2023中国阿尔茨海默病数据与防控策略

本报告汇总了阿尔茨海默病及痴呆相关领域现有的最新数据,分析了我国阿尔茨海默病的流行病学、疾病负担、诊断治疗、风险因素、康复护理和疾病筛查等各方面的现状、问题以及趋势,针对目前中国民众和政策制定者最关心的问题,例如:阿尔茨海默病基本数据是怎样的?为什么知晓率相对提高,但是患者就诊愿望相对不高?如何采用有效的措施来应对,等等,提出了目前阿尔茨海默病的防控策略。特别强调了要大力开发经过验证的早期筛查和诊断工具,提供更有效治疗的创新药物,以及鼓励和建立全国性属地化社会互助支持网络。本报告期望能对医学专业人士、患者、家属和照护者、政府政策制定人员、养老机构等有所帮助,能为阿尔茨海默病的防治工作提供支撑,为相关卫生政策的制定提供依据和建议,有助于提高公众对阿尔茨海默病的认识,以期缓解我国阿尔茨海默病疾病的整体负担,推动我国健康老龄化的实现。

2022年中国阿尔茨海默病知晓与需求现状调查

目的:为了更加全面了解我国老年性痴呆(阿尔茨海默病)防治工作的现状及发展趋势,更加精准地为防治工作提供政策咨询及对策建议,开展了本次阿尔茨海默病知晓与需求现状调查。对象与方法:通过线上问卷,对18岁以上普通成年居民进行调查,居民来自全国各个省市自治区和港澳台地区,调查总样本为20671人。结果:被调查人群阿尔茨海默病的总知晓率为95.9%,经统计学标化后为91.5%。不同人群对阿尔茨海默病的总知晓率存在一定差异;认为阿尔茨海默病或老年痴呆病可以预防的比例是87.9%;被调查居民觉得居家照护患者遇到的困难最主要表现在精力不够、照护能力不足和缺少专业的失智养老服务机构;患者的最主要的照护者是配偶,占47.9%,对阿尔茨海默病康复治疗内容了解的仅占23.3%;对合理安排患者营养知晓率为39%,在被调查人群中,主动愿意去医院就诊的比例只有12.9%,其中农村居民和低学历居民主动就诊愿望较低。结论:本次调查结果为更加精准地制定阿尔茨海默病防治对策,提供了重要的科学依据。

Study on Ni/C catalysts for vapor phase carbonylation of ethanol

激活支持碳的 Ni 催化剂让乙醇的蒸汽阶段 carbonylation 当倡导者被调查，面对乙醇碘化物支撑离子的酸。在最佳反应条件下面，当时，碳一氧化物和乙醇的变换被测量分别地，是 81.4% 和 98.4% 选择为支撑离子的酸被发现是 98.65% 。催化剂在溪流上的 48 h 以内是稳定的。XRD 和 XPS 方法被用来描绘结构和新鲜、测试的催化剂的表面性质。描述结果显示镍粒子和催化剂表面上的镍碘化物的形成的聚集应该为催化剂的释放负责。

3D Eddy Current and Temperature Field Analysis of Large Hydro-generators in Leading Phase Operations

As a common practice,a large hydro-generator will operate in leading phase conditions to absorb the reactive power of the power grid.However,the accurate and precise prediction of the leading phase operation capacity of a large hydro-generator has always been a formidable challenge to engineers and academicians because it is extremely hard to compute the eddy currents and losses as well as the local overheating in the pressure plate and finger.To address this problem,a full three dimensional(3D)finite element model and method of the coupled eddy current and temperature fields in the end region of a large hydro-generator are developed.The equivalent medium parameters used in the computations are comprehensively discussed.Moreover,some numerically based solution methodologies for accurate computation of the field and armature currents under different leading phase conditions are proposed.Numerical results on the coupled eddy current and temperature fields in the end regions of a 250 MW hydro-generator confirm positively the feasibility of the present work.

Design and research of measuring system of clamping force of hemostats

Reliability of medical instruments such as hemostats is extremely important because these instruments are used in patients who are in critical condition. Clamping force of hemostats, as an important parameter of hemostats, should be detected. However, it could not be tested directly. In order to test it, a testing system has been put forward. The system is comprised of sensor, acquisition card, and three-way tap and so on. This system is controlled by a computer. The testing system has been proved to be effective in testing the clamping force of hemostats.

Effect of levetiracetam and valproate on late‑onset post‑traumatic seizures

Background To compare the preventive effects of levetiracetam and valproate on late-onset post-traumatic seizures in patients with traumatic brain injury(TBI).Methods A total of 95 patients with TBI were recruited from 2017 to 2020.They were randomized into three groups:levetiracetam(LEV)group(n=30)receiving LEV treatment(500 mg,bid,po);valproate group(n=32)receiving sodium valproate(500 mg/d,once daily,po);and control group(n=33)receiving no anti-seizure medication.LEV and valproate were given to corresponding groups within seven days after TBI,and the administration lasted for one month.The incidence of epilepsy and adverse events were evaluated at 7 days and 12 months post-TBI.Results The cumulative incidences of late post-traumatic seizures at the 12-month follow-up in the LEV,valproate,and control groups were 3.33%,12.50%and 15.63%,respectively.The cumulative incidence of late post-traumatic seizures in the LEV group was significantly lower than those in the valproate and control groups(P<0.05).The cumulative incidence of late post-traumatic seizure in the valproate group was not significantly different from that in the control group(P>0.05).Conclusions LEV can reduce the cumulative incidence of late post-traumatic seizures,whereas valproate can not.

Deep Analysis of Power Equipment Defects Based on Semantic Framework Text Mining Technology

Defect factors and their relevant rules can be analyzed in depth by processing defect records which are often expressed in the form of text data.However,considering that defect text consists of both structured and unstructured data,it is necessary to excavate structured information from unstructured data.In this paper,a text mining method based on semantic framework technology is introduced to transform unstructured defect description into structured information such as components and defect attributes.Then,a deep analyzing model of a power equipment defect is established,which provides a scheme of defect mining based on historical defect texts.Case studies prove that the proposed deep analysis method has a guiding significance for equipment upgrading,selection and maintenance.

Short Text Mining Framework with Specific Design for Operation and Maintenance of Power Equipment

In order to recover the value of short texts in the operation and maintenance of power equipment,a short text mining framework with specific design is proposed.First,the process of the short text mining framework is summarized,in which the functions of all the processing modules are introduced.Then,according to the characteristics of short texts in the operation and maintenance of power equipment,the specific design for each module is proposed,which adapts the short text mining framework to a practical application.Finally,based on the framework with the specific designed modules,two examples in terms of defect texts are given to illustrate the application of short text mining in the operation and maintenance of power equipment.The results of the examples show that the short text mining framework is suitable for operation and maintenance tasks for power equipment,and the specific design for each module is beneficial for the improvement of the application effect.

Evaluation method of node importance for power grid considering inflow and outflow power

The effective identifications of important nodes in power grid are foundations of differentiated management and stable operation of power grid. However, the current studies on this field are not thorough enough. This paper applies the model based on co-citation(MBCC)-hypertext induced topic selection(HITS) algorithm used in web page ranking to power grid and proposes an index to determine node importance of power grid from the perspectives of inflow and outflow power. MBCC-HITS algorithm is modified considering load, power source, and line flow comprehensively for the differences between Internet and power grid in this paper. Then a method for evaluating node importance is proposed using the modified algorithm. Lastly, the rationality and validity of the proposed method are verified by comparisons with other methods in case studies of IEEE 14-bus and 118-bus systems.

Effect of sodium alginate/phosphate-stabilized amorphous calcium carbonate nanoparticles on chitosan membranes

Biodegradable chitosan(CS)films can meet the demand for sustainable development.However,the performance of pure CS membrane still exists a particular gap compared with the traditional film.Inorganic nanomaterials with the controllable release are added to improve its physical and chemical properties.Herein,a series of CS/phosphate-stabilized amorphous calcium carbonate(CS/ACCP)and CS/sodium alginate/ACCP(CS/Alginate/ACCP)composite films were prepared by the flow method.The effects of ACCP and Alginate/ACCP nanoparticles on the physical and chemical properties of the composite membrane were investigated.The results showed that the composite nanoparticles could significantly improve CS film’s compactness,hydrophobicity,and mechanical properties and enhance its ultraviolet(UV)blocking ability,water resistance,and water vapor blocking ability.When the number of nanoparticles was 8%,the mechanical properties of the CS composite membrane reached optimum value,and the comprehensive performance was better.In addition,the controlled-release properties of CS composite membranes were also studied,and the antioxidant,antibacterial,biocompatibility,and fresh-keeping effects of the composite membranes were explored.The results indicated that the CS composite membranes had not only excellent bacteriostatic(72%)properties(Escherichia coli)but also presented well fruit preservation(15 days)properties(sugar orange).In particular,the controlled release range of CS composite membrane at 12 h was between 30%and 90%,which provided a theoretical basis for its use as an edible membrane.Therefore,based on ACCP and Alginate/ACCP nanoparticles,CS composite membranes with more excellent application value in the biological field were prepared through further optimization design.

Influence of the intelligent standing mobile robot on lower extremity physiology of complete spinal cord injury patients

Background:Spinal cord injury(SCI)remains a high rate of disability.In order to improve the quality of their lives,the application of robots in rehabilitation is increasing.However,few studies have assessed the applicability and the effect of robots in patients with complete injury.Objective:The current study aims to assess the efficacy of robots training on the lower extremity physiology in complete SCI patients.Methods:24 patients were recruited and randomly divided into experimental and control group.The two groups spent the same amount of time on regular training.Besides,a 1-h standing training twice daily was offered to both groups five days per week,for four weeks.The experimental group used robot for standing training,while the control group used standing frame.Before and after the experiment,muscle girth and bone mineral density(BMD)were measured as lower extremity physiology.Results:The experimental group showed increased muscle girth differences(left=0.08±0.40 cm,right=0.75±0.72 cm),while the control group showed decreased girth differences(left=-0.78±0.54 cm,right=-0.56±0.54 cm).The increases in the experimental group showed significant differences compared with the control group(left,P=0.0002;right,P=0.023).Both groups showed decreased BMD.The decreases in the experimental group were significantly smaller than those in the control group.Conclusions:Training with aid of robots combined with the regular rehabilitation treatment can benefit complete SCI patients,in aspect of postponing amyotrophy of lower extremities and reducing bone loss and osteoporosis.

A secretory phospholipase A2 of a fungal pathogen contributes to lipid droplet homeostasis,assimilation of insect-derived lipids,and repression of host immune responses

Secretory phospholipase A2s(sPLA2s)are found in a wide range of organisms from bacteria to higher plants and animals and are involved in varied and cellular pro-cesses.However,roles of these enzymes in microbial pathogens remain unclear.Here,an sPLA2(BbPLA2)was characterized in the filamentous insect pathogenic fungus,Beau-veria bassiana.BbPLA2was exclusively expressed in insect hemolymph-derived cells(hyphal bodies),and its expression was induced by insect-derived nutrients and lipids,and nutrient starvation.High levels of secretion of BbPLA2 were observed as well as its distri-bution in hyphal body lipid drops(LDs).Overexpression of BbPLA2 increased the ability of B.bassiana to utilize insect-derived nutrients and lipids,and promoted LD accumula-tion,indicating functions for BbPLA2 in mediating LD homeostasis and assimilation of insect-derived lipids.Strains overexpressing BbPLA2 showed moderately increased vir-ulence,including more efficient penetration of the insect cuticle and evasion of host im-mune responses as compared to the wild type strain.In addition,B.bassiana-activated host immune genes were downregulated in the BbPLA2 overexpression strain,but upregulated by infections with a△BbPLA2 strain.These data demonstrate that BbPLA2 contributes to LD homeostasis,assimilation of insect-derived lipids,and repression of host immune responses.