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Infectious complications diminished from 25% to 16.4% (-6.1, 95%CI -11.5 to-0.7), reoperations from 8.1% to 6.1% (-2.2, 95%CI -5.1 to+0.6), median length of stay from 11 [IQR 8-18] to 8 [7-12] days (p<0.001), hospital readmission from 14.1% to 8.9% (-5.4, 95%CI -9.6 to-1.1), mortality from 7.9% to 4.8% (-2.4, 95%CI -4.7 to-0.01), and failure-to rescue from 62.7% to 32.7% (-23.1, 95%CI -37.7 to-8.5).

Implementation of a PBM program was associated with a reduction in transfusion rate and improvement in postoperative outcomes in gastric cancer patients undergoing curative resection.

Implementation of a PBM program was associated with a reduction in transfusion rate and improvement in postoperative outcomes in gastric cancer patients undergoing curative resection.Peatland areas provide a range of ecosystem services, including biodiversity, carbon storage, clean water, and flood mitigation, but many areas of peatland in the UK have been degraded through human land use including drainage. Here, we explore whether remote sensing can be used to monitor peatland resilience to drought. We take resilience to mean the rate at which a system recovers from perturbation; here measured literally as a recovery timescale of a soil surface moisture proxy from drought lowering. Our objectives were (1) to assess the reliability of Sentinel-1 Synthetic Aperture Radar (SAR) backscatter as a proxy for water table depth (WTD); (2) to develop a method using SAR to estimate below-ground (hydrological) resilience of peatlands; and (3) to apply the developed method to different sites and consider the links between resilience and land management. Our inferences of WTD from Sentinel-1 SAR data gave results with an average Pearson’s correlation of 0.77 when compared to measured WTD values. The 2018 summer drought was used to assess resilience across three different UK peatland areas (Dartmoor, the Peak District, and the Flow Country) by considering the timescale of the soil moisture proxy recovery. Results show clear areas of lower resilience within all three study sites, which often correspond to areas of high drainage and may be particularly vulnerable to increasing drought severity/events under climate change. This method is applicable to monitoring peatland resilience elsewhere over larger scales, and could be used to target restoration work towards the most vulnerable areas.The organophosphate flame retardant, tris (1-chloro-2-propyl) phosphate (TCPP), is ubiquitous in environmental matrices; however, there is a paucity of information concerning its systemic toxicity. Herein, we investigated the effects of TCPP exposure on zebrafish neurodevelopment and swimming behavior to elucidate the underlying molecular mechanisms of neurotoxicity. Under TCPP gradient concentration exposure, the hatching rates were declined by up to 33.3% in 72 hpf, and the malformation rates increased from 15% to 50%. Meanwhile, TCPP led to abnormal behaviors including decreased locomotive activity in the dark and slow/insensitive responses to sound and light stimulation of larvae. TCPP caused excessive apoptosis and ROS accumulation in early embryonic development, with hair cell defects and structural deformity of neuromast. Abnormal expression of neurodevelopment (pax6a, nova1, sox11b, syn2a, foxo3a and robo2) and apoptosis-related genes (baxa, bcl2a and casp8) revealed molecular mechanisms regarding abnormal behavioral and phenotypic symptoms. Chronic TCPP exposure led to anxiety-like behavior and excessive panic, lower capacity for discrimination and risk avoidance, and conditioned place preference in adults. Social interaction tests demonstrated that long-term TCPP stress resulted in unsociable, eccentric, lonely and silent behaviors in adults. Zebrafish memory and cognitive function were severely reduced as concluded from T-maze tests. Potential mechanisms triggering behavioral abnormality were attributed to histopathological injury of diencephalon, abnormal changes in nerve-related genes at transcription and expression levels, and inhibited activity of AChE by TCPP stress. These findings provide an important reference for risk assessment and early warning to TCPP exposure, and offer insights for prevention/mitigation of pollutant-induced nervous system diseases.Currently, numerous challenges such as excessive irrigation water consumption, labor shortage, lower economic and environmental benefits pose serious threats to rice cultivation systems. Therefore, more water- and labor-efficient irrigation technologies are needed in rice production for minimal environmental hazards and greater economic benefits. After the screening experiment of water-saving cultivation technologies and cultivars, a two-year field experiment was conducted to further explore the effects of efficient water-saving technologies and rice cultivars on the comprehensive benefits, global warming potential (GWP), grain yield, economic benefits, water productivity, nitrogen partial factor productivity, radiation, accumulated temperature and energy use efficiency (EUE) of a rice-wheat rotation system. Conventional flooding irrigation (F), intermittent irrigation (IR), transplanting rainfed (TR) and rice dry cultivation (D) were implemented with two rice cultivars, including Hanyou73 (HY) and Huanghuazhan (HH). After rice harvest, a winter wheat cultivar (Huamai 2566) was planted with traditional methods. ChlorogenicAcid The system of rice dry cultivation and wheat rotation had higher comprehensive benefits, which were attributed to greater water productivity, economic benefits and EUE and lower GWP, especially in the rice growing season. D treatment enhanced the comprehensive and economic benefits by 2.5% and 26.8%, 1.6% and 11.3%, 3.3% and 0.6%, and reduced the GWP by 3.4%, 56.7% and 30.2% compared with F, IR and TR treatments in the rotation system, respectively. During the rice season, D treatment significantly (P less then 0.05) increased the economic benefits, water productivity and EUE, but slight decreased the grain yield than other treatments. Overall, rice dry cultivation (especially with the HY cultivar) can achieve higher comprehensive benefits in rice growing season as well as in the whole rotation system.