observation

摘要： The increased concentration of greenhouse gases in the atmosphere from human activities traps heat within the climate system and increases ocean heat content(OHC). Here, we provide the first analysis of recent OHC changes through 2021 from two international groups. The world ocean, in 2021, was the hottest ever recorded by humans, and the 2021 annual OHC value is even higher than last year’s record value by 14 ± 11 ZJ(1 zetta J = 1021 J) using the IAP/CAS dataset and by16 ± 10 ZJ using NCEI/NOAA dataset. The long-term ocean warming is larger in the Atlantic and Southern Oceans than in other regions and is mainly attributed, via climate model simulations, to an increase in anthropogenic greenhouse gas concentrations. The year-to-year variation of OHC is primarily tied to the El Nino-Southern Oscillation(ENSO). In the seven maritime domains of the Indian, Tropical Atlantic, North Atlantic, Northwest Pacific, North Pacific, Southern oceans,and the Mediterranean Sea, robust warming is observed but with distinct inter-annual to decadal variability. Four out of seven domains showed record-high heat content in 2021. The anomalous global and regional ocean warming established in this study should be incorporated into climate risk assessments, adaptation, and mitigation.

摘要： Due to exponential increases in incidences,low risk papillary thyroid microcarcinoma(PTMC)has become a clinical and social issue in recent years.An active surveillance(AS)management approach is an alternative to immediate surgery for patients with low risk PTMC.With decreased doubts about the safety and validity due to evidence from a large number of studies,the AS approach has become increasingly popular worldwide.However,Chinese thyroid surgeons still lag behind other countries in their knowledge of clinical practices and research related to AS.To promote the implementation of AS in China,thyroid surgeons should understand the implications,advantages,and disadvantages of management approaches for AS,and should also consider the willingness of Chinese patients,the impact on the medical billing system,and the enthusiasm of doctors.Thus,a management approach for AS based on the Chinese population should be developed to reduce the risk of disease progression and enhance patient adherence.Herein,we summarize the recent research achievements and deficiencies in AS approaches,and describe the initial experiences regarding AS in the Chinese population,in order to assist Chinese thyroid surgeons in preparing for AS management in the era of PTMC precision medicine.

摘要： China has continually worked on space debris research,complying with the White Paper“China’s Space Program:A 2021 Perspective”.This paper aims to clarify China’s research and application progress from 2020 to 2021 in space debris observation,prediction,protection,and mitigation.In this context,it also summarizes the space debris mitigation efforts made by the Chinese government and provides the expectation of future direction for the work.

摘要： As life expectancy increases,heart conditions,and especially acute coronary syndromes(ACS),are becoming a greater health issue.[1-3]Accordingly,the number of elderly patients in registries of myocardial infarction,is increasingly growing.[4,5]However,elderly patients are less likely to be treated with invasive strategy compared to younger patients,despite their intrinsic greater risk.[6,7]Several reports have described how quality initiatives improve treatment of ST elevation myocardial infarction(STEMI).

摘要： BACKGROUND Colon capsule endoscopy(CCE),which became clinically applicable in 2006,is a simple and noninvasive procedure to evaluate colonic diseases;the accuracy of second-generation CCE,introduced in 2009,has dramatically improved.Currently,CCE is used as an alternative method for colorectal cancer screening,as well as for evaluating the mucosal lesions of inflammatory bowel disease,in cases where performing colonoscopy(CS)is difficult.However,the outcomes of CCE are uncertain.AIM To investigate the outcomes of Japanese patients with negative findings(no polyps or colorectal cancer)on initial CCE.METHODS This retrospective,single-center study was conducted at the Endoscopic Center at Aishinkai Nakae Hospital.This study included patients who underwent continuous CCE between November 2013 and August 2019,that exhibited no evidence of polyps or colorectal cancer at the initial CCE,and could be followed up using either the fecal immunochemical test(FIT),CS,or CCE.The observational period,follow-up method,presence or absence of polyps and colorectal cancer,pathological diagnosis,and number of colorectal cancer deaths were evaluated.RESULTS Thirty-one patients(mean age,60.4±15.6 years;range,28–84 years;14 men and 17 women)were enrolled in this study.The reasons for performing the first CCE were screening in 12,a positive FIT in six,lower abdominal pain in nine,diarrhea in two,and anemia in two patients.The mean total water volume at the time of examination was 3460±602 mL(2250–4800 mL),and a total CS was performed in 28 patients(90%).The degree of cleanliness was excellent in 15 patients and good in 16,and no poor cases were observed.No adverse events,such as retention or capsule aspiration,were observed in any of the patients.The mean follow-up period was 3.1±1.5 years(range,0.3–5.5 years).Follow-up included FIT in nine,CS in 20,and CCE in four patients(including duplicate patients).The FIT was positive in two patients,while CS revealed five polyp lesions(three in the ascending colon,one in the transverse colon,and one in the descending colon),with sizes ranging between 2 mm and 8 mm.Histopathological findings revealed a hyperplastic polyp in one patient,and adenoma with low grade dysplasia in four patients;colorectal cancers were not recognized.In the follow-up example by CCE,polyps and colorectal cancer could not be recognized.During the follow-up period,there were no deaths due to colorectal cancer in any of the patients.CONCLUSION We determined the outcomes in patients with negative initial CCE findings.

摘要： Objective:Patients with diabetic peripheral neuropathy were treated with integrated traditional Chinese and western medicine,and the final results were observed.Methods:70 patients with such symptoms were randomly divided into two groups.The number of people is the same,and the treatment methods are different.The control group uses western medicine,while the observation group uses traditional Chinese medicine to evaluate the treatment effect.Results:After treatment,the effective rate of the observation group was(P<0.05),indicating that the treatment effect was significantly better.Conclusion:Patients with clinical diabetic peripheral neuropathy treated with routine nutrition and nerve repair,and with Chinese medicine,the effect is more satisfactory,and the effect is positive,so as to promote the optimization of their health.

摘要： In the paper“In Search for Infall Motion in molecular clumps II:HCO+(1-0)and HCN(1-0)Observations toward a Sub-sample of Infall Candidates”by Yang etal.(RAA 2020 Vol.20 No.8,115(14pp),doi:10.1088/1674C4527/20/8/115),the formula(4)is incorrectly reproduced from Myers et al.(1996).

摘要： Models and observations are two fundamental methodological approaches in Earth system science(ESS). They evolve collaboratively and enhance one another. However, neither of these two approaches is perfect, and they have incompatibilities due to their methodological differences. The emergence of data assimilation(DA) has enabled these two approaches to develop in conjunction and form a harmonic ESS methodology. As a result, DA has shown a fresh vitality and applicability in ESS. This paper reviews the application of DA in the main branches of ESS, traces the coordinated evolution of DA with the methodologies of rationalism and empiricism, analyzes the relationships of DA with estimation theory and cybernetics, summarizes the advances of DA in China, and presents an outlook on the challenges facing the development of a uniform DA for ESS. DA theories and methods will continue to evolve and provide an increasingly mature methodology for enhancing the understanding and prediction of Earth as a system.

摘要： BACKGROUND Thin-walled lung cancer manifests as a cystic lesion,mostly adenocarcinoma.It is often misdiagnosed as a benign lesion in clinical practice,thus delaying the diagnosis and surgical treatment.Its natural course is rarely recorded and observed;thus,the pathogenesis and diagnosis need to be clarified and improved.CASE SUMMARY A 66-year-old man developed a mass in the upper lobe of the right lung and a small,thin-walled cavity in the lower lobe of the right lung in 2007.The right upper lobe mass was confirmed to be adenocarcinoma after surgery.The cavity diameter increased from 11 mm to 31 mm over 10 years,and a ground glass opacity lesion appeared around the bulla on computed tomography.A second operation confirmed that the lesion was lepidic predominant adenocarcinoma.Here we report a rare case of lung cancer developing from a focal bulla to a thinwalled adenocarcinoma for more than 10 years and confirm that the check-valve mechanism explains the pathogenesis.CONCLUSION Solitary thin-walled lung adenocarcinoma is a rare tumor in terms of its clinical manifestations,pathogenesis,and disease progression.The check-valve mechanism can explain the cause of thin-walled lung cancer.Close follow-up and accurate imaging are necessary.

摘要： Snow resisting capacity of vegetation is important for secondary distribution of water resources in seasonal snow areas of grassland because it affects the regeneration,growth and nutrient circulation of vegetation in grassland.This study investigated vegetation characteristics(canopy height,canopy length and crown width)of Caragana microphylla Lam.(shrub)and Achnatherum splendens(Trin.)Nevski.(herb),and snow morphologies(snow depth,snow width and snow braid length)in a typical steppe region of Inner Mongolia,China in 2017.And the influence of vegetation characteristic on snow resisting capacity(the indices of bottom area of snow and snow volume reflect snow resisting capacity)was analyzed.The results showed that snow morphology depends on vegetation characteristics of shrub and herb.The canopy height was found to have the greatest influence on snow depth and the crown width had the greatest influence on snow width.The canopy length was found to have little influence on morphological parameters of snow.When the windward areas of C.microphylla and A.splendens were within the ranges of 0.0-0.5 m2 and 0.0-8.0 m2,respectively,the variation of snow cover was large;however,beyond these areas,the variation of snow cover became gradually stable.The potential area of snow retardation for a single plant was 1.5-2.5 m2 and the amount of snow resistance was 0.15-0.20 m3.The bottom area of snow and snow volume(i.e.,snow resisting capacity)of clumped C.microphylla and A.splendens was found to be 4 and 25 times that of individual plant,respectively.The results could provide a theoretical basis both for the estimation of snow cover and the establishment of a plant-based technical system for the control of windblown snow in the typical steppe region of Inner Mongolia.