Objective: To construct a hypertension risk prediction model for residents aged 18-79 years, so as to provide an assessment tool for early screening and prevention of hypertension in high-risk groups. Methods: The permanent residents aged 18-79 years from 6 townships (streets) in Fangshan District of Beijing Municipality were selected as the study subjects using a multi-stage stratified random sampling method from March to June 2023. Demographic information, lifestyle, body mass index (BMI), blood pressure, fasting blood glucose, and blood lipid were collected through questionnaire survey, physical examination, and laboratory tests. Subjects were randomly divided into training and validation sets at a 7∶3 ratio. The logistic regression model was used to screen the risk factors of hypertension, and a hypertension risk prediction nomogram was constructed. Receiver operating characteristic (ROC) curve, calibration curve, and decision curve analysis were used to verify the discrimination, fit, and clinical application value of the model. Results: A total of 4 438 subjects were included, including 2 365 males (53.29%) and 2 073 females (46.71%), with a mean age of (44.99±14.90) years. The prevalence of hypertension was 35.29% (1 566 cases), and the standardized prevalence was 24.74%. The logistic regression model screened out 9 influencing factors of hypertension. The nomogram was established as ln[p/ (1-p)]= -2.873 + 0.935×40-<50 years + 1.463×50-<60 years + 1.908×60-<70 years + 2.346×70-79 years + 0.298×male-0.675×college degree or above + 0.384×smoking + 0.227×drinking + 0.572×overweight + 1.449×obesity + 0.557×heart rate ≥80 beats/min + 0.428×diabetes + 0.484×dyslipidemia. The area under the ROC curve of the validation set was 0.821 (95%CI: 0.798-0.843), and the calibration curve results showed that the calibration curve fitted the actual curve well. Decision curve analysis showed that the threshold probability was in the range of 0.10 to 0.70, and the model had good predictive value and clinical application value. Conclusion The nomogram based on age, gender, educational level, smoking, drinking, body mass index, heart rate, diabetes, and dyslipidemia can be used to predict the risk of hypertension among residents aged 18-79 years.

Objective To evaluate the clinical outcomes of robot-assisted percutaneous vertebroplasty(PVP)versus manual PVP in treating osteoporotic vertebral compression fractures(OVCF),and explore the advantages of robotic assistance for clinical decision-making.Methods Patients who underwent single-level PVP for OVCF at the Department of Joint Surgery and Bone Tumor,Beijing Shijitan Hospital,Capital Medical University,between April 2021 and April 2025 were enrolled.The robot group(n=29)and manual PVP group(control,n=88)were followed-up for 1 month.Parameters compared included:total hospital stay,operative time,cement volume,cement leakage rate,nerve injury rate,intraoperative fluoroscopy number,first-attempt success rate of puncture,postoperative versus preoperative anterior vertebral height difference,Visual Analogue Scale(VAS)and Oswestry Disability Index(ODI)scores preoperatively,at 1-day and 1-month postoperatively.Results No statistically significant differences existed in baseline characteristics(gender,age,fracture-to-surgery interval,and fracture distribution)between groups(P>0.05).The number of intraoperative fluoroscopy times and the ODI index on the first day after surgery in the robot group were significantly lower than those in the control group(P<0.05),and the first-attempt success rate of puncture was significantly higher than that in the control group(P<0.05).There were no statistically significant differences in the other parameters between the two groups(P>0.05).Conclusion Both robot-assisted PVP and manual PVP have good clinical efficacy in the treatment of OVCF.Robot-assisted PVP can reduce the number of intraoperative fluoroscopy times and may have more advantages in improving the first-attempt success rate of puncture and early postoperative lumbar function.However,its reliability needs to be further verified through large-sample randomized controlled studies with multivariate analysis.

Objective To evaluate the clinical outcomes of robot-assisted percutaneous vertebroplasty(PVP)versus manual PVP in treating osteoporotic vertebral compression fractures(OVCF),and explore the advantages of robotic assistance for clinical decision-making.Methods Patients who underwent single-level PVP for OVCF at the Department of Joint Surgery and Bone Tumor,Beijing Shijitan Hospital,Capital Medical University,between April 2021 and April 2025 were enrolled.The robot group(n=29)and manual PVP group(control,n=88)were followed-up for 1 month.Parameters compared included:total hospital stay,operative time,cement volume,cement leakage rate,nerve injury rate,intraoperative fluoroscopy number,first-attempt success rate of puncture,postoperative versus preoperative anterior vertebral height difference,Visual Analogue Scale(VAS)and Oswestry Disability Index(ODI)scores preoperatively,at 1-day and 1-month postoperatively.Results No statistically significant differences existed in baseline characteristics(gender,age,fracture-to-surgery interval,and fracture distribution)between groups(P>0.05).The number of intraoperative fluoroscopy times and the ODI index on the first day after surgery in the robot group were significantly lower than those in the control group(P<0.05),and the first-attempt success rate of puncture was significantly higher than that in the control group(P<0.05).There were no statistically significant differences in the other parameters between the two groups(P>0.05).Conclusion Both robot-assisted PVP and manual PVP have good clinical efficacy in the treatment of OVCF.Robot-assisted PVP can reduce the number of intraoperative fluoroscopy times and may have more advantages in improving the first-attempt success rate of puncture and early postoperative lumbar function.However,its reliability needs to be further verified through large-sample randomized controlled studies with multivariate analysis.

Objective: To investigate the prevalence, awareness, treatment and control rates of diabetes among residents in Fangshan District, Bejing Municipality, so as to provide reference for strengthening the prevention and control of diabetes. Methods: The residents aged 18 to 79 years were selected in Fangshan District using multistage stratified cluster sampling method from March to June 2023. Demographic information, lifestyle, body mass index, fasting blood glucose, and blood lipid were collected through questionnaire surveys, physical examinations and laboratory tests. The prevalence, awareness, treatment and control rates of diabetes among residents were analyzed and their influencing factors were identified using a multivariable logistic regression model. Results: A total of 4 438 residents were enrolled, including 2 367 males (53.33%) and 2 071 females (46.67%), and had a mean age of (44.99±14.90) years. The prevalence, awareness, treatment and control rates of diabetes were 15.75%, 57.37%, 56.22% and 22.90%, respectively. Multivariable logistic regression analysis showed that age (aged 30 to 39 years, OR=1.624, 95%CI: 1.011-2.609; aged 40 to 49 years, OR=3.469, 95%CI: 2.163-5.561; aged 50 to 59 years, OR=4.202, 95%CI: 2.595-6.803; aged 60 to 69 years, OR=7.229, 95%CI: 4.406-11.862; aged 70 to 79 years, OR=7.929, 95%CI: 4.665-13.479), obesity (OR=1.368, 95%CI: 1.071-1.748), hypertension (OR=1.943, 95%CI: 1.601-2.359) and dyslipidemia (OR=2.754, 95%CI: 2.287-3.317) were the factors affecting the prevalence of diabetes. Sex (women, OR=1.529, 95%CI: 1.019-2.293), age (aged 40 to 49 years, OR=4.971, 95%CI: 1.681-14.698; aged 50 to 59 years, OR=6.070, 95%CI: 2.045-18.020; aged 60 to 69 years, OR=6.902, 95%CI: 2.287-20.832; aged 70 to 79 years, OR=6.954, 95%CI: 2.191-22.070) and hypertension (OR=1.906, 95%CI: 1.337-2.718) were the factors affecting the awareness of diabetes. Age (aged 40 to 49 years, OR=4.699, 95%CI: 1.594-13.855; aged 50 to 59 years, OR=5.990, 95%CI: 2.023-17.732; aged 60 to 69 years, OR=7.134, 95%CI: 2.370-21.470; aged 70 to 79 years, OR=6.639, 95%CI: 2.102-20.964) and hypertension (OR=1.857, 95%CI: 1.304-2.645) were the factors affecting the treatment of diabetes. Age (aged 40 to 49 years, OR=2.948, 95%CI: 1.349-6.438; aged 60 to 69 years, OR=2.344, 95%CI: 1.049-5.234) was the factor affecting the control of diabetes. Conclusions The prevalence rate of diabetes among residents in Fangshan District was high, and the improvements of awareness rate, treatment rate and control rate were not obvious. Health education and management of diabetes should be strengthened for elderly, hypertensive and dyslipidemic residents.

Background:Patients with primary biliary cholangitis(PBC)may develop gastroesophageal varices at an early stage.It is of great significance to prevent variceal bleeding for the long-term outcome of PBC.Aims:To assess the risk factors for clinically significant portal hypertension(CSPH)among PBC patients and develop a predictive model.Methods:The clinical data of PBC patients admitted from January 2018 to January 2022 in the Division of Gastroenterology and Hepatology,Renji Hospital,Shanghai Jiao Tong University School of Medicine were retrospectively collected and analyzed.Patients were divided into CSPH and non-CSPH groups according to the diagnostic criteria of CSPH.Multivariate Logistic regression and Lasso regression were used to identify the risk factors and construct CSPH predictive model which was presented as nomogram and internally validated.Results:Of the 458 subjects enrolled in this study,140 cases were in CSPH group while 318 cases in non-CSPH group.Multivariate analysis identified that male gender(OR=2.89),positive for anti-centromere antibody(ACA;OR=2.18)and anti-gp210 antibody(OR=1.75),high baseline total bilirubin(OR=1.01)and IgA(OR=1.27),and low baseline albumin(OR=0.91)and platelet count(OR=0.98)were independent risk factors for CSPH.These variables were selected to form the predictive model and nomogram ultimately.Favorable stability and predictive performance of the model were confirmed by ROC curve analysis(AUC=0.891)and bootstrap method(C-index=0.891).Conclusions:The predictive model constructed in this study has certain reference value for risk stratification of CSPH among PBC patients.Intensive follow-up is recommended for ACA-positive PBC patients in clinical practice for avoidance of gastroesophageal variceal bleeding.

Objective:To observe the attention processing characteristics of the pilots experiencing black hole illusion, and to provide quantitative data references for flight simulation training guided by eye movement fixation based on the eye movement mode of the pilots with high flight performance score.Methods:The pilots who underwent the transformation training were selected by cluster sampling. Their original flight performance scores were converted into percentile grades. The top 10 and bottom 10 pilots were assigned as high and low score groups. Their eye movement data were recorded when they were completing the night approach and landing task on the flight illusion simulator. The correlation between eye movement data and flight performance in the simulation task were analyzed, and the eye movement patterns of pilots with different flight performance were compared.Results:Thirty-six valid subjects were selected. A total of 12 eye movement indexes were correlated with flight performance ( r=0.334-0.398, all P<0.05). Three eye movement indexes, including peak velocity of exit saccade from attitude indicator of head-up display (HUD), the percentage of total duration of fixations on airspeed indicator of HUD to the total task duration and average duration of whole fixations on attitude indicator could establish a linear regression model with flight performance ( R2=0.422, F=7.77, P<0.001). The percentage of total duration of whole fixations on airspeed indicator of HUD to the total task duration in high score group [(4.38±3.48)%] was higher than that in low score group [(1.72±1.32)%], and the difference was statistically significant ( t=2.25, P=0.045). And the average peak velocity of exit saccade from attitude indicator of HUD in high score group [(358.85±171.40)°/s] was higher than that in low score group [(221.14±92.60)°/s], and the difference was statistically significant ( t=2.24, P=0.038). Conclusions:Eye movement index in the night approach and landing task can be used as an evaluation index of attention ability of pilots in black hole illusion simulation and experience task.

Objective:To observe the attention processing characteristics of the pilots experiencing black hole illusion, and to provide quantitative data references for flight simulation training guided by eye movement fixation based on the eye movement mode of the pilots with high flight performance score.Methods:The pilots who underwent the transformation training were selected by cluster sampling. Their original flight performance scores were converted into percentile grades. The top 10 and bottom 10 pilots were assigned as high and low score groups. Their eye movement data were recorded when they were completing the night approach and landing task on the flight illusion simulator. The correlation between eye movement data and flight performance in the simulation task were analyzed, and the eye movement patterns of pilots with different flight performance were compared.Results:Thirty-six valid subjects were selected. A total of 12 eye movement indexes were correlated with flight performance ( r=0.334-0.398, all P<0.05). Three eye movement indexes, including peak velocity of exit saccade from attitude indicator of head-up display (HUD), the percentage of total duration of fixations on airspeed indicator of HUD to the total task duration and average duration of whole fixations on attitude indicator could establish a linear regression model with flight performance ( R2=0.422, F=7.77, P<0.001). The percentage of total duration of whole fixations on airspeed indicator of HUD to the total task duration in high score group [(4.38±3.48)%] was higher than that in low score group [(1.72±1.32)%], and the difference was statistically significant ( t=2.25, P=0.045). And the average peak velocity of exit saccade from attitude indicator of HUD in high score group [(358.85±171.40)°/s] was higher than that in low score group [(221.14±92.60)°/s], and the difference was statistically significant ( t=2.24, P=0.038). Conclusions:Eye movement index in the night approach and landing task can be used as an evaluation index of attention ability of pilots in black hole illusion simulation and experience task.

Objective To study gross α and gross β radioactivity in environmental samples in Wuxi, China, and perfect the radioactivity data, and to discover possible radioactive contamination in time. Methods The BH1227 low-background α and β measuring instrument was used to determine gross α and gross β radioactivity in sedimentary dust, aerosol, drinking water, and food samples in Wuxi. Results Among environmental samples collected in Wuxi, 2014—2019, the mean gross α and gross β radioactivity levels were 0.01～5.98 Bq/kg and 9.47～547.86 Bq/kg in food samples, respectively, 1.2～22 mBq/L and 0.1～141 mBq/L in water samples, respectively, 39～44790 mBq/m³ and 743.1～101500 mBq/m³ in sedimentary dust samples, respectively, and 50～1125 μBq/m³ and 38～9510 μBq/m³ in aerosol samples, respectively. Conclusion We should strengthen radioactivity monitoring of environmental samples in Wuxi through increasing the scope and frequency of monitoring, to perfect baseline radioactivity data of Wuxi.

Objective To explore the strategies of using psychological crisis intervention in public emergencies.Methods In the early stage,psychological crisis intervention concepts and behavioral responses were formed through literature research and qualitative research methods.Use three rounds of Delphi for expert advice.Three indexes including positive coefficient,authority and coordination were used to test the reliability of expert consultation.Results Overall,it passed 239 out of 269 entries.The first round passed item 210,modified item 18,no consensus item 41;In the second round,8 new entries were added,and 22 entries were deleted through 24 entries.In the third round,there were 5 entries and 16 entries were deleted.The authority coefficient was 0.859,indicating that the experts were very familiar with the items.The coordination coefficient of three rounds of consultations were 0.464,0.696,and 0.407 (P＜0.001)respectively,showing that the coordination degree of experts was excellent,the credibility of feedback was high,and results were highly reliable.Conclusions The strategies of field psychological crisis intervention for public emergencies developed in this study received the consensus by domestic psychological crisis intervention experts,it is will provide a basis for systematic,comprehensive and effective guidance for this work.