Given the rapid increase in the prevalence of chronic diseases in aging populations,this prospective study including 17707 adults aged≥45 years from China Health and Retirement Longitudinal Study was used to estimate...Given the rapid increase in the prevalence of chronic diseases in aging populations,this prospective study including 17707 adults aged≥45 years from China Health and Retirement Longitudinal Study was used to estimate the associations between chronic discase,multimorbidity,and depression among middle-aged and elderly adults in China,and explore the mediating factors.Depressive symptoms were assessed using the 10-item Centre for Epidemiological Studies Depression Scale(CES-D-10)questionnaire.Twelve chronic physical conditions,including hypertension,diabetes,dyslipidemia,cancer,chronic lung disease,liver disease,heart failure,stroke,kidney disease,arthritis or rheumatism,asthma,digestive disease were assessed.The prevalence rates for physical multimorbidity and depression(CES-D-10≥10)were 43.23%and 36.62%,respectively.Through multivariable logistic models and generalized estimating equation(GEE)models,we found all 12 chronic physical conditions,and multimorbidity were significantly associated with depression.Both mobility problems and chronic pain explained more than 30%of the association for all chronic conditions,with particularly high percentages for stroke(51.56%)and cancer(51.06%)in mobility problems and cancer(53.35%)in chronic pain.Limited activities of daily living(ADL)explained 34.60%of the stroke-cancer relationship,while sleep problems explained between 10.15%(stroke)and 14.89%(chronic lung disease)of the association.Individuals with chronic diseases or multimorbidity are significantly more likely to be depressed.Functional symptoms involving limitations of ADL and mobility difficulties mediated much of the association between chronic diseases and incident depression.These symptoms could be targeted for interventions to ameliorate the incidence of depression among individuals with chronic conditions.展开更多
Knowledge on the performance in grain yield and physiological traits is essential to understand the main yield-limiting factor and make strategies for breeding and crop management in rice （Oryza sativa L.）. This stu...Knowledge on the performance in grain yield and physiological traits is essential to understand the main yield-limiting factor and make strategies for breeding and crop management in rice （Oryza sativa L.）. This study investigated the changes in grain yield and associated physiological traits of rice in the Yangtze River Basin of China during the last 60 yr. Thirteen mid-season indica and 12 japonica rice cultivars that were popularly used were grown in the field in 2008 and 2009. The grain yield and yield components, biomass, leaf area, leaf photosynthesis, root oxidation activity, and harvest index were examined. The results showed that grain yield and grain yield per day have progressively increased during the years and such increases are mainly attributed to the expanded sink size as a result of more spikelets per panicle, especially for the case of super rice. Both biomass and harvest index were increased with the improvement of cultivars. Increase in biomass for modern rice cultivars was associated with an enhancement of leaf area and photosynthesis, root dry weight, and root oxidation activity, although the indica super rice cultivars showed a lower leaf photosynthetic rate and root oxidation activity than the semi-dwarf cultivars during the grain filling period. Both indica and japonica super rice cultivars exhibited a low percentage of filled grains, which may limit their great yield potential. All the data suggested that grain yield have been substantially improved during the 60 yr of rice breeding in the Yangtze River Basin. Expanded sink size, increased dry matter production and harvest index, and enhanced leaf area and photosynthesis, root dry weight, and root oxidation activity contribute to the improvement in grain yield. Increase in filling efficiency could realize the great yield potential in super rice.展开更多
BACKGROUND Hemorrhagic transformation(HT)is a common complication in patients with cerebral infarction.However,its pathogenesis is poorly understood.The knowledge of factors that may increase risk for HT may help in i...BACKGROUND Hemorrhagic transformation(HT)is a common complication in patients with cerebral infarction.However,its pathogenesis is poorly understood.The knowledge of factors that may increase risk for HT may help in improving the safety of thrombolytic therapy.AIM To investigate the predictive value of serum calcium,albumin,globulin and matrix metalloproteinase-9(MMP-9)levels for HT after intravenous thrombolysis(IVT)in patients with acute cerebral infarction.METHODS Five hundred patients with acute cerebral infarction who received IVT with alteplase within 4.5 h after the onset of disease between January 2018 and January 2021 at our hospital were selected as the study subjects.They were divided into groups based on computed tomography scan results of the brain made within 36 h after thrombolysis.Forty patients with HT were enrolled in an observation group and 460 patients without HT were enrolled in a control group.Serum calcium,albumin,globulin and MMP-9 levels were compared between the two groups.Regression analysis was used to discuss the relationship between these indices and HT.RESULTS The previous history of hypertension,diabetes,atrial fibrillation,cerebrovascular diseases,smoking and alcohol intake were not associated with HT after IVT in patients with acute cerebral infarction(all P>0.05).The National Institutes of Health stroke scale(NHISS)score was associated with HT after IVT in patients with acute cerebral infarction(P<0.05).The serum calcium and albumin levels were lower in the observation group than in the control group(all P<0.05).The levels of globulin and MMP-9 were significantly higher in the observation group than in the control group(all P<0.05).Logistic regression analysis showed that NHISS score,serum calcium,albumin,globulins and MMP-9 were independent factors influencing the occurrence of HT following IVT in patients with cerebral infarction(P<0.05).CONCLUSION Serum calcium,albumin,globulin and MMP-9 levels are risk factors for HT after IVT in patients with acute cerebral infarction.More展开更多
基金This study was supported by the MOE(Ministry of Education in China)Liberal Arts and Social Sciences Youth Foundation(No.16YJC630047).
文摘Given the rapid increase in the prevalence of chronic diseases in aging populations,this prospective study including 17707 adults aged≥45 years from China Health and Retirement Longitudinal Study was used to estimate the associations between chronic discase,multimorbidity,and depression among middle-aged and elderly adults in China,and explore the mediating factors.Depressive symptoms were assessed using the 10-item Centre for Epidemiological Studies Depression Scale(CES-D-10)questionnaire.Twelve chronic physical conditions,including hypertension,diabetes,dyslipidemia,cancer,chronic lung disease,liver disease,heart failure,stroke,kidney disease,arthritis or rheumatism,asthma,digestive disease were assessed.The prevalence rates for physical multimorbidity and depression(CES-D-10≥10)were 43.23%and 36.62%,respectively.Through multivariable logistic models and generalized estimating equation(GEE)models,we found all 12 chronic physical conditions,and multimorbidity were significantly associated with depression.Both mobility problems and chronic pain explained more than 30%of the association for all chronic conditions,with particularly high percentages for stroke(51.56%)and cancer(51.06%)in mobility problems and cancer(53.35%)in chronic pain.Limited activities of daily living(ADL)explained 34.60%of the stroke-cancer relationship,while sleep problems explained between 10.15%(stroke)and 14.89%(chronic lung disease)of the association.Individuals with chronic diseases or multimorbidity are significantly more likely to be depressed.Functional symptoms involving limitations of ADL and mobility difficulties mediated much of the association between chronic diseases and incident depression.These symptoms could be targeted for interventions to ameliorate the incidence of depression among individuals with chronic conditions.
基金the National Natural Science Foundation of China (31061140457, 31071360)the National Basic Research Program of China (2009CB118603,2012CB114306)+2 种基金the Key Technologies R&D Program of China during the 12 th Five-Year Plan period(2011BAD16B14)the Natural Science Foundation of Jiangsu Province, China (BK2009-005)the Project Foundedby the Priority Academic Program Development of Jiangsu Higher Education Institutions of China, and the Hong Kong Research Grants Council (CUHK 262809)
文摘Knowledge on the performance in grain yield and physiological traits is essential to understand the main yield-limiting factor and make strategies for breeding and crop management in rice （Oryza sativa L.）. This study investigated the changes in grain yield and associated physiological traits of rice in the Yangtze River Basin of China during the last 60 yr. Thirteen mid-season indica and 12 japonica rice cultivars that were popularly used were grown in the field in 2008 and 2009. The grain yield and yield components, biomass, leaf area, leaf photosynthesis, root oxidation activity, and harvest index were examined. The results showed that grain yield and grain yield per day have progressively increased during the years and such increases are mainly attributed to the expanded sink size as a result of more spikelets per panicle, especially for the case of super rice. Both biomass and harvest index were increased with the improvement of cultivars. Increase in biomass for modern rice cultivars was associated with an enhancement of leaf area and photosynthesis, root dry weight, and root oxidation activity, although the indica super rice cultivars showed a lower leaf photosynthetic rate and root oxidation activity than the semi-dwarf cultivars during the grain filling period. Both indica and japonica super rice cultivars exhibited a low percentage of filled grains, which may limit their great yield potential. All the data suggested that grain yield have been substantially improved during the 60 yr of rice breeding in the Yangtze River Basin. Expanded sink size, increased dry matter production and harvest index, and enhanced leaf area and photosynthesis, root dry weight, and root oxidation activity contribute to the improvement in grain yield. Increase in filling efficiency could realize the great yield potential in super rice.
基金Supported by Scientific Research Fund of Hebei Health Commission,No.20210197.
文摘BACKGROUND Hemorrhagic transformation(HT)is a common complication in patients with cerebral infarction.However,its pathogenesis is poorly understood.The knowledge of factors that may increase risk for HT may help in improving the safety of thrombolytic therapy.AIM To investigate the predictive value of serum calcium,albumin,globulin and matrix metalloproteinase-9(MMP-9)levels for HT after intravenous thrombolysis(IVT)in patients with acute cerebral infarction.METHODS Five hundred patients with acute cerebral infarction who received IVT with alteplase within 4.5 h after the onset of disease between January 2018 and January 2021 at our hospital were selected as the study subjects.They were divided into groups based on computed tomography scan results of the brain made within 36 h after thrombolysis.Forty patients with HT were enrolled in an observation group and 460 patients without HT were enrolled in a control group.Serum calcium,albumin,globulin and MMP-9 levels were compared between the two groups.Regression analysis was used to discuss the relationship between these indices and HT.RESULTS The previous history of hypertension,diabetes,atrial fibrillation,cerebrovascular diseases,smoking and alcohol intake were not associated with HT after IVT in patients with acute cerebral infarction(all P>0.05).The National Institutes of Health stroke scale(NHISS)score was associated with HT after IVT in patients with acute cerebral infarction(P<0.05).The serum calcium and albumin levels were lower in the observation group than in the control group(all P<0.05).The levels of globulin and MMP-9 were significantly higher in the observation group than in the control group(all P<0.05).Logistic regression analysis showed that NHISS score,serum calcium,albumin,globulins and MMP-9 were independent factors influencing the occurrence of HT following IVT in patients with cerebral infarction(P<0.05).CONCLUSION Serum calcium,albumin,globulin and MMP-9 levels are risk factors for HT after IVT in patients with acute cerebral infarction.More
