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The threat of microplastics to marine animals and habitats is increasing, which may affect sea turtle nesting grounds. The Qilianyu Islands are the largest remaining green turtle (Chelonia mydas) nesting grounds in China. Despite being far from the mainland, microplastic pollution cannot be ignored. In this study, the level of microplastic pollution in surface sediments from three different zones, namely, the bottom, intertidal, and supratidal zone, was investigated on North Island, Qilianyu Islands. The results showed that the abundance of microplastics in the supratidal zone was significantly higher than that in the bottom zone and intertidal zone (r = 3.65, p = 0.011), with the highest average abundance of microplastics located on the southwest coast of North Island. In the bottom zone, only plastic blocks (88%) and fibers (12%) were found. The main types of microplastics in the intertidal and supratidal zones were plastic blocks (48%) and foam (42%), with polyethylene (PE) (40%) and polystyrene (PS) (34%) being the predominant components. These types and components of microplastics differed from those in the surrounding seawater, but corresponding types and components were found in the plastic debris on the beach. Meanwhile, it was also observed that there were multiple instances of fragmented plastic on the beach. Thus, we suggest that the microplastics on the beach in North Island were mainly derived from the fragmentation of microplastic debris, indicating secondary microplastics. It is recommended to further strengthen the regular cleaning of plastic debris on the beach, especially the removal of small plastic debris, in order to reduce the pollution from secondary microplastics generated by the fragmentation of beach plastic debris and to better protect China's most important sea turtle nesting site in the South China Sea. [ABSTRACT FROM AUTHOR]

Introduction: Streptococcus pneumoniae is an important human pathogen that may cause severe invasive pneumococcal diseases (IPDs) in young children and the elderly. A comprehensive comparative whole-genome analysis of invasive and non-invasive serotype strains offers great insights that are applicable to vaccine development and disease control. Methods: In this study, 58 invasive (strains isolated from sterile sites) and 71 non-invasive (serotypes that have not been identified as invasive in our study) pneumococcal isolates were identified among the 756 pneumococcal isolates obtained from seven hospitals in Zhejiang, China (2010-2022). Serotyping, antimicrobial resistance tests, and genomic analyses were conducted to characterize these strains. Results and discussion: The three most invasive serotypes were 23F, 14, and 6B. The invasive pneumococcal isolates' respective resistance rates against penicillin, ceftriaxone, tetracycline, and erythromycin were 34.5%, 15.5%, 98.3%, and 94.7%. Whole-genome sequencing indicated that the predominant invasive clonal complexes were CC271, CC876, and CC81. The high rate of penicillin non-susceptible Streptococcus pneumoniae (PNSP) is related to the clonal distribution of resistance-conferring penicillin-binding proteins (PBP). Interestingly, we found a negative correlation between invasiveness and resistance in the invasive pneumococcal serotype strains, which might be due to the proclivity of certain serotypes to retain their β-lactam resistance. Moreover, the mutually exclusive nature of zmpC and rrgC+srtBCD suggests their intricate and potentially redundant roles in promoting the development of IPD. These findings reveal significant implications for pneumococcal vaccine development in China, potentially informing treatment strategies and measures to mitigate disease transmission. [ABSTRACT FROM AUTHOR]

Background: Female nurses have been considered as a vulnerable population in the context of mental health, due to the nature of their work, which can be stressful and emotionally taxing. Understanding the relationship between depressive symptoms and quality of work life (QWL) can contribute to improving mental health and job performance. However, limited studies have focused on the effect of depressive symptoms on QWL in female nurses. Objectives: The present study aimed to assess the effect of depressive symptoms on female nurses’ QWL using propensity score matching (PSM). Methods: A cross-sectional, online study using convenience sampling was conducted among 1,401 female nurses in China. PSM was used to minimize the impact of potential confounders between no depressive symptoms and depressive symptoms. Stepwise multiple linear regression analyses were performed on the PSM samples to explore the effects of depressive symptoms on the QWL. Results: The results revealed there were 33.5% of the female nurses reported depressive symptoms before PSM. And female nurses in this study had a moderate level of QWL before PSM (122.11  ±  18.15), which remained steady after PSM (118.33  ±  18.04). After PSM, the final sample contained 864 female nurses. Stepwise multiple linear regression results indicated that depressive symptoms were the most strongly associated with QWL (β   = −0.454, p  <  0.001). Conclusion: This study highlights the importance of developing mental health plans and psychological interventions for female nurses to maintain mental health and QWL, which is critical to the nursing workforce’s sustainability. [ABSTRACT FROM AUTHOR]

Modern geodetic technologies, including high-precision ground-based gravity measurements, satellite gravimetry, satellite altimetry, Global Navigation Satellite Systems (GNSS), and Interferometric Synthetic Aperture Radar(InSAR), offer a wealth of observations for monitoring global hydrological processes with exceptional accuracy and spatio-temporal resolutions. Mass redistribution and Earth's surface deformation over land related to global and regional water cycling can be inferred from modern gravimetry, altimetry, GNSS, and InSAR techniques. Hydrogeodesy becomes an emerging field of geodesy aiming to analyze the changes of water in the Earth system. The paper introduces the China's advances in hydrogeodesy in recent years. It brings together multiple geodetic teams' work from China, showcasing the application of modern geodetic technologies in the field of hydrology, including research on terrestrial water storage, groundwater storage, glaciers/ice sheets, and reservoir water storage. [ABSTRACT FROM AUTHOR]

In China, Hainan Island is a priority area for turtle conservation because of its biodiversity. Over the years, errors in turtle taxonomy and distribution have been made in the scientific literature, perpetuating into relevant laws and government documents and affecting conservation and management. In the present article, we describe the species of nonmarine turtles on Hainan Island, China, based on literature, museum specimens, and field surveys during the past 27 yrs. Historically, 23 nonmarine turtle species were recorded on Hainan Island. Among them, 9 species should be removed due to errors: 5 species are not naturally distributed on Hainan Island (Manouria impressa, Sacalia bealei, Cuora flavomarginata, Mauremys nigricans, and Mauremys reevesii), 3 are invalid hybrids (Ocadia philippeni, Sacalia pseudocellata, and Cuora serrata), and 1 is a synonym of another species (Mauremys megalocephala is a synonym of M. reevesii). In addition, of the 3 new species recorded from Hainan Island (Sacalia insulensis, Pelodiscus variegatus, and Pelodiscus parviformis), S. insulensis replaces Sacalia quadriocellata, P. variegatus is valid, and P. parviformis is likely an error. Therefore, there should be 12 nonmarine turtle species naturally found on Hainan Island: Platysternon megacephalum, Cuora galbinifrons, Cuora mouhotii, Cuora trifasciata, Geoemyda spengleri, Mauremys mutica, Mauremys sinensis, S. insulensis, Palea steindachneri, Pelochelys cantorii, Pelodiscus sinensis, and P. variegatus. Clarifying the presence and distribution of nonmarine turtle species will provide a reference for future research and practical guidance for conservation management on this turtle-rich island. [ABSTRACT FROM AUTHOR]

Purpose: To compare the effects of whole-body vibration training (WBVT) with different frequencies on the balance ability of older adults. Methods: Randomized controlled trials (RCTs) on the WBVT interventions on balance ability in older adults were searched through PubMed, Web of Science, The Cochrane Library, ProQuest, Embase, Opengrey, China National Knowledge Infrastructure (CNKI), Wanfang, and China Science and Technology Journal Database (CSTJ) databases from the establishment of the database to August 2022, and all literature that met the PICOS (Participants, Intervention, Comparison, Outcomes, Study design) criteria were enrolled. Two reviewers screened and assessed the methodological quality of the included literature according to the physiotherapy evidence database (PEDro) scale criteria. Statistical analysis was performed using Stata 14.0 software after data extraction.Results: Twenty-five RCTs with a total of 1267 subjects were finally included. The results of the pairwise comparison of the Network Meta-analysis showed that the Timed Up and Go Test (TUGT) values of Low-frequency whole-body vibration training (LF-WBVT) was lower than the placebo and traditional rehabilitation groups, and the difference was statistically significant [WMD = −1.37, 95% CI (−2.53, −0.20)] [WMD = −1.84, 95% CI(-3.17,-0.51)]. The Five-repetition Sit-to-Stand Test (5STS) values of LF-WBVT, Medium-frequency whole-body vibration training (MF-WBVT), and High-frequency whole-body vibration training (HF-WBVT) were lower than the placebo and traditional rehabilitation groups, but none of them were statistically significant. In addition, the TUGT and 5STS values of HF-WBVT had a tendency to be lower than those of LF-WBVT and MF-WBVT, but neither of them was statistically different. The cumulative probability ranking results of both TUGT and 5STS showed that HF-WBVT was the best protocol.Conclusion: Current evidence shows that HF-WBVT may be the best protocol for improving balance in older adults. Due to the study’s limitations, the conclusion obtained in this study still needs to be further confirmed by more high-quality studies. [ABSTRACT FROM AUTHOR]

Objectives: Patient-reported outcomes (PROs) provide a global perspective of patient health status which plays an enormous role in evaluating clinical efficacy. However, the application of PROs in traditional Chinese medicine (TCM) was still insufficiently studied in mainland China. Methods: This cross-sectional study was performed based on interventional clinical trials of TCM that were conducted in mainland China from 1 January 2010, to 15 July 2022. Data was retrieved from the ClinicalTrials.gov and Chinese Clinical Trial Registry. We included interventional clinical trials of TCM for which the country of the primary sponsors or recruitment settings in mainland China. For each included trial, data including clinical trial phases, study settings, participant's age, sex, diseases, and the patient-reported outcome measures (PROMs) were extracted. Trials were categorized into four categories according to 1) listed PROs as primary endpoints, 2) listed PROs as secondary endpoints, 3) listed PROs as coprimary outcomes (both primary and secondary endpoints), and 4) did not mention any PROMs. Results: Among a total of 3,797 trials, 680 (17.9%) trials listed PROs as primary endpoints, 692 (18.2%) trials listed PROs as secondary endpoints, and 760 (20.0%) trials listed PROs as coprimary endpoints. Among 675,787 participants included in the registered trials, 448,359 (66.3%) patients' data were scientifically collected by PRO instruments. Neurological diseases (11.8%), musculoskeletal symptoms (11.5%), mental health conditions (9.1%) were the most common conditions evaluated by PROMs. Disease-specific symptoms related concepts were used most frequently (51.3%), followed by health-related quality of life concepts. Visual analog scale, 36-item Short-Form Health Questionnaire, and TCM symptom score were the most common PROMs in these trials. Conclusion: In this cross-sectional study, the use of PROs increased in the past decades according to clinical trials of TCM conducted in mainland China. Considering that the application of PROs in clinical trials of TCM has some existing issues including uneven distribution and lack of normalized PROs of TCM, further study should be focused on the standardization and normalization of TCM-specific scales. [ABSTRACT FROM AUTHOR]

Background: The risk factors of progestational anxiety, depression, and sleep disturbance in women with a history of recurrent pregnancy loss (RPL) remain controversial, additional study is needed to investigate the incidence and risk factors of progestational anxiety, depression, and sleep quality in RPL women. Methods: A cross-sectional study was conducted among 663 non-pregnant RPL women in Northeast China from October 2019 to July 2022. We assessed the state of anxiety, depression, and sleep quality before pregnancy using structured questionnaires, including sociodemographic characteristics, statetrait anxiety scale (STAI), center for epidemiological survey, depression scale (CES-D), Pittsburgh sleep quality index (PSQI), and symptom self-rating scale (SCL-90). Logistic regression was used to evaluate the association between sleep quality and anxiety, depression. Pearson's correlation was used to evaluate the correlation between anxiety and depression. Multivariate logistic regression analysis was used to find the risk factors of depression symptoms. The receiver operating characteristic curve (ROC) was used to evaluate the predictive value of the model. Results: The incidence of state anxiety, trait anxiety, depression, and sleep disturbance in RPL women were 60.3, 51.7, 33.9, and 31.2%, respectively. The level of anxiety and depression in RPL women varied at different stages of treatment. In a longitudinal study (25 pairs), we found the level of state anxiety and trait anxiety were significantly lower after the cause was identified. Sleep disturbance is positively correlated with anxiety and depression. Logistic regression showed that the number of miscarriages =4 (Odds ratio (OR) = 2.268, 95%CI 1.300-3.956), Low household family income (OR = 1.613, 95%CI 1.036-2.513/OR = 2.361, 95%CI 1.095-5.092), interval since last miscarriage <6 months (OR = 2.154, 95%CI 1.246-3.726) and sleep disturbance (OR = 5.523, 95%CI 3.542-8.614) were associated with the occurrence of depressive symptoms. At the same time, anxiety can be used as a predictor of depression. Conclusion: Recurrent pregnancy loss women have a certain degree of anxiety, depression, and sleep disturbance. Education level, interval since the last miscarriage <6 months, and sleep disturbance are risk factors for anxiety and depression. A history of pregnancy loss after 14 weeks and no living birth are also closely related to anxiety. Therefore, it is necessary to pay close attention to the psychological state of RPL women and provide appropriate psychosocial support to reduce the occurrence of negative emotions. [ABSTRACT FROM AUTHOR]

Objectives: This study aimed to characterize the genomic epidemiology of human adenoviruses (HAdVs) in Hubei, China, using metagenomic next-generation sequencing (mNGS). Methods: In total, 25 HAdV-positive samples collected from 21 pediatric patients were sequenced and subjected to mNGS using the NextSeq 550 and GenoLab M sequencing platforms. The metagenomic data were assembled de novo for molecular typing, phylogenetic and recombination analyzes. Results: We assembled 50 HAdV genomes, 88% (22/25) genomes from GenoLab M, and 84% (21/25) genomes from NextSeq 550 have perfect alignments to reference genomes with greater than 90%. The most fully assembled 25 genomes were categorized into 7 HAdV genotypes, the most abundant of which were HAdV-B3 (9/25) and HAdV-C2 (6/25). Phylogenetic analyzes revealed that the newly isolated HAdV-B3 strains diverged into separate clusters according to their genotypes. Vigilance is needed that HAdV-B3 isolates have begun to form new distinct clusters. High nucleotide identity was observed in the whole genome level within the same HAdV genotypes, while marked differences of three capsid genes across HAdV genotypes were noted. The high nucleotide diversity regions were concordant with the reported hypervariable regions. Further, three recombinant strains were identified: S64 and S71 originated from the parental strains HAdV-B14 and HAdV-B11, and S28 originated from HAdV-C1, HAdV-C5, and HAdV-CBJ113. GenoLab M and NextSeq 550 showed comparable performance with respect to data yield, duplication rate, human ratio, and assembly completeness. Conclusion: The sequencing quality and assembly accuracy showed that mNGS assembled genomes can be used for subsequently HAdV genotyping and genomic characterization. The high nucleotide diversity of capsid genes and high frequency of recombination events has highlighted the necessity for HAdV epidemiological surveillance in China. [ABSTRACT FROM AUTHOR]

Aim: To evaluate the relationship between carotid stenosis with variants in genes referred to inflammation and endothelial function. Methods: There was a multi-center, cross sectional survey in southwestern China. The eight communities were selected at random in southwestern China. The residents aged >40 years volunteered to participate in face-to-face survey. Subjects with at least three of the aforementioned eight stroke related risk factors or a history of stroke were classified as high-risk population for stroke. A total of 2,377 subjects were the high-risk population for stroke in the eight communities, and degree of carotid stenosis was assessed by carotid ultrasound. Genotypes of 6 variants in 3 genes related to inflammation and endothelial function were examined. Gene-gene interaction was analyzed by generalized multifactor dimensionality reduction (GMDR). Results: Carotid stenosis were found in 295 (12.41%) subjects, of whom 51 (17.29%) had moderate or severe stenosis. According to multivariate logistic regression analysis, we found that HABP2rs7923349TT was independent risk factor for carotid stenosis (OR, 1.96, 95% CI: 1.22-3.13, P = 0.005) and ITGA2rs1991013AG and HABP2rs7923349TT were independent risk factors for moderate to severe carotid stenosis (OR, 2.28, 95% CI: 1.28-4.07, P = 0.005; OR, 2.90, 95% CI: 1.19-7.08, P = 0.019). GMDR analysis showed that there was a significant gene-gene interaction between ITGA2 rs4865756 and HABP2 rs7923349, and the high-risk interactive genotype in the two variants was independently associated with a higher risk for carotid stenosis after adjusting the covariates (OR, 1. 42, 95% CI 1.10-1.84, P = 0.008). Conclusions: Prevalence of carotid stenosis was very high in the high-risk stroke population in southwestern China. Variants in genes referred in endothelial function were associated with the carotid stenosis. The high-- risk interactive genotype in ITGA2 rs4865756 and HABP2 rs7923349 was independently associated with a higher risk for carotid stenosis. [ABSTRACT FROM AUTHOR]

The herpetofauna of the Indomalayan bioregion of Asia suffers from severe habitat loss, unsustainable harvesting, and lack of research and conservation. Here, we investigated the range‐wide phylogeography of the endangered "eyed" turtles (genus Sacalia, including the Beale's Eyed Turtle S. bealei and the Four‐eyed Turtle S. quadriocellata) and discovered a natural interspecific hybrid turtle population in China. Based on phylogeny of the mitochondrial Cytochrome b gene of 101 samples in this study and public data, three major clades and six subclades were identified: S. bealei (SBE) in eastern‐southern China, east S. quadriocellata in South China (northern east [SQUen] and southern east [SQUes] subclades), and west S. quadriocellata mainly in Vietnam (northern west [SQUwn], central west [SQUwc], and southern west [SQUws] subclades). We sequenced 16 nuclear DNA loci of 87 samples from SBE, SQUen, SQUes, and SQUwn subclades. Population genetic clustering analysis suggested a structure similar to the mitochondrial phylogeny, where most samples were classified into four genetic clusters corresponding to the four mtDNA subclades. However, a proportion of samples carrying SQUen mtDNA haplotypes formed an additional distinct cluster SHY. Those samples are found in the contact zone of the two species bearing mosaic and intermediate morphological characteristics. We detected an admixed ancestry in SHY from SBE and SQUen that conformed to an intrapopulation breeding scenario for at least hundreds of generations after the initial hybrid event, leading to a conclusion that SHY is a distinct and near‐panmictic population derived from natural interspecific hybridization. In addition, SQUes (Hainan Island endemic) is of special concern due to significant isolation and low genetic diversity. We suggest that seven evolutionarily significant units should be recognized to facilitate appropriate conservation actions. These findings also highlight the urgent need for further herpetological research and conservation in this region. [ABSTRACT FROM AUTHOR]

Background and purpose: Abdominal obesity (AO) is a well-known independent risk factor for stroke in the general population although it remains unclear in the case of the elderly, especially in Chinese older patients with obstructive sleep apnea (OSA), considering the obesity paradox. This study aimed to investigate the association between AO and stroke among Chinese older patients with OSA. Methods: Data were collected from January 2015 to October 2017, and 1,290 older patients (age 60-96 years) with OSA (apnea-hypopnea index ≥ 5 events/h on polysomnography) were consecutively enrolled from sleep centers at six hospitals, evaluated for AO defined as waist circumference (WC) using the standardized criteria for the Chinese population, and followed up prospectively for a median period of 42 months. Logistic regression and Cox regression analyses were used to determine the cross-sectional and longitudinal associations between AO and stroke risk in these participants and different groups of the severity of OSA. Results: Participants with AO had a higher prevalence of stroke at baseline. A higher incidence of stroke during a median follow-up period of 42 months in participants with AO than in participants without AO (12.4% vs. 6.8% and 8.3% vs. 2.4%, respectively; both P < 0.05) was predicted. Cross-sectional analysis revealed an association between AO and stroke (odds ratio [OR]1.96, 95% confidence interval [CI] 1.31-2.91), which was stronger among participants with moderate OSA only (OR 2.16, 95%CI 1.05-4.43). Cox regression analysis showed that, compared to participants without AO, participants with AO had a higher cumulative incidence of stroke (hazard ratio [HR] 2.16, 95% CI 1.12-4.04) during a median follow-up of 42 months, and this association was observed in patients with severe OSA only (HR 3.67, 95% CI 1.41-9.87) but not for individuals with mild OSA (HR = 1.84, 95% CI 0.43-6.23) and moderate OSA (HR = 1.98, 95% CI 0.73-6.45). Conclusion: The risk of stroke is associated with AO among Chinese older patients who have OSA, both at baseline and during follow-up, and the strength of the association varied by OSA severity. Active surveillance for early detection of AO could facilitate the implementation of stroke-preventive interventions in the Chinese older OSA population. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study was to evaluate the efficacy of acupuncture, an alternative medicine therapy, as a preventive treatment for menstruationrelated migraine (MRM). Patients and methods: This was a prospective, multicenter, double-dummy, participant-blinded, randomized controlled clinical trial conducted in China between 1 April 2013, and 30 April 2014. The participants were enrolled from four study centers and randomized to into either the acupuncture group, which received 24 sessions of acupuncture at traditional acupoints plus placebo, or the medication group, which received sham acupuncture plus naproxen. The primary endpoint was change from the baseline average number of migraine days per perimenstrual period over cycles 1-3. The secondary endpoints included changes from the baseline average number of migraine days outside the perimenstrual period, mean number of migraine hours during and outside the perimenstrual period, mean visual analog scale score during and outside the perimenstrual period, ≥50% migraine responder rate, and the proportion of participants who used acute pain medication over cycles 1-3 and 4-6. Results: A total of 172 women with MRM were enrolled; 170 in the intentionto-treat analyses. Our primary outcome reported a significant between-group difference that favored the acupuncture group (95% CI, 0.17-0.50; P < 0.001), with the average reduction of migraine days per perimenstrual period from the baseline was 0.94 (95% CI, 0.82-1.07) in the acupuncture group and 0.61 (95% CI, 0.50-0.71) in the medication group over cycles 1-3. Conclusion: This study showed that compared to medication, acupuncture reduces the number of migraine days experienced by patients with MRM. For patients who received the acupuncture treatment over three cycles, the preventive effect of the therapy was sustained for six cycles. [ABSTRACT FROM AUTHOR]

Purpose: Mutation in the USH2A gene is the most common cause of inherited retinal dystrophy (IRD), including non-syndromic retinitis pigmentosa (RP) and Usher syndrome II (USH2). Gene editing and therapy targeting USH2A, especially the hotspot region, would benefit a large proportion of IRD patients. In this study, we comprehensively analyzed the genetic spectrum of the USH2A gene, aiming to identify global hot spot mutations in USH2A-related IRDs and differences in hot spot regions across continents. Materials and methods: A retrospective USH2A-related IRD study was conducted, including our IRD cohort, and reported USH2A studies worldwide. Results: A total of 3,972 mutated USH2A alleles of approximately 1,935 patients were collected from 33 cohort studies worldwide, containing 102 alleles of 51 patients in our IRD cohort. Mutations in exon 13 were the most common, reaching 18.4% globally and a higher frequency of 22% in America, 19.2% in Europe, and a lower 12% in East Asia. Pathogenic mutations that affected 10 of the 72 exons of USH2A, exon 2, exon 13, exon 41-43, exon 50, exon 54, exon 57, exon 61, and exon 63 in total were responsible for half of global USH2A mutant alleles. With base editors including adenine base editor (ABE), cytidine base editor (CBE), and glycosylase base editor (GBE), 76.3% of single nucleotide variations (SNVs) and 58% of all mutations in USH2A are correctable. Meantime, four novel pathogenic mutations were revealed in our IRD cohort, p. (Val1130Cysfs-72), p. (Ala2139fs-14), p. (Gly4139Arg), and p. (Val4166Cysfs-7). Conclusion: In this study, we revealed four novel mutations, expanding the spectrum of USH2A mutations, and importantly presented global hotspot exons and mutations of USH2A as well as the proportion of SNVs that can be restored by different base editors, providing a perspective for exploring high-efficiency and broader-reaching gene editing and gene therapies. [ABSTRACT FROM AUTHOR]

Chemical pollutants present a substantial threat to the survival of the green turtle (Chelonia mydas). In this study, the concentrations of 12 trace elements (TEs) in seawater, sediments, and green turtle forage and eggshells from the Xisha Islands in the South China Sea, along with their patterns of transfer and accumulation, were identified. The results revealed that the median TE concentrations in seawater and sediments were lower than the first-grade limit values of the national standard in China, indicating a low ecological risk. The concentrations (μg·g−1) of TEs in forage ranged from 0.05–0.69, 3.43–14.4, 157–2391, 27.9–124, 2.05–9.39, 0.30–9.78, 2.01–80.50, 0.18–5.76, 0.06–0.98, 2.00–18.4, 0.02–0.24, and 0.01–0.09 for Cr, Mn, Sr, Fe, Ni, Cu, Zn, Se, Cd, As, Pb, and Hg, respectively. Seawater, sediments, turtle forage, and eggshells exhibited different TE profiles, which were driven by Hg, Sr, Cr, and Pb in seawater and sediments; Fe and Ni in sediments; Cd and As in forage; and Zn, Se, and Cu in eggshells. The contents of Cu, Zn, and Se increased slightly with trophic level, indicating that they were transferred through dietary pathways. Although Cd and As appeared to bioaccumulate in green turtle forage, it was not transferred to their eggshells, which may be related to the excretion and metabolism process in the mother's body. Thus, eggshells may be a poor bioindicator for the exposure of female green turtles to these toxic elements. [ABSTRACT FROM AUTHOR]

Selection of a representative sampling area for accurate and reliable yield evaluation of wheat (Triticum aestivum L.) is important for optimizing straw retention in soils and its removal as biofuel feedstock. A field experiment was conducted at four wheat fields in the North China in 2020. Wheat straw and grain yields varied from 359.2-682.8 and 338.5-640.4 g m-2, respectively, and plant height varied from 51.3-59.7 cm across all plots in the four sites. Variation in either relative deviation (RD) or standard error (SE) of straw and grain yield and plant height estimates decreased with the increase in random sampling square (RSS) (one square = approximately 1 m) and random sampling plant (RSP) numbers, respectively. Minimum RSS numbers of 3-10 and 1-10 m² were needed to satisfy RD less than 5% in two-third of the plots for straw and grain yield estimates, respectively. This suggests that 10 m² could be recommended as the minimum RSS number per plot. However, the incidence frequency of RD was 63.75% and 60.00% within the RD interval of 0%-5% for straw and grain yield estimates, respectively, from the RSS number of 10 m², indicating that yields from RSSs in field trials are prone to large variations. Therefore, it is strongly recommended to design a large plot as possible and to harvest the whole plot for estimating yields. The threshold RSP number ranged from 14-18 to satisfy RD less than 1.5% and a minimum RSP of 20 plants (including mains and tillers) per plot could be recommended for wheat field experiments. [ABSTRACT FROM AUTHOR]

Background: Freshwater fungi are highly diverse and ecologically important in freshwater systems. In China, more than 1000 species of freshwater fungi are known. Here, we present a brownspored hyphomycetes that was collected on a submerged decaying bamboo culm in a forest stream in China. New information: Phylogenetic analyses of combined LSU, ITS and TUB2 sequences confirm the placement of our new strain in Veronaea (Herpotrichiellaceae), sister to V. japonica. Veronaea aquatica sp. nov. differs from related taxa V. compacta and V. japonica in having longer conidiophores and cylindrical to pyriform or subclavate conidia with 0–2 septa. Veronaea aquatica also has darker brown hyphae compared to V. japonica. A morphological description and detailed illustrations of V. aquatica are provided. [ABSTRACT FROM AUTHOR]

The South China Sea is an important oceanic habitat for endangered sea turtles, which are facing anthropogenic pressures from the illegal wildlife trade, fisheries by‐catch, debris pollution, habitat loss, and climate change. Compounding these threats are international disputes over territorial claims in the South China Sea, exerting a general disinclination toward regional collaborations to solve environmental issues. Since sea turtles are migratory animals that move through aquatic and terrestrial habitats, feeding in waters, and nesting on beaches under the jurisdiction of multiple countries, the species is an ideal ambassador to raise public support for international collaborations. Transnational communications to coordinate conservation efforts across borders provide a positive agenda of cooperation to build trust, creating a politically neutral platform to facilitate opportunities for diplomacy to reset and improve foreign relations, underscoring the value of sea turtles as a flagship species to reduce international tensions and bring nations together. For this reason, the U.S.‐China EcoPartnership between Sea Turtles 911 and Hainan Normal University was formed to empower local communities to protect the ocean through sea turtle rescue, public education, and scientific research projects. Genetic research determined the geographic origins of illegally traded sea turtles, validating the uniqueness of the Paracel (Xisha) Islands rookery, and urging policymakers to establish a large‐scale sea turtle nature reserve in the South China Sea. To define boundaries of the proposed marine protected area, sea turtles were tracked with satellite telemetry delineating their migratory routes and habitats across multiple countries, underscoring the importance of international collaborations. Debris pollution survey at a major turtle nesting beach in the Paracel Islands demonstrated that pollution is negatively impacting newborn turtle hatchlings and that regional cooperation in the South China Sea should promote the reduction and cleanup of marine debris. Laparoscopic surgery was performed on sea turtles for the first time in China to assess the gender ratio of the local population, which revealed a female biased ratio, indicative of the effects of climate change. A sea turtle rescue center was jointly established in which more than 100 sea turtles were successfully rescued and released by the international and local community, including students who won national awards for their volunteer service. Implementing grassroots initiatives for sea turtle conservation have become an ideal diplomatic channel to strengthen U.S.‐China relations as several diplomats, including U.S. Ambassador Max Baucus, have engaged in people‐to‐people exchanges during public educational events. This international partnership serves as a case example in which current political disputes can be set aside to prepare future generations for the existential threat of biodiversity loss and climate change, while increasing peace, stability, and turtles in the region. [ABSTRACT FROM AUTHOR]

This study evaluated microplastic pollution in beaches that have served as historical nesting grounds for green turtles in Hainan Island, China and explored the sources of microplastic pollutants to conduct habitat restoration for sea turtles. The average abundance of the microplastics in the beach surface sediments was 2567.38 ± 2937.37 pieces·m−2 or 641.85 ± 734.34 thousand pieces·m−3, foam and plastic block were the main microplastics identified. Microplastic size was predominantly within the 0.05–1 mm category (small microplastic particles), and most microplastic particles were white. Polystyrene and polyethylene were the dominant plastic compositions. The type and compositions of microplastics indicate that most microplastics in this study were broken from large plastic blocks and foam. To reduce the threat of microplastic pollution to marine life, including sea turtles, we suggested removing plastic litter, especially small plastic on beaches, and replacing and recovering the foam used in aquaculture before it ages and fragments. • Microplastic were found in all beaches that served as historical nesting grounds for green turtles in Hainan Island, China. • Polystyrene and polyethylene were the dominant compositions of microplastic in this study. • Microplastic size was mostly in 0.05–1 mm (small microplastic particles), and the color of microplastic was mostly white. • Removing small plastic litter and replacing and recovering the foam maybe can reduce microplastic pollution. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the pedagogical skills of third-year nursing students at Yangzhou University (China)., Methods: A multisite quasi-experimental design was used in this study. Fifty-five participants were selected by convenience sampling. The Objective Structured Teaching Evaluation (OSTE) scale was used to assess teaching skills. The evaluation included four different stages: Teaching Background Analysis (E1), Lesson Plan Presentation (E2), Mock Class (E3) and Teaching Reflection (E4). Prior to the assessment, the teachers assigned homework to the students to complete at the four stations., Results: Fifty-five nursing students with an average age of 21.3±0.7 years participated in the study, with a predominance of female students (78.2%). The highest mean score was achieved in E1 (83.1), followed by E2 and E3 (82.5 and 82.3 respectively), while the lowest mean score was found in E4 (79.6). In E3, instructors gave lower scores for class organisation, class characteristics and overall performance compared to the self-reported scores of the standardised students (p<0.05). More than 80% of the students strongly agreed and recommended the OSTE as the primary method for assessing teaching skills in the classroom., Conclusion: Deficits in teaching skills were identified in the participating students; this information will allow specific interventions to improve the situation. The OSTE instrument was a useful method for assessing the pedagogical skills of undergraduate nursing students., Competing Interests: The authors of this article and the planning committee members and staff have no relevant financial relationships with commercial interests to disclose., (Copyright� by the Universidad de Antioquia.)

In this study, the accumulation rate of plastic litter was investigated by sampling quadrats placed on the North Island of Qilianyu, and the composition was analyzed and identified to determine its source. The results showed that the annual average accumulation rate of plastic litter on North Island was 0.64 ± 0.32 pieces·m -2 ·month -1 , with a mass accumulation rate of 11.30 ± 7.73 g·m -2 ·month -1 . The accumulation rate of plastic litter was mainly influenced by wind speed and direction, with higher accumulation rates occurring during the southwest monsoon season and tropical cyclones. ATR-FTIR analysis indicated that polyethylene (44 %) and polypropylene (41 %) were the most abundant types of polymers. This study reveals the current status of plastic litter pollution in green turtle nesting grounds on North Island in Qilianyu, which can be used as a reference for management strategies that mitigate plastic litter pollution., Competing Interests: Declaration of competing interest The authors declare no conflicts of interests., (Copyright © 2024. Published by Elsevier Ltd.)

Objective: Whether uric acid (UA) has an effect on renal function remains controversial. We aimed to investigate the association between serum UA with the decline in estimated glomerular filtration rate (eGFR) in middle-aged and elderly populations in the China Health and Retirement Longitudinal Study (CHARLS)., Design: Longitudinal cohort study., Setting: This was a second analysis of a public dataset (CHARLS)., Participants: In this study, 4538 middle-aged and elderly individuals were screened after removing individuals younger than 45 years old, with kidney disease, malignant tumour and missing values., Outcome Measures: Blood tests were performed both in 2011 and 2015. Decline in eGFR was defined as an eGFR decrease of more than 25% or deterioration of the eGFR stage during the 4-year follow-up period. Logistic models corrected for multiple covariables were used to analyse the association of UA with the decline in eGFR., Results: The median (IQR) concentrations of serum UA grouped by quartiles were 3.1 (0.6), 3.9 (0.3), 4.6 (0.4) and 5.7 (1.0) mg/dL, respectively. After multivariable adjustment, the OR of the decline in eGFR was higher for quartile 2 (3.5-<4.2 mg/dL: OR 1.44; 95% CI 1.07 to 1.64; p<0.01), quartile 3 (4.2-<5.0 mg/dL: OR 1.72; 95% CI 1.36 to 2.18; p<0.001) and quartile 4 (≥5.0 mg/dL: OR 2.04; 95% CI 1.58 to 2.63; p<0.001) when compared with quartile 1 (<3.5 mg/dL), and the p value for the trend was <0.001., Conclusions: Over a 4-year follow-up period, we found that elevated UA was associated with a decline in eGFR in the middle-aged and elderly individuals with normal renal function., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Background: Some studies have reported using ultrasonic evaluations to assess diaphragm function in patients with chronic obstructive pulmonary disease (COPD). However, they have limitations and thus cannot provide strong evidence to support ultrasound evaluations for diaphragm function and dysfunction severity assessments in this patient population. Additionally, quantitative studies on the relationship between ultrasound evaluations and diaphragm function do not exist. Therefore, we performed a systematic review and meta-analysis to explore the usefulness of ultrasonography for evaluating diaphragm function in patients with COPD., Methods: The Cochrane Library, PubMed, Embase, Web of Science, Chinese Biomedical Literature Database, Wanfang Data, China National Knowledge Network, and Chinese Scientific Journal Database (i.e., VIP) databases were searched for literature about ultrasonic evaluations of diaphragm function in patients with COPD for systematic review. We extracted patient demographic, diaphragm mobility, diaphragm thickness, diaphragm thickening score, and other related parameter data using RevMan 5.3 software for the meta-analysis., Results: We included 13 articles in the systematic review, 8 of which (494 participants) were included in the meta-analysis. The degree of diaphragm offset in patients with COPD was significantly lower than that in healthy controls (weighted mean difference [WMD] = -1.34; 95% confidence interval [CI]: -2.15, 0.53; P < .05). The diaphragm deviation was lower in the severe COPD group than in the mild-to-moderate COPD group (WMD = 0.50; 95% CI: -0.01, 1.01; P = .06), but the difference was not significant., Conclusion: Ultrasonography effectively evaluates diaphragm function in patients with COPD. The diaphragm offset can be used as an auxiliary diagnostic index for COPD, which is also related to disease severity., Competing Interests: The authors have no conflicts of interest to disclose., (Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.)

Trace element pollution is a potential threat to the reproduction of sea turtles. Hainan Island was previously the most important nesting ground of green sea turtles in China before they disappeared approximately 36 years ago. The Chinese government has encouraged restoration work on historical nesting grounds, and it is necessary to evaluate the status of these sites before conducting habitat restoration. This study analyzed the concentrations of seven trace elements in the surface sediments of 13 historical nesting grounds in Hainan. The average concentrations were 19.47 (Cr), 4.67 (Ni), 6.99 (Cu), 0.08 (Cd), 16.68 (Pb), 0.02 (Hg), and 5.27 (As) mg/kg, which were lower than the first-grade limit values of the GB (18668-2002) national standard in China. The concentrations were close to the background value, except for the relatively high Cd value. The potential ecological risk was ranked as Cd > Hg > As > Cu > Pb > Cr. The spatial distribution of trace element contamination in Hainan was uneven, with high potential ecological risk levels of Cd and Hg contamination in Longwan'gang, Shimeiwan, Yazhou Qu, and Fushicun. Marine mariculture, wastewater discharge, and fishing boats are the main sources of trace element contamination in Hainan. We recommend strengthening the control of Hg and Cd contamination sources, monitoring trace elements in relevant/interest areas, and the environmental protection department should curb local residents from directly discharging mariculture wastewater and domestic sewage into the sea., (© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

Microplastics, new persistent pollutants, have recently attracted considerable attention. When present in beach sediments, microplastics may adversely affect the nesting and hatching of sea turtles on beaches. In this study, we investigate microplastic pollution at Qilianyu (northeastern Xisha Islands), the largest known nesting ground for green sea turtles ( Chelonia mydas ) in China. We found that the average abundance of microplastics in the beach surface sediments was 338.44 ± 315.69 thousand pieces·m -3 or 1,353.78 ± 853.68 pieces·m -2 , with foam and fragments as the main microplastic type identified. The microplastic particles were categorised as small and were predominantly within the 0.05-1 mm size category. Most microplastic particles were white (71.31%). Polystyrene and polyethylene were found to be the most common forms of plastic present. Microplastic pollution was not only observed on the beach surface but also at the bottom of nests approximately 60 cm may be harmful to the incubation of sea turtle eggs. We suggest removing plastic litter, especially small pieces of plastic, on beaches to reduce the threat of microplastic pollution to marine life, including sea turtles. Furthermore, the foam used in aquaculture should be recovered and replaced before it becomes fragmented due to age. In addition, regional cooperation between stakeholders in the South China Sea should be strengthened to collectively promote the reduction and cleanup of marine litter., Competing Interests: The authors declare that they have no competing interests., (© 2022 Zhang et al.)

Background: Since April 2021, the SARS-CoV-2 (B.1.167) Delta variant has been rampant worldwide. Recently, this variant has spread in Guangzhou, China. Our objective was to characterize the clinical features and risk factors of severe cases of the Delta variant in Guangzhou., Methods: A total of 144 patients with the Delta variant were enrolled, and the data between the severe and non-severe groups were compared. Logistic regression methods and Cox multivariate regression analysis were used to investigate the risk factors of severe cases., Results: The severity of the Delta variant was 11.1%. Each 1-year increase in age (OR, 1.089; 95% CI, 1.035-1.147; P = 0.001) and each 1-μmol/L increase in total bilirubin (OR, 1.198; 95% CI, 1.021-1.406; P = 0.039) were risk factors for severe cases. Moreover, the risk of progression to severe cases increased 13.444-fold and 3.922-fold when the age was greater than 58.5 years (HR, 13.444; 95% CI, 2.989-60.480; P = 0.001) or the total bilirubin level was greater than 7.23 μmol/L (HR, 3.922; 95% CI, 1.260-12.207; P = 0.018), respectively., Conclusion: Older age and elevated total bilirubin were independent risk factors for severe cases of the Delta variant in Guangzhou, especially if the age was greater than 58.5 years or the total bilirubin level was greater than 7.23 μmol/L.

Human settlement environment is space places closely related to human production and life, and also surface spaces inseparable from human activities. As a coastal city in the east of China, Qingdao has a relatively high level of urbanization. However, it also along with many urban problems at the same time, among which the problem of human settlement environment has attracted more and more general attention from people. According to the characteristics of human settlement environment in Qingdao, the research constructs an index system with 10 index factors from natural factors and humanity factors, and proposes a comprehensive evaluation model. Evaluate and grade suitability of human settlement environment in Qingdao, explore the spatial aggregation and differentiation of the quality of human settlement environment, and reveal the internal connection of spatial evolution. The results indicate that the overall livability of Qingdao is relatively good, showing a multi-center and radial driving development. The distribution of livability is uneven, showing a decreasing spatial distribution law from the coast to the inland, and the quality of human settlement environment in Jiaozhou Bay and the coastal areas is relatively high. Qingdao is mainly based on natural livability, supplemented by humanity livability, compared with natural suitability, the spatio-temporal evolution characteristics of humanity livability have experienced three stages: rising-contradictory rising-harmonious rising. The quality of human settlement environment has obvious spatial correlation and is positively correlated with the degree of agglomeration, and the agglomeration of blocks with a higher quality of human settlement environment is higher than that of blocks with a lower level. The rule of human settlement environment changing over time is that areas with high quality of human settlement environment begin to shift from the city center to the north and the south, transforming into multi-point development, and overall environmental suitability has been improved. According to the results of the comprehensive evaluation, combined with its local development status and policies, the research puts forward developmental suggestions for the construction of human settlement environment in Qingdao, and provides decision-making basis for relevant departments to solve the problem of deterioration of human settlement environment., Competing Interests: The authors have declared that no competing interests exist.