Background Fall injuries are common among the elderly. The aim of this study was to investigate whether blood-pressure patterns, as measured by 24-h ambulatory blood pressure monitoring （ABPM）, or intensification of...Background Fall injuries are common among the elderly. The aim of this study was to investigate whether blood-pressure patterns, as measured by 24-h ambulatory blood pressure monitoring （ABPM）, or intensification of antihypertensive therapy following the 24-h ABPM, may be associated with fall injuries in hypertensive elderly patients. Methods In a retrospective study, community-based elderly patients （age ≥ 70 years） who were referred to 24-h ABPM were evaluated for fall injuries within one-year post-ABPM. We compared the clinical characteristics, 24-h ABPM patterns and the intensification of hypertensive therapy following 24-h ABPM, between patients with and without a fall injury. Results Overall 1032 hypertensive elderly patients were evaluated. Fifty-five （5.3%） had a fall injury episode in the year following ABPM. Patients with a fall injury were significantly older, and with higher rates of previous falls. Lower 24-h diastolic blood-pressure （67.3 ± 7.6 vs. 70.7 ± 8.8 mmHg; P 〈 0.005） and increased pulse-pressure （74.7 ± 14.3 vs. 68.3 ± 13.7 mmHg; P 〈 0.005）, were found in the patients with a fall injury, compared to those without a fall injury. After adjustment for age, gender, diabetes mellitus and previous falls, lower diastolic blood-pressure and increased pulse-pressure were independent predictors of fall injury. Intensification of antihypertensive treatment following the 24-h ABPM was not associated with an increased rate of fall injury. Conclusions Low diastolic blood-pressure and increased pulse-pressure in 24-h ABPM were associated with an increased risk of fall injury in elderly hypertensive patients. Intensification of antihypertensive treatment following 24-h ABPM was not associated with an increased risk of fall injury.展开更多
The paintings in the Yuan Dynasty, because oft.heir unique characteristics of the times, have made a deep and superexcellent track in the history of the Chinese painting, among which the literati landscape paintings r...The paintings in the Yuan Dynasty, because oft.heir unique characteristics of the times, have made a deep and superexcellent track in the history of the Chinese painting, among which the literati landscape paintings represented the subject of the paintings in the Yuan Dynasty. And in the literati paintings, Ni Zan＇s paintings are the most representative. The application of the pen and ink in his works is concise and thinly scattered, and the artistic conception is cold and desolate. In this paper, with ＂Map of a fishing village in an autumn sunny day after the rain＂ as an example, the author analyzes Ni Zan＇s painting style and the causes of its formation.展开更多
Using merged sea level anomaly and absolute geostrophic velocity products from satellite altimetry and Argos drifter data, we analyzed the reversal process of the South China Sea （SCS） westem boundary current （SCS...Using merged sea level anomaly and absolute geostrophic velocity products from satellite altimetry and Argos drifter data, we analyzed the reversal process of the South China Sea （SCS） westem boundary current （SCSwbc） from a summer to winter pattern in 2011 and important oceanic phenomena during this process. Results show that the outbreak time of the northeast monsoon over the southern SCS lagged that over the northern SCS by about 1 month. During the SCS monsoon reversal period, the SCSwbc reversed rapidly into the winter pattern at the Guangdong continental slope in late September. Subsequently, the southward Vietnam coastal boundary current strengthened. However, the northward Natuna Current maintained a summer state until mid-October. Thus, the balance between the southward and northward currents was lost when they met, their junction moved gradually southward. However, a loop current formed southeast of Vietnam because the main stream of the Vietnam Offshore Current （VOC） remained near its original latitude, Meanwhile, the VOC and associated dipole circulation system strengthened. After mid- October, the northward Natuna Current began to weaken, the loop current finally shed, becoming a cool ring. The VOC and its associated dipole sub-basin circulation system also weakened gradually until it disappeared.展开更多
文摘Background Fall injuries are common among the elderly. The aim of this study was to investigate whether blood-pressure patterns, as measured by 24-h ambulatory blood pressure monitoring （ABPM）, or intensification of antihypertensive therapy following the 24-h ABPM, may be associated with fall injuries in hypertensive elderly patients. Methods In a retrospective study, community-based elderly patients （age ≥ 70 years） who were referred to 24-h ABPM were evaluated for fall injuries within one-year post-ABPM. We compared the clinical characteristics, 24-h ABPM patterns and the intensification of hypertensive therapy following 24-h ABPM, between patients with and without a fall injury. Results Overall 1032 hypertensive elderly patients were evaluated. Fifty-five （5.3%） had a fall injury episode in the year following ABPM. Patients with a fall injury were significantly older, and with higher rates of previous falls. Lower 24-h diastolic blood-pressure （67.3 ± 7.6 vs. 70.7 ± 8.8 mmHg; P 〈 0.005） and increased pulse-pressure （74.7 ± 14.3 vs. 68.3 ± 13.7 mmHg; P 〈 0.005）, were found in the patients with a fall injury, compared to those without a fall injury. After adjustment for age, gender, diabetes mellitus and previous falls, lower diastolic blood-pressure and increased pulse-pressure were independent predictors of fall injury. Intensification of antihypertensive treatment following the 24-h ABPM was not associated with an increased rate of fall injury. Conclusions Low diastolic blood-pressure and increased pulse-pressure in 24-h ABPM were associated with an increased risk of fall injury in elderly hypertensive patients. Intensification of antihypertensive treatment following 24-h ABPM was not associated with an increased risk of fall injury.
文摘The paintings in the Yuan Dynasty, because oft.heir unique characteristics of the times, have made a deep and superexcellent track in the history of the Chinese painting, among which the literati landscape paintings represented the subject of the paintings in the Yuan Dynasty. And in the literati paintings, Ni Zan＇s paintings are the most representative. The application of the pen and ink in his works is concise and thinly scattered, and the artistic conception is cold and desolate. In this paper, with ＂Map of a fishing village in an autumn sunny day after the rain＂ as an example, the author analyzes Ni Zan＇s painting style and the causes of its formation.
基金Supported by the UNESCO-IOC/WESTPAC Project"Response of marine hazards to climate change in the Western Pacific"the Special Fund of Chinese Central Government for Basic Scientific Research Operations in Commonweal Research Institutes(No.GY0212172)+1 种基金the Open Foundation of the Key Laboratory of Data Analysis and ApplicationsState Oceanic Administration(No.LDAA-2012-02)
文摘Using merged sea level anomaly and absolute geostrophic velocity products from satellite altimetry and Argos drifter data, we analyzed the reversal process of the South China Sea （SCS） westem boundary current （SCSwbc） from a summer to winter pattern in 2011 and important oceanic phenomena during this process. Results show that the outbreak time of the northeast monsoon over the southern SCS lagged that over the northern SCS by about 1 month. During the SCS monsoon reversal period, the SCSwbc reversed rapidly into the winter pattern at the Guangdong continental slope in late September. Subsequently, the southward Vietnam coastal boundary current strengthened. However, the northward Natuna Current maintained a summer state until mid-October. Thus, the balance between the southward and northward currents was lost when they met, their junction moved gradually southward. However, a loop current formed southeast of Vietnam because the main stream of the Vietnam Offshore Current （VOC） remained near its original latitude, Meanwhile, the VOC and associated dipole circulation system strengthened. After mid- October, the northward Natuna Current began to weaken, the loop current finally shed, becoming a cool ring. The VOC and its associated dipole sub-basin circulation system also weakened gradually until it disappeared.
