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Exploration of Strategies for Chronic Disease Prevention and Control and Relevant System Development

Long-de Wang

《工程管理前沿（英文）》 2015年第2卷第1期页码 2-12 doi: 10.15302/J-FEM-2015002

摘要： Chronic non-communicable diseases have become a major threat to humanity. International studies have shown that of 57 million deaths worldwide in 2008, 36 million (63%) were caused by chronic non-communicable diseases; of these, 29 million (80%) occurred in low and middle income countries. The WHO predicts that if the current trend continues, the annual number of deaths due to chronic non-communicable diseases will increase to 55 million by 2030. Due to acceleration of industrialization and urbanization, along with population aging and rapid changes of people’s lifestyle, the morbidity and mortality from chronic diseases are rapidly increasing in China. Therefore, dealing with the prevalence of chronic non-communicable diseases has become one of the current major health issues for China to address. On the basis of summarizing the status of major chronic diseases in China, analyzing the key issues and key factors in chronic disease prevention and control, and reviewing and summarizing the experience from the previous projects, this paper proposes the following recommendations as strategies for chronic disease prevention and control and development of relevant system, which China should adopt. All relevant government departments should formulate corresponding policies; establish a coordinated and efficient work system with rational structure and clear division of tasks and responsibilities within the system. Implementation and development of “integrated medicine” in system is necessary. Work norms and requirements will then improve the performance and efficiency in chronic disease prevention and control in China.

关键词： chronic disease prevention and control strategy and system construction

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China’s Sponge City construction: A discussion on technical approaches

Haifeng Jia, Zheng Wang, Xiaoyue Zhen, Mike Clar, Shaw L. Yu

《环境科学与工程前沿（英文）》 2017年第11卷第4期 doi: 10.1007/s11783-017-0984-9

摘要： Since 2014, China has been implementing the Sponge City Construction initiative, which represents an enormous and unprecedented effort by any government in the world for achieving urban sustainability. According to preliminary estimates, the total investment on the Sponge City Plan is roughly 100 to 150 million Yuan (RMB) ($15 to $22.5 million) average per square kilometer or 10 Trillion Yuan (RMB) ($1.5 Trillion) for the 657 cities nationwide. The Sponge City Plan (SCP) calls for the use of natural processes such as soil and vegetation as part of the urban runoff control strategy, which is similar to that of low impact development (LID) and green infrastructure (GI) practices being promoted in many parts of the world. The SCP includes as its goals not only effective urban flood control, but also rainwater harvest, water quality improvement and ecological restoration. So far, the SCP implementation has encountered some barriers and challenges due to many factors. The present paper presents a review of those barriers and challenges, offers discussions and recommendations on several technical aspects such as control goals and objectives; planning/design and construction of LID/GI practices; performance evaluation. Several key recommendations are proposed on Sponge City implementation strategy, Site-specific regulatory framework and technical guidance, Product innovation and certification, LID/GI Project financing, LID/GI professional training and certification, public outreach and education. It is expected that the successful implementation of the SCP not only will bring about a sustainable, eco-friendly urbanization process in China, but also contribute enormously to the LID/GI research and development with the vast amount of relevant data and experiences generated from the Sponge City construction projects.

关键词： Low impact development (LID) Green infrastructure (GI) Sponge City Barriers Construction strategies

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中国慢性病防控策略和体系建设探索

王陇德

《中国工程科学》 2014年第16卷第10期页码 22-30

摘要：

慢性非传染性疾病已成为当前人类的重大威胁。国际研究表明，2008 年全球5 700 万人死亡，其中的63 %（3 600 万人）死于慢性非传染性疾病；80 %的非传染性疾病所致死亡（2 900 万人）发生在低收入和中等收入国家。WHO预测，如果按目前的情况继续发展，到2030 年每年死于慢性非传染性疾病的人数将增加至5 500 万人。在中国，伴随着工业化、城镇化、老龄化进程的加快和国民生活方式的快速变迁，居民慢性病患病率、死亡率呈持续快速增长趋势。因此，慢性非传染性疾病流行的应对，是中国当前必须尽快考虑的重大问题。本文在总结中国重大慢性病流行状况、分析中国慢性病防控中存在的主要问题和关键影响因素以及总结前期项目探索经验的基础上，对中国慢性病防控应制定和采取的策略及防控体系建设工作要点提出了建议：如相关政府部门都应制定相应政策；建立结构合理、系统内任务分工明确，协调、高效的工作体系；从制度、工作规范与要求上推行“整合医学”的发展，从而提高中国慢性病防控工作效能与效益等。

关键词：慢性病防控策略与体系建设

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我国护理体系现存突出问题的探索及建设策略

皮红英,孟文文,章洁,支晨,赵婷

《中国工程科学》 2017年第19卷第2期页码 79-83 doi: 10.15302/J-SSCAE-2017.02.013

摘要：

本文运用文献研究法、问卷调查法及专家咨询法来探索当前我国护理体系存在的问题，围绕护理人力资源配置、学科发展建设、护理价值实现三方面分析现存的突出问题并提出对策建议。分析结果表明，护理人力资源配置，在护士数量、学历水平、年龄结构、队伍稳定性等方面存在问题；在护理学科发展建设方面，专业课程设置、人才培养模式、经费投入问题较为突出；护理服务价格偏低、护士收入偏低、护理价值得不到体现同样是阻碍护理事业发展的关键问题。针对上述突出问题，在加强护理队伍建设和提升护理服务质量、加快学科建设和人才培养、健全护理收费标准和提高护士待遇三方面提出对策建议及建设策略，以期为构建新型护理体系提供依据。

关键词：护理体系护理服务人力资源护理经济学护理学科建设

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Cooling strategies and transport theories for brain hypothermia resuscitation

LIU Jing

《能源前沿（英文）》 2007年第1卷第1期页码 32-57 doi: 10.1007/s11708-007-0004-z

摘要： The brain is one of the most important organs in a biological body whose normal function depends heavily on an uninterrupted delivery of oxygen. Unlike skeletal muscles that can survive for hours without oxygen, neuron cells in the brain are easily subjected to an irreversible damage within minutes from the onset of oxygen deficiency. With the interruption of cardiopulmonary circulation in many cardiac surgical procedures or accidental events leading to cerebral circulation arrest, an imbalance between energy production and consumption will occur which causes a rapid depletion of oxygen due to the interrupted blood-flow to the brain. Meanwhile, the cooling function of the blood flow on the hot tissue will be stopped, while metabolic heat generation in the tissues still keeps running for awhile. Under such adverse situations, the potential for cerebral protection through hypothermia has been intensively investigated in clinics by lowering brain temperature to restrain the cerebral oxygen demands. The reason can be attributed to the decreased metabolic requirements of the cold brain tissues, which allows a longer duration for the brain to endure reduced oxygen delivery. It is now clear that hypothermia would serve as the principal way for neurologic protection in a wide variety of emergency medicines, especially in cerebral damage, anoxia, circulatory arrest, respiratory occlusion, etc. However, although brain cooling has been found uniquely significant in clinical practices, the serious lack of knowledge on the mechanisms involved prevents its further advancement in brain resuscitation. Compared with the expanded trials in clinics, only very limited efforts were made to probe the engineering issues involved, which turns out to be a major obstacle for the successful operation of brain hypothermia resuscitation. From the viewpoint of biothermal medical engineering, the major theories and strategies for administering brain cooling can generally be classified into three categories: heat transfer, oxygen transport and cooling strategy. Aiming to provide a complete overview of the brain hypothermia resuscitation, this article comprehensively summarizes the recent progresses made in theoretical, practical and experimental techniques in the area. Particularly, attention is paid to the mathematical models to quantify the heat and oxygen transport inside the cerebral tissues. Typical cooling strategies to effectively lower brain temperature and thus decrease oxygen consumption rate in the cerebral tissues are analyzed. Approaches to deliver oxygen directly to the target tissues are discussed. Meanwhile, some future efforts worth pursuing within the area of brain cooling are suggested.

关键词： mathematical interruption hypothermia metabolic generation

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Breeding strategies for increasing yield potential in super hybrid rice

Shihua CHENG,Xiaodeng ZHAN,Liyong CAO

《农业科学与工程前沿（英文）》 2015年第2卷第4期页码 277-282 doi: 10.15302/J-FASE-2015081

摘要： Super hybrid rice breeding is a new breeding method combining semi-dwarf breeding and heterosis breeding using germplasm and gene-environment interactions. This paper reviews the breeding strategies of super hybrid rice breeding in China, focusing on the utilization of heterosis of indica and japonica subspecies, construction of ideal plant architecture and pyramiding of disease resistant genes in restorer lines. To develop super hybrid rice, considerable effort should be made to explore genes related with high yield, good quality, resistance to pests and diseases, tolerance to stresses. Molecular breeding methods in combination with crossing techniques should be adopted in super hybrid rice breeding.

关键词： super hybrid rice breeding strategies yield potential

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USING NUTRITIONAL STRATEGIES TO MITIGATE RUMINAL METHANE EMISSIONS FROM RUMINANTS

《农业科学与工程前沿（英文）》 2023年第10卷第3期页码 390-402 doi: 10.15302/J-FASE-2023504

摘要：

● Microbial fermentation in the rumen is a main source of methane emissions.

关键词： nutritional strategy mitigation microbe methane ruminant

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Management strategies of marine food resources under multiple stressors with particular reference of

Qisheng TANG

《农业科学与工程前沿（英文）》 2014年第1卷第1期页码 85-90 doi: 10.15302/J-FASE-2014021

摘要：

In this study two main management strategies are discussed: one is to develop resource conservation-based capture fisheries, and the other is to develop environmentally friendly aquaculture. During the resource recovery period, the development of environmentally friendly aquaculture should be encouraged, especially in integrated multi-trophic aquaculture, which is adaptive, efficient and sustainable. For future development and better understanding the ecosystem, it is necessary to further strengthen basic research.

关键词： marine ecosystem management strategies food resources Yellow Sea

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Basic consideration of research strategies for head and neck cancer

null

《医学前沿（英文）》 2012年第6卷第4期页码 339-353 doi: 10.1007/s11684-012-0213-7

摘要：

Head and neck cancer (HNC) consists of a group of malignancies affecting closely related anatomical regions of the upper aerodigestive tract (UADT), including the oral cavity, salivary glands, upper and lower jaw bones and facial skin; the nasal cavity, paranasal sinuses, pharynx, larynx and thyroid gland (although the latter is often excluded and considered as part of endocrine neoplasms). Of these, 90% of HNCs are histologically squamous cell carcinomas originating from the mucosal lining. These malignancies are strongly associated with certain environmental and life-style risk factors, principally tobacco in both smoked and smokeless forms, excessive alcohol consumption, diets poor in antioxidants and essential micronutrients, UV light, chemicals used in certain workplaces, and viruses, principally certain strains of human papillomavirus (HPV) and Epstein-Barr virus (EBV). These cancers are frequently aggressive in their biological behaviour with local invasion and metastasis to lymph nodes in the neck. Since most patients are already at late stages of disease at the time of diagnosis, the desirable practice of early diagnosis (first sign of the malignant lesion at an initial stage ) and early treatment, a critical priority to save lives and retain quality of life, is difficult to implement. Thus, primary prevention has been set as a key goal. This article aims to reinforce the basic knowledge of aetiology, key risk factors related to the development of head and neck cancer, basic features of clinical appearance of this group of cancers, and strategies for prevention and early detection. We also suggest basic research strategies on the basis of current knowledge, which should ultimately lead to the improvement of clinical management.

关键词： clinical management head and neck cancer prevention and early detection research strategies risk factors

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Emergency strategies and trends in the management of liver trauma

null

《医学前沿（英文）》 2012年第6卷第3期页码 225-233 doi: 10.1007/s11684-012-0186-6

摘要：

The liver is the most frequently injured organ during abdominal trauma. The management of hepatic trauma has undergone a paradigm shift over the past several decades, with mandatory operation giving way to nonoperative treatment. Better understanding of the mechanisms and grade of liver injury aids in the initial assessment and establishment of a management strategy. Hemodynamically unstable patients should undergo focused abdominal sonography for trauma, whereas stable patients may undergo computed tomography, the standard examination protocol. The grade of liver injury alone does not accurately predict the need for operation, and nonoperative management is rapidly becoming popular for high-grade injuries. Hemodynamic instability with positive focused abdominal sonography for trauma and peritonitis is an indicator of the need for emergent operative intervention. The damage control concept is appropriate for the treatment of major liver injuries and is associated with significant survival advantages compared with traditional prolonged surgical techniques. Although surgical intervention for hepatic trauma is not as common now as it was in the past, current trauma surgeons should be familiar with the emergency surgical skills necessary to manage complex hepatic injuries, such as packing, Pringle maneuver, selective vessel ligation, resectional debridement, and parenchymal sutures. The present review presents emergency strategies and trends in the management of liver trauma.

关键词： liver trauma nonoperative management operative management

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Exploring differentiated improvement strategies of cultivated land quality in China

《农业科学与工程前沿（英文）》 doi: 10.15302/J-FASE-2023523

摘要：

● Cultivated land quality can be considered in four dimensions: suitability, contiguity, resistance, and ecological stress.

关键词： China cultivated land quality differentiated improvement food security

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Microplastics removal strategies: A step toward finding the solution

《环境科学与工程前沿（英文）》 2022年第16卷第1期页码 7-7 doi: 10.1007/s11783-021-1441-3

摘要：

Microplastics are an emerging threat and a big challenge for the environment. The presence of microplastics (MPs) in water is life-threatening to diverse organisms of aquatic ecosystems. Hence, the scientific community is exploring deeper to find treatment and removal options of MPs. Various physical, chemical and biological methods are researched for MPs removal, among which few have shown good efficiency in the laboratory. These methods also have a few limitations in environmental conditions. Other than finding a suitable method, the creation of legal restrictions at a governmental level by imposing policies against MPs is still a daunting task in many countries. This review is an effort to place all effectual MP removal methods in one document to compare the mechanisms, efficiency, advantages, and disadvantages and find the best solution.

关键词： Aquatic Coagulation Microplastics Plastic Water Treatment Plant Wastewater

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Emerging immunological strategies: recent advances and future directions

《医学前沿（英文）》 2021年第15卷第6期页码 805-828 doi: 10.1007/s11684-021-0886-x

摘要： Immunotherapy plays a compelling role in cancer treatment and has already made remarkable progress. However, many patients receiving immune checkpoint inhibitors fail to achieve clinical benefits, and the response rates vary among tumor types. New approaches that promote anti-tumor immunity have recently been developed, such as small molecules, bispecific antibodies, chimeric antigen receptor T cell products, and cancer vaccines. Small molecule drugs include agonists and inhibitors that can reach the intracellular or extracellular targets of immune cells participating in innate or adaptive immune pathways. Bispecific antibodies, which bind two different antigens or one antigen with two different epitopes, are of great interest. Chimeric antigen receptor T cell products and cancer vaccines have also been investigated. This review explores the recent progress and challenges of different forms of immunotherapy agents and provides an insight into future immunotherapeutic strategies.

关键词： cancer immunotherapy bispecific antibodies small molecules chimeric antigen receptor T therapy cancer vaccines

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Pricing and production strategies in remanufacturing from the perspectives of supply chain: Review and

《工程管理前沿（英文）》 doi: 10.1007/s42524-023-0251-7

摘要： Remanufacturing is widely recognized as beneficial to the environment and a circular economy. However, remanufacturing is more complex than traditional manufacturing due to the effects of government policy, uncertainty of consumer preferences, competition and cooperation among firms, and so on. These factors motivate academics to optimize remanufacturing outcomes, especially for product pricing and production. This study reviews the published literature on pricing and production strategies in remanufacturing from four perspectives of supply chain, namely, government policy, consumer characteristics, relationships among firms, and supply chain structures. Review results can benefit scholars/practitioners in the future by highlighting the challenges and opportunities in remanufacturing strategies.

关键词： remanufacturing reverse and closed-loop supply chain circular economy