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Background: To figure out the clinical meaning of serum trimethylamine oxide (TMAO), N-terminal-pro-brain natriuretic peptide (NT-proBNP) and hypoxia-inducible factor-1a (HIF-1a) with left ventricular function and pregnancy outcome in patients with pregnancy-induced hypertension. Methods: From January 2018 to October 2020, 117 patients with gestational hypertension were taken as the research objects and grouped into the gestational hypertension (pregnancy-induced hypertension, 55 cases), mild preeclampsia (mild PE, 43 cases) and severe preeclampsia (severe PE, 19 cases) in the light of the severity of the disease. Analysis of the relation of serum TMAO, NT-proBNP and HIF-1a with the severity of disease and cardiac function indexes in patients with gestational hypertension was conducted. All patients were followed up to the end of pregnancy, and the predictive value of serum TMAO, NT-proBNP and HIF-1a on pregnancy outcome in patients was analyzed. Results: Serum TMAO and NT-proBNP of patients were elevated, while HIF-1a was reduced with the severity of the disease (P < 0.05). Serum TMAO and NT-proBNP in patients with gestational hypertension were positively correlated but HIF-1a was negatively correlated with the severity of the disease (P < 0.05). Left ventricular end-diastolic volume (LVEDV) and left ventricular end-systolic volume (LVESV) were elevated in gestational hypertension patients, while ejection fraction (LVEF) was reduced with the severity of disease (P < 0.05). Serum TMAO, NT-proBNP and HIF1a were associated with LVEDV, LVESV and LVEF values in patients with gestational hypertension (P < 0.05). Serum TMAO and NT-proBNP were elevated but HIF-1a was reduced in patients with a poor pregnancy outcome (P < 0.05). The AUC of the combined detection of serum TMAO, NT-proBNP and HIF-1a on pregnancy outcome was greater (P < 0.05). Conclusions: Serum TMAO, NT-proBNP and HIF-1a in patients with gestational hypertension are associated with disease severity and cardiac function, and have predictive and evaluative values for disease severity and pregnancy outcome.

The interpretation of the sedimentary paleogeographic environment of the Lower Permian Shanxi Formation (P1s) coal strata in the southeastern Ordos Basin remains a subject of significant debate. In this paper, based on detrital zircon U–Pb source analysis, paleosalinity assessment, the sandstone modal composition, and other methods, we analyzed the P1s source system and constructed a model of the sedimentary evolution. The findings reveal that the primary source of the clastic materials in the study area stems from a mixed-source within the recycling orogenic belt. During the deposition period, the Shanxi Formation developed two predominant material source systems: one in the north, primarily linked to the Paleo-Yinshan Fold Orogenic Belt (YFOB), and the other in the south, originating from the North Qinling Orogenic Belt (NQinOB). These two major source systems converged in the Yichuan–Fuxian area. From the early stages of the Shanxi Formation period (Shan1), there was a regional retreat of the sea in the area. The seawater receded in a southeastward direction, leading to a gradual reduction in the paleosalinity and Sr/Ba-ratio variability during the Shan1 period. The influence of the seawater diminished, transitioning into a deltaic depositional system. This shift towards a terrestrial lakeshore basin reached its full development during the Lower Xiashihezi period. This study concludes that the Shanxi Formation in this area represents the evolution of a deltaic depositional system originating from a shallow sea shelf. This evolution can be divided into three major stages: remnants of the shallow sea shelf, barrier island–lagoon–littoral, and deltaic deposition. Within this framework, the shoreline underwent frequent lateral migration, influencing a broad range of characteristics. In the vertical direction, numerous alternating sets of sandstone bodies and mudstone, shale, and coal beds formed, creating a significant relationship between coal hydrocarbon sources and reservoirs. This study also establishes the stratigraphic-sequence framework of the basin for this period. These results hold great importance for the expansion of natural gas exploration and development efforts. [ABSTRACT FROM AUTHOR]