Taking the rural low-income population of Zhejiang Province as its subject, this paper examines how to build a sustainable income-growth mechanism and identify feasible implementation paths within the context of the c...Taking the rural low-income population of Zhejiang Province as its subject, this paper examines how to build a sustainable income-growth mechanism and identify feasible implementation paths within the context of the common prosperity strategy. The research identifies key obstacles to income expansion, including an undiversified industrial structure, insufficient human capital, and a lack of robust social protection. These call for systemic solutions featuring institutional innovation, resource consolidation, and capability enhancement. Building on Zhejiang's experience as a common prosperity demonstration zone, the article constructs an integrated framework centered on four pillars: industrial empowerment, education upgrading, social security reinforcement, and digital coordination. It further offers concrete policy proposals involving the cultivation of localized industries, vocational skill training, enhanced safety nets, and the adoption of digital tools. The study thus offers both theoretical insights and practical paradigms for tackling the challenge of raising incomes in low-income rural areas.展开更多
BACKGROUND Colorectal cancer(CRC)remains a relevant public health problem.Current research suggests that racial,economic and geographic disparities impact access.Despite the expansion of Medicaid eligibility as a key ...BACKGROUND Colorectal cancer(CRC)remains a relevant public health problem.Current research suggests that racial,economic and geographic disparities impact access.Despite the expansion of Medicaid eligibility as a key component of the Affordable Care Act(ACA),there is a dearth of information on the utilization of newly gained access to CRC screening by low-income individuals.This study investigates the impact of the ACA’s Medicaid expansion on utilization of the various CRC screening modalities by low-income participants.Our working hypothesis is that Medicaid expansion will increase access and utilization of CRC screening by low-income participants.AIM To investigate the impact of the Affordable Care Act and in particular the effect of Medicaid expansion on access and utilization of CRC screening modalities by Medicaid state expansion status across the United States.METHODS This was a quasi-experimental study design using data from the Behavioral Risk Factor Surveillance System,a large health system survey for participants across the United States and with over 2.8 million responses.The period of the study was from 2011 to 2016 which was dichotomized as pre-ACA Medicaid expansion(2011-2013)and post-ACA Medicaid expansion(2014-2016).The change in utilization of access to CRC screening strategies between the expansion periods were analyzed as the dependent variables.Secondary analyses included stratification of the access by ethnicity/race,income,and education status.RESULTS A greater increase in utilization of access to CRC screening was observed in Medicaid expansion states than in nonexpansion states[+2.9%;95%confidence interval(95%CI):2.12,3.69].Low-income participants showed a+4.02%(95%CI:2.96,5.07)change between the expansion periods compared with higher income groups+3.19%(1.70,4.67).Non-Hispanic Whites and Hispanics[+3.01%(95%CI:2.16,3.85)vs+5.51%(95%CI:2.81,8.20)]showed a statistically significant increase in utilization of access but not in Non-Hispanic Blacks,or Multiracial.There was an increase in utilization across all educational levels.This was significant among those who reported having a high school graduate degree or more+4.26%(95%CI:3.16,5.35)compared to some high school or less+1.59%(95%CI:-1.37,4.55).CONCLUSION Medicaid expansion under the Affordable Care Act led to an overall increase in self-reported use of CRC screening tests by adults aged 50-64 years in the United States.This finding was consistent across all low-income populations,but not all races or levels of education.展开更多
Introduction:Chronic diseases are becoming more prevalent worldwide.The effects of chronic illnesses are disastrous not only for the diagnosed person but also for their entire family.This study explores chronic disea...Introduction:Chronic diseases are becoming more prevalent worldwide.The effects of chronic illnesses are disastrous not only for the diagnosed person but also for their entire family.This study explores chronic diseases’social and economic impact on low-income families.The study aims to determine the economic and social implications of various chronic diseases and the loss of income due to these conditions among low-income individuals in Southern Punjab,Pakistan.Methodology:A sample of 424 patients was selected from different areas of Southern Punjab.Data were collected using a questionnaire that included questions about economic status,self-reported health status,social status,management strategies,and health insurance,among other factors.Results:The mean monthly income of the respondents was found to be 57,097.6 Pakistani rupee(PKR),and the mean monthly expenses for treatment were 8,256.1 PKR.The loss of income was calculated at 15%.Additionally,62%of patients spent more than 10%of their monthly income on managing their disease.Approximately 85%of the respondents reported that chronic diseases affected their social life.Furthermore,80%of patients lacked health insurance.Conclusion:Chronic diseases impose significant economic and social burdens on patients and their families in Southern Punjab.To reduce the burden of chronic diseases,the government should enhance healthcare services in this region and provide health insurance to low-income families.展开更多
This paper combines psychology and economics to better comprehend consumption habits and decision-making among the low-income groups.The study employs a mixed methodology that includes surveys and behavioral experimen...This paper combines psychology and economics to better comprehend consumption habits and decision-making among the low-income groups.The study employs a mixed methodology that includes surveys and behavioral experiments to look at the role that economic constraints and psychological conditions play in subsistence-level consumption decisions.The questionnaire gathers quantitative information about spending habits,financial planning and spending,and the experimental section modelled decision-making to see how people use limited resources.Key results show that low-income individuals prioritize short-term rather than long-term needs,have present bias,and make impulse decisions when stressed.And cognitive biases,like loss aversion and overconfidence,also impact decision-making in this population.These findings are significant for psychological and economic research,and they rebuke the rationality hypothesis in conventional economic models.The study also provides pragmatic advice to policymakers and corporations that the intervention needs to focus on both the mental obstacles to financial decision-making and the economic constraints of low-income people.展开更多
China has eliminated absolute poverty.Under the new situation,the specific target of assistance for rural revitalization is the rural low-income population.Driven by"Internet plus"technology,rural e-commerce...China has eliminated absolute poverty.Under the new situation,the specific target of assistance for rural revitalization is the rural low-income population.Driven by"Internet plus"technology,rural e-commerce has developed rapidly and played a huge role in the development process of rural economy.In the transitional stage of consolidating and expanding the achievements made in poverty alleviation in coordination with the extensive drive for rural vitalization,e-commerce has provided a convenient way for rural low-income people to improve their lives,and has worked on infrastructure,industry and jobs,all achieved obvious results.According to the development status of rural e-commerce and rural low-income population,the author puts forward the construction ideas of normalized assistance mechanism from endogenous power,"Party building+e-commerce+help"mode,brand building and other targeted assistance.展开更多
The digital economy emerged as the times require in the new round of information technology revolution.It is a new kinetic energy and a new engine to promote high-quality economic development.It also provides a good o...The digital economy emerged as the times require in the new round of information technology revolution.It is a new kinetic energy and a new engine to promote high-quality economic development.It also provides a good opportunity for the digital construction of rural agriculture and rural revitalization.Based on the era of digital economy,this paper analyzes the status quo of the normalized assistance mechanism for the rural low-income population in Guangxi,and points out from six aspects:industrial assistance,intelligent assistance,employment assistance,consumption assistance,support of aspirations and intelligence,and multi-subject assistance.At present,the problems existing in the normalized assistance for the rural low-income population in Guangxi,and suggestions for building a normalized assistance mechanism for the rural low-income population are put forward from these six aspects,so as to accelerate the realization of common prosperity for the rural low-income population.展开更多
In this paper,we establish and study a single-species logistic model with impulsive age-selective harvesting.First,we prove the ultimate boundedness of the solutions of the system.Then,we obtain conditions for the asy...In this paper,we establish and study a single-species logistic model with impulsive age-selective harvesting.First,we prove the ultimate boundedness of the solutions of the system.Then,we obtain conditions for the asymptotic stability of the trivial solution and the positive periodic solution.Finally,numerical simulations are presented to validate our results.Our results show that age-selective harvesting is more conducive to sustainable population survival than non-age-selective harvesting.展开更多
Endowed with opportunities from both land and ocean,coastal areas attract expanding human populations and economic activities.At the same time,they face growing societal and environmental pressures from both the above...Endowed with opportunities from both land and ocean,coastal areas attract expanding human populations and economic activities.At the same time,they face growing societal and environmental pressures from both the above river catchments and the bordering sea due to climate change,ecosystem degradation,and expansion of built-up areas.Despite the accumulation of human population,economic activities,and environmental impacts,we lack social-ecological systems analysis on water-related risks to world’s coastal human population.To address this research gap,we analyze the spatial extent of six globally important water stressors to people within the world’s coastal zone(100 km from the coastal line)and classify this zone globally into 12 groups by distance from the coastline and elevation from the mean sea level.Adopting the approaches of the UN Sendai Framework and IPCC,we produce risk maps from the stressor maps by multiplying them with population exposure and vulnerability.For most risks,geographical hotspots are the Chinese coast,Bay of Bengal,Gujarat,and the Island of Java.The analysis reveals fundamental differences between water stressors and related risks,often mixed in scholarly literature.Both manifest specific geographic patterns and latitudinal profiles.Our study highlights the importance of high-resolution spatial analysis of vulnerability,exposure,and risks posed by water related stressors in the world’s coastal zone,in a manner prompted by key policy bodies to promote policy design and shared responsibility for managing stress-prone areas.展开更多
Global warming and socioeconomic development are expected to exacerbate human exposure to heat stress,but the extent and inequality of such changes remain unclear.Here,we quantified the future population exposure to h...Global warming and socioeconomic development are expected to exacerbate human exposure to heat stress,but the extent and inequality of such changes remain unclear.Here,we quantified the future population exposure to heat stress(PEHS)under different Shared Socioeconomic Pathways(SSPs)and Representative Concentration Pathways(RCPs)scenarios using a novel decomposition framework that separates the contributions of climate change,population change,and their interaction.Results show that global PEHS will increase substantially during the 21st century,with low-latitude regions experiencing the largest absolute increases,and high-latitude regions facing the largest relative increases.Globally,projected increases in PEHS under SSP3-7.0 are roughly three times those under SSP1-2.6,with low latitudes contributing about 70%-75%of the global total.SSP1-2.6 most effectively limits future heat exposure,with the highest risks in low-latitude developing regions,underscoring the need for low-emission pathways and targeted population and urbanization management.The findings highlight the urgent need for both climate mitigation and population adaptation strategies to address the growing and uneven heat exposure risks worldwide.展开更多
Clarifying the photosynthetic and population characteristics of conventional japonica rice at different yield levels is crucial for boosting yield and ensuring food security.Therefore,a two-year field trial with two c...Clarifying the photosynthetic and population characteristics of conventional japonica rice at different yield levels is crucial for boosting yield and ensuring food security.Therefore,a two-year field trial with two conventional japonica varieties was conducted at four planting densities:16 cm×30 cm(D1),14 cm×30 cm(D2),12 cm×30 cm(D3),and 10 cm×30 cm(D4).This study aimed to investigate how photosynthetic and population characteristics influence grain yield under varying planting densities.The results indicated that higher yields were primarily driven by increased grain weight and seed-setting rate(with a 9.68%‒11.40%higher single panicle weight),supported by optimized dry matter translocation and source-sink relationships.Elevated planting density(D2‒D4)enhanced panicle number and total spikelet number(by 3.91%‒15.00%)but reduced the number of spikelets per panicle,1000-grain weight,and photosynthetic efficiency due to mutual shading.Despite these trade-offs,yield increased by 4.10%‒12.42%under higher densities.The use of planting density D4 in japonica rice cultivation contributed to maximize yield.These findings provide important theoretical insights and practical significance for increasing the yield of conventional japonica rice and ensuring food security.展开更多
Migratory divides,where individuals from distinct breeding populations within a species exhibit divergent migratory routes and strategies,play a critical role in shaping avian ecology and evolution.These divides can d...Migratory divides,where individuals from distinct breeding populations within a species exhibit divergent migratory routes and strategies,play a critical role in shaping avian ecology and evolution.These divides can drive intraspecific genetic divergence and promote reproductive isolation,potentially leading to population differentiation and speciation.Understanding the migration strategies of populations utilizing distinct flyways is essential not only for elucidating the mechanisms underlying migration patterns but also for informing effective species conservation efforts.From 2014 to 2023,we used satellite tracking to monitor the migration patterns of 87 White-naped Cranes(Antigone vipio)from the species'two breeding populations—western(Mongolia)and eastern(Songnen Plain,China).We delineated their migratory routes,quantified key migration parameters,and identified their population-and season-specific differences in migratory strategies.Our results indicate that the Greater Khingan Mountains and the Bohai-Yellow Sea formed a distinct migratory barrier separating the eastern and western populations.Significant differences in migration strategies were observed between populations and seasons.The western population adopts a"longer-distance,slower-speed,more-stopover"strategy,while the eastern population employs a"shorter-distance,higher-speed,fewer-stopover"strategy.Our study identifies the migratory divides between the two populations of White-naped Cranes and highlights the importance of migratory divides in shaping distinct migration strategies.These findings enhance our understanding of the factors driving population-specific migration strategies and provide a foundation for tailored conservation efforts for these populations.展开更多
Wind-induced circulation is the main form of lake flow for shallow lakes and plays an important role in algae population distribution.This study constructed a three-dimensional hydrodynamic model(EFDC)of the plateau l...Wind-induced circulation is the main form of lake flow for shallow lakes and plays an important role in algae population distribution.This study constructed a three-dimensional hydrodynamic model(EFDC)of the plateau lake Erhai,China using accuracy wind field observation,runoff data and monthly algae data during 2022–2023.The model successfully reproduced the circulation characteristics of Erhai under prevailing wind directions.The results showed that the lake flow velocity in Lake Erhai is higher in winter than in summer,with lower velocities near shore particularly in the northern and central parts of the lake.There is a negative correlation between algal biomass and flow velocity(FV)in different zones,with lower FV favoring the accumulation of algal biomass,particularly for Microcystis,Dolichospermum,and Peridinium.Additionally,due to buoyancy,cyanobacteria are highly affected by wind direction and tend to accumulate in downwind regions of the prevailing wind direction.This study demonstrates that wind-induced circulation is a crucial factor affecting the spatial distribution of dominant algae populations in shallow plateau lakes with weak hydrodynamic force.Further,the risk of bloom occurrence in Lake Erhai will be higher due to the background of global climate change and the lake’s wind speed decline.In conclusion,we suggest implementing targeted zoning measures to control algal blooms and establishing stricter regulations for nitrogen and phosphorus control to counterbalance the promotion of algal bloom accumulation in low-velocity zones caused by reduced wind speed.展开更多
Cynomolgus macaques,a species of Old World primate native to southeastern and eastern Asia and the island of Mauritius,are one of the most important nonhuman primate models for infectious disease.Although the closely ...Cynomolgus macaques,a species of Old World primate native to southeastern and eastern Asia and the island of Mauritius,are one of the most important nonhuman primate models for infectious disease.Although the closely related rhesus macaque is classified into subspecies based on geographic origin,no such subdivision exists for cynomolgus macaques,and they continue to be used interchangeably in infectious disease research,reducing the comparability of data produced from these studies.Research into the population genetics of cynomolgus macaques has found significant differences between macaques native to different areas,including their genetic diversity,with macaques from insular populations such as Mauritius and the Philippines exhibiting highly restricted heterozygosity compared to mainland populations native to Indonesia or Cambodia.In the context of infectious disease studies,research into pathogens,including Ebola virus,Crimean-Congo hemorrhagic fever virus,and Mycobacterium tuberculosis have found differences in study outcomes,survival times,and immune cell responses between different populations of macaques.This review provides an overview of the differences between cynomolgus macaque populations in the context of genetic diversity,and in response to infection,and highlights the need for clear reporting of geographic origin of primates used in research.This will improve data comparison between studies and help to further refine this important animal model.展开更多
Stichopus chloronotus is a tropical sea cucumber with facultative asexual reproduction in the Indo-Western Pacific,yet its wild populations are decreasing due to extensive harvesting.Understanding the species’genetic...Stichopus chloronotus is a tropical sea cucumber with facultative asexual reproduction in the Indo-Western Pacific,yet its wild populations are decreasing due to extensive harvesting.Understanding the species’genetic characteristics is essential for effective management and conservation.To develop novel microsatellite markers and assess the genetic diversity,clonality,and genetic structure of eight populations of S.chloronotus in the South China Sea,193 individuals from eight populations across Wuzhizhou and Fenjiezhou(Boundary)islands were analyzed using nine newly developed microsatellite markers and five previously established markers.RNA-Seq was employed to obtained 62662 unigenes and identified 16926 microsatellite loci.Fourteen polymorphic microsatellite loci were developed,of which 11 were highly polymorphic(polymorphic information content>0.5).The number of alleles(N_(a))ranged from 3 to 6 per locus,and the average Shannon diversity index(I)was 1.107.All the populations exhibited asexual reproduction,with regional variations in reproductive modes.Asexual reproduction was predominant in the northwestern Wuzhizhou Island population(SY 7)and the Fenjiezhou Island population(LS 8),where four and five predominant clones represented more than 89%of the individuals,which led to reduced genetic diversity.Overall,genetic diversity was moderately low,with significant genetic differentiation among populations(F_(ST)=0.33;P<0.001),suggesting limited gene flow(the number of migrants(N_(m))<1).These findings highlight the role of reproductive strategies in shaping fine-scale genetic differentiation in S.chloronotus.The limited recruitment success of sexually produced larvae and habitat heterogeneity likely constrain clone dispersal,contributing to distinct genetic restructuring.This study provided key insights into the interplay between reproductive strategies and genetic patterns in sea cucumbers,offering a scientific basis for targeted conservation efforts.展开更多
Purpose:ATLAS is a cross-sectional study aiming to investigate environmental and genetic determinants of athletic performance in healthy Greek competitive athletes(CA).This article presents the study design,investigat...Purpose:ATLAS is a cross-sectional study aiming to investigate environmental and genetic determinants of athletic performance in healthy Greek competitive athletes(CA).This article presents the study design,investigates the muscle strength performance(MSP)of 289 adult and teenage CA,exercisers,and physically inactive individuals(PI),and proposes predictive models of MSP for adults.Methods:Muscle maximal,speed,and explosive strength(MMS/MSS/MES)at unilateral maximal concentric flexion and extension contraction(FC/EC)were evaluated using Biodex System 3 PRO^(TM)at 60°/s,180°/s,and 300°/s,while additional performance markers were assessed through field ergometric testing.Participants were interviewed about their lifestyle,dietary habits,physical activity,injury,and medical history.Body composition was assessed via bioelectrical impedance.gDNA was extracted from biochemical samples and then genotyped.Statistical analysis was conducted using IBM SPSS Statistics v21.0 and R.Results:Age,fitness,and sex impacted correlations of MSP with body composition and anthropometric measurements(p<0.05).Among CA,females outperformed males in accuracy(p<0.001)while,males outperformed females in anaerobic power,MSP,speed,and endurance(p<0.001).Adult CA outperformed exercisers and PI in MMS,MSS,and MES(p<0.05).Multiple linear regression models,with predictors age,FFM,body extremity,training load explained the majority of variation in MMS(R^(2)_(adj):71.4%–88.9%),MSS(R^(2)_(adj):64.8%–78.4%),and MES(R^(2)_(adj):52.7%–68.4%)at EC,FC,and their mean(p<0.001).Conclusions:Muscle-strengthening strategies should be customized according to individual fitness levels,body composition,and anthropometric measurements.The innovative sex-specific regression models assessing MMS,MSS,and MES at EC and FC provide a framework for personalizing rehabilitation and skill-specific training strategies.展开更多
Varicella,a highly contagious respiratory infection caused by the varicella-zoster virus(VZV),predominantly affects children and is characterized by symptoms such as low-grade fever and vesicular rash[1,2].In China,va...Varicella,a highly contagious respiratory infection caused by the varicella-zoster virus(VZV),predominantly affects children and is characterized by symptoms such as low-grade fever and vesicular rash[1,2].In China,varicella remains prevalent,with a steady increase in incidence,peaking at 70.14 cases per 100,000 individuals in 2019[3].Although the number of reported outbreaks and cases from 2020 to 2022 was lower than those from 2006 to 2012 and 2013 to 2019,varicella continues to pose a significant public health challenge[3].展开更多
The Fujian oyster(Crassostrea angulata) is an economically significant shellfish species distributed mainly along the Fujian coast, Southeast China. However, its genetic diversity and structure remain unclear. The mai...The Fujian oyster(Crassostrea angulata) is an economically significant shellfish species distributed mainly along the Fujian coast, Southeast China. However, its genetic diversity and structure remain unclear. The main distribution area of the C. angulata is located in Fujian, South China. In total, 420 C. angulata were collected from 14 natural habitats(populations) along the Fujian coast, and their genetic diversity and structure were analyzed in the mitochondrial COI and nuclear gene ITS2 sequences. Results reveal that all the 14 populations of C. angulata exhibited high levels of genetic diversity, with a total of 57(haplotype diversity: 0.811±0.016) and 124(haplotype diversity: 0.912±0.007) haplotypes revealed by COI and ITS2, respectively. Notably, significant intermediate level of genetic differentiations between the Ningde Zhujiang(ZJ) population(FS T by COI: 0.035–0.142, P<0.05;FS T by ITS2: 0.078–0.123, P<0.05) with other populations were observed for the first time, which is also supported by the results of molecular variance analysis(FC T by COI: 0.105, P<0.05;FC T by ITS2: 0.086, P<0.05) and the clustering of the ZJ population into distinct branches in the interpopulation genetic differentiation tree. Furthermore, the evolutionary tree and haplotype network analyses do not support the formation of a clear geographical genealogical structure among these 14 populations. In addition, the population dynamics analysis suggests that the C. angulata may have undergone expansion during the third ice age of the Pleistocene. These results provide a reference for the preservation and further genetic improvement of C. angulata.展开更多
The Saccostrea mordax Gould,1850 is a typical intertidal species,whose genetic differentiation is influenced by various factors,including geological and climatic changes.To explore the genetic structure and historical...The Saccostrea mordax Gould,1850 is a typical intertidal species,whose genetic differentiation is influenced by various factors,including geological and climatic changes.To explore the genetic structure and historical population characteristics of Saccostrea mordax,we sequenced the mitochondrial cytochrome c oxidase subunit I(COI)gene from 58 specimens sampled from four locations in the western Pacific.Additionally,103 individuals from the Persian Gulf and western Pacific(from databases)were included for phylogenetic analysis.The Bayesian Inference tree showed that all specimens were divided into two clades,i.e.,the Persian Gulf population and the western Pacific population.Spatial molecular variance analysis indicated significant genetic differentiation between the two populations,and isolation by distance analysis revealed a positive correlation between genetic differentiation and geographic distance.Neutrality tests and Bayesian Skyline Plot suggested that both populations underwent expansions during the late Pleistocene.This study revealed the population history of Saccostrea mordax and described a new lineage,Saccostrea mordax lineage D,providing a foundation for understanding oyster biodiversity formation and genetic resource conservation.展开更多
BACKGROUND In an era leaning toward a personalized alignment of total knee arthroplasty,coronal plane alignment of the knee(CPAK)phenotypes for each population are studied;furthermore,other possible variables affectin...BACKGROUND In an era leaning toward a personalized alignment of total knee arthroplasty,coronal plane alignment of the knee(CPAK)phenotypes for each population are studied;furthermore,other possible variables affecting the alignment,such as ankle joint alignment,should be considered.AIM To determine CPAK distribution in the North African(Egyptian)population with knee osteoarthritis and to assess ankle joint line orientation(AJLO)adaptations across different CPAK types.METHODS A cross-sectional study was conducted on patients with primary knee osteoarthritis and normal ankle joints.Radiographic parameters included the mechanical lateral distal femoral angle,medial proximal tibial angle,and the derived calculations of joint line obliquity(JLO)and arithmetic hip-knee-ankle angle(aHKA).The tibial plafond horizontal angle(TPHA)was used for AJLO assessment,where 0°is neutral(type N),<0°is varus(type A),and>0°is valgus(type B).The nine CPAK types were further divided into 27 subtypes after incorporating the three AJLO types.RESULTS A total of 527 patients(1054 knees)were included for CPAK classification,and 435 patients(870 knees and ankles)for AJLO assessment.The mean age was 57.2±7.8 years,with 79.5%females.Most knees(76.4%)demonstrated varus alignment(mean aHKA was-5.51°±4.84°)and apex distal JLO(55.3%)(mean JLO was 176.43°±4.53°).CPAK types I(44.3%),IV(28.6%),and II(10%)were the most common.Regarding AJLO,70.2%of ankles exhibited varus orientation(mean TPHA was-5.21°±6.45°).The most frequent combined subtypes were CPAK type I-A(33.7%),IV-A(21.5%),and I-N(6.9%).A significant positive correlation was found between the TPHA and aHKA(r=0.40,P<0.001).CONCLUSION In this North African cohort,varus knee alignment with apex distal JLO and varus AJLO predominated.CPAK types I,IV,and II were the most common types,while subtypes I-A,IV-A,and I-N were commonly occurring after incorporating AJLO types;furthermore,the AJLO was significantly correlated to aHKA.展开更多
BACKGROUND Solid fuel use for cooking and heating is a major environmental risk factor,yet its association with new-onset heart disease(HD)remains unclear.The aim of this study was to investigate the relationship betw...BACKGROUND Solid fuel use for cooking and heating is a major environmental risk factor,yet its association with new-onset heart disease(HD)remains unclear.The aim of this study was to investigate the relationship between solid fuel exposure and new-onset HD in a large cohort.METHODS Multivariable logistic regression models assessed associations between cooking/heating fuel types(coal,crop residue/wood,liquefied petroleum gas,natural gas,and others)and new-onset HD.Subgroup analyses explored effect modification by age,sex,education,smoking,alcohol use,and region.RESULTS A prospective cohort study included 5915 participants,with 781 participants(13.2%)developing new-onset HD.Coal use for cooking showed an initial association with new-onset HD risk(OR=1.41,95%CI:1.06–1.86,P=0.02),which attenuated after full adjustment(OR=1.28,95%CI:0.96–1.72,P=0.10).Coal use for heating demonstrated robust associations across all models(OR=1.86,95%CI:1.42–2.43,P<0.001).Crop residue/wood burning for heating was also significant(Model 2:OR=1.40,95%CI:1.06–1.86,P=0.02).Subgroup analyses revealed stronger associations among females,non-smokers,non-drinkers,and less-educated participants.Geographic stratification showed significant associations in southern but not northern regions.CONCLUSIONS Solid fuel use,particularly coal for heating,is associated with increased new-onset HD risk.Reducing solid fuel exposure is crucial for HD prevention in low-resource settings.展开更多
文摘Taking the rural low-income population of Zhejiang Province as its subject, this paper examines how to build a sustainable income-growth mechanism and identify feasible implementation paths within the context of the common prosperity strategy. The research identifies key obstacles to income expansion, including an undiversified industrial structure, insufficient human capital, and a lack of robust social protection. These call for systemic solutions featuring institutional innovation, resource consolidation, and capability enhancement. Building on Zhejiang's experience as a common prosperity demonstration zone, the article constructs an integrated framework centered on four pillars: industrial empowerment, education upgrading, social security reinforcement, and digital coordination. It further offers concrete policy proposals involving the cultivation of localized industries, vocational skill training, enhanced safety nets, and the adoption of digital tools. The study thus offers both theoretical insights and practical paradigms for tackling the challenge of raising incomes in low-income rural areas.
文摘BACKGROUND Colorectal cancer(CRC)remains a relevant public health problem.Current research suggests that racial,economic and geographic disparities impact access.Despite the expansion of Medicaid eligibility as a key component of the Affordable Care Act(ACA),there is a dearth of information on the utilization of newly gained access to CRC screening by low-income individuals.This study investigates the impact of the ACA’s Medicaid expansion on utilization of the various CRC screening modalities by low-income participants.Our working hypothesis is that Medicaid expansion will increase access and utilization of CRC screening by low-income participants.AIM To investigate the impact of the Affordable Care Act and in particular the effect of Medicaid expansion on access and utilization of CRC screening modalities by Medicaid state expansion status across the United States.METHODS This was a quasi-experimental study design using data from the Behavioral Risk Factor Surveillance System,a large health system survey for participants across the United States and with over 2.8 million responses.The period of the study was from 2011 to 2016 which was dichotomized as pre-ACA Medicaid expansion(2011-2013)and post-ACA Medicaid expansion(2014-2016).The change in utilization of access to CRC screening strategies between the expansion periods were analyzed as the dependent variables.Secondary analyses included stratification of the access by ethnicity/race,income,and education status.RESULTS A greater increase in utilization of access to CRC screening was observed in Medicaid expansion states than in nonexpansion states[+2.9%;95%confidence interval(95%CI):2.12,3.69].Low-income participants showed a+4.02%(95%CI:2.96,5.07)change between the expansion periods compared with higher income groups+3.19%(1.70,4.67).Non-Hispanic Whites and Hispanics[+3.01%(95%CI:2.16,3.85)vs+5.51%(95%CI:2.81,8.20)]showed a statistically significant increase in utilization of access but not in Non-Hispanic Blacks,or Multiracial.There was an increase in utilization across all educational levels.This was significant among those who reported having a high school graduate degree or more+4.26%(95%CI:3.16,5.35)compared to some high school or less+1.59%(95%CI:-1.37,4.55).CONCLUSION Medicaid expansion under the Affordable Care Act led to an overall increase in self-reported use of CRC screening tests by adults aged 50-64 years in the United States.This finding was consistent across all low-income populations,but not all races or levels of education.
文摘Introduction:Chronic diseases are becoming more prevalent worldwide.The effects of chronic illnesses are disastrous not only for the diagnosed person but also for their entire family.This study explores chronic diseases’social and economic impact on low-income families.The study aims to determine the economic and social implications of various chronic diseases and the loss of income due to these conditions among low-income individuals in Southern Punjab,Pakistan.Methodology:A sample of 424 patients was selected from different areas of Southern Punjab.Data were collected using a questionnaire that included questions about economic status,self-reported health status,social status,management strategies,and health insurance,among other factors.Results:The mean monthly income of the respondents was found to be 57,097.6 Pakistani rupee(PKR),and the mean monthly expenses for treatment were 8,256.1 PKR.The loss of income was calculated at 15%.Additionally,62%of patients spent more than 10%of their monthly income on managing their disease.Approximately 85%of the respondents reported that chronic diseases affected their social life.Furthermore,80%of patients lacked health insurance.Conclusion:Chronic diseases impose significant economic and social burdens on patients and their families in Southern Punjab.To reduce the burden of chronic diseases,the government should enhance healthcare services in this region and provide health insurance to low-income families.
文摘This paper combines psychology and economics to better comprehend consumption habits and decision-making among the low-income groups.The study employs a mixed methodology that includes surveys and behavioral experiments to look at the role that economic constraints and psychological conditions play in subsistence-level consumption decisions.The questionnaire gathers quantitative information about spending habits,financial planning and spending,and the experimental section modelled decision-making to see how people use limited resources.Key results show that low-income individuals prioritize short-term rather than long-term needs,have present bias,and make impulse decisions when stressed.And cognitive biases,like loss aversion and overconfidence,also impact decision-making in this population.These findings are significant for psychological and economic research,and they rebuke the rationality hypothesis in conventional economic models.The study also provides pragmatic advice to policymakers and corporations that the intervention needs to focus on both the mental obstacles to financial decision-making and the economic constraints of low-income people.
基金Guangxi Social Science Fund Project"Research on the Mechanism and Practice of Industrial Clusters in Pinglu Canal Economic Belt"(Approval No.24JLF004)Major Project of Guangxi Education Science"14th Five Year Plan"for 2025(Approval No.:2025JD30)。
文摘China has eliminated absolute poverty.Under the new situation,the specific target of assistance for rural revitalization is the rural low-income population.Driven by"Internet plus"technology,rural e-commerce has developed rapidly and played a huge role in the development process of rural economy.In the transitional stage of consolidating and expanding the achievements made in poverty alleviation in coordination with the extensive drive for rural vitalization,e-commerce has provided a convenient way for rural low-income people to improve their lives,and has worked on infrastructure,industry and jobs,all achieved obvious results.According to the development status of rural e-commerce and rural low-income population,the author puts forward the construction ideas of normalized assistance mechanism from endogenous power,"Party building+e-commerce+help"mode,brand building and other targeted assistance.
基金Guangxi Social Science Fund Project"Research on the Mechanism and Practice of Industrial Clusters in Pinglu Canal Economic Belt"(Approval No.24JLF004)Major Project of Guangxi Education Science"14th Five Year Plan"for 2025(Approval No.:2025JD30)。
文摘The digital economy emerged as the times require in the new round of information technology revolution.It is a new kinetic energy and a new engine to promote high-quality economic development.It also provides a good opportunity for the digital construction of rural agriculture and rural revitalization.Based on the era of digital economy,this paper analyzes the status quo of the normalized assistance mechanism for the rural low-income population in Guangxi,and points out from six aspects:industrial assistance,intelligent assistance,employment assistance,consumption assistance,support of aspirations and intelligence,and multi-subject assistance.At present,the problems existing in the normalized assistance for the rural low-income population in Guangxi,and suggestions for building a normalized assistance mechanism for the rural low-income population are put forward from these six aspects,so as to accelerate the realization of common prosperity for the rural low-income population.
基金Supported by the National Natural Science Foundation of China(12261018)Universities Key Laboratory of Mathematical Modeling and Data Mining in Guizhou Province(2023013)。
文摘In this paper,we establish and study a single-species logistic model with impulsive age-selective harvesting.First,we prove the ultimate boundedness of the solutions of the system.Then,we obtain conditions for the asymptotic stability of the trivial solution and the positive periodic solution.Finally,numerical simulations are presented to validate our results.Our results show that age-selective harvesting is more conducive to sustainable population survival than non-age-selective harvesting.
基金support from the European Research Council(ERC)under the European Union’s Horizon 2020 research and innovation programme(Grant agreement No.819202)the Research Council of Finland’s Flagship Programme and Doctoral Education Pilot under project Digital Waters(Grant No.359248)funded by the Research Council of Finland's Flagship ProgrammeStrategic Research Council(SRC)through project‘Water&Food’(Grant No.365512).
文摘Endowed with opportunities from both land and ocean,coastal areas attract expanding human populations and economic activities.At the same time,they face growing societal and environmental pressures from both the above river catchments and the bordering sea due to climate change,ecosystem degradation,and expansion of built-up areas.Despite the accumulation of human population,economic activities,and environmental impacts,we lack social-ecological systems analysis on water-related risks to world’s coastal human population.To address this research gap,we analyze the spatial extent of six globally important water stressors to people within the world’s coastal zone(100 km from the coastal line)and classify this zone globally into 12 groups by distance from the coastline and elevation from the mean sea level.Adopting the approaches of the UN Sendai Framework and IPCC,we produce risk maps from the stressor maps by multiplying them with population exposure and vulnerability.For most risks,geographical hotspots are the Chinese coast,Bay of Bengal,Gujarat,and the Island of Java.The analysis reveals fundamental differences between water stressors and related risks,often mixed in scholarly literature.Both manifest specific geographic patterns and latitudinal profiles.Our study highlights the importance of high-resolution spatial analysis of vulnerability,exposure,and risks posed by water related stressors in the world’s coastal zone,in a manner prompted by key policy bodies to promote policy design and shared responsibility for managing stress-prone areas.
基金funded by National Natural Science Foundation of China(Grant No.42271273)Swedish Research Council(VR:2021-02163).
文摘Global warming and socioeconomic development are expected to exacerbate human exposure to heat stress,but the extent and inequality of such changes remain unclear.Here,we quantified the future population exposure to heat stress(PEHS)under different Shared Socioeconomic Pathways(SSPs)and Representative Concentration Pathways(RCPs)scenarios using a novel decomposition framework that separates the contributions of climate change,population change,and their interaction.Results show that global PEHS will increase substantially during the 21st century,with low-latitude regions experiencing the largest absolute increases,and high-latitude regions facing the largest relative increases.Globally,projected increases in PEHS under SSP3-7.0 are roughly three times those under SSP1-2.6,with low latitudes contributing about 70%-75%of the global total.SSP1-2.6 most effectively limits future heat exposure,with the highest risks in low-latitude developing regions,underscoring the need for low-emission pathways and targeted population and urbanization management.The findings highlight the urgent need for both climate mitigation and population adaptation strategies to address the growing and uneven heat exposure risks worldwide.
基金funded by the National Key R&D Program of China (Grant No. 2024YFD2300301)the National Natural Science Foundation of China (Grant Nos. 32472223 and 31901447)+1 种基金the Priority Academic Program Development of Jiangsu Higher Education Institutionsthe Qinglan Project of Jiangsu Province, China
文摘Clarifying the photosynthetic and population characteristics of conventional japonica rice at different yield levels is crucial for boosting yield and ensuring food security.Therefore,a two-year field trial with two conventional japonica varieties was conducted at four planting densities:16 cm×30 cm(D1),14 cm×30 cm(D2),12 cm×30 cm(D3),and 10 cm×30 cm(D4).This study aimed to investigate how photosynthetic and population characteristics influence grain yield under varying planting densities.The results indicated that higher yields were primarily driven by increased grain weight and seed-setting rate(with a 9.68%‒11.40%higher single panicle weight),supported by optimized dry matter translocation and source-sink relationships.Elevated planting density(D2‒D4)enhanced panicle number and total spikelet number(by 3.91%‒15.00%)but reduced the number of spikelets per panicle,1000-grain weight,and photosynthetic efficiency due to mutual shading.Despite these trade-offs,yield increased by 4.10%‒12.42%under higher densities.The use of planting density D4 in japonica rice cultivation contributed to maximize yield.These findings provide important theoretical insights and practical significance for increasing the yield of conventional japonica rice and ensuring food security.
基金supported by the National Natural Science Foundation of China(No.31770573)。
文摘Migratory divides,where individuals from distinct breeding populations within a species exhibit divergent migratory routes and strategies,play a critical role in shaping avian ecology and evolution.These divides can drive intraspecific genetic divergence and promote reproductive isolation,potentially leading to population differentiation and speciation.Understanding the migration strategies of populations utilizing distinct flyways is essential not only for elucidating the mechanisms underlying migration patterns but also for informing effective species conservation efforts.From 2014 to 2023,we used satellite tracking to monitor the migration patterns of 87 White-naped Cranes(Antigone vipio)from the species'two breeding populations—western(Mongolia)and eastern(Songnen Plain,China).We delineated their migratory routes,quantified key migration parameters,and identified their population-and season-specific differences in migratory strategies.Our results indicate that the Greater Khingan Mountains and the Bohai-Yellow Sea formed a distinct migratory barrier separating the eastern and western populations.Significant differences in migration strategies were observed between populations and seasons.The western population adopts a"longer-distance,slower-speed,more-stopover"strategy,while the eastern population employs a"shorter-distance,higher-speed,fewer-stopover"strategy.Our study identifies the migratory divides between the two populations of White-naped Cranes and highlights the importance of migratory divides in shaping distinct migration strategies.These findings enhance our understanding of the factors driving population-specific migration strategies and provide a foundation for tailored conservation efforts for these populations.
基金supported by the Open Research Fund of Key Laboratory for Lake Pollution Control of the Ministry of Ecology and Environment(No.2024HPYKFZD04)the Fundamental Research Funds for the Central Publicinterest Scientific Institution(No.2025YSKY-04)the National Natural Science Foundation of China(Nos.U1902207 and 42207265).
文摘Wind-induced circulation is the main form of lake flow for shallow lakes and plays an important role in algae population distribution.This study constructed a three-dimensional hydrodynamic model(EFDC)of the plateau lake Erhai,China using accuracy wind field observation,runoff data and monthly algae data during 2022–2023.The model successfully reproduced the circulation characteristics of Erhai under prevailing wind directions.The results showed that the lake flow velocity in Lake Erhai is higher in winter than in summer,with lower velocities near shore particularly in the northern and central parts of the lake.There is a negative correlation between algal biomass and flow velocity(FV)in different zones,with lower FV favoring the accumulation of algal biomass,particularly for Microcystis,Dolichospermum,and Peridinium.Additionally,due to buoyancy,cyanobacteria are highly affected by wind direction and tend to accumulate in downwind regions of the prevailing wind direction.This study demonstrates that wind-induced circulation is a crucial factor affecting the spatial distribution of dominant algae populations in shallow plateau lakes with weak hydrodynamic force.Further,the risk of bloom occurrence in Lake Erhai will be higher due to the background of global climate change and the lake’s wind speed decline.In conclusion,we suggest implementing targeted zoning measures to control algal blooms and establishing stricter regulations for nitrogen and phosphorus control to counterbalance the promotion of algal bloom accumulation in low-velocity zones caused by reduced wind speed.
文摘Cynomolgus macaques,a species of Old World primate native to southeastern and eastern Asia and the island of Mauritius,are one of the most important nonhuman primate models for infectious disease.Although the closely related rhesus macaque is classified into subspecies based on geographic origin,no such subdivision exists for cynomolgus macaques,and they continue to be used interchangeably in infectious disease research,reducing the comparability of data produced from these studies.Research into the population genetics of cynomolgus macaques has found significant differences between macaques native to different areas,including their genetic diversity,with macaques from insular populations such as Mauritius and the Philippines exhibiting highly restricted heterozygosity compared to mainland populations native to Indonesia or Cambodia.In the context of infectious disease studies,research into pathogens,including Ebola virus,Crimean-Congo hemorrhagic fever virus,and Mycobacterium tuberculosis have found differences in study outcomes,survival times,and immune cell responses between different populations of macaques.This review provides an overview of the differences between cynomolgus macaque populations in the context of genetic diversity,and in response to infection,and highlights the need for clear reporting of geographic origin of primates used in research.This will improve data comparison between studies and help to further refine this important animal model.
基金Supported by the National Key Research and Development Program of China(Nos.2022YFD2401305,2022YFD2401303)the National Natural Science Foundation of China(Nos.42166005,42076097)。
文摘Stichopus chloronotus is a tropical sea cucumber with facultative asexual reproduction in the Indo-Western Pacific,yet its wild populations are decreasing due to extensive harvesting.Understanding the species’genetic characteristics is essential for effective management and conservation.To develop novel microsatellite markers and assess the genetic diversity,clonality,and genetic structure of eight populations of S.chloronotus in the South China Sea,193 individuals from eight populations across Wuzhizhou and Fenjiezhou(Boundary)islands were analyzed using nine newly developed microsatellite markers and five previously established markers.RNA-Seq was employed to obtained 62662 unigenes and identified 16926 microsatellite loci.Fourteen polymorphic microsatellite loci were developed,of which 11 were highly polymorphic(polymorphic information content>0.5).The number of alleles(N_(a))ranged from 3 to 6 per locus,and the average Shannon diversity index(I)was 1.107.All the populations exhibited asexual reproduction,with regional variations in reproductive modes.Asexual reproduction was predominant in the northwestern Wuzhizhou Island population(SY 7)and the Fenjiezhou Island population(LS 8),where four and five predominant clones represented more than 89%of the individuals,which led to reduced genetic diversity.Overall,genetic diversity was moderately low,with significant genetic differentiation among populations(F_(ST)=0.33;P<0.001),suggesting limited gene flow(the number of migrants(N_(m))<1).These findings highlight the role of reproductive strategies in shaping fine-scale genetic differentiation in S.chloronotus.The limited recruitment success of sexually produced larvae and habitat heterogeneity likely constrain clone dispersal,contributing to distinct genetic restructuring.This study provided key insights into the interplay between reproductive strategies and genetic patterns in sea cucumbers,offering a scientific basis for targeted conservation efforts.
文摘Purpose:ATLAS is a cross-sectional study aiming to investigate environmental and genetic determinants of athletic performance in healthy Greek competitive athletes(CA).This article presents the study design,investigates the muscle strength performance(MSP)of 289 adult and teenage CA,exercisers,and physically inactive individuals(PI),and proposes predictive models of MSP for adults.Methods:Muscle maximal,speed,and explosive strength(MMS/MSS/MES)at unilateral maximal concentric flexion and extension contraction(FC/EC)were evaluated using Biodex System 3 PRO^(TM)at 60°/s,180°/s,and 300°/s,while additional performance markers were assessed through field ergometric testing.Participants were interviewed about their lifestyle,dietary habits,physical activity,injury,and medical history.Body composition was assessed via bioelectrical impedance.gDNA was extracted from biochemical samples and then genotyped.Statistical analysis was conducted using IBM SPSS Statistics v21.0 and R.Results:Age,fitness,and sex impacted correlations of MSP with body composition and anthropometric measurements(p<0.05).Among CA,females outperformed males in accuracy(p<0.001)while,males outperformed females in anaerobic power,MSP,speed,and endurance(p<0.001).Adult CA outperformed exercisers and PI in MMS,MSS,and MES(p<0.05).Multiple linear regression models,with predictors age,FFM,body extremity,training load explained the majority of variation in MMS(R^(2)_(adj):71.4%–88.9%),MSS(R^(2)_(adj):64.8%–78.4%),and MES(R^(2)_(adj):52.7%–68.4%)at EC,FC,and their mean(p<0.001).Conclusions:Muscle-strengthening strategies should be customized according to individual fitness levels,body composition,and anthropometric measurements.The innovative sex-specific regression models assessing MMS,MSS,and MES at EC and FC provide a framework for personalizing rehabilitation and skill-specific training strategies.
文摘Varicella,a highly contagious respiratory infection caused by the varicella-zoster virus(VZV),predominantly affects children and is characterized by symptoms such as low-grade fever and vesicular rash[1,2].In China,varicella remains prevalent,with a steady increase in incidence,peaking at 70.14 cases per 100,000 individuals in 2019[3].Although the number of reported outbreaks and cases from 2020 to 2022 was lower than those from 2006 to 2012 and 2013 to 2019,varicella continues to pose a significant public health challenge[3].
基金Supported by the National Natural Science Foundation of China(No.32172979)the Natural Science Foundation of Fujian Province(No.2021J05159)the 2023 Special Program for Promoting High-Quality Development of Marine and Fishery Industry in Fujian Province(No.PJHYF-L-2023-2)。
文摘The Fujian oyster(Crassostrea angulata) is an economically significant shellfish species distributed mainly along the Fujian coast, Southeast China. However, its genetic diversity and structure remain unclear. The main distribution area of the C. angulata is located in Fujian, South China. In total, 420 C. angulata were collected from 14 natural habitats(populations) along the Fujian coast, and their genetic diversity and structure were analyzed in the mitochondrial COI and nuclear gene ITS2 sequences. Results reveal that all the 14 populations of C. angulata exhibited high levels of genetic diversity, with a total of 57(haplotype diversity: 0.811±0.016) and 124(haplotype diversity: 0.912±0.007) haplotypes revealed by COI and ITS2, respectively. Notably, significant intermediate level of genetic differentiations between the Ningde Zhujiang(ZJ) population(FS T by COI: 0.035–0.142, P<0.05;FS T by ITS2: 0.078–0.123, P<0.05) with other populations were observed for the first time, which is also supported by the results of molecular variance analysis(FC T by COI: 0.105, P<0.05;FC T by ITS2: 0.086, P<0.05) and the clustering of the ZJ population into distinct branches in the interpopulation genetic differentiation tree. Furthermore, the evolutionary tree and haplotype network analyses do not support the formation of a clear geographical genealogical structure among these 14 populations. In addition, the population dynamics analysis suggests that the C. angulata may have undergone expansion during the third ice age of the Pleistocene. These results provide a reference for the preservation and further genetic improvement of C. angulata.
基金Supported by the Key R&D Program of Shandong Province(No.2023CXGC010411)the National Key R&D Program of China(Nos.2023YFD2400800,2022YFD2401301,2022FY100304)+2 种基金the National Natural Science Foundation of China(Nos.42076092,41906083,41776179)the Strategic Priority Research Program of the Chinese Academy of Sciences(No.XDB42000000)the Earmarked Fund for Modern Agro-industry Technology Research System(No.CARS-47)。
文摘The Saccostrea mordax Gould,1850 is a typical intertidal species,whose genetic differentiation is influenced by various factors,including geological and climatic changes.To explore the genetic structure and historical population characteristics of Saccostrea mordax,we sequenced the mitochondrial cytochrome c oxidase subunit I(COI)gene from 58 specimens sampled from four locations in the western Pacific.Additionally,103 individuals from the Persian Gulf and western Pacific(from databases)were included for phylogenetic analysis.The Bayesian Inference tree showed that all specimens were divided into two clades,i.e.,the Persian Gulf population and the western Pacific population.Spatial molecular variance analysis indicated significant genetic differentiation between the two populations,and isolation by distance analysis revealed a positive correlation between genetic differentiation and geographic distance.Neutrality tests and Bayesian Skyline Plot suggested that both populations underwent expansions during the late Pleistocene.This study revealed the population history of Saccostrea mordax and described a new lineage,Saccostrea mordax lineage D,providing a foundation for understanding oyster biodiversity formation and genetic resource conservation.
基金approved by Institutional Review Board of Faculty of Medicine in Assiut University,No.04-2024-300470.
文摘BACKGROUND In an era leaning toward a personalized alignment of total knee arthroplasty,coronal plane alignment of the knee(CPAK)phenotypes for each population are studied;furthermore,other possible variables affecting the alignment,such as ankle joint alignment,should be considered.AIM To determine CPAK distribution in the North African(Egyptian)population with knee osteoarthritis and to assess ankle joint line orientation(AJLO)adaptations across different CPAK types.METHODS A cross-sectional study was conducted on patients with primary knee osteoarthritis and normal ankle joints.Radiographic parameters included the mechanical lateral distal femoral angle,medial proximal tibial angle,and the derived calculations of joint line obliquity(JLO)and arithmetic hip-knee-ankle angle(aHKA).The tibial plafond horizontal angle(TPHA)was used for AJLO assessment,where 0°is neutral(type N),<0°is varus(type A),and>0°is valgus(type B).The nine CPAK types were further divided into 27 subtypes after incorporating the three AJLO types.RESULTS A total of 527 patients(1054 knees)were included for CPAK classification,and 435 patients(870 knees and ankles)for AJLO assessment.The mean age was 57.2±7.8 years,with 79.5%females.Most knees(76.4%)demonstrated varus alignment(mean aHKA was-5.51°±4.84°)and apex distal JLO(55.3%)(mean JLO was 176.43°±4.53°).CPAK types I(44.3%),IV(28.6%),and II(10%)were the most common.Regarding AJLO,70.2%of ankles exhibited varus orientation(mean TPHA was-5.21°±6.45°).The most frequent combined subtypes were CPAK type I-A(33.7%),IV-A(21.5%),and I-N(6.9%).A significant positive correlation was found between the TPHA and aHKA(r=0.40,P<0.001).CONCLUSION In this North African cohort,varus knee alignment with apex distal JLO and varus AJLO predominated.CPAK types I,IV,and II were the most common types,while subtypes I-A,IV-A,and I-N were commonly occurring after incorporating AJLO types;furthermore,the AJLO was significantly correlated to aHKA.
基金supported by the Sichuan Provincial Cadre Health Research Project(ZH2024-101)the Key Natural Science Foundation of Sichuan Province(No.2025 ZNSFSC0053)。
文摘BACKGROUND Solid fuel use for cooking and heating is a major environmental risk factor,yet its association with new-onset heart disease(HD)remains unclear.The aim of this study was to investigate the relationship between solid fuel exposure and new-onset HD in a large cohort.METHODS Multivariable logistic regression models assessed associations between cooking/heating fuel types(coal,crop residue/wood,liquefied petroleum gas,natural gas,and others)and new-onset HD.Subgroup analyses explored effect modification by age,sex,education,smoking,alcohol use,and region.RESULTS A prospective cohort study included 5915 participants,with 781 participants(13.2%)developing new-onset HD.Coal use for cooking showed an initial association with new-onset HD risk(OR=1.41,95%CI:1.06–1.86,P=0.02),which attenuated after full adjustment(OR=1.28,95%CI:0.96–1.72,P=0.10).Coal use for heating demonstrated robust associations across all models(OR=1.86,95%CI:1.42–2.43,P<0.001).Crop residue/wood burning for heating was also significant(Model 2:OR=1.40,95%CI:1.06–1.86,P=0.02).Subgroup analyses revealed stronger associations among females,non-smokers,non-drinkers,and less-educated participants.Geographic stratification showed significant associations in southern but not northern regions.CONCLUSIONS Solid fuel use,particularly coal for heating,is associated with increased new-onset HD risk.Reducing solid fuel exposure is crucial for HD prevention in low-resource settings.
