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BackgroundThe increasing incidence of inflammatory bowel disease (IBD) has imposed heavy financial burdens for Chinese patients; however, data about their financial status and access to health care are still lacking. This information is important for informing patients with IBD about disease treatment budgets and health care strategies. ObjectiveThe aim of this study was to evaluate the economic status and medical care access of patients with IBD through the China Crohn’s & Colitis Foundation web-based platform in China. MethodsOur study was performed in 14 IBD centers in mainland China between 2018 and 2019 through WeChat. Participants were asked to complete a 64-item web-based questionnaire. Data were collected by the Wenjuanxing survey program. We mainly focused on income and insurance status, medical costs, and access to health care providers. Respondents were stratified by income and the associations of income with medical costs and emergency visit times were analyzed. ResultsIn this study, 3000 patients with IBD, that is, 1922 patients with Crohn disease, 973 patients with ulcerative colitis, and 105 patients with undetermined colitis were included. During the last 12 months, the mean (SD) direct and indirect costs for per patient with IBD were approximately US $11,668.68 ($7944.44) and US $74.90 ($253.60) in China. The average reimbursement ratios for most outpatient and inpatient costs were less than 50%. However, the income of 85.5% (2565/3000) of the patients was less than ¥10,000 (US $1445) per month. Approximately 96.5% (2894/3000) of the patients were covered by health insurance, but only 24.7% (741/3000) of the patients had private commercial insurance, which has higher imbursement ratios. Nearly 98.0% (2954/3000) of the patients worried about their financial situation. Thus, 79.7% (2392/3000) of the patients with IBD tried to save money for health care and even delayed their medical treatments. About half of the respondents (1282/3000, 42.7%) had no primary care provider, and 52.2% (1567/3000) of the patients had to visit the emergency room 1-4 times per year for the treatment of their IBD. Multivariate analysis revealed that lower income (P=.001) and higher transportation (P=.004) and accommodation costs (P=.001) were significantly associated with the increased number of emergency visits of the patients. ConclusionsChinese patients with IBD have enormous financial burdens and difficulties in accessing health care, which have increased their financial anxiety and inevitably influenced their disease outcomes. Early purchase of private insurance, thereby increasing the reimbursement ratio for medical expenses, and developing the use of telemedicine would be effective strategies for saving on health care costs.

Zero-emission vehicle (ZEV) adoption is a key climate mitigation tool, but its environmental justice implications remain unclear. Here, we quantify ZEV adoption at the census tract level in California from 2015 to 2020 and project it to 2035 when all new passenger vehicles sold are expected to be ZEVs. We then apply an integrated traffic model together with a dispersion model to simulate air quality changes near roads in the Greater Los Angeles. We found that per capita ZEV ownership in non-disadvantaged communities (non-DACs) as defined by the state of California is 3.8 times of that in DACs. Racial and ethnic minorities owned fewer ZEVs regardless of DAC designation. While DAC residents receive 40% more pollutant reduction than non-DACs due to intercommunity ZEV trips in 2020, they remain disproportionately exposed to higher levels of traffic-related air pollution. With more ZEVs in 2035, the exposure disparity narrows. However, to further reduce disparities, the focus must include trucks, emphasizing the need for targeted ZEV policies that address persistent pollution burdens among DAC and racial and ethnic minority residents.

Abstract Background The identification of spotted leaf 50 (spl50), a novel lesion mimic mutant (LMM) in rice, provides critical insights into the mechanisms underlying programmed cell death (PCD) and innate immunity in plants. Results Based on ethyl methane sulfonate (EMS)-induced mutagenesis, the spl50 mutant mimics hypersensitive responses in the absence of pathogen by displaying spontaneous necrotic lesions after the tillering phase. SPL50, an ARM repeat protein essential for controlling reactive oxygen species (ROS) metabolism and boosting resistance to blast disease, was identified by map-based cloning techniques. This work also demonstrates the detrimental effects of spl50 on photosynthetic efficiency and chloroplast development. The crucial significance of SPL50 in cellular signaling and stress response is shown by its localization to the cytoplasm and constitutive expression in various plant tissues. In light of growing concerns regarding global food security, this study highlights the pivotal role of SPL50 in regulating programmed cell death (PCD) and enhancing the immune response in plants, contributing to strategies for improving crop disease resistance. Conclusions The novel identification of the SPL50 gene in rice, encoding an ARM repeat protein, reveals its pivotal role in regulating PCD and innate immune responses independently of pathogen attack.

The O2/CO2 combustion technology is a clean coal-fired power generation technology. However, a large amount of alkali metals released during the combustion of high-alkali coal is usually an important substance that causes ash deposition, slagging and corrosion on the heating surface of boiler, which seriously affect the safe and stable operation of equipment. It is of great significance to study the release characteristics of alkali metal salts with different occurrences in the Zhundong coal under the O2/CO2 combustion atmosphere for the clean and efficient utilization of coal. Based on flame emission spectroscopy (FES), the release characteristics of different alkali metal salts in the O2/N2 and O2/CO2 atmospheres during pulverized coal combustion were studied in a metal wire mesh reactor. The results show that the combustion of volatile compounds produces a bright flame under the O2/N2 atmosphere. The combustion intensity and flame temperature of the pulverized coal in the O2/CO2 atmosphere decrease compared with that in the O2/N2 atmosphere, the ignition time is delayed, the combustion time of volatiles and coke is prolonged, and the release of Na(g) is inhibited. For NaAc, Na2CO3 and Na2SO4, the O2/CO2 atmosphere delays the decreasing time of mass concentration, so that the Na(g) in the pulverized coal enters a stable release stage from the beginning, and the mass concentration variation rate of Na(g) does not fluctuate much. However, the mass concentration variation rate of NaCl will turn negative about 4 seconds after release, resulting in a consistent decrease in the mass concentration of Na(g). At the same time, the CO2 atmosphere also causes the conversion of NaAc, NaCl and other types of salts to form Na2CO3, which is more difficult to release, and further inhibits the release process of Na(g). The main reason that the mass release rate of Na2CO3 also decreases under the O2/CO2 atmosphere is that CO2 inhibits the decomposition process of Na2CO3 to Na2O. The Na2SO4 is more difficult to release itself, so the main reason for the reduction of its mass release rate is due to the reduction of fuel combustion temperature and intensity.

Unconventional oil and gas resources have large reserves and are difficult to develop. Reservoir fracturing is a key technical means for the development of unconventional oil and gas resources. Natural fractures and induced fractures are irregular and complex. To address the issue that existing fracture characterization methods cannot accurately depict the true shapes and width variations of fractures, a method based on unstructured PEBI grids for characterizing irregular and complex fractures was proposed. First, a natural fracture characterization process based on PEBI grids was established, allowing for accurate characterization of natural fractures in any region or a specified area. Second, a characterization and optimization method for induced fractures based on Delaunay triangulation and PEBI grids was developed, analyzing the impact of grid size and optimization iterations on fracture characterization accuracy. Third, a method for characterizing non-planar fractures using unstructured grids was established, enabling the depiction of curved fractures, making the fracture morphology and distribution more consistent with actual conditions. Fourth, a method for characterizing non-uniform fracture width was proposed, achieving fine characterization of fractures with non-uniform distribution of width and conductivity along the same fracture. Fifth, a complex fracture network characterization method coupling irregular induced fractures and irregular natural fractures in the whole area and specified regions was realized. For fracture network characterization under complex conditions such as large-scale intersections of natural and induced fractures, non-uniform fracture width distribution, and non-planar frac- tures, adjusting the number of grid optimization iterations could improve the quality of the fracture network characterization. Utilizing the advantage of PEBI grids to flexibly and accurately approximate complex fracture boundary conditions, this method enabled the rapid and accurate handling of a large number of irregular natural and induced fractures. The developed method for characterizing irregular and complex fractures helps improve the accuracy of fracture network characterization and numerical simulation calculations in unconventional oil and gas reservoirs.

Abstract Objectives We hope to offer a comprehensive understanding of the advancements and patterns in research on PND. Methods: We performed a thorough search on the Web of Science Core Collection to locate relevant studies published from 1969 to 2022 and utilized four distinct tools, namely VOSviewer (J Data Inf Sci, 2017, 2, 1; J Am Soc Inf Sci, 1973, 24, 265; Amer Doc, 1963, 14, 10 and Scientometrics, 2010, 82, 581), CiteSpace (Scientometrics, 2010, 84, 523), Scimago Graphica, and R‐bibliometrix which allowed us to examine various aspects. Results: We included a total of 6787 articles and reviews for analysis which described PND research, the sources, and the subfields; highlighted the significant developments in this field; identified three main directions in PND.Conclusion: This study highlights the rapid growth of research on PND in recent years and provided an overview of previous studies in the field of PND, thereby establishing the overall landscape of PND research and identifying potential avenues for future investigations. Methods We performed a thorough search on the Web of Science Core Collection to locate relevant studies published from 1969 to 2022. To perform bibliometric analysis and network visualization, we utilized four distinct tools, namely VOSviewer (J Data Inf Sci, 2017, 2, 1; J Am Soc Inf Sci, 1973, 24, 265; Amer Doc, 1963, 14, 10 and Scientometrics, 2010, 82, 581), CiteSpace (Scientometrics, 2010, 84, 523), Scimago Graphica, and R‐bibliometrix. These tools allowed us to examine various aspects, including the yearly publication output, the contribution of different countries or regions, the involvement of active journals, co‐citation analysis, publication status, keywords, and terms, as well as scientific categories. We hope to offer a comprehensive understanding of the advancements and patterns in research on PND. The insights gained from this study can assist researchers and clinicians in enhancing the management and implementation of their work in this field. Results In this study, we included a total of 6787 articles and reviews for analysis. First, publication trends and contribution by country analysis described PND research. Second, a historical analysis described PND research, the sources, and the subfields. Third, an analysis of keywords highlighted the significant developments in this field. Fourth, an analysis of research themes identified three main directions in PND. Conclusion In summary, the research volume exhibits exponential growth over time. Furthermore, the majority of contributions originate from Western countries and China. The interdisciplinary nature of the field is evident, with its roots in biology and medicine and further branching into psychology and social sciences. POCD, delirium‐predominant associated clinical management were major research themes about PND.

Abstract Growing evidence indicates that extreme heat and rain may occur in succession within short time periods and cause greater impacts than individual events separated in time and space. Therefore, many studies have examined the impacts of compound hazard events on the social-ecological system at various scales. The definition of compound events is fundamental for such research. However, there are no existing studies that support the determination of time interval between individual events of a compound rainstorm and heatwave (CRH) event, which consists of two or more potentially qualifying component heatwave and rainstorm events. To address the deficiency in defining what individual events can constitute a CRH event, this study proposed a novel method to determine the maximum time interval for CRH events through the change in CRH event frequency with increasing time interval between individual events, using southern China as a case study. The results show that the threshold identified by the proposed method is reasonable. For more than 90% of the meteorological stations, the frequency of CRH events has reached a maximum when the time interval is less than or equal to the threshold. This study can aid in time interval selection, which is an important step for subsequent study of CRH events.

Hydrogen, as an important clean energy source that can be used as an alternative to fossil energy, can reduce global greenhouse gas emissions. However, the large-scale hydrogen industry requires large reservoirs to store hydrogen, and the use of underground reservoirs to store large amounts of hydrogen has become a new topic. In this paper, 11 coal samples with different metamorphic degrees of Carboniferous-Permian in Ordos Basin, Qinshui Basin and Ningwu Basin of China were investigated. Based on the specific surface area and total pore volume, the amount of hydrogen adsorbed by coal rock was evaluated by hydrogen isothermal adsorption experiment and Langmuir model. The mechanism of hydrogen adsorption by coal rock was discussed in combination with coal quality, organic geochemistry, mineral and pore structure characteristics. The results show that the Langmuir model is suitable for the calculation and evaluation of the potential of simulating the hydrogen adsorption of coal rock. Coal rock with different metamorphic degrees has high hydrogen adsorption capacity, and the higher the metamorphic degree, the higher the organic matter abundance and the more developed micropores, the higher the hydrogen adsorption capacity. Hydrogen in coal rock is mainly physically adsorbed on the surface of coal rock by van der Waals force. With the increase of coal rock metamorphic degree, the more micropores formed by organic matter, the more pore volume and total specific surface area provided by organic matter, which increases the amount of hydrogen adsorption, and the higher pore connectivity can improve the efficiency of hydrogen entering pores and being adsorbed. The amount of hydrogen adsorbed by coal rock will increase with the increase of pressure, but due to the reasons such as intermolecular repulsion, the adsorption rate will decrease, and the hydrogen storage will reach saturation. The development of deep coal seams in China provides a good foundation for hydrogen storage in coal seams. However, due to chemical reactions, competitive adsorption and other problems, hydrogen will be lost and lost in coal-rock reservoirs. The use of high pressure for hydrogen storage or acquisition of hydrogen will cause irreversible damage to the structure of coal-rock reservoirs, which has adverse effects on the use of coal-rock reservoirs for one or more storage of hydrogen. Deep coal seams with high metamorphic degree have certain potential as hydrogen storage horizons but further research is still needed to overcome some key problems such as hydrogen loss and reservoir damage.

This study explored the association between loneliness and mental health among nurses in China during the COVID-19 pandemic. This cross-sectional study was conducted from March to April 2022. We enrolled 2,811 nurses from a tertiary hospital in China. Demographic characteristics, lifestyle factors, work-related factors, and psychological characteristics were collected from participants via a self-reported questionnaire. Loneliness was measured with the three-item short form of the Revised UCLA Loneliness Scale, and the Patient Health Questionnaire (PHQ-9) and the General Anxiety Disorder (GAD-7) scale were used to measure mental health. Adjusted odds ratios (ORs) and 95% confidence intervals (CI) were determined using binary logistic regression. Among participants in this study, 12.0% (337) experienced loneliness, and 7.8% (219) and 6.7% (189) reported depression and anxiety, respectively. The loneliness scores were categorized into three levels (3, 4-6, and 7-9). For depression, compared with the lowest reference, the ORs and 95% CI across the tertile were 1.31 (0.69-1.84) and 2.53 (1.11-5.76) after adjustment, respectively, and the P-value for trend was 0.045. For anxiety, compared with the lowest reference, the ORs and 95%CI across the tertile were 1.84 (1.28-2.63) and 2.52 (1.57-4.10) after adjustment, respectively; the P-value for trend was 0.004. This study showed that loneliness was significantly associated with poor mental health among nurses during the COVID-19 pandemic. These findings suggested that medical establishments should offer interventions for nurses to prevent mental health problems by targeting this modifiable risk factor.