A non-inferiority study comparing the ultrasound-guided parasacral with a novel greater ischiatic notch plane approach in canine cadavers

ObjectiveTo describe the gross and ultrasound anatomy of the parasacral region and an ultrasound-guided greater ischiatic notch (GIN) plane approach aimed at staining the lumbosacral trunk (LST) in canine cadavers. To evaluate if the ultrasound-guided GIN plane approach is non-inferior to the previously described ultrasound-guided parasacral approach at staining the LST.Study designProspective, randomized, non-inferiority experimental anatomic study.AnimalsA total of 17 (23.9 ± 5.2 kg) mesocephalic canine cadavers.MethodsAnatomic and echographic landmarks, and the feasibility of performing a GIN plane technique were evaluated using two canine cadavers. The remaining 15 cadavers had each hemipelvis randomly assigned to be administered either parasacral or GIN plane injection of 0.15 mL kg^–1 dye solution. The parasacral region was dissected after injections to assess the staining of LST, cranial gluteal nerve, pararectal fossa and pelvic cavity. The stained LST were removed and processed for histological evaluation of intraneural injections. A one-sided z-test for non-inferiority (non-inferiority margin –14%) was used to statistically evaluate the success of the GIN plane versus the parasacral approach. Data were considered statistically significant when p < 0.05.ResultsThe GIN plane and parasacral approach stained the LST in 100% and 93.3% of the injections, respectively. The success rate difference between treatments was 6.7% [95% confidence interval, –0.6 to 19.0%; p < 0.001 for non-inferiority]. The GIN plane and parasacral injections stained the LST for 32.7 ± 16.8 mm and 43.1 ± 24.3 mm, respectively (p = 0.18). No evidence of intraneural injection was found.Conclusions and clinical relevanceThe ultrasound-guided GIN plane technique resulted in nerve staining that was non-inferior to the parasacral technique and may be considered an alternative to the parasacral approach to block the LST in dogs.     

Lumbosacral plexus block using a combination of ultrasound-guided lateral pre-iliac and parasacral approaches in cats

ObjectiveTo describe an ultrasound-guided lateral pre-iliac (LPI) and parasacral (PS) approach in feline cadavers (phase I) and compare the perioperative analgesic use and complications in cats administered LPI and PS blocks (group PNB) or epidural anesthesia (group EPI) for pelvic limb surgery (phase II).Study designExperimental uncontrolled, anatomic and retrospective cohort study.AnimalsA group of eight feline cadavers and 52 medical records.MethodsBilateral LPI and PS approaches with 0.1 mL kg^–1 of dye to stain the femoral and obturator nerves and the lumbosacral trunk, respectively, were performed on each cadaver. Nerve staining effect was evaluated upon dissections (phase I). Perioperative analgesics use, and complication rates were retrospectively compared between groups PNB and EPI (phase II). Continuous data were compared using the Mann–Whitney U test and the prevalence of events with Fisher’s exact test. Differences were considered significant when p < 0.05.ResultsDissections revealed that the LPI approach stained 94% and 75% of the femoral and obturator nerves, respectively. The PS approach stained 100% of the lumbosacral trunks. Cats enrolled in group PNB (n = 23) were administered lower doses of intraoperative opioids than those in group EPI (n = 25) (p = 0.006). Intraoperative rescue analgesia was required in 60% and 17.4% of cats enrolled in groups EPI and PNB, respectively (p = 0.003). Group PNB required more intraoperative anticholinergics than group EPI (p = 0.02). There were no differences in postoperative pain scores, analgesic use and complication rates.Conclusions and clinical relevanceThe ultrasound-guided LPI and PS approach stained the femoral/obturator nerves and the lumbosacral trunk, respectively, in feline cadavers. Furthermore, PNB was associated with lower intraoperative opioid use and similar postoperative pain and analgesic use compared with epidural anesthesia in a cohort of cats undergoing surgery of the pelvic limb.     

高端牛奶的市场竞争环境分析

在消费升级和国民健康意识的普及趋势下,我国乳制品消费量也逐渐提高,高端牛奶在特仑苏和金典广泛的市场教育下,迎来了稳定增长。牛奶高端化大势所趋,地方品牌在高端市场、超高端市场为消费者提供了更多选择。这一点线下市场尤其明显,线下市场地方品牌的高端奶占据了2/3以上的市场份额,“特金”一统高端市场的时代正在成为过去式。同时,地方品牌的活跃和高端产品的多元化也充分说明统一标准化与天然概念不能兼得。     

沮漳河下游洪水遭遇地区组成规律

漳河水库由观音寺和鸡公尖两个水库以明槽渠道组成，涉及入库洪水的两个来源，而为下游防洪又涉及到与水库坝址至两河口区间及沮河洪水的组成遭遇。沮漳河为长江的一级支流，对长江防洪安全有一定的影响作用，为了确保水库及其下游防护区的安全，必须研究洪水的地区组成，为防洪错峰及安全调度提供设计依据。通过F检验法及t检验法来进行回归方程及相关系数的检验，证明回归方程是显著的，相关也较密切，可用于生产实际。     

Safeguarding Capability Index System of Regional Sustainable Development

According to the new requirement of sustainable development in the new stage, this paper puts forward the definition of the safeguarding capacity of regional sustainable development and uses some statistical methods of frequency statistics and principal component analysis to construct the index system of safeguarding capacity. Then it takes the data of the Three Gorges reservoir area for example to make empirical analysis, and provides efficient measurement tools to further measure the regional sustainability together with its safeguarding capacity, and therefore helps the government and the relevant organizations to establish more scientific policies of sustainable development.     

Performance Analysis of MIPv4 Regional Registration Combined with Low Latency Handoffs

The mechanism of MIPv4 regional registration and the low latency handoff protocols are introduced. Ways and procedure of pre-registration handoff and post-registration handoff are discussed also. The authors analyze the performance of the low latency handoff protocols combined with low latency handoffs over a wireless access based on IEEE 802. 11 standard in a tree-like network topology. The performance of pre-registration and post-registration scheme is given by simulation.     

区域农业生产结构优化模型的建立

优化区域农业生产结构对于提高农民收入具有重要的现实意义。为此,在研究区域农业生产各单元之间结构关系的基础上,确定了决策变量和参数,建立了包括种植业、养殖业和加工业在内的农业生产结构优化的线性规划模型,对区域农业产业结构优化模型的建立进行了有益的理论探索。     

区域经济系统的分形特征及模型研究

通过对区域经济系统模型的研究,确定了经济系统的分形特征,并通过实例建立投入与产出的数学模型,验证了其分形特征,利用分维确定了各投入与产出量的变化趋势,揭示了区域经济系统的复杂变化,为了解和指导区域经济发展提供了新的方法和依据。     

基于集对分析的区域水资源开发利用综合评价

基于集对分析方法建立了区域水资源开发利用程度的评价模型，并应用该模型对汉中盆地水资源的开发利用程度进行了综合评价。评价结果表明，汉中盆地水资源利用处于中、低级阶段，还有很大的开发潜力。通过与模糊模式识别、模糊综合评判、属性识别方法、人工神经网络方法进行对比分析，可以看出集对分析模型不仅理论严谨、方法简便，而且评价结果精确可靠，从而验证了该方法的合理性和可行性。因此，集对分析理论为区域水资源开发利用程度的综合评价提供了一种新的思路。     

灌区用水者协会的水权探讨

建立灌区用水者协会的水权制度，对明晰用水者协会的产权制度的有着重要的作用。在对水权、区域水权、初试水权论述的基础上，对灌区用水者协会的水权进行了探讨。用水者协会的水权是农业水权中的灌溉水权，是由其所辖灌溉工程决定的、灌区管理单位（或供水公司）移交（或转移）的灌溉水的权利，包括占有权、支配权、使用权和收益权。用水者协会的水权的特征主要表现为水的所有权为国家所有，其占有权、支配权、使用权和收益权为用水者协会集体所有，协会水权经灌溉工程产权移交后产生，并具有初试水权的特性。灌区用水者协会的水权量一般用水量、水权面积表示。