Risk factors for the recurrence in pulmonary tuberculosis patients with massive hemoptysis.

OBJECTIVES: To evaluate the outcomes of bronchial artery embolization (BAE) for the treatment of massive hemoptysis in patients with pulmonary tuberculosis and identify risk factors that influence recurrence. METHODS: A total of 81 patients with massive hemoptysis who underwent BAE between January 2014 and December 2017 were retrospectively reviewed. All of the patients had either a history of pulmonary tuberculosis or a current diagnosis of pulmonary tuberculosis. Follow-up ranged from 18 to 66 months. RESULTS: Hemoptysis was stopped or markedly decreased, with subsequent clinical improvement in 73 patients, while 11 patients experienced recurrence during the follow-up period. Systemic-pulmonary shunts and clinical failure showed a statistically significant correlation with the recurrence rate. The cumulative non-recurrence rate was 95.3% for 3 months and 81.9% for more than 24 months. Complications were common (12.5%), but self-limiting. CONCLUSIONS: BAE is a safe and effective treatment option for the control of massive hemoptysis in pulmonary tuberculosis patients. Systemic-pulmonary shunts and clinical failure are the risk factors for recurrence.

Different Time Scale Distribution of Negative Air Ions Concentrations in Mount Wuyi National Park.

The concentration of negative air ions (NAIs) is an important indicator of air quality. Here, we analyzed the distribution patterns of negative air ion (NAI) concentrations at different time scales using statistical methods; then described the contribution of meteorological factors of the different season to the concentration of NAIs using correlation analysis and regression analysis; and finally made the outlook for the trends of NAI concentrations in the prospective using the auto regressive integrated moving average (ARIMA) models. The dataset of NAI concentrations and meteorological factors measured at the fixed stations in the Mountain Wuyi National Park were obtained from the Fujian Provincial Meteorological Bureau. The study showed that NAI concentrations were correlated with relative humidity spanning all seasons. Water was an important factor affecting the distribution of NAI concentrations in different time series. Compared with other ARIMA models, the outlook value of the ARIMA (0,1, 1) model was closer to the original data and the errors were smaller. This article provided a unique perspective on the study of the distribution of negative air oxygen ions over time series.