The effects of land-use types and conversions on desertification in Mu Us Sandy Land of China

Based on multi-temporal remotely sensed materials of both 1985 and 2000, we analyzed the effects of land-use types and their conversions on desertification in Mu Us Sandy Land in the agro-pastoral transitional zone of north central China. In this study, the desertified land was classified into five degrees： potential, light, medium, severe and extreme. The results indicate that the extent of desertification expands slightly, while desertification degree is enhanced significantly. About 22.35% of the total land area in the study area is in the desertification course, and the expanded area of both severely and extremely desertified land accounts for 3.67% of the total area of Mu Us Sandy Land. About 9053 klTl2 of area witnessed changes in land-use types between 1985 and 2000, which accounted for 10.75% of the total. More importantly, the area of conversions among cultivated land, forestland and rangeland added up to 971.6 km^2. This research reveals that both improper land-use types and conversions could accelerate the desertification process. Both cultivated land and forestland have more effects on the desertification development than rangeland. Some land-use type conversions, such as rangeland to cultivated land, rangeland to forestland and forestland to cultivated land, are attributed to the acceleration of the desertification development while the opposite can control the desertification development.

Characteristics of soil organic carbon andtotal nitrogen storages for differentland-use types in Central Yunnan Plateau

Two-factor analysis of variance and redundancy analysis were used to analyze the characte-ristics of soil organic carbon total nitrogen storage in garden land,forestland,grassland,farmland,and bare land in the Dachunhe watershed of Jinning District,Kunming City,Yunnan Province,China.The effects of the soil organic carbon,total nitrogen stratification ratio,soil physical and chemical factors on the storage characteristics of organic carbon and total nitrogen of different land-use types were analyzed.The results show that the rates of carbon and nitrogen stratification in soil from 0-20 cm and 40-60 cm of the same land-use types differed are statistically significant(P<0.05).The organic carbon and total nitrogen stratification ratio SR1 of garden land soil are 38.5%and 25.3%,respectively,which are higher than SR^(2).The soil organic carbon and total nitrogen stratification ratio SR^(2) of different land-use types are greater than SR1.There are statistically significant differences in the SR^(2) soil organic carbon and total nitrogen stratification ratios(P<0.05).Soil organic carbon and total nitrogen storage of diffe-rent land-use types gradually decrease with increasing soil depth,with the maximum soil organic carbon and total nitrogen storage in the 0-20 cm soil layer.Soil organic carbon and total nitrogen sto-rage at the same soil depth are significantly different(P<0.05).Soil organic carbon and total nitrogen storage in the garden land are greater than those in the other land-use types.Soil organic carbon and total nitrogen storage in 0-20 cm garden land are 4.96 and 3.19 times than those in bare land,respectively;soil organic carbon and total nitrogen storage are explained by 93.66%and 1.53%in redundancy analysis RDA1 and RDA2,respectively.All physicochemical factors except Available Phosphorus and pH are statistically significance with carbon and nitrogen storage(P<0.05).Soil cationic exchange capacity,Available Phosphorus,C/N ratio,and Moisture Content are positively correlated with organic carbon and total nitrogen storage.In contrast,soil Bulk Density is negatively correlated with organic carbon storage and total nitrogen storage.Available Phosphorus,C/N ratio,and Moisture Content are the main factors promoting soil organic carbon and total nitrogen accumulation.

Variation of Zn content in soils under different land-use types in the Hetao oasis,Inner Mongolia of China

Understanding the status and distribution of the micronutrient Zn in soils is important for managing plant growth and preventing soil pollution for agricultural irrigation systems in arid and semi-arid regions. In this study, a total of 195 soil samples from five soil layers （0-20, 20-40, 40-60, 60-80 and 80-100 cm） in the three land-use types （wasteland, forestland and cropland） after long-term agricultural fertilization and irrigation with Yellow River water were collected in the middle of the Hetao oasis, i.e. the Yongji irrigation sub-oasis. We analyzed the vertical and spatial distributions of Zn content and its relationship with soil properties to determine whether differences of Zn content existed in the soil profiles. The results revealed that the mean content of Zn was 107 mg/kg, 1.9 times higher than the background value （55.7 mg/kg） of the Hetao oasis and much lower than the secondary standard value （300 mg/kg） of the Chinese Environmental Quality Standard for Soils when pH〉7.5. Soil Zn contents were not significantly different and the coefficients of variation of Zn contents were less than 50% in the five soil layers. Soil Zn content was similar from southern to northern parts but increased from western to eastern parts in the sub-oasis. Soil Zn contents did not differ significantly among the three land-use types, but soil total nitrogen （TN） contents were significantly higher in the agriculturally managed forestland and cropland than in the wasteland （P〈0.05）. Zn was significantly and positively correlated with TN （F=36.6, P〈0.001）. The use of fertilizers may increase the content of Zn in soils, but flooding irrigation may minimize the differences in the spatial distribution of soil Zn content in the whole sub-oasis. This research is of important value for soil pollution control and sustainable land use management in arid and semi-arid regions.

Effects of land-use types on the vertical distribution of fractions of oxidizable organic carbon on the Loess Plateau, China

The oxidizability of soil organic carbon （SOC） influences soil quality and carbon sequestration. Four fractions of oxidizable organic carbon （very labile （C1）, labile （C2）, less labile （C3） and non-labile （C4）） reflect the status and composition of SOC and have implications for the change and retention of SOC. Studies of the fractions of oxidizable organic carbon （OC） have been limited to shallow soil depths and agroecosystems. How these fractions respond at deep soil depths and in other types of land-use is not clear. In this study, we evaluated the vertical distributions of the fractions of oxidizable organic carbon to a soil depth of 5.0 m in 10 land-use types in the Zhifanggou Watershed on the Loess Plateau, China. Along the soil profile, C1 contents were highly variable in the natural grassland and shrubland I （Caragana microphylla）, C2 and C4 contents were highly variable in the natural grassland and two terraced croplands, respectively, and C3 contents varied little. Among the land-use types, natural grassland had the highest C1 and C2 contents in the 0-0.4 m layers, followed by shrubland I in the 0-0.1 m layer. Natural grassland had the highest C4 contents in the 1.0-4.5 m layers. Natural grassland and shrubland I thus contributed to improve the oxidizability of SOC in shallow soil, and the deep soil of natural grassland has a large potential to sequester SOC on the Loess Plateau.

Study on Soil Infiltration Capability and Its Impact Factors of Different Land-use Types in Purple Soil Region

Soil infiltration capability is the hot spot topic of soil erosion studies and soil physical and chemical properties have great influence on it. A new infiltration method point- source infiltration method was used to precisely evaluate the infiltration capability in different purple soil land- use types. And correlation analysis on soil physical and chemical properties and soil infiltration capability of different land- use types was performed. Results showed that:( i) there is a large difference among soil physical and chemical properties in different land- use types,soil water content,non- capillary porosity,capillary porosity,content of > 0. 25 mm aggregates and organic matter content in the top soil are greater than those in the subsoil;( ii) soil infiltration capability showed differences among different land- use types. Land use showed great effects,in general,the order of decrease on initial infiltration rate and average infiltration rate was: woodland slope > slope farmland >grassland,the order of decrease on steady infiltration rate was: slope farmland > woodland > grassland and the time reaching stable state was:slope farmland > woodland > grassland;( iii) correlation analysis showed that there was a significantly positive correlation between initial infiltration rate and wet sieve MWD value and structural damage rate,and it had a significantly negative correlation with capillary porosity;( iv)steady infiltration rate and non- capillary porosity showed the significantly positive correlation,and it had a significantly negative correlation with the soil bulk density;( v) the average infiltration rate and non- capillary porosity and structural damage rate showed a positive correlation and the correlation coefficient was large and there was a negative correlation between average infiltration rate and soil bulk density and capillary porosity,and the absolute value of correlation coefficient was relatively large. The results of this study can provide the theoretical basis for soil infiltration study in purple soil area.

Soil Nutrients in Intensive Agricultural Areas with Different Land-Use Types in Qingzhou County, China

On the basis of the data obtained from a field survey, the relationship between land use and soil nutrients was evaluated in Qingzhou County, Shandong Province, China, through a statistical analysis of differences in 17 nutrients in five types of cultivated land. The results showed significant effects (P < 0.05 or P < 0.01) of land-use type on soil organic matter and concentration of macronutrients, secondary nutrients, and micronutrients, as well as total salt and soil pH. In vegetable land, because of the large amounts of fertilizer applied to vegetable crops, the concentrations of most soil nutrients, with exception of available Si and micronutrients, were higher than those in grain cropland. Grain cropland had a significantly lower total salt content (P < 0.01) and tended to have a higher soil pH than vegetable land. Within subtypes of land use, dry land, irrigable land, and open-air vegetable land had the highest coefficient of variation (CV) for available P, whereas protected vegetable land had the highest CV for total N and available S. In general, land-use types had greater impact on macronutrients than on secondary nutrients and micronutrients.

Influence of different land-use types on selected soil properties related to soil fertility in A Luoi District,Thua Thien Hue,Vietnam

Land use type affects the physicochemical properties of soil.The value of OM and TN is high in acacia soils.Strong acidity of soil is considered a serious constraint for agriculture.Suitable cash crops are acacia,cassava,banana,rice and maize.Soil fertility is affected by land-use types and land management,which exacerbates soil erosion and various other forms of soil degradation in the mountainous regions of Viet-nam.This study was conducted in A Luoi District,Thua Thien Hue,Vietnam to identify the effects of land-use types on specific soil physicochemical characteristics related to soil fertility.Soil physicochemical properties,such as organic matter(OM),total nitrogen(TN),total phosphorous(TP),and K+were significantly affected by land-use type.The results showed that the soils were sandy in rice but clay loam for acacia and cassava.The mean bulk density value of acacia soil was significantly greater than that of other soils.TN were higher in the acacia soils than those in the rice,maize,and banana soils.The OM content was significantly higher in the acacia,cassava,and banana soils than those in the rice and maize soils.The mean of exchangeable K+in the rice soil was higher compared to those in other soils and was affected by land-use type.The high exchangeable acidity content in the soils was probably due to intensive precipitation.However,both land use type and management did not affect the CEC value.Overall,the inappropriate land use caused the disturbance of soil physicochemical properties,indicating that the conditions of rice and maize soils are becoming worse than acacia soils.Therefore,lowering the intensity of cultivation,adopting incorporated soil fertility management,and applying organic fertilizer should preserve the existing conditions and enhance soil properties.

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.

Contamination assessment,source apportionment and associated health risks of PTEs in agricultural soil under five land-use patterns in Sanya,China

To understand the levels of potentially toxic elements(PTEs)contamination in soils and their effects on human health from different agricultural land use in Sanya,China.128 soil samples(64 topsoil samples and corresponding subsoil samples)were collected from the five representative land-use patterns.Inductively coupled plasma mass spectrometry(ICP-MS),Atomic fluorescence spectrometry(AFS),and Inductively coupled plasma optical emission spectrometry(ICP-OES)were used to determine the content of PTEs(As,Cd,Hg,Cu,Cr,Ni,Pb,Zn,Co,Mo,Sb,and V).Correlation analysis and factor analysis were used to determine the source of PTEs.Geo-accumulation index(I_(geo)),hazard quotient(HQ),and total carcinogenic risk index(TR)were used to measure the PTEs contamination and its relative health impacts.Results showed that the average values of 12 PTEs in topsoil were higher than the Hainan soil geochemical baseline,showing different degrees of PTEs accumulation effect.The concentration of PTEs in the topsoil was lower than those in the subsoil except for Cd and Hg.The I_(geo)revealed that the major accumulated element in soils was As followed by Mo.Source apportionment suggested that parent materials and agricultural practices were the dominant factors for PTEs accumulation in the topsoil.Noncarcinogenic risks of soil samples from five land-use patterns presented a trend of paddy field>dry field>woodland>orchard>garden plot.However,the HQ values of 12 PTEs were less than the recommended limit of HQ=1,representing that there are no non-carcinogenic risks of PTEs for children and adults in the study area.The TR values are within 6.95×10^(-6)-1.38×10^(-5),which corresponds to the low level.Therefore the PTEs in the agricultural soil of the study area show little influence on the health status of the local population.

Driving forces behind the spatiotemporal heterogeneity of land-use and land-cover change:A case study of the Weihe River Basin,China

The impact of socioeconomic development on land-use and land-cover change(LUCC)in river basins varies spatially and temporally.Exploring the spatiotemporal evolutionary trends and drivers of LUCC under regional disparities is the basis for the sustainable development and management of basins.In this study,the Weihe River Basin(WRB)in China was selected as a typical basin,and the WRB was divided into the upstream of the Weihe River Basin(UWRB),the midstream of the Weihe River Basin(MWRB),the downstream of the Weihe River Basin(DWRB),the Jinghe River Basin(JRB),and the Luohe River Basin(LRB).Based on land-use data(cultivated land,forestland,grassland,built-up land,bare land,and water body)from 1985 to 2020,we analyzed the spatiotemporal heterogeneity of LUCC in the WRB using a land-use transfer matrix and a dynamic change model.The driving forces of LUCC in the WRB in different periods were detected using the GeoDetector,and the selected influencing factors included meteorological factors(precipitation and temperature),natural factors(elevation,slope,soil,and distance to rivers),social factors(distance to national highway,distance to railway,distance to provincial highway,and distance to expressway),and human activity factors(population density and gross domestic product(GDP)).The results indicated that the types and intensities of LUCC conversions showed considerable disparities across different sub-basins,where complex conversions among cultivated land,forestland,and grassland occurred in the LRB,JRB,and UWRB,with higher dynamic change before 2000.The conversion of other land-use types to built-up land was concentrated in the UWRB,MWRB,and DWRB,with substantial increases after 2000.Additionally,the driving effects of the influencing factors on LUCC in each sub-basin also exhibited distinct diversity,with the LRB and JRB being influenced by the meteorological and social factors,and the UWRB,MWRB,and DWRB being driven by human activity factors.Moreover,the interaction of these influencing factors indicated an enhanced effect on LUCC.This study confirmed the spatiotemporal heterogeneity effects of socioeconomic status on LUCC in the WRB under regional differences,contributing to the sustainable development of the whole basin by managing sub-basins according to local conditions.

Evaluation of the efficacy and safety of endoscopic band ligation in the treatment of bleeding from mild to moderate gastric varices type 1

BACKGROUND According to practice guidelines,endoscopic band ligation(EBL)and endoscopic tissue adhesive injection(TAI)are recommended for treating bleeding from esophagogastric varices.However,EBL and TAI are known to cause serious complications,such as hemorrhage from dislodged ligature rings caused by EBL and hemorrhage from operation-related ulcers resulting from TAI.However,the optimal therapy for mild to moderate type 1 gastric variceal hemorrhage(GOV1)has not been determined.Therefore,the aim of this study was to discover an individualized treatment for mild to moderate GOV1.AIM To compare the efficacy,safety and costs of EBL and TAI for the treatment of mild and moderate GOV1.METHODS A clinical analysis of the data retrieved from patients with mild or moderate GOV1 gastric varices who were treated under endoscopy was also conducted.Patients were allocated to an EBL group or an endoscopic TAI group.The differences in the incidence of varicose relief,operative time,operation success rate,mortality rate within 6 wk,rebleeding rate,6-wk operation-related ulcer healing rate,complication rate and average operation cost were compared between the two groups of patients.RESULTS The total effective rate of the two treatments was similar,but the efficacy of EBL(66.7%)was markedly better than that of TAI(39.2%)(P<0.05).The operation success rate in both groups was 100%,and the 6-wk mortality rate in both groups was 0%.The average operative time(26 min)in the EBL group was significantly shorter than that in the TAI group(46 min)(P<0.01).The rate of delayed postoperative rebleeding in the EBL group was significantly lower than that in the TAI group(11.8%vs 45.1%)(P<0.01).At 6 wk after the operation,the healing rate of operation-related ulcers in the EBL group was 80.4%,which was significantly greater than that in the TAI group(35.3%)(P<0.01).The incidence of postoperative complications in the two groups was similar.The average cost and other related economic factors were greater for the EBL than for the TAI(P<0.01).CONCLUSION For mild to moderate GOV1,patients with EBL had a greater one-time varix eradication rate,a greater 6-wk operation-related ulcer healing rate,a lower delayed rebleeding rate and a lower cost than patients with TAI.

Quantitative effect of kerogen type on the hydrocarbon generation potential of Paleogene lacustrine source rocks,Liaohe Western Depression,China

Kerogen types exert a decisive effect on the onset and capacity of hydrocarbon generation of source rocks.Lacustrine source rocks in the Liaohe Western Depression are characterized by thick deposition,high total organic carbon(TOC)content,various kerogen types,and a wide range of thermal maturity.Consequently,their hydrocarbon generation potential and resource estimation can be misinterpreted.In this study,geochemical tests,numerical analysis,hydrocarbon generation kinetics,and basin modeling were integrated to investigate the differential effects of kerogen types on the hydrocarbon generation potential of lacustrine source rocks.Optimized hydrocarbon generation and expulsion(HGE)models of different kerogen types were established quantitatively upon abundant Rock-Eval/TOC/vitrinite reflectance(R_(o))datasets.Three sets of good-excellent source rocks deposited in the fourth(Es4),third(Es3),and first(Es1)members of Paleogene Shahejie Formation,are predominantly types I-II_(1),II_(1)-II_(2),and II-III,respectively.The activation energy of types I-II_(2)kerogen is concentrated(180-230 kcal/mol),whereas that of type III kerogen is widely distributed(150-280 kcal/mol).The original hydrocarbon generation potentials of types I,II_(1),II_(2),and III kerogens are 790,510,270,and 85 mg/g TOC,respectively.The Ro values of the hydrocarbon generation threshold for type I-III source rocks gradually increase from 0.42%to 0.74%,and Ro values of the hydrocarbon expulsion threshold increase from 0.49%to 0.87%.Types I and II_(1)source rocks are characterized by earlier hydrocarbon generation,more rapid hydrocarbon expulsion,and narrower hydrocarbon generation windows than types II_(2)and III source rocks.The kerogen types also affect the HGE history and resource potential.Three types(conventional,tight,and shale oil/gas)and three levels(realistic,expected,and prospective)of hydrocarbon resources of different members in the Liaohe Western Depression are evaluated.Findings suggest that the Es3 member has considerable conventional and unconventional hydrocarbon resources.This study can quantitatively characterize the hydrocarbon generation potential of source rocks with different kerogen types,and facilitate a quick and accurate assessment of hydrocarbon resources,providing strategies for future oil and gas exploration.

Diabetes mellitus in patients with type 1 autoimmune pancreatitis at diagnosis and after corticosteroid therapy

Background:A high prevalence of diabetes mellitus(DM)coexisting with autoimmune pancreatitis(AIP)is observed.However,evidence on the circumstances under which corticosteroid therapy(CST)for AIP improves or worsens DM is scarce.This study aimed to demonstrate and identify predictors of DM control under the influence of CST.Methods:Patients diagnosed with type 1 AIP were enrolled from a prospectively maintained cohort and were classified into three groups according to the chronology in which AIP and DM were diagnosed:pre-existing DM(pDM),concurrent DM(cDM),and non-DM(nDM).The responses of DM to CST were assessed when corticosteroid was ceased or tapered to a maintenance dose and classified as‘improvement’and‘non-improvement’(including‘no change’and‘exacerbation’).Results:Among 101 patients with type 1 AIP,52(51.5%)patients were complicated with DM at the time of AIP diagnosis,with 36 patients in the cDM group and 16 patients in the pDM group.The incidences of diffuse pancreatic swelling(72.2%)and pancreatic body/tail involvement(91.7%)were significantly higher in the cDM group than in both the pDM and nDM groups.Of the 52 patients with DM,CST was administered in 48 cases.Multivariate logistic analysis identified that elevated serum gamma-glutamyl transferase(GGT)level at AIP diagnosis[odds ratio(OR)=0.032,95%confidence interval(CI):0.003-0.412,P=0.008]and pancreatic atrophy after CST(OR=0.027,95%CI:0.003-0.295,P=0.003)were negatively associated with DM control improvement.Conclusions:Patients with diffuse pancreatic swelling and pancreatic body/tail involvement in pancreatitis tended to be complicated with cDM at AIP diagnosis.CST exerted a beneficial effect on the clinical course of DM in nearly half of the AIP patients complicated with DM at diagnosis,particularly in those without elevated serum GGT levels at diagnosis and who did not experience pancreatic atrophy after CST.

Analysis of the influencing factors and clinical related characteristics of pulmonary tuberculosis in patients with type 2 diabetes mellitus

BACKGROUND In China,the prevalence of type 2 diabetes mellitus(T2DM)among diabetic patients is estimated to be between 90%-95%.Additionally,China is among the 22 countries burdened by a high number of tuberculosis cases,with approximately 4.5 million individuals affected by active tuberculosis.Notably,T2DM poses a significant risk factor for the development of tuberculosis,as evidenced by the increased incidence of T2DM coexisting with pulmonary tuberculosis(T2DMPTB),which has risen from 19.3%to 24.1%.It is evident that these two diseases are intricately interconnected and mutually reinforcing in nature.AIM To elucidate the clinical features of individuals diagnosed with both T2DM and tuberculosis(T2DM-PTB),as well as to investigate the potential risk factors associated with active tuberculosis in patients with T2DM.METHODS T2DM-PTB patients who visited our hospital between January 2020 and January 2023 were selected as the observation group,Simple DM patients presenting to our hospital in the same period were the control group,Controls and case groups were matched 1:2 according to the principle of the same sex,age difference(±3)years and disease duration difference(±5)years,patients were investigated for general demographic characteristics,diabetes-related characteristics,body immune status,lifestyle and behavioral habits,univariate and multivariate analysis of the data using conditional logistic regression,calculate the odds ratio(OR)values and 95%CI of OR values.RESULTS A total of 315 study subjects were included in this study,including 105 subjects in the observation group and 210 subjects in the control group.Comparison of the results of both anthropometric and biochemical measures showed that the constitution index,systolic blood pressure,diastolic blood pressure and lymphocyte count were significantly lower in the case group,while fasting blood glucose and high-density lipoprotein cholesterol levels were significantly higher than those in the control group.The results of univariate analysis showed that poor glucose control,hypoproteinemia,lymphopenia,TB contact history,high infection,smoking and alcohol consumption were positively associated with PTB in T2DM patients;married,history of hypertension,treatment of oral hypoglycemic drugs plus insulin,overweight,obesity and regular exercise were negatively associated with PTB in T2DM patients.Results of multivariate stepwise regression analysis found lymphopenia(OR=17.75,95%CI:3.40-92.74),smoking(OR=12.25,95%CI:2.53-59.37),history of TB contact(OR=6.56,95%CI:1.23-35.03)and poor glycemic control(OR=3.37,95%CI:1.11-10.25)was associated with an increased risk of developing PTB in patients with T2DM,While being overweight(OR=0.23,95%CI:0.08-0.72)and obesity(OR=0.11,95%CI:0.02-0.72)was associated with a reduced risk of developing PTB in patients with T2DM.CONCLUSION T2DM-PTB patients are prone to worse glycemic control,higher infection frequency,and a higher proportion of people smoking,drinking alcohol,and lack of exercise.Lymphopenia,smoking,history of TB exposure,poor glycemic control were independent risk factors for T2DM-PTB,and overweight and obesity were associated with reduced risk of concurrent PTB in patients with T2DM.

Clinical study of different prediction models in predicting diabetic nephropathy in patients with type 2 diabetes mellitus

BACKGROUND Among older adults,type 2 diabetes mellitus(T2DM)is widely recognized as one of the most prevalent diseases.Diabetic nephropathy(DN)is a frequent com-plication of DM,mainly characterized by renal microvascular damage.Early detection,aggressive prevention,and cure of DN are key to improving prognosis.Establishing a diagnostic and predictive model for DN is crucial in auxiliary diagnosis.AIM To investigate the factors that impact T2DM complicated with DN and utilize this information to develop a predictive model.METHODS The clinical data of 210 patients diagnosed with T2DM and admitted to the First People’s Hospital of Wenling between August 2019 and August 2022 were retrospectively analyzed.According to whether the patients had DN,they were divided into the DN group(complicated with DN)and the non-DN group(without DN).Multivariate logistic regression analysis was used to explore factors affecting DN in patients with T2DM.The data were randomly split into a training set(n=147)and a test set(n=63)in a 7:3 ratio using a random function.The training set was used to construct the nomogram,decision tree,and random forest models,and the test set was used to evaluate the prediction performance of the model by comparing the sensitivity,specificity,accuracy,recall,precision,and area under the receiver operating characteristic curve.RESULTS Among the 210 patients with T2DM,74(35.34%)had DN.The validation dataset showed that the accuracies of the nomogram,decision tree,and random forest models in predicting DN in patients with T2DM were 0.746,0.714,and 0.730,respectively.The sensitivities were 0.710,0.710,and 0.806,respectively;the specificities were 0.844,0.875,and 0.844,respectively;the area under the receiver operating characteristic curve(AUC)of the patients were 0.811,0.735,and 0.850,respectively.The Delong test results revealed that the AUC values of the decision tree model were lower than those of the random forest and nomogram models(P<0.05),whereas the difference in AUC values of the random forest and column-line graph models was not statistically significant(P>0.05).CONCLUSION Among the three prediction models,random forest performs best and can help identify patients with T2DM at high risk of DN.

An Assessment and Geostatistics of Land-Use and Selected Physico-Chemical Properties of Soils in the Mount Cameroon Area

This work investigated the land-use/land-cover and some physico-chemical properties of the soils of Mt Cameroon and presented same in maps. ArcGIS Pro mapping software, Landsat images, Global Positioning Systems (GPS) coordinates collected from the field combined with updated shape files from competent services were used to produce the location and land-use/land-cover maps. Sixteen topsoil samples (0 - 20 cm) were collected, 4 from each land use/cover category: farmland, forest, plantation and settlement, and analysed for soil pH, cation exchange capacity (CEC), bulk density, moisture content and soil texture, in the laboratory using standard analytical procedures. This data was used to produce spatial distribution maps using ordinary kriging, in ArcGIS Pro. The main terrestrial land use/cover categories comprised of the forest (mangrove, lowland, montane and sub-montane), agroforestry, plantations, grassland, settlement, cropland, shrubby savannah, and bare lava. Bulk density showed the highest values in settlement areas and least values under forest land-use categories. Soil moisture content exhibited a reverse trend compared to that of soil bulk density. Forest soils were the sandiest while soils in plantation agricultural land were the most clayey. The soils were slightly acidic to neutral with soils from agricultural land being more acidic (pH(water) = 5.43). It is discernible from the results that the conversion from forest to other land use/cover classes enhances soil degradation and that soil physico-chemical properties adequately serve as indicators of soil quality in the Mt Cameroon area.

Hypoglycemic mechanism of Tegillarca granosa polysaccharides on type 2 diabetic mice by altering gut microbiota and regulating the PI3K-akt signaling pathwaye

Type 2 diabetes mellitus(T2DM)is a complex metabolic disease threatening human health.We investigated the effects of Tegillarca granosa polysaccharide(TGP)and determined its potential mechanisms in a mouse model of T2DM established through a high-fat diet and streptozotocin.TGP(5.1×10^(3) Da)was composed of mannose,glucosamine,rhamnose,glucuronic acid,galactosamine,glucose,galactose,xylose,and fucose.It could significantly alleviate weight loss,reduce fasting blood glucose levels,reverse dyslipidemia,reduce liver damage from oxidative stress,and improve insulin sensitivity.RT-PCR and Western blotting indicated that TGP could activate the phosphatidylinositol-3-kinase/protein kinase B signaling pathway to regulate disorders in glucolipid metabolism and improve insulin resistance.TGP increased the abundance of Allobaculum,Akkermansia,and Bifidobacterium,restored the microbiota abundance in the intestinal tracts of mice with T2DM,and promoted short-chain fatty acid production.This study provides new insights into the antidiabetic effects of TGP and highlights its potential as a natural hypoglycemic nutraceutical.

Comparative efficacy of sodium glucose cotransporter-2 inhibitors in the management of type 2 diabetes mellitus:A real-world experience

BACKGROUND Sodium glucose cotransporter-2 inhibitors(SGLT-2i)are a class of drugs with modest antidiabetic efficacy,weight loss effect,and cardiovascular benefits as proven by multiple randomised controlled trials(RCTs).However,real-world data on the comparative efficacy and safety of individual SGLT-2i medications is sparse.AIM To study the comparative efficacy and safety of SGLT-2i using real-world clinical data.METHODS We evaluated the comparative efficacy data of 3 SGLT-2i drugs(dapagliflozin,canagliflozin,and empagliflozin)used for treating patients with type 2 diabetes mellitus.Data on the reduction of glycated hemoglobin(HbA1c),body weight,blood pressure(BP),urine albumin creatinine ratio(ACR),and adverse effects were recorded retrospectively.RESULTS Data from 467 patients with a median age of 64(14.8)years,294(62.96%)males and 375(80.5%)Caucasians were analysed.Median diabetes duration was 16.0(9.0)years,and the duration of SGLT-2i use was 3.6(2.1)years.SGLT-2i molecules used were dapagliflozin 10 mg(n=227;48.6%),canagliflozin 300 mg(n=160;34.3%),and empagliflozin 25 mg(n=80;17.1).Baseline median(interquartile range)HbA1c in mmol/mol were:dapagliflozin-78.0(25.3),canagliflozin-80.0(25.5),and empagliflozin-75.0(23.5)respectively.The respective median HbA1c reduction at 12 months and the latest review(just prior to the study)were:66.5(22.8)&69.0(24.0),67.0(16.3)&66.0(28.0),and 67.0(22.5)&66.5(25.8)respectively(P<0.001 for all comparisons from baseline).Significant improvements in body weight(in kilograms)from baseline to study end were noticed with dapagliflozin-101(29.5)to 92.2(25.6),and canagliflozin 100(28.3)to 95.3(27.5)only.Significant reductions in median systolic and diastolic BP,from 144(21)mmHg to 139(23)mmHg;(P=0.015),and from 82(16)mmHg to 78(19)mmHg;(P<0.001)respectively were also observed.A significant reduction of microalbuminuria was observed with canagliflozin only[ACR 14.6(42.6)at baseline to 8.9(23.7)at the study end;P=0.043].Adverse effects of SGLT-2i were as follows:genital thrush and urinary infection-20(8.8%)&17(7.5%)with dapagliflozin;9(5.6%)&5(3.13%)with canagliflozin;and 4(5%)&4(5%)with empagliflozin.Diabetic ketoacidosis was observed in 4(1.8%)with dapagliflozin and 1(0.63%)with canagliflozin.CONCLUSION Treatment of patients with SGLT-2i is associated with statistically significant reductions in HbA1c,body weight,and better than those reported in RCTs,with low side effect profiles.A review of large-scale real-world data is needed to inform better clinical practice decision making.

PRODUCT TYPE OPERATORS ACTING BETWEEN WEIGHTED BERGMAN SPACES AND BLOCH TYPE SPACES

For analytic functions u,ψin the unit disk D in the complex plane and an analytic self-mapφof D,we describe in this paper the boundedness and compactness of product type operators T_(u,ψ,φ)f(z)=u(z)f(φ(z))+ψ(z)f'(φ(z)),z∈D,acting between weighted Bergman spaces induced by a doubling weight and a Bloch type space with a radial weight.

A Special Issue:“Artificial Intelligence Applied in New-Type Power System”for Global Energy Interconnection

In recent years,artificial intelligence(AI)has been widely used in the field of electricity,such as load prediction,fault diagnosis of the power equipment,intelligent scheduling of power grids.However,the application of latest AI technology still has many technical difficulties to be solved.In the process of upgrading from the traditional power system to the new-type power system,AC grids,DC grids and micro grids coexist.In addition,there are huge amount of power equipment and electronic devices,and the coupling relationship is very complicated.Moreover,the high proportion of clean energy and flexible loads connected to the grid leads to the enhancement of the stochastic characteristics of the system.And short-term and ultra-short-term forecasts are much more difficult.Therefore,the editorial office of Global Energy Interconnection has planned the special issue of“Artificial Intelligence Applied in New-Type Power System”.