BACKGROUND Odontogenic maxillary sinusitis,often triggered by dental issues like periapical periodontitis,significantly contributes to chronic sinusitis,mainly affecting adults around 50 years old,emphasizing the need...BACKGROUND Odontogenic maxillary sinusitis,often triggered by dental issues like periapical periodontitis,significantly contributes to chronic sinusitis,mainly affecting adults around 50 years old,emphasizing the need for a multidisciplinary diagnostic and treatment approach.AIM To investigate the therapeutic effect and clinical value of root canal therapy combined with nasal endoscopic surgery compared with simple root canal the-rapy in the treatment of severe odontogenic maxillary sinusitis caused by peria-pical periodontitis.METHODS The clinical data,diagnosis,and treatment of 200 patients with severe odonto-genic maxillary sinusitis caused by periapical periodontitis from October 2020 to October 2021 were analyzed retrospectively.Among them,63 patients were treated with simple root canal therapy as the control group,and 137 patients were treated with root canal therapy combined with nasal endoscopic surgery as the observation group.The therapeutic effect,Lund-Kennedy endoscopic score,paranasal sinus Lund-Mackay score,complication rate,recurrence rate,and patient satisfaction were compared between the two groups.RESULTS First,we compared the effective rates:23 cases were cured,22 were improved,and 8 were ineffective in the control group,yielding a total effective rate of 84.90%.Meanwhile,97 cases were cured,34 improved,and 6 were ineffective in the observation group,resulting in a total effective rate of 95.62%.The observation group had a higher total effective rate compared with the control group(P<0.05).Second,we compared the Lund–Kennedy endoscopic score.Before treatment,no significant difference(P>0.05)was observed in this score between the two groups.After treatment,the Lund–Kennedy endoscopic score decreased in both groups.The Lund–Kennedy endoscopic score of the observation group at 3 and 6 mo after treatment was lower compared to that of the control group(P<0.05).Third,we compared the Lund–Mackay score of paranasal sinuses.Before treatment,there was no significant difference in this score between the two groups(P>0.05).After treatment,the Lund–Mackay scores of paranasal sinuses decreased in both groups.The Lund–Mackay scores of paranasal sinuses in the observation group at 3 and 6 mo after treatment were lower compared to those of the control group(P<0.05).Fourth,we compared the incidence and recurrence rate of complications.Three months after treatment,no significant difference was found in the incidence and recurrence rate of complications between the observation group(6.56%)and the control group(9.52%)(P>0.05).However,6 mo after treatment,the incidence and recurrence rate of complications in the observation group(2.91%)was significantly higher compared to that of the control group(12.69%)(P<0.05).Fifth,we compared patient satisfaction.Six months after treatment,the patient satisfaction of the observation group(93.43%)was significantly better than that of the control group(84.12%)(P<0.05).CONCLUSION Root canal therapy combined with nasal endoscopic surgery has a good therapeutic effect on severe odontogenic maxillary sinusitis caused by periapical periodontitis,and it can reduce the injury of maxillary sinus mucosa and bone,and significantly reduce the incidence of complications and recurrence rate.Meanwhile,it has high patient satisfaction and remarkable therapeutic effect,which is suggested to be popularized and applied in clinic.展开更多
The 2016–2022 monitoring data from three ecological buoys in the Wenzhou coastal region of Zhejiang Province and the dataset European Centre for Medium-Range Weather Forecasts were examined to clarify the elaborate r...The 2016–2022 monitoring data from three ecological buoys in the Wenzhou coastal region of Zhejiang Province and the dataset European Centre for Medium-Range Weather Forecasts were examined to clarify the elaborate relationship between variations in ecological parameters during spring algal bloom incidents and the associated changes in temperature and wind fields in this study.A long short-term memory recurrent neural network was employed,and a predictive model for spring algal bloom in this region was developed.This model integrated various inputs,including temperature,wind speed,and other pertinent variables,and chlorophyll concentration served as the primary output indicator.The model training used chlorophyll concentration data,which were supplemented by reanalysis and forecast temperature and wind field data.The model demonstrated proficiency in forecasting next-day chlorophyll concentrations and assessing the likelihood of spring algal bloom occurrences using a defined chlorophyll concentration threshold.The historical validation from 2016 to 2019 corroborated the model's accuracy with an 81.71%probability of correct prediction,which was further proven by its precise prediction of two spring algal bloom incidents in late April 2023 and early May 2023.An interpretable machine learning-based model for spring algal bloom prediction,displaying effective forecasting with limited data,was established through the detailed analysis of the spring algal bloom mechanism and the careful selection of input variables.The insights gained from this study offer valuable contributions to the development of early warning systems for spring algal bloom in the Wenzhou coastal area of Zhejiang Province.展开更多
Based on exploration and development results and evaluation of marine shale gas in South China in the past ten years, in view of the features of "high maturity, strong tectonic reformation and high shear stress&q...Based on exploration and development results and evaluation of marine shale gas in South China in the past ten years, in view of the features of "high maturity, strong tectonic reformation and high shear stress" of the shale in Zhaotong exploration zone in the Yunnan and Guizhou Plateau, as well as the key issues of long time diffusion and leakage of shallow shale gas, and the preservation conditions, the factors controlling shallow shale gas sweet spot and key zone selection evaluation technology of shale gas are investigated. From 2017 to 2018, the first significant exploration breakthrough was made in the Taiyang anticline at a buried depth of 700 to 2 000 m, discovering large-scale proved geological reserves of shallow shale gas. By examining the accumulation conditions and sweet spot control factors of the shallow shale gas in this area, it is found that the accumulation and productivity potential of shale gas in the mountainous area with complex structure outside basin are controlled by five factors:(1) The gas-rich area has weak tectonic reformation and good preservation conditions on the whole, taking on typical anticline trap occurrence mode.(2) The gas-rich area is in over-pressure state and high in shale gas content.(3) The gas-rich area has high quality shale and thus superior source rock condition.(4) The gas-rich area has high quality reservoirs dominated by class I.(5) The shale gas reservoir in the gas-rich area has high content of brittle minerals and small difference between maximum and minimum horizontal stresses which are conducive to hydraulic fracturing. The innovative practice and core technologies formed during the exploration and production capacity construction of shallow shale gas in the Zhaotong demonstration zone have great reference significance for shallow shale gas exploration and development in other areas.展开更多
文摘BACKGROUND Odontogenic maxillary sinusitis,often triggered by dental issues like periapical periodontitis,significantly contributes to chronic sinusitis,mainly affecting adults around 50 years old,emphasizing the need for a multidisciplinary diagnostic and treatment approach.AIM To investigate the therapeutic effect and clinical value of root canal therapy combined with nasal endoscopic surgery compared with simple root canal the-rapy in the treatment of severe odontogenic maxillary sinusitis caused by peria-pical periodontitis.METHODS The clinical data,diagnosis,and treatment of 200 patients with severe odonto-genic maxillary sinusitis caused by periapical periodontitis from October 2020 to October 2021 were analyzed retrospectively.Among them,63 patients were treated with simple root canal therapy as the control group,and 137 patients were treated with root canal therapy combined with nasal endoscopic surgery as the observation group.The therapeutic effect,Lund-Kennedy endoscopic score,paranasal sinus Lund-Mackay score,complication rate,recurrence rate,and patient satisfaction were compared between the two groups.RESULTS First,we compared the effective rates:23 cases were cured,22 were improved,and 8 were ineffective in the control group,yielding a total effective rate of 84.90%.Meanwhile,97 cases were cured,34 improved,and 6 were ineffective in the observation group,resulting in a total effective rate of 95.62%.The observation group had a higher total effective rate compared with the control group(P<0.05).Second,we compared the Lund–Kennedy endoscopic score.Before treatment,no significant difference(P>0.05)was observed in this score between the two groups.After treatment,the Lund–Kennedy endoscopic score decreased in both groups.The Lund–Kennedy endoscopic score of the observation group at 3 and 6 mo after treatment was lower compared to that of the control group(P<0.05).Third,we compared the Lund–Mackay score of paranasal sinuses.Before treatment,there was no significant difference in this score between the two groups(P>0.05).After treatment,the Lund–Mackay scores of paranasal sinuses decreased in both groups.The Lund–Mackay scores of paranasal sinuses in the observation group at 3 and 6 mo after treatment were lower compared to those of the control group(P<0.05).Fourth,we compared the incidence and recurrence rate of complications.Three months after treatment,no significant difference was found in the incidence and recurrence rate of complications between the observation group(6.56%)and the control group(9.52%)(P>0.05).However,6 mo after treatment,the incidence and recurrence rate of complications in the observation group(2.91%)was significantly higher compared to that of the control group(12.69%)(P<0.05).Fifth,we compared patient satisfaction.Six months after treatment,the patient satisfaction of the observation group(93.43%)was significantly better than that of the control group(84.12%)(P<0.05).CONCLUSION Root canal therapy combined with nasal endoscopic surgery has a good therapeutic effect on severe odontogenic maxillary sinusitis caused by periapical periodontitis,and it can reduce the injury of maxillary sinus mucosa and bone,and significantly reduce the incidence of complications and recurrence rate.Meanwhile,it has high patient satisfaction and remarkable therapeutic effect,which is suggested to be popularized and applied in clinic.
基金the Zhejiang Provincial Natural Science Foundation of China(No.LY21D 060003)the Project of State Key Laboratory of Satellite Ocean Environment Dynamics,Second Institute of Ocean-ography,MNR(No.SOEDZZ2103)+1 种基金the National Natural Science Foundation of China(No.42076216)the Open Research Fund of the Key Laboratory of Marine Ecological Monitoring and Restoration Technologies,MNR(No.MEMRT202210)。
文摘The 2016–2022 monitoring data from three ecological buoys in the Wenzhou coastal region of Zhejiang Province and the dataset European Centre for Medium-Range Weather Forecasts were examined to clarify the elaborate relationship between variations in ecological parameters during spring algal bloom incidents and the associated changes in temperature and wind fields in this study.A long short-term memory recurrent neural network was employed,and a predictive model for spring algal bloom in this region was developed.This model integrated various inputs,including temperature,wind speed,and other pertinent variables,and chlorophyll concentration served as the primary output indicator.The model training used chlorophyll concentration data,which were supplemented by reanalysis and forecast temperature and wind field data.The model demonstrated proficiency in forecasting next-day chlorophyll concentrations and assessing the likelihood of spring algal bloom occurrences using a defined chlorophyll concentration threshold.The historical validation from 2016 to 2019 corroborated the model's accuracy with an 81.71%probability of correct prediction,which was further proven by its precise prediction of two spring algal bloom incidents in late April 2023 and early May 2023.An interpretable machine learning-based model for spring algal bloom prediction,displaying effective forecasting with limited data,was established through the detailed analysis of the spring algal bloom mechanism and the careful selection of input variables.The insights gained from this study offer valuable contributions to the development of early warning systems for spring algal bloom in the Wenzhou coastal area of Zhejiang Province.
基金Supported by the China National Science and Technology Major Project(2017ZX05063).
文摘Based on exploration and development results and evaluation of marine shale gas in South China in the past ten years, in view of the features of "high maturity, strong tectonic reformation and high shear stress" of the shale in Zhaotong exploration zone in the Yunnan and Guizhou Plateau, as well as the key issues of long time diffusion and leakage of shallow shale gas, and the preservation conditions, the factors controlling shallow shale gas sweet spot and key zone selection evaluation technology of shale gas are investigated. From 2017 to 2018, the first significant exploration breakthrough was made in the Taiyang anticline at a buried depth of 700 to 2 000 m, discovering large-scale proved geological reserves of shallow shale gas. By examining the accumulation conditions and sweet spot control factors of the shallow shale gas in this area, it is found that the accumulation and productivity potential of shale gas in the mountainous area with complex structure outside basin are controlled by five factors:(1) The gas-rich area has weak tectonic reformation and good preservation conditions on the whole, taking on typical anticline trap occurrence mode.(2) The gas-rich area is in over-pressure state and high in shale gas content.(3) The gas-rich area has high quality shale and thus superior source rock condition.(4) The gas-rich area has high quality reservoirs dominated by class I.(5) The shale gas reservoir in the gas-rich area has high content of brittle minerals and small difference between maximum and minimum horizontal stresses which are conducive to hydraulic fracturing. The innovative practice and core technologies formed during the exploration and production capacity construction of shallow shale gas in the Zhaotong demonstration zone have great reference significance for shallow shale gas exploration and development in other areas.
