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12006年第二次全国残疾人抽样调查主要数据公报显示文摘Leading Group of the Second China National Sample Survey on Disability, National Bureau of Statistics of the People’s Republic of China 2006中国康复理论与实践2006,12,12:152
2产后出血的预防和处理指南显示文摘目的:为产后出血(PPH)的预防和临床处理作一综述,为临床医师提供预防和处理产后出血的指南。涉及方面:预防、适当干预、使其影响最小化的方法。结果:建立常规,便于临床医师鉴别可能的高危人群,一旦发生产后过多出血,可指导临床如何迅速处理。证据:遵循加拿大定期健康检查办公室制定的证据等级。评估:由产科专家完善。利弊和成本:评估子宫收缩药和其他积极处理措施的方便性、正确性、有效性和安全性。建议:根据证据的等级,本指南分等级列出了12条建议。确认:按照MeSH词表推荐的postpartum haemorrhage在medline上查询相关文献,在Cochrane图书馆查找相关研究文献,并参考the ALARMcourse Manual。发起人:由产科临床实践委员会制定和综述,并由SOGC(加拿大妇产科协会)委员会批准。Nan Schuurmans MD FRCSC, Edmonton AB Catherine MacKinnon MD FRCSC, Brantford ON Carolyn Lane MD CCFP Calgary AB Duncan Etches MD CCFP Vancouver BC 刘铭(译) 段涛(译) 2007现代妇产科进展2007,16,3:152
3中华医学会感染与抗微生物治疗策略高峰论坛:甲氧西林耐药金黄色葡萄球菌感染的治疗策略——专家共识显示文摘中华医学会感染与抗微生物治疗高峰论坛:甲氧西林耐药金葡菌感染的治疗策略于2011年4月17日在长沙举行。60余位来自感染科、呼吸科、血液科、重症医学、皮肤科、普外科、烧伤科、肾病科、儿科等临床学科及医学检验科的资深专家就甲氧西林耐药金葡菌感染的病原诊断和治疗的相关问题进行了广泛深入讨论,拟定了“甲氧西林耐药金葡菌感染的治疗策略一专家共识”的内容纲要。目前国内尚缺少基于充分临床实践(循证医学)证据的治疗耐甲氧西林金葡菌(MRSA)感染的指南或专家共识可供参考。Expert panel of Chinese Medical Association Forum on the Strategies for the Management of Methicillinresistant Staphylococcus aureus Infections 2011中国感染与化疗杂志2011,11,6:94
4Predictive Values of Body Mass Index and Waist Circumference for Risk Factors of Certain Related Diseases in Chinese Adults - Study on Optimal Cut-off Points of Body Mass Index and Waist Circumference in Chinese Adults显示文摘Objective For prevention of obesity in Chinese population, it is necessary to definethe optimal range of healthy weight and the appropriate cut-off points of BMI and waistcircumference for Chinese adults. The Working Group on Obesity in China under the supportof International Life Sciences Institute Focal Point in China organized a meta-analysis on therelation between BMI, waist circumference and risk factors of related chronic diseases (e. g.,high diabetes, diabetes mellitus, and lipoprotein disorders). Methods 13 population studiesin all met the criteria for enrollment, with data of 239 972 adults (20-70 year) surveyed inthe 1990s. Data on waist circumference was available for 111411 persons and data on serumlipids and glucose were available for more than 80 000. The study populations located in21provinces, municipalities and autonomous regions in China's Mainland as well as inTaiwan. Each enrolled study provided data according to a common protocol and uniformformat. The Center for data management in Department of Epidemiology, Fu Wai Hospitalwas responsible for statistical analysis. Results and conclusion The prevalence ofhypertension, diabetes, dyslipidemia and clustering of risk factors all increased withincreasing levels of BMI or waist circumference. BMI at 24 with best sensitivity andspecificity for identification of the risk factors, was recommended as the cut-off point foroverweight, BMI at 28 which may identify the risk factors with specificity around 90 % wasrecommended as the cut-off point for obesity. Waist circumference beyond 85 cm for menand beyond 80 cm for women were recommended as the cut-off points for central obesity.Analysis of population attributable risk percent illustrated that reducing BMI to normalrange (<24) could prevent 45%-50% clustering of risk factors. Treatment of obese persons(BMI≥28)with drugs could prevent 15%-17% clustering of risk factors. The waistcircumference controlled under 85 cm for men and under 80 cm for women, could prevent47%-58% clustering of risk factors. According to these, a classification of overweight andobesity for Chinese adults is recommended.ZHOU BEI-FAN2Cooperative Meta-Analysis Group of the Working Group on Obesity in China 2002Biomedical and Environmental Sciences2002,15,1:237
5完全植入式输液港上海专家共识显示文摘目前国内外尚无完全植入式输液港(TIAP)方面的指南可查询。为此,提出TIAP上海专家共识,对TIAP植入的适应证和禁忌证,对植入部位选择、术前准备、术中注意事项、围手术期和长期并发症预防与处理、TIAP维护要点进行概括说明。本共识编写以查阅文献为主,亦参考专家经验,以期能够为中心静脉通路安全发展提供有力保障,推动TIAP植入与维护的健康发展。Shanghai Cooperation Group on central venous access 2015介入放射学杂志2015,24,12:106
6Remarks on Urban Spatial Growth Management ResearchCHEN Jinfu,Professor,Director,Teaching & Research Office on Urban Planning,Architecture and Urban Planning School,Huazhong University of Science and Technology PhD Candidate,College of Public Administration,Huazhong University of Science and Technology,Wuhan,P.R.China.REN Lijuan,Postgraduate,Architecture and Urban Planning School,Huazhong University of Science and Technology,Wuhan,P.R.China.YU Cheng,Postgraduate,Architecture and Urban Planning School,Huazhong University of Science and Technology,Wuhan,P.R.China.XU Xiaolei,Postgraduate,Architecture and Urban Planning School,Huazhong University of Science and Technology,Wuhan,P.R.China.LI Xinyan,Lecturer,Architecture and Urban Planning School,Huazhong University of Science and Technology,Wuhan,P.R.China. 2010China City Planning Review2010,19,2:180
72015年全国细菌耐药监测报告显示文摘为贯彻落实《抗菌药物临床应用指导原则》,加强医疗机构抗菌药物临床应用的监督和管理,国家卫生计生委合理用药专家委员会和全国细菌耐药监测网日前发布了《2015年全国细菌耐药监测报告》,现予全文刊登,以促进合理用药,提高抗菌药物临床应用水平。Committee of Experts on Rational Drug Use, National Health and Family Planning Commission of the P.R.China 2016中国执业药师2016,0,3:206
8China Stroke Statistics 2019:A Report From the National Center for Healthcare Quality Management in Neurological Diseases,China National Clinical Research Center for Neurological Diseases,the Chinese Stroke Association,National Center for Chronic and Non-communicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention and Institute for Global Neuroscience and Stroke Collaborations显示文摘China faces the greatest challenge from stroke in the world.The death rate for cerebrovascular diseases in China was 149.49 per 100000,accounting for 1.57 million deaths in 2018.It ranked third among the leading causes of death behind malignant tumours and heart disease.The age-standardised prevalence and incidence of stroke in 2013 were 1114.8 per 100000 population and 246.8 per 100000 person-years,respectively.According to the Global Burden of Disease Study 2017,the years of life lost(YLLs)per 100000 population for stroke increased by 14.6%;YLLs due to stroke rose from third highest among all causes in 1990 to the highest in 2017.The absolute numbers and rates per 100000 population for all-age disability-adjusted life years(DALYs)for stroke increased substantially between 1990 and 2017,and stroke was the leading cause of all-age DALYs in 2017.The main contributors to cerebrovascular diseases include behavioural risk factors(smoking and alcohol use)and pre-existing conditions(hypertension,diabetes mellitus,dyslipidaemia and atrial fibrillation(AF)).The most prevalent risk factors among stroke survivors were hypertension(63.0%-84.2%)and smoking(31.7%-47.6%).The least prevalent was AF(2.7%-7.4%).The prevalences for major risk factors for stroke are high and most have increased over time.Based on the latest national epidemiological data,26.6%of adults aged≥15 years(307.6 million adults)smoked tobacco products.For those aged≥18 years,age-adjusted prevalence of hypertension was 25.2%;adjusted prevalence of hypercholesterolaemia was 5.8%;and the standardised prevalence of diabetes was 10.9%.For those aged≥40 years,the standardised prevalence of AF was 2.31%.Data from the Hospital Quality Monitoring System showed that 3010204 inpatients with stroke were admitted to 1853 tertiary care hospitals during 2018.Of those,2466785(81.9%)were ischaemic strokes(ISs);447609(14.9%)were intracerebral haemorrhages(ICHs);and 95810(3.2%)were subarachnoid haemorrhages(SAHs).The average age of patients admitted was 66 years old,and nearly 60%were male.A total of 1555(0.1%),2774(0.6%)and 1347(1.4%)paediatric strokes(age<18 years)were identified among IS,ICH and SAH,respectively.Over one-third(1063892(35.3%))of the patients were covered by urban resident basic medical insurance,followed by urban employee basic medical insurance(699513(23.2%))and new rural cooperative medical schema(489361(16.3%)).The leading risk factor was hypertension(67.4%for IS,77.2%for ICH and 49.1%for SAH),and the leading comorbidity was pneumonia or pulmonary infection(10.1%for IS,31.4%for ICH and 25.2%for SAH).In-hospital death/discharge against medical advice rate was 8.3%for stroke inpatients,ranging from 5.8%for IS to 19.5%for ICH.The median and IQR of length of stay was 10.0(7.0-14.0)days,ranging from 10.0(7.0-13.0)in IS to 14.0(8.0-22.0)in SAH.Data from the Chinese Stroke Center Alliance demonstrated that the composite scores of guideline-recommended key performance indicators for patients with IS,ICH and SAH were 0.77±0.21,0.72±0.28 and 0.59±0.32,respectively.Yong-Jun Wang Zi-Xiao Li Hong-Qiu Gu Yi Zhai Yong Jiang Xing-Quan Zhao Yi-Long Wang Xin Yang Chun-Juan Wang Xia Meng Hao Li Li-Ping Liu Jing Jing Jing Wu An-Ding Xu Qiang Dong David Wang Ji-Zong Zhao On behalf of China Stroke Statistics 2019 Writing Committee 2020Stroke & Vascular Neurology2020,5,3:181
9胆汁淤积性肝病诊断治疗专家共识:2015年更新显示文摘胆汁淤积性肝病是一组以胆汁淤积为主要表现的临床常见疾病。近年来,对该病的诊断治疗取得迅速进展。2009年及2013年《中华实验和临床感染病杂志(电子版)》与《中国肝脏病杂志(电子版)》编辑部组织国内部分专家分别对相关资料进行整理分析,形成了《胆汁淤积性肝病诊断治疗专家共识》的2009版及2013版。近2年来,胆汁淤积性肝病诊断治疗的资料进一步积累。Expert Committee on the 2015 update of expert consensus on the diagnosis and treatment of cholestatic liver disease 2015临床肝胆病杂志2015,31,10:65
10Report on Childhood Obesity in China (1) Body Mass Index Reference for Screening Overweight and Obesity in Chinese School-age Children显示文摘Purpose To establish and propose a national body mass index (BMI) reference for screening overweight and obesity in Chinese school-age children and adolescents. Methods 2000 CNSSCH (Chinese National Survey on Students Constitution and Health) data, including 216 620 primary and secondary school students aged 7 to 18 years old, were used as a reference population. Compared with those of the NCHS internatioanl reference, three temporary sets of cut-off BMI were proposed by testing different combinations of P8s, P9o, and P95. When physiological and biochemical measures between and among 'obesity','overweight', and 'normal weight' groups were taken into consideration, set Ⅱ was selected to be the most appropriate one.The sex-age-specific curves were then plotted and smoothed by using B-spline method. Results Based on the samples from costal developed metropolis, the BMI curves successfully overcame the shortcomings of lower and level-off tendency of the Chinese total population. Temporary set Ⅱ, composed by cut-offs of P85 for overweight and P95 for obesity, was finally selected by its sensitivity and peculiarity. BMI 24 and 28 were used as cut-offs for overweight and obesity for both males and females aged 18 years old. These cut-offs, consistent with Chinese Adult's Reference, was proposed as the Body mass index reference for screening overweight and obesity in Chinese school-age children and adolescents. Conclusion The new reference clearly showed its superiorty in both prospectivity and actuality. The proposed reference minimized the gaps of the BMI curve between Chinese adolescents and the international reference. Most importantly was that it was consistent with the Eastern Asia ethnic characteristics of body fatness growth. It was therefore proposed by the Working Group on Obesity in China (WGOC) to use it as an nationwide reference for screening overweight and obesity of school-age children and adolescents in China.COOPERATIVE STUDY ON CHILDHOOD OBESITY WORKING GROUP ON OBESITY IN CHINA (WGOC) 2005Biomedical and Environmental Sciences2005,18,6:57
11极低出生体质量早产儿院内营养现状多中心调查显示文摘目的了解不同地区出生体质量<1 500 g早产儿院内营养状况以及出生后生长发育迟缓(EUGR)的相关影响因素。方法采用回顾性调查方法,收集2012年1月1日至2012年12月31日在全国15所医院新生儿科住院时间>2周、出生体质量<1 500 g的早产儿临床资料,包括住院期间的喂养方式、营养状况、并发症及诊断和治疗,并对早产儿住院期间的肠内外营养、体质量增长情况进行描述性分析,并分析EUGR的相关因素。结果入选572例早产儿,出生胎龄(30.6±2.0)周,出生体质量(1 255.7±164.8)g;开始肠道喂养的时间为(68.2±85.4)h,口服能量达到100 kcal/(kg·d)(1cal=418.68J)的日龄为(29.9±14.1)d;住院期间在恢复至出生体质量后其体质量增长速度为(11.8±5.5)g/(kg·d)。住院时间(42.2±20.8)d,出院时校正胎龄(36.6±2.7)周。出生时,出生体质量小于第十百分位(P1 0)者占5 2.6%、The National Cooperation Group on Nutrition,The Chinese Neonatologist Association, China 2015临床儿科杂志2015,33,1:51
12甘草酸制剂肝病临床应用专家共识显示文摘甘草酸制剂是当前肝病领域中用于抗炎保肝治疗的一线药物之一。追溯其历史,甘草酸制剂在20世纪40年代即应用于肝病的治疗,70年代开始有明确的科学性研究论述[1]。目前市场上已经出现甘草酸单铵、复方甘草酸苷、甘草酸二铵、甘草酸二铵脂质体及异甘草酸镁等多种形式的产品。随着研究的不断深入,学术界对甘草酸制剂在各类肝病中的临床应用已积累了较多的循证医学证据,国内外多部肝病相关指南也对甘草酸二铵脂质体及异甘草酸镁等多种形式的产品。Expert Committee on Clinical Application of Glycyrrhizin Preparation in the Treatment of Liver Diseases 2016临床肝胆病杂志2016,32,5:51
13Effect of Body Mass Index on All-cause Mortality and Incidence of Cardiovascular Diseases─Report for Meta-Analysis of Prospective Studies on Optimal Cut-off Points of Body Mass Index in Chinese Adults显示文摘Objective To verify the optimal cut-off points for overweight and obesity in Chinese adults based on the relationship of baseline body mass index (BMI) to all-cause mortality, and incidence of cardiovascular diseases from pooled data of Chinese cohorts. Methods The prospective study data of existing cohort studies in China were collected, and the age-adjusted all-cause mortality stratified by BMI were estimated. The similar analysis was repeated after excluding deaths within the first three years of follow-up and after excluding smokers. The incidence of age-adjusted coronary heart disease (CHD) and stroke stratified by BMI were also analyzed. Multiple Cox regression coefficients of BMI for the incidence of CHD and stroke after controlling other risk factors were pooled utilizing the methods of weighting by inverse of variance to reveal whether BMI had independent effect and its strength on the incidence of CHD and stroke. Results The data of 4 cohorts including 76 227 persons, with 745 346 person-years of follow-up were collected and analyzed. The age-adjusted all-cause mortality stratified by BMI showed a U-shaped curve, even after excluding deaths within the first three years of follow-up and excluding smokers. Age-adjusted all-cause mortality increased when BMI was lower than 18.5 and higher than 28. The incidence of CHD and stroke, especially ishemic stroke increased with increasing BMI, this was consistent with parallel increasing of risk factors. Cox regression analysis showed that BMI was an independent risk factor for both CHD and stroke. Each amount of 2 kg/m2 increase in baseline BMI might cause 15.4%, 6.1% and 18.8 % increase in relative risk of CHD, total stroke and ischemic stroke. Reduction of BMI to under 24 might prevent the incidence of CHD by 11% and that of stroke by 15 % for men, and 22 % of both diseases for women. Conclusion BMI ≤18.5, 24-27.9 and ≥28 (kg/m2) is the appropriate cut-off points for underweight, overweight and obesity in Chinese adults.ZHOU BEI-FAN Cooperative Meta-Analysis Group of the Working Group on Obesity in China* 2002Biomedical and Environmental Sciences2002,15,3:58
14Alterations in metastatic properties of hepatocellular carcinoma cell following H-ras oncogene transfection显示文摘AIM To demonstrate the relationship betweenH-ras oncogene and hepatocellular carcinoma(HCC) metastasis.METHODS Activated H-ras oncogene wastransfected into SMMC 7721, a cell line derivedfrom human HCC, by calcium phosphatetransfection method. Some metastasis-relatedparameters were detected in vitro, includingadhesion assay, migration assay, expression ofcollagenase ⅣV (c ⅣV ase) and epidermal growthfactor receptor (EGFR).RESULTS The abilities of H-ras-transfected cellclones in adhesion to laminin (LN) or fibronectin(FN), migration, c Ⅳ ase secretion increasedmarkedly, and the expression of EGFR elevatedmoderately. More importantly, these alterationswere consistent positively with the expressionof p21, the protein product of H-ras oncogene.CONCLUSION H-ras oncogene could inducethe metastatic phenotype of HCC cell in vitro toraise its metastatic potential.Qing Wang~1 Zhi Ying Lin~2 Xiao Li Feng~3 ~1Department of Microbiology,Medical Center of Fudan University.the former Shanghai Medical University,Shanghai 200032,China ~2Liver Cancer Institute,Zhongshan Hospital,Shanghai 200032,China ~3Shanghai Institute of Biochemistry,Academy Sinica,Shanghai 200031,ChinaQing Wang earned master degree from Shanghai Medical University in 1996,now a senior lecturer of microbiology,specialized in the role of oncogcncs on tumor metastasis,having 8 papers published. 2001World Journal of Gastroenterology2001,7,3:48
15Dynamic changes of typeⅠ,Ⅲand N collagen synthesis and distribution of collagen-producing cells in carbon tetrachloride-induced rat liver fibrosis显示文摘AIM To find out the relationship between the gene transcription of different types ofprocollagen and the deposition of the relevant collagens in the liver tissue and to confirm the types of collagen producing cells in liverfibrogenesis.METHODS Dynamic changes of the expression of α1(Ⅰ ), α1 (Ⅲ ) and α1 (Ⅳ) procollagen mRNAand relevant collagens and the distribution ofcollagen producing cells during liver fibrogenesis of rat induced by CCl4 (20 weeks)were investigated with Northern blot analysis,in situ hybridization and immunohistochemicaltechniques.RESULTS The increased expression of α1 (Ⅲ)procollagen mRNA by Northern blot analysis was the most predominant one among the threemRNAs during fibrogenesis. However, theenhanced expression of al (Ⅳ) procollagenmRNA occurred very early while the expressionof α1 (Ⅰ) mRNA was not enhanced much until themiddle stage of the exPeriment. D6smin (Dm)positive hepatic stellate cells (HSCs) and fewmyofibroblasts (MFs) in and around the necrotic areas expressed α1 (Ⅰ), α1 (Ⅲ) and α1 (Ⅳ)procollagen mRNA signals detected by in situhybridization at the early stage of theexperiment. All the three procollagen mRNAsignals thereafter mainly localized in fibroblasts (Fbs) and MFs in fibrotic septa during the middle and late stages of fibrosis, which distributedparallel to the corresponding collagens detected by immunohistochemical study. ln addition, the endothelial cells of sinusoids and the small blood vessels within the septa also showed α1(Ⅳ) procollagen mRNA and type Ⅳ collagen expressionCONCLUSION It is considered that 'HSC-MF-Fb' effect cell system is the major cellularsource of collagen production in liver fibrosis, in which HSCs are collagen producing precursor cells in the early liver fibrogenesis, thereafter the synthesis of type Ⅰ, Ⅲ and Ⅳ collagens (Col Ⅰ, Col Ⅲ and Col Ⅳ) mainly derives fromMFs and Fbs, which play a very important role in the progress of liver fibrosis. The endothelialcells along sinusoids, as another source of Col Ⅳ production, might participate in the capillization of liver sinusoids.DU Wei-Dong ZHANG Yue-E ZHAl Wei-Rong and ZHOU Xiao-Mei(Department of Pathology, Shanghai Medical University, Shanghai200032, China)(National Laboratory for Oncogenes and Related Genes, ShanghaiCencer Institute)See invited commentary on page 388 1999World Journal of Gastroenterology1999,5,5:47
16米索前列醇和PG05配伍米非司酮终止早孕的临床多中心随机比较试验显示文摘本研究为一项由十个单位参加的多中心临床试验,随机比较了三种用药方案:1.米非司酮25mgQ12h×5+PG051mg阴道塞药(组Ⅰ),2.米非司酮,同前十米索600μg(组Ⅱ),3.米非司酮200mg+米索600μg(组Ⅲ)终止早孕的安全性、有效性和可接受性。结果显示完全流产率为94.22%(913/969),其中组Ⅲ为91.50%,明显低于组Ⅰ(95.22%)和组Ⅰ(96.12%)(P=0.025);失败率为1.65%(16/969),其中组Ⅲ为3.52%,显著高于组Ⅰ(1.37%)、组Ⅱ(0%)(P=0.001);不完全流产率为2.89%(28/969),失访(结局不明)率为1.24%(12/969),三组间均无明显差异(P>0.05);自应用PG至孕囊排出时间,三组分别为3.06±1.65,2.81±2.75,3.21±1.61h(X±SD),组Ⅱ稍短于其他两组,其差异有统计学意义(P<0.05);阴道出血持续时间和转经时间无明显组间差异(P>0.05)。90%以上的对象均对药物流产方法表示满意。结果提示米索配伍米非司酮的安全性、有效性和可接受性令人满意;米非司酮低剂量多次给药与米索有较好的协同作用。He Chang-hai Gao Er-sheng Chen Jun-hang Gu Jiang Gui You-lnn and Cao Feng-zhen et al.(Collabrating Grou) for Clinical Study on Misoprostol to induce Abortion, Shanghai, 200032) 1994生殖与避孕1994,14,1:47
17北京市怀柔区儿童维生素D营养状况及其与体成分的关系显示文摘目的分析儿童维生素D的营养状况及其与体成分的关系。方法选取北京市怀柔区(北纬40.3°)7~11岁学龄儿童381名,于2008年3月采集静脉血并采用酶联免疫吸附试验(ELISA,英国IDS公司)测定血清中25-羟维生素D[25(0H)D]的浓度,双能X线吸收仪(DExA,美国Norland公司)测定前臂及全身的体成分,分析维生素D与体成分的相关性。结果研究对象血清25(OH)D的平均浓度为(44.4±12.5)nmol/L,维生素D缺乏和不足率[血清25(OH)D≤50nmol/L]达68.5%。男生血清25(OH)D浓度(46.3±13.3)nmol/L高于女生(42.0±11.1)nmol/L,差异有统计学意义(t=3.38,P〈0.01)。血清25(OH)D浓度与前臂近端、远端、全身及分部位中四肢的瘦体重呈正相关(r=0.13~0.19,P〈0.05),与前臂近端、远端的体脂百分比呈负相关(r=-0.14,P〈0.05;r=-0.1],P〈0.05),均有统计学意义。调整年龄、性别、身高、体重等混杂因素后,与前臂近端、全身分部位中双下肢的瘦体重相关性仍有统计学意义(r=0.12~0.14,P〈0.05)。血清25(OH)D浓度与各部位体脂的相关性均无统计学意义。结论维生素D缺乏在北京市郊区儿童中较为普遍,而维生素D营养状况对体成分,尤其对瘦体重有促进作用。赵静 张倩 张环美 郭宏霞 Rickard Oste 郝利楠 Gunilla Onning Lella Hulthen 胡小琪 2010中华流行病学杂志2010,31,1:41
18酒精性肝病诊疗指南显示文摘酒精性肝病(alcoholic liver disease,ALD)是长期大量饮酒所致的一种肝脏疾病,初期常表现为脂肪肝,可进展为酒精性肝炎、酒精性肝纤维化和酒精性肝硬化,严重酗酒者可诱发广泛肝细胞坏死甚或肝功能衰竭.本病在我国常见,严重危害人民健康.为进一步规范ALD的诊疗流程.中华医学会肝病学分会脂肪肝和酒精性肝病学组组织国内相关专家,在参考国内外最新研究成果和相关诊疗共识的基础上,对2006年制订的〈酒精性肝病诊疗指南〉进行了修改和补充.The Chinese National Workshop on Fatty Liver and Alcoholic Liver Disease for the Chinese Liver Disease Association. 2010胃肠病学2010,15,10:42
19Empirical Changes in the Prevalence of Overweight and Obesity among Chinese Students from 1985 to 2010 and Corresponding Preventive Strategies显示文摘Objective To determine the extent of the obesity epidemic in school‐aged Chinese children in 2010 and track the increasing trend in different socioeconomic regions over the preceding 25 years. Strategies for preventing childhood obesity are suggested. Methods We used a dataset provided by the Chinese National Survey on Students' Constitution and Health from 1985‐2010. Subjects were 7‐18‐year‐old students randomly selected from urban and rural areas in 30 provinces. Eight subgroups were created according to region and socioeconomic status. Results Increased rates of the epidemic (overweight and obesity combined) were greatest in large coastal cities‐32.6% and 19.1% among males and females, respectively. These rates has neared that of developed countries. Similar increases were found in all other regions, including the once poverty‐stricken rural west. The epidemic in most of the rural areas began after 2000, but has spread swiftly over the last decade. In 2010, it was estimated that 9.9% of Chinese school‐aged children and adolescents were overweight and that an additional 5.1% were obese, representing an estimated 30.43 million individuals. Conclusion The prognosis for China's childhood‐obesity epidemic is dire. To prevent childhood obesity, we suggest several strategies, including reasonable dietary intake, increase physical activity, a change in sedentary lifestyles and corresponding behavioral modifications.JI Cheng Ye CHEN Tian Jiao Working Group on Obesity in China (WGOC) 2013Biomedical and Environmental Sciences2013,26,1:49
20全球变化对陆地生态系统枯落物分解的影响(英文)显示文摘了解枯落物分解对大气二氧化碳浓度增高、气候变暖和降水变化的反应 ,对深入理解陆地生态系统土壤有机物形成和碳的固化能力 (Carbon sequestration)十分重要。通过分析业已发表的文献、实验室根系分解实验和美国西北部针叶林叶片的分解实验 ,旨在评估大气二氧化碳浓度增高、气候变暖和降水变化对陆地生态系统枯落物分解的可能影响。大气二氧化碳浓度增高可通过降低枯落物质量和增加草原生态系统土壤水分间接地影响枯落物分解。根据 1 7项研究结果 ,大气二氧化碳浓度加倍可导致木本和草本枯落物平均氮含量降低 1 9.6%和 9.4 %;木质素 /氮比值增高 3 6.3 %和5 .5 %。枯落物质地的降低通常导致枯落物分解减慢。气候变暖一般加速枯落物的分解 ,但是用于表示这种促进作用的Q10 随着温度的增高而降低。全球降水变化对陆地生态系统枯落物分解的影响不但取决于现有水分条件而且还取决于降水变化的程度。以美国西北部地区的针叶林为例 ,降水改变对森林生态系统枯落物分解的影响将是多元的 ,有的增加 ,有的降低 ,而有的相对不变。最后 。陈华 Mark E.Harm on 田汉勤 2001生态学报2001,21,9:47
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