Objective： Trauma in India is an increasingly significant problem, particularly in light of rapid development and increasing motorization. Social changes are resulting in alterations in the epidemiology of trauma. Th...Objective： Trauma in India is an increasingly significant problem, particularly in light of rapid development and increasing motorization. Social changes are resulting in alterations in the epidemiology of trauma. The aim of the study was to assess the various epidemiological parameters that influence the cause of injury in the patients admitted to a major trauma centre in northem India. Methods： An observational study of 748 patients chosen by random assortment was carried out over a peri- od of 1 year （August 2008 to July 2009）. Age, sex, injury type and pattern were noted. Injury mode of upper and lower limbs was also noted. Results： Injuries occur predominately in the age group of 15-30 years. Males incurred more injury with male to female ratio of 6：1. The most vulnerable group was motorcycle users. Among the injured, farmers were the most commonly involved. Blunt injuries （94.92%） were much more common than penetrating injuries. Among patients with head injury, two wheelers related accidents were the most common （40.3%）. Most spinal cord injuries were caused by falls from height （51.09%）. Most lower limb fractures were simple type. Compound fractures of the lower limb were more common than up- per limb fractures. Conclusion： Strict enforcement of traffic rules, combined with improved infrastructure and behavior change can decrease the burden of road traffic accidents in India and other developing countries. This study could assist in raising the profile of road traffic accidents as a public health problem which needs to be addressed as a preventable cause of mortality and morbidity, and plan- ning appropriate interventions for this major challenge. Preventive strategies should be made on the basis of these epidemiological trends.展开更多
This paper uses data for the period 1950-2050 compiled by the United Nations Population Division together with methods including spatial autocorrelation analysis, hie- rarchical cluster analysis and the standard devia...This paper uses data for the period 1950-2050 compiled by the United Nations Population Division together with methods including spatial autocorrelation analysis, hie- rarchical cluster analysis and the standard deviational ellipse, to analyze the spatio-temporal evolution of population and urbanization in the 75 countries located along the routes of the Silk Road Economic Belt and the 21st-century Maritime Silk Road, to identify future popula- tion growth and urbanization hotspots. The results reveal the following： First, in 2015, the majority of Belt and Road countries in Europe, South Asia and Southeast Asia had high population densities, whereas most countries in Central Asia, North Africa and West Asia, as well as Russia and Mongolia, had low population densities; the majority of countries in South Asia, Southeast Asia, Central Asia, West Asia and North Africa had rapid population growth, whereas many countries in Europe had negative population growth; and five Belt and Road countries are in the initial stage of urbanization, 44 countries are in the acceleration stage of urbanization, and 26 are in the terminal stage of urbanization. Second, in the century from 1950 to 2050, the mean center of the study area＇s population is consistently located in the border region between India and China. Prior to 2000, the trajectory of the mean center was from northwest to southeast, but from 2000 it is on a southward trajectory, as the population of the study area becomes more concentrated. Future population growth hotspots are predicted to be in South Asia, West Asia and Southeast Asia, and hotspot countries for the period 2015-2030 include India, China, Pakistan and Indonesia, though China will move into nega- tive population growth after 2030. Third, the overall urban population of Belt and Road coun- tries increased from 22% in 1950 to 49% in 2015, and it is expected to gradually catch up with the world average, reaching 64% in 2050. The different levels of urbanization in different countries display significant spatial dependency, and in the hundred-year period under con-sideration, this dependency increases before eventually weakening. Fourth, between 2015 and 2030, urban population hotspots will include Thailand, China, Laos and Albania, while Kuwait, Cyprus, Qatar and Estonia will be urban ＂coldspots.＂ Fifth, there were 293 cities with populations over 1 million located along the Belt and Road in 2015, but that number Js ex- pected to increase to 377 by 2030. Of those, 43 will be in China, with many of the others located in India, Indonesia and the eastern Mediterranean.展开更多
Beijing and Tokyo must reconcile their differences The rift between China and Japan shows signs of healing,as evidenced by the brief meeting between Chinese President Xi Jinping and Japanese Prime Minister Shinzo Abe ...Beijing and Tokyo must reconcile their differences The rift between China and Japan shows signs of healing,as evidenced by the brief meeting between Chinese President Xi Jinping and Japanese Prime Minister Shinzo Abe on the sidelines of the 2016 APEC forum in Lima,Peru,on November 20. This was their fourth face-to- face encounter, following meetings at the Beijing APEC forum in China in 2014. the Bandung anniversary in Indonesia in 201 S. and the Hangzhou G20 Summit in China this September.展开更多
文摘Objective： Trauma in India is an increasingly significant problem, particularly in light of rapid development and increasing motorization. Social changes are resulting in alterations in the epidemiology of trauma. The aim of the study was to assess the various epidemiological parameters that influence the cause of injury in the patients admitted to a major trauma centre in northem India. Methods： An observational study of 748 patients chosen by random assortment was carried out over a peri- od of 1 year （August 2008 to July 2009）. Age, sex, injury type and pattern were noted. Injury mode of upper and lower limbs was also noted. Results： Injuries occur predominately in the age group of 15-30 years. Males incurred more injury with male to female ratio of 6：1. The most vulnerable group was motorcycle users. Among the injured, farmers were the most commonly involved. Blunt injuries （94.92%） were much more common than penetrating injuries. Among patients with head injury, two wheelers related accidents were the most common （40.3%）. Most spinal cord injuries were caused by falls from height （51.09%）. Most lower limb fractures were simple type. Compound fractures of the lower limb were more common than up- per limb fractures. Conclusion： Strict enforcement of traffic rules, combined with improved infrastructure and behavior change can decrease the burden of road traffic accidents in India and other developing countries. This study could assist in raising the profile of road traffic accidents as a public health problem which needs to be addressed as a preventable cause of mortality and morbidity, and plan- ning appropriate interventions for this major challenge. Preventive strategies should be made on the basis of these epidemiological trends.
基金The Strategic Priority Research Program of the CAS,Pan-Third Pole Environment Study for a Green Silk Road(Pan-TPE),No.XDA20040400Key Deployment Project of the CAS,No.ZDRW-ZS-2016-6-2
文摘This paper uses data for the period 1950-2050 compiled by the United Nations Population Division together with methods including spatial autocorrelation analysis, hie- rarchical cluster analysis and the standard deviational ellipse, to analyze the spatio-temporal evolution of population and urbanization in the 75 countries located along the routes of the Silk Road Economic Belt and the 21st-century Maritime Silk Road, to identify future popula- tion growth and urbanization hotspots. The results reveal the following： First, in 2015, the majority of Belt and Road countries in Europe, South Asia and Southeast Asia had high population densities, whereas most countries in Central Asia, North Africa and West Asia, as well as Russia and Mongolia, had low population densities; the majority of countries in South Asia, Southeast Asia, Central Asia, West Asia and North Africa had rapid population growth, whereas many countries in Europe had negative population growth; and five Belt and Road countries are in the initial stage of urbanization, 44 countries are in the acceleration stage of urbanization, and 26 are in the terminal stage of urbanization. Second, in the century from 1950 to 2050, the mean center of the study area＇s population is consistently located in the border region between India and China. Prior to 2000, the trajectory of the mean center was from northwest to southeast, but from 2000 it is on a southward trajectory, as the population of the study area becomes more concentrated. Future population growth hotspots are predicted to be in South Asia, West Asia and Southeast Asia, and hotspot countries for the period 2015-2030 include India, China, Pakistan and Indonesia, though China will move into nega- tive population growth after 2030. Third, the overall urban population of Belt and Road coun- tries increased from 22% in 1950 to 49% in 2015, and it is expected to gradually catch up with the world average, reaching 64% in 2050. The different levels of urbanization in different countries display significant spatial dependency, and in the hundred-year period under con-sideration, this dependency increases before eventually weakening. Fourth, between 2015 and 2030, urban population hotspots will include Thailand, China, Laos and Albania, while Kuwait, Cyprus, Qatar and Estonia will be urban ＂coldspots.＂ Fifth, there were 293 cities with populations over 1 million located along the Belt and Road in 2015, but that number Js ex- pected to increase to 377 by 2030. Of those, 43 will be in China, with many of the others located in India, Indonesia and the eastern Mediterranean.
文摘Beijing and Tokyo must reconcile their differences The rift between China and Japan shows signs of healing,as evidenced by the brief meeting between Chinese President Xi Jinping and Japanese Prime Minister Shinzo Abe on the sidelines of the 2016 APEC forum in Lima,Peru,on November 20. This was their fourth face-to- face encounter, following meetings at the Beijing APEC forum in China in 2014. the Bandung anniversary in Indonesia in 201 S. and the Hangzhou G20 Summit in China this September.
