Spatiotemporal

时空
  • 文章类型: Journal Article
    背景:2型糖尿病(T2DM)的死亡率可能受环境因素的影响。然而,很少有研究探讨环境因素对不同地区的影响。鉴于先前研究中在老年人组中观察到的脆弱性,本研究应用贝叶斯时空模型评估老年人群的关联.
    方法:从山东省2013年1月1日至2019年12月31日国家死亡监测系统收集县级老年组(60岁以上)T2DM死亡数据。中国。贝叶斯时空模型与综合嵌套拉普拉斯方法一起使用,以探索社会环境因素之间的关联(即,温度,相对湿度,归一化植被指数(NDVI),直径为2.5μm或更小的颗粒物(PM2.5)和国内生产总值(GDP))和T2DM死亡率。
    结果:发现老年组的T2DM死亡率与温度和相对湿度(即,温度:相对风险(RR)=1.41,95%可信区间(CI):1.27-1.56;相对湿度:RR=1.05,95%CI:1.03-1.06),虽然没有发现与NDVI的显著关联,PM2.5和GDP。在冬天,发现温度(RR=1.18,95%CI:1.06-1.32)和相对湿度(RR=0.94,95%CI:0.89-0.99)的显着影响。结构化和非结构化空间效应,模型中考虑了时间趋势和时空相互作用。
    结论:山东省较高的平均气温和相对湿度增加了老年T2DM的死亡风险。然而,较高的湿度水平降低了山东省冬季T2DM的死亡风险。这项研究表明,时空方法可以通过结合时空效应来评估社会环境因素对健康的影响。
    BACKGROUND: The mortality of type 2 diabetes mellitus (T2DM) can be affected by environmental factors. However, few studies have explored the effects of environmental factors across diverse regions over time. Given the vulnerability observed in the elderly group in previous research, this research applied Bayesian spatiotemporal models to assess the associations in the elderly group.
    METHODS: Data on T2DM death in the elderly group (aged over 60 years old) at the county level were collected from the National Death Surveillance System between 1st January 2013 and 31st December 2019 in Shandong Province, China. A Bayesian spatiotemporal model was employed with the integrated Nested Laplace Approach to explore the associations between socio-environmental factors (i.e., temperatures, relative humidity, the Normalized Difference Vegetation Index (NDVI), particulate matter with a diameter of 2.5 μm or less (PM2.5) and gross domestic product (GDP)) and T2DM mortality.
    RESULTS: T2DM mortality in the elderly group was found to be associated with temperature and relative humidity (i.e., temperature: Relative Risk (RR) = 1.41, 95% Credible Interval (CI): 1.27-1.56; relative humidity: RR = 1.05, 95% CI:1.03-1.06), while no significant associations were found with NDVI, PM2.5 and GDP. In winter, significant impacts from temperature (RR = 1.18, 95% CI: 1.06-1.32) and relative humidity (RR = 0.94, 95% CI: 0.89-0.99) were found. Structured and unstructured spatial effects, temporal trends and space-time interactions were considered in the model.
    CONCLUSIONS: Higher mean temperatures and relative humidities increased the risk of elderly T2DM mortality in Shandong Province. However, a higher humidity level decreased the T2DM mortality risk in winter in Shandong Province. This research indicated that the spatiotemporal method could be a useful tool to assess the impact of socio-environmental factors on health by combining the spatial and temporal effects.
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  • 文章类型: Journal Article
    在细胞环境中,钙离子(Ca2+)的振荡与各种生理过程密切相关,如细胞增殖,新陈代谢,和生存。基质相互作用分子1(STIM1)蛋白在储存操作的钙进入(SOCE)过程中形成关键的调节成分。STIM1的结构属性对其功能至关重要,包含位于内质网(ER)腔和细胞质中的不同结构域。管腔内域能够及时检测不断下降的Ca2+浓度,提示激活细胞质结构域的结构修饰。这个激活的细胞质结构域经历构象改变并与膜成分接合,打开促进Ca2+从细胞外环境流入的通道。鉴于其多个领域和相互作用机制,STIM1在细胞生物学中起着基础性作用。本文综述了受STIM1结构和功能启发的光遗传学工具的设计。这些工具为研究和操纵具有精确时空控制的细胞内Ca2信号提供了开创性的方法。我们进一步探索这些工具的实际应用,跨越基础科学研究,临床研究,以及他们转化研究的潜力。
    In cellular contexts, the oscillation of calcium ions (Ca2+) is intricately linked to various physiological processes, such as cell proliferation, metabolism, and survival. Stromal interaction molecule 1 (STIM1) proteins form a crucial regulatory component in the store-operated calcium entry (SOCE) process. The structural attributes of STIM1 are vital for its functionality, encompassing distinct domains situated in the endoplasmic reticulum (ER) lumen and the cytoplasm. The intraluminal domain enables the timely detection of diminishing Ca2+ concentrations, prompting structural modifications that activate the cytoplasmic domain. This activated cytoplasmic domain undergoes conformational alterations and engages with membrane components, opening a channel that facilitates the influx of Ca2+ from the extracellular environment. Given its multiple domains and interaction mechanisms, STIM1 plays a foundational role in cellular biology. This review focuses on the design of optogenetic tools inspired by the structure and function of STIM1. These tools offer a groundbreaking approach for studying and manipulating intracellular Ca2+ signaling with precisely spatiotemporal control. We further explore the practical applications of these tools, spanning fundamental scientific research, clinical studies, and their potential for translational research.
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  • 文章类型: Journal Article
    背景:三七,三七的根,长期以来,它对心血管疾病的治疗作用已被公认。皂甙,包括人参皂苷和三七皂苷,是三七的主要生物活性成分。皂苷的生物合成与内源性激素协调的防御反应密切相关。
    结果:为了提供对植物激素茉莉酸(JA)在皂苷合成和调节中的潜在作用的新见解,我们对2-4岁三七的不同组织进行了超高效液相色谱分析。此外,通过联合评价各组织的皂苷含量和转录组分析,分析了皂苷的时空分布。三七皂苷R1、人参皂苷Rb1和人参皂苷Rd在地下组织中积累,包括根,图奇,原纤维和根茎。与这些数据一致,内源激素JAs的相应基因,尤其是冠状动脉不敏感蛋白1(COI1)和粒细胞瘤病蛋白2(MYC2),主要在地下组织中表达。皂苷的组织和年龄特异性分布与参与JA生物合成的基因表达一致,代谢和信号通路。
    结论:本研究揭示了内源性植物激素在三七皂苷合成和调节中的时空效应。这将对提高生态种植技术产生重大影响,培育优质新品种,保护药用三七的稀有资源。©2024化学工业学会。
    BACKGROUND: Sanqi, the root of Panax notoginseng, has long been recognized for its therapeutic effects on cardiovascular diseases. Saponins, including ginsenosides and notoginsenosides, are the main bioactive components of P. notoginseng. The biosynthesis of saponins is closely related to the defense responses orchestrated by endogenous hormones.
    RESULTS: To provide new insights into the underlying role of phytohormone jasmonic acid (JA) in the synthesis and regulation of saponins, we performed an ultra-performance liquid chromatography analysis of different tissues of P. notoginseng aged 2-4 years. Moreover, by combined evaluation of saponin content and transcriptome profiling of each tissue, the spatial and temporal distribution of saponins was analyzed. N notoginsenoside R1, ginsenoside Rb1 and ginsenoside Rd accumulated in the underground tissues, including the root, tuqi, fibril and rhizome. In agreement with this data, the corresponding genes of the endogenous hormone JAs, especially coronatine insensitive 1 (COI1) and myelocytomatosis proteins 2 (MYC2), were predominantly expressed in the underground tissues. The tissue- and age-specific distribution of saponins was consistent with the expression of genes involved in JA biosynthetic, metabolic and signaling pathways.
    CONCLUSIONS: The present study has revealed the temporal and spatial effects of endogenous phtohormones in the synthesis and regulation of notoginsenosides, which will provide a significant impact on improving the ecological planting technology, cultivating new high-quality varieties and protecting the rare resources of medicinal P. notoginseng. © 2024 Society of Chemical Industry.
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  • 文章类型: Journal Article
    背景:老挝人民民主共和国政府加大了控制疟疾传播的力度,以便到2030年达到其国家消除疟疾的目标。天气会影响疟疾传播动态,在评估消除干预措施的影响时应予以考虑,但这种关系在老挝人民民主共和国尚未得到很好的表征。这项研究调查了2010年至2022年气候变量与恶性疟原虫和间日疟原虫疟疾发病率之间的时空关联。
    方法:时空贝叶斯模型用于调查月度关系,和模型选择标准用于评估模型的性能和天气变量规格。由于在研究期间,疟疾控制和消除情况在空间和时间上是动态的,该协会每年在省一级进行审查。
    结果:从2010年到2022年,恶性疟原虫和间日疟原虫的疟疾发病率均下降,并且集中在南部地区。在研究期间,降雨和最大湿度被确定为与疟疾最密切相关。在2010-2011年期间,北部和中部地区的降雨与恶性疟原虫的发病率有关,在2012-2015年期间,北部和中部地区的降雨与间日疟原虫的发病率有关。最大湿度与南部的恶性疟原虫和间日疟原虫的发病率持续相关。
    结论:疟疾在老挝人民民主共和国仍然普遍存在,尤其是在南方,与天气的关系因地区而异,但这两个物种的降雨和最大湿度都最强。在天气条件合适的高峰期,病媒控制活动和提高公众对正确使用干预措施的认识,如室内残留喷涂和个人防护,应该优先考虑。
    BACKGROUND: The government of Lao PDR has increased efforts to control malaria transmission in order to reach its national elimination goal by 2030. Weather can influence malaria transmission dynamics and should be considered when assessing the impact of elimination interventions but this relationship has not been well characterized in Lao PDR. This study examined the space-time association between climate variables and Plasmodium falciparum and Plasmodium vivax malaria incidence from 2010 to 2022.
    METHODS: Spatiotemporal Bayesian modelling was used to investigate the monthly relationship, and model selection criteria were used to evaluate the performance of the models and weather variable specifications. As the malaria control and elimination situation was spatially and temporally dynamic during the study period, the association was examined annually at the provincial level.
    RESULTS: Malaria incidence decreased from 2010 to 2022 and was concentrated in the southern regions for both P. falciparum and P. vivax. Rainfall and maximum humidity were identified as most strongly associated with malaria during the study period. Rainfall was associated with P. falciparum incidence in the north and central regions during 2010-2011, and with P. vivax incidence in the north and central regions during 2012-2015. Maximum humidity was persistently associated with P. falciparum and P. vivax incidence in the south.
    CONCLUSIONS: Malaria remains prevalent in Lao PDR, particularly in the south, and the relationship with weather varies between regions but was strongest for rainfall and maximum humidity for both species. During peak periods with suitable weather conditions, vector control activities and raising public health awareness on the proper usage of intervention measures, such as indoor residual spraying and personal protection, should be prioritized.
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  • 文章类型: Journal Article
    作为预警系统不可或缺的组成部分,对空气质量的精确预测具有重要意义。由于排放源的信息有限以及动态过程中固有的大量不确定性,这仍然是一个艰巨的挑战。为提高空气质量预报的准确性,这项工作提出了一种新的基于变分模式分解(VMD)的时空混合深度学习模型,图注意网络(GAT)和双向长短期记忆(BiLSTM),称为VMD-GAT-BiLSTM,用于空气质量预测。提出的模型最初采用VMD将原始PM2.5数据分解为一系列相对稳定的子序列,从而减少未知因素对模型预测能力的影响。对于每个子序列,然后设计GAT来探索不同监测站之间的深层空间关系。接下来,利用BiLSTM来学习每个分解的子序列的时间特征。最后,将每个分解的子序列的预测结果汇总并求和为最终的空气质量预测结果。在收集的北京空气质量数据集上的实验结果表明,所提出的模型在短期和长期空气质量预测任务上都比其他使用的方法具有更好的性能。
    The precise forecasting of air quality is of great significance as an integral component of early warning systems. This remains a formidable challenge owing to the limited information of emission source and the considerable uncertainties inherent in dynamic processes. To improve the accuracy of air quality forecasting, this work proposes a new spatiotemporal hybrid deep learning model based on variational mode decomposition (VMD), graph attention networks (GAT) and bi-directional long short-term memory (BiLSTM), referred to as VMD-GAT-BiLSTM, for air quality forecasting. The proposed model initially employ a VMD to decompose original PM2.5 data into a series of relatively stable sub-sequences, thus reducing the influence of unknown factors on model prediction capabilities. For each sub-sequence, a GAT is then designed to explore deep spatial relationships among different monitoring stations. Next, a BiLSTM is utilized to learn the temporal features of each decomposed sub-sequence. Finally, the forecasting results of each decomposed sub-sequence are aggregated and summed as the final air quality prediction results. Experiment results on the collected Beijing air quality dataset show that the proposed model presents superior performance to other used methods on both short-term and long-term air quality forecasting tasks.
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  • 文章类型: Journal Article
    近年来,中国的麻疹发病率一直保持在每10万人中1人以下,然而,这种疾病尚未消除。本研究旨在综合分析2005-2022年麻疹流行病学特征,确定高危人群和地区,提出有针对性的干预措施。
    我们利用中国疾病预防控制信息系统的数据进行综合分析。空间自相关用于检查麻疹的空间聚类,而时空扫描分析用于检测时空聚类来描述研究期间的麻疹流行病学。
    从2005年到2022年,中国报告了732218例麻疹病例。总的来说,麻疹发病率呈下降趋势,特别是在2008-2011年和2015-2022年期间。2022年,发病率达到历史最低水平,为每10万人口0.039。麻疹主要影响幼儿。自2017年以来,全球空间集群有所减少,尽管热点地区仍然存在于西部省份。时空扫描确定了2005年至2008年的高发群,包括西部15个省,中央,和中国北部地区。相反,从2016年到2022年,在南部和中部省份发现了一个低发病率集群。
    中国在预防和控制麻疹方面取得了重大进展。最近的低发病率和没有实质性的时空聚集表明中国正在接近消灭麻疹。然而,继续需要加强西部省份幼儿和历史热点地区的预防和控制工作。此外,改善疫苗相关皮疹疾病的诊断至关重要.
    UNASSIGNED: In recent years, the incidence of measles in China has consistently remained below 1 per 100,000 population, yet the disease has not been eliminated. This study aims to comprehensively analyze the epidemiological characteristics of measles from 2005 to 2022, identify high-risk populations and areas, and propose targeted interventions.
    UNASSIGNED: We utilized data from the China Disease Prevention and Control Information System for our comprehensive analysis. Spatial autocorrelation was employed to examine the spatial clustering of measles, while spatiotemporal scanning analysis was used to detect spatiotemporal clustering to describe measles epidemiology during the study period.
    UNASSIGNED: Between 2005 and 2022, 732,218 measles cases were reported in China. Overall, the incidence of measles exhibited a downward trend, particularly during the periods of 2008-2011 and 2015-2022. In 2022, the incidence rate reached its historical low at 0.039 per 100,000 population. Measles predominantly affects young children. Since 2017, global spatial clustering has diminished, although hotspot areas persist in the western provinces. Spatial-temporal scanning identified a high-incidence cluster from 2005 to 2008, comprising 15 provinces in the western, central, and northern regions of China. Conversely, from 2016 to 2022, a low-incidence cluster was detected in the southern and central provinces.
    UNASSIGNED: China has made significant progress in measles prevention and control. The recent low incidence and absence of substantial spatiotemporal clustering indicate that China is nearing measles elimination. However, there is a continuing need to enhance prevention and control efforts among very young children and in historic incidence hotspots in western provinces. Additionally, improving the diagnosis of vaccine-associated rash illnesses is essential.
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  • 文章类型: Journal Article
    随着更高的时空分辨率触觉传感系统正在开发用于假肢,可穿戴设备,和其他生物医学应用,它们需要更快的采样率并生成更大的数据流。稀疏的转换可以通过压缩实现压缩采样和高效的数据存储来缓解这些要求。然而,关于触觉交互的最佳稀疏化转换的研究还很滞后。在这项工作中,我们构建了一个正交和双正交小波变换库,作为触觉交互的稀疏变换,并比较了它们在压缩和稀疏性方面的权衡。我们在公开可用的高密度触觉对象抓取数据集(548传感器触觉手套,抓住26个对象)。此外,我们研究了小波变换-1D,2D,或3D-最好压缩这些触觉交互。我们的结果表明,小波变换在压缩触觉数据方面非常有效,并且可以导致非常稀疏和紧凑的触觉表示。此外,我们的结果表明,一维变换实现了最稀疏的表示,其次是3D,最后是2D。总的来说,用于粗略逼近的最佳小波是在时间上评估的Symlet4,它可以稀疏到0.5%的稀疏性,并将10位触觉数据压缩到平均每像素0.04位。未来的研究可以利用本文的结果来帮助大型触觉阵列的压缩采样,并释放计算资源,以便在计算受限的移动平台(如神经假体)上进行实时处理。
    As higher spatiotemporal resolution tactile sensing systems are being developed for prosthetics, wearables, and other biomedical applications, they demand faster sampling rates and generate larger data streams. Sparsifying transformations can alleviate these requirements by enabling compressive sampling and efficient data storage through compression. However, research on the best sparsifying transforms for tactile interactions is lagging. In this work we construct a library of orthogonal and biorthogonal wavelet transforms as sparsifying transforms for tactile interactions and compare their tradeoffs in compression and sparsity. We tested the sparsifying transforms on a publicly available high-density tactile object grasping dataset (548 sensor tactile glove, grasping 26 objects). In addition, we investigated which dimension wavelet transform-1D, 2D, or 3D-would best compress these tactile interactions. Our results show that wavelet transforms are highly efficient at compressing tactile data and can lead to very sparse and compact tactile representations. Additionally, our results show that 1D transforms achieve the sparsest representations, followed by 3D, and lastly 2D. Overall, the best wavelet for coarse approximation is Symlets 4 evaluated temporally which can sparsify to 0.5% sparsity and compress 10-bit tactile data to an average of 0.04 bits per pixel. Future studies can leverage the results of this paper to assist in the compressive sampling of large tactile arrays and free up computational resources for real-time processing on computationally constrained mobile platforms like neuroprosthetics.
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  • 文章类型: Journal Article
    了解物种多样性的模式对于生态研究和保护至关重要,这种理解可以通过研究物种多样性的两个组成部分的模式来改善,物种丰富度和物种丰富度的均匀度。以前,物种丰富度和均匀度的变化与群落总丰度和生产力梯度的变化有关。探索物种多样性的两个组成部分是必不可少的,因为这些组成部分可能是不相关的或由不同的机制驱动的。这项研究的目的是调查欧洲鸟类群落中物种丰富度与均匀度之间的关系。我们研究了它们与纬度和净初级生产力的关系,决定了异养生物的能量和物质可用性,以及它们对领土密度(即每个区域的领土数量)和群落生物量(即每个区域的鸟类生物量)的响应。我们将多元泊松对数正态分布应用于唯一的长期,高质量的时间序列数据,允许我们估计群落的物种丰富度以及这种分布的方差,它作为均匀度的逆度量。群落中物种丰度分布的均匀度与物种丰富度无关。物种丰富度随着群落生物量的增加而增加,以及随着密度的增加。由于这两种丰度测量都是由NPP解释的,物种丰富度部分由能量多样性理论解释(即能量越多,生态系统维持的物种越多)。然而,物种丰富度没有随NPP线性增加,而是表现出单峰关系。均匀性既不能用生产力来解释,也不能用社区丰富的任何方面来解释。这项研究强调了考虑丰富度和均匀度以更好地了解物种多样性变化的重要性。我们鼓励在未来的研究中研究物种多样性的两个组成部分,以及使用模拟研究来验证观察到的丰富度和均匀度之间的模式。
    Understanding patterns of species diversity is crucial for ecological research and conservation, and this understanding may be improved by studying patterns in the two components of species diversity, species richness and evenness of abundance of species. Variation in species richness and evenness has previously been linked to variation in total abundance of communities as well as productivity gradients. Exploring both components of species diversity is essential because these components could be unrelated or driven by different mechanisms. The aim of this study was to investigate the relationship between species richness and evenness in European bird communities along an extensive latitudinal gradient. We examined their relationships with latitude and Net Primary Productivity, which determines energy and matter availability for heterotrophs, as well as their responses to territory densities (i.e. the number of territories per area) and community biomass (i.e. the bird biomass per area). We applied a multivariate Poisson log-normal distribution to unique long-term, high-quality time-series data, allowing us to estimate species richness of the community as well as the variance of this distribution, which acts as an inverse measure of evenness. Evenness in the distribution of abundance of species in the community was independent of species richness. Species richness increased with increasing community biomass, as well as with increasing density. Since both measures of abundance were explained by NPP, species richness was partially explained by energy-diversity theory (i.e. the more energy, the more species sustained by the ecosystem). However, species richness did not increase linearly with NPP but rather showed a unimodal relationship. Evenness was not explained either by productivity nor by any of the aspects of community abundance. This study highlights the importance of considering both richness and evenness to gain a better understanding of variation in species diversity. We encourage the study of both components of species diversity in future studies, as well as use of simulation studies to verify observed patterns between richness and evenness.
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  • 文章类型: Journal Article
    五岁以下儿童腹泻是一种重大的公共卫生威胁,世界卫生组织(WHO)报告说,它是全球儿童死亡的第二大原因。在这个研究领域,对5岁以下腹泻发病率的时空分布知之甚少。因此,这项研究是,在贡达尔中部地区的所有地区进行评估,temporal,以及中部冈达区5岁以下儿童腹泻发病率的时空变化。5岁以下儿童腹泻的数据来自2019年1月至2022年12月的中央冈区卫生部腹泻报告。所有地区都包括在内并进行了地理编码。空间数据在ArcGIS10.8.1中创建。使用全局和局部空间自相关来检测热点和冷点。泊松模型是通过应用SaTScan™9.6中的Kulldorff方法来分析纯时间,空间,和时空集群。这项研究揭示了5岁以下腹泻的空间变异,GondarZuria,东登比亚,在研究期间,LayArmacho地区是高速率空间集群。时间扫描统计的年度搜索窗口将2020年1月1日至2021年12月30日确定为所有地区的风险期。时空扫描统计数据在冈达尔市检测到高速率集群,GondarZuria,东登比亚,LayArmacho,和Alefa在2019年至2022年之间。总之,有一个空间,temporal,中部冈达区5岁以下儿童腹泻的时空变异。应制定干预和预防策略,并优先考虑本研究中发现的热点领域,以降低5岁以下儿童的死亡率和发病率。
    Under-five children\'s diarrhea is a significant public health threat and the World Health Organization (WHO) reported it as the second leading cause of children\'s death worldwide. In this study area, little is known about the spatiotemporal distribution of under-5 diarrhea incidence. This study was therefore, conducted among all districts in the Central Gondar zone to assess the spatial, temporal, and spatiotemporal variation in diarrhea incidence among under-five children in the Central Gondar zone. The data for children under 5 years of age with diarrhea was obtained from Central Gondar Zone Health Department diarrhea reports from January 2019 to December 2022. All districts were included and geo-coded. The spatial data were created in ArcGIS 10.8.1. Global and local spatial autocorrelation were used to detect hot spots and cold spots. The Poisson model was generated by applying the Kulldorff method in SaTScan™9.6 to analyse the the purely temporal, spatial, and space-time clusters. The study revealed spatial variation of under-5 diarrhea where Gondar City, Gondar Zuria, East Dembia, and Lay Armacho districts were the high-rate spatial clusters during the study period. A year search window for temporal scan statistic identified 01 January 2020-30 December 2021 as risk periods across all districts. Spatiotemporal scan statistics detected high-rate clusters at Gondar City, Gondar Zuria, East Dembia, Lay Armacho, and Alefa between 2019 and 2022. In conclusion, there has been a spatial, temporal, and spatiotemporal variability of under-5 children\'s diarrhea in the Central Gondar Zone. Interventional and preventive strategies should be developed and given priority to the areas that has been detected as a hotspot in this study to reduce the mortality and morbidity of under 5 children.
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  • 文章类型: Journal Article
    目标:在加拿大,与物质相关的意外急性毒性死亡(AATDs)在国家和国家以下水平继续上升。然而,它是未知的,如果,where,when,以及AATDs在太空中聚集到什么程度,时间,和全国各地的时空。本研究的目的是1)评估2016年和2017年加拿大在国家和省/地区(P/T)级别发生的AATD集群,和2)检查每个集群内AATD病例中检测到的物质类型。
    方法:使用标准化的数据收集工具,从验尸官和医学检查官档案中提取了两年的AATD人级数据,包括死者的邮政编码和居住地的市政信息,急性毒性(AT)事件,和死亡,以及在死亡中发现的物质.将数据与加拿大人口普查信息相结合,以创建描述人口普查部门AATD率的chroopleth地图。使用空间扫描统计来建立泊松模型,以识别在国家和空间P/T水平上的高速率(p<0.05)的AATD集群。时间,和研究期间的时空。进一步检查了集群中AATD病例中每个集群中最存在的物质类型。
    结果:确定了加拿大五个地区在国家一级的八个集群和15个地区在P/T一级的24个集群,强调AATD的发生率远高于全国其他地区。已识别集群的风险比范围为1.28至9.62。在集群中检测到的物质因区域和时间而异,然而,阿片类药物,兴奋剂,和酒精通常是集群中最常检测到的物质。
    结论:我们的发现是加拿大第一个使用空间扫描统计数据揭示国家和P/T水平的AATDs地理差异的发现。与每个簇内的物质类型相关的比率突出显示在所识别的区域中检测到的物质类型最多。研究结果可用于指导干预/计划计划,并提供2016年和2017年背景的图片,可用于比较不同时间段的AATD和物质的地理分布。
    OBJECTIVE: In Canada, substance-related accidental acute toxicity deaths (AATDs) continue to rise at the national and sub-national levels. However, it is unknown if, where, when, and to what degree AATDs cluster in space, time, and space-time across the country. The objectives of this study were to 1) assess for clusters of AATDs that occurred in Canada during 2016 and 2017 at the national and provincial/territorial (P/T) levels, and 2) examine the substance types detected in AATD cases within each cluster.
    METHODS: Two years of person-level data on AATDs were abstracted from coroner and medical examiner files using a standardized data collection tool, including the decedent\'s postal code and municipality information on the places of residence, acute toxicity (AT) event, and death, and the substances detected in the death. Data were combined with Canadian census information to create choropleth maps depicting AATD rates by census division. Spatial scan statistics were used to build Poisson models to identify clusters of high rates (p < 0.05) of AATDs at the national and P/T levels in space, time, and space-time over the study period. AATD cases within clusters were further examined for substance types most present in each cluster.
    RESULTS: Eight clusters in five regions of Canada at the national level and 24 clusters in 15 regions at the P/T level were identified, highlighting where AATDs occurred at far higher rates than the rest of the country. The risk ratios of identified clusters ranged from 1.28 to 9.62. Substances detected in clusters varied by region and time, however, opioids, stimulants, and alcohol were typically the most commonly detected substances within clusters.
    CONCLUSIONS: Our findings are the first in Canada to reveal the geographic disparities in AATDs at national and P/T levels using spatial scan statistics. Rates associated with substance types within each cluster highlight which substance types were most detected in the identified regions. Findings may be used to guide intervention/program planning and provide a picture of the 2016 and 2017 context that can be used for comparisons of the geographic distribution of AATDs and substances with different time periods.
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