Effects of landscape pattern on water quality at multi-spatial scales in Wuding River Basin, China.

Urbanization and agricultural land use have led to water quality deterioration. Studies have been conducted on the relationship between landscape patterns and river water quality; however, the Wuding River Basin (WDRB), which is a complex ecosystem structure, is facing resource problems in river basins. Thus, the multi-scale effects of landscape patterns on river water quality in the WDRB must be quantified. This study explored the spatial and seasonal effects of land use distribution on river water quality. Using the data of 22 samples and land use images from the WDRB for 2022, we quantitatively described the correlation between river water quality and land use at spatial and seasonal scales. Stepwise multiple linear regression (SMLR) and redundancy analyses (RDA) were used to quantitatively screen and compare the relationships between land use structure, landscape patterns, and water quality at different spatial scales. The results showed that the sub-watershed scale is the best spatial scale model that explains the relationship between land use and water quality. With the gradual narrowing of the spatial scale range, cultivated land, grassland, and construction land had strong water quality interpretation abilities. The influence of land use type on water quality parameter variables was more distinct in rainy season than in the dry season. Therefore, in the layout of watershed management, reasonably adjusting the proportion relationship of vegetation and artificial building land in the sub-basin scale and basin scope can realize the effective control of water quality optimization.

Management of outpatient with totally implantable venous access Ports during the COVID-19 epidemic.

ABSTRACT: The purpose of this study was to explore the management experience of outpatient with totally implantable central venous access Ports (TIVAPs, Ports) during the epidemic, including whether the extension of the irrigation interval will affect the incidence of catheter occlusion, the reasons for the port removal rate, and the corresponding protective treatment strategies during the COVID-19 epidemic.We retrospectively analyzed the Ports evaluation and flushing procedure data between February 3, 2020 and April 3, 2020; the cases were divided into the normal group and delayed group according to the critical point of the maintenance interval of 28 days (4 weeks). We compared the incidence of catheter obstruction between the 2 groups, analyzed the causes of catheter removal events in the 2 groups, and proposed corresponding protective treatment recommendations.During the period, 329 cases were included in the study. There was no significant difference in the incidence of catheter obstruction between the 2 groups. There were 15 patients with catheter removal, 8 cases of infection, 5 cases of catheter obstruction, and 1 case of an ectopic catheter, as well as 1 case of an overturned port. During the epidemic, no hospital infections related to the Ports flushing procedure occurred.The interval of Ports flushing procedures for patients without clinical symptoms can be appropriately extended during the COVID-19 epidemic. However, once the local infection symptoms or other sources of discomfort appear, Ports assessment needs to be performed as soon as possible. Take enhanced protected and isolation measures did not increase cross-infection during outpatient's flushing procedure at non-COVID-19-designated diagnosis and treatment hospitals.