Clinical manifestation,lifestyle,and treatment patterns of chronic erosive gastritis:A multicenter real-world study in China

BACKGROUND Although chronic erosive gastritis(CEG)is common,its clinical characteristics have not been fully elucidated.The lack of consensus regarding its treatment has resulted in varied treatment regimens.AIM To explore the clinical characteristics,treatment patterns,and short-term outcomes in CEG patients in China.METHODS We recruited patients with chronic non-atrophic or mild-to-moderate atrophic gastritis with erosion based on endoscopy and pathology.Patients and treating physicians completed a questionnaire regarding history,endoscopic findings,and treatment plans as well as a follow-up questionnaire to investigate changes in symptoms after 4 wk of treatment.RESULTS Three thousand five hundred sixty-three patients from 42 centers across 24 cities in China were included.Epigastric pain(68.0%),abdominal distension(62.6%),and postprandial fullness(47.5%)were the most common presenting symptoms.Gastritis was classified as chronic non-atrophic in 69.9%of patients.Among those with erosive lesions,72.1%of patients had lesions in the antrum,51.0%had multiple lesions,and 67.3%had superficial flat lesions.In patients with epigastric pain,the combination of a mucosal protective agent(MPA)and proton pump inhibitor was more effective.For those with postprandial fullness,acid regurgitation,early satiety,or nausea,a MPA appeared more promising.CONCLUSION CEG is a multifactorial disease which is common in Asian patients and has non-specific symptoms.Gastroscopy may play a major role in its detection and diagnosis.Treatment should be individualized based on symptom profile.

Extreme Meteorological Drought Events over China(1951-2022):Migration Patterns,Diversity of Temperature Extremes,and Decadal Variations

Recently,extreme meteorological droughts have affected China,causing terrible socioeconomic impacts.Despite previous research on the spatiotemporal characteristics and mechanisms of drought,two crucial issues remain seldom explored.First,an event-oriented drought chronology with detailed spatiotemporal evolutions is urgently required.Second,the complex migration patterns and diversity of synchronous temperature extremes need to be quantitatively investigated.Accordingly,the main achievements of our investigation are as follows.We produced an event-oriented set of extreme meteorological droughts over China through the application of a newly developed 3D DBSCAN-based detection method(deposited on https://doi.org/10.25452/figshare.plus.25512334),which was verified with a historical atlas and monographs on a case-by-case basis.In addition,distinctive migration patterns(i.e.,stationary/propagation types)are identified and ranked,considering the differences in latitudinal zones and coastal/inland locations.We also analyze the diversity of synchronous temperature extremes(e.g.,hotness and coldness).Notably,an increasing trend in hot droughts occurred over China since the late 1990s,predominantly appearing to the south of 30°N and north of 40°N.All drought events and synchronous temperature extremes are ranked using a comprehensive magnitude index,with the 2022 summer-autumn Yangtze River hot drought being the hottest.Furthermore,Liang-Kleeman information flow-based causality analysis emphasizes key areas where the PDO and AMO influenced decadal variations in coverages of droughts and temperature extremes.We believe that the achievements in this study may offer new insights into sequential mechanism exploration and prediction-related issues.

Spatiotemporal pattern of climate change in the China-Myanmar Economic Corridor from 1901 to 2018

The China-Myanmar Economic Corridor(CMEC) is an important part of China's Belt and Road Initiative and an important area for global ecology and biodiversity. In this study, the annual and seasonal spatiotemporal patterns of temperature and precipitation in the CMEC over the past century were investigated using linear tendency estimation, the Mann-Kendall mutation test, the T-test, and wavelet analysis based on the monthly mean climatic data from 1901 to 2018 released by the Climatic Research Unit(CRU) of the University of East Anglia, UK. The results show that the CMEC demonstrated a trend of warming and drying over the past 100 years, and the rate of change in Myanmar was stronger than that in Yunnan Province of China. The warming rate was 0.039 ℃/10a. Precipitation decreased at a rate of -6.1 mm/10a. From the perspective of spatial distribution, temperature was high in the central and southern, low in the north of the CMEC, and the high-temperature centers were mainly distributed in the southern plain and river valley. Precipitation decreased from west to east and from south to north of the CMEC. From the perspective of the rate of change, warming was stronger in central and northern CMEC than in southern and northeastern CMEC. The rate of precipitation decline was stronger in the central and western regions than in the eastern region. This study provides a scientific reference for the CMEC to address climate change and ensure sustainable social and economic development and ecological security.

Migration Networks Pattern of China’s Floating Population from the Perspective of Complex Network

Since China’s reform and opening-up,the growing disparity between urban and rural areas and regions has led to massive migration.With China’s Rural Revitalization Strategy and the industrial transfer from the eastern coastal areas to the inland,the migration direction and pattern of the floating population have undergone certain changes.Using the 2017 China Migrants Dynamic Survey(CMDS),excluding Hong Kong,Macao,and Taiwan regions of China,organized by China’s National Health Commission,the relationship matrix of the floating population is constructed according to the inflow place of the interviewees and their outflow place(the location of the registered residence)in the questionnaire survey.We then apply the complex network model to analyze the migration direction and network pattern of China’s floating population from the city scale.The migration network shows an obvious hierarchical agglomeration.The first-,second-,third-and fourth-tier distribution cities are municipalities directly under the central government,provincial capital cities,major cities in the central and western regions and ordinary cities in all provinces,respectively.The migration trend is from the central and western regions to the eastern coastal areas.The migration network has‘small world’characteristics,forming nine communities.It shows that most node cities in the same community are closely linked and geographically close,indicating that the migration network of floating population is still affected by geographical proximity.Narrowing the urban-rural and regional differences will promote the rational distribution this population.It is necessary to strengthen the reform of the registered residence system,so that the floating population can enjoy urban public services comparable to other populations,and allow migrants to live and work in peace.

The unimodal latitudinal pattern of K,Ca and Mg concentration and its potential drivers in forest foliage in eastern China

Potassium(K),calcium(Ca),and magnesium(Mg)are essential elements with important physiological functions in plants.Previous studies showed that leaf K,Ca,and Mg concentrations generally increase with increasing latitudes.However,recent meta-analyses suggested the possibility of a unimodal pattern in the concentrations of these elements along latitudinal gradients.The authenticity of this unimodal latitudinal pattern,however,requires validation through large-scale field experimental data,and exploration of the underlying mechanisms if the pattern is confirmed.Here,we collected leaves of common species of woody plants from 19 montane forests in the north-south transect of eastern China,including 322 species from 160 genera,67 families;and then determined leaf K,Ca,and Mg concentrations to explore their latitudinal patterns and driving mechanisms.Our results support unimodal latitudinal patterns for all three elements in woody plants across eastern China,with peak values at latitude 36.5±1.0°N.The shift of plant-functional-type compositions from evergreen broadleaves to deciduous broadleaves and to conifers along this latitudinal span was the key factor contributing to these patterns.Climatic factors,mainly temperature,and to a lesser extent solar radiation and precipitation,were the main environmental drivers.These factors,by altering the composition of plant communities and regulating plant physiological activities,influence the latitudinal patterns of plant nutrient concentrations.Our findings also suggest that high leaf K,Ca,and Mg concentrations may represent an adaptive strategy for plants to withstand water stress,which might be used to predict plant nutrient responses to climate changes at large scales,and broaden the understanding of biogeochemical cycling of K,Ca,and Mg.

Effects of land-use patterns on soil microbial diversity and composition in the Loess Plateau,China

In the Loess Plateau of China,land-use pattern is a major factor in controlling underlying biological processes.Additionally,the process of land-use pattern was accompanied by abandoned lands,potentially impacting soil microbe.However,limited researches were conducted to study the impacts of land-use patterns on the diversity and community of soil microorganisms in this area.The study aimed to investigate soil microbial community diversity and composition using high-throughput deoxyribonucleic acid(DNA)sequencing under different land-use patterns(apricot tree land,apple tree land,peach tree land,corn land,and abandoned land).The results showed a substantial difference(P<0.050)in bacterial alpha-diversity and beta-diversity between abandoned land and other land-use patterns,with the exception of Shannon index.While fungal beta-diversity was not considerably impacted by land-use patterns,fungal alpha-diversity indices varied significantly.The relative abundance of Actinobacteriota(34.90%),Proteobacteria(20.65%),and Ascomycota(77.42%)varied in soils with different land-use patterns.Soil pH exerted a dominant impact on the soil bacterial communities'composition,whereas soil available phosphorus was the main factor shaping the soil fungal communities'composition.These findings suggest that variations in land-use pattern had resulted in changes to soil properties,subsequently impacting diversity and structure of microbial community in the Loess Plateau.Given the strong interdependence between soil and its microbiota,it is imperative to reclaim abandoned lands to maintain soil fertility and sustain its function,which will have significant ecological service implications,particularly with regards to soil conservation in ecologically vulnerable areas.

Decadal Changes in Dry and Wet Heatwaves in Eastern China:Spatial Patterns and Risk Assessment

Under global warming,understanding the long-term variation in different types of heatwaves is vital for China’s preparedness against escalating heat stress.This study investigates dry and wet heatwave shifts in eastern China over recent decades.Spatial trend analysis displays pronounced warming in inland midlatitudes and the Yangtze River Valley,with increased humidity in coastal regions.EOF results indicate intensifying dry heatwaves in northern China,while the Yangtze River Valley sees more frequent dry heatwaves.On the other hand,Indochina and regions north of 25°N also experience intensified wet heatwaves,corresponding to regional humidity increases.Composite analysis is conducted based on different situations:strong,frequent dry or wet heatwaves.Strong dry heatwaves are influenced by anticyclonic circulations over northern China,accompanied by warming SST anomalies around the coastal midlatitudes of the western North Pacific(WNP).Frequent dry heatwaves are related to strong subsidence along with a strengthened subtropical high over the WNP.Strong and frequent wet heatwaves show an intensified Okhotsk high at higher latitudes in the lower troposphere,and a negative circumglobal teleconnection wave train pattern in the upper troposphere.Decaying El Niño SST patterns are observed in two kinds of wet heatwave and frequent dry heatwave years.Risk analysis indicates that El Niño events heighten the likelihood of these heatwaves in regions most at risk.As global warming continues,adapting and implementing mitigation strategies toward extreme heatwaves becomes crucial,especially for the aforementioned regions under significant heat stress.

Climate and topography regulate the spatial pattern of soil salinization and its effects on shrub community structure in Northwest China

Soil salinization may affect biodiversity and species composition,leading to changes in the plant community structure.However,few studies have explored the spatial pattern of soil salinization and its effects on shrub community structure at the ecosystem scale.Therefore,we conducted a transect sampling of desert shrublands in Northwest China during the growing season(June–September)in 2021.Soil salinization(both the degree and type),shrub community structure(e.g.,shrub density and height),and biodiversity parameters(e.g.,Simpson diversity,Margalf abundance,Shannon-Wiener diversity,and Pielou evenness indices)were used to assess the effects of soil salinization on shrub community structure.The results showed that the primary degree of soil salinization in the study area was light salinization,with the area proportion of 69.8%.Whereas the main type of soil salinization was characterized as sulfate saline soil,also accounting for 69.8%of the total area.Notably,there was a significant reduction in the degree of soil salinization and a shift in the type of soil salinization from chloride saline soil to sulfate saline soil,with an increase in longitude.Regional mean annual precipitation(MAP),mean annual evapotranspiration(MAE),elevation,and slope significantly contributed to soil salinization and its geochemical differentiation.As soil salinization intensified,shrub community structure displayed increased diversity and evenness,as indicated by the increases in the Simpson diversity,Shannon-Wiener diversity,and Pielou evenness indices.Moreover,the succulent stems and leaves of Chenopodiaceae and Tamaricaceae exhibited clear advantages under these conditions.Furthermore,regional climate and topography,such as MAP,MAE,and elevation,had greater effects on the distribution of shrub plants than soil salinization.These results provide a reference for the origin and pattern of soil salinization in drylands and their effects on the community structure of halophyte shrub species.

Spatial patterns of zooplankton abundance,biovolume,and size structure in response to environmental variables:a case study in the Yellow Sea and East China Sea

The Yellow Sea(YS)and East China Sea(ECS)are highly dynamic marginal seas of the northwestern Pacific Ocean.To gain an in-depth understanding of zooplankton community structure,zooplankton abundance,biovolume,and size structure in summer 2017 in the YS and ECS were assessed using ZooScan imaging analysis.Zooplankton abundance and biovolume ranged 2.94–1187.14 inds./m^(3)and 3.13–3438.51 mm^(3)/m^(3),respectively.Based on the biovolume data of the categorized size classes of 26 identified taxonomic groups,the zooplankton community was classified into five groups,and each group was coupled with distinctive oceanographic features.Under the influence of the Yellow Sea Cold Water Mass,the Yellow Sea offshore group featured the lowest bottom temperature(10.84±3.42℃)and the most abundant Calanoids(mainly in the 2–3 mm size class).In the Yellow Sea inshore group,Hydrozoans showed the largest biovolume and dominated in the 3–4-mm and>5-mm size classes.The East China Sea offshore group,which was affected by the Kuroshio Branch Current,featured high temperature and salinity,and the lowest bottom dissolved oxygen(2.58±0.5 mg/L).The lowest values of zooplankton abundance and biovolume in the East China Sea offshore group might be attributed to the bottom dissolved oxygen contents.The East China Sea inshore group,which was mainly influenced by the Zhejiang-Fujian Coastal Current and Changjiang Diluted Water,was characterized by high chlorophyll a and the largest biovolume of carnivorous Siphonophores(280.82±303.37 mm^(3)/m^(3)).The Changjiang River estuary offshore group showed the most abundant Cyclopoids,which might be associated with the less turbid water mass in this region.Seawater temperature was considered the most important factor in shaping the size compositions of Calanoids in different groups.

Scale effect of coastal landscape pattern stability and driving forces:a case study of Guangdong Province,China

The long-term dynamic evolution and underlying mechanisms of coastal landscape pattern stability,driven by strong anthropogenic interference and consequently climate change,are topics of major interest in national and international scientific research.Guangdong Province,located in southeastern China,has been undergoing rapid urbanization over several decades.In this study,we quantitatively determined the scale threshold characteristics of coastal landscape pattern stability in Guangdong Province,from the dual perspective of spatial heterogeneity and spatial autocorrelation.An analysis of the spatiotemporal evolution of the coastal landscape was conducted after the optical scale was determined.Then,we applied the geodetector statistical method to quantitatively explore the mechanisms underlying coastal landscape pattern stability.Based on the inflection point of landscape metrics and the maximum value of the MoranⅠindex,the optimal scale for analyzing coastal landscape pattern stability in Guangdong Province was 240 m×240 m.Within the past several decades,coastal landscape pattern stability increased slightly and then decreased,with a turning point around 2005.The most significant variations in coastal landscape pattern stability were observed in the transition zone of rural-urban expansion.A q-statistics analysis showed that the explanatory power of paired factors was greater than that of a single driving factor;the paired factors with the greatest impact on coastal landscape pattern stability in Guangdong Province were the change in gross industrial output and change in average annual precipitation from 2010 to 2015,based on a q value of 0.604.These results will contribute to future efforts to achieve sustainable coastal development and provide a scientific basis and technical support for the rational planning and utilization of resources in large estuarine areas,including marine disaster prevention and seawall ecological restoration.

Different ENSO Impacts on Eastern China Precipitation Patterns in Early and Late Winter Associated with Seasonally-Varying Kuroshio Anticyclonic Anomalies

Winter precipitation over eastern China displays remarkable interannual variability,which has been suggested to be closely related to El Niño-Southern Oscillation(ENSO).This study finds that ENSO impacts on eastern China precipitation patterns exhibit obvious differences in early(November-December)and late(January-February)winter.In early winter,precipitation anomalies associated with ENSO are characterized by a monopole spatial distribution over eastern China.In contrast,the precipitation anomaly pattern in late winter remarkably changes,manifesting as a dipole spatial distribution.The noteworthy change in precipitation responses from early to late winter can be largely attributed to the seasonally varying Kuroshio anticyclonic anomalies.During the early winter of El Niño years,anticyclonic circulation anomalies appear both over the Philippine Sea and Kuroshio region,enhancing water vapor transport to the entirety of eastern China,thus contributing to more precipitation there.During the late winter of El Niño years,the anticyclone over the Philippine Sea is further strengthened,while the one over the Kuroshio dissipates,which could result in differing water vapor transport between northern and southern parts of eastern China and thus a dipole precipitation distribution.Roughly the opposite anomalies of circulation and precipitation are displayed during La Niña winters.Further analysis suggests that the seasonally-varying Kuroshio anticyclonic anomalies are possibly related to the enhancement of ENSO-related tropical central-eastern Pacific convection from early to late winter.These results have important implications for the seasonal-tointerannual predictability of winter precipitation over eastern China.

Spatiotemporal patterns and drivers of cultivated land conversion in Inner Mongolia Autonomous Region,northern China

Protection and optimization of cultivated land resources are of great significance to national food security.Cultivated land conversion in northern China has increased in recent years due to the industrialization and urbanization of society.However,the assessment of cultivated land conversion in this area is insufficient,posing a potential risk to cultivated land resources.This study evaluated the evolution and spatiotemporal patterns of cultivated land conversion in Inner Mongolia Autonomous Region,China,and the driving factors to improve rational utilization and to protect cultivated land resources.The spatiotemporal patterns of cultivated land conversion in Inner Mongolia were analyzed using the cultivated land conversion index,kernel density analysis,a standard deviation ellipse model,and a geographic detector.Results showed that from 2000 to 2020,the trends in cultivated land conversion area and rate in Inner Mongolia exhibited fluctuating growth,with the total area of cultivated land conversion reaching 7307.59 km^(2) at a rate of 6.69%.Spatial distribution of cultivated land conversion was primarily concentrated in the Hetao Plain,Nengjiang Plain,Liaohe Plain,and the Hohhot-Baotou-Ordos urban agglomeration.Moreover,the standard deviational ellipse of cultivated land conversion in Inner Mongolia exhibited a directional southwest-northeast-southwest-northeast distribution,with the northeast-southwest direction identified as the main driving force of spatial change in cultivated land conversion.Meanwhile,cultivated land conversion exhibited an increase-decrease-increase change process,indicating that spatial distribution of cultivated land conversion in Inner Mongolia became gradually apparent within the study period.The geographic detector results further revealed that the main driving factors of cultivated land conversion in Inner Mongolia were the share of secondary and tertiary industries and per-unit area yield of grain,with explanatory rates of 57.00%,55.00%,and 51.00%,respectively.Additionally,improved agricultural production efficiency and the coordinated development of population urbanization and industry resulted in cultivated land conversion.Collectively,the findings of this study indicated that,from 2000 to 2020,the cultivated land conversion in Inner Mongolia was significant and fluctuated in time,and had strong spatial heterogeneity.The primary drivers of these events included the effects of agriculture,population,and social economy.

An intelligent automatic correlation method of oilbearing strata based on pattern constraints:An example of accretionary stratigraphy of Shishen 100 block in Shinan Oilfield of Bohai Bay Basin,East China

Aiming at the problem that the data-driven automatic correlation methods which are difficult to adapt to the automatic correlation of oil-bearing strata with large changes in lateral sedimentary facies and strata thickness,an intelligent automatic correlation method of oil-bearing strata based on pattern constraints is formed.We propose to introduce knowledge-driven in automatic correlation of oil-bearing strata,constraining the correlation process by stratigraphic sedimentary patterns and improving the similarity measuring machine and conditional constraint dynamic time warping algorithm to automate the correlation of marker layers and the interfaces of each stratum.The application in Shishen 100 block in the Shinan Oilfield of the Bohai Bay Basin shows that the coincidence rate of the marker layers identified by this method is over 95.00%,and the average coincidence rate of identified oil-bearing strata reaches 90.02% compared to artificial correlation results,which is about 17 percentage points higher than that of the existing automatic correlation methods.The accuracy of the automatic correlation of oil-bearing strata has been effectively improved.

Activity Pattern and Habitat Use of Shorebirds in an Artificial Wetland Complex:A Case Study of Breeding Pied Avocet in the Yellow River Delta,China

With the loss of substantial natural wetlands in coastal zones,artificial wetlands provide alternative habitats for many shorebirds.Scientific management of artificial wetlands used by shorebirds plays an important role in maintaining the stability of shorebird population.Satellite tracking technique can obtain high-precision location information of individuals day and night,providing a good technical support for the study of quantitative relationship between waterfowls and their habitats.In this study,satellite tracking method,Remote Sensing(RS)and Geographic Information System(GIS)technology were used to analyze the activity pattern and habitat utilization characteristics of Pied Avocet during breeding period in an artificial wetland complex in the Yellow River Delta(YRD),China.The results showed that the breeding Pied Avocets had a small range of activity,with a total core and main home range of 33.10 km^(2) and 216.30 km^(2),respectively.This species tended to forage in the pond and salt pan during the day and night,respectively,with an unfixed staying time in the breeding ground.The distance between breeding ground and feeding ground was less than 6 km.It is emphasized that in addition to improving the conditions of the remaining natural habitats,effective managing artificial habitats is a priority for shorebird conservation.This research could provide reference for the management of artificial wetlands in coastal zones and supply technique support for the protection of shorebirds and their habitats,and alleviate human-bird conflicts and sustainable development of coastal zones.

Drivers,Trends,and Patterns of Changing Vegetation-greenness in Nansha Islands,China from 2016 to 2022

Changes in vegetation status generally also represents changes in the ecological health of islands and reefs(IRs).However,studies are limited of drivers and trends of vegetation change of Nansha Islands,China and how they relate to climate change and human activities.To resolve this limitation,we studied changes to the Normalized Difference Vegetation Index(NDVI)vegetation-greenness index for 22 IRs of Nansha Islands during normal and extreme conditions.Trends of vegetation greenness were analyzed using Sen's slope and Mann-Kendall test at two spatial scales(pixel and island),and driving factor analyses were performed by time-lagged partial correlation analyses.These were related to impacts from human activities and climatic factors under normal(temperature,precipitation,radiation,and Normalized Difference Built-up Index(NDBI))and extreme conditions(wind speed and latitude of IRs)from 2016 to 2022.Results showed:1)among the 22 IRs,NDVI increased/decreased significantly in 15/4 IRs,respectively.Huayang Reef had the highest NDVI change-rate(0.48%/mon),and Zhongye Island had the lowest(–0.29%/mon).Local spatial patterns were in one of two forms:dotted-form,and degradation in banded-form.2)Under normal conditions,human activities(characterized by NDBI)had higher impacts on vegetation-greenness than other factors.3)Under extreme conditions,wind speed(R^(2)=0.2337,P<0.05)and latitude(R^(2)=0.2769,P<0.05)provided limited explanation for changes from typhoon events.Our results provide scientific support for the sustainable development of Nansha Islands and the United Nations‘Ocean Decade’initiative.

Optimization of water-urban-agricultural-ecological land use pattern:A case study of Guanzhong Basin in the southern Loess Plateau of Shaanxi Province,China

Extensive land use will cause many environmental problems.It is an urgent task to improve land use efficiency and optimize land use patterns.In recent years,due to the flow decrease,the Guanzhong Basin in Shaanxi Province is confronted with the problem of insufficient water resources reserve.Based on the Coupled Ground-Water and Surface-Water Flow Model(GSFLOW),this paper evaluates the response of water resources in the basin to changes in land use patterns,optimizes the land use pattern,improves the ecological and economic benefits,and the efficiency of various spatial development,providing a reference for ecological protection and high-quality development of the Yellow River Basin.The research shows that the land use pattern in the Guanzhong Basin should be further optimized.Under the condition of considering ecological and economic development,the percentage change of the optimum area of farmland,forest,grassland,water area,and urban area compared with the current land use area ratio is+2.3,+2.4,-6.1,+0.2,and+1.6,respectively.The economic and ecological value of land increases by14.1%and 3.1%,respectively,and the number of water resources can increase by 2.5%.

Practice patterns among ophthalmic surgeons in treating concomitant oculoplastic conditions in preoperative period:A questionnaire-based study

BACKGROUND Addressing oculoplastic conditions in the preoperative period ensures both the safety and functional success of any ophthalmic procedure.Some oculoplastic conditions,like nasolacrimal duct obstruction,have been extensively studied,whereas others,like eyelid malposition and thyroid eye disease,have received minimal or no research.AIM To investigate the current practice patterns among ophthalmologists while treating concomitant oculoplastic conditions before any subspecialty ophthalmic intervention.METHODS A cross-sectional survey was disseminated among ophthalmologists all over India.The survey included questions related to pre-operative evaluation,anaesthetic and surgical techniques preferred,post-operative care,the use of adjunctive therapies,and patient follow-up patterns.RESULTS A total of 180 ophthalmologists responded to the survey.Most practitioners(89%)felt that the ROPLAS test was sufficient during pre-operative evaluation before any subspecialty surgery was advised.The most common surgical techniques employed were lacrimal drainage procedures(Dacryocystorhinostomy)(63.3%),eyelid malposition repair(36.9%),and ptosis repair(58.7%).Post-operatively,47.7%of respondents emphasized that at least a 4-week gap should be maintained after lacrimal drainage procedures and eyelid surgeries.Sixty-seven percent of ophthalmologists felt that topical anaesthetic procedures should be preferred while performing ocular surgeries in thyroid eye disease patients.CONCLUSION Approximately 50%of ophthalmologists handle prevalent oculoplastic issues themselves,seeking the expertise of an oculoplastic surgeon under particular conditions.Many ophthalmologists still favor using ROPLAS as a preliminary screening method before proceeding with cataract surgery.Eyelid conditions and thyroid eye disease are not as commonly addressed before subspecialty procedures compared to issues like nasolacrimal duct obstruction and periocular infections.

Spatio-temporal Variation Characteristics of Extreme Climate Events and Their Teleconnections to Large-scale Ocean-atmospheric Circulation Patterns in Huaihe River Basin,China During 1959–2019

Huaihe River Basin(HRB) is located in China’s north-south climatic transition zone,which is very sensitive to global climate change.Based on the daily maximum temperature,minimum temperature,and precipitation data of 40 meteorological stations and nine monthly large-scale ocean-atmospheric circulation indices data during 1959–2019,we present an assessment of the spatial and temporal variations of extreme temperature and precipitation events in the HRB using nine extreme climate indices,and analyze the teleconnection relationship between extreme climate indices and large-scale ocean-atmospheric circulation indices.The results show that warm extreme indices show a significant(P < 0.05) increasing trend,while cold extreme indices(except for cold spell duration) and diurnal temperature range(DTR) show a significant decreasing trend.Furthermore,all extreme temperature indices show significant mutations during 1959-2019.Spatially,a stronger warming trend occurs in eastern HRB than western HRB,while maximum 5-d precipitation(Rx5day) and rainstorm days(R25) show an increasing trend in the southern,central,and northwestern regions of HRB.Arctic oscillation(AO),Atlantic multidecadal oscillation(AMO),and East Atlantic/Western Russia(EA/WR) have a stronger correlation with extreme climate indices compared to other circulation indices.AO and AMO(EA/WR) exhibit a significant(P < 0.05) negative(positive)correlation with frost days and diurnal temperature range.Extreme warm events are strongly correlated with the variability of AMO and EA/WR in most parts of HRB,while extreme cold events are closely related to the variability of AO and AMO in eastern HRB.In contrast,AMO,AO,and EA/WR show limited impacts on extreme precipitation events in most parts of HRB.

Spatial Distribution Pattern and Influencing Factors of Bed-and-breakfasts(B&Bs)from the Perspective of Urban-rural Differences:A Case Study of Jiaodong Peninsula,China

There are significant differences between urban and rural bed-and-breakfasts(B&Bs)in terms of customer positioning,economic strength and spatial carrier.Accurately identifying the differences in spatial characteristics and influencing factors of each type,is essential for creating urban and rural B&B agglomeration areas.This study used density-based spatial clustering of applications with noise(DBSCAN)and the multi-scale geographically weighted regression(MGWR)model to explore similarities and differences in the spatial distribution patterns and influencing factors for urban and rural B&Bs on the Jiaodong Peninsula of China from 2010 to 2022.The results showed that:1)both urban and rural B&Bs in Jiaodong Peninsula went through three stages:a slow start from 2010 to 2015,rapid development from 2015 to 2019,and hindered development from 2019 to 2022.However,urban B&Bs demonstrated a higher development speed and agglomeration intensity,leading to an increasingly evident trend of uneven development between the two sectors.2)The clustering scale of both urban and rural B&Bs continued to expand in terms of quantity and volume.Urban B&B clusters characterized by a limited number,but a higher likelihood of transitioning from low-level to high-level clusters.While the number of rural B&B clusters steadily increased over time,their clustering scale was comparatively lower than that of urban B&Bs,and they lacked the presence of high-level clustering.3)In terms of development direction,urban B&B clusters exhibited a relatively stable pattern and evolved into high-level clustering centers within the main urban areas.Conversely,rural B&Bs exhibited a more pronounced spatial diffusion effect,with clusters showing a trend of multi-center development along the coastline.4)Transport emerged as a common influencing factor for both urban and rural B&Bs,with the density of road network having the strongest explanatory power for their spatial distribution.In terms of differences,population agglomeration had a positive impact on the distribution of urban B&Bs and a negative effect on the distribution of rural B&Bs.Rural B&Bs clustering was more influenced by tourism resources compared with urban B&Bs,but increasing tourist stay duration remains an urgent issue to be addressed.The findings of this study could provide a more precise basis for government planning and management of urban and rural B&B agglomeration areas.

Construction of Efficient Multiple Planting Patterns of Potato for Tridimensional Climate in Subtropical Region of China

[Objective] The aim was to make full use of light-heat resources to expand the potato planting area on the base of ensuring the production of main grain crops and the limited arable land. [Methods] Through catch crops, multiple cropping and intercropping, new multiple planting patterns of potato with efficiency are constructed, for the purpose of increasing yield and benefit of potato. [Result] In irrigated plain and hill area, three new planting patterns such as autumn potato/rope-rice,winter potato-rice-autumn potato, and autumn（winter） potato-rice were constructed.In dry land of plain and hill area, three new planting patterns such as spring（winter）potato/maize/sweet potato, spring（winter） potato/maize-autumn potato, and wheat ＋ winter potato/maize/sweet potato were constructed. In plateau mountainous area, spring potato/maize was constructed. [Conclusion] With use of new planting patterns, the cropping index of new patterns was 200%-300%, while the accumulated temperature utilization was 68.9%-93.4%, light energy utilization was 0.98%-1.59% and straw utilization was 50%-100%. To compared with traditional planting patterns, the yield increased by 2.6%-93%, and benefit increased by 15.8%-284.3%. Furthermore,multiple planting patterns of potato have become main planting patterns in increasing yield and income in Sichuan.