本文应用MSCT(多层螺旋CT)容积重建技术寻找与中老年男性年龄变化相关性较好的观测点位,构建单指标及多指标联合应用的中国汉族男性60岁判别式。收集177例40~70岁中国男性盆部MSCT扫描的医学数字成像和通信(digital imaging and communi...本文应用MSCT(多层螺旋CT)容积重建技术寻找与中老年男性年龄变化相关性较好的观测点位,构建单指标及多指标联合应用的中国汉族男性60岁判别式。收集177例40~70岁中国男性盆部MSCT扫描的医学数字成像和通信(digital imaging and communication in medicine,DICOM)原始影像数据,应用OsiriXMD v13.0.0软件进行容积重建,筛选出与年龄变化高度相关的点位,进行形态学观测,构建分级标准,最后采用Fisher判别法,构建60岁判别模型。最终筛选出第五腰椎、髂嵴后部及部分骶翼三个观测点位,分别构建中国男性60岁单指标及多指标联合应用判别模型。第五腰椎、髂嵴后部及部分骶翼单指标判别率分别为80.8%、78.0%、87.0%,三个指标联合应用判别率为91.0%。研究结果证明,应用MSCT容积重建技术,通过观测第五腰椎、髂嵴后部及部分骶翼,判别中国男性60岁年龄点,具有较好的可行性及准确性,可用于相关案件的判别。展开更多
In China, the real industrialization and modernization process started in 1949, when the Chinese people were emancipated from the yoke of the Kuomintang and the People's Republic of China (P.R.C) was founded. Howe...In China, the real industrialization and modernization process started in 1949, when the Chinese people were emancipated from the yoke of the Kuomintang and the People's Republic of China (P.R.C) was founded. However, the road of emancipation has been a bumpy one. In particular, the emancipation of the mind has often been full of twists and turns. The tremendous liberation of social productive forces originated in the emancipation of the mind, whose truth has been tested by economic development practices. In the past 60 years China has paid tremendous efforts and costs in pursuit of emancipation, and today it still needs to emancipate the mind anew. For 60 years, since the formation of P.R. C, the country has kept pursuing the emancipation of the mind while exploring ways of change in institution, strategy and policy. In the first 30 years China attempted to devise an idealistic approach of transition to the socialist planned economic system, which was characterized by continuous revolution and movement. In the second 30 years China explored a realistic approach of transition to the socialist market economic system, which is characterized by incremental reform and opening-up. For six decades industry has remained at the forefront of transformation. The emancipation of the mind and the realization of change aim to ultimately make China a strong nation with an affluent people. The purpose of the six-decade struggle in new China is to erase the stigma of "being poor and blank," secure a firm and strong foothold in the world, restore China's status as a world power and let the Chinese people enjoy the affluence and welfare of a well-off society. The central mission of this national revitalization is to realize industrialization. Therefore, industrialization has been the central theme of China's revitalization in the past 60 years. After 60 years of industrialization, hundreds of millions of Chinese people are now able to enjoy ever-increasing wealth from industrial civilization. However, still a larger proportion of China's 1.3 billion people are awaiting industrial civilization. In this sense, industrialization is not only the focus of China's socioeconomic development but also the world's largest livelihood mission. Industrial development is more of a means of enhancing people's livelihood than a means of regaining the title as a world power. This will become one of the distinctive characteristics of China's industrialization in the new stage.展开更多
目的探讨60岁以上老年人群慢性病患病情况及影响因素。方法选取2022年1—12月江苏省老年病医院收治的300例60岁以上老年住院患者临床资料进行回顾性分析,调查统计其慢性病患病情况,并分析其影响因素。结果300例老年人群共163名老年人群...目的探讨60岁以上老年人群慢性病患病情况及影响因素。方法选取2022年1—12月江苏省老年病医院收治的300例60岁以上老年住院患者临床资料进行回顾性分析,调查统计其慢性病患病情况,并分析其影响因素。结果300例老年人群共163名老年人群存在慢性病,占比54.33%,慢病组性别、年龄、居住地、身体质量指数(body mass index,BMI)、文化程度、吸烟、饮酒、运动锻炼、饮食、家族慢病遗传史各项单因素与无慢病组相比,差异有统计学意义(P<0.05);结果表明年龄、居住地、BMI、吸烟、饮酒、饮食是否规律、家族慢病遗传史为60岁以上老年人群患慢性病的独立危险因素(OR=2.165、2.152、2.748、3.125、2.865、1.845、1.825,P<0.05),文化程度、运动锻炼为独立保护因素(OR=0.752、0.849,P<0.05)。结论60岁以上老年人群慢病患病率较高,主要与年龄、BMI、吸烟、饮酒等多项因素相关,临床应明确其影响因素,制定针对性防范措施,以降低老年人群慢病患病率。展开更多
Background: Our study aimed to examine cardiovascular mortality within the working-age population, exploring epidemiological, clinical, and paraclinical features, complications, and identifying etiological factors lin...Background: Our study aimed to examine cardiovascular mortality within the working-age population, exploring epidemiological, clinical, and paraclinical features, complications, and identifying etiological factors linked to mortality. Methods: We conducted a descriptive and analytical retrospective study from September 2019 to August 2022 at the General Hospital Idrissa POUYE in Dakar, we reviewed all the medical records of patients from 15 to 60 years old who died while admitted in the cardiology department. Data collected were socioeconomic status, clinical history, type of cardiovascular disaese, length of hospitalization, circumstances and timing of death. The data were analyzed with R. Studio version 2022.12.0 + 353 and Excel 2019, with a P-value Results: The study included 73 patients, indicating a specific mortality rate of 8.8% and a proportional mortality of 39%. Predominantly male (sex ratio 1.2), the average age was 44. Key cardiovascular risk factors identified were sedentarism (76.7%), hypertension (28.8%), and smoking (21.9%). The leading cause for consultation was dyspnea (72.6%). Notable findings included a majority of patients presenting with general condition deterioration (90%) and cardiovascular collapse upon admission (23.3%). Physical exam revealed signs of heart failure in 63%. Echocardiography showed left ventricular ejection fraction impairment (81%) and pulmonary hypertension (78%). Immediate causes of death were primarily cardiogenic shock (45.2%) and septic shock (37%). The analytical study indicates that the data most closely associated with mortality were age, socio-economic level, ischemic heart disease (p = 0.034), rheumatic valvulopathies, pulmonary embolism (p = 0.034), hypertension (HTA) (p = 0.009), smoking (p = 0.011), diabetes (p = 0.011), dyslipidemias, prolonged bedrest (p = 0.001), morbid obesity (p = 0.001), and COVID-19 infection (p = 0.017). Conclusion: The prevalence of ischemic heart diseases, pulmonary embolisms, and valvulopathies in premature mortality statistics underscores the need for enhanced cardiovascular prevention efforts.展开更多
The 60 years of China’s financial development has been divided into two phases,the planned economy and reform and opening-up.During the planned economy,monetary finance policy strongly supported rapid development of ...The 60 years of China’s financial development has been divided into two phases,the planned economy and reform and opening-up.During the planned economy,monetary finance policy strongly supported rapid development of the national economy,as indicated by the significantly higher growth rates in monetary and credit than in major economic indicators of the national economy.During the 30 years of reform and opening-up,China’s financial system developed at a super-normal pace,establishing relatively complete and sound financial institutions and market systems,and continuously pushing forward the process of rule of law and financial internationalization. The 60 years of development in China's financial system have embarked on a path different from the West’s.The following are the valuable experiences learned from China's financial development: 1)Consistently put development as the top priority,and promote development through reform; 2)Adhere to the general principle of financial stability,and proceed from China’s reality; 3)Promote financial development surrounding the real economy; 4)Put forward financial innovation in an appropriate manner; 5)Guard against and defuse financial risks,and adhere to the principal of gradual and orderly opening-up. Amid complex domestic and international economic and financial situations,China needs to improve its regulatory mechanism of monetary policy and its financial market system,deepen the reform of financial institutions,and improve the financial regulatory system so as to make greater achievements.展开更多
文摘本文应用MSCT(多层螺旋CT)容积重建技术寻找与中老年男性年龄变化相关性较好的观测点位,构建单指标及多指标联合应用的中国汉族男性60岁判别式。收集177例40~70岁中国男性盆部MSCT扫描的医学数字成像和通信(digital imaging and communication in medicine,DICOM)原始影像数据,应用OsiriXMD v13.0.0软件进行容积重建,筛选出与年龄变化高度相关的点位,进行形态学观测,构建分级标准,最后采用Fisher判别法,构建60岁判别模型。最终筛选出第五腰椎、髂嵴后部及部分骶翼三个观测点位,分别构建中国男性60岁单指标及多指标联合应用判别模型。第五腰椎、髂嵴后部及部分骶翼单指标判别率分别为80.8%、78.0%、87.0%,三个指标联合应用判别率为91.0%。研究结果证明,应用MSCT容积重建技术,通过观测第五腰椎、髂嵴后部及部分骶翼,判别中国男性60岁年龄点,具有较好的可行性及准确性,可用于相关案件的判别。
文摘In China, the real industrialization and modernization process started in 1949, when the Chinese people were emancipated from the yoke of the Kuomintang and the People's Republic of China (P.R.C) was founded. However, the road of emancipation has been a bumpy one. In particular, the emancipation of the mind has often been full of twists and turns. The tremendous liberation of social productive forces originated in the emancipation of the mind, whose truth has been tested by economic development practices. In the past 60 years China has paid tremendous efforts and costs in pursuit of emancipation, and today it still needs to emancipate the mind anew. For 60 years, since the formation of P.R. C, the country has kept pursuing the emancipation of the mind while exploring ways of change in institution, strategy and policy. In the first 30 years China attempted to devise an idealistic approach of transition to the socialist planned economic system, which was characterized by continuous revolution and movement. In the second 30 years China explored a realistic approach of transition to the socialist market economic system, which is characterized by incremental reform and opening-up. For six decades industry has remained at the forefront of transformation. The emancipation of the mind and the realization of change aim to ultimately make China a strong nation with an affluent people. The purpose of the six-decade struggle in new China is to erase the stigma of "being poor and blank," secure a firm and strong foothold in the world, restore China's status as a world power and let the Chinese people enjoy the affluence and welfare of a well-off society. The central mission of this national revitalization is to realize industrialization. Therefore, industrialization has been the central theme of China's revitalization in the past 60 years. After 60 years of industrialization, hundreds of millions of Chinese people are now able to enjoy ever-increasing wealth from industrial civilization. However, still a larger proportion of China's 1.3 billion people are awaiting industrial civilization. In this sense, industrialization is not only the focus of China's socioeconomic development but also the world's largest livelihood mission. Industrial development is more of a means of enhancing people's livelihood than a means of regaining the title as a world power. This will become one of the distinctive characteristics of China's industrialization in the new stage.
文摘目的探讨60岁以上老年人群慢性病患病情况及影响因素。方法选取2022年1—12月江苏省老年病医院收治的300例60岁以上老年住院患者临床资料进行回顾性分析,调查统计其慢性病患病情况,并分析其影响因素。结果300例老年人群共163名老年人群存在慢性病,占比54.33%,慢病组性别、年龄、居住地、身体质量指数(body mass index,BMI)、文化程度、吸烟、饮酒、运动锻炼、饮食、家族慢病遗传史各项单因素与无慢病组相比,差异有统计学意义(P<0.05);结果表明年龄、居住地、BMI、吸烟、饮酒、饮食是否规律、家族慢病遗传史为60岁以上老年人群患慢性病的独立危险因素(OR=2.165、2.152、2.748、3.125、2.865、1.845、1.825,P<0.05),文化程度、运动锻炼为独立保护因素(OR=0.752、0.849,P<0.05)。结论60岁以上老年人群慢病患病率较高,主要与年龄、BMI、吸烟、饮酒等多项因素相关,临床应明确其影响因素,制定针对性防范措施,以降低老年人群慢病患病率。
文摘Background: Our study aimed to examine cardiovascular mortality within the working-age population, exploring epidemiological, clinical, and paraclinical features, complications, and identifying etiological factors linked to mortality. Methods: We conducted a descriptive and analytical retrospective study from September 2019 to August 2022 at the General Hospital Idrissa POUYE in Dakar, we reviewed all the medical records of patients from 15 to 60 years old who died while admitted in the cardiology department. Data collected were socioeconomic status, clinical history, type of cardiovascular disaese, length of hospitalization, circumstances and timing of death. The data were analyzed with R. Studio version 2022.12.0 + 353 and Excel 2019, with a P-value Results: The study included 73 patients, indicating a specific mortality rate of 8.8% and a proportional mortality of 39%. Predominantly male (sex ratio 1.2), the average age was 44. Key cardiovascular risk factors identified were sedentarism (76.7%), hypertension (28.8%), and smoking (21.9%). The leading cause for consultation was dyspnea (72.6%). Notable findings included a majority of patients presenting with general condition deterioration (90%) and cardiovascular collapse upon admission (23.3%). Physical exam revealed signs of heart failure in 63%. Echocardiography showed left ventricular ejection fraction impairment (81%) and pulmonary hypertension (78%). Immediate causes of death were primarily cardiogenic shock (45.2%) and septic shock (37%). The analytical study indicates that the data most closely associated with mortality were age, socio-economic level, ischemic heart disease (p = 0.034), rheumatic valvulopathies, pulmonary embolism (p = 0.034), hypertension (HTA) (p = 0.009), smoking (p = 0.011), diabetes (p = 0.011), dyslipidemias, prolonged bedrest (p = 0.001), morbid obesity (p = 0.001), and COVID-19 infection (p = 0.017). Conclusion: The prevalence of ischemic heart diseases, pulmonary embolisms, and valvulopathies in premature mortality statistics underscores the need for enhanced cardiovascular prevention efforts.
文摘The 60 years of China’s financial development has been divided into two phases,the planned economy and reform and opening-up.During the planned economy,monetary finance policy strongly supported rapid development of the national economy,as indicated by the significantly higher growth rates in monetary and credit than in major economic indicators of the national economy.During the 30 years of reform and opening-up,China’s financial system developed at a super-normal pace,establishing relatively complete and sound financial institutions and market systems,and continuously pushing forward the process of rule of law and financial internationalization. The 60 years of development in China's financial system have embarked on a path different from the West’s.The following are the valuable experiences learned from China's financial development: 1)Consistently put development as the top priority,and promote development through reform; 2)Adhere to the general principle of financial stability,and proceed from China’s reality; 3)Promote financial development surrounding the real economy; 4)Put forward financial innovation in an appropriate manner; 5)Guard against and defuse financial risks,and adhere to the principal of gradual and orderly opening-up. Amid complex domestic and international economic and financial situations,China needs to improve its regulatory mechanism of monetary policy and its financial market system,deepen the reform of financial institutions,and improve the financial regulatory system so as to make greater achievements.