Background Little information exists regarding the best anesthesia method for emergency cerclage. This single-center study aimed to compare the outcomes following general anesthesia and spinal anesthesia during emergency cervical cerclage in women in the second trimester of a singleton pregnancy. Material/Methods A total of 297 pregnant patients were recruited: 141 patients were assigned to the general anesthesia group and 156 patients were assigned to the spinal anesthesia group. Periprocedural data and obstetric outcomes were recorded and statistically analyzed. Results Average duration of the cerclage procedure was shorter in the general anesthesia group than in the spinal anesthesia group (25.78±9.4 min versus 30.88±10.5 min; P <0.05). No severe maternal complications, such as hematosepsis or maternal death, occurred after the procedure for either group. The neutrophil-lymphocyte ratio and C-reactive protein (CRP) increased after emergency cerclage in both groups, but at no time did the 2 groups differ significantly ( P >0.05). There was also no significant difference in the incidence of miscarriage or preterm delivery (delivery <34 gestational weeks) or in neonatal outcome between the 2 groups ( P >0.05). Conclusions The results of this study showed that there were no significant differences in maternal and neonatal outcomes, rates of miscarriage, or preterm delivery between general anesthesia and spinal anesthesia during emergency cervical cerclage in women in the second trimester of a singleton pregnancy.
The alterations in vegetation cover in the Three North Protection Forest Project area influence its ecological and environmental management. It helps to study soil erosion, environmental change, and ecosystem protection to provide basic data support. Based on the Google Earth Engine cloud platform, this paper selects MODIS 3Q1 data from 2000–2020 and uses the image element dichotomous model to estimate the fractional vegetation cover (FVC) of the Three North Protection Forest Project area, evaluates the stability and temporal and spatial variation of FVC, investigates the coupling relationship between the FVC and temperature and rainfall through evaluation indexes such as the slope of inter-annual variation and partial correlation coefficient, and then analyzes the influence of land use changes on the FVC. The results show that the fractional vegetation cover of the Three North Protection Forest Project area as a whole has increased significantly over the past 20 years, the medium and high vegetation coverage areas have reached 36.4%, the high vegetation FVC has increased from 20.66% in 2000 to 21.59% in 2020, and the vegetation activity is increasing. The vegetation cover is significantly affected by the topographic effect, with the vegetation cover improving relatively well at slopes between 5–13° and elevations ranging from 2000–2500 m. The overall positive correlation between vegetation and temperature and vegetation and precipitation in the study area was 54.08% and 70.04%, respectively, and precipitation was the key factor influencing vegetation growth in the research region. Human activities have a stronger effect on vegetation construction than destruction, and this study contributes to the evaluation of the benefits of the Three North Protection Forest Project and the understanding of human influence on environmental change.
Revealing the patterns and influencing mechanisms of spatial and temporal distribution of rural settlements is crucial for rural revitalization and sustainable development. However, our limited understanding of the rural settlements in China’s ethnic minority border areas has hindered the process of their agricultural and rural modernization. Based on data on rural settlements in Inner Mongolia, China in four periods between 1990 and 2020, this study reveals its spatial and temporal distribution characteristics and describes the dynamic transformation process of settlement. Using a geographical detector approach, 17 factors are explored to identify the influencing mechanisms of each factor on the distribution of rural settlements in different regions. The results show obvious regional differences in the spatial distribution of rural settlements in Inner Mongolia, with the largest kernel density values in the west (Hetao irrigation area) and higher kernel densities in the central (Hohhot) and the east (Chifeng and Tongliao). While rural population decreases, rural settlements expand into cultivated land, grassland, and unused land resources. Its spatial distribution is significantly influenced by the factors of distance to cultivated land, distance to towns, and population density. The east of the study area is mainly controlled by temperature, while vegetation type and vegetation coverage have a greater impact in the west. The interactions between two influencing factors possess bilinear or nonlinear enhancement relationships. This study enriches the understanding of the rural settlements in ethnic minority border areas, which provide reference for the improvement of rural human settlement environment in Inner Mongolia.
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