Search

Abstract There is clear evidence that high sodium intake is associated with many health issues including hypertension and cardiovascular diseases (CVDs). Several national and worldwide studies have estimated deaths from CVDs attributable to high sodium. But how to evaluate the impact of high sodium intake on diseases using regional routine monitoring and investigation data is necessary and important. Our study aimed to quantitatively evaluate the high sodium intake attributed to CVDs deaths based on the routine monitoring data from China National Nutrition and Health Survey (CNNHS) in Tianjin, China. The population attributable fractions (PAF) were calculated by comparing the observed systolic blood pressure (SBP) distribution with the theoretical minimum or counterfactual distribution by sex and age groups. The results showed that CVDs deaths due to elevated SBP were 22728 (95% uncertainty intervals: 22679‐23050), accounting for 62.8% of total CVDs deaths. According to sodium intake recommended by World Health Organization (WHO), PAF of CVDs deaths attributable to high sodium diet in our study was 14.6% of total CVDs deaths, accounting for 5228 (95% UI: 5005–5998) cases. The dietary sodium intake of residents is nearly three times than sodium intake recommended by WHO. If sodium intake was reduced to reference level, the potential avoidable CVD deaths attributable to the SBP‐raising effect were more than 5200 among adults 25 aged and over in Tianjin. This evaluation method can be extended to other cities.

Abstract Background The purpose of this study was to retrospectively analyze clinical characteristics and prognostic risk factors of urosepsis patients admitted to two intensive care units in Shanghai, China. Methods Clinical data from patients diagnosed with urosepsis were retrospectively retrieved and analyzed from ICU in two regional medical centers from January 2015 to December 2019. Results Two hundred two patients were included in the subsequent analysis eventually, with an average age of 72.02 ± 9.66 years, 79.21% of the patients were female and the mortality rate of 15.84%.The proportion of patients with chronic underlying diseases such as diabetes and hypertension was relatively high (56.44, 49.50%, respectively), and the incidence of shock was also high (41.58%) correspondingly. The most common pathogen isolated was Escherichia coli (79.20%), of which the extended-spectrumβ-lactamases (ESBLs)(+) accounted for 42.57%. In multivariate analysis, the strongest predictors for death were mechanical ventilation (OR 7.260, 95% CI 2.200–23.963; P = 0.001),chronic kidney disease (CKD) (OR 5.140, 95% CI 1.596–16.550; P = 0.006), APACHE II score (OR 1.321, 95% CI 1.184–1.473; P

Improving green total factor productivity (GTFP) is an important theme. Whether collaborative agglomeration between logistics industry and manufacturing (LMCA) can effectively promote GTFP is worth further research. Based on the panel data of 284 cities in China from 2005 to 2018, GTFP is calculated by using the Biennial Malmquist-Luenberger productivity index (BMLPI), and this research investigates the impact of LMCA on GTFP by adopting the spatial Durbin model (SDM) and threshold regressive model (TRM). First, LMCA plays a significant role in promoting the improvement of GTFP in the local and surrounding areas through the knowledge spillover effect, scale economy effect, resource allocation effect and symbiotic economic effect, and the spillover effect is greater than the local effect. Second, the positive direct effect of LMCA on GTFP comes mainly from technological progress, and the positive indirect effect of LMCA on GTFP comes mainly from the positive spillover effect of technological progress and technical efficiency improvement. Finally, the Williamson hypothesis exists significantly in the collaborative agglomeration scenario of the logistics industry and manufacturing of China. With the improvement of the level of economic development, the impact of LMCA on GTFP changes from insignificant to promoting. However, when it is further improved, the promoting effect turns into an inhibiting effect, and this change is dominated mainly by the impact of LMCA on technical change.

The logistics and manufacturing industries are basic industries that support social development. First, this study classifies the carbon emissions from the logistics industry and pollution emissions from the manufacturing industry as undesirable outputs and evaluates the ecological efficiency of the logistics and manufacturing industries in the Yangtze River Delta from 2006 to 2016 by using the unexpected slacks-based measure (SBM) model. Second, the study analyzes the spatial differences in industrial correlation efficiency by using the exploratory spatial data analysis method. Third, the spatial econometric model is used to analyze the driving factors of the linkage ecological efficiency between logistics industry and manufacturing industry. Finally, the neural network model is used to predict the linkage ecological efficiency. The results show that the ecological efficiency of the manufacturing industry has steadily improved. The ecological efficiency of the logistics industry presents the rising trend in fluctuation. The level of the linkage development between the logistics and manufacturing industries is high. The results of the spatial heterogeneity analysis show that the spatial differentiation of high–high agglomeration and low–low agglomeration is obvious. The spatial agglomeration characteristics are relatively stable, and the spatial diffusion effect is strong. In space, the linkage ecological efficiency shows a trend of development from multiple agglomeration areas to one agglomeration area. The results of driving factor analysis show that foreign direct investment (FDI), government intervention (GI), and human capital (HP) have positive effects on linkage ecological efficiency, while industrial structure (IS), environmental regulation (ER), and energy intensity (EI) have negative effects on linkage ecological efficiency. The results of the linkage development trend analysis show that the linkage ecological efficiency of the two industries will tend to be stable in the future.

The long-term destruction of natural environment has forced humans starting to concern about the environment on the Earth as well as realizing that such resources are not inexhaustible. Nonetheless, solving environmental problems involve in all human beings' behaviors; environmental problems could merely be effectively solved by guiding people to know the environment and change the behaviors through knowledge. Ecotourism is confirmed as a channel to enhance public environmental education; therefore, to solve environmental problems through environmental education could be implemented through ecotourism. Aiming at ecotourism visitors in Shaanxi Province as the experimental objects, total 360 copies of questionnaire are distributed, and 256 valid copies are retrieved, with the retrieval rate 71%. The research results show positive relations between 1.environmental cognition and environmental attitude, 2.environmental attitude and environmental behavior, and 3.environmental cognition and environmental behavior. According to the results, suggestions are proposed, expecting to provide reference for relevant units executing environmental education or promoting ecotourism. [ABSTRACT FROM AUTHOR]