大绿洲区生态健康状况较好;17年来,流域生态质量整体趋于改善,显著改善区域占10.26%,远高于显著退化的1.61%,显著改善区域以孔雀河绿洲最为明显。开孔河流域生态健康的总体好转趋势说明区域生态综合治理取得一定成效。     

Fish predation on epiphytic microcrustacea in Tivoli South Bay,a Hudson River tidal freshwater wetland

The littoral microcrustacean fauna of Tivoli South Bay was studied from July to September, 1989. The effects of fish predation on microcrustacean densities were tested in a short-term predator exclusion experiment. Fish were excluded from water chestnut (Trapa natans) plots in four screened exclosures. An equal number of open cages allowed foraging. Fish predation did not have a significant effect on densities of ostracods or other microcrustaceans. Ostracod densities increased in cages throughout the experimental period, whereas cladoceran and copepod densities decreased in both treatments. Gut contents analysis of banded killifish (Fundulus diaphanus) revealed that ostracods and other microcrustaceans were commonly ingested by larval, juvenile, and adult killifish utilizing T. natans as habitat. These results suggest that ostracods and other microcrustacean epifauna associated with T. natans may represent an important trophic link in the tidal freshwater wetlands of the Hudson River Estuary. Deceased     

An Ecosystem Health Index for a large and variable river basin: Methodology,challenges and continuous improvement in Queensland’s Fitzroy Basin

Report cards are an increasingly popular method for summarising and communicating relative environmental performance and ecosystem health, including in aquatic environments. They are usually underpinned by an Ecosystem Health Index (EHI) that combines various individual indicators to produce an overall ecosystem health “score”. As a result of public water quality concerns, an integrated means of monitoring and reporting on aquatic ecosystem health was needed for the Fitzroy Basin in central Queensland, Australia. The Fitzroy Partnership for River Health was formed to address this need, and developed an EHI and report card for the Basin using existing monitoring data collected from various third parties including regulated companies operations and government. At 142,000 square kilometres, the Fitzroy Basin is the largest catchment draining to the World Heritage Listed Great Barrier Reef. The Fitzroy Basin provides an example of how to deliver an effective aquatic ecosystem health reporting system in a large and complex river basin. We describe the methodology used to develop an adaptive EHI for the Fitzroy Basin that addresses variability, complexity and scale issues associated with reporting across large areas. As well, we report how to manage the design and reporting stages given limitations in data collection and scientific understanding.     

Assessing regional sustainable development through an integration of nonlinear principal component analysis and Gram Schmidt orthogonalization

The regional sustainable development level (SDL), sustainability of regional development (SRD) and system coordination (SC) make up the triangular truss of regional sustainable development assessment, but it is debated how should traditional practice best weight and calculate the whole sustainable development system level. The Bohai Rim, covering three provinces and two municipalities in China, lies in a region that is sensitive to profound conflict between socioeconomic development and environment pollution in the process of sustainable development. Considering the defects of traditional models and the multidimensionality of regional sustainability issues, we proposed an integrated model of nonlinear principal component analysis and Gram Schmidt orthogonalization and presented a novel regional sustainable development assessment method and framework from three perspectives for the society–economy–environment system of the Bohai Rim region. The results show that: (a) the integration of nonlinear principal component analysis and Gram Schmidt orthogonalization can well remedy the defects of traditional methods and provide a more objective conceptual framework; (b) the sustainability of regional development and system coordination models graphically demonstrate the essence and connotation of a dynamic sustainable development system; (c) the empirical study demonstrated that the Bohai Rim region has experienced a distinct development period in which the SRD experienced a steady decline and the SDL and SC generally increased; (d) the coordination ability can be improved by a decline in the environmental sustainability, which reveals the importance of environment subsystem optimization; and (e) the weight distribution of variables demonstrates that the most significant factors affecting sustainable development are the indicators from the dimensions of people's standard of living, economic structure and environmental pollution. This study enriches the sustainable development assessment theory and methodology, and lays the foundation for further sustainable development research in the Bohai Rim region.     

Assessing water scarcity by simultaneously considering environmental flow requirements,water quantity,and water quality

Water scarcity is a widespread problem in many parts of the world. Most previous methods of water scarcity assessment only considered water quantity, and ignored water quality. In addition, the environmental flow requirement (EFR) was commonly not explicitly considered in the assessment. In this study, we developed an approach to assess water scarcity by considering both water quantity and quality, while at the same time explicitly considering EFR. We applied this quantity–quality-EFR (QQE) approach for the Huangqihai River Basin in Inner Mongolia, China. We found that to keep the river ecosystem health at a “good” level (i.e., suitable for swimming, fishing, and aquaculture), 26% of the total blue water resources should be allocated to meet the EFR. When such a “good” level is maintained, the quantity- and quality-based water scarcity indicators were 1.3 and 14.2, respectively; both were above the threshold of 1.0. The QQE water scarcity indicator thus can be expressed as 1.3(26%)|14.2, indicating that the basin was suffering from scarcity problems related to both water quantity and water quality for a given rate of EFR. The current water consumption has resulted in degradation of the basin's river ecosystems, and the EFR cannot be met in 3 months of a year. To reverse this situation, future policies should aim to reduce water use and pollution discharge, meet the EFR for maintaining healthy river ecosystems, and substantially improve pollution treatment.     

Identifying indicators and quantifying large-scale effects of dams on fishes

Although localized effects of individual dams on stream fish assemblages have been relatively well-studied, less is known about the effects of multiple dams within a stream network on fishes and the patterns that emerge when the combined effects of individual and multiple dams are viewed across entire river basins, ecoregions, and states. This study evaluated multiple stream network fragmentation metrics representing localized (e.g., distance-to-dams) and cumulative (e.g., total upstream reservoir storage) dam influences on streams in Michigan, Wisconsin, and Minnesota, developing an approach for identifying suitable fish indicators of dam effects. We used change point and correlation analyses to determine associations of stream fish catch per unit effort and various stream network fragmentation metrics with data from more than 2000 fish survey sites stratified by stream size, thermal regime, and ecoregion. Of the identified indicator species, predominantly warmwater, large river, and/or lentic species were positively associated with stream network fragmentation, whereas cold and coolwater lotic species were negatively associated with fragmentation. These results suggest a combination of downstream thermal effects and upstream influences from impoundments generated by dams. Variance partitioning analyses based on identified indicator species revealed greater upstream-dominated dam influences in headwaters than mid-sized streams, and a greater relative influence of dams vs. other non-dam anthropogenic influences in cold streams than warm streams. Overall, a combination of localized and cumulative fragmentation metrics, as well as upstream and downstream-oriented measures, were influential in indicator species responses, emphasizing the importance of selecting a diversity of fragmentation metrics when assessing effects of dams on stream fishes. Understanding multiple dam influences on stream fishes, including localized effects from individual dams and cumulative effects from all dams within a river basin, would provide useful information for a variety of management activities, including dam operation and dam removal prioritization. Dams significantly affect conservation and management options for stream fishes, with identification of multi-scale dam influences on fishes being critical to restoration and maintenance of aquatic biodiversity throughout the world.