[Response of Cadmium in Soil-rice to Different Conditioners Based on Field Trials].

A plot experiment was carried out to assess the applicability of soil conditioners on Cd-polluted acidic paddy fields. The effects of five soil conditioners[Tianxiang 1 Hao (TX1), limestone (Li), silicon fertilizer, Nuodikang (NDK), and calcium magnesium phosphate fertilizer (CaMg-P)] on Cd accumulation and transport between contaminated soil and rice plants and rice yield on the land were analyzed. The results showed that compared with that under the control, other tested methods increased soil pH by 0.41-0.68 units and decreased available Cd content in the soil by 11.2%-39.7%. The difference between Li- and NDK-treated soil available Cd reached a significant level (P < 0.05). ② Compared with that in the blank control, the application of soil conditioner could significantly reduce the total amount of Cd in rice, and the Cd content in roots, other leaves, rachises, chaffs, and brown rice were significantly lower than those in the CK treatment (P < 0.05). The Cd translation factor between various sites was shown as TFroots-other nodes > TFroots-first nodes > TFroots-rachises > TFroots-chaffs ≈ TFroots-flag leaves > TFroots-brown rice. The Cd content of brown rice met the national safety standard (0.2 mg·kg-1), in which the TX1, Li, and CaMg-P treatments showed significant Cd reduction effects, and ω(Cd) was 0.097, 0.094, and 0.134 mg·kg-1, respectively. ③ The application of soil conditioner could increase the yield by 9.9%-35.8%, and the yield of the CaMg-P and TX1 treatments was significantly higher than that of other treatments (P < 0.05). ④ Correlation analysis showed that the Cd content in brown rice was significantly positively correlated with available Cd content in soil, available Fe content in soil, and available phosphorus but negatively correlated with soil pH. In summary, TX1 and CaMg-P are recommended to be applied in farmland lightly polluted by the heavy metal Cd to ensure the safety of agricultural products.

Analysis of Thoracic Aorta Injury in 27 Road Traffic Accident Deaths / 法医学杂志

OBJECTIVES@#To analyze the characteristics of thoracic aorta injury in road traffic accidents, to provide data reference for forensic identification.@*METHODS@#The data of 27 traffic accident death cases with thoracic aorta injury were analyzed according to relevant parameters including sex, age, mode of transportation, and thoracic aorta injury.@*RESULTS@#Aortic injury in traffic accidents was significantly more in males than females, and 74.1% cases were in the age range of 31-70 years. The most common mode of transportation was the motorcycle, followed by electric bike, most of which crashed with trucks. Most cases were accompanied by rib fractures and lung injuries. Thoracic aorta injury was the most common in ascending aorta, followed by aortic arch and thoracic aorta. Ascending aorta injury was most likely to occur in the range of 0-<1.6 cm from the aortic valve, while it was rare over 2.6 cm. Taking the aortic valve as the reference, the most common locations of injury were the anterior semilunar valve, followed by the right posterior semilunar valve and the left posterior semilunar valve. Thoracic aortic rupture occurred in 63.0% cases, and intima and media lacerations only occurred in 37.0% cases. A few deceased had aortic diseases.@*CONCLUSIONS@#The proximal part of the ascending aorta is prone to be injured because of the large external force of traffic accidents. The medical examiner should carefully examine the aortic injury in traffic accident deaths, and evaluate the relationship between the injury and the disease according to the condition and degree of aortic injury.

Is Laparoscopic Hepatectomy a Safe, Feasible Procedure in Patients with a Previous Upper Abdominal Surgery? / 中华医学杂志(英文版)

<p><b>BACKGROUND</b>Laparoscopic liver resection has become an accepted treatment for liver tumors or intrahepatic bile duct stones, but its application in patients with previous upper abdominal surgery is controversial. The aim of this study was to evaluate the feasibility and safety of laparoscopic hepatectomy in these patients.</p><p><b>METHODS</b>Three hundred and thirty-six patients who underwent laparoscopic hepatectomy at our hospital from March 2012 to June 2015 were enrolled in the retrospective study. They were divided into two groups: Those with previous upper abdominal surgery (PS group, n = 42) and a control group with no previous upper abdominal surgery (NS group, n = 294). Short-term outcomes including operating time, blood loss, hospital stay, morbidity, and mortality were compared among the groups.</p><p><b>RESULTS</b>There was no significant difference in median operative duration between the PS group and the NS group (180 min vs. 160 min, P = 0.869). Median intraoperative blood loss was same between the PS group and the control group (200 ml vs. 200 ml, P = 0.907). The overall complication rate was significantly lower in the NS group than in the PS group (17.0% vs. 31.0%, P = 0.030). Mortality and other short-term outcomes did not differ significantly between groups.</p><p><b>CONCLUSIONS</b>Our study showed no significant difference between the PS group and NS group in term of short-term outcomes. Laparoscopic hepatectomy is a feasible and safe procedure for patients with previous upper abdominal surgery.</p>