The Annual Report on Cardiovascular Health and Diseases in China(2022)intricate landscape of cardiovascular health in China.This is the third section of the report with a specific focus on community-based prevention a...The Annual Report on Cardiovascular Health and Diseases in China(2022)intricate landscape of cardiovascular health in China.This is the third section of the report with a specific focus on community-based prevention and treatment of cardiovascular diseases(CVD).This section of the report underscores the importance of initiatives outlined in the"Healthy China 2030 Plan,"emphasizing the comprehensive prevention and control strategy for chronic diseases.A key aspect of this plan involves the establishment of national demonstration areas aimed at comprehensive prevention and control of chronic diseases.By 2020,488 such areas had been set up across China,surpassing the initial target and covering a significant proportion of counties and districts.The report highlights the successful implementation of these strategies in Lishan district,Anshan city,where demonstration areas for comprehensive prevention and control of chronic diseases were launched in 2013.Over the course of seven years,the number of healthy units increased substantially,leading to improvements in managing risk factors for CVD among residents.Significant reductions in prevalence rates of overweight,obesity,smoking,passive smoking,and drinking were observed,along with the development of healthier behaviors among residents.Similarly,Qiaokou district in Wuhan City,designated as a national demonstration area in 2014,implemented comprehensive public health promotion initiatives.Notably,special clinics for hypertension intervention were established,contributing to an increase in self-reported rates of hypertension,a slight decrease in prevalence,and a remarkable improvement in the control rate among treated patients.Overall,these efforts underscore the effectiveness of community-based approaches in driving positive health outcomes and advancing the comprehensive prevention and control of chronic diseases,particularly cardiovascular diseases,in China.展开更多
The corrosion causes of rebar in concrete under corrosive environment are analyzed and discussed. It is mainly suffered from the penetration of corrosive species from environment in to the surface of rebar. Corrosio...The corrosion causes of rebar in concrete under corrosive environment are analyzed and discussed. It is mainly suffered from the penetration of corrosive species from environment in to the surface of rebar. Corrosion is initiated by penetration of chlorides and breakdown of passivation, and then propagated by crack of concrete induced by st ress from volume expansion of corrosion product of rebar in succession. Some eff ective countermeasures for corrosion prevention for reinforced concrete are brie fly specified and discussed. Finally, some important techniques commonly used or to be developed are also suggested.展开更多
Table of Contents Preamble 1 Prevalence of hypertension in Chinese population 1.1 Prevalence,incidence and epidemic trend of hypertension in Chinese population 1.2 Awareness,treatment and control of Hypertension in Ch...Table of Contents Preamble 1 Prevalence of hypertension in Chinese population 1.1 Prevalence,incidence and epidemic trend of hypertension in Chinese population 1.2 Awareness,treatment and control of Hypertension in China 1.3 Important risk factors for hypertension in Chinese population 2 Hypertension and cardiovascular risk 2.1 Relationship between blood pressure and cardiovascular risk 2.2 Cardiovascular risk characteristics of hypertension population in China 3 Diagnostic evaluation 3.1 Medical history 3.2 Physical examination 3.3 Laboratory examinations 3.4 Genetic analysis 3.5 BP measurement 3.6 Evaluation of target organ damage.展开更多
Spontaneous combustion of coal seam has been and continues to be a big problem in coal mines. It could pose great threat to the safety of the whole mine and all miners, especially when it occurs in or nearby coal mine...Spontaneous combustion of coal seam has been and continues to be a big problem in coal mines. It could pose great threat to the safety of the whole mine and all miners, especially when it occurs in or nearby coal mines. Besides, environment of area surrounded mines during combustion can be threatened where large amount of toxic gases including CO_2, CO, SO_2 and H_2S can be leased by fire in mine. Hence, it is important and significant for scholars to study the controlling and preventing of the coal seam fire. In this paper, the complicated reasons for the occurrence and development of spontaneous combustion in coal seam are analysed and different models under various air leakage situations are built as well. Based on the model and approximately calculation, the difficulty of fire extinguishment in coal seam is pointed out as the difficulty and poor effect to remove the large amount of heat released. Detailed measurements about backfilling and case analyses are also provided on the basis of the recent ten years' practice of controlling spontaneous combustion in coal seams in China. A technical fire prevention and control method has been concluded as five steps including detection, prevention, sealing, injection and pressure adjustment. However, various backfill materials require different application and environmental factors, so in this paper, analyses and discussion about the effect and engineering application of prevention of spontaneous combustion are provided according to different backfilling technologies and methods. Once the aforementioned fire prevention can be widely applied and regulated in mines, green mining will be achievable concerning mine fire prevention and control.展开更多
Background Traditional Chinese medicine (TCM), especially herbal medicine, has been widely used in China and now is also being increasingly used in other countries for the treatment of cardiovascular diseases. Althoug...Background Traditional Chinese medicine (TCM), especially herbal medicine, has been widely used in China and now is also being increasingly used in other countries for the treatment of cardiovascular diseases. Although many studies have demonstrated that certain Chinese herbal products are effective and safe for the treatment of cardiovascular diseases, most of these lack sufficient quality. Therefore, large randomized clinical trials and further scientific research to determine its safety, effectiveness are necessary.QiShen YiQi Dripping Pills (QSYQDP) is a herbal preparation clinically used in the treatment and prevention of coronary artery disease. Preliminary observations have shown its safety and effectiveness. Methods/Design This randomized, controlled trial will recruit 3600 patients with a history of myocardial infarction. Patients will be randomized into two groups by a Centr-Randomized System. One group receives QSYQDP, the other group receive aspirin. This trial protocol will describe eligibility criteria, detailed information on the treatment definition, blinding, endpoints, statistical methods, sample size determination, data management, legal aspects, and the current status of the trial. Discussion This trial is one of the first randomized, controlled clinical trial to evaluate the efficacy and safety of traditional Chinese herbal medicine in the treatment and secondary prevention of coronary artery disease. The results of this study should help to define the role of TCM in modern medical care, as well as to provide the management strategy for CAD patients in China and other countries.展开更多
In the practice of mining shallow buried ultra-close seams,support failure tends to occur during the process of longwall undermining beneath two layers of room mining goaf(TLRMG).In this paper,the factors causing supp...In the practice of mining shallow buried ultra-close seams,support failure tends to occur during the process of longwall undermining beneath two layers of room mining goaf(TLRMG).In this paper,the factors causing support failure are summarized into geology and mining technology.Combining column lithology and composite beam theory,the key stratum of the rock strata is determined.A finite element numerical simulation is used to analyze the overlying load distribution rule of the main roof for different plane positions of the upper and lower room mining pillars.The tributary area theory(TAT)is adopted to analyze the vertical load distribution of each pillar,and dynamic models of coal pillar instability and main roof fracture are established.Through key block instability analysis,two critical moments are established,of which critical moment A has the greater dynamic load strength.Great economic losses and safety hazards are created by the dynamic load of the fracturing of the main roof.To reduce these negative effects,a method of pulling out supports is developed and two alternative measures for support failure prevention are proposed:reinforcing stope supports in conjunction with reducing mining height,or drilling ground holes to pre-split the main roof.Based on a comprehensive consideration of economic factors and the two categories of support failure causes,the method of reinforcing stope supports while reducing mining height was selected for use on the mining site.展开更多
Atrial fibrillation （AF） is the most common cardiac ar-rhythmia in clinical practice with an increasing incidenceand prevalence. With ageing, the risk of thromboembolicand hemorrhagic events increases dramatically. ...Atrial fibrillation （AF） is the most common cardiac ar-rhythmia in clinical practice with an increasing incidenceand prevalence. With ageing, the risk of thromboembolicand hemorrhagic events increases dramatically. As it hasbeen reported previously, 3-year survival rate among pa-tients with AF over 75 years of age after stroke is less than50%, and almost 90% of those patients will remain dis-abled.展开更多
Careful and thorough incident investigations and pre-job safety analyses completed by knowledgeable and competent individuals can significantly reduce workplace incidents. Working parties must act together to make the...Careful and thorough incident investigations and pre-job safety analyses completed by knowledgeable and competent individuals can significantly reduce workplace incidents. Working parties must act together to make these safety tools effective. To get the staff units to work together in a co-ordinated manner, they must be shown the value of their work in preventing accidents. Examples of actual accidents investigated during the author's 18 years as a mine inspector in Saskatchewan are discussed within the context of pre-job safety analyses. The causes of the accidents are explored with close reference to how pre-job safety analyses could have prevented their occurrence.展开更多
Adolescent suicide is the leading cause of death among South Korean(Korean)youth.Despite great efforts being made towards suicide prevention in Korea,the suicide rate has not decreased significantly.There is an urgent...Adolescent suicide is the leading cause of death among South Korean(Korean)youth.Despite great efforts being made towards suicide prevention in Korea,the suicide rate has not decreased significantly.There is an urgent need for a new adolescent suicide prevention strategy.This paper describes the seriousness of the issue of adolescent suicide in Korea,evaluates its current management by the SWOT analysis(strengths,weaknesses,opportunities and threats)and further recommends a new suicide prevention programme that integrates national/social involvement(State Suicide Intervention Committee,suicide posts'monitoring,parental divorce information sharing and Adolescence Mental Health Promotion Foundation),schoolbased programmes(continuous monitoring system,psychology consultation team and mental health educational curricula)and familybased programmes(parental education and family-school communication).In addition,genetic analysis,biochemical tests and psychological disease registration are the indispensable elements that aid in suicidal behaviour prevention and prediction.展开更多
In this paper,we investigate and analyze the network security risks faced by 5G private industrial networks.Based on current network security architecture and 3GPP requirements and considering the actual application o...In this paper,we investigate and analyze the network security risks faced by 5G private industrial networks.Based on current network security architecture and 3GPP requirements and considering the actual application of 5G private industrial networks,a comparative analysis is used to plan and design a private network security construction scheme.The network security construction model,network organization,and key processes of 5G private industrial networks at the current stage are investigated.In addition,the key direction for the next stage of construction is discussed.展开更多
Precautions against forest fires,a significant element in the prevention and reduction of natural disasters in China,are very important to the development of public emergency systems,as well as to the safety of forest...Precautions against forest fires,a significant element in the prevention and reduction of natural disasters in China,are very important to the development of public emergency systems,as well as to the safety of forest resources,ecology,people’s lives and properties.The USA has extensive experience in forest fire management,which has been widely accepted and used by other countries.The precautions taken by China and the USA to prevent forest fires have been compared in a great number of previous studies.However,most of the studies have focused merely on fire extinguishing technologies and management methods;they have lacked a comparative study on the legal aspects of management.This paper will consider five distinct aspects related to forest fire management between China and the USA and will analyze the similarities and differences as well as study other features to facilitate work related to precautions against forest fires in China.展开更多
Background:High altitude disease(HAD)can reduce combat effectiveness and damage the health of soldiers at high altitudes.The objective of this hypothesis study is to build a four-period prevention model for high altit...Background:High altitude disease(HAD)can reduce combat effectiveness and damage the health of soldiers at high altitudes.The objective of this hypothesis study is to build a four-period prevention model for high altitude disease that can be applied at high altitudes of over 3000 m.Presentation of the hypothesis:We divided the time at high altitude into nine periods,with three stages from the ascent preparation to the descent to the plain,and applied a continuous dynamic and systematic four-period prevention model across the nine periods.Each period of three stages has its own different measures and targets high altitude health care services for the prevention of high altitude disease.A standard four-period prevention model for high altitude disease was constructed for the high altitude health services at the population level.Testing the hypothesis:Our hypothesized HAD prevention model represents a continuous dynamic and systematic four-period prevention model across the nine periods.This hypothesis can be tested from three aspects.The first one is assessment of soldiers’operating efficacies.The second is comparison of the long-term high altitude population health basic data and development and utilization of big data.The third is descent population health status comparative study and historical retrospective study on prevention.Implications:As we know,it is necessary to protect soldiers’health through the ascent and descent.Through the standard four-period model,we can protect soldiers’health by preventing high altitude diseases,screening the susceptible population,securely tracking their location and maintaining soldiers’health statuses;we also maintain their operational capabilities,eliminate their psychological fears and ease their family troubles.展开更多
Background Youth suicide has been a pressing public mental health concern in China,yet there is a lack of gatekeeper intervention programmes developed locally to prevent suicide among Chinese adolescents.Aims The curr...Background Youth suicide has been a pressing public mental health concern in China,yet there is a lack of gatekeeper intervention programmes developed locally to prevent suicide among Chinese adolescents.Aims The current Delphi study was the first step in the systematic development of the Life Gatekeeper programme,the first gatekeeper programme to be developed locally in China that aims to equip teachers and parents with the knowledge,skills and ability to identify and intervene with students at high risk of suicide.Methods The Delphi method was used to elicit a consensus of experts who were invited to evaluate the importance of training content,the feasibility of the training delivery method,the possibility of achieving the training goals and,finally,the appropriateness of the training materials.Two Delphi rounds were conducted among local experts with diversified professional backgrounds in suicide research and practice.Statements were accepted for inclusion in the adjusted training programme if they were endorsed by at least 80%of the panel.Results Consensus was achieved on 201 out of 207 statements for inclusion into the adapted guidelines for the gatekeeper programme,with 151 from the original questionnaire and 50 generated from comments of the panel members.These endorsed statements were synthesised to develop the content of the Life Gatekeeper training programme.Conclusions This Delphi study provided an evidence base for developing the first gatekeeper training programme systematically and locally in China.We hope that the current study can pave the way for more evidence-based suicide prevention programmes in China.Further study is warranted to evaluate the effectiveness of the Life Gatekeeper training programme.展开更多
1 BackgroundIn the United States, life expectancy is rising, particularly among the older population （〉 65 years）, with projected estimates approaching 20% by year 2050. Despite improved survival estimates, cardiov...1 BackgroundIn the United States, life expectancy is rising, particularly among the older population （〉 65 years）, with projected estimates approaching 20% by year 2050. Despite improved survival estimates, cardiovascular diseases remain the leading cause of morbidity and mortality resulting in substantial increase in health care cost. For younger adults, the evidence for secondary cardiovascular prevention is well established and corroborated by robust data. However, the application of risk reduction strategies in older populations remains an area of active debate. Many assume that vulnerability to chronic cardiovascular diseases is an inexorable part of aging such that the risks attributable to prevention outweigh potential benefits.展开更多
BACKGROUND Tanscatheter left atrial appendage(LAA)closure and minimally invasive thoracoscopic LAA occlusion are local interventions of LAA for stroke prevention in patients with nonvalvular atrial fibrillation(NVAF)....BACKGROUND Tanscatheter left atrial appendage(LAA)closure and minimally invasive thoracoscopic LAA occlusion are local interventions of LAA for stroke prevention in patients with nonvalvular atrial fibrillation(NVAF).However,the safety and efficacy of these methods have not been compared.This prospective cohort study aimed to assess the safety and efficacy of those two treatment approaches for stroke prevention in NVAF patients.METHODS Two hundred and nine recurrent NVAF patients who received radiofrequency ablation were enrolled.These pa-tients were treated with transcatheter LAA closure or thoracoscopic LAA occlusion.The patients were followed up from the first postoperative day and evaluated for efficacy endpoints(stroke/transient ischemic attack(TIA),systemic embolism(SE),and death)and a safety endpoint(bleeding events).Perioperative complications were recorded.RESULTS After a median follow-up of 1.8 years(383 patient-years),the overall rate of the composite efficacy endpoints was similar between the two groups(3.8 vs.2.7 events per 100 patient-years;HR=0.71;95%CI:0.225−2.237;P=0.559).However,regarding primary safety endpoint,there were 1.5 bleeding events per 100 patient-years in the thoracoscopic LAA occlusion group,com-pared with 6.4 in transcatheter LAA closure group(HR=0.246;95%CI:0.074−0.819;P=0.022).The incidence of operative com-plications was 3/138(2.17%)in thoracoscopic LAA occlusion group and 1/71(1.41%)in transcatheter LAA closure group.CONCLUSIONS Thoracoscopic LAA occlusion and transcatheter LAA closure have similar efficacy in preventing stroke in NVAF patients.However,the thoracoscopic group had fewer bleeding events than the transcatheter group,but the former group required a longer hospital stay.展开更多
Based on structural distribution and fault characteristics of the Luzhou block,southern Sichuan Basin,as well as microseismic,well logging and in-situ stress data,the casing deformation behaviors of deep shale gas wel...Based on structural distribution and fault characteristics of the Luzhou block,southern Sichuan Basin,as well as microseismic,well logging and in-situ stress data,the casing deformation behaviors of deep shale gas wells are summarized,and the casing deformation mechanism and influencing factors are identified.Then,the risk assessment chart of casing deformation is plotted,and the measures for preventing and controlling casing deformation are proposed.Fracturing-activated fault slip is a main factor causing the casing deformation in deep shale gas wells in the Luzhou block.In the working area,the approximate fracture angle is primarily 10°-50°,accounting for 65.34%,and the critical pore pressure increment for fault-activation is 6.05-9.71 MPa.The casing deformation caused by geological factors can be prevented/controlled by avoiding the faults at risk and deploying wells in areas with low value of stress factor.The casing deformation caused by engineering factors can be prevented/controlled by:(1)keeping wells avoid faults with risks of activation and slippage,or deploying wells in areas far from the faulting center if such avoidance is impossible;(2)optimizing the wellbore parameters,for example,adjusting the wellbore orientation to reduce the shear force on casing to a certain extent and thus mitigate the casing deformation;(3)optimizing the casing program to ensure that the curvature radius of the curved section of horizontal well is greater than 200 m while the drilling rate of high-quality reservoirs is not impaired;(4)optimizing the fracturing parameters,for example,increasing the evasive distance,lowering the single-operation pressure,and increasing the stage length,which can help effectively reduce the risk of casing deformation.展开更多
Hepatitis B virus （HBV） infection is prevalent in China. Approximately 600 million people have ever been infected by HBV. About 130 million are HBV chronic carders and 30 million HB patients. Among them, 50% of HBV ...Hepatitis B virus （HBV） infection is prevalent in China. Approximately 600 million people have ever been infected by HBV. About 130 million are HBV chronic carders and 30 million HB patients. Among them, 50% of HBV carriers are caused by carrier mothers to born infants. Around 300 000 people died of liver disease including liver cirrhosis and primary hepatocellular carcinoma each year and 50% of them died of primary hepatocellular carcinoma. HBV infection is not only the health problem but also becoming a social problem. HBV chronic carriers and patients have endured the great pressure from disease burden and social discrimination. According to the report of the national screening program of HBV released by the ministry of health in 2008, China has taken many effective measures to control the HBV infection, including vaccine immunization program, strengthening the management of blood sources and blood productions, prevention of nosocomial HBV infection, strengthening health education on HBV infection and safe injection techniques. The implementation of HB vaccine immunization program, which China officially introduced into the national immunization program since 1992, has dramatically reduced the incidence of HBV infection among infants and children. Integrated with other interventions, the rate of HBV infection decreased gradually. According to the survey of the national screening program of HBV in 2006, compared with the incidence of HBV in 1992, the incidence rate of HBsAg positive has decreased 26.36%, the number of children who have ever been infected by HBV decreased 80 million since 1992. However some problems are still existing. The solutions of low rate of vaccination in rural areas and migration population, lacking of practical measures on management of hepatitis B patients, the occurrence of health care acquired HBV infection, and low rate of vaccination among high risk groups have also been recommended.展开更多
North and west China has abundant coal resources, however, such resources make these regions prone to serious mine fire disasters. Although the copious sand and fly ash resources found in these areas can be used as fi...North and west China has abundant coal resources, however, such resources make these regions prone to serious mine fire disasters. Although the copious sand and fly ash resources found in these areas can be used as fire-fighting materials, conventional grouting is expensive because of water shortage and loess particles. A new compound material(i.e., a sand-suspended colloid), which comprises a mineral inorganic gel and an organic polymer, is developed in the current study to improve the quality of sand injection and reduce water wastage when grouting. The new material can steadily suspend the sand, through the addition of a small amount of colloid yielding steady sand-suspended slurry. The process of producing the slurry is convenient and quick, overcoming the shortage of sand-suspending thickeners which need heat and are difficult to produce. The space work model based on the theory of the double-electric layer is established to study the suspended mechanism of the solid particles in the sand-suspended colloid.The dispersion effect of the sand-suspended colloid is demonstrated by the incorporation of the electrostatic effect by the double-electric layer and the steric hindrance effect on the sand particles, ensuring the stability of the colloid system and the steady suspension of sand particles in the sand-suspended colloid.Mechanical analysis indicates that the sand is suspended steadily under the condition that the rock sand particles stress on the lower part of the fluid is less than the yield stress of the colloid. Finally, the fireprevention technology of sand suspension was applied and tested in the Daliuta Coal Mine, achieving successful results.展开更多
Because posttraumatic stress disorder(PTSD) is a highly debilitating condition, prevention is an important research topic. This article reviews possible prevention approaches that involve the administration of drugs b...Because posttraumatic stress disorder(PTSD) is a highly debilitating condition, prevention is an important research topic. This article reviews possible prevention approaches that involve the administration of drugs before the traumatic event takes place. The considered approaches include drugs that address the sympathetic nervous system, drugs interfere with the hypothalamic-pituitary-adrenal(HPA) axis, narcotics and other psychoactive drugs, as well as modulators of protein synthesis. Furthermore, some thoughts on potential ethical implications of the use of drugs for the primary prevention of PTDS are presented. While there are many barriers to overcome in this field of study, this paper concludes with a call for additional research, as there are currently no approaches that are well-suited for regular daily use.展开更多
文摘The Annual Report on Cardiovascular Health and Diseases in China(2022)intricate landscape of cardiovascular health in China.This is the third section of the report with a specific focus on community-based prevention and treatment of cardiovascular diseases(CVD).This section of the report underscores the importance of initiatives outlined in the"Healthy China 2030 Plan,"emphasizing the comprehensive prevention and control strategy for chronic diseases.A key aspect of this plan involves the establishment of national demonstration areas aimed at comprehensive prevention and control of chronic diseases.By 2020,488 such areas had been set up across China,surpassing the initial target and covering a significant proportion of counties and districts.The report highlights the successful implementation of these strategies in Lishan district,Anshan city,where demonstration areas for comprehensive prevention and control of chronic diseases were launched in 2013.Over the course of seven years,the number of healthy units increased substantially,leading to improvements in managing risk factors for CVD among residents.Significant reductions in prevalence rates of overweight,obesity,smoking,passive smoking,and drinking were observed,along with the development of healthier behaviors among residents.Similarly,Qiaokou district in Wuhan City,designated as a national demonstration area in 2014,implemented comprehensive public health promotion initiatives.Notably,special clinics for hypertension intervention were established,contributing to an increase in self-reported rates of hypertension,a slight decrease in prevalence,and a remarkable improvement in the control rate among treated patients.Overall,these efforts underscore the effectiveness of community-based approaches in driving positive health outcomes and advancing the comprehensive prevention and control of chronic diseases,particularly cardiovascular diseases,in China.
文摘The corrosion causes of rebar in concrete under corrosive environment are analyzed and discussed. It is mainly suffered from the penetration of corrosive species from environment in to the surface of rebar. Corrosion is initiated by penetration of chlorides and breakdown of passivation, and then propagated by crack of concrete induced by st ress from volume expansion of corrosion product of rebar in succession. Some eff ective countermeasures for corrosion prevention for reinforced concrete are brie fly specified and discussed. Finally, some important techniques commonly used or to be developed are also suggested.
文摘Table of Contents Preamble 1 Prevalence of hypertension in Chinese population 1.1 Prevalence,incidence and epidemic trend of hypertension in Chinese population 1.2 Awareness,treatment and control of Hypertension in China 1.3 Important risk factors for hypertension in Chinese population 2 Hypertension and cardiovascular risk 2.1 Relationship between blood pressure and cardiovascular risk 2.2 Cardiovascular risk characteristics of hypertension population in China 3 Diagnostic evaluation 3.1 Medical history 3.2 Physical examination 3.3 Laboratory examinations 3.4 Genetic analysis 3.5 BP measurement 3.6 Evaluation of target organ damage.
基金funding by the National Natural Science Foundation of China (No. 51574279)Outstanding Youth Science Foundation of Chongqing China (No. cstc2013jcyjjq90001)Open project by State Key Laboratory of Coal Mine Disaster Dynamics and Control Chongqing University (No. 2011DA105287-FW201302)
文摘Spontaneous combustion of coal seam has been and continues to be a big problem in coal mines. It could pose great threat to the safety of the whole mine and all miners, especially when it occurs in or nearby coal mines. Besides, environment of area surrounded mines during combustion can be threatened where large amount of toxic gases including CO_2, CO, SO_2 and H_2S can be leased by fire in mine. Hence, it is important and significant for scholars to study the controlling and preventing of the coal seam fire. In this paper, the complicated reasons for the occurrence and development of spontaneous combustion in coal seam are analysed and different models under various air leakage situations are built as well. Based on the model and approximately calculation, the difficulty of fire extinguishment in coal seam is pointed out as the difficulty and poor effect to remove the large amount of heat released. Detailed measurements about backfilling and case analyses are also provided on the basis of the recent ten years' practice of controlling spontaneous combustion in coal seams in China. A technical fire prevention and control method has been concluded as five steps including detection, prevention, sealing, injection and pressure adjustment. However, various backfill materials require different application and environmental factors, so in this paper, analyses and discussion about the effect and engineering application of prevention of spontaneous combustion are provided according to different backfilling technologies and methods. Once the aforementioned fire prevention can be widely applied and regulated in mines, green mining will be achievable concerning mine fire prevention and control.
文摘Background Traditional Chinese medicine (TCM), especially herbal medicine, has been widely used in China and now is also being increasingly used in other countries for the treatment of cardiovascular diseases. Although many studies have demonstrated that certain Chinese herbal products are effective and safe for the treatment of cardiovascular diseases, most of these lack sufficient quality. Therefore, large randomized clinical trials and further scientific research to determine its safety, effectiveness are necessary.QiShen YiQi Dripping Pills (QSYQDP) is a herbal preparation clinically used in the treatment and prevention of coronary artery disease. Preliminary observations have shown its safety and effectiveness. Methods/Design This randomized, controlled trial will recruit 3600 patients with a history of myocardial infarction. Patients will be randomized into two groups by a Centr-Randomized System. One group receives QSYQDP, the other group receive aspirin. This trial protocol will describe eligibility criteria, detailed information on the treatment definition, blinding, endpoints, statistical methods, sample size determination, data management, legal aspects, and the current status of the trial. Discussion This trial is one of the first randomized, controlled clinical trial to evaluate the efficacy and safety of traditional Chinese herbal medicine in the treatment and secondary prevention of coronary artery disease. The results of this study should help to define the role of TCM in modern medical care, as well as to provide the management strategy for CAD patients in China and other countries.
基金supported by the National Natural Science Foundation of China (No. 51374200)
文摘In the practice of mining shallow buried ultra-close seams,support failure tends to occur during the process of longwall undermining beneath two layers of room mining goaf(TLRMG).In this paper,the factors causing support failure are summarized into geology and mining technology.Combining column lithology and composite beam theory,the key stratum of the rock strata is determined.A finite element numerical simulation is used to analyze the overlying load distribution rule of the main roof for different plane positions of the upper and lower room mining pillars.The tributary area theory(TAT)is adopted to analyze the vertical load distribution of each pillar,and dynamic models of coal pillar instability and main roof fracture are established.Through key block instability analysis,two critical moments are established,of which critical moment A has the greater dynamic load strength.Great economic losses and safety hazards are created by the dynamic load of the fracturing of the main roof.To reduce these negative effects,a method of pulling out supports is developed and two alternative measures for support failure prevention are proposed:reinforcing stope supports in conjunction with reducing mining height,or drilling ground holes to pre-split the main roof.Based on a comprehensive consideration of economic factors and the two categories of support failure causes,the method of reinforcing stope supports while reducing mining height was selected for use on the mining site.
文摘Atrial fibrillation （AF） is the most common cardiac ar-rhythmia in clinical practice with an increasing incidenceand prevalence. With ageing, the risk of thromboembolicand hemorrhagic events increases dramatically. As it hasbeen reported previously, 3-year survival rate among pa-tients with AF over 75 years of age after stroke is less than50%, and almost 90% of those patients will remain dis-abled.
文摘Careful and thorough incident investigations and pre-job safety analyses completed by knowledgeable and competent individuals can significantly reduce workplace incidents. Working parties must act together to make these safety tools effective. To get the staff units to work together in a co-ordinated manner, they must be shown the value of their work in preventing accidents. Examples of actual accidents investigated during the author's 18 years as a mine inspector in Saskatchewan are discussed within the context of pre-job safety analyses. The causes of the accidents are explored with close reference to how pre-job safety analyses could have prevented their occurrence.
文摘Adolescent suicide is the leading cause of death among South Korean(Korean)youth.Despite great efforts being made towards suicide prevention in Korea,the suicide rate has not decreased significantly.There is an urgent need for a new adolescent suicide prevention strategy.This paper describes the seriousness of the issue of adolescent suicide in Korea,evaluates its current management by the SWOT analysis(strengths,weaknesses,opportunities and threats)and further recommends a new suicide prevention programme that integrates national/social involvement(State Suicide Intervention Committee,suicide posts'monitoring,parental divorce information sharing and Adolescence Mental Health Promotion Foundation),schoolbased programmes(continuous monitoring system,psychology consultation team and mental health educational curricula)and familybased programmes(parental education and family-school communication).In addition,genetic analysis,biochemical tests and psychological disease registration are the indispensable elements that aid in suicidal behaviour prevention and prediction.
文摘In this paper,we investigate and analyze the network security risks faced by 5G private industrial networks.Based on current network security architecture and 3GPP requirements and considering the actual application of 5G private industrial networks,a comparative analysis is used to plan and design a private network security construction scheme.The network security construction model,network organization,and key processes of 5G private industrial networks at the current stage are investigated.In addition,the key direction for the next stage of construction is discussed.
基金supported by the State Bureau of Forestry 948 project(2015-4-35)the Fundamental Research Funds for the Central Universities(2572015CA10)National Natural Science Foundation of China(31400551)
文摘Precautions against forest fires,a significant element in the prevention and reduction of natural disasters in China,are very important to the development of public emergency systems,as well as to the safety of forest resources,ecology,people’s lives and properties.The USA has extensive experience in forest fire management,which has been widely accepted and used by other countries.The precautions taken by China and the USA to prevent forest fires have been compared in a great number of previous studies.However,most of the studies have focused merely on fire extinguishing technologies and management methods;they have lacked a comparative study on the legal aspects of management.This paper will consider five distinct aspects related to forest fire management between China and the USA and will analyze the similarities and differences as well as study other features to facilitate work related to precautions against forest fires in China.
基金supported by the National Basic Research and Development Program of China(973 Program)(2012CB518201)the“13th Five-Year Plan”Medical Science Development Foundation of PLA(AWS14C007)the Basic Scientific Personnel Training Foundation of China(J1310001).
文摘Background:High altitude disease(HAD)can reduce combat effectiveness and damage the health of soldiers at high altitudes.The objective of this hypothesis study is to build a four-period prevention model for high altitude disease that can be applied at high altitudes of over 3000 m.Presentation of the hypothesis:We divided the time at high altitude into nine periods,with three stages from the ascent preparation to the descent to the plain,and applied a continuous dynamic and systematic four-period prevention model across the nine periods.Each period of three stages has its own different measures and targets high altitude health care services for the prevention of high altitude disease.A standard four-period prevention model for high altitude disease was constructed for the high altitude health services at the population level.Testing the hypothesis:Our hypothesized HAD prevention model represents a continuous dynamic and systematic four-period prevention model across the nine periods.This hypothesis can be tested from three aspects.The first one is assessment of soldiers’operating efficacies.The second is comparison of the long-term high altitude population health basic data and development and utilization of big data.The third is descent population health status comparative study and historical retrospective study on prevention.Implications:As we know,it is necessary to protect soldiers’health through the ascent and descent.Through the standard four-period model,we can protect soldiers’health by preventing high altitude diseases,screening the susceptible population,securely tracking their location and maintaining soldiers’health statuses;we also maintain their operational capabilities,eliminate their psychological fears and ease their family troubles.
基金funding from Research Fund of VankeSchool of Public Health(100009001)funding from Shuimu Tsinghua Scholarfunding from Beijing High Level Public HealthTechnical Specialist Development Fund(Discipline backbone-02-07).
文摘Background Youth suicide has been a pressing public mental health concern in China,yet there is a lack of gatekeeper intervention programmes developed locally to prevent suicide among Chinese adolescents.Aims The current Delphi study was the first step in the systematic development of the Life Gatekeeper programme,the first gatekeeper programme to be developed locally in China that aims to equip teachers and parents with the knowledge,skills and ability to identify and intervene with students at high risk of suicide.Methods The Delphi method was used to elicit a consensus of experts who were invited to evaluate the importance of training content,the feasibility of the training delivery method,the possibility of achieving the training goals and,finally,the appropriateness of the training materials.Two Delphi rounds were conducted among local experts with diversified professional backgrounds in suicide research and practice.Statements were accepted for inclusion in the adjusted training programme if they were endorsed by at least 80%of the panel.Results Consensus was achieved on 201 out of 207 statements for inclusion into the adapted guidelines for the gatekeeper programme,with 151 from the original questionnaire and 50 generated from comments of the panel members.These endorsed statements were synthesised to develop the content of the Life Gatekeeper training programme.Conclusions This Delphi study provided an evidence base for developing the first gatekeeper training programme systematically and locally in China.We hope that the current study can pave the way for more evidence-based suicide prevention programmes in China.Further study is warranted to evaluate the effectiveness of the Life Gatekeeper training programme.
文摘1 BackgroundIn the United States, life expectancy is rising, particularly among the older population （〉 65 years）, with projected estimates approaching 20% by year 2050. Despite improved survival estimates, cardiovascular diseases remain the leading cause of morbidity and mortality resulting in substantial increase in health care cost. For younger adults, the evidence for secondary cardiovascular prevention is well established and corroborated by robust data. However, the application of risk reduction strategies in older populations remains an area of active debate. Many assume that vulnerability to chronic cardiovascular diseases is an inexorable part of aging such that the risks attributable to prevention outweigh potential benefits.
基金Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding Support(code:ZYLX201303,XMLX201601)the grant from National Key Research and Development Program of China(2017YFC0908800).
文摘BACKGROUND Tanscatheter left atrial appendage(LAA)closure and minimally invasive thoracoscopic LAA occlusion are local interventions of LAA for stroke prevention in patients with nonvalvular atrial fibrillation(NVAF).However,the safety and efficacy of these methods have not been compared.This prospective cohort study aimed to assess the safety and efficacy of those two treatment approaches for stroke prevention in NVAF patients.METHODS Two hundred and nine recurrent NVAF patients who received radiofrequency ablation were enrolled.These pa-tients were treated with transcatheter LAA closure or thoracoscopic LAA occlusion.The patients were followed up from the first postoperative day and evaluated for efficacy endpoints(stroke/transient ischemic attack(TIA),systemic embolism(SE),and death)and a safety endpoint(bleeding events).Perioperative complications were recorded.RESULTS After a median follow-up of 1.8 years(383 patient-years),the overall rate of the composite efficacy endpoints was similar between the two groups(3.8 vs.2.7 events per 100 patient-years;HR=0.71;95%CI:0.225−2.237;P=0.559).However,regarding primary safety endpoint,there were 1.5 bleeding events per 100 patient-years in the thoracoscopic LAA occlusion group,com-pared with 6.4 in transcatheter LAA closure group(HR=0.246;95%CI:0.074−0.819;P=0.022).The incidence of operative com-plications was 3/138(2.17%)in thoracoscopic LAA occlusion group and 1/71(1.41%)in transcatheter LAA closure group.CONCLUSIONS Thoracoscopic LAA occlusion and transcatheter LAA closure have similar efficacy in preventing stroke in NVAF patients.However,the thoracoscopic group had fewer bleeding events than the transcatheter group,but the former group required a longer hospital stay.
基金Supported by the PetroChina Scientific Research and Technology Development Project (2022KT1205)。
文摘Based on structural distribution and fault characteristics of the Luzhou block,southern Sichuan Basin,as well as microseismic,well logging and in-situ stress data,the casing deformation behaviors of deep shale gas wells are summarized,and the casing deformation mechanism and influencing factors are identified.Then,the risk assessment chart of casing deformation is plotted,and the measures for preventing and controlling casing deformation are proposed.Fracturing-activated fault slip is a main factor causing the casing deformation in deep shale gas wells in the Luzhou block.In the working area,the approximate fracture angle is primarily 10°-50°,accounting for 65.34%,and the critical pore pressure increment for fault-activation is 6.05-9.71 MPa.The casing deformation caused by geological factors can be prevented/controlled by avoiding the faults at risk and deploying wells in areas with low value of stress factor.The casing deformation caused by engineering factors can be prevented/controlled by:(1)keeping wells avoid faults with risks of activation and slippage,or deploying wells in areas far from the faulting center if such avoidance is impossible;(2)optimizing the wellbore parameters,for example,adjusting the wellbore orientation to reduce the shear force on casing to a certain extent and thus mitigate the casing deformation;(3)optimizing the casing program to ensure that the curvature radius of the curved section of horizontal well is greater than 200 m while the drilling rate of high-quality reservoirs is not impaired;(4)optimizing the fracturing parameters,for example,increasing the evasive distance,lowering the single-operation pressure,and increasing the stage length,which can help effectively reduce the risk of casing deformation.
文摘Hepatitis B virus （HBV） infection is prevalent in China. Approximately 600 million people have ever been infected by HBV. About 130 million are HBV chronic carders and 30 million HB patients. Among them, 50% of HBV carriers are caused by carrier mothers to born infants. Around 300 000 people died of liver disease including liver cirrhosis and primary hepatocellular carcinoma each year and 50% of them died of primary hepatocellular carcinoma. HBV infection is not only the health problem but also becoming a social problem. HBV chronic carriers and patients have endured the great pressure from disease burden and social discrimination. According to the report of the national screening program of HBV released by the ministry of health in 2008, China has taken many effective measures to control the HBV infection, including vaccine immunization program, strengthening the management of blood sources and blood productions, prevention of nosocomial HBV infection, strengthening health education on HBV infection and safe injection techniques. The implementation of HB vaccine immunization program, which China officially introduced into the national immunization program since 1992, has dramatically reduced the incidence of HBV infection among infants and children. Integrated with other interventions, the rate of HBV infection decreased gradually. According to the survey of the national screening program of HBV in 2006, compared with the incidence of HBV in 1992, the incidence rate of HBsAg positive has decreased 26.36%, the number of children who have ever been infected by HBV decreased 80 million since 1992. However some problems are still existing. The solutions of low rate of vaccination in rural areas and migration population, lacking of practical measures on management of hepatitis B patients, the occurrence of health care acquired HBV infection, and low rate of vaccination among high risk groups have also been recommended.
基金support of the research funds provided by the National Natural Science Foundation of China (Nos. 51304071, 51304073)the Open Projects of State Key Laboratory of Coal Resources and Safe Mining, China University of Mining & Technology of China (No. 12KF02)
文摘North and west China has abundant coal resources, however, such resources make these regions prone to serious mine fire disasters. Although the copious sand and fly ash resources found in these areas can be used as fire-fighting materials, conventional grouting is expensive because of water shortage and loess particles. A new compound material(i.e., a sand-suspended colloid), which comprises a mineral inorganic gel and an organic polymer, is developed in the current study to improve the quality of sand injection and reduce water wastage when grouting. The new material can steadily suspend the sand, through the addition of a small amount of colloid yielding steady sand-suspended slurry. The process of producing the slurry is convenient and quick, overcoming the shortage of sand-suspending thickeners which need heat and are difficult to produce. The space work model based on the theory of the double-electric layer is established to study the suspended mechanism of the solid particles in the sand-suspended colloid.The dispersion effect of the sand-suspended colloid is demonstrated by the incorporation of the electrostatic effect by the double-electric layer and the steric hindrance effect on the sand particles, ensuring the stability of the colloid system and the steady suspension of sand particles in the sand-suspended colloid.Mechanical analysis indicates that the sand is suspended steadily under the condition that the rock sand particles stress on the lower part of the fluid is less than the yield stress of the colloid. Finally, the fireprevention technology of sand suspension was applied and tested in the Daliuta Coal Mine, achieving successful results.
文摘Because posttraumatic stress disorder(PTSD) is a highly debilitating condition, prevention is an important research topic. This article reviews possible prevention approaches that involve the administration of drugs before the traumatic event takes place. The considered approaches include drugs that address the sympathetic nervous system, drugs interfere with the hypothalamic-pituitary-adrenal(HPA) axis, narcotics and other psychoactive drugs, as well as modulators of protein synthesis. Furthermore, some thoughts on potential ethical implications of the use of drugs for the primary prevention of PTDS are presented. While there are many barriers to overcome in this field of study, this paper concludes with a call for additional research, as there are currently no approaches that are well-suited for regular daily use.
