烧伤病人应用CHIMEHERB人工皮的临床评价

本研究初步评价CHIMEHERB人工皮的治疗效果.74例,105个创面应用人工皮:供皮区47个创面,愈合时间平均为9±1.94d(天),油纱布对照为11.7±1.93d(P<0.01);14个浅Ⅱ°新鲜创面,70％在3～5d内逐渐干燥与创面紧密粘附,平均愈合时间为9.8±3.09d;11个存留上皮组织的削痂深Ⅱ°创面,平均5.7±1.7d干燥,平均愈合时间为10.55±3.09d,不需植自体皮;8个削痂刨面至脂肪组织或切痂创面4～9d更植自体皮,其存活率近乎100％,2个创面因残留坏死组织而失败;人工皮应用于16个自体皮间隙创面,除三个网状植皮和一个条状植皮创面失败外,所植自体皮都在人工皮下扩展融合,未观察到占位现象;对后期残余小创面有良好的效果.本研究结果提示人工皮对创面愈合具有有利影响.主要适用于供皮区、浅Ⅱ°新鲜创面、深Ⅱ°脱痂和削痂后存留上皮组织较多的创面、自体皮间隙创面和后期残余小创面,不适宜于深Ⅲ°新鲜创面.     

CHIMEHERB人工皮使用的体会

从1989年4月～1990年10月,我科在69例病人中使用CHIMEHERB人工皮,覆盖治疗了供皮区,Ⅱ°烧伤创面、脱痂创面的残余肉芽创面.临床应用表明:CHIMEHERB人工皮能加快创面的愈合,是目前较好的一种创面覆盖物,用人工皮覆盖创面2～3天后,人工皮干燥,不需再换药,可减轻病人的痛苦.     

A longer-term perspective on soil moisture,groundwater and stream flow response to the 2018 drought in an experimental catchment in the Scottish Highlands

The drought of summer 2018, which affected much of Northern Europe, resulted in low river flows, biodiversity loss and threats to water supplies. In some regions, like the Scottish Highlands, the summer drought followed two consecutive, anomalously dry, winter periods. Here, we examine how the drought, and its antecedent conditions, affected soil moisture, groundwater storage, and low flows in the Bruntland Burn; a sub-catchment of the Girnock Burn long-term observatory in the Scottish Cairngorm Mountains. Fifty years of rainfall-runoff observations and long-term modelling studies in the Girnock provided unique contextualisation of this extreme event in relation to more usual summer storage dynamics. Whilst summer precipitation in 2018 was only 63% of the long-term mean, soil moisture storage across much of the catchment were less than half of their summer average and seasonal groundwater levels were 0.5 m lower than normal. Hydrometric and isotopic observations showed that ~100 mm of river flows during the summer (May-Sept) were sustained almost entirely by groundwater drainage, representing ~30% of evapotranspiration that occurred over the same period. A key reason that the summer drought was so severe was because the preceding two winters were also dry and failed to adequately replenish catchment soil moisture and groundwater stores. As a result, the drought had the biggest catchment storage deficits for over a decade, and likely since 1975–1976. Despite this, recovery was rapid in autumn/winter 2018, with soil and groundwater stores returning to normal winter values, along with stream flows. The study emphasizes how long-term data from experimental sites are key to understanding the non-linear flux-storage interactions in catchments and the “memory effects” that govern the evolution of, and recovery from, droughts. This is invaluable both in terms of (a) giving insights into hydrological behaviours that will become more common water resource management problems in the future under climate change and (b) providing extreme data to challenge hydrological models.     

Effectiveness of post-fire salvage logging stream buffer management for hillslope erosion in the U.S. Inland Northwest Mountains

Active wildfire seasons in the western U.S. warrant the evaluation of post-fire forest management strategies. Ground-based salvage logging is often used to recover economic loss of burned timber. In unburned forests, ground-based logging often follows best management practices by leaving undisturbed areas near streams called stream buffers. However, the effectiveness of these buffers has not been tested in a post-wildfire setting. This experiment tested buffer width effectiveness with a novel field-simulated rill experiment using sediment-laden runoff (25 g/L) released over 40 min at evenly timed flow rates (50, 100 and 150 L/min) to measure surface runoff travel length and sediment concentration under unburned and high and low soil burn severity conditions at 2-, 10- and 22-month post-fire. High severity areas 2-month post-fire had rill lengths of up to 100 m. Rill length significantly decreased over time as vegetation regrowth provided ground cover. Sediment concentration and sediment dropout rate also varied significantly by soil burn severity. Sediment concentrations were 19 g/L for the highest flow 2-month post-fire and reduced to 6.9–14 g/L 10-month post-fire due to abundant vegetation recovery. The amount of sediment dropping out of the flow consistently increased over the study period with the low burn severity rate of 1.15 g L⁻¹ m⁻¹ approaching the unburned rate of 1.29 g L⁻¹ m⁻¹ by 2-year post-fire. These results suggest that an often-used standard, 15 m buffer, was sufficient to contain surface runoff and reduce sediment concentration on unburned sites, however buffers on high burn severity sites need to be eight times greater (120 m) immediately after wildfire and four times greater (60 m) 1-year post-fire. Low burn severity areas 1-year post-fire may need to be only twice the width of an unburned buffer (30 m), and 2-year post-fire these could return to unburned widths.     

烧伤病人中应用CHIMEHERB人工皮的临床研究

1989年4月～1990年10月期间,由全国组成的临床研究组10个烧伤单位对CHIMEHERB人工皮进行全面临床研究.研究目的是:(1)探索应用方法.(2)明确适应症.(3)评价疗效.在260例烧伤病人中,共应用365个不同类型创面,有效率为90.5％,其中优良率为79.7％.研究指出,CHIMEHERB人工皮的性能适合于作为暂时性创面覆盖物,对上皮生长具有有利影响,未发现占位和排斥现象,以及过敏和其他不良反应.主要适用于(1)供皮区,(2)Ⅱ°烧伤创面.(3)深Ⅲ°烧伤脱痂和削痂创面.(4)网状植皮和小皮片(或条状)植皮创面。(5)残余肉芽创面.亦可用于切痂创面.但不适于深Ⅱ°新鲜创面和切痂嵌皮.感染创面应用CHIMEHERB人工皮应结合抗感染措施.应用人工皮创面需良好包扎与固定.人工皮下渗出物多需引流.     

人工皮在烧伤创面的应用

16例烧伤病人应用CHIMEHERB人工皮覆盖26个创面,其中浅Ⅱ°及部分深Ⅱ°创面11个,深Ⅲ°削痂创面10个,切削痂覆盖自体网状皮创面5个,与辐照猪皮对照观察,临床获得较好效果.认为在有效的清创及正确的创面处理下覆盖人工皮能减少创面渗出,有利创面愈合.作为一种新型的生物性敷料,无同种异体皮或异种皮移植时的排异现象,但其本身不具抗菌能力.     

Assessing burn severity and comparing soil water repellency,Hayman Fire,Colorado

An important element of evaluating a large wildfire is to assess its effects on the soil in order to predict the potential watershed response. After the 55 000 ha Hayman Fire on the Colorado Front Range, 24 soil and vegetation variables were measured to determine the key variables that could be used for a rapid field assessment of burn severity. The percentage of exposed mineral soil and litter cover proved to be the best predictors of burn severity in this environment. Two burn severity classifications, one from a statistical classification tree and the other a Burned Area Emergency Response (BAER) burn severity map, were compared with measured ‘ground truth’ burn severity at 183 plots and were 56% and 69% accurate, respectively. This study also compared water repellency measurements made with the water drop penetration time (WDPT) test and a mini‐disk infiltrometer (MDI) test. At the soil surface, the moderate and highly burned sites had the strongest water repellency, yet were not significantly different from each other. Areas burned at moderate severity had 1·5 times more plots that were strongly water repellent at the surface than the areas burned at high severity. However, the high severity plots most likely had a deeper water repellent layer that was not detected with our surface tests. The WDPT and MDI values had an overall correlation of r = ?0·64(p < 0·0001) and appeared to be compatible methods for assessing soil water repellency in the field. Both tests represent point measurements of a soil characteristic that has large spatial variability; hence, results from both tests reflect that variability, accounting for much of the remaining variance. The MDI is easier to use, takes about 1 min to assess a strongly water repellent soil and provides two indicators of water repellency: the time to start of infiltration and a relative infiltration rate. Copyright © 2005 John Wiley & Sons, Ltd.     

What is wrong with post-fire soil erosion modelling? A meta-analysis on current approaches,research gaps,and future directions

In the near future, a higher occurrence of wildfires is expected due to climate change, carrying social, environmental, and economic implications. Such impacts are often associated with an increase of post-fire hydrological and erosive responses, which are difficult to predict. Soil erosion models have been proven to be a valuable tool in the decision-making process, from emergency response to long-term planning, however, they were not designed for post-fire conditions, so need to be adapted to include fire-induced changes. In recent years, there have been an increasing number of studies testing different models and adaptations for the prediction of post-fire soil erosion. However, many of these adaptations are being applied without field validation or model performance assessment. Therefore, this study aims to describe the scientific advances in the last 20 years in post-fire soil erosion modelling research and evaluate model adaptations to burned areas that aim to include: (i) fire-induced changes in soil and ground cover; (ii) fire-induced changes in infiltration; (iii) burn severity; and (iv) mitigation measures in their predictions. This study also discusses the strengths and weaknesses of these approaches, suggests potential improvements, and identifies directions for future research. Results show that studies are not homogeneously distributed worldwide, according to the model type used or by region most affected by wildfire. During calibration, 73% of cases involved model adaptation to burned conditions, and only 21% attempted to accommodate new processes. Burn severity was addressed in 75% of cases, whilst mitigation measures were simulated in 27%. Additionally, only a minor percentage of model predictions were validated with independent field data (17%) or assessed for uncertainties (13%). Therefore, further efforts are required in the adaptation of erosion models to burned conditions, to be widely used for post-fire management decisions. © 2020 John Wiley & Sons, Ltd.     

应用迁移学习的林火烈度初始评估研究

林火发生后,开展森林生态系统烈度信息的初始评估,能够为灾后生态修复管理措施的快速实施提供定量依据。为了改善传统林火烈度评估模型的时效性,本研究利用历史过火区域的实地调查数据,构建基于迁移学习的烈度评估模型,并将其应用于2020年3月30日发生的西昌泸山森林大火烈度初始评估研究中。研究结果表明：迁移学习算法能够将源区域和目标区域的遥感影像光谱转换为多个新的特征变量,在这些新特征变量构成的投影空间中,源区域和目标区域样本具有相似的特征分布。在此基础上,基于源区域历史实地调查数据构建的烈度评估模型,能够迁移应用于目标区域的烈度评估。在本研究林火烈度的初始评估中,基于迁移学习的烈度评估模型精度较高,总体精度为71.20%,Kappa系数为0.64。与该模型对比,未进行迁移学习的支持向量回归模型精度较低,其总体精度为58.00%,Kappa系数为0.48。同时,基于dNDVI、dLST和dNBR指数的经验回归模型精度最低,其总体精度分别为：20.80%、34.8%和24.80%,Kappa系数分别为：0.01、0.19和0.06。本研究可为林火灾后管理措施的快速响应,提供一种新的思路和参考。     

深Ⅱ°烧伤创面应用CHIMEHERB人工皮与酒精冷藏猪皮的比较

通过CHIMEHERB人工皮与酒精冷藏猪皮在深Ⅱ°及混合度烧伤创面上的应用比较,表明两者的粘附,透水等性能以及止痛效果一致.且前者比后者的优点是:不占位、平均提早创面愈合时间2～3.5d(天),并减少换药次数.