A Study on Extreme Temperature and Climate Events in Zhejiang Region of East China

The extreme high temperature anomaly (EHTA) events in a region are one of the most important climatic parameters to make climate assessment of the trend of regional climate change. The diagnosis and analysis of the EHTA event in Zhejiang Province in East China in 2022 show that the event has set the rarest record in this region in the past 71 years from both time and space perspectives. The results of Mann-Kendall trend analysis showed that the mean annual high temperature days in Zhejiang Province had a sudden change. The sudden change occurred around 2004, and the trend was rising after the sudden change.

Meta-Analysis of Aspirin for Primary Prevention of Stroke

Objective: This paper aims to evaluate the safety and efficacy of aspirin in primary stroke prevention by meta-analysis. Methods: By searching PubMed, Cochrane Library, Embase, MEDLINE, Web of Science, CNKI, China Biomedical Literature Database, VIP Database and Wanfang Database, we collected randomized controlled trials on aspirin for primary prevention of stroke. The retrieval time limit is from the establishment of the database to December 2021. Two researchers independently conducted literature search, screening, data extraction and quality evaluation, and Meta-analysis was performed using RevMan 5.3. Results: A total of 19 articles were included, including 220,636 subjects. Meta-analysis results show that long-term preventive use of aspirin can reduce the incidence of stroke [RR = 0.91, 95% CI (0.85, 0.98), P = 0.009], and reduce the incidence of ischemic stroke [RR = 0.84, 95% CI] (0.77, 0.91), P RR = 0.80, 95% CI (0.72, 0.88), P RR = 0.85, 95% CI (0.75, 0.97), P RR = 1.23, 95% CI (1.04, 1.46), P = 0.01] and gastrointestinal bleeding [RR = 1.62, 95% CI (1.35, 1.93), P RR = 0.97, 95% CI (0.93, 1.02), P = 0.20]. Conclusion: Long-term prophylactic use of aspirin can reduce the overall incidence of stroke, but there is also a risk of bleeding. The advantages and disadvantages of aspirin should be fully evaluated and strict screening should be carried out before medication, which can minimize adverse reactions and improve the safety and effectiveness of aspirin in the primary prevention of stroke.

The Application of Specific Nursing in Perioperative Patients of Thoracic Surgery and Postoperative Recovery and Improvement of Patients’ Negative Emotions

Objective: To study the application of specific nursing in perioperative patients of thoracic surgery and postoperative recovery and improvement of patients’ negative emotions. Patients and Methods: A total of 88 patients in the thoracic surgery operating room of our hospital were selected and divided into group A (specific nursing, n = 44) and group B (routine nursing, n = 44). The anxiety and depression status of the two groups were assessed by the Self-rating Anxiety Scale (SAS) and the Self-rating Depression Scale (SDS). The relevant respiratory parameters after surgery, including total lung capacity, maximum respiration flow-rate, tidal volume, and vital capacity were observed. The extubation time, ICU hospitalization time, and VAS scores of postoperative pain were compared, with a score of 10 being full. The higher the score, the higher the pain. The in-cidence of postoperative wound infection, pulmonary infection, respiratory tract infection and the satisfaction with the operation were compared. Sf-36 scale was used to score the physical function, life function, psychological function and quality of life of the patients in the two groups. Results: The surgical effect of group A was significantly higher than that of group B (all p < 0.05). The total lung capacity, maximum respiration flow-rate, tidal volume and vital capacity of group A were significantly higher than those of group B (all p < 0.05). The extubation time and hospitalization time of group A were significantly higher than those of group B (all p < 0.05). VAS score of group A was significantly lower than that of group B (all p < 0.05). The infection rate of group A was significantly lower than that in group B (all p < 0.05). Conclusion: Specific nursing has higher application value than routine nursing, which is worth further promotion in clinic.

The “Ocean Stabilization Machine” May Represent a Primary Factor Underlying the Effect of “Global Warming on Climate Change”

Contemporary references to global warming pertain to the dramatic increase in monthly global land surface temperature (GLST) anomalies since 1976. In this paper, we argue that recent global warming is primarily a result of natural causes;we have established three steps that support this viewpoint. The first is to identify periodic functions that perfectly match all of the monthly anomaly data for GLST;the second is to identify monthly sea surface temperature (SST) anomalies that are located within different ocean basin domains and highly correlated with the monthly GLST anomalies;and the third is to determine whether the dramatically increasing (or dramatically decreasing) K-line diagram signals that coincide with GLST anomalies occurred in El Ni&#241o years (or La Ni&#241a years). We have identified 15,295 periodic functions that perfectly fit the monthly GLST anomalies from 1880 to 2013 and show that the monthly SST anomalies in six domains in different oceans are highly correlated with the monthly GLST anomalies. In addition, most of the annual dramatically increasing GLST anomalies occur in El Ni&#241o years;and most of the annual dramatically decreasing GLST anomalies occur in La Ni&#241a years. These findings indicate that the “ocean stabilization machine” might represent a primary factor underlying the effect of “global warming on climate change”.

The Discovery of Atmosphere Cooling Engine

The earth-atmosphere system is an energy equilibrium system, including cooling and heating systems. The conception of “atmospheric heat engine (AH Engine)” was put forward very early in the research of heating processes. However, in the field of research on atmosphere cooling, there is no corresponding academic conception. Here we show how the atmosphere cooling engine (AC Engine) is discovered. The results show that there is a huge cooling center between the subtropical zone of northern hemispheres and the subtropical zone of southern hemispheres in the stratosphere, which is the result of AH engine. In the lower latitudes of the upper troposphere, there is an atmospheric heating belt that reaches directly to the surface of the ocean. In the global ocean surface, there are five heating centers and one cooling center, which are the results of Ocean Stabilization Machine (OSM). Therefore, there are 23 short-term global climate warming trends and 23 short-term global climate cooling trends of Global Mean Lan/Oceans Temperature Anomalies Index, which are actually the result of fluctuations of AH engine, AC engine and OSM, and how the mechanism works by AH engine, AC engine and OSM is also explained.