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THE PERIODIC SOLUTIONS FOR TIME DEPENDENT AGE-STRUCTURED POPULATION MODELS 被引量:3
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作者 周义仓 马知恩 《Acta Mathematica Scientia》 SCIE CSCD 2000年第2期155-161,共7页
In this paper, the existence of periodic solutions for a time dependent age-structured population model is studied. The averaged net reproductive number is introduced as the main parameter to determine the dynamical b... In this paper, the existence of periodic solutions for a time dependent age-structured population model is studied. The averaged net reproductive number is introduced as the main parameter to determine the dynamical behaviors of the model. The existence of a global parameterized branch of periodic solutions of the model is obtained by using the contracting mapping theorem in a periodic and continuous function space. The global stability of the trivial equilibrium is studied and a very practical stability criteria for the model is obtained. The dynamics of the linear time-periodic model is similar to that of the linear model. 展开更多
关键词 age-structurE population model periodic solution net reproductive number
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A study of nonlinear age-structured population models 被引量:2
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作者 Syed Tauseef Mohyud-Din A. Waheed M. M. Ra.shidi 《International Journal of Biomathematics》 2016年第6期211-223,共13页
This paper presents a novel analysis for the solution of nonlinear age-structured prob- lem which is of extreme importance in biological sciences. The presented model is very useful but quite complicated. Modified var... This paper presents a novel analysis for the solution of nonlinear age-structured prob- lem which is of extreme importance in biological sciences. The presented model is very useful but quite complicated. Modified variational iteration method (MVIM) coupled with auxiliary parameter is used to cope with the complexity of the model which subse- quently shows better results as compared to some existing results available in literature. Furthermore, an appropriate way is used for the identification of auxiliary parameter by means of residual function. Numerical examples are presented for the analysis of the pro- posed algorithm. Graphical results along with the discussions re-confirm the efficiency of proposed algorithm. The work proposes a new algorithm where He's polynomials and an auxiliary parameter are merged with correction functional. The suggested scheme is implemented on nonlinear age-structured population models. Graphs are plotted for the residual function that reflects the accuracy and convergence of the presented algorithm. 展开更多
关键词 age-structured population models nonlinear problems modified variationaliteration method auxiliary parameter correction functional.
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Haar wavelet method for solving nonlinear age-structured population models 被引量:1
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作者 Zakieh Avazzadeh Mohammad Heydari 《International Journal of Biomathematics》 2017年第8期163-183,共21页
In this study, Haar wavelet method is implemented for solving the nonlinear age- structured population model which is the nonclassic type of partial differential equation associated with boundary integral equation. Th... In this study, Haar wavelet method is implemented for solving the nonlinear age- structured population model which is the nonclassic type of partial differential equation associated with boundary integral equation. This paper develops the flexibility of Haar wavelet method for reduction of the partial differential equation with nonlocal boundary conditions to an algebraic system. In fact, the simple structure of piecewise orthogonM Haar basis functions which leads to sparse matrices causes the convergence and com- putational efficiency. Some illustrative results show the reliability and accuracy of the presented method. 展开更多
关键词 Nonlinear age-structured population model Haax wavelet boundary integralequation.
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Impulse controls in optimal harvesting of age-structured populations
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作者 Natali Hritonenko Nobuyuki Kato Yuri Yatsenko 《International Journal of Biomathematics》 SCIE 2023年第7期197-218,共22页
A nonlinear optimal control problem in the Lotka-McKendrick population model is studied.It describes rational management of age-structured farmed populations in aquaculture and indoor farms.Employing generalized funct... A nonlinear optimal control problem in the Lotka-McKendrick population model is studied.It describes rational management of age-structured farmed populations in aquaculture and indoor farms.Employing generalized functions,we prove the impulse nature of optimal harvesting.Exact analytic solutions for sustainable harvesting strategies are obtained and used to analyze the optimal dynamics of harvesting age and rotation under technological innovations. 展开更多
关键词 age-structured populations AQUACULTURE optimal harvesting relaxed optimal controls Dirac measure
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Seasonal population trend and relative occurrence of pests and their natural enemies among cotton species and cultivars in India 被引量:1
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作者 NAGRARE V.S. NAIKWADI Bhausaheb +4 位作者 FAND Babasaheb B. NAIK V.Chinna Babu TENGURI Prabhulinga GOKTE‑NARKHEDKAR Nandini WAGHMARE V.N. 《Journal of Cotton Research》 2025年第2期178-192,共15页
Background Cotton crop is infested by numerous arthropod pests from sowing to harvesting,causing substantial direct and indirect yield losses.Knowledge of seasonal population trends and the relative occurrence of pest... Background Cotton crop is infested by numerous arthropod pests from sowing to harvesting,causing substantial direct and indirect yield losses.Knowledge of seasonal population trends and the relative occurrence of pests and their natural enemies is required to minimize the pest population and yield losses.In the current study,analysis of the seasonal population trend of pests and natural enemies and their relative occurrence on cultivars of three cotton species in Central India has been carried out.Results A higher number and diversity of sucking pests were observed during the vegetative cotton growth stage(60 days after sowing),declining as the crop matured.With the exception of cotton jassid(Amrasca biguttula biguttula Ishida),which caused significant crop damage mainly from August to September;populations of other sucking insects seldom reached economic threshold levels(ETL)throughout the studied period.The bollworm complex populations were minimal,except for the pink bollworm(Pectinophora gossypiella Saunders),which re-emerged as a menace to cotton crops during the cotton cropping season 2017–2018 due to resistance development against Bt-cotton.A reasonably good number of predatory arthropods,including coccinellids,lacewings,and spiders,were found actively preying on the arthropod pest complex of the cotton crop during the early vegetative growth stage.Linear regression indicates a significant relationship between green boll infestations and pink bollworm moths in pheromone traps.Multiple linear regression analyse showed mean weekly weather at one-or two-week lag periods had a significant impact on sucking pest population(cotton aphid,cotton jassid,cotton whitefly,and onion thrips)fluctuation.Gossypium hirsutum cultivars RCH 2 and DCH 32,and G.barbadense cultivar Suvin were found susceptible to cotton jassid and onion thrips.Phule Dhanvantary,an G.arboreum cotton cultivar,demonstrated the highest tolerance among all evaluated cultivars against all sucking pests.Conclusion These findings have important implications for pest management in cotton crops.Susceptible cultivars warrant more attention for plant protection measures,making them more input-intensive.The choice of appropriate cultivars can help minimize input costs,thereby increasing net returns for cotton farmers. 展开更多
关键词 COTTON PESTS population trend Relative occurrence CULTIVARS Natural enemies
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Demographic trends in mortality with older population due to atrial fibrillation and flutter from 1999-2020 被引量:1
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作者 Mahnoor Sukaina Marium Waheed +2 位作者 Shafi Rehman Md Al Hasibuzzaman Rabab Meghani 《World Journal of Cardiology》 2025年第1期1-7,共7页
Atrial fibrillation(AF)/atrial flutter(AFL)is the most common sustained cardiac arrhythmia.The known risk factors for developing AF/AFL include age,structural heart disease,hypertension,diabetes mellitus,or hyperthyro... Atrial fibrillation(AF)/atrial flutter(AFL)is the most common sustained cardiac arrhythmia.The known risk factors for developing AF/AFL include age,structural heart disease,hypertension,diabetes mellitus,or hyperthyroidism.This study aims to attribute the trends in AF/AFL-related mortalities over the past two decades 1999-2020 concerning race and sex and disparity among them.To the best of our knowledge,this is the first study that estimates the trends and mortality due to AF/AFL from 1999-2020 in older adults in the United States.In this 21-year analysis of mortality data,we found a constant increase in mortality rates due to AF/AFL in older adults.From 1999 to 2020,the overall mortality in older adults aged 65 and above,regardless of sex and race,is found to be almost doubled i.e.about a 50.2%increase in the number of deaths due to AF/AFL.Furthermore,other confounding risk factors such has obesity,prior myocardial infarction,inflammation,hypertension,birth weight,diabetes mellitus,hyperthyroidism,hormone replacement therapy in menopausal women increases the risk in the occurrence or recurrent occurrence of AF. 展开更多
关键词 Demographic trends United States Atrial fibrillation Atrial flutter Older population
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Comparative Study of the Malthusian Population Model and the Logistic Population Model for Bangladesh
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作者 Md. Showkat Akber Khandoker Nasrin Ismet Ara Md. Sabbir Alam 《Applied Mathematics》 2025年第2期169-182,共14页
Bangladesh has a denser population in comparison with many other countries. Though the rate of population increase has been regarded as a concerning issue, estimation of the population instability in the upcoming year... Bangladesh has a denser population in comparison with many other countries. Though the rate of population increase has been regarded as a concerning issue, estimation of the population instability in the upcoming years may be useful for national planning. To predict Bangladesh’s future population, this study compares the estimated populations of two popular population models, the Malthusian and the logistic population models, with the country’s census population published by BBS. We also tried to find out which model gives a better approximation for forecasting the past, present, and future population between these two models. 展开更多
关键词 Malthusian population Model Logistic population Model population Growth Carrying Capacity
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Five novel ZNF469 gene mutations in sporadic keratoconus patients in the Han Chinese population
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作者 CAO Yanna DENG Zhihong +3 位作者 HE Guiyun XIAO Li ZHANG Feng SU Feng 《中南大学学报(医学版)》 北大核心 2025年第6期931-939,共9页
Objective:Keratoconus(KC)is a progressive corneal ectasia disorder,arising from a myriad of causes including genetic predispositions,environmental factors,biomechanical influences,and inflammatory reactions.This study... Objective:Keratoconus(KC)is a progressive corneal ectasia disorder,arising from a myriad of causes including genetic predispositions,environmental factors,biomechanical influences,and inflammatory reactions.This study aims to identify potential pathogenetic gene mutations in patients with sporadic KC in the Han Chinese population.Methods:Twenty-five patients with primary KC as well as 50 unrelated population matched healthy controls,were included in this study to identify potential pathogenic gene mutations among sporadic KC patients in the Han Chinese population.Sanger sequencing and whole-exome sequencing(WES)were used to analyze mutations in the zinc finger protein 469(ZNF469)gene.Bioinformatics analysis was conducted to explore the potential role of ZNF469 in KC pathogenesis.Results:Five novel heterozygous missense variants were identified in KC patients.Among them,2 compound heterozygous variants,c.8986G>C(p.E2996Q)with c.11765A>C(p.D3922A),and c.4423C>G(p.L1475V)with c.10633G>A(p.G3545R),were determined to be possible pathogenic factors for KC.Conclusion:Mutations in the ZNF469 gene may contribute to the development of KC in the Han Chinese population.These mutation sites may provide valuable information for future genetic screening of KC patients and their families. 展开更多
关键词 KERATOCONUS ZNF469 gene MUTATION Sanger sequencing Han Chinese population
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Periodic Traveling Wave Solutions of a Single Population Model with Advection and Distributed Delay
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作者 GUO Zilin YU Tao TANG Xiaosong 《应用数学》 北大核心 2025年第4期988-995,共8页
In this paper,we investigate the periodic traveling wave solutions problem for a single population model with advection and distributed delay.By the bifurcation analysis method,we can obtain periodic traveling wave so... In this paper,we investigate the periodic traveling wave solutions problem for a single population model with advection and distributed delay.By the bifurcation analysis method,we can obtain periodic traveling wave solutions for this model under the influence of advection term and distributed delay.The obtained results indicate that weak kernel and strong kernel can both deduce the existence of periodic traveling wave solutions.Finally,we apply the main results in this paper to Logistic model and Nicholson’s blowflies model. 展开更多
关键词 Single population model Advection Distributed delay Periodic traveling wave solution
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Development and Validation of Machine Learning Models for Lung Cancer Risk Prediction in High-Risk Population: A Retrospective Cohort Study 被引量:1
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作者 Yu Su Haoran Zhan +5 位作者 Shangyao Li Yitong Lu Ruhuan Ma Hai Fang Tingting Xu Yu Tian 《Biomedical and Environmental Sciences》 2025年第4期501-505,共5页
Lung cancer, the leading cause of cancer deaths worldwide and in China, has a 19.7% five-year survival rate due to terminal-stage diagnosis^([1-3]).Although low-dose computed tomography(CT) screening can reduce mortal... Lung cancer, the leading cause of cancer deaths worldwide and in China, has a 19.7% five-year survival rate due to terminal-stage diagnosis^([1-3]).Although low-dose computed tomography(CT) screening can reduce mortality, high false positive rates can create economic and psychological burdens. 展开更多
关键词 lung cancer retrospective cohort study lung cancer risk prediction low dose computed tomography high risk population MORTALITY machine learning false positive rates
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Effect of Tooth Loss on Blood Pressure in Congolese Population: A Cross-Sectional Study
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作者 Elias Lubadi Tshilumba Augustin Mantshumba Milolo +18 位作者 Pierrot Kumpanya Ntumba Fidele Nyimi Bushabu Grace Paka Lubamba David Kayembe Mwimbi Em Kalala Kazadi Pierre Muyembi Muinaninayi Grevisse Bindele Ndombolo Dany Kanyana Makolo Simplot Tubanza Mulongo Gabriel Bile Bopili Junior Panoumvita Kapomona Fifi Balepukayi Mpiana Monique Nsudila Mpoyi Pamela Lubula Dorcas Kilesa Nkanga Jean Marie Kayembe Bukama Jean Jacques Malemba Kabasele Jean Rene M’buyamba Kabangu Oral Health Section Working Team 《Open Journal of Stomatology》 2025年第2期25-38,共6页
Background: Tooth loss results in impaired mastication, which in turn, makes it difficult to chew hard food, consequently leading to deteriorate dietary habits and to develop hypertension. The purpose of this study wa... Background: Tooth loss results in impaired mastication, which in turn, makes it difficult to chew hard food, consequently leading to deteriorate dietary habits and to develop hypertension. The purpose of this study was to examine the effect of tooth loss on blood pressure among Congolese population. Methods: A cross-sectional study was conducted from October 2019 until December 2023 among Congolese population aged at least 30 years reporting to the living in DR Congo. All participants were enrolled from Dental Clinic located in the DR Congo. To be eligible to participate in the study, were the willing to participate and having signed informed consent;had a missing tooth;had carried out blood pressure measurement (hypertension/normotensive). The exclusion criteria were determined: being less than 30 years old, being pregnant for women considering the risk of existing gestational hypertension, obesity, excessive alcohol consumption, smoking, and diabetes. Hypertension was defined as the mean of three measurements of systolic blood pressure (SBP) (140 mmHg or higher), diastolic blood pressure (DBP) (90 mm or higher) or physician diagnosed hypertension confirmed from medical records. We determined the number of tooth loss from oral examination. A multivariable logistic regression model was used to investigate the effect of tooth loss on blood pressure. Results: In all, 25,396 participants were enrolled among Congolese population for this study. After oral examination, 13,421 were excluded for no tooth loss and 11,975 participants were selected. The average number of tooth loss among study population was 11.06. Among the participants with hypertension had lost an average of 11 teeth, significantly higher than those without hypertension (6.09) (p = 0.001). After adjusting for covariates (socio-demographic characteristics), tooth loss (>10) was significantly associated with hypertension, with OR = 1.32 (95% CI 1.073 - 2.38). Conclusion: Tooth loss maybe associated with severe hypertension among Congolese population adults. Prevention of tooth loss is very important to the overall health of this population. 展开更多
关键词 Tooth Loss Blood Pressure Public Health HYPERTENSION Congolese population
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Expression quantitative trait loci(eQTL):from population genetics to precision medicine
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作者 Zhi Qi Wong Lian Deng +5 位作者 Alvin Cengnata Thuhairah Abdul Rahman Aletza Mohd Ismail Renee Lay Hong Lim Shuhua Xu Boon-Peng Hoh 《Journal of Genetics and Genomics》 2025年第4期449-459,共11页
Evidence has shown that differential transcriptomic profiles among human populations from diverse ancestries,supporting the role of genetic architecture in regulating gene expression alongside environmental stimuli.Ge... Evidence has shown that differential transcriptomic profiles among human populations from diverse ancestries,supporting the role of genetic architecture in regulating gene expression alongside environmental stimuli.Genetic variants that regulate gene expression,known as expression quantitative trait loci(eQTL),are primarily shaped by human migration history and evolutionary forces,likewise,regulation of gene expression in principle could have been influenced by these events.Therefore,a comprehensive understanding of how human evolution impacts eQTL offers important insights into how phenotypic diversity is shaped.Recent studies,however,suggest that eQTL is enriched in genes that are selectively constrained.Whether eQTL is minimally affected by selective pressures remains an open question and requires comprehensive investigations.In addition,such studies are primarily dominated by the major populations of European ancestry,leaving many marginalized populations underrepresented.These observations indicate there exists a fundamental knowledge gap in the role of genomics variation on phenotypic diversity,which potentially hinders precision medicine.This article aims to revisit the abundance of eQTL across diverse populations and provide an overview of their impact from the population and evolutionary genetics perspective,subsequently discuss their influence on phenomics,as well as challenges and opportunities in the applications to precision medicine. 展开更多
关键词 EQTL TRANSCRIPTOMICS GENOMICS PHENOMICS population genetics Precisionmedicine
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Population structure and genetic diversity of hairfin anchovy(Setipinna tenuifilis)revealed by microsatellite markers
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作者 Bingjian Liu Shan Tong +7 位作者 Jiasheng Li Xun Jin Sixu Zheng Yunpeng Wang Luxiu Gao Taobo Feng Mingzhe Han Yifan Liu 《Acta Oceanologica Sinica》 2025年第1期138-146,I0012-I0014,共12页
Microsatellite markers with polymorphic advantages are widely used in the exploration and utilization of marine fishery resources.In this study,16 polymorphic microsatellite markers were used to evaluate the diversity... Microsatellite markers with polymorphic advantages are widely used in the exploration and utilization of marine fishery resources.In this study,16 polymorphic microsatellite markers were used to evaluate the diversity and population structure of Setipinna tenuifilis,a nearshore fish of economic and ecological value in the western Pacific Ocean and Indian Ocean.The genetic diversity of S.tenuifilis showed a high level[mean Na(number of alleles)is 23.25,mean Ho(observed heterozygosity)is 0.639,mean R_(a)(allelic richness)is 11.625,and the polymorphic information content(PIC)is 0.844]similar to other Clupeiformes fish species.The nine wild S.tenuifilis populations showed significant differentiation(F_(ST)ranging from 0.00384 to 0.19346)and were generally divided into southern and northern populations based on genetic structure,except for the Zhoushan population,which exhibited genetic mixture.Our results provide fundamental but significant genetic insights for the management and conservation of S.tenuifilis fishery resources. 展开更多
关键词 MICROSATELLITE population structure genetic diversity Setipinna tenuifili
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Climate Change’s Impact on Honeybee Distribution and Population,Habitats,Bioproducts,and Pest Threats as Protective of SDGs
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作者 Mohamed Ezzat Elshekh Saeed Mohammed Algarni +1 位作者 Ahmed Osman Abbas Farid Saber Nassar 《Journal of Environmental & Earth Sciences》 2025年第5期108-116,共9页
Bees are essential to human life and ecosystems,significantly contributing to medicine,economics,and environmental equilibrium.Bees serve an essential function as pollinators,facilitating the cultivation of various fr... Bees are essential to human life and ecosystems,significantly contributing to medicine,economics,and environmental equilibrium.Bees serve an essential function as pollinators,facilitating the cultivation of various fruits and vegetables.Bees contribute approximately 117 billion US dollars annually to the economy through their role in crop pollination.They have a direct impact on 35%of agricultural crops and 84%of cultivated plants.Bee products,including honey,propolis,and royal jelly,have been utilized in various traditional medicine practices across numerous countries.These substances have been utilized for their anti-inflammatory,antioxidant,and antibacterial properties.In addition to their economic,ecological,and medical significance,they serve as bioindicators for assessing the health of ecological systems by monitoring distribution and population dynamics.This offers important insights into the current situation,especially regarding the substantial impacts of climate change on the environment.This article seeks to synthesize data from various studies to examine the impact of climate change on bee populations and their habitats.This study illustrates the significant effects of future climate models for 2050 and 2070 on bee distribution,resulting in the decline of specific species populations. 展开更多
关键词 Bee Distribution Bee population Climate Change Ecology Biodiversity
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Angular-Momentum-Resolved Rydberg State Population of Argon Ions in Strong Laser Fields
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作者 Zhigang Zheng Di Wang +6 位作者 Mingyue Wang Li Wang Xu Sun Jing Zhao Zhihui Lv Xiaowei Wang Zengxiu Zhao 《Chinese Physics Letters》 2025年第5期21-25,共5页
This letter demonstrates an experimental approach to measuring the angular-momentum-resolved population of excited states in laser-produced argon ions.By measuring the spectra of free induction decay emissions corresp... This letter demonstrates an experimental approach to measuring the angular-momentum-resolved population of excited states in laser-produced argon ions.By measuring the spectra of free induction decay emissions corresponding to the resonant transitions between Rydberg states,the relative population of the Rydberg states is obtained with known Einstein A-coefficients.This study deepens the mechanistic understanding of coherent dynamics in laser-driven ionic excited states,and establishes experimental benchmarks essential for validating and refining advanced quantum kinetic models in strong-field physics. 展开更多
关键词 coherent dynamics strong laser fields rydberg statesthe relative population rydberg states resonant transitions free induction decay emissions angular momentum resolved rydberg state population
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National Population Health Data Center
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《Chinese Medical Sciences Journal》 2025年第1期F0003-F0003,共1页
National Population Health Data Center(NPHDC)is one of China's 20 national-level science data centers,jointly designated by the Ministry of Science and Technology and the Ministry of Finance.Operated by the Chines... National Population Health Data Center(NPHDC)is one of China's 20 national-level science data centers,jointly designated by the Ministry of Science and Technology and the Ministry of Finance.Operated by the Chinese Academy of Medical Sciences under the oversight of the National Health Commission,NPHDC adheres to national regulations including the Scientific Data Management Measures and the National Science and Technology Infrastructure Service Platform Management Measures,and is committed to collecting,integrating,managing,and sharing biomedical and health data through openaccess platform,fostering open sharing and engaging in international cooperation. 展开更多
关键词 science technology infrastructure population health data open access international cooperation national population health data center scientific data management biomedical data health data
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Deep gene exchange break among Konosirus punctatus populations across the northwestern Pacific inferred from AFLP and ISSR markers
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作者 Na Song Yiping Ying +1 位作者 Yang Zhang Tianxiang Gao 《Acta Oceanologica Sinica》 2025年第1期104-112,共9页
The correct understanding of fish population structure plays a positive role in their fishery management.The dotted gizzard shad,Konosirus punctatus,is widely distributed in the coastal waters of the northwestern Paci... The correct understanding of fish population structure plays a positive role in their fishery management.The dotted gizzard shad,Konosirus punctatus,is widely distributed in the coastal waters of the northwestern Pacific.With the over-exploitation of economically important fishes,its importance is increasingly prominent.To further examine the population genetic structure of K.punctatus across the northwestern Pacific,the amplified fragment length polymorphism(AFLP)and the inter-simple sequence repeats(ISSRs)were employed to perform genetic variation analysis.The results showed that the combination of polyacrylamide gel electrophoresis and silver staining can effectively detect genetic variation for K.punctatus populations.The average proportions of polymorphic loci were 46.26%and 87.13%for AFLP and ISSR markers,respectively,and the genetic diversity parameters showed no obvious differences among populations.Both analysis molecular variance(AMOVA)and pairwise F_(st)suggested that there was significant genetic differentiation between Chinese and Japanese populations.All samples also clustered into two clades based on the unweighted pair-group method analysis(UPGMA)tree by two markers,which indicated significant genetic differentiation among populations.Consistent with the previous studies,there are two highly differentiated groups at the nuclear gene level and they were suggested to be treated as two separate genetic management units.The results of the present study could provide the genetic management strategy for this important economic species. 展开更多
关键词 Konosirus punctatus population genetic differentiation AFLP ISSR
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Optimal response population after neoadjuvant therapy for patients with locally advanced gastric cancer:A multicenter study
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作者 Qing Zhong Yuqin Sun +18 位作者 Mingqiao Lian Zengbin Wang Baolong Li Junhua Yu Yubin Ma Shichao Wu Yonghong Wang Ju Wu Jiyun Zhu Wen Ye Zhiquan Zhang Caiming Weng Dong Wu Qiuxian Chen Qiyue Chen Ping Li Chaohui Zheng Lisheng Cai Changming Huang 《Chinese Journal of Cancer Research》 2025年第2期174-186,共13页
Objective:Pathologic complete response(pCR)following neoadjuvant therapy(NAT)for gastric cancer(GC)is rare but associated with a favorable prognosis.This study aims to reassess the optimal response population(ORP)foll... Objective:Pathologic complete response(pCR)following neoadjuvant therapy(NAT)for gastric cancer(GC)is rare but associated with a favorable prognosis.This study aims to reassess the optimal response population(ORP)following NAT by evaluating the prognostic outcomes associated with various T and N stages,utilizing multicenter data from China.Methods:Patients who underwent NAT following radical gastrectomy at 10 tertiary hospitals in China between2008 and 2021 were included.The ORP was introduced to explore the disease-free survival(DFS),overall survival(OS),recurrence patterns,and influencing factors following propensity score matching(PSM).Results:A total of 1,076 patients were enrolled in this study(median follow-up period:60 months).We defined ORP as a pCR or tumor infiltration of the mucosal or submucosal layer without lymph node metastasis(pCR or yp T1N0)after NAT.The ORP group comprised 136 patients(12.6%),while the non-ORP group comprised 940patients(87.4%).After applying a 1:4 PSM,we obtained an ORP group of 136 patients and non-ORP group of 544patients.Survival analysis demonstrated that both the 3-year OS(before PSM:89.0%vs.55.0%,P<0.001;after PSM:89.0%vs.55.4%,P<0.001)and DFS(before PSM:85.8%vs.49.7%,P<0.001;after PSM:85.8%vs.50.6%,P<0.001)were significantly superior in the ORP group compared to that in the non-ORP group.Remarkably,adjuvant chemotherapy did not impact the prognosis of patients in the ORP group(3-year OS:89.0%vs.89.7%,P=0.988;3-year DFS:84.9%vs.89.7%,P=0.700).Conclusions:This study reevaluates patients with ORP following NAT,providing a more comprehensive and accurate depiction of the potential beneficiary group and survival outcomes in patients with locally advanced GC. 展开更多
关键词 Neoadjuvant therapy pathologic complete response optimal response population SURVIVAL
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Endoscopic retrograde cholangiopancreatography in pediatric and adult populations:17-year experience from Pakistan with trends,complications,and global comparison
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作者 Noval Zakaria Muhammad U Tahseen +16 位作者 Talha S Niaz Muhammad Asim Asma Yaseen Shanil Kadir Sajida Qureshi Shahriyar Ghazanfar Aftab Leghari Muhammad A Taj Arif R Siddiqui Abeer Altaf Naseer Ahmed Areeba Raza Javeria Salman Umer B Shoaib Mehreen Siyal Abdul K Durvesh Saad K Niaz 《World Journal of Gastrointestinal Endoscopy》 2025年第11期79-89,共11页
BACKGROUND Endoscopic retrograde cholangiopancreatography(ERCP)is an essential diagnostic and therapeutic procedure for pancreatobiliary disorders.However,few large-scale studies from South Asia have examined long-ter... BACKGROUND Endoscopic retrograde cholangiopancreatography(ERCP)is an essential diagnostic and therapeutic procedure for pancreatobiliary disorders.However,few large-scale studies from South Asia have examined long-term ERCP outcomes,particularly using established quality benchmarks.AIM To evaluate ERCP indications,success rates,complications,and quality performance at a high-volume tertiary care center in Pakistan over a 17-year period.METHODS This retrospective study analyzed 13215 ERCP procedures performed between 2006 and 2023.Data included demographics,indications,cannulation rates,complications,and pediatric cases.Findings were assessed against American Society of Gastroenterology/European Society of Gastrointestinal Endoscopy quality indicators.RESULTS Biliary ERCP accounted for 93.1%of procedures;choledocholithiasis was the most common indication(40%).Cannulation success was 93.9%for biliary and 94.2%for pancreatic ERCP.Pediatric ERCP comprised 4%of cases,mostly for stones and chronic pancreatitis.Bleeding(1.7%)and post-ERCP pancreatitis(2.3%)were the most frequent complications.Performance met or exceeded most American Society of Benchmarks.CONCLUSION This study offers insight into nearly two decades of ERCP practice within a public sector hospital.Our experience echoes the quality and efficiency of ERCP not previously available in Pakistan.As healthcare systems in resourcelimited sectors expand,our findings serve as a reference point.Continued training and quality improvement studies can further enhance ERCP effectiveness in the region and beyond. 展开更多
关键词 Endoscopic retrograde cholangiopancreatography PEDIATRIC Adult populations Global comparison BILIARY PANCREATIC Pakistan
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