成人胫骨平台骨折的流行病学特征及其变化趋势的回顾性研究

摘要 目的：回顾性研究成人胫骨平台骨折的流行病学特征及其变化趋势。方法：以我院2014年1月至2019年12月期间收治的1193例成人胫骨平台骨折患者为调查研究对象,根据患者收治的时间将患者分为A组(2014年1月~2015年12月收治,n=369)、B组(2016年1月~2017年12月收治,n=394)、C组(2018年1月~2019年12月收治,n=430)。对三组患者进行统一的问卷调查,并对三组患者的年龄、职业、致伤原因、骨折分型进行归纳统计,分析探讨成人胫骨平台骨折的流行病学特征及其变化趋势。结果：2014年~2019年成人胫骨平台骨折总体流行病学特征：男性患者数量多于女性患者,年龄主要在40~59岁,以从事体力劳动患者居多,骨折致伤原因中主要以交通事故和室内活动跌倒损伤为主,骨折Schatzker分型中以II型、IV型为主。三组年龄对比有差异性,年龄有逐年升高的趋势(P<0.05)。三组性别比例有显著性差异,男女性别比例差异在逐年缩小(P<0.05)。三组患者在职业类型方面也有显著性差异（P<0.05）,但均以体力劳动者居多。在致伤原因中,A组患者以交通事故致伤为主,C组患者以室内活动跌倒损伤为主,组间对比有显著差异(P<0.05)。在骨折分型中,A组以IV型为主,C组以II型为主(P<0.05)。结论：2014年至2019年成人胫骨平台骨折中男性较多,年龄以40~59岁为主,体力劳动者为高发职业,交通事故和室内活动跌倒损伤是最常见的致伤原因,好发骨折分型为Schatzker II型、IV型。变化趋势表现为骨折发病人数逐年上升,发病年龄有老龄化趋势,致伤原因和骨折分型也在逐渐变化。     

Assessment on Pollution by Heavy Metals and Arsenic Based on Surficial and Core Sediments in the Cam River Mouth,Haiphong Province,Vietnam

The Cam River mouth (Haiphong Province) is one of the main river mouths of the Red River System, which is one of the most important water resources in Northern Vietnam. Over the past 50 years, the strong socio-economic development in the area has caused a considerable contamination with heavy metals (Co, Cr, Cu, Mn, Ni, Pb, and Zn) and arsenic. In this study, the vertical and horizontal distributions of heavy metals and arsenic in sediments from the Cam River mouth were investigated. In addition, the history, origin, and degree of contamination were assessed. Normalized (with respect to Al) heavy metal and arsenic concentrations in sediment cores and absolute dates obtained from the ¹³⁷Cs analysis were used to reconstruct the pollution history of the river mouth. As, Cu, Mn, Pb, and Zn concentrations increase rapidly by approximately two times or more from 1954 to 1975, and then remain nearly unchanged from 1975 until 2008, whereas Co, Cr, and Ni concentrations slightly increase from 1954 until 2008. In addition, background values for heavy metals and arsenic have also been determined with regard to the period before 1954. In the study area, Co, Cr, Cu, Ni, Mn, and Zn are evaluated as minorly enriched, whereas As and Pb are classified as moderately enriched. Generally, the anthropogenic activities in the Haiphong harbor and industrial zone locally contribute to the contamination by heavy metals and arsenic in the Cam River mouth.     

何首乌不同种质花粉形态及进化趋势研究

采用电镜扫描法,对48份何首乌种质的花粉形态进行了观察和分析。结果表明:何首乌花粉形状主要为椭球形,少量为长椭球形和近球形,部分种质花粉形状正处于椭球形向长椭球形进化的阶段;极面观主要为三裂圆形,部分种质的变异为半球状、四边形、凹陷状或平三角形;赤道面观主要为椭圆形,部分种质为三角形或四边形;萌发沟3条,狭长,几达两极,部分种质的1条或2条萌发沟中部或近极端处隆起,2条或3条萌发沟在极端处相交;表面纹饰为穴状,部分种质的穴中出现小孔。研究结果表明,何首乌物种正处于活跃进化阶段且因区域及生境的差异其进化速度不一致,低纬度地区的种质进化程度较高纬度地区的高,其最初的起源中心可能位于高纬度地区,在向低纬度地区迁移过程中其花粉形态发生了不同程度的变异。     

我国中医人才培养状况与趋势的可视化分析研究

文章借助信息可视化工具,以中国知网建库时间--2017年12月31日期间发表的文献为样本数据,对CNKI(中国知识资源总库)收录的中医人才培养领域的相关文献进行可视化分析,借助文献作者、机构、基金项目的分布来分析中医人才培养研究主体的构成;通过绘制关键词共现图谱并结合词频与中心度来解析我国中医人才培养的研究主题与热点,旨在为大家直观展示我国中医人才培养研究现状、研究热点和未来的研究趋势,从而辨识和探测我国中医人才培养的基本动向和整体发展脉络。     

Secular trends in childhood obesity in Denmark during 50 years in relation to economic growth

Objective: Our aim was to examine whether secular trends in childhood overweight and obesity during five decades could be explained by economic growth. Research Methods and Procedures: Annual measurements of height and weight were available for all children born between 1930 and 1983 attending primary school in the Copenhagen Municipality: 165,389 boys and 163,609 girls from the age of 7 through 13 years. After computerization, we calculated BMI (kg/m²) and estimated the prevalence of overweight and obesity, according to international age‐ and gender‐specific criteria, by year of birth and of measurement, and separately by each age group and gender. Economic growth was indicated by the Gross National Product and the overall consumption per capita, adjusted for inflation. Results: The prevalence of overweight occurred in phases: an increase from 1930 until the 1950s, followed by a plateau period between the 1950s and the 1960s and a steep increase thereafter. This pattern was apparent across all age groups and in both genders. Obesity trends showed a similar phase pattern; the prevalence remained relatively stable from 1930 until the 1940s, increased until the mid‐1950s, followed by a plateau until 1965, and thereafter a second steep increase. Obesity trends were similar among boys across all age groups, although only among girls from 11 to 13 years of age. In both genders, increments were most pronounced in the upper BMI percentiles. After stagnation until 1947, the economic growth indicators showed a steady increase; i.e., after the first increase started in overweight and obesity, whether analyzed by year of birth or year of measurement, there were no indications of phases in the rise thereafter. Discussion: Prevalence of overweight and obesity among Danish children rose in phases, which were not paralleled by trends in economic growth. The macroeconomic growth indicators seem inappropriate as proxies for the environmental exposures that have elicited the obesity epidemic.     

干细胞与再生医学技术发展态势研究

20世纪以来,干细胞与再生医学技术一直是国际生物医学领域的热点前沿之一,它为保障人类生命健康、改善人类生存质量和延长人类寿命发挥不可替代的巨大作用。因此,美国、欧洲国家、日本和中国等科技大国均将该领域纳入了国家科研与产业发展的重点战略中,并通过专项扶持、政策补贴、立法保障等方式激励该领域的创新发展。通过对近年来国际科技战略和科技研发态势的梳理分析,发现该领域的国际战略布局规律,揭示我国在该领域的领先优势与弱点,为我国未来干细胞与再生医学技术发展提出相关参考建议。     

植物合成生物学领域发展态势的文献计量分析

合成生物学作为一种颠覆性技术可应用于农业领域的创新发展,解决当前农业学科中的瓶颈问题。利用文献计量学方法从领域发表论文的时序数量分布、主题分布等探测当前合成生物学的基本态势。基于领域的主题分布可知,其中植物合成生物学这一主题是稳定存在的且主题规模处于稳定增长趋势。聚焦植物合成生物学这一主题方向,在构建引文网络的基础上利用主路径分析方法从知识流动角度探测植物合成生物学领域重要知识节点,内容涵盖介子油苷生物合成途径,重要催化酶功能解析、转录因子的调控作用,组学方法的应用,利用微生物酵母进行生物物质合成,这些内容表征了合成生物的核心理论技术。     

High-fidelity representation of climate variations by Amburana cearensis tree-ring chronologies across a tropical forest transition in South America

Numerous ring-width chronologies from different species have recently been developed in diverse tropical forests across South America. However, the temporal and spatial climate signals in these tropical chronologies is less well known. In this work, annual growth rings of Amburana cearensis, a widely distributed tropical tree species, were employed to estimate temporal and spatial patterns of climate variability in the transition from the dry Chiquitano (16–17°S) to the humid Guarayos-southern Amazon (14–15°S) forests. Four well-replicated chronologies (16–21 trees, 22–28 radii) of A. cearensis were compared with temperature and precipitation records available in the region. The interannual variations in all four A. cearensis tree-ring chronologies are positively correlated with precipitation and negatively with temperature during the late dry-early wet season, the classic moisture response seen widely in trees from dry tropical and temperate forests worldwide. However, the chronologies from the dry Chiquitano forests of southern Bolivia reflect the regional reduction in precipitation during recent decades, while the chronologies from the tropical lowland moist forests in the north capture the recent increase in precipitation in the southern Amazon basin. These results indicate that A. cearensis tree growth is not only sensitive to the moisture balance of the growing season, it can also record subtle differences in regional precipitation trends across the dry to humid forest transition. Comparisons with previously developed Centrolobium microchaete chronologies in the region reveal a substantial common signal between chronologies in similar environments, suggesting that regional differences in climate are a major drivers of tree growth along the precipitation gradient. The difficulty of finding A. cearensis trees over 150-years old is the main limitation involved in the paleoclimate application of this species. The expansion of monocultures and intensive cattle ranching in the South American tropics are contributing to the loss of these old growth A. cearensis trees and the valuable records of climate variability and climate change that they contain.