Absolute Contribution Research Articles

The direct and indirect effects of the environmental factors on global terrestrial gross primary productivity over the past four decades

Gross primary productivity (GPP) is jointly controlled by the structural and physiological properties of the vegetation canopy and the changing environment. Recent studies showed notable changes in global GPP during recent decades and attributed it to dramatic environmental changes. Environmental changes can affect GPP by altering not only the biogeochemical characteristics of the photosynthesis system (direct effects) but also the structure of the vegetation canopy (indirect effects). However, comprehensively quantifying the multi-pathway effects of environmental change on GPP is currently challenging. We proposed a framework to analyse the changes in global GPP by combining a nested machine-learning model and a theoretical photosynthesis model. We quantified the direct and indirect effects of changes in key environmental factors (atmospheric CO2 concentration, temperature, solar radiation, vapour pressure deficit (VPD), and soil moisture (SM)) on global GPP from 1982 to 2020. The results showed that direct and indirect absolute contributions of environmental changes on global GPP were 0.2819 Pg C yr−2 and 0.1078 Pg C yr−2. Direct and indirect effects for single environmental factors accounted for 1.36%–51.96% and 0.56%–18.37% of the total environmental effect. Among the direct effects, the positive contribution of elevated CO2 concentration on GPP was the highest; and warming-induced GPP increase counteracted the negative effects. There was also a notable indirect effect, mainly through the influence of the leaf area index. In particular, the rising VPD and declining SM negatively impacted GPP more through the indirect pathway rather than the direct pathway, but not sufficient to offset the boost of warming over the past four decades. We provide new insights for understanding the effects of environmental changes on vegetation photosynthesis, which could help modelling and projection of the global carbon cycle in the context of dramatic global environmental change.

Cooperation and Coordination in Threshold Public Goods Games with Asymmetric Players

In this paper, we study cooperation and coordination in a threshold public goods game with asymmetric players where players have different endowments ei, productivities pi, and rewards ri. In general, this game has a defective Nash equilibrium (NE), in which no one contributes, and multiple cooperative NEs, in which the group’s collective contribution equals the threshold. We then study how multiple dimensions of inequality influence people’s cooperation and coordination. We show that heterogeneity in eipi can promote cooperation in the sense that the existence condition of the defective NE becomes stricter. Furthermore, players with higher eipi are likely to contribute more at a cooperative NE in terms of collective contribution (i.e., absolute contribution multiplied by productivity).

Assessing residential PM2.5 concentrations and infiltration factors with high spatiotemporal resolution using crowdsourced sensors.

Building conditions, outdoor climate, and human behavior influence residential concentrations of fine particulate matter (PM2.5). To study PM2.5 spatiotemporal variability in residences, we acquired paired indoor and outdoor PM2.5 measurements at 3,977 residences across the United States totaling >10,000 monitor-years of time-resolved data (10-min resolution) from the PurpleAir network. Time-series analysis and statistical modeling apportioned residential PM2.5 concentrations to outdoor sources (median residential contribution = 52% of total, coefficient of variation = 69%), episodic indoor emission events such as cooking (28%, CV = 210%) and persistent indoor sources (20%, CV = 112%). Residences in the temperate marine climate zone experienced higher infiltration factors, consistent with expectations for more time with open windows in milder climates. Likewise, for all climate zones, infiltration factors were highest in summer and lowest in winter, decreasing by approximately half in most climate zones. Large outdoor-indoor temperature differences were associated with lower infiltration factors, suggesting particle losses from active filtration occurred during heating and cooling. Absolute contributions from both outdoor and indoor sources increased during wildfire events. Infiltration factors decreased during periods of high outdoor PM2.5, such as during wildfires, reducing potential exposures from outdoor-origin particles but increasing potential exposures to indoor-origin particles. Time-of-day analysis reveals that episodic emission events are most frequent during mealtimes as well as on holidays (Thanksgiving and Christmas), indicating that cooking-related activities are a strong episodic emission source of indoor PM2.5 in monitored residences.

Partial and asymmetrical reproductive isolation between two sympatric tropical shrub species: Cnidoscolus aconitifolius and C. souzae (Euphorbiaceae).

Reproductive isolation is conferred by several barriers that occur at different stages of reproduction. Comprehensive reviews on the topic have identified that barriers occurring prior to zygote formation are often stronger than those that occur afterward. However, the overrepresentation of temperate perennial herbs in the current literature precludes any generalization of this pattern to plants that present other life forms and patterns of distribution. Here, we assessed reproductive isolation barriers and their absolute contribution to reproductive isolation and asymmetry in Cnidoscolus aconitifolius and C. souzae, two closely related tropical shrub species that co-occur on the Yucatan peninsula. The reproductive barriers assessed were phenological mismatch, pollinator differentiation, pollen-pistil incompatibility (three pre-zygotic barriers), fruit set failure, and seed unviability (post-zygotic barriers). Reproductive isolation between the study species was found to be complete in the direction C. aconitifolius to C. souzae, but only partial in the opposite direction. One post-zygotic barrier was the strongest example. Most barriers, particularly the pre-zygotic examples, were asymmetrical and predicted the direction of heterospecific pollen flow and hybrid formation from C. souzae to C. aconitifolius. Both parental species, as well as the hybrids, were diploid and had a chromosome number 2n = 36. More studies with tropical woody perennials are required to fully determine whether this group of plants consistently shows stronger post-zygotic barriers.

Whole-Genome Sequencing Reveals Distinct Mutational Signatures in Multiple Myeloma Patients with African Ancestry Compared with Those of Non-African Ancestry

INTRODUCTION: Improving health outcomes for patients with African ancestry (AA) is a key healthcare aim, but there is uncertainty in whether disparities arise predominantly from socioeconomic differences or from genetic differences in tumor biology. It remains an open question as to whether multiple myeloma (MM) occurring in AA patients has a similar or different spectrum of genomic abberations when compared to patients having European ancestry. To date, studies have suggested that AA have an excess of t(11;14) and a deficiency of TP53 mutations. We have established a series of 302 cases of MM precursor and newly diagnosed MM with whole-genome sequencing (WGS) available that is enriched for self-declared AA or diverse ethnic background. METHODS: In collaboration with the NYGC and Polyethnic-1000 consortium, we sequenced tumor samples to a depth of 60-80X and normal tissue to 30-40X. We a employed bioinformatics pipeline with a consensus mechanism for somatic variant calling, including Mutect2, Strelka2, and VarScan2 for SNVs; Mutect2, Strelka2, VarScan2, and SvABA for InDels; Battenberg and FACETS for CNVs; Manta, SvABA, DELLY2, and IgCaller for SVs. Additionally, an admixture workflow was used to estimate each individual's ancestral lineage using continentally-distinct references, comprising 23 regional populations within 5 super-populations from the 1000 Genomes Project (https://github.com/pblaney/mgp1000). Mutational signature were calculated using the R package mmsig (Rustad et al. Comm. Bio. 2021). RESULTS: Using admixture estimations from 302 patients with high-coverage WGS together with 941 patients from the CoMMpass trial, we identified five clusters corresponding to single dominant genetic ancestries (median proportion >75% assignment to reference super-population), together with a cluster characterized by highly admixed individuals with no dominant genetic ancestry (median proportion <50%). Of the total, 53.0% are in the European dominant (EUR) cluster, 26.5% African dominant (AFR), 8.6% American dominant (AMR), 7.9% highly admixed, 2.0% East Asian dominant (EAS) and South-East Asian dominant (SAS) clusters, respectively. Stratifying patients by their cluster assignment and calculating the frequency of subtype translocations, we show that t(11;14) occurred in 25.8% of EUR patients while in only 14.6% of AFR (p=0.045) and 7.7% of AMR (p=0.05) patients. The frequency of the t(4;14) was more closely distributed, with 15.7% in EUR, 11.5% in AMR, and 11% in AFR clusters. For the acquired somatic mutations, the tumor mutational burden (TMB) was lowest in the AFR cluster 2.21 (median, somatic mutations per Mb), significantly lower by comparison to the EUR cluster at 2.94 (FDR adj. P=4.3x10 -6). The most striking genomic difference was observed when comparing the mutational signatures landscape between AA and the other racial groups. Using WGS, AA had lower SBS1 and SBS5 absolute contribution compared to EUR, and this was largely responsible for the difference in TMB. SBS1 and SBS5 are known to be clock-like signatures, accumulating at a constant rate over time. Because no differences in age, cancer cell fraction, and coverage were observed between AA and EUR, this finding suggest different mutational clock-like rate between AA and EUR. The higher TMB observed in EUR was also driven by the higher APOBEC-mutational activity (SBS2 and SBS13) compared to AA (p=0.05). Interestingly, 72% of all EUR had APOBEC-activity evident, in contrast to 45% of the AA (p=0.001). This difference was confirmed after excluding the MM precursor patients, previously demonstrated to have lower APOBEC-activity (Oben et al. Natur Comm. 2021), and was validated on CoMMpass whole-exomes. CONCLUSIONS: Leveraging one of the largest series of diverse patients with WGS, and integrating genomic data with comprehensive ancestry information, AA MM emerged as biologically different in term of genomic drivers and mutational signatures, suggesting potential differences in etiology and genomic evolution over time. Further analysis will include molecular timing of clonal copy number gains, and reconstruction of phylogenetic trees, with view to improving our understanding of the etiology of MM development across patient genetic backgrounds. FIGURE: Genomic characteristics of myeloma across ancestries. A) Translocation percentage (number per cluster) and B) Tumor mutational burden across clusters.

Reproductive isolation between two sympatric bat-pollinated Bauhinia (Leguminosae).

Several barriers contribute to reproductive isolation between plant species, which can be classified as pre- or post-pollination. Understanding the strength of these barriers could clarify the factors that maintain reproductive isolation and thus species integrity. In this study, we quantified reproductive isolation between two bat-pollinated co-occurring Bauhinia species (B. acuruana and B. pentandra) with similar flower morphology. Over the course of 18 months, we assessed reproductive isolation between these two Bauhinia species by quantifying the individual strengths and absolute contributions of five pre- and post- pollination barriers. Our data showed that both species are completely isolated in their reproduction by a combination of several barriers. Although they co-occur in a few populations, we found a high degree of geographic isolation between them. And although their flowering periods overlap, there is a significant difference in flowering peaks. Both species have the same pollinating bats, but the interspecific transfer of pollen between the plant species may be reduced due to the different length of the flower stamens, resulting in different pollen deposition on the bats' bodies. We have documented complete incompatibility between taxa and conclude that pre- and post-pollination barriers are important factors in preventing gene flow, even in contact zones between these two species of Bauhinia. We highlight that our work is the first study to use methods to estimate the strength of reproductive isolation barriers between bat-pollinated species.

Post-pollination barriers contribute to coexistence of partially pollinator-sharing Arisaema species (Araceae).

Reproductive isolation plays an important role in maintaining the species integrity of sympatric close relatives. For sympatric Arisaema species, interspecific gene flow is expected to be effectively prevented by pre-pollination barriers, particularly strong pollinator isolation mediated by fungus gnats. However, due to the lack of quantitative studies combining multiple pre- and post-pollination barriers, it is not known whether pre-pollination isolation is complete, and whether post-pollination barriers also contribute to reproductive isolation among some Arisaema species. In this study, we quantified the individual strengths and absolute contributions of four pre- and post-pollination barriers (phenological isolation, pollinator isolation, hybrid fruit formation, and hybrid seed formation) among three sympatric Arisaema species (A. bockii, A. lobatum, and A. erubescens). Although phenological isolation and pollinator isolation reduced the frequencies of interspecific pollen transfer among these species, the partial overlap of flowering times and pollinator assemblages resulted in incomplete pre-pollination isolation. Post-pollination barriers also contributed to reproductive isolation at the hybrid fruit and seed formation stages. We propose that, although pre-pollination barriers are expected to contribute more to total isolation than post-pollination barriers in Arisaema, pre-pollination barriers may not completely prevent interspecific pollen transfer among some Arisaema species. Post-pollination barriers, which are generally ignored, may also have contributed significantly to reproductive isolation in Arisaema.

Trends in caesarean section rates in Europe from 2015-2019 using Robson's Ten-Group Classification System: A Euro-Peristat registry study

Abstract Objective To assess changes in caesarean section (CS) in Europe from 2015-2019 and utilise the Robson Ten Group Classification System (TGCS) to evaluate the contribution of different obstetric populations to overall CS rates and trends Methods This was an observational study utilising routine population birth data from 28 European countries participating in the Euro-Peristat network. We included all births ≥22 weeks gestational age, from 2015 to 2019. A federated model used individual-level data from routine sources in each country formatted to common data model to generate anonymous, aggregate data tables on yearly CS rates and the Robson TGCS classification. We computed the Robson group-specific relative size, CS rate, relative and absolute contribution to overall CS rate Results Among the 28 European countries, CS rates (2015: 16.0-55.9%; 2019: 16.0-52.2%) and trends varied (-3.7-+4.7%; 9 countries decreasing, 7 stable [ ≤ ±0.2], 12 increasing). Using the Robson Classification (17 countries), in most countries, labour induction increased (Groups 2a, 4a), while multiple pregnancies (Group 8) decreased. In countries with decreasing overall CS rates, CS tended to decrease in most Robson groups, while in countries with increasing overall CS rates, CS tended to increase in most Robson groups. In countries with the greatest increase in CS rates (>1%), absolute contributions of Groups 1 (nulliparous term cephalic singletons, spontaneous labour), 2a and 4a, 2b and 4b (prelabour CS), and 10 (preterm cephalic singletons) to overall CS tended to increase. Conclusions Analysis of the Robson Classification shows varying CS trends and rates across Europe. Comparisons between European countries, particularly those with divergent trends, could provide insight into strategies to reduce CS without indication.

Spatial and Temporal Distribution Characteristics of Ozone Concentration and Source Analysis during the COVID-19 Lockdown Period in Shanghai

In March 2022, a new wave of COVID-19 outbreak occurred in Shanghai due to the widespread transmission of the Omicron variant. A two-month citywide lockdown was implemented from April 1st to May 31st, adopting measures such as zone-based classification and grid management. This unique social event provided an “ideal air quality experiment” for pollution research. The rapid reduction in economic activities during the lockdown had many positive impacts on the environment, leading to overall improvements in air quality. Particularly, the concentration of NOx, one of the precursors to O3, significantly decreased. However, O3, as a typical secondary pollutant, showed a noticeable increase. This study uses the WRF-CAMx-OSAT air quality model method to analyze the source of O3 pollution in Shanghai from April to May 2022. The impact of O3 precursor control, sector sources, and regional contributions on the formation of O3 pollution in Shanghai is analyzed in depth. During the pandemic lockdown period, it was found that, in Shanghai, the overall O3 levels were controlled by VOCs (Volatile Organic Compounds), and controlling VOCs proved to be an effective measure in reducing O3 concentrations in Shanghai. Compared with the same period in 2021, the proportion of road traffic sources contributing to ozone concentration has significantly decreased from 70.61% to 64.3%, but they are still the largest contributor. The contribution of industrial emissions to the ozone concentration has significantly risen from 20.71% to 26.36%, making them still the second largest contributor. Industrial and traffic sources are emission sources that require particular attention. The contribution ratio of local sources to external transport is about 7:3, which is higher than the ratio of local sources to external transport in the same period of 2021, which is about 6:4. The local ozone is the main source of ozone concentration in Shanghai, and controlling local source emissions is the key to controlling ozone concentration in the Shanghai area. When excluding the impact of long-range transport, the main areas contributing to O3 formation from local sources are Baoshan District, Jiading District, Qingpu District, and Chongming District, accounting for approximately 41.12% of the total absolute contribution. Different source regions exhibit significant spatial variations in their contributions to the ozone concentration. Through these studies, we aim to provide scientific support and control suggestions for the precise prevention and control of O3 pollution in Shanghai.

An Observational Study of Evaluation of Caesarean Section Rate by Robson’s Ten Group Classification System

Aims and objectives: • To use Robson’s Ten Group Classification System to evaluate caesarean sections in present institution. • To understand the reasons behind the CS rates for different groups of Ten Group Classification System specific to present institution. Study Design and Settings: The prospective observational study conducted for a period of one year from 15th July 2020 to 15th July 2021 which included all women admitted in the labour room of GMERS medical college and general hospital, Gotri, Vadodara, Gujarat for delivery over in the analysis. Methods and Material: The data compilation and statistical analysis was performed according to Robson’s Ten Group Classification using Microsoft excel version 2011 and Med Calc software. For each group, we have calculated the caesarean section rate within the group and its absolute and relative contribution to the overall caes arean rate. Results: A total 1768 patients delivered in the present institute and out of which 1069 were vaginal deliveries and 699 were caesarean section over this study period of one year. The overall caesarean section rate (CSR) was 39.54%, maximum contribution to total CS was from group 5, followed by group 1, group 2, group 10, and group 3. Less contribution from group 4, group 7, group 6, group 8 and least from group 9. Group 1, 2, 3 & 4 were low risk group.

Thermodynamic features of the regenerative system of direct fired sCO2 power cycles with oxygen combustion of methane

The article presents an analysis of the thermodynamic features of the operation of a regenerative system of sCO2 power cycles. The cycle with a two-stage pressure increase configuration is taken as a basis for calculation. The supply of energy to the working fluid is provided by the operation of the regenerative system and by oxy-fuel combustion. Methane is used as fuel. The issues of theoretically achievable heating temperatures of the working fluid in the cycle regenerative system are considered. The influence of thermodynamic parameters on the heat fluxes of the regenerative system is estimated. For the first time, an assessment was made of the relative and absolute contribution of water vapor, formed during fuel combustion, to heat flows. This study makes it possible to establish the physical quantities pressure, temperature and heat fluxes, which are necessary for further design calculations of heat exchangers to be used in industrial installations. As a result of multi-variant calculations of the cycle (when varying the temperature at the turbine inlet in the range of 500–1500 °C and pressure - from 100 to 400 bar), it was found that the temperature of the working fluid supply to the combustion chamber can be taken at the level of 2/3 of the temperature at its outlet. At operating temperatures of the working fluid at the level of 1000–1200 °C, the contribution of water vapor to regenerative heating will be 3–17%, depending on their mass content. The total theoretical heat flow to the cycle regenerative system will be 800–1000 kJ/kg CO2. The energy supply to the working fluid due to fuel combustion does not exceed 50% of the total energy supplied in the operating temperature and pressure ranges.

Impacts of the COVID-19 pandemic on life expectancy at birth in Asia

ObjectiveTo investigate the impact of the COVID-19 pandemic on life expectancy at birth (e0) for 51 Asian countries and territories from January 1, 2020 to December 31, 2021.MethodBased on age-sex-specific mortality used for estimating the changes in e0 for years 2019, 2020, and 2021 from the 2022 revision of the World Population Prospects, we employed Arriaga’s discrete method to decompose changes in e0 into both absolute and relative contributions of changes in age-specific death rate, and further obtained the age-sex-specific contribution to changes in e0 by country/territory and period (i.e., 2019–2020 and 2020–2021) for Asia.FindingsThe COVID-19 pandemic reduced 1.66 years in e0 of the Asian population from 2019 to 2021, slightly lower than the world average of 1.74 years. South Asia had a high loss of 3.01 years, whereas Eastern Asia had almost no changes. Oman, Lebanon, India, Armenia, Azerbaijan, Indonesia, and the Philippines experienced a high loss of above 2.5 years in e0. Despite significant national and territorial variations, the decline of e0 in Asia was mostly from the age group of 60–79 years, followed by age groups of 80 + and 45–59 years; and age groups of children contributed little (i.e., 0–4 and 5–14 years old). Males suffered more losses than females in this pandemic. Asian nations saw less loss in e0 in the second year of the pandemic, i.e., 2020–2021, than in the first year, i.e., 2019–2020, but this recovery trend was not observed in Southern Asia and South-Eastern Asia. Countries from Central Asia and Western Asia, such as Kazakhstan, Armenia, Azerbaijan, Lebanon, and Oman, had extraordinarily more losses in e0 in the first year at ages around 70.ConclusionThe COVID-19 pandemic had significantly affected e0 of Asian populations, and most contribution to the reduction of e0 came from the three older age groups, 60–79 years, 80 + years, and 45–59 years, with great variations across countries/territories. Our findings could have important implications for development of more resilient public health systems in Asian societies with better policy interventions for vulnerable demographic groups.

Relative and absolute familiarity contributions to recognition memory. An ERP study using letter-segregated method

Relative and absolute familiarity contributions to recognition memory. An ERP study using letter-segregated method

A Method for Identifying the Dominant Meteorological Factors of Atmospheric Evaporative Demand in Mid‐Long Term

AbstractTo better understand the changes in the atmospheric evaporative demand (AED) in the context of global warming, the anomaly contribution analysis is presented to estimate mid‐long term contributions of meteorological factors to the AED. The Pearson correlation coefficient (RP) between the total contribution (ψ) of meteorological factors and the relative variation (ϕ) of the AED, and the Sen's trend slope (βS) of (ϕ, ψ) scatters are used to evaluate the applicability of the method. The smaller the values of |1 − RP| and |1 − βS|, the more applicable the method is. To validate the method, the reference crop evapotranspiration is employed as a proxy for the AED. The multi‐year contribution analysis is used as a comparison approach, which can only investigate the dominant meteorological factors of the AED in long term. Moreover, the Huaihe River basin of China is taken as a case study. Results show that (a) the values of |1 − RP| and |1 − βS| in mid‐long term are less than 0.1 in most cases when applying the anomaly contribution analysis, and the mid‐long term contribution processes of meteorological factors to the AED are clearly demonstrated; and (b) the wind speed and sunshine hours are the two most dominant factors (the total absolute contribution exceeds 60%) in long term, but they are not always the dominant factors in mid‐long term (e.g., wind speed in summer, and sunshine hours in winter). Therefore, the anomaly contribution analysis is a reasonable and effective method, which can help to gain insights into the changes in the AED.

Effects of dietary starch and ruminally undegraded protein on glucogenic precursors in lactating dairy cows

Gluconeogenesis is a large contributor to the blood supply of glucose carbons. The impact of varying dietary starch and ruminally degraded protein (RDP) on glucose entry, and the contributions of propionate and lactate to total plasma glucose entry were evaluated. Six cannulated, lactating, Holstein cows were fed one of four treatment diets arranged as a 2 × 2 factorial within a 4 × 4 partially replicated Latin Square design: (1) 8% RDP (LRDP) and 16% starch (LSt), (2) LRDP and 30% starch (HSt), (3) 11% RDP (HRDP) and LSt, or (4) HRDP and HSt. On d 12 of each period, 2-[13C]-sodium propionate (0.15 g/h) was ruminally infused for 4 h; on d 13, 1,2-[13C2]-glucose (0.2 g/h) was infused into the jugular vein for 1 h followed by 1-[13C]-lactate (0.1 g/h) for 1 h. Blood samples were serially collected starting prior to the infusions, and analyzed for plasma glucose, propionate, and lactate isotopic ratios. A one-compartment, glucose carbon model with inputs from lactate, propionate, and other glucogenic precursors (Oth, primarily absorbed glucose plus amino acids) was fitted to the isotope ratio data to derive glucose entry rates and conversion of the precursors to glucose. Milk protein production additively increased when HSt and HRDP were fed (P = 0.05 and P = 0.02, respectively). Plasma glucose and propionate concentrations increased with HSt (P = 0.04 and P = 0.01, respectively) and LRDP (P = 0.02 and P < 0.01, respectively). Total glucose and Oth entry increased (P = 0.03 and P = 0.03, respectively) with HSt, indicating greater glucose absorption from the small intestine or conversion of amino acids to glucose in the liver. However, neither entry rate was affected by RDP. The lack of an RDP effect suggests the increase in microbial outflow in response to RDP did not significantly alter glucose precursor supplies. Entry rates of propionate and lactate carbon to glucose carbon were not affected by treatment suggesting that neither starch nor RDP significantly affected fermentation or lactate production. Derivation of absolute entry rates and contributions to glucose using isotopic tracers is complicated by single carbon removals in the pentose phosphate (PPP), tri-carboxylic acid (TCA), and gluconeogenic pathways, and label randomization with the PPP and TCA pathways. Multiple tracers must be used to avoid assumptions regarding the proportional entries. These results provide insights on glucose supply and contributors, and draw attention to significant label cycling when utilizing isotope techniques.

Indications of Induction and Caesarean Sections Performed Using the Robson Classification in a University Hospital in Spain from 2010 to 2021.

Background: The Robson Ten Group Classification System (RTGCS) enables the assessment, monitoring, and comparison of caesarean section rates both within healthcare facilities and between them, and the indications of caesarean sections (CS) performed in a maternity ward. The aims of the present study were to conduct an analysis to assess the levels and distribution of birth from a descriptive approach by CS in La Ribera University Hospital (Spain) between 2010-2021 using the Robson classification; to describe the indications for the induction of labour and the causes of caesarean sections performed; and to examine the association between the induction of labour and CS birth. Methods: A retrospective study between 1 January 2010 and 31 December 2021. All eligible women were classified according to the RTGCS to determine the absolute and relative contribution by each group to the overall CS rate. The odds ratio (OR) of the variables of interest was estimated by logistic regression. In an analysis of the subgroups, the level of significance was adjusted using the Bonferroni method. Results: 20,578 women gave birth during the study period, 19% of them by CS. In 33% of births, induction was performed, and the most common cause was the premature rupture of membranes. Group 2 (nulliparous with induced labour/elective CS before labour) accounted for the largest contribution to the overall rate of CS (31.5%) and showed an upward trend from 23.2% to 39.7% in the time series, increasing the CS rate by 6.7%. The leading cause of CS was suspected fetal distress, followed by induction failure. Conclusions: In our study, Robson Group 2 was identified as the main contributor to the hospital's overall CS rate. Determining the causes of induction and CS in a population sample classified using the RTGCS enables the identification of the groups with the greatest deviation from the optimal rate of CS and the establishment of improvement plans to reduce the overall rate of caesarean sections in the maternity unit.

Unraveling the mystery of isocaloric endurance training - Influence of exercise modality, biological sex, and physical fitness

BackgroundA sedentary lifestyle with low energy expenditure (EE) is associated with chronic diseases and mortality. Barriers such as “lack of time” or “lack of motivation” are common reasons why physical exercise is neglected in the general population. To optimize EE in the time available, time-efficient but also enjoyable types of exercise are required. We therefore used an isocaloric approach to systematically investigate the effects of six different endurance exercise modalities on metabolic, mechanical, cardiorespiratory, and subjective variables in relation to biological sex and physical fitness. MethodsOut of 104, 92 healthy participants (21 recreationally trained and 18 trained females, 25 recreationally trained and 28 trained males) were subjected to physiological exercise testing to determine the exercise intensities for six exercise modalities, i.e., three different high-intensity interval training (HIIT) protocols (5 × 4 min, 15 × 1 min, 30 × 30 sec intervals), threshold (THR), speed endurance production (SEP), and low-intensity continuous endurance training (LIT). One of three HIIT sessions served as the reference for the subsequent isocaloric exercise modalities which were completed in randomized order. Metabolic and mechanical variables, i.e., EE during exercise, time to isocaloric EE (Tiso), relative and absolute fat contribution, post-exercise oxygen consumption (EPOC), mechanical energy, as well as cardiorespiratory and subjective variables, i.e., heart rate, oxygen uptake response, rating of perceived exertion, and enjoyment were assessed. Data were analyzed using a 6 × 2 × 2 repeated-measures ANOVA. ResultsAll three versions of HIIT and THR achieved the same EE during exercise for the same training duration. We found that LIT had a 1.6-fold (p < 0.001) and SEP a 1.3-fold (p < 0.001) longer Tiso compared to HIIT with no effects of biological sex (p = 0.42, pη2 = 0.01) or physical fitness (p = 0.09, pη2 = 0.04). There was a main effect of exercise modality on EPOC (p < 0.001, pη2 = 0.76) with highest values for HIIT 30 × 30 (p = 0.032) and lowest for LIT (p < 0.001). The highest relative and absolute amounts of fatty acids were measured during LIT (p < 0.001), and the lowest values were obtained during HIIT modalities. HIIT 30 × 30 was the most enjoyable version of HIIT (p = 0.007), while THR was the least enjoyable exercise modality (p = 0.008). ConclusionHIIT modalities are time-saving and enjoyable, regardless of sex and physical fitness. The results illustrate the relationship between exercise modality and metabolic, physiological, and subjective responses, and are thus of great interest to healthy individuals seeking time-saving and enjoyable exercise options.

Profile of cesarean section during COVID-19 using Robson ten group classification system in a tertiary teaching hospital, Nepal: a cross-sectional study.

A hospital-based cross-sectional study was conducted among women admitted for delivery in the Department of Obstetrics and Gynecology of a tertiary teaching hospital during the second wave of COVID-19 (1 May 2021-30 July 2021). Convenience sampling technique was applied and 1350 women were categorized into groups using Robson ten group classification system. Group size, group caesarean rate, absolute and relative contribution of each group to overall caesarean rate were calculated. Out of 1350 total deliveries during COVID-19, lower segment caesarean section was done in 446 (33.04%) (30.53-35.55 at 95% Confidence Interval). Major indication for caesarean section was previous caesarean in 185 (41.48%). Most women 202 (45.29%) were from the age group 24-30 years and gestational age between 37 and 42 weeks. Major contributor to the overall caesarean section rate was Robson group 5 (37%). This study showed higher prevalence of caesarean section delivery rate during COVID-19 pandemic than that compared with 2016 national statistics of Nepal. Despite of several challenges brought by the pandemic, pregnant women were still able to access the emergency obstetric care services in the Eastern part of Nepal. However, future studies should focus on exploring the situation in rural areas too.

Transport matrix of PM2.5 in Beijing-Tianjin-Hebei and Yangtze River Delta regions: Assessing the contributions from emission reduction and meteorological conditions

Both meteorological changes and emission control have significant impacts on PM2.5 concentration and regional transport contribution, where it is important to clarify the relationship among them for air pollution control. In this paper, the WRF-CAMx coupled with a set of simulation scenarios was employed for decomposing the contributions of meteorological conditions, emission, and regional transport considering transport matrix to PM2.5 concentration in the Beijing-Tianjin-Hebei (BTH) and Yangtze River Delta (YRD) regions during 2013–2017. The results show that the local contributions occupied the primary position in PM2.5 concentrations in the BTH and YRD regions, reaching 57.9% and 58.1% in 2017, respectively. In terms of regional transports, they were mainly from Shandong Peninsula (SP) and Fen Nutrient Plain (FNP) for BTH, while Central triangle Region (CTR) and SP for YRD. Analysis of typical representative months suggested that in January, the concentration of local contribution reached peak. In addition, the results also show that when the intensity of emission reduction increased, the proportion of local contribution increased significantly while the local absolute contribution concentration decreased correspondingly. The meteorological conditions had little impact on transport matrix dominated by local contribution, whereas, the more favorable the meteorological diffusion conditions, the lower the contribution ratio of the out-of-region transport and the lower the contribution concentration. Moreover, the variation of meteorological conditions was more significant to the transport contribution outside the region. These findings can be helpful for formulating reasonable strategies of regional joint prevention and control and providing a valuable preference for other areas of China.

Benefits and Challenges to Implement Public-Private Partnerships in Water Infrastructure Development in Zimbabwe

The rationale of the study was built on the water infrastructure challenges in Zimbabwe and the challenges in government policies and capacity that demand the participation of public private partnerships (PPPs) in the development of water infrastructure in Zimbabwe. The study adopted the qualitative research approach, and the information is compiled through literature review. Through conceptual and document analysis of information, the study also recognised that there are challenges in the existing PPP arrangements in Zimbabwe that require improvement for their absolute contribution to the management of water resources in the country. The data generated by this study were used to understand the complexities and contestations in Zimbabwe and enrich the body of knowledge and literature about water-related PPPs. Effective PPPs for improved urban water infrastructure cannot be achieved by chance. Effective PPPs require deliberate efforts and comprehensive reforms. The study, therefore, posits that with an environment conducive to operating PPPs, in addition to proper planning and meticulous implementation, Zimbabwe has a high chance of successfully implementing such partnerships for improved urban water infrastructure.