简介：Therecognitionthatpsychosocialriskfactorscontributetothepathogenesisofcardiovasculardiseasehasledtothedevelopmentofanewfieldofbehavioralcardiology.Theinitialimpetusforthisfieldwasstudiesperformedinthe1980sand1990sthatprovidedepidemiologicalevidenceandapathophysiologicalbasisforastronglinkbetweenanumberofpsychosocialriskfactorsandcardiovasculardisease,includingdepression,anxiety,hostility,jobstress,andpoorsocialsupport.Inrecentyears,additionalpsychosocialriskfactorshavebeenidentified,includingpessimism;otherformsofchronicstress,suchaschildhoodabuseandtrauma,andthepsychologicalstressthatmaybeassociatedwithchronicmedicalillness;lackoflifepurpose;andthesyndromeof“vitalexhaustion,”whichconsistsofatriadofexhaustion,demoralization,andirritability.Newresearchinthelastdecadehasalsoestablishedthatpositivepsychosocialfactors,suchasoptimism,positiveemotions,avibrantsociallife,andastrongsenseoflifepurpose,canhaveanimportanthealth-bufferingeffectthroughtheirfavorableinfluenceonhealthbehaviorsandpromotionofpositivephysiologicalfunctioning.Patientscanbescreenedforpsychosocialriskfactorsinclinicalpracticethrougheithertheuseofopen-endedquestions,whichcanbeintegratedintoaphysician’sstandardreviewofsystems,ortheuseofshortquestionnaires.Physicianscanassistinthetreatmentofpsychosocialriskfactorsinvariousways,suchasscreeningpatientsforpsychologicaldistressandmakingappropriatereferralswhenindicated,providingpatientswithpracticallifestylesuggestions,andemployingofficepersonneltoteachpatientsbehavioralorpsychosocialinterventionsthatcanpromoteasenseofwell-beingand/orreducestress.

简介：AIM:Toinvestigatetheprevalenceandriskfactorsofdiabeticretinopathy(DR)innorthernChinesepatientswithtype2diabetesmellitus(T2DM).METHODS:Thisretrospectivecross-sectionalstudywasperformedbetweenMay2011andApril2012.Atotalof1100patients(male/female,483/617)wereincludedinthisstudy.DRwasdefinedfollowingtheEarlyTreatmentDiabeticRetinopathyStudy(ETDRS)severityscale.Allincludedpatientsacceptedacomprehensiveophthalmicexaminationincludingretinalphotographs.Logisticregressionmodelswereusedtoestimateoddsratios(ORs)and95%confidenceinterval(CI)afteradjustingforageandgender.RESULTS:Retinopathywaspresentin307patientswithaprevalenceof27.9%.Inunivariatelogisticanalysis,presenceofDRwasassociatedwithlongerdurationofdiabetes(OR,5.70;95%CI,2.91-12.56),higherconcentrationoffastingbloodglucose(OR,12.94;95%CI,2.40-67.71),higherlevelofglycosylatedhemoglobinHbA1c(OR,5.50;95%CI,3.78-11.97)andinsulintreatment(OR,6.99;95%CI,1.39-35.12).ThelifestyleofpatientswithT2DMincludingsmoking,alcoholconsumptionandregularexerciseseemednotassociatedwiththedevelopmentofDR.CONCLUSION:Ourstudysuggeststhatfastingserumglucoseconcentration,HbA1clevel,durationofdiabetesandinsulintreatmentarepotentialriskfactorsforDRinnorthernChinesepatientswithT2DM,whilethelifestyleofincludedpatientsseemsnotassociatedwithDR.

简介：我们与高风险的前列腺癌症在271个病人报导全面的率，地点和积极外科的边缘(PSM)的预兆的因素。在2008年4月和2011年10月之间，我们有希望地从作为D'Amico分类的病人收集了数据高风险经历了帮助机器人的laparoscopic激进分子前列腺切除术。PSM的全面的率和地点被报导。逐步的逻辑回归模型被适合估计PSM的预兆的因素。PSM的全面的率是25.1%(271个病人中的68个)。这些PSM，(68中的26个)38.2%是posterolateral(PL)，26.5%(68中的18个)multifocal，16.2%(68中的11个)在顶，14.7%(68中的10个)在膀胱颈，并且4.4%(3/68)在另外的地点。有病理学的阶段pT2的病人的PSM率是8.6%(140中的12个)，26.6%(64中的17个)pT3a，53.3%(32/60)pT4的pT3b，和100%(7中的7个)。在包括pre-，intra-，和手术后的参数的一个逻辑回归模型，身体团索引(机会比率[或]：1.09；95%信心间隔[CI]：1.01-1.19，P=0.029)，病理学的舞台(pT3b或更高对pT2；或：5.14；95%CI：1.92-13.78；P=0.001)并且肿瘤的百分比(或：46.71；95%CI：6.37-342.57；P<0.001)是为PSM的独立预兆的因素。在病人在的PSM的最普通的地点高风险是PL方面，它反映报导肿瘤攻击性。PSM的唯一的重要预兆的因素是病理学的结果，例如在标本和病理学的舞台的肿瘤的百分比。

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简介：统计方法通常被用来评估自然人口和环境变量，然而，这些必须在在一个演变世界上适当的人口特性认出时间的趋势。这里介绍的新方程定义历史的人口在人口工具和标准差由线性变化影响了的总数的统计措施。这些能被用来提取今日的人口的统计特性，需要定义现代可变性和风险，从历史的数据的表格，那被当条件是不同的时，做的大小统治。作为一个例子，象变化和在里面隧道结构正在引起的气候那样的许多因素充满层次升起，因此未来洪水层次的现实主义的评价必须考虑如此的世俗的变化。新方程在比习惯性地假定人口stationarity的正式计算高是0.5～2m的USA中西部为100年的洪水提供水层次的估计。这些方程也证明洪水层次将继续每年由几厘米升起。这率比海水平的上升快将近十倍，并且因此代表被柔韧的数据记录的变化的最快、很损坏的率之一。

简介：Currently,theglobalcarbontradingsystemsarefragmentedandbelongtodifferentgovernmentsorareunderthejurisdictionofdifferentregions,resultinginaseriesofnewproblems,suchashowtolinkdispersedtradingsystems,howtocomparetheemissionreductionofvariousmarketsandotherissues.Sincethedevelopmentoftheinternationalcarbonmarketisrelativelyimmaturewithuncertainlifeexpectancyandvolatilityduringitsshorthistory,andthereisalackofquantitativedataonthelong-termrecord,themarketcouldprovidefewriskmanagementtools.Meanwhile,withthelaunchesofChina’sregionalcarbontradingpilotsinsevenprovincessince2013andcombinedwiththenationalvoluntaryemissiontradingsystem,carbontradingwillbecomeanimportantmechanismforChinainachievingitsemissionreductiontarget.Inthefirststage,thecarbonfinancemarketisatleastfacedwithmechanismdesignrisks,marketsupplyrisksandcompliancerisks.Therefore,tosecurethedevelopmentofthecarbonmarketandforpublicinterest,relevantgovernmentdepartmentsofChinashouldidentifytherisksfacingthemarketandshouldmakethebasicprinciplesandgoals,suchasensuringeffectivetradingandpricingmechanismstoavoidfraudandpricemanipulation,andbalancingtransparencyandconfidentialityofinformation.Consequently,thegovernmentsshoulddevelopacomprehensivecarbonfinanceregulatorysystemcoveringregulatorylegislation,regulatoryinstitutionsandtheirauthorities,regulatoryscopeaswellasregulatoryobjects.

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简介：Agriculturalgreenhousegasaccountsforalargeproportionofglobalanthropogenicgreenhousegasemission.ThepapercarriedonacalculationongreenhousegasemissionofChinaagriculturalgreenhousegasemission,andanalyzedinfluencingfactorsofagriculturegreenhousegasemissionwhichhasimportantsignificanceforthedevelopmentofChineseandgloballowcarbonagriculture.ThispapercalculatedtheemissionofCH4,N2OandCO2inChinafromtheyearof1993to2011,andanalyzedtheinfluencefactors.TheresultsshowedthatCH4emissionwasbasicallystable,whichmaintainedat2000tons.AnimalhusbandryCH4emissionwasthelargestcontributorofagriculturalsourceCH4emission.Takingtheyearof2011asanexample,whichaccountedfor53.08%;N2Oemissionwasincreasedfrom93.21tonsof1993to120.51milliontonsof2011,andtheaverageannualgrowthratewas1.63%.PlantingwasthemaincontributortoN2Oemission.Takingtheyearof2011asanexample,whichaccountedfor54.36%ofthetotalemission,landN2Oemissionwasthemost,andthericefieldwasfollowed;agriculturalsourceCO2emissionincreasedfrom15626.98to31258.10milliontons,andtheaverageannualgrowthratewas5.56%;fertilizersourcewasthelargestsourceofcarbon,in2011,forexample,fertilizersourceofCO2emissionwas18731.83milliontonsaccountedfor59.93%oftheagriculturalsourceCO2emission.CH4andN2OemissionsofChinaAgricultureweremainlycausedbyanimalhusbandryandchemicalfertilizers.AndpesticidesweremajorcontributorstoCO2emissionofagriculture.Attheendofthispaper,basedontheresultsofcorrelationanalysis,thepaperproposedcountermeasuresandsuggestionsforChina’slowcarbonagriculture,anddemonstratedthesignificanceofgloballowcarbonagriculturedevelopment.

简介：Thecoalescencetimebetweentwocontactingbubbleswasmeasuredexperimentallyindifferentacousticpressuresandfrequenciesusinganimagingsystemwithahigh-speedvideocamera,andtakenananalysistotheinfluenceofthesecondaryBjerknesforceandmaximumoscillationvelocityonthecoalescencetimeoftwocontactingbubblesinthispaper.Itshowedthatundertheactionofdifferentacousticpressuresandfrequencies,thecoalescencetimeincreaseswithsecondaryforceandmaximumoscillationvelocity.TheanalysisandcomparisonofthesecondaryBjerknesforceandmaximumoscillationvelocityfortheeffectofbubblecoalescencetimeshowedthatthesecondaryBjerknesforceisthecriticalfactortoinfluencethebubblecoalescence.

简介：常规洪水操作规定的应用程序在南部的中国由于对Pubugou水库的洪水控制规则的不够的描述被限制。基于不同洪水控制对象的要求，这份报纸建议由响应洪水流入预报和水库水水平定义洪水控制规则的不同参数与惩罚机制优化洪水控制规则。一个基因算法为解决参数优化问题被采用。下游地不够的洪水控制能力的失败风险和溢出体积通过水库操作政策被估计。结果证明一条优化规定能比当前的洪水控制规则提供更好的性能。

简介：当我们可能与男不孕的一条对症疗法的途径是舒适的时，我们为生活方式修正和被许多我们的病人使用的整体、互补、其他的治疗的知识也负责。这份报纸提供为几这些治疗把事实与小说分开的基于证据的评论。有足够的文学由饮食和锻练支持重量减小，吸停止，和白酒中等。在小使随机化的控制试用(RCT)上在男富饶上表明了积极效果的补充包括aescin，辅酶Q10,谷胱甘肽，朝鲜红人参，L肉毒碱，nigellasativa，omega-3，硒，锌的联合并且叶酸，并且Menevit抗氧化剂。对维生素C，维生素E，或藏花的使用没有支持。为中国草药的药的数据，针灸，头脑身体实践，阴囊的冷却，并且基于信心的愈合稀少或不确定。

简介：OnthebasisofdatacollectedfromLiupanshanpoverty-riddenareas,thepaperselects24variablesunder4groupstofigureouttheinfluencingfactorsofsubjectivewell-being(SWB)ofpeasantsinecologicalmigrationwiththemethodofOrderedProbitRegression.Asisshownintheresults,variablesunderpeasants’personalendowmentgroupandresourceofthedevelopmentgrouphavelittleimpactonpeasants’SWB.Thevariableswithobservableimpactareconcentratedinthelivingconditiongroupandthepublicatmospheregroup.

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简介：男富饶上的精索静脉曲张修理的效果仍然保持争论。它将对有用决定了哪个人将从精索静脉曲张修理有益于大多数，并且在那些个人指向修理努力。为精索静脉曲张修理的预示的因素上的文学的详细评论用PubMedNLM数据库被执行。我们发现postvaricocelectomy精液参数的最好的预言者是外科手术前的精液参数。在精液参数的最大的改进与更大的精索静脉曲张在人被发现。当有争吵，更高的睾丸激素，更年轻的年龄和更大的睾丸尺寸时，在一些，研究在精液参数postvaricocelectomy为改进预言。一张诺模图被开发了基于外科手术前的精液参数，精索静脉曲张等级和这个人(www.fertilitytreatmentresults.com)的年龄预言postvaricocelectomy精液参数。有限数据一致地与更高的基线DNA破碎率在人处于DNA破碎率表明最大的改进。关于繁殖结果，更高的基线精子密度一致地为自然怀孕或帮助繁殖技术(艺术)怀孕率预言。另外，精索静脉曲张修理确实似乎为艺术的更侵略的形式减少需要。在结论，我们现在能开始使用象预言跟随varicocelectomy的修理以后的精液质量和富饶潜力的基线精液质量，精索静脉曲张等级和耐心的年龄那样的特定的参数。

简介：BackgroundIncreasedlevelofglycatedhemoglobin(HbA1c)isassociatedwithhigherincidenceofcoronaryarterydisease(CAD)inthediabetics.However,therelationshipbetweenHbA1candtheriskofcoronaryarterystenosisinthenon-diabeticsiscontroversial.MethodsAretrospectiveresearchwasconductedon338enrolledparticipantswhohaveundergone2timesofcoronaryangiographicexaminationwithinthepastyear.Clinicalandlaboratoryvariablesattheinitialandthesecondtimeofadmissionwerecollected.AccordingtotheinitialmedianHbA1clevel,allparticipantsweredividedintotwogroupsnamedlowerandhighergroups.TherelationshipbetweenHbA1clevelandtheriskofcoronaryarterystenosisovertimewasevaluated.ResultsTheinitialvaluesofHbA1cinloweranduppergroupswere5.78±0.35%and6.21±0.32%(P<0.05).Ascomparedtothelowergroup,thepercentagesofmaleandsmokingparticipants,andtheserumlevelofCRPweresignificantlyhigherinthehighergroup(P<0.05).Othertraditionalriskfactorswerecomparablebetweenthetwogroups.Therewere54.2%and55.2%participantswithsinglevesselstenosis,and45.8%and44.8%withmultiplevesselstenoses,respectivelyinthetwogroupswithoutsignificantdifference.Thesecondtimeofadmission,were308.5±25.4days(lowergroup)and300.7±30.1days(highergroup)fromtheinitialadmission.AlthoughnosignificantchangesofHbA1clevelwereobservedwhencomparedtoinitial,HbA1clevelinthehighergroupwasstillsignificantlyhigherincomparisontothelowergroup(6.24±0.39%vs.5.80±0.36%,P=0.008).Thepercentageofnewcoronaryarterystenosis(≥50%stenosis)washigherinthehighergroupthanthatinthelowergroup(41.7%vs.32.3%,P<0.001).MultivariateregressionanalysessuggestedthatHbA1cremainedindependentfactorassociatedwithcoronaryarterystenosesafterextensiveadjustmentforriskfactors.ConclusionInthenondiabetics,increasedbaselineHbA1clevelportendstheriskofcorona

简介：ThispapercalculatestheindustrialcarbonemissionsoftheYangtzeRiverDeltaurbanagglomerationovertheperiod2006-2013.AnempiricalanalysisisconductedtofindouttheinfluencingfactorsofindustrialcarbonemissionsoftheYangtzeRiverDeltaurbanagglomeration,usingaspatialDurbinpanelmodel.Theresultsshowthatcitieswithlargerindustrialcarbonemissionsoftenenjoylowannualgrowthrates,whilethecitieswithsmalleronesenjoyhigherannualgrowthrate;Thereexistsacomparativelystrongpositivecorrelationinspaceinpercapitacarbonemission;urbanization,andtotalpopulation.GDPpercapitaandinternationaltradearethemaininfluencingfactorsofindustrialcarbonemissions;Therearespatialspillovereffectsoninternationaltradeandurbanizationofneighboringcities,whichhaveasignificantimpactonlocalindustrialcarbonemissions.