随着我国快速的人口老龄化和疾病谱的变化情况,为预防多重慢性病的发生并提高中老年人生活质量,同时更好地实现健康中国2030,以中国健康与养老追踪调查(China Health and Retirement Longitudinal Study,简称CHARLS)数据为基础,选择性...
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随着我国快速的人口老龄化和疾病谱的变化情况,为预防多重慢性病的发生并提高中老年人生活质量,同时更好地实现健康中国2030,以中国健康与养老追踪调查(China Health and Retirement Longitudinal Study,简称CHARLS)数据为基础,选择性别、年龄、城乡分布、是否识字、婚姻状态及慢病情况等多维变量,使用Python编程进行统计及卡方检验,分析中老年人多重慢病患者疾病构成和多重慢病的组合,得到多重慢病的患病率与人口年龄和城乡分布有关。该研究结果希望可以引起人们对慢病及多重慢病的高度关注,提升居民健康意识,同时为减轻政府医疗卫生支出提出一些合理的建议。
Background: multimorbidity contributes to a large portion of the disease burden in low- and middle-income countries. However, limited research has been undertaken in China. This study has investigated the prevalence o...
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Background: multimorbidity contributes to a large portion of the disease burden in low- and middle-income countries. However, limited research has been undertaken in China. This study has investigated the prevalence of multimorbidity and the associations of multimorbidity with activities of daily living (ADL), instrumental activities of daily living (IADL) and depression in China. Methods: the study participants included 10,055 adults aged 45 years and older from three rounds of the China Health and Retirement Longitudinal Study 2011-2015. Random-effects logistic regression models were used to examine the association of multimorbidity with ADL limitation, IADL limitation and mental disease. Results: the prevalence of multimorbidity amongst adults in China aged 45 years and older was 62.1% in 2015. The prevalence of multimorbidity was increased with older age, among women, in a higher socio-economic group and in the most deprived regions. Multimorbidity is associated with an increased likelihood of experiencing ADL limitation (adjusted odds ratio [AOR]=5.738, 95% confidence intervals (CI)=5.733, 5.744) and IADL limitation (AOR=2.590, 95% CI=2.588, 2.592) and depression (AOR=3.352, 95% CI=3.350, 3.354). Rural-urban disparities in functional difficulties and depression were also found amongst patients with multimorbidity. Conclusions: the burden of multimorbidity is high in China, particularly amongst the older population. Multimorbidity is associated with higher levels of functional limitations and depression. China healthcare reforms should introduce integrated care models and patient-centred healthcare delivery. The increasing need for reorientation of healthcare resources considering the distribution of multimorbidity and its adverse effect requires more attention from health policymakers in China and other developing countries.
Background Evidence from functional and structural research suggests that abnormal brain activity plays an important role in the pathophysiology of schizophrenia (SZ). However, limited studies have focused on post-tre...
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Background Evidence from functional and structural research suggests that abnormal brain activity plays an important role in the pathophysiology of schizophrenia (SZ). However, limited studies have focused on post-treatment changes, and current conclusions are inconsistent. Study Design We recruited 104 SZ patients to have resting-state functional magnetic resonance imaging scans at baseline and 8 weeks of treatment with second-generation antipsychotics, along with baseline scanning of 86 healthy controls (HCs) for comparison purposes. Individual regional homogeneity (ReHo), amplitude of low-frequency fluctuations (ALFF), and degree centrality values were calculated to evaluate the functional activity. The Positive and Negative Syndrome Scale (PANSS) and MATRICS Consensus Cognitive Battery were applied to measure psychiatric symptoms and cognitive impairment in SZ patients. Results Compared with HCs at baseline, SZ patients had higher ALFF and ReHo values in the bilateral inferior temporal gyrus, inferior frontal gyrus, and lower ALFF and ReHo values in fusiform gyrus and precuneus. Following 8 weeks of treatment, ReHo was increased in right medial region of the superior frontal gyrus (SFGmed) and decreased in the left middle occipital gyrus and the left postcentral gyrus. Meanwhile, ReHo of the right SFGmed was increased after treatment in the response group (the reduction rate of PANSS >= 50%). Enhanced ALFF in the dorsolateral of SFG correlated with improvement in depressive factor score. Conclusions These findings provide novel evidence for the abnormal functional activity hypothesis of SZ, suggesting that abnormality of right SFGmed can be used as a biomarker of treatment response in SZ.
Neuroimaging studies have identified a large number of biomarkers associated with schizophrenia (SZ), but there is still a lack of biomarkers that can predict the efficacy of antipsychotic medication in SZ patients. T...
Neuroimaging studies have identified a large number of biomarkers associated with schizophrenia (SZ), but there is still a lack of biomarkers that can predict the efficacy of antipsychotic medication in SZ patients. The aim of this study was to identify neuroimaging biomarkers of antipsychotic drug response among features of the resting-state connectome. Resting-state functional magnetic resonance scans were acquired from a discovery cohort of 105 patients with SZ at baseline and after 8 weeks of antipsychotic medication treatment. Baseline clinical status and post-treatment outcome were assessed using the Positive and Negative Symptom Scale (PANSS), and clinical improvement was rated by the total score reduction. Based on acquired imaging data, a resting-state functional connectivity matrix was constructed for each patient, and a connectome-based predictive model was subsequently established and trained to predict individual PANSS total score reduction. Model performance was assessed by calculating Pearson correlation coefficients between predicted and true score reduction with leave-one-out cross-validation. Finally, the generalizability of the model was tested using an independent validation cohort of 52 SZ patients. The model incorporating resting-state connectome characteristics predicted individual treatment outcomes in both the discovery cohort (prediction vs. truth r = 0.59, mean squared error (MSE) = 0.021) and validation cohort (r = 0.41, MSE = 0.036). The model identified four positive features and eight negative features, which were respectively correlated positively and negatively with PANSS total score reduction. Among these positive features, the specific connections within the parietal lobe played a crucial role in the model's predictive performance. As for the negative features, they included the frontoparietal control network and the cerebello-thalamo-cortical connections. This study discovered and validated a set of functional features based on re
Shooting Intelligent Detection System has important applications in the military industry. Existing target shooting systems mainly face problems such as high cost, complex operation, and poor environmental adaptabilit...
Shooting Intelligent Detection System has important applications in the military industry. Existing target shooting systems mainly face problems such as high cost, complex operation, and poor environmental adaptability. Considering the above limitations, in this paper we propose a fast, low-cost, and easy-to-deploy bullet hole recognition algorithm based on visual detection, which mainly consists of four parts: image preprocessing, extraction of target center, bullet hole extraction and ring value determination. In the process of bullet hole extraction, a method for segmenting effective target surface is proposed to cope with the problem of off-target bullet holes. Our method can not only accurately localize the bullet holes, but also obtain the exact ring value at that location. In addition, due to the robust adaptability of our method, it can even be applied to outdoor scenarios.
A mCPBA-mediated, metal-free, intramolecular dioxygenation reaction of unactivated alkenes is reported. In the presence of m-chlorobenzoic peracid, different unsaturated amide substrates could be cyclized via epoxide ...
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A mCPBA-mediated, metal-free, intramolecular dioxygenation reaction of unactivated alkenes is reported. In the presence of m-chlorobenzoic peracid, different unsaturated amide substrates could be cyclized via epoxide intermediates, producing the corresponding 5-imino-2-tetrahydrofuranyl methanol products in up to 94% yield at room temperature. (C) 2020 Elsevier Ltd. All rights reserved.
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