Sex Difference in the Association between Depression and Adherence to Recommended Dilated Eye Examinations among Patients with Diabetes: Findings from National Health and Nutrition Examination Survey.

INTRODUCTION: The relationship between depression and adherence to regular dilated fundus examination (DFE) in patients with diabetes remains unclear. This study aimed to assess the association between depression and adherence to annual or biennial DFE among individuals with diabetes. METHODS: In this cross-sectional study, we used the National Health and Nutrition Examination Survey database from 2005 to 2016 which contains information on demographics, clinical characteristics, health-related factors, and the time since last DFE. Participants were classified as having depression based on a score of >9 on the Patient Health Questionnaire-9. The main outcomes were the association between depression and the adherence of patients with diabetes to annual or biennial DFE. The second objective was to explore the potential influence of gender in this association. The independent association of depression with DFE compliance was explored by a series of multivariate logistic regression analyses (overall sample and then stratified by sex). RESULTS: In total, 3,656 eligible participants were identified. The adherence rates to annual or biennial DFE were all higher for participants without depression than those with depression (64.8% vs. 56.1% and 80.3% vs. 69.7%, respectively). In the multivariate analyses, depression was neither independently associated with the adherence to annual DFE nor biennial DFE in the overall sample. An interaction was observed between depression and gender for the adherence to annual or biennial DFE (p = 0.017 and p = 0.026, respectively). When analyses were stratified by sex, female patients with diabetes and depression had a significantly increased odds ratio (OR) of being nonadherent to annual and biennial DFE (OR = 1.52, 95% confidence interval [CI]: 1.02-2.25, p = 0.039; OR = 1.55, 95% CI: 1.02-2.35, p = 0.039, respectively). However, this relationship was not evident in men with diabetes. CONCLUSIONS: The independent association between depression and DFE compliance varied by sex, that is, only female patients with diabetes and depression were at a higher risk of nonadherence to annual or biennial DFE compared to those without depression.

Surface warming from altitudinal and latitudinal amplification over Antarctica since the International Geophysical Year.

Warming has been and is being enhanced at high latitudes or high elevations, whereas the quantitative estimation for warming from altitude and latitude effects has not been systematically investigated over Antarctic Ice Sheet, which covers more than 27 degrees of latitude and 4000 m altitude ranges. Based on the monthly surface air temperature data (1958-2020) from ERA5 reanalysis, this work aims to explore whether elevation-dependent warming (EDW) and latitude-dependent warming (LDW) exist. Results show that both EDW and LDW have the cooperative effect on Antarctic warming, and the magnitude of EDW is stronger than LDW. The negative EDW appears between 250 m and 2500 m except winter, and is strongest in autumn. The negative LDW occurs between 83 °S and 90 °S except in summer. Moreover, the surface downward long-wave radiation that related to the specific humidity, total cloud cover and cloud base height is a major contributor to the EDW over Antarctica. Further research on EDW and LDW should be anticipated to explore the future Antarctic amplification under different emission scenarios.

A Wireless Real-Time Continuous Monitoring System for the Internal Movements of Mountain Glaciers Using Sensor Networks.

With the escalation of global warming, the shrinkage of mountain glaciers has accelerated globally, the water volume from glaciers has changed, and relative disasters have increased in intensity and frequency (for example, ice avalanches, surging glaciers, and glacial lake outburst floods). However, the wireless monitoring of glacial movements cannot currently achieve omnidirectional, high-precision, real-time results, since there are some technical bottlenecks. Based on wireless networks and sensor application technologies, this study designed a wireless monitoring system for measuring the internal parameters of mountain glaciers, such as temperature, pressure, humidity, and power voltage, and for wirelessly transmitting real-time measurement data. The system consists of two parts, with a glacier internal monitoring unit as one part and a glacier surface base station as the second part. The former wirelessly transmits the monitoring data to the latter, and the latter processes the received data and then uploads the data to a cloud data platform via 4G or satellite signals. The wireless system can avoid cable constraints and transmission failures due to breaking cables. The system can provide more accurate field-monitoring data for simulating glacier movements and further offers an early warning system for glacial disasters.

Polar amplification comparison among Earth's three poles under different socioeconomic scenarios from CMIP6 surface air temperature.

The polar amplification (PA) has become the focus of climate change. However, there are seldom comparisons of amplification among Earth's three poles of Arctic (latitude higher than 60 °N), Antarctica (Antarctic Ice Sheet) and the Third Pole (the High Mountain Asia with the elevation higher than 4000 m) under different socioeconomic scenarios. Based on CMIP6 multi-model ensemble, two types of PA index (PAI) have been defined to quantify the PA intensity and variations, and PAI1/PAI2 is defined as the ratio of the absolute value of surface air temperature linear trend over Earth's three poles and that for global mean/over other regions except Earth's three poles. Arctic warms fastest in winter and weakest in summer, followed by the Third Pole, and Antarctica warms least. The similar phenomenon proceeds when global warming of 1.5-2.0 °C, and 2.0-3.0 °C above pre-industrial levels. After removing the Earth's three poles self-influence, all the PAI2s increase much more obviously relative to the PAI1s, especially the Antarctic PAI. Earth's three poles warm faster than the other regions. With the forcing increasing, PA accelerates much more over Antarctica and the Third Pole, but becomes weaker over Arctic. This demonstrates that future warming rate might make a large difference among Earth's three poles under different scenarios.

Sources, evolution and impacts of EC and OC in snow on sea ice: a measurement study in Barrow, Alaska.

Based on the field measurements in Barrow, Alaska within the period of April-May 2015, we investigate the sources and variations of elemental carbon (EC) and organic carbon (OC) in the surface layer of snowpack on sea ice, and estimate their effects on the sea ice albedo. Results show that the snow OC in Barrow are from natural sources (e.g. terrestrial higher plants and micro-organisms) mainly, as well as biomass burning (e.g. forest fires and straw combustion) as an important part. Both EC and OC can accumulate at the snow surface with snow melt. The variations in EC and OC and liquid water content in the snow layer are well consistent during the snow-melting period. A higher rate of snow melt implied a more efficient enrichment of EC and OC. In the last phase of snow melt, the concentration increased to a maximum of 16.2 ng/g for EC and 128 ng/g for OC, which is ∼10 times larger than those before snow melt onset. Except for the dominant influence of melt amplification mechanism, the variation in concentrations of EC and OC could be disturbed by the air temperature fluctuation and snowfall. Our study indicates that the light-absorbing impurities contributed 1.6%-5.1% to the reduction in sea ice albedo with melt during the measurement period. The significant period of light-absorbing impurities influencing on sea ice albedo begins with the rapid melting of overlying snow and ends before the melt ponds formed widely, which lasted for about 10 days in Barrow, 2015.