Study on the Distribution of Fresh Food Support System—An Example of Shanghai during the Epidemic Closure of 2022

One of the key indicators to measure the sustainability and resilience of a city during a public health crisis is how well it can meet the daily needs of its residents. During the COVID-19 lockdown in Shanghai in 2022, e-commerce shopping and delivery became the most important method for ensuring the city's material supplies. This article uses the distribution data of a fresh e-commerce platform's pre-warehouse and static population distribution data to establish a basic material supply system evaluation model for the city and explore its resilience potential. Focusing on the central urban area of Shanghai, this study uses a population heat map with geographic coordinates to reflect the static distribution of residents and obtains the distribution data of the e-commerce pre-warehouses. Using kernel density analysis, the relationship between the pre-warehouses and the residents' needs is established. Through analysis, it was found that the supply capacity of fresh food in different areas of Shanghai during the lockdown could be categorized as insufficient, adequate, or excessive. Based on these three categories, improvement strategies were proposed. Finally, this article suggests establishing a scientific supply security system to promote urban sustainability and prepare for future challenges.

Was Lung Computed Tomography Necessary for Patients Receiving Selective Surgery From Low-risk Areas of COVID-19? (preprint)

ObjectiveLung computed tomography (CT) image was considered as supplementary diagnostic criteria for COVID-19 in the newest diagnosis and treatment program; however, the diagnostic effectiveness of lung CT in patients that have a strict screening for symptoms, history and reverse transcription-polymerase chain reaction (RT-PCR) testing remain unclear. To share our experience about elective surgery during the COVID-19 pandemic and to analyze the effectiveness and necessity of lung CT for screening COVID-19 in elective surgery patients from low risk areas.MethodsBased on the database of our Hospital Information System, participants were all patients receiving elective surgery in departments of general surgery, hepatological surgery, orthopedics, neurosurgery and urology at our hospital from 11 January, 2020 to 11 May, 2020.ResultsIn total, 2375 patients (1150 females and 1225 males) were enrolled in this current study. The mean age was 52 years old, ranging from 6 to 94. All the RT-PCR results of these 2375 patients were negative, including the patients with fever. The most common features on lung CT were nodular lesions (n=624, 26.3%) and striplike lesions (n=467, 19.7%). While, there were only 120 patients (5.1%) with ground-glass opacities (GGO) and 54 patients (2.3%) with lung consolidations on the lung CT, which were ruled out the COVID-19 by the RT-PCR results, clinical manifestation, fever screen, contact history and travel history. During the hospital stay, a total number of 1085 patients were screened with temperature ≥ 37.3℃, which were ruled out COVID-19 by consultation of special fever clinic and respiratory department.ConclusionsAfter strict screening for symptoms, history (contact COVID-19 patients or travelling to high-risk areas) and RT-PCR testing, lung CT image was not recommended as routine examination in patients receiving selective surgery from the low-risk areas of COVID-19.