Reading teaching is the core content of high school English teaching,and extracurricular literary classics reading is a supplement to in-class reading,which can deepen students’understanding and memorization of Engli...Reading teaching is the core content of high school English teaching,and extracurricular literary classics reading is a supplement to in-class reading,which can deepen students’understanding and memorization of English-related knowledge,and cultivate students’core literacy.This paper outlines the problems in high school English reading teaching,analyzes the significance of extracurricular literary classics reading in high school English,and explores the teaching strategies of extracurricular literary classics reading in high school English based on core literacy,with a view to providing valuable reference information for teachers.展开更多
China Review was an important medium for cultural exchange between China and the West in the late 19th century.China Review was first published in Hong Kong.It mainly reports on languages,literature,local customs,and ...China Review was an important medium for cultural exchange between China and the West in the late 19th century.China Review was first published in Hong Kong.It mainly reports on languages,literature,local customs,and geography in the Far East,known as“the first genuine sinological journal in the Western World”.There are many translations and comments on Chinese Ancient Primer classics in China Review.Representative sinologists such as James Legge and Herbert Giles have and primer classics and published many research works.It had played a significant role in the overseas dissemination of primer classics in the century dissemination.展开更多
Drought across Northwest China in late spring has exerted a vital effect on the local climate and agricultural production,and has been alleviated during the past decades.This study explored the influence of the preced...Drought across Northwest China in late spring has exerted a vital effect on the local climate and agricultural production,and has been alleviated during the past decades.This study explored the influence of the preceding Arctic sea ice on the May drought in Northwest China caused by the precipitation deficit.Further analysis indicated that when the Greenland Sea ice concentration is abnormally high during February to April,the dry conditions in Northwest China tend to be alleviated.The increase of sea ice in the Greenland Sea can excite a meridional circulation,which causes sea surface temperature(SST)anomalies in the North Atlantic via the sea-air interaction,manifested as significant warm SST anomalies over the south of Greenland and the subtropical North Atlantic,but negative SST anomalies over the west of the Azores.This abnormal SST pattern maintains to May and triggers a zonal wave train from the North Atlantic through Scandinavia and Central Asia to Northwest China,leading to abnormal cyclones in Northwest China.Consequently,Northwest China experiences a more humid climate than usual.展开更多
Based on the survey of vertical greening plants in Suzhou classical gardens, the paper had introduced plants varieties for vertical greening in the gardens, and pointed out that it was one of the common techniques for...Based on the survey of vertical greening plants in Suzhou classical gardens, the paper had introduced plants varieties for vertical greening in the gardens, and pointed out that it was one of the common techniques for vertical greening landscaping to make use of vine plants. It had also introduced 23 species of plants having been applied in vertical greening landscaping in Suzhou classical gardens, which belonged to 19 genera and 13 families. In terms of application form, it emphasized that white walls should be treated as papers and plants as paintings, shelves as pavilions and plants as shade, fences as supports and plants as decorations, rockeries as bones and plants as coats, banks as bases and plants as edges, columns as axes and plants as ornaments, bridges as surfaces and plants as points, and sloping fields as groves and plants as auxiliaries by taking vertical greening in Nets Garden, the Humble Administrator's Garden, Lingering Garden, the Garden of Pleasant, the Lion Forest Garden and Coupling Garden for example.展开更多
Based on the contents and temperament of pastoral poetries written by TAO Yuan-ming,by centering on respecting the nature,indifference and optimism,and plainness and authenticity,the paper had analyzed aesthetic ideol...Based on the contents and temperament of pastoral poetries written by TAO Yuan-ming,by centering on respecting the nature,indifference and optimism,and plainness and authenticity,the paper had analyzed aesthetic ideologies contained in his poetries.On this basis,it had discussed the influence of aesthetic ideology of TAO Yuan-ming on the style of classical gardens in South China,which were quiet and natural,elegant and fresh,simple and plain,and far-reaching in artistic conception.By combining with cases,it pointed out that the poetic prose had been directly quoted as the names of gardens or scenic spots of classical gardens in South China,and showed that the aesthetic ideology of TAO Yuan-ming had set up a successful ideal model for cultural landscapes,producing far-reaching influence on the aesthetic state of mind of gardeners or owners of gardens,further instilling humanistic spirit into classical gardens in South China.展开更多
Different translation principles may result in different translation products Chinese and foreign scholars put forward a lot of insightful and perceptive views on translation principles based on their plentiful transl...Different translation principles may result in different translation products Chinese and foreign scholars put forward a lot of insightful and perceptive views on translation principles based on their plentiful translation practice.Taken the Hezhe Peo ple’s oral tradition Yimakan Mandu Mergen as an example,the paper probes into the English translation principles and strategies of Chinese ethnic minority classics.展开更多
No research has been done to explore how the Chinese military classics have been studied and translated in the west.In order to fill the void,this paper tries to study Thomas Cleary’s translation of Chinese military ...No research has been done to explore how the Chinese military classics have been studied and translated in the west.In order to fill the void,this paper tries to study Thomas Cleary’s translation of Chinese military classics.展开更多
The correct translation of the Confucian classics is based on the correct comprehension of the culture-loaded words. Therefore, this paper aims to analyze the changing meanings of these words, then find out the ways t...The correct translation of the Confucian classics is based on the correct comprehension of the culture-loaded words. Therefore, this paper aims to analyze the changing meanings of these words, then find out the ways to determine their meanings and at last point out the principle, strategies and methods of better translating these words through discussing the translation purpose and the philosophical nature of the Confucian classics.展开更多
THE National Center for the Performing Arts located on Beijing’s Chang’an Avenue was ablaze with lights,and completely full of welldressed British gentlemen,grey-haired senior citizens,and music-obsessed young peopl...THE National Center for the Performing Arts located on Beijing’s Chang’an Avenue was ablaze with lights,and completely full of welldressed British gentlemen,grey-haired senior citizens,and music-obsessed young people and children on December 13,2018.When musicians from the BBC National Orchestra of Wales(BBC NOW)entered the auditorium and sat down,the principal guest conductor Zhang Xian,dressed in black,took a few brisk steps onto the stage and bowed to the audience.As she turned around,and made a simple gesture to the orchestra,everyone present held their breaths with deep anticipation.The concert hall became so quiet that you could hear the sound of a needle drop.展开更多
Classics is passed on through interpretation.The development of Chinese classics relies on the specified core values,thus the interpretation of Chinese ancient civilization shall target realizing common values in the ...Classics is passed on through interpretation.The development of Chinese classics relies on the specified core values,thus the interpretation of Chinese ancient civilization shall target realizing common values in the international community.The project of"Chinese Classics"emphasizes introducing Chinese ancient classics.With the development of globalization,the tradition of Chinese language determines how Chinese civilization becomes an integral part of the world civilization.Culture is in the experience of travelling while civilization is in reading—to put the people first and share the ancient classic works demonstrate the practical implementation of Pragmatics of Chinese classics and pave the way for the interpretation of popularized and globalized Chinese classics.展开更多
Metropolises in the globalization call nowadays Towns' of jazzmen, jazzwomen and jazz lovers, in a way from which we citizens. Christian Sallenave, sociologist with musical academic and Cities' into question. Jazz a...Metropolises in the globalization call nowadays Towns' of jazzmen, jazzwomen and jazz lovers, in a way from which we citizens. Christian Sallenave, sociologist with musical academic and Cities' into question. Jazz answers with stories and memories can learn a lesson for the future of towns, metropolises and their background, shows through examples of stories of jazz in New Orleans, New York, Paris, Bordeaux and Rome, how this nomad, notable and crossbreeding music contributes to the history of jazz, and world music, and listeners' memories, in "their own way" as towns, cities and their memories can contribute to the prosperity of the metropolises in globalization, through original melting pot works.展开更多
After the illustration of the concept of landscape seclusion sentiment and the source of seclusion sentiment of classical gardens in South China, the paper has summarized the influence of Confucian, Taoist and Buddhis...After the illustration of the concept of landscape seclusion sentiment and the source of seclusion sentiment of classical gardens in South China, the paper has summarized the influence of Confucian, Taoist and Buddhist thoughts on the creation of seclusion sentiment of classical gardens, and further explored methods to create seclusion sentiment. It considers that seclusion sentiment of landscape is generally created through rockeries, waters, plants disposition, landscaping buildings and pavements, paintings and carvings.展开更多
The research on morphology of mineral crystals in China includes classical goniometry of 100 minerals such as hsianghualite, orthobrannerite, jamesonite and bertrandite and surface microtopography of 20 minerals such ...The research on morphology of mineral crystals in China includes classical goniometry of 100 minerals such as hsianghualite, orthobrannerite, jamesonite and bertrandite and surface microtopography of 20 minerals such as wolframite and diamond, among which 5 new minerals and 34 uranium minerals were discovered and measured by Chinese mineralogists. These have enriched mineralogy and crystal morphology and strengthened the study of information of morphological genesis.展开更多
The aim of this study is to investigate the impacts of the sampling strategy of landslide and non-landslide on the performance of landslide susceptibility assessment(LSA).The study area is the Feiyun catchment in Wenz...The aim of this study is to investigate the impacts of the sampling strategy of landslide and non-landslide on the performance of landslide susceptibility assessment(LSA).The study area is the Feiyun catchment in Wenzhou City,Southeast China.Two types of landslides samples,combined with seven non-landslide sampling strategies,resulted in a total of 14 scenarios.The corresponding landslide susceptibility map(LSM)for each scenario was generated using the random forest model.The receiver operating characteristic(ROC)curve and statistical indicators were calculated and used to assess the impact of the dataset sampling strategy.The results showed that higher accuracies were achieved when using the landslide core as positive samples,combined with non-landslide sampling from the very low zone or buffer zone.The results reveal the influence of landslide and non-landslide sampling strategies on the accuracy of LSA,which provides a reference for subsequent researchers aiming to obtain a more reasonable LSM.展开更多
Since 2015,stroke has become the leading cause of death and disability in China,posing a significant threat to the health of its citizens as a major chronic non-communicable disease.According to the China Stroke High-...Since 2015,stroke has become the leading cause of death and disability in China,posing a significant threat to the health of its citizens as a major chronic non-communicable disease.According to the China Stroke High-risk Population Screening and Intervention Program,an estimated 17.8 million[95%confidence interval(CI)17.6–18.0million]adults in China had experienced a stroke in 2020,with 3.4 million(95%CI 3.3–3.5 million)experiencing their first-ever stroke and another 2.3 million(95%CI 2.2–2.4 million)dying as a result.Additionally,approximately 12.5%(95%CI 12.4%–12.5%)of stroke survivors were left disabled,as defined by a modified Rankin Scale score greater than 1,equating to 2.2 million(95%CI 2.1–2.2 million)stroke-related disabilities in 2020.As the population ages and the prevalence of risk factors like diabetes,hypertension,and hyperlipidemia continues to rise and remains poorly controlled,the burden of stroke in China is also increasing.A large national epidemiological survey initiated by the China Hypertension League in 2017 showed that the prevalence of hypertension was 24.7%;the awareness,treatment,and control rates in hypertensive patients were:60.1%,42.5%,and 25.4%,respectively.A nationally representative sample of the Chinese mainland population showed that the weighted prevalence of total diabetes diagnosed by the American Diabetes Association criteria was 12.8%,suggesting there are 120 million adults with diabetes in China,and the awareness,treatment,and control rates in diabetic patients were:43.3%,49.0%,and 49.4%,respectively.The“Sixth National Health Service Statistical Survey Report in 2018”showed that the proportion of the obese population in China was 37.4%,an increase of 7.2 points from 2013.Data from 1599 hospitals in the Hospital Quality Monitoring System and Bigdata Observatory Platform for Stroke of China(BOSC)showed that a total of 3,418,432 stroke cases[mean age±standard error(SE)was(65.700±0.006)years,and 59.1%were male]were admitted during 2020.Of those,over 80.0%(81.9%)were ischemic stroke(IS),14.9%were intracerebral hemorrhage(ICH)strokes,and 3.1%were subarachnoid hemorrhage(SAH)strokes.The mean±SE of hospitalization expenditures was Chinese Yuan(CNY)(16,975.6±16.3),ranging from(13,310.1±12.8)in IS to(81,369.8±260.7)in SAH,and out-of-pocket expenses were(5788.9±8.6),ranging from(4449.0±6.6)in IS to(30,778.2±156.8)in SAH.It was estimated that the medical cost of hospitalization for stroke in 2020 was CNY 58.0 billion,of which the patient pays approximately CNY 19.8 billion.In-hospital death/discharge against medical advice rate was 9.2%(95%CI 9.2%–9.2%),ranging from 6.4%(95%CI 6.4%–6.5%)for IS to 21.8%(95%CI 21.8%–21.9%)for ICH.From 2019 to 2020,the information about 188,648 patients with acute IS receiving intravenous thrombolytic therapy(IVT),49,845 patients receiving mechanical thrombectomy(MT),and 14,087 patients receiving bridging(IVT+MT)were collected through BOSC.The incidence of intracranial hemorrhage during treatment was 3.2%(95%CI 3.2%–3.3%),7.7%(95%CI 7.5%–8.0%),and 12.9%(95%CI 12.3%–13.4%),respectively.And in-hospital death/discharge against medical advice rate was 8.9%(95%CI 8.8%–9.0%),16.5%(95%CI 16.2%–16.9%),and 16.8%(95%CI 16.2%–17.4%),respectively.A prospective nationwide hospital-based study was conducted at 231 stroke base hospitals(Level III)from 31 provinces in China through BOSC from January 2019to December 2020 and 136,282 stroke patients were included and finished 12-month follow-up.Of those,over 86.9%were IS,10.8%were ICH strokes,and 2.3%were SAH strokes.The disability rate[%(95%CI)]in survivors of stroke at 3-month and 12-month was 14.8%(95%CI 14.6%–15.0%)and 14.0%(95%CI 13.8%–14.2%),respectively.The mortality rate[%(95%CI)]of stroke at 3-month and 12-month was 4.2%(95%CI 4.1%–4.3%)and 8.5%(95%CI 8.4%–8.6%),respectively.The recurrence rate[%(95%CI)]of stroke at 3-month and 12-month was 3.6%(95%CI 3.5%–3.7%)and 5.6%(95%CI 5.4%–5.7%),respectively.The Healthy China 2030 Stroke Action Plan was launched as part of this review,and the above data provide valuable guidelines for future stroke prevention and treatment efforts in China.展开更多
Background:The National Cancer Center(NCC)of China regularly reports the nationwide statistics on cancer incidence and mortality in China.The International Agency for Research on Cancer(IARC)calculates and publishes t...Background:The National Cancer Center(NCC)of China regularly reports the nationwide statistics on cancer incidence and mortality in China.The International Agency for Research on Cancer(IARC)calculates and publishes the cancer burden of countries around the world every two years.To ensure consistency between the actual surveillance data in China and the data published by IARC,NCC has received approval from the National Health Commission and IARC to simultaneously release the cancer burden data for China in GLOBOCAN 2022.Methods:There were a total of 700 registries reporting high-quality data on cancer incidence and mortality across China in 2018,of which 106 registries with continuous monitoring from 2010 to 2018 were used to establish an age-period-cohort model to simulate the trend of cancer incidence and mortality and to estimate the incidence and mortality in China in 2022.In addition,we analyzed the temporal trends of age-standardized cancer incidence and mortality from 2000 to 2018 using data from 22 continuous cancer registries.Results:It was estimated about 4,824,700 new cancer cases and 2,574,200 new cancer deaths occurred in China in 2022.Cancers of the lung,colon-rectum,thyroid,liver and stomach were the top five cancer types,accounting for 57.42%of new cancer cases.Cancers of the lung,liver,stomach,colon-rectum and esophagus were the five leading causes of cancer deaths,accounting for 67.50%of total cancer deaths.The crude rate and age-standardized incidence rate(ASIR)were 341.75 per 100,000 and 201.61 per 100,000,respectively.The crude mortality rate was 182.34 per 100,000 and the age-standardized mortality rate(ASMR)was 96.47 per 100,000.The ASIR of all cancers combined increased by approximately 1.4%per year during 2000–2018,while the ASMR decreased by approximately 1.3%per year.We observed decreasing trends in ASIR and ASMR for cancers of the esophagus,stomach,and liver,whereas the ASIR increased significantly for cancers of the thyroid,prostate,and cervix.Conclusions:Cancer remains a major public health concern in China,with a cancer profile that reflects the coexistence of developed and developing regions.Sustained implementation of prevention and control measures has resulted in significant reductions in the incidence and mortality rates of certain historically high incidence cancers,such as esophageal,stomach and liver cancers.Adherence to the guidelines of the Healthy China Action Plan and the Cancer Prevention and Control Action Plan,along with continued efforts in comprehensive risk factor control,cancer screening,early diagnosis and treatment,and standardization of diagnostic and therapeutic protocols,are key strategies to effectively mitigate the increasing cancer burden by 2030.展开更多
文摘Reading teaching is the core content of high school English teaching,and extracurricular literary classics reading is a supplement to in-class reading,which can deepen students’understanding and memorization of English-related knowledge,and cultivate students’core literacy.This paper outlines the problems in high school English reading teaching,analyzes the significance of extracurricular literary classics reading in high school English,and explores the teaching strategies of extracurricular literary classics reading in high school English based on core literacy,with a view to providing valuable reference information for teachers.
文摘China Review was an important medium for cultural exchange between China and the West in the late 19th century.China Review was first published in Hong Kong.It mainly reports on languages,literature,local customs,and geography in the Far East,known as“the first genuine sinological journal in the Western World”.There are many translations and comments on Chinese Ancient Primer classics in China Review.Representative sinologists such as James Legge and Herbert Giles have and primer classics and published many research works.It had played a significant role in the overseas dissemination of primer classics in the century dissemination.
基金supported by the National Natural Science Foun-dation of China [grant numbers 41991281 and 42005028]。
文摘Drought across Northwest China in late spring has exerted a vital effect on the local climate and agricultural production,and has been alleviated during the past decades.This study explored the influence of the preceding Arctic sea ice on the May drought in Northwest China caused by the precipitation deficit.Further analysis indicated that when the Greenland Sea ice concentration is abnormally high during February to April,the dry conditions in Northwest China tend to be alleviated.The increase of sea ice in the Greenland Sea can excite a meridional circulation,which causes sea surface temperature(SST)anomalies in the North Atlantic via the sea-air interaction,manifested as significant warm SST anomalies over the south of Greenland and the subtropical North Atlantic,but negative SST anomalies over the west of the Azores.This abnormal SST pattern maintains to May and triggers a zonal wave train from the North Atlantic through Scandinavia and Central Asia to Northwest China,leading to abnormal cyclones in Northwest China.Consequently,Northwest China experiences a more humid climate than usual.
文摘Based on the survey of vertical greening plants in Suzhou classical gardens, the paper had introduced plants varieties for vertical greening in the gardens, and pointed out that it was one of the common techniques for vertical greening landscaping to make use of vine plants. It had also introduced 23 species of plants having been applied in vertical greening landscaping in Suzhou classical gardens, which belonged to 19 genera and 13 families. In terms of application form, it emphasized that white walls should be treated as papers and plants as paintings, shelves as pavilions and plants as shade, fences as supports and plants as decorations, rockeries as bones and plants as coats, banks as bases and plants as edges, columns as axes and plants as ornaments, bridges as surfaces and plants as points, and sloping fields as groves and plants as auxiliaries by taking vertical greening in Nets Garden, the Humble Administrator's Garden, Lingering Garden, the Garden of Pleasant, the Lion Forest Garden and Coupling Garden for example.
基金Supported by Fund for Scientific Research of Nanjing University of Finance and Economics (B2010017)~~
文摘Based on the contents and temperament of pastoral poetries written by TAO Yuan-ming,by centering on respecting the nature,indifference and optimism,and plainness and authenticity,the paper had analyzed aesthetic ideologies contained in his poetries.On this basis,it had discussed the influence of aesthetic ideology of TAO Yuan-ming on the style of classical gardens in South China,which were quiet and natural,elegant and fresh,simple and plain,and far-reaching in artistic conception.By combining with cases,it pointed out that the poetic prose had been directly quoted as the names of gardens or scenic spots of classical gardens in South China,and showed that the aesthetic ideology of TAO Yuan-ming had set up a successful ideal model for cultural landscapes,producing far-reaching influence on the aesthetic state of mind of gardeners or owners of gardens,further instilling humanistic spirit into classical gardens in South China.
文摘Different translation principles may result in different translation products Chinese and foreign scholars put forward a lot of insightful and perceptive views on translation principles based on their plentiful translation practice.Taken the Hezhe Peo ple’s oral tradition Yimakan Mandu Mergen as an example,the paper probes into the English translation principles and strategies of Chinese ethnic minority classics.
文摘No research has been done to explore how the Chinese military classics have been studied and translated in the west.In order to fill the void,this paper tries to study Thomas Cleary’s translation of Chinese military classics.
文摘The correct translation of the Confucian classics is based on the correct comprehension of the culture-loaded words. Therefore, this paper aims to analyze the changing meanings of these words, then find out the ways to determine their meanings and at last point out the principle, strategies and methods of better translating these words through discussing the translation purpose and the philosophical nature of the Confucian classics.
文摘THE National Center for the Performing Arts located on Beijing’s Chang’an Avenue was ablaze with lights,and completely full of welldressed British gentlemen,grey-haired senior citizens,and music-obsessed young people and children on December 13,2018.When musicians from the BBC National Orchestra of Wales(BBC NOW)entered the auditorium and sat down,the principal guest conductor Zhang Xian,dressed in black,took a few brisk steps onto the stage and bowed to the audience.As she turned around,and made a simple gesture to the orchestra,everyone present held their breaths with deep anticipation.The concert hall became so quiet that you could hear the sound of a needle drop.
基金the staged achievement of the national social science fund project with Chang Hui being the project leader-on Chinese Syntactic Development Model of Foreign Students with Different Native Languages(No.:11CYY028)
文摘Classics is passed on through interpretation.The development of Chinese classics relies on the specified core values,thus the interpretation of Chinese ancient civilization shall target realizing common values in the international community.The project of"Chinese Classics"emphasizes introducing Chinese ancient classics.With the development of globalization,the tradition of Chinese language determines how Chinese civilization becomes an integral part of the world civilization.Culture is in the experience of travelling while civilization is in reading—to put the people first and share the ancient classic works demonstrate the practical implementation of Pragmatics of Chinese classics and pave the way for the interpretation of popularized and globalized Chinese classics.
文摘Metropolises in the globalization call nowadays Towns' of jazzmen, jazzwomen and jazz lovers, in a way from which we citizens. Christian Sallenave, sociologist with musical academic and Cities' into question. Jazz answers with stories and memories can learn a lesson for the future of towns, metropolises and their background, shows through examples of stories of jazz in New Orleans, New York, Paris, Bordeaux and Rome, how this nomad, notable and crossbreeding music contributes to the history of jazz, and world music, and listeners' memories, in "their own way" as towns, cities and their memories can contribute to the prosperity of the metropolises in globalization, through original melting pot works.
文摘After the illustration of the concept of landscape seclusion sentiment and the source of seclusion sentiment of classical gardens in South China, the paper has summarized the influence of Confucian, Taoist and Buddhist thoughts on the creation of seclusion sentiment of classical gardens, and further explored methods to create seclusion sentiment. It considers that seclusion sentiment of landscape is generally created through rockeries, waters, plants disposition, landscaping buildings and pavements, paintings and carvings.
文摘The research on morphology of mineral crystals in China includes classical goniometry of 100 minerals such as hsianghualite, orthobrannerite, jamesonite and bertrandite and surface microtopography of 20 minerals such as wolframite and diamond, among which 5 new minerals and 34 uranium minerals were discovered and measured by Chinese mineralogists. These have enriched mineralogy and crystal morphology and strengthened the study of information of morphological genesis.
文摘The aim of this study is to investigate the impacts of the sampling strategy of landslide and non-landslide on the performance of landslide susceptibility assessment(LSA).The study area is the Feiyun catchment in Wenzhou City,Southeast China.Two types of landslides samples,combined with seven non-landslide sampling strategies,resulted in a total of 14 scenarios.The corresponding landslide susceptibility map(LSM)for each scenario was generated using the random forest model.The receiver operating characteristic(ROC)curve and statistical indicators were calculated and used to assess the impact of the dataset sampling strategy.The results showed that higher accuracies were achieved when using the landslide core as positive samples,combined with non-landslide sampling from the very low zone or buffer zone.The results reveal the influence of landslide and non-landslide sampling strategies on the accuracy of LSA,which provides a reference for subsequent researchers aiming to obtain a more reasonable LSM.
基金supported by the National Major Public Health Service Projects(Z135080000022)。
文摘Since 2015,stroke has become the leading cause of death and disability in China,posing a significant threat to the health of its citizens as a major chronic non-communicable disease.According to the China Stroke High-risk Population Screening and Intervention Program,an estimated 17.8 million[95%confidence interval(CI)17.6–18.0million]adults in China had experienced a stroke in 2020,with 3.4 million(95%CI 3.3–3.5 million)experiencing their first-ever stroke and another 2.3 million(95%CI 2.2–2.4 million)dying as a result.Additionally,approximately 12.5%(95%CI 12.4%–12.5%)of stroke survivors were left disabled,as defined by a modified Rankin Scale score greater than 1,equating to 2.2 million(95%CI 2.1–2.2 million)stroke-related disabilities in 2020.As the population ages and the prevalence of risk factors like diabetes,hypertension,and hyperlipidemia continues to rise and remains poorly controlled,the burden of stroke in China is also increasing.A large national epidemiological survey initiated by the China Hypertension League in 2017 showed that the prevalence of hypertension was 24.7%;the awareness,treatment,and control rates in hypertensive patients were:60.1%,42.5%,and 25.4%,respectively.A nationally representative sample of the Chinese mainland population showed that the weighted prevalence of total diabetes diagnosed by the American Diabetes Association criteria was 12.8%,suggesting there are 120 million adults with diabetes in China,and the awareness,treatment,and control rates in diabetic patients were:43.3%,49.0%,and 49.4%,respectively.The“Sixth National Health Service Statistical Survey Report in 2018”showed that the proportion of the obese population in China was 37.4%,an increase of 7.2 points from 2013.Data from 1599 hospitals in the Hospital Quality Monitoring System and Bigdata Observatory Platform for Stroke of China(BOSC)showed that a total of 3,418,432 stroke cases[mean age±standard error(SE)was(65.700±0.006)years,and 59.1%were male]were admitted during 2020.Of those,over 80.0%(81.9%)were ischemic stroke(IS),14.9%were intracerebral hemorrhage(ICH)strokes,and 3.1%were subarachnoid hemorrhage(SAH)strokes.The mean±SE of hospitalization expenditures was Chinese Yuan(CNY)(16,975.6±16.3),ranging from(13,310.1±12.8)in IS to(81,369.8±260.7)in SAH,and out-of-pocket expenses were(5788.9±8.6),ranging from(4449.0±6.6)in IS to(30,778.2±156.8)in SAH.It was estimated that the medical cost of hospitalization for stroke in 2020 was CNY 58.0 billion,of which the patient pays approximately CNY 19.8 billion.In-hospital death/discharge against medical advice rate was 9.2%(95%CI 9.2%–9.2%),ranging from 6.4%(95%CI 6.4%–6.5%)for IS to 21.8%(95%CI 21.8%–21.9%)for ICH.From 2019 to 2020,the information about 188,648 patients with acute IS receiving intravenous thrombolytic therapy(IVT),49,845 patients receiving mechanical thrombectomy(MT),and 14,087 patients receiving bridging(IVT+MT)were collected through BOSC.The incidence of intracranial hemorrhage during treatment was 3.2%(95%CI 3.2%–3.3%),7.7%(95%CI 7.5%–8.0%),and 12.9%(95%CI 12.3%–13.4%),respectively.And in-hospital death/discharge against medical advice rate was 8.9%(95%CI 8.8%–9.0%),16.5%(95%CI 16.2%–16.9%),and 16.8%(95%CI 16.2%–17.4%),respectively.A prospective nationwide hospital-based study was conducted at 231 stroke base hospitals(Level III)from 31 provinces in China through BOSC from January 2019to December 2020 and 136,282 stroke patients were included and finished 12-month follow-up.Of those,over 86.9%were IS,10.8%were ICH strokes,and 2.3%were SAH strokes.The disability rate[%(95%CI)]in survivors of stroke at 3-month and 12-month was 14.8%(95%CI 14.6%–15.0%)and 14.0%(95%CI 13.8%–14.2%),respectively.The mortality rate[%(95%CI)]of stroke at 3-month and 12-month was 4.2%(95%CI 4.1%–4.3%)and 8.5%(95%CI 8.4%–8.6%),respectively.The recurrence rate[%(95%CI)]of stroke at 3-month and 12-month was 3.6%(95%CI 3.5%–3.7%)and 5.6%(95%CI 5.4%–5.7%),respectively.The Healthy China 2030 Stroke Action Plan was launched as part of this review,and the above data provide valuable guidelines for future stroke prevention and treatment efforts in China.
基金supported by the CAMS Innovation Fund for Medical Sciences(grant numbers:2021-I2M-1-010,2021-I2M-1-046,2021-I2M-1-011,2021-I2M-1-023).
文摘Background:The National Cancer Center(NCC)of China regularly reports the nationwide statistics on cancer incidence and mortality in China.The International Agency for Research on Cancer(IARC)calculates and publishes the cancer burden of countries around the world every two years.To ensure consistency between the actual surveillance data in China and the data published by IARC,NCC has received approval from the National Health Commission and IARC to simultaneously release the cancer burden data for China in GLOBOCAN 2022.Methods:There were a total of 700 registries reporting high-quality data on cancer incidence and mortality across China in 2018,of which 106 registries with continuous monitoring from 2010 to 2018 were used to establish an age-period-cohort model to simulate the trend of cancer incidence and mortality and to estimate the incidence and mortality in China in 2022.In addition,we analyzed the temporal trends of age-standardized cancer incidence and mortality from 2000 to 2018 using data from 22 continuous cancer registries.Results:It was estimated about 4,824,700 new cancer cases and 2,574,200 new cancer deaths occurred in China in 2022.Cancers of the lung,colon-rectum,thyroid,liver and stomach were the top five cancer types,accounting for 57.42%of new cancer cases.Cancers of the lung,liver,stomach,colon-rectum and esophagus were the five leading causes of cancer deaths,accounting for 67.50%of total cancer deaths.The crude rate and age-standardized incidence rate(ASIR)were 341.75 per 100,000 and 201.61 per 100,000,respectively.The crude mortality rate was 182.34 per 100,000 and the age-standardized mortality rate(ASMR)was 96.47 per 100,000.The ASIR of all cancers combined increased by approximately 1.4%per year during 2000–2018,while the ASMR decreased by approximately 1.3%per year.We observed decreasing trends in ASIR and ASMR for cancers of the esophagus,stomach,and liver,whereas the ASIR increased significantly for cancers of the thyroid,prostate,and cervix.Conclusions:Cancer remains a major public health concern in China,with a cancer profile that reflects the coexistence of developed and developing regions.Sustained implementation of prevention and control measures has resulted in significant reductions in the incidence and mortality rates of certain historically high incidence cancers,such as esophageal,stomach and liver cancers.Adherence to the guidelines of the Healthy China Action Plan and the Cancer Prevention and Control Action Plan,along with continued efforts in comprehensive risk factor control,cancer screening,early diagnosis and treatment,and standardization of diagnostic and therapeutic protocols,are key strategies to effectively mitigate the increasing cancer burden by 2030.