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Background Population aging is a major challenge in the global healthcare field. Due to pathological and physiological changes in ageing skin, skin injuries are highly prevalent in older population. And epidemiological studies on skin injuries in this population has become a research hotspot recently. Objective To examine the prevalence and epidemiological characteristics of three types of skin injuries 〔pressure injuries (PI) , incontinence-associated dermatitis (IAD) and skin tears (ST) 〕in elderly inpatients using a multicenter cross-sectional study, providing a basis for formulating strategies for the prevention of skin injuries in older people. Methods A multicenter study was carried out in 52 hospitals selected from 16 provinces, two autonomous regions and two municipalities of China, from which 1 067 nurses who had completed the online homogenization training conducted by our research group and passed the relevant examination were selectedas investigators. Every 2-3 nurses were divided into a investigation group. Eligible older inpatients were selected as participants. Full body skin examination for screening skin injuries was conducted in participants in each hospital by nurses using the same tools and methods. PI, IAD and ST were defined and classified by relevant international guideline or expert consensus, respectively. Then demographics, length of stay (LOS) , chronic disease history, use of medications in the past month, living independence and risk of PI assessed by the Braden Scale of the participants were collected. After that, two nurses of each group signed to confirm the results, and uploaded to https://www.wjx.cn. SPSS 22.0 was used for statistical analysis. Results A total of 14 675 elderly inpatients were investigated, and all of them responded effectively (100.0%) . The respondents had an average age of (73.5±9.0) years and a median LOS of 7 (4, 13) days, among whom 56.3% (8 262/14 675) were men, and 43.7% (6 413/14 675) were women; 95.5% (14 020/14 675) were Han people, and 4.5% (655/14 675) were 19 ethnic minorities. The overall prevalence of the three types of skin injuries was 6.0% (881/14 675) , of which the prevalence of PI, IAD, ST and at least two types of skin injuries was 3.3% (484/14 675) , 1.4% (199/14 675) , 0.8% (110/14 675) and 0.6% (88/14 675) , respectively. Epidemiologic characteristics: Han people had higher prevalence of skin injuries compared with ethnic minorities (6.2% vs 2.9%, P=0.001) . Eighty-year-olds had higher prevalence of skin injuries than 71-80-year-old (10.2% vs 6.1%, P

LiF-BeF2-ZrF4-UF4 and LiF-BeF2 have been employed as fuel salt and coolant in liquid fueled molten salt reactor, respectively. A heat exchanger containing both fuel salt and cooling salt is placed inside the reactor vessel to dissipate the heat produced by the reactor. A molten salttoair heat exchanger outside the reactor vessel is used to cool the molten salt, and a molten salt pump is used to drive the circulation of the entire circuit of coolant system. As of the molten salt, LiF-BeF2 coolant, flows through the molten salt heat exchanger located inside the reactor vessel, nuclides in the coolant are activated by 19F(n, α)16N, 19F(n, γ)20F, and 19F(n, p)19O reactions with neutrons in the reactor core, and thus radionuclides such as 16N, 20F and 19O are produced. These radionuclides have radiation impact on the surrounding environment and equipment if they enter the rooms where equipment for molten salt coolant circuit locate. According to the flow process and distribution law of the cooling salt, theoretical calculation formulas to calculate the amount of radionuclide were given. Using theoretical formulas, calculated radioactivities of the three most important radionuclides 16N, 20F and 19O per unit volume of cooling salt are 9.05×106, 8.33×106 and 2.69×105 Bq/cm3 at the outlet of the molten salt heat exchanger, while the radioactivities of the three radionuclides at the same location calculated by ORIGENS program are 8.98×106, 8.58×106 and 2.76×105 Bq/cm3, respectively. The results calculated by the formulas are in good agreement with the data of the ORIGENS program, and the maximum relative deviation between the results of the two methods is 292%, indicating that applying the derived formulas to carry out cooling salt activation analysis is reasonable and feasible. These radionuclides, 16N, 20F and 19O, produced in the cooling salt of molten salt reactor release highenergy gamma rays as they decay. The total gamma emissivities of the cooling salt in equipment and pipelines located in the cooling salt storage tank room, in the molten salt-to-air heat exchanger room and in the cooling salt pump room are 8.71×1011, 9.51×1011 and 1.93×1012 s-1, respectively, and the most radioactive area is in the cooling salt pump room. The maximum absorbed dose rate at the location of the cooling salt auxiliary equipment is 45.7 mGy/h without shielding, which cannot meet the requirement of the radiation dose, and which should be less than 50 Gy for the entire life of the equipment (300 full power days). By setting a 30 cm thick concrete shielding wall between the cooling salt auxiliary equipment and the cooling salt pump, the absorbed dose rate at the location of the auxiliary equipment can be reduced to less than 7 mGy/h, thereby the radiation protection requirements for the cooling salt auxiliary equipment can be met.

Objective: To investigate the clinical manifestations and diagnostic method of hyperparathyroidism due to parathyroid tumors and to evaluate the intra-operative detection of parathyroid hormone in surgical treatment., Method: Thirty-seven cases with functional parathyroid tumors from January 2003 to October 2012 were retrospectively analyzed. The clinical manifestation, examination and operation method, changes of parathyroid hormone before and after operation were collected., Result: All cases were definitely diagnosed before operation. The sensitivity and the positively predictive values of neck ultrasonography were 86.5% and 97.6% respectively, and the same data of Tc-99m-MIBI was 97.2% and 100.0%. The PTH levels declined by 84.9% ten minutes after tumor resecting compared with the level before operation. The serum calcium and PTH returned to normal levels and symptomatic relief occurred after operation., Conclusion: Recurrent bone disease, long-term urinary calculus and obscure gastrointestinal symptoms were common symptoms of hyperparathyroidism due to parathyroid tumors. The neck ultrasonography and Tc-99m-MIBI were suitable for location of parathyroid tumors. Surgical operation was an effective treatment for parathyroid tumor. Intra-operative PTH assay would be able to ensure the radical excision and the operative safety for functional parathyroid tumors.