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 Research Conception on Indigenous Chinese Leadership:Based on Comparative Case Studies on Political Elites in Ancient China

Due to the complexity of leadership and its variability across situations,it is suggested that research on leadership should focus on attempts to understand leadership in specific situations or roles,and develop local knowledge about leadership in each situation or role.This paper validates the possibility and importance of building indigenous leadership theories from historical perspective.We demonstrated how to carry out research on indigenous Chinese leadership from a historical perspective by comparative case studies using historical data.Based on the principles of typicalness,representativeness,and comparativeness,we selected six counterparts of political elites in ancient China as comparative cases,which includes Guan Zhong&Shang Yang(organizational reformer),Liu Bang&Xiang Yu(entrepreneur),Li Shimin&Qin Shihuang(intergenerational transition successor),Zhuge Liang&Zeng Guofan(professional manager),Lu Su&Zhang Juzheng(mess-to-order maker),and Zuo Zongtang&Wang Anshi(national dream driver).The paper aims to develop indigenous leadership theory specific to Chinese mental states and culture.

The Islamic Studies in China:Research in the Field of History

A history of the Islamic studies in China,not only includes studies on world Islam,it also includes research on Islam and Muslims in China.Before the Reform and Opening Up,China did not achieve much in this field,since then,the research field of Islam and Muslim in China has been expanding and the results have been published,forming a new trend.In this field,scholars such as Jin Yijiu,Li Xinghua,Qin Huibin,Zhou Guoli,Sha Qiuzhen,Zhou Xiefan,Wu Yungui,and Yang Huaizhong have made the most outstanding achievements.Especially in the collation of reference books and historical materials,in the past 20 years,The Encyclopedia of the history of Islam,The Chinese Encyclopedia of Islam have emerged,and the Chinese and World Encyclopedia of Islamic Law and other important historical books have been published.This paper focuses on the field of historical research and divided into academic research history at home and abroad,which is discussed from several fields such as general history,special history,national history,and regional history.

Speech at the Symposium on Study and Implementation of the Spirit of the 19^(th) CPC National Congress at the China Society for Human Rights Studies

Following the successful conclusion of the 19thCommunist Party of China National Congress,there has been a nationwide upsurge in the study and implementation of the spirit of the Congress.It was therefore both necessary and timely for the China Society for Human Rights Studies to organize a symposium on the study and implementation of the spirit of the Congress.I’d like to express my understanding of the study and implementation of the spirit of the 19th CPC National Congress from three aspects:

China Society for Human Rights Studies Organizes Forum to Study and Implement Guidelines of 3rd Plenum of 18th CPC Central Committee

The China Society for Human Rights Studies （CSHRS） organized on Nov. 28 a forum to study and implement the guidelines of the third plenary session of the 18th Central Committee of the Communist Party of China （CPC）. Executive members of CSHRS and other CSHRS members in Beijing discussed improvement of judicial protection for human rights and legal construction in China. CSHRS President Luo Haocai, who was vice chairman of the 10th National Committee of the Chinese People＇s Political Consultative Conference, delivered a speech at the forum.

Study on Sonneratia apetala productivity in restored forests in Leizhou Peninsula, China

The exotic Sonneratia apetala in Leizhou Peninsula, has shown outstanding fast-growing ability in restored mangrove forests, at the middle and high tide intertidal zone, with year-round fresh water input from drainage. By setting plot and selecting standard tree, investigation and measurement on height growth, diameter growth, biomass, productivity, and so on, were made in a S. apetala plantation at age of six at Lanbei, Fucheng, Leizhou Peninsula in May 2001. The investigating results showed that the mean annual height growth of plantation was 2.03 m and mean annual growth of diameter at breast height (DBH) was 2.35 cm. There exists a significant correlation between the diameter at ground surface (DGS) and DBH. The average biomass of a single standard tree in dry weight was 95.647 kg/m2. A ratio of above-ground biomass to under-ground biomass was 1.60. The stand biomass of unit area was 22.955 kg/m2, singletree wood volume was 88.23 dm3, and the annual wood volume productivity (PA) of the same year was 0.407. The forest energy accumulation was 424.851 MJ/m2, with annual solar energy fixing rate of 40.68 ×10-7%. It is concluded that S. apetala species had characteristics of outstanding high biomass accumulation and could be used as coastal planting tree species in southern China.

Burden of Cirrhosis and Other Chronic Liver Diseases Caused by Specific Etiologies in China, 1990-2016:Findings from the Global Burden of Disease Study 2016

Objective To estimate the burden of cirrhosis and other chronic liver diseases caused by specific etiologies in China.Methods Data from the Global Burden of Disease Study 2016(GBD 2016)were used.We evaluated the burden by analyzing age-sex-province-specific prevalence,mortality,and disability-adjusted lifeyears(DALYs)of 33 provinces in China.Results From 1990 to 2016,prevalence cases in thousands increased by 73.7%from 6833.3(95%UI:6498.0–7180.6)to 11869.6(95%UI:11274.6–12504.7).Age-standardized mortality and DALY rates per100,000 decreased by 51.2%and 53.3%,respectively.Male and elderly people(aged≥60 years)preponderance were found for prevalence,mortality,and DALYs.The number of prevalence cases,deaths,and DALYs due to hepatitis C virus(HCV)increased by 86.6%,8.7%,and 0.9%,respectively.Also,age-standardized prevalence rates decreased in 31 provinces,but increased in Yunnan and Shandong.The Socio-demographic Index(SDI)values were negatively correlated with age-standardized mortality and DALY rates by provinces in 2016;the correlation coefficients were-0.817 and-0.828,respectively.Conclusion Cirrhosis and other chronic liver diseases remain a huge health burden in China,with the increase of population and the aging of population.Hepatitis B virus(HBV)remains the leading cause of the health burden in China.

Prevalence of vegetation browning in China’s drylands under climate change

Vegetation greening has long been acknowledged,but recent studies have pointed out that vegetation greening is possibly stalled or even reversed.However,detailed analyses about greening reversal or increased browning of vegetation remain scarce.In this study,we utilized the normalized difference vegetation index(NDVI)as an indicator of vegetation to investigate the trends of vegetation greening and browning(monotonic,interruption,and reversal)through the breaks for the additive season and trend(BFAST)method across China’s drylands from 1982 to 2022.It also reveals the impacts of ecological restoration programs(ERPs)and climate change on these vegetation trends.We find that the vegetation displays an obvious pattern of east-greening and west-browning in China’s drylands.Greening trends mainly exhibits monotonic greening(29.8%)and greening with setback(36.8%),whereas browning shows a greening to browning reversal(19.2%).The increase rate of greening to browning reversal is 0.0342/yr,which is apparently greater than that of greening with setback,0.0078/yr.This research highlights that,under the background of widespread vegetation greening,vegetation browning is pro-gressively increasing due to the effects of climate change.Furthermore,the ERPs have significantly increased vegetation coverage,with the increase rate in 2000-2022 being twice as much as that of 1982-1999 in reveg-etation regions.Vegetation browning in southwestern Qingzang Plateau is primarily driven by adverse climatic factors and anthropogenic disturbances,which offset the efforts of ERPs.

Unveiling DNA methylation in Alzheimer’s disease:a review of array-based human brain studies

The intricacies of Alzheimer’s disease pathogenesis are being increasingly illuminated by the exploration of epigenetic mechanisms,particularly DNA methylation.This review comprehensively surveys recent human-centered studies that investigate whole genome DNA methylation in Alzheimer’s disease neuropathology.The examination of various brain regions reveals distinctive DNA methylation patterns that associate with the Braak stage and Alzheimer’s disease progression.The entorhinal cortex emerges as a focal point due to its early histological alterations and subsequent impact on downstream regions like the hippocampus.Notably,ANK1 hypermethylation,a protein implicated in neurofibrillary tangle formation,was recurrently identified in the entorhinal cortex.Further,the middle temporal gyrus and prefrontal cortex were shown to exhibit significant hypermethylation of genes like HOXA3,RHBDF2,and MCF2L,potentially influencing neuroinflammatory processes.The complex role of BIN1 in late-onset Alzheimer’s disease is underscored by its association with altered methylation patterns.Despite the disparities across studies,these findings highlight the intricate interplay between epigenetic modifications and Alzheimer’s disease pathology.Future research efforts should address methodological variations,incorporate diverse cohorts,and consider environmental factors to unravel the nuanced epigenetic landscape underlying Alzheimer’s disease progression.

Observational Study on the Onset of the South China Sea Southwest Monsoon

Based on the long-term marine ship observation data, records of meteorological stations and High-Reflective Cloud(HRC) data by satellite remote sensing , this paper has studied the circulation patterns and variability in elements during onset and the established periods of the South China Sea(SCS) southwest(SW) monsoon. The averaged date of the onset SW monsoon in the SCS occurs in the middle of May climatologically. The corresponding date for the northern part is little earlier (May 12) and those for the southern parts are little later (May 20). The interannual range of the onset dates is about one month. Following the onset of the SW monsoon, the cloud amount and the precipitation increase while the convection activities enhance over the SCS. But there is a strong spatial heterogeneity within the domain. After onset of the SW monsoon the strong convective area moves northwards, while the SCS rain band moves to the center and north. Sea surface temperature(SST) increases rapidly before the onset and the leading time is about one month. The increment of SST supplies heat and vapor for the onset. From April to May the surface heat fluxes display obvious changes, e.g., latent heat exchange and evaporation enhancement. It is one of the reasons why the SW monsoon bursts firstly in the SCS.

Nickel-exposed Workers in China: A Cohort Study

There are more than S0 000 workers in Jinchuan Group Co, Ltd （JNMC）. Since all staff in JNMC are eligible for a medical examination every two years, only 23 484 nickel-exposed subjects who participated in medical examination were included in this study. Their data, collected from June 22, 2011 to September 28, 2012, in a comprehensive epidemiological survey and during medical examinations, permitted an extensive evaluation of the relation between metal exposure, gene, epigenetics and risk of human diseases. Their lifestyle investigation showed that the overall prevalence of current smokers, alcohol drinkers, and tea drinkers was 39.1%, 19.7%, and 55.2%, respectively. The prevalence of hypertension, allergic rhinitis and cholecystitis, the top 3 prevalent diseases, was 11.7%, 11.0%, and 8.9%, respectively.

Diagnostic Study of Apparent Heat Sources and Moisture Sinks in the South China Sea and its Adjacent Areas during the Onset of 1998 SCS Monsoon

The apparent heat sources (?Q1 ?) and moisture sinks (?Q2 ?) are calculated based on the reanalyzed data of the South China Sea Monsoon Experiment (SCSMEX) from May 1 to August 31, 1998. It is found that the formation and distribution of the atmospheric heat sources are important for the monsoon onset. The earlier onset of the SCS monsoon is the result of enduring atmospheric heating in the Indo–China Peninsula and South China areas. The atmospheric heating firstly appears in the Indo–China Peninsula area and the sensible heat is the major one. The 30–50 day periodic oscillation of atmospheric heat sources between the SCS area and the western Pacific warm pool has a reverse phase distribution before the middle of July and the low frequency oscillation of heat sources in SCS area has an obvious longitudinal propagation. The 30–50 day low frequency oscillation has vital modificatory effects on the summer monsoon evolution during 1998. Key words Apparent heat sources - Apparent moisture sinks - The South China Sea monsoon - Diagnostic Study Sponsored by the National Key Project of Fundamental Research “ SCSMEX” and the Research Fund for the Doctoral Program of Higher Education: “ Study of the Air-sea Interaction in the SCS Monsoon Region”.

Prevalence and correlates of meeting the muscle-strengthening exercise recommendations among Chinese children and adolescents:Results from 2019 Physical Activity and Fitness in China—The Youth Study

Purpose This study aimed to describe the national prevalence of Chinese children and adolescents who met the World Health Organization muscle-strengthening exercise(MSE)recommendations and identify correlates of meeting the MSE recommendations.Methods Cross-sectional data from the 2019 Physical Activity and Fitness in China—The Youth Study,a nationally representative sample of Chinese children and adolescents(n=80,413;mean age=13.7 years;53.9%girls)and their parents,were analyzed.Children and adolescents who reported engaging≥3 days(up to 7 days)of MSE per week were classified as meeting the MSE recommendations.MSE,demographics,lifestyle behaviors(sport participation,moderate-to-vigorous physical activity,screen time,and sleep duration),exercise intention,peer and parental support,and parental MSE participation were assessed through self-reports.Logistic regression models were used to determine the correlates of meeting the MSE recommendations.The analyses were completed in 2020.Results Overall,39.3%of children and adolescents met the MSE recommendations.Girls,10th-12th graders,minorities,those from lower income households and those from families with lower parental education were less likely to meet the MSE recommendations.Children and adolescents who were proficient in≥2 sports were more likely to meet the MSE recommendations(adjusted odds ratio(aOR)=1.44,95%confidence interval(95%CI):1.26-1.65),as were those with more moderate-to-vigorous physical activity(aOR=1.57,95%CI:1.53-1.61).Additionally,children and adolescents with high exercise intention(aOR=1.60,95%CI:1.51-1.69),those whose parents met the adult MSE recommendations(aOR=1.46,95%CI:1.40-1.52),and those who received high peer(aOR=1.27,95%CI:1.20-1.34)and parental support(aOR=1.07,95%CI:1.04-1.12)were more likely to meet the MSE recommendations.Conclusion Less than two-fifths of Chinese children and adolescents met the World Health Organization MSE recommendations.The correlates identified in our study can help inform the development of school and community based strategies and policies to enhance participation in MSE and improve muscular fitness of all Chinese children and adolescents.

A Monitoring Study of the 1998 Rainstorm along the Yangtze River of China by Using TIPEX Data

By using data from the Secondary Tibetan Plateau Science Experiment (TIPEX) in 1998, including enhanced soundings, surface observations, data from captive balloons, remote sensing, and Doppler radar (China and Japan cooperative study of GAME/ Tibet), a monitoring study on the generation and moving track of the cumulus convective systems over the Tibetan Plateau is made, and the relationship between the evolution of cloud systems over the Tibetan Plateau and 1998 flooding in China is studied. The results are as follows. 1) Analyzing the image animation and Hovmoller diagram of satellite TBB data shows that the rainstorms for the Yangtze River in the last ten days of July 1998 can be tracked regionally to the Tibetan Plateau. 2) For the period of cloud clusters passing through the Amdo station (18–19 July), monitoring observations by Doppler radar is made. The monitoring of radar echoes shows that the developing, eastward motion, and strengthening of the echoes can be frequently observed in the middle of the Tibetan Plateau. An integrated analysis and tracking of the generation, disappearance, development, and eastward motion of these convective systems by using multiple instruments is very valuable for diagnosing and predicting the influence of the plateau systems on the downstream weather situation. 3) The integrated analysis of space-time cross sections of the enhanced upper air and surface observations from TIPEX during the intensified observation period shows that the frequent development of convective clouds over the Tibetan Plateau is related with the quasi-stationary convergence of surface winds. The dynamic convergence of surface winds, the vertical shear in the upper air, and transportation of water vapor due to increasing humidity over the Tibetan Plateau played an important role in the developing and strengthening of rainstorms over the Yangtze River in 1998. 4) Meso-sale filtration analysis of the vertical distribution of water vapor over the Tibetan Plateau indicates that alternating changes of high and low water vapor distribution over the Tibetan Plateau reveals clearly that the sub-synoptic scale waves exist, whose lifetime is on the order of the hours. The revelation of the eastward motion of mesoscale waves from the Tibetan Plateau indicates that the plateau systems obviously influenced the rainstorms over the Yangtze River valley in 1998.

Multi-model comparison of CO2 emissions peaking in China:Lessons from CEMF01 study

The paper summarizes results of the China Energy Modeling Forum's(CEMF)first study.Carbon emissions peaking scenarios,consistent with China's Paris commitment,have been simulated with seven national and industry-level energy models and compared.The CO2 emission trends in the considered scenarios peak from 2015 to 2030 at the level of 9e11 Gt.Sector-level analysis suggests that total emissions pathways before 2030 will be determined mainly by dynamics of emissions in the electric power industry and transportation sector.Both sectors will experience significant increase in demand,but have low-carbon alternative options for development.Based on a side-by-side comparison of modeling input and results,conclusions have been drawn regarding the sources of emissions projections differences,which include data,views on economic perspectives,or models'structure and theoretical framework.Some suggestions have been made regarding energy models'development priorities for further research.

Epidemiological Studies on Cystic Echinococcosis in China─A Review

In the four decades from 1951 to 1990, the six provinces or autonomous regions (Xinjiang, Gansu, Qinghai, Ningxia, Xizang and Nei Monggol) reported a total of 26 065surgical cases of hydatid disease, most of which were reported in the recent decade. About one third of the patients was children and adolescents under 15 years old. So far, cystic hydatid infections of local origin have been confirmed in 22 provinces, autonomous regions and municipalities in the whole nation. Findings of X-ray examination and real-time B-mode ultrasonography in agricultural and pastoral areas of Xinjiang, Gansu, Qinghai,Ningxia and Xizang showed that the morbidity rate of hydatidosis in human population varied between 0.5% and 4.5%. The main animal intermediate host in all these regions is sheep, the morbidity of which varied between 3.3% and 90%. The infection rate of adult Echinococcus granulosus in dogs varied between 7% and 71%. The high-risk period for humans contracting hydatid disease is the pre-school age. Direct contact of children with dogs and ingestion of water, vegetables and foods contaminated by worm eggs are the chief mode of transmission for human hydatidosis. The common practices of home slaughter and of feeding dogs on offal containing hydatid cysts facilitate the life cycIe of the parasite.On the basis of hydatid control efforts for several years, the Ministry of Public Health promulgated officially the '1992-1995 National Programme for Hydatid Disease Control'in April, 1992, and pilot studies in which the control of hydatidosis is composed of extensive health education, sanitation of slaughtering and management and deworming of dogs are being established.Cystic echinococcosis has wide distribution in China and is a major public health problem in hyperendemic areas, poses a great threat against people's health and influences the development of livestock husbandry. This problem has received great attention from the medical and veterinary departments. In the rencent decade great efforts have been made in the epidemiology, parasitology and clinical treatment of echinococcosis, resulting in a better understanding of the disease and procedures effective in bringing about control of the disease

STUDY ON WETLAND LOSS AND ITS REASONS IN CHINA

Wetlands are ecosystems with many f unctions.But the general public and government lack a comprehen-sive understanding of the importance of wetland benefits,thus making bl indly exploitation,wetland resour ces decreasing and losing biodiversity.So wetlands in China,as in most countries,have suffered heavily from the pressure o f develop-ment and have confronted with the thr eats of loss.The paper takes Sanjian g Plain marshes,lakes in the middle r eaches of the Changjiang(Yangtze)River,coastal wetlands and mangroves as cases to study wetland loss in China,and puts forward main existing reasons of wetland loss,such as blindly reclamati on and exploitation of wetland resou rces,over-exploitation of bio-resource s in wetland,etc.More recently,there has been a growing recognition of t he benefits of wetlands and a wide range of legal and regulatory initiatives have been undertaken which are designed to impro ve wetland management and conservation.On the basis of the above analysis,the paper brings forward some suggestions on wetland conservation.

Numerical studies of upwelling in coastalareas of the East China Sea-Ⅰ The tide-induced upwelling

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A comparative study of the main factors controlling geohazards induced by 10 strong earthquakes in Western China since the Wenchuan earthquake in 2008

Determining the main controlling factors of earthquake-triggered geohazards is a prerequisite for studying earthquake geohazards and post-disaster emergency response.By studying these factors,the geomorphic and geological factors controlling the nature,condition,and distribution of earthquake-induced geohazards can be analyzed.Such insights facilitate earthquake disaster prediction and emergency response planning.The authors combined field investigations and spatial data analysis to examine geohazards induced by seismic events,examining ten earthquakes including the Wenchuan,Yushu,Lushan events,to elucidate the main control factors of seismic geohazard.The authors observed that seismic geohazard occurrence is usually affected by many factors,among which active nature of the seismogenic fault,seismic peak ground acceleration(PGA),topographic slope and geomorphic height differences,and distance from the fault zone and river system are the most important.Compared with strike-slip earthquakes,thrust earthquakes induce more high-altitude and high-speed remote landslides,which can cause great harm.Slopes of 0°–40°are prone to secondary seismic geohazards,which are mainly concentrated 0–6 km from the river system.Secondary geohazards are not only related to seismogenic fault but also influenced by the associated faults in the earthquake area.The maximum seismic PGA and secondary seismic geohazard number are positively correlated,and the horizontal and vertical ground motions play leading and promoting roles in secondary geohazard formation,respectively.Through the research,the spatial distribution of seismic geohazards is predicted,providing a basis for the formulation of emergency response plans following disasters.

Studies on the Northern Early Summer Teleconnection Patterns, Their Interannual Variations and Relation to Drought / Flood in China

By using the one-point correlation method, calculations have been made of the northern early summer 500 hPa teleconnection patterns. Seven teleconnection patterns are revealed, namely, the Western Atlantic (WA), the Eastern Atlantic (EA), the Eurasian (EU), the Bengal / Northern Pacific (BNP), the Western Pacific (WP), the East Asian / Pacific (EAP), and the Huanghe / East Asian (HEA) patterns. Their centers are determined and their yearly intensity indices (1951-1990) are calculated. On this basis the relationship between their interannual variations and the drought / flood in China is examined. It is noted that the EU, HEA and EAP wave trains are closely related to the drought / flood in China. The HEA and EAP patterns strongly influence the precipitation in eastern China. For example, the fierce floods experienced in 1991 early summer over China are related to the weak EAP and strong HEA patterns.