Epidemiological and clinical features,treatment status,and economic burden of traumatic spinal cord injury in China:a hospital-based retrospective study

Traumatic spinal cord injury is potentially catastrophic and can lead to permanent disability or even death.China has the largest population of patients with traumatic spinal cord injury.Previous studies of traumatic spinal cord injury in China have mostly been regional in scope;national-level studies have been rare.To the best of our knowledge,no national-level study of treatment status and economic burden has been performed.This retrospective study aimed to examine the epidemiological and clinical features,treatment status,and economic burden of traumatic spinal cord injury in China at the national level.We included 13,465 traumatic spinal cord injury patients who were injured between January 2013 and December 2018 and treated in 30 hospitals in 11 provinces/municipalities representing all geographical divisions of China.Patient epidemiological and clinical features,treatment status,and total and daily costs were recorded.Trends in the percentage of traumatic spinal cord injuries among all hospitalized patients and among patients hospitalized in the orthopedic department and cost of care were assessed by annual percentage change using the Joinpoint Regression Program.The percentage of traumatic spinal cord injuries among all hospitalized patients and among patients hospitalized in the orthopedic department did not significantly change overall(annual percentage change,-0.5%and 2.1%,respectively).A total of 10,053(74.7%)patients underwent surgery.Only 2.8%of patients who underwent surgery did so within 24 hours of injury.A total of 2005(14.9%)patients were treated with high-dose(≥500 mg)methylprednisolone sodium succinate/methylprednisolone(MPSS/MP);615(4.6%)received it within 8 hours.The total cost for acute traumatic spinal cord injury decreased over the study period(-4.7%),while daily cost did not significantly change(1.0%increase).Our findings indicate that public health initiatives should aim at improving hospitals’ability to complete early surgery within 24 hours,which is associated with improved sensorimotor recovery,increasing the awareness rate of clinical guidelines related to high-dose MPSS/MP to reduce the use of the treatment with insufficient evidence.

A Revised Satellite Cloud-Derived Wind Inversion Algorithm Based on Computer Cluster

In view of the satellite cloud-derived wind inversion has the characteristics of large scale,intensive computing and time-consuming serial inversion algorithm is very difficult to break through the bottleneck of efficiency.We proposed a parallel acceleration scheme of cloud-derived wind inversion algorithm based on MPI cluster parallel technique in this paper.The divide-and-conquer idea,assigning winds vector inversion tasks to each computing unit,is identified according to a certain strategy.Each computing unit executes the assigned tasks in parallel,namely divide-and-rule the inversion task,so as to reduce the efficiency bottleneck of long inversion time caused by serial time accumulation.In the scheme of parallel acceleration based on MPI cluster,an algorithm based on performance prediction is proposed to effectively implement load balance of MPI clusters.Through the comparative analysis of experiment data using the parallel scheme of this parallel technology framework,it shows that this parallel technology has a certain acceleration effect on the cloud-derived wind inversion algorithm.The speedup of the MPI-based parallel algorithm reaches 14.96,which achieved the expected estimate.At the same time,this paper also proposes an efficiency optimization algorithm for cloud-derived wind inversion.In the case that the inversion of wind vector accuracy loss is minimal,the optimized algorithm execution time can be up to 13 times faster.

Research on the Path to Creating Home Gardening Brand Assets Based on Customers——A Case Study of Hongyue Garden Maker

In this paper,using the research method of grounded theory,with the competitive brand of home gardening—Hongyue Garden Maker as the specific object of study,we collect the data through interviews and surveys,conduct coding analysis step by step on the data,establish the brand asset creation path model consisting of some main dimensions including " brand salience"," brand performance"," brand image"," brand judgment"," brand feeling",and " brand resonance",and reveal the interaction and logical relationship between the above dimensions,so as to provide theoretical support for the asset creation of many kinds of home gardening and other brands.