[Spatiotemporal Response of Ecosystem Service Value to Land Use Change in the Lanzhou-Xining Urban Agglomeration over the Past 20 Years].

With rapid urbanization and human activities exacerbating threats to the degradation of various ecosystem services in modern urban agglomerations, the exploration of the state of ecological security at the scale of urban agglomerations is of great significance. This study considered the Lanzhou-Xining Urban Agglomeration as the research area, based on the land use data in 2000, 2005, 2010, 2015, and 2020. At the same time, the landscape ecological risk index was introduced. The land use change characteristics of the Lanzhou-Xining Urban Agglomeration were analyzed by using the land use transfer matrix, the value per unit area equivalent factor method, and the bivariate spatial autocorrelation analysis method to elucidate the impacts of the changes in the ecological risk index induced by the land use transition on the value of ecosystem services. This study analyzed the land use change characteristics of the Lanzhou-Xining Urban Agglomeration and elucidated the impacts of changes in the ecological risk index on the value of ecosystem services caused by land use transformation. The results showed that:① During the period from 2000 to 2020, the land use types of the Lanzhou-Xining Urban Agglomeration were mainly dominated by grassland, cropland, and forest land. The construction land area had expanded significantly mainly from cropland and grassland, and the six land use types had strong cross-transformation. The total area of land use change was 6 646.05 km2. ② In terms of spatial changes, the spatial pattern of ecosystem service value in the Lanzhou-Xining Urban Agglomeration had not undergone obvious transformation. However, the regional variability was significant, generally showing the distribution characteristics of high in the northwest and low in the southeast. ③From the perspective of temporal change, the value of ecosystem services in the Lanzhou-Xining Urban Agglomeration showed an upward trend, with the total flow of value increasing from 186.459 billion yuan to 192.156 billion yuan, with a total value-added of 5.697 billion yuan. ④ There was a rising trend in the overall ecological risk index of the Lanzhou-Xining Urban Agglomeration over the past 20 years. Low ecological risk areas and lower ecological risk areas dominated the ecological risk areas. There was a significant positive correlation between the value of ecosystem services and the ecological risk index. This study aimed to reveal the understanding of the impacts of land-use practices on ecosystem service values and ecological risks, to provide important references for regional ecological risk management and land-use policy formulation, and thus to promote the high-quality development of the ecological environment in the Yellow River Basin.

Research on the spatial temporary evolution of urban expansion in Xining city and its surrounding areas based on Landsat time series data.

Quantitative analysis of the process of urban expansion and evolution is of great practical significance for the future planning and development potential of valley cities. Based on GEE cloud platform and Landsat satellite data, this paper analyzed the spatio-temporal change characteristics and transfer rules of land cover in Xining City and its surrounding areas in the past 33 years by using random forest algorithm, spatio-temporal consistency test, land use dynamic attitude, transfer matrix and transfer hot spot analysis methods. The results show that the accuracy range of the preliminary classification of construction land is improved by 1.57%-3.53 % by using the spatio-temporal consistency test algorithm. The characteristics of land cover change in the study area are mainly the increase of construction land and forest area, the decrease of cultivated land and grassland area, the small change of water body and unused land, and the change of land cover type from cultivated land to urban construction land is prominent. The hot areas of construction land have gradually shifted from the central and eastern districts of the city in 1987 to the hot areas dominated by the Haihu New District of the West of the city, the Biological Park and the higher education base of the North District of the city, the South New District of the city, Duoba Town and the Ganhe Industrial Park in 2019.

[Characteristics and Driving Mechanisms of Shallow Groundwater Chemistry in Xining City].

Groundwater is one of the major sources of water supply, especially in the western arid regions. However, with the deepening of the western development strategy, industrialization and urbanization have increased groundwater resource demands in Xining City. Overexploitation and utilization have led to a series of changes in the groundwater environment. Identifying the chemical evolution characteristics and formation mechanism of groundwater is crucial for preventing its deterioration and ensuring sustainable use. By combining hydrochemistry and multivariate statistical techniques, the chemical characteristics of groundwater in Xining City were analyzed, and the formation mechanism of groundwater and the influence of different factors were discussed. The results showed that there were as many as 36 chemical types of shallow groundwater in Xining City, mainly HCO3-Ca(Mg) (60.00%) and HCO3·SO4-Ca(Mg) (11.81%). There were 5-6 types of groundwater chemical types in bare land, grassland, and woodland. Groundwater chemical types in construction land and cultivated land were more complex, up to 21 types, indicating that they were strongly affected by human activities. The chemical evolution process of groundwater in the study area was mainly affected by rock weathering and leaching, evaporative crystallization, and cation exchange. The main controlling factors were water-rock interaction (contribution rate 27.56%) and industrial wastewater discharge (contribution rate 16.16%), acid-base environment (contribution rate 16.00%), excessive application of chemical fertilizers and pesticides (contribution rate 13.11%), and domestic sewage (contribution rate 8.82%). On account of the chemical characteristics of groundwater in Xining City and the influence of human activities, the management and control suggestions on the development and utilization of groundwater resources were put forward.

City Health Examination and Evaluation of Territory Spatial Planning for SDG11 in China: A Case Study of Xining City in Qinghai Province.

City health examination and evaluation of territorial spatial planning is a new policy tool in China. However, research on city health examination and evaluation of territorial spatial planning is still in the exploratory stage in China. Guided by sustainable cities and communities (SDG11), a reasonable city health examination and evaluation index system for Xining City in Qinghai Province is constructed in this paper. The improved technique for order preference by similarity to ideal solution (TOPSIS) was used to quantify the evaluation results, and the city health index was visualized using the city health examination signals and warning panel. The results show that the city health index of Xining City continuously rose from 35.76 in 2018 to 69.76 in 2020. However, it is still necessary to address the shortcomings in innovation, coordination, openness and sharing and to improve the level of city space governance in a holistic way. This study is an exploration of the methodology used in city health examination and the evaluation of territorial spatial planning in China, which can provide a foundation for the sustainable development of Xining City and also provide a case reference for other cities seeking to carry out city health examinations and evaluations of territorial spatial planning in China.

A Systematic Government-Driven Green Development Transformation Strategy with Chinese Characteristics: The Case Study of the Xining Metropolitan Area.

In the 21st century, the tension between economic growth, resources and the environment in countries around the world is increasing, and the sustainable development of the economy and society is under great pressure. Green development has become the only way for countries to promote sustainable development. Generally, capitalist countries achieve their green development goals through increasingly strict environmental protection regulations, technological upgrading, industrial upgrading and global transfer based on market mechanisms and legal environments. Evidently, this green development strategy relies on the core position of Western countries in the global technological leadership and the global division of labor. However, limited in terms of their economic strength and by technical barriers, how can developing countries, led by China, in the marginal position in the global market competition, carry out green development transformation? In line with the "high-quality development" strategy, governments at all levels in China are actively exploring green development strategies with their own characteristics. Based on the Second Tibetan Plateau Scientific Expedition and Research and the face-to-face interview method, this paper summarizes a new strategy of systematic government-driven green development combining internal and external factors in the underdeveloped areas of inland China, which has gradually formed in the Xining metropolitan area (XMA) in the past 20 years. This strategy has the following characteristics: Firstly, during the period of rapid growth, the XMA areas have promoted each other through new urbanization and new industrialization and jointly promoted the formation of a green development turn in the new era. Secondly, the government is the core actor and driving force of China's regional green development and has gradually formulated and implemented a series of policy systems during this development. Restricted by local economic backwardness and low industrial profits, the implementation of green government policies tends to be mandatory. The majority of urban residents and rural people support this transformation because they have benefited from the transformation process. Thirdly, this green development strategy is reflected in many aspects, such as industry, ecology, the environment, space and transportation, and is part of a systematic, green-oriented transformation. Fourthly, the advantages of the socialist system with Chinese characteristics are the guarantee of the green development strategy. It is noteworthy that this kind of green development transformation requires a large amount of "additional" investment and the "rapid" upgrade of the industry. Therefore, it requires more time and the understanding and assistance of all sectors of society.

Study on Urban Resilience from the Perspective of the Complex Adaptive System Theory: A Case Study of the Lanzhou-Xining Urban Agglomeration.

In the context of global environmental change and continuous urbanization, enhancing urban resilience is an important way to improve urban emergency management capacity and achieve sustainable development of urban systems. It is of great significance to clarify the mechanisms and effects of urban resilience and carry out resilience measurement to improve the level of urban system resilience and alleviate the pressure of environmental disturbances on the stable operation of urban systems. As an important part of the "Belt and Road" Initiative and one of the few leading economic regions in western China, promoting the high-quality development of the Lanzhou-Xining urban agglomeration is of profound significance for strengthening ethnic unity and stabilizing the northwest and southwest regions. Based on the complex adaptive system (CAS) theory and the adaptive cycle model, this study understands urban resilience as the comprehensive result of urban system stability, self-organization, learning adaptability and transformability, constructs a multi-level open index evaluation system, and analyzes the spatio-temporal evolution characteristics of urban resilience of the Lanzhou-Xining urban agglomeration from the proposed design to the formal planning in 2010-2017. The findings are as follows: (1) Research on the urban resilience of the Lanzhou-Xining urban agglomeration verifies the applicability of the evolutionary urban resilience analysis framework and makes preliminary findings on urban resilience based on CAS theory, which provide a certain theoretical reference for the research on the spatio-temporal evolution of urban resilience. (2) From 2010 to 2017, significant differences are observed between various urban attributes. Resilience exhibits an overall upward trend, and spatial evolution changes from a double core (Lanzhou and Xining) to three cores (Lanzhou, Xining and Haidong) and polycentric modes. (3) Based on urban resilience characteristics and an urban system adaptability cycle model, this paper divides the Lanzhou-Xining urban agglomeration cities into four types (exploitation-reorganization, conservation-release, conservation-exploitation and exploitation), and proposes corresponding adaptive management countermeasures. These could be adopted as a reference to promote the high-quality development of the Lanzhou-Xining urban agglomeration.

[Spatiotemporal variation and obstacle factor diagnosis of resource and environment carrying capacity of Lanzhou-Xining urban agglomeration in the upper Yellow River, Nothwest China]. / é»„æ²³ä¸Šæ¸¸å °å·ž-è¥¿å®åŸŽå¸‚ç¾¤èµ„æºçŽ¯å¢ƒæ‰¿è½½åŠ›æ—¶ç©ºåˆ†å¼‚åŠéšœç¢å› å­è¯Šæ–­.

Based on the PSR model, we built an evaluation system for resource and environment carrying capacity. We used the entropy weight method, the comprehensive index model and the spatial analysis function of GIS to explore the spatial-temporal dynamic of the resource and environment carrying capacity of the Lanzhou-Xining urban agglomeration, and used the obstacle degree model to identify the obstacle factors. The results showed that resource and environment carrying capacity of the Lanzhou-Xining urban agglomeration from 2005 to 2018 showed a fluctuating upward trend, which was generally at good condition. The coefficient of variation of resource and environment carrying capacity had a fluctuating upward trend, while regional differences were gradually expanding. Spatially, resource and environment carrying capacity presented a "dual-core" structure centered on the main urban areas of Lanzhou and Xining. The high-level areas were mainly concentrated in the Hehuang Valley with Lanzhou and Xining as the center and some surrounding counties, while the low-level areas were distributed in the central and southern regions of the urban agglomeration. Among them, there were spatiotemporal variations of the subsystem index. The pressure index showed a fluctuating and decreasing trend, and spatially showed a decreasing distribution characteristic from Lanzhou and Xining urban areas to the peripheral areas. The state index showed a fluctuating upward trend, and spatially showed the evolution characteristics of high in the east and west wings and low in the middle. The response index showed an upward trend, and spatially showed distribution patterns high in the east and middle, and low in the west and outside. The urbanization rate, per capita industrial wastewater discharge, domestic waste harmless treatment rate, water consumption index, and the proportion of environmental protection investment in GDP are the main obstacles restricting the improvement of resource and environment carrying capacity of Lanhzhou-Xining urban agglomeration.

[Agricultural Ammonia Emission Inventory and Its Distribution in Xining City].

Based on the field research activity level, the emission inventory of agricultural ammonia in Xining City in 2018 was established using the emission factor method. The emission characteristics of agricultural ammonia in Xining City were analyzed, a spatial grid distribution of 3 km×3 km was carried out by ArcGIS, and an uncertainty analysis of the ammonia emission inventory of livestock and poultry breeding and nitrogen fertilizer application was carried out via Monte Carlo simulation. The results showed that the total amount of ammonia emissions from agricultural sources in Xining City in 2018 was 4644.58 t. Among them, the total annual ammonia emissions from nitrogen fertilizer application and livestock and poultry farming were 1664.84 t and 2979.75 t, respectively, accounting for 35.84% and 64.16% of the total ammonia emissions from agricultural sources in Xining City. The spatial distribution results showed that the agricultural source ammonia emissions of Xining City mainly came from Datong County, Huangyuan County, and Huangzhong County, which accounted for 40.10%, 30.66%, and 28.05% of the total agricultural source ammonia emissions of Xining City, respectively. From the perspective of monthly distribution, no monthly difference in ammonia emissions was found in livestock and poultry farming. The ammonia emissions from nitrogen fertilizer application mainly existed in June (799.96 t) and July (768.48 t), accounting for 48.05% and 46.16% of the annual emissions. Monte Carlo simulation results showed that under a 95% confidence interval, the uncertainties of ammonia emissions from nitrogen fertilizer application agricultural source ammonia were low, ranging from -24.38% to 26.71%.

Impacts of industrial agglomeration on industrial pollutant emissions: Evidence found in the Lanzhou-Xining urban agglomeration in western China.

Industrial agglomeration does not only promote economic and social prosperity of urban agglomeration, but also increases industrial pollution, which poses a health risk to the general public. The Lanzhou-Xining urban agglomeration in western China is characterized by industrial agglomeration and serious industrial pollution. Based on the county panel data of the Lanzhou-Xining urban agglomeration in western China from 2010 to 2018, a research of the impacts of industrial agglomeration on industrial pollutant emissions was conducted by using spatial analysis technology and spatial econometric analysis. The results indicate that industrial agglomeration is an important factor leading to an increase in industrial pollutant emissions. In addition, population density, economic level, and industrial structure are also important factors that lead to the increase in industrial pollutant emissions. However, technological level has led to the reduction in industrial pollutant emissions. Furthermore, industrial pollutant emissions are not only affected by the industrial agglomeration, population density, economic level, industrial structure, and technological level of the county but also by those same factors in the surrounding counties, owing to the spatial spillover effect. Joint development of green industries and control of industrial pollutant emissions is an inevitable result for the Lanzhou-Xining urban agglomeration in western China.

Current status and development trends of morbidity and mortality in gastric cancer patients in Xining, 2009-2016.

OBJECTIVE: The incidence of gastric cancer is declining in parts of Asia including China. This study was designed to investigate the incidence and mortality trend of gastric cancer in different regions and ethnic groups in Xining of Qinghai-Tibet Plateau. METHODS: Data of gastric cancer from January 2009 to December 2016 were collected from Disease Control Center in Xining for repeated cross-sectional study. PRIMARY OUTCOME MEASURES: Gastric cancer. PARTICIPANTS: Xining resident population with pathological diagnosis of gastric cancer. MAIN OUTCOME MEASURE: Age, gender composition ratio, morbidity, mortality and trends. RESULTS: There were 4822 new cases of gastric cancer from 2009 to 2016, including 3583 males and 1239 females; 2290 cases were in villages and 2532 in towns. Male incidence rate (38.37/100,000) was higher than female (13.35/100,000). The incidence in rural areas (39.29/100,000) was higher than in urban areas (20.59/100,000). During 2009-2016, there were 2109 gastric cancer deaths in Xining, 1543 in males and 566 in females. There were 1185 cases in villages and 924 in cities. Male mortality (16.64/100,000) was higher than female (6.42/100,000). The mortality rate in rural areas (20.40/100,000) was higher than in urban areas (7.62/100,000). CONCLUSION: Overall morbidity and mortality rates of gastric cancer are on the rise in Xining. Male morbidity and mortality rates are higher than female ones, and rural areas are higher than urban areas.

[Seasonal Characteristics of Air Pollutant Sources and Transport Pathways in Xining City].

Based on the analysis of seasonal characteristics of PM10 and PM2.5 particle mass concentrations in Xining from 2016 to 2018, the daily 72 hour backward trajectories were calculated using the hybrid single-particle Lagrangian integrated trajectory (HYSPLIT) model and global data assimilation system (GDAS) data. The main transport pathways of PM10 and PM2.5 were identified and their characteristics were analyzed by clustering analysis for four seasons. The potential source regions and their contributions were defined using the potential source contribution function (PSCF) model and the concentration-weighted trajectory (CWT) method provided by TrajStat software. Results indicated that the sources were mostly distributed in the north-west and north-east regions and heights were low in the surrounding and adjacent areas of Xining. The transport pathways were mainly affected by airflows from the west, northwest, southwest, and east in Xining city. The trajectories with the highest probability of occurrence were characterized by short distance, low height, and slow-moving speed, originated from Qinghai in spring, summer and autumn, but from Xinjiang in winter, and was dominated by intra-provincial transportation. Different transport trajectories had different effects on PM10 and PM2.5 concentrations. Polluted airflows mainly originated from internal sources in Qinghai, external sources in Xinjiang, and foreign sources in the west of Xinjiang, with all the source regions located in deserts or Gobi areas. Obviously seasonal differences existed in the distribution and contribution of the potential source areas, with the widest and largest contribution in winter, followed by spring and autumn, and the smallest in summer. The most important potential source regions were located in northern, central, and eastern Qinghai, and southern, central, and eastern Xinjiang, while the surroundings were potential source regions for medium contribution.

An Exploratory Study of Influenza Vaccination Coverage in Healthcare Workers in a Western Chinese City, 2018-2019: Improving Target Population Coverage Based on Policy Interventions.

Objectives: To evaluate a policy-based intervention to increase seasonal-influenza-vaccination coverage in healthcare workers in Xining, a city in Western China. Methods: From October 2018 to March 2019, we implemented a free vaccination policy in healthcare workers in Xining. A face-to-face interview with the head of the infection control department and an online survey for medical staff in four tertiary medical facilities was conducted to understand both the implementation of the free policy and influenza vaccination coverage. Possible factors for influenza vaccination among healthcare workers (physician, nurses working on the front-line, HCWs) were investigated by multivariate-logistic regression. Results: Coverage in two hospitals that implemented the free vaccination policy was 30.5% and 25.9%, respectively, which was statistically different to hospitals that did not implement the free policy (7.2% and 8.7%, respectively) (χ2 = 332.56, p < 0.0001). Among vaccinated healthcare workers, 65.5% and 48.6% reported their main reasons for vaccination were a convenient vaccination service and awareness of the free vaccination policy. The reasons for not being vaccinated among the 3389 unvaccinated healthcare workers included: the inconvenient vaccination service (33.8%), believing vaccination was unnecessary (29.7%), concerns about adverse reactions to the vaccine (28.8%), and having to pay for the vaccine (25.6%). Conclusions: Implementing the free vaccination policy, combined with improving the accessibility of the vaccination service, increased seasonal-influenza vaccination-coverage in healthcare workers in Xining.

[Influenza vaccination and its influencing factors among clinical staff of the hospitals in 2016-2017 season, Xining, Qinghai province, China].

Objective: To investigate the influenza vaccination and its influencing factors among the clinical staff in Xining, Qinghai province, in the 2016-2017 influenza season, and to explore the promoting strategies to encourage the target population for influenza vaccination. Methods: Four sample hospitals were randomly selected from the total 11 tertiary hospitals in Xining city. Clinical staff that worked in the four hospitals and agreed to participate were recruited for investigation via a self-administered questionnaire. Results: During the 2016-2017 influenza season, the coverage rate of influenza vaccines among the clinical staff was 5.14% (95%CI: 4.80%-5.49%). Multivariate logistic regression showed that knowing the priority of vaccination, the frequency of vaccination, effect of vaccination, and possessing higher professional qualifications were major influencing factors for influenza vaccination. The intention on recommendation of seasonal influenza vaccine was higher in vaccinated group than that in the unvaccinated group (χ(2)=99.57, P<0.001). Conclusion: The lower coverage rate was primarily associated with the lack of knowledge about influenza vaccine among the clinical staff of the hospital. Tailored information should be provided to the clinical staff through effective methods to improve vaccination and the recommendation of influenza vaccine.

Urban street dust bound 24 potentially toxic metal/metalloids (PTMs) from Xining valley-city, NW China: Spatial occurrences, sources and health risks.

Street dusts (SDs) were a significant tracer to understand the pollution status of potentially toxic metal/metalloids (PTMs) in local environment. In this study, a total of 157 SDs were collected in the valley-city of Xining, NW China, with the objective to systematically investigate the spatial occurrences, sources and health risk status of 24 PTMs bound in SDs. The basic datasets of pH and size-fractions showed that the SDs with PTMs were more alkaline and dominated with the coarse particle sizes between PM10-50, respectively. Results of concentration levels and spatial status of 24 PTMs processed with multi-statistical tools well established the sources identification in monitored local areas. It was suggested that the principal elements, Al, Fe, Si, K, Ca, Na, Mg, coupled with the trace elements Bi, Ga, Nb, Ni, Rb, Sr, Th, U, Y, Zr, As, Mn, Ti, V, Ce and La would be possiblely predominated by geogenic source or nature material, whereas contamination of Ba, Cu, Pb and Zn was clearly related to traffic-related sources. Peculiar associations among Cr and Co were possiblely enriched in SDs very close to the alloy industries. However, Sb and Sn differed from other observed PTMs, which appeared to derive predominantly from the coal combustion other than sources of electronic and mechanical industries. Compared to the integrated potential ecological risk index (PERI) of all PTMs with considerable contamination level and ecological risk, the single PTM of Sb posed very high risk. Calculated Hazard Index (HI) suggested ingestion as the most important exposure pathway for the majority of PTMs in children and adults, and no significant health risks of non-carcinogenic to children and adults were found except Cr (2.78) exposured to children. However, the evaluated cancerous risk was in the acceptable range both to children and adults except for the case of Cr exposure to adults (1.55E-06) compared to other PTMs. Although the carcinogenic risk was found no significant level, the maps of spatial carcinogenic risks above the threshold for children and adults were observed in some local monitoring areas, which should be attention and not to be always ignored.

Influenza vaccination and its influencing factors among clinical staff of the hospitals in 2016-2017 season, Xining, Qinghai province, China / 中华流行病学杂志

Objective To investigate the influenza vaccination and its influencing factors among the clinical staff in Xining,Qinghai province,in the 2016-2017 influenza season,and to explore the promoting strategies to encourage the target population for influenza vaccination.Methods Four sample hospitals were randomly selected from the total 11 tertiary hospitals in Xining city.Clinical staff that worked in the four hospitals and agreed to participate were recruited for investigation via a self-administered questionnaire.Results During the 2016-2017 influenza season,the coverage rate of influenza vaccines among the clinical staff was 5.14％ (95％ CI:4.80％-5.49％).Multivariate logistic regression showed that knowing the priority of vaccination,the frequency of vaccination,effect of vaccination,and possessing higher professional qualifications were major influencing factors for influenza vaccination.The intention on recommendation of seasonal influenza vaccine was higher in vaccinated group than that in the unvaccinated group (x2=99.57,P＜0.001).Conclusion The lower coverage rate was primarily associated with the lack of knowledge about influenza vaccine among the clinical staff of the hospital.Tailored information should be provided to the clinical staff through effective methods to improve vaccination and the recommendation of influenza vaccine.

Influenza vaccination and its influencing factors among clinical staff of the hospitals in 2016-2017 season, Xining, Qinghai province, China / 中华流行病学杂志

Objective To investigate the influenza vaccination and its influencing factors among the clinical staff in Xining,Qinghai province,in the 2016-2017 influenza season,and to explore the promoting strategies to encourage the target population for influenza vaccination.Methods Four sample hospitals were randomly selected from the total 11 tertiary hospitals in Xining city.Clinical staff that worked in the four hospitals and agreed to participate were recruited for investigation via a self-administered questionnaire.Results During the 2016-2017 influenza season,the coverage rate of influenza vaccines among the clinical staff was 5.14％ (95％ CI:4.80％-5.49％).Multivariate logistic regression showed that knowing the priority of vaccination,the frequency of vaccination,effect of vaccination,and possessing higher professional qualifications were major influencing factors for influenza vaccination.The intention on recommendation of seasonal influenza vaccine was higher in vaccinated group than that in the unvaccinated group (x2=99.57,P＜0.001).Conclusion The lower coverage rate was primarily associated with the lack of knowledge about influenza vaccine among the clinical staff of the hospital.Tailored information should be provided to the clinical staff through effective methods to improve vaccination and the recommendation of influenza vaccine.

Study on the differences of nerve conduction of lower limbs in general population with different nationalities in Xining region / 临床神经病学杂志

Objective To explore the differences of nerve conduction of lower limbs in general population with different nationalities in Xining region.Methods Physical examination and healthy volunteers in No.1 People's Hospital of Xining were collected.Two hundred and forty Hui people of them was Hui group.Two hundred and forty people with other ethnic minorities including Tibetan,Tu and Mongolian of them was mixed group.Two hundred and forty Han people of them was Han group.The nerve conduction of lower limbs in all the people were detected.And the differences were compared.Results The differences of nerve conduction of posterior tibial nerve among all the groups were not statistical significant (all P>0.05).The latent period of common peroneal nerve in Hui group was significantly longer than mixed group and Han group,the motor conduction velocity of which was significantly slower,the motor nerve action potential of which was significantly reduced (all P0.05).The differences of nerve conduction of each group among different age periods were statistical significant(all P<0.05).Conclusions The nerve conduction of lower limbs in general Hui people in Xining region must be different with other general people.It must be noticed in clinical examination.

Analysis on distribution regularity of clinical critical value in Xining area / 国际检验医学杂志

Objective To understand the distribution regularity of the clinical critical value in the plateau region by analyzing the clinical critical value distribution situation in order to provide the scientific basis for further perfect the critical value report system. Methods The critical value items reported by our department from July 1,2010 to June 30,2011 were retrospectively analyzed for studying its distribution regularity.Results The incidence rate of critical values report in our hospital was 0.29%,the incidence rate of critical value such as blood potassium,glucose and blood gas pH had no difference in distribution between genders in Xining region(P >0.05),but had significantly difference among different age groups(P <0.05).In addition,the report number of the criti-cal value of the blood potassium,glucose and blood gas pH in the internal medicine was significantly higher than that in the surgical departments(P <0.01).Conclusion The periodic retrospective analysis of critical value report helps to improve the clinical diagno-sis and the reporting system of critical value.

Anti HIV test and results analysis of unpaid blood donors in Xining area / 国际检验医学杂志

Objective To do blood donation analysis on detection of anti-HIV in Qinghai Xining area from 2008 to 2013 and im-prove blood recruitment acquisition work .To prevent the occurrence of transfusion transmitted HIV .To ensure the safety of clinical blood transfusion .Methods Anti-HIV was detected by ELISA method ,screening positive by Western Blot (WB) for confirmation , statistics and analysis of the test results .Results A total of 201 652 blood donors were detected ,WB confirmed 54 cases of people infected with HIV ,The positive rate was 0 .027% .Infections in the male dominated ,accounted for 90 .7% ,21 - <41 years of age was the high age ,accounted for 68 .5% .ELISA test ,the S/CO value and the confirmatory test positive coincidence rate is propor-tional .A single ELISA reagent and two ELISA reagents proved the positive coincidence rate was 0% and 87% ,54 cases of infection were the anti-HIV 1 ,specific anti HIV with gp160 ,gp120 ,P24 ,P17 were 100% .Conclusion A low prevalence steady trend overall HIV infection in blood donors ,no freedom of occupation and occupation as the main infection ,spread of infection from high-risk groups to the various social groups .Presents the infected population diversity and the popular trend of complicated characteristics . To implement and strengthen the knowledge of AIDS prevention and control in blood donation activities in the propaganda .To fur-ther strengthen the recruitment of various link management and increasing the level of detection .The maximum screen for high-risk donors to ensure the safety of blood .

Status analysis of cervical lesion and cognition of women in childbearing age in Xining and its related factors / 重庆医学

Objective To study the status of cervical lesion and cognition of women in childbearing age in Xining and its related factors .Methods From March 2012 to August 2013 ,1 500 female patients were selected .All the women accepted pap smear and HPV DNA test .Meanwhile ,questionnaires were distributed for cervical cancer in the region and identify the cognition related fac-tors .Results The results showed that among the 1 500 cases of the sample population ,number of cervical intraepithelial neoplasia grade Ⅰ(CIN Ⅰ)was 48(3 .2% )and cervical intraepithelial neoplasia grade Ⅱ and above was 22(1 .5% ) .674 cases got a good cog-nition ,while 826 cases got a poor one .Multivariate analysis showed that age ,marital status ,education level ,place of residence ,occu-pation and family income were closely related to women′s cognition of cervical cancer .Conclusion The status of cervical lesions of women in childbearing age in Xining is generally common ,but the overall cognition is poor ,which is mainly related to age ,marital status ,occupation ,place of residence and income .