Measurement and spatial correlation analysis of high-quality development Level: A case study of the Yangtze River Delta urban agglomeration in China.

Against the backdrop of slowing economic growth and increasing environmental pressure, the Yangtze River Delta city cluster, as one of the largest city clusters in the world, has become more driven in its pursuit of high-quality development. We constructed a system of 24 evaluation indexes and used entropy-weighted TOPSIS to calculate and study the high-quality development index of urban agglomerations in the region. First, the level of high quality development (HQD) of the Yangtze River Delta city cluster generally improved from 2010 to 2021, with 2017 was the best year, while 2010 was the worst year. Second, in the multidimensional evaluation of HQD, Jiangsu excels in innovation and people's livelihood with 0.524 and 0.534, respectively; Shanghai (0.531) excels in coordinated development; Zhejiang excels in green and economic development with 0.557 and 0.484, respectively; and Anhui lags behind in all aspects. Third, the development process of HQD in the Yangtze River Delta region is uneven, and the level of HQD development varies greatly among the city clusters in the province. The measurement results show that Shanghai (0.511) has the highest score, followed by Zhejiang (0.484), Jiangsu (0.440) and Anhui (0.435). Fourth, spatial correlation analysis shows that Shanghai and Jiangsu are mainly distributed in the double-high region, Zhejiang is distributed in the high-low region, while Anhui is concentrated in the low-low region. The results of this study help us understand more deeply the characteristics and challenges of high-quality development in the Yangtze River Delta urban agglomerations and provide a scientific basis for more precise urban development policies.

Research on tourism ecological safety evaluation of Huizhou Cultural and ecological reserve based on entropy -TOPSIS.

Tourism ecological security is the basic guarantee for the sustainable development of tourist sites, Huizhou Cultural and Ecological Reserve is an important area for the im-plementation of ecological protection in China, and it is of great significance to carry out research on tourism ecological security. The study adopted the DPSIR model to construct a comprehensive evaluation index system for tourism ecological security and used entropy value-TOPSIS and ArcGIS software to analyze the inter-annual changes and spatial change characteristics of tourism ecological security in the study area. The results show that: firstly, the comprehensive index of tourism ecological safety in the study area from 2010 to 2021 shows a trend of "decreasing-increasing" and an overall increasing trend; secondly, all the sub-systems show an increasing or stabilizing state in recent years during 2010-2021; the state and response sub-systems show an increas-ing or stabilizing state in recent years; and the state and response sub-systems show an increasing trend in recent years. Secondly, all the subsystems showed an increase or stabilization in recent years between 2010 and 2021, and the state and response sub-systems are the main systems to improve the ecological safety of tourism in the study area; thirdly, the difference in the level of ecological safety of tourism in each county of the study area increased and then narrowed from 2010 to 2021, and the change of safety level usually shifted between neighboring levels, and the probability of transfer-ring across the levels was relatively small. , Shexian County, Yixian County, Qimen County, Tunxi District, and the tourism eco-safety level of Huangshan District, Hui-zhou District, Jixi County, and Xiuning County increased at a faster rate than other counties. The study further extends the scale to the district and county level, tries to explore the relevant factors affecting the ecological security of tourism, and proposes countermeasures for the sustainable development of the study area based on the re-sults, which will bring some reference value to the ecological governance and policy formulation of this kind of research.

The health perception of urban green spaces and its emotional impact on young adults: an empirical study from three cities in China.

Introduction: Exposure to green space can bring many benefits to physical and mental health, but in China, the attractiveness of green space to youth groups seems to be not significant. The question of how to encourage young people to go out of the house to better perceive green space, enjoy nature, and promote physical and mental health is on our minds. Methods: This study combines young people's green space perception, green space use, and purpose of visit to explore its impact on the emotional health of youth groups, combined with the PANAS psychological data scale, an online questionnaire survey of 426 residents (18-35 years old) in three Chinese cities, and was used to construct a multiple regression model and AMOS structural equations. Results and discussion: The results of the study showed that, firstly, environmental attractiveness, environmental odor, and number of facilities were the key factors influencing adolescents' landscape perception evaluation, while activity space, environmental odor, and environmental attractiveness had a greater impact on adolescents' emotional well-being. Second, among adolescents' visit purposes, socializing and fitness were more likely to help them generate positive emotions while resting and viewing activities were effective in helping them alleviate negative emotions. In addition, in terms of usage, residents who took public transportation as well as those who arrived on foot were the most emotionally healthy. The findings of this paper provide insights for public policymakers, urban planners, and landscape architects to better encourage youth participation in green spaces when they are installed.

Evaluate the Outcomes of Senile Femoral Intertrochanteric Fractures Treated with Proximal Femoral Nail Anti-Rotation Internal Fixation to Those Treated with Prosthetic Femoral Head Replacement.

Objective: This study aims to evaluate the outcomes of senile femoral intertrochanteric fractures treated with proximal femoral nail anti-rotation (PFNA) internal fixation to those treated with prosthetic femoral head replacement. Methods: A total of 100 elderly patients suffering from femoral intertrochanteric fracture were selected for the study. They were divided into two groups (n = 50 in each group) based on fracture condition and preferred treatment. We compared perioperative indexes, complications, Soluble cell adhesion molecules-1 (sICAM-1), and TGF-1 levels, and assessed hip function using the Harris hip score (Harris) at 3, 6, and 12 months after surgery in two groups of patients. Results: Although the study group had shorter operating times and less intraoperative bleeding than the control group (P < .05), they had longer hospital stays and required more time before returning to full weight-bearing after surgery (P < .05). Neither group had a higher or lower rate of problems than the other (P > .05). Patients' sICAM-1 and TGF-1 levels were not significantly different from one another before surgery (P > .05), but after surgery, the sICAM-1 level in the control group was lower than that in the study group, and the TGF-1 level was higher than that in the study group (P < .05). Conclusion: PFNA internal fixation treatment offers the advantages of short operation time and low intraoperative bleeding, ensuring surgical safety. However, it requires a longer bed rest time post-operation and extended full weight-bearing time, although long-term hip recovery is preferable.

Research on Influencing Factors of Satisfaction with the Use of Public Health Internet Platform: Evidence from Ding Xiang Doctor (DXY) Internet Medical Platform.

With the rapid development of Internet information technology, Internet medical platforms are gradually entering daily life. Especially after the outbreak of the COVID-19 pandemic, it becomes very difficult for patients to go out for medical treatment, and the Internet medical platform plays an important role. The study of the use and influencing factors of Internet medical platforms has become a new topic. In this study, evidence from the Chinese Internet medical platform Ding Xiang Doctor(DXY) is combined with an integrated approach of hierarchical analysis and the entropy value method to construct evaluation indexes and questionnaires from four dimensions of perceived quality, perceived value, user trust, and user involvement to analyze the factors influencing users' satisfaction with Internet medical platforms. The questionnaires were distributed online, and 556 questionnaires were distributed from June to August 2022; 520 questionnaires were collected; the questionnaires' recovery rate was 93.53%; after excluding some invalid questionnaires, 424 questionnaires remained; the questionnaire efficiency was 81.54%; the Cronbach coefficient was 0.978; the KMO(Kaiser-Meyer-Olkin) value was 0.977; and the reliability performance was good. The study concluded that: (1) Users pay more attention to the content of perceived value, including the cost of time, economy, expense, and effort spent, and emphasize the degree of personal benefit. (2) Users are less satisfied with the information accessibility, design aesthetics, information timeliness, information comprehensiveness, and classification clarity of the DXY platform. (3) Users pay most attention to the protection of personal privacy by the platform side in the dimension of perceived value. (4) Users' trust in the platform is relatively high, their willingness to use the platform in the future is strong, and the dimensions of online interactive discussion, willingness to pay, and paid services are highly recognized.

A Study of Public Attitudes toward Shanghai's Image under the Influence of COVID-19: Evidence from Comments on Sina Weibo.

With the advent of the Internet era, Chinese users tend to choose to express their opinions on social media platforms represented by Sina Weibo. The changes in people's emotions toward cities from the microblogging texts can reflect the image of cities presented on mainstream social media, and thus target a good image of cities. In this paper, we collected microblog data containing "Shanghai" from 1 January 2019 to 1 September 2022 by Python technology, and we used three methods: Term Frequency-Inverse Document Frequency keyword statistics, Latent Dirichlet Allocation theme model construction, and sentiment analysis by Zhiwang Sentiment Dictionary. We also explore the impact of the COVID-19 epidemic on Shanghai's urban image in the context of the "Shanghai Territorial Static Management", an important public opinion topic during the COVID-19 epidemic. The results of the study show that the "Shanghai-wide static management" of COVID-19 epidemic has significantly reduced the public's perception of Shanghai and negatively affected the city's image. By analyzing the data results, we summarize the basic characteristics of Shanghai's city image and provide strategies for communicating Shanghai's city image in the post-epidemic era.

The impact of global warming on the potential suitable planting area of Pistacia chinensis is limited.

Pistacia chinensis Bunge. is one of the main woody oil crops with a large artificial planting area in China and has important economic and ecological value. Here, based on 237 occurrence data and 22 environmental variables, we explored the potential planting area of P. chinensis in China in the present and future climate change scenarios by using a comprehensive model method. To fully consider the potential planting area of P. chinensis under specific climate change conditions and the limitations of soil conditions, we separately built two niche models to simulate the climate niche and soil demand niche, and then used the intersection of the two models as the result of the comprehensive habitat suitability model, finally, we used land-use data to filter the CHS model result. Our results showed, that under the baseline condition, the potential planting area of P. chinensis covers approximately 0.74 × 106 km2 in China. The future projection showed that the impact of global warming on the potentially suitable planting area of P. chinensis is limited, and most of the existing suitable habitats are not affected by climate change. With increasing temperature, the potential planting area will expand northward and slightly contract in the south margin, and its area will be slightly increased. Therefore, this species has great planting potential in China and should be given priority in the future afforestation plan.

Factors Influencing Use of Fitness Apps by Adults under Influence of COVID-19.

During the coronavirus disease 2019 (COVID-19) pandemic, many countries imposed restrictions and quarantines on the population, which led to a decrease in people's physical activity (PA) and severely damaged their mental health. As a result, people engaged in fitness activities with the help of fitness apps, which improved their resistance to the virus and reduced the occurrence of psychological problems, such as anxiety and depression. However, the churn rate of fitness apps is high. As such, our purpose in this study was to analyze the factors that influence the use of fitness apps by adults aged 18-65 years in the context of COVID-19, with the aim of contributing to the analysis of mobile fitness user behavior and related product design practices. We constructed a decision target program model using the analytic hierarchy process (AHP), and we analyzed and inductively screened 11 evaluation indicators, which we combined with an indicator design questionnaire. We distributed 420 questionnaires; of the respondents, 347 knew about or used fitness apps. Among these 347, we recovered 310 valid questionnaires after removing invalid questionnaires with a short completion time, for an effective questionnaire recovery rate of 89.33%. We used the AHP and entropy method to calculate and evaluate the weight coefficient of each influencing factor and to determine an influencing factor index. Our conclusions were as follows: first, the effect of perceived usefulness on the use of fitness apps by the study groups was the most notable. Second, personal motivation and perceived ease of use considerably influenced the adult group's willingness to use fitness apps. Finally, the perceived cost had relatively little effect on the use of fitness apps by adults, and the study group was much more concerned with the privacy cost than the expense cost.

Dispersion and Disparity: Bibliometric and Visualized Analysis of Research on Climate Change Science Communication.

Research on climate change science communication began in the 1980s and is showing continued vitality and a wider interest at present. In order to track the development of global research on the communication of climate change hot topics and frontier progress since the 21st century, methods such as bibliometrics and co-word network analysis were used to analyze the publication of research papers in this field, and a total of 1175 valid papers published in 2000-2021 in the WOS core database were counted. Different dimensions such as temporal trend, spatial distribution, and author collaboration network were analyzed. The results show that, (1) climate change communication research has become a relatively independent research field and has entered a rapid development stage, and this field still has a broad research prospect in the new understanding of climate change and new international context. (2) At present, research in this field is still dominated by developed countries, but developing countries are actively building their unique climate communication discourse. (3) Public understanding and media information presentation have been hot topics in climate communication research in recent years. In the context of changing international situations and the development of global epidemics and new climate policies, changes in national actions will likely lead to new research topics and dialogues. Research shows that climate change science communication research is increasingly showing a trend of decentralization and differentiation.

Evaluation Study on the Use of Non-Contact Prevention and Protection Products in the Context of COVID-19: A Comprehensive Evaluation Method from AHP and Entropy Weight Method.

In the post-epidemic era, there is an endless supply of epidemic prevention products that cover a wide range of public areas. The introduction of such products has eased the tense pattern of virus proliferation in the context of the epidemic, and effectively demonstrated the initiatives implemented by the Chinese people in response to the outbreak. This paper therefore begins with the study of contactless epidemic prevention products, which appear in a form that meets the needs of contemporary society and offers a new mode of living to it. It enriches the measures for epidemic prevention and control. By obtaining satisfaction ratings from the user community, the performance of such products can be understood in time to provide a substantial basis for the subsequent upgrading and optimization or transformation of such products. This study uses the KJ method and questionnaires to construct an index system for contactless epidemic prevention products, grasp users' needs for epidemic prevention products in real time, classify and identify such products, and select such products as epidemic prevention smart security gates, medical delivery robots, infrared handheld thermometers, thermographic body temperature screening, contactless inductive lift buttons, and contactless medical vending machines. The questionnaire was designed with four dimensions: safety, intelligence, aesthetics and economy. A sample size of 262 was collected through the distribution of questionnaires. We used AHP and entropy weighting methods for the comprehensive evaluation; AHP basically tells us how satisfied most users are with this type of product. The use of the entropy weighting method can achieve objectivity in the weighting process. Combining the two approaches helps to improve the scientific nature of the weighting of the evaluation indexes for contactless and epidemic-proof products. It is clear from the AHP analysis that, firstly, there are differences in the perceptions of the performance of this type of product between different age groups. Secondly, the user group rated the perceived performance of the product presented as high (Bn>0.200), which users can subjectively and directly perceive. Next, the perceived future sustainable economic development of this product category is low (Bn≤0.200), and users place low importance on its economic aspects as an objective additional condition. The entropy method of analysis shows that, under reasonable government control of the market for intelligent products, the safety, intelligence and aesthetic effects of these products are significant (Cm≤0.100); further, the economic presentation of these products has yet to be optimized and upgraded (Cm>0.100).

Impact of Visual Elements of Tobacco Packaging on Health Risk Perceptions of Youth Groups.

Tobacco products are hazardous to public health and are one of the greater public health threats facing the world to date. Although international research on tobacco packaging has been thorough and comprehensive, the risk perception of visual elements in tobacco packaging varies by country, race, and smoking status. Therefore, the study aimed to investigate the risk perceptions of visual elements in tobacco packaging among young and middle-aged people in selected cities in China. This study used a questionnaire to construct an index system for visual elements of tobacco packaging and used it to design a related questionnaire. Our group conducted an online questionnaire survey among 296 young people (18-44 years old) in selected cities in China between 16 June and 26 June 2022. The results of the influence of visual elements of tobacco packaging on the perception of tobacco health risks in the youth group were analyzed by SPSS 26.0. A chi-square test analysis yielded differences in the perception of tobacco package color among youths with different smoking status. A linear regression analysis revealed that age group and visual elements were significant, and five groups of visual element comparisons had an effect on the youth group. First, there were differences in the perceptions of tobacco products among participants with different smoking status. Secondly, the more youthful the respondents were, the greater the probability that they were able to identify that the picture fitness warnings had a greater probability of making them conscious of the fitness dangers of smoking (p < 0.05). The older the participants, the greater the probability that the textual content fitness warnings made them conscious of the fitness risks of smoking (p < 0.05). Third, the percentage of health warnings did not make a good-sized impact for the youth groups (p > 0.05). Fourth, the more youthful the participant, the greater the probability that cigarette products with whole brand images would appeal to buyer(p < 0.01).

Chinese caterpillar fungus (Ophiocordyceps sinensis) in China: Current distribution, trading, and futures under climate change and overexploitation.

Chinese caterpillar fungus (Ophiocordyceps sinensis) is a precious traditional medicine which is mostly distributed on the Qinghai-Tibetan Plateau (QTP). Due to its medicinal values, it has become one of the most valuable biological commodities and widely traded in recent years worldwide. However, its habitat has changed profoundly in recent years under global warming as well as anthropogenic pressures, resulting in a sharp decline in its wild population in recent years. Based on the occurrence samples, this paper estimates the potential distribution of caterpillar fungus using MaxEnt model. The model simulates potential geographical distribution of the species under current climate conditions, and examine future distributions under different climatic change scenarios (i.e., RCP 2.6, RCP 4.5, RCP 6.0 and RCP 8.5 have been modelled in 2050s and 2070s, respectively). For examining the impacts of climate change in future, the integrated effects of climatic impact, trading, and overexploitation had been analyzed in detailed routes. The results show that: 1) The distribution patterns of caterpillar fungus under scenario RCP 2.6 have been predicted without obvious changes. However, range shift has been observed with significant shrinks across all classes of suitable areas in Tianshan, Kunlun Mountains, and the southwestern QTP in 2050s and 2070s under RCP 4.5, RCP 6.0 and RCP 8.5 scenarios, respectively. 2) The exports were decreasing drastically in recent years. Guangzhou and Hongkong are two international super import and consumption centres of caterpillar fungus in the world. 3) Both ecological and economic sustainable utilization of the caterpillar fungus has been threatened by the combined pressures of climate change and overexploitation. A strict but effective regulation and protection system, even a systematic management plan not just on the collectors but the whole explore process are urgently needed and has to be issued in the QTP.

Gut microbiota-dependent Trimethylamine N-Oxide are related with hip fracture in postmenopausal women: a matched case-control study.

The study evaluates the serum levels of Trimethylamine N-Oxide (TMAO), a gut microbial metabolite, in 286 postmenopausal women with hip fracture. From January 1, 2018 to December 31, 2018, eligible patients were included. Same women without fracture mated age were enrolled. TMAO serum levels were tested by ultra-high-performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS). The serum levels of TMAO were significantly higher in patients with hip fracture than in those controls (P<0.001). The serum levels of TMAO were also higher in patients with hip fracture only than in those who also had upper limb fracture (P=0.001). High level of TMAO was proved a predictor of both hip fracture and had upper limb fracture combined hip fracture, after the adjustment of other existing risk factors [e.g., for each 1 uM increase of TMAO, odd ratio 1.16 (95% CI, 1.07-1.25), P < 0.001; and 1.12 (95% CI, 1.03-1.26), P=0.008, respectively]. In summary, increased TMAO serum levels associated with high risk of hip fracture, suggesting that increase TMAO may contribute to osteoporosis and fracture in postmenopausal women.

Potential distribution of Notopterygium incisum Ting ex H. T. Chang and its predicted responses to climate change based on a comprehensive habitat suitability model.

Notopterygium incisum Ting ex H. T. Chang is a rare and endangered traditional Chinese medicinal plant. In this research, we built a comprehensive habitat suitability (CHS) model to analyze the potential suitable habitat distribution of this species in the present and future in China. First, using nine different algorithms, we built an ensemble model to explore the possible impacts of climate change on the habitat distribution of this species. Then, based on this model, we built a CHS model to further identify the distribution characteristics of N. incisum-suitable habitats in three time periods (current, 2050s, and 2070s) while considering the effects of soil and vegetation conditions. The results indicated that the current suitable habitat for N. incisum covers approximately 83.76 × 103 km2, and these locations were concentrated in the Tibet Autonomous Region, Gansu Province, Qinghai Province, and Sichuan Province. In the future, the areas of suitable habitat for N. incisum would significantly decrease and would be 69.53 × 103 km2 and 60.21 × 103 km2 in the 2050s and 2070s, respectively. However, the area of marginally suitable habitat would remain relatively stable. This study provides a more reliable and comprehensive method for modelling the current and future distributions of N. incisum, and it provides valuable insights for highlighting priority areas for medicinal plant conservation and resource utilization.

Estimating the spatial distribution of environmental suitability for female lung cancer mortality in China based on a novel statistical method.

Lung cancer as one of the major causes of cancer mortality has been demonstrated to be closely related to the ambient atmospheric environment, but little has been done in the synthetic evaluation of the linkage between cancer mortality and combined impact of ambient air pollution and meteorological conditions. The present study determined the environmental suitability for female lung cancer mortality associated with air contaminants and meteorological variables. A novel fuzzy matter-element method was applied to identify the spatial distribution and regions for the environmental suitability for the female lung cancer mortality across China in 2013. The membership functions between the cancer mortality and 6 environmental factors, including PM2.5, NO2, SO2, PM10, the annual mean wind speed, and mean temperature, were generated and the weights of each of the environmental factors were established by the maximum entropy (MaxEnt) model. We categorized the environmental suitability combined with GIS spatial analysis into three zones, including low-suitable, medium-suitable, and high-suitable region where the cancer mortality ranging from low to high rate was identified. These three zones were quantified by the MaxEnt model taking different air pollutants and meteorological variables into consideration. We identified that NO2 was a most significant factor among the 6 environmental factors with the weight of 24.88%, followed by the annual mean wind speed, SO2, and PM2.5. The high-suitable area, mainly in the North China Plain which is a most heavily contaminated region by air pollution in China, covers 1.6195 million square kilometers, accounting for 17.85% of the total area investigated in this study. Identification of the impact of various environmental factors on cancer mortality in the different suitable area provides a scientific basis for the environmental management, risk assessment, and lung cancer control.

Predicting the impacts of climate change, soils and vegetation types on the geographic distribution of Polyporus umbellatus in China.

Polyporus umbellatus is a fungus that has been used medically as a diuretic for thousands of years in China. To evaluate the impacts of climatic change on the distribution of P. umbellatus, we selected the annual mean air temperature, isothermality, minimum temperature of the coldest month, annual temperature range, annual precipitation and precipitation seasonality and used observations from the 2000s and simulated values from two future periods (2041 to 2060 and 2061 to 2080) to build an ensemble model (EM); then, we developed a comprehensive habitat suitability model by integrating soil and vegetation conditions into the EM to assess the distribution of suitable P. umbellatus habitats across China in the 2000s and the two future periods. Our results show that annual precipitation and annual mean air temperature together largely determine the distribution of P. umbellatus and those suitable P. umbellatus habitats generally occur in areas with an optimal annual precipitation of approximately 1000 mm and an optimal annual mean air temperature of approximately 13 °C. In other words, P. umbellatus requires a humid and cool environment for growth. In addition, brown soils with a granular structure and low acidity are more suitable for P. umbellatus. Furthermore, we have observed that the distribution of P. umbellatus is usually associated with the presence of coniferous, mixed coniferous, and broad-leaved forests, suggesting that these vegetation types are suitable habitats for P. umbellatus. In the future, annual precipitation and annual mean air temperature will continue to increase, consequently increasing the availability of habitats suitable for P. umbellatus in northeastern and southwestern China but likely leading to a degradation of suitable P. umbellatus habitats in central China.

Prediction of the potential geographic distribution of the ectomycorrhizal mushroom Tricholoma matsutake under multiple climate change scenarios.

Effective conservation and utilization strategies for natural biological resources require a clear understanding of the geographic distribution of the target species. Tricholoma matsutake is an ectomycorrhizal (ECM) mushroom with high ecological and economic value. In this study, the potential geographic distribution of T. matsutake under current conditions in China was simulated using MaxEnt software based on species presence data and 24 environmental variables. The future distributions of T. matsutake in the 2050s and 2070s were also projected under the RCP 8.5, RCP 6, RCP 4.5 and RCP 2.6 climate change emission scenarios described in the Special Report on Emissions Scenarios (SRES) by the Intergovernmental Panel on Climate Change (IPCC). The areas of marginally suitable, suitable and highly suitable habitats for T. matsutake in China were approximately 0.22 × 106 km2, 0.14 × 106 km2, and 0.11 × 106 km2, respectively. The model simulations indicated that the area of marginally suitable habitats would undergo a relatively small change under all four climate change scenarios; however, suitable habitats would significantly decrease, and highly suitable habitat would nearly disappear. Our results will be influential in the future ecological conservation and management of T. matsutake and can be used as a reference for studies on other ectomycorrhizal mushroom species.

Predictions of potential geographical distribution and quality of Schisandra sphenanthera under climate change.

Climate change will significantly affect plant distribution as well as the quality of medicinal plants. Although numerous studies have analyzed the effect of climate change on future habitats of plants through species distribution models (SDMs), few of them have incorporated the change of effective content of medicinal plants. Schisandra sphenanthera Rehd. et Wils. is an endangered traditional Chinese medical plant which is mainly located in the Qinling Mountains. Combining fuzzy theory and a maximum entropy model, we obtained current spatial distribution of quality assessment for S. spenanthera. Moreover, the future quality and distribution of S. spenanthera were also projected for the periods 2020s, 2050s and 2080s under three different climate change scenarios (SRES-A1B, SRES-A2 and SRES-B1 emission scenarios) described in the Special Report on Emissions Scenarios (SRES) of IPCC (Intergovernmental Panel on Climate Change). The results showed that the moderately suitable habitat of S. sphenanthera under all climate change scenarios remained relatively stable in the study area. The highly suitable habitat of S. sphenanthera would gradually decrease in the future and a higher decline rate of the highly suitable habitat area would occur under climate change scenarios SRES-A1B and SRES-A2. The result suggested that in the study area, there would be no more highly suitable habitat areas for S. sphenanthera when the annual mean temperature exceeds 20 °C or its annual precipitation exceeds 1,200 mm. Our results will be influential in the future ecological conservation and management of S. sphenanthera and can be taken as a reference for habitat suitability assessment research for other medicinal plants.

Low 25(OH) D serum levels are related with hip fracture in postmenopausal women: a matched case-control study.

PURPOSE: There is limited information on the prevalence of vitamin D deficiency among patients diagnosed with hip fracture in the Chinese Han population. Therefore, the aim of this study was to assess the effects of change in the serum levels of 25-hydroxyvitamin D [25(OH) D] and intact parathyroid hormone (iPTH) among postmenopausal women in North China with confirmed hip fracture. METHODS: This study was done from May 1, 2012 to April 30, 2014. Three hundred and forty-nine postmenopausal women who were diagnosed with first-ever hip fracture and 349 matched controls without fracture were used for this study. The 25(OH) D, iPTH, alkaline phosphatase, calcium, and phosphorus levels were measured in fasting venous blood samples collected from the subjects. A predesigned questionnaire was used to collect information on covariates for multivariate analyses to evaluate the hypothesized relationship between vitamin D deficiency and fracture risk. RESULTS: The serum 25(OH) D levels were found to be significantly (P < 0.0001) lower in hip fracture patients than in the controls [37.0 (interquartile range [IQR] 28.0-48.0) nmol/L vs. 41.3 (IQR 32.0-54.5) nmol/L; P < 0.0001], and the iPTH levels were significantly higher in the former group [10.2 (IQR 6.3-14.9) pmol/L vs. 5.8 (IQR 4.1-6.6) pmol/L; P < 0.0001]. Further, a 25(OH) D level ≤50 nmol/L was found to independently indicate the occurrence of hip fracture [odds ratio (OR), 3.023; 95 % confidence interval (CI) 2.154-4.298], as well as hip fracture with concomitant upper limb fracture (OR 4.473; 95 % CI 2.984-10.532). Similarly, a serum iPTH level ≥6.8 pmol/L independently indicated the development of hip fracture (OR 2.498; 95 % CI 1.764-3.942), as well as hip fracture with concomitant upper limb fracture (OR 3.254; 95 % CI 1.998-7.984). CONCLUSIONS: Vitamin D insufficiency and secondary hyperparathyroidism were found to be common problems in the sample of postmenopausal women who had experienced hip fracture. Monitoring the alterations in the serum levels of 25(OH) D and iPTH could be applied clinically as independent risk factors for hip fracture.