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Significant amounts of petroleum are found in the deeply buried Cambrian Xiaoerbulake Formation in the Tarim Basin. However, limited understanding of origin of diagenetic fluids hampers petroleum exploration. In this study, petrological and high-resolution geochemical methods have been performed to understand the origin and evolution of diagenetic fluids, and their effects on the formation of dolostone reservoir. The Xiaoerbulake Formation is characterised by microbialites. The matrix is characterised by modern seawater-like rare earth element and yttrium (REY) patterns and δ18O values of −6.02 ± 2.11‰ Vienna Pee Dee Belemnite (VPDB). Fine-crystalline dolomite cements have similar δ13C values and heavy rare earth element enrichment patterns to that of matrix dolomite, yet with lower δ18O values of −7.47 ± 1.2‰ VPDB. In the deep-burial regimes, medium- to coarse-crystalline dolomite cements and saddle dolomites were precipitated at temperatures of 90–120 and 130–190 °C, respectively, lower δ18O values, distinct middle rare earth element enrichment, and high Fe and Mn contents compared with matrix and fine-crystalline dolomite cements. These imply thermochemical reduction of Fe- or Mn-rich oxides and/or hydrothermal fluids. Compared with other types of dolomite cements, calcite cements are characterised by low δ13C values (as low as −6‰ VPDB), light rare earth elements enrichment and significantly elevated Y/Ho ratios (86 ± 59.3), likely related to the oxidation of organic matter during thermochemical sulfate reduction (TSR). Consequently, diagenetic fluid may have evolved from: Cambrian seawater, meteoric water, shallow-buried seawater-dominated pore water, medium-deep-buried ferrous-rich pore water, lately high-salinity hydrothermal fluid-dominated pore water and finally to acidic fluids related to TSR dissolution. Reservoir quality is enhanced by hydrothermal pulses and TSR in deep-burial settings. This study is significant for those concerned with the formation of deep-buried carbonate reservoirs. [ABSTRACT FROM AUTHOR]

Sparganosis is a serious food-borne parasitic zoonosis caused by infection with Spirometra spargana. The prevalence of sparganum infection in wild frogs (Rana nigromaculata, R. limmochari, R. temporaria and Bufo gargarizans) was investigated in Henan Province of central China during 2008–2012. Of 3482 caught wild frogs, 565 (16.23%) were found to be infected with plerocercoids (spargana) of the genus Spirometra. Spargana were found in 14.85% (320/2155) of R. nigromaculata, 20.82% (233/1119) of R. limmochari and 10.91% (12/110) of R. temporaria frogs. However, no sparganum was found in B. gargarizans. To investigate the phylogenetic position of collected spargana, three mitochondrial DNA (mtDNA) regions, namely cytochrome c oxidase subunits 1 and 3 (cox1 and cox3), and NADH dehydrogenase subunit 4 (nad4), were amplified, sequenced and analysed. Sequences of cox1, cox3 and pnad4 were 417, 390 and 578 bp in length, respectively. The base composition of cox1, cox3 and pnad4 were generally AT rich with a mean of 63.5%, 68.3% and 67% AT, respectively. Phylogenetic analysis showed that all the sparganum isolates in Henan Province represented Spirometra erinaceieuropaei and were a well-supported clade. These findings demonstrated clearly the usefulness of the three mtDNA sequences for molecular identification and population genetics studies of S. erinaceieuropaei spargana of human and animal health significance. [ABSTRACT FROM AUTHOR]

This study investigates the stability and sustainability of carbon decoupling in urban agglomerations across China, where the strong coupling between economic growth and carbon emissions poses significant challenges. Despite efforts in energy conservation and emission reduction, urban agglomerations have seen unsatisfactory results. By analyzing the real-pseudo decoupling states in 19 urban agglomerations from 2007 to 2020, the objective of this study is to identify the type and trend characteristics of carbon decoupling traps and to propose solution paths for maintaining decoupling stability. Major Findings: (1) The decoupling state exhibits volatility and instability in urban agglomerations, making them susceptible to decoupling traps. (2) Most urban agglomerations remain un-decoupled, with a few cities achieving real decoupling and gradually shifted from northeast to southeast, while pseudo-decoupling and un-decoupled cities consistently cluster in the southwest and northwest regions. (3) Real-pseudo decoupling is driven by a combination of endogenous and exogenous factors, with energy structure, population density, and environmental regulation intensity emerging as pivotal influencers. (4) Geographical factors exhibit both commonalities and variations in their impact on real-pseudo decoupling. By identifying real-pseudo decoupling states and their driving factors, this study proposes strategic solution paths to overcome carbon constraints and achieve stable decoupling in urban agglomerations, contributing to the broader goals of sustainable economic and environmental development., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

Bivalves, such as oysters and mussels, are exposed to environmental pollutants, like microplastics (MPs) and arsenic (As). This study investigated co-existence and interaction of MPs and As (total As and As species) in two bivalve species from the Chinese coastline. Smaller MPs (20-100 μm) averaged 30.98 items/g, while larger MPs (100-500 μm) averaged 2.98 items/g. Oysters contained more MPs (57.97 items/g) in comparison to mussels (11.10 items/g). In Contrast, mussels had a higher As concentrations (8.36-23.65 mg/kg) than oysters (4.97-11.02 mg/kg). The size and composition of MPs influenced As uptake and speciation in bivalves, with inorganic arsenic (iAs) and methylated arsenic (MMA and DMA) correlating with larger-sized MPs. Polyethylene (PE) may interact with the formation of arsenobetaine (AsB) in oyster. This study provides valuable insights into the interaction of MPs and As in marine ecosystems and highlights their implications for food safety., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

Purpose: Preexisting type 1 diabetes is a stressful situation for women in pregnancy. We aimed to evaluate health-related quality of life (HRQoL) during pregnancy in women with type 1 diabetes and examine the association between HRQoL and pregnancy outcomes., Methods: This multicenter prospective cohort study involved 115 pregnant women with type 1 diabetes from 11 participating centers in China. HRQoL was investigated in three trimesters using European Quality-of-life 5-Dimension 5-Level questionnaire (EQ-5D-5 L). Chinese time trade-off value method was used to calculate the EQ-5D-5 L score. Multivariable logistic regression model was used to evaluate the effect of HRQoL on maternal and neonatal outcomes. Receiver operating characteristic curves and distribution-based methods were employed to estimate minimally important differences of clinically important decline in HRQoL., Results: 50.43% of the studied women with type 1 diabetes reported impaired HRQoL in pregnancy. Estimated maternal HRQoL significantly decreased from early to mid-pregnancy (mean EQ-5D-5 L score 0.97 in the first trimester and 0.91 in the second trimester) and improved slightly in late pregnancy (mean EQ-5D-5 L score 0.95). Multivariable regression model showed that women who experienced impaired HRQoL in pregnancy had higher risk of hypertensive disorder, preterm birth, and composite pregnancy outcome. The estimated minimally important difference for composite pregnancy outcome was -0.045 to -0.043., Conclusions: Experiencing impaired HRQoL during pregnancy was associated with a higher risk of hypertensive disorder and preterm birth in women with type 1 diabetes. The estimated minimally important difference of EQ-5D-5 L might serve as a clinically important tool in prenatal care., Trial Registration: No.ChiCTR1900025955., (© 2024. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)

Background: Evidence of the acute effects of high-level air pollution on small airway function and systemic inflammation in adults is scarce., Objective: To examined the associations of short-term (i.e., daily) exposure to multiple air pollutants with lung function and inflammatory markers., Methods: We assessed short-term (daily) effects of air pollutants, including particulate matter with aerodynamic diameter less than 2.5 μm (PM 2.5 ) and 10 μm (PM 10 ), nitrogen dioxide (NO 2 ), sulfur dioxide (SO 2 ) and carbon monoxide (CO), on lung function and peripheral immune cell counts over various lag times using generalized linear regression models., Results: A total of 4764 adults were included from the general community-dwelling population in Shanghai, China. Exposure to air pollutants and lung function were negatively correlated. Decline in FEF between 25% and 75% of vital capacity (FEF 25-75% ) were found associated with PM 2.5 , SO 2 , and CO, and decline in forced expiratory volume in 3 s (FEV 3 ) to forced vital capacity (FVC) ratio were associated with all examined pollutants, indicating obstruction in small airways. Obstructed airflow in large and middle airways as indicated by decline in FEV 1 /FVC were also associated with all pollutants. In subgroup analysis, significant negative associations between the five pollutants and SAD parameters were found only in males but not in females. The difference in the associations of SO 2 with FEF 75% between males and females achieved statistical significance. Additionally, all examined pollutants were significantly associated with lower peripheral neutrophil count., Impact Statement: Acute exposure to air pollutants were associated with airflow-limitation. Both small airways and proximal airways were affected. Acute exposure to air pollutants were accompanied with a lower neutrophil count., (© 2023. The Author(s), under exclusive licence to Springer Nature America, Inc.)

Background: 10-year atherosclerotic cardiovascular disease (ASCVD) risk scores were useful for predicting large vessel disease, but the relationships between them and cerebral small vessel disease (CSVD) were unclear. Our study aimed to evaluate associations of 10-year ASCVD risk scores with CSVD and its magnetic resonance imaging (MRI) markers., Methods: Community-dwelling residents from the PolyvasculaR Evaluation for Cognitive Impairment and vaScular Events study were included in this cross-sectional study. At baseline, we collected data related to the Framingham Risk Score (FRS), pooled cohort equation (PCE), prediction for ASCVD risk in China (China-PAR) and Systematic COronary Risk Evaluation model 2 (SCORE2), and classified participants into low, moderate and high groups. Participants underwent brain MRI scans. We evaluated white matter hyperintensity (WMH), lacunes, cerebral microbleeds (CMBs) and enlarged perivascular spaces in basal ganglia (BG-EPVS) according to criteria of Wardlaw and Rothwell, and calculated total CSVD score and modified total CSVD score., Results: A total of 3063 participants were included, and 53.5% of them were female. A higher FRS was associated with higher total CSVD score (moderate vs. low: cOR 1.89, 95% CI 1.53-2.34; high vs. low: cOR 3.23, 95%CI 2.62-3.97), and the PCE, China-PAR or SCORE2 score was positively related to total CSVD score (P < 0.05). Moreover, higher 10-year ASCVD scores were associated with higher odds of WMH (P < 0.05), lacunes (P < 0.05), CMBs (P < 0.05) and BG-EPVS (P < 0.05)., Conclusions: The 10-year ASCVD scores were positively associated with CSVD and its MRI markers. These scores provided a method of risk stratification in the population with CSVD., (© The Author(s) 2024. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.)

This study addresses the pressing need for cost-effective emission reduction strategies that maximize co-benefits in terms of air pollution and carbon emissions. Our research contributes to the literature by accurately measuring these co-benefits, thereby facilitating their prompt realization in different regions. We employ an input-output framework that integrates carbon emissions and air pollution, allowing us to calculate marginal abatement costs using the shadow price of undesired output. Through this approach, we quantify the co-benefits and analyze the factors influencing them at both spatiotemporal and factor levels using spatial kernel density and geographical detectors. Our findings reveal several key insights: (1) under joint emission reduction efforts, we observe average annual reduction rates of 6.46% for marginal pollution and 6.10% for carbon reduction costs. Importantly, we document an increase in co-benefits from 0.50 to 0.86, characterized by an initial fluctuation followed by a linear increase. (2) the marginal cost difference for carbon emission and pollution reduction in western China was 179.45 and 155.08 respectively, compared to 321.51 and 124.70 in the Northeast, highlighting the crucial role of regional differences in shaping co-benefit outcomes. (3) we identify a negative spatial spillover effect between provinces, which diminishes over time, leading to heterogeneous effects when local provincial co-benefits exceed a threshold of 0.9. (4) during the adjustment period, we find that the industrial structure exerts significant single and interactive effects on co-benefits. Additionally, we highlight the critical role of environmental governance investment and government intervention as drivers of co-benefits in the current era. By offering the quantification of co-benefits under the marginal abatement costs, our study provides valuable scientific insights for planning and implementing effective synergy strategies., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Inc. All rights reserved.)

Rice wine, known as yellow wine in China and Japan, possesses considerable nutritional value and holds significant global influence. This study addresses the challenge of preserving rice wine, which is prone to rancidity due to its low alcohol content. Conventional storage techniques employing pottery jars often result in substantial spoilage losses. Through rigorous investigation, this research identifies a polarization phenomenon exhibited by degraded rice wine when subjected to high-frequency microwaves(>60GHz), presenting a pioneering method for detecting spoilage, even within sealed containers. Employing a multi-channel microwave radar apparatus, the study delves into the susceptibility of rice wine to electromagnetic waves across various frequencies, uncovering pronounced polarization traits in deteriorated samples within the E-band microwave spectrum. Furthermore, lab-controlled simulations elucidate a direct correlation between physicochemical alterations and high-frequency Radar Cross Section (RCS) signals during the wine's deterioration process. A novel six-membered Hydrated Cluster hypothesis is proposed, offering insights into the molecular mechanisms underlying this phenomenon. Additionally, dielectric property assessments conducted using vector network analyzers (VNA) reveal noteworthy enhancements in the dielectric constant of deteriorated rice wine, particularly within the high-frequency domain, thereby augmenting detectability. These findings carry implications for refining rice wine preservation techniques and contribute to the advancement of non-destructive testing technologies, enabling the detection of rice wine deterioration or indications thereof, even within sealed vessels., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Zhang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

The joint participation of multiple subjects is crucial for environmental governance. Using panel data for 273 Chinese cities during 2013-2019, this study investigates the impact and mechanism of public demands on environmental pollution. The results demonstrate that public demands measured by the number of environmental complaints placed on government leaders significantly reduce environmental pollution. Furthermore, increases in the rate and speed of government responses improve the effect of public demands on environmental governance. Public demands placed on provincial leaders reduce local environmental pollution to a greater extent than public demands placed on prefectural and county leaders. Province-level governments are more willing to consider public opinions and attach more importance to environmental governance; Prefecture-level governments prioritize province-level governments' attention to the environment when implementing environmental governance. Moreover, strong political ties between provincial and prefectural leaders and long tenures among prefectural leaders strengthen the pollution reduction effect of public demands placed on provincial leaders. The reduction effect of environmental complaints on pollution emission is more significant in cities with high level of Internet construction and environmental disclosure. Our results illustrate the role of public demands in environmental governance, offering a reference for developing effective environmental policies., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

Objectives: The aim of this study was to assess the quality of tuberculosis (TB) care for the whole course and assess factors that affect completing treatment., Design: This is an observational retrospective study using chart abstraction for the whole course of TB care conducted at two underserved provinces in China., Setting: The study was conducted from June 2021 to July 2021. All medical records (outpatient and inpatient) for the whole course (6-8 months) of patients with TB newly registered from July 2020 to December 2020 were reviewed and abstracted using predetermined checklists., Participants: A total of 268 outpatient medical records and 126 inpatient records were included., Primary and Secondary Outcome Measures: The primary outcome included diagnostic quality, treatment quality and management quality. The secondary outcome was completing treatment., Results: For diagnostic quality, 94.2% of the diagnosis were based on adequate evidence. For treatment quality, 240 (91.6%) outpatients and 100 (85.5%) inpatients took the standard chemotherapy regimens. 234 (87.3%) patients completed treatment. 85.1% of the inpatients prescribed with second-line drugs were inappropriate. For management quality, 128 (47.9%) patients received midterm assessments, but only 47 (19.7%) received sufficient services for the whole course. Patients with TB symptoms were 1.8 times more likely to complete treatment (p=0.011)., Conclusion: Patients with TB received high-quality diagnosis and treatment services, but low-quality whole-course management. Integration of medical and public health services should be strengthened to improve whole-course quality., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Heavy metals present a substantial threat to both the environment and human health. Considering the delicate ecological equilibrium of the Tibetan Plateau (TP) and its heightened susceptibility to anthropogenic impacts, scholarly attention has progressively turned toward the examination of heavy metal pollution within the plateau's environment. In this study, we conducted a comprehensive analysis of various heavy metals (As, Cr, Co, Ni, Cu, Mo, Cd, Pb, and Sb), utilizing topsoil samples collected from the TP during the period of 2018-2021. Additionally, snow and cryoconite samples obtained from TP glaciers during the same timeframe were also subjected to analysis. The results indicate elevated concentrations of total heavy metals in the eastern and western TP (328.7 μg/g), as opposed to the central and southern TP (145.7 μg/g). Most heavy metals exhibit a consistent spatial distribution pattern. High Enrichment Factors (EFs) and Geoaccumulation Index (I geo ) values for As and Cd suggest their enrichment in TP topsoil. Receptor modeling identified three primary sources of heavy metals within the topsoil: industrial sources (42.3%), inherent natural sources within the surface soil (20.6%), and vehicular emissions (14.2%). Substantial differences in heavy metal concentrations and spatial distribution were observed between the topsoil and the glacial snow-cryoconite matrix. The prominent presence of Sb in the snow-cryoconite matrix, in contrast to its low abundance in the topsoil, indicates distinct source influences of long-range transported materials between the two environments. Our inference suggests that the influence of heavy metals from distant pollutants undergo mixing and dilution in the topsoil due to the presence of local indigenous heavy metals, although such influence is notably observed on the glacier surface of the TP. Consequently, this underscores the significant impact of long-range transported sources on heavy metals, surpassing the influence of local TP soils, to the alpine glaciers and even other atmospheric sediments in Tibetan Plateau., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

Background: PKD1, which has a relatively high mutation rate, is highly polymorphic, and the role of PKD1 is incompletely defined. In the current study, in order to determine the molecular etiology of a family with autosomal dominant polycystic kidney disease, the pathogenicity of an frameshift mutation in the PKD1 gene, c.9484delC, was evaluated., Methods: The family clinical data were collected. Whole exome sequencing analysis determined the level of this mutation in the proband's PKD1, and Sanger sequencing and bioinformatics analysis were performed. SIFT, Polyphen2, and MutationTaster were used to evaluate the conservation of the gene and pathogenicity of the identified mutations. SWISS-MODEL was used to predict and map the protein structure of PKD1 and mutant neonate proteins., Results: A novel c.9484delC (p.Arg3162Alafs*154) mutation of the PKD1 gene was identified by whole exome sequencing in the proband, which was confirmed by Sanger sequencing in his sister (II7). The same mutation was not detected in the healthy pedigree members. Random screening of 100 normal and end-stage renal disease patients did not identify the c.9484delC mutation. Bioinformatics analysis suggested that the mutation caused the 3162 nd amino acid substitution of arginine by alanine and a shift in the termination codon. As a result, the protein sequence was shortened from 4302 amino acids to 3314 amino acids, the protein structure was greatly changed, and the PLAT/LH2 domain was destroyed. Clustal analysis indicated that the altered amino acids were highly conserved in mammals., Conclusion: A novel mutation in the PKD1 gene has been identified in an affected Chinese family. The mutation is probably responsible for a range of clinical manifestations for which reliable prenatal diagnosis and genetic counseling may be provided., Competing Interests: The authors have no conflicts of interest to disclose., (Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.)

Spatial misallocation of resource elements impedes the coordination in regional co-benefit in carbon emission and pollution reduction. Guided by scope economy principles, this study aims to quantifies co-benefits and explores spatial variation patterns to facilitate mutual synergy. The findings offer valuable insights for identifying optimal focus points and shaping targeted collaborative policies. Based on the multi-source provincial panel data spanning 2000 to 2021, this paper quantitatively assesses the co-benefit through the lens of marginal abatement cost. Then, the Dagum Gini coefficient was employed to investigate the disparities at the spatial level. Additionally, geographical detector is introduced to analyze the source of disparities at the factor level. Results indicate: (1) Under joint reduction, the marginal abatement cost reduces by 57.86% and 79.97% respectively, with an overall 68.77% increase in co-benefit fluctuation. (2) Provinces with low co-benefit significantly decreased after 2007, while provinces with high co-benefit concentrated in the northwest, southwest, and east. (3) Overall disparities decreased, east-central regions hold the lowest spatial disparities in co-benefit and east-west hold the most; intragroup differences and supervariable density primarily contributes to the disparity. (4) FDI significantly influence the co-benefit over the past two decades, with spatial disparities influenced by both endogenous and exogenous factors across development stages., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

It is crucial for understanding the variations of carbon and nutrient pools within the ecosystems during long-term vegetation restoration to accurately assess the effects of different ecological restoration patterns. However, the long-term spatio-temporal variations of carbon and nutrient pools under different vegetation types remain unclear. The sites for long-term natural and planted forests (i.e., Natural secondary forest, Pinus tabulaeformis planted forest, Platycladus orientalis planted forest, and Robinia pseudoacacia planted forest) on the northeastern Loess Plateau, China were selected, to measure and analyze the differences and interannual variations of vegetation attributes at four synusiae and soil properties at 0-100 cm over the period of 12 years (2006-2017). The principal component analysis (PCA) and Mantel test were also conducted to explore the relationships among vegetation attributes, soil properties, and carbon and nutrient pools. The results showed that: compared with the planted forests, the natural secondary forest had lower arborous biomass (84.21 ± 1.53 t hm -2 ) and higher understory biomass and plant heights. Compared to planted forests, the secondary forest had higher soil carbon and nitrogen contents (13.74 ± 3.50 g kg -1 and 1.16 ± 0.34 g kg -1 ). The soil carbon pool in the secondary forest was 22.0% higher than planted forests, while the vegetation carbon pool in the P. tabulaeformis was 75.5% higher than other forests. Principal component analysis (PCA) and Mantel test revealed that vegetation attributes and soil properties had significant correlations with carbon and nutrient pools, especially at the arborous synusia (p < 0.01). The findings indicated that in the ecologically fragile Loess Plateau region, the selection of appropriate vegetation restoration types should be guided by varying ecological restoration goals and benefits, aiming to expected ecological outcomes. This insight offers a strategic implication for forest management that is tailored to improve carbon and nutrient pools in areas with similar environmental conditions., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

Plant viruses are a group of intracellular pathogens that persistently threaten global food security. Significant advances in plant virology have been achieved by Chinese scientists over the last 20 years, including basic research and technologies for preventing and controlling plant viral diseases. Here, we review these milestones and advances, including the identification of new crop-infecting viruses, dissection of pathogenic mechanisms of multiple viruses, examination of multilayered interactions among viruses, their host plants, and virus-transmitting arthropod vectors, and in-depth interrogation of plant-encoded resistance and susceptibility determinants. Notably, various plant virus-based vectors have also been successfully developed for gene function studies and target gene expression in plants. We also recommend future plant virology studies in China., (© 2023 The Authors. Journal of Integrative Plant Biology published by John Wiley & Sons Australia, Ltd on behalf of Institute of Botany, Chinese Academy of Sciences.)

Background and Aims: Obesity and insulin resistance are well-known important risk factors for hypertension. This study aimed to investigate the mediating effect of the triglyceride-glucose index (TyG) in the association between Chinese visceral obesity index (CVAI) and hypertension among Chinese middle-aged and older adults., Methods: A total of 10,322 participants aged 45 years and older from CHARLS (2011-2018) were included. Baseline data were collected in 2011 and hypertension incidence data were gathered during follow-up in 2013, 2015 and 2018. Multivariate logistic regression models were constructed to investigate the association of CVAI and TyG with the incidence of hypertension. Additionally, mediation analyses were conducted to evaluate the mediating role of the TyG index in the relationship between CVAI and hypertension. Subgroup analysis was also performed., Results: A total of 2,802 participants developed hypertension during the follow-up period. CVAI and TyG index were independently and significantly associated with hypertension incidence. Increasing quartiles of CVAI and TyG index were associated with high hypertension incidence in middle-aged and older adults. The TyG index was identified as a mediator in the relationship between CVAI and hypertension incidence, with a mediation effect (95% confidence interval) was 12.38% (6.75, 31.81%)., Conclusion: Our study found that CVAI and TyG were independently associated with hypertension incidence. TyG played a partial mediating effect in the positive association between CVAI and hypertension incidence., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Niu, Cui, Wei, Dou, Zheng, Deng, Tian and Wang.)

Objective: To understand the epidemiological characteristics of suspected occupational diseases cases, and to track the subsequent diagnosis of suspected cases in Hubei Province from 2020 to 2021, and to provide theoretical basis for the supervision of suspected occupational diseases. Methods: In April 2022, the data of suspected occupational diseases cases and occupational diseases in Hubei Province from 2020 to 2021 were collected by the Occupational Diseases and Health Risk Factors Information Surveillance System. The distribution and diagnosis of suspected occupational diseases cases were analyzed. We investigated undiagnosed suspected occupational diseases by telephone. Results: From 2020 to 2021, a total of 1872 cases of suspected occupational diseases in 6 categories and 18 species were reported in Hubei Province. The top three suspected occupational diseases were suspected occupational noise deafness (36.75%, 688/1872), suspected coal worker's pneumoconiosis (33.07%, 619/1872) and suspected silicosis (20.99%, 393/1872). The diagnosis rate of suspected occupational diseases was 33.60% (629/1872). The rate of confirmed diagnosis was 63.59% (400/629). The diagnosis rate (26.86%, 456/1698) and rate of confirmed diagnosis (55.48%, 253/456) of suspected occupational diseases detected by occupational health examination were the lowest. The diagnosis rate of suspected occupational diseases detected by comprehensive medical institutions and private medical institutions were lower than disease prevention and control institutions and occupational disease prevention center ( P <0.05). The main reasons for not entering the diagnostic procedure included that workers were not informed that they were diagnosed as suspected occupational diseases (31.55%, 124/393), workers were unwilling to apply for occupational disease diagnosis (18.56%, 73/393), and some workers planned to apply for diagnosis but had not yet applied (10.69%, 42/393) . Conclusion: Occupational noise deafness, coal worker's pneumoconiosis and silicosis are the main diseases of suspected occupational diseases in Hubei Province. In order to increase the diagnosis rate and confirmed diagnosis rate of suspected occupational diseases, it is suggested to strengthen management and supervision from the aspects of case management, information warning and worker notification.

Plastic film mulching is used widely to increase crop yields in semiarid areas, but improving the soil fertility in film mulched fields is also important for achieving sustainable high yields in northwest of China. In this study, a completely randomized two-factor field design experiment was conducted in Pengyang, Ningxia, China during 2017-2021. In order to investigate the effects of plastic film mulching with straw/biochar addition on the soil aggregate characteristics, organic carbon content, and maize yield. Six treatments were established as follows: control (C), straw (S), biochar (B), plastic film mulching (F), plastic film mulching with added straw (FS) or biochar (FB). After 5 years of continuous production, each straw and biochar addition treatments significantly improved the soil aggregate distribution and stability, and the average aggregate content >0.25 mm increased significantly by 47.32%. Compared with the treatments without plastic film mulching, the mean weight diameter and geometric mean diameter of the soil particles increased by 9.19% and 4.15%, respectively, under the plastic film mulching treatments. The organic carbon content of the 0-60 cm soil layer increased significantly under each straw and biochar addition treatment compared with the without straw. The aggregate organic carbon contents under each treatment increased as the aggregate particle size increased, where the straw and biochar addition treatments significantly increased the organic carbon content of the aggregates, whereas the contents decreased under the plastic film mulching treatments. The contributions of the soil aggregates >0.25 mm to the organic carbon contents of the 0-60 cm soil layer were significantly higher under FS (37.63%) and FB (56.45%) than F. Structural equation modeling showed that straw/biochar added, plastic film mulching, and a greater soil organic carbon content could significantly promote yield increases, where the straw and biochar addition treatments significantly increased the average maize by 14.6% on average. In conclusion, carbon input as straw, especially biochar, had a positive effect on improving the soil organic carbon content and maize yield under plastic film mulching farmland in a semiarid region., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier Ltd. All rights reserved.)

Background: Though bictegravir/emtricitabine/tenofovir (BIC/FTC/TAF) have been regulatory approved and included in the National Reimbursement Drug List in China, due to the affordability concern, generic version of efavirenz + lamivudine + tenofovir (EFV + 3TC + TDF) is still recommended as the first-line therapy in the clinical guideline and widely used in clinical practice. The aim of the study is to assess the persistence with first-line BIC/TAF/TAF and EFV + 3TC + TDF in newly treated HIV-1 patients in the real-world setting in Hunan Province in China., Methods: A retrospective analysis of the medical records of HIV patients initiating first-line antiretroviral therapy in the First Hospital of Changsha in January 1st, 2021-July 31st, 2022 was conducted. Persistence was assessed as the number of days on the therapy from the index until treatment discontinuation or end of data availability. Kaplan-Meier Curves and Cox Proportional Hazard models were used to evaluate the discontinuation rates. Subgroup analysis was performed excluding BIC/FTC/TAF patients with treatment discontinuation due to economic reason, and EFV + 3TC + TDF patients with a viral load > 500,000 copies/mL., Results: A total of 310 eligible patients were included in the study, with 244 and 66 patients in the BIC/FTC/TAF group and EFV + 3TC + TDF group, respectively. Compared with EFV + 3TC + TDF patients, BIC/FTC/TAF patients were older, more living in the capital city currently, and had significantly higher total cholesterol and low-density level (all p < 0.05). No significant difference was shown in the time to discontinuation between BIC/FTC/TAF patients and EFV + 3TC + TDF patients. After excluding BIC/FTC/TAF patients with treatment discontinuation due to economic reason, EFV + 3TC + TDF group were shown to have a significantly higher risk of discontinuation than BIC/FTC/TAF group (hazard ratio [HR] = 11.1, 95% confidence interval [CI] = 1.3-93.2). After further removing the EFV + 3TC + TDF patients with a viral load > 500,000 copies/mL, the analysis showed similar results (HR = 10.1, 95% CI = 1.2-84.1). 79.4% of the EFV + 3TC + TDF patients discontinued treatment due to clinical reasons, while 83.3% of the BIC/FTC/TAF patients discontinued treatment due to economic reasons., Conclusions: Compared with BIC/FTC/TAF, EFV + TDF + 3TC patients were significantly more likely to discontinue the first-line treatment in Hunan Province in China., (© 2023. The Author(s).)

Background: Previous studies of the relationships between traits have focused on the natural growth conditions of wild plants. Urban garden plants exhibit some differences in plant traits due to environmental interference. It is unknown whether the relationships between the leaf traits of urban garden plants differ under distinct climates. In this study, we revealed the variation characteristics of the leaf functional traits of trees, shrubs, and vines in two urban locations. Two-way ANOVA was used to reveal the response of plant leaf traits to climate and life forms. Pearson correlation analysis and principal component analysis were used to calculate the correlation coefficient between the leaf functional traits of plants at the two locations., Results: Leaf dry matter content (LDMC) and vein density (VD) of different life forms in Mudanjiang were higher than those in Bozhou (P < 0.05), and the relative water content (RWC) in Bozhou was higher, whereas vein density (VD) of trees and shrubs in the two urban locations was significant (P < 0.05), but the vines were not significant. The photosynthetic pigments of tree and shrub species were larger in Mudanjiang, but the opposite was true for the vines. Both leaf vein density (VD) and stomatal density (SD) showed a very significant positive correlation in the two urban locations (P < 0.01), and both were significantly positively correlated with specific leaf area (SLA) (P < 0.05); and negatively correlated with leaf thickness (LT), and the relationship between pigment content were closer., Conclusion: The response to climate showed obvious differences in leaf traits of different life forms species in urban area, but the correlations between the traits showed convergence, which reflects that the adaptation strategies of garden plant leaves to different habitats are both coordinated and relatively independent., (© 2023. The Author(s).)

Ambient monitoring may cause estimation errors, and wearable monitoring is expensive and labor-intensive when assessing PM 2.5 personal exposure. Estimation errors have limited the development of exposure science and environmental epidemiology. Thus, we developed a scenario-based exposure (SBE) model that covered 8 outdoor exposure scenarios and 1 indoor scenario with corresponding time-activity patterns in Baoding City. The linear regression analysis of the SBE yielded an R 2 value of 0.913 with satisfactory accuracy and reliability. To apply the SBE model to large-scale studies, we predicted time-activity patterns with the random forest model and atmosphere-to-scenario ratios with the linear regression model to obtain the essential parameters of the SBE model; their R 2 was 0.65-0.93. The developed model would economize the study expenditure of field sampling for personal PM 2.5 and deepen the understanding of the influences of indoor and outdoor factors on personal PM 2.5 . Using this method, we found that the personal PM 2.5 exposure of Chinese residents was 10.50-347.02 μg/m 3 in 2020, higher than the atmospheric PM 2.5 concentration. Residents in North and Central China, especially the Beijing-Tianjin-Hebei region and the Fen-Wei Plains, had higher personal PM 2.5 exposure than those in other areas., Competing Interests: Declaration of competing interest The authors declared that they have no conflicts of interest to this work. We declare that we do not have any commercial or associative interest that represents a conflict of interest in connection with the work submitted., (Copyright © 2023 Elsevier B.V. All rights reserved.)

The production of shale gas in China has repercussions for the global energy landscape and carbon neutrality. However, limited and threatened water resources may hinder the expansion of shale-derived natural gas, one of China's most promising development prospects. Coupling historical trends with policy guidance, we project that baseline water stress will intensify in two-thirds of China's provinces in the next decade. By 2035, annual water use for shale gas hydraulic fracturing activities is likely to increase to 16-35 million m 3 , with 13.8-23.7 million m 3 of wastewater produced annually to extract 38-48 billion m 3 of gas from ∼4800 shale gas wells. Analysis suggests that this projection is based on previously underestimated geological constraints (e.g., deep continental facies) in shale gas development in China. Nevertheless, forecasts suggest that the water footprint of shale development will become impossible to ignore, particularly in drought-stricken areas, indicating the potential risk of competition for water among shale development, domestic use, food production, and ecological protection. Meanwhile, the annual wastewater management market will increase to $0.2 billion by 2035. Our study suggests a critical need to direct attention to the (shale) energy-water nexus and develop multi-pronged policies to facilitate China's transition to carbon neutrality., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023. Published by Elsevier Ltd.)

In response to the problem that the actual extent of coal mining impacts on the surface in thick loose layer mines significantly exceeds the theoretical predictions, based on the literature study, the form of influence of thick loose layer on the predicted parameters of the probability integral method is summarized and analyzed; taking into account the influence of the subsidence coefficient, the sine modification formula of the major influence radius and the logistic modification formula of the subsidence coefficient are established, respectively, and based on the characteristics of the major influence radius, a new subsidence basin demarcation point is proposed and a novel probability integral method segmental parameter modified prediction model is constructed. The simulated experiment and real data experiment results prove that the constructed probability integral method segmented parameter modified model can both reduce the convergence of surface subsidence basin edge better and take into account the predicted accuracy inside the subsidence basin. The research achievements provide scientific data support for disaster warning, pollution management, ecological restoration, and coordination between coal mining and surface city construction in thick loose layer mining areas., (© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

Introduction: The prevalence of suicidal ideation among medical students is high. Evidence indicates that feelings of entrapment are a predictor of suicidal ideation. In this study, we aimed to (1) investigate the prevalence of first-onset suicidal ideation among Chinese medical students and (2) explore the predictive effects of perceived entrapment on first-onset suicidal ideation., Methods: This longitudinal study was conducted between 2018 and 2019 among 211 newly enrolled medical students in Shanghai. Using an anonymous questionnaire, we collected information on sociodemographic (sex, major, parents' income, and academic performance) and psychological (entrapment, depression, loneliness, defeat, social support, and interpersonal needs) variables as well as suicidal ideation. Participants were divided into four subgroups based on their exposure to entrapment (control, new-onset, reduced, and persistent). The primary outcome, first-onset suicidal ideation, was defined as suicidal ideation absent at baseline but present at follow-up., Results: In total, 54.98% of participants (116/211) were women, and 76.78% (162/211) majored in clinical medicine. In the follow-up survey, 6.16% of participants (16/211) reported first-onset suicidal ideation, 17.54% (37/211) reported new-onset entrapment, and 12.80% (27/211) reported persistent entrapment during follow-up. Compared with the control group who reported no perceived entrapment at baseline and follow-up, participants who reported new-onset entrapment had the highest risk of new-onset suicidal ideation [odds ratio (OR) = 14.700, 95% confidence interval (CI) = 2.906-74.364; adjusted OR = 8.798; 95% CI = 1.588-48.757; multivariate OR = 8.238, 95% CI = 1.394-48.693)., Conclusion: New-onset entrapment can significantly predict suicidal ideation. Therefore, greater attention is needed for new-onset entrapment, such as intervention for suicidal ideation., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Wang, Wei, Zhu, Li, Liu, Cai and Gong.)

Background: A wave of the Omicron variant of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has rapidly spread in Shanghai, China. Hematological abnormalities have been reported in coronavirus disease 2019 (COVID-19) patients; however, the difference in hematological parameters between COVID-19 patients with fever and patients who are febrile from other causes remains unexplored., Methods: This retrospective cohort study enrolled 663 SARS-CoV-2 positive patients identified by RT-PCR. Clinical parameters, including age, sex, and threshold cycle values of all COVID-19 patients, and hematological parameters of COVID-19 patients in the fever clinic were abstracted for analysis., Results: Overall, 60.8% of COVID-19 patients were male, and the median age was 45 years. Most of COVID-19 patients were asymptomatic, while 25.8% of patients showed fever and 10.9% of patients had other emergencies. COVID-19 patients with fever had significantly lower white blood cells (WBCs), neutrophils, lymphocytes, platelets and C-reactive protein (CRP), and significantly higher monocyte-to-lymphocyte ratio (MLR), platelet-to-lymphocyte ratio (PLR), mean platelet volume (MPV), and mean platelet volume-to-platelet ratio (MPR) levels, compared with those in SARS-CoV-2 negative patients with fever from other causes (p < 0.05). Neutrophil-to-lymphocyte ratio (NLR), PLR, and systemic inflammatory index (SII) levels were significantly higher in COVID-19 patients with emergencies (p < 0.05). WBCs showed the best performance with an area under the curve (0.756), followed by neutrophils (0.730) and lymphocytes (0.694) in the diagnosis of COVID-19 in the fever clinic., Conclusion: WBCs, neutrophils, lymphocytes, platelets, CRP and MLR, PLR, and MPR may be useful in early diagnosis of COVID-19 in the fever clinic., (© 2022 The Authors. Journal of Clinical Laboratory Analysis published by Wiley Periodicals LLC.)

This paper aimed to quantify and characterize the prevalence and associated factors for late diagnosis in older adults living with human immunodeficiency virus (HIV) in Liuzhou, China, from 2010 to 2020. The characteristics of older adults living with HIV were described separately in time, space and population. Multivariate logistic regression analysis evaluates the factors influencing late diagnosis in HIV-positive adults ≥ 50 years of age. The majority of older adults living with HIV were over 60 years old, male, and with CD4 counts < 200 cells/μl at diagnosis, with most late diagnoses being more likely to report heterosexual transmission. These two factors may potentially provide a positive influence on late diagnosis: older and CD4 counts < 500 cells/μl. In contrast, females and those with homosexual or other transmission provide a negative. These results suggest that late diagnosis of HIV-positive adults ≥ 50 years of age remains a severe and growing epidemiological issue., (© 2022 Wiley Periodicals LLC.)

Background: Although exposure to ambient air pollution has been associated with mental disorder, little is known about its potential effects on children and adolescents, especially in Chinese population. We aimed to reveal the relationship of air pollutants with hospital outpatient visits for child and adolescence psychiatry (HOVCAP) in Shenzhen., Methods: A case-crossover study based on time-series data was applied, and a distributed lag non-linear model (DLNM) was used to evaluate the non-linear and delayed effects of 4 major air pollutants (NO 2 , PM 2.5 , SO 2 and O 3 ) on HOVCAP. Least absolute shrinkage and selection operator (LASSO) regression was used to control the multicollinearity between covariates and to filter variables., Result: A total of 94,660 cases aged 3-18 were collected from 2014 to 2019 in the Mental Health Center of Shenzhen. Results of pollutants at mode value (M 0 ) showed that in the single lag effect result, when the average daily concentration of NO 2 at 24 μg/m 3 , there was a significant effect on HOVCAP over lag 1, lag 4 and lag 5, respectively. The cumulative RR of NO 2 M 0 value to the outpatient visits were 1.438 (1.137-1.818) over lag 0-2, 1.454 (1.120-1.887) over lag 0-3, 1.466 (1.084-1.982) over lag 0-4, 1.680 (1.199-2.354) over lag 0-5, 1.993 (1.369-2.903) over lag 0-6, and 2.069 (1.372-3.119) over lag 0-7. However, PM 2.5 , SO 2 , O 3 were not associated with HOVCAP over neither single lag effects nor cumulative effects. The RR values both shown an increase either when NO 2 increases by 10 units or when the maximum concentration of NO 2 is reached., Conclusion: Our study suggests that exposure to the normal air quality of NO2 in Shenzhen may associated with the risk of HOVCAP. However, PM2.5, SO2, O3 were not associated with HOVCAP., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.)

Background: This study aims to described the epidemiology and genotypic diversity of Human metapneumovirus (HMPV) and the impact of SARS-CoV-2 on the prevalence of HMPV in hospitalized children with Acute respiratory tract infections (ARTIs) in Beijing, China., Methods: From April 2018 to March 2019 and from September 2020 to August 2021, nasopharyngeal aspirates (NPAs) from hospitalized children with ARTIs in Beijing were collected and subjected to real-time polymerase chain reaction tests for HMPV. Then genotyping, detection of 15 common respiratory viruses and clinical characteristics were analyzed on HMPV positive samples., Results: 7.9% (124/1572) enrolled pediatric patients were identified as having HMPV infection, and the majority of children under the age of 5 (78.2%, 92/124), From April 2018 to March 2019. The detection rate of HMPV in spring and winter is significantly higher than that in summer and autumn. The co-infection rate were 37.1% (46/124), the most common co-infected virus were parainfluenza virus type 3 (HPIV-3). The main diagnosis of HMPV infection was pneumonia (92.7%,115/124), most patient have cough and fever. Of 78 HMPV-positive specimens, A2b (82.1%,64/78) were the main epidemic subtypes. Hospitalized children with HMPV genotype A infection had a higher viral load compared to genotype B. During the COVID-19 outbreak, Among 232 samples, only 4 cases were HMPV-positive. After statistical test, the detection rate of HMPV during the COVID-19 pandemic has decreased significantly compared with that before the epidemic (p = 0.001)., Conclusions: HMPV is an important cause of ARTIs in children under 5 years old. The epidemic peak is generally in winter and spring, and the A2b subtype is the most common. However, under the prevention and control of the COVID-19 pandemic, the HMPV infection of hospitalized children with ARTIs has decreased significantly., Competing Interests: Declaration of Competing Interest The authors declare that they have no competing interests., (Copyright © 2022. Published by Elsevier B.V.)

Objective: This study aims to summarize the characteristics of diagnosed pneumoconiosis and pneumoconiosis death in the Hubei Province of China, between the years 1949 and 2019, and provide clues for the scientific prevention of pneumoconiosis., Methods: We recruited 23,069 pneumoconiosis cases in Hubei Province, China, from 1949 to 2019. Basic information and occupational surveillance information were obtained from the Hubei Occupational Diseases and Health Risk Factors Information Surveillance System., Results: The annually diagnosed pneumoconiosis cases showed an overall increasing trend from 1949 to 2019 in Hubei Province. The major types of pneumoconiosis were coal workers' pneumoconiosis (CWP, 49.91%) and silicosis (43.39%). Pneumoconiosis cases were mainly engaged in mining (75.32%) and manufacturing (12.72%), and were distributed in Huangshi (35.48%), Yichang (16.16%), and Jingzhou (7.97%). CWP (47.50%) and silicosis (44.65%) accounted for most of the deaths., Conclusions: The number of pneumoconiosis cases and deaths in Hubei increased in the period of 1949 to 2019. Silicosis and CWP contributed to the predominant types of pneumoconiosis. Prevention and control measures should continue to be taken to reduce the morbidity and mortality of pneumoconiosis.

Objectives: To assess the feasibility of preoperative ultrasound (US)-guided incisional biopsy through a prospective controlled clinical trial., Methods: This was a prospective, double-arm, single-center study of Chinese patients. Thirty patients were enrolled in the study. Fourteen patients received incisional biopsies for which the choice of biopsy area relied on a clinical evaluation, and 16 patients received incisional biopsies for which the choice of biopsy area relied on a US-guided evaluation. The following procedure was used in the US-guided incisional biopsy group: 1) clinical and dermoscopic evaluation of skin lesions; 2) US examination; 3) incisional biopsy; 4) surgical excision; and 5) histopathological examination. The same procedure was used in the non-US-guided group except without US examination., Results: In the non-US-guided group, the mean tumor thicknesses obtained from incisional biopsy and postoperative histopathological examination were 2.1 and 4.1 mm, respectively. Seven melanomas were underestimated by incisional biopsy, resulting in margins narrower than currently recommended. In the US-guided group, the mean tumor thicknesses obtained from US, incisional biopsy, and postoperative histopathological examination were 3.4, 2.9, and 2.7 mm, respectively. In only 3 melanomas was the tumor thickness of the incisional biopsy less than that of the postoperative histopathological examination, demonstrating that US-guided biopsy obtains the maximum thickness area., Conclusions: Preoperative US-guided incisional biopsy can enhance the pathological accuracy of incisional biopsy, which may allow us to better perform surgical excision with safe peripheral surgical margins., (© 2022 American Institute of Ultrasound in Medicine.)

The geographical spread and inter-host transmission of the subgroup J avian leukosis virus (ALV-J) may be the most important issues for epidemiology. An integrated analysis, including phylogenetic trees, homology modeling, evolutionary dynamics, selection analysis and viral transmission, based on the gp85 gene sequences of the 665 worldwide ALV-J isolates during 1988-2020, was performed. A new Clade 3 has been emerging and was evolved from the dominating Clade 1.3 of the Chinese Yellow-chicken, and the loss of a α-helix or β-sheet of the gp85 protein monomer was found by the homology modeling. The rapid evolution found in Clades 1.3 and 3 may be closely associated with the adaption and endemicity of viruses to the Yellow-chickens. The early U.S. strains from Clade 1.1 acted as an important source for the global spread of ALV-J and the earliest introduction into China was closely associated with the imported chicken breeders in the 1990s. The dominant outward migrations of Clades 1.1 and 1.2, respectively, from the Chinese northern White-chickens and layers to the Chinese southern Yellow-chickens, and the dominating migration of Clade 1.3 from the Chinese southern Yellow-chickens to other regions and hosts, indicated that the long-distance movement of these viruses between regions in China was associated with the live chicken trade. Furthermore, Yellow-chickens have been facing the risk of infections of the emerging Clades 2 and 3. Our findings provide new insights for the epidemiology and help to understand the critical factors involved in ALV-J dissemination. IMPORTANCE Although the general epidemiology of ALV-J is well studied, the ongoing evolutionary and transmission dynamics of the virus remain poorly investigated. The phylogenetic differences and relationship of the clades and subclades were characterized, and the epidemics and factors driving the geographical spread and inter-host transmission of different ALV-J clades were explored for the first time. The results indicated that the earliest ALV-J (Clade 1.1) from the United States, acted as the source for global spreads, and Clades 1.2, 1.3 and 3 were all subsequently evolved. Also the epidemiological investigation showed that the early imported breeders and the inter-region movements of live chickens facilitated the ALV-J dispersal throughout China and highlighted the needs to implement more effective containment measures.

The hydrology and sediment processes in large rivers play important roles in maintaining aquatic and coastal ecosystems and advancing civilization and production in human systems. Therefore, quantitatively analyzing the spatiotemporal variability and dynamics of water and sediment discharge in large rivers is essential for improving watershed management and sustainable development in the areas surrounding rivers, especially the Yellow River, which is one of the most sediment-laden rivers in the world. In this study, we analyzed the evolution patterns and spatial sources of water and sediment discharge in the Yellow River from 1951 to 2020 and determined the impacts of different factors on water and sediment discharge variations. The results showed that the annual water and sediment discharge significantly decreased (p < 0.05) over the past 70 years, with an abrupt change occurring in 1986. The first dominant periodicity of water discharge was approximately 29 years, while the first dominant periodicity of sediment discharge was approximately 28 years. In terms of the water and sediment discharge sources, the dominant factor affecting variations in water discharge was water diversion from 1951 to 2020, while the dominant factor affecting variations in sediment discharge was sediment aggradation from 1951 to 1985 and changed to tributary inflow sediment from 1986 to 2020. In addition, the water and sediment discharge changes were also affected by anthropogenic activities, such as water and sediment diversions, dams and reservoirs, and water and soil conservation measures. In particular, the water and sediment interception capabilities of the established soil and water conservation measures gradually became saturated over time. Specifically, the maximum water and sediment interception capabilities of the current soil and water conservation measures were 12.2 billion m 3 and 1.9 Gt, respectively. Overall, the results of the present study can help tailor water and sediment regulation countermeasures in the future., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier B.V. All rights reserved.)

Background: Driven by the increasing life expectancy, China and India, the two most populous countries in the world are experiencing a rising burden of multimorbidity. This study aims to explore community prevalence and dyad patterns of multimorbidity in China and India., Methods: We conducted a systematic review of five English and Chinese electronic databases. Studies involving adults 18 years or older at a community level, which reported multimorbidity prevalence and/or patterns were included. A modified Newcastle-Ottawa Scale was used for quality assessment. Despite large heterogeneity among reported studies, a systematic synthesis of the results was conducted to report the findings., Results: From 13 996 studies retrieved, 59 studies met the inclusion criteria (46 in China, 9 in India and 4 in both). The median prevalence of multimorbidity was 30.7% (IQR 17.1, 49.4), ranging from 1.5% to 90.5%. There was a large difference in multimorbidity prevalence between China and India, with median prevalence being 36.1% (IQR 19.6, 48.8) and 28.3% (IQR 8.9, 56.8), respectively. Among 27 studies that reported age-specific prevalence, 19 studies found multimorbidity prevalence increased with age, while 8 studies observed a paradoxical reduction in the oldest age group. Of the 34 studies that reported sex-specific prevalence, 86% (n=32) observed a higher prevalence in females. The most common multimorbidity patterns from 14 studies included hypertensive diseases combined with diabetes mellitus, arthropathies, heart diseases and metabolic disorders. All included studies were rated as fair or poor quality., Conclusion: Multimorbidity is highly prevalent in China and India with hypertensive diseases and other comorbidities being the most observed patterns. The overall quality of the studies was low and there was a lack of representative samples in most studies. Large epidemiology studies, using a common definition of multimorbidity and national representative samples, with sex disaggregation are needed in both countries., Prospero Registration Number: CRD42020176774., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

To mitigate global warming, China, the world's largest greenhouse gas emitter, has set the goals of achieving carbon peak by 2030 and carbon neutrality by 2060, and financial measures could play an important role. To avoid unnecessary costs, China could learn from the experience of other countries to better understand the potential role of financial measures in achieving carbon emission reduction goals. Hence, this article adopts a SWOT analysis to compare the financial measures taken by Britain, Japan and the United States in the process of carbon emission reduction in the last twenty years. This article finds that government funds and financial innovation have contributed markedly to carbon emission reduction in those three countries. With the help of the SWOT analysis, we recommend that China take financial measures to help achieve carbon peaking and carbon neutrality goals from four aspects: formulating proper policy, regulating carbon trading market, strengthening international cooperation, and promoting innovation.

Novel variant infectious bursal disease virus (nvIBDV) is an emerging pathotype that can cause sub-clinical disease with severe, prolonged immunosuppression in young chickens. At present, two major pathotypes, including vvIBDV and nvIBDV, are prevailing in China. In this study, we propose that the nvIBDV is a new genotype (A2dB1b) and also first isolated and characterized a nvIBDV reassortant strain YL160304 (A2dB3) with segments A and B derived, respectively, from the nvIBDV and the HLJ-0504-like vvIBDV from yellow chickens in southern China. The YL160304 causes more extensive cytotropism and can infect specific-pathogen-free chicken embryos with severe subcutaneous hemorrhage. The pathogenicity of YL160304 to 4-week-old three-yellow chickens was determined and compared with those of the nvIBDV QZ191002 and the HLJ-0504-like vvIBDV NN1172. Weight gain was significantly reduced in all the challenged birds. No clinical signs and associated mortality were observed in the birds challenged with QZ191002, while the mortalities in the birds challenged with NN1172 and YL160304 were 30% (3/10) and 10% (1/10), respectively. At 7 days postchallenge, the bursa was severely damaged and the percentage of peripheral blood B lymphocyte (PBBL) decreased significantly in all the challenged birds and the quantity of the viral RNA detected in the bursa was in accordance with the results of the histomorphometry and the depletion of PBBL. This study not only confirmed the emerging epidemic of the novel variant and its reassortant strains, but also discovered that the naturally reassortant nvIBDV strain with the segment B of HLJ 0504-like vvIBDV can significantly enhance the pathogenicity to chickens., (© 2021 Wiley-VCH GmbH.)

Importance: Data are limited on the prevalence and vascular distribution of multiterritorial atherosclerotic plaque and stenosis in community populations., Objective: To investigate the prevalence and vascular distribution of multiterritorial atherosclerotic plaque and stenosis in older, community-dwelling populations in China., Design, Setting, and Participants: This cross-sectional study was based on the baseline survey from the Polyvascular Evaluation for Cognitive Impairment and Vascular Events (PRECISE) study, a population-based prospective cohort study that enrolled community-dwelling adults aged 50 to 75 years based on cluster sampling from 6 villages and 4 living communities of Lishui city in southeast China. Data were collected from May 2017 to September 2019 and analyzed from September to November 2021., Main Outcomes and Measures: Atherosclerotic plaque and stenosis at baseline were assessed in multiple vascular territories. Brain vessel wall magnetic resonance imaging (MRI) for intracranial and extracranial arteries; computed tomography angiography (CTA) for coronary, subclavian, aorta, renal, and iliofemoral arteries; and ankle-brachial index for peripheral arteries were performed at baseline survey. The extent of atherosclerosis was assessed according to the number of these 8 vascular sites affected, and polyvascular lesions were defined as at least 2 affected sites., Results: A total of 3433 of 4202 invited individuals consented to participate in the study. After excluding 366 participants with contraindications for MRI or CTA scanning, with life expectancies of 4 years of fewer, or with mental disease, a total of 3067 community-dwelling adults were enrolled. The mean (SD) age was 61.2 (6.7) years; 1640 (53.5%) were women, and 74 (2.4%) had prevalent ASCVD. Most participants (2870 [93.6%]) had atherosclerotic plaques in at least 1 vascular territory. Atherosclerotic plaques were mostly detected in the aorta (2419 [79.6%]) and iliofemoral arteries (2312 [75.8%]), followed by subclavian (1500 [49.8%]), coronary (1366 [44.9%]), extracranial (1110 [36.4%]), renal (873 [28.7%]), and intracranial (542 [17.7%]) arteries. A substantial proportion of participants (1180 [38.5%]) had arterial stenosis of 50% or greater, predominantly affecting the coronary (542 [17.8%]) and iliofemoral (527 [17.3%]) arteries. Polyvascular atherosclerotic plaque was observed in 2541 participants (82.8%), with 1436 (46.8%) with plaque affecting 4 or more vascular territories, and polyvascular stenosis was observed in 412 patients (13.4%)., Conclusions and Relevance: In this study, atherosclerotic plaque was highly prevalent in the older community population in China, and a substantial proportion of individuals reach stenosis of 50% or greater.

The daily rhythm affects a series of physiological functions in crustaceans. To study its effect on the physiological function in Eriocheir sinensis , a crustacean species of high economic value, we analyzed the hemolymph transcriptome during the daily rhythm by high-throughput sequencing. We sampled the hemolymph from crabs at four time points in a single day (06:00, 12:00, 18:00, and 24:00 h) and identified 3,01,661 and 1,03,998 transcripts and unigenes, respectively; some of the unigenes were annotated as core clock genes. Moreover, 15,564 differentially expressed genes (DEGs) were divided into nine different clusters. Functional enrichment analysis of DEGs indicated that the molting, metabolism, and immunity processes in E. sinensis were impacted by its daily rhythm. In addition, we mapped the DEGs involved in the daily entrainment pathway. To the best of our knowledge, this is the first comparative transcriptome analysis of crustacean hemolymph during the day-night cycle, and provides multi-level information for unraveling the finer regulatory effects of the daily cycle in crustaceans.

Vegetation restoration may increase the soil organic carbon stock (SOCS) but decrease the soil water storage (SWS) of terrestrial ecosystems in arid and semiarid regions. To guarantee the sustainability of restoration, it is critical to evaluate the coupling interaction of SOCS and SWS. Here, we examined the spatial distributions of SOCS and SWS across a 0-200 cm soil profile in a grassland, forestland and shrubland on the Loess Plateau and determined the driving factors that affected their variations. Our results showed that SOCS and SWS varied across the 0-200 cm soil profile and considerably accumulated in the deep soil layers (100-200 cm). In comparison to SOCS, SWS generally had higher relative benefits in most studied plant communities, which ensured sustainable restoration. In addition, land use played a less important role than local environmental conditions in determining the variations in SOCS and SWS. Specifically, the interaction between SOCS and SWS was mainly strong in the surface soil layers (0-20 cm). Topography was a predominant factor that affected SOCS and SWS in the deep soil layers (100-200 cm), while soil texture was a stable driving factor influencing their variations across the whole soil profile (0-200 cm). Given the low moisture consumption of grasslands and the lowest root mean square deviation (RMSD) of Hippophae rhamnoides, we proposed an advanced scenario for ecological restoration on the Loess Plateau: establishing reasonably large Hippophae rhamnoides patches with fewer edges in a contiguous grassland matrix. Furthermore, this scenario should be tailored to local environmental conditions, such as soil water, texture and topography, followed by natural vegetation succession., (Copyright © 2022 Elsevier Ltd. All rights reserved.)

Background: In October 2015, China's one-child policy was universally replaced by a so-called two-child policy. This study investigated the association between the enactment of the new policy and changes in the number of births, and health-related birth outcomes., Methods: We used difference-in-difference model to analyse the birth record data in Pudong New Area, Shanghai.The design is descriptive before-and-after comparative study., Results: The data covered three policy periods: the one-child policy period (January 2008 to November 2014); the partial two-child policy period (December 2014 to June 2016); the universal two-child policy period (July 2016 to December 2017). There was an estimate of 7656 additional births during the 18 months of the implementation of the universal two-child policy. The trend of monthly percentage of births to mothers aged ≥35 increased by 0.24 percentage points (95% confidence interval 0.19 to 0.28, p < 0.001) during the same period. Being a baby boy, preterm birth, low birth weight, parents with lower educational attainment, and assisted delivery were associated with a higher risk of birth defects., Conclusions: The universal two-child policy was associated with an increase in the number of births and maternal age. Preterm birth, low birth weight, and assisted delivery were associated with a higher risk of birth defects, which suggested that these infants needed additional attention in the future., (© 2022. The Author(s).)

Aim: To explore the experiences of nurses' work stress related to COVID-19 regular epidemic prevention and control in China., Background: The global COVID-19 epidemic is still severe, and China's ongoing regular epidemic prevention and control still cannot be relaxed, which places demands on nurses., Methods: Thirty nurses and eight nurse managers were interviewed using semistructured in-depth interviews, and the data were analysed by the Colaizzi seven-step analysis method., Results: Four themes were extracted as follows: environmental factors, organizational factors, personal factors and positive factors in coping with stress., Conclusions: Nursing managers should pay attention to construction of the first-line departments of regular epidemic prevention and control. The shortage of nurses' human resources and the increase of nurse-patient conflicts are problems that need to be solved urgently. In addition, this research also emphasizes the importance of promoting nurses' stress-related growth and thinking about the possibility of reform., Implications for Nursing Management: The construction of the hospital environment and increasing the resilience of nursing teams require attention. We should attach importance to the training of nurses' communication skills and provide sufficient organizational support and economic guarantees for nurses. Finally, perhaps we should also consider whether it is necessary to reform the relevant hospital systems and how to reform them., (© 2021 The Authors. Journal of Nursing Management published by John Wiley & Sons Ltd.)

An in-depth understanding of the rainfall-runoff process is essential for effective stormwater management. However, the understanding of the hierarchy of rainfall characteristics in terms of their importance in influencing runoff generation is limited. This paper investigates the influence of rainfall characteristics and catchment characteristics on runoff generation in urban catchments. The outcomes showed that there are 4 dominant factors affecting runoff generation: total precipitation TP and maximum 60-min rainfall intensity MAX60 are the two top-ranked factors while average rainfall intensity RI and maximum 5-min rainfall intensity MAX5 are ranked second. Additionally, compared to the moderate rainfall regime (MR), the heavy rainfall regime (HR) tends to produce higher peak flow rates, higher total inflow per unit area, and lower runoff control effect. Note that the antecedent precipitation has a more significant effect on runoff generation and is even the dominant factor when rainstorm events with daily rainfall larger than 50 mm are not considered. The results of analyzing the influence of catchment characteristics suggest that only under HR regime conditions do the catchment characteristics have an impact on runoff generation and behave as smaller catchment areas, and higher proportions of green landscapes always lead lower peak flow rates, lower total inflows per unit area, and higher runoff control effects., (© 2022. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)

The COVID-19 pandemic has exposed the inadequacy of China's legal protection of wildlife. Long-standing illegal wildlife trade in China and worldwide increases the risk of zoonotic infectious diseases. We sought to improve the understanding of China' legal system for the protection of wildlife, which has at its core the wildlife protection law, by systematically evaluating the laws and regulations of China's Wildlife Protection Framework. We examined how existing legal documents (e.g., the Wildlife Protection Law 2018) are directly or indirectly related to wildlife conservation. The inherent defects of wildlife protection legislation include a narrow scope of protection, insufficient public participation, and inconsistent enforcement among responsible agencies. Solutions to improve China's Wildlife Protection Law include expanding the legal protection of wildlife, and improving monitoring of wildlife protection. Strengthening legislation will be the basis for effective regulation of the use of wild animals. We advocate the establishment of a sound wildlife protection legal system for resolving conflicts between humans and wild animals and preventing zoonotic disease, such a system will have a profound impact on the sustainable development of China's wildlife resources., (© 2021 Society for Conservation Biology.)

Background: A major challenge of prospective cohort studies is attrition in follow-up surveys. This study investigated attrition in a prospective cohort comprised of medical graduates in China. We described status of attrition, identified participants with higher possibility of attrition, and examined if attrition affect the estimation of the key outcome measures., Methods: The cohort study recruited 3,620 new medical graduates from four medical universities in central and western China between 2015 and 2019. Online follow-up surveys were conducted on an annual basis. Follow-up status was defined as complete (meaning that the participant completed all the follow-up surveys) and incomplete, while incomplete follow-up was further divided into 'always-out', 'rejoin' and 'other'. Multivariable logistic and linear regressions were used to examine factors predicting attrition and the influence on the outcome measures of career development., Results: 2364 (65.3%) participants completed all follow-up surveys. For those with incomplete follow-up, 520 (14.4%) were 'always-out', 276 (7.6%) rejoined in the 2020 survey. Willingness to participate in residency training (OR=0.80, 95%CI[0.66 - 0.98]) and willingness to provide sensitive information in the baseline survey predicted a lower rate of attrition (providing scores for university entrance exam OR=0.82, 95%CI[0.69 - 0.97]]; providing contact information (OR=0.46, 95%CI[0.32 - 0.66]); providing household income (OR=0.60, 95%CI[0.43 - 0.84]). Participants with compulsory rural service (OR=1.52, 95%CI[1.05 - 2.19]) and those providing university entrance scores (OR=1.64, 95%CI[1.15-2.33)) were more likely to rejoin in the follow-up survey. These factors associated with follow-up status did not have significant impact on key outcome measures of career development., Conclusions: Graduates who were unwilling to participate in residency training or not providing sensitive information should be targeted early in the cohort study to reduce attrition. More information about the study should be provided to those graduates early to facilitate their understanding of the meaning in participation. On the contrary, medical graduates with compulsory rural service and those who provided university entrance scores were more likely to rejoin in the cohort. The research team should invest more effort in contacting those graduates and returned them to the cohort., (© 2022. The Author(s).)

Facing the increasingly severe friction among the domains of population, resources, economy and environment (PREE) in a system, theoretical guidance for the sustainable development of a PREE system can be obtained by exploring the coordinated development of a PREE system during its temporal-spatial evolution process. Based on the PREE data of 31 provinces in China from 2010 to 2019, this study uses a spatial measurement method to analyze the temporal and spatial evolution characteristics of the PREE systems of China's provinces. The results show that the overall coordination level of China's provincial PREE systems fluctuated but improved from moderate imbalance to moderate coordination. However, the differences in the regional coordination level first decreased and then increased. The distribution characteristics of the system coordination level changed from "high in the east and low in the west" to "high in the west and low in the east", resulting in the "inversion" phenomenon of the system coordination level. The spatial correlation of the coordination level of the PREE system among provinces and cities gradually increased. The coordination level of the PREE system in the eastern, central and western regions was noticeably different, accompanied by different degrees of polarization and showing different dynamic evolution trends. In the analysis of influencing factors, it was found that seven factors, such as per capita GDP, the proportion of environmental pollution control investment to GDP and per capita energy production, promoted the coordinated development of China's PREE system to varying degrees. The coordinated and stable development of China's PREE system should be adjusted and optimized from the perspectives of different regions, scales and systems.

The effect of rainfall on the water quality of urban lakes is related to the surrounding land use types. Six lakes surrounded by business units (commercial lakes) and park green spaces (park lakes) in the central area of Beijing, China, were monitored between June 2013 and October 2015. A total of 638 water samples were obtained. The results showed that the water quality was generally worse in the rainy season than in the dry season, with the mean dissolved oxygen (DO) concentration declining by 25.1 %. Compared to the rise in DO of park lakes after rainfall, commercial lakes showed a decreased DO. The nitrate nitrogen (NO 3 - -N) concentration decreased after rain, and that in commercial lakes decreased more than that in park lakes. Different from DO and NO 3 - -N, the ammonia nitrogen (NH 4 + -N)), total suspended solids (TSS) and total phosphorus (TP) concentrations of the lakes increased obviously after rain. The values in park lakes increased 138 % (NH 4 + -N)), 120 % (TSS) and 69 % (TP) more than those in commercial lakes. Principal component analysis (PCA) results illustrated that green space was the main source of TSS and TP for urban lakes. Most of the nitrogen (N) comes from artificial impervious surfaces. These results will help target pollutant control for urban lakes., (Copyright © 2021 Elsevier Ltd. All rights reserved.)