Temporal-spatial Distribution Model of Cold Chain Logistics for Vegetables

[Objective] The aim was to study on temporal-spatial distribution model of cold chain logistics for vegetables. [Method] Broccoli was taken as an example. Detailedly, time-space distribution model of cold chain logistics for broccoli was proposed from standpoints of costs and benefits based on changes of time and space, and a comprehensive evaluation was made on timeliness, efficiency, risks, added- value of products and satisfaction of information in cold-chain logistics. [Result] The efficiency of cold chain logistics for vegetable can be greatly improved by temporal- spatial distribution model of cold chain logistics. [Conclusion] Costs and benefits of vegetables in temporal-apstial distribution could be evaluated by the model.

Sand-dust storms in China: temporal-spatial distribution and tracks of source lands

Sand-dust storm is a special natural disaster that frequently occurs in deserts and their surrounding areas. With the data published onSurface Meteorological Monthly Bulletin andSurface Chart during 1971–1996, the temporal-spatial distribution and annual variation of sand-dust storms are analyzed on the basis of the case study of atmospheric processes. Furthermore, the tracks and source areas of sand-dust storms are determined with the aid of GIS. The results show that except some parts of Qinghai Province and Inner Mongolia as well as Beijing, sand-dust storms decrease apparently in time and space in recent decades in China. Sand-dust storms occur most frequently in spring, especially in April. According to their source areas, sand-dust storms are classified into two types, i.e., the inner-source and outer-source sand-dust storms. Most of the outer-source sand-dust storms move along the north and west tracks. The north-track outer-source sand-dust storms always intrude into China across the Sino-Mongolian border from Hami, a city in the eastern part ofXinjiang, to Xilin Gol, a league in Inner Mongolia, while the west-track ones intrude into China from both southern and northern Xinjiang. The source lands of inner-source sand-dust storms concentrate in the Taklimakan Desert and its surrounding areas in southern Xinjiang, southern part of the Junggar Basin in north of Xinjiang, the Hexi Corridor in western Gansu Province, the dry deserts of Inner Mongolia and the Qaidam Basin in Qinghai.

Temporal-spatial distribution and variability of cadmium contamination in soils in Shenyang Zhangshi irrigation area,China

Heavy metal contamination in soils has been of wide concern in China in the last several decades. The heavy metal contamination was caused by sewage irrigation, mining and inappropriate utilization of various agrochemicals and pesticides and so on. The Shenyang Zhangshi irrigation area （SZIA） in China is a representative area of heavy metal contamination of soils resulting from sewage irrigation for about 30 years duration. This study investigated the spatial distribution and temporal variation of soil cadmium contamination in the SZIA. The soil samples were collected from the SZIA in 1990 and 2004; Cd of soils was analyzed and then the spatial distribution and temporal variation of Cd in soils was modelled using kriging methods. The kriging map showed that long-term sewage irrigation had caused serious Cd contamination in topsoil and subsoil. In 2004, the Cd mean concentrations were 1.698 and 0.741 mg/kg, and the maxima 10.150 and 7.567 mg/kg in topsoils （0-20 cm） and subsoils （20-40 cm） respectively. These values are markedly more than the Cd levels in the second grade soil standard in China. In 1990, the Cd means were 1.023 and 0.331 mg/kg, and the maxima 9.400 and 3.156 mg/kg, in topsoils and subsoils respectively. The soil area in 1990 with Cd more than 1.5 mg/kg was 2701 and 206.4 hnl2 in topsoils and subsoils respectively; and in 2004, it was 7592 and 1583 hm^2, respectively. Compared with that in 1990, the mean and maximum concentration of Cd, as well as the soil area with Cd more than 1.5 mg/kg had all increased in 2004, both in topsoils and subsoils.

Impact of Holocene environmental change on temporal-spatial distribution of Neolithic sites in Huaihe River Basin, Anhui Province

The Huaihe River basin of Anhui is not only a transitional zone of physical geography, but also a convergent area of many cultures in China. It is one of the sensitive ecotones to global changes and the birthplace of Chinese civilization. Using the field archaeological data and the sporo-pollens and the age data of the drilling cores, we analysed Neolithic cultural development and environmental evolution in the Huaihe River basin of Anhui. According to the combination of some research results in archaeology with environmental evolution research, this paper discusses the relationship between culture and environment in the Huaihe River basin of Anhui. The Neolithic cultural development was strongly impacted by the environmental change. The primitive culture （Shishanzi） was developed in the beginning of the Holocene Megathermal Period with distinct regional feature of the culture. From 6.5 kaBP to 5.5 kaBP, the climate changed warmer and wetter. The frequent occurrence of flood and waterlog due to such a climate regime and high sea level caused the earth＇s surface environment deteriorated in the Huaihe River basin of Anhui and the interruption of the Neolithic cultural development, hence a lack of archaeological sites. From 5.5 kaBP to 4.0 kaBP, the climate changed from wet to dry, the natural environment was propitious to human survival. Dawenkou Culture and Longshan Culture flourished in this period. The Neolithic cultural development, the number of the sites and their distribution characteristics of the sites in the study area differed apparently from those in Central China and Shandong Province.

Temporal-spatial Distribution and Short-range Prediction Indicators of Hail Weather in East Central Haixi Prefecture of Qinghai Province

[ Objective] The study aimed to discuss the temporal-spatial distribution and short-range prediction indicators of hail weather in east central Haixi Prefecture of Qinghai Province. [Method] Using hail data of six stations in east central Haixi Prefecture from 1960 to 2010, the temporal and spatial distribution of hail weather was analyzed firstly. Afterwards, based on the high-altitude factual data of 30 case studies of hail during 2006 -2010, its high-altitude and ground weather situation and physical quantity field were studied to summarize short-term circulation pattern and shod- range prediction characteristics of hail weather. [ Result] In east central Haixi, hail appeared from April to September, and it was most frequently from May to August. Meanwhile, hail was frequent from 14：00 to 20：00. Among the six stations, hail was most frequent in Tianjun but least frequent in Wulan. Moreover, hail disaster mainly occurred in Wulan and Tianjun. In addition, there were three typos of circulation pattern of hail weather at 500 hPa. Hail mainly occurred under the effect of northwest airflow, and it had shortwave trough, cold center or trough, jet stream core or one of the three. Hail appeared frequently under the situation of upper-level divergence and low-level convergence, and abundant water vapor and water vapor flux convergence at low levels were important conditions for hailing. [ Conclusion] The research could provide scientific references for improving the accuracy of hail forecast.

Analysis of the Temporal-spatial Distribution and Seasonal Variation of the Acid Rain in Guangxi Province

The temporal-spatial distribution and seasonal variation of the precipitation acidity in Guangxi Province were statistically analyzed by means of the data from 2003 to 2008 in 10 Stations of Acid Rain Observation in the province and the data from 1996 to 2008 in two Monitoring Spots in Nanning and Baise,respectively.The results showed that annual average pH value of precipitation was <5.6 based on the analysis of the data from 10 Stations of Acid Rain Observation in the province,among which,the data from 5 stations indicated that annual average pH value of precipitation was <4.5.Thus,it can be thought that the serious acid rain had appeared in the province.There was an obvious seasonal variation in the extent of the acidity in precipitation and the acidity of precipitation in spring and winter was heavier than that in summer and autumn.

Temporal-spatial Distribution of Various Types of Crime in the Special Wards of Tokyo

Based on the official criminal data released by the Tokyo Metropolitan Police Department in 2019,this paper discusses the temporal-spatial distribution of various types of crimes in the special wards of Tokyo.The results show that:(1)The times of high and low incidence of different types of crime differ significantly.Although vicious crime and violent crime present no obvious monthly distribution,property crime clearly differs between the first and second half of a calendar year.(2)The month before the new year sees a surge in most types of crime.(3)Vicious crime peaks in the hours between night and early morning.Violent crime and property crime correlate positively with the frequency of human interaction and peak in the morning and evening commuting hours.(4)The spatial distribution of crime resembles the concentric circles of the three rings of the special wards of Tokyo,with a central high-incidence area,a center-peripheral low-incidence area,and a marginal high-incidence area.In addition,the center sees more personal crime than the periphery,whereas property crimes show the opposite trend.(5)A spatial autocorrelation analysis shows that the special wards of Tokyo may be grouped into the“high-high”and“low-low”agglomeration modes of different types of crime,with marked differences between the various types of crime.The crime can be divided into three types:central agglomeration,double central agglomeration,and decentralized agglomeration.

Study on the Temporal-spatial Distribution Characteristics of Extreme Precipitation in Jiangsu Province

[Objective] The rasearch aimed to grasp the spatial and temporal distribution charactedstics of extreme precipitation in Jiangsu Prov- ince. [Methodl Threshold was determined by detrended fluctuation analysis （DFA） based on the data of daily precipitation over Jiangsu Province from 1961 to 2010, and the oscillation pedod and mutation were detected by the method of Morlet wavelet analysis and Mann-Kendall test respec- tively. [ Result~ The annual frequency of extreme precipitation in Jiangsu Province demonstrated oscillation characteristics with 8 -10 a, and the mutation mainly happened in 2006, In addition, the oscillation period of extreme precipitation during summer was 8 -10 a, and its mutation hap- pened in 1998. The oscillation periods of extreme precipitation, however, during autumn were 2 -3 and 5 -7 a. Extreme precipitation and total rain- fall had better consistency. They both presented the characteristics of more in the south and less in the north, and big-small-value zone was concentrated. [ Conclusion] The research could provide technical support for making defense policy of the related disaster for relevant departments.

Study on Temporal-spatial Distribution of Heavy Rain and Rainstorm in Different Functional Areas of Chongqing

To discuss response ability of five functional areas to rainstorm flood in Chongqing,by taking 8 districts（ counties） as research object,monthly occurrence times of heavy rain and rainstorm in different functional areas over the years and appearance month of the maximum rainfall were conducted statistics. Results showed that frequency distribution of heavy rain in whole year in different functional areas was different,but it was similar in the same functional zone. Temporal-spatial distribution of rainstorm was more independent,and there were different performances in various districts of each functional area. In urban functional core area and urban functional expansion area,rainstorm times was more,and the maximum precipitation was larger. In urban development new district,rainstorm times and the maximum precipitation were relatively smaller in whole Chongqing. In ecological conservation development area of northeast Chongqing,rainstorm duration was longer,and we needed prevention and control during June- September. In ecological protection area of southeast Chongqing,although rainstorm occurrence times was the most in Chongqing,the heavy rainstorm was less.

Analysis on Temporal-spatial Distribution and Change Trend of the Temperature in Beibei District

[ Objective] The research aimed to analyze temporal-spatial distribution and change trend of the temperature in Beibei District. [ Method] Based on temperature observation data at 6 ground meteorological observatories of Beibei District from 1951 to 2010, EOF and linear trend method were used to analyze temporal-spatial distribution and change characteristics of the temperature in Beibei District in recent 60 years. [ Result] Tem- perature in Beibei District in recent 60 years overall presented rise trend, and average rise velocity was 0.045 ~C/10 a. Temperature rise in autumn was the most obvious, while summer temperature presented decline trend. Average temperature presented gradual rise trend from January to July and gradual decrease trend from August to December. Seen from spatial distribution, temperature in the whole district was higher in the west and lower in the middle. Abnormal spatial distribution of the average temperature in the whole district mainly had consistent higher （lower） type, south- north reverse type and east-west reverse type. [ Condusionl The research provided theoretical basis for effective disaster prevention and reduction in the zone.

Temporal-spatial distribution and ore-forming material source of gold,copper and silver polymetallic ore deposits in the Fuping mantle structure zone

This study was conducted following research on metallogenesis in the Zhangjiajie-Xuanhua and East Hebei mantle branch structure zones. The Fuping mantle branch structure zone is one where Au, Cu and Ag poly-metallic ore resources are concentrated in North Hebei. However, there has existed a long-standing controversy on the temporal-spatial distribution of ore resources and their ore-forming material sources. In terms of age dating and the comprehensive analysis of S, Pb, O, C and Si isotopes, it is considered that the temporal-spatial distribution of ore resources in this mantle branch structure zone is obviously controlled by the Fuping mantle branch structure. In space there is developed such a metallogenic pattern as to be Ag, Pb and Zn polymetallic ore deposits with gold appearing inside and copper appearing outside. Metallogenesis is dated mainly at Yanshanian, the ore-forming materials were derived predominantly from the deep interior of the Earth, and ore-forming fluids were derived largely from Yanshanian magmatism.

Evaluation of Multi-Temporal-Spatial Scale Adjustment Capability and Cluster Optimization Operation Method for Distribution Networks with Distributed Photovoltaics

Themassive integration of high-proportioned distributed photovoltaics into distribution networks poses significant challenges to the flexible regulation capabilities of distribution stations.To accurately assess the flexible regulation capabilities of distribution stations,amulti-temporal and spatial scale regulation capability assessment technique is proposed for distribution station areas with distributed photovoltaics,considering different geographical locations,coverage areas,and response capabilities.Firstly,the multi-temporal scale regulation characteristics and response capabilities of different regulation resources in distribution station areas are analyzed,and a resource regulation capability model is established to quantify the adjustable range of different regulation resources.On this basis,considering the limitations of line transmission capacity,a regulation capability assessment index for distribution stations is proposed to evaluate their regulation capabilities.Secondly,considering different geographical locations and coverage areas,a comprehensive performance index based on electrical distance modularity and active power balance is established,and a cluster division method based on genetic algorithms is proposed to fully leverage the coordination and complementarity among nodes and improve the active power matching degree within clusters.Simultaneously,an economic optimization model with the objective of minimizing the economic cost of the distribution station is established,comprehensively considering the safety constraints of the distribution network and the regulation constraints of resources.This model can provide scientific guidance for the economic dispatch of the distribution station area.Finally,case studies demonstrate that the proposed assessment and optimization methods effectively evaluate the regulation capabilities of distribution stations,facilitate the consumption of distributed photovoltaics,and enhance the economic efficiency of the distribution station area.

Temporal-spatial distributions of road silt loadings and fugitive road dust emissions in Beijing from 2019 to 2020

Road silt loading(sL)is an important parameter in the fugitive road dust(FRD)emissions.In this study,the improved Testing Re-entrained Aerosol Kinetic Emissions from Roads(TRAKER)combined with the AP-42 method was firstly developed to quickly measure and estimate the sLs of paved roads in Beijing,China.The annual average sLs in Beijing was 0.59±0.31 g/m^(2)in 2020,and decreased by 22.4%compared with that in 2019.The seasonal variations of sLs followed the order of spring>winter>summer>autumn in the two years.The seasonal mean road sLs on the same type road in the four seasons presented a decline trend from^(2)019 to 2020,especially on the Expressway,decreasing 47.4%-72.7%.The road sLs on the different type roads in the same season followed the order of Major arterial∼Minor arterial∼Branch road>Express road,and Township road∼Country highway>Provincial highway∼National highway.The emission intensities of PM10 and PM_(2.5)from FRD in Beijing in 2020 were lower than those in 2019.The PM10 and PM_(2.5)emission intensities at the four planning areas in the two years all presented the order of the capital functional core area>the urban functional expansion area>the urban development new area>the ecological conservation and development area.The annual emissions of PM10 and PM_(2.5)from FRD in Beijing in 2020 were 74,886 ton and 18,118 ton,respectively,decreasing by∼33.3%compared with those in 2019.

Efficient and Stable Perovskite Solar Cells and Modules Enabled by Tailoring Additive Distribution According to the Film Growth Dynamics

Gas quenching and vacuum quenching process are widely applied to accelerate solvent volatilization to induce nucleation of perovskites in blade-coating method.In this work,we found these two pre-crystallization processes lead to different order of crystallization dynamics within the perovskite thin film,resulting in the differences of additive distribution.We then tailor-designed an additive molecule named 1,3-bis(4-methoxyphenyl)thiourea to obtain films with fewer defects and holes at the buried interface,and prepared perovskite solar cells with a certified efficiency of 23.75%.Furthermore,this work also demonstrates an efficiency of 20.18%for the large-area perovskite solar module(PSM)with an aperture area of 60.84 cm^(2).The PSM possesses remarkable continuous operation stability for maximum power point tracking of T_(90)>1000 h in ambient air.

Differential distribution of PINK1 and Parkin in the primate brain implies distinct roles

The vast majority of in vitro studies have demonstrated that PINK1 phosphorylates Parkin to work together in mitophagy to protect against neuronal degeneration.However,it remains largely unclear how PINK1 and Parkin are expressed in mammalian brains.This has been difficult to address because of the intrinsically low levels of PINK1 and undetectable levels of phosphorylated Parkin in small animals.Understanding this issue is critical for elucidating the in vivo roles of PINK1 and Parkin.Recently,we showed that the PINK1 kinase is selectively expressed as a truncated form(PINK1–55)in the primate brain.In the present study,we used multiple antibodies,including our recently developed monoclonal anti-PINK1,to validate the selective expression of PINK1 in the primate brain.We found that PINK1 was stably expressed in the monkey brain at postnatal and adulthood stages,which is consistent with the findings that depleting PINK1 can cause neuronal loss in developing and adult monkey brains.PINK1 was enriched in the membrane-bound fractionations,whereas Parkin was soluble with a distinguishable distribution.Immunofluorescent double staining experiments showed that PINK1 and Parkin did not colocalize under physiological conditions in cultured monkey astrocytes,though they did colocalize on mitochondria when the cells were exposed to mitochondrial stress.These findings suggest that PINK1 and Parkin may have distinct roles beyond their well-known function in mitophagy during mitochondrial damage.

Pretreatment red blood cell distribution width as a predictive marker for postoperative complications after laparoscopic pancreatoduodenectomy

BACKGROUND Red blood cell distribution width(RDW)is associated with the development and progression of various diseases.AIM To explore the association between pretreatment RDW and short-term outcomes after laparoscopic pancreatoduodenectomy(LPD).METHODS A total of 804 consecutive patients who underwent LPD at our hospital between March 2017 and November 2021 were retrospectively analyzed.Correlations between pretreatment RDW and clinicopathological characteristics and short-term outcomes were investigated.RESULTS Patients with higher pretreatment RDW were older,had higher Eastern Cooperative Oncology Group scores and were associated with poorer short-term outcomes than those with normal RDW.High pretreatment RDW was an independent risk factor for postoperative complications(POCs)(hazard ratio=2.973,95%confidence interval:2.032-4.350,P<0.001)and severe POCs of grade IIIa or higher(hazard ratio=3.138,95%confidence interval:2.042-4.824,P<0.001)based on the Clavien-Dino classification system.Subgroup analysis showed that high pretreatment RDW was an independent risk factor for Clavien-Dino classi-fication grade IIIb or higher POCs,a comprehensive complication index score≥26.2,severe postoperative pancreatic fistula,severe bile leakage and severe hemorrhage.High pretreatment RDW was positively associated with the neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio and was negatively associated with albumin and the prognostic nutritional index.CONCLUSION Pretreatment RDW was a special parameter for patients who underwent LPD.It was associated with malnutrition,severe inflammatory status and poorer short-term outcomes.RDW could be a surrogate marker for nutritional and inflammatory status in identifying patients who were at high risk of developing POCs after LPD.

Relationship between the temporal-spatial distribution of archaeological sites and natural environment from the Paleolithic Age to the Tang and Song Dynasties in the Three Gorges Reservoir of Chongqing area

The temporal-spatial distribution features including time distribution,horizontal and vertical spatial distribution of archaeological sites from the Paleolithic Age to the Tang and Song Dynasties in the Three Gorges Reservoir of Chongqing area are analyzed based on GIS spatial analysis.The successive pollen record of deposited peat stratum since the Paleolithic Age in the Dajiuhu Basin of Shennongjia is used in combination with the research of the historical environmental evolution to reconstruct the Paleoenvironment in the Three Gorges Reservoir of Chongqing area.Through the comparison of the temporal-spatial distribution of the archaeological sites and the natural environment,the relation between the distribution of the archaeological sites and the natural environment evolution and disaster changes from the Neolithic Age to the Tang and Song Dynasties has been discussed.Study shows that 677 archaeological sites from the Paleolithic Age to the Tang and Song Dynasties in the Three Gorges Reservoir of Chongqing area increase gradually from west to east and from high land to low land.Most of the sites are distributed along the river and aggregated at the confluence.Obviously,the altitudes of archaeological sites in the Paleolithic Age and the Neolithic Age are much higher than those of historical sites.The analysis suggests:(1)the human beings of every times would like to choose the first or the second river terrace as living sites which are nearer to the water source and are easier to with- stand flood.The pre-historical sites of earlier ages are often located at the higher altitude place because of the tectonic uplift and downcutting of rivers since Holocene.(2)Due to the rugged terrain in Chongqing area,most of the sites are located along the river sides,for example,the wide river valley and terrace,which could provide wider living space caused by the lateral erosion and deposition of the river course.(3)The early residents mainly relied on fishing,hunting and agriculture,and the rugged terrain of the mountainous area restricted the development of farming.However,in the confluence region,the fertilized plain provided an ideal location for farming and fishing.(4)The temporal-spatial distribution of archeological sites in this area is significantly affected by the climate condition.

Spatial distribution of shallow landslides caused by Typhoon Lekima in 2019 in Zhejiang Province, China

In recent years, the coastal region of Southeast China has witnessed a significant increase in the frequency and intensity of extreme rainfall events associated with landfalling typhoons. The hilly and mountainous terrain of this area, combined with rapid rainfall accumulation, has led to a surge in flash floods and severe geological hazards. On August 10, 2019, Typhoon Lekima made landfall in Zhejiang Province, China, and its torrential rainfall triggered extensive landslides, resulting in substantial damage and economic losses. Utilizing high-resolution satellite images, we compiled a landslide inventory of the affected area, which comprises a total of 2,774 rainfallinduced landslides over an area of 2965 km2. The majority of these landslides were small to mediumsized and exhibited elongated, clustered patterns. Some landslides displayed characteristics of high-level initiation, obstructing or partially blocking rivers, leading to the formation of debris dams. We used the inventory to analyze the distribution pattern of the landslides and their relationship with topographical, geological, and hydrological factors. The results showed that landslide abundance was closely related to elevation, slope angle, faults, and road density. The landslides were predominantly located in hilly and low mountainous areas, with elevations ranging from 150 to 300 m, slopes of 20 to 30 degrees, and a NE-SE aspect. Notably, we observed the highest Landslide Number Density(LND) and Landslide Area Percentage(LAP) in the rhyolite region. Landslides were concentrated within approximately 4 km on either side of fault zones, with their size and frequency negatively correlated with distances to faults, roads, and river systems. Furthermore, under the influence of typhoons, regions with denser vegetation cover exhibited higher landslide density, reaching maximum values in shrubland areas. In areas experiencing significantly increased concentrated rainfall, landslide density also showed a corresponding rise. In terms of spatial distribution, the rainfall-triggered landslides primarily occurred in the northeastern part of the study area, particularly in regions characterized by complex topography such as Shanzao Village in Yantan Town, Xixia Township, and Shangzhang Township. The research findings offer crucial data on the rainfallinduced landslides triggered by Typhoon Lekima, shedding light on their spatial distribution patterns. These findings provide valuable references for mitigating risks and planning reconstruction in typhoon-affected area.

Red cell distribution width/platelet ratio estimates the 3-year risk of decompensation in Metabolic Dysfunction-Associated Steatotic Liver Disease-induced cirrhosis

BACKGROUND For compensated advanced chronic liver disease(cACLD)patients,the first decompensation represents a dramatically worsening prognostic event.Based on the first decompensation event(DE),the transition to decompensated advanced chronic liver disease(dACLD)can occur through two modalities referred to as acute decompensation(AD)and non-AD(NAD),respectively.Clinically Significant Portal Hypertension(CSPH)is considered the strongest predictor of decompensation in these patients.However,due to its invasiveness and costs,CSPH is almost never evaluated in clinical practice.Therefore,recognizing noninvasively predicting tools still have more appeal across healthcare systems.The red cell distribution width to platelet ratio(RPR)has been reported to be an indicator of hepatic fibrosis in Metabolic Dysfunction-Associated Steatotic Liver Disease(MASLD).However,its predictive role for the decompensation has never been explored.AIM In this observational study,we investigated the clinical usage of RPR in predicting DEs in MASLD-related cACLD patients.METHODS Fourty controls and 150 MASLD-cACLD patients were consecutively enrolled and followed up(FUP)semiannually for 3 years.At baseline,biochemical,clinical,and Liver Stiffness Measurement(LSM),Child-Pugh(CP),Model for End-Stage Liver Disease(MELD),aspartate aminotransferase/platelet count ratio index(APRI),Fibrosis-4(FIB-4),Albumin-Bilirubin(ALBI),ALBI-FIB-4,and RPR were collected.During FUP,DEs(timing and modaities)were recorded.CSPH was assessed at the baseline and on DE occurrence according to the available Clinical Practice Guidelines.RESULTS Of 150 MASLD-related cACLD patients,43(28.6%)progressed to dACLD at a median time of 28.9 months(29 NAD and 14 AD).Baseline RPR values were significantly higher in cACLD in comparison to controls,as well as MELD,CP,APRI,FIB-4,ALBI,ALBI-FIB-4,and LSM in dACLD-progressing compared to cACLD individuals[all P<0.0001,except for FIB-4(P:0.007)and ALBI(P:0.011)].Receiving operator curve analysis revealed RPR>0.472 and>0.894 as the best cut-offs in the prediction respectively of 3-year first DE,as well as its superiority compared to the other non-invasive tools examined.RPR(P:0.02)and the presence of baseline-CSPH(P:0.04)were significantly and independently associated with the DE.Patients presenting baseline-CSPH and RPR>0.472 showed higher risk of decompensation(P:0.0023).CONCLUSION Altogether these findings suggest the RPR as a valid and potentially applicable non-invasive tool in the prediction of timing and modalities of decompensation in MASLD-related cACLD patients.

Red cell distribution width-to-albumin ratio is a simple promising prognostic marker in acute cholangitis requiring biliary drainage

Background: It is crucial to assess the severity of acute cholangitis(AC). There are currently several prognostic markers. However, the accuracies of these markers are not satisfied. The present study aimed to investigate the predictive value of the red cell distribution width(RDW)-to-albumin ratio(RAR) for the prognosis of AC. Methods: We retrospectively evaluated consecutive patients diagnosed with AC between May 2019 and March 2022. RAR was calculated, and its predictive ability for in-hospital mortality, intensive care unit(ICU) admission, bacteremia, and the length of hospitalization were analyzed. Results: Out of 438 patients, 34(7.8%) died. Multivariate analysis showed that malignant etiology [odds ratio(OR) = 4.816, 95% confidence interval(CI): 1.936-11.980], creatinine(OR = 1.649, 95% CI: 1.095-2.484), and RAR(OR = 2.064, 95% CI: 1.494-2.851) were independent risk factors for mortality. When adjusted for relevant covariates, including age, sex, malignant etiology, Tokyo severity grading(TSG), Charlson comorbidity index, and creatinine, RAR significantly predicted mortality(adjusted OR = 1.833, 95% CI: 1.280-2.624). When the cut-off of RAR was set to 3.8, its sensitivity and specificity for mortality were 94.1% and 56.7%, respectively. Patients with an RAR of > 3.8 had a 20.9-fold(OR = 20.9, 95% CI: 4.9-88.6) greater risk of mortality than the remaining patients. The area under the curve value of RAR for mortality was 0.835(95% CI: 0.770-0.901), which was significantly higher than that of TSG and the other prognostic markers, such as C-reactive protein-to-albumin ratio, and procalcitonin-to-albumin ratio. Lastly, RAR was not inferior to TSG in predicting ICU admission, bacteremia, and the length of hospitalization. Conclusions: RAR successfully predicted the in-hospital mortality, ICU admission, bacteremia, and the length of hospitalization of patients with AC, especially in-hospital mortality. RAR is a promising marker that is more convenient than TSG and other prognostic markers for predicting the prognosis of patients with AC.