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Total nitrogen concentration (CTN) enrichment is the primary cause of natural water eutrophication. Accurately estimating CTN and its spatiotemporal dynamics is crucial for formulating monitoring and control measures to alleviate lake eutrophication. A hybrid model was proposed for estimating CTN in optically complex inland waters by incorporating the relationship between CTN and water optical active components for Zhuhai-1 Orbita hyperspectral (OHS) imagery. Compared with other semi-analytical algorithms, the re-adjusted reference wavelength QAA716 shows the best performance in aph(λ) retrieval. The hybrid model for CTN estimation achieves an root mean square deviation (RMSD) of 0.20 mg/L, a mean absolute percentage deviation (MAPD) of 6.96 %, and a unbiased mean absolute percentage deviation (UMAPD) of 6.96 %, with aph(569) accuracy exerting the greatest influence. Ground-satellite synchronous validation demonstrates robust performance, with an RMSD of 0.28 mg/L, a MAPD of 14.49 %, and a UMAPD of 14.92 %. The hybrid model was applied to OHS observations of Lake Dianchi from April 2019 to September 2021. The analysis revealed a generally decreasing trend in CTN during this timeframe. The above results demonstrate that the robustness and applicability of the proposed CTN hybrid model for inland waters with complex optical properties. Furthermore, satellite-based data products provide valuable information for formulating lake management strategies.

As one of the optically active components, phytoplankton are common photosynthetic organisms in oceans, nearshore, and inland water bodies. The variations in phytoplankton algal density play a crucial role in understanding primary productivity, carbon cycling, and early warning of algal blooms. In this study, three typical eutrophic lakes in China, Lake Taihu, Lake Chaohu, and Lake Dianchi, were taken as the research area. Algorithms for estimating algal density of cyanobacteria-dominated and non-cyanobacteria-dominated water types were developed based on Mie theory. The results demonstrated that the developed algorithm had favorable estimation performance for inland eutrophic lakes, with a determination coefficient (R2) of 0.88, a mean absolute percentage error (MAPE) of 51%, an unbiased mean absolute percentage error (UMAPE) of 39%, and a root mean square error (RMSE) of 23.99 × 106 cells/L. Furthermore, comparison with other algorithms for estimating algal density showed that the developed algorithm had the lowest MAPE of 60% and UMAPE of 43%, with the RMSE of 23.42 × 106cells/L. Extensive evaluation based on satellite-ground synchronous data demonstrated the applicability of the developed algorithm to the Sentinel-3 OLCI sensor, enabling the determination of spatial and temporal distribution characteristics of algal density in the three lakes from 2016 to 2022 using Sentinel-3 OLCI images. The results of algal density inversion revealed a continuous decreasing trend in algal density in Lake Dianchi from 2016 to 2022, while the algal density in Lake Taihu and Lake Chaohu both decreased after 2019.

SDGSAT-1, the first scientific satellite dedicated to advancing the United Nations 2030 Agenda for Sustainable Development, brings renewed vigor and opportunities to water resource monitoring and research. This study evaluates the effectiveness of SDGSAT-1 in extracting water bodies in comparison to Sentinel-2 multi-spectral imager (MSI) data. We applied a confidence thresholding method to delineate river water from land, utilizing the Normalized Differential Water Body Index (NDWI), Normalized Difference Water Index (MNDWI), and Shaded Water Body Index (SWI). It was found that the SWI works best for SDGSAT-1 while the NDWI works best for Sentinel-2. Specifically, the NDWI demonstrates proficiency in delineating a broader spectrum of water bodies and the MNDWI effectively mitigates the impact of shadows, while SDGSAT-1’s SWI extraction of rivers offers high precision, clear outlines, and shadow exclusion. SDGSAT-1’s SWI overall outperforms Sentinel-2’s NDWI in water extraction accuracy (overall accuracy: 90% vs. 91%, Kappa coefficient: 0.771 vs. 0.416, and F1 value: 0.844 vs. 0.651), likely due to its deep blue bands. This study highlights the comprehensive advantages of SDGSAT-1 data in extracting river water bodies, providing a theoretical basis for future research.

HJ-2 (Huanjing-2) was launched in September 2020. It has a charge-coupled device (CCD) that offers a spatial resolution of 16 m and a revisiting time of two days, making it an excellent option for environmental and disaster monitoring. However, more evaluation is needed for the ability of CCD to monitor water quality. As chlorophyll a concentration (CChla) is the main indicator for water quality evaluation, in this study, the performance of the CCD sensor to monitor CChla has been verified, with a particular focus on typical eutrophic lakes. The essential findings can be summarized as follows: (1) the CCD sensor has a signal-to-noise ratio (SNR) greater than 400 in all bands except the green band, indicating that it meets the requirements for water quality monitoring; (2) the semi-empirical estimation model of CChla derived from HJ-2 CCD has a mean absolute deviation (MAD) of 8.18 μg/L, root mean square deviation (RMSD) of 10.66 μg/L and mean absolute percentage deviation (MAPD) of 20.93 %; (3) the higher temporal and spatial resolution of the CCD data enables effective monitoring of water quality parameters characterized by high spatiotemporal variations; (4) HJ-2 CCD exhibits strong consistency with Sentinel-2 MSI and Sentinel-3 OLCI across various bands, with most bands showing correlation coefficients exceeding 0.8 and a MAPD below 30 %. This study reveals the significant potential and practical value of HJ-2 CCD data for monitoring and assessing water quality, providing important information for the design and development of next-generation satellites.

The proliferation of algal blooms can lead to environmental issues. The phytoplankton responsible for these blooms are diverse. Different species of bloom-forming algae have distinct characteristics and hazards, and therefore need different treatment methods. An accurate and quick determination of the spatial and temporal distribution characteristics of different algal species is crucial for lake ecological restoration. Based on the differences in remote sensing reflectance (Rrs) of various typical algae species in eutrophic lakes (including Microcystis aeruginosa, Aphanizomenon sp., and Pseudanabaena sp. in Cyanobacteria and Chlorella sp. and Scenedesmus quadricauda in Chlorophytes), difference index and algae distinguishing index were developed to differentiate algae species. A validation, using an independent dataset from an indoor experiment and in-situ-measured and satellite-image-derived Rrs, showed that the algorithm can provide reliable results (overall accuracies of 81.97%, 81.25%, and 60.42%, respectively). According to Ocean and Land Color Instrument images of Lake Taihu in the period of 2016 to 2020, Microcystis was the dominant algae, followed by Pseudanabaena and Aphanizomenon. The dominance of the two types of Chlorophytes was less pronounced. The proportion of Microcystis as the dominant algae was highest in summer, while the proportion of Pseudanabaena peaked in winter. The proportion of Aphanizomenon varied slightly throughout the year, while the proportion of the two Chlorophytes peaked in winter. In terms of spatial distribution, the patterns in spring and autumn were relatively similar. In summer, approximately 80% of the lake was dominated by Microcystis. In winter, Chlorella and Scenedesmus were more prevalent along the southeastern shore of Lake Taihu. The construction and application of this model can provide a technical support for prediction and prevention of blooms in inland lakes.

Abstract Purpose The aim of this study was to explore the efficacy of sternoclavicular hook plate for treatment of proximal clavicle fracture with dislocation of sternoclavicular joint. Methods Between October 2016 and December 2020, 16 cases (9 male and 7 female patient, with a mean age of (42 ± 10) years) of proximal clavicle fracture with dislocation of sternoclavicular joint were included in the study. Injured side, injury mechanism, time to surgery, Complications and duration of follow-up were recorded. The outcomes were evaluated with radiographic assessment, American Shoulder and Elbow Surgeons’ Form (ASES). All the patients were evaluated on postoperative 3rd, 6th, and 12th months. Results According to the ASES scoring system, the average score was 49 ± 4 (preoperative score), 87 ± 5 (3 months follow-up), 88 ± 3 (6 months follow-up) and 91 ± 3 (12 months follow-up). Statistics differences was showed between preoperative and 3,6,12 months follow-up score of ASES score (p

Background: Osteonecrosis of the femoral head (ONFH) results in activity-related hip pain and disability, affecting around 20 million people worldwide. However, there is absent of effective therapeutic approaches for ONFH. The transplantation of mesenchymal stem cells was reported to be a promising method for ONFH therapy. In this study, we explored if bone morphogenetic protein-2 (BMP-2) transgenic alveolar bone-derived marrow stem cells (ABMSCs) could be applied to treat ONFH. Methods: We established an ONFH mouse model by injection of steroid, and implanted ABMSCs and BMP-2 transgenic ABMSCs into the steroid-impaired femoral head. Gene expression and the pathological alternation of the tissues were analyzed by qRT-PCR and hematoxylin and eosin staining, respectively. Tartrate-resistant acid phosphatase staining was applied to detect osteoclastogenesis. Enzyme linked immunosorbent assay (ELISA) and Western blot were performed to evaluate the protein expression in the sera and tissues, respectively. Results: ABMSCs attenuated steroid-induced ONFH and ameliorated the serum concentration of osteogenesis-associated proteins in the ONFH mice. Mechanistically, ABMSCs inhibited osteoclast differentiation by inactivating the RANKL/RANK/OPG signaling pathway. BMP-2 overexpression enhanced ABMSCs to alleviate ONFH. Conclusions: ABMSCs and BMP-2 Transgenic ABMSCs attenuate ONFH by promoting osteoblastogenesis and inhibiting osteoclastogenesis via inactivating the RANKL/RANK/OPG signaling pathway.

BackgroundThe 5-year survival rate for pancreatic cancer (PC) is incredibly low, resulting in this often being a fatal disease. Timely and accurate assessment of the survival rate and prognosis of patients with PC is of great significance for the development of new programs for prevention, monitoring, and treatment.MethodsPeriod analysis and further stratified analysis were used to determine the 5-year relative survival rate (RSR) of patients with PC from 2002 to 2016 using the Surveillance, Epidemiology, and End Results (SEER) project database of the National Cancer Institute. Based on this, a generalized linear model was created to predict the survival rate of patients from 2017 to 2021.ResultDuring 2002–2016, the 5-year RSR of patients with PC increased from 7.9 to 23.7%. The generalized linear model predicted that the survival rate had increased to 33.9% during 2017–2021, and hence, it was still unacceptably low. The survival rate of patients aged ≥75 years at diagnosis was the lowest among all age groups and was predicted to be only 21.4% during 2017–2021. Notably, the survival rate of patients with differentiation grade III at diagnosis remains particularly low at 7.6%.ConclusionThe survival rates of patients with PC, although slightly improved, remain extremely low. Timely assessment of the trend of survival rate changes in patients with PC further improves the prognosis of tumor patients and provides data support for relevant medical works to formulate effective tumor prevention and control policies.

Abstract Introduction The purpose is based on anatomical basis, combined with three-dimensional measurement, to guide the clinical repositioning of proximal humeral fractures, select the appropriate pin entry point and angle, and simulate surgery. Methods 11 fresh cadaveric specimens were collected, the distance of the marked points around the shoulder joint was measured anatomically, and the vertical distance between the inferior border of the acromion and the superior border of the axillary nerve, the vertical distance between the apex of the humeral head and the superior border of the axillary nerve, the vertical distance between the inferior border of the acromion and the superior border of the anterior rotator humeral artery, and the vertical distance between the apex of the humeral head and the superior border of the anterior rotator humeral artery were marked on the 3D model based on the anatomical data to find the relative safety zone for pin placement. Results Contralateral data can be used to guide the repositioning and fixation of that side of the proximal humerus fracture, and uniform data cannot be used between male and female patients. For lateral pining, the distance of the inferior border of the acromion from the axillary nerve (5.90 ± 0.43) cm, range (5.3-6.9) cm, was selected for pining along the medial axis of the humeral head, close to the medial cervical cortex, and the pining angle was measured in the coronal plane (42.84 ± 2.45)°, range (37.02° ~ 46.31°), and in the sagittal plane (28.24 ± 2.25)°, range (19.22° ~ 28.51°). The pin was advanced laterally in front of the same level of the lateral approach point to form a cross-fixed support with the lateral pin, and the pin angle was measured in the coronal plane (36.14 ± 1.75)°, range (30.32° ~ 39.61°), and in the sagittal plane (28.64 ± 1.37)°, range (22.82° ~ 32.11°). Two pins were taken at the greater humeral tuberosity for fixation, with the proximal pin at an angle (159.26 ± 1.98) to the coronal surface of the humeral stem, range (155.79° ~ 165.08°), and the sagittal angle (161.76 ± 2.15)°, with the pin end between the superior surface of the humeral talus and the inferior surface of the humeral talus. The distal needle of the greater humeral tuberosity was parallel to the proximal approach trajectory, and the needle end was on the inferior surface of the humeral talus. Conclusion Based on the anatomical data, we can accurately identify the corresponding bony structures of the proximal humerus and mark the location of the pin on the 3D model for pin placement, which is simple and practical to meet the relevant individual parameters.

Background The rapid increase in the detection rate of thyroid cancer over the past few decades has caused some unexpected economic burdens. However, that of papillary thyroid carcinoma (PTC) seems to have had the opposite trend, which is worthy of further comprehensive exploration. Methods The Surveillance, Epidemiology, and End Results 18 database was used to identify patients with PTC diagnosed during 2003-2017. The incidence trends were analyzed using joinpoint analysis and an age-period-cohort model. Results The overall PTC incidence rate increased from 9.9 to 16.1 per 100 000 between 2003 and 2017. The joinpoint analysis indicated that the incidence growth rate began to slow down in 2009 (annual percentage change [APC] = 3.1%, 95% confidence interval [CI] = 1.9%–4.4%). After reaching its peak in 2015, it began to decrease by 2.8% (95% CI = −4.6% to −1.0%) per year. The stratified analysis indicated that the incidence patterns of different sexes, age groups, races, and tumor stages and sizes had similar downward trends, including for the localized (APC = −4.5%, 95% CI = −7% to −1.9%) and distant (APC = −1.3%, 95% CI = −2.7% to −.1%) stages, and larger tumors (APC = −4%, 95% CI = −12% to 4.7%). The age-period-cohort model indicated a significant period effect on PTC, which gradually weakened after 2008-2012. The cohort effect indicates that the risk of late birth cohorts is gradually stabilizing and lower than that of early birth cohorts. Conclusion The analysis results of the recent downward trend and period effect for the incidence of each subgroup further support the important role of correcting overdiagnosis in reducing the prevalence of PTC. Future research needs to analyze more-recent data to verify these downward trends.

BackgroundSurvival rates are usually used to evaluate the effect of cancer treatment and prevention. This study aims to analyze the 5-year relative survival of non-Hodgkin lymphoma (NHL) in United States using population-based cancer registry data.MethodsA period analysis was used to evaluate the improvement in long-term prognosis of patients with NHL from 2004 to 2018, and a generalized linear model was developed to predict the 5-year relative survival rates of patients during 2019–2023 based on data from the SEER database stratified by age, sex, race and subtype.ResultsIn this study, relative survival improved for all NHL, although the extent of improvement varied by sex, age group and lymphoma subtype. Survival improvement was also noted for NHL subtypes, although the extent varied, with marginal-zone lymphoma having the highest 5-year relative survival rate (92.5%) followed by follicular lymphoma (91.6%) and chronic lymphocytic leukemia/small lymphocytic lymphoma (87.3%). Across all subtypes, survival rates were slightly higher in females than in males. Survival rates are lower in the elderly than in the young. Furthermore, the study demonstrated that black patients had lower NHL survival rates than white patients. Survival rates for NHL were higher in rural areas than in urban areas. Patients with extra-nodal NHL had a higher survival rate than patients with nodal NHL.ConclusionOverall, patient survival rates for NHL gradually improved during 2004–2018. The trend continues with a survival rate of 75.2% for the period 2019–2023. Analysis by NHL subtype and subgroups indicating that etiology and risk factors may differ by subtype. Identification of population-specific prevention strategies and treatments for each subtype can be aided by understanding these variations.

The particulate backscattering coefficient (bbp) plays an important role in the underwater light field. However, it is difficult to accurately estimate bbp(λ) in turbid inland water with complex optical properties. To accurately estimate the backscattering coefficients in inland water, a simple classification method based on the shape of remote sensing reflectance was first proposed to distinguish two water types (i.e., water type 1 and water type 2) with different backscattering characteristics. Then, trigonometric functions were developed to simulate the backscattering coefficients at all bands in water type 1 and the backscattering coefficients in the visible band of water type 2, whereas a linear function was built to estimate the backscattering coefficients in the near-infrared band of water type 2. The proposed algorithm was compared with four state-of-the-art methods and validated by an independently measured dataset of three lakes in the middle and lower reaches of the Yangtze River in 2020. The results showed that the proposed algorithm performed well in inland waters, with all mean absolute percentage errors < 40% and root-mean-square errors < 0.25 m−1. Finally, the algorithm was applied to Ocean and Land Color Instrument images from 2016 to 2020 in Lake Taihu and Lake Hongze. It was found that the backscattering coefficients in Lake Taihu and Lake Hongze showed opposite seasonal variation trends, and the bbp(676) in Lake Hongze began to decrease since 2017, whereas no obvious interannual variation was observed in Taihu Lake in recent five years.

Background: The overall incidence and mortality of gastric cancer have steadily declined in the United States over the past few decades, but it is still a serious disease burden for patients. Therefore, it is of great significance to evaluate the latest survival rate of gastric cancer. Methods: Based on the Surveillance, Epidemiology, and End Results database, this study analyzed the age-standardized relative survival rates and survival trends of gastric cancer cases in 2007–2011 and 2012–2016 using period analysis, and the survival rate 2017–2021 was predicted using a generalized linear model based on the period analysis. Results: During 2007–2016, the 5-year relative survival rate of patients with gastric cancer continued to rise, and the same trend was observed in 2017–2021. The 5-year overall age-standardized relative survival rates in 2007–2011, 2012–2016, and 2017–2021 were 38.3%, 40.6%, and 42.9%, respectively. However, despite these favorable trends, the overall relative survival of patients with gastric cancer remains at a low level. There were significant differences in the relative survival rates of patients with gastric cancer in terms of age, sex, race, primary site, stage, and socioeconomic status. Notably, the survival rate of patients with distant-stage gastric cancer remains very low (10%). Conclusion: We found that the survival rate of patients with gastric cancer showed different degrees of improvement in each subgroup. However, the overall relative survival rate of patients with gastric cancer remains low. Analyzing the changes of patients with gastric cancer in the last 10 years will be helpful in predicting the changing trend of cancer in the future. It also provides a scientific basis for relevant departments to formulate effective tumor prevention and control measures.

Accurate monitoring of emergent aquatic vegetation (EAV) and floating-leave aquatic vegetation (FAV), is vital because vegetation provides a critical habitat for aquatic animals and plays a critical role in protecting biodiversity. However, owing to the interference of water spectrum signals, it is difficult to extract the emerging aquatic vegetation information from remote sensing images, especially to distinguish between EAV and FAV. This study first proposed an enhanced aquatic vegetation index based on the difference in two short-wave infrared (SWIR) bands to extract the aquatic vegetation above the water surface, and then, the EAV and FAV were further distinguished coupled with the phenological characteristics, subsequently, a case study of Taihu Lake for accurately extracting seasonal and annual distributions. The results demonstrate that the proposed aquatic vegetation index is highly sensitive to EAV and FAV, and can further distinguish EAV from them coupled with phenological difference. Additionally, the dramatic changes in EAV and FAV in time and space indicated that human purse seine culture has had a great influence on the succession of aquatic vegetation, which may lead to the deterioration of the water ecology environment. Using the SWIR bands coupled with phenological difference is a promising method for recognizing aquatic vegetation above the water surface owing that it can weaken and eliminate the impact of algal bloom at the same time.

Due to strict spectral band requirements, the three-band (TB) chlorophyll-a concentration (Cchla) estimation algorithm cannot be applied to GOCI image, which has great potential in frequently monitoring inland complex waters. In this study, the TB algorithm was expanded and applied to GOCI data. The GOCI TB algorithm was subsequently calibrated using an in-situ dataset which contains 281 samples collected from 17 inland lakes in China between 2013 and 2020. MERIS TB and GOCI band ratio (BR) models were selected as comparisons to assess the proposed model. The results showed that the proposed GOCI TB model has similar accuracy with MERIS TB model and overperformed GOCI BR model. The root mean square error (RMSE) of the GOCI TB, MERIS TB, and GOCI BR algorithms are 14.212 μg/L, 12.096 μg/L, and 20.504 μg/L, respectively. The mean absolute percentage error (MAPE) (when Cchla is larger than 10 μg/L) of the three models were 0.377, 0.250, and 0.453, respectively. Similar conclusion could be drawn from a match-up dataset containing 40 samples. Finally, a simulation experiment was carried out to analyze the robustness of the models under various total suspended matter concentration (CTSM) conditions. Both the in-situ validation and simulation experiment indicated that the GOCI TB factor could effectively eliminate the optical influence of CTSM. Furthermore, the broader spectral range requirement of GOCI TB model made it proper for many other multispectral sensors such as Sentinel two Multispectral Instrument (S2 MSI), Moderate Resolution Imaging Spectroradiometer (MODIS) (onboard the Terra/Aqua satellite), and Visible Infrared Imaging Radiometer Suite (VIIRS) (onboard the National Polar-orbiting Partnership satellite). Compared with the GOCI BR algorithm, the GOCI TB algorithm has stronger stability, better accuracy, and greater potential in practice.

An out-of-plane magnetic field is expected to strongly modify exciton-phonon interactions in atomically thin transitional metal dichalcogenides. Here, the authors show that the phonon-exciton interaction in monolayer WSe2 lifts the inter-Landau-level transition selection rules for dark trions.

Phosphorus is the most important nutrient associated with lake eutrophication and changes in cyanobacterial blooms, and particulate phosphorus (PP) is the main form of phosphorus found in highly turbid inland waters. Therefore, it is urgent to monitor PP concentrations in inland water bodies. In this study, we take Hongze Lake as the research area and establish a semianalytical model to estimate PP concentrations based on the total particle absorption coefficient (ap); the mean absolute percentage error (MAPE) and root-mean-square error (RMSE) values, which indicate the model accuracy, were 14.90% and 0.009 mg/L, respectively. In addition, the construction process and parameter selection criteria of the remote sensing-based PP concentration estimation model were derived using remote sensing data obtained at different spectral resolutions. Sentinel 3 Ocean and Land Color Instrument (OLCI) and Landsat 9 Operational Land Imager version 2 (OLI-2) data were selected as representatives to verify the accuracy of the model; compared to these two datasets, the MAPE values of the models were 16.32% and 26.84%, respectively, while the RMSE values were 0.010 mg/L and 0.014 mg/L, respectively. Finally, the models were applied to Sentinel 3 OLCI and Landsat 9 OLI-2 images obtained on 16 January 2022. The results show that the spatiotemporal distributions of PP concentrations in Hongze Lake estimated from these two images were relatively consistent, but the OLI data reflected overestimations and underestimations in some areas. These research results provide a new methodology for estimating PP concentrations through remote sensing methods and help to further improve the accuracy of remotely sensed PP concentration estimations in inland water bodies.

Park accessibility plays a critical role in evaluating the quality of park construction. However, the conventional accessibility model ignores non-spatial factors, so it is crucial to use more complex methods for evaluating park accessibility. This study aims to establish an improved Gaussian-based two-step floating catchment area method (iG2SFCA) based on Point of Interest (POI), population data and Baidu map, to measure the park accessibility of various travel modes (walking, riding and driving modes) in 5-min, 15-min and 30-min scenarios, and location quotient is used to assess spatial equity of parks. The results show that: (1) There are clear disparities between park supply and population demand at the street level. (2) iG2SFCA evaluates the level and attractiveness of the park comprehensively. It is more sensitive to identifying accessibility, which can lead to a more realistic assessment of Park accessibility. (3) Under the three modes of transportation, the accessible area of the park increases with time, and the accessibility difference between residential areas is the smallest under the 30-min scenario. Overall, accessibility of park is relatively high; however, there is an obvious tendency for the accessibility level to decrease from the park as the center. The areas with poor accessibility appear in the north and southeast of the research area. (4) There are regional variances in the spatial equity of parks within Xi’an 3 City, and the park configuration needs to be optimized. These findings can provide theoretical support for further optimizing the layout of park in Xi’an in order to improve the spatial equity of urban parks.

The Hongze Lake is the fourth largest freshwater lake in China and an important lake for the East Route of the South-to-North Water Diversion Project. The water quality of the lake affects social development and the lives of residents. To assess the impacts of environmental changes and human activities on the distribution of the total suspended matter (TSM) in the Hongze Lake, we developed an algorithm that utilizes the near-infrared (NIR) band to estimate TSM based on in situ measurements. The algorithm was applied to Landsat images to derive TSM distribution maps from 1984 to 2019, revealing significant inter-annual, seasonal, and spatial variability. The relationship between TSM, precipitation, and wind speed was analyzed, and we found that: (1) The estimation model of TSM concentration in the Hongze Lake constructed for TM and OLI has a high accuracy, and it can be used to jointly monitor TSM concentration in the Hongze Lake for long-term series; (2) From 1984 to 2019, the concentration of TSM in the Hongze Lake showed a trend of first rising and then falling, with the maximum value in 2010 at 100.18 mg/L mainly caused by sand mining activities. Precipitation and wind speed weakly influence the inter-annual variation of TSM concentration; (3) The concentration of TSM in the Hongze Lake in summer is easily affected by flooding in the Huai River, and the concentration of TSM in other seasons is significantly negatively correlated with precipitation; (4) TSM is highest in the Huaihe Bay, followed by the Lihe Bay and Chengzi Bay. The main reason for this is that the input of the Huaihe Bay flows directly into this lake area and is also the main navigation channel. The results of this study are of great significance for the protection and management of the water environment of the Hongze Lake.

Background We compared the outcomes of three fixation techniques for Müller type C2 and C3 distal femoral fractures. Methods We retrospectively analyzed patients undergoing internal fixation for Müller type C2 and C3 distal femoral fractures via locking plate (Group A), lateral locking condylar plate and medial contoured reconstruction plate (Group B), and lateral locking condylar plate and anterior reconstruction plate (Group C). Knee joint functional recovery and functional outcomes were evaluated 12 months postoperatively. Results Patients included 34 men and 24 women aged 25 to 74 years (mean, 50.3 ± 10.73 years). Operating times were longest in Group B and similar in Groups A and C. Bleeding volume in Group A was smaller than in Group B and similar to that of Group C. Functional outcomes were excellent in 18 (31%) fractures, good in 24 (41%), moderate in 11 (19%), and poor in 5 (9%). Good-to-excellent results were achieved in 56%, 82%, and 83% of patients (Groups A, B, and C, respectively). Groups B and C's outcomes were superior to Group A's outcomes. No significant difference in postoperative complications between the groups existed. Conclusion Lateral locking condylar and anterior reconstruction plating was useful for complex type C distal femoral fractures.

Bloom occurrence probability prediction is a critical issue for freshwater resource management and protection. As the mechanism of algal blooms is not understood, the construction of prediction model mainly depends on statistical data. Therefore, knowledge on prior bloom occurrence derived from statistical data plays a significant role in establishing a prediction model. In this study, a naïve Bayesian model incorporating prior information was constructed to predict algal bloom occurrence probabilities 1–7 days in advance under different weather conditions in Dianchi Lake. The proposed model utilised the following data from the MODIS images, the floating algae index (FAI) for the previous 7 days and five meteorological variables (mean wind speed, air pressure, relative humidity on the prediction day, accumulated sunshine hours in the previous 3 days, and accumulated air temperature in the previous 7 days). The prior probabilities of each pixel were calculated on a monthly timescale to highlight the bloom’s temporal-spatial differences, and the 1–7 day posterior probabilities were calculated by combining the prior and conditional probabilities. The predictive effect was tested by the area under the receiver-operating characteristic curve (AUC), and the results showed the number of pixels with estimation predictions classified as ‘Good+’ and ‘Excellent’ were 91.3%, 91.4%, 82.7%, 83.3%, 89.0%, 86.6%, and 90.0% for the predictions on days 1–7, respectively. Additionally, the independent validation datasets showed that the percentage of correctly classified instances (CCI%) of approximately 90% of the pixels were greater than 50%. The proposed algal bloom prediction model based on the naïve Bayesian method has pixel-level prediction abilities, is applicable to other inland water systems, and can provide a reference for water environment risk forecasting and management.

Abstract Background Hong Kong (HK) and Guangzhou (GZ) are cities in China with different healthcare systems. This study aimed to compare 30-day and 6-month mortality and characteristics of patients with suspected cardiac chest pain admitted to two emergency departments (ED) in HK and GZ. Methods A prospective observational study enrolled patients with suspected cardiac chest pain presenting to EDs in the Prince of Wales Hospital (PWH), HK and the Second Affiliated Hospital of Guangzhou Medical University (AHGZMU),GZ. The primary outcome was 30-day and 6-month mortality. Results In total, 996 patients were recruited, 407 cases from GZ and 589 cases from HK.The 30-day and 6-month mortality of chest patients were 3.7% and 4.7% in GZand 0.3% and 1.9% in HK, respectively. Serum creatinine level (Cr) was an independent factor for 30-day mortality whilst Cr and systolic blood pressure (SBP) were independent factors for 6-month mortality. In Cox regression analysis, unadjusted and adjusted hazard ratios for 30-day and 6-month mortality in GZ were significantly increased. Conclusion The 30-day and 6-month mortality of patients with suspected cardiac chest pain in Guangzhou were higher than in Hong Kong due to due to different baseline clinical characteristics of patients and different distributions of diagnoses, which were associated with different healthcare systems. Serum creatinine and SBP were independent factors for 30-day and 6-month mortality.

With the acceleration of urbanization, increasing water pollution means that monitoring and evaluating urban water quality are of great importance. Although highly accurate, traditional evaluation methods are time consuming, laborious, and vastly insufficient in terms of the continuity of spatiotemporal coverage. In this study, a water quality assessment method based on remote sensing reflectance optical classification and the traditional grading principle is proposed. In this method, an optical water type (OWT) library was first constructed using the measured in situ remote sensing reflectance dataset based on fuzzy clustering technology. Then, comprehensive scoring rules were established by combining OWTs and 12 water quality parameters, and water quality was graded into different urban water quality levels (UWQLs) based on the scoring results. Using the proposed method, the relative water quality of urban waterbodies was qualitatively evaluated at the macro level based on images from the multispectral imager of Sentinel-2. In addition, there was a significant positive correlation between the UWQLs and the water quality index (WQI). These results indicate the potential of this method for quantitative assessment of urban water quality, providing a new way to evaluate water quality using remote sensing algorithms in the future.

The Yangtze River Delta (YRD) is one of the regions with the most intensive human activities. The eutrophication of lakes in this area is becoming increasingly serious with consequent negative impacts on the water supply of the surrounding cities. But the spatial-temporal characteristics and driving factors of the trophic state of the lake in this region are still not clearly addressed. In this study, a semi-analytical algorithm for estimating the trophic index (TSI) using particle absorption at 645 nm based on MODIS images is proposed to monitor and evaluate the trophic state of 41 large lakes (larger than 10 km2) in the YRD from 2002 to 2020. The performance of the proposed algorithm is evaluated using an independent dataset. Results showed that the root-mean-square error (RMSE) of the algorithm is less than 6 and the mean absolute percentage error (MAPE) does not exceed 8%, indicating that it can be applied for remotely deriving the TSI in the YRD. The spatial-temporal patterns revealed that there were significantly more lakes with moderate eutrophication in the Lower Yangtze River (LYR) than in the Lower Huaihe River (LHR). The overall average value of the TSI reaches a maximum in summer and a minimum in winter. The TSI value in the YRD over the period 2002–2020 showed a downward trend, especially after 2013. Individually, 33 lakes showed a downward trend and 8 lakes showed an upward trend. Furthermore, marked seasonal and interannual temporal variations can be clearly observed in the LYR and LHR and the sum of the variance contributions of seasonal and interannual components is more than 50%. Multiple linear regression analysis showed that human activities can explain 65% of the variation in the lake TSI in the YRD.

The accurate remote estimation of the Secchi disk depth (ZSD) in turbid waters is essential in the monitoring the ecological environment of lakes. Using the field measured ZSD and the remote sensing reflectance (Rrs(λ)) data, a new semi-analytical algorithm (denoted as ZSDZ) for retrieving ZSD was developed from Rrs(λ), and it was applied to Geostationary Ocean Color Imager (GOCI) images in extremely turbid waters. Our results are as follows: (1) the ZSDZ performs well in estimating ZSD in turbid water bodies (0.15 m < ZSD < 2.5 m). By validating with the field measured data that were collected in four turbid inland lakes, the determination coefficient (R2) is determined to be 0.89, with a mean absolute square percentage error (MAPE) of 22.39%, and root mean square error (RMSE) of 0.24 m. (2) The ZSDZ improved the retrieval accuracy of ZSD in turbid waters and outperformed the existing semi-analytical schemes. (3) The developed algorithm and GOCI data are in order to map the hourly variation of ZSD in turbid inland waters, the GOCI-derived results reveal a significant spatiotemporal variation in our study region, which are significantly driven by wind forcing. This study can provide a new approach for estimating water transparency in turbid waters, offering important support for the management of inland waters.

Quantized energy levels are one of the hallmarks of quantum mechanics at the atomic level. The manifestation of quantization in macroscopic physical systems has showcased important quantum phenomena, such as quantized conductance in (fractional) quantum Hall effects and quantized vortices in superconductors. Here we report the first experimental observation of quantized exciton energies in a macroscopic system with strong Coulomb interaction, monolayer WSe_{2} crystal under a strong magnetic field. Employing helicity-resolved magnetoreflectance spectroscopy, we observe a striking ladder of plateaus as a function of the gate voltage for both exciton resonance in one valley and exciton-polariton branch in the opposite valley, thanks to the inter-Landau levels transitions governed by unique valley-selective selection rules. The observed quantized excitation energy level spacing sensitively depends on the doping level, indicating strong many-body effects. Our work will inspire the study of intriguing quantum phenomena originating from the interplay between Landau levels and many-body interactions in two-dimension monolayer crystals.

Assessing the impacts of environmental change and anthropogenic activities on the historical and current total suspended matter (TSM) pattern in Dongting Lake, China, is a large challenge. We addressed this challenge by using more than three decades of Landsat data. Based on in situ measurements, we developed an algorithm based on the near-infrared (NIR) band to estimate TSM in Dongting Lake. The algorithm was applied to Landsat images to derive TSM distribution maps from 1978 to 2013 in the wet season, revealing significant inter-annual and spatial variability. The relationship of TSM to water level, precipitation, and wind speed was analyzed, and we found that: (1) sand mining areas usually coincide with regions that have high TSM levels in Dongting Lake; (2) water level and seven-day precipitation were both important to TSM variation, but no significant relationship was found between TSM and wind speed or other meteorological data; (3) the increased level of sand mining in response to rapid economic growth has deeply influenced the TSM pattern since 2000 due to the resuspension of sediment; and (4) TSM variation might be associated with policy changes regarding the management of sand mining; it might also be affected by lower water levels caused by the impoundment of the Three Gorges Dam since 2000.

Although remote sensing technology has been widely used to monitor inland water bodies; the lack of suitable data with high spatial and spectral resolution has severely obstructed its practical development. The objective of this study is to improve the unmixing-based fusion (UBF) method to produce fused images that maintain both spectral and spatial information from the original images. Images from Environmental Satellite 1 (HJ1) and Medium Resolution Imaging Spectrometer (MERIS) were used in this study to validate the method. An improved UBF (IUBF) algorithm is established by selecting a proper HJ1-CCD image band for each MERIS band and thereafter applying an unsupervised classification method in each sliding window. Viewing in the visual sense—the radiance and the spectrum—the results show that the improved method effectively yields images with the spatial resolution of the HJ1-CCD image and the spectrum resolution of the MERIS image. When validated using two datasets; the ERGAS index (Relative Dimensionless Global Error) indicates that IUBF is more robust than UBF. Finally, the fused data were applied to evaluate the chlorophyll a concentrations (Cchla) in Taihu Lake. The result shows that the Cchla map obtained by IUBF fusion captures more detailed information than that of MERIS.

The Tiaoxi River is the main source of water for Lake Taihu and can result in plumes in the lake after heavy precipitation events. These plumes have played a crucial role in the water quality changes within the lake. High temporal resolution GOCI (Geostationary Ocean Color Imager) data were used to study the spatial distribution of the total suspended matter concentration in Lake Taihu after heavy precipitation events in the Tiaoxi River Basin via an empirical model. The plumes were analyzed after two heavy precipitation events in 2011 and 2013 using 16 GOCI images, which indicated that the Tiaoxi River had a great influence on the spatial distributions of total suspended matter and algal blooms. It was concluded that the main factors affecting the plumes in the Tiaoxi River were precipitation intensity, runoff, and total suspended matter concentration. Human activity, such as sand excavation also played a crucial role in sediment discharge. The results of this study demonstrate that the visualization of GOCI data makes it possible to use remote sensing technology to continuously monitor an inland water environment on an hourly scale, which is of great significance for studying the diffusion and evolution of river plumes.

BACKGROUND AND OBJECTIVES:Healthcare systems are organized very differently in Hong Kong (HK) and Guangzhou (GZ). This study compared managements of the emergency departments (ED) and one-year mortalities of ST-segment elevation myocardial infarction (STEMI) patients in two teaching hospitals in Guangzhou and Hong Kong. METHODS:Retrospective observational study of STEMI mortalities and treatments in the Prince of Wales Hospital (PWH) and the Second Affiliated Hospital of Guangzhou Medical University (AHGZMU), was conducted between January and December 2010. The primary outcome was one-year all cause mortality. RESULTS:Univariate analysis of 76 cases from PWH and 111 cases from AHGZMU showed similar clinical characteristics, except for lower proportions of males (74% vs 92%, P = 0.002), hyperlipidemia (5% vs 25%, P67 years) and hyperglycemia (>10 mmol/L). Aged over 65 years, presence of anterior wall infarct, body weight ≤65 kg, SBP 10 mmol/L were the independent predictors of in-hospital MACE. CONCLUSION:There was no statistically significant difference between the standardized one-year all-cause mortalities of STEMI patients in the setting mainly using thrombolysis with shorter door-to-treatment time and the setting mainly using PCI with longer door-to-treatment time. Aged over 67 years and glucose level over 10 mmol/L were the independent predictors of one-year mortality. Older age, presence of anterior wall infarct, lower body weight, lower SBP at ED and hyperglycemia were the independent predictors of in-hospital MACE.

Atmospheric correction is an essential prerequisite for obtaining accurate inland water color information. An inland water atmospheric correction algorithm, ACbTC (Atmospheric Correction based on Turbidity Classification), was proposed in this study by using OLCI (Ocean and Land Color Instrument) and SLSTR (Sea and Land Surface Temperature Radiometer) synergistic observations for the first time. This method includes two main steps: (1) water turbidity classification by the GRA index (GRAdient of the spectrum index); and (2) atmospheric correction by synergistic use of OLCI and SLSTR images. The algorithm was validated with 72 in situ sampling sites in Lake Erhai, Lake Hongze, and Lake Taihu, and compared with other atmospheric correction methods, i.e., C2RCC (Case 2 Regional Coast Colour processor), MUMM (Management Unit of the North Seas Mathematical Models), FLAASH (Fast Line-of-sight Atmospheric Analysis of Hypercubes), POLYMER (POLYnomial based algorithm applied to MERIS), and BPAC (Bright Pixel Atmospheric Correction). The results show that (1) the GRA index performed better than the proposed turbidity classification indices, i.e., the Diff (spectral difference index) and the Tind (turbid index), in inland lakes by using the reflectance peak at 1020 nm in clean water; (2) the synergistic use of OLCI and SLSTR performed feasibly for atmospheric correction, and the ACbTC algorithm achieved full-band average values of the mean absolute percentage error (MAPE) = 29.55%, mean relative percentage error (MRPE) = 13.98%, and the root mean square of error (RMSE) = 0.0039 sr−1, which were more reliable than C2RCC, MUMM, FLAASH, POLYMER, and BPAC; and (3) the synergistic use of the 17th band (865 nm) on OLCI and the 5th band (1613 nm) on SLSTR are suitable for clean inland lakes, while both the 5th band (1613 nm) and 6th band (2250 nm) on SLSTR are advisable for the turbidity.

Humans have had a significant impact on the terrestrial pedosphere through activities such as agriculture and urbanization. The effects of human activities on land use and the related environmental changes were investigated through point and areal studies surrounding Meiliang Bay, which is an open area of extreme eutrophication in Taihu Lake, China. This study used remote sensing and environmental-tracer profiles [total nitrogen (TN), total phosphorus (TP), total organic carbon (TOC), grain size, and geochemical parameters] to determine the causes of changes in land use and the associated environmental parameters. The results of LUCCs (Land use/cover changes) indicate that over the past three decades, total farmland decreased by 862.49 km2, with an annual decrement rate of 28.75 km2/year, and total urbanized land increased by 859.71 km2, with an annual growth rate of 28.66 km2/year. The geochemical results indicate that the trophic state of Taihu Lake was persistently intensifying and that the TN, TP, and TOC concentrations increased twofold, threefold, and twofold, respectively, from 1949 to 2010. The sources of TN, TP, and TOC were highly similar after 1975. However, before 1974, TN and TP originated from different sources than TOC. The grassland and woodland around the lake retain nutrients and sand from the land of study area. The increase in urbanized land and tertiary industries significantly increased the sediment concentrations of TN, TP, and TOC after 1980.

Abstract Background Gastric cancer (GC) is the third leading cause of cancer-related deaths globally. Despite advancements in treatment, the overall 5-year survival rate remains below 30%, particularly in advanced stages. Copper metabolism, vital for various cellular processes, has been linked to cancer progression, but its role in GC, especially at the single-cell level, is not well understood. Objective This study aims to investigate copper metabolism in GC by integrating single-cell RNA sequencing (scRNA-seq) data and developing a prognostic model based on copper metabolism-related gene (CMRG) expression. The study explores how copper metabolism affects the tumor microenvironment and identifies potential therapeutic targets. Methods scRNA-seq data from gastric cancer and normal tissues were analyzed using the Seurat package. Principal Component Analysis (PCA) and Uniform Manifold Approximation and Projection (UMAP) were used for dimensionality reduction and clustering. Non-negative matrix factorization (NMF) was employed for T cell subpopulation analysis. A high-dimensional weighted gene co-expression network analysis (HdWGCNA) identified key molecular features. LASSO regression and Random Survival Forest (RSF) techniques were used to create and validate a prognostic model. Survival analysis, immune microenvironment assessment, and drug sensitivity analysis were conducted. Results Sixteen cell clusters and nine distinct cell types were identified, with T cells showing significant roles in cell communication. The NMF analysis of CD8 +T cells revealed five copper metabolism-related subtypes. The prognostic model based on nine CMRGs indicated significant survival differences between high- and low-risk groups. High-risk patients showed shorter survival times, increased immune cell infiltration, and altered immune responses. Drug sensitivity analysis suggested higher efficacy of certain drugs in high-CMRG patients.

BackgroundAging, a significant public health issue, is associated with multiple concurrent chronic diseases and aging-related conditions (geriatric syndromes). ObjectiveThis study aims to investigate the impact of age and chronic conditions on geriatric syndromes and the intercorrelations between multiple geriatric syndromes and quality of life (QoL) in older adults (aged ≥65 years) at the population level. MethodsA large representative sample was randomly selected from a county in China, Feidong, with 17 towns and 811,867 residents. Multiple chronic conditions, geriatric syndromes (frailty, polypharmacy, and malnutrition), and QoL were assessed and compared. Associations of demographic information and chronic conditions with geriatric conditions and QoL in older adults were assessed using multivariable-adjusted logistic regression. Intercorrelations between age, multiple geriatric syndromes, and QoL were investigated using both correlation analysis and restricted cubic splines–based multivariable-adjusted dose-response analysis. ResultsOlder adults comprised 43.42% (3668/8447) of the entire study population. The prevalence of frailty, premalnutrition or malnutrition, polypharmacy, and impaired QoL (median age 73, IQR 69-78 years; 1871/3668, 51% men) was 8.26% (303/3668), 15.59% (572/3668), 3.22% (118/3668), and 10.8% (396/3668), respectively. Different age and sex subgroups mostly had similar prevalence of geriatric syndromes (except that frailty occurred more often with older age). Premalnutrition or malnutrition were associated with a lower frequency of obesity and a higher frequency of constipation, polypharmacy with a higher frequency of diabetes and constipation, frailty with a higher frequency of constipation and hernia, and impaired QoL with a higher frequency of hypertension, diabetes, physical disability, and constipation. Mini Nutritional Assessment–Short Form, Groningen Frailty Indicator, and EQ-5D-5L scores, as well as the number of medications used, mostly predicted each other and QoL. Impaired QoL was associated with a higher frequency of frailty, premalnutrition or malnutrition, and polypharmacy, and frailty with a higher frequency of premalnutrition or malnutrition and polypharmacy. At a 1.5-year follow-up, impaired QoL was linked to polypharmacy and frailty at baseline, premalnutrition or malnutrition and polypharmacy were associated with frailty at baseline, and frailty was linked to both premalnutrition or malnutrition and polypharmacy at baseline. Causal mediation analyses showed that frailty mediated the link between polypharmacy and worse QoL and that polypharmacy mediated the link between frailty and worse QoL. ConclusionsIn this large population-based study of older adults, multiple chronic conditions were associated with ≥1 of the investigated geriatric syndromes. Geriatric syndromes were mostly intercorrelated with, and well predictive of, each other and QoL; and causal relationships existed between geriatric syndromes and QoL, with other geriatric syndromes being mediators. The findings might be biased by residual confounding factors. It is important to perform personalized geriatric syndrome assessments stratified by chronic condition; active prevention of, or intervention for, any syndrome might help to reduce the others and improve QoL.