Objective:To analyze the application value of artificial intelligence(AI)in the comprehensive service pathway for rational clinical use of western medicines.Methods:A sample of 73 patients undergoing western medicine ...Objective:To analyze the application value of artificial intelligence(AI)in the comprehensive service pathway for rational clinical use of western medicines.Methods:A sample of 73 patients undergoing western medicine treatment from December 2024 to March 2025 was selected and divided into groups by lottery.Group A received AI-assisted management for rational clinical use of western medicines,while Group B received conventional management.Thirty-six patients taking oral western medicines were included in Group B.Results:Group A outperformed Group B in terms of the irrationality rate of western medicine usage,drug management scores,adverse reaction rates,complaint rates,and satisfaction levels,with p<0.05.Conclusion:AI-assisted rational clinical use of western medicines enhances drug management quality,reduces the irrationality rate of medication usage,and decreases complaint rates related to western medicine usage.展开更多
In this study,we investigate the complex relationship between western disturbances(WDs),the El Ni?o–Southern Oscillation(ENSO),and extreme precipitation events(EPEs) in the western Himalaya(WH) during the extended wi...In this study,we investigate the complex relationship between western disturbances(WDs),the El Ni?o–Southern Oscillation(ENSO),and extreme precipitation events(EPEs) in the western Himalaya(WH) during the extended winter season(November–March).WDs west of WH coincide with 97% of recorded EPEs,contributing substantially(32% in winter,11% annually) to total precipitation within WH.WDs are 6% less frequent and 4% more intense during El Ni?o than La Ni?a to the west of WH.During El Ni?o(compared to La Ni?a) years,WDs co-occurring with EPEs are significantly more intense and associated with 17% higher moisture transport over “WH box”(the selected region where most of the winter precipitation over WH occurs).This results in twice the EPE frequency during El Ni?o periods than La Ni?a periods.A substantial southward shift(~180 km) of the subtropical jet(STJ) axis during El Ni?o brings WD tracks further south towards their primary moisture sources,especially the Arabian Sea.We have shown that WDs that are both more intense and pass to the south of their typical latitudes have higher levels of vertically integrated moisture flux(VIMF)within them.VIMF convergence in the most intense pentile of WDs is 5.7 times higher than in the weakest,and is 3.4 times higher in the second lowest latitude pentile than in the highest.Overall,this study demonstrates a direct link between changes in the latitudinal position and intensity of WDs associated with the winter STJ,and moisture convergence,which leads to the occurrence of EPEs over WH during ENSO phases.展开更多
1 Introduction The history of medicine in modern China has frequently been framed through a lens of“Westernization”,in which traditional Chinese medicine(TCM)is portrayed as grad-ually yielding to modern Western med...1 Introduction The history of medicine in modern China has frequently been framed through a lens of“Westernization”,in which traditional Chinese medicine(TCM)is portrayed as grad-ually yielding to modern Western medicine.Such a binary framework,however,oversimplifies the intricate realities of medical encounters in China.展开更多
Tropical cyclones(TCs)have profound impacts on socioeconomic conditions and pose substantial risks to lives and property.However,it is still unclear whether the multitimescale changes in TC activity over the past 2000...Tropical cyclones(TCs)have profound impacts on socioeconomic conditions and pose substantial risks to lives and property.However,it is still unclear whether the multitimescale changes in TC activity over the past 2000 years in the Northwestern Pacific(NWP)were regulated by Asian dust forcing.Here,we assessed the impact of Asian dust on TC activity using observational data and reconstructed records from the northern and southern NWP.Our correlation analysis of instrumental data from 1954 to 2017 reveals no significant relationship between observed TC activity and Asian dust forcing.Furthermore,we found a meridional dipole pattern of TC variation across the NWP in observations and reconstructions.These finding challenges current explanations that are based on the synchronous changes in TC activity and Asian dust forcing.Alternatively,we propose that the Western Pacific Subtropical High(WPSH)plays a crucial role in driving these meridional dipole patterns in TC variations,as supported by observations and reconstructions.The southwestward extension of an enhanced WPSH intensifies easterly flow,steering TCs westward along its southern edge.This leads to more TC activity in the southern NWP but less in the north,and vice versa when the WPSH is weakened.With the expected strengthening of the WPSH due to global warming,it is vital to consider its impact on NWP TC activity for effective risk-mitigation strategies.展开更多
INTRODUCTION.Depressive disorders are mental illnesses that seriously affect public health.There are approximately 320 million patients with depression worldwide,accounting for 4.4% of the total disease burden.1Depres...INTRODUCTION.Depressive disorders are mental illnesses that seriously affect public health.There are approximately 320 million patients with depression worldwide,accounting for 4.4% of the total disease burden.1Depression leads to social and occupational impairment,diminished quality of life and an elevated risk of death by suicide.展开更多
BACKGROUND Rheumatic immune diseases are a group of chronic inflammatory diseases charac-terized by joint and systemic multi-organ involvement,including rheumatoid arthritis,systemic lupus erythematosus,and Sjogren’s...BACKGROUND Rheumatic immune diseases are a group of chronic inflammatory diseases charac-terized by joint and systemic multi-organ involvement,including rheumatoid arthritis,systemic lupus erythematosus,and Sjogren’s syndrome,among others.The pathogenesis of these diseases is related to the abnormal activation and regulatory imbalance of the immune system.The prevalence and morbidity of rheumatic immune diseases are high,imposing a significant burden on patients'quality of life and socio-economic costs.Currently,the treatment of rheumatic immune diseases mainly relies on Western medicine,such as non-steroidal anti-inflammatory drugs,glucocorticoids,disease-modifying antirheumatic drugs,and biologics.However,the therapeutic effects of Western medicine are not ideal,some patients poorly respond or are resistant to Western medicine,and long-term use often causes various adverse reactions.AIM To systematically evaluate the efficacy and safety of Tripterygium wilfordii gly-cosides tablets combined with Western medicine in the treatment of patients with rheumatic immune diseases.METHODS This study conducted a meta-analysis to systematically evaluate the efficacy and safety of Tripterygium wilfordii glycosides tablets combined with Western medicine for patients with rheumatic immune diseases.Chinese and English databases were searched for randomized controlled trials(RCTs)on the treatment of rheumatic immune diseases with Tripterygium wilfordii glycosides tablets combined with Western medicine.The quality of the included studies was assessed using the Cochrane risk of bias assessment tool.Meta-analysis was performed using RevMan 5.4 software.RESULTS The meta-analysis included 11 RCTs involving 1026 patients with rheumatic immune diseases.The combined treatment significantly reduced the risk of disease recurrence(relative risk=1.07,95%confidence interval:1.01-1.15,P<0.05)and showed no significant heterogeneity(I2=0%,P=0.53),indicating that Tripterygium wilfordii glycosides tablets combined with Western medicine is an effective method to reduce the possibility of postoperative recurrence in patients with rheumatic immune diseases.However,due to the limited number and quality of the studies included,these results should be interpreted with caution.CONCLUSION Tripterygium wilfordii glycosides tablets combined with Western medicine is an effective and safe treatment option for patients with rheumatic immune diseases and can be considered a clinical choice.However,more high-quality research is needed to validate this conclusion and provide more solid evidence for clinical practice.展开更多
BACKGROUND The burden of mental disorders(MD)in the Western Pacific Region(WPR)re-mains a critical public health concern,with substantial variations across demogra-phics and countries.AIM To analyze the burden of MD i...BACKGROUND The burden of mental disorders(MD)in the Western Pacific Region(WPR)re-mains a critical public health concern,with substantial variations across demogra-phics and countries.AIM To analyze the burden of MD in the WPR from 1990 to 2021,along with associated risk factors,to reveal changing trends and emerging challenges.METHODS We used data from the Global Burden of Disease 2021,analyzing prevalence,incidence,and disability-adjusted life years(DALYs)of MD from 1990 to 2021.Statistical methods included age-standardisation and uncertainty analysis to address variations in population structure and data completeness.RESULTS Between 1990 and 2021,the prevalence of MD rose from 174.40 million cases[95%uncertainty interval(UI):160.17-189.84]to 234.90 million cases(95%UI:219.04-252.50),with corresponding DALYs increasing from 22.8 million(95%UI:17.22-28.79)to 32.07 million(95%UI:24.50-40.68).During this period,the burden of MD shifted towards older age groups.Depressive and anxiety disorders were predominant,with females showing higher DALYs for depressive and anxiety disorders,and males more affected by conduct disorders,attention-deficit hyperactivity disorder,and autism spectrum disorders.Australia,New Zealand,and Malaysia reported the highest burdens,whereas Vietnam,China,and Brunei Darussalam reported the lowest.Additionally,childhood sexual abuse and bullying,and intimate partner violence emerged as significant risk factors.CONCLUSION This study highlights the significant burden of MD in the WPR,with variations by age,gender,and nation.The coronavirus disease 2019 pandemic has exacerbated the situation,emphasizing the need for a coordinated response.展开更多
BACKGROUND Patients with BRAF V600E mutant metastatic colorectal cancer(mCRC)have a low incidence rate,poor biological activity,suboptimal response to conventional treatments,and a poor prognosis.In the previous cohor...BACKGROUND Patients with BRAF V600E mutant metastatic colorectal cancer(mCRC)have a low incidence rate,poor biological activity,suboptimal response to conventional treatments,and a poor prognosis.In the previous cohort study on mCRC conducted by our team,it was observed that integrated Chinese and Western medicine treatment could significantly prolong the overall survival(OS)of patients with colorectal cancer.Therefore,we further explored the survival benefits in the population with BRAF V600E mutant mCRC.AIM To evaluate the efficacy of integrated Chinese and Western medicine in the treatment of BRAF V600E mutant metastatic colorectal cancer.METHODS A cohort study was conducted on patients with BRAF V600E mutant metastatic colorectal cancer admitted to Xiyuan Hospital of China Academy of Chinese Medical Sciences and Traditional Chinese Medicine Hospital of Xinjiang Uygur Autonomous Region from January 2016 to December 2022.The patients were divided into two cohorts.RESULTS A total of 34 cases were included,with 23 in Chinese-Western medicine cohort(cohort A)and 11 in Western medicine cohort(cohort B).The median overall survival was 19.9 months in cohort A and 14.2 months in cohort B,with a statistically significant difference(P=0.038,hazard ratio=0.46).The 1-3-year survival rates were 95.65%(22/23),39.13%(9/23),and 26.09%(6/23)in cohort A,and 63.64%(7/11),18.18%(2/11),and 9.09%(1/11)in cohort B,respectively.Subgroup analysis showed statistically significant differences in median OS between the two cohorts in the right colon,liver metastasis,chemotherapy,and first-line treatment subgroups(P<0.05).CONCLUSION Integrated Chinese and Western medicine can prolong the survival and reduce the risk of death in patients with BRAF V600E mutant metastatic colorectal cancer,with more pronounced benefits observed in patients with right colon involvement,liver metastasis,combined chemotherapy,and first-line treatment.展开更多
The black coral genus Bathypathes Brook,1889 represents a relatively diverse and ecologically important assemblage comprising the deep-sea hard substrate communities.Recent phylogenetic investigations have revealed th...The black coral genus Bathypathes Brook,1889 represents a relatively diverse and ecologically important assemblage comprising the deep-sea hard substrate communities.Recent phylogenetic investigations have revealed the polyphyletic nature of Bathypathes,urging further morphological analysis to understand its systematics.By combing morphological and molecular data,we describe Bathypathes multifurcata sp.nov.and report B.pseudoalternata Molodtsova,Opresko&Wagner,2022based on the specimens collected from the tropical western Pacific.The phylogenetic topology reconstructed using nuclear ITS1-5.8S-ITS2 and three mitochondrial fragments suggests the separation of Bathypathes into four groups.Our analysis of morphological characters,particularly the colony branch and pinnule patterns also roughly classify Bathypathes into four morphological groups A–D.Group A is characterized by the unbranched colony and the subopposite arrangement of pinnules.In contrast to Group A,Groups B–D have the alternately arranged pinnules.Among these,Group C exhibits a distinctly long unpinnulated stem compared to Groups B and D.Group B has unbranched colony,relatively short unpinnulated stem,and spines on pinnules have blunt apex.Within Group D,large colonies(higher than 40 cm)have one or a few branches,small colonies(less than 40 cm)are unbranched,and spines on pinnules have acute apex.Further data particularly those species without sequences are necessary to verify the classification of these groups.展开更多
AIM:To describe the demographics,clinical characteristics and treatment outcomes of childhood amblyopia in a tertiary eye center in western India.METHODS:This was a retrospective longitudinal hospital-based study of 1...AIM:To describe the demographics,clinical characteristics and treatment outcomes of childhood amblyopia in a tertiary eye center in western India.METHODS:This was a retrospective longitudinal hospital-based study of 1382 children aged≤12y included in the National Institute of OphthalMology AmBlyopia StUdy in Indian Paediatric EyeS(NIMBUS)Study.Data on patient demographics,treatment approach,and best-corrected visual acuity(BCVA)changes were reviewed.RESULTS:The mean age of the study cohort was 4.54±2.46y,with males constituting the majority(55.4%).The cause of amblyopia was refractive error in 73.2%,strabismus in 7.3%,and anisometropia in 6.8%of eyes.The majority of therapies comprised glasses(74.4%),followed by occlusion+glasses(10.3%),occlusion alone(7.3%),and surgery+patching+glasses(5.1%).The mean occlusion time was 2.46±1.14h.After a median follow-up of 10.00(6-85)mo,the mean BCVA significantly improved from 0.85±0.41 to 0.55±0.42 logMAR.Subgroup analysis revealed BCVA gain for all etiologies,including refractive errors(P<0.001),strabismus(P<0.001),cataract(P<0.001),and ptosis(P<0.001).Additionally,eyes with refractive errors showed significantly better BCVA than eyes with cataracts(P<0.001),strabismus(P<0.001)and marginally better BCVA than eyes with ptosis(P<0.05),both at the baseline and final visit.CONCLUSION:Refractive errors are the commonest cause of amblyopia,followed by strabismus and anisometropia.Timely detection,optimal therapy,and periodic follow-up are crucial in bettering visual acuity regardless of the cause.展开更多
Microplastic contamination is considered a major threat to the marine environment.Although microplastic pollution in the Pacific Ocean has been studied,its abundance,distribution,composition,and origin in the western ...Microplastic contamination is considered a major threat to the marine environment.Although microplastic pollution in the Pacific Ocean has been studied,its abundance,distribution,composition,and origin in the western Pacific Ocean remain unclear.Here,we investigated the abundance and distribution characteristics of microplastics in surface waters of the western Pacific Ocean and analyzed their potential sources.Results show that microplastics were widespread in the western Pacific Ocean,with abundance ranging from 0.03 to 2.36 particles/m^(3)(average 0.37±0.47 particles/m^(3)).Fibers/filaments and fragments were the main shapes of microplastics(71.6%)and the most abundant microplastic size class was<1.0 mm(42.4%).Significant differences in microplastic abundance were observed in different regions,with the lowest abundance in the South China Sea(0.03 particles/m^(3))and highest abundance in the seamount area in the western Pacific Ocean(0.58 particles/m^(3)).This study provides baseline data and insights into the fate and transportation of microplastics in the western Pacific region.展开更多
In a re-examination of the Neogene stratigraphy of the Uşak,Güre,and Selendi basins of western Anatolia,western Turkey,the stratigraphic position of the previously definedİnay Group is revised,which was previousl...In a re-examination of the Neogene stratigraphy of the Uşak,Güre,and Selendi basins of western Anatolia,western Turkey,the stratigraphic position of the previously definedİnay Group is revised,which was previously considered to be of the Middle Miocene age.Based on mammalian biochronology and stratigraphic relationships,two sequences are identified,separated by conformable/transitional contacts within the former group:the Middle Miocene Güre Group is composed of the FakılıFormation,characterized by alluvial fan deposits,and the lacustrine Derbent Formation.Radiometric dating of alkaline volcanics laterally associated with Güre Group sediments in the Uşak and Güre basins,and mammalian fossils re-evaluated into the MN5-6 biozones in the Selendi Basin,indicate early Middle Miocene.Considering the stratigraphic relationship with the overlying early Late Mioceneİnay Group as redefined,we estimate that the Güre Group was deposited in the Middle Miocene.Theİnay Group is characterized by a lateral-vertical transition from alluvial deposits of the Ahmetler Formation to the overlying lacustrine Ulubey Formation.An MN9-10 fauna,containing deinotheres,was found within the latter formation.展开更多
A cluster of serpentinite bodies has been recognized tectonically emplaced within the greenschist-amphibolite-facies metamorphic terrane in Hong'an,western Dabie orogen,central China.Two types of serpentinites are...A cluster of serpentinite bodies has been recognized tectonically emplaced within the greenschist-amphibolite-facies metamorphic terrane in Hong'an,western Dabie orogen,central China.Two types of serpentinites are identified on the basis of integrated petrographic,mineralogical and geochemical study.The first type,represented by Yinshanzhai serpentinite complex(Group 1)comprises heterogeneous lithology as a massive serpentinite matrix“intruded”by antigoriteenriched serpentinite lenses.They are both pseudomorphic textured with different mineral assemblages indicating an increasing temperature-pressure condition.Serpentinite matrix(Group 1a)is chemically characterized by high MgO/SiO_(2)and low Al_(2)O_(3)/SiO_(2),Ti and Ca contents,suggesting a depleted mantle wedge origin.The coexistence of compositionally-heterogeneous chromite with highCr^(#)(0.78-0.96)and intermediate-Cr^(#)(0.59-0.70)pristine cores indicates extensive mantle melting.Meanwhile,extremely high Fo olivine relicts(96-97)with considerably higher MnO and lower NiO contents than mantle olivine indicate that they are metamorphic products from serpentine decomposition.Accordingly,we propose that Yinshanzhai serpentinite complex experienced two distinct episodes of hydration.The serpentinite lenses(Group 1b)show higher SiO_(2)and lower MgO concentrations.Nevertheless,the trace elements of groups 1a and 1b are consistent:U-shaped REE patterns,positive Eu anomalies and enrichment of LILE(i.e.,Cs,U)are all identified as forearc properties.They are affected by reducing slab-derived fluids in forearc mantle,with f_(O2)of 1 to 2 logarithmic units below f_(O2)of fayalite-magnetite-quartz buffer(FMQ-2~FMQ-1).The second type is antigorite-serpentinites(Group2)represented by Ximaoshan and Wangchunwan blocks.They are non-pseudomorphic,with no primary framework silicate surviving.Fertile compositions(i.e.,higher Al_(2)O_(3)and Al_(2)O_(3)/SiO_(2),nearly flat REE patterns)and conjoint enrichment of LILE with HFSE suggest melt/rock interaction.Negative Ce,Eu anomalies,and enriched U relative to alkaline elements demonstrate interactions with more oxidized seawater or seafloor fluids(FMQ~FMQ-1).Remarkable Sr negative anomalies may be attributed to Sr release during lizardite/antigorite transition in subduction zone,indicating interaction with low-Sr slab fluids.We propose that Group 2 serpentinites originate either from mantle wedge or abyssal peridotites,refertilized by mantle melts,then hydrated in seafloor or shallow forearc and entrapped into subduction channel.Combined with geochronology and tectonic constraints of associated eclogites in Hong'an terrane,the two types of serpentinites may correlate with subduction of different oceanic basins during the late Paleozoic and/or Proterozoic eras.It raises possibility of defining an ophiolitic setting in Hong'an Orogen for which further evidence is required.展开更多
Phase equilibrium modeling using internally consistent thermodynamic dataset and associated activity-composition(a-x)models are very helpful for quantifying P-T evolution for eclogite,which is the basis for decipherin...Phase equilibrium modeling using internally consistent thermodynamic dataset and associated activity-composition(a-x)models are very helpful for quantifying P-T evolution for eclogite,which is the basis for deciphering the geodynamic processes in subduction zones.In this study,we apply different versions of datasets(ds55 and ds62)and associated a-x relations to a wellestablished LT-HP eclogite at Huwan in the classic western Dabie orogen to constrain its P-T evolution.The eclogite comprises garnet+omphacite+amphibole+white mica+epidote+quartz+chlorite+rutile/ilmenite/sphene.Garnet porphyroblasts show mono-variation in the end members(spessartine from 17 mol%to 0,pyrope from 2 mol%to 18 mol%,almandine from 47 mol%to 64mol%and grossular from 35 mol%to 18 mol%)from core to rim.Phase diagrams combined with compositional isopleth thermobarometry show that dataset ds62 and associated a-x relations yield P_(max)of~33 kbar at~560℃,conflicting with our petrological observations and previous studies.On the other hand,phase equilibrium modeling using dataset ds62 and a revised symmetric garnet a-x model irrespective of Fe^(3+)(O)gives P_(max)of~27 kbar at~560℃,consistent with the results using dataset ds55 and associated a-x relations.Therefore,we recommend a symmetric model for garnet involving py,alm,gr and spss,without Fe~(3+)components,instead of the asymmetric garnet a-x relations involving py,alm,gr,spss and kho by White et al.(2014),for calculating phase diagrams for LT-(U)HP eclogite when using dataset ds62.In this study,the defined P-T path is characterized by a segment of the prograde evolution showing a first moderate slope,followed by gentle then steep slopes,representing the thermal structure evolution recorded by slab surface during continental subduction.Our work combined with previous studies conclude that in western Dabie,the Huwan HP eclogite belt to the north and the Hong'an HP eclogite belt to the south belong to the same HP slice overlying the Xinxian UHP slice.展开更多
The duration of the extratropical transition(ET)of tropical cyclones(TCs)is often closely associated with disaster intensity.Therefore,it is essential to understand the key factors that influence ET duration.Using the...The duration of the extratropical transition(ET)of tropical cyclones(TCs)is often closely associated with disaster intensity.Therefore,it is essential to understand the key factors that influence ET duration.Using the TC best-track data and reanalysis data,this study investigates the structural characteristics and key influencing factors of ET duration in the western North Pacific(WNP)during 1981–2022.Results show that,compared to TCs that undergo ET rapidly(≤12 h),TCs that experience ET slowly(≥24 h)undergo a more prolonged and complex ET process,maintaining a warm core and an upright structure for extended periods.By contrast,TCs undergoing rapid transition experience structural disintegration within 6–12 h after ET onset.Further analysis reveals that TCs with longer ET durations are characterized by stronger warm cores,more abundant moisture,weaker environmental vertical wind shear,slower translation speeds,and a longer residence time over warmer sea surface temperatures(SSTs),all of which support the maintenance of axisymmetric structures with strong warm cores.Environmental and structural factors,including cold-air intensity,vertical wind shear,TC translation speed,SST,relative humidity,TC intensity,the radius of 17 m s^(-1)wind,mean sea level pressure,and the radius of maximum wind,are found to exist significant correlation with ET duration.Cold-air intensity exhibited the highest correlation(r=–0.35),followed by TC translation speed and SST.A relative importance analysis shows that the environmental factors play a more substantial role than the internal TC structure,accounting for about 19.23%of the variance,with TC translation speed and cold-air effects explaining 11.68%.Based on the nine factors,a statistical forecasting model was developed,which shows considerable skill in predicting ET duration.展开更多
Gastric precancerous lesions(GPL)represent a crucial stage in the complex process of gastric carcinogenesis that leads to gastric cancer(GC),one of the most prevalent cancers and a major source of cancer mortality wor...Gastric precancerous lesions(GPL)represent a crucial stage in the complex process of gastric carcinogenesis that leads to gastric cancer(GC),one of the most prevalent cancers and a major source of cancer mortality worldwide.Many studies have identified the gastrointestinal microbiota,or gut microbiota,as an important contributor to both the pathogenesis and treatment of GPL and GC,thus understanding its role in this transition is crucial.The purpose of this literature review is to introduce the current landscape of microbiota research associated with GPL and GC,with an emphasis on Helicobacter pylori(H.pylori)driven microbial dysbiosis and its modulation through Western medicine and traditional Chinese medicine(TCM)approaches.By elucidating the underlying mechanisms of H.pylori colonization,patterns,and interactions among microbiota,as well as the influence of microbial metabolites,this review highlights crucial driving factors of gastric carcinogenesis.The role of microbiota in conventional interventions,including H.pylori eradication,immunotherapy,as well as TCM herbal decoctions,is also discussed to provide a detailed understanding of the complex interactions between therapy and microbiota and how it could be potentially targeted for effective management of GPL and GC.Ultimately,microbiota-targeting therapeutics may represent a new path toward early detection,targeted treatment,improved prognosis,and potentially reduced incidence of GPL and GC.展开更多
BACKGROUND The emergence of the Omicron variant(B.1.1.529)of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)raised global concerns with its highly transmissible nature.AIM To investigate the genomic,clinic...BACKGROUND The emergence of the Omicron variant(B.1.1.529)of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)raised global concerns with its highly transmissible nature.AIM To investigate the genomic,clinical,and demographic characteristics of Omicron infections within the early outbreak cluster in western part of Sri Lanka.METHODS We analyzed sequence data from January 2022 to April 2022 to understand variant dynamics,clinical presentation,and demographic associations.RESULTS Whole-genome sequencing of 85 nasopharyngeal and throat swab samples collected in western part of Sri Lanka between January and April 2022 identified 70(82.34%)of it as Omicron variants.BA.2 was the most prevalent sub-lineage(57%),followed by BA.1.1(14.20%)and majority of them were from>12 years old individuals.Phylogenetic analysis revealed clustering into four distinct clades(21I,21K,21L,and 21M),suggesting potential differences in transmission chains or evolutionary pressures.CONCLUSION This study found BA.2 to be the predominant Omicron sub-lineage in the western part of Sri Lanka during the first quarter of 2022,aligning with global trends.Phylogenetic analysis revealed diverse introductions and local transmission.Continued genomic surveillance and robust public health measures remain crucial for managing the evolving SARS-CoV-2 landscape.展开更多
A halocline in the Arctic Ocean significantly slows the upward heat flux from deep warm water,thereby inhibiting the melting of surface sea ice.The western Arctic Ocean exhibits a double-halocline(DH)structure due to ...A halocline in the Arctic Ocean significantly slows the upward heat flux from deep warm water,thereby inhibiting the melting of surface sea ice.The western Arctic Ocean exhibits a double-halocline(DH)structure due to the complexity of the water mass.Using in situ measurements,we analyzed the vertical structural characteristics of DH and its interannual variation.The results indicated that the DH primarily occurs at the Northwind Ridge and the southern Canada Basin,extending westward to the Chukchi Abyssal Plain and northward to the northern boundary of the Canada Basin.From 2002 to 2022,there were changes in water masses that determined the structure of the DH.The significant increase in Pacific Water has resulted in 42%and 65%increases in freshwater and the heat content of the DH,respectively,along with a 14%reduction in stratification.Pacific Winter Water characterized by salinity of 33 has exhibited a gradually decreasing trend,suggesting that the lower halocline may be difficult to ventilate.The combined effects of Ekman pumping,mesoscale eddies,and positive buoyancy forcing(heat and freshwater input)from Pacific Water have altered the thickness and stratification of the DH.This study has enhanced our understanding of the evolution of vertical heat flux in the upper western Arctic Ocean.展开更多
Dispersal is an important life history trait with signifcant consequences for spatially structured populations,as the exchange of individuals between habitat patches is crucial for maintaining metapopulation connectiv...Dispersal is an important life history trait with signifcant consequences for spatially structured populations,as the exchange of individuals between habitat patches is crucial for maintaining metapopulation connectivity.In this study,we used a long-term data set(2005–2023)to describe dispersal patterns in a patchy population of the Western Yellow Wagtail Motacilla fava within a large(approximately 1,300 km2)study area in the boreal zone of European Russia.We quantifed dispersal distances for birds that dispersed outside their natal or breeding habitat patches and applied a multistate capture–recapture approach to estimate natal and breeding dispersal probabilities.Of 395 adult wagtails and 1,610 nestlings ringed,3%of birds ringed as adults and 3%of birds ringed as nestlings were resighted outside their natal or breeding patches.The probability of natal dispersal(0.29±0.05)was signifcantly higher than the probability of breeding dispersal(0.05±0.01).The median natal dispersal distances(2.8 km for males,3.9 km for females)were the same as the median breeding dispersal distances(2.7 km for males,3.9 km for females).We did not fnd a signifcant effect of the fedging date on either the natal dispersal distance or the natal dispersal probability.Similarly,we did not fnd a signifcant effect of the previous reproductive success on either the breeding dispersal distance or the breeding dispersal probability.Our results indicate that strong breeding site fdelity and short-distance natal dispersal are the dominant dispersal strategies in a patchy population of the western yellow wagtail.展开更多
Objective:This study aimed to describe the updated disease burden and temporal trends of stomach cancer(SC)and colorectal cancer(CRC),and to explore potential influence factors of the two cancers in the Western Pacifi...Objective:This study aimed to describe the updated disease burden and temporal trends of stomach cancer(SC)and colorectal cancer(CRC),and to explore potential influence factors of the two cancers in the Western Pacific region(WPR).Methods:Estimates of incidence,deaths,and disability-adjusted life years(DALYs)for SC and CRC were obtained from the Global Burden of Disease Study 2021.Trends in age-standardized incidence rates(ASIR),agestandardized mortality rates(ASMR),and age-standardized DALY rates(ASDR)were assessed.A decomposition analysis was conducted to quantify the role of three factors(i.e.,population aging,population growth,and epidemiological change)driving DALY changes between 2000 and 2021.Pearson correlation analysis was used to examine the association between cancer burden and Socio-demographic Index(SDI)at the national level in 2021.Results:In 2021,the WPR accounted for 61.77%of global incident SC cases and 43.07%of global incident CRC cases.From 2000 to 2021,the ASIR,ASMR,and ASDR of SC and the ASMR and ASDR of CRC decreased,whereas the ASIR of CRC increased by an average of 1.32%per year.Among the 31 WPR countries and territories,China had the highest number of incident cases,deaths,and DALYs for both cancers in 2021.Epidemiology change was the primary driver to the reduction of DALYs for SC,while population aging and population growth contributed to the increase of DALYs for CRC.Additionally,ASMR(r=-0.37,P=0.041)and ASDR(r=-0.43,P=0.016)of SC were negatively correlated with SDI in 2021,whereas positive correlations were observed between SDI and ASIR(r=0.74,P<0.001),ASMR(r=0.47,P=0.008),and ASDR(r=0.36,P=0.044)for CRC.Conclusions:SC and CRC continue to pose considerable public health threats in the WPR.Targeted prevention and control strategies should be prioritized,particularly in high-burden and resource-limited countries.展开更多
文摘Objective:To analyze the application value of artificial intelligence(AI)in the comprehensive service pathway for rational clinical use of western medicines.Methods:A sample of 73 patients undergoing western medicine treatment from December 2024 to March 2025 was selected and divided into groups by lottery.Group A received AI-assisted management for rational clinical use of western medicines,while Group B received conventional management.Thirty-six patients taking oral western medicines were included in Group B.Results:Group A outperformed Group B in terms of the irrationality rate of western medicine usage,drug management scores,adverse reaction rates,complaint rates,and satisfaction levels,with p<0.05.Conclusion:AI-assisted rational clinical use of western medicines enhances drug management quality,reduces the irrationality rate of medication usage,and decreases complaint rates related to western medicine usage.
基金the Ministry of Science and Technology,Government of India,and Council of Scientific and Industrial Research(CSIR)(09/081(1371)/2019-EMRI)for its funding,supported by a NERC Independent Research Fellowship(MITRE,NE/W007924/1)。
文摘In this study,we investigate the complex relationship between western disturbances(WDs),the El Ni?o–Southern Oscillation(ENSO),and extreme precipitation events(EPEs) in the western Himalaya(WH) during the extended winter season(November–March).WDs west of WH coincide with 97% of recorded EPEs,contributing substantially(32% in winter,11% annually) to total precipitation within WH.WDs are 6% less frequent and 4% more intense during El Ni?o than La Ni?a to the west of WH.During El Ni?o(compared to La Ni?a) years,WDs co-occurring with EPEs are significantly more intense and associated with 17% higher moisture transport over “WH box”(the selected region where most of the winter precipitation over WH occurs).This results in twice the EPE frequency during El Ni?o periods than La Ni?a periods.A substantial southward shift(~180 km) of the subtropical jet(STJ) axis during El Ni?o brings WD tracks further south towards their primary moisture sources,especially the Arabian Sea.We have shown that WDs that are both more intense and pass to the south of their typical latitudes have higher levels of vertically integrated moisture flux(VIMF)within them.VIMF convergence in the most intense pentile of WDs is 5.7 times higher than in the weakest,and is 3.4 times higher in the second lowest latitude pentile than in the highest.Overall,this study demonstrates a direct link between changes in the latitudinal position and intensity of WDs associated with the winter STJ,and moisture convergence,which leads to the occurrence of EPEs over WH during ENSO phases.
文摘1 Introduction The history of medicine in modern China has frequently been framed through a lens of“Westernization”,in which traditional Chinese medicine(TCM)is portrayed as grad-ually yielding to modern Western medicine.Such a binary framework,however,oversimplifies the intricate realities of medical encounters in China.
基金National Natural Science Foundation of China,No.42225105,No.42201176National Natural Science Foundation of China Basic Science Center for Tibetan Plateau Earth System Project(NSFC BSCTPES Project),No.41988101。
文摘Tropical cyclones(TCs)have profound impacts on socioeconomic conditions and pose substantial risks to lives and property.However,it is still unclear whether the multitimescale changes in TC activity over the past 2000 years in the Northwestern Pacific(NWP)were regulated by Asian dust forcing.Here,we assessed the impact of Asian dust on TC activity using observational data and reconstructed records from the northern and southern NWP.Our correlation analysis of instrumental data from 1954 to 2017 reveals no significant relationship between observed TC activity and Asian dust forcing.Furthermore,we found a meridional dipole pattern of TC variation across the NWP in observations and reconstructions.These finding challenges current explanations that are based on the synchronous changes in TC activity and Asian dust forcing.Alternatively,we propose that the Western Pacific Subtropical High(WPSH)plays a crucial role in driving these meridional dipole patterns in TC variations,as supported by observations and reconstructions.The southwestward extension of an enhanced WPSH intensifies easterly flow,steering TCs westward along its southern edge.This leads to more TC activity in the southern NWP but less in the north,and vice versa when the WPSH is weakened.With the expected strengthening of the WPSH due to global warming,it is vital to consider its impact on NWP TC activity for effective risk-mitigation strategies.
基金funded by the Construction Project of the"Flagship"Department of Chinese and Western Medicine Coordination(LiuL/2024-221)the 2024 Medical Service and Security Capacity Improvement Project(National Clinical Key Specialty Construction)(LiuL/Huwei Medical/2024-65)+5 种基金the Shanghai Traditional Chinese Medicine Standardization Project(LiuL/No.2023JSP03)the Shanghai Key Discipline Construction Project of Traditional Chinese Medicine(Clinical)(LiuL/2024-No.3)the Shanghai Technical Standardization Management and Promotion Project(LiuL/No.SHDC22023212)the Shanghai Municipal Health Commission Traditional Chinese Medicine Research Project(2022)(LiuL/No.2022Cx004)Clinical research project of Shanghai Health Commission-Youth Project(LW/No.20214Y0056)Shanghai Institute of Traditional Chinese Medicine for Mental Health(LW/No.SZB2023201).
文摘INTRODUCTION.Depressive disorders are mental illnesses that seriously affect public health.There are approximately 320 million patients with depression worldwide,accounting for 4.4% of the total disease burden.1Depression leads to social and occupational impairment,diminished quality of life and an elevated risk of death by suicide.
文摘BACKGROUND Rheumatic immune diseases are a group of chronic inflammatory diseases charac-terized by joint and systemic multi-organ involvement,including rheumatoid arthritis,systemic lupus erythematosus,and Sjogren’s syndrome,among others.The pathogenesis of these diseases is related to the abnormal activation and regulatory imbalance of the immune system.The prevalence and morbidity of rheumatic immune diseases are high,imposing a significant burden on patients'quality of life and socio-economic costs.Currently,the treatment of rheumatic immune diseases mainly relies on Western medicine,such as non-steroidal anti-inflammatory drugs,glucocorticoids,disease-modifying antirheumatic drugs,and biologics.However,the therapeutic effects of Western medicine are not ideal,some patients poorly respond or are resistant to Western medicine,and long-term use often causes various adverse reactions.AIM To systematically evaluate the efficacy and safety of Tripterygium wilfordii gly-cosides tablets combined with Western medicine in the treatment of patients with rheumatic immune diseases.METHODS This study conducted a meta-analysis to systematically evaluate the efficacy and safety of Tripterygium wilfordii glycosides tablets combined with Western medicine for patients with rheumatic immune diseases.Chinese and English databases were searched for randomized controlled trials(RCTs)on the treatment of rheumatic immune diseases with Tripterygium wilfordii glycosides tablets combined with Western medicine.The quality of the included studies was assessed using the Cochrane risk of bias assessment tool.Meta-analysis was performed using RevMan 5.4 software.RESULTS The meta-analysis included 11 RCTs involving 1026 patients with rheumatic immune diseases.The combined treatment significantly reduced the risk of disease recurrence(relative risk=1.07,95%confidence interval:1.01-1.15,P<0.05)and showed no significant heterogeneity(I2=0%,P=0.53),indicating that Tripterygium wilfordii glycosides tablets combined with Western medicine is an effective method to reduce the possibility of postoperative recurrence in patients with rheumatic immune diseases.However,due to the limited number and quality of the studies included,these results should be interpreted with caution.CONCLUSION Tripterygium wilfordii glycosides tablets combined with Western medicine is an effective and safe treatment option for patients with rheumatic immune diseases and can be considered a clinical choice.However,more high-quality research is needed to validate this conclusion and provide more solid evidence for clinical practice.
基金Supported by National Key Research and Development Program of China,No.2022YFC3600903Key Discipline Project under Shanghai's Three-Year Action Plan for Strengthening the Public Health System(2023-2025),No.GWVI-11.1-44.
文摘BACKGROUND The burden of mental disorders(MD)in the Western Pacific Region(WPR)re-mains a critical public health concern,with substantial variations across demogra-phics and countries.AIM To analyze the burden of MD in the WPR from 1990 to 2021,along with associated risk factors,to reveal changing trends and emerging challenges.METHODS We used data from the Global Burden of Disease 2021,analyzing prevalence,incidence,and disability-adjusted life years(DALYs)of MD from 1990 to 2021.Statistical methods included age-standardisation and uncertainty analysis to address variations in population structure and data completeness.RESULTS Between 1990 and 2021,the prevalence of MD rose from 174.40 million cases[95%uncertainty interval(UI):160.17-189.84]to 234.90 million cases(95%UI:219.04-252.50),with corresponding DALYs increasing from 22.8 million(95%UI:17.22-28.79)to 32.07 million(95%UI:24.50-40.68).During this period,the burden of MD shifted towards older age groups.Depressive and anxiety disorders were predominant,with females showing higher DALYs for depressive and anxiety disorders,and males more affected by conduct disorders,attention-deficit hyperactivity disorder,and autism spectrum disorders.Australia,New Zealand,and Malaysia reported the highest burdens,whereas Vietnam,China,and Brunei Darussalam reported the lowest.Additionally,childhood sexual abuse and bullying,and intimate partner violence emerged as significant risk factors.CONCLUSION This study highlights the significant burden of MD in the WPR,with variations by age,gender,and nation.The coronavirus disease 2019 pandemic has exacerbated the situation,emphasizing the need for a coordinated response.
基金Supported by National Natural Science Foundation of China,No.82174461Hospital Capability Enhancement Project of Xiyuan Hospital,CACMS,No.XYZX0201-22Technology Innovation Project of China Academy of Chinese Medical Sciences,No.CI2021A01811.
文摘BACKGROUND Patients with BRAF V600E mutant metastatic colorectal cancer(mCRC)have a low incidence rate,poor biological activity,suboptimal response to conventional treatments,and a poor prognosis.In the previous cohort study on mCRC conducted by our team,it was observed that integrated Chinese and Western medicine treatment could significantly prolong the overall survival(OS)of patients with colorectal cancer.Therefore,we further explored the survival benefits in the population with BRAF V600E mutant mCRC.AIM To evaluate the efficacy of integrated Chinese and Western medicine in the treatment of BRAF V600E mutant metastatic colorectal cancer.METHODS A cohort study was conducted on patients with BRAF V600E mutant metastatic colorectal cancer admitted to Xiyuan Hospital of China Academy of Chinese Medical Sciences and Traditional Chinese Medicine Hospital of Xinjiang Uygur Autonomous Region from January 2016 to December 2022.The patients were divided into two cohorts.RESULTS A total of 34 cases were included,with 23 in Chinese-Western medicine cohort(cohort A)and 11 in Western medicine cohort(cohort B).The median overall survival was 19.9 months in cohort A and 14.2 months in cohort B,with a statistically significant difference(P=0.038,hazard ratio=0.46).The 1-3-year survival rates were 95.65%(22/23),39.13%(9/23),and 26.09%(6/23)in cohort A,and 63.64%(7/11),18.18%(2/11),and 9.09%(1/11)in cohort B,respectively.Subgroup analysis showed statistically significant differences in median OS between the two cohorts in the right colon,liver metastasis,chemotherapy,and first-line treatment subgroups(P<0.05).CONCLUSION Integrated Chinese and Western medicine can prolong the survival and reduce the risk of death in patients with BRAF V600E mutant metastatic colorectal cancer,with more pronounced benefits observed in patients with right colon involvement,liver metastasis,combined chemotherapy,and first-line treatment.
基金Supported by the National Natural Science Foundation of China(Nos.41930533,42176128)the Strategic Priority Research Program of the Chinese Academy of Sciences(No.XDB42000000)+1 种基金the Senior User Project of R/V Kexue(No.KEXUE2020GZ02)the Science and Technology Program of Nanji Islands National Marine Nature Reserve Administration(No.JJZB-PYCG-2021112901)。
文摘The black coral genus Bathypathes Brook,1889 represents a relatively diverse and ecologically important assemblage comprising the deep-sea hard substrate communities.Recent phylogenetic investigations have revealed the polyphyletic nature of Bathypathes,urging further morphological analysis to understand its systematics.By combing morphological and molecular data,we describe Bathypathes multifurcata sp.nov.and report B.pseudoalternata Molodtsova,Opresko&Wagner,2022based on the specimens collected from the tropical western Pacific.The phylogenetic topology reconstructed using nuclear ITS1-5.8S-ITS2 and three mitochondrial fragments suggests the separation of Bathypathes into four groups.Our analysis of morphological characters,particularly the colony branch and pinnule patterns also roughly classify Bathypathes into four morphological groups A–D.Group A is characterized by the unbranched colony and the subopposite arrangement of pinnules.In contrast to Group A,Groups B–D have the alternately arranged pinnules.Among these,Group C exhibits a distinctly long unpinnulated stem compared to Groups B and D.Group B has unbranched colony,relatively short unpinnulated stem,and spines on pinnules have blunt apex.Within Group D,large colonies(higher than 40 cm)have one or a few branches,small colonies(less than 40 cm)are unbranched,and spines on pinnules have acute apex.Further data particularly those species without sequences are necessary to verify the classification of these groups.
文摘AIM:To describe the demographics,clinical characteristics and treatment outcomes of childhood amblyopia in a tertiary eye center in western India.METHODS:This was a retrospective longitudinal hospital-based study of 1382 children aged≤12y included in the National Institute of OphthalMology AmBlyopia StUdy in Indian Paediatric EyeS(NIMBUS)Study.Data on patient demographics,treatment approach,and best-corrected visual acuity(BCVA)changes were reviewed.RESULTS:The mean age of the study cohort was 4.54±2.46y,with males constituting the majority(55.4%).The cause of amblyopia was refractive error in 73.2%,strabismus in 7.3%,and anisometropia in 6.8%of eyes.The majority of therapies comprised glasses(74.4%),followed by occlusion+glasses(10.3%),occlusion alone(7.3%),and surgery+patching+glasses(5.1%).The mean occlusion time was 2.46±1.14h.After a median follow-up of 10.00(6-85)mo,the mean BCVA significantly improved from 0.85±0.41 to 0.55±0.42 logMAR.Subgroup analysis revealed BCVA gain for all etiologies,including refractive errors(P<0.001),strabismus(P<0.001),cataract(P<0.001),and ptosis(P<0.001).Additionally,eyes with refractive errors showed significantly better BCVA than eyes with cataracts(P<0.001),strabismus(P<0.001)and marginally better BCVA than eyes with ptosis(P<0.05),both at the baseline and final visit.CONCLUSION:Refractive errors are the commonest cause of amblyopia,followed by strabismus and anisometropia.Timely detection,optimal therapy,and periodic follow-up are crucial in bettering visual acuity regardless of the cause.
基金Supported by the National Key Research and Development Program(No.2016YFC1402201)the China Ocean Mineral Resources R&D Association Project(No.DY135-E2-2-04)。
文摘Microplastic contamination is considered a major threat to the marine environment.Although microplastic pollution in the Pacific Ocean has been studied,its abundance,distribution,composition,and origin in the western Pacific Ocean remain unclear.Here,we investigated the abundance and distribution characteristics of microplastics in surface waters of the western Pacific Ocean and analyzed their potential sources.Results show that microplastics were widespread in the western Pacific Ocean,with abundance ranging from 0.03 to 2.36 particles/m^(3)(average 0.37±0.47 particles/m^(3)).Fibers/filaments and fragments were the main shapes of microplastics(71.6%)and the most abundant microplastic size class was<1.0 mm(42.4%).Significant differences in microplastic abundance were observed in different regions,with the lowest abundance in the South China Sea(0.03 particles/m^(3))and highest abundance in the seamount area in the western Pacific Ocean(0.58 particles/m^(3)).This study provides baseline data and insights into the fate and transportation of microplastics in the western Pacific region.
基金the framework of projects coded 97-20A and 9815 by the General Directorate of Mineral Research and Exploration (Ankara, Türkiye)
文摘In a re-examination of the Neogene stratigraphy of the Uşak,Güre,and Selendi basins of western Anatolia,western Turkey,the stratigraphic position of the previously definedİnay Group is revised,which was previously considered to be of the Middle Miocene age.Based on mammalian biochronology and stratigraphic relationships,two sequences are identified,separated by conformable/transitional contacts within the former group:the Middle Miocene Güre Group is composed of the FakılıFormation,characterized by alluvial fan deposits,and the lacustrine Derbent Formation.Radiometric dating of alkaline volcanics laterally associated with Güre Group sediments in the Uşak and Güre basins,and mammalian fossils re-evaluated into the MN5-6 biozones in the Selendi Basin,indicate early Middle Miocene.Considering the stratigraphic relationship with the overlying early Late Mioceneİnay Group as redefined,we estimate that the Güre Group was deposited in the Middle Miocene.Theİnay Group is characterized by a lateral-vertical transition from alluvial deposits of the Ahmetler Formation to the overlying lacustrine Ulubey Formation.An MN9-10 fauna,containing deinotheres,was found within the latter formation.
基金funded by the National Natural Science Foundation of China(No.42130309)China Geological Survey(Nos.DD20160030,DD20190050)。
文摘A cluster of serpentinite bodies has been recognized tectonically emplaced within the greenschist-amphibolite-facies metamorphic terrane in Hong'an,western Dabie orogen,central China.Two types of serpentinites are identified on the basis of integrated petrographic,mineralogical and geochemical study.The first type,represented by Yinshanzhai serpentinite complex(Group 1)comprises heterogeneous lithology as a massive serpentinite matrix“intruded”by antigoriteenriched serpentinite lenses.They are both pseudomorphic textured with different mineral assemblages indicating an increasing temperature-pressure condition.Serpentinite matrix(Group 1a)is chemically characterized by high MgO/SiO_(2)and low Al_(2)O_(3)/SiO_(2),Ti and Ca contents,suggesting a depleted mantle wedge origin.The coexistence of compositionally-heterogeneous chromite with highCr^(#)(0.78-0.96)and intermediate-Cr^(#)(0.59-0.70)pristine cores indicates extensive mantle melting.Meanwhile,extremely high Fo olivine relicts(96-97)with considerably higher MnO and lower NiO contents than mantle olivine indicate that they are metamorphic products from serpentine decomposition.Accordingly,we propose that Yinshanzhai serpentinite complex experienced two distinct episodes of hydration.The serpentinite lenses(Group 1b)show higher SiO_(2)and lower MgO concentrations.Nevertheless,the trace elements of groups 1a and 1b are consistent:U-shaped REE patterns,positive Eu anomalies and enrichment of LILE(i.e.,Cs,U)are all identified as forearc properties.They are affected by reducing slab-derived fluids in forearc mantle,with f_(O2)of 1 to 2 logarithmic units below f_(O2)of fayalite-magnetite-quartz buffer(FMQ-2~FMQ-1).The second type is antigorite-serpentinites(Group2)represented by Ximaoshan and Wangchunwan blocks.They are non-pseudomorphic,with no primary framework silicate surviving.Fertile compositions(i.e.,higher Al_(2)O_(3)and Al_(2)O_(3)/SiO_(2),nearly flat REE patterns)and conjoint enrichment of LILE with HFSE suggest melt/rock interaction.Negative Ce,Eu anomalies,and enriched U relative to alkaline elements demonstrate interactions with more oxidized seawater or seafloor fluids(FMQ~FMQ-1).Remarkable Sr negative anomalies may be attributed to Sr release during lizardite/antigorite transition in subduction zone,indicating interaction with low-Sr slab fluids.We propose that Group 2 serpentinites originate either from mantle wedge or abyssal peridotites,refertilized by mantle melts,then hydrated in seafloor or shallow forearc and entrapped into subduction channel.Combined with geochronology and tectonic constraints of associated eclogites in Hong'an terrane,the two types of serpentinites may correlate with subduction of different oceanic basins during the late Paleozoic and/or Proterozoic eras.It raises possibility of defining an ophiolitic setting in Hong'an Orogen for which further evidence is required.
基金financially supported by the National Natural Science Foundation of China(No.41930215)the Fundamental Research Funds for the Central Universities,China University of Geosciences(Wuhan)。
文摘Phase equilibrium modeling using internally consistent thermodynamic dataset and associated activity-composition(a-x)models are very helpful for quantifying P-T evolution for eclogite,which is the basis for deciphering the geodynamic processes in subduction zones.In this study,we apply different versions of datasets(ds55 and ds62)and associated a-x relations to a wellestablished LT-HP eclogite at Huwan in the classic western Dabie orogen to constrain its P-T evolution.The eclogite comprises garnet+omphacite+amphibole+white mica+epidote+quartz+chlorite+rutile/ilmenite/sphene.Garnet porphyroblasts show mono-variation in the end members(spessartine from 17 mol%to 0,pyrope from 2 mol%to 18 mol%,almandine from 47 mol%to 64mol%and grossular from 35 mol%to 18 mol%)from core to rim.Phase diagrams combined with compositional isopleth thermobarometry show that dataset ds62 and associated a-x relations yield P_(max)of~33 kbar at~560℃,conflicting with our petrological observations and previous studies.On the other hand,phase equilibrium modeling using dataset ds62 and a revised symmetric garnet a-x model irrespective of Fe^(3+)(O)gives P_(max)of~27 kbar at~560℃,consistent with the results using dataset ds55 and associated a-x relations.Therefore,we recommend a symmetric model for garnet involving py,alm,gr and spss,without Fe~(3+)components,instead of the asymmetric garnet a-x relations involving py,alm,gr,spss and kho by White et al.(2014),for calculating phase diagrams for LT-(U)HP eclogite when using dataset ds62.In this study,the defined P-T path is characterized by a segment of the prograde evolution showing a first moderate slope,followed by gentle then steep slopes,representing the thermal structure evolution recorded by slab surface during continental subduction.Our work combined with previous studies conclude that in western Dabie,the Huwan HP eclogite belt to the north and the Hong'an HP eclogite belt to the south belong to the same HP slice overlying the Xinxian UHP slice.
基金National Key R&D Program of China(2022YFC3004200)Science and Technology Commission of Shanghai Municipality,China(23DZ1204703)。
文摘The duration of the extratropical transition(ET)of tropical cyclones(TCs)is often closely associated with disaster intensity.Therefore,it is essential to understand the key factors that influence ET duration.Using the TC best-track data and reanalysis data,this study investigates the structural characteristics and key influencing factors of ET duration in the western North Pacific(WNP)during 1981–2022.Results show that,compared to TCs that undergo ET rapidly(≤12 h),TCs that experience ET slowly(≥24 h)undergo a more prolonged and complex ET process,maintaining a warm core and an upright structure for extended periods.By contrast,TCs undergoing rapid transition experience structural disintegration within 6–12 h after ET onset.Further analysis reveals that TCs with longer ET durations are characterized by stronger warm cores,more abundant moisture,weaker environmental vertical wind shear,slower translation speeds,and a longer residence time over warmer sea surface temperatures(SSTs),all of which support the maintenance of axisymmetric structures with strong warm cores.Environmental and structural factors,including cold-air intensity,vertical wind shear,TC translation speed,SST,relative humidity,TC intensity,the radius of 17 m s^(-1)wind,mean sea level pressure,and the radius of maximum wind,are found to exist significant correlation with ET duration.Cold-air intensity exhibited the highest correlation(r=–0.35),followed by TC translation speed and SST.A relative importance analysis shows that the environmental factors play a more substantial role than the internal TC structure,accounting for about 19.23%of the variance,with TC translation speed and cold-air effects explaining 11.68%.Based on the nine factors,a statistical forecasting model was developed,which shows considerable skill in predicting ET duration.
文摘Gastric precancerous lesions(GPL)represent a crucial stage in the complex process of gastric carcinogenesis that leads to gastric cancer(GC),one of the most prevalent cancers and a major source of cancer mortality worldwide.Many studies have identified the gastrointestinal microbiota,or gut microbiota,as an important contributor to both the pathogenesis and treatment of GPL and GC,thus understanding its role in this transition is crucial.The purpose of this literature review is to introduce the current landscape of microbiota research associated with GPL and GC,with an emphasis on Helicobacter pylori(H.pylori)driven microbial dysbiosis and its modulation through Western medicine and traditional Chinese medicine(TCM)approaches.By elucidating the underlying mechanisms of H.pylori colonization,patterns,and interactions among microbiota,as well as the influence of microbial metabolites,this review highlights crucial driving factors of gastric carcinogenesis.The role of microbiota in conventional interventions,including H.pylori eradication,immunotherapy,as well as TCM herbal decoctions,is also discussed to provide a detailed understanding of the complex interactions between therapy and microbiota and how it could be potentially targeted for effective management of GPL and GC.Ultimately,microbiota-targeting therapeutics may represent a new path toward early detection,targeted treatment,improved prognosis,and potentially reduced incidence of GPL and GC.
文摘BACKGROUND The emergence of the Omicron variant(B.1.1.529)of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)raised global concerns with its highly transmissible nature.AIM To investigate the genomic,clinical,and demographic characteristics of Omicron infections within the early outbreak cluster in western part of Sri Lanka.METHODS We analyzed sequence data from January 2022 to April 2022 to understand variant dynamics,clinical presentation,and demographic associations.RESULTS Whole-genome sequencing of 85 nasopharyngeal and throat swab samples collected in western part of Sri Lanka between January and April 2022 identified 70(82.34%)of it as Omicron variants.BA.2 was the most prevalent sub-lineage(57%),followed by BA.1.1(14.20%)and majority of them were from>12 years old individuals.Phylogenetic analysis revealed clustering into four distinct clades(21I,21K,21L,and 21M),suggesting potential differences in transmission chains or evolutionary pressures.CONCLUSION This study found BA.2 to be the predominant Omicron sub-lineage in the western part of Sri Lanka during the first quarter of 2022,aligning with global trends.Phylogenetic analysis revealed diverse introductions and local transmission.Continued genomic surveillance and robust public health measures remain crucial for managing the evolving SARS-CoV-2 landscape.
基金The National Key Research and Development Program of China under contract No.2023YFC2809101the National Natural Science Foundation of China under contract No.42276239.
文摘A halocline in the Arctic Ocean significantly slows the upward heat flux from deep warm water,thereby inhibiting the melting of surface sea ice.The western Arctic Ocean exhibits a double-halocline(DH)structure due to the complexity of the water mass.Using in situ measurements,we analyzed the vertical structural characteristics of DH and its interannual variation.The results indicated that the DH primarily occurs at the Northwind Ridge and the southern Canada Basin,extending westward to the Chukchi Abyssal Plain and northward to the northern boundary of the Canada Basin.From 2002 to 2022,there were changes in water masses that determined the structure of the DH.The significant increase in Pacific Water has resulted in 42%and 65%increases in freshwater and the heat content of the DH,respectively,along with a 14%reduction in stratification.Pacific Winter Water characterized by salinity of 33 has exhibited a gradually decreasing trend,suggesting that the lower halocline may be difficult to ventilate.The combined effects of Ekman pumping,mesoscale eddies,and positive buoyancy forcing(heat and freshwater input)from Pacific Water have altered the thickness and stratification of the DH.This study has enhanced our understanding of the evolution of vertical heat flux in the upper western Arctic Ocean.
基金supported by the Russian Science Foundation(grant number 23-24-00042).
文摘Dispersal is an important life history trait with signifcant consequences for spatially structured populations,as the exchange of individuals between habitat patches is crucial for maintaining metapopulation connectivity.In this study,we used a long-term data set(2005–2023)to describe dispersal patterns in a patchy population of the Western Yellow Wagtail Motacilla fava within a large(approximately 1,300 km2)study area in the boreal zone of European Russia.We quantifed dispersal distances for birds that dispersed outside their natal or breeding habitat patches and applied a multistate capture–recapture approach to estimate natal and breeding dispersal probabilities.Of 395 adult wagtails and 1,610 nestlings ringed,3%of birds ringed as adults and 3%of birds ringed as nestlings were resighted outside their natal or breeding patches.The probability of natal dispersal(0.29±0.05)was signifcantly higher than the probability of breeding dispersal(0.05±0.01).The median natal dispersal distances(2.8 km for males,3.9 km for females)were the same as the median breeding dispersal distances(2.7 km for males,3.9 km for females).We did not fnd a signifcant effect of the fedging date on either the natal dispersal distance or the natal dispersal probability.Similarly,we did not fnd a signifcant effect of the previous reproductive success on either the breeding dispersal distance or the breeding dispersal probability.Our results indicate that strong breeding site fdelity and short-distance natal dispersal are the dominant dispersal strategies in a patchy population of the western yellow wagtail.
基金supported by the National Natural Science Foundation of China(No.72441022)the Tsinghua University Initiative Scientific Research Program of Precision Medicine(No.2022ZLA001)。
文摘Objective:This study aimed to describe the updated disease burden and temporal trends of stomach cancer(SC)and colorectal cancer(CRC),and to explore potential influence factors of the two cancers in the Western Pacific region(WPR).Methods:Estimates of incidence,deaths,and disability-adjusted life years(DALYs)for SC and CRC were obtained from the Global Burden of Disease Study 2021.Trends in age-standardized incidence rates(ASIR),agestandardized mortality rates(ASMR),and age-standardized DALY rates(ASDR)were assessed.A decomposition analysis was conducted to quantify the role of three factors(i.e.,population aging,population growth,and epidemiological change)driving DALY changes between 2000 and 2021.Pearson correlation analysis was used to examine the association between cancer burden and Socio-demographic Index(SDI)at the national level in 2021.Results:In 2021,the WPR accounted for 61.77%of global incident SC cases and 43.07%of global incident CRC cases.From 2000 to 2021,the ASIR,ASMR,and ASDR of SC and the ASMR and ASDR of CRC decreased,whereas the ASIR of CRC increased by an average of 1.32%per year.Among the 31 WPR countries and territories,China had the highest number of incident cases,deaths,and DALYs for both cancers in 2021.Epidemiology change was the primary driver to the reduction of DALYs for SC,while population aging and population growth contributed to the increase of DALYs for CRC.Additionally,ASMR(r=-0.37,P=0.041)and ASDR(r=-0.43,P=0.016)of SC were negatively correlated with SDI in 2021,whereas positive correlations were observed between SDI and ASIR(r=0.74,P<0.001),ASMR(r=0.47,P=0.008),and ASDR(r=0.36,P=0.044)for CRC.Conclusions:SC and CRC continue to pose considerable public health threats in the WPR.Targeted prevention and control strategies should be prioritized,particularly in high-burden and resource-limited countries.
