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促进糖尿病患者足溃疡愈合的干预措施指南(2023年更新版)——《国际糖尿病足工作组:糖尿病相关的足病预防与管理指南(2023)》的一部分

感染、炎症、修复 2024年第1期25卷 23-51页

作者： Pam Chen Nalini Campillo Vilorio Ketan Dhatariya William Jeffcoate Ralf Lobmann Caroline McIntosh Alberto Piaggesi John Steinberg Prash Vas vijay viswanathan Stephanie Wu Fran Game on behalf of the International Working Group on the Diabetic Foot 杨彩哲谷熠彬(译) 曹瑛邹梦晨许樟荣(审校) Joondalup Health Campus Ramsay Healthcare AustraliaJoondalupWestern AustraliaAustralia Faculty of Health University of TasmaniaHobartTasmaniaAustralia Department of Diabetology Diabetic Foot UnitPlaza de la Salud General HospitalSanto DomingoDominican Republic Elsie Bertram Diabetes Centre Norfolk and Norwich University Hospitals NHS Foundation TrustNorwichUK Norwich Medical School University of East AngliaNorwichUK Retired physician NottinghamUK Clinic for Endocrinology Diabetology and GeriatricsKlinikum StuttgartStuttgartGermany Podiatric Medicine School of Health SciencesUniversity of GalwayIreland Diabetic Foot Section Department of MedicineUniversity of PisaItaly Georgetown University School of Medicine Washington DCUSA King's College Hospital NHS Foundation Trust LondonUK MV Hospital for Diabetes and Prof M viswanathan Diabetes Research Center ChennaiIndia Dr.William M.Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science North ChicagoIllinoisUSA University Hospitals of Derby and Burton NHS Foundation Trust DerbyUK 不详空军特色医学中心北京100042 战略支援部队特色医学中心北京100101 南方医院广东广州510515

创面处理的原则,包括清创、创面准备和使用涉及改变创面生理以促进愈合的新技术,在试图治愈慢性糖尿病相关的足溃疡时是至关重要的。此外,糖尿病相关的足溃疡的发病率和治疗成本不断上升,这就需要结合作为金标准的多学科治疗已有共识,... 详细信息

创面处理的原则,包括清创、创面准备和使用涉及改变创面生理以促进愈合的新技术,在试图治愈慢性糖尿病相关的足溃疡时是至关重要的。此外,糖尿病相关的足溃疡的发病率和治疗成本不断上升,这就需要结合作为金标准的多学科治疗已有共识,运用高质量的疗效和成本效益证据来支持和加强慢性糖尿病相关的足溃疡创面愈合的干预措施。本指南是2023年国际糖尿病足工作组(IWGDF)针对促进糖尿病患者足溃疡愈合的干预措施的循证指南。它是对2019年IWGDF指南的更新。我们遵循推荐、评估、发展、评价分级(GRADE)方法,以患者-干预-对照-结果(PICO)形式设计临床问题从而得出重要结果,进行系统综述,制定评判表汇总,并为每个问题撰写推荐和理由。每条推荐的形式都是基于系统综述中发现的证据,并使用GRADE评判汇总项目,包括理想和不理想的效果、证据的可信度、对患者的价值、所需的资源、成本效益、公平性、可行性和可接受性;我们制定的推荐由作者同意并由独立专家和利益相关者审查。根据系统综述和从证据到决策过程的结果,我们提出29条推荐。我们对使用干预措施改善糖尿病患者足溃疡的愈合提出了一些有条件的支持性推荐。这些推荐包括蔗糖八硫酸盐敷料的使用,对手术后的创面使用负压疗法,使用胎盘衍生产品,使用自体白细胞、血小板、纤维蛋白贴剂,使用局部氧疗,以及使用高压氧,但我们强调在任何情况下这些推荐应在单独应用最佳标准治疗无法治愈伤口且有资源可用于干预的情况下使用。这些关于创面愈合的推荐应该有助于提高糖尿病伴足溃疡患者的疗效,我们希望这些推荐能得到广泛的实施。然而,尽管作为推荐基础的许多证据的准确性正在提高,但总体上仍然很差,我们鼓励在这一领域进行更多、质量更好的试验,包括那些有关卫生经济学分析的试验。

关键词：糖尿病足溃疡干预指南国际糖尿病工作组

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糖尿病患者足溃疡减压指南(2023年更新版)——《国际糖尿病足工作组:糖尿病相关的足病预防与管理指南(2023)》的一部分

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感染、炎症、修复 2024年第1期25卷 1-22页

作者： Sicco A.Bus David G.Armstrong Ryan T.Crews Catherine Gooday Gustav Jarl Klaus Kirketerp-Moller vijay viswanathan Peter A.Lazzarini on behalf of the International Working Group on the Diabetic Foot 陈燕刘斌张晓诗邓武权(译) 王爱萍许樟荣(审校) Amsterdam UMC University of AmsterdamDepartment of Rehabilitation MedicineAmsterdamthe Netherlands Amsterdam Movement Sciences program Rehabilitation&DevelopmentAmsterdamthe Netherlands Southwestern Academic Limb Salvage Alliance(SALSA) Department of SurgeryKeck School of Medicine of University of Southern California(USC)Los AngelesCaliforniaUSA Dr.William M.Scholl College of Podiatric Medicine's Center for Lower Extremity Ambulatory Research(CLEAR)at Rosalind Franklin University North ChicagoIllinoisUSA Elsie Bertram Diabetes Centre Norfolk and Norwich University HospitalsNorwichUK Department of Prosthetics and Orthotics Faculty of Medicine and HealthÖrebro UniversityÖrebroSweden University Health Care Research Center Faculty of Medicine and HealthÖrebro UniversityÖrebroSweden Copenhagen Wound Healing Center Bispebjerg University HospitalCopenhagenDenmark Steno Diabetes Center CopenhagenDenmark MV Hospital for Diabetes ChennaiIndia School of Public Health and Social Work Queensland University of TechnologyBrisbaneAustralia Allied Health Research Collaborative The Prince Charles HospitalBrisbaneAustralia 不详重庆大学附属中心医院重庆400014 东部战区空军医院糖尿病足中心江苏南京210002 战略支援部队特色医学中心北京100101

减轻组织的机械性压力在治愈糖尿病相关的足溃疡所需的多种干预措施中最为重要。本文是2023年国际糖尿病足工作组(IWGDF)发布的减压治疗促进糖尿病相关的足溃疡愈合的循证指南,也是对2019年IWGDF指南的更新。我们遵循推荐、评估、发展... 详细信息

减轻组织的机械性压力在治愈糖尿病相关的足溃疡所需的多种干预措施中最为重要。本文是2023年国际糖尿病足工作组(IWGDF)发布的减压治疗促进糖尿病相关的足溃疡愈合的循证指南,也是对2019年IWGDF指南的更新。我们遵循推荐、评估、发展和评价分级(GRADE)方法学,以患者-干预-比较-结局(patient-intervention-control-outcome,PICO)模式设计临床问题和重要结果,进行系统评价和Meta分析,制定评判表汇总,为每个问题编写推荐和理由。每项推荐都是基于系统综述中发现的证据,在无证据情况下则采用专家意见,以及对判断项目的GRADE等级总结进行仔细权衡,包括可预期和不可预期的影响、证据的确定性、患者价值、所需资源、成本效益、公平性、可行性和可接受性。为了治愈糖尿病患者神经性前足底或中足底溃疡,要使用不可拆卸的齐膝高减压装置作为首选减压干预措施。如果患者存在对不可拆卸减压装置的禁忌证或不能耐受,考虑使用可拆卸齐膝(或踝)高减压装置作为减压干预措施的第二选择。如果无可用的减压装置,考虑使用合适的鞋具结合毡制泡沫作为减压干预措施的第三选择。如果这种非手术减压治疗不能治愈前足底溃疡,可以考虑跟腱延长术、跖骨头切除术、关节置换术或跖骨截骨术。为了治疗继发于屈趾畸形的神经性足底或小趾远端溃疡,可行趾屈肌腱切开术。为了促进后足、非足底或并发感染或缺血的溃疡的愈合,提出了进一步的推荐。所有推荐都已在减压临床路径中进行了总结,以帮助促进本指南在临床实践中的实施。这些减压推荐将帮助医务人员为糖尿病相关的足溃疡患者提供最佳的治疗和预后,降低患者感染、住院和截肢的风险。

关键词：糖尿病足溃疡减压减压装置指南国际糖尿病足工作组

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Efficacy and safety of tadalafil taken as needed for the treatment of erectile dysfunction in Asian men： results of an integrated analysis

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Asian Journal of Andrology 2009年第4期11卷 423-433页

作者： Ying-Lu Guo vijay P viswanathan Han-Sun Chiang Hyung Ki Choi Andrew Wai Chun Yip Wei Shen Vladimir Kopernicky Andrology Center Peking University First Hospital Peking University Beo＇ing 100009 China M. V. Hospital for Diabetes and Diabetes Research Centre Chennai 600013 India School of Medicine Fu Jen Catholic University Taipei 24205 Taiwan China Department of Urology Yongdong Severance Hospital Seoul 135720 Korea Department of Surgery Kwong Wah Hospital Hong Kong China Lilly USA LLC Indianapolis IN 46285 USA

We evaluated the efficacy and safety of as-needed tadalafil in a diverse clinical population （with varying patient demographics, disease severity, and comorbid medical conditions） of Asian men with erectile dysfunction （ED）. An integrated analysis of five double-blind, placebo-controlled trials （N = 1 046） was performed. Patients were randomly assigned to receive 10 mg tadalafil （N = 185）, 20 mg tadalafil （N = 510）, or placebo （N = 351）. Efficacy assessments included the International Index of Erectile Function （IIEF）, Sexual Encounter Profile （SEP） diary and Global Assessment Question （GAQ）. Patients receiving 10 mg or 20 mg tadalafil showed significant improvement from baseline-to-end point on the Erectile Function domain of the International Index of Erectile Function （IIEF-EF） domain score in all clinical sub-populations analyzed, compared with patients receiving placebo （P 〈 0.001）. The 10-mg and 20-mg tadalafil groups showed a mean success rate of 64.1% and 70.5% for sexual intercourse attempts （SEP3, successful intercourse）, respectively, compared with 33.4% in the placebo group （P 〈 0.001）, and 85.5% and 85.4% reported improved erections at end point GAQ, respectively, versus 43.5% in the placebo group （P 〈 0.001）. Tadalafil was well tolerated across all groups studied. Headache and back pain were the most frequently reported adverse events. Overall, tadalafil was effective and well tolerated across a diverse clinical spectrum of Asian men with ED.

关键词： Asia comorbidity erectile dysfunction phosphodiesterase inhibitors tadalafil

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Microstructural, wettability, and corrosion behaviour of TiO_(2) thin film sputtered on aluminium

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Journal of Central South University 2024年第7期31卷 2210-2224页

作者： Rajeev VERMA vijay KUMAR Saurabh KANGO Amindra KHILLA Rajeev GUPTA Department of Industrial and Production Engineering Dr B R Ambedkar National Institute of Technology JalandharJalandhar-144008PunjabIndia Department of Mechanical Engineering Dr B R Ambedkar National Institute of Technology JalandharJalandhar-144008PunjabIndia Department of Physics School of EngineeringUniversity of Petroleum&Energy StudiesDehradun 248007UttarakhandIndia

The study investigated the application of radiofrequency(RF)-sputtered TiO2 coatings at various temperatures to enhance the hydrophobicity and corrosion resistance of Al6061 *** research aimed to establish a correlation between the coating process and the resulting surface *** roughness and wettability were quantified with a surface profilometer and ***,chemical boiling and salt spray corrosion tests were conducted to evaluate any topographical changes during these *** analysis further involved the use of field-emission scanning electron microscopy(FESEM),energy-dispersive spectroscopy(EDS),and X-ray diffraction(XRD)techniques to characterize the deposited *** findings indicated that the TiO2 coating applied at 500℃exhibited the highest water contact angle and superior corrosion resistance compared to other *** characterization confirmed that this specific TiO_(2) coating at 500℃ effectively delays corrosion due to its hydrophobic behavior,making it durable for industrial applications.

关键词： aluminium TiO_(2)coating radiofrequency-sputtering hydrophobic corrosion

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Nano/Micro-Structural Supramolecular Biopolymers: Innovative Networks with the Boundless Potential in Sustainable Agriculture

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Nano-Micro Letters 2024年第8期16卷 79-101页

作者： Roohallah Saberi Riseh Mohadeseh Hassanisaadi Masoumeh Vatankhah Rajender S.Varma vijay Kumar Thakur Department of Plant Protection Faculty of AgricultureVali-e-Asr University of RafsanjanImam Khomeini SquareRafsanjan ***Iran Centre of Excellence for Research in Sustainable Chemistry Department of ChemistryFederal University of São CarlosSão CarlosSP 13565‑905Brazil Biorefining and Advanced Materials Research Center Scotland’s Rural Collage(SRUC)Edinburgh EH93JGUK

Sustainable agriculture plays a crucial role in meeting the growing global demand for food while minimizing adverse environmental impacts from the overuse of synthetic pesticides and conventional *** this context,renewable biopolymers being more sustainable offer a viable solution to improve agricultural sustainability and ***/micro-structural supramolecular biopolymers are among these innovative biopolymers that are much sought after for their unique *** biomaterials have complex hierarchical structures,great stability,adjustable mechanical strength,stimuli-responsiveness,and self-healing *** molecules may be added to their flexible structure,for enabling novel agricultural *** overview scrutinizes how nano/micro-structural supramolecular biopolymers may radically alter farming practices and solve lingering problems in agricultural sector namely improve agricultural production,soil health,and resource *** bioactive ingredient released from biopolymers allows the tailored administration of agrochemicals,bioactive agents,and biostimulators as they enhance nutrient absorption,moisture retention,and root ***/micro-structural supramolecular biopolymers may protect crops by appending antimicrobials and biosensing entities while their eco-friendliness supports sustainable *** their potential,further studies are warranted to understand and optimize their usage in agricultural *** effort seeks to bridge the knowledge gap by investigating their applications,challenges,and future prospects in the agricultural *** experimental investigations and theoretical modeling,this overview aims to provide valuable insights into the practical implementation and optimization of supramolecular biopolymers in sustainable agriculture,ultimately contributing to the development of innovative and eco-friendly solutions to enhance agricultural productivity while minimizing envir

关键词： Supramolecular Biopolymers Sustainable agriculture Nanotechnology

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Effect of weight-adjusted antimicrobial antibiotic prophylaxis on postoperative dosage and surgical site infection incidence in total joint arthroplasty

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World Journal of Orthopedics 2024年第4期15卷 318-320页

作者： Ashim Gupta vijay Kumar Jain Department of Orthopaedics and Regenerative Medicine Future BiologicsLawrencevilleGA 30043United States Department of Orthopaedics South Texas Orthopaedic Research Institute(STORI Inc.)LaredoTX 78045United States Department of Regenerative Medicine BioIntegrateLawrencevilleGA 30043United States Department of Orthopaedics and Regenerative Medicine Regenerative OrthopaedicsNoida 201301India Department of Orthopaedics Atal Bihari Vajpayee Institute of Medical SciencesDr Ram Manohar Lohia HospitalNew Delhi 110001India

Surgical site infections(SSI)following total joint arthroplasty pose a significant concern for both providers and patients across the ***,administration of antimicrobial antibiotic prophylaxis is used throughout the world to reduce the incidence of ***,the correct dosage and frequency of administration remains *** this editorial,we emphasized the determination of the effect of administration of weight-adjusted antimicrobial antibiotic prophylaxis regime on the incidence of SSI and postoperative dosage reduction compared to the conventionally used regime during total joint *** results demonstrated similar efficacy between both regimes with respect to the incidence of *** addition,weight-adjustment led to reduced postoperative dosage and has the potential to reduce chances of achieving lower therapeutic concentration,drug resistance,drug toxicity,and costs.

关键词： Antibiotics Antimicrobial prophylaxis Weight-adjusted Surgical site infections Total joint arthroplasty Knee arthroplasty Hip arthroplasty

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Autologous peripheral blood-derived orthobiologics:Different types and their effectiveness in managing knee osteoarthritis

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World Journal of Orthopedics 2024年第5期15卷 400-403页

Knees are the most commonly impacted weight-bearing joints in osteoarthritis(OA),affecting millions of people *** increasing life spans and obesity rates,the incidence of knee OA will further increase,leading to a significant increase in the economic *** treatment modalities utilized to manage knee OA have *** the last decade,the role of various autologous peripheral blood-derived orthobiologics(APBOs)for the treatment of knee OA has been extensively *** editorial provided an overview and focused on defining and shedding light on the current state of evidence based on the most recent published clinical studies concerning the use of APBO for the management of knee *** numerous studies have demonstrated promising results for these preparations,a notable gap exists in the comparative analysis of these diverse *** absence of head-to-head studies poses a considerable challenge for physicians/surgeons in determining the optimal preparation for managing knee OA and achieving sustained longterm ***,more adequately powered,multicenter,prospective,doubleblind,randomized controlled trials with longer follow-ups are needed to establish the long-term efficacy and to aid physicians/surgeons in determining the optimal APBO for the management of knee OA.

关键词： Knee osteoarthritis Platelet-rich plasma Platelet lysate Autologous conditioned serum Gold-induced cytokine Plasma rich in growth factors Growth factor concentrate Autologous protein solution Platelet-rich fibrin Hyperacute serum

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Research progress in friction stir processing of magnesium alloys and their metal matrix surface composites: Evolution in the 21^(st )century

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Journal of Magnesium and Alloys 2024年第6期12卷 2091-2146页

作者： Roshan vijay Marode Tamiru Alemu Lemma Nabihah Sallih Srinivasa Rao Pedapati Mokhtar Awang Adeel Hassan Department of Mechanical Engineering Universiti Teknologi PETRONASBandarSeri IskandarPerak 32610Malaysia Department of Mechanical Engineering College of EngineeringThe University of Texas Permian BasinMidland-OdessaUnited States Mechanical Engineering Department Universiti Teknologi BruneiBrunei

Rising concerns about climate change drive the demand for lightweight ***(Mg)alloys are highly valued for their low weight,making them increasingly important in various *** focusing on enhancing the characteristics of Mg alloys and developing their Metal Matrix Composites(MMCs)have gained significant attention worldwide over the past decade,driven by the global shift towards lightweight *** Stir Processing(FSP)has emerged as a promising technique to enhance the properties of Mg alloys and produce ***,FSP adapted to refine grain size from the micro to the nano level and accelerated the development of MMCs due to its solid-state nature and the synergistic effects of microstructure refinement and reinforcement,improving strength,hardness,ductility,wear resistance,corrosion resistance,and fatigue ***,producing defect-free and sound FSPed Mg and Mg-MMCs requires addressing several variables and their interdependencies,which opens up a broad range of practical *** existing reviews on individual FSP of Mg,its alloys,and MMCs,an attempt has been made to analyze the latest research on these three aspects collectively to enhance the understanding,application,and effectiveness of FSP for Mg and its *** review article discusses the literature,classifies the importance of Mg alloys,provides a historical background,and explores developments and potential applications of FSPed Mg *** focuses on novel fabrication methods,reinforcement strategies,machine and tool design parameters,material characterization,and integration with other methods for enhanced *** influence of process parameters and the emergence of defects are examined,along with specific applications in mono and hybrid composites and their microstructure *** study identifies promising reinforcement materials and highlights research gaps in FSP for Mg alloys and MMCs *** conclude

关键词： Magnesium alloys Friction stir processing Metal matrix composites Lightweight Surface modification

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Colorectal resections for malignancy: A pilot study comparing conventional vs freehand robot-assisted laparoscopic colectomy

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World Journal of Clinical Cases 2024年第3期12卷 488-494页

作者： Shamir O Cawich Joseph Martin Plummer Sahle Griffith vijay Naraynsingh Department of Surgery University of the West IndiesSt AugustineTrinidad and Tobago Department of General Surgery and Consultant General and Colorectal Surgeon Department of SurgeryUniversity of the West IndiesKingstonKIN7Jamaica Department of Surgery Queen Elizabeth HospitalBridgetownBarbados Department of Surgery Port of Spain General HospitalPort of SpainTrinidad and Tobago

BACKGROUND Laparoscopic colectomy is widely accepted as a safe operation for colorectal cancer,but we have experienced resistance to the introduction of the FreeHandffrobotic camera holder to augment laparoscopic colorectal *** To compare the initial results between conventional and FreeHandffrobot-assisted laparoscopic colectomy in Trinidad and *** This was a prospective study of outcomes from all laparoscopic colectomies per-formed for colorectal carcinoma from November 29,2021 to May 30,*** following data were recorded:Operating time,conversions,estimated blood loss,hospitalization,morbidity,surgical resection margins and number of nodes *** data were entered into an excel database and the data were analyzed using SPSS ver *** There were 23 patients undergoing colectomies for malignant disease:8(35%)FreeHandff-assisted and 15(65%)conventional laparoscopic *** were no *** time was significantly lower in patients under-going robot-assisted laparoscopic colectomy(95.13±9.22 vs 105.67±11.48 min;P=0.045).Otherwise,there was no difference in estimated blood loss,nodal harvest,hospitalization,morbidity or *** The FreeHandffrobot for colectomies is safe,provides some advantages over conventional laparoscopy and does not compromise oncologic standards in the resource-poor Caribbean setting.

关键词： Laparoscopic Colectomy Robot Surgery Minimally invasive

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Dynamic regulation of the irrigation-nitrogen-biochar nexus for the synergy of yield,quality,carbon emission and resource use efficiency in tomato

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Journal of Integrative Agriculture 2024年第2期23卷 680-697页

作者： Ping’an Zhang Mo Li Qiang Fu vijay PSingh Changzheng Du Dong Liu Tianxiao Li Aizheng Yang School of Water Conservancy&Civil Engineering Northeast Agricultural UniversityHarbin 150030China Key Laboratory of Effective Utilization of Agricultural Water Resources Ministry of Agriculture and Rural Affairs/Northeast Agricultural UniversityHarbin 150030China Department of Biological and Agricultural Engineering&Zachry Department of Civil&Environmental Engineering Texas A&M UniversityTX 77843-117USA National Water and Energy Center UAE UniversityAI Ain999041United Arab Emirates Heilongjiang Agricultural Engineering Vocational College Harbin 150030China

Integrated water and fertilizer management is important for promoting sustainable development of facility agriculture,and biochar plays an important role in guaranteeing food production,as well as alleviating water shortages and the overuse of *** field experiment had twelve treatments and a control(CK)trial including two irrigation amounts(I1,100%ETm;I2,60%ETm;where ETm is the maximum evapotranspiration),two nitrogen applications(N1,360 kg ha^(−1);N2,120 kg ha^(−1))and three biochar application levels(B1,60 t ha^(−1);B_(2),30 t ha^(−1)and B3,0 t ha^(−1)).A multi-objective synergistic irrigation-nitrogen-biochar application system for improving tomato yield,quality,water and nitrogen use efficiency,and greenhouse emissions was developed by integrating the techniques of experimentation and ***,a coupled irrigation-nitrogen-biochar plot experiment was ***,tomato yield and fruit quality parameters were determined experimentally to establish the response relationships between irrigation-nitrogen-biochar dosage and yield,comprehensive quality of tomatoes(TCQ),irrigation water use efficiency(IWUE),partial factor productivity of nitrogen(PFPN),and net greenhouse gas emissions(NGE).Finally,a multi-objective dynamic optimization regulation model of irrigation-nitrogen-biochar resource allocation at different growth stages of tomato was constructed which was solved by the fuzzy programming *** results showed that the application of irrigation and nitrogen to biochar promoted increase in yield,IWUE and PFPN,while it had an inhibitory effect on *** addition,the optimal allocation amounts of water and fertilizer were different under different *** yield of the S1 scenario increased by 8.31%compared to the B_(1)I_(1)N_(2) treatment;TCQ of the S2 scenario increased by 5.14%compared to the B_(2)I_(2)N_(1) treatment;IWUE of the S3 scenario increased by 10.01%compared to the B1I2N2 treatment;PFPN of the S4 scenario increased by

关键词： irrigation-nitrogen-biochar dynamic regulation multi-dimensional target collaboration tomato sustainability

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