g*2 发帖数: 658 | 1 刚刚把堆积了几个星期的nejm翻看了一下,居然在11月底的那期case discussion就是
讲得这个病
http://www.nejm.org/doi/full/10.1056/NEJMcpc1103565
Case 36-2011 — A 93-Year-Old Woman with Shortness of Breath and Chest Pain
Presentation of Case
Dr. Pooja Agrawal (Emergency Medicine): A 93-year-old woman was seen in the
emergency department at this hospital because of chest pain and shortness of
breath.
The patient had been in her usual state of health, with hypertension and
chronic renal insufficiency, until the morning of admission, wh... 阅读全帖 |
|
d******a 发帖数: 32122 | 2 ☆─────────────────────────────────────☆
mcardo (Myocardial Infarction) 于 (Thu Jun 28 20:41:00 2012, 美东) 提到:
1). 由于很多人需要自己掏钱购买保险,很多健康的年轻人估计宁愿罚款也不愿意从
Exchange买保险,Obamacare的目的是迫使健康的年轻人购买自己本该不需要的保险来补
贴年长的人来控制保险费的上涨(这只不过是一厢情愿),但由于Obamacare要求保险公
司不允许歧视老弱病残的人,最后的结局是保险费会大幅上升,保险公司会更变本加厉的
压榨个体开业的医生,医生只有两种选择:要么停业,要么加入大医院,一方面根保险公司
有较大的余地,另外一方面也可以pool Medical liability Premium 最终的结局是从医
的人数减少,医院老弱病残的人数暴增,病人看病大排长龙.
2).也有不少高水平的个体开业的医生干脆拒绝一切保险,专门服务于有钱人(UK is
like this),事实上多家大医院开始拒绝接受Medicare/Medicaid,你现在看病的... 阅读全帖 |
|
s**********8 发帖数: 25265 | 3 http://en.wikipedia.org/wiki/Balloon_angioplasty
Angioplasty
From Wikipedia, the free encyclopedia (Redirected from Balloon angioplasty)
Jump to: navigation, search
Angioplasty
Intervention
Balloon angioplasty.
ICD-9-CM 00.6, 36.0 39.50
MeSH D017130
Angioplasty is the technique of mechanically widening a narrowed or
obstructed blood vessel, typically as a result of atherosclerosis. An empty
and collapsed balloon on a guide wire, known as a balloon catheter, is
passed into the narrowed locations... 阅读全帖 |
|
p********3 发帖数: 5750 | 4 50, 70, 71; 大家注意一下和这几篇文献相关的话题。 另外, 73-75我本人没有看,确实是谈的印度药材, 我在查阅参考文献的时候在搜索Chinese Medicine的时候, 显示有这些文献,我本人没有亲自看这些文献, 也许其中有讲中药的地方。不过这不影响我要表达的意思。
慢慢看:
INTRODUCTION — Plants have been used for medicinal purposes for thousands
of years. All major cultures including Native American, European, South
American, Asian, and African cultures have used botanicals for healing
purposes. As an example, saw palmetto was used for urinary symptoms in men
from Egypt in the 15th century BC [1]. Hippocrates documented... 阅读全帖 |
|
n*******c 发帖数: 501 | 5 Agree. I cannot see that neurologist's rationale of using ativan unless
there is evidence of nonconvulsive status epilepticus.If it is postictal,
the patient should improve overtime which cannot be proved while on
sedatives.
How long was CT done after onset? What is the size of left thalamocapsular
hypodensity? Lacunar infarct should not cause MS changes so even if it is
real it may not be relevant.Hard to say without imaging but should be
careful about post circulation infarct. I used to see a ... 阅读全帖 |
|
h***a 发帖数: 312 | 6 36. A 57-year-old man has had a myocardial infarction. Development of which
of the following sequelae of the infarction is associated with decreased
survival?
A. Avoidant personality disorder
B. Decreased platelet count
C. Decreased serum catecholamine concentration
D. Major depressive episode
E. Sexual dysfunction
33. A 60-year-old man comes to the physician for a follow-up examination. He
had a myocardial infarction of the right ventricle 3 weeks ago. Physical
examination shows an accumulation... 阅读全帖 |
|
N***a 发帖数: 149 | 7 MEDICAL ETHICS 137 cases:
________________________
1. A 25- year old mother refused immunization for her 2-month old son. The
social worker spoke to the mother. (Important for Board examination)
Next step in management: immunization should be given for the benefit of the
child.
2. A 30-year old mother refused surgery for suspected appendicitis for her 6
-year old daughter. The social worker spoke to the mother. (Important for
Board examination)
Next step in management: surgical removal of the ap... 阅读全帖 |
|
b*****l 发帖数: 8603 | 8 2007年的,不知道你们说的是不是这个。祝好。
medical ethics more than hundred cases
Sep 24th, 2007, 12:17pm
1. A 25- year old mother refused immunization for her 2-month old son. The
social worker spoke to the mother. (Important for Board examination)
Next step in management: immunization should be given for the benefit of the
child.
2. A 30-year old mother refused surgery for suspected appendicitis for her 6
-year old daughter. The social worker spoke to the mother. (Important for
Board examination)
Next step in ma... 阅读全帖 |
|
d*********n 发帖数: 18 | 9 Confusion case: O CFDP P ADL, IADL, TIA/stroke, depression, DM, thyroid,
normal pressure hydrocephalus, PAMHUGSFOSS
insulin induced hypoglycemia
Electrolyte abnormalities
Vitamin B12 deficiency
Medications
TIA
Multi-infarct dementia
Chronic subdural hematoma
Alzheimer’s dementia
Normal pressure hydrocephalus
Intracranial tumor
Neurosyphilis
Depression
Hypyothyriodism
DDx Confusion
DEMENTIA
D-Diabetes /Dementia/ Drugs
E-Epilepsy
M-Migraine/Mult Infarct Dementia
E-Ethanol (withdrawl / Toxicity)
N... 阅读全帖 |
|
y******7 发帖数: 17 | 10 The following is what I collected when I was a student doing capstone in a
local hospital. Not sure if it is useful.
Lidocaine topical is a amide-type local anesthetic. for production of
topical anesthesia, relief of pain associated with postherpetic neuralgia,
reduction of gagging during dental procedures, prevention and control of
urethral pain, anesthetic lubricant for endotracheal intubation, and relief
of hemorrhoidal pain.
Polyethylene glycol(Miralax) is a nonabsorbed solution used to trea... 阅读全帖 |
|
n*******c 发帖数: 501 | 11 Very interesting case.
I wonder where the brain stem infarct is. Are they (with cerebellum infarct)
acute? How is the blood flow in vertebral arteries?
My impression is that the syncope was due to brain stem infarct rather than
SSS. SSS is probably an incidental finding.Having said that I haven't seen a
case with retrograde basilar flow from SSS(just realize our hosp doppler
ultrasound never reports basilar :( )
Has the patient had syncope before?
Just for my curiosity. Did the MRA showing SSS ... 阅读全帖 |
|
R*******t 发帖数: 367 | 12 Time of flight will give you information of flow direction, while contrast
MRA doesn't. As long as there is flow in a vessel, retrograde or ante grade,
it will light up with contrast enhancement. In time of flight, retrograde
flow will lose signal and the vessel would be dark.
发信人: newprozac (中人), 信区: Medicalpractice
标 题: Re: 【case discussion】 Syncope
发信站: BBS 未名空间站 (Mon Feb 6 03:22:35 2012, 美东)
Very interesting case.
I wonder where the brain stem infarct is. Are they (with cerebellu... 阅读全帖 |
|
n*******c 发帖数: 501 | 13 Very interesting case.
I wonder where the brain stem infarct is. Are they (with cerebellum infarct)
acute? How is the blood flow in vertebral arteries?
My impression is that the syncope was due to brain stem infarct rather than
SSS. SSS is probably an incidental finding.Having said that I haven't seen a
case with retrograde basilar flow from SSS(just realize our hosp doppler
ultrasound never reports basilar :( )
Has the patient had syncope before?
Just for my curiosity. Did the MRA showing SSS ... 阅读全帖 |
|
R*******t 发帖数: 367 | 14 Time of flight will give you information of flow direction, while contrast
MRA doesn't. As long as there is flow in a vessel, retrograde or ante grade,
it will light up with contrast enhancement. In time of flight, retrograde
flow will lose signal and the vessel would be dark.
发信人: newprozac (中人), 信区: Medicalpractice
标 题: Re: 【case discussion】 Syncope
发信站: BBS 未名空间站 (Mon Feb 6 03:22:35 2012, 美东)
Very interesting case.
I wonder where the brain stem infarct is. Are they (with cerebellu... 阅读全帖 |
|
f*********1 发帖数: 189 | 15 Interesting. What is the evidence of spleen infarction? What support you
think it is spleen infarction? How do you manage spleen infarction? |
|
R*******t 发帖数: 367 | 16 There is heterogenous sub capsular scalloping around the spleen, most
suggestive of sub capsular bleeds, presumably at bleeds with re-bleeds. If
the patient does not have trauma, then coagulopathy with meds or neoplasms
should be considered. I don't see the typical wedge-shaped hypo attenuation
seen with arterial infarct, But venous infarct can't be excluded. Although
post-infarct hemorrhage is not very commonly seen.
There is obvious intervals growth of a central hypo attenuating mass, what
is... 阅读全帖 |
|
d**o 发帖数: 618 | 17 I'm not sure what are the points you try to clarify.
1. At this point there is no alternative that is proven better than tPA.
http://www.medscape.com/viewarticle/778998
2. You may say the pt is a little too old for hemicraniectomy, but it is not
excessive.
"Patients with malignant MCA territory infarction should be enrolled in
randomized controlled trials of decompressive hemicraniectomy if this option
is available. In the absence of clinical trial availability, and given the
dire prognosis asso... 阅读全帖 |
|
r*******g 发帖数: 5495 | 18 Selected Differential Diagnosis of Abdominal Pain
Pain location Possible diagnoses
Right upper quadrant Biliary: cholecystitis, cholelithiasis, cholangitis
Colonic: colitis, diverticulitis
Hepatic: abscess, hepatitis, mass
Pulmonary: pneumonia, embolus
Renal: nephrolithiasis, pyelonephritis
... 阅读全帖 |
|
g***r 发帖数: 285 | 19
you have to tell me what is 丘脑? is it thalamus?
if it is, it's most likely lacunar infarct, which often occurs in internal
capsule,
most of lacunar infarct is due to small vessel disease with risk factors
such as hypertension, diabetes, hyperlipidemia and such, though very small
percentage of it could be from embolic source,
i see she is taking plavix, depends on which neurologist you are talking to,
either plavix or aggrenox will be fine, which is a step up above aspirin,
if she starts having |
|
w**********9 发帖数: 242 | 20 Because his father appears to have no myocardiac infarction, but angina is
for sure. the most common is stable angina; of course, unstable angina is
also possible. but, unstable angina is very dangerous, 50% will progress to
myocardiac infarction. His father appears not in that urgent situation.
angina? |
|
l*****y 发帖数: 5737 | 21 ☆─────────────────────────────────────☆
MakingWaves (making waves) 于 (Mon Dec 31 14:28:31 2012, 美东) 提到:
今年我妈住了两次院。现在我看, 好像都不是非住院不可的毛病。但医院从利益出发
,轻易建议住院, 过度治疗, 病人结果适得其反。
第一次是年初。一天早晨我妈起床上厕所,不知怎么就摔倒在床边,短暂昏迷。我爸随
后扶她去了医院。诊断是脑梗,收住院,点滴稀释血液的药, 同时点滴所谓有营养功
能的中药制剂。最多的时候,一天里输液有七种药品。我妈本来血压还不大高,输了几
天液,血压就高上去了, 腿走路都没劲了。她以前做过核磁共振, 当时大夫说,那结
果,不要说是六十多岁的人的,就算是四十多岁的人,都算正常。这次住院又作了核磁
共振,和一两年前比较,并无大变化,但脑梗的诊断不变。每次我妈抱怨不舒服,大夫
就再给加一种药输液。后来我妈实在受不了了,说,“走着进的医院, 住了几天,反
倒不能走路了”。终于在两个多星期后坚持出院。回家后, 不用那些药, 血压又正常
了,人有劲了, 也没再摔过... 阅读全帖 |
|
l*h 发帖数: 4124 | 22 as you already know, it is a serious condition.
just from the symptoms, it is likely acute myocardial infarction (AMI). it
could also be severe angina without infarction. in the majority of cases,
the primary cause is vascular. alternatively, in certain circumstances,
problems in the conduction system can cause hemodynamic disturbances severe
enough to cause heart attacks.
AMI, depending on where it occurs, can damage the conduction system too.
my first experience with AMI in young people was qu... 阅读全帖 |
|
|
p********3 发帖数: 5750 | 24 以下有文献是讲中药Lead中毒的:我懒得去筛选, 先发这个。 还有很多其他的比如癌
症的, 肾脏毒性的, 单个疾病双盲单盲科研的。我就不一一列举了。
参看50, 51, 70, 73-75.
REFERENCES 1 Wilt TJ, Ishani A, Stark G, et al. Saw palmetto extracts for treatment of benign prostatic hyperplasia: a systematic review. JAMA 1998; 280:1604.
2 Blumenthal M (Ed). The ABC Clinical Guide to Herbs. American Botanical Council/Thieme, New York 2003.
3 Kaptchuk TJ. Acupuncture: theory, efficacy, and practice. Ann Intern Med 2002; 136:374.
4 Farnsworth NR, Akerele O, Bingel AS, et al. Med... 阅读全帖 |
|
p****y 发帖数: 23737 | 25 Recently, there has been a renewed interest in vegetarian diets. Today there
are countless books, cookbooks, and magazine articles promoting vegetarian
diets and providing guidance for those who wish to follow a meatless diet. A
Short Historical Perspective on Vegetarian Diets
In the past, many viewed vegetarianism as strange and faddish but
appropriately planned vegetarian diets are now recognized by many, including
the American Dietetic Association, as being nutritionally adequate, and
providi... 阅读全帖 |
|
m***f 发帖数: 1622 | 26
扯淡呢,看看高最近两年发表的文章吧
CELL STEM CELL, JBC, STEM CELL, PNAS,都是很不错的
就这样还不能PROMOTION? 在美国都可以tennure了
1. Wu T., Wang H., He J., Kang L., Jiang Y., Liu J., Zhang Y., Kou
Z., Liu L., Zhang X., Gao S. (2011) Reprogramming of trophoblast stem
cells into pluripotent stem cells by Oct4. Stem Cells 2011 Feb 8.
[Epub ahead of print].
2. Kang L., Wu T., Tao Y., Yuan Y., He J., Zhang Y., Luo T., Kou Z.,
Gao S. (2010) Viable mice produced from 3-factor induced pluripotent
stem (iPS) cells through tetrapl... 阅读全帖 |
|
j*******g 发帖数: 10 | 27 thanks a lot!
Current Neurovascular Research
ISSN (Print): 1567-2026
ISSN (Online): 1875-5739
VOLUME: 9
ISSUE: 1
DOI: 10.2174/156720212799297100
PDGF Receptor β Signaling in Pericytes Following Ischemic Brain Injury
Author(s): Koichi Arimura, Tetsuro Ago, Masahiro Kamouchi, Kuniyuki Nakamura
, Koji Ishitsuka, Junya Kuroda, Hiroshi Sugimori, Hiroaki Ooboshi, Tomio
Sasaki and Takanari Kitazono
Pages 1-9 (9)
Abstract:
Platelet derived growth factor (PDGF)-B plays a neuroprotective role in
brain dam... 阅读全帖 |
|
l******g 发帖数: 278 | 28 NBME form 4
1. A 22-year-old woman with asthma comes to the physician for a follow-up
examination. She feels well. She has been treated for six acute episodes of
wheezing and nonproductive cough during the past year; her last episode was
1 month ago. Her symptoms are exacerbated when she is outside during the
spring and fall. Current medications include an albuterol inhaler and
echinacea. She has smoked one-half pack of cigarettes daily for 5 years and
does not drink alcohol. She is employed in ... 阅读全帖 |
|
j*****o 发帖数: 137 | 29 A 43-year-old man comes to the physician for evaluation and management of
cardiac risk factors 8 weeks after sustaining a myocardial infarction. He
takes aspirin and metoprolol daily, and he does not smoke cigarettes. His
father and brother both had myocardial infarctions before the age of 50
years; their serum cholesterol levels are unknown. There is no family
history of diabetes mellitus. He weighs 86 kg (190 lb) and is 180 cm (71 in)
tall. His blood pressure is 130/70 mm Hg, pulse is 68/min, ... 阅读全帖 |
|
j*****o 发帖数: 137 | 30 A 43-year-old man comes to the physician for evaluation and management of
cardiac risk factors 8 weeks after sustaining a myocardial infarction. He
takes aspirin and metoprolol daily, and he does not smoke cigarettes. His
father and brother both had myocardial infarctions before the age of 50
years; their serum cholesterol levels are unknown. There is no family
history of diabetes mellitus. He weighs 86 kg (190 lb) and is 180 cm (71 in)
tall. His blood pressure is 130/70 mm Hg, pulse is 68/min, ... 阅读全帖 |
|
f****o 发帖数: 2770 | 31 我讲话难听由于家庭遗传,真不好意思。
我吧书本上的东西全部贴出来,你能看懂多少算多少吧。
Heart Failure
DEFINITION
Heart failure (HF) is a clinical syndrome caused by the inability of the
heart to pump sufficient blood to meet the metabolic needs of the body.
Heart failure can result from any disorder that reduces ventricular filling
(diastolic dysfunction) and/or myocardial contractility (systolic
dysfunction).
PATHOPHYSIOLOGY
Causes of systolic dysfunction (decreased contractility) are reduction in
muscle mass (e.g., myocardial infarctio... 阅读全帖 |
|
u*******s 发帖数: 688 | 32 关于calcium那个,对,我说的risk outweighs benefit是指那些没有症状,没有缺钙
,但是为了预防缺钙的人群。年纪大的骨质疏松的人,都应该服用钙,这肯定是无需置
疑的。
这里有一些文献,有兴趣的同学可以深入研究一下。
Bolland MJ, et al. Effect of calcium supplements on risk of myocardial
infarction and cardiovascular events: Meta-analysis. British Medical Journal
. 2010;341:3691.
Bolland MJ, et al. Calcium supplements with or without vitamin D and risk of
cardiovascular events: Reanalysis of the Women's Health Initiative limited
access dataset and meta-analysis. British Medical Journal. 2011... 阅读全帖 |
|
A*******s 发帖数: 9638 | 33 Usually start coumadin within 2 wks after a massive infarct with a-fib. There
is a guideline for this.
Avoid anticoagulation for any new massive infarct. But it depends.
after
will
them |
|
A*******s 发帖数: 9638 | 34 Usually start coumadin within 2 wks after a massive infarct with a-fib. There
is a guideline for this.
Avoid anticoagulation for any new massive infarct. But it depends.
after
will
them |
|
A*******s 发帖数: 9638 | 35 The patient was confused on the day of admission. Next day, she was much
more awake. I noticed she has a right INO, all other exams had no change.
MRI showed a brain stem infarct, 2 small infarcts in cerebellum.
ECHO shows no clots.
EEG was nl.
CMP at admission including Glucose was 126. |
|
A*******s 发帖数: 9638 | 36 1. Syncope is from brain stem ischemia due to SSS, brain stem infarct is
just a part of it.
2. Not sure about vertebral A direction, I would assume it would be
antegrade on the right and retrograde on the left.
3. No syncope before.
4. It is not uncommon to see a single artery stenosis (atherosclerosis)on
MRA or CTA.
infarct)
than
a
of |
|
A*******s 发帖数: 9638 | 37 The patient was confused on the day of admission. Next day, she was much
more awake. I noticed she has a right INO, all other exams had no change.
MRI showed a brain stem infarct, 2 small infarcts in cerebellum.
ECHO shows no clots.
EEG was nl.
CMP at admission including Glucose was 126. |
|
A*******s 发帖数: 9638 | 38 1. Syncope is from brain stem ischemia due to SSS, brain stem infarct is
just a part of it.
2. Not sure about vertebral A direction, I would assume it would be
antegrade on the right and retrograde on the left.
3. No syncope before.
4. It is not uncommon to see a single artery stenosis (atherosclerosis)on
MRA or CTA.
infarct)
than
a
of |
|
A*******s 发帖数: 9638 | 39 This patient most likely suffered from an ischemic infarct with hemorrhagic
transformation based on the initial presentation.
So elevated BP is from the stroke not the other way around.
The workup should include a MRI/MRA to establish a diagnosis of acute
infarct and rule out anurysm/AVM, respectively.
Treatement would be to moderately lower the BP, like 140/90. Too low would
worsen the stroke, whereas too high would make bleeding more.
I have no knowledge regarding the treatment mentioned by LZ... 阅读全帖 |
|
A*******s 发帖数: 9638 | 40 I would not use ativan unless an EEG shows epileptic discharges.
The causes of MS change are complicated in a patient with multiple infarcts.
I agree a TIA or stroke could trigger her symptoms since she had bilateral
old infarcts. |
|
A*******s 发帖数: 9638 | 41 I know nothing about spleen but infarction, lol
Wait Ruby back. She is an expert on CT.
There is no treatment for infarction. |
|
A*******s 发帖数: 9638 | 42 Sorry to see this, bless.
I guess this is a brain stem infarct or capsular infarct which is usually
very tiny but causes severe symptoms. Fortunately these stroke symptoms
usually imrove even though very slow. From your story, I don't think there
was any theraputic window to treat this stroke (> 3 hours). Therefore, an
earlier diagnosis may not change the outcome.
Nevertheless, I do think they should not misdiagnose her at the first place. |
|
d**o 发帖数: 618 | 43 来自主题: Medicalpractice版 - 阿司匹林 反方意见来了,看来还会有一段时间的争议,不过大体看来,aspirin对low-risk的
primary prevention之外的benefits,即使有也会是比较小的。
http://www.sciencedirect.com/science/article/pii/S0002934311008
I read with interest the meta-analysis of trials of aspirin for the primary
prevention of cardiovascular disease.1 After almost 1 million person-years'
follow-up, >3500 deaths, and almost 4000 cardiovascular events, treatment
with aspirin might have prevented 21 deaths, possibly none cardiovascular,
88 myocardial infarctions, and 13 strokes, and m... 阅读全帖 |
|
m********4 发帖数: 607 | 44 这样的结果,很好吗?能够接受吗?问题出在哪?
——————————————————————————————————
http://circ.ahajournals.org/content/127/1/e6.full
Below are a few highlights from this year’s Update.
1, The 2013 Update Expands Data Coverage of the Epidemic of Poor
Cardiovascular Health Behaviors and Their Antecedents and Consequences
Adjusted population attributable fractions for cardiovascular disease (CVD)
mortality were as follows1: 40.6% (95% confidence interval [CI], 24.5–54.6)
for high blood pressure; 13.7% (95% CI, 4.8–22.3) fo... 阅读全帖 |
|
A*******s 发帖数: 9638 | 45 CT is good for bleeding but not sensitive for recent infarct or small
infarct.
★ 发自iPhone App: ChineseWeb 8.6 |
|
A*******s 发帖数: 9638 | 46 CT is good for bleeding but not sensitive for recent infarct or small
infarct.
★ 发自iPhone App: ChineseWeb 8.6 |
|
p****y 发帖数: 23737 | 47 http://www.vegetarian-nutrition.info/updates/vegetarian_diets_health_benefits.php
Recently, there has been a renewed interest in vegetarian diets. Today there
are countless books, cookbooks, and magazine articles promoting vegetarian
diets and providing guidance for those who wish to follow a meatless diet. A
Short Historical Perspective on Vegetarian Diets
In the past, many viewed vegetarianism as strange and faddish but
appropriately planned vegetarian diets are now recognized by many, includi... 阅读全帖 |
|
m*t 发帖数: 7490 | 48 别告诉我英国的处方药就不算药了,只有美国的才算
http://en.wikipedia.org/wiki/Heroin
Medical use
Under the chemical name diamorphine, diacetylmorphine is prescribed as a
strong analgesic in the United Kingdom, where it is given via subcutaneous,
intramuscular, intrathecal or intravenous route. Its use includes treatment
for acute pain, such as in severe physical trauma, myocardial infarction,
post-surgical pain, and chronic pain, including end-stage cancer and other
terminal illnesses. In other countries it is more comm... 阅读全帖 |
|
C*****l 发帖数: 231 | 49 http://www.telegraph.co.uk/news/worldnews/asia/china/9539184/Ch
Xi Jinping is expected to be unveiled as the leader of the Communist party
in the coming weeks, but his disappearance from the public eye has sparked
increasing speculation.
"Although people have said he suffered a back injury, he actually had a
heart attack, a myocardial infarction," said Li Weidong, a political
commentator in Beijing and the former editor of China Reform.
The magazine is influential among Chinese policymakers and ... 阅读全帖 |
|
m********5 发帖数: 17667 | 50 Khat消耗了该国的所有农田,40%的水用于浇灌Khat
Khat is so popular in Yemen, its cultivation consumes much of the country's
agricultural resources. An estimated 40% of the country's water supply goes
towards irrigating it,[14] with production increasing by about 10% to 15%
every year. One "daily bag" of khat requires an estimated 500 litres (130 US
gal) of water to produce.[15] Water consumption is so high, groundwater
levels in the Sanaa basin are diminishing, so government officials have
proposed relocating larg... 阅读全帖 |
|