This paper uses the sample data of financial market, economic prosperity and government debt related indicators from 1997 to 2017 in China, and uses DAG and SVAR models to study the linkage mechanism among macroeconomic variables. The results show that there is a causal relationship between financial market, economic prosperity and government debt, and the former two are the transmitter of volatility factors, the latter is the receiver. In the long run, the impact of global economic and capital market volatility on China's government debt risk is significantly higher than the real estate industry and price level and other domestic factors. Active fiscal policy will make the risk of government debt show a rising trend, it is worth noting that the development of financial markets and economic prosperity can reduce the impact of fiscal policy on the economy, thereby alleviating the risk of government debt.
Yi Li,1,2 Yi Qing,1 Zhimin Zhang,3 Mengxia Li,1 Jiaying Xie,1 Ge Wang,1 Dong Wang1 1Department of Cancer Center, Research Institute of Surgery, Daping Hospital, Third Military Medical University, 2Department of Oncology, Beibei Traditional Chinese Medical Hospital, Chongqing, 3Department of Oncology, Wuhan General Hospital of Guangzhou Command, People's Liberation Army, Wuhan, Hubei, People's Republic of China Objective: This study aimed to evaluate the safety and efficacy of percutaneous vertebroplasty (PVP) combined with intensity-modulated radiotherapy (IMRT) for metastatic lesions of patients with non-small-cell lung cancer (NSCLC) at centrum vertebrae.Methods: A total of 39 patients with spinal metastatic NSCLC (stage IV) were treated with PVP followed by IMRT (30 Gy/10F/2 W) for metastatic lesion at centrum vertebrae under local anesthesia. Retrospective analysis was done with medical records and radiological data. The change of visual analog scale (VAS), activities of daily living, and kyphotic angle was measured preoperatively. The presence of complications was assessed preoperatively (baseline) at 24 hours, 1 week, and 1, 3, 6, 12, and 24 months postoperatively, or until the patient died or was lost to follow-up. Survival was assessed in the group.Results: A total of 39 consecutive patients were successfully treated with PVP via a translateral approach and IMRT. Their mean VAS score decreased from 7.93±1.09 preoperatively to 4.14±1.15 by the 24-hour postoperative time point and was 3.92±1.23 at 1 week, 4.27±1.93 at 1 month, 3.24±1.35 at 3 months, 2.27±0.96 at 6 months, and 2.59±1.55 at 12 months after the procedure. The mean VAS score at all of the postoperative time points was decreased significantly from the preoperative baseline score (P<0.05). Activities of daily living evaluation showed that the patients had a significantly high life quality after the combined approach (50.9±11.7 vs 82.3±9.9, P<0.05). No severe complications were observed. Mild complications included two cases (5.13%) of asymptomatic cement leakage into the epidural space and one case (2.56%) of paravertebral leakage. Median survival time was extended to 13 months.Conclusion: The safety and efficacy of PVP combined with IMRT in patients with NSCLC with metastatic lesions at centrum vertebrae and the ability to prevent the diseased vertebrae from further deformation and tumor infiltration into the vertebral body were demonstrated. PVP combined with IMRT should be the optimal technique for treatment of vertebral compression pain resulting from spinal metastatic NSCLC. Keywords: percutaneous vertebroplasty, IMRT, NSCLC, spinal metastases
Abstract Background Achieving nitrogen (N) and phosphorus (P) control in sediment remediation projects by adding natural materials is receiving increasing attention. In this study, different natural materials, including iron-rich clay minerals, calcite, kaoline, sugarcane bagasse and Phragmites detritus, were applied to test their effects on N and P in a mesocosm experiment.
Results Iron-rich clay minerals and Phragmites detritus had obvious advantages for P control; they resulted in almost undetectable levels of soluble reactive phosphorus (SRP) in the water column throughout the experiment. This finding can be explained by their strong P adsorption ability. The high level of available organic carbon in the sediment and water column after sugarcane bagasse addition provided enough electron donors for denitrification and dissimilatory nitrate reduction to ammonium (DNRA), which caused nitrate (NO3−-N) deficiency and ammonium (NH4+-N) accumulation in the water column. Additionally, this resulted in anaerobic conditions, further fuelling the release of P from iron-bound P induced by anoxia. Thus, the amount of sugarcane bagasse applied should be considered carefully in order to balance denitrification and DNRA as well as P releases. Calcite and Phragmites detritus are recommended as remediation materials for N removal based on their significant promotion of denitrification and limitation of DNRA, which resulted in low NO3−-N and NH4+-N levels. These results can be explained by the shifts in the functional microbial community composition and abundance after the addition of natural materials.
Conclusions Iron-rich clay minerals and Phragmites detritus are promising sediment remediation materials for P immobilization due to their strong P adsorption ability. Taken together, the selection of sediment remediation materials should consider the N and P coupling relationship, to prevent NO3−-N removal from causing P leaching or NH4+-N accumulation.
