A Cross-Sectional Study on The Prevalence of Anemia in Maintenance Hemodialysis and Peritoneal Dialysis Patients and Its Related Factors

Objective:To study the prevalence of anemia,the proportion of hemoglobin(Hb)levels,the treatment methods,and the influencing factors of Hb levels in maintenance hemodialysis(MHD)and peritoneal dialysis patients.Methods:In this study,602 patients with maintenance hemodialysis and continuous ambulatory peritoneal dialysis were enrolled from December 2020 to December 2022 in our hospital,and their medical records were collected and summarized.The main contents included the patient’s gender,age,primary disease,dialysis duration,dialysis method,the use of erythropoietic stimulating agents(ESA),intravenous iron,and laboratory tests.A Hb index exceeding 110 g/L was set as the standard for the prevalence of anemia.Results:The rate of anemia in patients undergoing blood purification was 83%.The proportion of ESA use was 84.1%,and the proportion of iron use was 76.7%,of which the proportion of intravenous iron used was 17.0%,and the proportion of folic acid used was 28.3%.Conclusion:The incidence of anemia in MHD patients was relatively high,with a low proportion of patients reaching the standard Hb levels.Risk factors include albumin(ALB)levels,iron storage,white blood cells,C-reactive protein,cholesterol,etc.Nutritional support,iron supplementation,and prevention of micro-inflammatory reactions can effectively promote the improvement of Hb indicators in dialysis patients to prevent anemia.

Relationship between sonographically measured median nerve cross-sectional area and presence of peripheral neuropathy in diabetic subjects

BACKGROUND Neuropathy is a common complication of diabetes mellitus resulting from direct damage by hyperglycemia to the nerves and/or ischemia by microvascular injury to the endoneurial vessels which supply the nerves. Median nerve is one of the peripheral nerves commonly affected in diabetic neuropathy. The median nerve size has been studied in non-Nigerian diabetic populations. In attempt to contribute to existing literature, a study in a Nigerian population is needed.AIM To evaluate the cross-sectional area(CSA) of the median nerve using B-mode ultrasonography(USS) and the presence of peripheral neuropathy(PN) in a cohort of adult diabetic Nigerians.METHODS Demographic and anthropometric data of 85 adult diabetes mellitus(DM) and 85 age-and sex-matched apparently healthy control(HC) subjects were taken. A complete physical examination was performed on all study subjects to determine the presence of PN and modified Michigan Neuropathy Screening Instrument(MNSI) was used to grade its severity. Venous blood was taken from the study subjects for fasting lipid profile(FLP), fasting blood glucose(FBG) and glycated haemoglobin(HbA1 c) while their MN CSA was evaluated at a point 5 cm proximal to(5 cmCATL) and at the carpal tunnel(CATL) by high-resolution Bmode USS. Data was analysed using SPSS version 22.RESULTS The mean MN CSA was significantly thicker in DM subjects compared to the HC at 5 cmCATL(P < 0.01) and at the CATL(P < 0.01) on both sides. The presence of diabetic peripheral neuropathy(DPN) further increased the MN CSA at the CATL(P < 0.05) but not at 5 cmCATL(P > 0.05). However, the severity of DPN had no additional effect on MN CSA 5 cm proximal to and at the CATL. There was no significant association between MN CSA and duration of DM and glycemic control.CONCLUSION Thickening of the MN CSA at 5 cmCATL and CATL is seen in DM. Presence of DPN is associated with worse thickening of the MN CSA at the CATL but not at5 cmCATL. Severity of DPN, duration of DM, and glycemic control had no additional effect on the MN CSA.

Correlation between current and cross-sectional area of parallel fixed-movable dual electrodes in ESC

Electroslag casting with parallel fixed-movable dual electrodes is a new method for achieving better quality of castings in complex mold cavities.In this work,a mathematical model,y=kx^2+(k+1)x,was established to describe the ideal correlation between the current ratio(y)and the cross-sectional area ratio(x)of the dual electrodes,where k is the filling ratio.Investigation was conducted on the electroslag casting process with dual electrodes of various cross-sectional areas,but at a constant k value.The experimental results indicated that the ideal correlation was obtained at the stable casting stage,and the fitting results were consistent with the experimental results at certain k values.The experimental findings show that better castings can be obtained when the current ratio is greater than 1.536 and the cross-sectional area ratio is greater than 0.5.

Ultrasonographic measurement of median nerve cross-sectional area reference values in a healthy Han population from Guiyang,China

High-resolution ultrasonography was used to analyze the nerve cross-sectional area （CSA） of the median nerve at 7 sites： the wrist crease, pisiform bone, hamate bone, 6 cm proximal to the tip of the wrist crease, proximal forearm （where the nerve enters the pronator teres muscle）, 4 cm proximal to the tip of the medial epicondyle, and mid-humerus （mid-point between elbow crease and axilla） in 200 healthy volunteers from Guiyang, China. Results showed similar CSA values between the left and right sides, but the CSA 6 cm proximal to the tip of the wrist crease, proximal forearm, 4 cm proximal to tip of the medial epicondyle, and mid-humerus in males was greater than that of females. Moreover, CSA values at the wrist crease, pisiform bone, and hamate bone were greater in the middle-aged and old groups when compared to the young group, and correlated with body mass and height. Thus, reference values of median nerve CSA of the upper limbs can facilitate the analysis of abnormal nerve conditions.

Pore-Throat Combination Types and Gas-Water Relative Permeability Responses of Tight Gas Sandstone Reservoirs in the Zizhou Area of East Ordos Basin, China

With the aim of better understanding the tight gas reservoirs in the Zizhou area of east Ordos Basin,a total of 222 samples were collected from 50 wells for a series of experiments.In this study,three pore-throat combination types in sandstones were revealed and confirmed to play a controlling role in the distribution of throat size and the characteristics of gas-water relative permeability.The type-I sandstones are dominated by intercrystalline micropores connected by cluster throats,of which the distribution curves of throat size are narrow and have a strong single peak(peak ratio>30%).The pores in the type-II sandstones dominantly consist of secondary dissolution pores and intercrystalline micropores,and throats mainly occur as slice-shaped throats along cleavages between rigid grain margins and cluster throats in clay cement.The distribution curves of throat size for the type-II sandstones show a bimodal distribution with a substantial low-value region between the peaks(peak ratio<15%).Primary intergranular pores and secondary intergranular pores are mainly found in type-III samples,which are connected by various throats.The throat size distribution curves of type-III sandstones show a nearly normal distribution with low kurtosis(peak ratio<10%),and the micro-scale throat radii(>0.5μm)constitute a large proportion.From type-I to type-III sandstones,the irreducible water saturation(Swo)decreased;furthermore,the slope of the curves of Krw/Krg in two-phase saturation zone decreased and the two-phase saturation zone increased,indicating that the gas relative flow ability increased.Variations of the permeability exist in sandstones with different porethroat combination types,which indicate the type-III sandstones are better reservoirs,followed by type-II sandstones and type-I sandstones.As an important factor affecting the reservoir quality,the pore-throat combination type in sandstones is the cumulative expression of lithology and diagenetic modifications with strong heterogeneity.

RELATIVE SEA LEVEL RISE AND ITS EFFECTS ON ENVIRONMENT AND RESOURCES IN CHINAS COASTAL AREAS

Due to global climate warming and natural and man-made land subsidence etc., relative sea level rise in the coastal plains of China will exceed 2-3 times over the golbal mean value during the first half part of the 21st century. It will result in a series of adverse impacts on evolution of natural environment and socioeconomic development of the coastal area. This paper analyses environmental and resource effects induced by relative sea level rise in China's coastal areas on the basis of rough estimate of future relative sea level rise. These effects include inundating tidal flat and wetlands and increase in inundated risk of coastal habitable land,exacerbating storm surge. coastal erosion, flooding and salt water intrusion hazards.as well as endangering land. water. tourism and living resources and their utilization.

Does the ratio of the carpal tunnel inlet and outlet cross-sectional areas in the median nerve reflect carpal tunnel syndrome severity?

Although ultrasound measurements have been used in previous studies on carpal tunnel syndrome to visualize injury to the median nerve, whether such ultrasound data can indicate the severity of carpal tunnel syndrome remains controversial. The cross-sectional areas of the median nerve at the tunnel inlet and outlet can show swelling and compression of the nerve at the carpal. We hypothesized that the ratio of the cross-sectional areas of the median nerve at the carpal tunnel inlet to outlet accurately reflects the severity of carpal tunnel syndrome. To test this, high-resolution ultrasound with a linear array transducer at 5–17 MHz was used to assess 77 patients with carpal tunnel syndrome. The results showed that the cut-off point for the inlet-to-outlet ratio was 1.14. Significant differences in the inlet-to-outlet ratio were found among patients with mild, moderate, and severe carpal tunnel syndrome. The cut-off point in the ratio of cross-sectional areas of the median nerve was 1.29 between mild and more severe（moderate and severe） carpal tunnel syndrome patients with 64.7% sensitivity and 72.7% specificity. The cut-off point in the ratio of cross-sectional areas of the median nerve was 1.52 between the moderate and severe carpal tunnel syndrome patients with 80.0% sensitivity and 64.7% specificity. These results suggest that the inlet-to-outlet ratio reflected the severity of carpal tunnel syndrome.

Usefulness of the acromioclavicular joint cross-sectional area as a diagnostic image parameter of acromioclavicular osteoarthritis

BACKGROUND Acromioclavicular joint(ACJ)space narrowing has been considered to be an important diagnostic image parameter of ACJ osteoarthritis(ACJO).However,the morphology of the ACJ space is irregular because of osteophyte formation,subchondral irregularity,capsular distention,sclerosis,and erosion.Therefore,we created the ACJ cross-sectional area(ACJCSA)as a new diagnostic image parameter to assess the irregular morphologic changes of the ACJ.AIM To hypothesize that the ACJCSA is a new diagnostic image parameter for ACJO.METHODS ACJ samples were obtained from 35 patients with ACJO and 30 healthy individuals who underwent shoulder magnetic resonance(S-MR)imaging that revealed no evidence of ACJO.Oblique coronal,T2-weighted,fat-suppressed SMR images were acquired at the ACJ level from the two groups.We measured the ACJCSA and the ACJ space width(ACJSW)at the ACJ on the S-MR images using our imaging analysis program.The ACJCSA was measured as the cross-sectional area of the ACJ.The ACJSW was measured as the narrowest point between the acromion and the clavicle.RESULTS The average ACJCSA was 39.88±10.60 mm;in the normal group and 18.80±5.13 mm;in the ACJO group.The mean ACJSW was 3.51±0.58 mm in the normal group and 2.02±0.48 mm in the ACJO group.ACJO individuals had significantly lower ACJCSA and ACJSW than the healthy individuals.Receiver operating characteristic curve analyses demonstrated that the most suitable ACJCSA cutoff score was 26.14 mm^(2),with 91.4%sensitivity and 90.0%specificity.CONCLUSION The optimal ACJSW cutoff score was 2.37 mm,with 88.6%sensitivity and 96.7%specificity.Even though both the ACJCSA and ACJSW were significantly associated with ACJO,the ACJCSA was a more sensitive diagnostic image parameter.

E-commerce Development Strategies of Agriculture-related Enterprises in Earthquake Area

The problems existing in the development of agriculture-related enterprises in earthquake area are evaluated,as well as the prominent issues existing in the process of developing E-commerce,consequently,the corresponding strategies for developing E-commerce in agriculture-related enterprises are proposed.

Emotional and Behavioral Problems of Left-Behind Children in Impoverished Rural China:A Comparative Cross-Sectional Study of First Grade Junior High School

Objective:To investigate the prevalence of emotional and behavioral problems and related factors of left-behind children in impoverished rural China(mainly in thefirst grade of junior high school).Methods:A cross-sectional survey of rural households in 27 poverty-stricken counties in 12 provinces across China was conducted using the Strengths and Difficulties Questionnaire(SDQ).Results:The prevalence of emotional and behavioral problems in left-behind children was 11.7%,and that of non-left-behind children was 8.9%.There was statistical difference between the two groups(P<0.01).There are no differences between the two groups in terms of the various factors of SDQ.The incidence of insomnia in the left-behind group was 58.3%,which was higher than that in the non-left-behind group 50.9%(P<0.01);loneliness(62.1%vs.51.8%,P<0.01);running away from home(23.1%vs.18.8%,P<0.01),and self-injury behavior(16.8%vs.12.2%,P<0.01).Left-behind children are more likely to have negative psychological feelings including insomnia,loneliness,self-injury,and run away from home.They also experienced more bullying including maliciously teased by peers,intentionally excluded or isolated,physically threatened or intimidated.All of these factors are associated with their abnormal emotional and behavioural development.Conclusion:The incidence of emotional and behavioral problems of left-behind children in rural areas in poverty-stricken areas is significantly higher than that of non-left-behind children;Logistic regression analysis showed that bullying behavior and abnormal psychological characteristics are significantly associated with left-behind adolescents abnormal emotional and behavioral development.

SUSTAINABLE URBAN-RURAL RELATION IN RAPID URBANIZATION AREAS——Case of Transformation of "Urban Village" in Guangzhou

Many studies have been made concerning the problems, characteristics, formation, transformation measures, etc. of urban village from sociology, urban planning and geography, etc., which have made insightful analysis. However, most of these studies started mainly from the standpoint of the city govemment, drumming for the land- scape-oriented urbanization, namely pulling-down the urban village and constructing the splendid residence or business buildings. The article maintains that the most important thing the city government should do is to pay much attention to the sustainable living of urban villagers, who would lose their main income source, namely, the collective dividend and the family housing rent. The single method of compensation has been proved to be harmful to the villagers＇ community, in which some young villagers relying on rent were no longer to do anything but stay at home. On the other hand, considering the floating population has become the main stream of renters in urban villages, the emergence of urban villages was inevitable and would continue to exist in a long time under the socio-economic transition in urban China and globalization. Based on the analysis above, the transformation of urban village should take more concerns on the housing demands of floating population besides compensation for local villagers. Meanwhile, it is necessary to avoid the “landscape-oriented urbanization” without the “peasant-to-citizen” transformation.

Distribution and Relative Abundance of the Tursiops truncatus in Lebanese Marine Waters （Eastern Mediterranean）

Data related to the presence of cetaceans and especially the bottlenose dolphin （Tursiops truncatus） in Lebanese marine waters （eastern Mediterranean） are almost non-existent. This article aims to delimit, for the first time, the areas of distribution and the relative abundance of T. truncatus along the Lebanese coasts in order to develop a strategy for the conservation of this species. Nine campaigns at sea, each lasting between 1 to 3 days, were conducted aboard the vessel ＂CANA＂ between September 2009 and August 2012 in Lebanese marine waters. A total of 1576 km in prospecting effort was covered along the Lebanese coast （220 km）. Dolphins were mainly sighted in the central region of Lebanon （120 km） and 32 sightings and 91 individuals were recorded. The size of the groups were ranged from a minimum of one individual and a maximum of 7 individuals. Relative abundance of T. truncatus for the whole studied region is 0.06 individuals＇km1 in prospecting effort while it is 0.11 individuals·km^-1 in Beirut area that offers habitats sought by this species. The bathymetric distribution of this species is spread over a wide range from a depth of 35 m to 1300 m. More than half of the individuals have been observed in areas where bathymetry ranges between 300 m and 600 m depths.

Coupling relation between water and salt in irrigation area on a catchments scale

Water resource is the important factor for sustainable development in Weigan River catchments in western China. Based on ecological hydrology principles, the coupling relation between water and salt is monitored and analyzed. The water quality for irrigation in oasis ecosystem has a larger variable range in arid area, which depending on the input water resource and underground water mineralization degree and water chemical component on the catchments scale, the water and salt coupling is decided by the climate condition and soil feature and vegetation characteristics as well as human activity. Meanwhile, temporal and spatial change between water and salt is quite complicated. The environmental management should be paid attention to considering in irrigation area in the catchments.

Direct measurement of the three-dimensional distribution of leaf area density and light conditions in a mature oak stand by the cube method

Although the distributions of foliage and light play major roles in various forest functions,accurate,nondestructive measurement of these distributions is difficult due to the complexity of the canopy structure.To evaluate the foliage and light distributions directly and nondestructively in a mature oak stand,we used the cube method by dividing the forest canopy into small cubes(50 cm per side)and directly measured leaf area density(LAD,the total one-sided leaf area per unit volume,i.e.,cube)and relative irradiance(RI)within each cube.The distribution of LAD and of RI was highly heterogeneous,even at the same canopy height.This heterogeneity reflected the presence of foliage clusters associated with multiple forking branches.The relationship between cumulative LAD at the canopy surface and average RI followed the Beer-Lambert law.The mean light extinction coefficient(K)was 0.32.However,K was overestimated by more than double(0.80)when calculated based on the classical method using RI at the forest floor.This overestimation was caused by the lower RI due to light absorption by nonleaf plant parts below the canopy.Our findings on the complex foliage and light distributions in canopy layers should help improve the accuracy of RI and K measurements and thus more accurate predictions of environmental responses and forest functions.

N-methyl-D-aspartate receptor subunit expression in memory-related brain areas of lead-exposed rats

Lead exposure induces decreased hippocampal N-methyI-D-aspartic acid （NMDA） receptor gene and protein expressions, which influences the molecular mechanisms of learning and memory. However, lead poisoning-induced differences in NMDA subunit expression, and the correlation of lead poisoning with learning and memory, remain poorly understood. The present study measured differences in expression of NMDA receptor subunits NR1, NR2A, and NR2B in memory-related brain regions of rats who underwent different doses of lead exposure. Results demonstrated decreased NR1, NR2A, and NR2B subunit expressions in some memory-related brain areas. The inhibitory effect of 4.8 mmol/L lead exposure on hippocampal NR2B was most significant, although NR2A expression also significantly decreased following 14.4 mmol/L lead exposure. There was no difference in NR1 expression following exposure to 〈 4.8 mmol/L lead, although the inhibitory effect of 19.6 mmol/L lead exposure was strongest for NR1 expression in the hippocampus. Inhibitory avoidance test results revealed that greater concentrations of lead exposure resulted in decreased learning and memory. Therefore, lead toxicity was dependent on NMDA receptor subunit composition, and NR1, NR2A, and NR2B expressions were associated with time and concentration of lead exposure.

2023年泰国研究发展报告

2022年9月区域国别学成为交叉学科门类下的一级学科,2023年是区域国别学学科建设的开局之年。泰国一直是区域国别学研究的重要国家之一。泰国的王朝政治、民族意识、社会文化、历史记忆、华侨华人以及地缘战略等问题是中外学者的研究重点,相关研究理论成果相对丰硕。这既为新时代背景下的泰国国别学研究奠定了坚实的基础,也为有效回应构建中泰命运共同体的现实需要提供了理论支持。为此,总结梳理2023年中外学者的泰国研究主要的议题与研究动态,把握泰国区域国别学研究方向与发展趋势,反思其研究存在不足并进行未来研究展望是必要且具有重要的理论和实践价值。

百年中国现代化进程的历史反思与时代性超越——兼论“三农”问题的历史累积与乡村振兴的实现

以洋务运动为始,中国走上以工业化为主导的现代化道路。但是,中国传统文明与西方式现代化取向之间形成历史“悖论”,这种悖论关系更突出体现在城乡背离化发展态势上。如何走出具有中国特色的现代化道路,并从根本上摆脱这一困境,一直是中国共产党的历史使命之一。在总结和汲取近代以来中国现代化发展经验和教训的基础上,中国共产党领导人民成功走出中国式现代化道路。中国共产党通过乡村振兴战略的全面实施,从根本上突破近代以来百余年的“三农”困境,从而解决了中国现代化发展中的“悖论”问题。

雄安新区普通人群精神卫生知识知晓现状调查

目的了解雄安新区普通人群心理健康状况和精神卫生知识知晓率及相关影响因素。方法动员雄安新区20个社区卫生服务中心和33个乡镇卫生院工作人员通过发送二维码海报、网址链接等方式邀请所辖范围内15~70周岁居民参与填写在线问卷。问卷由自编一般人口学资料和精神卫生与心理保健知识问卷两部分构成。结果2591份问卷中2517份问卷有效。总知晓率为77.22%,平均得分(15.44±2.61)分。问卷四个模块中,精神疾病知识方面正确率(67.95%)、精神卫生相关节日部分正确率(55.51%)较低。单因素分析结果显示,不同年龄、职业、婚姻状况、受教育程度、月收入、心理健康自我评价的精神卫生与心理保健知识问卷得分比较,差异均有统计学意义(P<0.01)。回归分析结果显示,年龄、受教育程度、职业、婚姻状况、对自己心理健康程度的评价是精神卫生知识知晓率的影响因素(P<0.01)。结论雄安新区普通人群精神卫生知识知晓率仍需进一步提高。应着重加强精神卫生节日相关节日的宣传,高年龄段、低受教育程度、离异/丧偶、无收入、对自己心理健康程度评价不健康的居民应该是今后精神卫生知识宣教的重点。