Income inequality effect of government investment behavior: Comparisons based on different investment areas, different regions and different groups in China.

The research focuses on and analyses the effect of government investment on income distribution by evaluating the effects of public spending on income variation in various fields, in various regions, and at different income levels in the Chinese economy. The study found that government investment in different fields substantially decreases income inequality. Increasing housing security, medical, agriculture, forestry and other expenditures has a significant impact on improving the income inequality between rural and urban inhabitants; the impact of government investment in the western, central, and eastern regions on the reduction of income variation is decreasing successively, with emphasis on government investment in the western and central regions. The effects of government investment on the decline of the income distribution are twofold: first, it influences the amount of low- and middle-income groups; second, it has an impact on the reduction of high-income organizations; however, the impact on the income equality of high-income and low-income organizations is not considerable. In investment, the study demonstrates that income inequality can be reduced without negatively affecting the financial status of higher-income individuals. It is significant to value providing adequate housing security for low-income populations as a critical policy implication. This study, utilizing novel indicators, contributes to the current body of research on the impact of fiscal policy in addressing income inequality in China.

How does trade policy uncertainty affect green innovation in the USA and China? A nonlinear perspective.

Green innovations are the most critical factor in promoting environmental sustainability worldwide. Trade can speed up the adoption of green innovations by facilitating the transfer of information, skills, and technology. However, trade policy uncertainty can create significant challenges for businesses investing in eco-innovations, leading to increased risk, reduced investment, and slower progress toward sustainable technologies. Recently, a growing number of researchers have shown their interest in finding the factors that can impact green innovations, but none have investigated the influence of trade policy uncertainty on green innovations in the USA and China. In addition, none of the past studies has relied on the nonlinear assumption. This analysis fills these gaps by examining the nonlinear impacts of trade policy uncertainty on eco-innovations in China and the USA over 2000Q1-2021Q4 by employing a nonlinear ARDL model. The finding reveals that a positive shock in trade policy uncertainty results in a decrease in green innovation in the USA and China, while a negative shock in trade policy uncertainty leads to an increase in green innovation in the USA over the long run. The nonlinear models also indicate that a positive shock in trade policy uncertainty harms green innovation in both the USA and China in the short run. The robustness of these results is confirmed by the NQARDL model, which confirms that an upsurge in trade policy uncertainty lowers green innovation in most quantiles in the USA and China in the short and long run. Conversely, negative shocks in trade policy uncertainty stimulate green innovation at most quantiles in both China and the USA, in the short and long run. Thus, policymakers need to consider the potential impact of trade policies on eco-innovations and work to create stable and predictable trade environments that support the growth of renewable technologies and other sustainable solutions.

Excitonic Polarons and Self-Trapped Excitons from First-Principles Exciton-Phonon Couplings.

Excitons consist of electrons and holes held together by their attractive Coulomb interaction. Although excitons are neutral excitations, spatial fluctuations in their charge density couple with the ions of the crystal lattice. This coupling can lower the exciton energy and lead to the formation of a localized excitonic polaron or even a self-trapped exciton in the presence of strong exciton-phonon interactions. Here, we develop a theoretical and computational approach to compute excitonic polarons and self-trapped excitons from first principles. Our methodology combines the many-body Bethe-Salpeter approach with density-functional perturbation theory and does not require explicit supercell calculations. As a proof of concept, we demonstrate our method for a compound of the halide perovskite family.

The influence mechanism of self-transcendence on green consumption: The chain-mediating effect of construction of meaning in life and connectedness.

A transition to a more sustainable society is occurring worldwide and necessitates a change in people's ways of consuming. Self-transcendence (ST) is recognized as a key predictor of green consumption. Thus, a multiple intermediary model was developed to clarify the psychological mechanisms underlying ST and its influence on consumption. The model was tested using data from a nationally representative sample of 428 Chinese participants. The results show that ST's overall positive effect on green consumption is realized via four indirect paths: (1) the simple mediating role of nature connectedness between ST and green consumption, (2) the simple mediating role of social connectedness between ST and green consumption; (3) the chain-mediating role of construction of meaning in life (CoMIL) and nature connectedness, and (4) the chain-mediating role of CoMIL and social connectedness. Among these paths, nature connectedness plays the most critical mediating role for the Chinese, accounting for the greatest proportion of the total indirect effect. The study advances understanding of the influence and path of ST on green consumption, and provides theoretical and practical support for guiding people toward sustainable lifestyles.

The diversification and potential function of microbiome in sediment-water interface of methane seeps in South China Sea.

The sediment-water interfaces of cold seeps play important roles in nutrient transportation between seafloor and deep-water column. Microorganisms are the key actors of biogeochemical processes in this interface. However, the knowledge of the microbiome in this interface are limited. Here we studied the microbial diversity and potential metabolic functions by 16S rRNA gene amplicon sequencing at sediment-water interface of two active cold seeps in the northern slope of South China Sea, Lingshui and Site F cold seeps. The microbial diversity and potential functions in the two cold seeps are obviously different. The microbial diversity of Lingshui interface areas, is found to be relatively low. Microbes associated with methane consumption are enriched, possibly due to the large and continuous eruptions of methane fluids. Methane consumption is mainly mediated by aerobic oxidation and denitrifying anaerobic methane oxidation (DAMO). The microbial diversity in Site F is higher than Lingshui. Fluids from seepage of Site F are mitigated by methanotrophic bacteria at the cyclical oxic-hypoxic fluctuating interface where intense redox cycling of carbon, sulfur, and nitrogen compounds occurs. The primary modes of microbial methane consumption are aerobic methane oxidation, along with DAMO, sulfate-dependent anaerobic methane oxidation (SAMO). To sum up, anaerobic oxidation of methane (AOM) may be underestimated in cold seep interface microenvironments. Our findings highlight the significance of AOM and interdependence between microorganisms and their environments in the interface microenvironments, providing insights into the biogeochemical processes that govern these unique ecological systems.

Outcomes of antiretroviral treatment for 0-14-year-old children living with HIV in Ganzhou, China, 2006-2023.

BACKGROUND: Studies on antiretroviral therapy (ART) in children living with HIV (CLHIV) are limited due to the small population and low accession rate of ART. METHODS: All 0-14-year-old CLHIV admitted to the Ganzhou Center for Disease Control and Prevention from January 2006 to June 2023 were included retrospectively. The information of treatment regimens, disease progression, and laboratory tests of the patients under ART were used to explore the outcomes and impacts of long-term ART. The normality of all the data was tested by the Shapiro-Wilk test. RESULTS: From 2006 to 2023, 18 CLHIV were reported in Ganzhou. Among them, 11 received ART and were followed up for 60.0 ± 48.4 months. After receiving ART, the median viral load of them decreased from 89,600 copies/ml to 22 copies/ml (P = 0.007), the median CD4+ T cell count increased from 380.7 cells/µL to 661.9 cells/µL (P = 0.028), and the median CD8+ T cell count decreased from 1065.8 cells/µL to 983.3 cells/µL (P = 0.584). The laboratory test results regarding liver function, renal function, blood cell count, and glucolipid metabolism tended to be within normal reference ranges, and the mean height-for-age z-score and weight-for-age z-score increased. However, all the three CLHIV who received cotrimoxazole developed pneumocystis carinii pneumonia, upper respiratory infection, skin lesions, bacterial pneumonia and/or thrush; the mean body-mass-index-for-age z-score decreased from 0.52 to -0.63. CONCLUSION: For CLHIV, ART could effectively inhibit the replication of HIV and improve the immune function of patients. More studies that focus on ART in CLHIV are urgently needed.

Advancing breast cancer diagnosis with a near-infrared fluorescence imaging smart sensor for estrogen/progesterone receptor detection.

Molecular-genetic imaging has greatly advanced clinical diagnosis and prognosis monitoring. However, the specific visualization of intracellular proteins such as estrogen receptor (ER) and progesterone receptor (PR) remains an elusive goal. Here, we highlight a novel method for selectively detecting ER/PR positive tumors using genetically engineered responsive elements. Our study demonstrates that the double responsive elements of ER/PR exhibit the most sensitivity to the steroid receptors in breast cancers. By utilizing a cationic polymer vector, we constructed a responsive element-fluorescence protein system that can selectively image ER/PR positive breast cancers in murine models under a near-infrared laser. This non-invasive imaging achieved high-resolution detection without death or serious anaphylactic activity in the animals. Our findings suggest that the reporter system consisting of steroid receptor response elements and near-infrared proteins provides a practical system for identifying biomarkers and advancing cancer diagnosis and therapy.

Exploring the impact of formal and informal finance on green innovation under the lens of carbon neutrality.

In order to reduce environmental deterioration and promote sustainable growth, green innovation-which includes ecologically friendly technology and practices-has become a top priority of policymakers worldwide. This research investigates how formal and informal finance affects green innovation in highly polluted high, middle-, and low-income economies, using data spanning from 2007 to 2021. For analyzing the empirical link between formal finance, informal finance, and green innovation, we have employed the 2SLS and GMM estimation techniques. The primary estimates of the analysis suggest that formal and informal funding methods significantly impact environment-related technologies in high-income and middle- and low-income nations. Moreover, the GDP, carbon emissions, trade openness, human capital, research and development, financial stability, and digital finance are essential factors in promoting environment-related technologies in high-, middle-, and low-income nations, respectively. The policymakers in both groups of countries should foster collaboration between the formal and informal sectors to promote green innovations, which is essential for achieving sustainable development goals.

Comparison of dexmedetomidine and dexamethasone as adjuvants to the ultrasound-guided interscalene nerve block in arthroscopic shoulder surgery: a systematic review and Bayesian network meta-analysis of randomized controlled trials.

Introduction: Interscalene block (ISB) is widely regarded as the gold standard treatment for acute pain following arthroscopic shoulder surgery. However, a single injection of a local anesthetic for ISB may not offer sufficient analgesia. Various adjuvants have been demonstrated to prolong the analgesic duration of the block. Hence, this study aimed to assess the relative efficacy of dexamethasone and dexmedetomidine as adjuncts to prolong the analgesic duration for a single- shot ISB. Methods: The efficacy of adjuvants was compared using a network meta-analysis. The methodological quality of the included studies was evaluated using the Cochrane bias risk assessment tool. A comprehensive search of the PubMed, Cochrane, Web of Science, and Embase databases was conducted with a search deadline of March 1, 2023. Various adjuvant prevention randomized controlled trials have been conducted in patients undergoing interscalene brachial plexus block for shoulder arthroscopic surgery. Results: Twenty-five studies enrolling a total of 2,194 patients reported duration of analgesia. Combined dexmedetomidine and dexamethasone (MD = 22.13, 95% CI 16.67, 27.58), dexamethasone administered perineurally (MD = 9.94, 95% CI 7.71, 12.17), high-dose intravenous dexamethasone (MD = 7.47, 95% CI 4.41, 10.53), dexmedetomidine administered perineurally (MD = 6.82, 95% CI 3.43, 10.20), and low-dose intravenous dexamethasone (MD = 6.72, 95% CI 3.74, 9.70) provided significantly longer analgesic effects compared with the control group. Discussion: The combination of intravenous dexamethasone and dexmedetomidine provided the greatest effect in terms of prolonged analgesia, reduced opioid doses, and lower pain scores. Furthermore, peripheral dexamethasone in prolonging the analgesic duration and lowering opioid usage was better than the other adjuvants when used a single medication. All therapies significantly prolonged the analgesic duration and reduced the opioid dose of a single-shot ISB in shoulder arthroscopy compared with the placebo.

Aflibercept for long-term treatment of diabetic macular edema and proliferative diabetic retinopathy: a meta-analysis.

Purpose: This meta-analysis compared the long-term (12 months or 24 months) efficacy and safety of intravitreal aflibercept injection (IAI) for diabetic macular edema (DME) and proliferative diabetic retinopathy (PDR). Methods: We selected 16 randomized controlled trials (RCTs) performed after 2015 that had a minimum of 12 months and up to 24 months of treatment and conducted a meta-analysis with Review Manager version 5.3. Visual acuity (VA), central subfield thickness (CST) and adverse events were the outcomes selected for evaluation from the eligible studies. Results: Based on 16 RCTs, we evaluated a total of 7125 patients. For PDR and severe DME with poor baseline vision, after a minimum of 12 months and up to 24 months of treatment, the aflibercept treatment group obtained better VA improvement than the focal/grid laser photocoagulation treatment group (MD=13.30; 95%CI: 13.01~13.58; P<0.001) or other treatments (ranibizumab, focal/grid laser photocoagulation, PRP, et al.) group (MD=1.10; 95%CI: 1.05~1.16; P<0.001). In addition, the aflibercept treatment group got higher CST reduction than the focal/grid laser photocoagulation treatment (MD=-33.76; 95%CI: -45.53 ~ -21.99; P<0.001) or other treatments (ranibizumab, focal/grid laser photocoagulation, et al.) group (MD=-33.76; 95%CI: -45.53 ~ -21.99; P<0.001). There was no significant difference in the overall incidence of ocular and non-ocular adverse events in each treatment group. Conclusions: This meta-analysis showed that the advantages of IAI are obvious in the management of DME and PDR with poor baseline vision for long-term observation (a minimum of 12 months and up to 24 months) with both VA improvement and CST reduction. Applied IAI separately trended to be more effective than panretinal photocoagulation separately in VA improvement for PDR. More parameters should be required to assess functional and anatomic outcomes.

Tunable electron-flexural phonon interaction in graphene heterostructures.

Peculiar electron-phonon interaction characteristics underpin the ultrahigh mobility1, electron hydrodynamics2-4, superconductivity5 and superfluidity6,7 observed in graphene heterostructures. The Lorenz ratio between the electronic thermal conductivity and the product of the electrical conductivity and temperature provides insight into electron-phonon interactions that is inaccessible to past graphene measurements. Here we show an unusual Lorenz ratio peak in degenerate graphene near 60 kelvin and decreased peak magnitude with increased mobility. When combined with ab initio calculations of the many-body electron-phonon self-energy and analytical models, this experimental observation reveals that broken reflection symmetry in graphene heterostructures can relax a restrictive selection rule8,9 to allow quasielastic electron coupling with an odd number of flexural phonons, contributing to the increase of the Lorenz ratio towards the Sommerfeld limit at an intermediate temperature sandwiched between the low-temperature hydrodynamic regime and the inelastic electron-phonon scattering regime above 120 kelvin. In contrast to past practices of neglecting the contributions of flexural phonons to transport in two-dimensional materials, this work suggests that tunable electron-flexural phonon couping can provide a handle to control quantum matter at the atomic scale, such as in magic-angle twisted bilayer graphene10 where low-energy excitations may mediate Cooper pairing of flat-band electrons11,12.

An unusual rectal foreign body: A sundried corn-stick.

Though common, the extraction of rectal foreign bodies is still a great challenge for surgeons. The foreign body's position can usually be verified by plain abdominal radiography. Given the potential of sexually transmitted disease, screening for HIV, hepatitis, and syphilis is warranted prior to intervention. The utilization and selection of surgical instruments need to be flexible, ingenious, and innovative.

[Coal-carbon-pollutant Coordinated Control of Coal Chemical Industry Under Carbon Peak and Carbon Neutrality Constraints].

Under carbon peak and carbon neutrality constraints, the coal chemical industry should take stricter measures to tackle carbon reduction. Based on the intensity differences of five major coal and carbon reduction measures applied by the coal chemical industry, which include raw material structure adjustment, fuel structure adjustment, energy-saving technology transformation, terminal capture technology, and industrial structure adjustment, this study adopted the downstream sector demand method and project method, combined with the air pollution reduction model, to predict three scenarios (benchmark, policy, and enhancement) of coal chemical industry peak year and peak amount of coal consumption and carbon dioxide emission, associated with air pollutant reduction row effects. The results showed that coal consumption under the benchmark and policy scenarios of the coal chemical industry is expected to reach a peak in the late period of China's "14th Five-Year Plan", with peak values of 0.96 billion and 0.93 billion tons, respectively. By contrast, under the enhanced scenario, it is expected to peak in the early period of the "14th Five-Year Plan" with a value of 0.91 billion tons. The carbon peak will arrive in the late period of the "15th Five-Year Plan" under the benchmark scenario but in the early and late period of the "14th Five-Year Plan" under the policy and enhanced scenarios, with peak values of approximately 0.64 billion, 0.57 billion, and 0.55 billion tons, respectively. Controlling the construction scale of new coal chemical projects, tapping the space for raw material substitution, and speeding up the energy-saving technological transformation are important measures for coal and carbon control in the coal chemical industry. The implementation of coal and carbon reduction measures of the coal chemical industry will coordinately reduce air pollutant emissions, such as SO2, NOx, PM, and VOCs by 37, 43, 11, and 28 thousand tons per year after 2035.

Reconstruction of a Large Oncologic Defect Involving Lower Eyelid and Infraorbital Cheek Using MSTAFI Flap.

An oncologic defect that includes both the lower eyelid and the infraorbital cheek often results in complex reconstructive problems because its reconstruction involves 2 distinct tissue types and cosmetic subunits. Herein, we first present a novel combination of modified supratrochlear artery forehead island flap and advancement rotation cheek flap enables reconstructing a large oncologic defect of lower eyelid and infraorbital cheek. Although discoid lupus erythematosus affects the skin, the patient had achieved a satisfying color match and an acceptable aesthetic restoration without tumor recurrence. This novel flap has shown to be feasible, reliable, and advantageous alternative to the repair of such defects.