Green bond financing, environmental regulation, and long-term value orientation: evidence from Chinese-listed companies.

In recent years, green bonds have become an important part of the green financial system. In this paper, we investigate theoretically and empirically how green bond financing impacts corporate long-term value orientation. To study this relationship, we manually collect green bond financing data and use Python to construct a measure reflecting corporate long-term value. Using a sample of Chinese A-share bond issuing companies from 2016 to 2021, we find that (1) green bond financing can significantly promote companies to pursue long-term value, in which financing costs, management's strategic risk-taking, and external supervision are the underlying mechanisms. (2) There is a synergistic effect between green bond financing and environmental regulation, which can jointly improve the intensity of corporate long-term value orientation. (3) The relationship between green bond financing and corporate long-term value is more significant in enterprises with heavily polluting, lower risk-taking levels, less strategic change, and lower financial mismatch risk. Our findings reveal the "corrective" effect of green bond financing on management's strategic decision-making, which provides new empirical evidence for comprehensively and accurately evaluating the role of green bonds and promoting the development of the green bond market.

Assessment of ecosystem quality changes based on optimizing key indicators in Nanwenghe National Nature Reserve, Heilongjiang, China.

Net primary productivity (NPP) is an indicator to reflect the production capacity of terrestrial ecosystems, as well as a key indicator for ecological quality. NPP at large scale is difficult to be measured. At present, most of the assessment of ecosystem quality uses NPP products with low resolution, which cannot capture the detailed characteristics of the ecosystem and is not conducive to the assessment of ecosystem quality at small-scale. The establishment of a rapid and efficient assessment method for small-scale ecosystem quality will greatly promote the protection and restoration of ecosystems in China. We focused on the calculation method of ecosystem quality assessment and NPP, and optimized the calculation process of the NPP, and obtained NPP by remote sensing without ground observation data. We established a regression model for remote sensing inversion of leaf area index, and estimated the vegetation coverage by using dimidiate pixel model, developed a set of methods for rapid assessment of ecosystem quality by remote sensing. Taking Nanwenghe National Nature Reserve as an example, we evaluated the change of ecosystem quality from 2001 to 2022. The results showed that from 2001 to 2022, the ecosystem qua-lity of the reserve was good as a whole, and that the area with good and excellent quality accounted for more than 85% in 2022. High vegetation coverage was the backbone of the sustainable good ecosystem quality of the reserve. From 2001 to 2022, ecosystem quality of the reserve showed a trend of first decreasing and then increasing, with the lowest point of ecosystem quality in 2013. This method had achieved good results in the evaluation of ecosystem quality in Nanwenghe National Nature Reserve. The index optimization method proposed in this study could facilitate the rapid and accurate assessment of ecosystem quality in small-scale regions, and thus provides technical reference for the precise improvement of ecosystem quality.

Assessment of 13 essential and toxic trace elements in tumor and peritumoral brain tissues from human glioblastoma.

Trace elements within the brain are important for proper neurological function, but their imbalance has been rarely investigated in glioblastoma. This study enrolled a total of 14 patients with glioblastoma, and the tumor and peritumoral brain tissues were collected while undergoing surgery. The concentrations of Mg, Ca, Cr, Mn, Fe, Co, Cu, Zn, Se, As, Cd, Tl and Pb were determined using a well-evaluated ICP-MS method. The Cu- and Cd-binding proteomes were further analyzed using the anatomic transcriptional atlas from Ivy GAP. Histological evaluation was based on rubeanic acid staining and immunohistochemistry, respectively. The 13 trace element concentrations were obtained, and the highest were Ca, Mn, Fe, Zn and Cu, ranging from a few to dozens of ug/g. Correlation analysis suggested the existence of two intra-correlated clusters: essential metals (Cu-Ca-Zn-Mg) and heavy metals (Pb-As-Cd-Tl-Co-Cr-Mn). Compared to the tumor samples, significantly higher levels of Cu and Cd were observed in the peritumoral region. Further analysis of the Cu- and Cd-binding proteins from the anatomic view suggested that DBH and NOS1 were obviously increased in the leading edge than the central tumor region. Consistent with the above findings, histological evaluation of Cu and DBH further confirmed more copper and DBH expressions in the peritumoral area compared to the tumor core. Trace elements differ in tumor and peritumoral brain zone in glioblastoma, which may associate with tumor angiogenesis.

Inhalation bioaccessibility, health risk assessment, and source appointment of ambient PM2.5-bound polycyclic aromatic hydrocarbons (PAHs) in Caofeidian, China.

The inhalation bioaccessibility of polycyclic aromatic hydrocarbons (PAHs) is significant for accurately assessing the health risks posed by PM2.5-bound PAHs. In this study, 96 PM2.5 samples from Caofeidian, China, were investigated for PM2.5-bound PAH source appointment and bioaccessibility assessment during four seasons. PAH18 potential sources were identified by positive matrix factorization. The inhalation bioaccessibility of PAH18 was investigated by simulated epithelial lung fluid extraction. The incremental lifetime cancer risk (ILCR) model was subsequently used to evaluate the carcinogenic risk posed by PM2.5-bound PAHs in children, teenagers, and adults. Four potential sources of PM2.5-bound PAH18 were identified: industry emissions (44%), petroleum volatilization (30%), vehicle emissions (15%), and coal combustion (11%). The average inhalation bioaccessibility of PAHs ranged from 17.8% (dibenzo [a,h] anthracene) to 67.9% (fluorene). The ILCR values for children and teenagers were lower than the acceptable levels (10-6) in the four seasons considering inhalation bioaccessibility. However, the ILCR value of adults was higher than the threshold in winter (1.26 × 10-6). Source identification suggested that reducing industrial pollution was the primary measure for controlling PM2.5-bound PAHs in Caofeidian. Additionally, the inhalation bioaccessibility of PM2.5-bound PAHs was evaluated to precisely estimate the health risks caused by PAHs.

Toxic metals in outdoor/indoor airborne PM2.5 in port city of Northern, China: Characteristics, sources, and personal exposure risk assessment.

Outdoor and indoor PM2.5 samples were simultaneously collected over four seasons (2017-2018) in Caofeidian, China, and analyzed for 15 elements to investigate the characteristics, sources, and health risks of PM2.5-bound metals. Source-specific PM2.5-bound metals were analyzed using positive matrix factorization, combined with the conditional probability function and potential source contribution function model. The health risks were evaluated using the health risk assessment model, which included the exposure parameters of indoor and outdoor activities of Chinese residents. The annual median of PM2.5 concentrations (89.68 µg/m3) and total metals (2.67 µg/m3) from the outdoor samples significantly surpassed that of the indoor samples (51.56 µg/m3) and total metals (1.51 µg/m3) (P < 0.05). In addition, the indoor/outdoor concentration ratios indicated that most indoor metals mainly originated from outdoor emission sources. In the annual analysis of PM2.5-bound metal sources, this study identified five metal sources: coal combustion, resuspended dust, traffic emissions, fuel combustion sources, and industrial sources, among which industry sources (36.6%) contributed the most. The non-carcinogenic risks of metals for adults (2.81) and children (2.80) all exceed the acceptable non-carcinogenic risk level (1). The non-carcinogenic risk of Mn (1.46 for children, 1.48 for adults) was a key factor in the total non-carcinogenic risk. The total carcinogenic risk of metals for children (3.75 × 10-5) was above the acceptable level (1.0 × 10-6) but within the tolerant limit (1.0 × 10-4), and that for adults (1.48 × 10-4) was above the tolerant limit. The lifetime carcinogenic risk of Cr6+ had the highest proportion of the total carcinogenic risk for children (87.5%) and adults (87.8%). Our results revealed that both adults and children suffered carcinogenic and non-carcinogenic risks from the PM2.5-bound metals in Caofeidian. The corresponding emission control measures of metals in atmosphere should be considered.

Indoor/outdoor relationships, signatures, sources, and carcinogenic risk assessment of polycyclic aromatic hydrocarbons-enriched PM2.5 in an emerging port of northern China.

Humans spend most of their time in indoor environments, thus a thorough understanding of indoor and outdoor PM2.5-bound polycyclic aromatic hydrocarbons (PAHs) origins for accurate assessment of health risks is required. In the present study, 84 pairs of PM2.5 samples from indoor (laboratory) and outdoor (campus) locations were collected from April to December 2018 in Caofeidian, China. The annual median concentration of PM2.5 outdoors was 90.80 µg/m3, 9.08 times higher than the annual standard of WHO guideline (10 µg/m3). Indoor PM2.5 annual median concentration (41.80 µg/m3) was also higher than the annual standard of ASHRAE guideline (15 µg/m3). The annual median concentrations of ∑18PAHs indoors (44.23 ng/m3) and outdoors (189.6 ng/m3) were highest in winter and descended in the order of autumn > spring > summer. Contrary to summer and autumn, indoor/outdoor concentration ratios were less than 1 in spring and winter, indicating that the contribution of outdoor particle infiltration was more significant than that of indoor sources. The positive matrix factorization model suggested that indoor PAHs came from three sources: vehicle emissions (43%), biomass burning (37%), industry emissions, and coal combustion (20%). Outdoor PAHs came from four sources: petroleum volatilization (39%), vehicle emissions (30%), coal combustion (18%), and biomass burning (13%). The incremental lifetime cancer risk values of indoor and outdoor PAHs in winter exceeded the acceptable level (10-6), and the carcinogenic risk of adults was higher than that of children and teenagers. These results indicated that simultaneous monitoring of indoor and outdoor PAHs is recommended for accurate assessment of health risk, and the analysis in the current work should be helpful to formulate policies to reduce PAHs emissions.

Assessment of 12 Essential and Toxic Elements in Whole Blood of Pregnant and Non-pregnant Women Living in Wuhan of China.

Exposures to toxic trace elements and deficiencies of essential elements during pregnancy are associated to various birth complications. Assessment of the trace elements in pregnant women living in specific areas is important for biomonitoring. A total of 196 healthy pregnant women absent of pregnancy complications living in Wuhan of China and 210 healthy non-pregnant women were enrolled. The whole blood were collected. The toxic element chromium (Cr), arsenic (As), cadmium (Cd), mercury (Hg), thallium (Tl), and lead (Pb) and essential elements magnesium (Mg), calcium (Ca), manganese (Mn), iron (Fe), copper (Cu), and zinc (Zn) were determined by using a inductively coupled plasma mass spectrometry (ICP-MS)-based method. All the metal(loid)s, except for Cd, Hg, and Tl, showed different levels in whole blood of the pregnant women compared with the non-pregnant women (p < 0.05), among which Mg, Fe, As, and Pb were lower while Ca, Cr, Mn, Cu, and Zn were higher. Moreover, whole blood levels of Mg, Mn, Fe, Cu, and Zn showed significant variations among different gestational ages, while As and Cd showed significant variations among different maternal ages. In addition, Fe-Mg, Fe-Zn, Cu-Ca, and Hg-As were found to be correlated positively in whole blood of the pregnant women, while Fe-Ca, Zn-Ca, and Fe-Cu were correlated negatively. The systematic information of toxic and essential elements in whole blood of pregnant women living in Wuhan of China can provide important guidance for the supplementation of essential elements during pregnancy and for biomonitoring of environmental overexposure.

Facial Expression Recognition With Machine Learning and Assessment of Distress in Patients With Cancer.

OBJECTIVES: To estimate the effectiveness of combining facial expression recognition and machine learning for better detection of distress. SAMPLE & SETTING: 232 patients with cancer in Sichuan University West China Hospital in Chengdu, China. METHODS & VARIABLES: The Distress Thermometer (DT) and Hospital Anxiety and Depression Scale (HADS) were used as instruments. The HADS included scores for anxiety (HADS-A), depression (HADS-D), and total score (HADS-T). Distressed patients were defined by the DT cutoff score of 4, the HADS-A cutoff score of 8 or 9, the HADS-D cutoff score of 8 or 9, or the HADS-T cutoff score of 14 or 15. The authors applied histogram of oriented gradients to extract facial expression features from face images, and used a support vector machine as the classifier. RESULTS: The facial expression features showed feasible differentiation ability on cases classified by DT and HADS. IMPLICATIONS FOR NURSING: Facial expression recognition could serve as a supplementary screening tool for improving the accuracy of distress assessment and guide strategies for treatment and nursing.

Assessment for prognostic value of differentially expressed genes in immune microenvironment of clear cell renal cell carcinoma.

Tumor-infiltrating immune cells have been recognized to be associated with prognosis and response to immunotherapy; however, genes related to immune microenvironment of clear cell renal cell carcinoma (ccRCC) remains unclear. To better understand the effects of genes involved in immune and stromal cells on prognosis, we used Cancer Genome Atlas Kidney Renal Clear Cell Carcinoma (TCGA-KIRC), DAVID database and ESTMATE algorithm, and divided the patients into low and high groups according to immune (median: 1038.45) and stromal scores (median: 667.945), respectively. We found the immune scores were significantly correlated with clinicopathological parameters and overall survival (OS). Based on immune scores, 890 DEGs were significantly associated with OS among the 1433 up-regulated genes. Based on top 10 DEGs (IL10RA, FCER1G, SASH3, TIGIT, RHOH, IL12RB1, AIF1, LPXN, LAPTM5 and SP140), cases with number of up-regulated genes ≥ 5 were associated poor OS (P = 0.002). In addition, the mean differences of percentages of CD8 T cells (11.32%), CD4 memory resting T cells (-4.52%) and mast resting cells (-3.55%) between low and high immune scores were the most significant. Thus, combination of these genes might use to predict the efficacy of immunotherapy. Further analyses of these genes were warrant to explore their potential association with the prognosis of ccRCC.

The efficacy assessment of convalescent plasma therapy for COVID-19 patients: a multi-center case series.

Convalescent plasma (CP) transfusion has been indicated as a promising therapy in the treatment for other emerging viral infections. However, the quality control of CP and individual variation in patients in different studies make it rather difficult to evaluate the efficacy and risk of CP therapy for coronavirus disease 2019 (COVID-19). We aimed to explore the potential efficacy of CP therapy, and to assess the possible factors associated with its efficacy. We enrolled eight critical or severe COVID-19 patients from four centers. Each patient was transfused with 200-400 mL of CP from seven recovered donors. The primary indicators for clinical efficacy assessment were the changes of clinical symptoms, laboratory parameters, and radiological image after CP transfusion. CP donors had a wide range of antibody levels measured by serology tests which were to some degree correlated with the neutralizing antibody (NAb) level. No adverse events were observed during and after CP transfusion. Following CP transfusion, six out of eight patients showed improved oxygen support status; chest CT indicated varying degrees of absorption of pulmonary lesions in six patients within 8 days; the viral load was decreased to a negative level in five patients who had the previous viremia; other laboratory parameters also tended to improve, including increased lymphocyte counts, decreased C-reactive protein, procalcitonin, and indicators for liver function. The clinical efficacy might be associated with CP transfusion time, transfused dose, and the NAb levels of CP. This study indicated that CP might be a potential therapy for severe patients with COVID-19.

One-stage posterior debridement, bone grafting fusion, and mono-segment vs. short-segment fixation for single-segment lumbar spinal tuberculosis: minimum 5-year follow-up outcomes.

BACKGROUND: To compare the clinical and radiological outcomes between posterior mono-segment and short-segment fixation combined with one-stage posterior debridement and bone grafting fusion in treating single-segment lumbar spinal tuberculosis (LSTB). METHODS: Sixty-two patients with single-segment LSTB treated by a posterior-only approach were divided into two groups: short-segment fixation (Group A, n = 32) and mono-segment fixation (Group B, n = 30). The clinical and radiographic outcomes were analyzed and compared between the two groups. RESULTS: The intraoperative bleeding volume, operation time, and hospitalization duration were lower in Group B than in Group A. All patients achieved the bony fusion criteria. The visual analog scale score, Japanese Orthopedic Association score, and Oswestry Disability Index were substantially improved 3 months postoperatively and at the last visit in both groups, with no significant difference between the two groups (P > 0.05). Kirkaldy-Willis functional evaluation at the final follow-up demonstrated that all patients in both groups achieved excellent or good results. The difference in the angle correction rate and correction loss between Groups A and B was not significant (P > 0.05). CONCLUSIONS: One-stage posterior debridement, bone grafting fusion, and mono-segment or short-segment fixation can provide satisfactory clinical and radiological outcomes. Mono-segment fixation is more suitable for the treatment of single-segment LSTB because the lumbar segments with normal motion can be preserved with less trauma, a shorter operation time, shorter hospitalization, and lower costs.

Assessment of 12 Metals and Metalloids in Blood of General Populations Living in Wuhan of China by ICP-MS.

Assessment of trace element levels in general population from the specific area is of importance for nutritional and occupational monitoring. In the current study, baseline blood levels of 12 toxic and/or essential metals and metalloids, including arsenic (As), cadmium (Cd), lead (Pb), mercury (Hg), chromium (Cr), thallium (Tl), manganese (Mn), copper (Cu), Zinc (Zn), calcium (Ca), iron (Fe), and magnesium (Mg), in general populations (n = 477) of Wuhan in central China were investigated by using inductively coupled plasma mass spectrometry (ICP-MS). The geometric means for As, Cd, Pb, Hg, Cr, Tl, Mn, and Cu were measured as 2.25, 0.70, 17.84, 1.90, 0.36, < 0.05, 12.40, and 783.76 µg/L, respectively. The geometric means for Zn, Ca, Fe, and Mg were 5.85, 56.66, 488.98, and 39.44 mg/L, respectively. We found the men had higher blood As, Pb, Hg, Zn, Fe, and Mg levels but had lower blood Cu and Ca levels than the women (p < 0.05). Age-related difference were found for blood Cu, Zn, Ca, Mg, Pb, Mn, As, Cd, and Hg levels (p < 0.05). Moreover, many metal concentrations were found correlated, with the strongest correlations between the pairs Fe-Mg (r = 0.57), Fe-Zn (r = 0.42), As-Hg (r = 0.46), Ca-Cu (r = 0.34), Pb-Hg (r = 0.36), Pb-Cd (r = 0.31), Pb-As (r = 0.25), and Ca-Fe (r = - 0.23). Compared with reports from other countries, most of our results were consistent, except that As Pb, Hg, Mn, and Cu showed different blood levels with European, Korea, or Beijing areas. Our study would be of importance for nutritional, environmental, and/or occupational monitoring of these metals in human.

Simultaneous ureteroscopic lithotripsy and contralateral percutaneous nephrolithotomy for ureteral calculi combined with renal staghorn calculi.

OBJECTIVES: To investigate the efficacy, safety, and cost-effectiveness of simultaneous ureteroscopic lithotripsy and contralateral percutaneous nephrolithotomy for ureteral calculi combined with contralateral renal staghorn calculi. METHODS: The present prospective controlled trial had been registered with the Chinese Clinical Trial Registry (Registration number: ChiCTR-ONRC-13004146). Patients with ureteral calculi and contralateral renal staghorn calculi were enrolled into the staged (ureteroscopic lithotripsy first followed by a staged percutaneous nephrolithotomy) or the simultaneous (synchronous ureteroscopic lithotripsy and contralateral percutaneous nephrolithotomy) treatment group according to the odd or even number of the last hospitalization number. All patients signed informed consent. The primary outcomes were the stone-free rate and total hospital costs. The second outcomes were the operative and anesthesia times, the complication rate, and hospital stay. RESULTS: A total of 51 patients were enrolled into the staged group and 52 patients were enrolled into the simultaneous group. There were no statistically significant differences in patients' characteristics. The overall stone-free rate was 94.1% in the staged group and 92.3% in the simultaneous group. No severe complication was observed. The total hospital stay of the staged group was longer, and it was negatively correlated to different procedures. The cost in the staged group was higher, and it was correlated with total operation time and postoperative hospital stay. CONCLUSIONS: Simultaneous ureteroscopic lithotripsy and contralateral percutaneous nephrolithotomy represent safe and effective procedures, and they can be considered as a first-line treatment for selected patients presenting with ureteral calculi combined with contralateral renal calculi.