BackgroundIn June 2015, the Chinese Stroke Association (CSA) initiated the Chinese Stroke Center Alliance (CSCA) to establish the national hospital-based stroke care quality assessment and improvement platform. This article outlines its objectives, operational structure, patient population, quality improvement (QI) intervention tools, data elements, data collection methodology and current patient and hospital data.MethodsThe CSCA is a national, hospital-based, multicentre, voluntary, multifaceted intervention and continuous QI initiative. This multifaceted intervention includes stroke centre development, written care protocols, workshops and a monitoring/feedback system of evidence-based performance measures. The data coordinating centre of the CSCA resides at the China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital.ResultsAs of July 2017, 1576 hospitals in China have contributed detailed clinical information to serve as a benchmark for the stroke care quality of 433 264 patients with acute stroke/transient ischaemic attacks (TIA), including 352 572 (81.38%) acute ischaemic stroke, 30 362 (7.01%) TIA, 42 080 (9.71%) spontaneous intracranial haemorrhage, 5505 (1.27%) subarachnoid haemorrhage and 2745 (0.63%) not specified stroke.ConclusionThe CSCA programme is designed to establish a continuous national stroke registry and help healthcare providers develop stroke centres and treat patients in a consistent manner in accordance with accepted national guidelines and, ultimately, improve patient outcomes. It supports the CSA mission to reduce stroke burden in China.
Recombinant "all-fish" growth hormone gene (GH) was microinjected into the fertilized eggs of carp. A comparison between the growth traits of transgenics and non-transgenics was carried out, and the transgenic individuals with significant "fast-growing" effect were successfully gained. A comparison on the reproductivities was also given out between the transgenics and their non-transgenic siblings, and showed that the reproductive capacity of transgenics was substantially equivalent to those of the non-transgenics. On the other hand, the genetic separation and the characteristic distribution of the F 1 generation were genetically analyzed, which gave solid evidence for the hypothesis that 2 3 chromosomes are integrated with transgene. In addition, the distinct biological effects for multi-siteintegrated transgenes were further discussed. The present study opens a door for the breeding of "fast-growing" transgenic fish.
Previous studies found that spring (March-April) snow depth over the Tibetan Plateau (TP) had increased since the mid-1970s. This study shows that the spring snow depth over the TP decreased after 2002. Meanwhile, atmospheric heating source over TP also experienced interdecadal variations from cold to warm phase after the year 2002, which could be linked to the decreasing of the spring snow depth over the TP. Possible physical mechanisms of the influence of the spring snow depth on the atmospheric heat source over the TP are explored. A significant positive correlation was found between the spring over the TP and subsequent summer (June-August) 500 hPa geopotential height over the western Pacific subtropical high (WPSH) location. The interdecadal shift northward of WPSH and interdecadal variations of the large scale precipitation conditions favoured the increase of summer precipitation to the Huaihe River valley (30 ∘ -35 ∘ N, 110 ∘ -120 ∘ E)
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.