Marine-continental transitional shale(McTS)gas holds excellent gas-generating hydrocarbon basis and exploration potential.Conducting quantitative analysis on the evolution of shale gas content and the coupled relation...Marine-continental transitional shale(McTS)gas holds excellent gas-generating hydrocarbon basis and exploration potential.Conducting quantitative analysis on the evolution of shale gas content and the coupled relationship between hydrocarbon generation and storage during geological history is essential for a profound understanding of shale gas enrichment mechanisms.This studyestablishes integrated models for hydrocarbon generation evolution,porosity evolution,and gas occurrence in Type Ill organicrich MCTS through a synergistic experimental approach combining multi-temperature methane isothermal adsorption experiments andgold-tube pyrolysis experiments on low-maturity shale samples.Simulating a variety of real and virtual burial histories and thermal histories,the evolution process ofgas content in McTSwas reconstructed and the influence of various geological conditions during burial on gas content evolution was clarified.The results indicate that a seven-stage evolution(AG)of gas content in McTS from the Shanxi Formation,Southern North China Basin.Critical thresholds include:(1)dissolution-enhancedreservoir modification at vitrinite reflectance(EasyRo)=1.0%,(2)adsorbed gas saturation at EasyRo=1.3%,(3)dual saturation of free andadsorbedgas at EasyRo=2.0%,(4)15%30%gas loss through expulsion during overmature stages(EasyRo>2.0%),and(5)partial freeto-adsorbed gas conversion triggered by tectonic uplift.Total organic carbon(ToC)content and overpressure exhibit positive correlations with gas content,while tectonic uplift magnitude shows a negative impact.The influence of maximum burial depth,paleo-heat flow,andgeothermalgradient demonstrate complex nonlinear relationships on gas content.展开更多
Continuous and highly accurate navigation of long-endurance flight vehicles continues to be a substantial challenge in Global Navigation Satellite Systems(GNSS)-denied environments.Though the integrated navigation bas...Continuous and highly accurate navigation of long-endurance flight vehicles continues to be a substantial challenge in Global Navigation Satellite Systems(GNSS)-denied environments.Though the integrated navigation based on multiple sensors is used to improve the navigation performance,the existing methods are prone to model mismatch and error accumulation under heterogeneous conditions of sensors.In this paper,a Tightly-coupled Interactive Multi-Model Factor Graph Optimization(TIMMFGO) navigation method is proposed to solve the problem.The developed integrated navigation framework consists of Inertial Navigation Systems(INS),Celestial Navigation Systems(CNS),Radio Navigation Systems(RNS),and Barometric Altimeters(BA).We propose a CNS/INS tightly-coupled graph architecture that integrates star vector observations with INS pre-integration,enabling dynamic compensation of gyroscopic bias while correcting the attitude update accuracy of INS.Then,an Interactive Multi-Model(IMM) adaptive weighting strategy is used to combine the vertical RNS factor with the BA factor for position,which can effectively reduce the altitude bias induced by the spatial configuration constraints of RNS.The simulation demonstrates that compared to the Huber M-estimation-based FGO(HMFGO),Windowing Anomaly-Detection-based FGO(WADFGO) and IMM Unscented Kalman Filter(IMMUKF)methods,the TIMMFGO method improves attitude accuracy by 46.49 %,25.68 % and 20.67 %,respectively,while correspondingly reducing position accuracy by 29.29 %,10.79 % and 6.96 %.展开更多
BACKGROUND Emergence delirium(ED)is a common postoperative complication in older adult patients,posing a significant burden on both patients and medical staff.Despite its prevalence,there is a notable lack of research...BACKGROUND Emergence delirium(ED)is a common postoperative complication in older adult patients,posing a significant burden on both patients and medical staff.Despite its prevalence,there is a notable lack of research focused on identifying predictive factors and constructing models for ED in the post-anesthesia care unit.Therefore,developing a risk prediction model for ED in older adult patients is imperative.We anticipate that such a model would demonstrate strong predictive efficacy and be applicable in clinical settings.AIM To develop and validate an ED risk-prediction model for early intervention in older adults.METHODS This study enrolled 705 older surgical patients(January 2024 to October 2024)for modeling and 115(November 2024 to December 2024)for validation.Using least absolute shrinkage and selection operator and multivariable logistic regression,we developed a predictive model with an online dynamic nomogram.Internal(10-fold crossvalidation)and external validation demonstrated strong discrimination,calibration,and clinical utility.RESULTS The incidence of ED in older adult patients postoperatively was found to be 17.16%.Independent risk factors for postoperative ED included preoperative Mini-Mental State Examination score,preoperative albumin level,surgical duration,surgical risk score,number of indwelling catheters,and extubation time(all P<0.05).The model demonstrated the area under curve(AUC)of 0.924[95%confidence interval(CI):0.897-0.951],with the calibration curve closely aligning with the ideal curve.The Hosmer-Lemeshow test yieldedχ2=7.934,P=0.541,indicating good clinical utility.Internal validation resulted in an AUC of 0.920(95%CI:0.571-0.959),while external validation showed an AUC of 0.931(95%CI:0.866-0.997).The calibration curve for the validation cohort closely matched the ideal curve,with the Hosmer-Lemeshow test showingχ2=5.772,P=0.763,further supporting its clinical applicability.CONCLUSION The dynamic nomogram accurately predicts ED risk in older adults,aiding early identification and clinical intervention.展开更多
Glacial meltwater constitutes a vital component of the water supply in arid and semi-arid areas.However,the influence of glacial melting on runoff and evapotranspiration under global warming remains insufficiently und...Glacial meltwater constitutes a vital component of the water supply in arid and semi-arid areas.However,the influence of glacial melting on runoff and evapotranspiration under global warming remains insufficiently understood.Previous studies coupling the Soil and Water Assessment Tool(SWAT)model with glacier modules often failed to consider the spatial heterogeneity of temperature during glacial melting,potentially leading to biased estimates of meltwater volume.In this study,we developed a glacier-coupled SWAT(SWAT-glacier)model considering the digital elevation model(DEM)based temperature-driven glacial melt processes to elucidate the impact of glacial melting on hydrological processes across four river basins(Dongda,Xiying,Jinta,and Zamu)of the upper Shiyang River Basin(SYRB)in northwestern China from 1986 to 2021.Compared with the standard SWAT model,the proposed SWAT-glacier model significantly improved the simulation accuracy for both runoff and evapotranspiration.Specifically,in comparison with the standard SWAT model,the Nash-Sutcliffe efficiency of the SWAT-glacier model showed a relative improvement of approximately 0.42%–9.16%and 1.50%–10.15%for runoff and evapotranspiration,respectively,in the four river basins during the validation period.Annual glacial runoff occurred predominantly from May to October,whereas glacial melt-induced evapotranspiration peaked between June and August.From 1986 to 2021,the average contributions of glacial melt to runoff were 6.97%for Dongda,3.06%for Xiying,2.70%for Jinta,and 0.67%for Zamu,whereas its contributions to evapotranspiration were 9.06%,5.14%,3.21%,and 1.59%,respectively.This study presents a SWAT-glacier modeling framework that enhances the simulation of hydrological processes in cold regions.The proposed methodology can be extended to other glacierized basins to provide valuable insights into water resource management under climate change.展开更多
BACKGROUND Postoperative acute respiratory distress syndrome(ARDS)after digestive tumors is a serious complication that severely affects patients’prognosis;however,systematic studies assessing its risk factors are la...BACKGROUND Postoperative acute respiratory distress syndrome(ARDS)after digestive tumors is a serious complication that severely affects patients’prognosis;however,systematic studies assessing its risk factors are lacking,and effective prediction models are urgently required.AIM To investigate the risk factors for postoperative ARDS in patients with digestive tumors and construct a prediction model.METHODS Overall,42 of the 176 patients developed ARDS,with an incidence rate of 23.86%.Multifactorial logistic regression analysis identified advanced age[odds ratio(OR)=1.24,P<0.001],smoking history(OR=3.17,P=0.012),preoperative lung infection(OR=3.07,P=0.015),low preoperative albumin level(OR=0.71,P=0.003),preoperative percentage of forced expiratory volume in 1 second,(OR=0.96,P=0.006),preoperative percentage of forced vital capacity(OR=0.94,P=0.012),and postoperative anastomotic fistula(OR=4.55,P=0.022)as independent risk factors for postoperative ARDS.The nomogram prediction model showed good discriminatory power[area under the curve(AUC)=0.86]and goodness of fit(Hosmer-Lemeshow,P=0.729).The internal validation demonstrated an AUC of 0.86 and a good calibration curve fit(Hosmer-Lemeshow,P=0.914).Prospective clinical validation confirmed the reliability and clinical value of the model(AUC=0.91,accuracy=82.35%).RESULTS Overall,42 of the 176 patients developed ARDS,with an incidence rate of 23.86%.Multifactorial logistic regression analysis identified advanced age(OR=1.24,P<0.001),smoking history(OR=3.17,P=0.012),preoperative lung infection(OR=3.07,P=0.015),low preoperative albumin level(OR=0.71,P=0.003),preoperative percentage of forced expiratory volume in 1 second,(OR=0.96,P=0.006),preoperative percentage of forced vital capacity(OR=0.94,P=0.012),and postoperative anastomotic fistula(OR=4.55,P=0.022)as independent risk factors for postoperative ARDS.The nomogram prediction model showed good discriminatory power(AUC=0.86)and goodness of fit(Hosmer-Lemeshow,P=0.729).The internal validation demonstrated an AUC of 0.86 and a good calibration curve fit(Hosmer-Lemeshow,P=0.914).Prospective clinical validation confirmed the reliability and clinical value of the model(AUC=0.91,accuracy=82.35%).CONCLUSION The nomogram prediction model based on independent risk factors for postoperative ARDS in patients with digestive tumors demonstrated good differentiation,calibration,and clinical utility and helped identify high-risk patients early.展开更多
[Objective]This study aims to investigate streamflow variations and hydrological drought characteristics in the lower Songhua River Basin under future climate scenarios,providing a scientific basis for regional water ...[Objective]This study aims to investigate streamflow variations and hydrological drought characteristics in the lower Songhua River Basin under future climate scenarios,providing a scientific basis for regional water resource management and guidance for formulating comprehensive drought and flood disaster prevention and control strategies.[Methods]Based on hydrometeorological data from 1970—2014,a SWAT model was constructed and driven by 14 CMIP6 climate models.Five optimal climate models were selected through Taylor diagram analysis and combined with SSP1-2.6,SSP2-4.5,and SSP5-8.5 scenarios to simulate streamflow variations from 2015 to 2100.[Results]The SWAT model demonstrated excellent performance at Tongjiang hydrological station,with R 2 and NSE values exceeding 0.7 during both calibration and validation periods.The absolute values of PBIAS were below 10.7%,confirming model reliability.Future climate predictions indicated increasing trends in precipitation,temperature,and evapotranspiration across the river basin.The magnitude of temperature and evapotranspiration increases followed the order of SSP5-8.5>SSP2-4.5>SSP1-2.6,while precipitation increases ranked as SSP5-4.5>SSP1-2.6>SSP2-8.5.Seasonally,SSP1-2.6 and SSP5-8.5 scenarios showed significant precipitation increases in autumn and winter,while SSP2-4.5 scenario exhibited notable increases in summer and winter.Streamflow variations strongly depended on scenarios:SSP1-2.6 showed significant increases,while variations under SSP2-4.5 and SSP5-8.5 were not significant.Standardized Streamflow Index(SSI)analysis showed significant increases under SSP1-2.6,but declining trends under other scenarios.Drought characteristic analysis indicated that under SSP1-2.6,all drought indices except average drought duration decreased,while under SSP2-4.5 and SSP5-8.5,all indices except drought frequency increased.Seasonally,SSP1-2.6 increased spring-summer proportions with elevated winter drought frequency,while SSP2-4.5 and SSP5-8.5 increased autumn-winter proportions with corresponding frequency changes.[Conclusion]Future climate change will significantly impact hydrological characteristics in the lower Songhua River Basin.The SSP1-2.6 scenario promotes streamflow increase and drought mitigation,while the SSP2-4.5 and SSP5-8.5 scenarios may exacerbate drought risks.The findings provide decision-making support for regional water resource management and disaster prevention,recommending differentiated adaptation strategies tailored to specific climate scenarios.展开更多
Objectives This study aimed to explore the lagged and cumulative effects of risk factors on disability in older adults using distributed lag non-linear models(DLNMs).Methods We utilized data from the China Health and ...Objectives This study aimed to explore the lagged and cumulative effects of risk factors on disability in older adults using distributed lag non-linear models(DLNMs).Methods We utilized data from the China Health and Retirement Longitudinal Study(CHARLS).After feature selection via Elastic Net Regularization,we applied DLNMs to evaluate the lagged effects of risk factors.Disability was defined as the presence of any difficulties in basic activities of daily living(BADL).The cumulative relative risk(CRR)was calculated by summing the lag-specific risk estimates,representing the cumulative disability risk over the specified lag period.Effect modifications and sensitivity analyses were also performed.Results This study included a total of 2,318 participants.Early-phase lag factors,such as the difficulty in stooping(CRR=3.58;95%CI:2.31-5.55;P<0.001)and walking(CRR=2.77;95%CI:1.39-5.55;P<0.001),exerted the strongest effects immediately upon occurrence.Mid-phase lag factors,such as arthritis(CRR=1.51;95%CI:1.10-2.06;P=0.001),showed a resurgence in disability risk within 2-3 years.Late-phase lag factors,including depressive symptoms(CRR=2.38;95%CI:1.30-4.35;P<0.001)and elevated systolic blood pressure(CRR=1.64;95%CI:1.06-2.79;P=0.02),exhibited significant long-term cumulative risks.Conversely,grip strength(CRR=0.80;95%CI:0.54-0.95;P=0.02)and social participation(CRR=0.89;95%CI:0.73-0.99;P=0.04)were significant protective factors.Conclusions The findings underscore the importance of tailored interventions that account for various lag characteristics of different factors to effectively mitigate disability risk.Future studies should explore the underlying biological and sociological mechanisms of these lagged effects,identify intervention strategies that target risk factors with different lagged patterns,and evaluate their effectiveness.展开更多
BACKGROUND Preeclampsia(PE)substantially increases the risk of postpartum anxiety,yet limited research has examined how disease onset and clinical features,such as blood pressure control and body mass index(BMI)change...BACKGROUND Preeclampsia(PE)substantially increases the risk of postpartum anxiety,yet limited research has examined how disease onset and clinical features,such as blood pressure control and body mass index(BMI)changes during pregnancy,affect this risk.AIM To develop and apply a predictive model for postpartum anxiety disorder in patients with PE based on multidimensional indicators.METHODS A cross-sectional study was conducted among 196 patients with PE admitted to the Department of Obstetrics,Ninth People’s Hospital of Suzhou(Affiliated with Soochow University),from June 2019 to June 2024.According to the self-rating anxiety scale at six weeks postpartum,participants were divided into anxiety and no-anxiety groups.Two data sets were analyzed,and multivariate logistic regression was performed to identify risk and protective factors.Regression coefficients and constants were used to construct the predictive model.Model performance was evaluated using the receiver operating characteristic curve and area under the curve,along with a goodness-of-fit test.The model was then validated with clinical data.RESULTS Of the 196 patients with PE evaluated using the self-rating anxiety scale at six weeks postpartum,51(26.02%)patients showed anxiety symptoms.Significant group differences(P<0.05)were observed for blood pressure control,BMI increase,hematocrit(Hct),family relationships,and psychological resilience.Logistic regression indicated that,poor blood pressure control,greater BMI increase,elevated Hct levels,and strained family relationships during pregnancy were risk factors for postpartum anxiety in patients with PE(P<0.05),whereas higher psychological resilience was a protective factor(P<0.05).The prediction model was defined as:Logit(P)=0.684×pregnancy blood pressure control+0.805×pregnancy BMI increase+0.756×Hct+1.063×family relationship-1.105×psychological resilience score-5.487.The model’s area under the curve(0.908)exceeded that of individual indicators:Blood pressure control(0.794),BMI increase(0.814),Hct(0.808),family relationships(0.840),and psychological resilience(0.833).The goodness-of-fit test showed no overfitting(χ2=1.904,P=0.725).Clinical validation demonstrated sensitivity of 85.71%,specificity of 87.72%,and accuracy of 87.18%.CONCLUSION Postpartum anxiety risk in patients with PE is associated with poor blood pressure control,excessive BMI gain,elevated Hct index,and poor family relationships,while strong psychological resilience serve as a protective factor.The developed prediction model effectively supports clinical assessment and targeted management of postpartum anxiety in patients with PE.展开更多
[Objective]Accurate precipitation prediction plays a crucial role in regional flood prevention and mitigation,water resources management,and socioeconomic development.However,the precipitation process is influenced by...[Objective]Accurate precipitation prediction plays a crucial role in regional flood prevention and mitigation,water resources management,and socioeconomic development.However,the precipitation process is influenced by the interaction of multi-scale meteorological factors and shows significant nonlinearity and spatiotemporal heterogeneity.Traditional numerical models fail to effectively capture its complex evolution patterns.[Methods]Based on random forest stacking techniques,six hybrid prediction models were constructed:KNN-LSTM,SARIMA-KNN,SARIMA-Prophet,SARIMA-LSTM,Prophet-LSTM,and Prophet-KNN.Monthly precipitation data from 1990 to 2023 at station 58238 in Nanjing were used for modeling,with data from 1990 to 2020 used as the training set and data from 2021 to 2023 used as the testing set.The regional generalization ability was validated using contemporaneous data from 12 independent meteorological stations in Jiangsu Province.[Results]The result showed that the SARIMA-LSTM hybrid model,which integrated the seasonal decomposition advantage of SARIMA with the long-term dependency capturing ability of LSTM,achieved the highest prediction accuracy on the testing set,with R2=0.904,MAE=16.16 mm,and MSE=477.87 mm2.The regional generalization validation demonstrated that the model achieved R2=0.919,MAE=15.33 mm,and MSE=537.52 mm2 across 13 meteorological stations in Jiangsu Province,indicating good spatial generalization capability.[Conclusion]The constructed hybrid models exhibit excellent predictive performance,providing reliable technical support for precipitation prediction in the lower Yangtze River region.This holds significant application value for the optimization of regional water resource allocation and disaster early warning.展开更多
基金supported by theNational Natural Science Foundation of China(No.42472210 and U25D9024)geological survey project of the China Geological Survey Oil and Gas Survey(No.[2024]02-07-03)the Grants-in-Aid of American Association of Petroleum Geologists(AAPG).
摘要Marine-continental transitional shale(McTS)gas holds excellent gas-generating hydrocarbon basis and exploration potential.Conducting quantitative analysis on the evolution of shale gas content and the coupled relationship between hydrocarbon generation and storage during geological history is essential for a profound understanding of shale gas enrichment mechanisms.This studyestablishes integrated models for hydrocarbon generation evolution,porosity evolution,and gas occurrence in Type Ill organicrich MCTS through a synergistic experimental approach combining multi-temperature methane isothermal adsorption experiments andgold-tube pyrolysis experiments on low-maturity shale samples.Simulating a variety of real and virtual burial histories and thermal histories,the evolution process ofgas content in McTSwas reconstructed and the influence of various geological conditions during burial on gas content evolution was clarified.The results indicate that a seven-stage evolution(AG)of gas content in McTS from the Shanxi Formation,Southern North China Basin.Critical thresholds include:(1)dissolution-enhancedreservoir modification at vitrinite reflectance(EasyRo)=1.0%,(2)adsorbed gas saturation at EasyRo=1.3%,(3)dual saturation of free andadsorbedgas at EasyRo=2.0%,(4)15%30%gas loss through expulsion during overmature stages(EasyRo>2.0%),and(5)partial freeto-adsorbed gas conversion triggered by tectonic uplift.Total organic carbon(ToC)content and overpressure exhibit positive correlations with gas content,while tectonic uplift magnitude shows a negative impact.The influence of maximum burial depth,paleo-heat flow,andgeothermalgradient demonstrate complex nonlinear relationships on gas content.
基金co-supported by the Open Fund of National Natural Science Foundation of China(No.62401042)the Young Elite Scientists Sponsorship Program by China Association for Science and Technology(No.2023QNRC001)。
摘要Continuous and highly accurate navigation of long-endurance flight vehicles continues to be a substantial challenge in Global Navigation Satellite Systems(GNSS)-denied environments.Though the integrated navigation based on multiple sensors is used to improve the navigation performance,the existing methods are prone to model mismatch and error accumulation under heterogeneous conditions of sensors.In this paper,a Tightly-coupled Interactive Multi-Model Factor Graph Optimization(TIMMFGO) navigation method is proposed to solve the problem.The developed integrated navigation framework consists of Inertial Navigation Systems(INS),Celestial Navigation Systems(CNS),Radio Navigation Systems(RNS),and Barometric Altimeters(BA).We propose a CNS/INS tightly-coupled graph architecture that integrates star vector observations with INS pre-integration,enabling dynamic compensation of gyroscopic bias while correcting the attitude update accuracy of INS.Then,an Interactive Multi-Model(IMM) adaptive weighting strategy is used to combine the vertical RNS factor with the BA factor for position,which can effectively reduce the altitude bias induced by the spatial configuration constraints of RNS.The simulation demonstrates that compared to the Huber M-estimation-based FGO(HMFGO),Windowing Anomaly-Detection-based FGO(WADFGO) and IMM Unscented Kalman Filter(IMMUKF)methods,the TIMMFGO method improves attitude accuracy by 46.49 %,25.68 % and 20.67 %,respectively,while correspondingly reducing position accuracy by 29.29 %,10.79 % and 6.96 %.
基金Supported by the 2024 Shanghai Jiao Tong University School of Medicine Nursing Research Top Priority Project,No.Jyhz2410Advanced Anesthesia Specialty Nursing Training Base,No.2022zkh1jd.
摘要BACKGROUND Emergence delirium(ED)is a common postoperative complication in older adult patients,posing a significant burden on both patients and medical staff.Despite its prevalence,there is a notable lack of research focused on identifying predictive factors and constructing models for ED in the post-anesthesia care unit.Therefore,developing a risk prediction model for ED in older adult patients is imperative.We anticipate that such a model would demonstrate strong predictive efficacy and be applicable in clinical settings.AIM To develop and validate an ED risk-prediction model for early intervention in older adults.METHODS This study enrolled 705 older surgical patients(January 2024 to October 2024)for modeling and 115(November 2024 to December 2024)for validation.Using least absolute shrinkage and selection operator and multivariable logistic regression,we developed a predictive model with an online dynamic nomogram.Internal(10-fold crossvalidation)and external validation demonstrated strong discrimination,calibration,and clinical utility.RESULTS The incidence of ED in older adult patients postoperatively was found to be 17.16%.Independent risk factors for postoperative ED included preoperative Mini-Mental State Examination score,preoperative albumin level,surgical duration,surgical risk score,number of indwelling catheters,and extubation time(all P<0.05).The model demonstrated the area under curve(AUC)of 0.924[95%confidence interval(CI):0.897-0.951],with the calibration curve closely aligning with the ideal curve.The Hosmer-Lemeshow test yieldedχ2=7.934,P=0.541,indicating good clinical utility.Internal validation resulted in an AUC of 0.920(95%CI:0.571-0.959),while external validation showed an AUC of 0.931(95%CI:0.866-0.997).The calibration curve for the validation cohort closely matched the ideal curve,with the Hosmer-Lemeshow test showingχ2=5.772,P=0.763,further supporting its clinical applicability.CONCLUSION The dynamic nomogram accurately predicts ED risk in older adults,aiding early identification and clinical intervention.
基金supported by the National Key Research and Development Program of China(2022YFD1900501)the Gansu Provincial Water Conservancy Scientific Experimental Research and Technology Extension Project(25GSLK044,26GSLK093).
摘要Glacial meltwater constitutes a vital component of the water supply in arid and semi-arid areas.However,the influence of glacial melting on runoff and evapotranspiration under global warming remains insufficiently understood.Previous studies coupling the Soil and Water Assessment Tool(SWAT)model with glacier modules often failed to consider the spatial heterogeneity of temperature during glacial melting,potentially leading to biased estimates of meltwater volume.In this study,we developed a glacier-coupled SWAT(SWAT-glacier)model considering the digital elevation model(DEM)based temperature-driven glacial melt processes to elucidate the impact of glacial melting on hydrological processes across four river basins(Dongda,Xiying,Jinta,and Zamu)of the upper Shiyang River Basin(SYRB)in northwestern China from 1986 to 2021.Compared with the standard SWAT model,the proposed SWAT-glacier model significantly improved the simulation accuracy for both runoff and evapotranspiration.Specifically,in comparison with the standard SWAT model,the Nash-Sutcliffe efficiency of the SWAT-glacier model showed a relative improvement of approximately 0.42%–9.16%and 1.50%–10.15%for runoff and evapotranspiration,respectively,in the four river basins during the validation period.Annual glacial runoff occurred predominantly from May to October,whereas glacial melt-induced evapotranspiration peaked between June and August.From 1986 to 2021,the average contributions of glacial melt to runoff were 6.97%for Dongda,3.06%for Xiying,2.70%for Jinta,and 0.67%for Zamu,whereas its contributions to evapotranspiration were 9.06%,5.14%,3.21%,and 1.59%,respectively.This study presents a SWAT-glacier modeling framework that enhances the simulation of hydrological processes in cold regions.The proposed methodology can be extended to other glacierized basins to provide valuable insights into water resource management under climate change.
摘要BACKGROUND Postoperative acute respiratory distress syndrome(ARDS)after digestive tumors is a serious complication that severely affects patients’prognosis;however,systematic studies assessing its risk factors are lacking,and effective prediction models are urgently required.AIM To investigate the risk factors for postoperative ARDS in patients with digestive tumors and construct a prediction model.METHODS Overall,42 of the 176 patients developed ARDS,with an incidence rate of 23.86%.Multifactorial logistic regression analysis identified advanced age[odds ratio(OR)=1.24,P<0.001],smoking history(OR=3.17,P=0.012),preoperative lung infection(OR=3.07,P=0.015),low preoperative albumin level(OR=0.71,P=0.003),preoperative percentage of forced expiratory volume in 1 second,(OR=0.96,P=0.006),preoperative percentage of forced vital capacity(OR=0.94,P=0.012),and postoperative anastomotic fistula(OR=4.55,P=0.022)as independent risk factors for postoperative ARDS.The nomogram prediction model showed good discriminatory power[area under the curve(AUC)=0.86]and goodness of fit(Hosmer-Lemeshow,P=0.729).The internal validation demonstrated an AUC of 0.86 and a good calibration curve fit(Hosmer-Lemeshow,P=0.914).Prospective clinical validation confirmed the reliability and clinical value of the model(AUC=0.91,accuracy=82.35%).RESULTS Overall,42 of the 176 patients developed ARDS,with an incidence rate of 23.86%.Multifactorial logistic regression analysis identified advanced age(OR=1.24,P<0.001),smoking history(OR=3.17,P=0.012),preoperative lung infection(OR=3.07,P=0.015),low preoperative albumin level(OR=0.71,P=0.003),preoperative percentage of forced expiratory volume in 1 second,(OR=0.96,P=0.006),preoperative percentage of forced vital capacity(OR=0.94,P=0.012),and postoperative anastomotic fistula(OR=4.55,P=0.022)as independent risk factors for postoperative ARDS.The nomogram prediction model showed good discriminatory power(AUC=0.86)and goodness of fit(Hosmer-Lemeshow,P=0.729).The internal validation demonstrated an AUC of 0.86 and a good calibration curve fit(Hosmer-Lemeshow,P=0.914).Prospective clinical validation confirmed the reliability and clinical value of the model(AUC=0.91,accuracy=82.35%).CONCLUSION The nomogram prediction model based on independent risk factors for postoperative ARDS in patients with digestive tumors demonstrated good differentiation,calibration,and clinical utility and helped identify high-risk patients early.
摘要[Objective]This study aims to investigate streamflow variations and hydrological drought characteristics in the lower Songhua River Basin under future climate scenarios,providing a scientific basis for regional water resource management and guidance for formulating comprehensive drought and flood disaster prevention and control strategies.[Methods]Based on hydrometeorological data from 1970—2014,a SWAT model was constructed and driven by 14 CMIP6 climate models.Five optimal climate models were selected through Taylor diagram analysis and combined with SSP1-2.6,SSP2-4.5,and SSP5-8.5 scenarios to simulate streamflow variations from 2015 to 2100.[Results]The SWAT model demonstrated excellent performance at Tongjiang hydrological station,with R 2 and NSE values exceeding 0.7 during both calibration and validation periods.The absolute values of PBIAS were below 10.7%,confirming model reliability.Future climate predictions indicated increasing trends in precipitation,temperature,and evapotranspiration across the river basin.The magnitude of temperature and evapotranspiration increases followed the order of SSP5-8.5>SSP2-4.5>SSP1-2.6,while precipitation increases ranked as SSP5-4.5>SSP1-2.6>SSP2-8.5.Seasonally,SSP1-2.6 and SSP5-8.5 scenarios showed significant precipitation increases in autumn and winter,while SSP2-4.5 scenario exhibited notable increases in summer and winter.Streamflow variations strongly depended on scenarios:SSP1-2.6 showed significant increases,while variations under SSP2-4.5 and SSP5-8.5 were not significant.Standardized Streamflow Index(SSI)analysis showed significant increases under SSP1-2.6,but declining trends under other scenarios.Drought characteristic analysis indicated that under SSP1-2.6,all drought indices except average drought duration decreased,while under SSP2-4.5 and SSP5-8.5,all indices except drought frequency increased.Seasonally,SSP1-2.6 increased spring-summer proportions with elevated winter drought frequency,while SSP2-4.5 and SSP5-8.5 increased autumn-winter proportions with corresponding frequency changes.[Conclusion]Future climate change will significantly impact hydrological characteristics in the lower Songhua River Basin.The SSP1-2.6 scenario promotes streamflow increase and drought mitigation,while the SSP2-4.5 and SSP5-8.5 scenarios may exacerbate drought risks.The findings provide decision-making support for regional water resource management and disaster prevention,recommending differentiated adaptation strategies tailored to specific climate scenarios.
基金supported by ScientificResearch Fund of National Health Commission of the People’s Republic of China-Major Science and Technology Program for Medicine and Health in Zhejiang Province(WKJ-ZJ-2406).
摘要Objectives This study aimed to explore the lagged and cumulative effects of risk factors on disability in older adults using distributed lag non-linear models(DLNMs).Methods We utilized data from the China Health and Retirement Longitudinal Study(CHARLS).After feature selection via Elastic Net Regularization,we applied DLNMs to evaluate the lagged effects of risk factors.Disability was defined as the presence of any difficulties in basic activities of daily living(BADL).The cumulative relative risk(CRR)was calculated by summing the lag-specific risk estimates,representing the cumulative disability risk over the specified lag period.Effect modifications and sensitivity analyses were also performed.Results This study included a total of 2,318 participants.Early-phase lag factors,such as the difficulty in stooping(CRR=3.58;95%CI:2.31-5.55;P<0.001)and walking(CRR=2.77;95%CI:1.39-5.55;P<0.001),exerted the strongest effects immediately upon occurrence.Mid-phase lag factors,such as arthritis(CRR=1.51;95%CI:1.10-2.06;P=0.001),showed a resurgence in disability risk within 2-3 years.Late-phase lag factors,including depressive symptoms(CRR=2.38;95%CI:1.30-4.35;P<0.001)and elevated systolic blood pressure(CRR=1.64;95%CI:1.06-2.79;P=0.02),exhibited significant long-term cumulative risks.Conversely,grip strength(CRR=0.80;95%CI:0.54-0.95;P=0.02)and social participation(CRR=0.89;95%CI:0.73-0.99;P=0.04)were significant protective factors.Conclusions The findings underscore the importance of tailored interventions that account for various lag characteristics of different factors to effectively mitigate disability risk.Future studies should explore the underlying biological and sociological mechanisms of these lagged effects,identify intervention strategies that target risk factors with different lagged patterns,and evaluate their effectiveness.
基金Supported by 2023 Academy-Level Research Start-Up Fund Project,No.YK202313.
摘要BACKGROUND Preeclampsia(PE)substantially increases the risk of postpartum anxiety,yet limited research has examined how disease onset and clinical features,such as blood pressure control and body mass index(BMI)changes during pregnancy,affect this risk.AIM To develop and apply a predictive model for postpartum anxiety disorder in patients with PE based on multidimensional indicators.METHODS A cross-sectional study was conducted among 196 patients with PE admitted to the Department of Obstetrics,Ninth People’s Hospital of Suzhou(Affiliated with Soochow University),from June 2019 to June 2024.According to the self-rating anxiety scale at six weeks postpartum,participants were divided into anxiety and no-anxiety groups.Two data sets were analyzed,and multivariate logistic regression was performed to identify risk and protective factors.Regression coefficients and constants were used to construct the predictive model.Model performance was evaluated using the receiver operating characteristic curve and area under the curve,along with a goodness-of-fit test.The model was then validated with clinical data.RESULTS Of the 196 patients with PE evaluated using the self-rating anxiety scale at six weeks postpartum,51(26.02%)patients showed anxiety symptoms.Significant group differences(P<0.05)were observed for blood pressure control,BMI increase,hematocrit(Hct),family relationships,and psychological resilience.Logistic regression indicated that,poor blood pressure control,greater BMI increase,elevated Hct levels,and strained family relationships during pregnancy were risk factors for postpartum anxiety in patients with PE(P<0.05),whereas higher psychological resilience was a protective factor(P<0.05).The prediction model was defined as:Logit(P)=0.684×pregnancy blood pressure control+0.805×pregnancy BMI increase+0.756×Hct+1.063×family relationship-1.105×psychological resilience score-5.487.The model’s area under the curve(0.908)exceeded that of individual indicators:Blood pressure control(0.794),BMI increase(0.814),Hct(0.808),family relationships(0.840),and psychological resilience(0.833).The goodness-of-fit test showed no overfitting(χ2=1.904,P=0.725).Clinical validation demonstrated sensitivity of 85.71%,specificity of 87.72%,and accuracy of 87.18%.CONCLUSION Postpartum anxiety risk in patients with PE is associated with poor blood pressure control,excessive BMI gain,elevated Hct index,and poor family relationships,while strong psychological resilience serve as a protective factor.The developed prediction model effectively supports clinical assessment and targeted management of postpartum anxiety in patients with PE.
摘要[Objective]Accurate precipitation prediction plays a crucial role in regional flood prevention and mitigation,water resources management,and socioeconomic development.However,the precipitation process is influenced by the interaction of multi-scale meteorological factors and shows significant nonlinearity and spatiotemporal heterogeneity.Traditional numerical models fail to effectively capture its complex evolution patterns.[Methods]Based on random forest stacking techniques,six hybrid prediction models were constructed:KNN-LSTM,SARIMA-KNN,SARIMA-Prophet,SARIMA-LSTM,Prophet-LSTM,and Prophet-KNN.Monthly precipitation data from 1990 to 2023 at station 58238 in Nanjing were used for modeling,with data from 1990 to 2020 used as the training set and data from 2021 to 2023 used as the testing set.The regional generalization ability was validated using contemporaneous data from 12 independent meteorological stations in Jiangsu Province.[Results]The result showed that the SARIMA-LSTM hybrid model,which integrated the seasonal decomposition advantage of SARIMA with the long-term dependency capturing ability of LSTM,achieved the highest prediction accuracy on the testing set,with R2=0.904,MAE=16.16 mm,and MSE=477.87 mm2.The regional generalization validation demonstrated that the model achieved R2=0.919,MAE=15.33 mm,and MSE=537.52 mm2 across 13 meteorological stations in Jiangsu Province,indicating good spatial generalization capability.[Conclusion]The constructed hybrid models exhibit excellent predictive performance,providing reliable technical support for precipitation prediction in the lower Yangtze River region.This holds significant application value for the optimization of regional water resource allocation and disaster early warning.