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Abstract Background To analyze the equity and efficiency of health resource allocation in Sichuan Province and to provide a scientific basis for promoting health resource development. Methods Theil index, coefficient of variation, equalization index and health resource agglomeration degree (HRAD) were used to analyze the equity of health resource allocation, and data envelopment analysis (DEA) was used to analyze the efficiency of health resource allocation in Sichuan Province from 2017 to 2021. Results The Theil index and coefficient of variation of health technicians, licensed (assistant) physicians and registered nurses are larger than those of the number of beds, indicating that the equalization of the number of beds is relatively good. The equalization index of health resources in Sichuan Province ranges from 3.228 2 to 3.404 4 between 2017 and 2021, showing a gradually decreasing trend. The equalization index of Northwest Sichuan Economic Zone is the largest, indicating that the equity is relatively good. The equalization index of Chengdu Plain Economic Zone is the lowest, indicating that the equity is relatively poor. The HRAD of the number of beds, health technicians, licensed (assistant) physicians and registered nurses in Chengdu Plain Economic Zone, South Sichuan Economic Zone and Northeast Sichuan Economic Zone are all greater than 1, indicating that the health resources in these regions are better allocated by geography. The HRAD/ population agglomeration degree (PAD) of health technicians, licensed (assistant) physicians and registered nurses in South Sichuan Economic Zone, Northeast Sichuan Economic Zone and Panxi Economic Zone is less than 1, indicating that the health resources in these regions are insufficient relative to the agglomerated population. The comprehensive efficiency of health resource allocation in Sichuan Province and the five economic zones in 2020 is not 1, and the DEA is relatively ineffective. The Panxi Economic Zone, Northeast Sichuan Economic Zone and Northwest Sichuan Economic Zone all have relatively ineffective DEA. Conclusions From 2017 to 2021, health resources in Sichuan Province continue to grow, but equity has gotten worse. The degree of variation in the health resource allocation among the five major economic zones in Sichuan Province is large, with the Chengdu Plain Economic Zone having better equity in the health resource allocation by population and geography, and the Panxi Economic Zone and the Northwest Sichuan Economic Zone having insufficient equity in the health resource allocation by population and geography. The efficiency of health resource allocation in the Panxi Economic Zone, Northeast Sichuan Economic Zone and Northwest Sichuan Economic Zone needs to be improved.

Objective To analyse regional differences in health resource allocation in the Chengdu-Chongqing economic circle.Design A longitudinal analysis that collected data on health resource allocation from 2017 to 2021.Setting The number of beds, health technicians, licensed (assistant) physicians, registered nurses and financial allocations per 1000 population in the 42 regions of Chengdu-Chongqing economic circle were used for the analysis.Methods The entropy weight technique for order preference by similarity to an ideal solution (TOPSIS) method and the rank sum ratio (RSR) method were used to evaluate the health resource allocation.Results The number of licensed (assistant) physicians per 1000 population in the Chengdu-Chongqing economic circle (3.01) was lower than the average in China (3.04) in 2021. According to the entropy weight–TOPSIS method, Yuzhong in Chongqing had the largest C-value and the highest ranking. Jiangbei in Chongqing and Chengdu and Ya’an in Sichuan Province had higher C-values and were ranked in the top 10. Jiangjin, Hechuan, Tongnan and Zhongxian in Chongqing and Guang’an in Sichuan Province had lower C-values and were all ranked after the 30th place. According to the RSR method, the 42 regions were divided into three grades of good, medium and poor. The health resource allocations of Yuzhong, Jiangbei, Nanchuan, Jiulongpo and Shapingba in Chongqing and Chengdu and Ya’an in Sichuan Province were of good grade, those of Tongnan, Jiangjin, Yubei and Dazu in Chongqing and Guang’an and Dazhou in Sichuan Province were of poor grade, and the rest of the regions were of medium grade.Conclusion The regional differences in health resource allocation in the Chengdu-Chongqing economic circle were more obvious, the health resource allocation in Chongqing was more polarised and the health resource allocation in Sichuan Province was more balanced, but the advantaged regions were not prominent enough.

Ganoderma lucidum polysaccharides (G. PS) have been recognized for their immune-modulating properties. In this study, we investigated the impact of G. PS in a sepsis mouse model, exploring its effects on survival, inflammatory cytokines, Treg cell differentiation, bacterial load, organ dysfunction, and related pathways. We also probed the role of macrophages through chlorphosphon-liposome pretreatment. Using the cecal ligation and puncture (CLP) model, we categorized mice into normal, PBS, and G. PS injection groups. G. PS significantly enhanced septic mouse survival, regulated inflammatory cytokines (TNF-α, IL-17A, IL-6, IL-10), and promoted CD4+Foxp3+ Treg cell differentiation in spleens. Additionally, G. PS reduced bacterial load, mitigated organ damage, and suppressed the NF-κB pathway. In vitro, G. PS facilitated CD4+ T cell differentiation into Treg cells via the p-STAT5 pathway. Chlorphosphon-liposome pretreatment heightened septic mortality, bacterial load, biochemical markers, and organ damage, emphasizing macrophages' involvement. G. PS demonstrated significant protective effects in septic mice by modulating inflammatory responses, enhancing Treg cell differentiation, diminishing bacterial load, and inhibiting inflammatory pathways. These findings illuminate the therapeutic potential of G. PS in sepsis treatment.

While urbanization’s strong effect on local precipitation has been widely documented, knowledge of how urbanization affects isotopic composition in precipitation is still lacking. In the present study, deuterium-excess (d-excess) served to quantify the contribution of recycled vapor to precipitation in Chengdu city (China) and a nearby rural area. Precipitation from the urban and rural areas showed no significant difference in δ18O values (p > 0.05). The rural area had significantly higher d-excess (24.29 ± 7.39‰) than the urban (12.71 ± 4.88‰) through the seasons due to higher evapotranspiration flux in the rural area. In summer, however, urban precipitation amount was higher than that of the rural area. Based on d-excess model, the average ratio of recycled vapor was 8.2% in Chengdu, which was lower than in the rural area (36.1%). This highlights the effect of urbanization in decreasing the proportion of vapor from local evapotranspiration contributing to precipitation but blocked much advected moisture. This also implied that precipitation taken in cities were used to represent upwind advected vapor or used as referenced isotopic records for paleoclimate reconstruction based on tree rings or stalagmites sampled in rural area may be erroneous as the effect of urbanization on precipitation vapor. Further studies are needed to explore the effect of urbanization on vapor source of precipitation under different climatic zones.

ObjectiveTo analyze the equity of health resource allocation of Traditional Chinese Medicine(TCM) and predict its development during the 14th Five-Year Plan period, and to provide a scientific basis for promoting the improvement of TCM service capacity.MethodsThe Chinese Mainland (excluding Hong Kong, Macao and Taiwan) was divided into the Northeast, Eastern, Central and Western regions, and the number of TCM medical institutions, the number of TCM beds, practitioners (assistants) of TCM and Chinese pharmacists from 2016 to 2020 were selected as evaluation indicators, and the equity of health resource allocation of TCM was evaluated by Concentration index(CI), Theil index(T) and Health resource agglomeration degree (HRAD), and the development of health resource of TCM during the 14th Five-Year Plan period was predicted by grey prediction model GM (1,1).ResultsThe Concentration index of the number of TCM medical institutions and TCM beds is negative, and the allocation tends to the regions with low economic development level. The Concentration index of practitioners (assistants) of TCM and Chinese pharmacists is positive, and the allocation tends to the regions with higher economic development level. The number of TCM medical institutions, TCM beds, practitioners (assistants) of TCM and Chinese pharmacists' Theil index allocated by geography is larger than that allocated by population, which indicates that the equity of TCM health resources allocated by population is better than that allocated by geography. The number of TCM medical institutions, practitioners (assistants) of TCM and Chinese pharmacists in between regions by population contributed more than 72% to the Theil index, indicating that the inequity mainly comes from between regions. The number of TCM medical institutions, TCM beds, practitioners (assistants) of TCM and Chinese pharmacists in within regions by geography contributed more than 80% to the Theil index, indicating that the inequity mainly comes from within regions. The HRAD in the Eastern and Central regions is greater than 1, indicating that the equity is better by geography. The HRAD in the Western region is less than 1, indicating insufficient equity by geography. The HRAD/PAD of the Central region (except for the number of TCM beds in 2020) is less than 1, indicating that it cannot meet the medical needs of the agglomerated population. The HRAD/PAD of the Western region (excluding for the Chinese pharmacists) is greater than 1, indicating that the equity is better than that of the agglomeration population.ConclusionThe number of TCM medical institutions and TCM beds tends to regions with low economic development levels, while the number of practitioners (assistants) of TCM and Chinese pharmacists tends to regions with high economic development levels. The equity of the allocation of TCM health resources by population is better than that by geography, and the inequity of the allocation by geography mainly comes from within region. The allocation of health resources of TCM in the four regions is different, and there is a contradiction between equity and actual medical needs.

Ammonia (NH3) volatilized from agricultural production and its secondary aerosols contribute greatly to air pollution. Different long-term crop straw management practices may significantly affect the soil fertility and soil nitrogen cycle, however, the effect on NH3 volatilization has not been well studied. Therefore, a one-year field experiment was conducted to evaluate the effect of straw incorporation on NH3 volatilization from subtropical calcareous agricultural soil from a longterm perspective, including four treatments: synthetic fertilizer (CK); synthetic fertilizer incorporation with 100% or 50% of the previous season’s crop straw (SI1 and SI2, respectively); and synthetic fertilizer incorporation with 50% burned crop straw (SI2B). Soil NH3 volatilizations were monitored through a wheat–maize rotation year by using a dynamic chamber method. The results demonstrated that NH3 volatilization primarily occurred within 38 days and 7–10 days following nitrogen fertilization events for the wheat and maize seasons, respectively. Different crop straw management practices mainly impacted the NH3 flux of the basal fertilization rather than the topdressing fertilization; long-term crop straw incorporation effectively lowered NH3 loss (35.1% for SI1 and 16.1% for SI2 compared to CK; and the inhibiting effect increased with increasing straw amount, possibly contributed by the high straw carbon/nitrogen ratio, and enhanced microbial activity, which contributed to inorganic nitrogen immobilization and lower ammonium content in the topsoil. However, SI2B significantly increased (29.9%) the annual NH3 flux compared with SI2, indicating that long-term 100% straw incorporation could be a promising straw management practice for mitigating NH3 loss and increasing soil fertility.

H2O2 electrosynthesis has garnered great attention as a green alternative to the anthraquinone process. Here the authors propose a cost-effective cathode to greatly improve the O2 diffusion coefficient, resulting in a high H2O2 production without the need for aeration.

Background and objective Tuberculosis (Tuberculosis, TB) is a public health problem in China, which not only endangers the population’s health but also affects economic and social development. It requires an accurate prediction analysis to help to make policymakers with early warning and provide effective precautionary measures. In this study, ARIMA, GM(1,1), and LSTM models were constructed and compared, respectively. The results showed that the LSTM was the optimal model, which can be achieved satisfactory performance for TB cases predictions in mainland China. Methods The data of tuberculosis cases in mainland China were extracted from the National Health Commission of the People’s Republic of China website. According to the TB data characteristics and the sample requirements, we created the ARIMA, GM(1,1), and LSTM models, which can make predictions for the prevalence trend of TB. The mean absolute error (MAE), root mean square error (RMSE), and mean absolute percentage error (MAPE) were applied to evaluate the effects of model fitting predicting accuracy. Results There were 3,021,995 tuberculosis cases in mainland China from January 2018 to December 2020. And the overall TB cases in mainland China take on a downtrend trend. We established ARIMA, GM(1,1), and LSTM models, respectively. The optimal ARIMA model is the ARIMA (0,1,0) × (0,1,0)12. The equation for GM(1,1) model was X(k+1) = -10057053.55e(-0.01k) + 10153178.55 the Mean square deviation ratio C value was 0.49, and the Small probability of error P was 0.94. LSTM model consists of an input layer, a hidden layer and an output layer, the parameters of epochs, learning rating are 60, 0.01, respectively. The MAE, RMSE, and MAPE values of LSTM model were smaller than that of GM(1,1) and ARIMA models. Conclusions Our findings showed that the LSTM model was the optimal model, which has a higher accuracy performance than that of ARIMA and GM (1,1) models. Its prediction results can act as a predictive tool for TB prevention measures in mainland China.

This study presents the first detailed estimate of Rwanda’s nitrogen (N) flows and N footprint for food (NFfood) from 1961 to 2018. Low N fertilizer inputs, substandard production techniques, and inefficient agricultural management practices are focal causes of low crop yields, environmental pollution, and food insecurity. We therefore assessed the N budget, N use efficiency (NUE), virtual N factors (VNFs), soil N mining factors (SNMFs), and N footprint for the agro-food systems of Rwanda with consideration of scenarios of fertilized and unfertilized farms. The total N input to croplands increased from 14.6 kg N ha−1 yr−1 (1960s) to 34.1 kg N ha−1 yr−1 (2010–2018), while the total crop N uptake increased from 18 kg N ha−1yr−1 (1960s) to 28.2 kg N ha−1yr−1 (2010–2018), reflecting a decline of NUE from 124% (1960s) to 85% (2010–2018). Gaseous N losses of NH3, N2O, and NO increased from 0.45 (NH3), 0.03 (N2O), and 0.00 (NO) Gg N yr−1 (1960s) to 6.98 (NH3), 0.58 (N2O), and 0.10 (NO) Gg N yr−1 (2010–2018). Due to the low N inputs, SNMFs were in the range of 0.00 and 2.99 and the rice production, cash-crop production, and livestock production systems have greater SNMFs in Rwanda. The weighted NFfood per capita that presents the actual situation of fertilized and unfertilized croplands increased from 4.0 kg N cap−1 yr−1 (1960s) to 6.3 kg N cap−1 yr−1 (2010–2018). The NFfood per capita would increase from 3.5 kg N cap−1 yr−1 to 4.8 kg N cap−1 yr−1 under a scenario of all croplands without N fertilizer application and increase from 6.0 to 8.7 kg N cap−1 yr−1 under the situation of all croplands receiving N fertilizer. The per capita agro-food production accounted for approximately 58% of the national NFfood. The present study indicates that Rwanda is currently suffering from low N inputs, high soil N depletion, food insecurity, and environmental N losses. Therefore, suggesting that the implementation of N management policies of increasing agricultural N inputs and rehabilitating the degraded soils with organic amendments of human and animal waste needs to be carefully considered in Rwanda.

Adoption of crop residue amendments has been increasingly recommended as an effective management practice for mitigating greenhouse gas emissions while enhancing soil fertility, thereby increasing crop production. However, the effect of biochar and straw on nitrous oxide (N2O) and methane (CH4) emissions in soils of differing pH remains poorly understood. Three treatments (control (i.e., no amendment), maize straw, and biochar derived from maize straw) were therefore established separately in soils with different pH levels, classified as follows: acidic, neutral, and alkaline. N2O and CH4 were investigated using a static chamber–gas chromatography system during 57 days of a mesocosm study. The results showed that cumulative N2O emissions were significantly higher in acidic soils than in other experimental soils, with the values ranging from 7.48 to 11.3 kg N ha−1, while CH4 fluxes ranged from 0.060 to 0.089 kg C ha−1, with inconclusive results. However, a weak negative correlation was observed between log N2O and log NO3-N in acidic soil with either biochar or straw, while the same parameters with CH4 showed a moderate negative correlation, suggesting a likelihood that these amendments could mitigate GHGs as a result of the NO3-N increase in acidic soils. It is also possible, given the alkaline nature of the biochar, that incorporation had a significant buffer effect on soil acidity, effectively increasing soil pH by >0.5 pH units. Our findings suggest that for the rates of application for biochar and straw used in this study, the magnitude of reductions in the emissions of N2O and CH4 are dependent in part on initial soil pH.

Highly ordered sodium-free titanate nanotube films were one-step prepared on F-doped SnO2-coated (FTO) glass via an electrophoretic deposition method by using sodium titanate nanotubes as the precursor. It was found that the self-assembled formation of highly ordered sodium titanate nanotube films was accompanied with the effective removal of sodium ions in the nanotubes during the electrophoretic deposition process, resulting in the final formation of protonated titanate nanotube film. With increasing calcination temperature, the amorphous TiO2 phase is formed by a dehydration process of the protonated titanate nanotubes at 300°C and further transforms into anatase TiO2 when the calcination temperature is higher than 400°C. Compared with the as-prepared titanate nanotube film, the calcined titanate nanotube film (300–600°C) exhibits attractive photoinduced superhydrophilicity under UV-light irradiation. In particular, 500°C-calcined films show the best photoinduced superhydrophilicity, probably due to synergetic effects of enhanced crystallization, surface roughness, and ordered structures of the films.

Mesoporous Au-TiO2 nanocomposite plasmonic photocatalyst with visible-light photoactivity was prepared by a simple spray hydrolytic method using photoreduction technique at 90∘C. The prepared samples were characterized by X-ray diffraction, scanning electron microscopy, transmission electron microscopy, and N2 adsorption-desorption isotherms. The formation of hydroxyl radicals (•OH) on the surface of visible-light illuminated Au-TiO2 nanocomposites was detected by the luminescence technique using terephthalic acid as probe molecules. The photocatalytic activity was evaluated by photocatalytic decolorization of Rhodamine-B (RhB) aqueous solution under visible-light irradiation (λ > 420 nm). The results revealed that the TiO2 could be crystallized via spray hydrolysis method, and the photoreduction technique was facilitated to prepare Au nanoparticles in the mesoporous TiO2 at 90∘C. The light absorption, the formation rate of hydroxyl radicals, and photocatalytic decolorization of Rhodamine-B aqueous solution were significantly enhanced by those embedded Au nanoparticles in the Au-TiO2 nanocomposites. The prepared Au-TiO2 nanocomposites exhibit a highly visible-light photocatalytic activity for photocatalytic degradation of RhB in water, and their photocatalytic activity is higher than that of the pristine TiO2 nanoparticles due to the surface plasmon resonance.

Using the net anthropogenic nitrogen input (NANI) approach we estimated the N budget for the Lake Victoria Basin in East Africa. The NANI of the basin ranged from 887 to 3008 kg N km ^−2 yr ^−1 (mean: 1827 kg N km ^−2 yr ^−1 ) for the period 1995–2000. The net nitrogen release at basin level is due primarily to livestock and human consumption of feed and foods, contributing between 69% and 85%. Atmospheric oxidized N deposition contributed approximately 14% to the NANI of the Lake Victoria Basin, while either synthetic N fertilizer imports or biological N fixations only contributed less than 6% to the regional NANI. Due to the low N imports of feed and food products (

Peroxymonosulfate-based electrochemical advanced oxidation processes (PMS-EAOPs) have great potential for sustainable water purification, so an in-depth understanding of its catalytic mechanism is imperative to facilitate its practical application. Herein, the performance enhancement and mechanism of electroenhanced PMS activation by single-atom Fe catalyst modified carbon felt was investigated. Compared with the anode, the cathode exhibited faster bisphenol A degradation (kcathode = 0.073 vs. kanode = 0.015 min-1), increased PMS consumption (98.8 vs. 10.3%), and an order of magnitude reduction of Fe dissolution (0.068 vs. 0.787 mg L-1). Mass transfer is a key factor limiting PMS activation, while the electrostriction of water in the hydrophobic region caused by cathode electric field (CEF) significantly increased mass transfer coefficient (km, cathode = 1.49 x 10-4 vs. km, anode = 2.68 x 10-5 m s-1). The enhanced activation of PMS is a synergistic result between electroactivation and catalyst-activation, which is controlled by the applied current density. ¹O2 and direct electron transfer are the main active species and activation pathway, which achieve high degradation efficiency over pH 3 to 10. Density functional theory calculations prove CEF increases the adsorption energy, lengthens the O-O bond in PMS, and promotes charge transfer. A flow-through convection unit achieves sustainable operation with high removal efficiency (99.5% to 97.5%), low electrical energy consumption (0.15 kWh log-1 m-3), and low Fe leaching (0.81% of the total single atom Fe). This work reveals the critical role of electric fields in modulating Fenton-like catalytic activity, which may advance the development of advanced oxidation processes and other electrocatalytic applications. [ABSTRACT FROM AUTHOR]

Soil nitrogen mineralization (Nmin) is a key process that converts organic N into mineral N that controls soil N availability to plants. However, regional assessments of soil Nmin in cropland and its affecting factors are lacking, especially in relation to variation in elevation. In this study, a 4-week incubation experiment was implemented to measure net soil Nmin rate, gross nitrification (Nit) rate and corresponding soil abiotic properties in five field soils (A-C, maize; D, flue-cured tobacco; and E, vegetables; with elevation decreasing from A to E) from different altitudes in a typical intensive agricultural area in Dali City, Yunnan Province, China. The results showed that soil Nmin rate ranged from 0.10 to 0.17 mg·kg-1·d-1 N, with the highest value observed in field E, followed by fields D, C, B, and A, which indicated that soil Nmin and Nit rates varied between fields, decreasing with elevation. The soil Nit rate ranged from 434.2 to 827.1 µg·kg-1·h-1 N, with the highest value determined in field D, followed by those in fields E, C, B, and A. The rates of soil Nmin and Nit were positively correlated with several key soil parameters, including total soil N, dissolved organic carbon and dissolved inorganic N across all fields, which indicated that soil variables regulated soil Nmin and Nit in cropland fields. In addition, a strong positive relationship was observed between soil Nmin and Nit. These findings provide a greater understanding of the response of soil Nmin among cropland fields related to spatial variation. It is suggested that the soil Nmin from cropland should be considered in the evaluation of the N transformations at the regional scale. [ABSTRACT FROM AUTHOR]