How to Face COVID-19 in Ophthalmology Practice

Background: The novel coronavirus pneumonia has attracted considerable attention from the international community. With the spread of outbreaks around the world, the WHO characterized COVID-19 as a pandemic. Methods: Relevant studies in PubMed were searched from January 1, 2020 to April 12, 2020, using the following search strategy: (“novel coronavirus pneumonia†OR “severe acute respiratory syndrome coronavirus 2†OR “coronavirus disease 2019†OR “COVID-19†OR “novel coronavirus pneumoniaâ€) AND (“ophthalmology†OR “ophthalmologist†OR “eye†OR “conjunctiva†OR “conjunctivitis†OR “corneal†OR “keratitisâ€). Results: SARS-CoV-2 can spread through aerosol and is detected in tears of patients with COVID-19 infection. Notably, some infected patients had conjunctivitis, and conjunctivitis was the first symptom in some patients later diagnosed to have COVID-19 infection. This would increase the risk for ophthalmologists through inpatient consultations or regular clinical practice. When dealing with seemingly regular ophthalmic patients, the vigilance of ophthalmologists and associated staff tends to be reduced. Conclusion: Ophthalmologists must continuously update their knowledge regarding COVID-19 and take effective measures to prevent COVID-19 transmission

The effects of low impact development on urban flooding under different rainfall characteristics

Copyright © 2013 Elsevier. NOTICE: this is the author’s version of a work that was accepted for publication in Journal of Environmental Management. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Environmental Management Vol. 129 (2013), DOI: 10.1016/j.jenvman.2013.08.026Low impact development (LID) is generally regarded as a more sustainable solution for urban stormwater management than conventional urban drainage systems. However, its effects on urban flooding at a scale of urban drainage systems have not been fully understood particularly when different rainfall characteristics are considered. In this paper, using an urbanizing catchment in China as a case study, the effects of three LID techniques (swale, permeable pavement and green roof) on urban flooding are analyzed and compared with the conventional drainage system design. A range of storm events with different rainfall amounts, durations and locations of peak intensity are considered for holistic assessment of the LID techniques. The effects are measured by the total flood volume reduction during a storm event compared to the conventional drainage system design. The results obtained indicate that all three LID scenarios are more effective in flood reduction during heavier and shorter storm events. Their performance, however, varies significantly according to the location of peak intensity. That is, swales perform best during a storm event with an early peak, permeable pavements perform best with a middle peak, and green roofs perform best with a late peak, respectively. The trends of flood reduction can be explained using a newly proposed water balance method, i.e., by comparing the effective storage depth of the LID designs with the accumulative rainfall amounts at the beginning and end of flooding in the conventional drainage system. This paper provides an insight into the performance of LID designs under different rainfall characteristics, which is essential for effective urban flood management.National Natural Science Foundation of ChinaNational Water Pollution Control and Management Technology Major Project

Moving In and Moving Up? Labor Conditions and China’s Changing Development Model

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/138267/1/pad1800.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/138267/2/pad1800_am.pd

Local governments’ incentives and governing practices in low-carbon transition: A comparative study of solar water heater governance in four Chinese cities

Urban sustainability transitions have been increasingly imperative to address global environmental challenges, and local governments are expected to play a critical role. There is a pressing need to explore local governments’ underlying motivations and their impacts on governing practices. Taking China as an example, this paper builds an incentive matrix to distinguish the levels of local governments’ economic interest and environmental interest in specific low-carbon innovations and investigates how different incentive typologies affect their governing practices. By comparing four Chinese municipal governments’ incentives and governing practices in promoting solar water heater adoption, this paper finds that Chinese local governments’ environmental incentive is still not compelling or stable enough, while governments that are motivated by economic interests would resort to more substantial governance practices to promote the low-carbon innovations. These results indicate potential in latecomer cities in developing both economic and environmental incentives towards low-carbon innovations because green activities could also be favored if they are well aligned with local economic development

Survival and morbidity in very preterm infants in Shenzhen: a multi-center study

ObjectiveTo analyze survival and morbidity among very preterm infants (VPIs) in Shenzhen and explore factors associated with survival without major morbidity.MethodsBetween January 2022 and December 2022, 797 infants were admitted to 25 neonatal intensive care units in Shenzhen with gestational age (GA) < 32 weeks, excluded discharged against medical advice, insufficient information, and congenital malformation, 742 VPIs were included. Comparison of maternal and neonate characteristics, morbidities, survival, and survival without major morbidities between groups used Mann Whitney U test and X2 test, multivariate logistic regression was used to analyze of risk factors of survival without major morbidities.ResultsThe median GA was 29.86 weeks (interquartile range [IQR], 28.0–31.04), and the median birth weight was 1,250 g (IQR, 900–1,500). Of the 797 VPIs, 721 (90.46%) survived, 53.52% (38 of 71) at 25 weeks’ or less GA, 86.78% (105 of 121) at 26 to 27 weeks' GA, 91.34% (211 of 230) at 28 to 29 weeks' GA, 97.86% (367 of 375) at 30 to 31 weeks' GA. The incidences of the major morbidities were moderate-to-severe bronchopulmonary dysplasia,16.52% (113 of 671); severe intraventricular hemorrhage and/or periventricular leukomalacia, 2.49% (17 of 671); severe necrotizing enterocolitis, 2.63% (18 of 671); sepsis, 2.34% (16 of 671); and severe retinopathy of prematurity, 4.55% (27 of 593), 65.79% (450 of 671) survived without major morbidities. After adjustment for GA, birth weight, and 5-min Apgar score, antenatal steroid administration (OR = 2.397), antenatal magnesium sulfate administration (OR =  1.554) were the positivity factors to survival without major morbidity of VPIs, however, surfactant therapy (OR = 0.684,), and delivery room resuscitation (OR = 0.626) that were the negativity factors.ConclusionsThe present results indicate that survival and the incidence of survival without major morbidities increased with GA. Further, antenatal administration of steroids and magnesium sulfate, surfactant therapy, and delivery room resuscitation were pronounced determinants of survival without morbidities

Synthesis of dominant plastic microfibre prevalence and pollution control feasibility in Chinese freshwater environments

Microplastic pollution of freshwaters is known to be a great concern in China and these pollutants can be discharged into the coastal environment through fluvial processes, posing threats to the global marine ecosystem. This paper reviewed the literature measuring microplastic pollution in the Chinese freshwater environment and found that microfibres dominate other plastic morphologies in more than 65% of samples collected in surface water, sediments and effluents of wastewater treatment plants and domestic sewers. Current potential sources of microfibre pollution are identified including fishery activities, laundry sewage, and waste textiles according to previous research. Recommendations are offered using the circular economy management framework, such as textile waste reuse and recycling systems in China, for improving current control measures for microplastics in freshwaters