Failure evolution and disaster prediction of rock under uniaxial compression based on non-extensive statistical analysis of electric potential

Rock failure can cause serious geological disasters,and the non-extensive statistical features of electric potential(EP)are expected to provide valuable information for disaster prediction.In this paper,the uniaxial compression experiments with EP monitoring were carried out on fine sandstone,marble and granite samples under four displacement rates.The Tsallis entropy q value of EPs is used to analyze the selforganization evolution of rock failure.Then the influence of displacement rate and rock type on q value are explored by mineral structure and fracture modes.A self-organized critical prediction method with q value is proposed.The results show that the probability density function(PDF)of EPs follows the q-Gaussian distribution.The displacement rate is positively correlated with q value.With the displacement rate increasing,the fracture mode changes,the damage degree intensifies,and the microcrack network becomes denser.The influence of rock type on q value is related to the burst intensity of energy release and the crack fracture mode.The q value of EPs can be used as an effective prediction index for rock failure like b value of acoustic emission(AE).The results provide useful reference and method for the monitoring and early warning of geological disasters.

Statistical Analysis of Abilities to Give Consent to Health Data Processing

The recent pandemic crisis has highlighted the importance of the availability and management of health data to respond quickly and effectively to health emergencies, while respecting the fundamental rights of every individual. In this context, it is essential to find a balance between the protection of privacy and the safeguarding of public health, using tools that guarantee transparency and consent to the processing of data by the population. This work, starting from a pilot investigation conducted in the Polyclinic of Bari as part of the Horizon Europe Seeds project entitled “Multidisciplinary analysis of technological tracing models of contagion: the protection of rights in the management of health data”, has the objective of promoting greater patient awareness regarding the processing of their health data and the protection of privacy. The methodology used the PHICAT (Personal Health Information Competence Assessment Tool) as a tool and, through the administration of a questionnaire, the aim was to evaluate the patients’ ability to express their consent to the release and processing of health data. The results that emerged were analyzed in relation to the 4 domains in which the process is divided which allows evaluating the patients’ ability to express a conscious choice and, also, in relation to the socio-demographic and clinical characteristics of the patients themselves. This study can contribute to understanding patients’ ability to give their consent and improve information regarding the management of health data by increasing confidence in granting the use of their data for research and clinical management.

Customized Optimization for Vehicle Acoustic Statistical Energy Analysis

Statistical Energy Analysis(SEA) is one of the conventional tools for predicting vehicle high-frequency acoustic responses.This study proposes a new method that can provide customized optimization solutions to meet NVH targets based on the specific needs of different project teams during the initial project stages.This approach innovatively integrates dynamic optimization,Radial Basis Function(RBF),and Fuzzy Design Variables Genetic Algorithm(FDVGA) into the optimization process of Statistical Energy Analysis(SEA),and also takes vehicle sheet metal into account in the optimization of sound packages.In the implementation process,a correlation model is established through Python scripts to link material density with acoustic parameters,weight,and cost.By combining Optimus and VaOne software,an optimization design workflow is constructed and the optimization design process is successfully executed.Under various constraints related to acoustic performance,weight and cost,a globally optimal design is achieved.This technology has been effectively applied in the field of Battery Electric Vehicle(BEV).

Effect of silica fume and glass powder for enhanced impact resistance in GGBFS-based ultra high-performance geopolymer fibrous concrete:An experimental and statistical analysis

Solid waste recycling is an economically sound strategy for preserving the environment,safeguarding natural resources,and diminishing the reliance on raw material consumption.Geopolymer technology offers a significant advantage by enabling the reuse and recycling of diverse materials.This research assesses how including silica fume and glass powder enhances the impact resistance of ultra-high-performance geopolymer concrete(UHPGC).In total,18 distinct mixtures were formulated by substituting ground granulated blast furnace slag with varying proportions of silica fume and glass powder,ranging from 10%to 40%.Similarly,for each of the mixtures above,steel fibre was added at a dosage of 1.5%to address the inherent brittleness of UHPGC.The mixtures were activated by combining sodium hydroxide and sodium silicate solution to generate geopolymer binders.The specimens were subjected to drop-weight impact testing,wherein an examination was carried out to evaluate various parameters,including flowability,density at fresh and hardened state,compressive strength,impact numbers indicative of cracking and failure occurrences,ductility index,and analysis of failure modes.Additionally,the variations in the impact test outcomes were analyzed using the Weibull distribution,and the findings corresponding to survival probability were offered.Furthermore,the microstructure of UHPGC was scrutinized through scanning electron microscopy.Findings reveal that the specimens incorporating glass powder exhibited lower cracking impact number values than those utilizing silica fume,with reductions ranging from 18.63%to 34.31%.Similarly,failure impact number values decreased from 8.26%to 28.46%across glass powder contents.The maximum compressive and impact strength was recorded in UHPGC,comprising 10%silica fume with fibres.

Comparative Analysis of Statistical Thickness Models for the Determination of the External Specific Surface and the Surface of the Micropores of Materials: The Case of a Clay Concrete Stabilized Using Sugar Cane Molasses

In this work, four empirical models of statistical thickness, namely the models of Harkins and Jura, Hasley, Carbon Black and Jaroniec, were compared in order to determine the textural properties (external surface and surface of micropores) of a clay concrete without molasses and clay concretes stabilized with 8%, 12% and 16% molasses. The results obtained show that Hasley’s model can be used to obtain the external surfaces. However, it does not allow the surface of the micropores to be obtained, and is not suitable for the case of simple clay concrete (without molasses) and for clay concretes stabilized with molasses. The Carbon Black, Jaroniec and Harkins and Jura models can be used for clay concrete and stabilized clay concrete. However, the Carbon Black model is the most relevant for clay concrete and the Harkins and Jura model is for molasses-stabilized clay concrete. These last two models augur well for future research.

Spatial-temporal difference between nitrate in groundwater and nitrogen in soil based on geostatistical analysis

The study of temporal and spatial variations of nitrate in groundwater under different soil nitrogen environments is helpful to the security of groundwater resources in agricultural areas.In this paper,based on 320 groups of soil and groundwater samples collected at the same time,geostatistical analysis and multiple regression analysis were comprehensively used to conduct the evaluation of nitrogen contents in both groundwater and soil.From May to August,as the nitrification of groundwater is dominant,the average concentration of nitrate nitrogen is 34.80 mg/L;The variation of soil ammonia nitrogen and nitrate nitrogen is moderate from May to July,and the variation coefficient decreased sharply and then increased in August.There is a high correlation between the nitrate nitrogen in groundwater and soil in July,and there is a high correlation between the nitrate nitrogen in groundwater and ammonium nitrogen in soil in August and nitrate nitrogen in soil in July.From May to August,the area of low groundwater nitrate nitrogen in 0-5 mg/L and 5-10 mg/L decreased from 10.97%to 0,and the proportion of high-value area(greater than 70 mg/L)increased from 21.19%to 27.29%.Nitrate nitrogen is the main factor affecting the quality of groundwater.The correlation analysis of nitrate nitrogen in groundwater,nitrate nitrogen in soil and ammonium nitrogen shows that they have a certain period of delay.The areas with high concentration of nitrate in groundwater are mainly concentrated in the western part of the study area,which has a high consistency with the high value areas of soil nitrate distribution from July to August,and a high difference with the spatial position of soil ammonia nitrogen distribution in August.

Improved statistical fluctuation analysis for two decoy-states phase-matching quantum key distribution

Phase-matching quantum key distribution is a promising scheme for remote quantum key distribution,breaking through the traditional linear key-rate bound.In practical applications,finite data size can cause significant system performance to deteriorate when data size is below 1010.In this work,an improved statistical fluctuation analysis method is applied for the first time to two decoy-states phase-matching quantum key distribution,offering a new insight and potential solutions for improving the key generation rate and the maximum transmission distance while maintaining security.Moreover,we also compare the influence of the proposed improved statistical fluctuation analysis method on system performance with those of the Gaussian approximation and Chernoff-Hoeffding boundary methods on system performance.The simulation results show that the proposed scheme significantly improves the key generation rate and maximum transmission distance in comparison with the Chernoff-Hoeffding approach,and approach the results obtained when the Gaussian approximation is employed.At the same time,the proposed scheme retains the same security level as the Chernoff-Hoeffding method,and is even more secure than the Gaussian approximation.

Statistical analysis on the influence of mechanical parameters in the vibration of pylons

We present a statistical investigation of the degree of influence that assumptions made in relation to the mechanical parameters of a pylon have on its ground-induced vibrations.The study is set up by using as a key kinematic variable the displacement at the top of a reference,a stand-alone pylon with a uniform cross-section and fixity at its base.Next,statistics are produced using a dimensionless displacement ratio defined between the‘parental’and the‘subsidiary’cases,the latter defined for the pylon(a)resting on compliant soil,(b)having an attached top mass,and(c)being non-uniform with height.Furthermore,two materials are examined,namely,steel and reinforced concrete(R/C).More specifically,this displacement ratio is independent of the excitation and plays the role of a transfer function between the base and the top of the pylon.Both horizontal and vertical motions are considered,and the equations of motion are solved in the frequency domain.The ensuing statistical analysis is conducted for the following parameter combinations:(a)pylon founded on soft,intermediate,and stiff soil;(b)low,intermediate,and high-mass ratios of the attached mass to the pylon′s mass;(c)a constant and quadratic degree of pylon tapering with height.Spearman correlation coefficients are calculated for all the above combinations to arrive at statistical results that establish validity bounds and quantify the degree of influence of each assumption on the pylon′s response.

Effect of Jianpi Bushen formula for colon cancer patients who underwent adjuvant chemotherapy:Statistical analysis plan for a multicenter trial

Background:Patients with colon cancer who receive chemotherapy usually experience various gastrointestinal adverse reactions,including nausea,vomiting,and diarrhea,which make it challenging for them to adhere to treatment.As an effective traditional Chinese medicine,the Jianpi Bushen formula has been widely used to alleviate the side effects of chemotherapy.Objective:To evaluate the efficacy and safety of Jianpi Bushen formulae for patients who undergo chemotherapy.This statistical analysis plan(SAP)is intended to enhance the transparency and research quality of our randomized controlled trial.Methods:Our study is a multicenter,double-blind,randomized controlled clinical trial.This trial aimed to compare the completion rate of chemotherapy in colon cancer patients who are using and not using Jianpi Bushen formula.To attenuate possible selection bias in the final report,we declared the overall trial design,outcome measures,subgroup analyses,and safety measures.Also,we described the data management and statistical analysis methods in detail.Conclusion:The SAP provides more detailed information than the trial protocol for data management and statistical analysis methods.Further post-hoc analyses can be performed by referring to the SAP,and possible selection bias can be attenuated.

Women Entrepreneurship Index Prediction Model with Automated Statistical Analysis

Recently,gender equality and women’s entrepreneurship have gained considerable attention in global economic development.Prior to the design of any policy interventions to increase women’s entrepreneurship,it is significant to comprehend the factors motivating women to become entrepreneurs.The non-understanding of the factors can result in the endurance of low living stan-dards and the design of expensive and ineffectual policies.But female involve-ment in entrepreneurship becomes higher in developing economies compared to developed economies.Women Entrepreneurship Index(WEI)plays a vital role in determining the factors that enable theflourishment of high potential female entrepreneurs which enhances economic welfare and contributes to the economic and social fabric of society.Therefore,it is needed to design an automated and accurate WEI prediction model to improve women’s entrepreneurship.In this view,this article develops an automated statistical analysis enabled WEI predic-tive(ASA-WEIP)model.The proposed ASA-WEIP technique aims to effectually determine the WEI.The proposed ASA-WEIP technique encompasses a series of sub-processes such as pre-processing,WEI prediction,and parameter optimiza-tion.For the prediction of WEI,the ASA-WEIP technique makes use of the Deep Belief Network(DBN)model,and the parameter optimization process takes place using Squirrel Search Algorithm(SSA).The performance validation of the ASA-WEIP technique was executed using the benchmark dataset from the Kaggle repo-sitory.The experimental outcomes stated the better outcomes of the ASA-WEIP technique over the other existing techniques.

Statistical Analysis and Countermeasures for Specimen Rejection in the Emergency Department

The rejected specimens from the Emergency Department of the Center of Clinical Laboratory from January 1,2022 to January 1,2023 were analyzed to reduce the specimen rejection rates and to improve the quality of inspection.The results showed that there were 1488 samples of rejected specimens and the non-conforming rate was 0.58%.The departments involved were mainly the Emergency Department,the Hematology Department,the Cardiology Department,the Intensive Care Department,and the Brain Surgery Department.Among the reasons for rejection,blood hemolysis accounted for 43.15%,blood coagulation accounted for 26.61%,and the rate of insufficient specimens was 17.14%.Among them,the sample rejection rate for arterial blood gas analysis was the highest,which accounted for 1.74%;followed by specimens for coagulation test,which was 1.18%.These results indicate the main reason for producing rejected specimens is mainly due to not following the standard operating procedure.Specimen rejection can largely be avoided if the standards for specimen collection are strictly followed.

Water Quality Evaluation of Chapurson Valley in Hunza Nagar, Gilgit Baltistan, Pakistan, Based on Statistical Analysis and Water Quality Index

Water borne ailments are of serious public health concern in Gilgit Baltistan’s (GB) region of Pakistan. The pollution load on the glacio-fluvial streams and surface water resources of the Chapurson Valley in the Hunza Nagar area of the GB is increasing as a result of anthropogenic activities and tourism. The present study focuses on the public health quality of drinking water of Chapurson valley. The study addressed the fundamental drinking water quality criteria in order to understand the state of the public health in the valley. To ascertain the current status of physico-chemical, metals, and bacteriological parameters, 25 water samples were collected through deterministic sampling strategy and examined accordingly. The physico-chemical parameters of the water samples collected from the valley were found to meet the World Health Organization (WHO) guidelines of drinking water. The water samples showed a pattern of mean metal concentrations in order of Arsenic (As) > Lead (Pb) > Iron (Fe) > Zinc (Zn) > Copper (Cu) > Magnesium (Mg) > Calcium (Ca). As, Cu, Zn, Ca and Mg concentration were under the WHO guidelines range. However, results showed that Pb and Fe are present at much higher concentrations than recommended WHO guidelines. Similarly, the results of the bacteriological analysis indicate that the water samples are heavily contaminated with the organisms of public health importance (including total coliforms (TCC), total faecal coliforms (TFC) and total fecal streptococci (TFS) are more than 3 MPN/100mL). Three principal components, accounting for 48.44% of the total variance, were revealed using principal component analysis (PCA). Bacteriological parameters were shown to be the main determinants of the water quality as depicted by the PCA analysis. The dendrogram of Cluster analysis using the Ward’s method validated the same traits of the sampling locations that were found to be contaminated during geospatial analysis using the Inverse Distance Weight (IDW) method. Based on these findings, it is most likely that those anthropogenic activities and essentially the tourism results in pollution load from upstream channels. Metals may be released into surface and groundwater from a few underlying sources as a result of weathering and erosion. This study suggests that the valley water resources are more susceptible to bacteriological contamination and as such no water treatment facilities or protective measure have been taken to encounter the pollution load. People are drinking the contaminated water without questioning about the quality. It is recommended that the water resources of the valley should be monitored using standard protocol so as to protect not only the public health but to safe guard sustainable tourism in the valley.

New Configurations of the Fuzzy Fractional Differential Boussinesq Model with Application in Ocean Engineering and Their Analysis in Statistical Theory

The fractional-order Boussinesq equations(FBSQe)are investigated in this work to see if they can effectively improve the situation where the shallow water equation cannot directly handle the dispersion wave.The fuzzy forms of analytical FBSQe solutions are first derived using the Adomian decomposition method.It also occurs on the sea floor as opposed to at the functionality.A set of dynamical partial differential equations(PDEs)in this article exemplify an unconfined aquifer flow implication.Thismethodology can accurately simulate climatological intrinsic waves,so the ripples are spread across a large demographic zone.The Aboodh transform merged with the mechanism of Adomian decomposition is implemented to obtain the fuzzified FBSQe in R,R^(n) and(2nth)-order involving generalized Hukuhara differentiability.According to the system parameter,we classify the qualitative features of the Aboodh transform in the fuzzified Caputo and Atangana-Baleanu-Caputo fractional derivative formulations,which are addressed in detail.The illustrations depict a comparison analysis between the both fractional operators under gH-differentiability,as well as the appropriate attributes for the fractional-order and unpredictability factorsσ∈[0,1].A statistical experiment is conducted between the findings of both fractional derivatives to prevent changing the hypothesis after the results are known.Based on the suggested analyses,hydrodynamic technicians,as irrigation or aquifer quality experts,may be capable of obtaining an appropriate storage intensity amount,including an unpredictability threshold.

Comparison of Several Statistical Analysis Models for Genotypic Stability of Saccharum officinarum

[Objective] The study aimed to compare several statistical analysis models for estimating the sugarcane （Saccharum spp.） genotypic stability. [Method] The data of sugarcane regional trials in Guangdong, in 2009 was analyzed by three models respectively： Finlay and Wilkinson model： the additive main effects and multiplicative interaction （AMMI） model and linear regression-principal components analysis （LR- PCA） model, so as to compare the models. [Result] The Finlay and Wilkinson model was easier, but the analysis of the other two models was more comprehensive, and there was a bit difference between the additive main effects and multiplicative inter- action （AMMI） model and linear regression-principal components analysis （LR-PCA） model. [Conclusion] In practice, while the proper statistical method was usually con- sidered according to the different data, it should be also considered that the same data should be analyzed with different statistical methods in order to get a more reasonable result by comparison.

Screening biomarkers for spinal cord injury using weighted gene co-expression network analysis and machine learning

Immune changes and inflammatory responses have been identified as central events in the pathological process of spinal co rd injury.They can greatly affect nerve regeneration and functional recovery.However,there is still limited understanding of the peripheral immune inflammato ry response in spinal cord inju ry.In this study.we obtained microRNA expression profiles from the peripheral blood of patients with spinal co rd injury using high-throughput sequencing.We also obtained the mRNA expression profile of spinal cord injury patients from the Gene Expression Omnibus(GEO)database(GSE151371).We identified 54 differentially expressed microRNAs and 1656 diffe rentially expressed genes using bioinformatics approaches.Functional enrichment analysis revealed that various common immune and inflammation-related signaling pathways,such as neutrophil extracellular trap formation pathway,T cell receptor signaling pathway,and nuclear factor-κB signal pathway,we re abnormally activated or inhibited in spinal cord inju ry patient samples.We applied an integrated strategy that combines weighted gene co-expression network analysis,LASSO logistic regression,and SVM-RFE algorithm and identified three biomarke rs associated with spinal cord injury:ANO10,BST1,and ZFP36L2.We verified the expression levels and diagnostic perfo rmance of these three genes in the original training dataset and clinical samples through the receiver operating characteristic curve.Quantitative polymerase chain reaction results showed that ANO20 and BST1 mRNA levels were increased and ZFP36L2 mRNA was decreased in the peripheral blood of spinal cord injury patients.We also constructed a small RNA-mRNA interaction network using Cytoscape.Additionally,we evaluated the proportion of 22 types of immune cells in the peripheral blood of spinal co rd injury patients using the CIBERSORT tool.The proportions of naive B cells,plasma cells,monocytes,and neutrophils were increased while the proportions of memory B cells,CD8^(+)T cells,resting natural killer cells,resting dendritic cells,and eosinophils were markedly decreased in spinal cord injury patients increased compared with healthy subjects,and ANO10,BST1 and ZFP26L2we re closely related to the proportion of certain immune cell types.The findings from this study provide new directions for the development of treatment strategies related to immune inflammation in spinal co rd inju ry and suggest that ANO10,BST2,and ZFP36L2 are potential biomarkers for spinal cord injury.The study was registe red in the Chinese Clinical Trial Registry(registration No.ChiCTR2200066985,December 12,2022).

Social-ecological perspective on the suicidal behaviour factors of early adolescents in China:a network analysis

Background In early adolescence,youth are highly prone to suicidal behaviours.Identifying modifiable risk factors during this critical phase is a priority to inform effective suicide prevention strategies.Aims To explore the risk and protective factors of suicidal behaviours(ie,suicidal ideation,plans and attempts)in early adolescence in China using a social-ecological perspective.Methods Using data from the cross-sectional project‘Healthy and Risky Behaviours Among Middle School Students in Anhui Province,China',stratified random cluster sampling was used to select 5724 middle school students who had completed self-report questionnaires in November 2020.Network analysis was employed to examine the correlates of suicidal ideation,plans and attempts at four levels,namely individual(sex,academic performance,serious physical llness/disability,history of self-harm,depression,impulsivity,sleep problems,resilience),family(family economic status,relationship with mother,relationship with father,family violence,childhood abuse,parental mental illness),school(relationship with teachers,relationship with classmates,school-bullying victimisation and perpetration)and social(social support,satisfaction with society).Results In total,37.9%,19.0%and 5.5%of the students reported suicidal ideation,plans and attempts in the past 6 months,respectively.The estimated network revealed that suicidal ideation,plans and attempts were collectively associated with a history of self-harm,sleep problems,childhood abuse,school bullying and victimisation.Centrality analysis indicated that the most influential nodes in the network were history of self-harm and childhood abuse.Notably,the network also showed unique correlates of suicidal ideation(sex,weight=0.60;impulsivity,weight=0.24;family violence,weight=0.17;relationship with teachers,weight=-0.03;school-bullying perpetration,weight=0.22),suicidal plans(social support,weight=-0.15)and suicidal attempts(relationship with mother,weight=-0.10;parental mental llness,weight=0.61).Conclusions This study identified the correlates of suicidal ideation,plans and attempts,and provided practical implications for suicide prevention for young adolescents in China.Firstly,this study highlighted the importance of joint interventions across multiple departments.Secondly,the common risk factors of suicidal ideation,plans and attempts were elucidated.Thirdly,this study proposed target interventions to address the unique influencing factors of suicidal ideation,plans and attempts.

Advances in microfluidic-based DNA methylation analysis

DNA methylation has been extensively investigated in recent years,not least because of its known relationship with various diseases.Progress in analytical methods can greatly increase the relevance of DNA methylation studies to both clinical medicine and scientific research.Microflu-idic chips are excellent carriers for molecular analysis,and their use can provide improvements from multiple aspects.On-chip molecular analysis has received extensive attention owing to its advantages of portability,high throughput,low cost,and high efficiency.In recent years,the use of novel microfluidic chips for DNA methylation analysis has been widely reported and has shown obvious superiority to conventional methods.In this review,wefirst focus on DNA methylation and its applications.Then,we discuss advanced microfluidic-based methods for DNA methylation analysis and describe the great progress that has been made in recent years.Finally,we summarize the advantages that microfluidic technology brings to DNA methylation analysis and describe several challenges and perspectives for on-chip DNA methylation analysis.This review should help researchers improve their understanding and make progress in developing microfluidic-based methods for DNA methylation analysis.

A Review on Sources,Extractions and Analysis Methods of a Sustainable Biomaterial:Tannins

Condensed and hydrolysable tannins are non-toxic natural polyphenols that are a commercial commodity industrialized for tanning hides to obtain leather and for a growing number of other industrial applications mainly to substitute petroleum-based products.They are a definite class of sustainable materials of the forestry industry.They have been in operation for hundreds of years to manufacture leather and now for a growing number of applications in a variety of other industries,such as wood adhesives,metal coating,pharmaceutical/medical applications and several others.This review presents the main sources,either already or potentially commercial of this forestry by-materials,their industrial and laboratory extraction systems,their systems of analysis with their advantages and drawbacks,be these methods so simple to even appear primitive but nonetheless of proven effectiveness,or very modern and instrumental.It constitutes a basic but essential summary of what is necessary to know of these sustainable materials.In doing so,the review highlights some of the main challenges that remain to be addressed to deliver the quality and economics of tannin supply necessary to fulfill the industrial production requirements for some materials-based uses.

Lagrangian coherent structure analysis on transport of Acetes chinensis along coast of Lianyungang,China

Spatial heterogeneity or“patchiness”of plankton distributions in the ocean has always been an attractive and challenging scientific issue to oceanographers.We focused on the accumulation and dynamic mechanism of the Acetes chinensis in the Lianyungang nearshore licensed fishing area.The Lagrangian frame approaches including the Lagrangian coherent structures theory,Lagrangian residual current,and Lagrangian particle-tracking model were applied to find the transport pathways and aggregation characteristics of Acetes chinensis.There exist some material transport pathways for Acetes chinensis passing through the licensed fishing area,and Acetes chinensis is easy to accumulate in the licensed fishing area.The main mechanism forming this distribution pattern is the local circulation induced by the nonlinear interaction of topography and tidal flow.Both the Lagrangian coherent structure analysis and the particle trajectory tracking indicate that Acetes chinensis in the licensed fishing area come from the nearshore estuary.This work contributed to the adjustment of licensed fishing area and the efficient utilization of fishery resources.

Iron and ferritin effects on intensive care unit mortality:A metaanalysis

BACKGROUND The effect of serum iron or ferritin parameters on mortality among critically ill patients is not well characterized.AIM To determine the association between serum iron or ferritin parameters and mortality among critically ill patients.METHODS Web of Science,Embase,PubMed,and Cochrane Library databases were searched for studies on serum iron or ferritin parameters and mortality among critically ill patients.Two reviewers independently assessed,selected,and abstracted data from studies reporting on serum iron or ferritin parameters and mortality among critically ill patients.Data on serum iron or ferritin levels,mortality,and demographics were extracted.RESULTS Nineteen studies comprising 125490 patients were eligible for inclusion.We observed a slight negative effect of serum ferritin on mortality in the United States population[relative risk(RR)1.002;95%CI:1.002-1.004].In patients with sepsis,serum iron had a significant negative effect on mortality(RR=1.567;95%CI:1.208-1.925).CONCLUSION This systematic review presents evidence of a negative correlation between serum iron levels and mortality among patients with sepsis.Furthermore,it reveals a minor yet adverse impact of serum ferritin on mortality among the United States population.