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Racial Demographics in an Urban Movement Disorders Clinic
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作者 Chantale O. Branson Luke Quehl +3 位作者 Raymond James Janice Weinberg Anna D. Hohler Marie-Helene Saint-Hilaire 《Advances in Parkinson's Disease》 2017年第3期86-92,共7页
Objective: To assess the prevalence of Parkinson’s disease (PD) among African- Americans compared to non-Hispanic Whites in a tertiary urban Movement Disorders center. Background: Contributing factors in the prevalen... Objective: To assess the prevalence of Parkinson’s disease (PD) among African- Americans compared to non-Hispanic Whites in a tertiary urban Movement Disorders center. Background: Contributing factors in the prevalence of Parkinson’s disease (PD) based on race may improve health disparities in the United States. According to the largest study analyzing prevalence and incidence of PD among Medicare beneficiaries, the ratio of African-Americans (AA) to Caucasians in the general Medicare population is 9%, while the prevalence ratio of PD among AA compared to Caucasians is approximately 5%. Methods: We performed a retrospective analysis of African-American patients with PD in the movement disorders database at Boston Medical Center, which is the largest safety net hospital in New England. The demographics of the patients seen in the general neurology clinic are 30.57% AA and 38.06% non-Hispanic Caucasian. Results: The Movement disorders database included 488 patients, 327 of whom had PD. Of these, 287 were Caucasians and 18 were of African descent. Based on our clinic population the expected PD case ratio among AA compared to Caucasians was approximately 49%. The actual race ratio in patients of African descent compared to Caucasian was 6%, which was substantially lower than expected at Boston Medical Center. Conclusion: The demographics of the PD patients in our movement disorders clinic do not reflect the population at Boston Medical Center, or the demographics of our neurology clinic as a whole. 展开更多
关键词 RACIAL demographics URBAN MOVEMENT DISORDERS CLINIC
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Major demographics about China, 1949-2003
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《China Population Today》 2005年第1期18-18,共1页
关键词 2003 NIR Major demographics about China
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Demographics of China
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作者 Fang Jing 《ChinAfrica》 2018年第8期63-63,共1页
China is a populous country with more than 1.3 billion people. Do you know China's population composition, gender ratio, and elderlyissues?
关键词 demographics of China
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Demographics, societal aging, and meat consumption in China 被引量:11
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作者 MIN Shi BAI Jun-fei +1 位作者 James Seale Jr. Thomas Wahl 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2015年第6期995-1007,共13页
Drawn on the data collected by surveying 1 340 urban households from six cities in China, this paper estimates the impacts of demographic structure and population aging on household meat consumption, by jointly consid... Drawn on the data collected by surveying 1 340 urban households from six cities in China, this paper estimates the impacts of demographic structure and population aging on household meat consumption, by jointly considering meat consumed at home and away from home. Based on the trajectories of population, a simple simulation on meat demand trend in China is conducted subsequently. The results suggest: 1) Meat consumed away from home averagely accounts for near 30% of household total meat consumption in terms of quantity, so that its omission likely leads to a significant underestimate of total meat consumption and misunderstanding the driving forces; 2) population aging significantly and negatively affects per capita meat consumption, suggesting that the expected meat demand in China without considering population aging will be overestimated. The findings from this study have important implications for better understanding the relative issues on China's meat consumption under the situation of population aging. 展开更多
关键词 capita household consumed income demographic jointly likely surveying estimates proportion
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Limb Lengthening and Reconstruction Society orthopedic surgeons in the United States:An analysis of geographical distribution,academic,leadership,and demographic characteristics
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作者 Amir Human Hoveidaei Reza Niakan +2 位作者 Seyed Hossein Hosseini-Asl Abijith Annasamudram Janet D Conway 《World Journal of Orthopedics》 2024年第2期147-155,共9页
BACKGROUND The Limb Lengthening and Reconstruction Society(LLRS)is a premier orthopedic specialty organization that promotes limb reconstruction for all ages.LLRS membership characteristics,however,are poorly reported... BACKGROUND The Limb Lengthening and Reconstruction Society(LLRS)is a premier orthopedic specialty organization that promotes limb reconstruction for all ages.LLRS membership characteristics,however,are poorly reported.This study delineates orthopedic surgeon LLRS members’demographic traits,academic achievement,leadership attainment,and geographical distribution across the United States.AIM To inform aspiring orthopedic professionals,as well as to promote growth and diversity in both the LLRS organization and overarching field.METHODS This cross-sectional study examined United States LLRS members’academic,leadership,demographic,and geographical attributes.After reviewing the 2023 LLRS member directory,Google search results were matched to the listings and appended to the compiled data.Sex and ethnicity were evaluated visually utilizing retrieved images.The Hirsch index(H-index)of academic activity,residency and fellowship training,other graduate degrees,leadership positions,practice type(academic or non-academic),and spoken languages were categorized.LLRS members per state and capita determined geographic distribution.The Mann Whitney U test was applied to compare H-index between males and females,as well as to assess member differences pertaining to affiliation with academic vs non-academic practice facilities.RESULTS The study included 101 orthopedic surgeons,78(77.23%)Caucasian and 23(22.77%)non-Caucasian,79(78.22%)male and 22(21.78%)female.Surgeons with DO degrees comprised only 3.96%(4)of the cohort,while the vast majority held MDs[96.04%(97)].Mean H-index was 10.55,with male surgeons having a significantly higher score(P=0.002).Most orthopedic surgeons(88.12%,)practiced in academic centers.Of those professionals who occupied leadership positions,14%were women,while 86%were men.Additionally,19(37.25%)United States regions and the District of Columbia lacked an LLRS-member orthopedic surgeon.Total per capita rate across the United States was 0.30 LLRS orthopedic surgeons per 1 million people.CONCLUSION Over 21%of LLRS members are women,surpassing prior benchmarks noted in orthopedic faculty reporting.LLRS members’high research productivity scores imply field dedication that can refine expertise in the limb lengthening and reconstruction space.Gender disparities in leadership remain,however,necessitating greater equity efforts.A low rate of LLRS representation per capita must be addressed geographically as well,to affect improvements in regional care access.This study can serve to support aspiring orthopedic professionals,inform diversity,leadership,and field advancement strategies,and maintain the continued goal of enhanced patient care worldwide. 展开更多
关键词 Limb lengthening and reconstruction Orthopedic surgeon demographics Orthopedic surgeon societal membership Orthopedic fellowships
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Unveiling Global Human Trafficking Trends: A Comprehensive Analysis
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作者 Somtobe Olisah Clement Odooh +5 位作者 Oghenekome Efijemue Echezona Obunadike Jane Onwuchekwa Omoshola Owolabi Saheed Akintayo Callistus Obunadike 《Journal of Data Analysis and Information Processing》 2024年第1期49-75,共27页
This paper presents a comprehensive analysis of global human trafficking trends over a twenty-year period, leveraging a robust dataset from the Counter Trafficking Data Collaborative (CTDC). The study unfolds in a sys... This paper presents a comprehensive analysis of global human trafficking trends over a twenty-year period, leveraging a robust dataset from the Counter Trafficking Data Collaborative (CTDC). The study unfolds in a systematic manner, beginning with a detailed data collection phase, where ethical and legal standards for data usage and privacy are strictly observed. Following collection, the data undergoes a rigorous preprocessing stage, involving cleaning, integration, transformation, and normalization to ensure accuracy and consistency for analysis. The analytical phase employs time-series analysis to delineate historical trends and utilizes predictive modeling to forecast future trajectories of human trafficking using the advanced analytical capabilities of Power BI. A comparative analysis across regions—Africa, the Americas, Asia, and Europe—is conducted to identify and visualize the distribution of human trafficking, dissecting the data by victim demographics, types of exploitation, and duration of victimization. The findings of this study not only offer a descriptive and predictive outlook on trafficking patterns but also provide insights into the regional nuances that influence these trends. The article underscores the prevalence and persistence of human trafficking, identifies factors contributing to its evolution, and discusses the implications for policy and law enforcement. By integrating a methodological approach with quantitative analysis, this research contributes to the strategic planning and resource allocation for combating human trafficking. It highlights the necessity for continued research and international cooperation to effectively address and mitigate this global issue. The implications of this research are significant, offering actionable insights for policymakers, law enforcement, and advocates in the ongoing battle against human trafficking. 展开更多
关键词 Human Trafficking Global Trends Data Analysis Victim demographics Policy Implications Technological Advancements Socioeconomic Factors Forecasting Regional Disparities Transnational Crime
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The impact of demographic dynamics on food consumption and its environmental outcomes:Evidence from China 被引量:2
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作者 Shaoting Li Xuan Chen +1 位作者 Yanjun Ren Thomas Glauben 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2024年第2期414-429,共16页
With increasing population and changing demographics,food consumption has experienced a significant transition in quantity and quality.However,a dearth of knowledge remains regarding its environmental impacts and how ... With increasing population and changing demographics,food consumption has experienced a significant transition in quantity and quality.However,a dearth of knowledge remains regarding its environmental impacts and how it responds to demographic dynamics,particularly in emerging economies like China.Using the two-stage Quadratic Almost Demand System(QUAIDS)model,this study empirically examines the impact of demographic dynamics on food consumption and its environmental outcomes based on the provincial data from 2000 to 2020 in China.Under various scenarios,according to changes in demographics,we extend our analysis to project the long-term trend of food consumption and its environmental impacts,including greenhouse gas(GHG)emissions,water footprint(WF),and land appropriation(LA).The results reveal that an increase in the proportion of senior people significantly decreases the consumption of grain and livestock meat and increases the consumption of poultry,egg,and aquatic products,particularly for urban residents.Moreover,an increase in the proportion of males in the population leads to higher consumption of poultry and aquatic products.Correspondingly,in the current scenario of an increased aging population and sex ratio,it is anticipated that GHG emissions,WF,and LA are likely to decrease by 1.37,2.52,and 3.56%,respectively.More importantly,in the scenario adhering to the standards of nutritional intake according to the Dietary Guidelines for Chinese Residents in 2022,GHG emissions,WF,and LA in urban areas would increase by 12.78,20.94,and 18.32%,respectively.Our findings suggest that changing demographics should be considered when designing policies to mitigate the diet-environment-health trilemma and achieve sustainable food consumption. 展开更多
关键词 demographic dynamics food consumption environmental impacts nutrition intakes
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Conservation genomic investigation of an endangered conifer,Thuja sutchuenensis,reveals low genetic diversity but also low genetic load
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作者 Tongzhou Tao Richard IMilne +4 位作者 Jialiang Li Heng Yang Shiyang Wang Sihan Chen Kangshan Mao 《Plant Diversity》 SCIE CAS CSCD 2024年第1期78-90,共13页
Endangered species generally have small populations with low genetic diversity and a high genetic load.Thuja sutchuenensis is an endangered conifer endemic to southwestern China.It was once considered extinct in the w... Endangered species generally have small populations with low genetic diversity and a high genetic load.Thuja sutchuenensis is an endangered conifer endemic to southwestern China.It was once considered extinct in the wild,but in 1999 was rediscovered.However,little is known about its genetic load.We collected 67 individuals from five wild,isolated T.sutchuenensis populations,and used 636,151 SNPs to analyze the level of genetic diversity and genetic load in T.sutchuenensis to delineate the conservation units of T.sutchuenensis,based on whole transcriptome sequencing data,as well as target capture sequencing data.We found that populations of T.sutchuenensis could be divided into three groups.These groups had low levels genetic diversity and were moderately genetically differentiated.Our findings also indicate that T.sutchuenensis suffered two severe bottlenecks around the Last Glaciation Period and Last Glacial Maximum.Among Thuja species,T.sutchuenensis presented the lowest genetic load and hence might have purged deleterious mutations efficiently through purifying selection.However,distribution of fitness effects analysis indicated a high extinction risk for T.sutchuenensis.Multiple lines of evidence identified three management units for T.sutchuenensis.Although T.sutchuenensis possesses a low genetic load,low genetic diversity,suboptimal fitness,and anthropogenic pressures all present an extinction risk for this rare conifer.This might also hold true for many endangered plant species in the mountains all over the world. 展开更多
关键词 Sichuan Arborvitae Genetic load Deleterious mutations Demographic history Conservation genomics
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Conservation genomics provides insights into genetic resilience and adaptation of the endangered Chinese hazelnut, Corylus chinensis
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作者 Zhen Yang Lisong Liang +3 位作者 Weibo Xiang Lujun Wang Qinghua Ma Zhaoshan Wang 《Plant Diversity》 SCIE CAS CSCD 2024年第3期294-308,共15页
Global climate change has increased concerns regarding biodiversity loss.However,many key conservation issues still required further research,including demographic history,deleterious mutation load,adaptive evolution,... Global climate change has increased concerns regarding biodiversity loss.However,many key conservation issues still required further research,including demographic history,deleterious mutation load,adaptive evolution,and putative introgression.Here we generated the first chromosome-level genome of the endangered Chinese hazelnut,Corylus chinensis,and compared the genomic signatures with its sympatric widespread C.kwechowensis-C yunnanensis complex.We found large genome rearrangements across all Corylus species and identified species-specific expanded gene families that may be involved in adaptation.Population genomics revealed that both C.chinensis and the C.kwechowensis-C.yunnanensis complex had diverged into two genetic lineages,forming a consistent pattern of southwestern-northern differentiation.Population size of the narrow southwestern lineages of both species have decreased continuously since the late Miocene,whereas the widespread northern lineages have remained stable(C.chinensis) or have even recovered from population bottlenecks(C.kwechowensis-C.yunnanensis complex) during the Quaternary.Compared with C.kwechowensis-C. yunnanensis complex,C.chinensis showed significantly lower genomic diversity and higher inbreeding level.However,C.chinensis carried significantly fewer deleterious mutations than C.kwechowensis-C. yunnanensis complex,as more effective purging selection reduced the accumulation of homozygous variants.We also detected signals of positive selection and adaptive introgression in different lineages,which facilitated the accumulation of favorable variants and formation of local adaptation.Hence,both types of selection and exogenous introgression could have mitigated inbreeding and facilitated survival and persistence of C.chinensis.Overall,our study provides critical insights into lineage differentiation,local adaptation,and the potential for future recovery of endangered trees. 展开更多
关键词 Conservation genomics Demographic history INBREEDING Genetic load Runs of homozygosity Local adaptation
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Association between people’s attitudes towards human-elephant conflict and their locational,demographic,and socio-economic characteristics in Buxa Tiger Reserve and its adjoining area,India
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作者 Chiranjib NAD Tamal BASU-ROY 《Regional Sustainability》 2024年第1期11-25,共15页
“Human-elephant conflict(HEC)”,the alarming issue,in present day context has attracted the attention of environmentalists and policy makers.The rising conflict between human beings and wild elephants is common in Bu... “Human-elephant conflict(HEC)”,the alarming issue,in present day context has attracted the attention of environmentalists and policy makers.The rising conflict between human beings and wild elephants is common in Buxa Tiger Reserve(BTR)and its adjoining area in West Bengal State,India,making the area volatile.People’s attitudes towards elephant conservation activity are very crucial to get rid of HEC,because people’s proximity with wild elephants’habitat can trigger the occurrence of HEC.The aim of this study is to conduct an in-depth investigation about the association of people’s attitudes towards HEC with their locational,demographic,and socio-economic characteristics in BTR and its adjoining area by using Pearson’s bivariate chi-square test and binary logistic regression analysis.BTR is one of the constituent parts of Eastern Doors Elephant Reserve(EDER).We interviewed 500 respondents to understand their perceptions to HEC and investigated their locational,demographic,and socio-economic characteristics including location of village,gender,age,ethnicity,religion,caste,poverty level,education level,primary occupation,secondary occupation,household type,and source of firewood.The results indicate that respondents who are living in enclave forest villages(EFVs),peripheral forest villages(PFVs),corridor village(CVs),or forest and corridor villages(FCVs),mainly males,at the age of 18–48 years old,engaged with agriculture occupation,and living in kancha and mixed houses,have more likelihood to witness HEC.Besides,respondents who are illiterate or at primary education level are more likely to regard elephant as a main problematic animal around their villages and refuse to participate in elephant conservation activity.For the sake of a sustainable environment for both human beings and wildlife,people’s attitudes towards elephants must be friendly in a more prudent way,so that the two communities can live in harmony. 展开更多
关键词 Human-elephant conflict Elephant conservation Chi-square test statistics Binary logistic regression Demographic and socioeconomic characteristics Buxa Tiger Reserve
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ACORDE Project:Adaptable Residential Buildings for a New Social Framework
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作者 Pablo Emilio Branchi 《Journal of Civil Engineering and Architecture》 2024年第3期118-133,共16页
ACORDE project seeks to maximize buildings´flexibility,conceiving a residential building made of legally independent functional units that can be connected to or disconnected from each other with easy,plug-in fac... ACORDE project seeks to maximize buildings´flexibility,conceiving a residential building made of legally independent functional units that can be connected to or disconnected from each other with easy,plug-in facilities,in a way that permits to purchase exactly what the user need,as well as allows future changes for buildings to be adapted to the needs of their occupants,the user decides how to best utilize the space by acquiring or separating functional units along the years.For this to be possible,in addition to the legally independent modules concept,a diaphanous and very well organized structure is projected as well as a very solid and efficient envelope to ensure durability and minimal maintenance.The efficient occupancy of space leads to an optimal use of energy. 展开更多
关键词 ADAPTABILITY FLEXIBILITY demographic changes end-uses plug&play
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Prevalence and Demographic Distributions of Pre-Eclampsia among Pregnant Women at Ho Teaching Hospital
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作者 Adwoa Nyarko Joshua A. Kunfah +3 位作者 David Z. Kolbilla Collins Adombire Akayuure Jamilatu B. Kappiah Sylvanus Kampo 《Open Journal of Obstetrics and Gynecology》 2024年第4期621-636,共16页
Background: In Sub-Saharan Africa, pre-eclampsia remains a major health problem contributing to high rates of maternal mortality. Despite this condition having adverse effects on maternal and child health, its prevale... Background: In Sub-Saharan Africa, pre-eclampsia remains a major health problem contributing to high rates of maternal mortality. Despite this condition having adverse effects on maternal and child health, its prevalence and associated risk factors are still significant, especially in developing countries including Ghana. This study aimed to assess the prevalence and demographic distributions associated with pre-eclampsia among pregnant women at the Ho Teaching Hospital. Methods: A facility-based retrospective study was conducted by reviewing available data or hospital records of pregnant mothers admitted to the labor and maternity wards from January 2018 to December 2020. All pregnant women who were diagnosed with pre-eclampsia within this period were included in the study. The data were collected using a structured checklist. Results: 5609 data on pregnant women from 2018 to 2020 were recorded. Out of the 5609 data recorded, 314 pre-eclampsia cases were recorded giving an overall prevalence of 5.6%. The yearly prevalence for 2018, 2019, and 2020 were 4.6%, 5.6%, and 6.6%, respectively. The most recorded pre-eclampsia cases were seen among women within the age group of 18 - 24 years. The data showed that 112 (35.7%) of the pregnant women who had pre-eclampsia were nulliparous. Pre-eclampsia-associated maternal and fetal complications were;preterm delivery 221 (70.4%), intrauterine fetal death 62 (19.7%), eclampsia 9 (2.9%), HELLP syndrome 5 (1.6%) and maternal death 17 (5.4%). Associated factors of pre-eclampsia were parity, level of education, and occupation (p ≤ 0.05). Conclusion: The findings of this study showed a rising trend in the incidence of pre-eclampsia over the years at the Ho Teaching Hospital. Parity, level of education, and occupation were found to be associated with developing pre-eclampsia. 展开更多
关键词 PRE-ECLAMPSIA PREVALENCE Demographic Distributions Risk Factors ANTENATAL MATERNAL
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Traffic sign vandalism and demographics of local population:A case study in Utah
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作者 Majid Khalilikhah Kevin Heaslip Kathleen Hancock 《Journal of Traffic and Transportation Engineering(English Edition)》 2016年第3期192-202,共11页
Among the different types of traffic sign damage, vandalism is exclusively caused by humans. Traffic sign vandalism is a serious concern, since it can lead to an increase in unsafe driving behaviors. In addition, it r... Among the different types of traffic sign damage, vandalism is exclusively caused by humans. Traffic sign vandalism is a serious concern, since it can lead to an increase in unsafe driving behaviors. In addition, it results in increased costs to transportation agencies to replace, repair, or maintain the vandalized signs. This paper examines the association between the local population demographics and traffic sign vandalism rates in the State of Utah. To accomplish this goal, sign data of over 97,000 traffic signs across Utah were digitally collected by an equipped vehicle. Sign damage data were obtained from the inspection of daytime digital images taken of each individual sign. Demographic data of Utah's counties, including population density, ethnicity, age, income, education, and gender, were obtained from the U.S. Census. The association between demographic groups and vandalism rates was tested using chi-square and trend tests. The results reveal that the most statistically significant variables comprise median household income, completion of at least an associate degree, and population density. According to the fitted linear regression model, a relationship exists between sign vandalism rate and local population demographic. The findings of this investigation can assist transportation agencies in identifying areas with a higher likelihood of sign vandalism, based on demographic characteristics. Such information can then be used to encourage scheduled sign inspections and to implement various countermeasures to prevent sign vandalism. 展开更多
关键词 Traffic sign vandalism Mobile-based data collection demographics Statistical methods
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Flora, Structure and Carbon Sequestration of Vegetation in the Southeast of the Mono Biosphere Reserve in Togo Amidst Environmental Challenges
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作者 Gbétey Kokouvi Akpamou Kossi Adjossou +3 位作者 Hodabalo Egbelou Komlanvi Katche Akoete Kossi Hounkpati Kouami Kokou 《Open Journal of Forestry》 2024年第2期155-181,共27页
In most Sub-Saharan African countries such as Togo, people’s heavy dependence on ecosystem services is a major factor in accelerating the degradation of natural resources, which are already suffering as a result of c... In most Sub-Saharan African countries such as Togo, people’s heavy dependence on ecosystem services is a major factor in accelerating the degradation of natural resources, which are already suffering as a result of climatic factors. This study was initiated to contribute to the sustainable and rational management of forest resources in the south-east of the Mono Biosphere Reserve in Togo. It specifically aims to identify and characterize the flora of the residual forest ecosystems within the reserve through their specific diversity, demographic structure, and carbon sequestration potential. The study was carried out in the forest ecosystems of Avévé. The methodology used was based on the analysis of phytosociological, forestry, ecological, and regeneration inventory data. Overall, the study revealed that the RBMT still has floristically viable habitats, despite the anthropogenic pressures it is subject to revealed a floristic diversity of 160 plant species divided into 52 families and 135 genera. The most represented families are Rubiaceae (29.09%), followed by Fabaceae (27.94%). The most represented species are Mitragyna inermis (Willd.) Kuntze (24.38%), Lecaniodiscus cupanioides Planch. Ex Benth (X) and Lonchocarpus sericeus (Poir.) Kunth (10.93%). The high presence of Mitragyna inermis observed in all the ecological groups identified makes it the characteristic species of the flooded marshy areas of southeast Togo and contributes to the resilience of the ecosystems and populations in the study area. The Shannon index for the formation groups varies between (3.03 and 5.16) bits. Pielou’s equitability varies between (0.43 and 0.63) bits. The overall average density is estimated at 210 stems/ha, with an average diameter of 25.57 ± 21.77 m and an average height of 7.93 ± 3.83 m. The adjustment of the diameter classes of the plant groups to the Weibull distribution gave an “inverted J” shape with coefficient values of less than 1 overall, reflecting the existence of multispecific or uneven-aged stands. Assessment of the horizontal and vertical structure shows a predominance of the shrub layer in all the groups identified. The carbon sequestration potential is 41.89 T/Ha. Despite ongoing anthropogenic pressures, the Mono Biosphere Reserve abounds in a relatively rich diversity of flora, the preservation of which is essential for the survival of biodiversity and even for the riparian population. The data provided by this study would form the basis for sustainable management planning of the forest islands in the biosphere reserve. 展开更多
关键词 BIODIVERSITY Demographic Structure Carbon Biosphere Reserve Forest Patches TOGO
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Treatment trends of muscle invasive bladder cancer: Evidence from the Surveillance, Epidemiology, and End Results database, 1988 to 2013 被引量:2
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作者 Victor Chalfant Michael L.Blute Jr Peter Silberstein 《Asian Journal of Urology》 CSCD 2023年第1期9-18,共10页
Objective:Guidelines for muscle-invasive bladder cancer(MIBC)recommend that patients receive neoadjuvant chemotherapy with radical cystectomy as treatment over radical cystectomy alone.Though trends and practice patte... Objective:Guidelines for muscle-invasive bladder cancer(MIBC)recommend that patients receive neoadjuvant chemotherapy with radical cystectomy as treatment over radical cystectomy alone.Though trends and practice patterns of MIBC have been defined using the National Cancer Database,data using the Surveillance,Epidemiology,and End Results(SEER)program have been poorly described.Methods:Using the SEER database,we collected data of MIBC according to the American Joint Commission on Cancer.We considered differences in patient demographics and tumor charac-teristics based on three treatment groups:chemotherapy(both adjuvant and neoadjuvant)with radical cystectomy,radical cystectomy,and chemoradiotherapy.Multinomial logistic regression was performed to compare likelihood ratios.Temporal trends were included for each treatment group.Kaplan-Meier curves were performed to compare cause-specific sur-vival.A Cox proportional-hazards model was utilized to describe predictors of survival.Results:Of 16728 patients,10468 patients received radical cystectomy alone,3236 received chemotherapy with radical cystectomy,and 3024 received chemoradiotherapy.Patients who received chemoradiotherapy over radical cystectomy were older and more likely to be African American;stage III patients tended to be divorced.Patients who received chemotherapy with radical cystectomy tended to be males;stage II patients were less likely to be Asian than Caucasian.Stage III patients were less likely to receive chemoradiotherapy as a treatment op-tion than stage II.Chemotherapy with radical cystectomy and chemoradiotherapy are both un-derutilized treatment options,though increasingly utilized.Kaplan-Meier survival curves showed significant differences between stage II and III tumors at each interval.A Cox proportional-hazards model showed differences in gender,tumor stage,treatment modality,age,andmarital status.Conclusion:Radical cystectomy alone is still the most commonly used treatment for muscle-invasive bladder cancer based on temporal trends.Significant disparities exist in those who receive radical cystectomy over chemoradiotherapy for treatment. 展开更多
关键词 Muscle-invasive bladdercancer Bladder-preservation therapy CHEMORADIOTHERAPY Transurethral resectionof bladder tumor SURVEILLANCE Epidemiology and EndResultsProgram Patient demographics Practicetrends Kaplan-Meier survival curves
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Major depressive disorders in patients with inflammatory bowel disease and rheumatoid arthritis
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作者 Maryam Bilal Haider Brinda Basida Jasleen Kaur 《World Journal of Clinical Cases》 SCIE 2023年第4期764-779,共16页
BACKGROUND Various immune-mediated inflammatory diseases consisting of inflammatory bowel disease(IBD)and rheumatoid arthritis(RA),are found to have a substantial societal burden,increased healthcare costs,and progres... BACKGROUND Various immune-mediated inflammatory diseases consisting of inflammatory bowel disease(IBD)and rheumatoid arthritis(RA),are found to have a substantial societal burden,increased healthcare costs,and progressive disability.Studies suggest that patients with vs without comorbid depression have a more significant disability,a lower likelihood of remission,and reduced adherence to therapy.Elevated interleukin(IL)-1β,tumor necrosis factor-α,and IL-6 contribute to developing depression by the impaired physiological responses to stress,resulting in increased pain,fever,fatigue,and lack thereof of interest,and thus poor long-term outcomes.This study emphasizes the timely recognition of the prevalence of major depressive disorder(MDD)in patients with RA and IBD combined,thus preventing disability.AIM To identify the prevalence level and temporal trends of depression in hospitalized IBD-RA patients.METHODS All adult hospitalized patients from January 2000 to December 2019 in the nationwide inpatient sample(NIS)were captured.The study population included all patients with a primary or secondary IBD-RA overlap disease using corresponding international classification of diseases(ICD)-9 and ICD-10 codes.IBD includes Crohn’s disease and ulcerative colitis.The study population was divided into IBD-RA without MDD(controls)and IBD-RA with MDD(cases).For group comparison between MDD vs no MDD,we used Student’s t-test for continuous variables and RaoScott Chi-square tests for categorical variables.For univariate analyses,we used logistic regression,and for multivariate analysis,we used a weighted multi-level mixed-effects model.We attested all hypotheses with two-tailed significance level of 0.05(P<0.05 was considered significant).The outcome is to examine the temporal trends and prevalence of depression in patients with IBD-RA by gender,race,and age.RESULTS A total of 133315 records were identified with IBD-RA overlap,of which 26155 patients(19.62%)had MDD.Among the IBD-RA patients,those who had MDD were younger[mean age of 56 years(SD±15)]to IBD-RA without MDD patients with a P<0.0001,more females(80%among cases vs 73%among controls)than males with a P<0.0001,frequent in the white race(79%among cases vs 73%among controls)than black race.Over the 19 years,the number of patients with MDD in IBDRA increased from 153(the year 2000)to 2880(the year 2019)in weighted NIS,representing a 1782%increase compared to the year 2000 with a P<0.001.Factors associated with higher MDD included younger age,female gender,white race,alcohol,opioids,esophageal disorders,peptic ulcer disease,chronic pancreatitis,paralysis,dementia,menopausal disorders,obesity,nutritional deficiencies,diabetes mellitus with chronic complications,and osteoarthritis.CONCLUSION There is a rise in the prevalence of depression in younger patients with IBD-RA combined compared to their counterparts.These patients are also at higher risk for the increased cost of care and poor treatment compliance.It is crucial to educate the involved clinicians to identify the early signs and symptoms of depression in patients with IBD or RA or IBD-RA combined and treat them to have a better overall prognosis. 展开更多
关键词 Inflammatory bowel disease Rheumatoid arthritis DEPRESSION MULTIMORBIDITY EPIDEMIOLOGY demographics
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Wind-dispersed seeds blur phylogeographic breaks:The complex evolutionary history of Populus lasiocarpa around the Sichuan Basin 被引量:1
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作者 Xue Li Markus Ruhsam +5 位作者 Yi Wang Hong-Ying Zhang Xiao-Yan Fan Lei Zhang Jing Wang Kang-Shan Mao 《Plant Diversity》 SCIE CAS CSCD 2023年第2期156-168,共13页
The strength of phylogeographic breaks can vary among species in the same area despite being subject to the same geological and climate history due to differences in biological traits.Several important phylogeographic... The strength of phylogeographic breaks can vary among species in the same area despite being subject to the same geological and climate history due to differences in biological traits.Several important phylogeographic breaks exist around the Sichuan Basin in Southwest China but few studies have focused on wind-dispersed plants.Here,we investigated the phylogeographic patterns and the evolutionary history of Populus lasiocarpa,a wind-pollinated and wind-dispersed tree species with a circum-Sichuan Basin distribution in southwest China.We sequenced and analyzed three plastid DNA fragments(ptDNA) and eight nuclear microsatellites(nSSRs) of 265 individuals of P.lasiocarpa from 21 populations spanning the entire distribution range.Distribution patterns based on nSSR data revealed that there are three genetic groups in P.lasiocarpa.This is consistent with the three phylogeographic breaks(Sichuan Basin,the Kaiyong Line and the 105°E line),where the Sichuan basin acts as the main barrier to gene flow between western and eastern groups.However,the distribution pattern based on ptDNA haplotypes poorly matched the phylogeographic breaks,and wind-dispersed seeds may be one of the main contributing factors.Species distribution modelling suggested a larger potential distribution in the last glacial maximum with a severe bottleneck during the last interglacial.A DIYABC model also suggested a population contraction and expansion for both western and eastern lineages.These results indicate that biological traits are likely to affect the evolutionary history of plants,and that nuclear molecular markers,which experience higher levels of gene flow,might be better indicators of phylogeographic breaks. 展开更多
关键词 PHYLOGEOGRAPHY Sichuan basin Populus lasiocarpa Kaiyong line Demographic history
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Population genetic variation and historical dynamics of the natural enemy insect Propylea japonica(Coleoptera: Coccinellidae) in China
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作者 WANG Meng-qi ZHAGN Hong-rui +4 位作者 XI Yu-qiang WANG Gao-ping ZHAO Man ZHANG Li-juan GUO Xian-ru 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2023年第8期2456-2469,共14页
Propylea japonica(Coleoptera:Coccinellidae)is a natural enemy insect with a wide range of predation in Chinese mainland and is commonly used in pest management.However,its genetic pattern(i.e.,genetic variation,geneti... Propylea japonica(Coleoptera:Coccinellidae)is a natural enemy insect with a wide range of predation in Chinese mainland and is commonly used in pest management.However,its genetic pattern(i.e.,genetic variation,genetic structure,and historical population dynamics)is still unclear,impeding the development of biological control of insect pests.Population genetic research has the potential to optimize strategies at different stages of the biological control processes.This study used 23 nuclear microsatellite sites and mitochondrial COI genes to investigate the population genetics of Propylea japonica based on 462 specimens collected from 30 sampling sites in China.The microsatellite dataset showed a moderate level of genetic diversity,but the mitochondrial genes showed a high level of genetic diversity.Populations from the Yellow River basin were more genetically diverse than those in the Yangtze River basin.Propylea japonica has not yet formed a significant genealogical structure in China,but there was a population structure signal to some extent,which may be caused by frequent gene flow between populations.The species has experienced population expansion after a bottleneck,potentially thanks to the tri-trophic plant–insect–natural enemy relationship.Knowledge of population genetics is of importance in using predators to control pests.Our study complements existing knowledge of an important natural predator in agroecosystems through estimating its genetic diversity and population differentiation and speculating about historical dynamics. 展开更多
关键词 demographic history genetic differentiation genetic diversity population expansion MICROSATELLITE mitochondrial Col
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Pre-existing frailty in the elderly and long-term mortality following percutaneous coronary intervention
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作者 Muhammad Ali Tariq Zoha Khalid Minhail Khalid Malik 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2023年第11期832-836,共5页
With global improvements in life expectancy,the proportion of the world’s population over 60 years of age has grown by 3%annually,and it is expected that by 2050,this population segment will nearly double.[1]This dem... With global improvements in life expectancy,the proportion of the world’s population over 60 years of age has grown by 3%annually,and it is expected that by 2050,this population segment will nearly double.[1]This demographic transition carries profound impact on public health,with far-reaching economic implications for healthcare delivery,social and inhome care.[2]One of the most troublesome health manifestations of an ageing population is frailty,a multidimensional syndrome of accumulated ageand disease-related deficits that results in reduced resilience and increased vulnerability to stressors. 展开更多
关键词 DEMOGRAPHIC annually POPULATION
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Demographic Dilemma
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作者 Chen Ke 《China Report ASEAN》 2023年第2期58-61,共4页
China needs a proactive response to negative population growth The year 2022 will most likely be remembered as a turning point in any future discussion on China’s demographics.That year,the world’s most populous cou... China needs a proactive response to negative population growth The year 2022 will most likely be remembered as a turning point in any future discussion on China’s demographics.That year,the world’s most populous country entered an“era of negative population growth.”Its natural population growth rate slid to 0.6 per thousand from 2021’s 0.34 per thousand,the nation’s overall population declined by 850,000 people year-on-year,and new births fell below 10 million for the first time since 1950,data from the National Bureau of Statistics showed. 展开更多
关键词 DEMOGRAPHIC REMEMBER LIKELY
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