[Seasonal dynamics of energy and nutrients of Pinus koraiensis seedlings in different successional stages of broadleaved Korean pine forest in Changbai Mountain, China.] / é•¿ç™½å±±é˜”å¶çº¢æ¾æž—ä¸åŒæ¼”æ›¿é˜¶æ®µæž—ä¸‹çº¢æ¾å¹¼è‹—èƒ½é‡ä¸Žå »åˆ†å­£èŠ‚åŠ¨æ€.

We examined the seasonal variations of growth and nutrient accumulation of two-year-old Korean pine (Pinus koraiensis) seedlings in the primary broadleaved Korean pine forest (primary forest) and poplar birch forest (secondary forest) in Changbai Mountain. The seasonal changes of photosynthetically active radiation (PAR), seedling biomass, nonstructural carbohydrate (NSC), total nitrogen (N), and total phosphorus (P) were measured in both forests. The effects of understory light and its seasonal variations in both forests on the growth and nutrient accumulation of understory Korean pine seedlings were also explored. The results showed that the seasonal variations of monthly cumulative PAR under both forests showed a double-peak pattern. In summer, light conditions under the two forests were poor because of the closed canopy. In spring and autumn, light conditions were better due to the deciduous characteristics of canopy broadleaved trees, with light conditions under the secondary forest being obviously better than that of the primary forest. The seasonal variations of biomass, NSC, total N and total P concentrations of Korean pine seedlings in the primary and secondary forests were basically consistent with that of understory light. All those variables increased significantly in spring and autumn, and decreased in summer. In spring, starch concentration increased. In summer, starch and soluble sugar concentrations decreased gradually, and touched bottom in August. In autumn, soluble sugar concentration increased significantly. The biomass and NSC concentration of seedlings under secondary forest were significantly higher than those under primary forest in spring and autumn, but without difference in summer. Therefore, the diffe-rence of understory light conditions in spring and autumn between the two forests might be the key factor driving nutrient accumulation, growth and regeneration of Korean pine seedlings.

Diagnosis and treatment recommendations for pediatric respiratory infection caused by the 2019 novel coronavirus.

Since December 2019, an epidemic caused by novel coronavirus (2019-nCoV) infection has occurred unexpectedly in China. As of 8 pm, 31 January 2020, more than 20 pediatric cases have been reported in China. Of these cases, ten patients were identified in Zhejiang Province, with an age of onset ranging from 112 days to 17 years. Following the latest National recommendations for diagnosis and treatment of pneumonia caused by 2019-nCoV (the 4th edition) and current status of clinical practice in Zhejiang Province, recommendations for the diagnosis and treatment of respiratory infection caused by 2019-nCoV for children were drafted by the National Clinical Research Center for Child Health, the National Children's Regional Medical Center, Children's Hospital, Zhejiang University School of Medicine to further standardize the protocol for diagnosis and treatment of respiratory infection in children caused by 2019-nCoV.

[Nectar productivity of Tilia amurensis in a broadleaved-conifer mixed forest in Changbai Mountains, China]. / 长白山针阔混交林紫椴的泌蜜量.

Tilia amurensis is one of (co-)dominant species in the broadleaved-conifer mixed forest in Northeast China, with high commercial and nectariferous values. We estimated the quantity of nectar secretion from individual trees to population or stand levels based on observation and statistical analysis. An equation for individual-tree nectar secretion was established, which was used to estimate nectar quantity at the stand level. We analyzed the relationships between nectar secretion and basal area or stem volume. The booming time for single flower was in average 6-8 days, with a nectar secretion period of about five days. The quantity for the entire period was estimated at 8.58 mg per flower. Sugar contents in the nectar, average 37.7%, showed diurnal variations, being high in the mid-noon and low in the early morning and late afternoon. The average diameter (DBH) of the species was approximately 40 cm, which was estimated to possess as much as 18×104 single flowers and 1.56 kg (or pure sugar 0.588 kg) of nectar. At the stand level, the nectar production potential was 79-147 kg (or 0.0686-0.1285 m3, pure sugar 29.78-55.42 kg) per hectare. There was a close correlation between nectar quantity and basal area or timber volume at both individual and stand levels, which could be used to estimate the nectar quantity for macro-scale forest area based on inventory data.

Patient-specific three-dimensional printed heart models benefit preoperative planning for complex congenital heart disease.

BACKGROUND: Preoperative planning for children with congenital heart diseases remains crucial and challenging. This study aimed to investigate the roles of three-dimensional printed patient-specific heart models in the presurgical planning for complex congenital heart disease. METHODS: From May 2017 to January 2018, 15 children diagnosed with complex congenital heart disease were included in this study. Heart models were printed based on computed tomography (CT) imaging reconstruction by a 3D printer with photosensitive resin using the stereolithography apparatus technology. Surgery options were first evaluated by a sophisticated cardiac surgery group using CT images only, and then surgical plans were also set up based on heart models. RESULTS: Fifteen 3D printed heart models were successfully generated. According to the decisions based on CT, 13 cases were consistent with real options, while the other 2 were not. According to 3D printed heart models, all the 15 cases were consistent with real options. Unfortunately, one child diagnosed with complete transposition of great arteries combined with interruption of aortic arch (type A) died 5 days after operation due to postoperative low cardiac output syndrome. The cardiologists, especially the younger ones, considered that these 3D printed heart models with tangible, physical and comprehensive illustrations were beneficial for preoperative planning of complex congenital heart diseases. CONCLUSION: 3D printed heart models are beneficial and promising in preoperative planning for complex congenital heart diseases, and are able to help conform or even improve the surgery options.

Long-term monitoring of tree population dynamics of broad-leaved Korean pine forest in Changbai Mountains, China.

Based on four investigations of a one-hectare permanent plot in Changbai Mountains from 1981 to 2016, the changes of tree species composition and structure of broad-leaved Korean pine forest were examined, and diameter distribution, spatial pattern distribution, and quantitative changes of each tree species were analyzed. The results showed that there were little changes in tree species composition and an overall decreasing trend in total density in 35 years. Both basal area and stand volume were 43-45 m2·hm-2 and 474-496 m3·hm-2, respectively. Pinus koraiensis was the most dominant species, whose basal area and volume accounted for 57.8%-59.7% and 62.5%-65.4% of the total in the community, respectively. All dominant species showed random distribution and changed little in 35 years. The DBH distribution of P. koraiensis was in a near-to-normal form. Total species showed a reversed "J" shape. The number of dead trees was the largest in small DBH class (10-26 cm) with the percentage of 30%. The percentage of dead trees was the largest in intermediate class (30-50 cm) with 30%-50%. Except Acer mono, all species in the tree layer showed little recruitment, with mortality rate being higher than recruiting rate. Specially, P. koraiensis had no saplings or recruitment, and the population was in decline. The regeneration of dominant species such as P. koraiensis and Tilia amurensis was hindered in the original broad-leaved Korean pine forest, the population maintenance of which might need natural disturbance.

Non-fluoroscopic percutaneous transcatheter closure of atrial septal defects in children under transesophageal echocardiographic guidance.

BACKGROUND: This study sought to investigate the feasibility, safety and effectiveness of transcatheter closure of atrial septal defects (ASDs) under the guidance of transesophageal echocardiography (TEE) in children. METHODS: We reviewed the medical records of patients who underwent percutaneous ASD closure at our center from August 2016 to December 2017. For a total of 88 patients who were identified as having a single-hole defect and were undergoing percutaneous transcatheter ASD closure, a procedure completely guided by TEE was performed. There were 31 male patients and 57 female patients. The patients' mean age was 60.09 ± 36.42 months (13-182 months), and their mean body weight was 20.16 ± 10.04 kg (9-77 kg). Patients were followed up by performing transthoracic echocardiography and obtaining chest X-rays and electrocardiograms. RESULTS: The transcatheter closure of ASDs was successful in all patients. The mean ASD size was 11.58 ± 5.31 mm (3-28 mm), and the mean size of the occlusion device was 16.07 ± 5.29 mm (6-36 mm). The mean procedural times were 13.33 ± 2.82 minutes (6-16 minutes). The mean hospitalization costs were 27,259.66 ± 2507.04 RMB (25,200.00-33,911.45 RMB). The mean postoperative hospital stay was 3.22 ± 0.53 days (3-5 days). Residual shunt, occlusion device shedding or displacement, and pericardial effusion were not observed during or after the operation. CONCLUSION: Percutaneous transcatheter ASD closure completely guided by TEE is a feasible, safe, non-invasive and easy procedure.

[Surveillance of endemic situation of schistosomiasis in Wuyi Village of Dongting Lake region, Hunan Province from 2002 to 2010].

OBJECTIVE: To understand the epidemic trends of schistosomiasis in Wuyi Village of Muping Lake, so as to provide the references for making control strategy of schistosomiasis in embankment subtype in Dongting Lake region. METHODS: The data relating to the morbidity of schistosomiasis among human and domestic animals, the status of Oncomelania snails, the parameters of demographic and social economic development, and intervention measures were collected in Wuyi Village from 2002-2010. Based on this information, the changing trends of schistosomiasis were dynamically analyzed. RESULTS: The infection rate of schistosomiasis among human reduced from 11.44% in 2002 to 1.12% in 2010. The infection rate among male residents was higher than that of female ones. The fishermen had the highest infection rate among all the occupational groups. The positive rate of stool examination in cattle was stable at 10%. The density of snails outside embankment greatly decreased from 10.49 snails/0.1 m2 in Autumn of 2003 to 0.68 snails/0.1 m2 in Autumn of 2010. The mean density of infected snails outside embankment reached the peak of 0.026 snails/0.1 m2 in Spring of 2003, yet the figure reduced to zero from 2006 to now. CONCLUSION: The endemic situation of schistosomiasis in Wuyi Village has been greatly reduced, yet cattle and fishermen are still the targets of schistosomiasis control in the future.

[Efficacy of arterial duct stenting in neonatal pulmonary atresia with intact ventricular septum].

OBJECTIVE: To evaluate the feasibility and efficacy of arterial duct stenting in neonates with pulmonary atresia and intact ventricular septum. METHODS: Eleven neonatal pulmonary atresia with intact ventricular septum patients received arterial duct stenting in our hospital from December 2007 to September 2010 were involved in this study. The average age was (8.20 +/- 2.90) days (ranged from 3 to 13 days). The average weight was (3.41 +/- 0.29) kg (ranged from 3.00 to 3.88 kg). The stents were selected according to digital subtracted angiography measurements. After checking for correct position by angiography, the balloon was inflated to expand the stent to desired diameter. Oxygen saturation was monitored, echocardiography was measured and stent diameter and location were observed by chest Xray. Patients were followed up at 1, 3, 6 and 12 months post procedure. RESULTS: Stents were successfully implanted in all 11 patients. The preoperative peripheral oxygen saturation was (63.27 +/- 8.47)%, while increased to (82.73 +/- 5.59)% after alprostadil application and to (86.18 +/- 3.19)% after operation (all P < 0.01). After the operation, the peripheral oxygen saturation was higher than alprostadil application (P < 0.05). The intraoperative narrowest diameter of patent ductus arteriosus was (1.69 +/- 0.37) mm, the length was (16.72 +/- 2.37) mm. The internal diameter of implant stents was 4 mm, the length was (20.18 +/- 3.40) mm. After the operation, surgical B-T shunt operation was performed in one patient due to stent shift and pulse oxygen saturation decrease. One patient died post operation with unknown reason, another patient received stent balloon dilatation due to pulse oxygen saturation decrease at 4 months after the surgery. Pulmonary atresia with intact ventricular septum surgeries were performed in 2 patients at 5 and 7 months after stent implantation. CONCLUSION: The neonatal pulmonary atresia with intact ventricular septum arterial stent implantation was a feasible and effective procedure and this method could be used as preferred treatment in pulmonary atresia and intact ventricular septum for neonates.

Experience in minimally invasive Nuss operation for 406 children with pectus excavatum.

BACKGROUND: This study was to investigate the advantages of thoracoscopy-assisted minimally invasive Nuss operation for the treatment of pectus excavatum (PE) in children. METHODS: A total of 406 patients with PE (female: 93; male: 313) with an average age of 6.8 years (range: 3.5-17.5 years) were included in this study. Associated diseases included congenital heart disease in 9 patients and congenital pulmonary cyst in 2. The Haller index of the patients ranged from 3.35 to 7.23, with an average of 5.17±1.64. Minimally invasive Nuss operation was performed for all the patients. RESULTS: The operations were performed successfully and no operative mortality occurred. The average blood loss during the operation was less than 10 mL and the operating time ranged from 30 to 85 minutes with an average of 45 minutes. The length of hospital stay ranged from 5 to 9 days with an average of 7 days. Struts were implanted in 12 (3.0%) of the 406 patients. Injury of the pericardium occurred in 1 patient during the operation. Early post-operative complications occurred in 9 patients with pneumothorax and 6 patients with pleural effusion, which were cured by puncture or drainage. Poor wound healing occurred in 4 patients (1.0%) and was cured by nutritional support. During a 3-month to 6-year follow-up, 2 patients had scoliosis and 3 patients had displacement of the strut, which was cured by a second Nuss operation. Allergy occurred in 2 patients: the symptoms were improved in 1 patient after conservative treatment, but the strut was removed in advance due to allergy in the other patient. Totally 154 patients (40.0%) underwent operation for strut removal. Excellent repair results were achieved in 387 (95.3%) patients, good repair results in 12 (3.0%), and fair results in 7 (1.7%). CONCLUSIONS: Thoracoscopy-assisted Nuss operation has many advantages including small and masked incision, short operative time, minimal blood loss, fast recovery, less trauma, and satisfactory outcomes of repair. Nuss is a safe and reliable technique for repair of PE.

[Percutaneous balloon pulmonary valvuloplasty for critical pulmonary stenosis in infants under 6 months of age and short and medium term follow-up].

OBJECTIVE: To evaluate the effect and results of short and medium periods of follow-up of percutaneous balloon pulmonary valvuloplasty for critical pulmonary stenosis of neonates and infants under 6 months of age. METHODS: Between January 2002 and December 2008, 34 consecutive patients aged from 13 to 175 days with critical pulmonary valvular stenosis underwent percutaneous balloon valvuloplasty. Patients records, catheterization data, angiograms and echocardiograms were reviewed. Patients were followed up for 6 months to 4 years (mean 25.5 months) by means of clinical examination and Doppler echocardiography. RESULTS: The pulmonary valvuloplasty was accomplished in 32 (94%) of 34 attempts. Immediately after dilation, right ventricular systolic pressure (RVSP) decreased from (96 ± 28) mm Hg (1 mm Hg = 0.133 kPa) (49 ± 20) mm Hg (P < 0.01), the transvalvular peak to peak systolic gradient (ΔP) decreased from (89 ± 25) mm Hg to (25 ± 12) mm Hg (P < 0.01), and the right ventricular/aortic systolic pressure ratio decreased from 1.2 ± 0.5 to 0.7 ± 0.3 (P < 0.01). One patient died because of cardiac tamponade following rupture of the pulmonary valve annulus, 2 patients developed pericardial effusion, 3 patients had infundibular spasm, 3 patients had a pre-dilation by small balloon and 1 patient had weakened femoral artery pollex. After a follow up period of 6 months to 4 years 3 of 31 patients lost to follow-up. Repeat valvuloplasty was performed in 5 patients (3 neonates), no patient required surgery, and the other 23 patients did not undergo further intervention, a mean peak systolic Doppler gradient of (20 ± 13) mm Hg was found and no significant pulmonary regurgitation was seen. CONCLUSIONS: Percutaneous balloon pulmonary valvuloplasty was effective and safe for the treatment of critical pulmonary stenosis of neonates and infants under 6 months of age with good short and medium term results.