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。     

Vascular plant species richness along latitudinal and altitudinal gradients: a contribution from New Zealand temperate rainforests

Vascular plant species richness is known to often decrease with both increasing latitude and increasing altitude. However, a number of studies have shown the reverse trend and the primary cause of these gradients remains unknown. In the present work, generalized linear models were used to assess the relative importance of latitude and altitude as well as of a number of other factors (mean annual precipita-tion, slope, substrate and forest type) on species richness in temperate rainforests of New Zealand. The effect of Southern beech ( Nothofagus spp.) as dominant canopy species on total species richness was shown to be much smaller than postulated in most previous studies. Within the region studied, altitude had by far the strongest effect on species richness. This effect was independent of latitude and was significant for woody but not for herbaceous vegetation.     

Bird sensitivity to disturbance as an indicator of forest patch conditions: An issue in environmental assessments

An Environmental Assessment (EA) is one of the steps within the Environmental Impact Assessment process. Birds are often used in EA to help decision makers evaluate potential human impacts from proposed development activities. A “sensitivity to human disturbance” index, created by Parker III et al. (1996) for all Neotropical species, is commonly considered an ecological indicator. However, this parameter was created subjectively and, for most species, there have been no rigorous field test to validate its effectiveness as such. Therefore, in this study, we aim to: (1) evaluate if, at the local scale, birds from forest patches in a human-modified landscape (HML) may differ in sensitivity from Parker's sensitivity classification; (2) evaluate the effectiveness of the species richness value at each sensitivity level as an ecological indicator; (3) gather information on how often and in which manner Parker's classification has been used in EA. To do so, bird sampling was performed in eight forest patches in a HML over one year. Then, we created a local sensitivity to disturbance using information about threat, endemism, spatial distribution and relative abundance of all species in the study area. We found that 37% of the forest birds showed different local sensitivity levels when compared with Parker's classification. Our results show that only the richness of high-sensitivity species from our local classification fitted the ecological indicator assumptions helping the environmental conditions evaluation of the studied patches. We conclude that species richness of each Parker's bird sensitivity levels do not necessarily perform as an ecological indicator at the local scale, and particularly in HML. Nevertheless, Parker's Neotropical bird sensitivity classification was used in 50% of EA we reviewed. In these, 76% assumed that it was an accurate ecological indicator of the local forest conditions for birds. The lack of clear criteria used in Parker's classification allows diverse interpretations by ornithologists, and there is no agreement about the ecological meaning of each sensitivity level and what environmental conditions each level may indicate of. Therefore, the use of Parker's classification in EA may jeopardize accurate interpretations of proposed anthropogenic impacts. Furthermore, because a bird species’ sensitivity often varies between locations, we argue that Parker's generalized classification of bird sensitivity should not be used as an indicator of forest environmental conditions in EA throughout HMLs in Neotropics. Rather, local bird ecological indices should be explored, otherwise, erroneous predictions of the anthropogenic impacts will continue to be common.     

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.     

Individual-based model of spatio-temporal dynamics of mixed forest stands

This research presents the results of constructing and parameterizing an individual-based model of spatiotemporal dynamics of mixed forest stands. The model facilitates computerized experiments with forest stands having different combinations of species and age structures. These forest stands grow on temperate areas where light is the main system-forming factor that shapes and develops forest ecosystems. The model TEMFORM (TEMperate FORests Model) is developed with few equations and parameters, most of which can be estimated using standard forest inventory data. Parameterization of the model used the growth tables of a set of basic forest-forming species in Far East Russia. Simulation results of the development of the natural single- and mixed-species stands and the effects of different types of disturbances on the stand dynamics and compositions are presented.     

Stable isotopes identify dispersal patterns of stonefly populations living along stream corridors

1. Populations in different locations can exchange individuals depending on the distribution and connectivity of suitable habitat, and the dispersal capabilities and behaviour of the organisms. We used an isotopic tracer, ¹⁵N, to label stoneflies (Leuctra ferruginea) to determine the extent of adult flight along stream corridors and between streams where their larvae live. 2. In four mass, mark‐capture experiments we added ¹⁵NH₄Cl continuously for several weeks to label specific regions of streams within the Hubbard Brook Experimental Forest, NH, U.S.A. We collected adult stoneflies along the labelled streams (up to 1.5 km of stream length), on transects through the forest away from labelled sections (up to 500 m), and along an 800‐m reach of adjacent tributary that flows into a labelled stream. 3. Of 966 individual adult stoneflies collected and analysed for ¹⁵N, 20% were labelled. Most labelled stoneflies were captured along stream corridors and had flown upstream a mean distance of 211 m; the net movement of the population (upstream + downstream) estimated from the midpoint of the labelled sections was 126 m upstream. The furthest male and female travelled approximately 730 m and approximately 663 m upstream, respectively. We also captured labelled mature females along an unlabelled tributary and along a forest transect 500 m from the labelled stream, thus demonstrating cross‐watershed dispersal. 4. We conclude that the adjacent forest was not a barrier to dispersal between catchments, and adult dispersal linked stonefly populations among streams across a landscape within one generation. Our data on the extent of adult dispersal provide a basis for a conceptual model identifying the boundaries of these populations, whose larvae are restricted to stream channels, and whose females must return to streams to oviposit.     

A multimetric index based on benthic macroinvertebrates for evaluation of Atlantic Forest streams at Rio de Janeiro State, Brazil

This study describes the application of a protocol for biological assessment of water quality at first to third order streams at Serra dos órg?os, an area covered by Atlantic Forest in Rio de Janeiro State, Brazil. Major impacts in the region are domestic effluents and deforestation. Our main objective is to establish biocriteria for the establishment of the Serra dos órg?os Multimetric Index (SOMI) based on benthic macroinvertebrates. We used data from previous studies, sampled by experienced biologists, from 1999 through 2002. The benthic macroinvertebrate community was sampled in 12 reference sites and seven impaired sites in three river basins: Guapimirim, Macaé and Grande, all from the same bioregion. From the 22 tested metrics, 6 were included in the SOMI (% Diptera, % Coleoptera, Family Taxa, EPT Taxa, BMWP-CETEC and % Shredders). Scores (5, 3 or 1) were developed for these metrics to allow for aggregation into the index. Seven intermediately impaired sites were used for evaluating the applicability of the multimetric index. We concluded that the SOMI is a robust easy-to-apply tool for biomonitoring programs in the Serra dos órg?os region, south-east Brazil. Electronic Supplementary Material Supplementary material is available for this article at and is accessible for authorised users. Handling editor: D. Dudgeon