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Pollen carries extensive genetic information, which may provide clues regarding the kinship of Malus, whose genetic relationships are complex. In this study, the phenotypic variation of pollen from 107 Malus taxa was investigated using combined methods of intraspecific/interspecific uniformity testing, cluster analysis, and Pearson correlation analysis. The family aggregation distributions in Malus sections, species, and cultivars were analyzed to infer their pedigree relationships. The results showed that (1) compared with pollen size and morphology, aberrant pollen rate and ornamentation were highly interspecifically differentiated, but ornamentation was also intraspecifically unstable, especially perforation densities (c.v.¯ > 15%). (2) The pollen alteration direction from the original to the evolutionary population of Malus was large to small, with elliptic to rectangular morphologies, large and compact to small and sparse ridges, and low to high perforation densities. However, there was no significant change in pollen size. (3) The 107 studied taxa were divided into four groups. Malus species were relatively clustered in the same section, while homologous cultivars showed evidence of family aggregation distribution characteristics (92.60% of cultivars were clustered with their parents). (4) M. baccata and M. pumilar var. neidzwetzkyana were high-frequency parents, participating in 38.7% and 20.7% of cross-breeding, respectively. Overall, this study provides a reference for identifying Malus' pedigree relationship.

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Groundwater pollution early warning is an effective means for regional groundwater pollution prevention. The groundwater pollution early warning model coupled with the current situation of groundwater quality, groundwater quality variation trend, and groundwater pollution risk were applied to the plain area of Barkol-Yiwu Basin, and the regional scale groundwater pollution early warning was realized by combining the early warning of groundwater quality status and trend. The TOPSIS method based on comprehensive weight was used to evaluate the current situation of groundwater quality. The variation trend of groundwater quality was analyzed by calculating the trend interpolation results of 18 in-situ groundwater quality monitoring wells. The groundwater vulnerability map, groundwater pollution load map, and groundwater function value map were superimposed using the superposition index method to evaluate groundwater pollution risk. The results showed that the groundwater quality was good and relatively good, and the poor groundwater quality in some areas was mainly affected by the shallow groundwater depth and the large porosity of the vadose zone. Groundwater quality was stable from 2011 to 2022, mainly due to the leakage of wastewater generated by industries and agriculture into groundwater, resulting in the deterioration of groundwater quality in some areas. Groundwater pollution risk was generally low, and the dual effects of high vulnerability and high pollution load of groundwater led to local areas with high pollution risk. The early warning level of groundwater pollution was generally low, and the heavy and highly heavy warning areas accounted for 16.4% and 17.5% of the study area, respectively, mainly distributed in Xiamaya Township of Yiwu County and northern Santanghu Town, Dahongliuxia Township, and Dahe Town of Barkol County. The quaternary sediments exposed were mainly sandy pebbles, with developed pores and strong water permeability. The interception and adsorption capacity of pollutants were weak. Pollutants produced by industries, agriculture, and life easily leaked into groundwater aquifers, resulting in poor groundwater quality and high risk of groundwater pollution, which ultimately led to a high early warning level of groundwater pollution in some areas. The research on early warning of groundwater pollution provided an important theoretical basis for the development of groundwater pollution remediation.

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Objective To investigate the role of variation trend of pre-treatment blood beta human chorionic gonadotropin(β-HCG)in predicting the efficacy of tubal pregnancy(TP)treated by drug therapy.Methods Clinical data of 380 TP patients treated by drug therapy at the First Affiliated Hospital of Guangzhou University of Chinese Medicine from January 2017 to June 2022 were collected.The patients were divided into 271 cases in the pure Chinese medicine(CM)treatment group(shortened as pure CM group)and 109 cases in the combination of Chinese medicine and western medicine group(shortened as combination group)according to the therapy.The relevant factors that may affect the outcomes of the therapy were analyzed,and logistic regression analysis was used for the control of confounding factors.The influences of pre-treatment β-HCG on the outcomes of TP treated by various therapies were investigated,and the value of variation trend of pre-treatment β-HCG in predicting the efficacy of TP treated by drug therapy was assessed using the receiver operating characteristic curve(ROC curve).Results(1)The results of univariate analysis showed that the initial value of blood β-HCG,the variation trend of β-HCG and the difference value of β-HCG detected for 2 times before treatment were correlated with the treatment outcomes in the pure CM group and the combination group,and the differences were all statistically significant(P＜0.05 or P＜0.01).(2)The results of multivariate regression analysis showed that in the pure CM group,the blood β-HCG values and the variation trend of β-HCG detected for 2 times before treatment were correlated with the treatment outcomes,and the differences were all statistically significant(P＜0.05 or P＜0.01);in the combination group,the menopausal time and blood β-HCG value detected at the second time before treatment were correlated with the treatment outcomes,and the differences were all statistically significant(P＜0.05).(3)After controlling for the confounding factors,the variation trend of pre-treatment β-HCG in the pure CM group was correlated with the treatment outcomes,and the difference was statistically significant(OR=3.35,95%CI being 1.69-6.65,P = 0.001).However,the variation trend of pre-treatment β-HCG in the combination group did not affect the treatment outcomes,and the difference was not statistically significant(P＞0.05).(4)The ROC curve analysis showed that the area under the curve(AUC)in the pure CM group was 0.74,the cutoff value was-0.14,the sensitivity was 71.3%and the specificity was 67.8%.The AUC in the combination group was 0.67,the cutoff value was 0.10,the sensitivity was 73.6%and the specificity was 60.7%.Conclusion The variation trend of pre-treatment blood β-HCG can effectively predict the efficacy of Chinese medicine for the treatment of TP,but has no value for predicting the efficacy of the combination of Chinese medicine and western medicine in treating TP.The variation value of pre-treatment blood β-HCG can be used as a valuable reference indicator for the early prediction of the outcomes of TP treated by drug therapy.

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Climate change is increasing the intensity of extreme climate events. Significant impacts of extreme climate events on human society and ecosystem have occurred in many places of the world, for example, Southwest China (SWC). In this study, the daily temperature and precipitation data from 438 meteorological stations are used to analyze the variation characteristics of extreme climate events in the SWC from 1961 to 2017. The annual extreme warm events show a significant increasing trend at 99% confidence level at most stations, and a few stations with a decreasing trend are mainly located in the southern Sichuan Province, the northern Yunnan Province and the western Guizhou Province. Meanwhile, the annual extreme cold events show a significant decreasing trend at 99% confidence level at most stations, and a few stations with an increasing trend are mainly distributed in the Sichuan Basin. Both the annual extreme heavy precipitation indexes and rainstorm indexes show nonsignificant increasing trends, but they differ greatly in the spatial distribution. These indexes in the western Tibet, Chongqing and most parts of Guizhou show significant increasing trends at 95% confidence level, while those in the central Sichuan and southeastern Yunnan show significant decreasing trends. The percentage of extreme heavy precipitation shows a significant increasing trend at 99% confidence level, especially in the northeastern Sichuan, the central-eastern Guizhou and the central Yunnan. Overall, under the background of global warming, the extreme warm events in SWC increase significantly from 1961 to 2017, and the extreme cold events decrease significantly. The variation trends of extreme precipitation events differ greatly in different regions, and the percentage of extreme heavy precipitation increases significantly.

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The surface ozone (O3) spatiotemporal distribution, variations, and its causes in Ji'nan from 2015 to 2020 were revealed based on the air quality monitoring network data and satellite retrievals from the Ozone Monitoring Instrument (OMI). The results showed that the ozone concentration in Ji'nan gradually increased from 2015 to 2020. The annual 90th percentile of the daily maximum 8-h average (MDA8) O3(namely the annual evaluation value) and the MDA8 O3(April-September) increased by 4.8 µg·(m3·a)-1 and 3.8 µg·(m3·a)-1, respectively. The trend of the ozone levels in the high-concentration range increased faster than that in the low-concentration range. The MDA8 in June increased by 7.4 µg·(m3·a)-1, and the rate range of increases was 2.6-3.9 µg·(m3·a)-1 in the cool seasons (December-February); thus, the O3 control in winter cannot be ignored. It is apparent from the diurnal variations in ozone from 2015 to 2020 in April-September that the average ozone levels have risen in recent years. The growth rate in the daytime was higher than that at night. The capacity of photochemical production has been increasing, especially in recent years. Additionally, it is noteworthy that the peak time for ozone levels occurred approximately 1-2 h earlier. The disparity of ozone concentrations among different stations gradually decreased in recent years. Compared with that in 2015, the range of areas with high O3 concentrations in 2019-2020 was further expanded. The significant positive trends in MDA8-90th and MDA8 (April-September) were observed in 16.1% and 22.6% of the monitoring sites in Ji'nan (P<0.05), most of which were located in urban areas and the suburbs close to urban areas. The temporal and spatial changes in ozone in Jinan had been affected by the changes in VOCs and NOx emissions since 2015. Satellite remote sensing data from 2015 to 2020 revealed that the NO2 tropospheric columns (April-September) showed reductions of 20.6%, with a decreasing rate of 0.3×1015 mole·(cm2·a)-1, especially in the urban areas and suburbs. The detected variation trends of tropospheric HCHO were weak and insignificant, which suggested that the decrease in NOx emissions was much greater than the decrease in VOCs emissions, and the gap had become more obvious in the urban areas. With responses to precursor emissions, the chemical sensitivity of O3 formation had been changing. The VOCs-limited regimes continuously decreased, and the mixed NOx/VOCs-sensitive regimes and NOx-limited regimes increased. In general, such an extremely inappropriate control ratio of ozone precursor NOx/VOCs led to an overall trend of slow increasing fluctuations of O3 in Ji'nan. The findings clearly indicate that the reduction of VOCs in Ji'nan was far from sufficient, and strengthening the current control of VOCs emissions is an effective measure to control the growth trend of O3 pollution in Ji'nan in the near future, especially in urban and surrounding suburban areas.

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ObjectiveTo describe the neuropsychological development screening of 0‒2 years in Tongzhou from 2017 to 2021 so as to understand the status and trend of developmental delay （DD）. MethodsAnnual report data of 21 community health service centers in Tongzhou District from 2017 to 2021 were clustered， Chi square test was used to analyze the differences in positive rate and DD rate of children aged 0‒2 years with different ages and household registration， and Chi square trend test was used to analyze the linear trend of each age group and household registration. The Gesell test results in 762 children with developmental delay were analyzed， and Chi square test was used to compare the age distribution differences in gross motor， fine motor， language and personal-social behaviors. ResultsThe DD rate of children aged 0‒2 years in 2017‒2021 was 0.43％. A decreasing trend of DD rate in the 0‒ age group was observed （χ2=14.135， P<0.001）， while an increasing trend of DD rate in the 1‒ and <3 age groups was observed （χ2=5.375， P=0.020； χ2=5.558， P=0.018）. The DD rate of children aged 0‒2 years with Beijing household registration was higher （χ2=12.504， P<0.001）. The DD rate of gross motor was the highest in the 0‒ age group （64.60%）， the DD rate of language was the highest in the <3 age group （85.97%）， and a statistically significant difference of gross motor and language was separately found in the three age groups （χ2=183.061， P<0.001； χ2=78.450， P<0.001）. ConclusionAge and Beijing household registration are the influencing factors of DD for children aged 0‒2， and 0‒ years and <3 years are the critical periods for guidance and intervention to promote the development of gross motor and language abilities.

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Surface evapotranspiration (ET) is an important part of the hydrological cycle. Based on the MOD16 ET product and the data collected by meteorological stations, this study investigated, for the first time, the characteristics, variation trend and influencing factors of actual ET in Ningxia from 2001 to 2020 along temporal and spatial scales using the Theil-Sen median trend analysis, Mann-Kendall test and Hurst index, and predicted the future trend of ET. The results revealed a strong correlation between the MOD16 ET product and ET data collected at meteorological stations (r = 0.837, R2 = 0.701). Over the past 20 years, the annual ET in Ningxia showed an overall increasing trend, and the proportion of the increasing area was 96.58%. Quarterly ET varied over time, with the highest value in the third quarter and the lowest value in the second quarter. Annual ET showed a positive correlation with normalized difference vegetation index (NDVI), surface temperature and precipitation but no correlation with relative humidity. Additionally, the Hurst index revealed areas showing a persistent increase in ET, accounting for 84.91% of the total area, indicating that the future trend of ET in Ningxia is consistent with the past trend.

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In this study, headspace solid-phase micro-extraction (HS-SPME) coupled with GC-MS was used to analyze the trend of volatile compounds in fresh and oxidative infant nutrition package. Among the volatile compounds, aldehydes and ketones, alcohols, lipids, cycloalkenes, alkanes, alkenes, aromatic hydrocarbons, oxygenated compound were identified. A total of 65 volatile compounds were detected in the fresh nutrition package, whereas 9 new volatile compounds were detected during the accelerated oxidation process, which was oxidized at 45 °C for 4 weeks. The main components of the rancid flavor formed and the relative content of volatile substances gradually changed during the accelerated oxidation process. The volatile substances hexanal, nonanal, and 2-pentylfuran substantially increased. Linalool, α-terpineol, d-limonene, and 1-methoxy-nonane presented an evidently downward trend. The relative content of the newly formed compound 3-hydroxy-2-methylpyran-4-one during the oxidation process was always large, its relative content initially increased, then decreased, and finally increased again. The formation of rancid flavor of the nutrient package was speculated to have been formed by the interaction of hexanal, nonanal, 2-pentylfuran, and 3-hydroxy-2-methylpyran-4-one.

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Based on air quality station data and satellite remote sensing data, the interannual variation characteristics and seasonal variation trends of near-surface ozone (O3) in Henan province were studied, and the variation in O3 sensitivity was analyzed. The results showed that the O3 concentration near the surface of Henan province increased first and then decreased from 2015 to 2020. The highest O3 concentration was found in 2018, and the annual mean of the maximum daily 8 h moving mean (MDA8) of O3 was 110.70 µg·m-3. The difference in MDA8 values among different stations gradually decreased. From 2015 to 2020, the average monthly MDA8 in Henan province showed an upward trend, with a growth rate of 2.46 µg·(m3·a)-1. According to the MK trend test, except for in Luohe, Nanyang, and Pingdingshan, the rising trend in other cities was significant (P<0.05). The concentration of MDA8 in the four seasons also showed an increasing trend during the 6 years as follows:autumn (19.31%)>winter (17.09%)>spring (16.82%)>summer (7.24%). From 2015 to 2019, the high value of tropospheric NO2 was concentrated in the northwest of Henan province, and the concentration showed a decreasing trend with a decreasing rate of 0.34×1015 molecules·(cm2·a)-1, whereas the tropospheric HCHO showed a slow rising trend with an annual growth rate of 0.19×1015 molecules·(cm2·a)-1, with a higher concentration in the northern urban area. The O3 sensitivity control area from 2015 to 2019 showed that most of the eastern part of Henan province belonged to the VOCs limited category.

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Water quality deterioration is a prominent issue threatening water security worldwide. As the largest river in China, the Yangtze River Basin is facing severe water pollution due to intense human activities. Analyzing water quality trends and identifying the corresponding driver factors are important components of sustainable water quality management. Thus, spatiotemporal characteristics of the water quality from 2008 to 2020 were analyzed by using a Mann-Kendall test and rescaled range analysis (R/S). In addition, multi-statistical analyses were used to determine the main driving factors of variation in the permanganate index (CODMn), ammonia nitrogen (NH3-N) concentration, and total phosphorus (TP) concentration. The results showed that the mean concentrations of NH3-N and TP decreased from 0.31 to 0.16 mg/L and 0.16 to 0.07 mg/L, respectively, from 2008 to 2020, indicating that the water quality improved during this period. However, the concentration of CODMn did not reduce remarkably. Based on R/S analysis, the NH3-N concentration was predicted to continue to decrease from 2020 to 2033, whereas the CODMn concentration was forecast to increase, highlighting an issue of great concern. In terms of spatial distribution, water quality in the upstream was better than that of the mid-downstream. Multi-statistical analyses revealed that the temporal variation in water quality was predominantly influenced by tertiary industry (TI), the nitrogen fertilizer application rate (N-FAR), the phosphate fertilizer application rate (P-FAR), and the irrigation area of arable land (IAAL), with contribution rates of 15.92%, 14.65%, 3.46%, and 2.84%, respectively. The spatial distribution of CODMn was mainly influenced by TI, whereas that of TP was primarily determined by anthropogenic activity factors (e.g., N-FAR, P-FAR). This study provides deep insight into water quality evolution in the Yangtze River Basin that can guide water quality management in this region.

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Objective:To analyze the association between HbA 1C variability and the incidence of diabetes retinopathy in patients with type 2 diabetes mellitus(T2DM). Methods:All the patients with type 2 diabetes receiving regular follow-up were enrolled from Lee′s Joint Clinic from 2002 to 2014. Demographic and laboratory data like HbA 1C were collected including fundal examination. According to HbA 1C variability, which was defined as the difference between baseline and last available HbA 1C, participants were divided into three groups, stable group with HbA 1C variability of ±10%, increase group(>10%), and decline group(<-10%). Results:A total of 3 657 T2DM participants were recruited including 662(13.4%) participants with diabetes retinopathy. Blood glucose gradually rose from ideal level [HbA 1C(7.04±1.35)%] and HbA 1C was up to (9.11±1.96)% at the end of follow-up in increase group. HbA 1C gradually fell to (7.27±1.12)% from (10.05±1.99)% of baseline in decline group. HbA 1C of the third group remained relatively stable. Adjusted for age, body mass index, systolic blood pressure, pulse pressure, duration of diabetes, mean HbA 1C of follow-up, glaucoma and so on, logistic regression revealed that participants in stable group( OR=0.800, 95% CI 0.645-0.992) and increase group( OR=0.706, 95% CI 0.548-0.909) had a lower risk of diabetes retinopathy than decline group( P<0.05). Conclusion:HbA 1C variability is an important risk factor of diabetes retinopathy in patients with T2DM. Patients with blood glucose declined had increased risk of diabetes retinopathy as compared to those with rising HbA 1C.

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What is already known about this topic? Shanxi Province in northern China has been identified as a region with the highest prevalence of birth defects nationwide. With large amounts of financial support devoted for prevention and related interventions for birth defects, huge progress has been made as a 60% decrease in its prevalence was observed from 2009 to 2014. What is added by this report? The study presented a recent trend of adverse pregnancy outcomes (APOs) in Shanxi Province, a region with high prevalence of birth defects in China from 2007-2019. The prevalence of serious APOs including birth defects, stillbirths, and neonatal deaths remained at a relatively low level, yet macrosomia, low birth weight (LBW), preterm births, and spontaneous abortion comprised a majority of all APOs, with macrosomia showing an obvious upward trend from 2007 to 2012. What are the implications for public health practice? These findings provide new evidence for prevention and intervention strategies of APOs in northern China. Future research should focus on comprehensive interventions for multiple APOs, especially macrosomia, LBW, preterm births, and spontaneous abortion.

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【Objective】 To investigate the diagnostic value of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) specific antibodies IgM and IgG on coronavirus disease 2019 (COVID-19). 【Methods】 1) The test results of SARS-CoV-2 IgM/IgG antibodies and nucleic acid(NAT), which were tested by colloidal gold test and fluorescent quantitative PCR respectively, were collected from 145 febrile outpatients during early March, 2020, named Fever group, in which retrospective analysis and paired chi-square test were performed. 2) 612 cases of SARS-CoV-2 IgM/IgG antibodies test results, which were done on March 5, 2020, were collected. They were named COVID-19 group (Our hospital was provisionally assigned as a specialized hospital for COVID-19, and 1500 COVID-19 patients admitted to our hospital from February 12, 2020 to March 18, 2020). The SARS-CoV-2 IgM/IgG antibodies and NAT were respectively tested on the 30th and the 60th day after the date of discharge. The clinical application values of the antibodies was clarified by statistical analysis. 【Results】 1) In the fever group, the positive rate of SARS-CoV-2 IgM, IgG and IgM+ IgG antibodies were 26.21% (38/145), 54.48% (79/145) and 26.21% (38/145), respectively(P<0.01), and the positive rate of NAT was 4.14% (6/145), which was lower than that of antibody (P<0.01). One (1/145, 0.69%) positive NAT was implicated in initially negative IgM and IgG antibodies samples. 2) In the COVID-19 group, the positive rate of IgM antibody was low (5%) and IgG antibody was high (65%) during 2~14 days after infection, and stably increased during the 15~56 days [IgM 47.68%(277/581) vs IgG 94.15% (547/581) ], then both decreased after 57 days. The positive rates of IgM antibody and IgG antibody were 45.8% (280/612) and 93.1% (570/612) in 612 patients during hospitalization. 15 patients′ data after dischange were not collected as they were later transferred to Huoshenshan Hospital for treatment. The coronavirus NAT results of the rest 597 COVID-19 patients, tested on the 30th and 60th days after the date of discharge, were negative, and the positive rates of IgG antibody and IgM antibody were still ≥80% and ≥40% respectively at the second month after discharge. 【Conclusion】 IgM, IgG antibody against SARS-CoV-2 can be well detected by Colloidal gold method(Innovita), whose positive rate is higher than that of NAT. IgG antibody is produced earlier than IgM, and it keeps high positive rate and persists for a long time. The combination of colloidal gold antibody test and NAT can improve the diagnose rate of COVID-19 and the exclusion of suspected cases.

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Objectives: To analyze the status quo and trends on the burden of cerebrovascular diseases between 1990 and 2016 in China. Methods: Morbidity mortality, years of life lost (YLL), years of lived with disability (YLD) and disability-adjusted life year (DALY) related to cerebrovascular diseases between 1990 and 2016, were collated and analyzed, according to the results of the Global Burden of Diseases Study 2016 (GBD 2016). Numbers on incidence and morbidity were used to assess the incidence of diseases, while the numbers of death and mortality were used to assess the death of diseases. Years of life lost due to premature death (YLL), years lost due to disability (YLD) and disability-adjusted life year (DALY) were used to assess the burden of diseases. Changing trend on the burden of cerebrovascular disease from 1990 to 2016 was also analyzed. Results: In 2016 and 1990, the numbers of new cases/morbidity and the number of deaths/mortality on cerebrovascular diseases in the country showed an upward trend. Rates regarding YLL and DALY on cerebrovascular diseases remained stable from 1990 to 2016, however, the YLD rate showed a slow upward trend. The changing rate of DALY was mainly influenced by YLL. Both DALY and YLL crude rates in males showed a slow upward trend, with the highest DALY rate appearing in the ≥70 age group. Disease burden on males was heavier than that of the females and in the 50-60 age group, which taking the largest proportion. As for the composition in DALY, YLL appearing much larger than YLD and slowly increasing. Analysis on the subtypes of diseases, proportions of YLL and DALY in hemorrhagic stroke were greater than that in ischemic stroke while the proportion of YLD in ischemic stroke was in the opposite. Conclusions: The burden of disease on cerebrovascular diseases remained heavy and the differences appeared in age, gender and subtypes of diseases. Our findings called for the adoption of measures including screening, intervention and rehabilitation to be taken on target populations, in order to reduce the burden on both individuals and the society.

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Objectives@#To analyze the status quo and trends on the burden of cerebrovascular diseases between 1990 and 2016 in China.@*Methods@#Morbidity mortality, years of life lost (YLL), years of lived with disability (YLD) and disability-adjusted life year (DALY) related to cerebrovascular diseases between 1990 and 2016, were collated and analyzed, according to the results of the Global Burden of Diseases Study 2016 (GBD 2016). Numbers on incidence and morbidity were used to assess the incidence of diseases, while the numbers of death and mortality were used to assess the death of diseases. Years of life lost due to premature death (YLL), years lost due to disability (YLD) and disability-adjusted life year (DALY) were used to assess the burden of diseases. Changing trend on the burden of cerebrovascular disease from 1990 to 2016 was also analyzed.@*Results@#In 2016 and 1990, the numbers of new cases/morbidity and the number of deaths/mortality on cerebrovascular diseases in the country showed an upward trend. Rates regarding YLL and DALY on cerebrovascular diseases remained stable from 1990 to 2016, however, the YLD rate showed a slow upward trend. The changing rate of DALY was mainly influenced by YLL. Both DALY and YLL crude rates in males showed a slow upward trend, with the highest DALY rate appearing in the ≥70 age group. Disease burden on males was heavier than that of the females and in the 50-60 age group, which taking the largest proportion. As for the composition in DALY, YLL appearing much larger than YLD and slowly increasing. Analysis on the subtypes of diseases, proportions of YLL and DALY in hemorrhagic stroke were greater than that in ischemic stroke while the proportion of YLD in ischemic stroke was in the opposite.@*Conclusions@#The burden of disease on cerebrovascular diseases remained heavy and the differences appeared in age, gender and subtypes of diseases. Our findings called for the adoption of measures including screening, intervention and rehabilitation to be taken on target populations, in order to reduce the burden on both individuals and the society.

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An online continuous monitoring system was used to determine the volatile organic carbons (VOCs) in the ambient air of a typical petrochemical industrial park in autumn (Sep., Oct., Nov.) of 2014. The composition, photochemical reactivity, temporal variation, and source of VOCs were analyzed. The results indicated that the mixing ratio of VOCs in autumnal ambient air of the study area was higher than those of other cities and industrial areas. Alkanes were the most abundant group in the VOC mixing ratio, and no significant temporal difference was observed among the three months studied. However, the alkanes, alkenes, and aromatics presented obvious diurnal variation, with single peak and trough values, while the acetylene exhibited "W"-shaped variation, with two minimum and one maximum values. Source apportionment using positive matrix factorization (PMF) indicated that the sources of VOCs in the study area of natural gas transportation and solvents, such as from leakage or volatile oil refinery processing, followed by other traffic sources and asphalt have some contribution. Alkenes and alkanes were the dominant groups of the source apportionment composition, as expressed by the propylene-equivalent (Propy-Equiv) and maximum incremental reactivity (MIR) methods, respectively.

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Facing the challenge of effective prevention type 2 diabetes (T2DM) in China (as part of global health) requires knowledge about both the temporal trend and risk factors variation in T2DM. We searched the PubMed, CNKI, WANFANG, and International Diabetes Federation (IDF) databases for data on the prevalence of T2DM/ IGT (impaired glucose tolerance) published from January 1, 1980 to December 31, 2014 in China, Japan and Korea. The prevalence of T2DM was estimated with 95% confidence intervals (CIs) using random-effects meta-analysis. T2DM prevalence trend in the next 10 years was estimated by using a time series regression model based on the 35 years of data. The 621 articles covered 11.8 million Chinese people, 1.64 million Japanese, and 37.69 million Koreans. The aggregate prevalence of T2DM in China has increased sharply from 1.3% in 1980-1989 to 4.5% in 1990-1999, 6.8% 2000-2009, and 8.7% in 2010-2014. We estimated that by 2025, T2DM prevalence will have grown to 12.5%. Central obesity is the largest preventable cause of T2DM. We also found that female having a very high BMI (body mass index, ≥28 kg/m2) and being an older (≥50 years old) female are next-highest risk factors for T2DM compared with male. Consistent with the patterns characterized for China, T2DM prevalence in Japan increased with aging, and men were more likely to develop T2DM. It was the same as Korea. In the Far East, especially in China, T2DM prevalence will continue to increase until 2025. Statistical analyses were conducted using Stata 12.0 and SPSS 19.0.

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Objective To analyze the disease constitution and trend of inpatients with malignant tumors in Shanxi Provincial Cancer Hospital. Methods The clinical data of inpatients with malignant tumors in Shanxi Provincial Cancer Hospital from 2008 to 2017 were collected, and the characteristics of disease composition and variation trend of patients were analyzed retrospectively by using Excel, SPSS 22.0 and R3.5.0 statistical software. Results The top 10 malignant tumors from 2008 to 2017 in Shanxi Provincial Cancer Hospital were successively lung cancer (22.92％), gastric cancer (18.34％), cervical cancer (14.31％), esophageal cancer (11.41 ％), breast cancer (10.85 ％), rectal cancer (6.90 ％), thyroid cancer (6.06 ％), colorectal cancer (4.30％), ovarian cancer (2.89％) and uterine cancer (2.03％), accounting for 120319 cases in the top 10 malignancies in total. The number of cases presented an increasing trend from 2008 to 2017 (P<0.05). The constitutions of top 10 malignant tumors between men and women were different, and the peak age of malignant cancers was from 51 to 70 years old. Conclusions The number of inpatients with malignant tumors in Shanxi Provincial Cancer Hospital is increasing year by year. Except the special malignant tumors in females, the disease spectrums of malignant tumors inpatients show a consistent trend. Respiratory and digestive system malignancies are the main malignant tumors in Shanxi Province. It is of great significance to master the characteristics of cancer and the changing situation, adjust prevention measures, optimize the allocation of hospital beds as well as medical resources, strengthen clinical specialized subject construction.

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Since the ban of polybrominated diphenyl ethers (PBDEs) excluding deca-BDE in China, new halogenated flame retardants (NHFRs), such as new brominated flame retardants and Dechlorane Plus, have become widely used. In this study, we assessed the atmospheric gaseous and particulate levels of eight NHFRs in nine urban areas in China. We detected high mean atmospheric (vapour plus particle phases) concentrations of tetrabromophthalate (TBPH) (74.8 pg m-3) and decabromodiphenyl ethane (DBDPE) (68.8 pg m-3), two major NHFRs. Most of the gaseous and particulate NHFR concentrations presented seasonal variations (from summer to autumn), possibly driven by temperature. Spatially, concentrations and patterns of the NHFRs differed among the nine cities. Significantly higher concentrations were detected in cities with higher gross domestic products. The composition, especially the DBDPE/TBPH ratio (S), were clearly different among the cities, which pattern in each city are likely driven by variations in the type of industries operating in each city. Based on the temporal analysis of other researches and our data, PBDE levels have decreased markedly, while NHFRs levels have increased. Since high NHFR levels had detrimental effects on public health, NHFRs research warrants more attention.

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Objective To analyze the variation and influencing factors of distant vision of students during the recruitment selection and medical examination in two Air Force youth aviation schools in Northeast China in order to protect the youth aviation school students against myopia and to provide reference for interventions.Methods The distant vision of students of each grade in two schools in Northeast China was observed during the recruitment selection and during 2017 medical examination,and was statistically analyzed.The influencing factors of vision were investigated and analyzed.Results There was no statistically significant difference in the distant vision constituent ratio of students in Grade One and Grade Two during the recruitment selection and 2017 medical examination (P ≥ 0.05),but the difference was statistically significant in the distant vision constituent ratio of students in Grade Three during the recruitment selection and 2017 medical examination(P ＜0.01).There was statistically significant difference in the paired variable differences of students in each grade(P ＜0.01).The Logistic analysis result showed that reading distance and eating fruits and vegetables were the two important factors that influenced the visual acuity of the students.Conclustion The distant vision gets worse in the second semester of Grade Two,and the range of visual fluctuation is large.So regular examinations of visual acuity should be conducted and feasible measures of myopia protection should be taken to preserve hight-qnality sources of students.