In this paper,we generally summarize the main issues in the operational period of water conservancy and hydropower projects in China over the past several decades.First,the adverse impacts of these projects since the ...In this paper,we generally summarize the main issues in the operational period of water conservancy and hydropower projects in China over the past several decades.First,the adverse impacts of these projects since the technical guidelines were proposed in 2006 are analyzed.Then,combined with projects and experience from 2006 to 2014,the four main issues are summarized:(1) There exist many questions in the design and construction of fishways,which are useful for fish migration,and the migration effects are not as expected.(2) Temperature stratification affecting the downstream fish is the major impact of temperature,and alters fish spawning in the reproduction season.(3)Ecological base flow has been one of the primary questions of the last 30 years in China,the greatest related difficulty being quantification of the amount and flow process necessary to satisfy fish life history.(4) Fish habitat protection and restoration are popular topics in recent years with the development of river ecosystem restoration.Fish habitat loss due to the impacts of dam construction and habitat fragmentation has become more and more serious.These four issues are now the main difficulties in water project management,and interact with one another to bear combined effects on river ecosystems.The issues of eco-hydraulic consideration in the design period are the key factors.Finally,future priorities for research and practice of environmental protection for water conservancy and hydropower projects in China are proposed.The main purpose of this paper is to enhance the scientific research,monitoring,and assessment of operating effectiveness.展开更多
Transportation is a sector with high energy consumption as well as high emissions.Generally speaking,economic growth will inevitably lead to the increase of travel demand and vehicle population,which in turn results i...Transportation is a sector with high energy consumption as well as high emissions.Generally speaking,economic growth will inevitably lead to the increase of travel demand and vehicle population,which in turn results into the augmentation of environmental and social costs.For metropolis like Beijing under rapid development,there exist various possibilities and options for transport development policy instruments.But there is no guarantee that they will be suitable for Beijing,although they are effective in their local places.This article assesses what kind of policy can most effectively improve the traffic conditions in Beijing in the future.After literature reviews on the practices of foreign policy and we established several feasible scenarios.Then,we used the Long Range Energy Alternatives Planning System(LREAP) analyzed their corresponding results of reduced energy consumption and emissions.Finally,by simulating and computing the realistic Beijing transportation scenarios,this paper scientifically assesses what kind of policy can most effectively improve the traffic condition in Beijing in the coming decade.展开更多
Deterministic compartment models(CMs)and stochastic models,including stochastic CMs and agent-based models,are widely utilized in epidemic modeling.However,the relationship between CMs and their corresponding stochast...Deterministic compartment models(CMs)and stochastic models,including stochastic CMs and agent-based models,are widely utilized in epidemic modeling.However,the relationship between CMs and their corresponding stochastic models is not well understood.The present study aimed to address this gap by conducting a comparative study using the susceptible,exposed,infectious,and recovered(SEIR)model and its extended CMs from the coronavirus disease 2019 modeling literature.We demonstrated the equivalence of the numerical solution of CMs using the Euler scheme and their stochastic counterparts through theoretical analysis and simulations.Based on this equivalence,we proposed an efficient model calibration method that could replicate the exact solution of CMs in the corresponding stochastic models through parameter adjustment.The advancement in calibration techniques enhanced the accuracy of stochastic modeling in capturing the dynamics of epidemics.However,it should be noted that discrete-time stochastic models cannot perfectly reproduce the exact solution of continuous-time CMs.Additionally,we proposed a new stochastic compartment and agent mixed model as an alternative to agent-based models for large-scale population simulations with a limited number of agents.This model offered a balance between computational efficiency and accuracy.The results of this research contributed to the comparison and unification of deterministic CMs and stochastic models in epidemic modeling.Furthermore,the results had implications for the development of hybrid models that integrated the strengths of both frameworks.Overall,the present study has provided valuable epidemic modeling techniques and their practical applications for understanding and controlling the spread of infectious diseases.展开更多
With the development of industry and agriculture,nitrogen,phosphorus and other nutrients in the Hanshui River greatly increase and eutrophication has become an important threat to the water quality of the Hanshui Rive...With the development of industry and agriculture,nitrogen,phosphorus and other nutrients in the Hanshui River greatly increase and eutrophication has become an important threat to the water quality of the Hanshui River,especially in the middle and lower reaches.The primary objective of this study was to establish the water quality model for the middle and lower reaches of the Hanshui River based on the model of MIKE 11.The main pollutants migration and transformation process could be simulated using the water quality model.The rainfall-runoff model,hy-drodynamic model and water quality model were established using MIKE 11.The pollutants,such as chemical oxygen demand(COD),biochemical oxygen demand(BOD),ammonia nitrogen,nitrate nitrogen,phosphorus,dissolved oxy-gen(DO),were simulated and predicted using the above three models.A set of methods computing non-point source pollution load of the Hanshui River Basin was proposed in this study.The simulated and observed values of COD,BOD5,ammonia,nitrate,DO,and total phosphorus were compared after the parameter calibration of the water quality model.The simulated and observed results match better,thus the model can be used to predict water quality in the fu-ture for the Hanshui River.The pollution trend could be predicted using the water quality model according pollution load generation.It is helpful for government to take effective measures to prevent the water bloom and protect water quality in the river.展开更多
Fault-block structures of the Altay-Sayan folded area （ASFA） southeastern Siberia of Russia were used as the basis for creating a 3-D model. The surface structures were projected to depths by previous correlations b...Fault-block structures of the Altay-Sayan folded area （ASFA） southeastern Siberia of Russia were used as the basis for creating a 3-D model. The surface structures were projected to depths by previous correlations between long and deep faults, with all layers and deformation factors defined. The mean deformation factor （Ds） is 0.12 unit/km^3 in the upper layer, 0.012 unit/km^3 in the intermediate layer, and 0.007 unit/km^3 in the lower layer of the 3-D ASFA neotectonic model. Ds allows correlation of the three distinguished layers with theological bodies that differ in their potential for accumulating elastic energy. 3-D modeling can be used as a methodological approach to projections in seismic prone areas such as the Krasnoyarsk region, for earthquake-hazard monitoring.展开更多
Four techniques, Soxhlet extraction (SOX), ultrasonic extraction (USE), fluidized-bed extraction (FBE) and acce-lerated solvent extraction (ASE) with different solvents (methanol, hexane/acetone and acetonitrile) were...Four techniques, Soxhlet extraction (SOX), ultrasonic extraction (USE), fluidized-bed extraction (FBE) and acce-lerated solvent extraction (ASE) with different solvents (methanol, hexane/acetone and acetonitrile) were used for theextraction of DDT analogues in sediments. Results revealed that the four extraction techniques had high recoveries (>86.0%) with low standard deviations (< 12.0%) for most of DDT analogues, meaning that they could all successfully extractDDT analogues in sediments. Accelerated solvent extraction using methanol and hexane/acetone (1:1), fluidized-bedextraction using hexane/acetone (1:1) and the ultrasonic extraction using hexane/acetone (1:1) were comparable or betterthan Soxhlet extraction using hexane/acetone (1:1). Considering solvent- and time-consumption, level of automation,and environmental risk, accelerated solvent extraction with hexane/acetone (1:1) was better than the other extractiontechniques.展开更多
Mixed strains Delftia sp.YH01 and Acidovorax sp.YH02,with capability of heterotrophic nitrification-aerobic denitrification,were introduced into a two-stage aerobic sequencing batch reactor to enhance NO3^--N removal....Mixed strains Delftia sp.YH01 and Acidovorax sp.YH02,with capability of heterotrophic nitrification-aerobic denitrification,were introduced into a two-stage aerobic sequencing batch reactor to enhance NO3^--N removal.With optimal C/N of 8,efficient NO3^--N removal was achieved at initial NO3^--N concentration of 2000 mg·L−1.Meanwhile,the massive accumulation of NO2^--N was avoided during the long operation.Compared to the one-stage aerobic sequencing batch reactor,the removal efficiency of NO3^--N and TN in the two-stage aerobic sequencing batch reactor was increased by 36.5% and 42.7%,which respectively was 93.8% and 88.4%.Microbial community study showed that the mixed strains have the stronger viability and can synergistically denitrify with the indigenous microorganisms in system,such as Azoarcus,Uncultured Saprospiraceae,Thauera,Paracocccus,which could be major contributors for aerobic denitrification.The proposed technology was shown to achieve high-efficiency treatment of high NO3^--N wastewater through aerobic denitrification.展开更多
In recent decades,a series of policies and practices for environmental flows(e-flows)have been implemented in China,with the sustainable development goal of balancing the utilization and protection of water resources ...In recent decades,a series of policies and practices for environmental flows(e-flows)have been implemented in China,with the sustainable development goal of balancing the utilization and protection of water resources among social,economic,and ecological needs.The aims of this study were to determine the main challenges and issues in e-flows implementation at different scales by analyzing policies and practices for eflows in China,and to propose some recommendations for bridging the gaps between the science and implementation of e-flows.The gaps between the science and implementation of e-flows were found after review of literature,policies,and practices,and it was found that ecological flow was a more widely used term by the government,rather than e-flows,in implementation.The plans and effects of e-flows implementation are discussed in this paper and challenges of e-flows implementation are recognized:(1)limited water resources and uneven spatial and temporal distribution,(2)a weak scientific basis for e-flows implementation,(3)poor operability of e-flows science,and(4)ineffective supervision and guarantee measures.The recommendations are(1)to strengthen the scientific foundation of e-flows,(2)to improve effectiveness in application of e-flows science,and(3)to propose operable and effective supervision and guarantee measures.This paper elaborates the current understanding of e-flows science and provides practical recommendations for implementing e-flows and for improving the effectiveness in e-flows implementation.To bridge the gaps between science and implementation of e-flows and improve the operability of policies in future practices,more scientific research on practices is recommended through adaptive management.展开更多
Congestion causes many externalities for the society, including time delays, excessive fuel consumption, air pollution, noise and safety concerns. In Shanghai, various policy options have been explored, piloted or app...Congestion causes many externalities for the society, including time delays, excessive fuel consumption, air pollution, noise and safety concerns. In Shanghai, various policy options have been explored, piloted or applied; however, not all of them may be understood and accepted by the public. A survey was conducted to investigate people＇s attitudes towards several policy options. The main findings reveal that Shanghai residents are resistant to certain policies, such as congestion charges, higher parking charges in congested areas and car restrictions. Instead, they favor public transport provisions. The paper suggests that there is a case for promoting public transport and more efficient trips when the car ownership is still low, and for investing in a policy of educating the public on the ＇true＇ costs and causes of congestion before embarking on ,an intensive policy of congestion charges or restrictions.展开更多
Decoction of Kampo medicines plays an important role in clinical practice, especially in individualized treatment, while the inconvenience and a long time requirement of the decocting process are impediments to its wi...Decoction of Kampo medicines plays an important role in clinical practice, especially in individualized treatment, while the inconvenience and a long time requirement of the decocting process are impediments to its widespread use in Japan. In this study, we improved the decocting method by using a microwave oven such as those found in most kitchens. To validate the feasibility and safety of this new method, we decocted kakkonto, which is the most widely used formula in clinical treatment in Japan, and keishikabushito, which contains toxic components using a microwave oven. Regarding the contents of 8 characteristic components in the kakkonto decoction and the contents of 6 toxic components in the keishikabushito decoction as indices, and with the extraction and detoxification effects equal to those of the conventional decocting method as targets, we optimized the decocting conditions with Response Surface Methods. With this new method, it took 35 min to obtain almost the same extraction effect for kakkonto as with the conventional decocting method, which takes 40 min;meanwhile, it took only 45 min to detoxify keishikabushito, which takes 60 min using the conventional decocting method. Decocting Kampo medicines with a microwave oven is feasible and as safe as the conventional decocting method. It is a convenient, safe, time-saving method, and may be applied widely in clinical practice. This innovation should allow more patients to benefit from decoction and the individualized treatment it offers.展开更多
Economy is of importance for everyone but the growing environmental destruction and disparity between the rich and poor demands adoption of cleaner and better path so as to secure the future resources and achieve sust...Economy is of importance for everyone but the growing environmental destruction and disparity between the rich and poor demands adoption of cleaner and better path so as to secure the future resources and achieve sustainable development with better social inclusion. On this regard, the term “green economy” came into light. The Asian Center for Environment Management and Sustainable Development (AEMS) then explored the “green economy” concept in Nepal through a regional workshop on May 2012 with participants from Bangladesh, Bhutan, India, Canada, UK and Nepal. Consequently, the hydropower sector of Nepal was recognized as one of the most feasible and potential sector for green economy. Therefore, various case studies of hydropower projects, interaction programs and interviews with relevant personnel were carried out for this study to analyze the scope of hydropower in achieving the three important attributes of green economy, namely—resource efficiency, low carbon and social inclusion. Nepal is rich in water resources;it is therefore possible to use our abundant water resource in an efficient manner. Likewise, the end product of hydropower is clean energy though carbon emission is involved during the construction. It shows the potential to replace considerable amount of carbon emission from biomass based energy resources. Similarly, hydropower project exhibits positive implication on the local society besides making electricity available to the whole nation. The locals also get floating shares and royalty benefits to develop the project affected area. However, the affected areas now have minimal share in royalty. Besides, this study also addresses the issues of policy implication and challenges. All the relevant issues of hydropower as studied reveal that there are required provisions at place in Nepal for hydropower sector to fit perfectly in green economy concept, if only, the prevalent issues are handled efficiently and effectively by the relevant sectors.展开更多
Addressing the issue of the healthy and coordinated development of the population and economic factors in rural areas will not only help consolidate and expand the achievements of poverty alleviation,but will also lay...Addressing the issue of the healthy and coordinated development of the population and economic factors in rural areas will not only help consolidate and expand the achievements of poverty alleviation,but will also lay a foundation for comprehensive rural revitalization.In this paper,the spatial coupling relationship between the population and economic factors in rural areas in the QinlingDaba Mountains,China,is explored to provide a reference for rural revitalization and regional sustainable development in poverty areas.Sixty-eight county units in rural areas in the Qinling-Daba Mountains,as well as the population and economic factors in rural areas,are used to study the spatial coupling relationship between population and economy,as well as the driving mechanism,in rural areas in the Qinling-Daba Mountains from 2010 to 2020.The results show that a population contraction phenomenon occurred in the rural areas in the Qinling-Daba Mountains,and the spatial agglomeration trends of the population and economic factors were consistent.The agglomeration was mainly located in the suburban areas of the municipal area,and the agglomeration degree was significantly higher in these areas than in other areas.In terms of the spatial distribution,the economic development level of the rural areas in the northeastern part of the Qinling-Daba Mountains was generally higher than that in the central and western parts,and the unbalanced trends of the population and economic spatial differentiation in the eastern and western regions were significant.The spatial coupling relationship between the population and economy changed from coordinated development to economic advancement.This was mainly due to the mutual restriction and joint actions of the industrial structure,capital situation,natural environment,policies,and institutional regulations,among which the industrial structure and capital status had significant effects.展开更多
Food and Agriculture Organization(FAO)is appealing for a global implementation of urban agricultural strate-gies to increase food availability.Bandung,a city in Indonesia,is already participating in this initiative.Th...Food and Agriculture Organization(FAO)is appealing for a global implementation of urban agricultural strate-gies to increase food availability.Bandung,a city in Indonesia,is already participating in this initiative.This research aimed to assess the contribution of urban agriculture toward household food fulfillment and income.Furthermore,the impacts on urban,subsistence,semi-commercial,and commercial agriculture were considered.In-depth interviews to obtain qualitative data and observations were also utilized.A survey of 321 households,consisting of 107 for each urban agricultural type,used questionnaires to obtain quantitative data.These inputs were further analyzed to determine the contribution of household food fulfillment and income.The results showed that average urban agriculture has an insignificant and significant contribution of 9%and 41.5%to household food fulfillment and income.This was due to the vast complexities of metropolitan problems,including limited access to land,lack of participation,dependence on on-market products,and increasing commercialization which opposed urban agricultural policies。展开更多
Extreme weather events and climate change have witnessed a substantial increase in recent years,leading to heightened concerns.The rise in abnormal ambient temperatures,both in intensity and frequency,directly and ind...Extreme weather events and climate change have witnessed a substantial increase in recent years,leading to heightened concerns.The rise in abnormal ambient temperatures,both in intensity and frequency,directly and indirectly impacts cardiovascular health.While the impact of high ambient temperatures on cardiovascular response is a common concern in the context of global warming,the significance of low temperatures cannot be overlooked.The challenges posed by low temperatures contribute to increased cardiovascular morbidity and mortality,posing a significant threat to global public health.This review aims to provide an overview of the relationship between low ambient temperature and cardiovascular health,encompassing the burden of cardiovascular outcomes and underlying mechanisms.Additionally,the review explores strategies for cold adaptation and cardioprotection.We posit that to optimize cold adaptation strategies,future research should delve deeper into the underlying mechanisms of cardiovascular health in response to low ambient temperature exposure.展开更多
China is now confronting the intertwined challenges of air pollution and climate change.Given the high synergies between air pollution abatement and climate change mitigation,the Chinese government is actively promoti...China is now confronting the intertwined challenges of air pollution and climate change.Given the high synergies between air pollution abatement and climate change mitigation,the Chinese government is actively promoting synergetic control of these two issues.The Synergetic Roadmap project was launched in 2021 to track and analyze the progress of synergetic control in China by developing and monitoring key indicators.The Synergetic Roadmap 2022 report is the first annual update,featuring 20 indicators across five aspects:synergetic governance system and practices,progress in structural transition,air pollution and associated weather-climate interactions,sources,sinks,and mitigation pathway of atmospheric composition,and health impacts and benefits of coordinated control.Compared to the comprehensive review presented in the 2021 report,the Synergetic Roadmap 2022 report places particular emphasis on progress in 2021 with highlights on actions in key sectors and the relevant milestones.These milestones include the proportion of non-fossil power generation capacity surpassing coal-fired capacity for the first time,a decline in the production of crude steel and cement after years of growth,and the surging penetration of electric vehicles.Additionally,in 2022,China issued the first national policy that synergizes abatements of pollution and carbon emissions,marking a new era for China's pollution-carbon co-control.These changes highlight China's efforts to reshape its energy,economic,and transportation structures to meet the demand for synergetic control and sustainable development.Consequently,the country has witnessed a slowdown in carbon emission growth,improved air quality,and increased health benefits in recent years.展开更多
Awareness of how soil properties vary over agroecosystems(AES) is essential for understanding soil potentials and improving site-specific agricultural management strategies for a sustainable ecosystem. This study exam...Awareness of how soil properties vary over agroecosystems(AES) is essential for understanding soil potentials and improving site-specific agricultural management strategies for a sustainable ecosystem. This study examined the characteristics of soil quality attributes and implications for agriculture in the Choke Mountain watershed in Ethiopia. Forty-seven composite soil samples(0–20 cm deep) were collected from lowland and valley fragmented(AES 1),midland plain with black soil(AES 2), midland plain with brown soil(AES 3),sloppy midland land(AES 4), and hilly and mountainous highlands(AES 5).Ten of 15 soil quality properties were significant(P < 0.05 or 0.01), including silt, exchangeable bases, cation exchange capacity, percent base saturation,p H, organic matter, total nitrogen and available phosphorous(P) across the five AES. However, all properties were variable with coefficients of variation from 7%(total porosity) to 169%(available P) across the AES. Although AES 2and 3 are affected by waterlogging and acidity, these two have better prospects for agriculture, but AES 1, 4, and 5 are unsuitable for agriculture because of soil erosion. Therefore, appropriate and applicable soil management strategies, particularly lime application and organic fertilizer, are fundamental to reversing soil acidity and improving soil fertility.展开更多
Corona virus disease 2019(COVID-19)has exerted a profound adverse impact on human health.Studies have demonstrated that aerosol transmission is one of the major transmission routes of severe acute respiratory syndrome...Corona virus disease 2019(COVID-19)has exerted a profound adverse impact on human health.Studies have demonstrated that aerosol transmission is one of the major transmission routes of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2).Pathogenic microorganisms such as SARS-CoV-2 can survive in the air and cause widespread infection among people.Early monitoring of pathogenic microorganism transmission in the atmosphere and accurate epidemic prediction are the frontier guarantee for preventing large-scale epidemic outbreaks.Monitoring of pathogenic microorganisms in the air,especially in densely populated areas,may raise the possibility to detect viruses before people are widely infected and contain the epidemic at an earlier stage.The multi-scale coupled accurate epidemic prediction system can provide support for governments to analyze the epidemic situation,allocate health resources,and formulate epidemic response policies.This review first elaborates on the effects of the atmospheric environment on pathogenic microorganism transmission,which lays a theoretical foundation for the monitoring and prediction of epidemic development.Secondly,the monitoring technique development and the necessity of monitoring pathogenic microorganisms in the atmosphere are summarized and emphasized.Subsequently,this review introduces the major epidemic prediction methods and highlights the significance to realize a multi-scale coupled epidemic prediction system by strengthening the multidisciplinary cooperation of epidemiology,atmospheric sciences,environmental sciences,sociology,demography,etc.By summarizing the achievements and challenges in monitoring and prediction of pathogenic microorganism transmission in the atmosphere,this review proposes suggestions for epidemic response,namely,the establishment of an integrated monitoring and prediction platform for pathogenic microorganism transmission in the atmosphere.展开更多
The attributable burden is codetermined by the exposure level and nontarget characteristics.However,the conventional method of health impact assessment based on preestablished exposure−response functions includes only...The attributable burden is codetermined by the exposure level and nontarget characteristics.However,the conventional method of health impact assessment based on preestablished exposure−response functions includes only a few well-known characteristics and thus is insufficient to capture the comprehensive variation.We aimed to develop a method to fuse health impact assessment with epidemiological analysis and to identify factors driving baseline risk.The method was applied to identify the factors underlying the change in the number of fine particulate matter(PM_(2.5))related deaths in China between 2000 and 2010.During the study period,the number of PM_(2.5)-related deaths across China's Mainland increased by 0.62(95%CI:0.57,0.69)million,with 0.65(95%CI:0.47,0.91)million,0.55(95%CI:0.39,0.79)million,and 0.11(95%CI:0.06,0.18)million deaths being associated with increased PM_(2.5)exposure,population aging,and growth in population size,respectively.However,economic growth,urbanization,improvement of welfare services,and improvement of hospital services resulted in 0.25(95%CI:0.15,0.40)million,0.16(95%CI:0.10,0.27)million,0.16(95%CI:0.09,0.26)million,and 0.09(95%CI:0.05,0.15)million fewer deaths,respectively.Results indicated that increased exposure was the major driver of the change in the number of PM_(2.5)-related deaths,and economic growth was the main driver of increased resilience to air pollution.展开更多
Environmental health research aims to identify environmental conditions suitable for the healthy living and reproduction of human beings.Through the interdisciplinary research bridging environmental sciences and healt...Environmental health research aims to identify environmental conditions suitable for the healthy living and reproduction of human beings.Through the interdisciplinary research bridging environmental sciences and health/medical sciences,the impacts of physical,chemical,and biological environmental factors on human health are investigated.This includes identifying environmental factors detrimental to human health,evaluating human exposure characteristics to environmental factors,clarifying causal relationships between environmental exposure and health effects,analyzing the underlying biochemical mechanisms,linking environmental factors to the onset and progression of diseases,establishing exposure-response relationships,and determining effect thresholds.Ultimately,the results of environmental health research can serve as a scientific basis for formulating environmental management strategies and guiding prevention and intervention measures at both the public and individual levels.This paper summarizes the recent advances and future perspectives of environmental health research in China,as reported by a group of Chinese scientists who recently attended a workshop in Hainan,China.While it is not intended to provide a comprehensive review of this expansive field,it offers a glimpse into the significant progress made in understanding the health impacts of environmental factors over the past decade.Looking ahead,it is imperative not only to sustain efforts in studying the health effects of traditional environmental pollution,but also to prioritize research on the health impacts of emerging pollutants and climate change.展开更多
To investigate whether genetic variants may provide additional prognostic value to improve the existing clinical staging system for gastric cancer(GC),we performed two genome-wide association studies(GWASs)of GC survi...To investigate whether genetic variants may provide additional prognostic value to improve the existing clinical staging system for gastric cancer(GC),we performed two genome-wide association studies(GWASs)of GC survival in the Jiangsu(N=1049)and Shanghai(N=1405)cohorts.By using a TCGA dataset,we validated genetic markers identified from a meta-analysis of these two Chinese cohorts to determine GC survival-associated loci.Then,we constructed a weighted polygenic hazard score(PHS)and developed a nomogram in combination with clinical variables.We also evaluated prognostic accuracy with the time-dependent receiver operating characteristic(ROC)curve,net reclassification improvement(NRI)and integrated discrimination improvement(IDI).We identified a single nucleotide polymorphism(SNP)of rs1618332 at 15q15.1 that was associated with the survival of GC patients with a P value of 4.12×10^(-8),and we also found additional 25 SNPs having consistent associations among these two Chinese cohort and TCGA cohort.The PHS derived from these 26 SNPs(PHS-26)was an independent prognostic factor for GC survival(all P<0.001).The 5-year AUC of PHS-26 was 0.68,0.66 and 0.67 for Jiangsu,Shanghai and their pooled cohorts,respectively,which increased to 0.80,0.82 and 0.81,correspondingly,after being integrated into a nomogram together with variables of the clinical model.The PHS-26 could improve the NRIs by 16.20%,4.90%and 8.70%,respectively,and the IDIs by 11.90%,8.00%and 9.70%,respectively.The 26-SNP based PHS could substantially improve the accuracy of prognostic assessment and might facilitate precision medicine for GC patients.展开更多
基金supported by a General Financial Grant from the China Postdoctoral Science Foundation(Grant No.2016M592404)the projects funded by the China Three Gorges Corporation(Grants No.0799556 and0799564)
文摘In this paper,we generally summarize the main issues in the operational period of water conservancy and hydropower projects in China over the past several decades.First,the adverse impacts of these projects since the technical guidelines were proposed in 2006 are analyzed.Then,combined with projects and experience from 2006 to 2014,the four main issues are summarized:(1) There exist many questions in the design and construction of fishways,which are useful for fish migration,and the migration effects are not as expected.(2) Temperature stratification affecting the downstream fish is the major impact of temperature,and alters fish spawning in the reproduction season.(3)Ecological base flow has been one of the primary questions of the last 30 years in China,the greatest related difficulty being quantification of the amount and flow process necessary to satisfy fish life history.(4) Fish habitat protection and restoration are popular topics in recent years with the development of river ecosystem restoration.Fish habitat loss due to the impacts of dam construction and habitat fragmentation has become more and more serious.These four issues are now the main difficulties in water project management,and interact with one another to bear combined effects on river ecosystems.The issues of eco-hydraulic consideration in the design period are the key factors.Finally,future priorities for research and practice of environmental protection for water conservancy and hydropower projects in China are proposed.The main purpose of this paper is to enhance the scientific research,monitoring,and assessment of operating effectiveness.
文摘Transportation is a sector with high energy consumption as well as high emissions.Generally speaking,economic growth will inevitably lead to the increase of travel demand and vehicle population,which in turn results into the augmentation of environmental and social costs.For metropolis like Beijing under rapid development,there exist various possibilities and options for transport development policy instruments.But there is no guarantee that they will be suitable for Beijing,although they are effective in their local places.This article assesses what kind of policy can most effectively improve the traffic conditions in Beijing in the future.After literature reviews on the practices of foreign policy and we established several feasible scenarios.Then,we used the Long Range Energy Alternatives Planning System(LREAP) analyzed their corresponding results of reduced energy consumption and emissions.Finally,by simulating and computing the realistic Beijing transportation scenarios,this paper scientifically assesses what kind of policy can most effectively improve the traffic condition in Beijing in the coming decade.
基金supported by the National Natural Science Foundation of China(Grant Nos.82173620 to Yang Zhao and 82041024 to Feng Chen)partially supported by the Bill&Melinda Gates Foundation(Grant No.INV-006371 to Feng Chen)Priority Academic Program Development of Jiangsu Higher Education Institutions.
文摘Deterministic compartment models(CMs)and stochastic models,including stochastic CMs and agent-based models,are widely utilized in epidemic modeling.However,the relationship between CMs and their corresponding stochastic models is not well understood.The present study aimed to address this gap by conducting a comparative study using the susceptible,exposed,infectious,and recovered(SEIR)model and its extended CMs from the coronavirus disease 2019 modeling literature.We demonstrated the equivalence of the numerical solution of CMs using the Euler scheme and their stochastic counterparts through theoretical analysis and simulations.Based on this equivalence,we proposed an efficient model calibration method that could replicate the exact solution of CMs in the corresponding stochastic models through parameter adjustment.The advancement in calibration techniques enhanced the accuracy of stochastic modeling in capturing the dynamics of epidemics.However,it should be noted that discrete-time stochastic models cannot perfectly reproduce the exact solution of continuous-time CMs.Additionally,we proposed a new stochastic compartment and agent mixed model as an alternative to agent-based models for large-scale population simulations with a limited number of agents.This model offered a balance between computational efficiency and accuracy.The results of this research contributed to the comparison and unification of deterministic CMs and stochastic models in epidemic modeling.Furthermore,the results had implications for the development of hybrid models that integrated the strengths of both frameworks.Overall,the present study has provided valuable epidemic modeling techniques and their practical applications for understanding and controlling the spread of infectious diseases.
基金Under the auspices of National Science and Technology Research during the 11th Five-Year Plan Period (No.2008BAI62B05)National Natural Science Foundation of China (No. 50879005,51179006)
文摘With the development of industry and agriculture,nitrogen,phosphorus and other nutrients in the Hanshui River greatly increase and eutrophication has become an important threat to the water quality of the Hanshui River,especially in the middle and lower reaches.The primary objective of this study was to establish the water quality model for the middle and lower reaches of the Hanshui River based on the model of MIKE 11.The main pollutants migration and transformation process could be simulated using the water quality model.The rainfall-runoff model,hy-drodynamic model and water quality model were established using MIKE 11.The pollutants,such as chemical oxygen demand(COD),biochemical oxygen demand(BOD),ammonia nitrogen,nitrate nitrogen,phosphorus,dissolved oxy-gen(DO),were simulated and predicted using the above three models.A set of methods computing non-point source pollution load of the Hanshui River Basin was proposed in this study.The simulated and observed values of COD,BOD5,ammonia,nitrate,DO,and total phosphorus were compared after the parameter calibration of the water quality model.The simulated and observed results match better,thus the model can be used to predict water quality in the fu-ture for the Hanshui River.The pollution trend could be predicted using the water quality model according pollution load generation.It is helpful for government to take effective measures to prevent the water bloom and protect water quality in the river.
文摘Fault-block structures of the Altay-Sayan folded area （ASFA） southeastern Siberia of Russia were used as the basis for creating a 3-D model. The surface structures were projected to depths by previous correlations between long and deep faults, with all layers and deformation factors defined. The mean deformation factor （Ds） is 0.12 unit/km^3 in the upper layer, 0.012 unit/km^3 in the intermediate layer, and 0.007 unit/km^3 in the lower layer of the 3-D ASFA neotectonic model. Ds allows correlation of the three distinguished layers with theological bodies that differ in their potential for accumulating elastic energy. 3-D modeling can be used as a methodological approach to projections in seismic prone areas such as the Krasnoyarsk region, for earthquake-hazard monitoring.
基金the Outstanding Youth Fund of the National Natural Science Foundation of China (No. 40325001),the National Key Basic Research and Development Program of China (No. 2002CB410805) and the Ocean University ofChina.
文摘Four techniques, Soxhlet extraction (SOX), ultrasonic extraction (USE), fluidized-bed extraction (FBE) and acce-lerated solvent extraction (ASE) with different solvents (methanol, hexane/acetone and acetonitrile) were used for theextraction of DDT analogues in sediments. Results revealed that the four extraction techniques had high recoveries (>86.0%) with low standard deviations (< 12.0%) for most of DDT analogues, meaning that they could all successfully extractDDT analogues in sediments. Accelerated solvent extraction using methanol and hexane/acetone (1:1), fluidized-bedextraction using hexane/acetone (1:1) and the ultrasonic extraction using hexane/acetone (1:1) were comparable or betterthan Soxhlet extraction using hexane/acetone (1:1). Considering solvent- and time-consumption, level of automation,and environmental risk, accelerated solvent extraction with hexane/acetone (1:1) was better than the other extractiontechniques.
基金supported by grants fromthe Science and Technology Planning Project of Guangzhou City,China(201903010031)the Natural Science Foundation Research Team Project of Guangdong Province,China(2016A030312009).
文摘Mixed strains Delftia sp.YH01 and Acidovorax sp.YH02,with capability of heterotrophic nitrification-aerobic denitrification,were introduced into a two-stage aerobic sequencing batch reactor to enhance NO3^--N removal.With optimal C/N of 8,efficient NO3^--N removal was achieved at initial NO3^--N concentration of 2000 mg·L−1.Meanwhile,the massive accumulation of NO2^--N was avoided during the long operation.Compared to the one-stage aerobic sequencing batch reactor,the removal efficiency of NO3^--N and TN in the two-stage aerobic sequencing batch reactor was increased by 36.5% and 42.7%,which respectively was 93.8% and 88.4%.Microbial community study showed that the mixed strains have the stronger viability and can synergistically denitrify with the indigenous microorganisms in system,such as Azoarcus,Uncultured Saprospiraceae,Thauera,Paracocccus,which could be major contributors for aerobic denitrification.The proposed technology was shown to achieve high-efficiency treatment of high NO3^--N wastewater through aerobic denitrification.
基金supported by the National Key Research and Development Program of China(Grant No.2018YFE0196000)
文摘In recent decades,a series of policies and practices for environmental flows(e-flows)have been implemented in China,with the sustainable development goal of balancing the utilization and protection of water resources among social,economic,and ecological needs.The aims of this study were to determine the main challenges and issues in e-flows implementation at different scales by analyzing policies and practices for eflows in China,and to propose some recommendations for bridging the gaps between the science and implementation of e-flows.The gaps between the science and implementation of e-flows were found after review of literature,policies,and practices,and it was found that ecological flow was a more widely used term by the government,rather than e-flows,in implementation.The plans and effects of e-flows implementation are discussed in this paper and challenges of e-flows implementation are recognized:(1)limited water resources and uneven spatial and temporal distribution,(2)a weak scientific basis for e-flows implementation,(3)poor operability of e-flows science,and(4)ineffective supervision and guarantee measures.The recommendations are(1)to strengthen the scientific foundation of e-flows,(2)to improve effectiveness in application of e-flows science,and(3)to propose operable and effective supervision and guarantee measures.This paper elaborates the current understanding of e-flows science and provides practical recommendations for implementing e-flows and for improving the effectiveness in e-flows implementation.To bridge the gaps between science and implementation of e-flows and improve the operability of policies in future practices,more scientific research on practices is recommended through adaptive management.
文摘Congestion causes many externalities for the society, including time delays, excessive fuel consumption, air pollution, noise and safety concerns. In Shanghai, various policy options have been explored, piloted or applied; however, not all of them may be understood and accepted by the public. A survey was conducted to investigate people＇s attitudes towards several policy options. The main findings reveal that Shanghai residents are resistant to certain policies, such as congestion charges, higher parking charges in congested areas and car restrictions. Instead, they favor public transport provisions. The paper suggests that there is a case for promoting public transport and more efficient trips when the car ownership is still low, and for investing in a policy of educating the public on the ＇true＇ costs and causes of congestion before embarking on ,an intensive policy of congestion charges or restrictions.
文摘Decoction of Kampo medicines plays an important role in clinical practice, especially in individualized treatment, while the inconvenience and a long time requirement of the decocting process are impediments to its widespread use in Japan. In this study, we improved the decocting method by using a microwave oven such as those found in most kitchens. To validate the feasibility and safety of this new method, we decocted kakkonto, which is the most widely used formula in clinical treatment in Japan, and keishikabushito, which contains toxic components using a microwave oven. Regarding the contents of 8 characteristic components in the kakkonto decoction and the contents of 6 toxic components in the keishikabushito decoction as indices, and with the extraction and detoxification effects equal to those of the conventional decocting method as targets, we optimized the decocting conditions with Response Surface Methods. With this new method, it took 35 min to obtain almost the same extraction effect for kakkonto as with the conventional decocting method, which takes 40 min;meanwhile, it took only 45 min to detoxify keishikabushito, which takes 60 min using the conventional decocting method. Decocting Kampo medicines with a microwave oven is feasible and as safe as the conventional decocting method. It is a convenient, safe, time-saving method, and may be applied widely in clinical practice. This innovation should allow more patients to benefit from decoction and the individualized treatment it offers.
文摘Economy is of importance for everyone but the growing environmental destruction and disparity between the rich and poor demands adoption of cleaner and better path so as to secure the future resources and achieve sustainable development with better social inclusion. On this regard, the term “green economy” came into light. The Asian Center for Environment Management and Sustainable Development (AEMS) then explored the “green economy” concept in Nepal through a regional workshop on May 2012 with participants from Bangladesh, Bhutan, India, Canada, UK and Nepal. Consequently, the hydropower sector of Nepal was recognized as one of the most feasible and potential sector for green economy. Therefore, various case studies of hydropower projects, interaction programs and interviews with relevant personnel were carried out for this study to analyze the scope of hydropower in achieving the three important attributes of green economy, namely—resource efficiency, low carbon and social inclusion. Nepal is rich in water resources;it is therefore possible to use our abundant water resource in an efficient manner. Likewise, the end product of hydropower is clean energy though carbon emission is involved during the construction. It shows the potential to replace considerable amount of carbon emission from biomass based energy resources. Similarly, hydropower project exhibits positive implication on the local society besides making electricity available to the whole nation. The locals also get floating shares and royalty benefits to develop the project affected area. However, the affected areas now have minimal share in royalty. Besides, this study also addresses the issues of policy implication and challenges. All the relevant issues of hydropower as studied reveal that there are required provisions at place in Nepal for hydropower sector to fit perfectly in green economy concept, if only, the prevalent issues are handled efficiently and effectively by the relevant sectors.
基金Under the auspices of National Natural Science Foundation of China(No.42071220,42371223)China Postdoctoral Science Foundation(No.2021M701053)Postgraduate Cultivating Innovation and Quality Improvement Action Plan of Henan University(No.SYLYC2022017)。
文摘Addressing the issue of the healthy and coordinated development of the population and economic factors in rural areas will not only help consolidate and expand the achievements of poverty alleviation,but will also lay a foundation for comprehensive rural revitalization.In this paper,the spatial coupling relationship between the population and economic factors in rural areas in the QinlingDaba Mountains,China,is explored to provide a reference for rural revitalization and regional sustainable development in poverty areas.Sixty-eight county units in rural areas in the Qinling-Daba Mountains,as well as the population and economic factors in rural areas,are used to study the spatial coupling relationship between population and economy,as well as the driving mechanism,in rural areas in the Qinling-Daba Mountains from 2010 to 2020.The results show that a population contraction phenomenon occurred in the rural areas in the Qinling-Daba Mountains,and the spatial agglomeration trends of the population and economic factors were consistent.The agglomeration was mainly located in the suburban areas of the municipal area,and the agglomeration degree was significantly higher in these areas than in other areas.In terms of the spatial distribution,the economic development level of the rural areas in the northeastern part of the Qinling-Daba Mountains was generally higher than that in the central and western parts,and the unbalanced trends of the population and economic spatial differentiation in the eastern and western regions were significant.The spatial coupling relationship between the population and economy changed from coordinated development to economic advancement.This was mainly due to the mutual restriction and joint actions of the industrial structure,capital situation,natural environment,policies,and institutional regulations,among which the industrial structure and capital status had significant effects.
基金This study was funded by an internal grant for the Aca-demic Leadership Grant of Universitas Padjadjaran awards numbers 1427/UN6.3.1/LT/2020 and 1959/UN6.3.1/PT.00/2021.
文摘Food and Agriculture Organization(FAO)is appealing for a global implementation of urban agricultural strate-gies to increase food availability.Bandung,a city in Indonesia,is already participating in this initiative.This research aimed to assess the contribution of urban agriculture toward household food fulfillment and income.Furthermore,the impacts on urban,subsistence,semi-commercial,and commercial agriculture were considered.In-depth interviews to obtain qualitative data and observations were also utilized.A survey of 321 households,consisting of 107 for each urban agricultural type,used questionnaires to obtain quantitative data.These inputs were further analyzed to determine the contribution of household food fulfillment and income.The results showed that average urban agriculture has an insignificant and significant contribution of 9%and 41.5%to household food fulfillment and income.This was due to the vast complexities of metropolitan problems,including limited access to land,lack of participation,dependence on on-market products,and increasing commercialization which opposed urban agricultural policies。
基金supported by the National Natural Science Foundation of China(grant#81973001)the Zhejiang Chinese Medical University Startup Fund.
文摘Extreme weather events and climate change have witnessed a substantial increase in recent years,leading to heightened concerns.The rise in abnormal ambient temperatures,both in intensity and frequency,directly and indirectly impacts cardiovascular health.While the impact of high ambient temperatures on cardiovascular response is a common concern in the context of global warming,the significance of low temperatures cannot be overlooked.The challenges posed by low temperatures contribute to increased cardiovascular morbidity and mortality,posing a significant threat to global public health.This review aims to provide an overview of the relationship between low ambient temperature and cardiovascular health,encompassing the burden of cardiovascular outcomes and underlying mechanisms.Additionally,the review explores strategies for cold adaptation and cardioprotection.We posit that to optimize cold adaptation strategies,future research should delve deeper into the underlying mechanisms of cardiovascular health in response to low ambient temperature exposure.
基金supported by the National Natural Science Foundation of China,China(72243008,41921005,and 72140003)the Energy Foundation,China.
文摘China is now confronting the intertwined challenges of air pollution and climate change.Given the high synergies between air pollution abatement and climate change mitigation,the Chinese government is actively promoting synergetic control of these two issues.The Synergetic Roadmap project was launched in 2021 to track and analyze the progress of synergetic control in China by developing and monitoring key indicators.The Synergetic Roadmap 2022 report is the first annual update,featuring 20 indicators across five aspects:synergetic governance system and practices,progress in structural transition,air pollution and associated weather-climate interactions,sources,sinks,and mitigation pathway of atmospheric composition,and health impacts and benefits of coordinated control.Compared to the comprehensive review presented in the 2021 report,the Synergetic Roadmap 2022 report places particular emphasis on progress in 2021 with highlights on actions in key sectors and the relevant milestones.These milestones include the proportion of non-fossil power generation capacity surpassing coal-fired capacity for the first time,a decline in the production of crude steel and cement after years of growth,and the surging penetration of electric vehicles.Additionally,in 2022,China issued the first national policy that synergizes abatements of pollution and carbon emissions,marking a new era for China's pollution-carbon co-control.These changes highlight China's efforts to reshape its energy,economic,and transportation structures to meet the demand for synergetic control and sustainable development.Consequently,the country has witnessed a slowdown in carbon emission growth,improved air quality,and increased health benefits in recent years.
文摘Awareness of how soil properties vary over agroecosystems(AES) is essential for understanding soil potentials and improving site-specific agricultural management strategies for a sustainable ecosystem. This study examined the characteristics of soil quality attributes and implications for agriculture in the Choke Mountain watershed in Ethiopia. Forty-seven composite soil samples(0–20 cm deep) were collected from lowland and valley fragmented(AES 1),midland plain with black soil(AES 2), midland plain with brown soil(AES 3),sloppy midland land(AES 4), and hilly and mountainous highlands(AES 5).Ten of 15 soil quality properties were significant(P < 0.05 or 0.01), including silt, exchangeable bases, cation exchange capacity, percent base saturation,p H, organic matter, total nitrogen and available phosphorous(P) across the five AES. However, all properties were variable with coefficients of variation from 7%(total porosity) to 169%(available P) across the AES. Although AES 2and 3 are affected by waterlogging and acidity, these two have better prospects for agriculture, but AES 1, 4, and 5 are unsuitable for agriculture because of soil erosion. Therefore, appropriate and applicable soil management strategies, particularly lime application and organic fertilizer, are fundamental to reversing soil acidity and improving soil fertility.
基金the Collaborative Research Project of the National Natural Science Foundation of China(L2224041)the Chinese Academy of Sciences(XK2022DXC005)+2 种基金Frontier of Interdisciplinary Research on Monitoring and Prediction of Pathogenic Microorganisms in the AtmosphereSelf-supporting Program of Guangzhou Laboratory(SRPG22-007)Fundamental Research Funds for the Central Universities(lzujbky-2022-kb09).
文摘Corona virus disease 2019(COVID-19)has exerted a profound adverse impact on human health.Studies have demonstrated that aerosol transmission is one of the major transmission routes of severe acute respiratory syndrome coronavirus 2(SARS-CoV-2).Pathogenic microorganisms such as SARS-CoV-2 can survive in the air and cause widespread infection among people.Early monitoring of pathogenic microorganism transmission in the atmosphere and accurate epidemic prediction are the frontier guarantee for preventing large-scale epidemic outbreaks.Monitoring of pathogenic microorganisms in the air,especially in densely populated areas,may raise the possibility to detect viruses before people are widely infected and contain the epidemic at an earlier stage.The multi-scale coupled accurate epidemic prediction system can provide support for governments to analyze the epidemic situation,allocate health resources,and formulate epidemic response policies.This review first elaborates on the effects of the atmospheric environment on pathogenic microorganism transmission,which lays a theoretical foundation for the monitoring and prediction of epidemic development.Secondly,the monitoring technique development and the necessity of monitoring pathogenic microorganisms in the atmosphere are summarized and emphasized.Subsequently,this review introduces the major epidemic prediction methods and highlights the significance to realize a multi-scale coupled epidemic prediction system by strengthening the multidisciplinary cooperation of epidemiology,atmospheric sciences,environmental sciences,sociology,demography,etc.By summarizing the achievements and challenges in monitoring and prediction of pathogenic microorganism transmission in the atmosphere,this review proposes suggestions for epidemic response,namely,the establishment of an integrated monitoring and prediction platform for pathogenic microorganism transmission in the atmosphere.
基金supported by the National Key R&D Program of China(2023YFC3708304,2022YFC3703000)National Natural Science Foundation of China(42175182,42375179).
文摘The attributable burden is codetermined by the exposure level and nontarget characteristics.However,the conventional method of health impact assessment based on preestablished exposure−response functions includes only a few well-known characteristics and thus is insufficient to capture the comprehensive variation.We aimed to develop a method to fuse health impact assessment with epidemiological analysis and to identify factors driving baseline risk.The method was applied to identify the factors underlying the change in the number of fine particulate matter(PM_(2.5))related deaths in China between 2000 and 2010.During the study period,the number of PM_(2.5)-related deaths across China's Mainland increased by 0.62(95%CI:0.57,0.69)million,with 0.65(95%CI:0.47,0.91)million,0.55(95%CI:0.39,0.79)million,and 0.11(95%CI:0.06,0.18)million deaths being associated with increased PM_(2.5)exposure,population aging,and growth in population size,respectively.However,economic growth,urbanization,improvement of welfare services,and improvement of hospital services resulted in 0.25(95%CI:0.15,0.40)million,0.16(95%CI:0.10,0.27)million,0.16(95%CI:0.09,0.26)million,and 0.09(95%CI:0.05,0.15)million fewer deaths,respectively.Results indicated that increased exposure was the major driver of the change in the number of PM_(2.5)-related deaths,and economic growth was the main driver of increased resilience to air pollution.
基金supported by the Ministry of Science and Technology of China(No.2022YFC3702600).
文摘Environmental health research aims to identify environmental conditions suitable for the healthy living and reproduction of human beings.Through the interdisciplinary research bridging environmental sciences and health/medical sciences,the impacts of physical,chemical,and biological environmental factors on human health are investigated.This includes identifying environmental factors detrimental to human health,evaluating human exposure characteristics to environmental factors,clarifying causal relationships between environmental exposure and health effects,analyzing the underlying biochemical mechanisms,linking environmental factors to the onset and progression of diseases,establishing exposure-response relationships,and determining effect thresholds.Ultimately,the results of environmental health research can serve as a scientific basis for formulating environmental management strategies and guiding prevention and intervention measures at both the public and individual levels.This paper summarizes the recent advances and future perspectives of environmental health research in China,as reported by a group of Chinese scientists who recently attended a workshop in Hainan,China.While it is not intended to provide a comprehensive review of this expansive field,it offers a glimpse into the significant progress made in understanding the health impacts of environmental factors over the past decade.Looking ahead,it is imperative not only to sustain efforts in studying the health effects of traditional environmental pollution,but also to prioritize research on the health impacts of emerging pollutants and climate change.
基金supported by National Natural Science Foundation of China(82125033,81872702,82103932,82003534)Natural Science Foundation of Jiangsu Province(BK20200674).
文摘To investigate whether genetic variants may provide additional prognostic value to improve the existing clinical staging system for gastric cancer(GC),we performed two genome-wide association studies(GWASs)of GC survival in the Jiangsu(N=1049)and Shanghai(N=1405)cohorts.By using a TCGA dataset,we validated genetic markers identified from a meta-analysis of these two Chinese cohorts to determine GC survival-associated loci.Then,we constructed a weighted polygenic hazard score(PHS)and developed a nomogram in combination with clinical variables.We also evaluated prognostic accuracy with the time-dependent receiver operating characteristic(ROC)curve,net reclassification improvement(NRI)and integrated discrimination improvement(IDI).We identified a single nucleotide polymorphism(SNP)of rs1618332 at 15q15.1 that was associated with the survival of GC patients with a P value of 4.12×10^(-8),and we also found additional 25 SNPs having consistent associations among these two Chinese cohort and TCGA cohort.The PHS derived from these 26 SNPs(PHS-26)was an independent prognostic factor for GC survival(all P<0.001).The 5-year AUC of PHS-26 was 0.68,0.66 and 0.67 for Jiangsu,Shanghai and their pooled cohorts,respectively,which increased to 0.80,0.82 and 0.81,correspondingly,after being integrated into a nomogram together with variables of the clinical model.The PHS-26 could improve the NRIs by 16.20%,4.90%and 8.70%,respectively,and the IDIs by 11.90%,8.00%and 9.70%,respectively.The 26-SNP based PHS could substantially improve the accuracy of prognostic assessment and might facilitate precision medicine for GC patients.
