RESUMO
Land use change not only directly influences carbon storage in terrestrial ecosystems but can also cause energy-related carbon emissions. This study examined spatiotemporal land use change across Jiangsu Province, China; calculated vegetation carbon storage loss caused by land use change and energy-related carbon emissions; analysed the relationship among land use change, carbon emissions and social-economic development; and optimized land use structure to maximize carbon storage. Our study found that 13.61% of the province's land area underwent a change in type of land use between 1995 and 2010, mainly presented as built-up land expansion and cropland shrinkage, especially in southern Jiangsu. Land use change caused a 353.99 × 104 t loss of vegetation carbon storage loss. Energy-related carbon emissions increased 2.5 times from 1995 to 2013; the energy consumption structure has been improved to some extent while still relying on coal. The selected social-economic driving forces have strong relationships with carbon emissions and land use changes, while there are also other determinants driving land use change, such as land use policy. The optimized land use structure will slow the rate of decline in vegetation carbon storage compared with the period between 1995 and 2010 and will also reduce energy-related carbon emissions by 12%.
RESUMO
The objective of the study was to analyze the treatment outcomes for staghorn stones in patients with solitary kidney using either the single-tract or the multi-tract minimally invasive percutaneous nephrolithotomy (MPCNL). We retrospectively reviewed 105 patients who underwent MPCNL for staghorn calculi in solitary kidney from 2012 to 2014. The patients who underwent the single-tract approach (71 patients) were assigned to Group 1. The 34 patients who underwent the multi-tract approach (34 patients) were assigned to Group 2. We recorded and compared the patient's demographics, intraoperative parameters, and post-operative outcomes. We also analyzed any complications as a result of the particular procedure, as well as any resulting stone-free rates (SFRs). The mean number of access tracts was 2.38 ± 0.70 (range 2-4) for Group 2. The mean operative time was longer for Group 2, p = 0.01. The initial SFR was 52.1% for Group 1 and 47.1% for Group 2 after the one-session procedure, p = 0.63.The final SFR improved to 83.1 and 79.4% for both groups following auxiliary treatment, p = 0.65. The mean hemoglobin drop was higher in Group 2 as compared to Group 1, p < 0.01. There was no significant difference in the change of mean serum creatinine in either group. There were fewer overall complications in Group 1 than in Group 2 (23.9 vs. 44.1%). Almost half of the patients who underwent multi-tract MPCNL required an additional procedure to achieve satisfactory stone clearance. The results showed that single-tract MPCNL might be a better treatment option for staghorn stones in a solitary kidney with the same therapeutic outcome, but with less complications.