Assessment of HMGB1 and NLRP3 in Determining Efficacy and Prognosis in Hemodialysis Patients with Chronic Renal Failure.

Background: In chronic renal failure (CRF), evaluating treatment efficacy and predicting prognosis is crucial. High Mobility Group Protein B1 (HMGB1) and Nod-like Receptor Protein 3 (NLRP3) were chosen as key markers in chronic renal failure to elucidate their roles in treatment response and prognosis, offering potential insights for enhancing patient care strategies. Objective: This study aims to analyze the clinical impact of HMGB1 and NLRP3 in patients with CRF undergoing hemodialysis. We investigated the relationship between HMGB1 and NLRP3 levels, the efficacy of hemodialysis treatment, and the prognosis for one-year survival. Methods: An observational study was conducted. The study included 62 CRF patients (Group A) admitted to our hospital from May 2020 to August 2022, and 40 healthy individuals undergoing routine medical check-ups during the same period (Group B). We compared the levels of HMGB1 and NLRP3 in the peripheral blood of Group A and Group B. Furthermore, we assessed changes in HMGB1 and NLRP3 before and after hemodialysis in CRF patients to evaluate treatment efficacy and prognostic indicators for one-year survival. Results: Group A exhibited significantly lower HMGB1 expression and higher NLRP3 expression compared to Group B. ROC curve analysis demonstrated that the areas under the curve (AUCs) for HMGB1 and NLRP3 in predicting effective hemodialysis for CRF were 0.884 (95% CI: 0.800-0.968) and 0.721 (95% CI: 0.594-0.848), respectively. The AUCs for HMGB1 and NLRP3 in predicting death from CRF were 0.885 (95% CI: 0.804-0.967) and 0.935 (95% CI: 0.875-0.995), respectively. Conclusions: Both HMGB1 and NLRP3 levels serve as valuable indicators for assessing the efficacy and prognosis of CRF patients undergoing hemodialysis.

Assessing the changes in land use and ecosystem services in an oasis agricultural region of Yanqi Basin, Northwest China.

The Yanqi Basin, one of the most productive agricultural areas, has a high population density in Xinjiang, Northwest China. Land use changes, mainly driven by oasis expansion, significantly impact ecosystem services and functions, but these effects are difficult to quantify. The valuation of ecosystem services is important to clarify the ecological and environmental changes caused by agriculturalization of oasis. This study aimed to investigate variations in ecosystem services in response to land use changes during oasis agricultural expansion activities in the Yanqi Basin from 1964 to 2009. The methods used were based on formula of ecosystem service value (ESV) and ESV coefficients. Satellite data were combined with the ESV coefficients to quantify land use changes and ecosystem service changes in the study area. Sensitivity analysis determined the effect of manipulating the coefficients on the estimated values. The results show that the total ESVs in the Yanqi Basin were $1,674, $1,692, $1,471, $1,732, and $1,603 million in 1964, 1973, 1989, 1999, and 2009, respectively. The net deline in ESV was $71 million in the past 46 years, but the ESVs of each types of landscape changed significantly. The aggregated ESVs of water areas and wetlands were approximately 80 % of the total ESV. Water supply and waste treatment were the two largest service functions and contributed approximately 65 % of the total ESV. The estimated ESVs in this study were elastic with respect to the value coefficients. Therefore, the estimations were robust in spite of uncertainties on the value coefficients. These significant changes in land use occur within the entire basin over the study period. These changes cause environmental problems, such as land degradation, vegetation degeneracy, and changes in aquatic environment.

Groundwater quality and its suitability for drinking and agricultural use in the Yanqi Basin of Xinjiang Province, Northwest China.

The Yanqi Basin in Xinjiang Province is an important agricultural area with a high population density. The extensive agricultural activities in the Yanqi Basin started in the 1950s with flood irrigation techniques. Since then, the groundwater table was raised because of the absence of an efficient drainage system. This obstacle is a crucial factor that restricts sustainable socioeconomic development. Hydrochemical investigations were conducted in the Yanqi Basin, Northwestern China, to determine the chemical composition of groundwater. Sixty groundwater samples were collected from different wells to monitor the water chemistry of various ions. The results of the chemical analysis indicate that the groundwater in the area is generally neutral to slightly alkaline and predominantly contains Na(+) and Ca(2+) cations as well as HCO3(-) and SO4 (2+) anions. High positive correlations between HCO3 (-)-Mg(2+) + Ca(2+), SO 4 (2-)-Mg(2+), SO4 (2-)-Na(+) + K(+), and Cl(-)-Na(+) + K(+) were obtained. The total dissolved solids (TDS) mainly depend on the concentration of major ions such as HCO3(-), SO4 (2-), Cl(-), Ca(2+), Mg(2+), and Na(+) + K(+). The dominant hydrochemical facies for groundwater are Ca(2+)-Mg(2+)-HCO3(-), Mg(2+)-Ca(2+)-SO4 (2-)-Cl(-), Na(+)-K(+)-Cl(-)-SO4 (2-), and Na(+)-K(+)-Mg(2+)-Cl(-)-HCO3(-) types. The hydrochemical processes are the main factors that determine the water quality of the groundwater system. These processes include silicate mineral weathering, dissolution, ion exchange, and, to a lesser extent, evaporation, which seem to be more pronounced downgradient of the flow system. The saturation index (SI), which is calculated according to the ionic ratio plot, indicates that the gypsum-halite dissolution reactions occur during a certain degree of rock weathering. SI also indicates that evaporation is the dominant factor that determines the major ionic composition in the study area. The assessment results of the water samples using various methods indicate that the groundwater in the study area is generally hard, fresh to brackish, high to very high saline, and low alkaline in nature. The high total hardness and TDS of the groundwater in several places indicate the unsuitability of the groundwater for drinking and irrigation. These areas require particular attention, particularly in the construction of adequate drainage as well as in the introduction of an alternative salt tolerance cropping.

Land use/land cover change and their effects on landscape patterns in the Yanqi Basin, Xinjiang (China).

Human modification of land use and land cover change (LUCC) drives the change of landscape patterns and limits the availability of products and services for human and livestock. LUCC can undermine environmental health. Thus, this study aimed to develop an understanding of LUCC in the Yanqi Basin, Xinjiang, China, an arid area experiencing dramatic water and land resource use. A time series of satellite images (1964, 1973, 1989, 1999, and 2009) were used to calculate the index of landscape patterns to study the processes involved in changes to land uses and landscape patterns and the influence of this changes on landscape patterns. The results show that land uses in the Yanqi Basin have changed dramatically since 1964 with grassland being mainly converted to cropland. Landscape fragmentation and diversity have decreased in the study area, although landscape fragmentation increased from 1964 to 1999 and then decreased by 2009. The index of landscape diversity decreased from 1.64 in 1964 to 0.71 in 2009. The heterogeneity and complexity of the landscape increased during this period. In contrast, the index of dominance decreased from 0.85 in 1964 to 0.83 in 2009. Land use change drives landscape patterns of the development of the watershed toward diversity and a fragmented structure. Population growth, economic development, and industrial policies were the dominant driving forces behind LUCC in the Yanqi Basin. Sustainable use of land resources is a significant factor in maintaining economic development and environmental protection in this arid inland river basin.

Therapeutic effect of low-molecular-weight heparin on adult sepsis: a meta-analysis.

BACKGROUND: Low-molecular-weight heparin (LMWH) is a part of standard supportive therapy for sepsis, but clinical research on anticoagulant therapy is still controversial. The aim of the present study was to explore the efficacy and safety of LMWH in adult septic patients by meta-analysis. METHODS: Information on randomized controlled trials was retrieved from PubMed, Embase, Web of Science, China National Knowledge Infrastructure, and China Wanfang Database from the establishment of each database to February 20, 2020. The therapeutic efficacy indexes of LMWH for adult septic patients were analyzed by Stata15.0 software. RESULTS: A total of 684 septic patients were included in 10 trials. The results showed that, compared with conventional treatment, LMWH significantly reduced prothrombin time [mean difference (MD) =-0.48, 95% confidence interval (CI): -0.83 to -0.13], Acute Physiology And Chronic Health Evaluation II score (MD=-4.42, 95% CI: -5.50 to -3.33), and 28-day mortality [relative risk (RR) =0.52, 95% CI: 0.38-0.70], and increased platelet count (MD =34.99, 95% CI: 23.37-46.60). LMWH significantly reduced levels of tumor necrosis factor-α, interleukin-6, and D-dimer, and the incidence of multiple organ dysfunction syndrome (MODS), with statistically significant differences. In addition, LMWH did not increase bleeding events (RR =1.29, 95% CI: 0.76-2.17). CONCLUSIONS: On the basis of routine treatment, LMWH can improve coagulation function, reduce inflammatory reaction and the risk of bleeding, reduce the incidence of MODS and 28-day mortality rate, and improve the prognosis of adult patients with sepsis.