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Background: In China, individuals diagnosed with esophageal cancer are confronted with an elevated risk of nutritional inadequacy or malnutrition throughout the course of their disease, a condition that contributes to various adverse clinical outcomes. A vast corpus of data are burgeoning at an unprecedented rate, primarily due to the revolutionary growth of digitalization technologies and artificial intelligence, notably within the domains of health care and medicine. The purpose of this investigation is to initiate the development of a nutritional screening and assessment indicator framework for patients with esophageal cancer within the Chinese context. We seek to furnish an instrumental reference to facilitate preparations for the forthcoming era of advanced, "deep," evidence‐based medicine. Methods: An integrative methodology was employed to forge the preliminary draft of the nutritional screening and assessment indicator system for preoperative patients with esophageal cancer. This encompassed a rigorous literature survey, in‐depth clinical practice investigation, and the facilitation of expert panel discussions. Thereafter, two iterative consultation phases were conducted using the Delphi method in China. The analytic hierarchy process was deployed to ascertain the weighting of each index within the definitive evaluation indicator system. Results: The effective response rates for the dual rounds of expert consultation were 91.7% and 86.4%, with commensurate authority coefficients of 0.97 and 0.91. The Kendall harmony coefficients were ascertained to be 0.19 and 0.14 (p < 0.01), respectively. The culminating nutritional screening and assessment indicator system for patients with esophageal cancer comprised 5 primary‐level indicators and 38 secondary‐level indicators. Conclusions: The nutritional screening and assessment indicator system contrived for patients with esophageal cancer is underpinned by cogent theoretical principles, leverages an astute research methodology, and manifests dependable outcomes. This system may be appositely utilized as a meaningful reference for the nutritional screening and assessment process in patients afflicted with esophageal cancer. [ABSTRACT FROM AUTHOR]

Crataegus bretschneideri has been considered a variety of Crataegus pinnatifida, but has also been proposed as a separate species. We used ITS and three cpDNA sequence fragments (psbA‐trnH, trnG‐trnS, trnH‐trnK) to perform maximum parsimony, maximum likelihood, Bayesian inference and neighbor‐joining molecular phylogenetic analysis on 108 individuals of 19 hawthorn (Crataegus) species and 4 outgroups (Malus). The ITS, cpDNA and cpDNA‐ITS molecular phylogenetic trees constructed using 4 methods had similar consistency. In the cpDNA‐ITS tree, C. bretschneideri was resolved as an independent clade separated from Crataegus maximowiczii and C. pinnatifida. In the ITS (biparental inheritance) tree, C. bretschneideri and C. pinnatifida were resolved as closely related and only distantly related to C. maximowiczii. In contrast, the cpDNA (maternal inheritance) tree indicated that C. bretschneideri is closely related to C. maximowiczii but distantly related to C. pinnatifida. In total, 15 chloroplast haplotypes were revealed in the 108 Crataegus individuals, as determined by DNASP analysis. Of these, C. bretschneideri and C. maximowiczii share the same chloroplast haplotype, H1, while C. pinnatifida contains three haplotypes, H13–H15. Taken together with previous results, we confirm that C. bretschneideri is not a variety of C. pinnatifida, but a separate species that gradually developed from natural hybrid offspring in mixed forest areas with C. maximowiczii as the female parent and C. pinnatifida as the male parent. [ABSTRACT FROM AUTHOR]

Objectives: Some Western reports have shown a proximal shift in colorectal cancer (CRC), but there are few studies in China. This study aimed to provide more information for the management and screening of CRC by investigating trends in the anatomic distribution of CRC among the Chinese population in recent years. Methods: A retrospective study was conducted on patients with CRC admitted to the Digestive Endoscopy Center of Tianjin Medical University General Hospital between January 2000 and December 2017. Patients were divided into a left‐sided colorectal cancer (LSCRC) group and a right‐sided colon cancer (RSCC) group. The detection rates of LSCRC and RSCC based on patients' age and sex, and on the time periods were analyzed. Results: A total of 2319 cases were diagnosed with CRC among 75 183 consecutive patients. The prevalence of CRC showed a significant reduction from 2000‐2008 to 2009‐2017 (3.8% vs 2.7%, P < .001). The proportion of RSCC presented a downtrend from 2000‐2008 to 2009‐2017 (40.6% vs 37.7%, P > .05). There were slightly more RSCCs in female patients than in male patients, with no significant difference (40.9% vs 36.5%, P > .05). The proportion of RSCC in patients aged ≥50 years was similar to that in younger patients. The alarming symptoms between LSCRC and RSCC showed a significant difference (P < .05). Conclusions: In the present study, the prevalence of CRC declined significantly with time. However, there did not appear to be a rightward shift in CRC among the patients in Tianjin over the past 18 years. [ABSTRACT FROM AUTHOR]

Understanding the mechanisms of river runoff variation is important for the effective management of water resources in arid and semi-arid regions. This study uses long-term observational data as a basis for examining the effects of human activities and climate change on the runoff variation of Jinghe River Basin, a typical arid inland basin in northwest China. A distributed hydrological model called the Soil and Water Assessment Tool, combined with a sequential cluster method and a separation approach, was used to quantify and distinguish the effects of human activities and climate change on runoff. The hydrological sequence before 1981 can be considered natural. However, human activities have significantly affected runoff since 1981. The runoff reduction caused by human activities between 1981 and 2008 accounted for 85.7% of the total reduction in the downstream of Jinghe River, whereas that caused by climatic variation was only 14.3%. This observation suggests that human activities are the major driver of runoff variation in the basin. Although the role of climate change in driving runoff variation has been identified to be prevalent and dominant in arid regions, this study highlights the importance of human activities. Copyright © 2013 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]