94 research outputs found

    Global synthesis of the classifications, distributions, benefits and issues of terracing

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    For thousands of years, humans have created different types of terraces in different sloping conditions, meant to mitigate flood risks, reduce soil erosion and conserve water. These anthropogenic landscapes can be found in tropical and subtropical rainforests, deserts, and arid and semiarid mountains across the globe. Despite the long history, the roles of and the mechanisms by which terracing improves ecosystem services (ESs) remain poorly understood. Using literature synthesis and quantitative analysis, the worldwide types, distributions, major benefits and issues of terracing are presented in this review. A key terracing indicator, defined as the ratio of different ESs under terraced and non-terraced slopes (δ), was used to quantify the role of terracing in providing ESs. Our results indicated that ESs provided by terracingwas generally positive because themean values of δ were mostly greater than one. The most prominent role of terracing was found in erosion control (11.46 ± 2.34), followed by runoff reduction (2.60 ± 1.79), biomass accumulation (1.94 ± 0.59), soil water recharge (1.20±0.23), and nutrient enhancement (1.20±0.48). Terracing, to a lesser extent, could also enhance the survival rates of plant seedlings, promote ecosystem restoration, and increase crop yields.While slopes experiencing severe human disturbance (e.g., overgrazing and deforestation) can generally become more stable after terracing, negative effects of terracing may occur in poorly-designed or poorly-managed terraces. Among the reasons are the lack of environmental legislation, changes in traditional concepts and lifestyles of local people, as well as price decreases for agricultural products. All of these can accelerate terrace abandonment and degradation. In light of these findings, possible solutions regarding socio-economic changes and techniques to improve already degraded terraces are discussed

    Global synthesis of the classifications, distributions, benefits and issues of terracing

    Get PDF
    For thousands of years, humans have created different types of terraces in different sloping conditions, meant to mitigate flood risks, reduce soil erosion and conserve water. These anthropogenic landscapes can be found in tropical and subtropical rainforests, deserts, and arid and semiarid mountains across the globe. Despite the long history, the roles of and the mechanisms by which terracing improves ecosystem services (ESs) remain poorly understood. Using literature synthesis and quantitative analysis, the worldwide types, distributions, major benefits and issues of terracing are presented in this review. A key terracing indicator, defined as the ratio of different ESs under terraced and non-terraced slopes (δ), was used to quantify the role of terracing in providing ESs. Our results indicated that ESs provided by terracingwas generally positive because themean values of δ were mostly greater than one. The most prominent role of terracing was found in erosion control (11.46 ± 2.34), followed by runoff reduction (2.60 ± 1.79), biomass accumulation (1.94 ± 0.59), soil water recharge (1.20±0.23), and nutrient enhancement (1.20±0.48). Terracing, to a lesser extent, could also enhance the survival rates of plant seedlings, promote ecosystem restoration, and increase crop yields.While slopes experiencing severe human disturbance (e.g., overgrazing and deforestation) can generally become more stable after terracing, negative effects of terracing may occur in poorly-designed or poorly-managed terraces. Among the reasons are the lack of environmental legislation, changes in traditional concepts and lifestyles of local people, as well as price decreases for agricultural products. All of these can accelerate terrace abandonment and degradation. In light of these findings, possible solutions regarding socio-economic changes and techniques to improve already degraded terraces are discussed

    Assessment of iris volume in glaucoma patients with type 2 diabetes mellitus by AS-OCT

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    AIM: To examine the change of iris volume measured by CASIA2 anterior segment optical coherence tomography (AS-OCT) in glaucoma patients with or without type 2 diabetes mellitus (T2DM) and explore if there is a correlation between hemoglobin A1c (HbA1c) level and iris volume. METHODS: In a cross-sectional study, 72 patients (115 eyes) were divided into two groups: primary open angle glaucoma (POAG) group (55 eyes) and primary angle-closure glaucoma (PACG) group (60 eyes). Patients in each group were separately classified into patients with or without T2DM. Iris volume and glycosylated HbA1c level were measured and analyzed. RESULTS: In the PACG group, diabetic patients' iris volume was significantly lower than those of non-diabetics (P=0.02), and there was a significant correlation between iris volume and HbA1c level in the PACG group (r=-0.26, P=0.04). However, diabetic POAG patients' iris volume was noticeably higher than those of non-diabetics (P=0.01), and there was a significant correlation between HbA1c level and iris volume (r=0.32, P=0.02). CONCLUSION: Diabetes mellitus impact iris volume size, as seen by increased iris volume in the POAG group and decreased iris volume in the PACG group. In addition, iris volume is significantly correlated with HbA1c level in glaucoma patients. These findings imply that T2DM may compromise iris ultrastructure in glaucoma patients

    Treatment of depressive disorders in primary care - protocol of a multiple treatment systematic review of randomized controlled trials

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    Background: Several systematic reviews have summarized the evidence for specific treatments of primary care patients suffering from depression. However, it is not possible to answer the question how the available treatment options compare with each other as review methods differ. We aim to systematically review and compare the available evidence for the effectiveness of pharmacological, psychological, and combined treatments for patients with depressive disorders in primary care. Methods/Design: To be included, studies have to be randomized trials comparing antidepressant medication (tricyclic antidepressants, selective serotonin reuptake inhibitors (SSRIs), hypericum extracts, other agents) and/or psychological therapies (e.g. interpersonal psychotherapy, cognitive therapy, behavioural therapy, short dynamically-oriented psychotherapy) with another active therapy, placebo or sham intervention, routine care or no treatment in primary care patients in the acute phase of a depressive episode. Main outcome measure is response after completion of acute phase treatment. Eligible studies will be identified from available systematic reviews, from searches in electronic databases (Medline, Embase and Central), trial registers, and citation tracking. Two reviewers will independently extract study data and assess the risk of bias using the Cochrane Collaboration's corresponding tool. Meta-analyses (random effects model, inverse variance weighting) will be performed for direct comparisons of single interventions and for groups of similar interventions (e.g. SSRIs vs. tricyclics) and defined time-windows (up to 3 months and above). If possible, a global analysis of the relative effectiveness of treatments will be estimated from all available direct and indirect evidence that is present in a network of treatments and comparisons. Discussion: Practitioners do not only want to know whether there is evidence that a specific treatment is more effective than placebo, but also how the treatment options compare to each other. Therefore, we believe that a multiple treatment systematic review of primary-care based randomized controlled trials on the most important therapies against depression is timely

    Anthroposophic therapy for chronic depression: a four-year prospective cohort study

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    BACKGROUND: Depressive disorders are common, cause considerable disability, and do not always respond to standard therapy (psychotherapy, antidepressants). Anthroposophic treatment for depression differs from ordinary treatment in the use of artistic and physical therapies and special medication. We studied clinical outcomes of anthroposophic therapy for depression. METHODS: 97 outpatients from 42 medical practices in Germany participated in a prospective cohort study. Patients were aged 20–69 years and were referred to anthroposophic therapies (art, eurythmy movement exercises, or rhythmical massage) or started physician-provided anthroposophic therapy (counselling, medication) for depression: depressed mood, at least two of six further depressive symptoms, minimum duration six months, Center for Epidemiological Studies Depression Scale, German version (CES-D, range 0–60 points) of at least 24 points. Outcomes were CES-D (primary outcome) and SF-36 after 3, 6, 12, 18, 24, and 48 months. Data were collected from July 1998 to March 2005. RESULTS: Median number of art/eurythmy/massage sessions was 14 (interquartile range 12–22), median therapy duration was 137 (91–212) days. All outcomes improved significantly between baseline and all subsequent follow-ups. Improvements from baseline to 12 months were: CES-D from mean (standard deviation) 34.77 (8.21) to 19.55 (13.12) (p < 0.001), SF-36 Mental Component Summary from 26.11 (7.98) to 39.15 (12.08) (p < 0.001), and SF-36 Physical Component Summary from 43.78 (9.46) to 48.79 (9.00) (p < 0.001). All these improvements were maintained until last follow-up. At 12-month follow-up and later, 52%–56% of evaluable patients (35%–42% of all patients) were improved by at least 50% of baseline CES-D scores. CES-D improved similarly in patients not using antidepressants or psychotherapy during the first six study months (55% of patients). CONCLUSION: In outpatients with chronic depression, anthroposophic therapies were followed by long-term clinical improvement. Although the pre-post design of the present study does not allow for conclusions about comparative effectiveness, study findings suggest that the anthroposophic approach, with its recourse to non-verbal and artistic exercising therapies can be useful for patients motivated for such therapies

    Identifying the uneven distribution of health and education services in China using open geospatial data

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    Growing attention has been directed to the use of satellite imagery and open geospatial data to understand large-scale sustainable development outcomes. Health and education are critical domains of the Unites Nations’ Sustainable Development Goals (SDGs), yet existing research on the accessibility of corresponding services focused mainly on detailed but small-scale studies. This means that such studies lack accessibility metrics for large-scale quantitative evaluations. To address this deficiency, we evaluated the accessibility of health and education services in mainland China in 2021 using point-of-interest data, OpenStreetMap road data, land cover data, and WorldPop spatial demographic data. The accessibility metrics used were the least time costs of reaching hospital and school services and population coverage with a time cost of less than 1 h. On the basis of the road network and land cover information, the overall average time costs of reaching hospital and school were 20 and 22 min, respectively. In terms of population coverage, 94.7% and 92.5% of the population in China has a time cost of less than 1 h in obtaining hospital and school services, respectively. Counties with low accessibility to hospitals and schools were highly coupled with poor areas and ecological function regions, with the time cost incurred in these areas being more than twice that experienced in non-poor and non-ecological areas. Furthermore, the cumulative time cost incurred by the bottom 20% of counties (by GDP) from access to hospital and school services reached approximately 80% of the national total. Low-GDP counties were compelled to suffer disproportionately increased time costs to acquire health and education services compared with high-GDP counties. The accessibility metrics proposed in this study are highly related to SDGs 3 and 4, and they can serve as auxiliary data that can be used to enhance the evaluation of SDG outcomes. The analysis of the uneven distribution of health and education services in China can help identify areas with backward public services and may contribute to targeted and efficient policy interventions

    Data-driven models informed by spatiotemporal mobility patterns for understanding infectious disease dynamics

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    Data-driven approaches predict infectious disease dynamics by considering various factors that influence severity and transmission rates. However, these factors may not fully capture the dynamic nature of disease transmission, limiting prediction accuracy and consistency. Our proposed data-driven approach integrates spatiotemporal human mobility patterns from detailed point-of-interest clustering and population flow data. These patterns inform the creation of mobility-informed risk indices, which serve as auxiliary factors in data-driven models for detecting outbreaks and predicting prevalence trends. We evaluated our approach using real-world COVID-19 outbreaks in Beijing and Guangzhou, China. Incorporating the risk indices, our models successfully identified 87% (95% Confidence Interval: 83–90%) of affected subdistricts in Beijing and Guangzhou. These findings highlight the effectiveness of our approach in identifying high-risk areas for targeted disease containment. Our approach was also tested with COVID-19 prevalence data in the United States, which showed that including the risk indices reduced the mean absolute error and improved the R-squared value for predicting weekly case increases at the county level. It demonstrates applicability for spatiotemporal forecasting of widespread diseases, contributing to routine transmission surveillance. By leveraging comprehensive mobility data, we provide valuable insights to optimize control strategies for emerging infectious diseases and facilitate proactive measures against long-standing diseases.</p

    Cascade effects of global supply chains induced by regional conflicts increase global inequality

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    Regional conflicts have become prominent in triggering shocks on supply chains and cascade effects on resource management. Reliable assessments of the cascading pattern of production resources among sectors globally are missing. Here, we modeled global multisectoral production losses and the cascading pattern of a grain supply shock in the Russia–Ukraine regional conflict by utilizing a geographic input–output approach. We find that the most cascading losses emerged in the textile (17.04 % ± 0.72 %, 95 % confidence intervals) and food-processing sectors (16.85 % ± 0.5 %). The shock propagated in a “grain–processed food/livestock” direct chain and a “light manufacturing–heavy manufacturing/textile” indirect chain. Prolonged conflict and disrupted resource allocation decreased the efficiency of production recovery in low-income countries and amplified inequality of production resources. Our approach presents a quantitative framework for unexpected supply chain shocks. The findings support the case for production aid to low-income countries and circular supply chains for sustainable development.</p

    Pharmacokinetics and tissue distribution of vigabatrin enantiomers in rats

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    Purpose: To investigate the pharmacokinetics and tissue distribution of VGB racemate and its single enantiomers, and explore the potential of clinic development for single enantiomer S-VGB. Methods: In the pharmacokinetics study, male Sprague-Dawley rats were gavaged with VGB racemate or its single enantiomers dosing 50, 100 or 200 mg/kg, and the blood samples were collected during 12 h at regular intervals. In the experiment of tissue distribution, VGB and its single enantiomers were administered intravenously dosing 200 mg/kg, and the tissues including heart, liver, spleen, lung and kidney, eyes, hippocampus, and prefrontal cortex were separated at different times. The concentrations of R-VGB and S-VGB in the plasma and tissues were measured using HPLC. Results: Both S-VGB and R-VGB could be detected in the plasma of rats administered with VGB racemate, reaching Cmax at approximately 0.5 h with t1/2 2–3 h. There was no significant pharmacokinetic difference between the two enantiomers when VGB racemate was given 200 mg/kg and 100 mg/kg. However, when given at the dose of 50 mg/kg, S-VGB presented a shorter t1/2 and a higher Cl/F than R-VGB, indicating a faster metabolism of S-VGB. Furthermore, when single enantiomer was administered respectively, S-VGB presented a slower metabolism than R-VGB, as indicated by a longer t1/2 and MRT but a lower Cmax. Moreover, compared with the VGB racemate, the single enantiomers S-VGB and R-VGB had shorter t1/2 and MRT, higher Cmax and AUC/D, and lower Vz/F and Cl/F, indicating the stronger oral absorption and faster metabolism of single enantiomer. In addition, regardless of VGB racemate administration or single enantiomer administration, S-VGB and R-VGB had similar characteristics in tissue distribution, and the content of S-VGB in hippocampus, prefrontal cortex and liver was much higher than that of R-VGB. Conclusions: Although there is no transformation between S-VGB and R-VGB in vivo, those two enantiomers display certain disparities in the pharmacokinetics and tissue distribution, and interact with each other. These findings might be a possible interpretation for the pharmacological and toxic effects of VGB and a potential direction for the development and optimization of the single enantiomer S-VGB
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