The seeds of ecological recovery in urbanization-Spatiotemporal evolution of ecological resiliency of Dianchi Lake Basin, China

As a result of years of monitoring the ecological resiliency of natural areas and cities, it has become clear that it is both important and often feasible to implement ecological and environmental restoration in conjunction with ongoing processes of landscape change development and urbanization. Ecological resiliency and spatiotemporal evolution studies can objectively reveal the resiliency of ecosystems to external disturbances. Ecological monitoring and assessment can also help planners understand regional ecological spatial differentiation patterns and provided data support for planning. In this paper we have analyzes quantitatively the interrelationships of ecological factors in Dianchi Lake Basin (DLB) over the past 30 years and explored the spatial and temporal dynamics of ecological resiliency. Based on remote sensing images and primary data in 1995, 2005, 2010, 2015, 2018, and 2022, we used the center of gravity migration and kernel density analysis to explore the spatial and temporal changes of ecological resiliency. We built the overall resiliency evaluation system using entropy weight in the TOPSIS model, and finally simulate the future changes based on CA-Markov (CA-MC) model. The results show that from 1995 to 2022, the ecological resiliency of land use and vegetation cover in DLB decreased substantially. An important finding was that the ecological resiliency of riparian buffer zone and landscape pattern were generally increasing. The distribution of barycenter movement and kernel density of different levels of ecological resiliency differed significantly and showed fluctuating changes. The extreme low resiliency and extremely resilient areas shift to the northeast, the mildly resilient areas shift to the northwest, and the highly resilient areas shift to the southeast. The overall resiliency level of DLB is predicted to slowly increase from 2022 to 2030 by deduction of the CA-MC model. Our analysis suggests that the study of the evolution of regional ecological resiliency can provide a timely understanding of regional ecological evolution patterns and propose ecological protection strategies

Intraperitoneal ropivacaine and early postoperative pain and postsurgical outcomes after laparoscoipc herniorrhaphy in toddlers: a randomized clinical trial

Background Postoperative pain can cause physiological distress, postoperative complications, and extended lengths of hospitalized stay. In children, management of postoperative pain is still recognized as being inadequate. Objective The aim of this trial was to investigate the effects of intraperitoneal ropivacaine on postoperative pain, and recovery of bowel function and emetic events after laparoscopic herniorrhaphy in toddlers. Methods Seventy-six children aged from 9 months to 3 years were recruited between August 2013 and June 2014 at Tongji Hospital and randomly assigned into two groups. One group received intraperitoneal ropivacaine right before surgery and the control group received intraperitoneal saline. A standard combined general anesthesia procedure was performed under regular monitoring. Postoperative pain was assessed by the FLACC scale. Postoperative analgesic consumption, time to flatus, time to first stool, and postoperative emetic events were also recorded. Results When compared with the control group, children who received intraperitoneal ropivacaine experienced less pain 0–4 h after surgery [P < 0.001, difference in median FLACC (95% CI) for 2 h time point is 2.00 (0.87–3.13), for 4 h time point is 1.00 (0.55–1.45)]. In addition, the number of toddlers who received analgesia 0–24 h after surgery in the ropivacaine group was lower than that in the control group [P < 0.001, difference in proportions (95% CI) is 0.575 (0.3865–0.7638)]. Compared with the control group, time to flatus in ropivacaine group was also much shorter [21.1 h vs 16.7 h, P = 0.04, difference in mean (95% CI) is 4.4 (1.49–7.28)], and the time to first stool after surgery was earlier in the ropivacaine group [30.7 h vs 25.6 h, P = 0.003, difference in mean (95% CI) is 5.1 (1.78–8.45)]. Furthermore, the incidence of emetic events in the ropivacaine group was significantly lower than the control group [32.4% vs 11.1%, P = 0.03, difference in proportions (95% CI) is 0.212 (0.0246–0.4002)]. Conclusion The present results indicate that intraperitoneal ropivacaine reduces early postoperative pain and improves recovery after laparoscopic herniorrhaphy in toddlers. Therefore, IPLA is a good stratagem for postoperative pain management after laparoscopic surgery in toddlers

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

The Threshold Effect of Swine Epidemics on the Pig Supply in China

The pig industry is the pillar industry of animal husbandry in China, and epidemics can lead to drastic changes in pig supply, affecting the healthy development of the pig industry and residents’ quality of life. This study analyzed the mechanism of the effect of swine epidemics on nonlinear shocks to pig supply, and monthly data on pig supply from January 2012 to June 2020 were applied to study the threshold effect of swine epidemics on pig stock and slaughter in China empirically, using the index of swine epidemics’ width (ISEW) as the threshold variable. The results of this study were as follows: (1) The influence of the ISEW over 7 months on pig stock in China was divided into two ranges, and the pig stock did not change significantly when the ISEW was less than 0.25. Swine epidemics had a significantly negative impact on the pig stock when the ISEW was larger than 0.25. (2) The influence of the ISEW over 8 months on pig slaughter was also divided into two ranges. When the ISEW was less than 0.33, epidemics had a positive and significant effect on pig slaughter, while epidemics had a marked negative impact on pig slaughter when the ISEW was greater than 0.33. Based on these conclusions, this study proposed relevant measures for the prevention and control of swine epidemics

Effects of Different Vegetation Restoration Types on the Fractal Characteristics of Soil Particles in Earthy-Rocky Mountain Area of Northern China

The fractal characteristics of soil particle-size distribution (PSD) constitute an important soil physical property, and fractal models of soil PSD are increasingly used to describe the effects of vegetation on the improvement of soil-related properties. Based on the fractal theory, this paper selected four typical vegetation restoration types (Quercus acutissima, QAC; Robinia pseudoacacia, RPL; Pinus densiflora, PDS; QAC &times; PDS) in the Taiyi mountainous area as the research object, and the single-fractal dimension (D) and multi-fractal parameters of PSD and its correlation with soil-associated properties were studied. The results show that (1) QAC &times; PDS reduced the heterogeneity of soil sand distribution, which also increased the range and concentration of soil PSD in the dense area. Soil clay and silt contents showed QAC &times; PDS &gt; RPL &gt; QAC &gt; PDS. QAC &times; PDS significantly increased clay and silt content in 0&ndash;20 cm soil. (2) D varies among different vegetation restoration types, which was QAC &times; PDS &gt; RPL &gt; QAC &gt; PDS, and the D of 0&ndash;20 cm soil was greater than that of 20&ndash;40 cm. For the multi-fractal parameters of PSD, the capacity dimension (D0), information dimension (D1), correlation dimension (D2) and D1/D0 in 0&ndash;20 cm soil of different vegetation restoration types showed significant differences. (3) D and multi-fractal parameters were significantly positively correlated with clay and silt contents, which were significantly negatively correlated with sand contents. (4) QAC &times; PDS had the smallest soil bulk density and largest porosity. Fractal dimension was negatively correlated with soil bulk density and positively correlated with soil total porosity and capillary porosity. These results indicate that the soil fractal dimension can well characterize the vegetation improvement on soil structure and properties in the earthy-rocky mountain areas of northern China

Effects of Different Vegetation Restoration Types on the Fractal Characteristics of Soil Particles in Earthy-Rocky Mountain Area of Northern China

The fractal characteristics of soil particle-size distribution (PSD) constitute an important soil physical property, and fractal models of soil PSD are increasingly used to describe the effects of vegetation on the improvement of soil-related properties. Based on the fractal theory, this paper selected four typical vegetation restoration types (Quercus acutissima, QAC; Robinia pseudoacacia, RPL; Pinus densiflora, PDS; QAC × PDS) in the Taiyi mountainous area as the research object, and the single-fractal dimension (D) and multi-fractal parameters of PSD and its correlation with soil-associated properties were studied. The results show that (1) QAC × PDS reduced the heterogeneity of soil sand distribution, which also increased the range and concentration of soil PSD in the dense area. Soil clay and silt contents showed QAC × PDS > RPL > QAC > PDS. QAC × PDS significantly increased clay and silt content in 0–20 cm soil. (2) D varies among different vegetation restoration types, which was QAC × PDS > RPL > QAC > PDS, and the D of 0–20 cm soil was greater than that of 20–40 cm. For the multi-fractal parameters of PSD, the capacity dimension (D0), information dimension (D1), correlation dimension (D2) and D1/D0 in 0–20 cm soil of different vegetation restoration types showed significant differences. (3) D and multi-fractal parameters were significantly positively correlated with clay and silt contents, which were significantly negatively correlated with sand contents. (4) QAC × PDS had the smallest soil bulk density and largest porosity. Fractal dimension was negatively correlated with soil bulk density and positively correlated with soil total porosity and capillary porosity. These results indicate that the soil fractal dimension can well characterize the vegetation improvement on soil structure and properties in the earthy-rocky mountain areas of northern China