Shiyan City Research Articles

Spatial differentiation and influencing factors of effective phosphorus in cultivated soil in the water source area of the mid-route of South-to-North water transfer project.

The long-term application of phosphate fertilizers in agricultural production leads to a large accumulation of phosphorus in the soil. When it exceeds a certain limit, phosphorus will migrate to surrounding water bodies through surface runoff and other mechanisms, potentially causing environmental risks such as eutrophication of water bodies and increasing the risk of water source pollution. This study takes Shiyan City, the water resources area of the mid-route of the South-to-North Diversion Project (MSDP), as the study area. Based on 701 sampling points of topsoil, geostatistics and geodetectors were used to explore the spatial heterogeneity and influencing factors of available phosphorus (AP) in the topsoil of the area. The results show that the effective phosphorus content in the topsoil of the study area ranges from 0.30 to 146.00 mg/kg, with an average value of 14.28 mg/kg, showing strong variability characteristics. Geostatistical analysis shows that among all theoretical models, the exponential model has the best fitting effect, with a lump gold effect of 0.447 and a range of 82,000 m. The soil available phosphorus content shows an increasing trend from the Central Valley lowlands to the surrounding mountainous hills. Among them, elevation is the main controlling factor for the spatial variation of available phosphorus in the topsoil, followed by soil types, planting systems, annual precipitation, and organic matter. The non-linear enhancement or dual-factor enhancement among various environmental factors reveals the diversity and complexity of spatial heterogeneity affecting available phosphorus content in cultivated soil. This study could provide scientific references for maintaining ecological security in the water source area of the MSDP, improving the precise management of AP, and enhancing cultivated land quality.

Optimized Landslide Susceptibility Mapping and Modelling Using the SBAS-InSAR Coupling Model

Landslide susceptibility mapping (LSM) can accurately estimate the location and probability of landslides. An effective approach for precise LSM is crucial for minimizing casualties and damage. The existing LSM methods primarily rely on static indicators, such as geomorphology and hydrology, which are closely associated with geo-environmental conditions. However, landslide hazards are often characterized by significant surface deformation. The Small Baseline Subset-Interferometric Synthetic Aperture Radar (SBAS-InSAR) technology plays a pivotal role in detecting and characterizing surface deformation. This work endeavors to assess the accuracy of SBAS-InSAR coupled with ensemble learning for LSM. Within this research, the study area was Shiyan City, and 12 static evaluation factors were selected as input variables for the ensemble learning models to compute landslide susceptibility. The Random Forest (RF) model demonstrates superior accuracy compared to other ensemble learning models, including eXtreme Gradient Boosting, Logistic Regression, Gradient Boosting Decision Tree, and K-Nearest Neighbor. Furthermore, SBAS-InSAR was utilized to obtain surface deformation rates both in the vertical direction and along the line of sight of the satellite. The former is used as a dynamic characteristic factor, while the latter is combined with the evaluation results of the RF model to create a landslide susceptibility optimization matrix. Comparing the precision of two methods for refining LSM results, it was found that the method integrating static and dynamic factors produced a more rational and accurate landslide susceptibility map.

Research on the Current Situation and Countermeasures for the Development of the Digital Culture Industry in Shiyan City

With the advent of the digital era, the digital culture industry has become a crucial engine for economic growth and cultural innovation. This paper focuses on Shiyan City in Hubei Province, conducting an in-depth analysis of the current state of its digital culture industry. It identifies several challenges faced by Shiyan's digital culture industry, including small industry scale, insufficient diversification, a shortage of digital culture talent, and inadequate policy support. To address these issues and promote high-quality development of the digital culture industry in Shiyan City, the paper proposes the following countermeasures: strengthening policy guidance for the digital culture industry, establishing and improving mechanisms for talent cultivation and recruitment, actively fostering new business forms in the digital culture industry, and vigorously supporting leading enterprises in the digital culture sector.

Antimicrobial resistance and genetic relatedness of Salmonella serotypes isolated from food, asymptomatic carriers, and clinical cases in Shiyan, China.

Salmonella is a primary cause of foodborne diseases globally. Despite food contamination and clinical infections garnering substantial attention and research, asymptomatic Salmonella carriers, potential sources of infection, have been comparatively overlooked. In this study, we conducted a comparative analysis of serotype distribution, antimicrobial resistance phenotypes, and genetic profiles of archived Salmonella strains isolated from food (26), asymptomatic carriers (41), and clinical cases (47) in Shiyan City, China. Among the 114 Salmonella strains identified, representing 31 serotypes and 34 Sequence Types (STs), the most prevalent serovars included Typhimurium, Derby, Enteritidis, Thompson, and London, with the most predominant STs being ST11, ST40, ST26, ST34, and ST155. Antimicrobial resistance testing revealed that all strains were only sensitive to meropenem, with 74.6% showing antimicrobial resistance (AMR) and 53.5% demonstrating multidrug resistance (MDR). Strains resistant to five and six classes of antibiotics were the most common. Pearson's chi-square test showed no statistically significant difference in the occurrence of AMR (p = 0.105) or MDR (p = 0.326) among Salmonella isolates from the three sources. Our findings underscore associations and diversities among Salmonella strains isolated from food, asymptomatic carriers, and clinical patients, emphasizing the need for increased vigilance towards asymptomatic Salmonella carriers by authorities.

Nurses' Risk Perception of Adverse Events and Its Influencing Factors: A Cross-Sectional Study.

To investigate clinical nurses' perception of adverse event risk and to analyze its influencing factors. A proportional stratified random sampling method was applied to recruit nurses from a hospital in Shiyan City, Hubei Province, China. The Nursing Adverse Event Risk Perception Scale, Organizational Support Questionnaire, Nurse Manager Leadership Behavior Questionnaire, Nursing Safety Behavior Questionnaire, and Burnout scale was used to investigate 1084 nurses. Univariate analysis, Pearson correlation analysis, and multiple linear regression analysis were used to analyze the influencing factors. The scores of the Nurses' Risk Perception of Adverse Nursing Event Scale, Organizational Support Questionnaire, Nurse Manager Leadership Behavior Questionnaire, Nursing Safety Behavior Questionnaire, and Burnout Scale were 14.98 ± 5.39, 52.57 ± 10.00, 88.98 ± 21.08, 56.42 ± 5.03, 30.90 ± 21.49, respectively. According to the correlation analysis, nurses' perception of adverse nursing events was positively correlated with the sense of organizational support (r = .457, P < .01), head nurses' leadership behavior (r = .348, P < .01), and nurse safety behavior (r = .457, P < .01), and negatively correlated with the level of burnout (r = -.384, P < .01). According to the Regression analysis, nurses' departments (β = .226, P < .001), daily working hours (β = 1.122, P < .001), adverse events experience (β = -1.505, P < .001), organizational support (β = .105, P < .001), head nurses' leadership behavior (β = .072, P < .001), and burnout (β = -.052, P < .001) held an influence on nurses' risk perception of adverse nursing event. These factors explained 42.5% of the total variation. Nurses' risk perception of adverse nursing events needs to be improved. Nursing managers need to strengthen organizational support for nurses, change the leadership behavior of nurse managers, reduce nurses' burnout, improve nurses' risk perception of adverse nursing events, prevent adverse events, and ensure patient safety.

Participation Willingness and Influencing Factors of the Integration of Medical-Care-Tourism under the Background of Silver Economy—A Case Study of Shiyan City

Participation Willingness and Influencing Factors of the Integration of Medical-Care-Tourism under the Background of Silver Economy—A Case Study of Shiyan City

Data-Driven Landslide Spatial Prediction and Deformation Monitoring: A Case Study of Shiyan City, China

Landslide susceptibility mapping (LSM) is significant for landslide risk assessment. However, there remains no consensus on which method is optimal for LSM. This study implements a dynamic approach to landslide hazard mapping by integrating spatio-temporal probability analysis with time-varying ground deformation velocity derived from the MT-InSAR (Multi-Temporal InSAR) method. Reliable landslide susceptibility maps (LSMs) can inform landslide risk managers and government officials. First, sixteen factors were selected to construct a causal factor system for LSM. Next, Pearson correlation analysis, multicollinearity analysis, information gain ratio, and GeoDetector methods were applied to remove the least important factors of STI, plan curvature, TRI, and slope length. Subsequently, information quantity (IQ), logistic regression (LR), frequency ratio (FR), artificial neural network (ANN), random forest (RF), support vector machine (SVM), and convolutional neural network (CNN) methods were performed to construct the LSM. The results showed that the distance to a river, slope angle, distance from structure, and engineering geological rock group were the main factors controlling landslide development. A comprehensive set of statistical indicators was employed to evaluate these methods’ effectiveness; sensitivity, F1-measure, and AUC (area under the curve) were calculated and subsequently compared to assess the performance of the methods. Machine learning methods’ training and prediction accuracy were higher than those of statistical methods. The AUC values of the IQ, FR, LR, BP-ANN, RBF-ANN, RF, SVM, and CNN methods were 0.810, 0.854, 0.828, 0.895, 0.916, 0.932, 0.948, and 0.957, respectively. Although the performance order varied for other statistical indicators, overall, the CNN method was the best, while the BP-ANN and RBF-ANN method was the worst among the five examined machine methods. Hence, adopting the CNN approach in this study can enhance LSM accuracy, catering to the needs of planners and government agencies responsible for managing landslide-prone areas and preventing landslide-induced disasters.

Does the joint expansion of urban agglomerations threaten the supply and demand of water‐related ecosystem services? A case study in north‐west Hubei, China

AbstractIn the ecological protection zone, it is unclear how the joint development of urban agglomeration affects the supply–demand of water‐related ecosystem services (ESs). This study took northwest Hubei, China (Exibei), a national ecological function area, as a case study and predicted the land‐cover distribution in 2040 under three scenarios: natural scenario (2040NS), economic development (2040ED) and ecological protection (2040EP). And the supply–demand risks of water‐related ESs were simulated under three scenarios. Results indicated that (1) the increase in forest land (0.70%) under 2040NS, construction land (50.03%) under 2040ED and water body (15.16%) under 2040EP basically happened through the occupation of cultivated land; (2) under three scenarios, although the water yield demand in 2040 increased significantly, the supply still fully meet demand; (3) from 2020 to 2040, more than 13.50% of the areas in Exibei of water yield changed from surplus to deficit, mainly covering the north Xiangyang City and the middle Shiyan City; and (4) the change in supply and demand of soil retention from 2020 to 2040 was not obvious. This study provides assistance in water resources rational allocation in ecological function zones with rapid economic development and urban expansion.

Human factors analysis of a fatal gas explosion on June 13, 2021 in Shiyan City, China

AbstractHuman factors are considered the main cause of accidents involving pipeline explosionf. In order to identify the path of human‐induced explosion accidents, a gas pipeline explosion that occurred in Shiyan city of China is investigated thoroughly in this study. Applying the 24Model, the causes of the accident are classified into two levels: organizational and individual. The organizational level causes are further categorized into two elements, namely safety culture and safety management system. The individual level causes are further categorized into personal abilities and safety behaviors—both unsafe actions and unsafe conditions. The 24Model methodology further refines unsafe actions and unsafe conditions into subcategories for increased clarity. Based on the 24Model, it was determined that the Shinyan City incident was caused by gaps in personal abilities, which included insufficient safety knowledge, low safety awareness, and bad safety habits. Causes related to ability factors, safety management system, and safety culture were also identified. In addition, the relationship between the identified factors was developed according to the roles played by the accident causes, and the propagation path of the accident was established. This clarity helps to strengthen safety measures related to human factors.

Circulating organochlorine pesticide levels, genetic predisposition and the risk of incident type 2 diabetes

Persistent organochlorine pesticide (OCP) has been associated with type 2 diabetes (T2D), and genetic polymorphism might modify such an association. However, prospective evidence remains scarce. We conducted a nested case-control study comprising 1006 incident diabetic cases and 1006 matched non-diabetic controls [sex and age (±5 years)] from 2008 to 2013 (mean follow-up period: ∼4.6 years) based on the Dongfeng-Tongji cohort in Shiyan City of China, determined baseline levels of nineteen OCPs, and examined the associations of circulating OCPs, both individually and collectively, with incident T2D risk. We also constructed overall genetic risk score (GRS) based on 161 T2D-associated variants and five pathway-specific cluster GRSs based on established variants derived from the Asian population. Compared with the first quartile of serum β-BHC levels, the multivariable-adjusted ORs (95% CIs) of incident T2D risk in the second, third, and fourth quartiles were 0.98 (0.70–1.39), 1.43 (0.99–2.07), and 1.75 (1.14–2.68), respectively (FDR-adjusted Ptrend = 0.03). A positive association was observed between serum OCP mixture and incident T2D risk and can be largely attributed to β-BHC. Furthermore, serum β-BHC and p,p’-DDE showed significant interactions with the GRS for lipodystrophy, a T2D-related pathway representing fat redistribution to viscera, on T2D risk (Pinteraction < 0.05). In conclusion, higher circulating OCP levels were independently associated with an increased risk of T2D, with β-BHC possibly being the major contributor. Genetic predisposition to T2D-related morbidity, such as visceral adiposity, should be considered when assessing the risk of T2D conferred by OCPs.

Water Resources Carrying Capacity Based on the DPSIRM Framework: Empirical Evidence from Shiyan City, China

In this article, we construct an evaluation index system based on the DPSIRM framework to determine the water resources carrying capacity of Shiyan City. Then, we use an obstacle model to calculate and analyze the factors that constrain the improvement in the water resources carrying capacity in the city. The research results are as follows: (1) The water resources carrying capacity of Shiyan City was on the rise during 2011–2021, and the water resources carrying capacity of Shiyan City was continuously improved. (2) The management system is the primary obstacle subsystem, followed by the driving force system, the response system, the pressure system, the state system, and the influence system. (3) Among the specific factors, the top three obstacles are sewage treatment investment, the proportion of guaranteed harvest area in drought and flood, and the average annual fertilizer applied per unit of cultivated land. These primary factors restrict Shiyan City from improving its water resources carrying capacity. This study has important practical significance for understanding the resilience of the water system in Shiyan City; exploring the changes in the water resources carrying capacity and its obstacle factors; and guiding the development, utilization, and management of water resources in Shiyan City.

First Report of Root rot Caused by Mucor circinelloides on Fructus forsythiae in Hubei，China.

Fructus forsythiae is a typical traditional Chinese medicinal herb with antibacterial and anti-inflammatory effects. Surveys for root rot of F. forsythiae were conducted from 2021 to 2022 in China's major planting areas (Daweiyuan Village, Sanguandong Forest Area, Yunxi County, Shiyan City, Hubei Province, 32°52'52"N, 110°19'29"E). The disease has occurred in several plantations. A total of 200 F. forsythiae were investigated, among which 112 were diseased, the incidence rate was more than 50%, and all the plants in the plantation were over 3 years old. The roots of diseased plants were fully covered by white mycelia. When the disease was severe, leaves curled and fell, roots withered, and some eventually died. A total of 22 isolates were isolated from the 18 infected tissues ofF. forsythiae and purified by single spore cultures on PDA medium. The 22 isolates similared in morphology to isolate Lianmao (The name is one of the five sequenced samples in the lab) were selected to be representative of the group. The results showed that these samples belonged to the same pathogen. The isolates were characterized by yellowish colonies composed of tall and short sporangiophores 6 to 11 μm in width, terminal and globose sporangia, ellipsoidal sporangiospores with dimensions of 5 to 8 μm in length and 4 to 5 μm in width, and obovoid columellae. It was identified as Mucor circinelloides, based on morphological characteristics (Schipper 1976). The ITS and LSU sequences of the fungus were amplified, and sequenced with the primers ITS1/ITS4 and LROR/LR5 (White et al. 1990; Rehner et al. 1994). Sequences from isolate Lianmao were deposited in GenBank (accession nos. OQ359158 for ITS, OQ359157 forLSU). Analysis using the BLAST algorithm of the two amplified sequences showed 99.69 to 100% similarity with the sequences (KY933391 and MH868051) ofM. circinelloides.The isolated M. circinelloides was prepared into 150ml spore suspension (The method was to filter the PDB after 10 days of culture using gauze to get spore suspension. Then the concentration of spore suspension was diluted to 1.0×106 spores/ml using sterile water). The spore suspension was subsequently inoculated into healthy potted F. forsythiae plants. Uninoculated potted F. forsythiae plants served as controls. All the potted F. forsythiae plants were incubated at 25°C under 12h light and 12h dark conditions. The symptoms of the infected plants were similar to those observed in the field; The control plants were symptomless. The pathogen reisolated from symptomatic roots and morphologically identified as M. circinelloides. M. circinelloides has been reported as a pathogen of Morinda citrifolia, Aconitum carmichaelii and so on (Cui et al. 2021; Nishijima et al. 2011), but it has never been reported on F. forsythiae before. This is the first report of root rot caused by M.circinelloides on F. forsythiae. This pathogen may present a threat to the production of F. forsythiae in China.

The deformation evolution law and stability evaluation of the high-filled slope in the cutting hills to backfill ditches project

The cutting hills to back ditches (CHBD) project has been widely implemented since urbanization in hilly areas is steadily rising. The stability of the high-filled slope and the problem of foundation settlement deformation has become one of the vital issues for safe construction. This paper focused on the deformation evolution law and stability assessment of the high-filled deposit slope composed of the soil-rock mixture (S-RM) in the CHBD project, in Shiyan City, Hubei Province as examples. First, large-scale direct shear tests of S-RM with different rock block proportions (RBPs) under different various normal stresses were carried out, and its mechanical properties were analyzed. Next, the finite element method was used to simulate the processes of the step-by-step filling, and the deformation evolution law was analyzed. Then, the limited equilibrium method (LEM) was used to obtain the potential sliding surfaces and the corresponding safety factors of the high-filled slope, and the safety of the construction was assessed. Finally, automated monitoring of the step-by-step settlement and deep soil deformation was computerized for the typical locations, and the long-term stability of the high-filled slope was studied. The results demonstrate that the first layer of backfill in the F area contains the largest incremental settlement displacement in the y-direction, whereas the value in the G area occurs at the site of the fill layer close to the slope surface at each filling timestep. The displacement response value steadily declines with the increasing filling depth and horizontal displacement, presenting a clear spatial influence range, with the site of maximum incremental displacement as the center. After filling, the safety factors of the potential sliding surface in the F and G areas are 2.531 and 1.118, respectively, and the slope is in a stable state. The monitoring data show that the deformation mostly takes place within 10 m of the surface. The study’s findings are thought to offer technical and practical knowledge for the slope risks.

Coxsackievirus A6 was the most common enterovirus serotype causing hand, foot, and mouth disease in Shiyan City, central China.

Hand, foot, and mouth disease (HFMD) has become one of the most common infectious diseases in China. Before 2016, the primary causal serotypes were enterovirus A71 (EV-A71) and coxsackievirus A16 (CV-A16). Following the introduction of EV-A71 vaccines in China since 2016, the situation could change. CV-A6 has recently replaced EV-A71 and CV-A16 in some areas of China. However, the epidemiological characteristics of central China remain unknown. To investigate the clinical symptoms and pathogen spectrum of HFMD in Shiyan City, central China, in recent years. The epidemiological, clinical, and laboratory data from HFMD cases reported to the Shiyan Center for Disease Control and Prevention between January 2016 and December 2020 were analyzed. 196 throat swab specimens were collected from hospitalized HFMD patients between January 2018 and December 2020. To detect and genotype enteroviruses, real-time reverse transcription-polymerase chain reaction and sequencing of the 5'-untranslated region were used. In Shiyan, 168 laboratory-confirmed HFMD cases were studied using a logistic regression model to determine the effect of predominant enterovirus serotypes. Based on the logistic regression model, the least absolute shrinkage and selection operator model was used to analyze the correlation between CV-A6 infection and various clinical characteristics in HFMD patients in Shiyan. From 2016 to 2020, 35840 HFMD cases were reported in Shiyan. The number of cases decreased by 48.4% from 2016 to 2017. Approximately 1.58-fold increases were found in 2018 and 2019 when compared to the previous year, respectively. In 2020, a decrease of about 85.5% was reported when compared to 2019. The most common serotypes shifted from EV-A71 and CV-A16 (about 60%-80% in 2016 and 2018) to others (more than 80.0% in 2017, 2019, and 2020). EV-A71 lost its dominance in 2017 in Shiyan. Among 196 confirmed HFMD cases, 85.7% tested positive for enterovirus, with CV-A6 being the most common serotype (121/168, 72.0%). The positive rates for CV-A16 and CV-A10 were 4.8% and 3.0%, respectively. There was no EV-A71 discovered. Infection with CV-A6 was linked to fever, myocardial damage, increased creatine kinase MB isoenzyme, and lactate dehydrogenase levels. CV-A6 was the most common enterovirus serotype in Shiyan City, replacing EV-A71 and CV-A16 as the HFMD pathogen. Developing vaccines against CV-A6 or multiple pathogens, as well as rising CV-A6 surveillance, will help prevent HFMD in central China.

Dietary vitamin A intakes of chinese children with adequate liver stores as assessed by the retinol isotope dilution technique

BackgroundWe attempted to estimate dietary vitamin A requirements based on dietary vitamin A intake in well-nourished Chinese children with adequate liver vitamin A reserves.MethodsA cross-sectional study was conducted in a kindergarten and an elementary school in Shiyan city, Hubei province of China from December 2009 to July 2010. After screening, 60 children (22 aged 4 ~ 6 y and 38 aged 7 ~ 9 y) were randomly subjected to a 3-d or 18-d deuterated-retinol-dilution (DRD) procedure to evaluate the vitamin A reserves in the body and liver. Dietary intakes of vitamin A were estimated from two (one in winter and one in summer) consecutive 3-day weighed food records and dietary recalls.ResultsThe dietary vitamin A intakes were significantly correlated with vitamin A stores in the body and liver, but not with the serum level of retinol. The dietary vitamin A intakes were 476.9 ± 196.7 µg retinol equivalent (RE) (or 377.7 ± 166.2 µg retinol activity equivalent (RAE)) / day for 4 ~ 6 y children and 529.1 ± 87.2 µg RE/d (or 464.0 ± 81.1 µg RAE/d) for 7 ~ 9 y children with adequate liver vitamin A reserves. The estimated liver stores of vitamin A derived from both time points (3-d and 18-d) were similar.ConclusionAdequate dietary vitamin A intakes among the well-nourished Chinese children were estimated to be 477 µg RE/d (95%CI 385 ~ 570) or 378 µg RAE/d (95%CI 304 ~ 441) for 4 ~ 6 y children and 529 µg RE/d (95%CI 500 ~ 560) or 464 µg RAE/d (95%CI 437 ~ 491) for 7 ~ 9 y children. Although it needs to be verified in a larger population of different regions in China, our results provide important data to establish the dietary requirement of vitamin A specifically for Chinese children.

Investigation and Countermeasures of Residents’ Environmental and Health Literacy: a Case Study of Wudang Mountain Special Zone in Shiyan City, Hubei Province

Investigation and Countermeasures of Residents’ Environmental and Health Literacy: a Case Study of Wudang Mountain Special Zone in Shiyan City, Hubei Province

Cultivated Land-Use Benefit Evaluation and Obstacle Factor Identification: Empirical Evidence from Northern Hubei, China

The benefit of cultivated land use is an essential indicator for measuring the optimal allocation of cultivated land resources and the high-quality development of agriculture. Taking Shiyan City, Xiangyang City, and Suizhou City in Northern Hubei as the research objects, this paper presents an evaluation index system for cultivated land use efficiency from the perspectives of ecology, economy, and society. The entropy TOPSIS method and the obstacle degree model were applied to estimate the cultivated land use efficiency and identify obstacle factors in the three study areas from 2010 to 2020, and the results were as follows. (1) The comprehensive benefit level of cultivated land utilization in Northern Hubei showed an upward trend, and the individual benefit levels of cultivated land utilization in different cities were significantly different. Xiangyang City had outstanding economic performance, Shiyan City had the fastest growth rate of ecological benefits, and various benefits of Suizhou City were “steady”. (2) The fluctuation ranges of the obstacle factors for cultivated land use were relatively large in the Northern Hubei region. From 2010 to 2016, the effective irrigation index, land-averaged fertilizer input level, agricultural input–output ratio, and per capita income of farmers were the main factors restricting the improvement of cultivated land utilization efficiency in Northern Hubei. During 2017–2020, the per capita pesticide input level, per capita grain output, forest coverage rate, land output rate, and agricultural mechanization efficiency became the main obstacles restricting the improvement of cultivated land-use efficiency. (3) All cities of Northern Hubei should take measures according to local conditions, implement specific policies to address the restrictive factors of cultivated land use, improve the level of cultivated land-use benefit in the region, and promote the coordination and unity of the economic, ecological, and social benefits of cultivated land use.

Adaptive regulation based on the spatio‐temporal distribution of ecological flow surplus and deficit in the Hanjiang River basin

Ecological flow has attracted considerable attention because intensive dam construction can cause changes in the hydrological situation and subsequent ecological environment problems. In the Hanjiang River basin, 15 cascade reservoirs are due to become operational in the main stream in the coming years. In this study, the calculation method of ecological flow surplus and deficit was proposed, and the key periods (KPs) and key areas (KAs) of ecological flow deficits were identified. Adaptive regulation strategies were proposed based on a new method. Results show that (1) the wet and normal years are in a state of ecological surplus. In the dry year, there is an ecological flow deficit of 370 million m3. The off-stream ecological water shortage is at its most serious in June. In the river channel, the ecological flow deficit usually appears in the winter. The Xiantao section in the lower reaches has a deficit every month in the typical water years. (2) In the off-stream region, the KPs cover months 6 to 9, and the KAs are the southeastern Hanzhong plain, Shiyan City, southeastern Nanyang basin, and the midwest of Xiangyang City. In the river channel, the KPs cover months 12 to 2 above the Shayang section, while in the downstream Xiantao section KA, the KP covers the whole year. The cooperative analysis of KPs and KAs can effectively improve the pertinence of watershed ecological flow regulation. Priority for water resources regulation in water deficient areas should be given to key areas in the key periods.

Self-made wire loop snare successfully treats gastric persimmon stone under endoscopy.

BACKGROUNDLarge gastric persimmon stones are generally resistant to standard endoscopic treatments. We applied an alternative endoscopic method using a hand-made snare for the treatment of large gastric phytobezoars.AIMTo explore the clinical efficacy of a self-made wire loop snare to treat giant gastric persimmon stones.METHODSA retrospective study evaluated the clinical data of 38 patients with gastroliths admitted to Taihe Hospital in Shiyan City, Hubei Province, China, between March 2015 and October 2020. The patients were divided into observation (n = 23) and control (n = 15) groups. Patients in the observation group were treated with self-made wire loop snares for lithotripsy, and patients in the control group were treated with traditional foreign body forceps, snares, injection needles, and other tools. Successful stone removal, treatment time, and hospital stay were compared.RESULTSThe average operating time was significantly shorter (P < 0.001) in the observation group (53.4 min) than that in the control group (172.8 min). The average hospital stay of the observation group (5.4 d) was significantly shorter (P < 0.001) than that in the control group (10.3 d). Successful one-time treatment was significantly more frequent (P < 0.001) in the observation group (87%) than in the control group (7%).CONCLUSIONSelf-made guidewire loop snares were successfully used to treat gastrolithiasis, and were significantly more effective than foreign body forceps, snares, and other traditional methods.

Epidemiological characteristics and trend of new cases of occupational pneumoconiosis in Hubei Province from 2011 to 2020

Objective: The epidemiological characteristics and trend of occupational pneumoconiosis in Hubei Province from 2011 to 2020 were analyzed to provide a theoretical basis for the development of prevention and control strategies for occupational pneumoconiosis. Methods: In March 2021, the data of newly occupational pneumoconiosis in Hubei Province from 2011 to 2020 were collected by the Occupational Diseases and Health Risk Factors Information Surveillance System. Descriptive statistics were adopted to analyze basic situation, region, industry, type of disease, year of diagnosis, age of onset and dust exposureduration of the cases. Results: From 2011 to 2020, a total of 7203 new cases of occupational pneumoconiosis were reported in Hubei Province, including 7125 (98.92%) men and 78 (1.08%) women. The average age of onset was (54.03±10.12) years old. The average duration of dust exposure was (13.80±9.56) years. The mainly types of pneumoconiosis were coal worker's pneumoconiosis (3593 cases, 49.88%) and silicosis (3301 cases, 45.83%). The cases included 4814 cases (66.83%) of stage Ⅰ pneumoconiosis, 1270 cases (17.63%) of stage Ⅱ and 1119 cases (15.54%) of stage Ⅲ. New cases mainly distributed in Yichang City (1586 cases, 22.02%), Shiyan City (1257 cases, 17.45%), Enshi Tujia and Miao Autonomous Prefecture (1050 cases, 14.58%) and Huangshi City (1009 cases, 14.01%), and occurred most frequently in coal mining and washing industry (3743 cases, 51.96%) and nonmetallic mining industry (582 cases, 8.08%). Pneumoconiosis patients of stage Ⅲ were mainly distributed in small enterprises (401 cases, 50.25%) and domestic enterprises (796 cases, 99.75%) . Conclusion: Coal worker's pneumoconiosis and silicosis accounted for the vast majority pneumoconiosis in Hubei Province. The new cases show obvious regions, industries and type of disease distribution. We should strengthen occupational health supervision in small and domestic enterprises.