A Modified Temperature-Vegetation Dryness Index(MTVDI)for Assessment of Surface Soil Moisture Based on MODIS Data

Spatio-temporal dynamic monitoring of soil moisture is highly important to management of agricultural and vegetation eco-systems.The temperature-vegetation dryness index based on the triangle or trapezoid method has been used widely in previous studies.However,most existing studies simply used linear regression to construct empirical models to fit the edges of the feature space.This requires extensive data from a vast study area,and may lead to subjective results.In this study,a Modified Temperature-Vegetation Dryness Index(MTVDI)was used to monitor surface soil moisture status using MODIS(Moderate-resolution Imaging Spectroradiometer)remote sensing data,in which the dry edge conditions were determined at the pixel scale based on surface energy balance.The MTVDI was validated by field measurements at 30 sites for 10 d and compared with the Temperature-Vegetation Dryness Index(TVDI).The results showed that the R^(2) for MTVDI and soil moisture obviously improved(0.45 for TVDI,0.69 for MTVDI).As for spatial changes,MTVDI can also better reflect the actual soil moisture condition than TVDI.As a result,MTVDI can be considered an effective method to monitor the spatio-temporal changes in surface soil moisture on a regional scale.

TVDI与土壤湿度关系的多时间尺度分析与旱情监测

[目的]揭示不同时间尺度的TVDI与土壤湿度的关联关系,确定反映土壤湿度的最佳时间尺度,以更为准确地获取土壤湿度信息,精准监测旱情。[方法]以3种不同时间尺度(8 d,16 d和月)的遥感地表温度、反射率数据以及山东省31个地面观测站土壤湿度数据为基础,分析不同时间尺度下植被指数-温度空间特征,建立不同时段不同时间尺度温度植被干旱指数(TVDI)的热边和冷边函数,研究TVDI与土壤湿度之间的关联性随时间尺度的变化规律,确定了区域土壤墒情监测的时间尺度,反演了区域土壤湿度,监测旱情。[结果]植被指数-温度二维空间形状呈三角形,但随时间发生改变;二维空间中植被指数与最大、最小温度之间有明显的线性关系,湿边并非理想的与坐标轴平行的直线;TVDI与土壤湿度线性相关,但两者之间的紧密程度随时间尺度而变,8 d尺度的TVDI与土壤湿度有更高的相关系数;山东省冬小麦旱情与降水高度一致。[结论]短时间尺度的TVDI更适于区域的旱情监测,尽管人工灌溉有效降低了对降水的需求,但降水的多寡仍是影响区域小麦旱情的主要因素。

An improved temperature vegetation dryness index(iTVDI) and its applicability to drought monitoring

Using Moderate Resolution Imaging Spectroradiometer(MODIS) data from the dry season during 2010–2012 over the whole Yunnan Province, an improved temperature vegetation dryness index(iTVDI), in which a parabolic dry-edge equation replaces the traditional linear dry-edge equation, was developed, to reveal the regional drought regime in the dry season. After calculating the correlation coefficient, root-mean-square error, and standard deviation between the iTVDI and observed topsoil moisture at 10 and 20 cm for seven sites, the effectiveness of the new index in depicting topsoil moisture conditions was verified. The drought area indicated by iTVDI mapping was then compared with the drought-affected area reported by the local government. The results indicated that the iTVDI can monitor drought more accurately than the traditional TVDI during the dry season in Yunnan Province. Using iTVDI facilitates drought warning and irrigation scheduling, and the expectation is that this new index can be broadly applied in other areas.

基于温度植被干旱指数(TVDI)的甘肃省农业干旱监测方法研究

改进温度植被干旱指数(Temperature Vegetation Dryness Index,TVDI)并明确TVDI的农业干旱等级阈值,对提高TVDI指数监测农业干旱能力有重要意义。利用近19 a的MODIS(Moderate Resolu⁃tion Imaging Spectro-radiometer,MODIS)遥感数据,基于单时次和多时次方法构建NDVI(Normalized Difference Vegetation Index,NDVI)-LST(Land Surface Temperature,LST)、EVI(Enhanced Vegetation In⁃dex,EVI)-LST、RVI(Ratio Vegetation Index,RVI)-LST、SAVI(Soil-Adjusted Vegetation Index,SAVI)-LST等几种特征空间,讨论TVDI计算方法,分析TVDI在甘肃省农业干旱监测中的适用性,并明确甘肃省夏季TVDI农业干旱分级标准。结果表明:(1)基于多时次方法构建的SAVI-LST特征空间TVDI更适合甘肃省农业干旱监测,其对土壤相对湿度(Relative Soil Moisture,RSM)拟合的均方根误差(Root Mean Squared Error,RMSE)和平均绝对误差(Mean Absolute Error,MAE)比NDVI-LST特征空间TVDI对RSM拟合的RMSE和MAE下降1%~5%;(2)TVDI适用于夏季甘肃省半干旱区、半湿润区、湿润区等非干旱区浅层10、20 cm土壤深度的农业干旱监测,RMSE和MAE约15.6%和12.6%,拟合误差湿润区<半湿润区<半干旱区;(3)利用TVDI与RSM线性关系确定的TVDI农业干旱等级更有利于提高TVDI监测农业干旱的准确性。

Impact of body mass index on adverse kidney events in diabetes mellitus patients: A systematic-review and meta-analysis

BACKGROUND The incidence of chronic kidney disease among patients with diabetes mellitus(DM)remains a global concern.Long-term obesity is known to possibly influence the development of type 2 diabetes mellitus.However,no previous meta-analysis has assessed the effects of body mass index(BMI)on adverse kidney events in patients with DM.AIM To determine the impact of BMI on adverse kidney events in patients with DM.METHODS A systematic literature search was performed on the PubMed,ISI Web of Science,Scopus,Ovid,Google Scholar,EMBASE,and BMJ databases.We included trials with the following characteristics:(1)Type of study:Prospective,retrospective,randomized,and non-randomized in design;(2)participants:Restricted to patients with DM aged≥18 years;(3)intervention:No intervention;and(4)kidney adverse events:Onset of diabetic kidney disease[estimated glomerular filtration rate(eGFR)of<60 mL/min/1.73 m2 and/or microalbuminuria value of≥30 mg/g Cr],serum creatinine increase of more than double the baseline or end-stage renal disease(eGFR<15 mL/min/1.73 m2 or dialysis),or death.RESULTS Overall,11 studies involving 801 patients with DM were included.High BMI(≥25 kg/m2)was significantly associated with higher blood pressure(BP)[systolic BP by 0.20,95%confidence interval(CI):0.15–0.25,P<0.00001;diastolic BP by 0.21 mmHg,95%CI:0.04–0.37,P=0.010],serum albumin,triglycerides[standard mean difference(SMD)=0.35,95%CI:0.29–0.41,P<0.00001],low-density lipoprotein(SMD=0.12,95%CI:0.04–0.20,P=0.030),and lower high-density lipoprotein(SMD=–0.36,95%CI:–0.51 to–0.21,P<0.00001)in patients with DM compared with those with low BMIs(<25 kg/m2).Our analysis showed that high BMI was associated with a higher risk ratio of adverse kidney events than low BMI(RR:1.22,95%CI:1.01–1.43,P=0.036).CONCLUSION The present analysis suggested that high BMI was a risk factor for adverse kidney events in patients with DM.

A phenology-based vegetation index for improving ratoon rice mapping using harmonized Landsat and Sentinel-2 data

Ratoon rice,which refers to a second harvest of rice obtained from the regenerated tillers originating from the stubble of the first harvested crop,plays an important role in both food security and agroecology while requiring minimal agricultural inputs.However,accurately identifying ratoon rice crops is challenging due to the similarity of its spectral features with other rice cropping systems(e.g.,double rice).Moreover,images with a high spatiotemporal resolution are essential since ratoon rice is generally cultivated in fragmented croplands within regions that frequently exhibit cloudy and rainy weather.In this study,taking Qichun County in Hubei Province,China as an example,we developed a new phenology-based ratoon rice vegetation index(PRVI)for the purpose of ratoon rice mapping at a 30 m spatial resolution using a robust time series generated from Harmonized Landsat and Sentinel-2(HLS)images.The PRVI that incorporated the red,near-infrared,and shortwave infrared 1 bands was developed based on the analysis of spectro-phenological separability and feature selection.Based on actual field samples,the performance of the PRVI for ratoon rice mapping was carefully evaluated by comparing it to several vegetation indices,including normalized difference vegetation index(NDVI),enhanced vegetation index(EVI)and land surface water index(LSWI).The results suggested that the PRVI could sufficiently capture the specific characteristics of ratoon rice,leading to a favorable separability between ratoon rice and other land cover types.Furthermore,the PRVI showed the best performance for identifying ratoon rice in the phenological phases characterized by grain filling and harvesting to tillering of the ratoon crop(GHS-TS2),indicating that only several images are required to obtain an accurate ratoon rice map.Finally,the PRVI performed better than NDVI,EVI,LSWI and their combination at the GHS-TS2 stages,with producer's accuracy and user's accuracy of 92.22 and 89.30%,respectively.These results demonstrate that the proposed PRVI based on HLS data can effectively identify ratoon rice in fragmented croplands at crucial phenological stages,which is promising for identifying the earliest timing of ratoon rice planting and can provide a fundamental dataset for crop management activities.

基于TVDI的攀西地区干旱时空变化特征研究

利用MODIS地表温度数据(LST)和归一化植被指数(NDVI)构建Ts-NDVI特征空间,通过计算温度植被干旱指数(TVDI)详细分析了攀西地区2001—2020年干旱时空变化规律。结果表明:(1)从时间角度来看,20年间攀西地区TVDI年均值介于0.5481~0.5820,以-0.0001·a^(-1)速率缓慢减小,且在2001年和2009年出现大范围中旱。季节性干旱特点表现为冬干春旱,各季TVDI均值分别为冬季0.5618、春季0.6058、夏季0.5590、秋季0.5365,表明冬、春两季较夏、秋两季更容易形成干旱。TVDI月均最大值出现在5月份,为0.6089;最小值出现在9月份,为0.5204;每年2—6月以中旱为主;7月起旱情减轻,转为轻旱;10月起旱情逐渐加重。(2)从空间角度来看,攀西地区旱情变化趋势南北差异明显,南部干旱发生的频率和范围大于北部地区,呈现出中部、南部及西南部高,北部、西北部及东北部低的空间分布特征。(3)从典型干旱年份来看,攀西地区2001年、2006年和2011年春旱耕地在空间分布上具有一定的相似性。其中,受中旱的耕地主要分布在攀西北部和中部;而受重旱的耕地主要集中分布在攀西西南部。研究结果表明,2001—2020年攀西地区旱情稍有缓解,不同季节间干旱差异性较大,干旱范围以攀西中部和南部为主。

Method for evaluation of geological strength index of carbonate cliff rocks:Coupled hyperspectral-digital borehole image technique

The deterioration of unstable rock mass raised interest in evaluating rock mass quality.However,the traditional evaluation method for the geological strength index(GSI)primarily emphasizes the rock structure and characteristics of discontinuities.It ignores the influence of mineral composition and shows a deficiency in assessing the integrity coefficient.In this context,hyperspectral imaging and digital panoramic borehole camera technologies are applied to analyze the mineral content and integrity of rock mass.Based on the carbonate mineral content and fissure area ratio,the strength reduction factor and integrity coefficient are calculated to improve the GSI evaluation method.According to the results of mineral classification and fissure identification,the strength reduction factor and integrity coefficient increase with the depth of rock mass.The rock mass GSI calculated by the improved method is mainly concentrated between 40 and 60,which is close to the calculation results of the traditional method.The GSI error rates obtained by the two methods are mostly less than 10%,indicating the rationality of the hyperspectral-digital borehole image coupled evaluation method.Moreover,the sensitivity of the fissure area ratio(Sr)to GSI is greater than that of the strength reduction factor(a),which means the proposed GSI is suitable for rocks with significant fissure development.The improved method reduces the influence of subjective factors and provides a reliable index for the deterioration evaluation of rock mass.

Spectral purification improves monitoring accuracy of the comprehensive growth evaluation index for film-mulched winter wheat

In order to further improve the utility of unmanned aerial vehicle(UAV)remote-sensing for quickly and accurately monitoring the growth of winter wheat under film mulching, this study examined the treatments of ridge mulching,ridge–furrow full mulching, and flat cropping full mulching in winter wheat.Based on the fuzzy comprehensive evaluation (FCE) method, four agronomic parameters (leaf area index, above-ground biomass, plant height, and leaf chlorophyll content) were used to calculate the comprehensive growth evaluation index (CGEI) of the winter wheat, and 14 visible and near-infrared spectral indices were calculated using spectral purification technology to process the remote-sensing image data of winter wheat obtained by multispectral UAV.Four machine learning algorithms, partial least squares, support vector machines, random forests, and artificial neural network networks(ANN), were used to build the winter wheat growth monitoring model under film mulching, and accuracy evaluation and mapping of the spatial and temporal distribution of winter wheat growth status were carried out.The results showed that the CGEI of winter wheat under film mulching constructed using the FCE method could objectively and comprehensively evaluate the crop growth status.The accuracy of remote-sensing inversion of the CGEI based on the ANN model was higher than for the individual agronomic parameters, with a coefficient of determination of 0.75,a root mean square error of 8.40, and a mean absolute value error of 6.53.Spectral purification could eliminate the interference of background effects caused by mulching and soil, effectively improving the accuracy of the remotesensing inversion of winter wheat under film mulching, with the best inversion effect achieved on the ridge–furrow full mulching area after spectral purification.The results of this study provide a theoretical reference for the use of UAV remote-sensing to monitor the growth status of winter wheat with film mulching.

Association between triglyceride-glucose index and colorectal polyps:A retrospective cross-sectional study

BACKGROUND Colorectal polyps(CPs)are frequently occurring abnormal growths in the colorectum,and are a primary precursor of colorectal cancer(CRC).The triglyceride-glucose(TyG)index is a novel marker that assesses metabolic health and insulin resistance,and has been linked to gastrointestinal cancers.AIM To investigate the potential association between the TyG index and CPs,as the relation between them has not been documented.METHODS A total of 2537 persons undergoing a routine health physical examination and colonoscopy at The First People's Hospital of Kunshan,Jiangsu Province,China,between January 2020 and December 2022 were included in this retrospective cross-sectional study.After excluding individuals who did not meet the eligibility criteria,descriptive statistics were used to compare characteristics between patients with and without CPs.Logistic regression analyses were conducted to determine the associations between the TyG index and the prevalence of CPs.The TyG index was calculated using the following formula:Ln[triglyceride(mg/dL)×glucose(mg/dL)/2].The presence and types of CPs was determined based on data from colonoscopy reports and pathology reports.RESULTS A nonlinear relation between the TyG index and the prevalence of CPs was identified,and exhibited a curvilinear pattern with a cut-off point of 2.31.A significant association was observed before the turning point,with an odds ratio(95% confidence interval)of 1.70(1.40,2.06),P<0.0001.However,the association between the TyG index and CPs was not significant after the cut-off point,with an odds ratio(95% confidence interval)of 0.57(0.27,1.23),P=0.1521.CONCLUSION Our study revealed a curvilinear association between the TyG index and CPs in Chinese individuals,suggesting its potential utility in developing colonoscopy screening strategies for preventing CRC.

Renal resistive index measurements by ultrasound in patients with liver cirrhosis:Magnitude and associations with renal dysfunction

BACKGROUND The hemodynamic alterations seen in liver cirrhosis lead to renal vasoconstriction,ultimately causing acute kidney injury(AKI).The renal resistive index(RRI)is the most common Doppler ultrasound variable for measuring intrarenal vascular resistance.AIM To evaluate the association of the RRI with AKI in patients with liver cirrhosis and to identify risk factors for high RRI.METHODS This was a prospective observational study,where RRI was measured using Doppler ultrasound in 200 consecutive hospitalized patients with cirrhosis.The association of RRI with AKI was studied.The receiver operating characteristic(ROC)curve analysis was utilized to determine discriminatory cut-offs of RRI for various AKI phenotypes.Multivariate analysis was conducted to determine the predictors of high RRI.RESULTS The mean patient age was 49.08±11.68 years,with the majority(79.5%)being male;the predominant etiology of cirrhosis was alcohol(39%).The mean RRI for the study cohort was 0.68±0.09,showing a progressive increase with higher Child-Pugh class of cirrhosis.Overall,AKI was present in 129(64.5%)patients.The mean RRI was significantly higher in patients with AKI compared to those without it(0.72±0.06 vs 0.60±0.08;P<0.001).A total of 82 patients(41%)had hepatorenal syndrome(HRS)-AKI,29(22.4%)had prerenal AKI(PRA),and 18(13.9%)had acute tubular necrosis(ATN)-AKI.The mean RRI was significantly higher in the ATN-AKI(0.80±0.02)and HRS-AKI(0.73±0.03)groups than in the PRA(0.63±0.07)and non-AKI(0.60±0.07)groups.RRI demonstrated excellent discriminatory ability in distinguishing ATN-AKI from non-ATN-AKI(area under ROC curve:93.9%).AKI emerged as an independent predictor of high RRI(adjusted odds ratio[OR]:11.52),and high RRI independently predicted mortality among AKI patients(adjusted OR:3.18).CONCLUSION In cirrhosis patients,RRI exhibited a significant association with AKI,effectively differentiated between AKI phenotypes,and predicted AKI mortality.

Three-dimensional choroidal vascularity index and choroidal thickness in fellow eyes of acute and chronic primary angle-closure using swept-source optical coherence tomography

AIM:To compare the three-dimensional choroidal vascularity index(CVI)and choroidal thickness between fellow eyes of acute primary angle-closure(F-APAC)and chronic primary angle-closure glaucoma(F-CPACG)and the eyes of normal controls.METHODS:This study included 37 patients with unilateral APAC,37 with asymmetric CPACG without prior treatment,and 36 healthy participants.Using swept-source optical coherence tomography(SS-OCT),the macular and peripapillary choroidal thickness and three-dimensional CVI were measured and compared globally and sectorally.Pearson’s correlation analysis and multivariate regression models were used to evaluate choroidal thickness or CVI with related factors.RESULTS:The mean subfoveal CVIs were 0.35±0.10,0.33±0.09,and 0.29±0.04,and the mean subfoveal choroidal thickness were 315.62±52.92,306.22±59.29,and 262.69±45.55μm in the F-APAC,F-CPACG,and normal groups,respectively.All macular sectors showed significantly higher CVIs and choroidal thickness in the F-APAC and F-CPACG eyes than in the normal eyes(P<0.05),while there were no significant differences between the F-APAC and F-CPACG eyes.In the peripapillary region,the mean overall CVIs were 0.21±0.08,0.20±0.08,and 0.19±0.05,and the mean overall choroidal thickness were 180.45±54.18,174.82±50.67,and 176.18±37.94μm in the F-APAC,F-CPACG,and normal groups,respectively.There were no significant differences between any of the two groups in all peripapillary sectors.Younger age,shorter axial length,and the F-APAC or F-CPACG diagnosis were significantly associated with higher subfoveal CVI and thicker subfoveal choroidal thickness(P<0.05).CONCLUSION:The fellow eyes of unilateral APAC or asymmetric CPACG have higher macular CVI and choroidal thickness than those of the normal controls.Neither CVI nor choroidal thickness can distinguish between eyes predisposed to APAC or CPACG.A thicker choroid with a higher vascular volume may play a role in the pathogenesis of primary angle-closure glaucoma.

基于TVDI的拉萨市干旱时空演变特征

温度植被干旱指数(TVDI)作为一种进行植被覆盖区域表层土壤水分反演的方法,在干旱监测及研究干旱程度空间变化特征中发挥着重要作用。干旱是拉萨市最重要的自然灾害之一,采用温度植被干旱指数(TVDI)进行干旱监测,探究干旱情况,揭示干旱程度的空间变化特征。基于Landsat卫星数据构建拉萨市TVDI空间特征,计算温度植被干旱指数,结合年均降雨量数据,分析12个年份的干旱时空分布特征。结果表明,拉萨市干旱程度分布存在区域性特点,干旱程度较高的地区相对集中在拉萨市中部,整体干旱程度减少不明显,此结果可为干旱监测和干旱演变特征研究提供依据。

On traceable iterated line graph and hamiltonian path index

Xiong and Liu[21]gave a characterization of the graphs G for which the n-iterated line graph L^(n)(G)is hamiltonian,for n≥2.In this paper,we study the existence of a hamiltonian path in L^(n)(G),and give a characterization of G for which L^(n)(G)has a hamiltonian path.As applications,we use this characterization to give several upper bounds on the hamiltonian path index of a graph.

基于TVDI的长江南源干旱时空动态变化监测

随着全球变暖,干旱成为全球危害最为严重的自然灾害之一,对农业等事关人类福祉的领域产生巨大影响。该文以重要农牧区——长江南源为研究区,基于地表温度数据和归一化植被指数数据计算出2000年以来长江南源温度植被干旱指数,并以该指数对长江南源植被生长季的干旱状况进行时空动态监测分析。结果表明,2000年以来,干旱和偏旱的区域在长江南源的北部、中部和东北部,占源区面积的33.33%;湿润和偏湿的区域在研究区域的南部、西南部,占源区面积的37.02%。长江南源56.41%的区域趋向干旱,41.96%的区域趋向湿润。湿润区域在2000—2004年间呈收缩态势,占长江南源的面积比重由42.54%下降到35.25%;2004—2011年,呈扩张态势,所占面积比重上升到38.84%,2011年后呈收缩态势,所占面积比重下降到36.79%。总体来看,TVDI有较强可靠性,可用于长江南源乃至三江源区干旱监测预警工作。

Association between the cumulative triglyceride-glucose index and the recurrence of atrial fibrillation after radiofrequency catheter ablation

BACKGROUND Triglyceride-glucose(TyG)index values are a new surrogate marker for insulin resistance.This study aimed to explore the relationship between cumulative TyG index values and atrial fibrillation(AF)recurrence after radiofrequency catheter ablation(RFCA).METHODS A total of 576 patients with AF who underwent RFCA at the Second Affiliated Hospital of Xi'an Jiaotong University were included in this study.The participants were grouped based on cumulative TyG index values tertiles within 3 months after ablation.Cox regression and restricted cubic spline analyses were used to determine the relationship between cumulative TyG index values and AF recurrence.The predictive value of all risk factors was assessed by receiver operating curve analysis.RESULTS There were 375 patients completed the study(age:63.23±10.73 years,64.27%male).The risk of AF recurrence increased with increasing cumulative TyG index values tertiles.After adjusting for potential confounders,patients in the medium cumulative TyG index group[hazard ratio(HR)=4.949,95%CI:1.778–13.778,P=0.002]and the high cumulative TyG index group(HR=8.716,95%CI:3.371–22.536,P<0.001)had a higher risk of AF recurrence than those in the low cumulative TyG index group.The restricted cubic spline regression model also showed an increased risk of AF recurrence with increasing cumulative TyG index values.When considering cumulative TyG index values,left atrial diameter,and lactate dehydrogenase levels as a comprehensive factor,the model could effectively predict AF recurrence after RFCA[area under the curve(AUC)=0.847,95%CI:0.797–0.897,P<0.001].CONCLUSIONS Cumulative TyG index values were a risk factor for AF recurrence after RFCA.Monitoring longitudinal TyG index values may assist with optimized for risk stratification and outcome prediction for AF recurrence.

An evaluation of ureteral diameter ratio and vesicoureteral reflux index in the treatment of primary vesicoureteral reflux

Objective:Vesicoureteral reflux(VUR)index is a simple,validated tool that reliably predicts significant improvement and spontaneous resolution of primary reflux in children.The aim of this study was to evaluate and compare the ureter diameter ratio(UDR)and VUR index(VURx)of patients treated with endoscopic injection(EI)and ureteroneocystostomy(UNC)methods in the pediatric age group due to primary VUR.Methods:Patients under the age of 18 years old who underwent EI and UNC with the diagnosis of primary VUR between January 2011 and September 2021 were determined as the participants.The UDR was assessed using voiding cystourethrography,and the VURx score was determined prior to treatment based on hospital records included in the study.Results:A total of 255 patients,60(23.5%)boys and 195(76.5%)girls,with a mean age of 76.5(range 13.0e204.0)months,were included in the study.EI was applied to 130(51.0%)patients and UNC was applied to 125(49.0%)patients due to primary VUR.The optimum cut-off for the distal UDR was obtained as 0.17 with sensitivity and specificity of 73.0%and 63.0%,respectively.The positive and negative predictive values were 66.0%and 70.0%,respectively.Conclusion:When the UDR and VURx score are evaluated together for the surgical treatment of primary VUR in the pediatric age group,it is thought that it may be useful in predicting the clinical course of the disease and evaluating surgical treatment options.

Assessment on eco-environmental quality of the Yellow River Basin by considering desertification index

Desertification has had a significant impact on the ecological environment of the Yellow River Basin(YRB)in China.However,previous studies on the evaluation of the ecological environment quality(EEQ)in the YRB have paid limited attention to the indicator of desertification.It is of great significance to incorporate the desertification index into the spatiotemporal assessment of the EEQ in the YRB in order to protect the ecological environment in the region.In this study,based on multi-source remote sensing data from 91 cities in the YRB,this article proposes a desertification remote sensing ecological index(DRSEI)model,which builds upon the traditional Remote Sensing Ecological Index(RSEI)model,to analyze the spatiotemporal changes in the EEQ in the YRB from 2001 to 2021.Furthermore,using the geographic detector(GD),and geographically and temporally weighted regression(GTWR)model,the study assesses the impact of human and natural factors on the EEQ in the YRB.The research findings indicate that:(1)Compared to the traditional RSEI,the improved DRSEI shows a decreasing trend in the evaluation results of the EEQ.Among the 24 cities,the change in DRSEI exceeds 0.05 compared to RSEI,accounting for 26.37%of the YRB.The remaining 67 cities have changes within a range of less than 0.05,accounting for 73.63%of the YRB.(2)The results of the GD for individual and interactive effects reveal that rainfall and elevation have significant individual and interactive effects on the EEQ.Furthermore,after the interaction with natural factors,the explanatory power of human factors gradually increases over time.The spatial heterogeneity results of GTWR demonstrate that rainfall has a strong direct positive impact on the EEQ,accounting for 98.90%of the influence,while temperature exhibits a more pronounced direct inhibitory effect,accounting for 76.92%of the influence.Human activities have a strong negative impact on the EEQ and a weak positive impact.

Early peripheral perfusion index predicts 28-day outcome in patients with septic shock

BACKGROUND:To investigate the prognostic value of the peripheral perfusion index(PPI)in patients with septic shock.METHODS:This prospective cohort study,conducted at the emergency intensive care unit of Peking University People's Hospital,recruited 200 patients with septic shock between January 2023 and August 2023.These patients were divided into survival(n=84)and death(n=116)groups based on 28-day outcomes.Clinical evaluations included laboratory tests and clinical scores,with lactate and PPI values assessed upon admission to the emergency room and at 6 h and 12 h after admission.Risk factors associated with mortality were analyzed using univariate and multivariate Cox regression analyses.Receiver operator characteristic(ROC)curve was used to assess predictive performance.Mortality rates were compared,and Kaplan-Meier survival plots were created.RESULTS:Compared to the survival group,patients in the death group were older and had more severe liver damage and coagulation dysfunction,necessitating higher norepinephrine doses and increased fl uid replacement.Higher lactate levels and lower PPI levels at 0 h,6 h,and 12 h were observed in the death group.Multivariate Cox regression identifi ed prolonged prothrombin time(PT),decreased 6-h PPI and 12-h PPI as independent risk factors for death.The area under the curves for 6-h PPI and 12-h PPI were 0.802(95%CI 0.742-0.863,P<0.001)and 0.945(95%CI 0.915-0.974,P<0.001),respectively,which were superior to Glasgow Coma Scale(GCS),Sequential Organ Failure Assessment(SOFA)scores(0.864 and 0.928).Cumulative mortality in the low PPI groups at 6 h and 12 h was signifi cantly higher than in the high PPI groups(6-h PPI:77.52%vs.22.54%;12-h PPI:92.04%vs.13.79%,P<0.001).CONCLUSION:PPI may have value in predicting 28-day mortality in patients with septic shock.

Actuality and underlying mechanisms of systemic immuneinflammation index and geriatric nutritional risk index prognostic value in hepatocellular carcinoma

This editorial contains comments on the article“Correlation between preoperative systemic immune inflammation index,nutritional risk index,and prognosis of radical resection of liver cancer”in a recent issue of the World Journal of Gastrointestinal Surgery.It pointed out the actuality and importance of the article and focused primarily on the underlying mechanisms making the systemic immuneinflammation index(SII)and geriatric nutritional risk index(GNRI)prediction features valuable.There are few publications on both SII and GNRI together in hepatocellular carcinoma(HCC)and patient prognosis after radical surgery.Neutrophils release cytokines,chemokines,and enzymes,degrade extracellular matrix,reduce cell adhesion,and create conditions for tumor cell invasion.Neutrophils promote the adhesion of tumor cells to endothelial cells,through physical anchoring.That results in the migration of tumor cells.Pro-angiogenic factors from platelets enhance tumor angiogenesis to meet tumor cell supply needs.Platelets can form a protective film on the surface of tumor cells.This allows avoiding blood flow damage as well as immune system attack.It also induces the epithelial-mesenchymal transformation of tumor cells that is critical for invasiveness.High SII is also associated with macro-and microvascular invasion and increased numbers of circulating tumor cells.A high GNRI was associated with significantly better progression-free and overall survival.HCC patients are a very special population that requires increased attention.SII and GNRI have significant survival prediction value in both palliative treatment and radical surgery settings.The underlying mechanisms of their possible predictive properties lie in the field of essential cancer features.Those features provide tumor nutrition,growth,and distribution throughout the body,such as vascular invasion.On the other hand,they are tied to the possibility of patients to resist tumor progression and development of complications in both postoperative and cancer-related settings.The article is of considerable interest.It would be helpful to continue the study follow-up to 2 years and longer.External validation of the data is needed.