Correlation and Prognostic Assessment of Low T3 Syndrome and Norepinephrine Dosage for Patients with Sepsis: A Retrospective Single-Center (Cohort) Study.

Purpose: To investigate the correlation and prognostic significance of low triiodothyronine (T3) syndrome and norepinephrine dosage in patients with sepsis and septic shock. Methods: This single-center, retrospective, cohort study enrolled 169 patients with sepsis and septic shock that were admitted to the intensive care unit of First Hospital of Nanchang, Nanchang, China from June 2017 to July 2019. All included patients were followed up for 28 days or died, whichever was earlier. Patients with free T3 (FT3) of <3.1 pmol/L were considered with low T3 syndrome. The correlation and prognostic significance of the FT3 and maximum dosage of norepinephrine (MDN) within 72 h, as well as other clinical indicators, were analyzed by using correlation analysis, principal component analysis, receiver operating characteristic curve, Youden index, and logistic regression. Results: A total of 138 patients were allocated to the low T3 group. FT3 inversely correlated with the Sequential Organ Failure Assessment (SOFA) score within 24 h, fluid resuscitation volume within 24 h, and lactic acid levels, and positively correlated with the mean arterial pressure. The critical values of age, SOFA, and MDN for predicting the 28-day mortality were 79.5 years, 8.5 points, and 0.61 µg/kg/min, respectively. The mortality of the low T3 and normal T3 groups was similar. Considering the MDN of 0.61 µg/kg/min as the cutoff value, the mortality between the two groups was significantly different. Conclusion: Among patients with sepsis and septic shock, FT3 was inversely correlated with the disease severity. An MDN ≥ 0.61 µg/kg/min within 72 h may be an important prognostic indicator.

[Vulnerability of eco-economy in northern slope region of Tianshan Mountains].

Based on the theoretical meaning of vulnerability, a vulnerability assessment of eco-econom in fifteen counties in the northern slope region of Tianshan Mountains was conducted. The ecosystem services change to land use was regarded as the impact, and based on the fourteen indices from resource holding, society development, and economy development statistic data, the adaptive ability was evaluated by using the methods of analytic hierarchy process (AHP) and fuzzy synthetic evaluation. On the basis of assessment results of impact and adaptive capacity, the fifteen counties were divided into five classes under the assessment principles, and the district with higher-class number was of more vulnerability. The first class included Usu City and Changji City, the second class included Hutubi County, Miquan County, Fukang City, Jimsar County, Qitai County and Mori Kazak Autonomous County, the third class included Karamay City and Urumqi City, the fourth class included Kuitun City and Shawan County, and the fifth class included Jinghe County, Shihezi City and Manas County. The vulnerability reflected the level of eco-environment change and socioeconomic development, and the vulnerability assessment could be a good way to ensure the sustainable development. Aiming to decrease the vulnerability, various districts belonging to different class of vulnerability should establish relevant tactics according to the vulnerability factors to accelerate the region's sustainable development.