Changing Trends Research Articles

Stressing state analysis of unbonded prestressed concrete simply supported slabs in fire

AbstractThis paper reveals the essential stressing state characteristics of unbonded prestressed concrete (UPC) simply supported slabs in fire by exploring the experimental data based on structural stressing state theory. First, the experimental deflections are transformed into the generalized work of force values to represent the structural characteristic parameter. Then, the Mann–Kendall criterion detects the mutation points where the characteristic parameter curve shows a trend change with the rising temperature. Next, the mutation characteristics are verified by studying the stressing state modes and coordinative working behavior of simply supported slabs under characteristic temperatures. Consequently, the elastoplastic branch points and failure starting point of the simply supported slabs in fire are revealed, complying with the natural law from quantitative change to qualitative change. Finally, the formula is fitted to calculate the failure loads with a verification, and the existing failure loads were redefined to provide a new and valuable reference for analyzing the working behavior of UPC simply supported slabs in fire.

The Effect of Climate Change on Spatio-Temporal Activity in Burrowing Frogs of the Smilisca Group

Measuring the potential effects of future climate changes on the spatio-temporal variance of optimal conditions for seasonal species is a key conservation issue. This study assesses the impact of climate change on the spatial and temporal patterns of optimal conditions for activity in two burrowing frogs, Smilisca fodiens and S. dentata. Ecological Niche Modeling was used to implement niche seasonality models, with calibration performed during the peak activity (July). These models were then transferred to current and future conditions for the remainder of the year, predicting future scenarios up to 2070 with an intermediate trajectory greenhouse gas concentration of 4.5 W/m2. Climate change transferability was assessed for four potential scenarios: 1) high precipitation and low temperature, 2) high precipitation and high temperature, 3) low precipitation and low temperature, and 4) low precipitation and high temperature. We examined the impact across future projected areas and analyzed geographic change trends based on latitude, longitude, and elevation. For both species, the best scenario would involve increased precipitation in the future. However, the worst-case would be a combination of reduced precipitation and higher temperatures. Due to large area loss, northern populations of S. fodiens may be highly vulnerable. Concerning S. dentata, the outlook is worrisome, with all known populations experiencing losses in most months. Area gains may not help either species since they tend to occur at elevations above their known ranges. Using a seasonal approach in spatio-temporal analysis enhances comprehension of the behavioral adaptations of seasonal species and their vulnerability to current and future climatic variations

Influence of Electrical Conductivity on Plant Growth, Nutritional Quality, and Phytochemical Properties of Kale (Brassica napus) and Collard (Brassica oleracea) Grown Using Hydroponics

Kale (Brassica napus) and collard (Brassica oleracea) are two leafy greens in the family Brassicaceae. The leaves are rich sources of numerous health-beneficial compounds and are commonly used either fresh or cooked. This study aimed to optimize the nutrient management of kale and collard in hydroponic production for greater yield and crop quality. ‘Red Russian’ kale and ‘Flash F1’ collard were grown for 4 weeks after transplanting in a double polyethylene-plastic-covered greenhouse using a nutrient film technique (NFT) system with 18 channels. Kale and collard were alternately grown in each channel at four different electrical conductivity (EC) levels (1.2, 1.5, 1.8, and 2.1 mS·cm−1). Fresh and dry yields of kale increased linearly with increasing EC levels, while those of collard did not increase when EC was higher than 1.8 mS·cm−1. Kale leaves had significantly higher P, K, Mn, Zn, Cu, and B than the collard at all EC levels. Additionally, mineral nutrients (except N and Zn) in leaf tissue were highest at EC 1.5 and EC 1.8 in both the kale and collard. However, the changing trend of the total N and NO3- of the leaves showed a linear trend; these levels were highest under EC 2.1, followed by EC 1.8 and EC 1.5. EC levels also affected phytochemical accumulation in leaf tissue. In general, the kale leaves had significantly higher total anthocyanin, vitamin C, phenolic compounds, and glucosinolates but lower total chlorophylls and carotenoids than the collard. In addition, although EC levels affected neither the total chlorophyll or carotenoid content in kale nor glucosinolate content in either kale or collard, other important health-beneficial compounds (especially vitamin C, anthocyanin, and phenolic compounds) in kale and collard leaves reduced with the increasing EC levels. In conclusion, the kale leaf had more nutritional and phytochemical compounds than the collard. An EC level of 1.8 mS·cm−1 was the optimum EC level for the collard, while the kale yielded more at 2.1 mS·cm−1. Further investigations are needed to optimize nitrogen nutrition for hydroponically grown kale.

Spatiotemporal Variability and Trend of Ozone Pollution from Satellite Data (2003- 2021) in Iraq

Ozone (O3) occurs naturally in the Earth's upper atmosphere, and at ground level is a dangerous pollutant hurts plants and lung tissue and it’s a major component of smog. The purpose of this study to analyze the time series, trend, and spatial-temporal changes of monthly Relative Humidity (RH), Outgoing Longwave Radiation (OLR), and O3 in Iraq using the Atmospheric Infrared Sounder (AIRS) ascending AIRS3STM data during 2003 - 2021. The time series over six stations (Mosul, Sulaymaniyah, Khanaqin, Rutba, Baghdad, and Basra) have been analyzed and showed similar changes and fluctuation in O3 and OLR. The results of the study obtained were: minimum (decreasing, January–December) and maximum (increasing, May–August), and the mean and standard deviation were (0.044±0.003 ppmv) for O3 and (298± 22 Wm-2) for OLR during the study period. During December to February, the highest RH values were recorded, while the lowest RH values occurred from June to August. The monthly mean and standard deviation of RH was (28.66±29.54 g/kg). Further O3 trends revealed negative results in their annual series over all stations, except for Khanaqin and Basra, which had a positive trend. The O3 concentrations were consistently connected with other meteorological variables (the O3 has a negative correlation with RH and a beneficial correlation with temperature). The O3 spatiotemporal maps showed recorded the highest values recorded in April and May over Mosul and Sulaymaniyah (0.055–0.057), and in December, at middle and southern regions (Baghdad and Basra), there were the lowest O3 value (0.033). These results were due to meteorological and geographical factors. The results showed the efficient use of AIRS data to analyze the variations and distributions of atmospheric factors over different regions. In addition, AIRS observations can be used to obtain atmospheric, climatic, and environmental scientific reports and analyses for large, regional, and global regions and for long, continuous periods.

Dynamics of Changes in the Surface Area of Water Bodies in Subsidence Basins in Mining Areas

The Silesian Upland in southern Poland is known as a place where subsidence processes induced by mining activities occur in an area of nearly 1500 square kilometres, with many water bodies that formed in subsidence basins. This study concerned the dynamics of changes in the occurrence, boundaries and area of water bodies in subsidence basins (using orthoimagery from 1996 to 2023), as well as the assessment of the factors underlying the morphogenetic and hydrogenetic transformations of these basins. Within the subsidence basins covered by the study, water bodies occupied a total area that changed from 9.22 hectares in 1996 to 48.43 hectares in 2003, with a maximum of 52.30 hectares in 2009. The obtained figures testify to the extremely dynamic changes taking place in subsidence basins, which are unprecedented within such short time intervals in the case of other morphogenetic types of lakes and anthropogenic water bodies (for instance, from 1996 to 2003, the basin of the Brantka water body in Bytom underwent a more than two-fold change in its area, with RA values in the range of 54.4% to 131.9). A reflection of the dynamics of short-term changes in the water bodies in question in the period from 1996 to 2023 is the increase in the water area of the three studied water bodies, which was projected by linear regression to range from 0.09 hectares/year to 0.56 hectares/year. The area change trends, as determined by polynomial regression, suggest a slight decrease in the water table within the last few years, as well as within the next few years, for each of the studied basins.

Effect of Ta content on elastic properties and magnetic properties of Zr-Ta binary alloys via first-principles calculation

Abstract β-type Zirconium alloys are promising biomedical implant materials, the elastic and magnetic properties of which are of great importance to be studied. In this work, β-type Zr1-xTax binary alloys (x=0.0625, 0.125, 0.1875, 0.25, 0.3125, 0.375, 0.4375, 0.50, 0.5625, 0.625, 0.6875, 0.75, 0.8125, 0.875, 0.9375) were established. The effects of Ta content on lattice constant, elastic properties and magnetic properties of β-type Zr-Ta alloys were investigated via first-principles calculations, the calculated results were also verified through experiments. The results shown that with the increase of Ta content, the lattice constant and total energy of β-type Zr-Ta alloys gradually decreased, the elastic moduli of E, K and G increased on the whole, and the magnetic moment generally increased first and then decreased. The changing trend of elastic and magnetic properties were consistent between experimental and calculated results. Notably, Zr0.875Ta0.125 exhibited the lowest Young’s modulus and magnetic susceptibility among the β-type Zr-Ta alloys, which was one-third that of Ti-6Al-4V, meeting the requirements for low Young’s modulus and low magnetism, and can be anticipated to be promising biomedical implant materials.

Global, regional and country-specific burden of patella, tibia or fibula, or ankle fractures and its prediction to 2035: findings from global burden of disease study 2019.

Bone fractures are a global public health issue and a major source of significant illness and financial hardship. However, to date, there is limited research on patella, tibia or fibula, or ankle fractures (FPTFA) disease burden. Using the framework of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, we conducted temporal trends of disease burden, effects of sex and socio-demographic index (SDI) on age standardized prevalence rate (ASPR) and age-period-cohort model. Machine learning models were built to predict the ASPR of FPTFA in 2035. In 1990 and 2019, the top three of all fractures with the highest ASPR was FPTFA. Globally, in 2019, there were 13529.45million (95%UI: 11811.02, 15642.25), 9198.67million (95%UI: 8518.9, 10009.91) and 77.54million (95%UI: 34.09, 149.9) prevalent cases of fracture attributable to fall, transport injury and mechanical external force, respectively. The number of fracture prevalence and years lived with disability (YLDs), and ASPR were higher in males than in females. From 1990 to 2019, most of GBD regions showed a downward trend in average annual percent change (AAPC) of ASPR attributable to transport injuries, High-income Asia Pacific had the highest decline (AAPC= -1.81%, 95%CI: -1.89% to -1.74%). However, an upward trend in East Asia was observed (AAPC = 1.60%, 95%CI: 1.48-1.73%). With increasing SDI, the ASPR for FPTFA attributed to the fall and mechanical external force slowly increased and then turned downward, especially in high-income and high-SDI countries. The longitudinal age curve suggested that the attributed rate was increased for the three sites of lower limb fractures. The best predictive models for FPTFA caused by falls, transport injuries and mechanical external force were autoregressive integrated moving average model (ARIMA) (0,2,1), ARIMA (2,0,1) and ARIMA (0,2,2), with R2 of 0.96, 0.78 and 0.94, respectively. By 2035, ASPR for the fall-related FPTFA will continue to rise rapidly, whereas the ASPR of the transport injury-related FPTFA will gradually decrease. FPTFA attributed to the falls is the dominant type and the burden and trends of the fall-related FPTFA are substantial. Fall prevention and access to treatment are crucial for reducing FPTFA burden.

Key changes across valley floors in mountain areas affected by different levels of human impact: a case study of the Ochotnica river catchment in the Polish Carpathians

AbstractThe goal of this paper was to present knowledge on changes in the morphodynamic structure of the Ochotnica River (Polish Carpathians) and transformations within its active river zone since the end of the 19th century. The study used a set of archival and contemporary cartographic materials and the results of three-fold field mapping of the morphodynamic structure of the riverbed. Direct and indirect human interference with the natural environment of the catchment and the fluvial system was taken into account in the analysis. Analysis of changes in the morphodynamic structure of the Ochotnica and its active river zone since the end of the 19th century indicated significant changes in the development trend of the riverbed. The contemporary structure of the Ochotnica is more complex than in the 1980s. There has been a fragmentation of the riverbed into sections with different morphodynamic sections. The proportion of erosive sections has increased, which explains the reduced in the width of the active river zone of the Ochotnica. The average width of the active river zone of the river between 1861 and 2022 has changed from 80 m to 18 m. Human impact has been identified as the main reason for the changes in the morphodynamic structure of the riverbed and its active river zone. Currently, only the unregulated sect ion is characterised by free lateral migration of the riverbed and the widest active river zone (∼ 28 m).

Reconstruction of 30 m Land Cover in the Qilian Mountains from 1980 to 1990 Based on Super-Resolution Generative Adversarial Networks

Long time series of annual land cover with fine spatio-temporal resolutions play a crucial role in studying environmental climate change, biophysical modeling, carbon cycling models, and land management. Despite a strong consistency exhibited by several publicly available medium to fine resolution global land cover datasets, significant discrepancies exist at the regional scale; moreover, only every 5/10 year land cover were available. Consequently, high-quality annual land cover datasets before 2000 are unavailable in China. In this study, we proposed a deep learning-based method by integrating multiple remote sensing data from different platforms with historical high spatial resolution land cover datasets (CNLUCC) to derive the 30 m annual land cover maps from 1980 to 1990 for Qilian Mountain. First, the super-resolution generative adversarial network models for upscaling the 5.5 km AVHRR NDVI to 250 m were established by employing the AVHRR and MODIS NDVI data with the same year as input, and the early time series AVHRR NDVI data were subsequently upscaled to 250 m through the above models. Second, the breaks for the additive seasonal and trend (BFAST) change detection algorithm was applied to the upscaled time series NDVI data to detect the change time of different land cover types. Third, the CNLUCC data in 1980 and 1990 were updated to annual land cover datasets from 1980 to 1990 and the annual mapping results provided insights into the dynamic processes of urbanization, deforestation, water bodies, and farmland from 1980 to 1990. Finally, comprehensive analysis and validation were carried out for evaluation and an overall accuracy of 77.26% for the land cover product in 1986 was achieved.

Associations Between Plasma Levels of NLRP3 Protein, Interleukin-1 Beta and Features of Acute ST-Elevation Myocardial Infarction

Background. Phenotyping inflammation in ST-elevation myocardial infarction (STEMI) is a challenge for modern cardiology. NLRP3 inflammasome is a proven predictor of adverse outcomes in cardiovascular disease, but its specificity in stratifying inflammatory activity in patients with myocardial infarction (MI) has not been demonstrated. The aim of this paper is to describe the levels of NLRP3 protein and IL-1β concentrations and their changes in dynamics and associations with clinical, laboratory and instrumental characteristics of patients with STEMI. Methods. A total of 45 patients with STEMI were enrolled. Concentrations of NLRP3 and IL-1β were evaluated in arterial and venous EDTA blood from the infarct-related coronary and peripheral arteries and veins on days 1, 3 and 7 after MI. Results and Conclusions. The concentrations of markers were higher on the first day after MI with a maximum decrease on the third day. The levels of both markers in venous plasma correlated with those in arterial blood, allowing their routine determination in venous plasma on the first day after MI. IL-1β levels correlated directly with the wall motion index and inversely with left ventricular ejection fraction and stroke volume, which characterize the potential contribution to adverse myocardial remodeling. There were two multidirectional trends in changes in NLRP3 and IL-1β levels during hospitalization. Initially higher levels with a gradual decrease by day 7 were associated with a longer duration of myocardial ischemia and higher plasma troponin I levels. Further evaluation of the long-term outcomes of MI will allow identifying inflammatory factors that input to the development of secondary major adverse cardiac events and will provide a new step in the understanding of inflammatory phenotyping.

EDOF – HOW DOES IT WORK?

EDOF is the name of a new category of intraocular lenses that are a kind of compromise between traditional monofocal and trifocal IOLs. Monofocal IOLs allow you to have good vision at one distance with high quality. Multifocal, on the contrary, give sufficient visual acuity at various distances, but are characterized by the presence of a large number of dysphotopsias. Intraocular lenses with extended focus provide greater independence from glasses than monofocals while maintaining high quality vision.Objective: to discuss the available information on the principles of EDOF imaging by lenses and the dependence of the state of the wavefront of the artiphakic eye on the combination of spherical corneal aberrations and IOLs.The wavefront of the eye is formed by several structural elements, the main of which are the cornea and the lens (artificial lens). The study of aberrations of the human eye is in the field of refractive surgery. Attempts to use aberrations in cataract surgery began with the creation of aspherical IOLs. The latter were intended to correct spherical corneal aberrations and were aimed at improving the characteristics of the wavefront. The development and use of aspherical IOLs were based on data on the state of the cornea of the average eye and gave a conditional effect. The new generation of IOLs based on the creation of a certain number and type of spherical aberrations is designed to modify (deform) the wavefront of the artifakic eye and expand its optical capabilities while maintaining a low number of dysphotopsias. This, in a way, revolutionary change in trends brings cataract surgery even closer to refractive surgery.According to the authors, for the fullest use of the capabilities of IOLs from the EDOF category, it is necessary to apply the principles and experience of refractive surgery in terms of studying the characteristics of the operated eye and correlating them with the parameters planned for IOL implantation.

Biological Activity of Silicon Nitride Ceramics: A Critical Review

The commercial use of Si3N4 ceramics in the biomedical field dates back to the early 1980s and, initially, did not show promising results, which is why their biocompatibility was not then investigated further until about 10 years later. Over the years, a change in trend has been observed; more and more studies have shown that this material could possess high biocompatibility and antibacterial properties. However, the relevant literature struggles to find mechanisms that can incontrovertibly explain the reasons behind the biological activity of Si3N4. The proposed mechanisms are often pure hypotheses or are not substantiated by comprehensive analyses. This review begins by studying the early references to the biological activity of Si3N4 and then reviews the literature regarding the bioactivity of this ceramic over time. An examination of the early insights into surface chemistry and biocompatibility lays the foundation for a detailed examination of the chemical reactions that Si3N4 undergoes in biological environments. Next, the analysis focuses on the mechanisms of bioactivity and antipathogenicity that the material exhibits both alone and in combination with modern bioglass. However, it is highlighted that despite the general consensus on the biocompatibility and bioactivity of Si3N4 ceramics, sometimes the proposed biological mechanisms behind its behavior are discordant or unsupported by the direct evaluation of specific biochemical activities. This review highlights both the reliable information in the literature and the gaps in research that need to be filled in order to fully understand the reasons behind the biological properties of this material.

Trends in the practice environment of Chinese healthcare professionals from 2008 to 2023: an age period cohort analysis.

Healthcare practice environment plays a vital role in evaluation and the development of health sector in China. However, there are few comprehensive reviews and studies focusing on its state and changing trends. This study aimed to examine the dynamic trends in Chinese healthcare professionals' perceptions of their practice environment from 2008 to 2023 using age period cohort (APC) analysis. Four national cross-sectional surveys of healthcare professionals were conducted in 2008, 2013, 2018, and 2023. APC analysis was performed to distinguish effects of age, period and cohort. Covariates like gender, department, job satisfaction, and doctor-patient relationships were also analyzed. Between 2008 and 2023, healthcare professionals' perceptions of their practice environment first declined and then improved. Those aged 28-38 during 2013-2018 and born between 1978 and 1988 had the most negative perceptions. After 2018, perceptions improved, peaking in 2023. Those under 23 and over 43 exhibited larger age effects. Birth cohorts after 1993 also had more positive effects. Controlling for covariates attenuated APC effects. Females, those in obstetrics and emergency medicine, nurses, technicians, and administrators perceived better environments. Higher job satisfaction and doctor-patient relationship harmony are also associated with more positive perceptions. Income matching efforts and perceptions of promotion fairness had positive impacts, while increasing severity of physical fatigue and psychological anxiety negatively influenced perceptions of the practice environment. The APC analysis provided nuanced insights into evolving practitioner perceptions amid healthcare reforms in China. Tailored policies focused on career stage and generation are needed to address disruptions and sustain improvements. Monitoring feedback on reforms and changes is essential for optimizing the practice environment over time.

Rainwater harvesting technologies in arid plains of Argentina: small local strategies vs. large centralized projects

Access to water has been and remains one of humanity’s greatest challenges. Especially in arid plains exposed to significant climatic fluctuations and future global change trends. In the past and present, local communities of the arid plains of central-western Argentina (i.e., Guanacache Lagoons, Cuyo region) have developed multiple strategies to manage water supply problems. The aims of this study are: i) to characterize the different water harvesting technologies (pre-Hispanic and modern) used, and ii) to compare the small local strategies of water harvesting (bottom-up solutions) with the large centralized projects (top-down solutions). On the one hand, we show the transformations of these technologies over time, and the challenges faced by inhabitants in the context of climate change trends. On the other hand, we analyze the role of the state through hydraulic policies and projects implemented by the provincial states over the last two centuries and how this impacted the study area. This review is based on a historical and archaeological bibliography, and recent publications about the region, including articles based on our ethnographic fieldwork. Our results demonstrate the valuable experience accumulated by local populations in water harvesting methods, particularly in areas where groundwater is deep and saline, and shows the adaptability of these technologies in contexts of increasing scarcity. We considered that local indigenous knowledge can largely contribute to the sustainable management of water resources. This study might be useful for decision-makers and water managers in drylands around the world to find and equitable approach that combines technical advances with local knowledge.

The effect of cardiac rehabilitation prescription on medication complications and ET-1, WMSI in elderly patients with coronary heart disease.

To explore the effects of cardiac rehabilitation prescriptions on medication complications, Endothelin 1 (ET-1), and Wall Motion Score Index (WMSI) in elderly patients with coronary heart disease. 98 elderly patients with coronary heart disease admitted to the Department of Cardiology of a hospital from January 2020 to June 2022 are selected. According to the red and blue ball method, 98 research subjects are divided into a control group and an observation group. The control group receives routine treatment and exercise intervention, while the observation group receives cardiac rehabilitation prescriptions. After a follow-up of 6 months, the incidence of medication complications between the two groups is compared. The changes in ET-1 and WMSI levels are compared before treatment, 1 month, 3 months, and 6 months after treatment. The two groups had no significant difference in ET-1 and WMSI levels before intervention. After intervention, both groups showed significant reductions in ET-1 and WMSI compared with baseline. The ET-1 of the observation group decreased significantly faster than the control group after 1 month, 3 months, and 6 months of intervention. The WMSI decreased more significantly at 6 months. The repeated measurement variance showed that there was a significant difference in the trend of ET-1 changes between the two groups, while the difference between the WMSI groups was not significant. The incidence of medication complications in the observation group was 10.20%, significantly lower than the 26.53% in the control group. Cardiac rehabilitation prescriptions can reduce the incidence of medication complications in elderly patients with coronary heart disease. It can reduce ET-1 levels faster, improve myocardial motor function, which has better myocardial function and medication safety than conventional treatment.

Study on the parameters of non-thermal plasma degradation process based on the combination of simulation and experiment

The destruction of benzene in a dielectric barrier discharge (DBD) reactor was studied in this work. The effects of specific energy density, initial concentration and oxygen content on benzene degradation efficiency were investigated by experiment and matrix correlation analysis. The results showed that specific energy density was the most important factor on benzene removal with a Pearson's coefficient of 0.7, meanwhile both initial concentration and oxygen content presented the inverse influence. In addition, a model to study the plasma discharge process was developed by COMSOL simulation software and surface reactions were included in the model. The behavior of the plasma was described by the coupled equations of electron density, heavy matter density and electron mean energy, and the drift-diffusion equation was calculated. When the peak voltage is 30 kV, the terminal current obtained by the simulation is 0.03 A, and the corresponding output current measured by the experiment is 0.013 A. Simulated and experimental current change trends are the same, indicating that the method simulation is correct and reasonable.

Comprehensive evaluation of nine evapotranspiration products from remote sensing, gauge upscaling and land surface model over China.

Benefiting from the advancements in monitoring and measuring terrestrial evapotranspiration (ET), diverse ET products have been proliferated. This study evaluated nine ET products from three types, namely remote sensing-based retrievals (GLEAM, PML and PLSH), gauge-based upscaling (FCCRU, FCGSW and FCWFD) and land surface model-based reanalysis (ERA5-Land, GLDAS and MERRA) over China and its seven climate zones. Both spatial and temporal change trends in ET were investigated, and period feature were analyzed. Then, in-situ ET observations were used for validating the performances of ET products. The results demonstrate that all products show comparable performances in spatial distribution over China, but the mean ET values present evident discrepancies (433-563 mm/a). Among them, reanalysis ET products reproduce higher ET, but with less difference. In terms of climate sub-regions, the most significant discrepancies are located in QT. In addition, PLSH, MERRA and GLDAS present substantial increasing trends, while all three gauge-based upscaling ET products display decreasing trends. Regionally, all the ET products show positive trends in QT. Moreover, most of ET products present apparent periodic oscillation ranging from 2.0-5.5 year scales. At point scale, most ET products perform well at NMG and CBS sites (CC > 0.80, RMSE < 20 mm/month). However, general underestimations appear in northwestern China sites (HB and DX), and systematical overestimation exist in southern China sites (DHS and XSBN). By comparison, remote sensing-based ET products performs best, followed by gauge-based upscaling ET, comparatively, reanalysis-based ET products have poorest performances against in-situ ET observations. This study can provide valuable reference information for the selection of proper ET datasets for the hydrological simulation and analysis over China.

Isovolumic relaxation intraventricular pressure difference predicts elevated left ventricular end-diastolic pressure in patients with coronary artery disease.

Current guideline for evaluating diastolic function requires multiple parameters to identify patients with elevated left ventricular end-diastolic pressure (LVEDP). However, the intermediate result still exists and may cause LVEDP undetermined. Previous studies have shown intraventricular pressure difference (IVPDs) are required for normal LV filling, but the relationship between IVPDs and LVEDP is unknown. In this study, we analyzed the relationship between IVPDs and LVEDP in 54 patients with coronary artery disease (CAD). LVEDP was prospectively measured at the time of coronary intervention and LVEDP > 15 mmHg was considered as elevated LV filling pressure. Simultaneous echocardiographic data was collected prior to the intervention. The relative intraventricular pressure was calculated using the vector flow mapping method. The IVPD was defined as the pressure difference from the apex to the base of LV. From 54 patients presenting with CAD, elevated LVEDP occurred in 30(55.6%). To analyze the changing trend of IVPD with LVEDP, CAD patients were further divided into group I with normal LVEDP (12.7 ± 3.1 mmHg) and group II with elevated LVEDP (26.0 ± 7.2 mmHg). In early diastole, both isovolumic relaxation period and rapid filling period showed decreased IVPD in CAD patients, but only the reduction in isovolumic relaxation period (IVPD-IVR) was statistical different between patients with elevated LVEDP and normal LVEDP (1.03 ± 0.42 mmHg vs. 2.25 ± 1.21 mmHg, p < 0.01). IVPD-IVR had the best correlation with LVEDP (r=-0.499, p < 0.01) among IVPDs. Lower IVPD-IVR was associated with higher risk of elevated LVEDP. Evaluating IVPD-IVR might improve the diagnostic algorithm for predicting elevated LVEDP.

The Trend of Changes in the Differentiation in Climate Change Law: Towards Intensifying, Not Weakening

Abstract The differentiation between developing and developed countries has been one of the central issues in the climate change legal regime from the beginning. Although there is a consensus among countries regarding the CBDR-RC as the basis for differentiation, the developing countries have always emphasized the first part of the principle, the responsibility of the developed countries based on equity, and in contrast, the developed countries have focused on the second part, the capability of countries to deal with climate change. Due to this contrast between approaches, the differentiation in the evolutionary process of the climate change regime has always been very volatile, from the UNFCCC to the Paris Agreement. The question arises as to what direction the differentiation has gone and what path it will take. This research shows that the movement toward specialization, pragmatism, and flexibility indicate differentiation is going towards strengthening, and the attempt to weaken or gradually eliminate it will most likely lead to the meaningless participation of developing countries and ultimately the ineffectiveness of the regime. To achieve equitable differentiation along with global participation in the future, two-stage differentiation can be applied. In the first step, the differentiation should be applied between developed and developing countries based on an equitable approach to changing responsibility, and in the second step, sub-differentiation should be applied between the developing countries themselves based on national economic-environmental circumstances such as capability and vulnerability. In this case, differentiation will be considered an opportunity and catalyst instead of a threat and an obstacle.

Abstract 4134851: Demographic and regional disparities in cerebrovascular disease mortality among adult patients with pre-existing atherosclerosis in the United States from 1999-2020

Introduction: Atherosclerosis (ATH) is a major risk factor for cerebrovascular disease (CEVD), with persistent mortality disparities. Our study aims to identify vulnerable regions and demographics in the US adult population with pre-existing ATH at risk of CEVD. Methods: CDC Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) was used to access National Vital Statistics System data from 1999 to 2020. ATH-related CEVD was identified using CEVD as the underlying cause of death and ATH as a contributing cause of death. Results were presented as age-adjusted mortality rates (AAMR) per 100,000 population. Joinpoint regression was used to examine changes in trend and annual percentage change (APC). Results: A total of 325,408 CEVD occurred in patients with ATH from 1999 to 2020 (AAMR = 6.9, 95% CI: 6.8-7). Increased mortality rates were observed in males (AAMR = 6.3) as compared to females (AAMR = 5.1) (Figure, Panel A). AAMRs were highest in Non-Hispanic Whites [NHW] (5.7, 95% CI: 5.7 - 5.8), followed by non-Hispanic blacks [NHB] (5.5, 95% CI: 5.4 - 5.5), Hispanics (4.1, 95% CI: 4.0 - 4.1) and non-Hispanic American Indian/Alaska Native [NH-AIAN] (3.6, 95% CI: 3.4 - 3.8). Non-Hispanic Asian/Pacific Islander [NH-API] had the lowest mortality rates (3.4, 95% CI: 3.4 - 3.5). Region-wise analysis revealed that mortality rates were highest in the West (6.4, 95% CI: 6.3-6.4) and Midwest (6.2, 95% CI: 6.1-6.2). The South reported the rate of 5.5 (95% CI: 5.5-5.6), while the Northeast had the lowest rate (4.4, 95% CI: 4.3-4.4). Mortality rates were consistently higher in rural areas (6.1, 95% CI: 6.0-6.1) compared to urban areas (5.3, 95% CI: 5.3-5.4) throughout the study period. Overall AAMR rose from 9.0 in 1999 to 10.4 in 2001, then steadily declined before increasing to 3.6 from 2016 to 2020 (APC: 0.41). After an initial decline, AAMR increased in men (APC: 1.09) from 2016 and in women (APC: 5.09) from 2018. AAMR also increased among NH-API (APC: 8.9) and NHB (APC: 8.3) from 2018 onwards, and NHW (APC: 0.1) from 2016 (Figure, Panel B). Conclusions: Our study reveals significant mortality disparities from CEVD in patients with ATH, identifying males, NHW, and residents in the West and Midwest as particularly at increased risk. Rural areas consistently show higher mortality rates than urban areas. These findings highlight the need for targeted interventions and strategic provision of healthcare resources to improve outcomes for vulnerable populations.