In the context of global warming,it is anticipated that both the intensity and the frequency of future global extreme high precipitation(EHP)and extreme high temperature(EHT)events will increase.To evaluate the future...In the context of global warming,it is anticipated that both the intensity and the frequency of future global extreme high precipitation(EHP)and extreme high temperature(EHT)events will increase.To evaluate the future extreme climate changes in the Asian arid region and Tibetan Plateau,this study applied the NASA Earth Exchange Global Daily Downscaled Projections(NEX-GDDP-CMIP6)to assess the changes in EHP(Rx5d and R95pTOT)and EHT(TX90p and TXx)under different emission scenarios in the 21st century.Findings suggest that both the frequency and the intensity of the extreme indices will increase,exhibiting accelerated growth under higher emission scenarios,particularly under the SSP5-8.5 emission scenario.It is suggested that the growth of EHT and EHP in the early subperiod of the 21st century(2026-2045)will be relatively moderate,with small differences between different emission scenarios.However,by the middle subperiod of the 21st century(2041-2060),the differences between different emission scenarios will become larger than the 2035s and the growth will become more intense.In western central Asia,TX90p,TXx,Rx5d,and R95pTOT increase by 9.7%-14.2%(13.3%-24.7%),1.3℃-1.7℃(1.6℃-2.7℃),6.5%-8.9%(8.2%-8.8%),and 18.1%-27.0%(25.6%-30.0%)by the early(middle)subperiod;in eastern central Asia,TX90p,TXx,Rx5d,and R95pTOT increase 8.1%-12.0%(11.3%-21.1%),1.4℃-1.8℃(1.9℃-2.9℃),7.4%-9.7%(10.4%-13.8%),and 20.2%-29.3%(32.0%-40.8%)by the early(middle)subperiod;and over the Tibetan Plateau,TX90p,TXx,Rx5d,and R95pTOT increase 12.5%-17.4%(17.0%-31.0%),1.2℃-1.5℃(1.6℃-2.5℃),7.2%-10.0%(9.9%-15.0%),and 26.6%-33.1%(36.1%-55.3%)by the early(middle)subperiod.展开更多
目的探讨肠道屏障功能、IL-6、血沉(erythrocyte sedimentation rate,ESR)指标在克罗恩病合并贫血患者中的变化及应用价值。方法选取2022年6月至2023年4月至南京市第二医院就诊的克罗恩病患者155例。根据血红蛋白检测结果将患者分为贫血...目的探讨肠道屏障功能、IL-6、血沉(erythrocyte sedimentation rate,ESR)指标在克罗恩病合并贫血患者中的变化及应用价值。方法选取2022年6月至2023年4月至南京市第二医院就诊的克罗恩病患者155例。根据血红蛋白检测结果将患者分为贫血组(55例)及非贫血组(100例),对两组间DAO、D-LA、BT、IL-6及ESR水平进行比较,并进行相关统计学分析。结果与非贫血组相比,贫血组患者D-LA水平明显降低,IL-6及ESR水平显著升高,差异有统计学意义(P<0.05),两组间DAO、BT水平差异无统计学意义(P>0.05);在贫血组中,血清D-LA水平与BT水平呈正相关、与IL-6呈负相关;二元Logistic回归分析结果显示,ESR水平是克罗恩病患者贫血的独立影响因素(OR=1.963,P<0.05);D-LA、IL-6及ESR判断克罗恩病合并贫血的ROC曲线下面积(area under the curve,AUC)分别为0.322、0.714、0.737(P均<0.05),DAO及BT的AUC差异无统计学意义。结论克罗恩病合并贫血患者肠道屏障功能、IL-6及ESR水平发生明显变化,做好其分析对克罗恩病患者的贫血发生机制研究以及临床诊疗具有积极意义。展开更多
基金supported by the Second Tibetan Plateau Scientific Expedition and Research Program[grant number 2019QZKK0101]。
文摘In the context of global warming,it is anticipated that both the intensity and the frequency of future global extreme high precipitation(EHP)and extreme high temperature(EHT)events will increase.To evaluate the future extreme climate changes in the Asian arid region and Tibetan Plateau,this study applied the NASA Earth Exchange Global Daily Downscaled Projections(NEX-GDDP-CMIP6)to assess the changes in EHP(Rx5d and R95pTOT)and EHT(TX90p and TXx)under different emission scenarios in the 21st century.Findings suggest that both the frequency and the intensity of the extreme indices will increase,exhibiting accelerated growth under higher emission scenarios,particularly under the SSP5-8.5 emission scenario.It is suggested that the growth of EHT and EHP in the early subperiod of the 21st century(2026-2045)will be relatively moderate,with small differences between different emission scenarios.However,by the middle subperiod of the 21st century(2041-2060),the differences between different emission scenarios will become larger than the 2035s and the growth will become more intense.In western central Asia,TX90p,TXx,Rx5d,and R95pTOT increase by 9.7%-14.2%(13.3%-24.7%),1.3℃-1.7℃(1.6℃-2.7℃),6.5%-8.9%(8.2%-8.8%),and 18.1%-27.0%(25.6%-30.0%)by the early(middle)subperiod;in eastern central Asia,TX90p,TXx,Rx5d,and R95pTOT increase 8.1%-12.0%(11.3%-21.1%),1.4℃-1.8℃(1.9℃-2.9℃),7.4%-9.7%(10.4%-13.8%),and 20.2%-29.3%(32.0%-40.8%)by the early(middle)subperiod;and over the Tibetan Plateau,TX90p,TXx,Rx5d,and R95pTOT increase 12.5%-17.4%(17.0%-31.0%),1.2℃-1.5℃(1.6℃-2.5℃),7.2%-10.0%(9.9%-15.0%),and 26.6%-33.1%(36.1%-55.3%)by the early(middle)subperiod.
文摘目的探讨肠道屏障功能、IL-6、血沉(erythrocyte sedimentation rate,ESR)指标在克罗恩病合并贫血患者中的变化及应用价值。方法选取2022年6月至2023年4月至南京市第二医院就诊的克罗恩病患者155例。根据血红蛋白检测结果将患者分为贫血组(55例)及非贫血组(100例),对两组间DAO、D-LA、BT、IL-6及ESR水平进行比较,并进行相关统计学分析。结果与非贫血组相比,贫血组患者D-LA水平明显降低,IL-6及ESR水平显著升高,差异有统计学意义(P<0.05),两组间DAO、BT水平差异无统计学意义(P>0.05);在贫血组中,血清D-LA水平与BT水平呈正相关、与IL-6呈负相关;二元Logistic回归分析结果显示,ESR水平是克罗恩病患者贫血的独立影响因素(OR=1.963,P<0.05);D-LA、IL-6及ESR判断克罗恩病合并贫血的ROC曲线下面积(area under the curve,AUC)分别为0.322、0.714、0.737(P均<0.05),DAO及BT的AUC差异无统计学意义。结论克罗恩病合并贫血患者肠道屏障功能、IL-6及ESR水平发生明显变化,做好其分析对克罗恩病患者的贫血发生机制研究以及临床诊疗具有积极意义。
