Crop water stress index(CWSI)is widely used for efficient irrigation management.Precise canopy temperature(T_(c))measurement is necessary to derive a reliable CWSI.The objective of this research was to investigate the...Crop water stress index(CWSI)is widely used for efficient irrigation management.Precise canopy temperature(T_(c))measurement is necessary to derive a reliable CWSI.The objective of this research was to investigate the influences of atmospheric conditions,settled height,view angle of infrared thermography,and investigating time of temperature measuring on the performance of the CWSI.Three irrigation treatments were used to create different soil water conditions during the 2020-2021 and 2021-2022 winter wheat-growing seasons.The CWSI was calculated using the CWSI-E(an empirical approach)and CWSI-T(a theoretical approach)based on the T_(c).Weather conditions were recorded continuously throughout the experimental period.The results showed that atmospheric conditions influenced the estimation of the CWSI;when the vapor pressure deficit(VPD)was>2000 Pa,the estimated CWSI was related to soil water conditions.The height of the installed infrared thermograph influenced the T_(c)values,and the differences among the T_(c)values measured at height of 3,5,and 10 m was smaller in the afternoon than in the morning.However,the lens of the thermometer facing south recorded a higher T_(c)than those facing east or north,especially at a low height,indicating that the direction of the thermometer had a significant influence on T_(c).There was a large variation in CWSI derived at different times of the day,and the midday measurements(12:00-15:00)were the most reliable for estimating CWSI.Negative linear relationships were found between the transpiration rate and CWSI-E(R^(2)of 0.3646-0.5725)and CWSI-T(R^(2)of 0.5407-0.7213).The relations between fraction of available soil water(FASW)with CWSI-T was higher than that with CWSI-E,indicating CWSI-T was more accurate for predicting crop water status.In addition,The R^(2)between CWSI-T and FASW at 14:00 was higher than that at other times,indicating that 14:00 was the optimal time for using the CWSI for crop water status monitoring.Relative higher yield of winter wheat was obtained with average seasonal values of CWSI-E and CWSI-T around 0.23 and 0.25-0.26,respectively.The CWSI-E values were more easily influenced by meteorological factors and the timing of the measurements,and using the theoretical approach to derive the CWSI was recommended for precise irrigation water management.展开更多
Atmospheric deposition of nitrogen(N)plays a significant role in shaping the structure and functioning of various terrestrial ecosystems worldwide.However,the magnitude of N deposition on grassland ecosystems in Centr...Atmospheric deposition of nitrogen(N)plays a significant role in shaping the structure and functioning of various terrestrial ecosystems worldwide.However,the magnitude of N deposition on grassland ecosystems in Central Asia still remains highly uncertain.In this study,a multi-data approach was adopted to analyze the distribution and amplitude of N deposition effects in Central Asia from 1979 to 2014 using a process-based denitrification decomposition(DNDC)model.Results showed that total vegetation carbon(C)in Central Asia was 0.35(±0.09)Pg C/a and the averaged water stress index(WSI)was 0.20(±0.02)for the whole area.Increasing N deposition led to an increase in the vegetation C of 65.56(±83.03)Tg C and slightly decreased water stress in Central Asia.Findings of this study will expand both our understanding and predictive capacity of C characteristics under future increases in N deposition,and also serve as a valuable reference for decision-making regarding water resources management and climate change mitigation in arid and semi-arid areas globally.展开更多
In deep hard rock excavation, stress plays a pivotal role in inducing stress-controlled failure. While the impact of excavation-induced stress disturbance on rock failure and tunnel stability has undergone comprehensi...In deep hard rock excavation, stress plays a pivotal role in inducing stress-controlled failure. While the impact of excavation-induced stress disturbance on rock failure and tunnel stability has undergone comprehensive examination through laboratory tests and numerical simulations, its validation through insitu stress tests remains unexplored. This study analyzes the three-dimensional stress changes in the surrounding rock at various depths, monitored during the excavation of B2 Lab in China Jinping Underground Laboratory Phase Ⅱ(CJPL-Ⅱ). The investigation delves into the three-dimensional stress variation characteristics in deep hard rock, encompassing stress components and principal stress. The results indicate changes in both the magnitude and direction of the principal stress during tunnel excavation. To quantitatively describe the degree of stress disturbance, a series of stress evaluation indexes are established based on the distances between stress tensors, including the stress disturbance index(SDI), the principal stress magnitude disturbance index(SDIm), and the principal stress direction disturbance index(SDId). The SDI indicates the greatest stress disturbance in the surrounding rock is 4.5 m from the tunnel wall in B2 Lab. SDIm shows that the principal stress magnitude disturbance peaks at2.5 m from the tunnel wall. SDId reveals that the largest change in principal stress direction does not necessarily occur near the tunnel wall but at a specific depth from it. The established relationship between SDI and the depth of the excavation damaged zone(EDZ) can serve as a criterion for determining the depth of the EDZ in deep hard rock engineering. Additionally, it provides a reference for future construction and support considerations.展开更多
The crop water stress index(CWSI)is a complex instrument to effectively monitor the degree of water stress of crops and provides guidance for timely irrigation.In an experiment utilizing the CWSI with off-season green...The crop water stress index(CWSI)is a complex instrument to effectively monitor the degree of water stress of crops and provides guidance for timely irrigation.In an experiment utilizing the CWSI with off-season green peppers planted in barrels in a greenhouse in Liaoning Province,Northeast China,this study monitors the sub-indexes--such as canopy temperature,environmental factors and yield--determines the changing law of each constituent,achieves an empirical model as well as a baseline formula for the canopy temperature of the peppers with a sufficient water supply,and verifies the rationality of the formula with corresponding experimental data.The results obtained by using the CWSI show that the optimal time to determine the water deficit for off-season green peppers is at noon,by measuring the diurnal variation in the peppers with different water supplies.There is a nonlinear relationship between the yield and the average CWSI at the prime fruit-bearing period;moreover,the optimal time to supply water for off-season green peppers comes when the average water stress index ranges between 0.2 and 0.4 during the prime fruiting stage,thereby ensuring a high yield.展开更多
In this paper, a new method for canopy water content (FMC) estimation for highly vegetated surfaces- shortwave infrared perpendicular water stress index (SPSI) is developed using NIR, SWIR wavelengths of Enhanced Them...In this paper, a new method for canopy water content (FMC) estimation for highly vegetated surfaces- shortwave infrared perpendicular water stress index (SPSI) is developed using NIR, SWIR wavelengths of Enhanced Thematic Mapper Plus (ETM+) on the basis of spectral features and distribution of surface targets with different water conditions in NIR-SWIR spectral space. The developed method is further explored with radiative transfer simulations using PROSPECT, Lillesaeter, SailH and 6S. It is evident from the results of validation derived from satellite synchronous field measurements that SPSI is highly correlated with FMC, coefficient of determination (R squared) and root mean square error are 0.79 and 26.41%. The paper concludes that SPSI has a potential in vegetation water content estimation in terms of FMC.展开更多
Aim:To investigate the impact of abnormal sperm morphology using the sperm deformity index (SDI) on reactive oxygen species (ROS) production and its correlation with sperm DNA damage.Methods:Semen samples were collect...Aim:To investigate the impact of abnormal sperm morphology using the sperm deformity index (SDI) on reactive oxygen species (ROS) production and its correlation with sperm DNA damage.Methods:Semen samples were collected from men undergoing infertility screening (n=7) and healthy donors (n=6).Mature spermatozoa were isolated and incubated with 5 mmol/L β-nicotinamide adenine dinucleotide phosphate (NADPH) for up to 24 h to induce ROS.Sperm morphology was evaluated using strict Tygerberg's criteria and the SDI.ROS levels and DNA damage were assessed using chemiluminescence and terminal deoxynucleotidyl transferase-mediated fluorescein- dUTP nick end labeling (TUNEL) assays,respectively.Results:SDI values (median [interquartiles]) were higher in patients than donors (2 [1.8,2.1] vs.1.53 [1.52,1.58],P=0.008).Aliquots treated with NADPH showed higher ROS levels (1.22 [0.30,1.87] vs.0.39 [0.10,0.57],P=0.03) and higher incidence of DNA damage than those not treated (10 [4.69,24.85] vs.3.85 [2.58,5.10],P=0.008).Higher DNA damage was also seen following 24 h of incubation in patients compared to donors.SDI correlated with the percentage increase in sperm DNA damage following incubation for 24 h in samples treated with NADPH (r=0.7,P=0.008) and controls (r=0.58,P=0.04). Conclusion:SDI may be a useful tool in identifying potential infertile males with abnormal prevalence of oxidative stress (OS)-induced DNA damage.NADPH plays a role in ROS-mediated sperm DNA damage,which appears to be more evident in infertile patients with semen samples containing a high incidence of morphologically abnormal spermatozoa.展开更多
The relationships between photochemical reflectance index (PRI) and the chlorophyll fluorescence parameters were examined to assess suitability of PRI as a remote-sensing tool for the chlorophyll fluorescence parame...The relationships between photochemical reflectance index (PRI) and the chlorophyll fluorescence parameters were examined to assess suitability of PRI as a remote-sensing tool for the chlorophyll fluorescence parameters. A greenhouse experiment was conducted using cotton and peanut crops under water stress condition. Five cotton and six peanut cultivars were grown using Andosole soil in pots maintained at two water levels; the control and water stress treatment (WS) of 100 and 50% of the daily transpiration, respectively. Higher non-photochemical quenching (NPQ) was exhibited by peanut than that of cotton by the water stress. On the other hand, the decreases of the actual quantum yield of photosystem II (△F/F'm) and PRI by the water stress in cotton were larger than those in peanut. There were positively significant correlation coefficients between PRI and △F/F'm in cotton at noon and in the afternoon including the control and WS. The correlations of PRI with NPQ were negatively significant at noon and in the afternoon for cotton, and in the afternoon for peanut. No clear relationship was found among these parameters in the morning probably due to the diurnal increase in global solar radiation. It was concluded that there would be a possibility to detect the effects of water stress on △F/F'm and NPQ by PRI with some exceptions, although PRI could not note varietals differences in △F/F'm and NPQ for each treatment.展开更多
BACKGROUND Depression is a common,chronic,and recurrent mood disorder that has become a worldwide health hazard.Fluoxetine hydrochloride,a common treatment method,can inhibit 5-hydroxytryptamine(5-HT)recycling in the ...BACKGROUND Depression is a common,chronic,and recurrent mood disorder that has become a worldwide health hazard.Fluoxetine hydrochloride,a common treatment method,can inhibit 5-hydroxytryptamine(5-HT)recycling in the presynaptic membrane;however,the efficacy of a single drug is inadequate.At present,mildto-moderate depression can be treated with acupuncture of ghost caves,but the clinical curative effect of combined therapy with fluoxetine hydrochloride has not been sufficiently reported.AIM To evaluate the clinical effect of acupuncture at ghost points combined with fluoxetine hydrochloride in the treatment of mild-to-moderate depression.METHODS This retrospective study included 160 patients with mild-to-moderate depression who were admitted to Shanghai Hospital of Integrated Traditional Chinese and Western Medicine,Affiliated to Shanghai University of Traditional Chinese Medicine,between January 2022 and June 2023.Patients were separated into a single-agent group(fluoxetine hydrochloride treatment,n=80)and a coalition group(fluoxetine hydrochloride treatment combined with acupuncture at ghost points,n=80).Pre-treatment symptoms were recorded,and the clinical curative effect and adverse reactions[Asberg Antidepressant Side Effects Scale(SERS)]were assessed.Depression before and after treatment[Hamilton Depression Scale(HAMD)-24],neurotransmitter levels[5-HT,norepinephrine(NE),dopamine(DA)],oxidative stress indicators[superoxide dismutase(SOD),malondialdehyde(MDA)],and sleep quality[Pittsburgh Sleep Quality Index(PSQI)]were compared.RESULTS The total efficacy rate was 97.50%in the coalition group and 86.25%in the single-agent group(P<0.05).After 2,4,6,and 8 wk of treatment,the HAMD,self-rating depression scale,and SERS scores of the coalition and single-agent groups decreased compared with pre-treatment,and the decrease was more significant in the coalition group(P<0.05).After 8 wk of treatment,the levels of NE,DA,5-HT,and SOD in the coalition and single-agent groups increased,while the levels of MDA decreased;the increases and decrease in the coalition group were more significant(P<0.05).The PSQI scores of the coalition and single-agent groups decreased,and the decrease was more significant in the coalition group(P<0.05).CONCLUSION Acupuncture at ghost points combined with paroxetine tablets can safely improve depressive symptoms and sleep disorders,regulate neurotransmitter levels,and reduce stress responses in patients with mild-to-moderate depression.展开更多
基金supported by the Project of State Grid Hebei Electric Power Co.,Ltd.(SGHEYX00SCJS2100077).
文摘Crop water stress index(CWSI)is widely used for efficient irrigation management.Precise canopy temperature(T_(c))measurement is necessary to derive a reliable CWSI.The objective of this research was to investigate the influences of atmospheric conditions,settled height,view angle of infrared thermography,and investigating time of temperature measuring on the performance of the CWSI.Three irrigation treatments were used to create different soil water conditions during the 2020-2021 and 2021-2022 winter wheat-growing seasons.The CWSI was calculated using the CWSI-E(an empirical approach)and CWSI-T(a theoretical approach)based on the T_(c).Weather conditions were recorded continuously throughout the experimental period.The results showed that atmospheric conditions influenced the estimation of the CWSI;when the vapor pressure deficit(VPD)was>2000 Pa,the estimated CWSI was related to soil water conditions.The height of the installed infrared thermograph influenced the T_(c)values,and the differences among the T_(c)values measured at height of 3,5,and 10 m was smaller in the afternoon than in the morning.However,the lens of the thermometer facing south recorded a higher T_(c)than those facing east or north,especially at a low height,indicating that the direction of the thermometer had a significant influence on T_(c).There was a large variation in CWSI derived at different times of the day,and the midday measurements(12:00-15:00)were the most reliable for estimating CWSI.Negative linear relationships were found between the transpiration rate and CWSI-E(R^(2)of 0.3646-0.5725)and CWSI-T(R^(2)of 0.5407-0.7213).The relations between fraction of available soil water(FASW)with CWSI-T was higher than that with CWSI-E,indicating CWSI-T was more accurate for predicting crop water status.In addition,The R^(2)between CWSI-T and FASW at 14:00 was higher than that at other times,indicating that 14:00 was the optimal time for using the CWSI for crop water status monitoring.Relative higher yield of winter wheat was obtained with average seasonal values of CWSI-E and CWSI-T around 0.23 and 0.25-0.26,respectively.The CWSI-E values were more easily influenced by meteorological factors and the timing of the measurements,and using the theoretical approach to derive the CWSI was recommended for precise irrigation water management.
基金funded by the National Key Research and Development Program of China (2023YFC3206803)the National Natural Science Foundation of China (42271493)
文摘Atmospheric deposition of nitrogen(N)plays a significant role in shaping the structure and functioning of various terrestrial ecosystems worldwide.However,the magnitude of N deposition on grassland ecosystems in Central Asia still remains highly uncertain.In this study,a multi-data approach was adopted to analyze the distribution and amplitude of N deposition effects in Central Asia from 1979 to 2014 using a process-based denitrification decomposition(DNDC)model.Results showed that total vegetation carbon(C)in Central Asia was 0.35(±0.09)Pg C/a and the averaged water stress index(WSI)was 0.20(±0.02)for the whole area.Increasing N deposition led to an increase in the vegetation C of 65.56(±83.03)Tg C and slightly decreased water stress in Central Asia.Findings of this study will expand both our understanding and predictive capacity of C characteristics under future increases in N deposition,and also serve as a valuable reference for decision-making regarding water resources management and climate change mitigation in arid and semi-arid areas globally.
基金financial support for this work from the National Natural Science Foundation of China(Nos.42202320 and 42102266)the Open Project of Engineering Research Center of Phosphorus Resources Development and Utilization of Ministry of Education(No.LKF201901).
文摘In deep hard rock excavation, stress plays a pivotal role in inducing stress-controlled failure. While the impact of excavation-induced stress disturbance on rock failure and tunnel stability has undergone comprehensive examination through laboratory tests and numerical simulations, its validation through insitu stress tests remains unexplored. This study analyzes the three-dimensional stress changes in the surrounding rock at various depths, monitored during the excavation of B2 Lab in China Jinping Underground Laboratory Phase Ⅱ(CJPL-Ⅱ). The investigation delves into the three-dimensional stress variation characteristics in deep hard rock, encompassing stress components and principal stress. The results indicate changes in both the magnitude and direction of the principal stress during tunnel excavation. To quantitatively describe the degree of stress disturbance, a series of stress evaluation indexes are established based on the distances between stress tensors, including the stress disturbance index(SDI), the principal stress magnitude disturbance index(SDIm), and the principal stress direction disturbance index(SDId). The SDI indicates the greatest stress disturbance in the surrounding rock is 4.5 m from the tunnel wall in B2 Lab. SDIm shows that the principal stress magnitude disturbance peaks at2.5 m from the tunnel wall. SDId reveals that the largest change in principal stress direction does not necessarily occur near the tunnel wall but at a specific depth from it. The established relationship between SDI and the depth of the excavation damaged zone(EDZ) can serve as a criterion for determining the depth of the EDZ in deep hard rock engineering. Additionally, it provides a reference for future construction and support considerations.
基金The authors express appreciation for the financial support granted by the Education Department of Liaoning Province,China(Project No.L2012239)and the Ministry of Agriculture,China(Project No.201303125)We also thank Dr.Wang Yingkuan for his valuable suggestions for improving this paper and Dr.Cheryl Rutledge(Florida,USA)for her English editorial assistance.
文摘The crop water stress index(CWSI)is a complex instrument to effectively monitor the degree of water stress of crops and provides guidance for timely irrigation.In an experiment utilizing the CWSI with off-season green peppers planted in barrels in a greenhouse in Liaoning Province,Northeast China,this study monitors the sub-indexes--such as canopy temperature,environmental factors and yield--determines the changing law of each constituent,achieves an empirical model as well as a baseline formula for the canopy temperature of the peppers with a sufficient water supply,and verifies the rationality of the formula with corresponding experimental data.The results obtained by using the CWSI show that the optimal time to determine the water deficit for off-season green peppers is at noon,by measuring the diurnal variation in the peppers with different water supplies.There is a nonlinear relationship between the yield and the average CWSI at the prime fruit-bearing period;moreover,the optimal time to supply water for off-season green peppers comes when the average water stress index ranges between 0.2 and 0.4 during the prime fruiting stage,thereby ensuring a high yield.
基金Supported by the Special Funds for the Major State Basic Research Project (973) (Grant No. G2000077900)the High-Tech Research and Development Program of China (Grant No. 2001AA135110)EAGLE (Exploitation of AnGular Effects in Land Surface Observation From Satellites in the Sixth Framework Program (FP6) of EU) (Grant No. SST3CT2003502057)
文摘In this paper, a new method for canopy water content (FMC) estimation for highly vegetated surfaces- shortwave infrared perpendicular water stress index (SPSI) is developed using NIR, SWIR wavelengths of Enhanced Thematic Mapper Plus (ETM+) on the basis of spectral features and distribution of surface targets with different water conditions in NIR-SWIR spectral space. The developed method is further explored with radiative transfer simulations using PROSPECT, Lillesaeter, SailH and 6S. It is evident from the results of validation derived from satellite synchronous field measurements that SPSI is highly correlated with FMC, coefficient of determination (R squared) and root mean square error are 0.79 and 26.41%. The paper concludes that SPSI has a potential in vegetation water content estimation in terms of FMC.
文摘Aim:To investigate the impact of abnormal sperm morphology using the sperm deformity index (SDI) on reactive oxygen species (ROS) production and its correlation with sperm DNA damage.Methods:Semen samples were collected from men undergoing infertility screening (n=7) and healthy donors (n=6).Mature spermatozoa were isolated and incubated with 5 mmol/L β-nicotinamide adenine dinucleotide phosphate (NADPH) for up to 24 h to induce ROS.Sperm morphology was evaluated using strict Tygerberg's criteria and the SDI.ROS levels and DNA damage were assessed using chemiluminescence and terminal deoxynucleotidyl transferase-mediated fluorescein- dUTP nick end labeling (TUNEL) assays,respectively.Results:SDI values (median [interquartiles]) were higher in patients than donors (2 [1.8,2.1] vs.1.53 [1.52,1.58],P=0.008).Aliquots treated with NADPH showed higher ROS levels (1.22 [0.30,1.87] vs.0.39 [0.10,0.57],P=0.03) and higher incidence of DNA damage than those not treated (10 [4.69,24.85] vs.3.85 [2.58,5.10],P=0.008).Higher DNA damage was also seen following 24 h of incubation in patients compared to donors.SDI correlated with the percentage increase in sperm DNA damage following incubation for 24 h in samples treated with NADPH (r=0.7,P=0.008) and controls (r=0.58,P=0.04). Conclusion:SDI may be a useful tool in identifying potential infertile males with abnormal prevalence of oxidative stress (OS)-induced DNA damage.NADPH plays a role in ROS-mediated sperm DNA damage,which appears to be more evident in infertile patients with semen samples containing a high incidence of morphologically abnormal spermatozoa.
文摘The relationships between photochemical reflectance index (PRI) and the chlorophyll fluorescence parameters were examined to assess suitability of PRI as a remote-sensing tool for the chlorophyll fluorescence parameters. A greenhouse experiment was conducted using cotton and peanut crops under water stress condition. Five cotton and six peanut cultivars were grown using Andosole soil in pots maintained at two water levels; the control and water stress treatment (WS) of 100 and 50% of the daily transpiration, respectively. Higher non-photochemical quenching (NPQ) was exhibited by peanut than that of cotton by the water stress. On the other hand, the decreases of the actual quantum yield of photosystem II (△F/F'm) and PRI by the water stress in cotton were larger than those in peanut. There were positively significant correlation coefficients between PRI and △F/F'm in cotton at noon and in the afternoon including the control and WS. The correlations of PRI with NPQ were negatively significant at noon and in the afternoon for cotton, and in the afternoon for peanut. No clear relationship was found among these parameters in the morning probably due to the diurnal increase in global solar radiation. It was concluded that there would be a possibility to detect the effects of water stress on △F/F'm and NPQ by PRI with some exceptions, although PRI could not note varietals differences in △F/F'm and NPQ for each treatment.
基金Supported by the General Program of Shanghai Science and Technology Commission on Medical Innovation Research,No.21Y11923500the Second Round of the“National Medical Strong and Excellent”Three-Year Action Plan(2022-2024)of the Hongkou District of Shanghai Traditional Chinese Medicine Schools and Characteristic Technology Inheritance Support Construction Project,No.HKGYQYXM-2022-17the Shanghai Culture and Tourism Bureau.
文摘BACKGROUND Depression is a common,chronic,and recurrent mood disorder that has become a worldwide health hazard.Fluoxetine hydrochloride,a common treatment method,can inhibit 5-hydroxytryptamine(5-HT)recycling in the presynaptic membrane;however,the efficacy of a single drug is inadequate.At present,mildto-moderate depression can be treated with acupuncture of ghost caves,but the clinical curative effect of combined therapy with fluoxetine hydrochloride has not been sufficiently reported.AIM To evaluate the clinical effect of acupuncture at ghost points combined with fluoxetine hydrochloride in the treatment of mild-to-moderate depression.METHODS This retrospective study included 160 patients with mild-to-moderate depression who were admitted to Shanghai Hospital of Integrated Traditional Chinese and Western Medicine,Affiliated to Shanghai University of Traditional Chinese Medicine,between January 2022 and June 2023.Patients were separated into a single-agent group(fluoxetine hydrochloride treatment,n=80)and a coalition group(fluoxetine hydrochloride treatment combined with acupuncture at ghost points,n=80).Pre-treatment symptoms were recorded,and the clinical curative effect and adverse reactions[Asberg Antidepressant Side Effects Scale(SERS)]were assessed.Depression before and after treatment[Hamilton Depression Scale(HAMD)-24],neurotransmitter levels[5-HT,norepinephrine(NE),dopamine(DA)],oxidative stress indicators[superoxide dismutase(SOD),malondialdehyde(MDA)],and sleep quality[Pittsburgh Sleep Quality Index(PSQI)]were compared.RESULTS The total efficacy rate was 97.50%in the coalition group and 86.25%in the single-agent group(P<0.05).After 2,4,6,and 8 wk of treatment,the HAMD,self-rating depression scale,and SERS scores of the coalition and single-agent groups decreased compared with pre-treatment,and the decrease was more significant in the coalition group(P<0.05).After 8 wk of treatment,the levels of NE,DA,5-HT,and SOD in the coalition and single-agent groups increased,while the levels of MDA decreased;the increases and decrease in the coalition group were more significant(P<0.05).The PSQI scores of the coalition and single-agent groups decreased,and the decrease was more significant in the coalition group(P<0.05).CONCLUSION Acupuncture at ghost points combined with paroxetine tablets can safely improve depressive symptoms and sleep disorders,regulate neurotransmitter levels,and reduce stress responses in patients with mild-to-moderate depression.