Against the background of the current world facing an energy crisis,and human beings puzzled by the problems of environment and resources,developing clean energy sources becomes the inevitable choice to deal with a cl...Against the background of the current world facing an energy crisis,and human beings puzzled by the problems of environment and resources,developing clean energy sources becomes the inevitable choice to deal with a climate change and an energy shortage.A global ocean wave energy resource was reanalyzed by using ERA-40 wave reanalysis data 1957–2002 from European Centre for Medium-Range Weather Forecasts（ECMWF）.An effective significant wave height is defined in the development of wave energy resources（short as effective SWH）,and the total potential of wave energy is exploratively calculated.Synthetically considering a wave energy density,a wave energy level probability,the frequency of the effective SWH,the stability and long-term trend of wave energy density,a swell index and a wave energy storage,global ocean wave energy resources were reanalyzed and regionalized,providing reference to the development of wave energy resources such as wave power plant location,seawater desalination,heating,pumping.展开更多
Aim:To investigate the effect of home-based cardiac rehabilitation on functional capacity,health behavior,and risk factors in patients with acute coronary syndrome in China.Methods:Eighty patients with acute coronary ...Aim:To investigate the effect of home-based cardiac rehabilitation on functional capacity,health behavior,and risk factors in patients with acute coronary syndrome in China.Methods:Eighty patients with acute coronary syndrome were enrolled in this prospective randomized controlled study.Patients in the cardiac rehabilitation group(n=52)received home-based cardiac rehabilitation with a heart manual and a home exercise video for 3 months and patients in the control group(n=28)received only routine secondary prevention.The 6-min walk distance,laboratory test results,healthy behavior(questionnaire),quality of life(12-item Short Form Health Survey),anxiety(7-item Generalized Anxiety Disorder Questionnaire),and depression(9-item Patient Health Questionnaire)were evaluated at the beginning and after treatment for 3 months.Results:Compared with baseline data,52 patients who participated in cardiac rehabilitation had longer 6-min walk distance(515.26±113.74 m vs 0.445.30±97.92 m,P<0.0002),higher proportions of“always exercise”(78.26% vs.28%,P<0.05),“always limit food with sugar”(65.22% vs 12%,P<0.05),“always eat fruits 200–400 g every day”(82.61% vs.4%,P<0.05).and“always eat vegetables 300–500 g every day”(21.74%vs.12%,P<0.06)after treatment for 3 months.The low-density lipoprotein cholesterol control rate(52.17% vs.28%,P<0.05)and the systolic blood pressure control rate(100%vs.68%,P<0.05)were also signifi cantly increased after treatment for 3 months in the cardiac rehabilitation group.No signifi cant increase was found in the control group after treatment for 3 months.No cardiac-event related to home exercise was reported in both groups.Conclusion:Home-based cardiac rehabilitation is a feasible and available cardiac rehabilitation mode in China.展开更多
Objective: There are no comprehensive studies on survival outcomes and optimal treatment protocols for cervical esophageal cancer(CEC), due to its rare clinical prevalence. Our objective was to determine the relations...Objective: There are no comprehensive studies on survival outcomes and optimal treatment protocols for cervical esophageal cancer(CEC), due to its rare clinical prevalence. Our objective was to determine the relationship between pathological characteristics, treatment protocols, and survival outcomes in Chinese CEC patients.Methods: A total of 500 Chinese CEC patients were selected from our 500,000 esophageal and gastric cardia carcinoma database(1973–2018). There were two main groups: patients treated with surgery, and patients receiving non-surgical treatments(radiotherapy, radiochemotherapy, and chemotherapy). The Chi-square test and Kaplan–Meier method were used to compare the continuous variables and survival.Results: Among the 500 CEC patients, 278(55.6%) were male, and the median age was 60.9 ± 9.4 years. A total of 496 patients(99.2%) were diagnosed with squamous cell carcinoma. In 171(34.2%) patients who received surgery, 22(12.9%) had undergone laryngectomy. In 322(64.4%) patients who received non-surgical treatments, 245(76.1%) received radiotherapy. Stratified survival analysis showed that only T stage was related with survival outcomes for CEC patients in the surgical group, and the outcomes between laryngectomy and non-laryngectomy patients were similar. It was noteworthy that the 5-year survival rate was similar in CEC patients among the different groups treated with surgery, radiotherapy, chemotherapy, or radiochemotherapy(P = 0.244). Conclusions: The CEC patients had similar survival outcomes after curative esophagectomy and radiotherapy, including those with or without total laryngectomy. These findings suggest that radiotherapy could be the initial choice for treatment of Chinese CEC patients.展开更多
Reducing irrigation water use by improving water use ef ficiency(WUE) in grain production is critical for the development of sustainable agriculture in the North China Plain(NCP). This article summarizes the research ...Reducing irrigation water use by improving water use ef ficiency(WUE) in grain production is critical for the development of sustainable agriculture in the North China Plain(NCP). This article summarizes the research progresses in WUE improvement carried out at the Luancheng station located in the Northern part of NCP for the past three decades. Progresses in four aspects of yield and WUE improvement are presented, including yield and WUE improvement associated with cultivar selection, irrigation management for improving yield and WUE under limited water supply, managing root system for ef ficient soil water use and reducing soil evaporation by straw mulch. The results showed that annual average increase of 0.014 kg$m^(–3)for winter wheat and 0.02 kg$m^(–3)in WUE were observed for the past three decades, and this increase was largely associated with the improvement in harvest index related to cultivar renewal and an increase in chemical fertilizer use and soil fertility. The results also indicated that de ficit irrigation for winter wheat could signi ficantly reduce the irrigation water use, whereas the seasonal yield showed a smaller reduction rate and WUE was signi ficantly improved. Straw mulching of summer maize using the straw from winter wheat could reduce seasonal soil evaporation by 30–40 mm. With new cultivars and improved management practices it was possible to further increase grain production without much increase in water use. Future strategies to further improve WUE are also discussed.展开更多
基金The National Basic Research Program of China under contract No.2012CB957803The Special fund for public welfare industry(Meteorology)under contract No.GYHY201306026
文摘Against the background of the current world facing an energy crisis,and human beings puzzled by the problems of environment and resources,developing clean energy sources becomes the inevitable choice to deal with a climate change and an energy shortage.A global ocean wave energy resource was reanalyzed by using ERA-40 wave reanalysis data 1957–2002 from European Centre for Medium-Range Weather Forecasts（ECMWF）.An effective significant wave height is defined in the development of wave energy resources（short as effective SWH）,and the total potential of wave energy is exploratively calculated.Synthetically considering a wave energy density,a wave energy level probability,the frequency of the effective SWH,the stability and long-term trend of wave energy density,a swell index and a wave energy storage,global ocean wave energy resources were reanalyzed and regionalized,providing reference to the development of wave energy resources such as wave power plant location,seawater desalination,heating,pumping.
文摘Aim:To investigate the effect of home-based cardiac rehabilitation on functional capacity,health behavior,and risk factors in patients with acute coronary syndrome in China.Methods:Eighty patients with acute coronary syndrome were enrolled in this prospective randomized controlled study.Patients in the cardiac rehabilitation group(n=52)received home-based cardiac rehabilitation with a heart manual and a home exercise video for 3 months and patients in the control group(n=28)received only routine secondary prevention.The 6-min walk distance,laboratory test results,healthy behavior(questionnaire),quality of life(12-item Short Form Health Survey),anxiety(7-item Generalized Anxiety Disorder Questionnaire),and depression(9-item Patient Health Questionnaire)were evaluated at the beginning and after treatment for 3 months.Results:Compared with baseline data,52 patients who participated in cardiac rehabilitation had longer 6-min walk distance(515.26±113.74 m vs 0.445.30±97.92 m,P<0.0002),higher proportions of“always exercise”(78.26% vs.28%,P<0.05),“always limit food with sugar”(65.22% vs 12%,P<0.05),“always eat fruits 200–400 g every day”(82.61% vs.4%,P<0.05).and“always eat vegetables 300–500 g every day”(21.74%vs.12%,P<0.06)after treatment for 3 months.The low-density lipoprotein cholesterol control rate(52.17% vs.28%,P<0.05)and the systolic blood pressure control rate(100%vs.68%,P<0.05)were also signifi cantly increased after treatment for 3 months in the cardiac rehabilitation group.No signifi cant increase was found in the control group after treatment for 3 months.No cardiac-event related to home exercise was reported in both groups.Conclusion:Home-based cardiac rehabilitation is a feasible and available cardiac rehabilitation mode in China.
基金supported by the National Key R&D Program “Precision Medicine” of China (Grant No. 2016YFC0901403)the Major Science and Technology Projects of Henan Province (Grant No. 16110031 1300)+2 种基金the Doctoral Team Foundation of the First Affiliated Hospital of Zhengzhou University (Grant No. 2016-BSTDJJ-03)the National Natural Science Foundation of China (Grant No. 81872032, U1804262)the State Key Laboratory of Esophageal Cancer Prevention and Treatment (Grant No. Z2020-0010)。
文摘Objective: There are no comprehensive studies on survival outcomes and optimal treatment protocols for cervical esophageal cancer(CEC), due to its rare clinical prevalence. Our objective was to determine the relationship between pathological characteristics, treatment protocols, and survival outcomes in Chinese CEC patients.Methods: A total of 500 Chinese CEC patients were selected from our 500,000 esophageal and gastric cardia carcinoma database(1973–2018). There were two main groups: patients treated with surgery, and patients receiving non-surgical treatments(radiotherapy, radiochemotherapy, and chemotherapy). The Chi-square test and Kaplan–Meier method were used to compare the continuous variables and survival.Results: Among the 500 CEC patients, 278(55.6%) were male, and the median age was 60.9 ± 9.4 years. A total of 496 patients(99.2%) were diagnosed with squamous cell carcinoma. In 171(34.2%) patients who received surgery, 22(12.9%) had undergone laryngectomy. In 322(64.4%) patients who received non-surgical treatments, 245(76.1%) received radiotherapy. Stratified survival analysis showed that only T stage was related with survival outcomes for CEC patients in the surgical group, and the outcomes between laryngectomy and non-laryngectomy patients were similar. It was noteworthy that the 5-year survival rate was similar in CEC patients among the different groups treated with surgery, radiotherapy, chemotherapy, or radiochemotherapy(P = 0.244). Conclusions: The CEC patients had similar survival outcomes after curative esophagectomy and radiotherapy, including those with or without total laryngectomy. These findings suggest that radiotherapy could be the initial choice for treatment of Chinese CEC patients.
基金supported by the Hebei S&T Project (14227007D)National Scientific Supporting Project (2013BAD05B02,2013BAD05B05)
文摘Reducing irrigation water use by improving water use ef ficiency(WUE) in grain production is critical for the development of sustainable agriculture in the North China Plain(NCP). This article summarizes the research progresses in WUE improvement carried out at the Luancheng station located in the Northern part of NCP for the past three decades. Progresses in four aspects of yield and WUE improvement are presented, including yield and WUE improvement associated with cultivar selection, irrigation management for improving yield and WUE under limited water supply, managing root system for ef ficient soil water use and reducing soil evaporation by straw mulch. The results showed that annual average increase of 0.014 kg$m^(–3)for winter wheat and 0.02 kg$m^(–3)in WUE were observed for the past three decades, and this increase was largely associated with the improvement in harvest index related to cultivar renewal and an increase in chemical fertilizer use and soil fertility. The results also indicated that de ficit irrigation for winter wheat could signi ficantly reduce the irrigation water use, whereas the seasonal yield showed a smaller reduction rate and WUE was signi ficantly improved. Straw mulching of summer maize using the straw from winter wheat could reduce seasonal soil evaporation by 30–40 mm. With new cultivars and improved management practices it was possible to further increase grain production without much increase in water use. Future strategies to further improve WUE are also discussed.
