Impact of stress hyperglycemia ratio on mortality in patients with critical acute myocardial infarction: insight from American MIMIC-IV and the Chinese CIN-II study

Background: Among patients with acute coronary syndrome and percutaneous coronary intervention, stress hyperglycemia ratio (SHR) is primarily associated with short-term unfavorable outcomes. However, the relationship between SHR and long-term worsen prognosis in acute myocardial infarction (AMI) patients admitted in intensive care unit (ICU) are not fully investigated, especially in those with different ethnicity. This study aimed to clarify the association of SHR with all-cause mortality in critical AMI patients from American and Chinese cohorts. Methods: Overall 4,337 AMI patients with their first ICU admission from the American Medical Information Mart for Intensive Care (MIMIC)-IV database (n = 2,166) and Chinese multicenter registry cohort Cardiorenal ImprovemeNt II (CIN-II, n = 2,171) were included in this study. The patients were divided into 4 groups based on quantiles of SHR in both two cohorts. Results: The total mortality was 23.8% (maximum follow-up time: 12.1 years) in American MIMIC-IV and 29.1% (maximum follow-up time: 14.1 years) in Chinese CIN-II. In MIMIC-IV cohort, patients with SHR of quartile 4 had higher risk of 1-year (adjusted hazard radio [aHR] = 1.87; 95% CI: 1.40–2.50) and long-term (aHR = 1.63; 95% CI: 1.27–2.09) all-cause mortality than quartile 2 (as reference). Similar results were observed in CIN-II cohort (1-year mortality: aHR = 1.44; 95%CI: 1.03–2.02; long-term mortality: aHR = 1.32; 95%CI: 1.05–1.66). In both two group, restricted cubic splines indicated a J-shaped correlation between SHR and all-cause mortality. In subgroup analysis, SHR was significantly associated with higher 1-year and long-term all-cause mortality among patients without diabetes in both MIMIC-IV and CIN-II cohort. Conclusion: Among critical AMI patients, elevated SHR is significantly associated with and 1-year and long-term all-cause mortality, especially in those without diabetes, and the results are consistently in both American and Chinese cohorts

Effect of cumulative radiation exposure from Coronary catheterization on lung cancer mortality

Abstract Background Coronary catheterization (CC) procedure inevitably exposes patients with cardiovascular disease (CVD) to radiation, while cumulative radiation exposure may lead to higher risk of cancer. Methods This multi-center, retrospective study was based on the CC procedure in Cardiorenal ImprovemeNt II cohort (CIN-II, NCT05050877) among five regional central tertiary teaching hospitals in China between 2007 and 2020. Patients without known cancer were stratified according to the times they received CC procedure. Baseline information from their last CC procedure was analyzed. Cox regression and Fine-Gray competing risk models were used to assess the relationship between cumulative radiation exposure from CC procedures and cancer-specific, all-cause and cardiovascular mortality. Results Of 136,495 hospitalized survivors without cancer at baseline (mean age: 62.3 ± 11.1 years, 30.9% female), 116,992 patients (85.7%) underwent CC procedure once, 15,184 patients (11.1%) on twice, and 4,319 patients (3.2%) underwent CC procedure more than three times. During the median follow-up of 4.7 years (IQR: 2.5 to 7.4), totally 18,656 patients (13.7%) died after discharge, of which 617 (0.5%) died of lung cancer. Compared with the patients who underwent CC procedure once, the risk of lung cancer mortality increased significantly with the increase of the number of CC procedure (CC 2 times vs. 1 time: HR 1.42, 95% CI 1.13 to 1.78, P < 0.001; CC ≥ 3 times vs. 1 time: HR 1.64, 95%CI 1.13 to 2.39, P < 0.05). Similar results were observed in all-cause mortality and cardiovascular mortality, but not in other cancer-specific mortality. Conclusions Our data suggest that substantial proportion of CVD patients are exposed to multiple high levels of low-dose ionizing radiation from CC procedure, which is associated with an increased risk of cancer mortality in this population. Trial registration ClinicalTrials.gov: NCT05050877; URL: http://www.clinicaltrials.gov ; 21/09/2021

Invasive Alien Plants and Invasion Risk Assessment on Pingtan Island

Pingtan Island is the largest island in Fujian Province and the fifth largest island in China. The invasion of a large number of alien plants has had a profound impact on the local ecological environment. Because the harm caused by alien invasive plants varies greatly between different ecosystems and even in different habitats, the risk assessment index system suitable for one region may not be suitable for other regions. Therefore, it is necessary to establish a risk assessment index system for invasive alien plants on Pingtan Island. Alien plant communities in different habitats were studied by means of quadrat investigation and professional literature review. Some invasive alien species were selected and compiled into a list of invasive alien plants on Pingtan Island, and their species composition, origin, flora, life forms, and habitats were statistically grouped. There were 104 species in 80 genera and 37 families of alien invasive plants. Asteraceae, Fabaceae, Amaranthaceae, and Poaceae were the main families, accounting for 26.7%, 6.7%, 6.7% and 5.8% of the total species, respectively. The geographical components of families and genera have obvious tropical properties, accounting for 51.3% and 66.6% of the total species, respectively. These originated mainly from South America and North America, accounting for 45.5% and 30.1% of the total frequency, respectively. Annual herbs, biennial herbs, and perennial herbs accounted for 84.6% of the total species. Based on a DPSIR conceptual model and an AHP method, an invasion risk assessment of 104 invasive alien plants was conducted. The ecological adaptability, habitat distribution and landscape impact of species were considered in the selection of indicators and the formulation of standards. A total of 23 high-risk invasive species were identified at level I, 37 medium-risk invasive species at level II, and 44 low-risk invasive species at level III. Lantana camara L. had the highest risk score (49), followed by Cenchrus echinatus L. (45), Spartina alterniflora Loisel. (45), and Panicum repens L. (43.5). Suggestions are put forward to prevent the invasion of alien plants on Pingtan Island and to provide a theoretical basis for promoting the healthy and stable development of the ecological environment on the island

Environmental heterogeneity determines beta diversity and species turnover for woody plants along an elevation gradient in subtropical forests of China

To understand how diversity change with environmental gradients is a fundamental aim for clarifying biodiversity pattern and underlying mechanisms. Here, we studied the characteristics of beta diversity and its partitioning components for woody plant communities along an elevation gradient in subtropical forests of China, and thus explored the effects of environment and space on beta diversity. By using the Classification Method, we divided the species of Daiyun Mountain into four groups, namely generalists, high-elevation specialists, low-elevation specialists and rare species. We then calculated beta diversity, and partitioned it into species turnover and species nestedness. dbRDA was conducted to analyze the impact of spatial and environmental distance on the beta diversity and its partitioning components. Beta diversity comprised of two components: species turnover and species nestedness. Species turnover was the larger contributor to total beta diversity, and it tended to increase as elevation changed. This pattern can be attributed to environmental heterogeneity, resulting in the differentiation of specialized species and an increase in species turnover and beta diversity. Environmental factors, specifically the air temperature and slope, played a significant role in explaining the variation of turnover and beta diversity. However, spatial variables did not have a significant influence on these patterns. The maintenance of biodiversity in Daiyun Mountain was mainly governed by environmental filtering. Future conservation efforts should focus on strengthening the protection of specialized species in high elevation areas

Invasive Alien Plants and Invasion Risk Assessment on Pingtan Island

Pingtan Island is the largest island in Fujian Province and the fifth largest island in China. The invasion of a large number of alien plants has had a profound impact on the local ecological environment. Because the harm caused by alien invasive plants varies greatly between different ecosystems and even in different habitats, the risk assessment index system suitable for one region may not be suitable for other regions. Therefore, it is necessary to establish a risk assessment index system for invasive alien plants on Pingtan Island. Alien plant communities in different habitats were studied by means of quadrat investigation and professional literature review. Some invasive alien species were selected and compiled into a list of invasive alien plants on Pingtan Island, and their species composition, origin, flora, life forms, and habitats were statistically grouped. There were 104 species in 80 genera and 37 families of alien invasive plants. Asteraceae, Fabaceae, Amaranthaceae, and Poaceae were the main families, accounting for 26.7%, 6.7%, 6.7% and 5.8% of the total species, respectively. The geographical components of families and genera have obvious tropical properties, accounting for 51.3% and 66.6% of the total species, respectively. These originated mainly from South America and North America, accounting for 45.5% and 30.1% of the total frequency, respectively. Annual herbs, biennial herbs, and perennial herbs accounted for 84.6% of the total species. Based on a DPSIR conceptual model and an AHP method, an invasion risk assessment of 104 invasive alien plants was conducted. The ecological adaptability, habitat distribution and landscape impact of species were considered in the selection of indicators and the formulation of standards. A total of 23 high-risk invasive species were identified at level I, 37 medium-risk invasive species at level II, and 44 low-risk invasive species at level III. Lantana camara L. had the highest risk score (49), followed by Cenchrus echinatus L. (45), Spartina alterniflora Loisel. (45), and Panicum repens L. (43.5). Suggestions are put forward to prevent the invasion of alien plants on Pingtan Island and to provide a theoretical basis for promoting the healthy and stable development of the ecological environment on the island

Prediction of Suitable Distribution of a Critically Endangered Plant Glyptostrobus pensilis

Glyptostrobus pensilis is a critically endangered living fossil plant species of the Mesozoic era, with high scientific research and economic value. The aim of this study was to assess the impact of climate change on the potential habitat area of G. pensilis in East Asia. The MaxEnt (maximum entropy) model optimized by the ENMeval data package was used to simulate the potential distribution habitats of G. pensilis since the last interglacial period (LIG, 120&ndash;140 ka). The results showed that the optimized MaxEnt model has a high prediction accuracy with the area under the receiver operating characteristic curve (AUC) of 0.9843 &plusmn; 0.005. The Current highly suitable habitats were found in the Northeast Jiangxi, Eastern Fujian and Eastern Guangdong; the main climatic factors affecting the geographic distribution of G. pensilis are temperature and precipitation, with precipitation as the temperature factor. The minimum temperature of coldest month (Bio6) may be the key factor restricting the northward distribution of G. pensilis; during the LIG, it contracted greatly in the highly suitable habitat area. Mean Diurnal Range (Bio2), Minimum Temperature of Coldest Month (Bio6), Annual Precipitation (Bio12) and Mean Temperature of Driest Quarter (Bio9) may be important climatic factors causing the changes in geographic distribution. In the next four periods, the suitable areas all migrated southward. Except for the RCP2.6-2070s, the highly suitable areas in the other three periods showed varying degrees of shrinkage. The results will provide a theoretical basis for the management and resource protection of G. pensilis

Geographic location of <i>C</i>. <i>kawakamii</i> nature reserve.

<p>Geographic location of <i>C</i>. <i>kawakamii</i> nature reserve.</p

Soil pore space structure and soil water characteristics in different development stages of <i>C</i>. <i>kawakamii</i> natural forest gaps.

<p>Data (mean± SD) marked with different letters(a, b) in plots were significantly different under <i>p</i> level as 0.05 in the same row.</p><p>Soil pore space structure and soil water characteristics in different development stages of <i>C</i>. <i>kawakamii</i> natural forest gaps.</p

Soil chemical characteristics in different gap sizes of <i>C</i>. <i>kawakamii</i> natural forest gaps.

<p>Data (mean± SD) marked with different letters(a, b) in plots were significantly different under <i>p</i> level as 0.05 in the same row.</p><p>Soil chemical characteristics in different gap sizes of <i>C</i>. <i>kawakamii</i> natural forest gaps.</p

Soil pore space structure and soil water characteristics in different gap sizes of <i>C</i>. <i>kawakamii</i> natural forest gaps.

<p>Data (mean± SD) marked with different letters(a, b) in plots were significantly different under <i>p</i> level as 0.05 in the same row.</p><p>Soil pore space structure and soil water characteristics in different gap sizes of <i>C</i>. <i>kawakamii</i> natural forest gaps.</p