Development of the triadic neural systems involved in risky decision-making during childhood.

Risk-taking often occurs in childhood as a compex outcome influenced by individual, family, and social factors. The ability to govern risky decision-making in a balanced manner is a hallmark of the integrity of cognitive and affective development from childhood to adulthood. The Triadic Neural Systems Model posits that the nuanced coordination of motivational approach, avoidance and prefrontal control systems is crucial to regulate adaptive risk-taking and related behaviors. Although widely studied in adolescence and adulthood, how these systems develop in childhood remains elusive. Here, we show heterogenous age-related differences in the triadic neural systems involved in risky decision-making in 218 school-age children relative to 80 young adults. Children were generally less reward-seeking and less risk-taking than adults, and exhibited gradual increases in risk-taking behaviors from 6 to 12 years-old, which are associated with age-related differences in brain activation patterns underlying reward and risk processing. In comparison to adults, children exhibited weaker activation in control-related prefrontal systems, but stronger activation in reward-related striatal systems. Network analyses revealed that children showed greater reward-related functional connectivity within and between the triadic systems. Our findings support an immature and unbalanced developmental view of the core neurocognitive systems involved in risky decision-making and related behaviors in middle to late childhood.

Coordinated development of green finance and green technology innovation in China: from the perspective of network characteristics and prediction.

Under the path of sustainable development, the key to achieving green and low-carbon transformation lies in green technology innovation (GTI), and how to effectively coordinate the relationship between green finance (GF) and GTI is an issue worth studying. This paper constructed an evaluation system of GF and GTI and combined them with the coupled coordination degree model to explore their coordination of Chinese provinces from 2012 to 2019. Then, the core network evolution and spatial structure characteristics of GTI and GF were studied using the modified gravity model. Finally, based on the link prediction, the general future network prediction is made to provide guidance and direction for the future GTI and GF development and construction. The results found that the coordination level between GF and GTI has been continuously improved from 0.356 to 0.436. The core network structure is keeping changing with their connection becoming more complex, and there is still room for optimization. Network centrality characteristics show that the spatial spillover effects are stronger in the more economically developed regions. The overall network possibility prediction shows the potential network connections in different urban agglomerations. This paper provides a certain reference role for China and developing countries to predict the GF and GTI cooperation network development in the future.

Clinical risk factors and Risk assessment model for Anastomotic leakage after Rectal cancer resection.

BACKGROUND: Anastomotic leakage (AL) is the most serious complication after rectal cancer surgery. Risk factors associated with AL have been documented in previous studies; however, the consensus is still lacking. In this retrospective study, we aimed to identify risk factors for AL after rectal cancer resection and to create an accurate and effective tool for predicting the risk of this complication. METHODS: The study cohort comprised of 276 patients with rectal cancer who had undergone anterior resection between 2015 and 2020. Twenty-four selected variables were assessed by univariate and multivariate logistic regression analyses to identify independent risk factors of AL. A risk assessment model for predicting the risk of AL was established on the basis of the regression coefficients of each identified independent risk factor. RESULTS: Anastomotic leakage occurred in 20 patients (7.2%, 20/276). Multivariate analysis identified the following variables as independent risk or protective factors of AL: perioperative ileus ( P < 0.001, odds ratio [OR] = 14.699), tumor size ≥5 cm ( P = 0.025, OR = 3.925), distance between tumor and anal verge <7.5 cm ( P = 0.045, OR = 3.512), obesity ( P = 0.032, OR = 7.256), and diverting stoma ( P = 0.008, OR = 0.143). A risk assessment model was constructed and patients were allocated to high-, medium-, and low-risk groups on the basis of risk model scores of 5-7, 2-4, and 0-1, respectively. The incidences of AL in these three groups were 61.5%, 11.9%, and 2.0%, respectively ( P < 0.001). CONCLUSIONS: Our risk assessment model accurately and effectively identified patients at high risk of AL and could be useful in aiding decision-making aimed at minimizing adverse outcomes associated with leakage.

Assessment of five typical environmental endocrine disruptors and thyroid cancer risk: a meta-analysis.

Introduction: There are conflicting reports on the association between environmental endocrine disruptors (EEDs) and thyroid cancer. This meta-analysis aimed to elucidate the relationship between EEDs and thyroid cancer. Methods: We searched for epidemiological studies on EEDs and thyroid cancer published in PubMed and Web of Science up to December 2022. We then screened the articles that could extract data on EEDs concentration levels in both thyroid cancer patients and healthy controls. We excluded articles that could not calculate effect sizes, focused on other thyroid diseases, or lacked controls. Standardized mean difference (SMD) was calculated to analyze the association between EEDs and thyroid cancer. We measured the heterogeneity among the included studies using I2, assessed publication bias by Egger's and Begg's test, and evaluated article quality using the Newcastle-Ottawa Quality Score (NOS). In the end, fifteen eligible case-control studies were included. Results: Our comprehensive analysis revealed that polychlorinated biphenyls (PCBs) were negatively associated with thyroid cancer{ SMD = -0.03, 95% confidence interval (CI) = (-0.05, -0.00), P = 0.03}, while polybrominated diphenyl ethers (PBDEs), phthalates (PAEs), and heavy metals were positively associated with thyroid cancer{PBDEs: SMD = 0.14, 95%CI = (0.04, 0.23), P = 0.007; PAEs: SMD = 0.30, 95%CI = (0.02, 0.58), P = 0.04; heavy metals: SMD = 0.21, 95%CI = (0.11, 0.32), P < 0.001}. We did not find a statistically significant relationship between bisphenol A (BPA) and thyroid cancer. Most of the included studies did not show publication bias, except for those on PCBs. Discussion: Our results indicate that exposure to certain EEDs, such as PBDEs, PAEs, and heavy metals, increases the risk of thyroid cancer. However, further large-scale epidemiological studies and mechanism studies are needed to verify these potential relationships and understand the underlying biological mechanisms.

Assessment of health literacy in patients with polycystic ovary syndrome and its relationship with health behaviours: a cross-sectional study.

OBJECTIVE: Healthy behaviours are important for people with polycystic ovary syndrome (PCOS). However, adopting and maintaining lifestyle changes involves a complex set of behavioural changes, which most patients fail to adhere to. The current research on health literacy, which includes individual and social skills needed in health self-management, in patients with PCOS is limited. Therefore, this study aimed to explore health literacy, health behaviours and the relationship between the two to expand research on PCOS management. DESIGN: Cross-sectional study. SETTING: A gynaecological outpatient clinic. PARTICIPANTS: A total of 286 patients with PCOS (≥18 years, diagnosed via Rotterdam criteria, able to self-report and give informed consent) were recruited from March to June 2022. OUTCOME MEASURES: Health literacy and health behaviours in patients with PCOS were assessed using the Health Literacy Management Scale and the Health Promoting Lifestyle Profile (Chinese version). Multiple logistic regression was used to analyse the factors influencing health literacy, and linear regression to assess the relationship between health literacy and health behaviours, with an F-significance test; p<0.05 was considered statistically significant. RESULTS: Overall, most patients with PCOS had insufficient health literacy (55.9%). The influencing factors of health literacy in patients with PCOS were age (ß=0.154, p<0.05), Body Mass Index (ß=-0.140, p<0.05), income (ß=1.228, p<0.05), duration of illness (ß=0.110, p<0.05) and educational level (ß=1.552, p<0.05). Moreover, 40.6% of patients with poor health behaviours, and 31.8% with moderate health behaviours, needed to improve their health behaviours. Health literacy was positively correlated with health behaviours in patients with PCOS (r=0.473, p<0.05). CONCLUSION: The positive correlation between health literacy and health behaviour in patients with PCOS indicates that promoting health literacy in future treatment and management of PCOS may be beneficial.

Analysis of the spatial-temporal evolution of Green and low carbon utilization efficiency of agricultural land in China and its influencing factors under the goal of carbon neutralization.

Agricultural land is the most basic input factor for agricultural production and an essential component of terrestrial ecosystems, which plays a vital role in achieving carbon neutrality. Giving full play to the carbon-neutral contribution of agricultural land is a crucial part of China's economic transformation and green development. It incorporates carbon and pollution emissions from agricultural land use into the unexpected outputs of the Green and Low-carbon Utilization Efficiency of Agricultural Land (GLUEAL) evaluation system. The study utilized several advanced analytical tools, including the super-efficient Slacks-Based Measure (SBM) model, Exploratory Spatial-Temporal Data Analysis (ESTDA) method, Geodetector, and Geographically and Temporally Weighted Regression (GTWR) model. The objective was to examine the spatial-temporal evolution of GLUEAL and identify the factors that influenced it in all 31 provinces of China from 2005 to 2020. The results show that: (1) The overall spatial-temporal evolution of GLUEAL showed an increasing trend, but the disparity between provinces and regions became wider. (2) Most provinces have not yet made significant spatial and temporal jumps. They have high spatial cohesion with specific "path-dependent" characteristics. (3) The Geodetector results reveal that the Number of Rural Labor Force with Higher Education (NRLFHE) and Technology Support for Agriculture (TSA) have insufficient explanatory power on average for GLUEAL. Agricultural Economic Development Level (AEDL), Urbanization Level (UL), Multiple Crop Index (MCI), Planting Structure (PS), Degree of Crop Damage (DCD), Financial support for agriculture (FSA), and Agricultural mechanization level (AML) had stronger explanatory power on average for GLUEAL and were important factors influencing GLUEAL levels. (4) The average influence of AEDL, UL, FSA, and AML on GLUEAL changed from negative to positive. The average influence of MCI and DCD on GLUEAL was negative, and the average influence of PS on GLUEAL changed from positive to negative. This study provides a comprehensive description of the spatial and temporal evolution of GLUEAL in China. It reveals the key factors influencing GLUEAL and analyzes their spatial variations and impact patterns. These findings offer robust evidence for government policymakers to formulate policy measures for sustainable agricultural development and optimized resource allocation, promoting the transformation of agricultural land towards green and low-carbon practices and advancing the achievement of sustainable development goals.

Transport model simulation prediction and environmental risk assessment of pyrethroid insecticides in urban artificial lakes caused by rainfall: A case study of Cloud Mountain Park in subhumid climate zone.

Pyrethroid insecticides are among urban parks' most widely used and harmful insecticides. The advanced prediction method is the key to studying the pollution and diffusion risk of plant conservation insecticides in parks. A two-dimensional advection-dispersion model was established for the North Lake of Cloud Mountain Park in the subhumid area of Hebei Province. The temporal and spatial distribution of lambda-cyhalothrin pollution required by plant growth in artificial lakes under different rainfall intensities and the time of water renewal after rainfall was simulated and predicted. According to the model efficiency (E: 0.98), mean absolute error (MAE: 0.016-0.064 cm), and root mean square error (RMSE: 0.014-0.041 cm), the prediction results showed that the model fits well. The results showed that the concentration of lambda-cyhalothrin in the artificial lake was positively correlated with the increase in rainfall intensity. Under the three scenarios of moderate rain, heavy rain, and rainstorm, the variation of total pollutants into the lake over time conformed to the first-order dynamic equation (R2＞0.97), and the cumulative rates were 0.013 min-1, 0.019 min-1 and 0.022 min-1, respectively. Under light rain, the accumulation rate of lambda-cyhalothrin showed a double-linear relationship, which was in accordance with the second-order kinetic equation (R2＞0.97). The rapid accumulation rate of early-stage rainfall was 0.0024 min-1, and the slow accumulation rate of late-stage rainfall was 0.0019 min-1. The human health risk assessment predicted by the simulation was lower than the hazard value (Rtgn(a-1): 9.65 E-11-1.12 E-10 a-1). However, the potential risk value to aquatic species was higher (RQ: 0.33-23.05). In addition, the increase in rainfall intensity has no significant effect on the acceleration of water renewal time. The two-dimensional dispersion model of pollutants driven by water dynamics provided relevant examples for evaluating the impact of runoff on pesticide scour in parks and supplied scientific support for improving the management of artificial lakes in urban parks.

Green finance network evolution and prediction: fresh evidence from China.

Green finance has become an important reform force to promote the sustainable development of China's economy. Therefore, it has a great significance for in-depth analysis of the advantages and disadvantages of regional green finance development, to further promote it by clarifying and predicting the regional differences and dynamic evolution trends. Based on this, this paper will select the relevant index from 2001 to 2020 to construct China Green Finance Core Network (CGFCN) in different years by using Space-L method at the first, then analyze its network characteristics and spatial evolution pattern in depth, and finally predict the future development trend of CGFCN by link prediction. The research results show that: firstly, the evolution of CGFCN is mainly divided into three stages: rapid development, stable development and optimal development, and the closeness of CGFCN is constantly improving. Besides, two strong relationship networks are gradually forming, that is Beijing-Tianjin region and the Yangtze River Detla region. Secondly, with the development of green finance, the community division has changed. It is mainly divided into four communities, named the Beijing-Tianjin-Hebei leading community, the eastern provincial community, the Yangtze River Delta community and the central and southern joint community. Different communities will have different integration in different periods. Thirdly, the future development direction of green finance network is mainly Beijing-Tianjin-Hebei region and Yangtze River Delta regions, and their outward radiation are mainly shown in the eastern coastal and central regions, which also have strong development potential. In this regard, it is proposed to coordinate development across provinces to speed up the "urban integration" of green finance services; Establish an efficient community development mechanism and promote the interconnection of green finance markets and infrastructure between different regions; Strengthen the resource flow among regions and coordinate the resource competition of green finance.

Coupling coordination and influencing factors of urban spatial accessibility and economic spatial pattern in the New Western Land-Sea Corridor.

The construction of the New Western Land-Sea Corridor is crucial to the economic development of western China and even Southeast Asia. Research analyzes the evolution of urban economic spatial pattern of the New Western Land-Sea Corridor in different years and discusses the coordinated development between economic connection and accessibility and its influencing factors. The research results show that: First, the influence of labor force on the urban centrality of the New Western Land-Sea Corridor is gradually increasing, and the spatial pattern of the urban network has gradually shifted from a unipolar attraction type to a spatial pattern of "one main and multiple subordinates." Second, urban accessibility presents a "core-periphery" spatial pattern, and the coupling coordination degree presents the spatial characteristics of "centro-periphery." The economic correlation strength, spatial accessibility, and the coordinated distribution of the two all have obvious spatial agglomeration characteristics. Third, there are spatial differences in the influencing factors of the coupling coordination degree. Based on this, the research puts forward the development mode of "growth pole," "area," and "axis," attaches importance to the problems of labor force in urban development, and strengthens the level of coupling coordination between regional transportation and economy, to promote the integration of regional transportation, logistics, and economy.

The Spatial-Temporal Transition and Influencing Factors of Green and Low-Carbon Utilization Efficiency of Urban Land in China under the Goal of Carbon Neutralization.

Urban-land development and utilization is one of the main sources of carbon emissions. Improving the green and low-carbon utilization efficiency of urban land (GLUEUL) under the goal of carbon neutrality is crucial to the low-carbon transition and green development of China's economy. Combining the concept of green and low-carbon development in urban land use, carbon emissions and industrial-pollution emissions are incorporated into the unexpected outputs of the GLUEUL evaluation system. The super-efficient slacks-based measure (SBM) model, Exploratory Spatial-Temporal Data Analysis (ESTDA) method and Geographically and Temporally Weighted Regression (GTWR) model were used to analyze the spatial-temporal transition and the influencing factors of GLUEUL in 282 cities in China from 2005 to 2020. The result shows that: (1) From 2005 to 2020, the green and low-carbon land-utilization efficiency of Chinese cities shows an increasing temporal-evolution trend, but the gap between cities is gradually widening. (2) From the spatial-temporal dynamic characteristics of Local Indicators of Spatial Association (LISA), regions with the highest GLUEUL have strong dynamics and instability, while cities at the lowest level have a relatively stable spatial structure. On the whole, the local-spatial-transfer direction of GLUEUL of each city is stable, with certain path-dependent characteristics. (3) There are differences in the degree of influence and direction of action of different factors on GLUEUL. The economic development level, industrial-structure upgrading, financial support, wealth level, and green-technology-innovation ability have positive effects on overall GLUEUL, with industrial-structure upgrading promoting GLUEUL the most, while urban population size, foreign-investment scale, and financial-development level play a negative role. This study can provide some empirical and theoretical references for the improvement of GLUEUL.

Experimental study on three simple tracers for the assessment of extraneous water into sewer systems.

In recent years, three simple tracers (conductivity, turbidity and temperature) have shown their advantages to many other tracers for tracing and assessment of extraneous water (or inflow and infiltration, I/I) into sewer systems due to low detection cost and high monitoring frequency. A better understanding of the error and uncertainty of the three simple tracers on the quantification of I/I will help to improve the reliability and reduce the cost of actual projects. A large-scale experimental model simulating a 36 m long sewer was constructed for conducting extraneous water flow tests including groundwater infiltration, wastewater inflow and hot water inflow under different I/I flow rates and concentrations. The accuracy and uncertainty of the three tracers were estimated, and their correlation with tracer concentration difference before and after extraneous inflow was also analyzed. Experimental results provide guidance for the practical applicability of the three tracers under different I/I conditions.

Degradation of low-concentration perfluorooctanoic acid via a microbial-based synergistic method: assessment of the feasibility and functional microorganisms.

Perfluorooctanoic acid (PFOA) is persistent in the environment. The activities of microorganisms alone are insufficient for the decomposition of PFOA, but microorganisms can contribute positively to the degradation of PFOA in synergistic systems. Herein, a synergistic system combining photocatalytic decay with microbial degradation of the transformation products was applied to degrade 500.0 µg L-1 PFOA. The microorganisms increased the total removed percentage by 30.7% to a final percentage of 79.7 ± 9.4% in comparison with the photocatalytic method alone. Moreover, an additional 44.2% of removed total organic carbon and additional defluorination percentage of 24.5% were obtained after the synergistic tests. The 16S RNA sequencing analysis indicated that Stenotrophomonas, Bacillus, Pseudomonas, and Brevundimonas were highly enriched in the functional microbial community, which was simultaneously shaped by photocatalysis and substances. This study found it would be feasible to use a synergistic method containing photocatalysis and a microbial community for the degradation of low-concentrations of PFOA, and the results provided a reference to modified the removal efficiency of the synergistic system by looking insight into the relationship between the functional microbial community and PFOA.

A conversion and pseudocapacitance-featuring cost-effective perovskite fluoride KCuF3 for advanced lithium-ion capacitors and lithium-dual-ion batteries.

A cost-effective perovskite fluoride KCuF3 material has been introduced as an advanced anode for lithium-ion capacitors (LICs) and lithium-dual-ion batteries (Li-DIBs), showing a conversion mechanism and pseudocapacitive kinetics for Li ion storage.

The Impact of Customer Psychological Price on Audit Pricing in the Start-Up Company Market.

Start-up companies are confronted with various risks and many uncertainties, and professional auditing can fully analyze start-up companies. In this way, both parties may maximize their interests through auditing the market activities. Based on the characteristics of start-up companies, this study explores the impact of customer psychological prices on audit pricing. The impact of customer psychological prices on audit pricing decisions was systematically analyzed from various angles, thereby determining whether it will affect the development of the product market. The results show that product market dominance reduces the agency costs between the owner and manager of the customer company. In other words, if the customers have greater control over the product market, they will have a lower business risk, and the auditor risk will be reduced accordingly, hence a lower audit fee. In the start-up company market, even if the financing dilemma restricts the survival and development of the company, customers still have psychological expectations for audit pricing. When their psychological price of products is different from the market price of products, it may affect the market advantage of products with lower audit fees, and further expands the previous research. In the market, customers also have certain psychological expectations for "auditing" products. Therefore, strengthening the relationship between auditors' pricing and customers' psychological prices has a positive effect on enhancing the competitiveness of product markets, which also increases the operating efficiency of start-up companies.

Comparative efficacy of organic and inorganic silicon fertilizers on antioxidant response, Cd/Pb accumulation and health risk assessment in wheat (Triticum aestivum L.).

In wheat production areas of China, soil lead (Pb) pollution is generally accompanied by cadmium (Cd) pollution and it is of considerable significance in repairing the Cd and Pb co-contaminated soils for safe agronomic production. Organosilicon fertilizer (OSiF) is a new type of silicon (Si) fertilizer that can effectively alleviate heavy metal toxicity in plants, but the mechanisms on its heavy metal detoxification are poorly understood. A soil pot experiment was conducted to evaluate and compare the effects of two OSiFs (OSiFA and OSiFB) and an inorganic silicon fertilizer (InOSiF) on wheat heavy metal uptake and biochemical parameters in a Cd and Pb co-contaminated soil. The results demonstrated that OSiFA, OSiFB and InOSiF could alleviate the Cd and Pb toxicity of wheat, as indicated by increasing wheat grain yield by 65%, 45% and 22%, respectively. The Si fertilizers enhanced leaf gas exchange attributes and chlorophyll content, whereas diminished the oxidative damage, as indicated by a lower level of hydrogen peroxide (H2O2) and malondialdehyde (MDA) content, and lower activity of superoxide dismutase (SOD) and catalase (CAT) activity, as compared with control. Adding OSiFA, OSiFB and InOSiF increased Si uptake in roots and shoots, thus reducing Cd and Pb accumulation in the wheat shoot, bran and flour, especially, flour Cd contents by 17%, 10% and 31% respectively, flour Pb contents by 74%, 53% and 48% respectively. Also, Si fertilizers application decreased the health risk index (HRI) of both Cd and Pb. The grey correlation degrees of OSiFA, OSiFB and InOSiF are 0.72, 0.77 and 0.61, respectively, indicating that the effects of OSiFs on detoxifying Cd and Pb could be better than that of InOSiF in wheat. Thus, the use of OSiFs might be a feasible approach to reduce Cd and Pb entry into the human body through crops.

Assessment of oxidative stress of paracetamol to Daphnia magna via determination of Nrf1 and genes related to antioxidant system.

Paracetamol (APAP) is one of the most widely used anti-inflammatory and analgesic drugs in human being health care and has been universally detected in various aquatic environments. However, its potential adverse effects and toxic mechanisms on freshwater invertebrates still remain unclear. In the present study, the effects of APAP on the expressions of Nrf1 and the antioxidant related genes including GCLC, GST, GPX, CAT, TRX, TrxR and Prx1 in Daphnia magna (D. magna) were evaluated after 24, 48 and 96 h, and the changes of GPX, GST and CAT enzyme activities, as well as the GSH and MDA content under APAP exposure for 48 h were also determined. Results showed that paracetamol affected the expressions of Nrf1 and antioxidant related genes in D. magna, which were related to the exposure time and concentration of APAP. Nrf1 was inhibited at 48 h, but induced at 96 h under the APAP exposure, being about two fold of the control in 5.0 µg/L. CAT were significantly induced in all treatments. But Prx decreased in an concentration-dependent manner in all treatments. In comparison with the mRNA expression, antioxidant enzymes activity displayed less changes in D. magna. Overall, APAP exposure altered the expression of Nrf1 and genes related to antioxidant system and disturbed the redox homeostasis of D. magna.

Subjective evaluation of running footwear depends on country and assessment method: a bi-national study.

This study examined (1) the perception of running shoes between China (Beijing) and Singapore and (2) whether running shoe preference depended on assessment methods. One hundred (n = 50 each country) Chinese males subjectively evaluated four shoe models during running by using two assessment procedures. Procedure 1 used a visual analogue scale (VAS) to assess five perception variables. Procedure 2 was a 'head-to-head' comparison of two shoes simultaneously (e.g. left foot: A and right foot: B) to decide which model was preferred. VAS scores were consistently higher in Beijing participants (p < .001), indicating a higher degree of liking. Singapore participants used the lower end but a wider range of the 15 cm scale for shoe discrimination. Moderate agreement was seen between the VAS and 'head-to-head' procedures, with only 14 out of 100 participants matched all 6 pairwise comparisons (median = 4 matches). Footwear companies and researchers should be aware that subjective shoe preference may vary with assessment methods. Practitioner Summary: Footwear preference depends on country and assessment methods. Running shoe perception differed between Beijing and Singapore Chinese, suggesting that footwear recommendation should be country-specific. Individuals' shoe preference measured by visual analogue scale when wearing complete pairs may not reflect that when directly comparing different models in left and right feet.

[Efficacy assessment of acupuncture and moxibustion on tear secretion in xerophthalmia].

OBJECTIVE: To compare the efficacy differences between acupuncture-moxibustion and medication in xerophthalmia. METHODS: Eighty cases of xerophthalmia were randomly divided into an acupuncture-moxibustion group and a medication group, 40 cases in each group. In acupuncture-moxibustion group, acupuncture was applied to the local and distal points, such as Jingming (BL 1), Cuanzhu (BL 2), Taiyang (EX-HN 5) and Quchi (LI 11) etc., combined with non-smoking moxibustion. In medication group, Sodium Hyaluronate eye drops were administered, three times per day, 1 drop each time. Before and after treatment, tear secretion volume (Schirmer's test), break-up time (BUT), symptom score, visual function score and tear film grade were observed. RESULTS: The total effective rate was 73.1% (57/78) in acupuncture-moxibustion group, and was 37.2% (29/78) in medication group, indicating significant statistical difference in comparison (P < 0.05). There was a significant difference in statistics in tear secretion volume between two groups after treatment (P < 0.05), in which, the result in acupuncture-moxibustion group was superior to that in medication group. The significant statistical differences presented in tear secretion volume, BUT, symptom score, visual function score and tear film grade in comparison before and after treatment in acupuncture-moxibustion group (all P < 0.05). The significant statistical difference presented in symptom score and tear film grade before and after treatment in medication group (both P < 0.05). CONCLUSION: Acupuncture-moxibustion apparently relieves the symptoms of xerophthalmia, promotes tear secretion and improves the life quality of patients.