Background:Information on the association between physical activity(PA)and the risk of chronic kidney disease(CKD)is limited.We aimed to explore the associations of total,domain-specific,and intensity-specific PA with...Background:Information on the association between physical activity(PA)and the risk of chronic kidney disease(CKD)is limited.We aimed to explore the associations of total,domain-specific,and intensity-specific PA with CKD and its subtypes in China.Methods:The study included 475,376 adults from the China Kadoorie Biobank aged 30-79 years during 2004-2008 at baseline.An interviewer-administered questionnaire was used to collect the information about PA,which was quantified as metabolic equivalent of task hours per day(MET-h/day)and categorized into 4 groups based on quartiles.Cox regression was used to analyze the association between PA and CKD risk.Results:During a median follow-up of 12.1 years,5415 incident CKD cases were documented,including 1159 incident diabetic kidney disease(DKD)cases and 362 incident hypertensive nephropathy(HTN)cases.Total PA was inversely associated with CKD risk,with an adjusted hazard ratio(HR,95%confidence interval(95%CI))of 0.83(0.75-0.92)for incident CKD in the highest quartile of total PA as compared with participants in the lowest quartile.Similar results were observed for risk of DKD and HTN,and the corresponding HRs(95%CIs)were 0.75(0.58-0.97)for DKD risk and 0.56(0.37-0.85)for HTN risk.Increased nonoccupational PA,low-intensity PA,and moderate-to-vigorous-intensity PA were significantly associated with a decreased risk of CKD,with HRs(95%CIs)of 0.80(0.73-0.88),0.85(0.77-0.94),and 0.85(0.76-0.95)in the highest quartile,respectively.Conclusion:PA,including nonoccupational PA,low-intensity PA,and moderate-to-vigorous-intensity PA,was inversely associated with the risk of CKD,including DKD,HTN,and other CKD,and such associations were dose dependent.展开更多
A crystallographic homogenization method is proposed and implemented to predict the evolution of plastic deformation induced texture and plastic anisotropy(earring) in the stamping of polycrystalline sheet metals.The ...A crystallographic homogenization method is proposed and implemented to predict the evolution of plastic deformation induced texture and plastic anisotropy(earring) in the stamping of polycrystalline sheet metals.The microscopic inhomogeneity of crystal aggregate has been taken into account with the microstructure made up of a representative aggregate of single crystal grains.Multi-scale analysis is performed by coupling the microscopic crystal plasticity with the macroscopic continuum response through the present homogenization procedure.The macroscopic stress is defined as the volume average of the corresponding microscopic crystal aggregations,which simultaneously satisfies the equation of motion in both micro-and macro-states.The proposed numerical implementation is based on a finite element discretization of the macrocontinuum,which is locally coupled at each Gaussian point with a finite element discretization of the attached micro-structure.The solution strategy for the macro-continuum and the pointwiseattached micro-structure is implemented by the simultaneous employment of dynamic explicit FE formulation.The rate-dependent crystal plasticity model is used for the constitutive description of the constituent single crystal grains.It has been confirmed that Taylor's constant strain homogenization assumption yields an undue concentration of the preferred crystal orientation compared with the present homogenization in the prediction of texture evolution,with the latter having relaxed the constraints on the crystal grains.Two kinds of numerical examples are presented to demonstrate the capability of the developed code:1) The texture evolution of three representative deformation modes,and 2) Plastic anisotropy(earring) prediction in the hemispherical cup deep drawing process of aluminum alloy A5052 with initial texture.By comparison of simulation results with those obtained employing direct crystal plasticity calculation adopting Taylor assumption,conclusions are drawn that the proposed dynamic explicit crystallographic homogenization FEM is able to more accurately predict the plastic deformation induced texture evolution and plastic anisotropy in the deep drawing process.展开更多
This paper derives the extended ambiguity function for a bistatic multiple-input multiple-output (MIMO) radar system,which includes the whole radar system parameters:geometric sensor configuration,waveforms,range,rang...This paper derives the extended ambiguity function for a bistatic multiple-input multiple-output (MIMO) radar system,which includes the whole radar system parameters:geometric sensor configuration,waveforms,range,range rate,target scattering and noise characteristics.Recent research indicates the potential parameter estimate performance of bistatic MIMO radars.And this ambiguity function can be used to analyze the parameter estimate performance for the relationship with the Cramer-Rao bounds of the estimated parameters.Finally,some examples are given to demonstrate the good parameter estimate performance of the bistatic MIMO radar,using the quasi-orthogonal waveforms based on Lorenz chaotic systems.展开更多
Background: Despite recent improvements in the hospital treatment of ACS, little is known about current cardiological practice in China or use of evidence-based approach in Chinese hospitals. Methods: A questionnaire ...Background: Despite recent improvements in the hospital treatment of ACS, little is known about current cardiological practice in China or use of evidence-based approach in Chinese hospitals. Methods: A questionnaire about doctor-reported hospital management of ACS was posted to the head of the cardiology department of 1397 hospitals across 30 provinces of China. Reported use of various clinical procedures and treatments were analysed and compared between different types of hospital. Results: Of the 1029 (74%) hospitals that responded, 43% were tier III (tertiary) hospitals. For STEMI, primary PCI was used as the main reperfusion therapy by 50.2% of tier III and 9.3% of tier II/I (secondary) hospitals. Most of hospitals also used various proven therapy routinely for STEMI and NSTEMI/UA, including anti-platelet therapy (98% and 93%), anticoagulant (96% and 90%), statin (97% and 94%), oral β-blockers (87% and 86%) and ACE-I (88% and 83%). However, certain therapies with little or no proven value (eg, G.I.K., magnesium and Chinese tradition medicine) remained used routinely by 25% - 40% of tier II/I hospitals. After discharge, statin, antiplatelet, β-blockers and ACE-I were reportedly used routinely by 85% - 95% of the responders for secondary prevention. Conclusions: With a few exceptions, doctor-reported hospital management of ACS in China is largely consistent with that recommended by current guidelines. Large nationwide registries are needed to assess long-term adherence to treatments after hospital discharge.展开更多
Hard x-ray(HXR)burst is found during internal crash in the flat top current stage of experimental advanced superconducting tokamak(EAST)discharges and it is caused by fast electrons.The generated electrons during inte...Hard x-ray(HXR)burst is found during internal crash in the flat top current stage of experimental advanced superconducting tokamak(EAST)discharges and it is caused by fast electrons.The generated electrons during internal crashes may be an operational safety issue in advanced tokamaks.During an internal crash,locations of fast electron generation from HXR evolution agree with areas of magnetic reconnection from soft x-ray(SXR)tomographic reconstruction.Further statistical analyses show a 27μs time difference between SXR crashes and HXR bursts,and the agreement between time broadening of HXR bursts and estimated characteristic time of magnetic reconnection in EAST.The magnetic reconnections during internal crash are proved to generate fast electrons,by both spatial and temporal agreements.展开更多
With the development of China's social economy,transfer of rural labors,and rise of labor costs,the rice production technologies are changing from manual operation to mechanical operation.The core of mechanical ri...With the development of China's social economy,transfer of rural labors,and rise of labor costs,the rice production technologies are changing from manual operation to mechanical operation.The core of mechanical rice production is mechanical planting,while the key to mechanical planting is the seedling raising.On the basis of analyzing and studying the problems and experience of traditional mechanical transplanting of rice,a new overlapped tray seedling raising model was introduced.Main features of this model: substrate seedling raising and overlapped seedling tray.The seedling trays for seeding line are overlapped,and the overlapped trays are moved into the seedling room with controlled temperature and humidity.The temperature of the seedling room is controlled at 30-32℃,and the humidity of the seedling room is controlled at above 90%.After about 48 h,when the seedling height reaches 0.5 cm,move the seedling trays to the nursery.This model consists of one seeding center( seedling raising center) and N nurseries,to realize 1 + N seedling raising for mechanical transplanting of rice.One seeding center can provide seedlings for several hundred to several thousand hectares of mechanical transplanting of rice,and provide a new model for social services.This model could improve the quality of seedlings,increase the seedling survival rate by about 20%,reduce the seedling raising costs by 15%-20%,reduce the seedling raising risks,and greatly increase the utilization rate of the site and equipment of seedling raising center.展开更多
Background:Most lung cancer risk prediction models were developed in European and North-American cohorts of smokers aged≥55 years,while less is known about risk profiles in Asia,especially for never smokers or indivi...Background:Most lung cancer risk prediction models were developed in European and North-American cohorts of smokers aged≥55 years,while less is known about risk profiles in Asia,especially for never smokers or individuals aged<50 years.Hence,we aimed to develop and validate a lung cancer risk estimate tool for ever and never smokers across a wide age range.Methods:Based on the China Kadoorie Biobank cohort,we first systematically selected the predictors and explored the nonlinear association of predictors with lung cancer risk using restricted cubic splines.Then,we separately developed risk prediction models to construct a lung cancer risk score(LCRS)in 159,715 ever smokers and 336,526 never smokers.The LCRS was further validated in an independent cohort over a median follow-up of 13.6 years,consisting of 14,153 never smokers and 5,890 ever smokers.Results:A total of 13 and 9 routinely available predictors were identified for ever and never smokers,respectively.Of these predictors,cigarettes per day and quit years showed nonlinear associations with lung cancer risk(Pnon-linear<0.001).The curve of lung cancer incidence increased rapidly above 20 cigarettes per day and then was relatively flat until approximately 30 cigarettes per day.We also observed that lung cancer risk declined sharplywithin the first 5 years of quitting,and then continued to decrease but at a slower rate in the subsequent years.The 6-year area under the receiver operating curve for the ever and never smokers’models were respectively 0.778 and 0.733 in the derivation cohort,and 0.774 and 0.759 in the validation cohort.In the validation cohort,the 10-year cumulative incidence of lung cancerwas 0.39%and 2.57%for ever smokers with low(<166.2)and intermediate-high LCRS(≥166.2),respectively.Never smokers with a high LCRS(≥21.2)had a higher 10-year cumulative incidence rate than those with a low LCRS(<21.2;1.05%vs.0.22%).An online risk evaluation tool(LCKEY;http://ccra.njmu.edu.cn/lckey/web)was developed to facilitate the use of LCRS.Conclusions:The LCRS can be an effective risk assessment tool designed for ever and never smokers aged 30 to 80 years.展开更多
Background: Evidence on the relations of the American Heart Association’s ideal cardiovascular health (ICH) with mortality in Asians is sparse, and the interaction between behavioral and medical metrics remained uncl...Background: Evidence on the relations of the American Heart Association’s ideal cardiovascular health (ICH) with mortality in Asians is sparse, and the interaction between behavioral and medical metrics remained unclear. We aimed to fill the gaps. Methods: A total of 198,164 participants without cancer and cardiovascular disease (CVD) were included from the China Kadoorie Biobank study (2004-2018), Dongfeng-Tongji cohort (2008-2018), and Kailuan study (2006-2019). Four behaviors (i.e., smoking, physical activity, diet, body mass index) and three medical factors (i.e., blood pressure, blood glucose, and blood lipid) were classified into poor, intermediate, and ideal levels (0, 1, and 2 points), which constituted 8-point behavioral, 6-point medical, and 14-point ICH scores. Results of Cox regression from three cohorts were pooled using random-effects models of meta-analysis. Results: During about 2 million person-years, 20,176 deaths were recorded. After controlling for demographic characteristics and alcohol drinking, hazard ratios (95% confidence intervals) comparing ICH scores of 10-14 vs. 0-6 were 0.52 (0.41-0.67), 0.44 (0.37-0.53), 0.54 (0.45-0.66), and 0.86 (0.64-1.14) for all-cause, CVD, respiratory, and cancer mortality. A higher behavioral or medical score was independently associated with lower all-cause and CVD mortality among the total population and populations with different levels of behavioral or medical health equally, and no interaction was observed. Conclusions: ICH was associated with lower all-cause, CVD, and respiratory mortality among Chinese adults. Both behavioral and medical health should be improved to prevent premature deaths.展开更多
Background:Severe liver disease(SLD),including cirrhosis and liver cancer,constitutes a major disease burden in China.We aimed to examine the association of genetic and healthy lifestyle factors with the incidence and...Background:Severe liver disease(SLD),including cirrhosis and liver cancer,constitutes a major disease burden in China.We aimed to examine the association of genetic and healthy lifestyle factors with the incidence and prognosis of SLD.Methods:The study population included 504,009 participants from the prospective China Kadoorie Biobank aged 30-79 years.The individuals were from 10 diverse areas in China without a history of cancer or liver disease at baseline.Cox regression was used to estimate adjusted hazard ratios(HRs)for incident SLD and death after SLD diagnosis associated with healthy lifestyle factors(smoking,alcohol,physical activity,and central adiposity).Additionally,the contribution of genetic risk for hepatitis B virus(HBV,assessed by genetic variants in major histocompatibility complex,class II,DP/DQ[HLA-DP/DQ]genes)was also estimated.Results:Compared with those with 0-1 healthy lifestyle factor,participants with 2,3,and 4 factors had 12%(HR 0.88[95%confidence interval[CI]0.85,0.92]),26%(HR 0.74[95%CI:0.69,0.79]),and 44%(HR 0.56[95%CI:0.48,0.65])lower risks of SLD,respectively.Inverse associations were observed among participants with both low and high genetic risks(HR per 1-point increase 0.83[95%CI:0.74,0.94]and 0.91[95%CI:0.82,1.02],respectively;P_(interaction)=0.51),although with a non-significant trend among those with a high genetic risk.Inverse associations were also observed between healthy lifestyle factors and liver biomarkers regardless of the genetic risk.Despite the limited power,healthy lifestyle factors were associated with a lower risk of death after incident SLD among participants with a low genetic risk(HR 0.59[95%CI:0.37,0.96]).Conclusions:Lifestyle modification may be beneficial in terms of lowering the risk of SLD regardless of the genetic risk.Moreover,it is also important for improving the prognosis of SLD in individuals with a low genetic risk.Future studies are warranted to examine the impact of healthy lifestyles on SLD prognosis,particularly among individuals with a high genetic risk.展开更多
Background:Existing evidence suggests that fruit consumption is a significant influencing factor for chronic obstructive pulmonary disease(COPD),but this is unclear in the Chinese population.We examined the associatio...Background:Existing evidence suggests that fruit consumption is a significant influencing factor for chronic obstructive pulmonary disease(COPD),but this is unclear in the Chinese population.We examined the association of fresh fruit consumption with the risk of COPD-related hospitalization and death in a nationwide,population-based prospective cohort from China.Methods:Between 2004 and 2008,the China Kadoorie Biobank recruited>0.5 million adults aged 30 to 79 years from ten diverse regions across China.After excluding individuals diagnosed with major chronic diseases and prevalent COPD,the prospective analysis included 421,428 participants.Cox regression was used to calculate the hazard ratios(HRs)for the association between fresh fruit consumption and risk of COPD-related hospitalization and death,with adjustment for established and potential confounders.Results:During a mean follow-up of 10.9 years,11,292 COPD hospitalization events and deaths were documented,with an overall incidence rate of 2.47/1000 person-years.Participants who consumed fresh fruit daily had a 22%lower risk of COPD-related hospitalization and death compared with non-consumers(HR=0.78,95%confidence interval[CI]:0.71-0.87).The inverse association between fresh fruit consumption and COPD-related hospitalization and death was stronger among non-current smokers and participants with normal body mass index(BMI)(18.5 kg/m^(2)≤BMI<24.0 kg/m^(2));the corresponding HRs for daily fresh fruit consumption were 0.78(95%CI:0.68-0.89)and 0.69(95%CI:0.59-0.79)compared with their counterparts,respectively.Conclusions:High-frequency fruit consumption was associated with a lower risk of COPD in Chinese adults.Increasing fruit consumption,together with cigarette cessation and weight control,should be considered in the prevention and management of COPD.展开更多
Background:Several studies have reported that polygenic risk scores(PRSs)can enhance risk prediction of coronary artery disease(CAD)in European populations.However,research on this topic is far from sufficient in non-...Background:Several studies have reported that polygenic risk scores(PRSs)can enhance risk prediction of coronary artery disease(CAD)in European populations.However,research on this topic is far from sufficient in non-European countries,including China.We aimed to evaluate the potential of PRS for predicting CAD for primary prevention in the Chinese population.Methods:Participants with genome-wide genotypic data from the China Kadoorie Biobank were divided into training(n=28,490)and testing sets(n=72,150).Ten previously developed PRSs were evaluated,and new ones were developed using clumping and thresholding or LDpred method.The PRS showing the strongest association with CAD in the training set was selected to further evaluate its effects on improving the traditional CAD risk-prediction model in the testing set.Genetic risk was computed by summing the product of the weights and allele dosages across genome-wide single-nucleotide polymorphisms.Prediction of the 10-year first CAD events was assessed using hazard ratios(HRs)and measures of model discrimination,calibration,and net reclassification improvement(NRI).Hard CAD(nonfatal I21-I23 and fatal I20-I25)and soft CAD(all fatal or nonfatal I20-I25)were analyzed separately.Results:In the testing set,1214 hard and 7201 soft CAD cases were documented during a mean follow-up of 11.2 years.The HR per standard deviation of the optimal PRS was 1.26(95%CI:1.19-1.33)for hard CAD.Based on a traditional CAD risk prediction model containing only non-laboratory-based information,the addition of PRS for hard CAD increased Harrell’s C index by 0.001(-0.001 to 0.003)in women and 0.003(0.001 to 0.005)in men.Among the different high-risk thresholds ranging from 1%to 10%,the highest categorical NRI was 3.2%(95%CI:0.4-6.0%)at a high-risk threshold of 10.0%in women.The association of the PRS with soft CAD was much weaker than with hard CAD,leading to minimal or no improvement in the soft CAD model.Conclusions:In this Chinese population sample,the current PRSs minimally changed risk discrimination and offered little improvement in risk stratification for soft CAD.Therefore,this may not be suitable for promoting genetic screening in the general Chinese population to improve CAD risk prediction.展开更多
Forests are the largest carbon sinks among terrestrial ecosystems.They sequestrate carbon primarily through tree growth but are currently under severe threat from global change.Recently,Tavares et al.1 identified a cr...Forests are the largest carbon sinks among terrestrial ecosystems.They sequestrate carbon primarily through tree growth but are currently under severe threat from global change.Recently,Tavares et al.1 identified a crucial trait,the xylem hydraulic safety margin(HSM),for predicting the risk of drought-induced tree mortality and biomass in Amazon forests.They also found that old-growth forests with wide HSMs build more biomass,while fast-growing forests are exposed to greater hydraulic risks and have a higher mortality rate.展开更多
Background:Revegetation is widely used in degraded grassland restoration.However,the responses of grassland plant and soil properties to fencing(FC)and grazing(GZ)remain poorly understood,especially the vegetation–so...Background:Revegetation is widely used in degraded grassland restoration.However,the responses of grassland plant and soil properties to fencing(FC)and grazing(GZ)remain poorly understood,especially the vegetation–soil coupling coordination(C_(d))mechanism.This study explored single and interactive responses of vegetation and soil properties under FC and GZ after revegetation.Methods:A field experiment with FC and GZ treatments was conducted in Loess Plateau reconstructed grassland,with degraded grassland as the control(CK).Plant and soil properties and C_(d) were analyzed using the analytic hierarchy process(AHP)and principal component analysis(PCA).Results:The order of soil comprehensive evaluation(SCE)was GZ>FC>CK,while that of vegetation comprehensive evaluation(VCE)was FC>GZ>CK.The C_(d) of CK was 0.39(mild imbalance),while the values of FC and GZ were 0.57 and 0.54,respectively(little coordination).The VCE/SCE of FC was 1.48(soil lag type),and the values of GZ and CK were 0.69 and 0.35,respectively(vegetation lag and vegetation loss type,respectively).Conclusions:Both GZ and FC improved C_(d) and facilitated recovery.However,degraded grasslands should be restored via moderate grazing for sustainable ecological and economic development.展开更多
In the span of thousands of years of history,especially during the confrontation with western powers in the past centuries,the Chinese nation has transformed itself from a"self-being"to a"self-conscious...In the span of thousands of years of history,especially during the confrontation with western powers in the past centuries,the Chinese nation has transformed itself from a"self-being"to a"self-conscious"national entity,forming a multi-level and multi-dimensional community structure.As"the marginal"in the"Chinese cultural circle",visible and intangible,overseas O Chinese communities have always maintained a dynamic relationship with the"core",and overseas Chinese have constantly expanded the scope of the Chinese national space through alternative channels of culture and society.By analyzing the progression of three phases,namely the period before the 1850s,1850s-1950s and the period after the 1950s,this paper examines the role of overseas Chinese in the multidimensional space expansion of the Chinese nation.We deem that overseas Chinese maintained varied degrees of spatial connection and participated in the construction of the national homeland in multiple scales such as ethnic identity,cultural identity,economic ties and social networks;The sense of ethnic community of overseas Chinese is embodied in the inclinations toward the ancestral country,multi-dimensional identification and the concept of righteousness,showing the characteristics of pluralism and consensus;Due to the variance of affecting factors,such as migration time and intergenerational relations,geographical distance and cyberspace accessibility,policies of the country of origin and transnational interaction,there are distinguishable traits between different groups of overseas Chinese and the"core"of the multidimensional space of the Chinese nation.Overseas Chinese not only expand out,but also bridge and tie up the multidimensional and three-dimensional space of the Chinese nation.展开更多
Background:Few studies have assessed the relationship between multimorbidity patterns and mortality risk in the Chinese population.We aimed to identify multimorbidity patterns and examined the associations of multimor...Background:Few studies have assessed the relationship between multimorbidity patterns and mortality risk in the Chinese population.We aimed to identify multimorbidity patterns and examined the associations of multimorbidity patterns and the number of chronic diseases with the risk of mortality among Chinese middle-aged and older adults.Methods:We used data from the China Kadoorie Biobank and included 512,723 participants aged 30 to 79 years.Multimorbidity was defined as the presence of two or more of the 15 chronic diseases collected by self-report or physical examination at baseline.Multimorbidity patterns were identified using hierarchical cluster analysis.Cox regression was used to estimate the associations of multimorbidity patterns and the number of chronic diseases with all-cause and cause-specific mortality.Results:Overall,15.8%of participants had multimorbidity.The prevalence of multimorbidity increased with age and was higher in urban than rural participants.Four multimorbidity patterns were identified,including cardiometabolic multimorbidity(diabetes,coronary heart disease,stroke,and hypertension),respiratory multimorbidity(tuberculosis,asthma,and chronic obstructive pulmonary disease),gastrointestinal and hepatorenal multimorbidity(gallstone disease,chronic kidney disease,cirrhosis,peptic ulcer,and cancer),and mental and arthritis multimorbidity(neurasthenia,psychiatric disorder,and rheumatoid arthritis).During a median of 10.8 years of follow-up,49,371 deaths occurred.Compared with participants without multimorbidity,cardiometabolic multimorbidity(hazard ratios[HR]=2.20,95%confidence intervals[CI]:2.14-2.26)and respiratory multimorbidity(HR=2.13,95%CI:1.97-2.31)demonstrated relatively higher risks of mortality,followed by gastrointestinal and hepatorenal multimorbidity(HR=1.33,95%CI:1.22-1.46).The mortality risk increased by 36%(HR=1.36,95%CI:1.35-1.37)with every additional disease.Conclusion:Cardiometabolic multimorbidity and respiratory multimorbidity posed the highest threat on mortality risk and deserved particular attention in Chinese adults.展开更多
Background It remains unclear about the association of muscle mass,strength,and quality with death in the general Chinese population of diverse economical and geographical backgrounds.The present study aimed to compre...Background It remains unclear about the association of muscle mass,strength,and quality with death in the general Chinese population of diverse economical and geographical backgrounds.The present study aimed to comprehensively examine such associations across different regions in China.Methods Based on the China Kadoorie Biobank study,the present study included 23,290 participants who were aged 38 to 88 years and had no prevalent cardiovascular diseases or cancer.Muscle mass and grip strength were measured using calibrated instruments.Arm muscle quality was defined as the ratio of grip strength to arm muscle mass.Low muscle mass,grip strength,and arm muscle quality were defined as the sex-specific lowest quintiles of muscle mass index,grip strength,and arm muscle quality,respectively.Cox proportional hazards models yielded hazard ratios(HRs)and 95%confidence intervals(CIs)for risks of all-cause mortality in relation to muscle mass,strength,and quality.Results During a median follow-up of 3.98 years,739 participants died.The HR(95%CI)of all-cause mortality risk was 1.28(1.08–1.51)for low appendicular muscle mass index,1.38(1.16–1.62)for low total muscle mass index,1.68(1.41–2.00)for low grip strength,and 1.41(1.20–1.66)for low arm muscle quality in models adjusted for sociodemographic characteristics,lifestyle factors,and medical histories.Conclusion Low muscle mass,grip strength,and arm muscle quality are all associated with short-term increased risks of mortality,indicating the importance of maintaining normal muscle mass,strength,and quality for general Chinese adults.展开更多
Background and purpose There is limited nationwide evidence about the standard management characteristics of stroke types and prognosis in China.This study aimed to assess clinical characteristics,in-hospital and afte...Background and purpose There is limited nationwide evidence about the standard management characteristics of stroke types and prognosis in China.This study aimed to assess clinical characteristics,in-hospital and after-discharge management characteristics and prognosis for stroke types in China.Methods A nationwide registry recruited 14244 imaging-confirmed first-ever incident strokes from 132 hospitals across 31 provinces of China during 2007-2008,recording presenting characteristics,diagnostic procedures and in-hospital treatment.After hospital discharge,patients were followed up for 6 months.Conventional statistical methods were used to examine the patterns of management and prognosis.Results Overall,68.7%,26.9%and 4.4%were ischaemic stroke(IS),intracerebral haemorrhage(ICH),and subarachnoid haemorrhage(SAH),respectively.Only 20%were managed in a dedicated stroke unit.Among IS,1.3%received thrombolysis within 3 hours after symptom onset,whereas the proportions of receiving in-hospital antiplatelet therapy,neuroprotective agents and traditional Chinese medicines(TCM)were 88.4%,69.7%and 70.6%,respectively.For ICH,63.3%and 36.3%received neuroprotective agents and TCM in hospital,respectively.At discharge,70.7%and 38.0%of the patients with IS were given antiplatelet and statin therapies,respectively,decreasing to 64.8%and 23.9%,respectively,at 6 months.In-hospital mortality was 3.2%,9.3%and 10.1%for IS,ICH and SAH,respectively,with a further 8.6%,18.2%and 22.0%,respectively,died by 6 month.Meanwhile,in-hospital recurrence rate was 2.6%,1.9%and 7.2%for IS,ICH and SAH,respectively,with a further 8.0%,5.1%and 7.5%,respectively,recurred by 6 month.Conclusions In China,the mortality rate of stroke is lower than that reported from west populations,though most strokes are not managed in specialised stroke unit.There is widespread use of some unproven therapies but limited proven treatments,especially after discharge,leading to unnecessary recurrent risks.展开更多
Aerosol leads to 30% reduction in solar radiation reaching the earth's surface, and a similar reduction in crops yield for both wheat and rice. To determine the effect of aerosol wet deposition on crops, aerosol s...Aerosol leads to 30% reduction in solar radiation reaching the earth's surface, and a similar reduction in crops yield for both wheat and rice. To determine the effect of aerosol wet deposition on crops, aerosol samples were collected in September, 2006 at Xi'an urban suburb (34 44 N, 109 49 E), and wheat seedlings were treated with aerosol of different concentrations in laboratory conditions. Changes in physiological and biochemical parameters of wheat seedlings were measured. In comparison with the control, the activities of superoxide dismudase (SOD) and catalase (CAT) and the concentration malondialdehyde (MDA) and oxidized glutathione (GSSG) of wheat seedlings increased progressively with increasing concentrations of added aerosol, while the opposite trend was seen for the activities of nitric oxide synthase (NOS), the concentrations of glutathione (GSH) and nitric oxide (NO), and the ratio of GSH/GSSG. When the seedlings were treated with the aerosol of 1 and 2 mg/L, the coleoptile elongation, shoot elongation and biomass accumulation were increased, the effect at treatment of 2 mg/L was most significant. However, aerosol treatments with rates of 3 and 4 mg/L resulted in a decrease in coleoptile elongation, shoot elongation and biomass accumulation in seedlings, and significant effect was for the treatment of 4 mg/L. Hence, lower concentrations of aerosol wet deposition were in favor of crops growth, but its higher concentrations could result in deleterious effects for crops and decreased crops growth.展开更多
基金supported by National Natural Science Foundation of China(82192900,82192901,82192904,81941018,and 91846303)Peking University Medicine Seed Fund for Interdisciplinary Research(BMU2022MX025)+5 种基金the Fundamental Research Funds for the Central Universitiessupported by a grant from the Kadoorie Charitable Foundation in Hong Kongsupported by grants from the UK Wellcome Trust(212946/Z/18/Z,202922/Z/16/Z,104085/Z/14/Z,and 088158/Z/09/Z)the National Key R&D Program of China(2016YFC0900500)National Natural Science Foundation of China(81390540)Chinese Ministry of Science and Technology(2011BAI09B01)。
文摘Background:Information on the association between physical activity(PA)and the risk of chronic kidney disease(CKD)is limited.We aimed to explore the associations of total,domain-specific,and intensity-specific PA with CKD and its subtypes in China.Methods:The study included 475,376 adults from the China Kadoorie Biobank aged 30-79 years during 2004-2008 at baseline.An interviewer-administered questionnaire was used to collect the information about PA,which was quantified as metabolic equivalent of task hours per day(MET-h/day)and categorized into 4 groups based on quartiles.Cox regression was used to analyze the association between PA and CKD risk.Results:During a median follow-up of 12.1 years,5415 incident CKD cases were documented,including 1159 incident diabetic kidney disease(DKD)cases and 362 incident hypertensive nephropathy(HTN)cases.Total PA was inversely associated with CKD risk,with an adjusted hazard ratio(HR,95%confidence interval(95%CI))of 0.83(0.75-0.92)for incident CKD in the highest quartile of total PA as compared with participants in the lowest quartile.Similar results were observed for risk of DKD and HTN,and the corresponding HRs(95%CIs)were 0.75(0.58-0.97)for DKD risk and 0.56(0.37-0.85)for HTN risk.Increased nonoccupational PA,low-intensity PA,and moderate-to-vigorous-intensity PA were significantly associated with a decreased risk of CKD,with HRs(95%CIs)of 0.80(0.73-0.88),0.85(0.77-0.94),and 0.85(0.76-0.95)in the highest quartile,respectively.Conclusion:PA,including nonoccupational PA,low-intensity PA,and moderate-to-vigorous-intensity PA,was inversely associated with the risk of CKD,including DKD,HTN,and other CKD,and such associations were dose dependent.
基金support of the research work under the project PolyU520707,PolyU5213/06Esponsorship of Foundation of the State Key Laboratory of Plastic Forming Simulation and Die and Mould Technology,HUST
文摘A crystallographic homogenization method is proposed and implemented to predict the evolution of plastic deformation induced texture and plastic anisotropy(earring) in the stamping of polycrystalline sheet metals.The microscopic inhomogeneity of crystal aggregate has been taken into account with the microstructure made up of a representative aggregate of single crystal grains.Multi-scale analysis is performed by coupling the microscopic crystal plasticity with the macroscopic continuum response through the present homogenization procedure.The macroscopic stress is defined as the volume average of the corresponding microscopic crystal aggregations,which simultaneously satisfies the equation of motion in both micro-and macro-states.The proposed numerical implementation is based on a finite element discretization of the macrocontinuum,which is locally coupled at each Gaussian point with a finite element discretization of the attached micro-structure.The solution strategy for the macro-continuum and the pointwiseattached micro-structure is implemented by the simultaneous employment of dynamic explicit FE formulation.The rate-dependent crystal plasticity model is used for the constitutive description of the constituent single crystal grains.It has been confirmed that Taylor's constant strain homogenization assumption yields an undue concentration of the preferred crystal orientation compared with the present homogenization in the prediction of texture evolution,with the latter having relaxed the constraints on the crystal grains.Two kinds of numerical examples are presented to demonstrate the capability of the developed code:1) The texture evolution of three representative deformation modes,and 2) Plastic anisotropy(earring) prediction in the hemispherical cup deep drawing process of aluminum alloy A5052 with initial texture.By comparison of simulation results with those obtained employing direct crystal plasticity calculation adopting Taylor assumption,conclusions are drawn that the proposed dynamic explicit crystallographic homogenization FEM is able to more accurately predict the plastic deformation induced texture evolution and plastic anisotropy in the deep drawing process.
基金supported by the Innovation Project for Excellent Postgraduates of Hunan Province (CX2011B018)the Innovation Project for Excellent Postgraduates of National University of Defense Technology (B110402)
文摘This paper derives the extended ambiguity function for a bistatic multiple-input multiple-output (MIMO) radar system,which includes the whole radar system parameters:geometric sensor configuration,waveforms,range,range rate,target scattering and noise characteristics.Recent research indicates the potential parameter estimate performance of bistatic MIMO radars.And this ambiguity function can be used to analyze the parameter estimate performance for the relationship with the Cramer-Rao bounds of the estimated parameters.Finally,some examples are given to demonstrate the good parameter estimate performance of the bistatic MIMO radar,using the quasi-orthogonal waveforms based on Lorenz chaotic systems.
文摘Background: Despite recent improvements in the hospital treatment of ACS, little is known about current cardiological practice in China or use of evidence-based approach in Chinese hospitals. Methods: A questionnaire about doctor-reported hospital management of ACS was posted to the head of the cardiology department of 1397 hospitals across 30 provinces of China. Reported use of various clinical procedures and treatments were analysed and compared between different types of hospital. Results: Of the 1029 (74%) hospitals that responded, 43% were tier III (tertiary) hospitals. For STEMI, primary PCI was used as the main reperfusion therapy by 50.2% of tier III and 9.3% of tier II/I (secondary) hospitals. Most of hospitals also used various proven therapy routinely for STEMI and NSTEMI/UA, including anti-platelet therapy (98% and 93%), anticoagulant (96% and 90%), statin (97% and 94%), oral β-blockers (87% and 86%) and ACE-I (88% and 83%). However, certain therapies with little or no proven value (eg, G.I.K., magnesium and Chinese tradition medicine) remained used routinely by 25% - 40% of tier II/I hospitals. After discharge, statin, antiplatelet, β-blockers and ACE-I were reportedly used routinely by 85% - 95% of the responders for secondary prevention. Conclusions: With a few exceptions, doctor-reported hospital management of ACS in China is largely consistent with that recommended by current guidelines. Large nationwide registries are needed to assess long-term adherence to treatments after hospital discharge.
文摘Hard x-ray(HXR)burst is found during internal crash in the flat top current stage of experimental advanced superconducting tokamak(EAST)discharges and it is caused by fast electrons.The generated electrons during internal crashes may be an operational safety issue in advanced tokamaks.During an internal crash,locations of fast electron generation from HXR evolution agree with areas of magnetic reconnection from soft x-ray(SXR)tomographic reconstruction.Further statistical analyses show a 27μs time difference between SXR crashes and HXR bursts,and the agreement between time broadening of HXR bursts and estimated characteristic time of magnetic reconnection in EAST.The magnetic reconnections during internal crash are proved to generate fast electrons,by both spatial and temporal agreements.
文摘With the development of China's social economy,transfer of rural labors,and rise of labor costs,the rice production technologies are changing from manual operation to mechanical operation.The core of mechanical rice production is mechanical planting,while the key to mechanical planting is the seedling raising.On the basis of analyzing and studying the problems and experience of traditional mechanical transplanting of rice,a new overlapped tray seedling raising model was introduced.Main features of this model: substrate seedling raising and overlapped seedling tray.The seedling trays for seeding line are overlapped,and the overlapped trays are moved into the seedling room with controlled temperature and humidity.The temperature of the seedling room is controlled at 30-32℃,and the humidity of the seedling room is controlled at above 90%.After about 48 h,when the seedling height reaches 0.5 cm,move the seedling trays to the nursery.This model consists of one seeding center( seedling raising center) and N nurseries,to realize 1 + N seedling raising for mechanical transplanting of rice.One seeding center can provide seedlings for several hundred to several thousand hectares of mechanical transplanting of rice,and provide a new model for social services.This model could improve the quality of seedlings,increase the seedling survival rate by about 20%,reduce the seedling raising costs by 15%-20%,reduce the seedling raising risks,and greatly increase the utilization rate of the site and equipment of seedling raising center.
基金National Natural Science Foundation of China,Grant/Award Numbers:81820108028,81922061,81973123,82273714,82192901,82192904,82192900Excellent Youth Foundation of Jiangsu Province,Grant/Award Number:BK20220100+3 种基金Research Unit of Prospective Cohort of Cardiovascular Diseases and CancerChinese Academy of Medical Sciences,Grant/Award Number:2019RU038Science and Technology Service Network Initiative of Chinese Academy of Sciences,Grant/Award Number:No.KFJ-STS-QYZD-2021-08-001the National Key Research and Development Program of China,Grant/Award Number:2016YFC0900500。
文摘Background:Most lung cancer risk prediction models were developed in European and North-American cohorts of smokers aged≥55 years,while less is known about risk profiles in Asia,especially for never smokers or individuals aged<50 years.Hence,we aimed to develop and validate a lung cancer risk estimate tool for ever and never smokers across a wide age range.Methods:Based on the China Kadoorie Biobank cohort,we first systematically selected the predictors and explored the nonlinear association of predictors with lung cancer risk using restricted cubic splines.Then,we separately developed risk prediction models to construct a lung cancer risk score(LCRS)in 159,715 ever smokers and 336,526 never smokers.The LCRS was further validated in an independent cohort over a median follow-up of 13.6 years,consisting of 14,153 never smokers and 5,890 ever smokers.Results:A total of 13 and 9 routinely available predictors were identified for ever and never smokers,respectively.Of these predictors,cigarettes per day and quit years showed nonlinear associations with lung cancer risk(Pnon-linear<0.001).The curve of lung cancer incidence increased rapidly above 20 cigarettes per day and then was relatively flat until approximately 30 cigarettes per day.We also observed that lung cancer risk declined sharplywithin the first 5 years of quitting,and then continued to decrease but at a slower rate in the subsequent years.The 6-year area under the receiver operating curve for the ever and never smokers’models were respectively 0.778 and 0.733 in the derivation cohort,and 0.774 and 0.759 in the validation cohort.In the validation cohort,the 10-year cumulative incidence of lung cancerwas 0.39%and 2.57%for ever smokers with low(<166.2)and intermediate-high LCRS(≥166.2),respectively.Never smokers with a high LCRS(≥21.2)had a higher 10-year cumulative incidence rate than those with a low LCRS(<21.2;1.05%vs.0.22%).An online risk evaluation tool(LCKEY;http://ccra.njmu.edu.cn/lckey/web)was developed to facilitate the use of LCRS.Conclusions:The LCRS can be an effective risk assessment tool designed for ever and never smokers aged 30 to 80 years.
基金supported by grants from the National Nature Science Foundation of China(Nos.81930124 and 82021005)The Dongfeng-Tongji cohort was supported by the National Key Research and Development Program of China(Nos.2016YFC0900801 and 2017YFC0907504)+2 种基金The China Kadoorie Biobank study was funded by the National Natural Science Foundation of China(Nos.82192901,82192900,and 81390540)the National Key Research and Development Program of China(No.2016YFC0900500)and the Chinese Ministry of Science and Technology(No.2011BAI09B01).
文摘Background: Evidence on the relations of the American Heart Association’s ideal cardiovascular health (ICH) with mortality in Asians is sparse, and the interaction between behavioral and medical metrics remained unclear. We aimed to fill the gaps. Methods: A total of 198,164 participants without cancer and cardiovascular disease (CVD) were included from the China Kadoorie Biobank study (2004-2018), Dongfeng-Tongji cohort (2008-2018), and Kailuan study (2006-2019). Four behaviors (i.e., smoking, physical activity, diet, body mass index) and three medical factors (i.e., blood pressure, blood glucose, and blood lipid) were classified into poor, intermediate, and ideal levels (0, 1, and 2 points), which constituted 8-point behavioral, 6-point medical, and 14-point ICH scores. Results of Cox regression from three cohorts were pooled using random-effects models of meta-analysis. Results: During about 2 million person-years, 20,176 deaths were recorded. After controlling for demographic characteristics and alcohol drinking, hazard ratios (95% confidence intervals) comparing ICH scores of 10-14 vs. 0-6 were 0.52 (0.41-0.67), 0.44 (0.37-0.53), 0.54 (0.45-0.66), and 0.86 (0.64-1.14) for all-cause, CVD, respiratory, and cancer mortality. A higher behavioral or medical score was independently associated with lower all-cause and CVD mortality among the total population and populations with different levels of behavioral or medical health equally, and no interaction was observed. Conclusions: ICH was associated with lower all-cause, CVD, and respiratory mortality among Chinese adults. Both behavioral and medical health should be improved to prevent premature deaths.
基金supported by grants from the National Natural Science Foundation of China(Nos.91846303 and 81941018)The CKB baseline survey and the first re-survey were supported by a grant from the Kadoorie Charitable Foundation in Hong Kong,China.The long-term follow-up is supported by grants(Nos.2016YFC0900500,2016YFC0900501,and 2016YFC0900504)+3 种基金from the National Key Research and Development Program of China,and Chinese Ministry of Science and Technology(No.2011BAI09B01)Dr.Pang acknowledged support from the China Postdoctoral Science Foundation(Nos.2019TQ0008 and 2020M670071)the Peking University Medicine Fund of Fostering Young Scholars’Scientific&Technological Innovation(No.BMU2022 RCZX022)the Fundamental Research Funds for the Central Universities,and the Peking University Start-up Grant(No.BMU2022PY014)
文摘Background:Severe liver disease(SLD),including cirrhosis and liver cancer,constitutes a major disease burden in China.We aimed to examine the association of genetic and healthy lifestyle factors with the incidence and prognosis of SLD.Methods:The study population included 504,009 participants from the prospective China Kadoorie Biobank aged 30-79 years.The individuals were from 10 diverse areas in China without a history of cancer or liver disease at baseline.Cox regression was used to estimate adjusted hazard ratios(HRs)for incident SLD and death after SLD diagnosis associated with healthy lifestyle factors(smoking,alcohol,physical activity,and central adiposity).Additionally,the contribution of genetic risk for hepatitis B virus(HBV,assessed by genetic variants in major histocompatibility complex,class II,DP/DQ[HLA-DP/DQ]genes)was also estimated.Results:Compared with those with 0-1 healthy lifestyle factor,participants with 2,3,and 4 factors had 12%(HR 0.88[95%confidence interval[CI]0.85,0.92]),26%(HR 0.74[95%CI:0.69,0.79]),and 44%(HR 0.56[95%CI:0.48,0.65])lower risks of SLD,respectively.Inverse associations were observed among participants with both low and high genetic risks(HR per 1-point increase 0.83[95%CI:0.74,0.94]and 0.91[95%CI:0.82,1.02],respectively;P_(interaction)=0.51),although with a non-significant trend among those with a high genetic risk.Inverse associations were also observed between healthy lifestyle factors and liver biomarkers regardless of the genetic risk.Despite the limited power,healthy lifestyle factors were associated with a lower risk of death after incident SLD among participants with a low genetic risk(HR 0.59[95%CI:0.37,0.96]).Conclusions:Lifestyle modification may be beneficial in terms of lowering the risk of SLD regardless of the genetic risk.Moreover,it is also important for improving the prognosis of SLD in individuals with a low genetic risk.Future studies are warranted to examine the impact of healthy lifestyles on SLD prognosis,particularly among individuals with a high genetic risk.
基金supported by grants from the National Key Research&Development Program of China(Nos.2016YFC0900500,2016YFC0900501,2016YFC0900504,and 2016YFC1303904)National Natural Science Foundation of China(Nos.81973125,81941018,91846303,and 91843302)
文摘Background:Existing evidence suggests that fruit consumption is a significant influencing factor for chronic obstructive pulmonary disease(COPD),but this is unclear in the Chinese population.We examined the association of fresh fruit consumption with the risk of COPD-related hospitalization and death in a nationwide,population-based prospective cohort from China.Methods:Between 2004 and 2008,the China Kadoorie Biobank recruited>0.5 million adults aged 30 to 79 years from ten diverse regions across China.After excluding individuals diagnosed with major chronic diseases and prevalent COPD,the prospective analysis included 421,428 participants.Cox regression was used to calculate the hazard ratios(HRs)for the association between fresh fruit consumption and risk of COPD-related hospitalization and death,with adjustment for established and potential confounders.Results:During a mean follow-up of 10.9 years,11,292 COPD hospitalization events and deaths were documented,with an overall incidence rate of 2.47/1000 person-years.Participants who consumed fresh fruit daily had a 22%lower risk of COPD-related hospitalization and death compared with non-consumers(HR=0.78,95%confidence interval[CI]:0.71-0.87).The inverse association between fresh fruit consumption and COPD-related hospitalization and death was stronger among non-current smokers and participants with normal body mass index(BMI)(18.5 kg/m^(2)≤BMI<24.0 kg/m^(2));the corresponding HRs for daily fresh fruit consumption were 0.78(95%CI:0.68-0.89)and 0.69(95%CI:0.59-0.79)compared with their counterparts,respectively.Conclusions:High-frequency fruit consumption was associated with a lower risk of COPD in Chinese adults.Increasing fruit consumption,together with cigarette cessation and weight control,should be considered in the prevention and management of COPD.
基金supported by grants from the National Natural Science Foundation of China(Nos.82192904,82192901,82192900,and 91846303)The CKB baseline survey and the first re-survey were supported by a grant from the Kadoorie Charitable Foundation in Hong Kong.The long-term follow-up is supported by grants from the UK Wellcome Trust(Nos.212946/Z/18/Z,202922/Z/16/Z,104085/Z/14/Z,and 088158/Z/09/Z)+2 种基金the National Key Research and Development Program of China(No.2016 YFC0900500)National Natural Science Foundation of China(No.81390540)Chinese Ministry of Science and Technology(No.2011BAI09B01).
文摘Background:Several studies have reported that polygenic risk scores(PRSs)can enhance risk prediction of coronary artery disease(CAD)in European populations.However,research on this topic is far from sufficient in non-European countries,including China.We aimed to evaluate the potential of PRS for predicting CAD for primary prevention in the Chinese population.Methods:Participants with genome-wide genotypic data from the China Kadoorie Biobank were divided into training(n=28,490)and testing sets(n=72,150).Ten previously developed PRSs were evaluated,and new ones were developed using clumping and thresholding or LDpred method.The PRS showing the strongest association with CAD in the training set was selected to further evaluate its effects on improving the traditional CAD risk-prediction model in the testing set.Genetic risk was computed by summing the product of the weights and allele dosages across genome-wide single-nucleotide polymorphisms.Prediction of the 10-year first CAD events was assessed using hazard ratios(HRs)and measures of model discrimination,calibration,and net reclassification improvement(NRI).Hard CAD(nonfatal I21-I23 and fatal I20-I25)and soft CAD(all fatal or nonfatal I20-I25)were analyzed separately.Results:In the testing set,1214 hard and 7201 soft CAD cases were documented during a mean follow-up of 11.2 years.The HR per standard deviation of the optimal PRS was 1.26(95%CI:1.19-1.33)for hard CAD.Based on a traditional CAD risk prediction model containing only non-laboratory-based information,the addition of PRS for hard CAD increased Harrell’s C index by 0.001(-0.001 to 0.003)in women and 0.003(0.001 to 0.005)in men.Among the different high-risk thresholds ranging from 1%to 10%,the highest categorical NRI was 3.2%(95%CI:0.4-6.0%)at a high-risk threshold of 10.0%in women.The association of the PRS with soft CAD was much weaker than with hard CAD,leading to minimal or no improvement in the soft CAD model.Conclusions:In this Chinese population sample,the current PRSs minimally changed risk discrimination and offered little improvement in risk stratification for soft CAD.Therefore,this may not be suitable for promoting genetic screening in the general Chinese population to improve CAD risk prediction.
基金supported by the Youth Innovation Promotion Association of the Chinese Academy of Sciences(2019339)the Second Tibetan Plateau Scientific Expedition and Research(STEP)Program(2019QZKK0301-1)+1 种基金the National Natural Science Foundation of China(42201366)the South China Botanical Garden,Chinese Academy of Sciences(QNXM-202303).
文摘Forests are the largest carbon sinks among terrestrial ecosystems.They sequestrate carbon primarily through tree growth but are currently under severe threat from global change.Recently,Tavares et al.1 identified a crucial trait,the xylem hydraulic safety margin(HSM),for predicting the risk of drought-induced tree mortality and biomass in Amazon forests.They also found that old-growth forests with wide HSMs build more biomass,while fast-growing forests are exposed to greater hydraulic risks and have a higher mortality rate.
基金National Natural Science Foundation of China,Grant/Award Number:42041005。
文摘Background:Revegetation is widely used in degraded grassland restoration.However,the responses of grassland plant and soil properties to fencing(FC)and grazing(GZ)remain poorly understood,especially the vegetation–soil coupling coordination(C_(d))mechanism.This study explored single and interactive responses of vegetation and soil properties under FC and GZ after revegetation.Methods:A field experiment with FC and GZ treatments was conducted in Loess Plateau reconstructed grassland,with degraded grassland as the control(CK).Plant and soil properties and C_(d) were analyzed using the analytic hierarchy process(AHP)and principal component analysis(PCA).Results:The order of soil comprehensive evaluation(SCE)was GZ>FC>CK,while that of vegetation comprehensive evaluation(VCE)was FC>GZ>CK.The C_(d) of CK was 0.39(mild imbalance),while the values of FC and GZ were 0.57 and 0.54,respectively(little coordination).The VCE/SCE of FC was 1.48(soil lag type),and the values of GZ and CK were 0.69 and 0.35,respectively(vegetation lag and vegetation loss type,respectively).Conclusions:Both GZ and FC improved C_(d) and facilitated recovery.However,degraded grasslands should be restored via moderate grazing for sustainable ecological and economic development.
文摘In the span of thousands of years of history,especially during the confrontation with western powers in the past centuries,the Chinese nation has transformed itself from a"self-being"to a"self-conscious"national entity,forming a multi-level and multi-dimensional community structure.As"the marginal"in the"Chinese cultural circle",visible and intangible,overseas O Chinese communities have always maintained a dynamic relationship with the"core",and overseas Chinese have constantly expanded the scope of the Chinese national space through alternative channels of culture and society.By analyzing the progression of three phases,namely the period before the 1850s,1850s-1950s and the period after the 1950s,this paper examines the role of overseas Chinese in the multidimensional space expansion of the Chinese nation.We deem that overseas Chinese maintained varied degrees of spatial connection and participated in the construction of the national homeland in multiple scales such as ethnic identity,cultural identity,economic ties and social networks;The sense of ethnic community of overseas Chinese is embodied in the inclinations toward the ancestral country,multi-dimensional identification and the concept of righteousness,showing the characteristics of pluralism and consensus;Due to the variance of affecting factors,such as migration time and intergenerational relations,geographical distance and cyberspace accessibility,policies of the country of origin and transnational interaction,there are distinguishable traits between different groups of overseas Chinese and the"core"of the multidimensional space of the Chinese nation.Overseas Chinese not only expand out,but also bridge and tie up the multidimensional and three-dimensional space of the Chinese nation.
基金supported by grants from the National Natural Science Foundation of China(No.81941018)The CKB baseline survey and the first re-survey were supported by a grant from the Kadoorie Charitable Foundation in Hong Kong,China.The long-term follow-up is supported by grants from the UK Wellcome Trust(Nos.212946/Z/18/Z,202922/Z/16/Z,104085/Z/14/Z,and 088158/Z/09/Z)+2 种基金grants from the National Key R&D Program of China(Nos.2016YFC0900500 and 2016YFC1303904)National Natural Science Foundation of China(No.81390540)Chinese Ministry of Science and Technology(No.2011BAI09B01)。
文摘Background:Few studies have assessed the relationship between multimorbidity patterns and mortality risk in the Chinese population.We aimed to identify multimorbidity patterns and examined the associations of multimorbidity patterns and the number of chronic diseases with the risk of mortality among Chinese middle-aged and older adults.Methods:We used data from the China Kadoorie Biobank and included 512,723 participants aged 30 to 79 years.Multimorbidity was defined as the presence of two or more of the 15 chronic diseases collected by self-report or physical examination at baseline.Multimorbidity patterns were identified using hierarchical cluster analysis.Cox regression was used to estimate the associations of multimorbidity patterns and the number of chronic diseases with all-cause and cause-specific mortality.Results:Overall,15.8%of participants had multimorbidity.The prevalence of multimorbidity increased with age and was higher in urban than rural participants.Four multimorbidity patterns were identified,including cardiometabolic multimorbidity(diabetes,coronary heart disease,stroke,and hypertension),respiratory multimorbidity(tuberculosis,asthma,and chronic obstructive pulmonary disease),gastrointestinal and hepatorenal multimorbidity(gallstone disease,chronic kidney disease,cirrhosis,peptic ulcer,and cancer),and mental and arthritis multimorbidity(neurasthenia,psychiatric disorder,and rheumatoid arthritis).During a median of 10.8 years of follow-up,49,371 deaths occurred.Compared with participants without multimorbidity,cardiometabolic multimorbidity(hazard ratios[HR]=2.20,95%confidence intervals[CI]:2.14-2.26)and respiratory multimorbidity(HR=2.13,95%CI:1.97-2.31)demonstrated relatively higher risks of mortality,followed by gastrointestinal and hepatorenal multimorbidity(HR=1.33,95%CI:1.22-1.46).The mortality risk increased by 36%(HR=1.36,95%CI:1.35-1.37)with every additional disease.Conclusion:Cardiometabolic multimorbidity and respiratory multimorbidity posed the highest threat on mortality risk and deserved particular attention in Chinese adults.
基金This work was supported by grants from the Natural Science Foundation of China (Nos. 81941018, 91846303) , and the National Key Research and Development Program of China (Nos. 2016YFC0900500, 2016YFC0900501, 2016YFC0900504) . The CKB baseline survey was supported by a grant from the Kadoorie Charitable Foundation in Hong Kong of China.
文摘Background It remains unclear about the association of muscle mass,strength,and quality with death in the general Chinese population of diverse economical and geographical backgrounds.The present study aimed to comprehensively examine such associations across different regions in China.Methods Based on the China Kadoorie Biobank study,the present study included 23,290 participants who were aged 38 to 88 years and had no prevalent cardiovascular diseases or cancer.Muscle mass and grip strength were measured using calibrated instruments.Arm muscle quality was defined as the ratio of grip strength to arm muscle mass.Low muscle mass,grip strength,and arm muscle quality were defined as the sex-specific lowest quintiles of muscle mass index,grip strength,and arm muscle quality,respectively.Cox proportional hazards models yielded hazard ratios(HRs)and 95%confidence intervals(CIs)for risks of all-cause mortality in relation to muscle mass,strength,and quality.Results During a median follow-up of 3.98 years,739 participants died.The HR(95%CI)of all-cause mortality risk was 1.28(1.08–1.51)for low appendicular muscle mass index,1.38(1.16–1.62)for low total muscle mass index,1.68(1.41–2.00)for low grip strength,and 1.41(1.20–1.66)for low arm muscle quality in models adjusted for sociodemographic characteristics,lifestyle factors,and medical histories.Conclusion Low muscle mass,grip strength,and arm muscle quality are all associated with short-term increased risks of mortality,indicating the importance of maintaining normal muscle mass,strength,and quality for general Chinese adults.
基金National Key R&D Plan of the Ministry of Science and Technology of China(2016YFC1301604,2017YFC1307702)National Natural Science Foundation of China(81870907)+1 种基金Ministry of Science and Technology and the Ministry of Health of China(2006BA101A11 and 2009CB521905)Beijing Municipal Administration of Hospitals’Mission Plan(SML20150502).
文摘Background and purpose There is limited nationwide evidence about the standard management characteristics of stroke types and prognosis in China.This study aimed to assess clinical characteristics,in-hospital and after-discharge management characteristics and prognosis for stroke types in China.Methods A nationwide registry recruited 14244 imaging-confirmed first-ever incident strokes from 132 hospitals across 31 provinces of China during 2007-2008,recording presenting characteristics,diagnostic procedures and in-hospital treatment.After hospital discharge,patients were followed up for 6 months.Conventional statistical methods were used to examine the patterns of management and prognosis.Results Overall,68.7%,26.9%and 4.4%were ischaemic stroke(IS),intracerebral haemorrhage(ICH),and subarachnoid haemorrhage(SAH),respectively.Only 20%were managed in a dedicated stroke unit.Among IS,1.3%received thrombolysis within 3 hours after symptom onset,whereas the proportions of receiving in-hospital antiplatelet therapy,neuroprotective agents and traditional Chinese medicines(TCM)were 88.4%,69.7%and 70.6%,respectively.For ICH,63.3%and 36.3%received neuroprotective agents and TCM in hospital,respectively.At discharge,70.7%and 38.0%of the patients with IS were given antiplatelet and statin therapies,respectively,decreasing to 64.8%and 23.9%,respectively,at 6 months.In-hospital mortality was 3.2%,9.3%and 10.1%for IS,ICH and SAH,respectively,with a further 8.6%,18.2%and 22.0%,respectively,died by 6 month.Meanwhile,in-hospital recurrence rate was 2.6%,1.9%and 7.2%for IS,ICH and SAH,respectively,with a further 8.0%,5.1%and 7.5%,respectively,recurred by 6 month.Conclusions In China,the mortality rate of stroke is lower than that reported from west populations,though most strokes are not managed in specialised stroke unit.There is widespread use of some unproven therapies but limited proven treatments,especially after discharge,leading to unnecessary recurrent risks.
基金supported by the West Star Fund of China(No.2007YB04)
文摘Aerosol leads to 30% reduction in solar radiation reaching the earth's surface, and a similar reduction in crops yield for both wheat and rice. To determine the effect of aerosol wet deposition on crops, aerosol samples were collected in September, 2006 at Xi'an urban suburb (34 44 N, 109 49 E), and wheat seedlings were treated with aerosol of different concentrations in laboratory conditions. Changes in physiological and biochemical parameters of wheat seedlings were measured. In comparison with the control, the activities of superoxide dismudase (SOD) and catalase (CAT) and the concentration malondialdehyde (MDA) and oxidized glutathione (GSSG) of wheat seedlings increased progressively with increasing concentrations of added aerosol, while the opposite trend was seen for the activities of nitric oxide synthase (NOS), the concentrations of glutathione (GSH) and nitric oxide (NO), and the ratio of GSH/GSSG. When the seedlings were treated with the aerosol of 1 and 2 mg/L, the coleoptile elongation, shoot elongation and biomass accumulation were increased, the effect at treatment of 2 mg/L was most significant. However, aerosol treatments with rates of 3 and 4 mg/L resulted in a decrease in coleoptile elongation, shoot elongation and biomass accumulation in seedlings, and significant effect was for the treatment of 4 mg/L. Hence, lower concentrations of aerosol wet deposition were in favor of crops growth, but its higher concentrations could result in deleterious effects for crops and decreased crops growth.
