Both the NE Gondwana Platform (Jordan) and the Carpathian/NW Europe Seaway towards the N Atlantic expose comparable sequence analytical patterns as i.e. the Maximum Flooding Surface (MSF), relating to the Arabian Shelf, throughout one of the warmest Phanerozoic Epochs. Supervolcanic Large Igneous Provinces (LIPs), (explosive island arc andesitic volcanism), Mid-Oceanic Rift Basalts (MORB), (S/N Atlantic, Arctic) and kimberlitic volcanism (W Gondwana) provided striking conditions for an immense influence (tuff, degassing, T) on the sedimentary processing throughout the Cretaceous, mainly verified by K-montmorillonite , dozens of tuff beds (predominantly in NW Germany), zeolite, cristobalite, extremely high chert occurrences as well as the reconfirming of the global anoxic event around the Cenomanian/Turonian b. (94 Ma) by a positive ∂13C-maximum (~0.5%). Thus the lithofacies spectrum (carbonate rocks, chalk, chert, porcellanite, shale) was affected by pH, Eh, T, photosynthesis, and greenhouse gases—change during varying positive/negative climate forcing. While acid sturzrain events caused the transformation of arkosic/subarkosic sediments of the hinterlands to quartz arenite cycles deposited on the Jordanian Platform during early Cretaceous, the other patterns mentioned, led to a rapid change of lithofacies through Late Cretaceous. The southward directed Neotethys transgression can be reconstructed during the Early Cretaceous by glauconite-aged tidalites that give hint on transpressional tectonics during the Upper Cenomanian east of the Dead Sea. The Cretaceous/Paleogene (K-Pg) transitional zone evidences a zone of several cumulative events (island arc-volcanism) and the Chicxulub impact, indicated by at least two extinctions phases. The southward obduction of the Palmyrides, Syria and related transtensional/transpressional strike slip tectonics (partially pull-apart structures) left a fast facies change on the Jordanian Platform.
目的探讨肺损伤预测评分(lung injury prediction score,LIPS)联合急性生理学和慢性健康状况评价Ⅱ(acute physiology and chronic health evaluationⅡ,APACHEⅡ)评分对重症创伤性脑损伤(severe traumatic brain injury,sTBI)患者合并急性肺损伤(acute lung injury,ALI)的预测价值。方法回顾性选取2019年1月至2021年12月安徽医科大学附属省立医院收治的75例sTBI患者,根据是否合并ALI,将其分为ALI组(n=24)和非ALI组(n=51)。收集患者入院时的基本资料、实验室指标、APACHEⅡ评分、LIPS评分、格拉斯哥昏迷量表(Glasgow coma scale,GCS)评分;采用Logistic回归分析sTBI患者合并ALI的危险因素,绘制受试者操作特征曲线(receiver operating characteristic curve,ROC曲线)评价指标对sTBI合并ALI的预测价值。结果ALI组患者的APACHEⅡ评分、LIPS评分均显著高于非ALI组,GCS评分、红细胞体积分布宽度显著低于非ALI组(P<0.05)。Logistic回归分析显示,APACHEⅡ评分和LIPS评分升高及GCS评分降低均是sTBI合并ALI的独立危险因素(P<0.05)。ROC曲线分析显示,LIPS评分、APACHEⅡ评分诊断sTBI合并ALI的曲线下面积(area under the curve,AUC)分别为0.869和0.754;二者联合检测的AUC为0.916(95%CI:0.855~0.976),敏感度和特异性分别为83.4%和84.3%。结论LIPS评分联合APACHEⅡ评分可有效预测sTBI合并ALI的风险。
