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In the present study, two new Conidiobolus s.s. species were described relying on the morphological studies and phylogenetic analysis utilizing nuclear large subunit of rDNA (nucLSU), mitochondrial small subunit of rDNA (mtSSU), and elongation-factor-like gene (EFL) sequences. Conidiobolus jiangxiensis sp. nov. is distinguished by its short primary conidiophores, a feature not commonly observed in other Conidiobolus s.s. species. Conversely, Conidiobolus marcoconidius sp. nov. is characterized by larger primary conidia and the emergence of 2–5 secondary conidia from each branched secondary conidiophores. Additionally, the taxonomic reassessment of C. polyspermus confirms its distinct status within the genus Conidiobolus s.s. Moreover, molecular analyses, incorporating the nucLSU , mtSSU , and EFL sequences, provide robust support for the phylogenetic placement of the two newly described species and the taxonomic identity of C. polyspermus. This investigation contributes valuable insights into the species diversity of Conidiobolaceae in China, enhancing our understanding of the taxonomy within this fungal family. [ABSTRACT FROM AUTHOR]

Carbon plays an important role in global climate change. The mechanisms of carbon sources and carbon sinks have also received wide attention from society, and the physical and chemical characteristics of riverine ions can reflect the chemical weathering of rocks and carbon sink capacity of river basins. Based on the data on river, rainwater, and rock samples from 2019, this study used various methods, such as ion ratio diagrams and ternary diagrams, to analyze the chemical characteristics of water; the chemical weathering and carbon sink effects of rocks were also calculated while assuming three scenarios based on the main sources of ions in the Naqu River. The results showed that for the whole catchment, the main ion sources in the river were: carbonate rock chemical weathering > silicate rock chemical weathering > evaporite dissolution > atmospheric precipitation input. According to the calculations, in the three scenarios, the carbonate weathering rates were 16.84, 11.32, and 14.08 t/km2/yr, and the carbon sink capacities were 66.47, 121.13, and 93.80 mol/km2/yr, respectively; the evaporite weathering rates were 2.20, 9.63, and 5.92 t/km2/yr, respectively. The silicate chemical weathering rate and carbon sink capacity did not change significantly in either scenario, with 6.82 t/km2/yr and 248.6 mol/km2/yr, respectively. This study quantified the ion sources in the Naqu River basin and accurately analyzed their chemical genesis, which helps in understanding the role of the rivers of the Qinghai–Tibet Plateau in the global carbon cycle and global climate change, in addition to providing a reference for the scientific development of the Nujing River. [ABSTRACT FROM AUTHOR]

Our study aims to explore the effects of hospitals' online-offline channel integration on doctors' offline visits and investigate how the effects of integration varied across doctors with different professional titles.Methods: Our study employs a panel dataset from a large comprehensive hospital in China and conducts staggered difference-in-differences (DID) approach.Results: We find that online-offline channel integration within public hospitals is associated with about 15.5% increase in offline visits, and the 1% growth of monthly number of online visits is associated with about 10.6% monthly offline visits increase. Furthermore, our results indicate that the effectiveness of online-offline channel integration is more pronounced for doctors with lower professional titles compared to those with higher professional titles.Conclusion: Our study provides evidence for policymakers and hospital managers that integrating online and offline channels can optimize the distribution of medical personnel resources within public hospitals. We recommend that young or less-experienced doctors actively participate in hospital-operated online platforms to enhance their professional skills through practical experience. [ABSTRACT FROM AUTHOR]

Hydropower, a renewable energy resource, underpins China's economic and social advancement, gaining prominence amidst the country's energy structure metamorphosis. Enhancing the performance of hydropower development projects is imperative, with the mechanisms of learning and innovation wielding a substantial impact. The extant literature on how learning and innovation affect hydropower project performance remains nebulous, lacking a systematic model to elucidate these impact mechanisms. This investigation melds theoretical analysis with the idiosyncrasies of hydropower project development, forging a theoretical model to decipher the interplay of learning, innovation, and project performance. Employing a mixed-methods approach, we probe the influence of organizational learning orientation and individual learning on participant capabilities, engineering innovation magnitude, and overall project performance. Path analysis divulges that organizational learning orientation catalyzes individual learning, jointly enhancing engineering innovation and project performance directly, although the effect on each participant's capability necessitates mediation through the engineering innovation level. This pioneering study establishes the links and influence trajectories between learning, innovation, and project performance, systematically delineating them. It fills a scholarly void in exploring learning and innovation mechanisms within hydropower project development, propounding strategies to augment project efficiency and furnishing pragmatic, constructive insights for better engineering practice outputs. [ABSTRACT FROM AUTHOR]

The hydrocarbon source rocks of the marine carbonates of the Ordovician Majiagou Formation in the Ordos Basin are generally in the high-overmature stage and are, therefore, not suitable for hydrocarbon thermal simulation experiments. Their hydrocarbon generation potential and hydrocarbon generation characteristics are not clearly understood. Meanwhile, Nordic Cambrian carbonates are similar in lithology, parent material type, and sedimentary age, and are in the low evolution stage, which is suitable for hydrocarbon thermal simulation experiments. Therefore, in this study, we selected the Nordic carbonates for the gold tube thermal simulation experiment to analyze the content and geochemical characteristics of the thermal simulation products. The experimental results are also compared and analyzed with the characteristics of thermal simulation products of Pingliang Formation mud shale (contemporaneous with the Majiagou Formation) and Shanxi Formation coal (in the upper part of the Majiagou Formation), which are similar to the Majiagou Formation in the Ordos Basin. The results showed that the Nordic carbonate has different hydrocarbon production characteristics from the mud shale of the Pingliang Formation of the same parent material type, and although the hydrocarbon production yields of the two are not very different, the carbonate still produces methane at 600 °C. The hydrocarbon production yield of the Nordic carbonates is almost equivalent to that of type-II2 kerogen, indicating that the hydrocarbon production yield is not related to lithology and only to the organic matter type; however, the Nordic carbonate can produce a large amount of H2S. The alkane carbon isotope changes are mainly controlled by the degree of thermal evolution, showing gradual heaviness with increasing temperature. No carbon isotope sequence reversal occurred during the thermal simulation, and its distribution range is roughly the same as that of the alkane carbon isotope composition of the mud shale of the Pingliang Formation. The ethane carbon isotope composition is as heavy as −21.2‰ at the high-temperature stage, showing similar coal-type gas characteristics. The addition of calcium sulphate (CaSO4) causes the TSR reaction to occur, which has a significant impact on the methane content under high maturity conditions, reducing its content by more than 50% at 600 °C. However, the addition of CaSO4 increases the yield of heavy hydrocarbon gases, such as ethane, and promotes the production of C6-14 hydrocarbons and C14+ hydrocarbons at high-temperature stages, and the addition of CaSO4 substantially increases the yield of H2, CO2, and H2S. The thermal simulation results have implications for the hydrocarbon formation mechanism of the early Paleozoic marine carbonate formation system in the stacked basins of the Ordos Basin and the Tarim Basin in China. [ABSTRACT FROM AUTHOR]

The Alxa Block is an important component of the North China Craton, but its metamorphic basement has been poorly studied, which hampers the understanding of the Alxa Block and the North China Craton. In this study, we conducted geochronological and geochemical studies on three TTG (tonalite–trondhjemite–granodiorite) gneisses and one granitic gneiss exposed in the Langshan area of the eastern Alxa Block to investigate their crustal evolution. The zircon U-Pb dating results revealed that the protoliths of the TTG and granitic gneisses were formed at 2836 ± 20 Ma, 2491 ± 18 Ma, 2540 ± 38 Ma, and 2763 ± 42 Ma, respectively, and were overprinted by middle–late Paleoproterozoic metamorphism (1962–1721 Ma). All gneiss samples had high Sr/Y ratios (41–274) and intermediate Mg# values (44.97–55.78), with negative Nb, Ta, and Ti anomalies and moderately to strongly fractionated REE patterns ((La/Yb)N = 10.6–107.1), slight Sr enrichment, and positive Eu anomalies, displaying features of typical high-SiO2 adakites and Archean TTGs. The magmatic zircons from the 2.84 Ga and 2.49 Ga TTG rocks had low εHf(t) values of −1.9–1.7, and −3.83–2.12 with two-stage model ages (TDMC) of 3.24–3.11 Ga and 3.10–3.01 Ga, respectively, whereas those from the 2.54 Ga TTG rock exhibited εHf(t) values ranging from −1.1 to 3.46 and TDMC from 3.0 Ga to 2.83 Ga, suggesting that the crustal materials of the basement rocks in the eastern Alxa Block were initially extracted from the depleted mantle during the late Paleoarchean to Mesoarchean era and were reworked in the late Mesoarchean and late Neoarchean era. By contrast, the Alxa Block probably had a relative younger crustal evolutionary history (<3.24 Ga) than the main North China (<3.88 Ga), Tarim (<3.9 Ga), and Yangtze (<3.8 Ga) Cratons and likely had a unique crustal evolutionary history before the early Paleoproterozoic era. [ABSTRACT FROM AUTHOR]

Scholars at home and abroad have studied the concentrations of Se in coal and the relationship between Se and sulfur assignment. However, little attention has been paid to the study of Se in floating coal, especially the distribution pattern of Se in floating coal of densimetric fractions and the influencing factors. A total of 138 coal samples were collected from 14 provinces and cities in China to test the Se and sulfur concentrations in coal, and we carried out the comparison of Se with forms of sulfur with 81 of them. A total of 10 coal samples were selected for float-and-sink analyses to investigate the distribution pattern of Se in floating coal. The results showed that the average Se concentration of Chinese coal was 2.26 μg/g, which is identical with the results of previous research studies, which found an average Se concentration of 2~3 μg/g. Selenium was not uniformly distributed in floating coals of densimetric fractions but it had some regularity. The main controlling factor was the sulfur content in the coal. The Se concentrations of the high-sulfur coal showed a "linear growth" distribution with an increasing density, the Se concentrations of the floating coal in each densimetric fraction increased slowly and the Se concentrations of the floating coal of a densimetric fraction > 2.00 g/cm3 increased sharply. The other controlling factor was the ash yield of the coal. The Se concentrations of the low–medium-sulfur floating coal showed a "parabolic-like" distribution, i.e., low Se concentrations at both ends and high Se concentrations at the middle densimetric fraction. With the increase in the ash content of the coal from 18.23% to 51.92%, the densimetric fraction with the highest Se concentration gradually progressed from 1.40 g/cm3 to 1.50 g/cm3, 1.60 g/cm3 and 1.80 g/cm3 in order. The correlation between the selenium of the raw coal from different regions and the total sulfur, pyrite sulfur and organic sulfur was not significant. However, there existed a significant correlation between Se, total sulfur, pyrite sulfur and organic sulfur in floating coals from the same mining area and depositional environment, among which pyrite sulfur was the most correlated with Se, followed by total sulfur and organic sulfur. [ABSTRACT FROM AUTHOR]

Background: Resin-tapping forests of slash pine (Pinus elliottii) have been set up across Southern China owing to their high production and good resin quality, which has led to the rapid growth of the resin industry. In this study, we aimed to identify molecular markers associated with resin traits in pine trees, which may help develop marker-assisted selection (MAS). Methods: PeTPS-(-)Apin gene was cloned by double primers (external and internal). DnaSP V4.0 software was used to evaluate genetic diversity and linkage disequilibrium. SHEsis was used for haplotype analysis. SPSS was used for ANOVA and χ2 test. DnaSP v4.0 software was used to evaluate genetic diversity. Results: The full length PeTPS-(-)Apin gene was characterized and shown to have 4638 bp, coding for a 629-amino acid protein. A total of 72 single nucleotide polymorphism (SNP) loci were found. Three SNPs (CG615, AT641 and AG3859) were significantly correlated with α -pinene content, with a contribution rate > 10%. These SNPs were used to select P. elliottii with high α-pinene content, and a 118.0% realistic gain was obtained. Conclusions: The PeTPS-(-)Apin gene is not uniquely decisive for selection of plus slash pines with stable production, high yield, and good quality, but it can be used as a reference for selection of other resin-producing pines and other resin components. [ABSTRACT FROM AUTHOR]

Although species of Absidia are known to be ubiquitous in soil, animal dung, and insect and plant debris, the species diversity of the genus and their ecological habitats have not been sufficiently investigated. In this study, we describe five new species of Absidia from forest and grassland soils in southwestern China, with support provided by phylogenetic, morphological, and physiological evidence. The species diversity and ecological habitat of Absidia are summarized. Currently, 22 species are recorded in China, which mainly occur in soil, especially in tropical and subtropical forests and mountains. An updated key to the species of Absidia in China is also provided herein. This is the first overview of the Absidia ecological habitat. [ABSTRACT FROM AUTHOR]

Background: Three‐dimensional reconstruction of chest computerized tomography (CT) excels in intuitively demonstrating anatomical patterns for pulmonary segmentectomy. However, current methods are labor‐intensive and rely on contrast CT. We hereby present a novel fully automated reconstruction algorithm based on noncontrast CT and assess its performance both independently and in combination with surgeons. Methods: A retrospective pilot study was performed. Patients between May 2020 to August 2020 who underwent segmentectomy in our single institution were enrolled. Noncontrast CTs were used for reconstruction. In the first part of the study, the accuracy of the demonstration of anatomical variants by either automated or manual reconstruction algorithm were compared to surgical observation, respectively. In the second part of the study, we tested the accuracy of the identification of anatomical variants by four independent attendees who reviewed 3‐D reconstruction in combination with CT scans. Results: A total of 20 cases were enrolled in this study. All segments were represented in this study with two left S1‐3, two left S4 + 5, one left S6, five left basal segmentectomies, one right S1, three right S2, 1 right S2b + 3a, one right S3, two right S6 and two right basal segmentectomies. The median time consumption for the automated reconstruction was 280 (205–324) s. Accurate vessel and bronchial detection were achieved in 85% by the AI approach and 80% by Mimics, p = 1.00. The accuracy of vessel classification was 80 and 95% by AI and manual approaches, respectively, p = 0.34. In real‐world application, the accuracy of the identification of anatomical variant by thoracic surgeons was 85% by AI+CT, and the median time consumption was 2 (1–3) min. Conclusions: The AI reconstruction algorithm overcame defects of traditional methods and is valuable in surgical planning for segmentectomy. With the AI reconstruction, surgeons may achieve high identification accuracy of anatomical patterns in a short time frame. [ABSTRACT FROM AUTHOR]

As an emerging charity model, critical illness network crowdfunding provides a source of funds for some critically ill patients in China who have difficulty paying their high treatment costs by themselves. This study aims to investigate the influencing factors of the public's willingness to donate to critical illness crowdfunding projects on Internet platforms. From a perspective combining the technology acceptance model and the theory of planned behavior, a complex and comprehensive structural equation model is proposed. We randomly selected 1,000 members of the public in China and empirically verified the study framework through structural equation modeling (SEM) based on 710 valid questionnaires. The results show that the public's donation willingness and the social distance to a critical illness crowdfunding project on an online platform positively affect the public's donation behavior, and donation attitude positively affect donation willingness; perceived usefulness and empathic concern positively affect the public's donation attitude, which in turn affects its donation willingness. This study confirms that members of the public are more likely to help people who have similar demographic factors or people who are similar to themselves and have the same values, i.e., people who have a close social distance. It innovatively proposes and verifies the hypothesis that empathic concern can significantly positively affect users' perceived usefulness and donation attitude. Strong empathic concern triggers donation willingness and behavior. [ABSTRACT FROM AUTHOR]

Background: Tea trees originated in southwest China 60 million or 70 million years ago. Written records show that Chinese ancestors had begun drinking tea over 3000 years ago. Nowadays, with the aging of populations worldwide and more people suffering from non-communicable diseases or poor health, tea beverages have become an inexpensive and fine complementary and alternative medicine (CAM) therapy. At present, there are 3 billion people who like to drink tea in the world, but few of them actually understand tea, especially on its development process and the spiritual and cultural connotations. Methods: We searched PubMed, Google Scholar, Web of Science, CNKI, and other relevant platforms with the key word "tea", and reviewed and analyzed tea-related literatures and pictures in the past 40 years about tea's history, culture, customs, experimental studies, and markets. Results: China is the hometown of tea, tea trees, tea drinking, and tea culture. China has the oldest wild and planted tea trees in the world, fossil of a tea leaf from 35,400,000 years ago, and abundant tea-related literatures and art works. Moreover, tea may be the first Chinese herbal medicine (CHM) used by Chinese people in ancient times. Tea drinking has many benefits to our physical health via its antioxidant, anti-inflammatory, immuno-regulatory, anticancer, cardiovascular-protective, anti-diabetic, and anti-obesity activities. At the moment, COVID-19 is wreaking havoc across the globe and causing severe damages to people's health and lives. Tea has anti-COVID-19 functions via the enhancement of the innate immune response and inhibition of viral growth. Besides, drinking tea can allow people to acquire a peaceful, relaxed, refreshed and cheerful enjoyment, and even longevity. According to the meridian theory of traditional Chinese medicine, different kinds of tea can activate different meridian systems in the human body. At present, black tea (fermented tea) and green tea (non-fermented tea) are the most popular in the world. Black tea accounts for over 90% of all teas sold in western countries. The world's top-grade black teas include Qi Men black in China, Darjeeling and Assam black tea in India, and Uva black tea in Sri Lanka. However, all top ten famous green teas in the world are produced in China, and Xi Hu Long Jing tea is the most famous among all green teas. More than 700 different kinds of components and 27 mineral elements can be found in tea. Tea polyphenols and theaflavin/thearubigins are considered to be the major bioactive components of black tea and green tea, respectively. Overly strong or overheated tea liquid should be avoided when drinking tea. Conclusions: Today, CAM provides an array of treatment modalities for the health promotion in both developed and developing countries all over the world. Tea drinking, a simple herb-based CAM therapy, has become a popular man-made non-alcoholic beverage widely consumed worldwide, and it can improve the growth of economy as well. Tea can improve our physical and mental health and promote the harmonious development of society through its chemical and cultural elements. [ABSTRACT FROM AUTHOR]

Four new species within the genus Absidia , A. globospora , A. medulla , A. turgida , and A. zonata , are proposed based on a combination of morphological traits, physiological features, and molecular evidences. A. globospora is characterized by globose sporangiospores, a 1.0- to 3.5-μm-long papillary projection on columellae, and sympodial sporangiophores. A. medulla is characterized by cylindrical to oval sporangiospores, a 1.0- to 4.5-μm-long bacilliform projection on columellae, and spine-like rhizoids. A. turgida is characterized by variable sporangiospores, up to 9.5-μm-long clavate projections on columellae, and swollen top of the projection and inflated hyphae. A. zonata is characterized by cylindrical to oval sporangiospores, a 2.0- to 3.5-μm-long spinous projection on columellae, and as many as eight whorled sporangiophores. Phylogenetic analyses based on sequences of internal transcribed spacer rDNA and D1–D2 domains of LSU rDNA support the novelty of these four species within the Absidia. All new species are illustrated, and an identification key to all the known species of Absidia in China is included. [ABSTRACT FROM AUTHOR]

Due to high humidity, the ageing of room temperature vulcanized silicone rubber (RTV) has been a serious problem in Southwestern China. In order to solve the problem of RTV life prediction, the aging classification method was established by analyzing the microtopography of RTV samples in this paper. Besides, the comprehensive analysis of RTV element content, partial element content ratio, and major chemical groups of RTV samples in each aging level were conducted. It is found that as the ageing level increases, the element contents of C, Si, O, Al change accordingly and the ratio of C:Si drops from 2.39 to 1.54, and absorption peaks of the chemical groups of Si-(CH3)2, Si-O-Si, Si-CH3 and C-H in CH3 decrease. This work can enrich the investigation of RTV, and may provide useful reference for performance evaluation and replacement of RTV in substations. [ABSTRACT FROM AUTHOR]

The species within the family Cunninghamellaceae are widely distributed and produce important metabolites. Morphological studies along with a molecular phylogeny based on the internal transcribed spacer (ITS) and large subunit (LSU) of ribosomal DNA revealed two new species in this family from soils in China, that is, Absidia ovalispora sp. nov. and Cunninghamella globospora sp. nov. The former is phylogenetically closely related to Absidia koreana, but morphologically differs in sporangiospores, sporangia, sporangiophores, columellae, collars, and rhizoids. The latter is phylogenetically closely related to Cunninghamella intermedia, but morphologically differs in sporangiola and colonies. They were described and illustrated. [ABSTRACT FROM AUTHOR]

Background: Approximately 8.3–15.9% of patients with clinical stage I non‐small cell lung cancer are subsequently shown to have lymph node metastasis. However, the clinical characteristics of patients with lymph node metastasis in China are not fully understood. Methods: This is a multicenter retrospective analysis of pathological T1 non‐small cell lung cancer patients who underwent surgical resection from 2 January 2014 to 27 December 2017. Clinical and pathological information was collected with the assistance of the Large‐scale Data Analysis Center of Cancer Precision Medicine‐LinkDoc database. The clinical and pathological factors associated with lymph node metastasis were analyzed by univariate and multivariate logistic regression. Results: A total of 10 885 participants (51.6% women; 15.3% squamous cell carcinoma) were included in the analysis. The median age was 60.0 years (range 12.9–86.6 years). A total of 1159 patients (10.6%) had metastases in mediastinal nodes (N2), and 640 patients (5.9%) had metastasis in pulmonary lymph nodes (N1). Most patients had T1b lung cancer (4766, 43.8%). Of the patients, 3260 (29.9%) were current or former smokers. The univariate and multivariate analyses showed that younger age, squamous cell carcinoma, poor differentiation, larger tumor size, carcinoembryonic antigen level ≥5 ng/mL, and vascular invasion (+) were significantly associated with higher percentages of lymph node metastases (P < 0.001 for all). Conclusion: This real‐world study showed the significant association of lymph node metastasis with age, tumor size, histology and differentiation, carcinoembryonic antigen levels, and status of vascular invasion. Female patients with T1a adenocarcinoma in the right upper lobe barely had lymph node metastasis. [ABSTRACT FROM AUTHOR]

Although China's severe air pollution has become a focus in the field of atmospheric chemistry and the mechanisms of urban air pollution there have been researched extensively, few field sampling campaigns have been conducted at remote background sites in China, where air pollution characteristics on a larger scale are highlighted. In this study, an Aerodyne high-resolution time-of-flight aerosol mass spectrometer (HR-ToF-AMS), together with an Aethalometer, was deployed at two of China's national background sites in northern (Lake Hongze site; 33.23° N, 118.33° E; altitude 21 m) and southern (Mount Wuzhi site; 18.84° N, 109.49° E; altitude 958 m) China in the spring seasons in 2011 and 2015, respectively, in order to characterize submicron aerosol composition and sources. The campaign-average PM1 concentration was 36.8±19.8 µgm-3 at the northern China background (NCB) site, which was far higher than that at the southern China background (SCB) site (10.9±7.8 µgm-3/. Organic aerosol (OA) (27.2%), nitrate (26.7%), and sulfate (22.0%) contributed the most to the PM1 mass at NCB, while OA (43.5%) and sulfate (30.5%) were the most abundant components of the PM1 mass at SCB, where nitrate only constituted a small fraction (4.7%) and might have contained a significant amount of organic nitrates (5-11%). The aerosol size distributions and organic aerosol elemental compositions all indicated very aged aerosol particles at both sites. The OA at SCB was more oxidized with a higher average oxygen to carbon (O/C) ratio (0.98) than that at NCB (0.67). Positive matrix factorization (PMF) analysis was used to classify OA into three components, including a hydrocarbon-like component (HOA, attributed to fossil fuel combustion) and two oxygenated components (OOA1 and OOA2, attributed to secondary organic aerosols from different source areas) at NCB. PMF analysis at SCB identified a semi-volatile oxygenated component (SV-OOA) and a lowvolatility oxygenated component (LV-OOA), both of which were found to be secondary species and could be formed from precursors co-emitted with BC. Using the total potential source contribution function model, the likely source areas of the major PM1 components at both sites were a on large regional scale in East Asia. The possible sources may include not only emissions from the Chinese mainland but also emissions from ocean-going cargo ships and biomass burning in neighboring countries. [ABSTRACT FROM AUTHOR]

Differential Optical Absorption Spectroscopy (DOAS) was used for the long-term observation of ground-level ozone (O3) from March 2010 to March 2013 over Shanghai, China. The 1-hour average concentration of O3 was 27.2 ± 17.0 ppbv. O3 level increased during spring, reached the peak in late spring and early summer, and then decreased in autumn and finally dropped to the bottom in winter. The highest monthly average O3 concentration in June (41.1 ppbv) was nearly three times as high as the lowest level recorded in December (15.2 ppbv). In terms of pollution episodes, 56 hourly samples (on 14 separate days) in 2010 exceeded the 1-hour ozone limit of 200 μg/m3 specified by the Grade II of the Chinese Ambient Air Quality Standards (CAAQS, revised GB 3095-2012). Utilizing the Hybrid Single Particle Lagrangian Integrated Trajectory (HYSPLIT) model, the primary contribution to high ozone days (HODs) was identified as the regional transportation of volatile organic compounds (VOC) and high concentrations of O3 from the chemical industrial zone in the Jinshan district of Shanghai. HODs showed higher concentrations of HONO and NO2 than non-episode conditions, implying that HONO at high concentration during HODs was capable of increasing the O3 concentration. The photolysis rate of HONO was estimated, suggesting that the larger number of OH radicals resulting from high concentrations of HONO have a considerable impact on ozone concentrations. [ABSTRACT FROM AUTHOR]

Background The aim of this study was to compare the short and long-term results between sleeve resection ( SR) and pneumonectomy ( PN) in lung cancer patients over 70 years of age. Methods We retrospectively reviewed 105 lung cancer patients over 70 years of age who had undergone SR or PN at Shanghai Chest Hospital from January 2003 to December 2012. Results The SR group showed a higher frequency of airway clearance via bronchoscopy (48.6% vs. 25.7%, P = 0.04), longer surgical time (162.7 vs. 140.9 minutes, P = 0.01), and shorter postoperative stay (13.7 vs. 18.1 days, P = 0.02) than the PN group. There was no difference in hospital mortality ( P = 1.00) or morbidity ( P = 0.40) between the two groups. A logistic regression model showed that preoperative predicted forced expiratory volume in 1 second was the only independent risk factor for overall morbidity ( P = 0.04). In survival analysis, SR showed better prognosis than PN (median 50.0 vs. 20.0 months, P < 0.01). In subgroup analysis, SR showed better survival in N0 ( P = 0.03) and N1 ( P < 0.01) cases, but not in N2 cases ( P = 0.36). It also showed better survival in stage I + II patients ( P = 0.03), but not in stage III patients ( P = 0.10). Conclusions Although PN could be carried out as safely as SR in patients over 70 years of age with a good pulmonary reservoir, SR is still recommended as a less traumatic procedure, sparing lung parenchyma with better long-term results. [ABSTRACT FROM AUTHOR]

Species of Absidia are distributed widely in the environment, while their diversity is insufficiently studied. Three new species, A. frigida, A. gemella and A. longissima, are proposed herein from Xinjiang and Yunnan in China based on phylogenetic, morphological and physiological evidence. According to maximum likelihood (ML), maximum parsimony (MP) and Bayesian inference (BI) analyses, the phylogenetical results suggest that A. frigida, A. gemella and A. longissima are closely related to A. psychrophilia, A. turgida and A. zonata and A. koreana, respectively, based on ITS and LSU rDNA sequences. Absidia frigida is characterized by a lower growth temperature, which does not grow above 24 °C. It differs from A. psychrophilia by sporangiophores, sporangia, columellae, collars and projections. Absidia gemella is distinguished from A. turgida by hypha, sporangiospores, sporangia, projections and sporangiophores. Absidia longissima is discriminated from A. zonata and A. koreana by sporangiophores, columellae and collars. The three new species are described and illustrated in this article. [ABSTRACT FROM AUTHOR]

The conflict of the human-water relationships (HWR) has further increased the water-related risks, such as water environment deterioration, water shortages, and even regional violent conflicts for obtaining usable water resources. Knowing how to evaluate and regulate the discordant HWR to form a balanced growth between sustainable socio-economy and water resources protection has become a critical issue in water resources management. The harmony theory method, which provides a new perspective for solving the conflict between humans and water, has been widely used in current studies. However, this method focuses less on the quantitative study of the balance status of HWR. This study proposes a harmony theory-based HWR evaluation method that contains a systematic process of harmony assessment, indicator identification, harmony balance constraints, and harmony regulation for assessing and regulating the discordant HWR. The Henan Province of China, which has a complicated HWR, was selected as a case study to apply and verify the approach proposed in this study. The results indicated that (1) Henan Province showed a poor harmony status. The human–water harmony degree of 18 distinctions in the province varied from 0.41 to 0.76, showing an increasing trend from 2006 to 2018, indicating that the HWR was gradually improving in recent years. (2) The human–water harmony degree showed that HWR in the southwest part of Henan Province, with less human activities, was better than that in its northeast part, which had faster social development. Sanmenxia City, located in the west part of the province, had the highest human–water harmony degree because of the recent water control projects implemented in the city, indicating that human production measures could effectively help improve HWR. (3) At present, Henan Province has serious discordant indicators in these three aspects (water system health, humanistic system development, and human-water system coordination), which proves that it is still facing pressure from both socio-economy sustainable development and water resources protection. Our results provide insight into water resources management in Henan Province and other similar regions. [ABSTRACT FROM AUTHOR]

Background: Vitamin D (VD) insufficiency or deficiency is a frequent comorbidity in Chinese women with postmenopausal osteoporosis (PMO). The present study aimed to investigate 25-hydroxyvitamin D [25(OH) D] improvement and calcium-phosphate metabolism in Chinese PMO patients treated with 70 mg of alendronate sodium and 5600 IU of vitamin D3 (ALN/D5600).Methods: Chinese PMO women (n = 219) were treated with 12-month ALN/D5600 (n = 111) or calcitriol (n = 108). Changes in 25(OH) D at month 12 were post hoc analyzed by the baseline 25 (OH) D status using the longitudinal analysis. The main safety outcome measures included serum calcium and phosphate and 24-h urine calcium, and the repeated measures mixed model was used to assess the frequencies of the calcium-phosphate metabolic disorders.Results: Absolute change in mean serum 25(OH) D level was the greatest in VD-deficient patients and least in VD-sufficient patients at months six and 12 (both, P < 0.01). Serum calcium level remained significantly lower in the ALN/D5600 treatment group than in the calcitriol treatment group throughout the 12 months. Mean 24-h urine calcium slightly increased in the ALN/D5600 treatment group and significantly increased in the calcitriol treatment group (+ 1.1 and + 0.9 mmol/L at months six and 12; both, P < 0.05). Calcitriol treatment was associated with more frequent hypercalciuria at month six (9.4% vs. 18.5%, P = 0.05), but not at month 12 (12.3% vs. 13.0%).Conclusion: Baseline VD status predicted 25(OH) D improvement in PMO patients on 12-month ALN/D5600 treatment. The daily use of 0.25 μg of calcitriol was associated with more frequent hypercalciuria at month six, compared to ALN/5600 treatment, necessitating the safety re-evaluation of calcitriol at a higher dosage. [ABSTRACT FROM AUTHOR]

Waterlogging has been suggested to affect carbon (C) turnover in wetlands, but how it affects C allocation and stocks remains unclear in alpine wetlands. Using in situ 13CO2 pulse labelling, we investigated C allocation in both waterlogged and non-waterlogged sites in the Zoigê wetlands on the Tibetan Plateau in August 2011. More than 50% of total 13C fixed by photosynthesis was lost via shoot respiration. Shoots recovered about 19% of total 13C fixed by photosynthesis at both sites. Only about 26% of total fixed 13C was translocated into the belowground pools. Soil organic C pool accounted for 19% and roots recovered about 5-7% of total fixed 13C at both sites. Waterlogging significantly reduced soil respiration and very little 13C was lost via soil respiration in the alpine wetlands compared to that in grasslands. We conclude that waterlogging did not significantly alter C allocations among the C pools except the 13CO2 efflux derived from soil respiration and that shoots made similar contributions to C sequestration as the belowground parts in the Zoigê alpine wetlands. Therefore, changes in waterlogging due to climate change will not affect C assimilate partitioning but soil C efflux. [ABSTRACT FROM AUTHOR]

Recovery of natural vegetation is an effective but slow approach to control the soil erosion in the Chinese hill and gully Loess Plateau region. As seed stage is particularly vulnerable to environmental conditions, characteristics of seed population should be needed to study for determining whether the recovery of natural vegetation is limited during this stage on the abandoned slopes in this region. The study was performed on three abandoned slopes in a watershed with an area of 8.27 km 2 in the Shaanxi province of China. The differences in soil seed banks were investigated in two different points in time, late March 2011 and early April 2013. Main factors of seed population dynamics, such as seed yield of dominant species, seed inputs by seed rain as well as seed outputs through seed loss by overland flow and seedling emergence, were monitored from late March 2011 to early April 2013. In this study, seed rain densities of the main later successional species, i.e., Lespedeza davurica (Laxm.) Schindl., Stipa bungeana Trin. and Artemisia gmelinii Web. ex Stechm., accounted for 51.5–71.6% of their own seed yields. The soil seed bank density in early April 2013 was larger than that in late March 2011. The density of seed inputs by seed rain was 10186 seeds m −2 , and the total seed bank, including seed rain and seeds present in the soil seed bank in late March 2011, reached a density of 15018 seeds m −2 during the study period. Seed densities of loss duo to overland flow and seedling emergence were 79 seeds m −2 from 20 species and 938 seedlings m −2 that belonged to 38 species during a study period, and the seed output through them accounted for 0.5% and 6.3% of the total seed bank, respectively. The study concluded that overland flow could not result in large numbers of seeds loss and seeds were accumulating in the soil seed bank due to seed rain, and vegetation succession might be limited by curbed spatial seed dispersal and seedling establishment. [ABSTRACT FROM AUTHOR]

Objective: This study aims to investigate the associations of axial length to corneal radius of curvature (AL/CRC) ratio with refractive error and to determine the effect of AL/CRC ratio on hyperopia reserve and myopia assessment among Chinese preschoolers., Methods: This was a retrospective cross-sectional study that evaluated subjects aged 4-6 years. AL and CRC were obtained using a non-contact ocular biometer. Correlation analysis was performed to explore the associations of AL/CRC ratio with spherical equivalent refractive error (SER). The accuracy of AL/CRC ratio for hyperopia reserve and myopia assessment was analysed using cycloplegic refraction by drawing receiver operating characteristic (ROC) curves., Results: The analysis included 1024 participants (537 boys, 52.4%). The mean AL/CRC ratios in hyperopes, emmetropes and myopes were 2.90±0.06, 2.95±0.05 and 3.08±0.07, respectively. The SER was found to be more strongly correlated with AL/CRC ratio (ρ=-0.66, p<0.001) than either AL or CRC alone (ρ=-0.52, p<0.001; ρ=-0.03, p=0.33, respectively). AL/CRC was correlated with SER in hyperopes (ρ=-0.54, p<0.001), emmetropes (ρ=-0.33, p<0.001) and myopes (r=-0.67, p<0.001). For low hyperopia reserve assessment, the area under the ROC curves of AL/CRC ratio was 0.861 (95% CI 0.829 to 0.892), the optimal cut-off value of the AL/CRC ratio was ≥2.955. For myopia assessment, the area under the ROC curves of AL/CRC ratio was 0.954 (95% CI 0.925 to 0.982), the optimal cut-off value of the AL/CRC ratio was ≥2.975., Conclusions: The SER showed a better correlation with AL/CRC ratio than either AL or CRC alone, especially in myopes, among children aged 4-6 years. These findings indicate that when cycloplegic refraction is unavailable, AL/CRC ratio could be used as an alternative indicator for identifying low hyperopia reserve and myopia among preschoolers, helping clinicians and parents screen children with low hyperopia reserve before primary school in a timely manner., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.)

Background: Online medical consultation can serve as a valuable means for rural residents to access high-quality health care resources, thereby mitigating the geographic and economic disadvantages prevalent in rural areas. Nevertheless, due to lower cognitive abilities, rural residents often face challenges in trusting and making effective use of online medical consultations. More likely, adopting a bounded rational decision-making model that facilitates the "offline-to-online" trust transfer could prove to be a potentially effective approach. This strategy aims to encourage less technologically experienced rural residents to trust and make use of online medical consultations., Objective: This study aims to characterize the status of "offline-to-online" trust transfer among rural residents in the context of internet health care, and analyze its direct impact on facilitating the utilization of online medical consultation. Additionally, we investigate the family spillover effect of "offline-to-online" trust transfer in promoting the use of online medical consultation among rural family members, considering its distributional effect across various education levels of the population., Methods: A multistage stratified random sampling method was used to survey participants in rural areas of China from July to September 2021, encompassing a total of 2597 rural residents from 960 rural households. Propensity score values were estimated using logit regression, and the propensity score matching method, using the K-nearest neighbor matching, radius matching, and kernel matching methods, was applied to create matched treatment and control samples of rural residents based on their experience of "offline-to-online" trust transfer. Subsequently, we calculated average treatment effect scores to compare the differences in utilizing online medical consultation between the treatment and control rural samples., Results: As many as 551/960 (57.4%) rural residents experienced an "offline-to-online" trust transfer, with a higher likelihood observed in the older population with lower levels of education and higher satisfaction with local health care services. Furthermore, rural residents who underwent "offline-to-online" trust transfer were 37%-40% more likely to utilize online medical consultation compared with those who did not experience this trust transfer. Additionally, family members of householders who underwent "offline-to-online" trust transfer were 25%-28% more likely to utilize online medical consultation than those whose householders did not experience this trust transfer. Notably, when compared with populations with high-level education, the "offline-to-online" trust transfer had more significant direct and spillover effects on the utilization of online medical consultation services among rural residents with low-level education., Conclusions: To enhance the "offline-to-online" trust transfer among rural residents and its facilitation in their utilization of online medical consultation, as well as other mobile health (mHealth) and ubiquitous health (uHealth) services, we recommend that online health care providers adopt a "patient-oriented" service model. This approach aims to elevate rural residents' satisfaction with local health care services and harness the trust-building functions inherent in physician-patient relationships and among family members., (©Jiao Lu, Jingyan Bai, Heng Zhao, Xiaoxiao Zhang. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 26.12.2023.)

At present, 25 species are accepted in Haploporus and are distributed in Asia, Europe, North America, South America, Australia, and Africa. In this study, two new species, Haploporus ecuadorensis from Ecuador and H. monomitica from China, are described and illustrated based on morphological examination and phylogenetic analyses. H. ecuadorensis is characterized by annual, resupinate basidiomata with pinkish buff to honey yellow hymenophore when dry, round to angular pores of 2-4 per mm, a dimitic hyphal structure with generative hyphae bearing clamp connections, hyphae at dissepiment edge usually with one or two simple septa, the presence of dendrohyphidia and cystidioles, and oblong to ellipsoid basidiospores measuring 14.9-17.9 × 6.9-8.8 µm. Haploporus monomitica differs from other Haploporus species in that it has a monomitic hyphal system and strongly dextrinoid basidiospores. The differences between the new species and morphologically similar and phylogenetically related species are discussed. In addition, an updated key to 27 species of Haploporus is provided., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Man, Dai, Bian, Zhou, Zhao and Vlasák.)

Objectives: Minimally invasive surgery provides an ideal method for pathologic diagnosis and curative intent of small pulmonary nodules (SPNs); however, the main problem with thoracoscopic resection is the difficulty in locating the nodules. The goal of this study was to determine the safety and feasibility of a new localization technique tailored for SPNs., Methods: A computed tomography (CT)-guided technique, which has a tri-colored suture and claw with 4 fishhook-shaped hooks, was designed to localize SPN preoperatively. Then a multicenter, prospective study was conducted to evaluate the safety and feasibility of this device. The primary endpoints included safety (asymptomatic/symptomatic pneumothorax or parenchymal hemorrhage, and unanticipated adverse effects) and success rate (precise placement and device fracture, displacement, or dislodgement). The secondary endpoints included feasibility (duration of the localization procedure and device fracture or fault) and patient comfort (pain)., Results: A total of 90 SPNs were localized from 80 patients. Overall, no symptomatic complications requiring medical intervention, with the exception of asymptomatic pneumothorax (n = 7 [7.8%]) and lung hemorrhages (n = 5 [5.6%]), were observed. The device was successfully placed without dislodgment or movement in 87 of 90 lesions (96.7%). The median nodule size was 0.70 cm (range, 0.30-1.0 cm). The median duration of the procedure was 15 minutes (range, 7-36 minutes). No patient complained of notable pain during or after the procedure., Conclusions: This new device for SPNs is safe, and has a high success rate, feasibility and good tolerance., (Copyright © 2019 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.)

BACKGROUND We investigated the correlation between cavity formation, prognosis, and tumor stage for pathologic stage I invasive lung adenocarcinomas (IADCs) ≤3 cm in size. MATERIAL AND METHODS 2106 candidates with pathologic stage I IADC were identified from Shanghai Chest Hospital between 2009 and 2014. There were 227 patients who were diagnosed as having cavity formation and another 1879 patients who were not (the non-cavitary lung cancer group). Kaplan-Meier analysis curves were conducted to compare the overall survival (OS) and relapse-free survival (RFS) between these 2 groups. Cox proportional hazards regression was performed to discover the independent risk factors of OS and RFS. Receiver operating characteristic (ROC) curve was done to determine the cutoff value of cavity size for predicting prognosis. Furthermore, subgroup analysis was stratified by the size of tumor and the 8th classification of T category. RESULTS Compared with non-cavitary lung cancer group, patients with cavity formation were found to have a higher prevalence of male patients (P=0.015), older age patients (P=0.039), larger size tumors (P=0.004), and worse cancer relapse (P<0.001). Survival analysis found that patients with cavitary IADC had significantly shorter RFS than those with non-cavitary IADC (P=0.001). Further, subgroup analysis confirmed a significantly worse RFS in cavitary IADC group both in stage T1a (P=0.002) and T1b (P<0.001), but not for stage T1c (P=0.962) and T2a (P=0.364). Moreover, cavity formation was still less of a significant predictor of RFS in multivariable analysis (hazard ratio [HR] 1.810, 95% confidence level [CI] 1.229-2.665, P=0.003). The ROC curve showed that the best cutoff value of maximum diameter of the cavity for judging RFS was 5 mm (sensitivity: 0.500; specificity: 0.783). At the same time, multiple cavities were more likely to lead to recurrence (sensitivity: 0.605; specificity: 0.439). CONCLUSIONS Cavitary adenocarcinoma was a worse prognostic indicator compared with non-cavitary adenocarcinoma, especially for cavity >5 mm and multiple cavities. Thus, for stage T1a and T1b, cavitary and non-cavitary IADC should be considered separately.

Background: Vitamin D (VD) insufficiency or deficiency is a frequent comorbidity in Chinese women with postmenopausal osteoporosis (PMO). The present study aimed to investigate 25-hydroxyvitamin D [25(OH) D] improvement and calcium-phosphate metabolism in Chinese PMO patients treated with 70 mg of alendronate sodium and 5600 IU of vitamin D 3 (ALN/D5600)., Methods: Chinese PMO women (n = 219) were treated with 12-month ALN/D5600 (n = 111) or calcitriol (n = 108). Changes in 25(OH) D at month 12 were post hoc analyzed by the baseline 25 (OH) D status using the longitudinal analysis. The main safety outcome measures included serum calcium and phosphate and 24-h urine calcium, and the repeated measures mixed model was used to assess the frequencies of the calcium-phosphate metabolic disorders., Results: Absolute change in mean serum 25(OH) D level was the greatest in VD-deficient patients and least in VD-sufficient patients at months six and 12 (both, P < 0.01). Serum calcium level remained significantly lower in the ALN/D5600 treatment group than in the calcitriol treatment group throughout the 12 months. Mean 24-h urine calcium slightly increased in the ALN/D5600 treatment group and significantly increased in the calcitriol treatment group (+ 1.1 and + 0.9 mmol/L at months six and 12; both, P < 0.05). Calcitriol treatment was associated with more frequent hypercalciuria at month six (9.4% vs. 18.5%, P = 0.05), but not at month 12 (12.3% vs. 13.0%)., Conclusion: Baseline VD status predicted 25(OH) D improvement in PMO patients on 12-month ALN/D5600 treatment. The daily use of 0.25 μg of calcitriol was associated with more frequent hypercalciuria at month six, compared to ALN/5600 treatment, necessitating the safety re-evaluation of calcitriol at a higher dosage.

This study aimed to investigate the incidence, remission and risk factors of non-alcoholic fatty liver disease (NAFLD) among a general population with a 6-year follow-up. In total, 691 individuals from the general population in Jilin, China aged 20-75 years participated in two independent cross-sectional surveys carried out in 2007 and 2013. After excluding patients with alcoholism, viral hepatitis and other liver diseases, 646 individuals were finally enrolled in our study. Of the 646 subjects, 512 did not have NAFLD at baseline, while 134 did. Of the 512 individuals without NAFLD at baseline, 188 (36.7%) developed NAFLD during the six-year follow-up period. The baseline body mass index (BMI, OR = 1.49, 1.36-1.64), high-density lipoprotein cholesterol level(HDL-C) (OR = 0.35, 0.16-0.76) and weight gain (OR = 1.22, 1.16-1.29) were independent predictors for NAFLD incidence. Of the 134 subjects with NAFLD at baseline, 33 (24.6%) had no evidence of NAFLD after 6 years. Males (OR = 4.85, 1.98-11.92) and baseline BMI levels (OR = 0.81, 0.70-0.94) were associated with NAFLD remission. Among the general population, the incidence of NAFLD mainly depended on baseline weight and weight gain. Subjects with mild baseline weights and male subjects were prone to NAFLD remission.

Background: With the development of diagnostic techniques, the incidence of multiple pulmonary nodules has increased. The management of multiple primary lung cancer patients based on currently established criteria, however, remains controversial., Methods: Patients who underwent curative operations for bilateral multiple primary lung cancer (BMPLC) based on the Martini-Melamed criterion between January 2001 and June 2014 were reviewed retrospectively., Results: Bilateral lobectomies and lobectomies with contralateral sublobar resections were performed in 39 and 49 patients, respectively. Bilateral sublobar resections were performed in the remaining 13 cases. Overall survival at 3 and 5 years was 84.5% and 75.0%, respectively. The use of a limited resection procedure for the contralateral second nodule in cases with stage I BMPLC did not have a negative effect on the 5-year overall survival (p = 0.752). Postoperative pathologic diagnosis classified by the most advanced TNM stage appeared to present a good correlation with prognosis in patients with BMPLC. Cox multivariate analysis identified the most advanced TNM stage (p = 0.018) and the number of lesions (p = 0.001) as significant predictors of overall survival., Conclusions: The prognosis of patients after bilateral surgical treatment with curative intent for BMPLC was shown to be promising. The use of a limited resection procedure for the contralateral second nodule in cases with stage I BMPLC did not have a negative effect on the 5-year overall survival. Postoperative pathologic diagnosis classified by the most advanced TNM had a good correlation with prognosis in patients with BMPLC., (Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)

Background: Primary tracheal cancer comprises a heterogeneous and rare group of neoplasms. Management of patients with primary tracheal carcinoma at our institution has improved in recent years., Methods: This retrospective review included patients with localized primary tracheal adenoid cystic carcinoma treated surgically at our institution between January 1995 and December 2014. Patients were classified according to the timing of first operation: "early years" operation was performed between January 1995 and December 2002, and subsequent "recent years" operation was associated with improved management and a focus on early diagnosis., Results: The proportion of patients with tracheal malignancy who underwent operation for adenoid cystic carcinoma increased with time. Patients in the recent group were significantly younger than those in the early group at diagnosis (49.3 ± 7.8 years versus 45.7 ± 9.4 years; p = 0.042), and the resected tumor size and tracheal lengths tended to be smaller (28.2 ± 7.6 mm versus 30.3 ± 7.0 mm; p = 0.161) and shorter (32.1 ± 7.7 mm versus 34.4 ± 6.7 mm; p = 0.123). The use of postoperative radiotherapy in patients with R1 resection was also managed more effectively in the recent group compared with the early group (90.6% versus 65.0%; p = 0.009). Five- and 10-year overall survival rates in the early and recent groups were 86.4% and 90.8%, and 31.8% and 61.2%, respectively (p = 0.084), and the corresponding 5- and 10-year disease-free survival rates were 39.7% and 75.3%, and 9.9% and 21.2%, respectively (p = 0.025)., Conclusions: There have been improved outcomes of adenoid cystic carcinomas. Early diagnosis, experienced surgical treatments, and postoperative adjuvant radiotherapy for patients with positive margins may contribute to the improved survival of patients with primary tracheal adenoid cystic carcinoma., (Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)

To investigate the vehicle induced air pollution situations both inside and outside the tunnel, the field measurement of the pollutants concentrations and its diurnal variations was performed inside and outside the Xiangyin tunnel in Shanghai from 13:00 on April 24th to 13:00 on April 25th, 2013. The highest hourly average concentrations of pollutants were quantified that CO, NO, NO2 and NOX inside the tunnel were 13.223 mg/m3, 1.829 mg/m3, 0.291 mg/m3 and 3.029 mg/m3, respectively, while the lowest ones were 3.086 mg/m3, 0.344 mg/m3, 0.080 mg/m3 and 0.619 mg/m3. Moreover, the concentrations of pollutants were higher during the daytime, and lower at night, which is relevant to the traffic conditions inside the tunnel. Pollutants concentrations inside the tunnel were much higher than those outside the tunnel. Then in a case of slow wind, the effect of wind is much smaller than the impact of pollution sources. Additionally, the PM2.5 concentrations climbed to the peak sharply (468.45 µg/m3) during the morning rush hours. The concentrations of organic carbon (OC) and elemental carbon (EC) in PM2.5 inside the tunnel were 37.09-99.06 µg/m3 and 22.69-137.99 µg/m3, respectively. Besides, the OC/EC ratio ranged from 0.72 to 2.19 with an average value of 1.34. Compared with the results of other tunnel experiments in Guangzhou and Shenzhen, China, it could be inferred that the proportion of HDVs through the Xiangyin tunnel is relatively lower.

Objectives: The aim of this study was to analyse the early and long-term results of completion pneumonectomy (CP)., Methods: A retrospective review of consecutive patients who underwent CP in the Shanghai Chest Hospital., Results: Fifty-six CP were performed between January 2003 and July 2013. There were 45 conventional CP (CCP) and 11 rescue CP (RCP) cases. CCP was defined as resection of the remaining lung because of the occurrence of new lesions in patients with previous lung resection. RCP was defined as resection of the remaining lung because of severe complication after primary lung surgery. The mortality and morbidity rates of CCP were 4.4 and 33.3%, respectively. For CCP, the morbidity was significantly higher in benign cases than in malignant cases (80.0 vs 27.5%, P = 0.04). The mortality and morbidity rates of RCP were 27.3 and 90.9%, respectively. For RCP, advanced age (P = 0.046) and preoperative mechanical ventilation (P = 0.03) were related to higher postoperative mortality. The overall 5-year survival rate was 80% for benign cases, whereas for lung malignancy cases, it was 30%. Survival varied (median 60.0 vs 35.0 vs 10.0 months, I vs II vs III, P < 0.01) for different TNM stages and was better for a time interval (between primary surgery and occurrence of lesion) of >2 years (median 60.0 vs 18.0 months, P < 0.01)., Conclusions: CP was an operation with high risk, especially for RCP. Advanced age and mechanical ventilation before the operation were related to higher mortality in RCP. CCP of benign cases was related to higher postoperative risk, but with good survival. For lung malignancy, survival was better for a time interval (between primary surgery and occurrence of lesion) of >2 years., (© The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.)