A novel quantity assessment of landscape ecological risk using human-nature driving mechanism for sustainable society.

The rapid advancement of global economic integration and urbanization has severely damaged the stability of the ecological environment and hindered the ecological carbon sink capacity. In this study, we evaluated the spatiotemporal evolution pattern of landscape ecological risk (LER) in the Loess Plateau from 2010 to 2020. This was examined under the driving mechanism of human and natural dual factors. We combined the random forest algorithm with the Markov chain to jointly simulate and predict the development trend of LER in 2030. From 2010 to 2020, LER on the Loess Plateau showed a distribution pattern with higher values in the southeast and lower values in the northwest. Under the interaction of human and natural factors, annual precipitation exerted the strongest constraint on LER. The driving of land use and natural factors significantly influenced the spatial differentiation of the LER, with a q-value >0.30. In all three projected scenarios for 2030, there was an increase in construction land area and a significant reduction in cultivated land area. The urban development scenario showed the greatest expansion of high-risk areas, with a 5.29 % increase. Conversely, the ecological protection scenario showed a 1.53 % increase in high-risk areas. The findings have provided a reference for ecological risk prevention and control, and sustainable development of the ecological environment in arid regions.

Cost-Effectiveness Analysis of Remimazolam and Midazolam in Goal-Guided Sedation in ICU.

Objective: This study aimed to compare the direct medication costs and clinical effectiveness of using remimazolam versus midazolam for goal-guided sedation therapy in the ICU patients. Methods: This randomized controlled study was conducted in the ICU of People's Hospital Affiliated to Shandong First Medical University. Eighty adult patients admitted to the ICU and requiring sedation were enrolled and randomly assigned in a 1:1 ratio to receive either remimazolam-based sedation (study group, n=40) or midazolam-based sedation (control group, n=40). The inclusion criteria for patient selection were age 18-80 years, requirement for mechanical ventilation, and an expected ICU stay of at least 24 hours. Patients with significant liver or kidney dysfunction, neurological disorders, or contraindications to the study drugs were excluded. The target sedation depth for both groups was a Ramsay Sedation Scale score of 3-4, which was maintained by titrating the infusion rates of remimazolam or midazolam as needed. Vital signs, sedation scores, and respiratory parameters were closely monitored throughout the sedation period. Results: The time to onset of sedation, time to reach the target sedation depth, time to awakening, and length of ICU stay were all significantly shorter in the remimazolam group compared to the midazolam group (P < .05 for all). The remimazolam group had a mean time to onset of 5.2 ± 1.8 minutes versus 8.9 ± 2.4 minutes in the midazolam group. The mean time to reach the target Ramsay Sedation Scale score of 3-4 was 12.6 ± 3.1 minutes in the remimazolam group compared to 18.4 ± 4.2 minutes in the midazolam group. The mean time to awakening was 10.2 ± 2.7 minutes in the remimazolam group versus 16.5 ± 3.9 minutes in the midazolam group. The remimazolam group also had a significantly shorter mean ICU length of stay of 5.1 ± 1.3 days compared to 7.8 ± 2.1 days in the midazolam group (P < .01). The remimazolam group had a significantly higher metabolic clearance rate compared to the midazolam group (P < .001). The Ramsay sedation scores and Wong-Baker FACES pain scores were also significantly lower in the remimazolam group throughout the sedation period (P < .01). There were no significant differences in heart rate between the two groups at any timepoint. However, the overall incidence of adverse events was significantly lower in the remimazolam group compared to the midazolam group (P < .05). Conclusion: This study demonstrated that the use of remimazolam-based goal-directed sedation in the ICU setting resulted in significantly faster onset of action, quicker achievement of the target sedation depth, shorter time to awakening, and shorter ICU length of stay compared to midazolam-based sedation. The remimazolam group also had a higher metabolic clearance rate, lower sedation and pain scores, and a lower incidence of adverse events.These findings suggest that remimazolam may provide advantages over midazolam for ICU sedation, potentially leading to improved patient comfort, more efficient utilization of ICU resources, and potentially better clinical outcomes. The rapid onset, titratability, and favorable safety profile of remimazolam make it a promising sedative agent that could help optimize sedation practices in the critical care setting. Further research is warranted to fully evaluate the impact of remimazolam on long-term patient-centered outcomes and overall healthcare costs in the ICU.

Impacts of Poverty and Lifestyles on Mortality: A Cohort Study in Predominantly Low-Income Americans.

INTRODUCTION: Low socioeconomic status has been linked to increased mortality. However, the impacts of poverty, alone or combined with health behaviors, on mortality and life expectancy have not been adequately investigated. METHODS: Data from the Southern Community Cohort Study was used, including nearly 86,000 participants recruited during 2002-2009 across 12 US southeastern states. Analysis was conducted from February 2022 to January 2023. RESULTS: During a median follow-up of 12.1 years, 19,749 deaths were identified. A strong dose-response relationship was found between household incomes and mortality, with a 3.3-fold (95%CI=3.1-3.6) increased all-cause mortality observed for individuals in the lowest income group (<$15,000/year) compared with those in the highest group (≥$50,000/year). Within each income group, mortality monotonically increased with declining healthy lifestyle score. Risk was significantly lower among those in the lowest income but healthiest lifestyle group, compared to those with the highest income but unhealthiest lifestyle (HR=0.82, 95%CI=0.69-0.97). Poor White participants appeared to experience higher all-cause mortality than poor Black participants. Life expectancy was more than 10.0 years shorter for those in the lowest income group compared with those in the highest income group. CONCLUSIONS: Poverty is strongly associated with increased risk of death, but the risks could be modestly abated by a healthier lifestyle. These findings call for a comprehensive strategy for enhancing a healthy lifestyle and improving income equality to reduce death risks, particularly among those experiencing health disparities due to poverty.

Value of the virtual monoenergetic image from dual-layer dual-energy computed tomography enterography in the preoperative assessment of the internal penetrating complication of Crohn's disease.

BACKGROUND: To determine the utility of virtual-monoenergetic imaging (VMI) at low energy levels from contrast-enhanced dual-layer dual-energy (DLDE) computed tomography enterography (CTE) in the preoperative assessment of internal penetrating lesions of Crohn's disease (CD). MATERIALS AND METHODS: Thirty-eight patients with penetrating lesions of CD by surgery undergoing contrast-enhanced DLDE CTE were retrospectively included. Polyenergetic imaging (PEI) and VMIs at low energy levels [40-70 kiloelectron volts (keV)] with 10 keV intervals were reconstructed. The objective parameters of image quality [noise, signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR)] and the subjective parameter of image quality [diagnostic performance of lesions (DPL), overall image quality(OIQ)] of PEI and all VMIs at the low energy level were compared to determine the VMI on the optimal energy level. The lesion detection capability between PEI and the optimal VMI was compared. RESULTS: VMI40 was determined to be the optimal VMI among all VMIs at the low energy level for owning the best image quality. No significant difference was found in the detecting capability in penetrating lesions between VMI40 and PEI (p = 1.0), whereas a significant difference was found in the detecting capability in the bowel origin of the penetrating lesions (p = 0.004), the involved organ or structure by the fistula (p = 0.016) and the orifice of the fistula connected to the involved organ or structure ( p = 0.031) between them. CONCLUSIONS: Compared to conventional PEI, VMI40 improves the detection capability in anatomical details of penetrating lesions of CD, helping colorectal surgeons rationalizing preoperative plans of internal penetrating lesions of CD.

Incidence and cost of dermatofibrosarcoma protuberans in mainland urban China: a nationwide retrospective study 2014-2016.

BACKGROUND: Dermatofibrosarcoma protuberans (DFSP) is a rare cutaneous sarcoma. Limited population-based epidemiological studies on DFSP have been conducted. OBJECTIVES: We aimed to estimate the incidence and disease burden of DFSP in China. MATERIALS & METHODS: We conducted a cross-sectional study using data from the national databases of the Urban Basic Medical Insurance scheme. Cases were identified by ICD code and Chinese language diagnostic terms. National incidence from 2014 to 2016 was estimated by gender and age, and associated medical costs were calculated. RESULTS: A total of 175 patients were confirmed with DFSP from 2014 to 2016. Crude incidence varied from 0.353 per 100,000 (95% CI: 0.203-0.503) in 2014 to 0.367 per 100,000 (95% CI: 0.279-0.455) in 2016. Incidence was higher in males than in females. The first incidence peak was observed between the ages of 20 and 39 years and the highest incidence rates were in those aged over 60 years. Average medical costs of DFSP were higher than the per capita disposable income of residents. CONCLUSION: Incidence of DFSP in mainland urban China is lower than in most developed countries and has remained relatively stable from 2014 to 2016. Further research is expected to clarify the potential pathophysiological mechanisms of DFSP.

Environmental Benefit Assessment of Second-Life Use of Electric Vehicle Lithium-Ion Batteries in Multiple Scenarios Considering Performance Degradation and Economic Value.

Second-life use of electric vehicle lithium-ion batteries (LIBs) is an inevitable trend; however, battery performance degradation increases environmental loads. This study evaluated the life cycle environmental impacts of second-life use of LIBs in multiple scenarios, considering performance degradation and economic value. The results showed that a component replacement rate of retired LIBs below 50% made the batteries worthy of repurposing. Reusing whole packs of retired LIBs was better than using only cells or modules owing to the environmental loads from diagnosis, disassembly, replacement, and test processes. The battery energy density and performance degradation significantly affect the maximum return on the environmental input. Compared with lithium iron phosphate (LFP) batteries, new lithium nickel manganese cobalt oxide (NMC) batteries, or lead-acid batteries, using retired NMC-811 batteries with capacities as low as 60.7% for energy storage systems to store wind electricity rather than hybrid or photovoltaic electricity, had substantial environmental benefits, including a low global warming potential. Considering the costs of battery recycling, labor, and electricity, using whole packs of retired LIBs could simultaneously achieve high economic and environmental values in energy storage and peak shaving scenarios.

Environmental impacts and optimization simulation of aerobic anaerobic combination treatment technology for food waste with life cycle assessment.

After the implementation of waste sorting policy in Shanghai, the amount of food waste (FW) separation and treatment demand has increased significantly. It is necessary to establish the life cycle assessment (LCA) to assess the environmental impacts of various treatment technologies comprehensively, thus provide support for sorting, recycling, treatment and disposal strategies of FW. In this study, a local FW treatment plant in Shanghai, using typically aerobic anaerobic combination treatment technology was selected to analyze the environmental impacts with LCA. The process mainly included pretreatment, power, aerobic composting, anaerobic digestion, and further process systems. LCA results showed that the environmental impacts mainly came from the power and aerobic composting systems on the fine particulate matter formation and eutrophication, and freshwater ecotoxicity and terrestrial acidification, respectively. Considering the carbon footprint, the aerobic composting system contributed 3.61E + 02 kg CO2 eq and represented the largest source of carbon emission. The soil conditioner yielded both environmental benefits on eutrophication and terrestrial ecotoxicity, and ecological benefits of 75.33 million CNY per year being the major revenue for the treatment plant. It also suggested that the biogas generation capacity of anaerobic digestion could be increased to achieve electricity self-sufficiency, thus save about 7.12 million CNY per year in electricity costs, and avoid corresponding environmental impacts caused by coal-fired. In summary, the aerobic anaerobic combination treatment could be further optimized and applied in FW treatment to reduce the environmental impacts, and enhance resource recovery and secondary pollution control.

Automatic assessment of collaterals physiology in chronic total occlusions by means of artificial intelligence.

BACKGROUND: Assessment of collaterals physiology in chronic total occlusions (CTO) currently requires dedicated devices, adds complexity, and increases the cost of the intervention. This study sought to derive collaterals physiology from flow velocity changes (ΔV) in donor arteries, calculated with artificial intelligence- aided angiography. METHODS: Angiographies with successful percutaneous coronary intervention (PCI) in 2 centers were retro- spectively analyzed. CTO collaterals were angiographically evaluated according to Rentrop and collateral connections (CC) classifications. Flow velocities in the primary and secondary collateral donor arteries (PCDA, SCDA) were automatically computed pre and post PCI, based on a novel deep-learning model to extract the length/time curve of the coronary filling in angiography. Parameters of collaterals physiology, Δcollateral-flow (Δfcoll) and Δcollateral-flow-index (ΔCFI), were derived from the ΔV pre-post. RESULTS: The analysis was feasible in 105 out of 130 patients. Flow velocity in the PCDA significantly decreased after CTO-PCI, proportionally to the angiographic collateral grading (Rentrop 1: 0.02 ± 0.01 m/s; Rentrop 2: 0.04 ± 0.01 m/s; Rentrop 3: 0.07 ± 0.02 m/s; p < 0.001; CC0: 0.01 ± 0.01 m/s; CC1: 0.04 ± ± 0.02 m/s; CC2: 0.06 ± 0.02 m/s; p < 0.001). Δfcoll and ΔCFI paralleled ΔV. SCDA also showed a greater reduction in flow velocity if its collateral channels were CC1 vs. CC0 (0.03 ± 0.01 vs. 0.01 ± 0.01 m/s; p < 0.001). For each individual patient, ΔV was more pronounced in the PCDA than in the SCDA. CONCLUSIONS: Automatic assessment of collaterals physiology in CTO is feasible, based on a deeplearning model analyzing the filling of the donor vessels in angiography. The changes in collateral flow with this novel method are quantitatively proportional to the angiographic grading of the collaterals.

Risk Stratification in Acute Coronary Syndrome by Comprehensive Morphofunctional Assessment With Optical Coherence Tomography.

Background: Artificial intelligence enables simultaneous evaluation of plaque morphology and computational physiology from optical coherence tomography (OCT). Objectives: This study sought to appraise the predictive value of major adverse cardiovascular events (MACE) by combined plaque morphology and computational physiology. Methods: A total of 604 patients with acute coronary syndrome who underwent OCT imaging in ≥1 nonculprit vessel during index coronary angiography were retrospectively enrolled. A novel morphologic index, named the lipid-to-cap ratio (LCR), and a functional parameter to evaluate the physiologic significance of coronary stenosis from OCT, namely, the optical flow ratio (OFR), were calculated from OCT, together with classical morphologic parameters, like thin-cap fibroatheroma (TCFA) and minimal lumen area. Results: The 2-year cumulative incidence of a composite of nonculprit vessel-related cardiac death, cardiac arrest, acute myocardial infarction, and ischemia-driven revascularization (NCV-MACE) at 2 years was 4.3%. Both LCR (area under the curve [AUC]: 0.826; 95% CI: 0.793-0.855) and OFR (AUC: 0.838; 95% CI: 0.806-0.866) were superior to minimal lumen area (AUC: 0.618; 95% CI: 0.578-0.657) in predicting NCV-MACE at 2 years. Patients with both an LCR of >0.33 and an OFR of ≤0.84 had significantly higher risk of NCV-MACE at 2 years than patients in whom at least 1 of these 2 parameters was normal (HR: 42.73; 95% CI: 12.80-142.60; P < 0.001). The combination of thin-cap fibroatheroma and OFR also identified patients at higher risk of future events (HR: 6.58; 95% CI: 2.83-15.33; P < 0.001). Conclusions: The combination of LCR with OFR permits the identification of a subgroup of patients with 43-fold higher risk of recurrent cardiovascular events in the nonculprit vessels after acute coronary syndrome.

Risk assessment and dose-effect of co-exposure to benzene, toluene, ethylbenzene, xylene, and styrene (BTEXS) on pulmonary function: A cross-sectional study.

Inhalation is the most frequent route and the lung is the primary damaged organ for human exposure to benzene, toluene, ethylbenzene, xylene, and styrene (BTEXS). However, there is limited information on the risk and dose-effect of the BTEXS mixture on pulmonary function, particularly the overall effect. We conducted a cross-sectional study in a petrochemical plant in southern China. Spirometry and cumulative exposure dose (CED) of BTEXS were used to measure lung function and exposure levels for 635 workers in 2020, respectively. Forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV1) were tested and interpreted as percentages to predicted values [FVC or FEV1% predicted], and FEV1 to FVC ratio [FEV1/FVC (%)]. We found the reduction in FVC% predicted and the risk of lung ventilation dysfunction (LVD) and its two subtypes (mixed and restrictive ventilation dysfunction, MVD, and MVD) were significantly associated with BTEXS individuals. In addition, pulmonary function damage associated with BTEXS was modified by the smoking status and age. Generalized weighted quantile sum (gWQS) regressions were used to estimate the overall dose-effect on lung function damage induced by the BTEXS mixture. Our results show wqs, an index of weighted quartiles for BTEXS, was potentially associated with the reduction in FVC and FEV1% predicted with the coefficients [95% confidence intervals (CI)] between -1.136 (-2.202, -0.070) and -1.230 (-2.265, -0.195). Odds ratios (ORs) and 95% CIs for the wqs index of LVD, MVD, and RVD were 1.362 (1.129, 1.594), 1.323 (1.084, 1.562), and 1.394 (1.096, 1.692), respectively. Furthermore, xylene, benzene, and toluene in the BTEXS mixture potentially contribute to the development of lung function impairment. Our novel findings demonstrated the dose-response relationships between pulmonary function impairment and the BTEXS mixture and disclosed the potential key pollutants in the BTEXS mixture.

Measuring green development level at a regional scale: framework, model, and application.

In this study, we propose and construct a novel model that measures regional green development level based on the "three-circle" conceptual framework for green development. Using Jiangsu Province in eastern China as a case study, the spatial-temporal characteristics and dynamics of the green development level from 2000 to 2020 were evaluated using a multi-source dataset at the grid-cell level. Our results show that (1) the analytical hierarchy process-based model proposed herein has higher reliability in terms of the development level measurement than principal component analysis and the entropy weight method. In addition, the average score of green development in the study area was approximately 0.53. Spatially, the green development level in the eastern coastal areas of the study area was found to be generally higher than in other regions, while that in southwestern regions is relatively low. In terms of sub-regions, the green development level scores of the study area have been ranked as follows: middle Jiangsu > southern Jiangsu > northern Jiangsu. (2) It was observed that the gravity center of the green development level can be divided into three stages during the study, with a whole had shifted to the north. (3) For most cities in Jiangsu, the green development level initially increased at first, then declined, and then increased again. (4) In the future, the green development level of Jiangsu Province should pay more attention to promoting regional coordinated development and relationships between society and the environment under rapid economic development.

Incidence and cost of haemolytic uraemic syndrome in urban China: a national population-based analysis.

BACKGROUND: Haemolytic uraemic syndrome (HUS) is a severe syndrome that causes a substantial burden for patients and their families and is the leading cause of acute kidney injury in children. However, data on the epidemiology and disease burden of HUS in Asia, including China, are limited. We aimed to estimate the incidence and cost of HUS in China.  METHODS: Data about HUS from 2012 to 2016 were extracted from the Urban Employee Basic Medical Insurance (UEBMI) and Urban Resident Basic Medical Insurance (URBMI) databases. All cases were identified by ICD code and Chinese diagnostic terms. The 2016 national incidence rates were estimated and stratified by sex, age and season. The associated medical costs were also calculated. RESULTS: The crude incidence of HUS was 0.66 per 100,000 person-years (95% CI: 0.35 to 1.06), and the standardized incidence was 0.57 (0.19 to 1.18). The incidence of HUS in males was slightly higher than that in females. The age group with the highest incidence of HUS was patients < 1 year old (5.08, 95% CI: 0.23 to 24.87), and the season with the highest incidence was autumn, followed by winter. The average cost of HUS was 2.15 thousand US dollars per patient, which was higher than the national average cost for all inpatients in the same period. CONCLUSIONS: This is the first population-based study on the incidence of HUS in urban China. The age and seasonal distributions of HUS in urban China are different from those in most developed countries, suggesting a difference in aetiology.

Low-Cost Zinc-Alginate-Based Hydrogel-Polymer Electrolytes for Dendrite-Free Zinc-Ion Batteries with High Performances and Prolonged Lifetimes.

Aqueous zinc-ion batteries (ZIBs) represent an attractive choice for energy storage. However, ZIBs suffer from dendrite growth and an irreversible consumption of Zn metal, leading to capacity degradation and a low lifetime. In this work, a zinc-alginate (ZA) hydrogel-polymer electrolyte (HGPE) with a non-porous structure was prepared via the solution-casting method and ion displacement reaction. The resulting ZA-based HGPE exhibits a high ionic conductivity (1.24 mS cm-1 at room temperature), excellent mechanical properties (28 MPa), good thermal and electrochemical stability, and an outstanding zinc ion transference number (0.59). The ZA-based HGPE with dense structure is proven to benefit the prevention of the uneven distribution of ion current and facilitates the reduction of excessive interfacial resistance within the battery. In addition, it greatly promotes the uniform deposition of zinc ions on the electrode, thereby inhibiting the growth of zinc dendrites. The corresponding zinc symmetric battery with ZA-based HGPE can be cycled stably for 800 h at a current density of 1 mA cm-2, demonstrating the stable and reversible zinc plating/stripping behaviors on the electrode surfaces. Furthermore, the quasi-solid-state ZIB with zinc, ZA-based HGPE, and Ca0.24V2O5 (CVO) as the anode, electrolyte, and cathode materials, respectively, show a stable cyclic performance for 600 cycles at a large current density of 3 C (1 C = 400 mA g-1), in which the capacity retention rate is 88.7%. This research provides a new strategy for promoting the application of the aqueous ZIBs with high performance and environmental benignity.

Development trajectory for the temporal and spatial evolution of the resilience of regional tourism environmental systems in 14 cities of Gansu Province, China.

The rapid development of the urban economy in China and the accompanying income growth experienced by urban residents have increased demand for tourism and leisure, which has brought pressure on the urban tourism environment system (UTES), making the contradiction between tourism economic development and the ecological environment increasingly acute. While seeking to rationalize the economic, social, and ecological benefits of tourism, reducing the fragility of the UTES and improving its anti-interference and recovery capabilities have become attracted significant attention from scholars in China and elsewhere. This paper establishes a definition of resilience for an UTES and constructs an evaluation index system for it in terms of the social, economic, and ecological environments. It also establishes an entropy weight-TOPSIS resilience evaluation model to measure resilience in regional systems, using ArcGIS to analyze the standard deviation ellipse and center of the gravity track of the resilience. System dynamics was used to construct diagrams of causal relationships and stock flow for the constituent elements of UTES to show the mechanisms that promote its resilience. This paper investigates 14 cities of Gansu Province in particular to simulate the resilience model of a regional system.

Diagnostic value of high-risk human papillomavirus viral load on cervical lesion assessment and ASCUS triage.

This study aims to evaluate HR-HPV viral load in the cervical lesion assessment and its diagnostic value on the triage of ASCUS. The three-step protocol for cervical cancer screening was carried out in 5171 patients from June 2017 to August 2019, and 1620 histopathological results were obtained. The positive rate of HR-HPV and TCT increased with the aggravation of pathological grades of cervical lesions. The sensitivity and specificity of HR-HPV (DH3) to detect CIN II+ were 91.91% and 84.46%, respectively. In comparison, the corresponding results of the cytology test were 80.51% and 83.12%. HPV16/18 viral load was positively correlated with the grade of cervical lesions (p < 0.001, r = 0.321). The diagnostic efficiency of AUC by applying HPV16/18 viral load was 0.682 for the diagnosis of CIN II+. The optimal HPV16/18 viral load for predicting CIN II+ was 6.80 RLU/CO (relative light units/cut-off), with corresponding sensitivity of 48.6%, specificity of 79.7%, and Youden index of 0.283. In the ASCUS population, viral loads were statistically different in HPV16/18 and the other 12 HR-HPV when compared cervicitis group with CIN I group and CIN II+ group (all p < 0.05). Statistical differences were detected concerning HPV16/18 viral load, contact bleeding status, and smoking status when compared cervicitis group with CIN I group and CIN II+ group (p < 0.05), with a corresponding odds ratio of 1.004, 1.533, and 5.513, respectively. Our findings suggest that HR-HPV viral load can be regarded as a useful tool to predict the grade of cervical lesions for ASCUS triage. ClinicalTrials.gov ID: NCT03178136.

[Thoughts on and Construction of a Risk Management and Control System for Contaminated Sites in the Guangdong-Hong Kong-Macao Greater Bay Area].

Preventing the environmental risks linked to contaminated sites and guaranteeing the safety of human settlements are some of the challenges and tasks involved in the construction of world-class city clusters in the Guangdong-Hong Kong-Macao Greater Bay Area. Due to differences in the political systems and land property rights between Guangdong, Hong Kong, and Macao, as well as in the levels of urbanization, industrial structures, and environmental management capabilities of the nine cities in the Pearl River Delta, the risk management and control mode of contaminated sites varies considerably within the Greater Bay Area. In this context, an analysis of the features of risk management and control in the contaminated sites of typical cities can help strengthening technical communication and cooperation, optimizing risk management and control systems. This article briefly describes the risk management and control systems adopted for polluted sites in China; in particular it elaborates on the features of these systems in Guangzhou, Shenzhen, Dongguan, Hong Kong, and Macao, which have been subjected to monitoring, contamination assessments, and renovation procedures. During our study, the risk management and control systems adopted in different cities have been analyzed and compared; moreover, we elaborated thoughts and suggestions for land planning, policy feedback, information disclosure, and alliance mechanisms. We conclude that, overall, Hong Kong and several cities of the Pearl River Delta have established effective risk management and control systems for the polluted sites, which take into account certain local characteristics. However, with the further development and reuse of contaminated sites, the building of a world-class urban agglomeration in the Guangdong-Hong Kong-Macao Greater Bay Area will require safer, more refined, and more efficient risk management and control strategies. We highlight the need to exchange information among researchers in order to promote technical exchange and cooperation. This is particularly important for the risk management and control of polluted sites distributed within the two regions and nine cities of the Guangdong-Hong Kong-Macao Greater Bay Area, sine it would allow their safe reuse and efficient development.

What do we know about technologies for dementia-related wandering? A scoping review: Examen de la portée : Que savons-nous à propos des technologies de gestion de l'errance liée à la démence?

BACKGROUND: Occupational therapists use technologies to manage wandering-related risks to promote safety and independence among individuals with dementia living in the community. PURPOSE: The purpose of this review was to examine types of technologies used to manage wandering behaviour. METHOD: Using a modification of Arksey and O'Malley's methodology, we systematically searched peer-reviewed and grey literature on technologies used in home or supportive care environments for persons with dementia at risk for wandering. Data from the studies were analyzed descriptively. FINDINGS: The literature described 83 technologies. Nineteen devices were clinically tested. Interventions ranged from alarm products to mobile locator devices. Benefits included reductions in risk and caregiver burden. IMPLICATIONS: Occupational therapy strategies include technologies to enhance function in persons with dementia. Technologies can also reduce risks of wandering and should be affordable. Ethical issues of the use of technology must be addressed. More research is needed to increase levels of evidence.

Reflections of the use of locating technologies with persons with dementia: proceedings of a key stakeholder forum.

AIM: To describe the proceedings and outcomes of a Locating Technology and Dementia Forum that brought together 109 representatives of researchers, product manufacturers, policy makers, Alzheimer Societies, clinicians, first responders, persons with dementia and care partners. METHODS: Information gathered from this event was used to create strategic direction for advancing the development and use of locating technologies among persons with dementia. RESULTS: Key recommendations from this forum include the need to: fund and conduct research pertaining to usability and effectiveness of technologies; increase awareness about the risk of missing person events; develop a guideline of strategies to manage critical wandering; and engage users in technology development and evaluation. CONCLUSION: Results are being used to guide research and to inform policies directed at the management of dementia-related wandering.

Using network to enhance the insights on correlation and pollution assessment of co-occurring metals in marine sediments, the East China Sea.

In this study, sediment samples were collected from 24 sites in the East China Sea (ECS) to investigate the distribution characteristics, co-occurrence correlations, and ecological risks of metals. In surface sediments, metals presented a homologous banding distribution pattern decreasing seaward with distance. With network analysis, it indicated metals in this area might directly derive from the coastal river inputs. According to geo-accumulation indexes (Igeo), Cd was classified as moderate pollution at 58% sites, far above other metals. In addition, the potential ecological risk index (RI) was clustered with the ecological risk (ER) of Cd, which was regarded as considerable or high-risk level for most coastal stations. Thus Cd pollution in the ESC sediment should be paid more attention. In sum, the visualization of statistical analyses combined with geochemical approaches could reveal the potential sources of contaminants and ecological risks, thus facilitate the pollution evaluation in marine sediments.

Self-adaptive iterative method for solving boundedly Lipschitz continuous and strongly monotone variational inequalities.

In this paper we introduce a new self-adaptive iterative algorithm for solving the variational inequalities in real Hilbert spaces, denoted by VI ( C , F ) . Here C ⊆ H is a nonempty, closed and convex set and F : C → H is boundedly Lipschitz continuous (i.e., Lipschitz continuous on any bounded subset of C) and strongly monotone operator. One of the advantages of our algorithm is that it does not require the knowledge of the Lipschitz constant of F on any bounded subset of C or the strong monotonicity coefficient a priori. Moreover, the proposed self-adaptive step size rule only adds a small amount of computational effort and hence guarantees fast convergence rate. Strong convergence of the method is proved and a posteriori error estimate of the convergence rate is obtained. Primary numerical results illustrate the behavior of our proposed scheme and also suggest that the convergence rate of the method is comparable with the classical gradient projection method for solving variational inequalities.