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Using multiple-scale mobile gravity data in the Sichuan-Yunnan area, we systematically analyzed the relationships between spatial-temporal gravity changes and the 2014 Ludian, Yunnan Province Ms6.5 earthquake and the 2014 Kangding Ms6.3, 2013 Lushan Ms7.0, and 2008 Wenchuan Ms8.0 earthquakes in Sichuan Province. Our main results are as follows. (1) Before the occurrence of large earthquakes, gravity anomalies occur in a large area around the epicenters. The directions of gravity change gradient belts usually agree roughly with the directions of the main fault zones of the study area. Such gravity changes might reflect the increase of crustal stress, as well as the significant active tectonic movements and surface deformations along fault zones, during the period of gestation of great earthquakes. (2) Continuous significant changes of the multiple-scale gravity fields, as well as greater gravity changes with larger time scales, can be regarded as medium-range precursors of large earthquakes. The subsequent large earthquakes always occur in the area where the gravity changes greatly. (3) The spatial-temporal gravity changes are very useful in determining the epicenter of coming large earthquakes. The large gravity networks are useful to determine the general areas of coming large earthquakes. However, the local gravity networks with high spatial-temporal resolution are suitable for determining the location of epicenters. Therefore, denser gravity observation networks are necessary for better forecasts of the epicenters of large earthquakes. (4) Using gravity changes from mobile observation data, we made medium-range forecasts of the Kangding, Ludian, Lushan, and Wenchuan earthquakes, with especially successful forecasts of the location of their epicenters. Based on the above discussions, we emphasize that medium-/long-term potential for large earthquakes might exist nowadays in some areas with significant gravity anomalies in the study region. Thus, the monitoring should be strengthened. [ABSTRACT FROM AUTHOR]

Background Appropriate antimicrobial dosing for patients receiving continuous venovenous hemofiltration (CVVH) is complex. Pharmacist participation in antimicrobial dosing adjustment for patients receiving CVVH may be advantageous. Methods A comparative study was performed in a China hospital intensive care unit (ICU).Patients receiving CVVH in the intervention group received antimicrobial dosing adjustment service by pharmacists from January 2012 to June 2012, whereas patients in the control group received routine medical care between July 2012 and December 2012. The primary outcomes including patients’ length of ICU stay, mortality in ICU, ICU hospitalization costs, and the occurrence of adverse drug events (ADEs) were then compared. Results 87 and 93 patients were included in the control and intervention groups. During the intervention period, pharmacists made 256 antimicrobial dosing adjustment recommendations for 93 enrolled patients receiving CVVH, of which 224 (87.5%) recommendations were accepted by physicians. Changing in CVVH-related variables (175, 68.4%) were the most common risk factors for dosing errors, whereas β-lactams (131, 51.2%) were the most frequency of antimicrobials associated with dosing errors. Compared with the control group, pharmacist dosing adjustment resulted in £1637.7 cost savings per patient, and 2.36 times reduction of antimicrobial-related adverse drug events (ADEs) (11 vs 26, P = 0.002), while length of ICU stay and mortality in ICU showed no significant difference ( P > 0.05). Conclusions The involvement of pharmacist to participate in the ICU team rounds for patients receiving CVVH is associated with cost savings and reduction of ADEs. Hospital may consider employing ICU pharmacists. [ABSTRACT FROM AUTHOR]

Background: During the spring of 2013, a novel avian-origin influenza A (H7N9) virus emerged and spread among humans in China. Data were lacking on the clinical characteristics of the infections caused by this virus., Methods: Using medical charts, we collected data on 111 patients with laboratory-confirmed avian-origin influenza A (H7N9) infection through May 10, 2013., Results: Of the 111 patients we studied, 76.6% were admitted to an intensive care unit (ICU), and 27.0% died. The median age was 61 years, and 42.3% were 65 years of age or older; 31.5% were female. A total of 61.3% of the patients had at least one underlying medical condition. Fever and cough were the most common presenting symptoms. On admission, 108 patients (97.3%) had findings consistent with pneumonia. Bilateral ground-glass opacities and consolidation were the typical radiologic findings. Lymphocytopenia was observed in 88.3% of patients, and thrombocytopenia in 73.0%. Treatment with antiviral drugs was initiated in 108 patients (97.3%) at a median of 7 days after the onset of illness. The median times from the onset of illness and from the initiation of antiviral therapy to a negative viral test result on real-time reverse-transcriptase-polymerase-chain-reaction assay were 11 days (interquartile range, 9 to 16) and 6 days (interquartile range, 4 to 7), respectively. Multivariate analysis revealed that the presence of a coexisting medical condition was the only independent risk factor for the acute respiratory distress syndrome (ARDS) (odds ratio, 3.42; 95% confidence interval, 1.21 to 9.70; P=0.02)., Conclusions: During the evaluation period, the novel H7N9 virus caused severe illness, including pneumonia and ARDS, with high rates of ICU admission and death. (Funded by the National Natural Science Foundation of China and others.).