Geographical Distribution Research Articles

2022 insights on hospital bed distribution in Saudi Arabia: evaluating needs to achieve global standards

BackgroundEquitable geographical distribution of health resources, such as hospital beds, is fundamental in ensuring public accessibility to healthcare services. This study examines the distribution of hospital beds across Saudi Arabia's 20 health regions.MethodsA secondary data analysis was conducted using the 2022 Saudi Ministry of Health Statistical Yearbook. The study focused on calculating the hospital beds-per-1,000-people ratio across Saudi Arabia's 20 health regions. The analysis involved comparing regional bed distributions using the Gini index and Lorenz curve to assess the distribution of hospital beds.ResultsThe national average beds-per-1,000-people ratio was 2.43, serving a population of approximately 32.2 million. The calculated mean Gini index for bed distribution was 0.15, which indicates a relatively equitable distribution. Further analysis revealed some regional disparities, with health regions like Makkah and Jeddah displaying critically low bed-to-population ratios. In contrast, others like Al-Jouf and the Northern region reported higher ratios. The study also identified the need for an additional 17,062 beds to meet international standards of 2.9 beds per 1,000 people.ConclusionsThe findings revealed a national average beds-per-1,000-people ratio of 2.43, with some regional disparities. The study highlights the critical need for targeted healthcare planning and policy interventions to address the uneven distribution of hospital beds across Saudi Arabia.Trial registrationNot applicable.

Spatial non-equilibrium and distribution dynamic evolution of the development level of national physical fitness in China's provinces.

Physical health is fundamental to a country's socio-economic advancement. An in-depth exploration of the spatial distribution and dynamic evolution of national physical fitness across China is crucial for enhancing the country's overall physical health. This study aims to provide valuable insights into the geographical and temporal patterns of physical fitness, informing strategies for national physical fitness improvement. Employing data from China's national physical fitness monitoring of 31 provinces, cities, and districts for the years 2005, 2010, and 2015, this study utilizes the Gini coefficient, its decomposition, and nonparametric density estimation methods. These techniques are applied to analyze the spatial disparities and temporal trends in national physical fitness levels among different demographics, including the overall population, males, females, and urban and rural residents. The study reveals that the regional disparity in China's national physical fitness initially narrowed and then expanded across the general population, females, and in both urban and rural areas, while consistently increasing among males. In terms of geographical distribution, the East, Middle, and West regions show significant heterogeneity, with the East-West gap being the most pronounced (Gini coefficients of 0.0249, 0.0230, 0.0263). The contribution rate of regional gaps was highest (54.40% -64.69%), followed by regional disparities (24.78% -27.15%), and the contribution of hypervariable density difference was the smallest (10.53% -19.75%). Despite a slight improvement in overall national physical fitness, the absolute regional disparities have further widened. Provinces with lower levels of national physical fitness demonstrate a 'club convergence' trend, indicating regional clustering of similar fitness levels. Additionally, a 'catch-up effect' is evident in rural areas, particularly in provinces with historically lower levels of national physical fitness. These findings suggest the need for region-specific public health strategies to address the growing disparities in national physical fitness across China.

Contribution of imaging in the diagnosis of three neglected diseases in the Southern Cone: Leishmaniasis, Dengue, and Chikungunya.

Neglected diseases such as leishmaniasis, dengue, and chikungunya pose significant challenges to public health due to their high prevalence and wide geographic distribution in the Southern Cone region. These diseases are transmitted through insect bites, which serve as natural reservoirs. While their imaging findings are not always conclusive, they can play a crucial role in the diagnosis and monitoring. This review provides a concise overview of the clinical manifestations, epidemiological context, and imaging findings associated with these diseases. The primary purpose of this article is to share our experience and offer valuable insights into the use of imaging for the diagnosis and monitoring of patients suspected to have these diseases.

Isolation and characterization of Leptospira licerasiae in Austrian swine — a first-time case report in Europe

BackgroundLeptospiraceae comprise a diverse family of spirochetal bacteria, of which many are involved in infectious diseases of animals and humans. Local leptospiral diversity in domestic animals is often poorly understood. Here we describe the incidental detection of Leptospira (L.) licerasiae in an Austrian pig.Case presentationDuring an experiment to characterize the pathogenesis of L. interrogans serovar Icterohaemorrhagiae in pigs, cultivation of a urine sample from a non-challenged contact pig resulted in growth of a spirochetal bacterium that tested negative for pathogenic Leptospira (LipL32 gene). PCR, Sanger sequencing and standard serotyping further confirmed that the recovered isolate was clearly different from the challenge strain L. interrogans serovar Icterohaemorrhagiae used in the animal experiment. Whole genome sequencing revealed that the isolate belongs to the species L. licerasiae, a tropical member of the Leptospiraceae, with no prior record of detection in Europe.ConclusionsThis is the first report describing the occurrence of L. licerasiae in Europe. Since L. licerasiae is considered to have intermediate pathogenicity, it will be important to follow the geographical distribution of this species and its pathogenic and zoonotic potential in more detail.

New records and a comprehensive checklist of mammoth wasps (Hymenoptera, Scoliidae) in Panama

A list of Scoliidae species recorded in Panama is presented. Considering the recent taxonomic updates made on this tribe of wasps, as well as the lack of a formal study on its geographical distribution, richness, and species diversity in Panama, this study aimed to document the existing species in the country. Based on literature records and an examination of 383 specimens, we found a total of 13 species and 7 genera. The following two species and one subspecies are recorded for the first time in Panama: Dielis tolteca (Saussure, 1857), Pygodasis hyalina (Saussure, 1864), and Pygodasis ephippium wagneriana (Saussure, 1864).

Serologically Confirmed Human Leptospirosis in Colombia, 2015-2020.

Leptospirosis, a bacterial infection transmitted through contact with infected animals or contaminated water sources, imposes a substantial health burden in Colombia. Since 2007, the National Institute of Health (INS) has mandated the notification and confirmation of all suspected leptospirosis cases. This passive surveillance program employs the microscopic agglutination test (MAT) on serum samples to ascertain confirmed cases of leptospirosis infection. However, the absence of a robust surveillance system has hindered our comprehensive understanding of the morbidity, mortality, geographical distribution, species/serovars, and strains responsible for severe disease. Our study aimed to provide an epidemiological overview of MAT-confirmed human leptospirosis cases reported over 6 years (2015-2020) in Colombia. In addition, we offer insights into the status of leptospirosis in the country, focusing on risk factors and proposing potential improvements for diagnosis and disease management. During the 6-year surveillance period, the laboratory at the INS received 3,535 serum samples from suspected human leptospirosis cases, with 880 (25%) confirmed through MAT. The incidence of leptospirosis was calculated at 1.9 cases per 100,000 people, with a higher prevalence among men (82.1%). Furthermore, 54 (6.1%) deaths were confirmed as leptospirosis, and cases were documented across nearly all regions of Colombia. Our findings emphasize the urgent need to strengthen leptospirosis laboratory surveillance, implement effective prevention measures, and enhance diagnostic capabilities in Colombia. The analysis conducted in this study provides the groundwork for estimating the impact of leptospirosis and raises awareness of its significance in public health.

Evaluation of Differences in Capacity of Nutrient Content Accumulation between two Ecotypes of Lotus (Nelumbo Nucifera) due to Environmental Difference in Tropical and Temperate Regions

Environmental fluctuations can amplify variations even in clonal plants. However, it is unclear whether these differences in environmental conditions can alter physiological activities of two different ecotypes of lotus. We intended to evaluate whether the difference in nutrient content accumulation capability between two ecotypes is different because of the different geographical distribution. The present study revealed us a substantial difference in capacity of nutrient accumulation of lotus (Nelumbo nucifera) due to environmental difference in tropical and temperate zone. The moisture content of lotus in the tropical region was 8.25%, whereas the temperate region was 86.04%.Maintaining a low moisture content might extend the shelf life of the seed. Crude protein and crude fibres levels were found to be high in tropical lotus (24.4% and 3.15%, respectively) and low in temperate lotus (17.50% and 2.00%). Growth amplifying environmental conditions leads to increase in production of protein content. The tropical lotus has the largest crude lipid content (3.68%), whereas the temperate lotus had the lowest (1.90%).Because of the presence of big rhizomes in temperate lotus, the amount of Ash content produced (8.00%) was about double that of tropical lotus (4.03%). Overall, the tropical lotus ecotype had the highest nutrient content accumulation for crude protein, crude fibres and crude lipids. However, temperate lotus has the highest moisture and ash content.

A new taxonomic treatment and comprehensive evaluation of the genus Aegokeras (Apiaceae) endemic to Turkey

The systematic position of the species Pimpinella ibradiensis, a narrow endemic to Turkey, was evaluated on the basis of morphological data and nrDNA ITS sequences. The species Pimpinella ibradiensis has been classified within the genus Pimpinella, particularly due to the similarity of leaf characteristics. However, the presence of trifoliolate leaves has been observed in both the isotype specimens and newly collected specimens from the field. Field observations, detailed morphological comparison, mericarp anatomy, and nrITS sequences data have supported the inclusion of this species within the genus Aegokeras. Furthermore, the description of the species P. ibradiensis has been emended, and the diagnostic morphological characters of all Aegokeras species are discussed. Additionally, the geographical distribution of the genus Aegokeras species is mapped, and an identification key with a description of all species is provided.

Two-echelon collaborative many-to-many pickup and delivery problem for agricultural wholesale markets with workload balance

In the context of cooperation distribution among multiple wholesale markets, each customer can place orders with multiple agricultural wholesale markets, and each agricultural wholesale market can supply different products. To improve their distribution efficiency and avoid traffic congestion, cargoes need to be transshipped among collaborative distribution of different agricultural wholesale markets owing to their product heterogeneity. Each agricultural wholesale market undertakes the cost of completing the task for the reassigned customers of finding a balance among them, respectively. Fairness of allocation is achieved through workload balance and individual rationality constraints instead of monetary transfer payments. Aimed at the collaboration problem, a two-echelon collaborative many-to-many pickup and delivery problem with workload balance (2E-MPDP-WB) is presented in this study. A mixed-integer programming model for 2E-MPDP-WB is established, and a two-stage iterative algorithm combining branch-and-bound algorithm and adaptive large neighborhood search algorithm is proposed according to the problem structure. Some valid inequalities are also proposed. Finally, computational experiments show the correctness of the model and effectiveness of the algorithm, and sensitivity analysis is performed from four aspects, namely, costs before and after collaboration, workload balance, market geographical distribution, and demand mixing degree. The findings provide management insights for the collaborative distribution of multiple wholesale markets.

Demographic and geographic distribution of diabetes and pre-diabetes risk in rural settings: results from a cross-sectional, countywide rural health survey in Sullivan County, New York

ObjectiveTo perform a detailed characterisation of diabetes burden and pre-diabetes risk in a rural county with previously documented poor health outcomes in order to understand the local within-county distribution of...

Green lizards (Squamata, Lacertidae) from ?Pliocene deposits of Węże I in southern Poland, with comments on cranial features for selected lacertids

AbstractI here describe lacertids from the classic Węże I locality in southern Poland (?Pliocene deposits) based on six previously undescribed jaws: an incomplete left maxilla, two dentaries and three mandibles. These jaws collectively provide considerable data on the morphology of the maxilla, dentary, teeth, coronoid, splenial, angular, surangular and prearticular. All six jaws can be unequivocally allocated to Lacertidae and five of those are allocated to European green lizards of the Lacerta viridis group. Currently, La. viridis has regionally extinct or probably extinct status in Poland. The material from Węże I provides evidence that European green lizards had a large geographic distribution in Europe, including Poland during the ?Pliocene. One mandible fragment appears to be slightly different and is allocated to Lacertidae indet. That mandible might point to a higher taxonomic diversity of lacertids in this locality. However, that interpretation needs to be viewed with caution, because based on such limited material, individual and/or ontogenetic variation cannot be ruled out. To reveal the real taxonomic palaeodiversity of lacertids in Węże I, new and more complete cranial material is needed. In addition, this article provides insights into the comparative osteology of skulls and selected cranial elements in lacertids.

STELLM: Spatio-temporal enhanced pre-trained large language model for wind speed forecasting

As a renewable and clean energy source, wind energy has caught worldwide attention. To ensure the reliability and stability of wind energy production, wind speed forecasting is of great importance. Although existing forecasting models have shown promising results, they remain relatively small in scale and are incapable of learning comprehensive sequential representations from large-scale data to reason intricate spatio-temporal patterns obscured in entangled wind series. Recently, pre-trained large models have demonstrated impressive performance in natural language processing (NLP) and computer vision (CV). However, large models are rarely applied to wind speed forecasting due to the lack of large-scale wind data for training. To resolve this issue, we propose Spatio-Temporal Enhanced Pre-Trained Large Language Model, namely STELLM, innovatively leveraging the powerful reasoning ability of Large Language Models (LLMs) for accurate wind speed forecasting. Specifically, we first perform the series decomposition to separate wind series data into seasonal and trend components, capturing the distinct properties from disentangled patterns. Then, to empower LLMs with the spatio-temporal modeling capability, we introduce the spatial and temporal prompts, which fuse the geographic distribution information and short-term temporal patterns of wind turbines to enrich the input wind series. Moreover, we leverage an autoregressive fine-tuning strategy to align LLMs with wind series data and learn patch-level representations. Afterwards these representations are fed into a localized spatial module to capture the spatial dependencies between wind turbines. Extensive experiments on four public wind datasets demonstrate the performance superiority of STELLM.

Can the IRA and CHIPS Act Reduce Labor Earnings Inequality? Lessons from the US Shale Boom

We study how the US shale boom decreased labor earnings inequality by increasing demand for low-skill labor in small labor markets. The similarities in the concentrated geographic distribution of investments and the labor needed to build capacity between the US shale boom and the manufacturing construction influx that has followed the passage of the IRA and CHIPS and Science Acts raise the possibility that these bills could also impact labor earnings inequality in a similar way.

Ten years of oil pollution detection in the Eastern Mediterranean shipping lanes opposite the Egyptian coast using remote sensing techniques

The Eastern Mediterranean region, a vital conduit for global maritime trade, faces significant environmental challenges due to marine pollution, particularly from oil spills. This is the first study covering the long period of comprehensive monitoring of oil pollution using the full mission of Sentinel-1 Synthetic Aperture Radar (SAR) data in the Mediterranean Sea, so this research aims to detect and analyze comprehensively the occurrence of oil spills in the Eastern Mediterranean over a decade (2014–2023). This study focuses on identifying geographical distribution patterns, proximity to shorelines, frequency across maritime zones, and potential sources of these spills, especially around major ports and maritime routes. This study utilizes SAR data from the Sentinel-1 satellite. The methodology included automated detection algorithms within the Sentinel application platform (SNAP) and integration with GIS mapping to study oil spill patterns and characteristics. Over 1000 Sentinel-1 scenes were investigated in the northern Mediterranean waters off the coast of Egypt, to detect and analyze 355 oil spill events with a total impacted area of more than 6000 km2. The analysis of temporal spill distribution reveals significant fluctuations from year to year. Within the entire timeline of the study, 2017 had the largest spatial areas covering one thousand square kilometers. In contrast, the single largest spill recorded during the study period occurred in 2020, covering 198.73 square kilometers. The results identified a non-uniform distribution of oil spills and primarily exhibiting elongated patterns aligned with the navigation routes. The distinct increase of oil spill incidents was within the Exclusive Economic Zone (EEZ), obviously drifted to the coastline and around major ports. The study emphasizes the critical role of remote sensing technologies in addressing environmental challenges caused by the maritime transport sector, advocating for enhanced monitoring and regulatory enforcement to protect marine ecosystems and support sustainable naval activities. The findings highlight the urgent need for targeted continuous monitoring and rapid response strategies in high-traffic maritime areas, particularly around the EEZ and major ports.

Multiple acquisitions of XopJ2 effectors in populations of Xanthomonas perforans.

Type III effectors (T3Es) are major determinants of Xanthomonas virulence and targets for resistance breeding. XopJ2 (syn. AvrBsT) is a highly conserved YopJ-family T3E acquired by X. perforans, the pathogen responsible for bacterial spot disease of tomato. In this study, we characterized a new variant (XopJ2b) of XopJ2, which is predicted to have a similar 3D structure as the canonical XopJ2 (XopJ2a) despite sharing only 70% sequence identity. XopJ2b carries an acetyltransferase domain and the critical residues required for its activity, and the positions of these residues are predicted to be conserved in 3D structure of the proteins. We demonstrated that XopJ2b is a functional T3E and triggers hypersensitive response when translocated into pepper cells. Like XopJ2a, XopJ2b triggers HR in Arabidopsis that is suppressed by the deacetylase, SOBER1. We found xopJ2b in genome sequences of X. euvesicatoria, X. campestris, X. citri, X. guizotiae, and X. vasicola strains, suggesting widespread horizontal transfer. In X. perforans, xopJ2b was present in strains collected in North and South America, Africa, Asia, Australia, and Europe, whereas xopJ2a had a more narrow geographic distribution. This study expands the Xanthomonas T3E repertoire, demonstrates functional conservation in T3E evolution, and further supports the importance of XopJ2 in X. perforans fitness on tomato.

Incidence of Alzheimer Disease and Related Dementias in Iran From 2000 to 2019.

This is the first comprehensive national and subnational epidemiological study reporting the incidence of Alzheimer disease and related dementias (ADRD) in Iran from 2000 to 2019 and predictions for 2024. We extracted age-standardized incidence stratified by sex and provinces from the Institute for Health Measurement and Evaluation (IHME). Arc Map GIS was used to report the geographical distribution, and the Cochran-Armitage test was used for prediction. Predictions showed that the incidence of ADRD would reach 118 (women) and 109 (men) cases per 100,000 population in Iran in 2024. The most increasing incidence from 2000 to 2019 was reported among women in Qom, while Yazd had the most incidences among men and women in 2019. The results showed an increase in the incidence of ADRD in Iran in recent years, and the increase in life expectancy and population aging can be considered as an influential factor.

Infection and biogeographical characteristics of Paragonimus westermani and P. skrjabini in humans and animal hosts in China: A systematic review and meta-analysis.

Paragonimiasis, primarily caused by Paragonimus westermani and P. skrjabini in China, is a common food-borne parasitic zoonosis. However, the national distribution of Paragonimus spp. infection and its associated environmental determinants remain poorly understood. In this paper, we summarize the infection of P. westermani and P. skrjabini and describe key biogeographical characteristics of the endemic areas in China. Data on Paragonimus infection in humans and animal hosts were extracted from eight electronic databases, including CNKI, CWFD, Chongqing VIP, SinoMed, Medline, Embase, PubMed, and Web of Science. A random-effects meta-analysis model was used to estimate the pooled prevalence. All survey locations were georeferenced and plotted on China map, and scatter plots were used to illustrate the biogeographical characteristics of regions reporting Paragonimus infection. A total of 28,948 cases of human paragonimiasis have been documented, with 2,401 cases reported after 2010. Among the 11,443 cases with reported ages, 88.05% were children or adolescents. The pooled prevalence of P. skrjabini is 0.45% (95% CI: 0.27-0.66%) in snails, 31.10% (95% CI: 24.77-37.80%) in the second intermediate host, and 20.31% (95% CI: 9.69-33.38%) in animal reservoirs. For P. westermani, the pooled prevalence is 0.06% (95% CI: 0.01-0.13%) in snails, 52.07% (95% CI: 43.56-60.52%) in the second intermediate host, and 21.40% (95% CI: 7.82-38.99%) in animal reservoirs. Paragonimus are primarily distributed in regions with low altitude, high temperature, and high precipitation. In northeastern China, only P. westermani infections have been documented, while in more southern areas, infections of both P. westermani and P. skrjabini have been reported. Paragonimiasis remains prevalent in China, particularly among children and adolescents. Variations exist in the intermediate hosts and geographical distribution of P. westermani and P. skrjabini. Additionally, altitude, temperature, and precipitation may influence the distribution of Paragonimus.

Clarification of the distribution, conchological diversity, and taxonomic status of the Iberian snail Iberus globulosus C.R. Boettger, 1913 (Gastropoda: Stylommatophora: Helicidae)

The taxonomic status of Iberus globulosus has been unsatisfactorily resolved since its original description, but in 2008 a molecular phylogenetic study of the genus Iberus suggested that it could be a valid species. However, limited information on both its geographic distribution and its conchological variability has made it difficult to properly delineate the species. Our exhaustive sampling throughout the potential area of its geographic distribution and the morphological study herein, together with pre-existing genetic evidence, allow us to confirm the validity of I. globulosus. Consequently, we improve the characterization of I. globulosus by redescribing it. Additionally, we provide information on the potential for hybridization among I. globulosus and geographically and phylogenetically close congeneric species.

A Systematic Review of Stakeholders’ Engagement as a Critical Tool for Effective Project Performance

A comprehensive review of stakeholders’ engagement (SE) articles published in the last decade (2014-2023) was undertaken in this work. 100 SE publications were identified using the Systematic Quantitative Assessment Technique. Time distribution, geographic distribution, article type, data gathering methods, and themes discussed were all covered in the review. The data revealed that interest in SE has been at increase in the last decade, and that North America and Europe are the regions with the least amount of SE research. The ratio of conceptual to empirical SE articles was skewed toward the latter, and the most common data collection method was survey. The most striking finding was that, in order to ensure successful implementation and performance of projects, stakeholders’ engagement from conception to actual implementation and supervision of projects is not only desirable but necessary to ensure clear understanding, continuous, transparent, participatory, and more often than sustainable process.

Prion protein gene (PRNP) variation in German and Danish cervids

The structure of cellular prion proteins encoded by the prion protein gene (PRNP) impacts susceptibility to transmissible spongiform encephalopathies, including chronic wasting disease (CWD) in deer. The recent emergence of CWD in Northern European reindeer (Rangifer tarandus), moose (Alces alces alces) and red deer (Cervus elaphus), in parallel with the outbreak in North America, gives reason to investigate PRNP variation in European deer, to implement risk assessments and adjust CWD management for deer populations under threat. We here report PRNP-sequence data from 911 samples of German red, roe (Capreolus capreolus), sika (Cervus nippon) and fallow deer (Dama dama) as well as additional data from 26 Danish red deer close to the German border and four zoo species not native to Germany. No PRNP sequence variation was observed in roe and fallow deer, as previously described for populations across Europe. In contrast, a broad PRNP variation was detected in red deer, with non-synonymous polymorphisms at codons 98, 226 and 247 as well as synonymous mutations at codons 21, 78, 136 and 185. Moreover, a novel 24 bp deletion within the octapeptide repeat was detected. In summary, 14 genotypes were seen in red deer with significant differences in their geographical distribution and frequencies, including geographical clustering of certain genotypes, suggesting “PRNP-linages” in this species. Based on data from North American CWD and the genotyping results of the European CWD cases, we would predict that large proportions of wild cervids in Europe might be susceptible to CWD once introduced to naive populations.