No abstract

The Altyn Tagh Fault (ATF) is the longest, lithospheric scale and strike‐slip fault in East Asia. In the last three decades, multidisciplinary studies focusing on the timing, displacement of strike‐slip and growth mechanics of the ATF have made great progresses. Most studies revealed that the ATF is a sinistral strike‐slip and thrust fault, which underwent multiple episodes of activation. The fault is oriented NEE with a length of 1600 km, but the direction, timing of activity and magnitude of its extension eastward are still unclear. The AFT was predominately active during the Mesozoic and Cenozoic, in relation to the Mesozoic collision of the Cimmerian continent (Qiangtang and Lhasa block) and Cenozoic collision of India with Asia. The AFT strike‐slipped with a left‐lateral displacement of ca. 400 km during the Cenozoic and the displacement were bigger in the western segment and stronger in the early stage of fault activation. The slip‐rates in the Quaternary were bigger in the middle segment than in the western and eastern segment. We roughly estimated the Mesozoic displacement as ca. 150–300 km. The latest paleomagnetic data showed that the clockwise vertical‐axis rotation did not take place in the huge basins (the Tarim and Qaidam) at both side of ATF during the Cenozoic, but the rotation happened in the small basins along the ATF. This rotation may play an important role on accommodating the tectonic deformation and displacement of the ATF. Even if we have achieved consensus for many issues related to the ATF, some issues still need to be study deeply; such as: (a) the temporal and spatial coupling relationship between the collision of Cimmerian continent with Asia and the history of AFT in the Mesozoic and (b) the tectonic deformation history which records by the sediments of the basins within and at both side of AFT and was constrained by a high‐resolution and accurate chronology such as magnetostratigraphy and paleomagnetic data.

PurposeChronic kidney disease (CKD) is known to increase morbidity and mortality after orthopedic surgery. The purpose of this study is to investigate how CKD affects perioperative complications in hip surgery patients.Material and methodsFrom 2013 to 2016, a total of 230 patients (30 patients with CKD and 200 without CKD) undergoing hip surgery were enrolled in this study. Preoperative, intraoperative, and postoperative data was collected and analyzed between CKD and non-CKD patients. Logistic regression was used to evaluate the independent risk factor for postoperative complications.ResultsThere were significant differences in the number of people with hypertension (90.0% vs 27.3%, P < 0.001), diabetes (33.3% vs 8.7%, P = 0.01), coronary heart disease (20.0% vs 2.0%, P = 0.001), smoking habits (56.7% vs 22.7%, P = 0.016), anemia (90.0% vs 19.3%, P < 0.001), and low hemoglobin levels (94.1 ± 19.7 vs 121.3 ± 18.8, P < 0.001) between CKD and non-CKD patients before surgery. Receiving a blood transfusion was significantly more common in CKD patients (50% vs 28.5%, P = 0.018). Postoperatively, significant differences were detected in the average number of patients who transferred to the ICU (73.3% vs 19.3%, P < 0.001). Furthermore, differences were found in the quantity of hemoglobin (92.5 ± 16.8 vs 107.5 ± 18.3, P < 0.001) and albumin (32.4 ± 4.1 vs 34.9 ± 5.5, P = 0.02) measured between CKD and non-CKD patients. Logistic regression analysis indicated that diabetes, alcohol, and anemia were all independent risk factors for obtaining a blood transfusion, while age, CKD, and osteoporosis were all independent risk factors for ICU transfers.ConclusionCompared with non-CKD patients, CKD patients were accompanied with more cardiac diseases preoperatively. In addition, CKD patients were more likely to receive a blood transfusion and transfer to the ICU after hip surgery. Preoperative anemia should be restored sufficiently to decrease the incidence of blood transfusions.