http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Paolo Farneti,Ernesto Pasquini,Vittorio Sciarretta,Giovanni Macrì2,Giulia Gramellini,Antonio Pirodda 대한이비인후과학회 2016 Clinical and Experimental Otorhinolaryngology Vol.9 No.2
Objectives. Epistaxis is one of the most common otorhinolaryngologic emergencies representing more than 12% of conditions managed at the Ear, Nose and Throat (ENT) Emergency Consulting Room of our Otorhinolaryngologic Unit each year. The elevated frequency of this pathology makes it necessary to adopt the most effective and least expensive therapeutic strategy available. The aim of this study was to compare the efficacy, costs and morbidity of nasal packing (NP), which is the mainstay of treatment for anterior epistaxis in our ENT Emergency Consulting Room versus submucosal infiltrations of lauromacrogol (LA). Methods. A retrospective study was designed from August 2012 to April 2013 involving 53 patients suffering from anterior epistaxis. Anterior NP was used in 27 patients versus 26 patients undergoing 27 procedures performed with submucosal infiltrations of LA (or polidocanol). Outcomes for each treatment were evaluated. Patients in group 1 were treated with LA 400 injection next to the bleeding point: 0.5- to 1-mL single or multiple infiltrations with a 27-gauge needle. The whitening of the nasal mucosa around the bleeding point during infiltration was considered a marker of correct procedure in order to achieve the best results. Bilateral treatment was also performed at the same time. Patients in group 2 were treated with standard NP. Results. Bleeding recurrence was higher in the NP group even if it was not statistically significant (P=0.2935). However, the LA infiltrations were better tolerated with lower morbidity and costs as compared to NP. No complications were observed in either group. Conclusion. LA infiltrations were shown to be a viable alternative in anterior epistaxis treatment. They are safe, easy to use with good efficacy and have a low cost.
Atlantic forcing of Pacific decadal variability
Kucharski, F.,Ikram, F.,Molteni, F.,Farneti, R.,Kang, I. S.,No, H. H.,King, M. P.,Giuliani, G.,Mogensen, K. Springer Science + Business Media 2016 Climate dynamics Vol.46 No.7
<P>This paper investigates the Atlantic Ocean influence on equatorial Pacific decadal variability. Using an ensemble of simulations, where the ICTPAGCM ('SPEEDY') is coupled to the NEMO/OPA ocean model in the Indo-Pacific region and forced by observed sea surface temperatures in the Atlantic region, it is shown that the Atlantic Multidecadal Oscillation (AMO) has had a substantial influence on the equatorial Pacific decadal variability. According to AMO phases we have identified three periods with strong Atlantic forcing of equatorial Pacific changes, namely (1) 1931-1950 minus 1910-1929, (2) 1970-1989 minus 1931-1950 and (3) 1994-2013 minus 1970-1989. Both observations and the model show easterly surface wind anomalies in the central Pacific, cooling in the central-eastern Pacific and warming in the western Pacific/Indian Ocean region in events (1) and (3) and the opposite signals in event (2). The physical mechanism for these responses is related to a modification of the Walker circulation because a positive (negative) AMO leads to an overall warmer (cooler) tropical Atlantic. The warmer (cooler) tropical Atlantic modifies the Walker circulation, leading to rising (sinking) and upper-level divergence (convergence) motion in the Atlantic region and sinking (rising) motion and upper-level convergence (divergence) in the central Pacific region.</P>