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A novel underwater in-situ wire-based laser additive manufacturing (ULAM) technology is proposed for the in-service repair of underwater components in nuclear power plant. Duplex stainless steel (DSS) obtained in air and underwater environments were analysed using material characterisation and testing methods. The effects of underwater additive environments on the microstructure evolution, mechanical properties and corrosion resistance of the specimens were investigated. The results show that the laser heat input is consumed to balance the heat loss of the water-cooled base material during the underwater laser additive manufacturing process, leading to a reduction in the heat input to the molten pool. Underwater specimen exhibit a two-phase balance, with small ferrite grain boundary angles, resulting in better tensile strength and corrosion resistance. Laser reheat treatment leads to a phase change in microstructure, which can enhance the microhardness and the tensile strength. The ULAM system can meet the requirements of actual engineering for cladding layer.

Abstract The relationship between single nucleotide polymorphisms (SNPs) at various loci and adverse drug reactions (ADRs) in patients with gynecologic cancer receiving platinum‐based chemotherapy (PPCT) remains unexplored. This research aimed to investigate the correlation between SNPs at several loci (e.g., GSTP1 rs1695, MTHFR rs1801133, XPC rs2228001, TP53 rs1042522, and ERCC1 rs3212986) and ADRs in patients with gynecologic cancer receiving PPCT. A total of 244 patients with gynecologic cancer who received first‐line PPCT were included in this retrospective study. Blood fluorescence quantitative polymerase chain reaction was used to detect genotypes. Logistic regression, Pearson's Chi‐square test, and Fisher's exact test were used to explore the correlations between these SNPs and the occurrence of ADRs. The logistic regression results showed that different genotypes of the five genes had no statistical significance in the overall grade greater than or equal to 3 ADRs. The results of Pearson's Chi‐square test showed the same results. On specific adverse reactions, we found that the rs1042522 GG genotype significantly increased the risk of grade greater than or equal to 3 leucopenia compared with the CG and the CC genotypes (p = 0.002). The rs1695 AG genotype showed higher correlation for grade greater than or equal to 3 neutropenia (p = 0.020). The rs2228001 CC genotype also had a higher risk for grade greater than or equal to 3 neutropenia (p = 0.003). This study found that whereas the overall grade greater than or equal to 3 adverse reactions in patients with gynecologic cancer receiving PPCT were not associated with SNPs, specific SNPs (rs1042522 GG, rs1695 AG, and rs2228001 CC) were linked to higher risks of leucopenia and neutropenia, indicating their potential as predictors of hematotoxicity in PPCT‐treated patients with gynecologic cancer.

Objective: Urinary tract infection (UTI) is common in pregnant women. The selection of anti-infection plans during pregnancy must take into account the dual factors of patient pregnancy status and urinary tract infection anti-infection treatment, as well as the efficacy, cost, risk, and potential adverse reactions associated with each method applied to individual patients. Consequently, there are numerous drugs from which to choose; presently, there is no unified conclusion regarding the choice of drug therapy, and there is a lack of long-term drug treatment for UTI during pregnancy. Our objective is to investigate the actual drug treatment patterns of UTI patients during pregnancy in China over the past 5 years, with a particular emphasis on the trend and rationality of antibiotic use in these patients over the past 5 years.Method: We conducted a cross-sectional analysis of data from a China Medical Association-supervised hospital prescription analysis cooperation initiative. From January 2018 to December 2022, the information is extracted from prescriptions/medical orders of patients with UTI during pregnancy. Using a primary anatomical therapeutic chemistry (ATC) classification code and the US Food and Drug Administration (FDA) classification, we quantified the frequency of drug use and drug types. We also calculated the prevalence of the most frequently prescribed antibacterial medications and assessed the efficacy of anti-infection plans based on drug labels and guidelines.Results: Among the 563 patients included in this research, Chengdu (36.59%), Guangzhou (27.72%), and Shanghai (8.70%) were the top three cities. Over the course of 5 years, the average age was 29.60% ± 6.59 years, with approximately 60.21% of women between the ages of 25 and 34. Each patient’s primary anti-infection medications were statistically analyzed. Cephalosporins (403, 71.58%), enzyme inhibitors (66, 11.72%), and penicillins (34, 6.04%) were the first few categories, followed by the most commonly used cephalosporins. Cefuroxime, ceftriaxone, and cefdinib, rounded out the top five. Cefoxitin and cefaclor. According to the 5-year change in dosage, cephalosporins have always ranked first. Three of the top five most expensive drugs are cephalosporins, carbapenems, and enzyme inhibitors. Teicoplanin, tigecycline, nifurtel, linezolid, and quinolones ranked among the top five in terms of per-patient drug costs for patients receiving comprehensive treatment drugs.Conclusion: In the 5 years of research, the average age of patients who visit a doctor has not increased substantially, but the opportunity cost of female fertility has increased, which has severely impeded the fulfillment of fertility desires. The selection of medications is generally reasonable, and the dosage of the first-line cephalosporins recommended by the guidelines is relatively high in this study. The dosage of furantoin and fosfomycin, which are more prevalent in urinary tract infections, is however relatively low. In addition, some expensive pharmaceuticals may increase patients’ financial burden. On the premise of meeting clinical needs, future research will focus on how to further improve the level of rational drug use in outpatient clinics, attain economical, safe, and effective drug use, and thus reduce the economic burden on patients.

AbstractPurpose To investigate the prognostic value of N6-methyladenosine (m6A)-, 5-methylcytosine (m5C)-, and N1-methyladenosine (m1A)-related genes in cervical cancer (CESC) and predicting immunotherapy response.Methods We downloaded cervical cancer mRNA expression profiles, clinical data, and m6A, m5C, m1A-related genes from public databases, and subjected them to serial bioinformatics analysis and clinical sample validation.Results Differential analysis revealed 106 methylation-related differential genes (MEDs), including 44 differentially downregulated and 62 upregulated genes. We then obtained methylation models containing 10 genes by univariate and multifactorial COX analysis. High risk genes with HR > 1 include IQGAP3, PTBP1, STAC3, CUX1, SLC2A1, and CA2, and low risk genes with HR < 1 include IGBP1, DUOX1, CHAF1A, and STAC3. We verified the accuracy of the model from inside TCGA and outside GSE39001 (AUC = 0.729). K-M analysis showed shorter survival times in the High-risk group, and Immunocytic infiltration analysis showed model genes closely associated with six immune cells. The high-risk group may benefit more effectively from immunosuppressive therapy, especially anti-CTLA-4 therapy (p

Abstract The sea‐land breeze (SLB) occurs regularly in coastal areas and influences the local climate and atmospheric environment. Fifteen‐year observations (2005–2019) from urban, coastal, and marine stations were collected to examine the trend in the number of SLB days (SLBD) in Tianjin, a coastal megacity in China. The number of SLBD in Tianjin generally showed a decreasing trend with an annual average decline rate of 3.89%. The average land breeze speed decreased by 0.20 m·s−1 and sea breeze speed decreased by 0.69 m·s−1 in the examined 15 years. Simultaneously, the distance of influence of SLB in summer was reduced by ∼30 km. The Weather Research and Forecasting model developed with high‐resolution land use data and variations in the sea surface temperature (SST) was applied to investigate the mechanisms leading to the weakening of SLB. The increasing SST led to a reduction in the temperature difference between sea and land, which was found to be the dominant factor driving the weakening of SLB in summer. The changes in the density and height of buildings due to urbanization altered the wind direction in the coastal areas, which in turn drive the reduction of the sea breeze during fall, while increased surface temperature at night in urban areas led to the reduction of the land breeze. With projections indicating ocean warming and increasing urbanization, the SLB will become weaker and occur less frequently in the future, probably leading to more frequent air pollution due to poor ventilation in coastal cities.

Objectives Metformin is associated with osteoblastogenesis and osteoclastogenesis. This study aims to investigate the impacts of metformin therapy on bone mineral density (BMD) and bone turnover markers.Design Systematic review and meta-analysis of randomised controlled trials.Methods Searches were carried out in PubMed, EMBASE, Web of science, Cochrane library, ClinicalTrials.gov from database inception to 26 September 2022. Two review authors assessed trial eligibility in accordance with established inclusion criteria. The risk of bias was assessed using the Cochrane Risk of Bias tool (RoB V.2.0). Data analysis was conducted with Stata Statistical Software V.16.0 and Review Manager Software V.5.3.Results A total of 15 studies with 3394 participants were identified for the present meta-analysis. Our pooled results indicated that metformin had no statistically significant effects on BMD at lumbar spine (SMD=−0.05, 95% CI=–0.19 to 0.09, p=0.47, participants=810; studies=7), at femoral (MD=−0.01 g/cm2, 95% CI=−0.04 to 0.01 g/cm2, p=0.25, participants=601; studies=3) and at hip (MD=0.01 g/cm2, 95% CI=–0.02 to 0.03 g/cm2, p=0.56, participants=634; studies=4). Metformin did not lead to significant change in osteocalcin, osteoprotegerin and bone alkaline phosphatase. Metformin induced decreases in N-terminal propeptide of type I procollagen (MD=−6.09 µg/L, 95% CI=–9.38 to −2.81 µg/L, p=0.0003, participants=2316; studies=7) and C-terminal telopeptide of type I collagen (MD=−55.80 ng/L, 95% CI=–97.33 to −14.26 ng/L, p=0.008, participants=2325; studies=7).Conclusion This meta-analysis indicated that metformin had no significant effect on BMD. Metformin decreased some bone turnover markers as N-terminal propeptide of type I procollagen and C-terminal telopeptide of type I collagen. But the outcomes should be interpreted with caution due to several limitations.

Objectives: The goal of our study is to analyze the effectiveness and role of clinical pharmacists in antibiotic management through retrospective research from 2011 to 2021, depending on the current scenario of the antibiotic application in China. Methods: We formed a team of pharmacists to carry out multifaceted intervention measures, such as forming a working group, developing a plan, establishing management rules via the pre-trial system, prescription comments, collaborating with the administrative department, implementing training and publicity, and so on. Antibiotic use was studied, bacterial drug resistance was determined, and antibiotic costs were computed. Results: The pharmacist intervention and rectification of inappropriate antibacterial drug orders considerably enhanced the rational use rate of antibiotics and reduced the cost of antibiotics. Antibiotic use in clean surgery decreased from 90.22% to 11.14%, the use rate of antibiotics decreased from 63.82% to 30.26%, and antibiotic use intensity decreased from 42.75DDDs to 30.04DDDs. The types, timing, and course of antibacterials used in wards were all improved to varying degrees. Bacterial drug resistance improved noticeably, with resistance of Escherichia coli to cephalosporins, ciprofloxacin and carbapenems decreased in varying degrees. The use of antibacterial drugs has decreased significantly. Conclusions: It is feasible and effective for pharmacists in gynecology and obstetrics to control antibiotic use, which plays a positive role in promoting the safe, effective, and cost-effective use of antibiotics and serves as a valuable reference for the antibiotic management.

Abstract The sea ice concentration (SIC) over the Weddell Sea displays obvious intraseasonal variability during austral autumn with a dominant frequency of 5–20 days. The intraseasonal SIC variability is manifested as development of sea ice anomalies from the northeastern Antarctic Peninsula toward the central Weddell Sea. Rossby wave train associated with the internal atmospheric variability featuring circumglobal zonal wavenumber 4 pattern induces the development of anomalous surface winds and sea ice drifting, leading to the SIC anomalies directly. The thermodynamical processes associated with the intraseasonal SIC variability include the air temperature, the moisturizing of the lower troposphere, the latent and sensible heating, and the downwelling longwave radiation, which contribute to the variation of the local greenhouse effect over the Weddell Sea, and thus lead to the sea ice variation. The investigation of the intraseasonal SIC variability helps the understanding of sea‐ice‐atmosphere interaction over the Antarctic region.

Organic nitrogen (ON) is an important participant in the Earth’s N cycle. Previous studies have shown that penguin feces add an abundance of nutrients including N to the soil, significantly changing the eco-environment in ice-free areas in Antarctica. To explore the molecular transformation of ON in penguin guano-affected soil, we collected guano-free weathered soil, modern guano-affected soil from penguin colonies, ancient guano-affected soil from abandoned penguin colonies, and penguin feces from the Ross Sea region, Antarctica, and Fourier transform ion cyclotron mass spectrometry (FT-ICR MS) was used to investigate the chemical composition of water-extractable ON. By comparing the molecular compositions of ON among different samples, we found that the number of ON compounds (>4,000) in weathered soil is minimal, while carboxylic-rich alicyclic-like molecules (CRAM-like) are dominant. Penguin feces adds ON into the soil with > 10,000 CHON, CHONS and CHN compounds, including CRAM-like, lipid-like, aliphatic/ peptide-like molecules and amines in the guano-affected soil. After the input of penguin feces, macromolecules continue to degrade, and other ON compounds tend to be oxidized into relatively stable CRAM-like molecules, this is an important transformation process of ON in guano-affected soils. We conclude the roles of various forms of ON in the N cycle are complex and diverse. Combined with previous studies, ON eventually turns into inorganic N and is lost from the soil. The lost N ultimately returns to the ocean and the food web, thus completing the N cycle. Our study preliminarily reveals the molecular transformation of ON in penguin guano-affected soil and is important for understanding the N cycle in Antarctica.

Background: Pharmacotherapy is one of the primary treatments for patients with Assisted reproductive technology (ART). Despite the publication of various research on ART treatment, there is no clear conclusion regarding the choice of drug treatment in China. Our research intends to examine the trend of widely prescribed medications for ART patients in China. For instance, the study examines the logic of drug indications, usage, and dose in patient prescriptions.Methods: We did a cross-sectional study of the data from the hospital prescription analysis cooperation project supervised by the China Medical Association. The information is extracted from the prescriptions of reproductive assistance outpatients from January 2016 to December 2020. We used the U.S. Food and Drug Administration (FDA) classification to quantify the frequency of drug use and the categories of drugs. We manually extract the information of patients who require ART treatment, divide the patients into various age groups and geographies, followed by study the indications, utilization, and rationale of the most important therapeutic medications.Results: Among the 225225 patients included in this study, Guangzhou (47.83%), Shanghai (19.84%), and Zhengzhou (9.36%) were the top three cities. In the past 5 years, the average age was 32.99, and 60.38% of women were between the age of 25 and 34. The main therapeutic medicines taken by each patient, primarily hormone therapies, were tallied. Eleven types of primary therapeutic medicines were employed. Different progesterone preparations (47472, 21.08%), chorionic gonadotrophin gondotrophin for injection (38932, 17.29%), dydrogesterone tables (33591, 14.91%), and triptorelin for injection (26959, 11.97%) rounded out the top five. According to the data on outpatient medications in major cities in China, the variety and proportion of injections are the highest, including the most frequent types of ovulation induction and urotropia, as well as triptorelin and progesterone. Even though the total dosage of urotropin was the highest in 5 years, it showed a declining trend. The dosages of progesterone and didroxyprogesterone increased, with progesterone showing the most rapid increase. The top five most expensive prescription medications are triptorelin, urotropin, progesterone, didroxyprogesterone, and leuprorelin, in that order. Goserelin, leuprorelin, triptorelin, growth hormone, and didroxyprogesterone are among the top five most expensive medications per capita.Conclusion: The average age of patients has not increased considerably over the past 5 years. However, the opportunity cost of childbirth for women has increased, which has significantly enhanced their willingness for childbearing intentions. The medication selection is reasonable overall. In this study, the recommended dosages of first-line medicines (urotropin and chorionic gonadotropin) are likewise high. In contrast, the dosage of oral first-line treatment for ovarian stimulation in unexplained infertility is modest, and the dosage of progesterone is steadily increasing. In addition, the price of certain medicines is high, which will increase the patients’ financial burden. Future research will focus on enhancing the degree of rational drug use among outpatients and realizing the economical, safe, and effective use of pharmaceuticals to lessen the economic burden of patients.

Postpartum Depression (PPD) is a serious psychiatric disorder of women within the first year after delivery. It grievously damages women’s physical and mental health. Inflammatory reaction theory is well-established in depression, and also has been reported associated with PPD. This review summarized the inflammatory pathophysiological mechanisms implicated in PPD, including decreased T cell activation, increased proinflammatory cytokines secretion, active kynurenine pathway, and initiated NLRP3 inflammasome. Clinical and preclinical research are both gathered. Potential therapeutical alternatives targeting the inflammatory mechanisms of PPD were introduced. In addition, this review briefly discussed the differences of inflammatory mechanisms between PPD and depression. The research of inflammation in PPD is limited and seems just embarking, which indicates the direction we can further study. As a variety of risky factors contribute to PPD collectively, therapy for women with PPD should be comprehensive, and clinical heterogeneity should be taken into consideration. As PPD has a predictability, early clinical screening and interventions are also needed. This review aims to help readers better understand the inflammatory pathological mechanisms in PPD, so as to identify biomarkers and potential therapeutic targets in the future.

Research on the mechanism and new targets of ovarian cancer is of great significance to reduce the high mortality and drug resistance of ovarian cancer. Human La protein has been found to be highly expressed in a variety of malignant tumors and plays a role in tumorigenesis and development through its RNA-binding function. However, its role and mechanism in ovarian cancer are not completely clear. The present study showed that La protein was highly expressed in serum and tissues of patients with ovarian cancer by ELISA and immunohistochemistry, and the high expression of La protein was associated with the increased degree of malignancy and poor prognosis by searching the KM plotter database. Interference of the La gene resulted in a significant decrease in the proliferation, migration, and invasion of ovarian cancer cells with growth block in the G1 phase and increasing apoptosis. By RNA binding protein immunoprecipitation, transcriptome sequencing, and proteomics, 14 downstream target genes were screened. The La protein might affect the protein expression of these 14 genes by binding with the mRNAs. Therefore, it played a role in the pathological process of ovarian cancer.

BackgroundCirculating methionine components have been reported to be associated with Alzheimer’s disease (AD) and mild cognitive impairment (MCI), although outcomes are not always consistent.Materials and methodsDatabase searching was conducted using PubMed, Embase, Cochrane Library, and Web of Science from inception to 26 December 2021. In this study, two reviewers independently identified eligible articles and extracted the data. We used Joanna Briggs Institute (JBI) Critical Appraisal tools to assess the overall quality of the included studies. STATA software was employed to perform meta-analysis evaluating the standardized mean difference (SMD) with its 95% confidence intervals (CIs) using random-effects models. Evidence quality was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) criteria.ResultsTotally, 30 observational studies were eligible for inclusion. Compared with cognitively normal controls, patients with AD had increased homocysteine (Hcy) levels in the blood [standardized mean difference (SMD) = 0.59, 95% confidence interval [CI]: 0.36–0.82, P = 0.000], plasma (SMD = 0.39, 95% CI: 0.23–0.55, P = 0.000), and serum (SMD = 1.56, 95% CI: 0.59–2.95, P = 0.002). Patients with MCI were not significantly different from controls (SMD = 0.26, 95% CI: –0.07–0.58, P = 0.127). Patients with AD or MCI did not significantly differ from controls of blood vitamin B12 levels, AD (SMD = –0.05, 95% CI: –0.19–0.08, P = 0.440), or MCI (SMD = 0.01, 95% CI: –0.16–0.17, P = 0.94). Some cohort studies have suggested that higher Hcy, methionine, and S-adenosylmethionine levels may accelerate cognitive decline in patients with MCI or AD, and vitamin B12 deficiency is a risk factor for the disease; however, the results of other studies were inconsistent. According to the GRADE system, all these outcomes scored very low to low quality, and no high-quality evidence was found.ConclusionOnly Hcy levels in the plasma and serum were found to be inversely related to the risk of AD. However, due to the low quality of supporting these results, high-quality studies are needed to verify these findings.Systematic Review Registrationhttp://www.crd.york.ac.uk/PROSPERO/, identifier CRD42022308961.

Abstract Travel restrictions in the wake of the COVID‐19 pandemic resulted in an unprecedented decrease of 73% in global flight mileage in April–May 2020 compared to 2019. Here we examine the CALIPSO satellite observations and do not find a significant increase in ice crystal number concentrations (Ni) in cirrus clouds in the mid‐latitudes of the Northern Hemisphere, which might be expected due to an increase in homogeneous freezing when soot from aircraft emissions is reduced. Nevertheless this result is consistent with our model simulations, so do not rule out a positive forcing if reductions in aircraft emissions continue. A relatively small positive global average radiative effect of 21 mW m−2 is estimated if a decrease in aircraft traffic continues, with an average of up to 64 mW m−2 over the area where aviation is most active. We infer from this analysis that the worldwide adoption of biofuel blending in aircraft fuels that lead to smaller soot emissions could lead to a significant change in the microphysical properties of cirrus clouds but a rather small positive radiative effect.

In this study, 16-mm-thick S32101 duplex stainless steel were welded using hyperbaric underwater laser welding system in 0.15 MPa. The misorientation angle distribution of grain boundaries in the weld metal was analyzed using the electron backscatter diffraction technique. The ionic currents near the surface of metallography were measured by the Scanning Vibrating Electrode Technique (SVET) and performed to evaluate the intergranular corrosion (IGC) resistance based on corrosion current density. The volume fractions of ferrite and austenite and the grain boundary misorientation angle affect the IGC sensitivity of the welded joints. The relationship between the grain boundary misorientation angle of the austenite and corrosion resistance was analyzed. When the weld metal was shielded with nitrogen, and the volume fraction of austenite and the frequency of Σ3 coincidence site lattice boundary in the weld was increased. The misorientation angle distribution in the austenite and the frequency of Σ3 coincidence site lattice boundary influence the IGC resistance of the welded joints.

Organic nucleation is an important source of atmospheric aerosol number concentration, especially in pristine continental regions and during the preindustrial period. Here the authors find a 16% reduced radiative forcing associated with anthropogenic aerosols when including organic nucleation together with climate and land use change.

Background: Tong-Jing-Yi (TJY) formula consists of Leonurus, fried Toosendan and processed Cyperus, etc. The therapeutic effect of TJY on dysmenorrhea has been clinically validated, but the underlying mechanism remains unclear. The present study aimed to explore the possible molecular targets of TJY and the potential mechanisms. Methods: The components of TJY formula were identified by ultra performance liquid chromatography–quadrupole-time of flight/mass spectrometry. SwissTargetPrediction database was used to predict the targets of TJY formula, and targets associated with primary dysmenorrhea were also collected through other databases. Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses were conducted. Results: A total of 91 compounds with identified structures were screened, including 3 groups of isomers. The results predicted 854 TJY formula-related targets and 363 disease-related targets. GO and KEGG analysis showed that the top 5 target genes were PIK3CA, AKT1, EGFR, AKT2 and CYP19A1. PI3K-Akt signaling, chemokine signaling, focal adhesion, and Rap1 signaling were ranked in the top 15 pathways. Conclusion: TJY formula might play roles in the treatment of dysmenorrhea underlying mechanisms relating to the involvement of TNF-α, interleukin and PI3K-Akt signaling pathway. Potential pathways have been identified that need mechanistic confirmation in a laboratory setting in the future.

Epidemiological studies have shown that both lipid metabolism disorder and mitochondrial dysfunction are correlated with the pathogenesis of neurodegenerative diseases (NDDs), including Parkinson’s disease (PD). Emerging evidence suggests that deposition of intracellular lipid droplets (LDs) participates in lipotoxicity and precedes neurodegeneration. Perilipin family members were recognized to facilitate LD movement and cellular signaling interactions. However, the direct interaction between Perilipin-regulated LD deposition and mitochondrial dysfunction in dopaminergic (DA) neurons remains obscure. Here, we demonstrate a novel type of lipid dysregulation involved in PD progression as evidenced by upregulated expression of Plin4 (a coating protein and regulator of LDs), and increased intracellular LD deposition that correlated with the loss of TH-ir (Tyrosine hydroxylase-immunoreactive) neurons in the MPTP/p-induced PD model mouse mesencephalon. Further, in vitro experiments showed that inhibition of LD storage by downregulating Plin4 promoted survival of SH-SY5Y cells. Mechanistically, reduced LD storage restored autophagy, leading to alleviation of mitochondrial damage, which in turn promoted cell survival. Moreover, the parkin-poly-Ub-p62 pathway was involved in this Plin4/LD-induced inhibition of mitophagy. These findings were further confirmed in primary cultures of DA-nergic neurons, in which autophagy inhibitor treatment significantly countermanded the ameliorations conferred by Plin4 silencing. Collectively, these experiments demonstrate that a dysfunctional Plin4/LD/mitophagy axis is involved in PD pathology and suggest Plin4-LDs as a potential biomarker as well as therapeutic strategy for PD.

Total gaseous mercury (TGM) data from urban Nanjing, at the western edge of the Yangtze River Delta (YRD) region in China, over nine months, were analyzed for peak and background mercury concentrations. The background concentration of TGM was found to be 2.2 ng∙m−3. In examining episodic influences of free tropospheric air masses on the surface TGM concentrations in Nanjing, we hypothesize heterogeneity in the global distribution of TGM concentrations in the free troposphere. The nine-month averaged diurnal cycles of TGM indicate a strong co-emission with SO2 and an underestimation of greater than 80% TGM emissions in current inventories. Regular peak concentrations of mercury were investigated and the major causes were YRD emissions, transport from rural areas, and monsoonal transport. Transport of rural emissions is hypothesized to be from illegal artisanal small-scale gold mining that are currently missing in the emission inventories. Enhancement of TGM associated with summer monsoon contributed to a maximum TGM concentration in mid-May–early June, an inverse seasonality in comparison to most other observations in China, North America, and Europe.

Objective: The study aimed to review the oncological characteristics and treatment of pregnancy-associated cancers and analyze the obstetric and neonatal outcomes to provide evidence-based recommendations for reproductive function preservation, oncological treatment, and obstetric management. Methods: We conducted an observational retrospective cohort study among pregnant patients with cancer in 7 Chinese tertiary A hospitals from 2003 to 2021. We conducted multiple logistic regression to determine the influence of various factors on preterm birth and small-for-gestational-age infants, log-binomial regression to analyze temporal changes, and χ2 tests to explore the effects of cancer type/treatment. Results: Of 204 women, 17% terminated their pregnancies; 59% received pre-delivery treatment. Every 6 years, the rates of pregnancy termination (relative risk [RR]=0.48; 95% confidence interval [CI]=0.35-0.67) and iatrogenic preterm births (RR=0.73; 95% CI=0.54-0.98) reduced, and that of pre-delivery treatment increased, mainly due to increased rates of surgery (RR=1.87; 95% CI=1.31-2.67). Maternal systemic diseases were related to small-for-gestational-age infants (odds ratio [OR]=12.02; 95% CI=1.82-79.43). Chemotherapy with taxanes plus platinum-based agents was related to adverse obstetric outcomes (OR=1.87; 95% CI=1.42-2.46; p<0.05). Thyroid (OR=0.36; 95% CI=0.22-0.57) and ovarian cancer (OR=0.70; 95% CI=0.50-0.98) were associated with fewer cesarean sections. Thyroid cancer was associated with fetal growth restriction (OR=5.21; 95% CI=1.21-22.55). Conclusion: Rates of pregnancy termination in cancer declined. Taxane plus platinum-based chemotherapy was associated with adverse obstetric outcomes. Cancer type influenced outcomes. [ABSTRACT FROM AUTHOR]

Isoprene is a crucial non-methane biogenic volatile organic compound (BVOC) that exhibits the largest emissions globally. It is chemically reactive in the atmosphere and serves as the primary source to generate of secondary organic aerosols (SOA) in terrestrial and remote marine regions. However, a comprehensive estimation of marine isoprene emissions is currently lacking. Here we built a module to present a twenty-year (2001-2020) global hourly dataset for marine isoprene emissions, including phytoplankton-generated biological emissions (BIO emissions) and photochemistry-generated emissions in the sea surface microlayer (SML emissions) based on the latest advancements in biological, physical, and chemical processes, with high spatial and temporal resolutions. The ERA5-hourly meteorological reanalysis (0.25°×0.25° horizontal spatial resolution) from the European Centre for Medium-Range Weather Forecasts (ECMWF) for the period of 2001-2020 were used as input for meteorological factors. Chlorophyll concentration data and the downwelling radiative flux diffuse attenuation coefficient data were collected from the National Aeronautics and Space Administration's (NASA) Ocean Color Web MODIS Level-3 data, with a resolution of 9 km, covering the same period. Additionally, monthly normalized water-leaving radiance at 410 nm data from the Visible and Infrared Imager/Radiometer Suite (VIIRS) were provided by the National Oceanic and Atmospheric Administration (NOAA). Our dataset suggests the annual global marine isoprene emissions amount to 1.049 ± 0.009 Tg·yr -1. Among these, the BIO emissions are 0.433 ± 0.007 Tg·yr -1 while SML emissions contribute 0.616 ± 0.003 Tg·yr -1. The ability of this module to estimate marine isoprene emissions was evaluated through comparison with a series of observations of marine isoprene concentrations and emission fluxes. Annual total isoprene emission across tropical ocean shows a declining trend from 2001 to 2020. Most ocean regions exhibit a one-year emission period, whereas a significant intraseasonal period is found in the tropical ocean. This dataset can be employed as input for the simulation of marine SOA formation in earth system models. This work provides the foundation for further studies into the impact of the air-sea system on marine SOA formation and its climate effect. The DOI link for the dataset is http://dx.doi.org/10.11888/Atmos.tpdc.300521 (Cui and Zhu., 2023). [ABSTRACT FROM AUTHOR]