Search Results (418)

The rapid urbanization process has accelerated the degradation of ecosystem services (ESs) in peri-urban rural areas of the Yangtze River Delta (YRD), leading to increasing landscape ecological risks (LERs). Establishing a scientifically grounded landscape ecological risk assessment (LERA) system and corresponding control strategies is therefore imperative. Using rural areas of Jiangning District, Nanjing as a case study, this research proposes an optimized dual-dimensional coupling assessment framework that integrates ecosystem service value (ESV) and ecological risk probability. The spatiotemporal evolution of LER in 2000, 2010, and 2020 and its key driving factors were further studied by using spatial autocorrelation analysis and geodetector methods. The results show the following: (1) From 2000 to 2020, cultivated land remained dominant, but its proportion decreased by 10.87%, while construction land increased by 26.52%, with minimal changes in other land use types. (2) The total ESV increased by CNY 1.67 × 10⁹, with regulating services accounting for over 82%, among which water bodies contributed the most. (3) LER showed an overall increasing trend, with medium- to highest-risk areas expanding by 55.37%, lowest-risk areas increasing by 10.10%, and lower-risk areas decreasing by 65.48%. (4) Key driving factors include landscape vulnerability, vegetation coverage, and ecological land connectivity, with the influence of distance to road becoming increasingly significant. This study reveals the spatiotemporal evolution characteristics of LER in typical peri-urban villages. Based on the LERA results, combined with terrain features and ecological pressure intensity, the study area was divided into three ecological management zones: ecological conservation, ecological restoration, and ecological enhancement. Corresponding zoning strategies were proposed to guide rural ecological governance and support regional sustainable development. Full article

The electrical ventricular storm (VES) is defined as multiple sustained ventricular arrhythmias arising in a short time, often refractory to standard antiarrhythmic treatment. The three pillars of the physiopathogenesis of the VES are autonomic dysfunction, triggers, and an altered ventricular substrate. Incessant or highly recurrent ventricular arrhythmia impacts the hemodynamic status by worsening heart failure and increasing mortality. A stepwise, team-based, and tailored therapeutic approach is required to stop ventricular arrhythmia and regain the hemodynamic and electric stability of the patient. The authors focused on describing all currently available therapeutic approaches for VES, intending to establish the best VES therapeutic approaches. This process involves considering the patient’s specific condition, responses to previous treatments, and the potential risks and benefits of each approach. The options range from adjusting antiarrhythmic therapy to reprogramming of the ICD, sedation, epidural anaesthesia, stellate ganglia anaesthetic block, and the use of ECMO or left ventricular assist devices and radiofrequency catheter ablation. Particular attention is paid to the detailed management of genetic primary arrhythmia syndromes like long-QT syndrome, catecholaminergic polymorphic ventricular tachycardia, Brugada syndrome and Wolff–Parkinson–White syndrome, early repolarisation syndrome, right ventricular arrhythmogenic dysplasia, and idiopathic ventricular fibrillation. After overcoming the acute events of VES and obtaining hemodynamic stability, the treatment should shift toward an optimal balance of heart failure therapy, controlling the substrate by revascularisation procedures and resolving other pathology-generating ventricular arrhythmias. This article provides a comprehensive overview of ESV’s current management options using the most efficient strategies known to date. Full article

Exploring the evolution of ecosystem services value (ESV) and its drivers is pivotal for optimizing the land-use structure and improving the value of ecosystem services. Using the 1980–2020 land-use/land-cover (LULC) dataset of the Mu Us Sandy Land, this study quantitatively evaluated ESV through LULC change, analyzing the spatiotemporal evolution characteristics of ESV and its driving forces. The results showed that (1) the LULC changes were stable from 1980 to 2020, and the ESV showed a slight downward trend in general. Grassland and water ecosystem services predominantly influenced ecosystem service function value fluctuations across the study area. (2) ESV demonstrated strong positive spatial autocorrelation, with high-value areas concentrated primarily in Red Alkali Nur, Dawa Nur, Batu Bay, and Ulanmulun Lake and low-value areas mainly distributed in unused land and certain agricultural zones. (3) The land-use degree and human activity intensity index were the main factors leading to the differentiation of ESV. The synergistic effects of human activities, landscape pattern changes, and natural factors led to the spatial differentiation of ESV in the study area. Beyond artificial ecological restoration projects, policies for ecosystem service management should pay more attention to the role of geodiversity in service provision. Full article

The synergistic development of ecosystems and socioeconomic systems constitutes a critical foundation for achieving Sustainable Development Goals (SDGs). Large river basins characterized by ecological and socioeconomic spatial heterogeneity frequently present contradictions and conflicts in regional sustainable development, thereby impeding the realization of SDGs. This study employed the Yellow River Basin (YRB), a typical large sediment-laden river system, as a case study. Based on the secondary water resource zones, the spatial variability and temporal evolution of ecosystem service value (ESV), population (POP), GDP, nighttime light (NTL), and Human Development Index (HDI) were analyzed at the water resource partition scale. A consistent mode was applied to quantify the spatiotemporal consistency between ESV and socioeconomic indicators across water resource partitions. The results indicated that from 1980 to 2020, the ESV of the YRB increased from 1079.83 × 10⁹ to 1139.20 × 10⁹ yuan, with no notable spatial pattern variation. From upstream to downstream, the population density, GDP per unit area, and NTL per unit area displayed increasing trends along the river course, whereas the total population, GDP, and NTL initially increased and then declined. Temporally, the population fluctuated with an overall upward tendency, while GDP and NTL experienced significant growth. The spatial distribution and temporal evolution of HDI remained comparatively stable. The coefficients of variation for population, GDP, and NTL were significantly higher than those for ecosystem services and HDI. The study highlighted an overall lack of coordination between ESV and socioeconomic development in the YRB, with relatively stable spatial patterns. These findings could offer a theoretical reference for the formulation of policies to enhance the synergistic development of ecosystems and socioeconomic systems in the YRB. Full article

With rapid socio-economic development, excessive anthropogenic consumption and the exploitation of natural resources have impaired the self-healing, supply, and carrying capacities of ecosystems. The assessment and prediction of ecosystem service values (ESVs) are crucial for the coordinated development of ecology and economy. This research examines the Xiangjiang River Basin and combines land use data from 1995 to 2020, Landsat images, meteorological data, and socio-economic data. These data are incorporated into the PLUS model to simulate land use patterns in 2035 under the following five scenarios: natural development, economic development, farmland protection, ecological protection, and coordinated development. Additionally, this research analyzes the dynamics of land use and changes in ESVs in the Xiangjiang River Basin. The results show that between 1995 and 2020 in the Xiangjiang River Basin, urbanization accelerated, human activities intensified, and the construction land area expanded significantly, while the areas of forest, farmland, and grassland decreased continuously. Based on multi-scenario simulations, the ESV showed the largest and smallest declines under economic development and ecological protection scenarios, respectively. This results from the economic development scenario inducing a rapid expansion in construction land. In contrast, construction land expansion was restricted under the ecological protection scenario, because the ecological functions of forests and water bodies were prioritized. This research proposes land use strategies to coordinate ecological protection and economic development to provide a basis for sustainable development in the Xiangjiang River Basin and constructing a national ecological security barrier, as well as offer Chinese experience and local cases for global ecological environment governance. Full article

Amid global efforts to balance sustainable development and food security, ecosystem service value (ESV), a critical bridge between natural systems and human well-being, has gained increasing importance. This study explores the spatiotemporal dynamics and driving factors of land use changes and ESV from a food security perspective, aiming to inform synergies between ecological protection and food production for regional sustainability. Using Guangdong Province as a case study, we analyze ESV patterns and spatial correlations from 2005 to 2023 based on three-phase land use and socioeconomic datasets. Key findings: I. Forestland and cropland dominate Guangdong’s land use, which is marked by the expansion of construction land and the shrinking of agricultural and forest areas. II. Overall ESV declined slightly: northern ecological zones remained stable, while eastern/western regions saw mild decreases, with cropland loss threatening grain self-sufficiency. III. Irrigation scale, forestry output, and fertilizer use exhibited strong interactive effects on ESV, whereas urban hierarchy influenced ESV independently. IV. ESV showed significant positive spatial autocorrelation, with stable agglomeration patterns across the province. The research provides policy insights for optimizing cropland protection and enhancing coordination between food production spaces and ecosystem services, while offering theoretical support for land use regulation and agricultural resilience in addressing regional food security challenges. Full article

The natural history of focal non-infected lesions of the abdominal aorta (fl-AA) remains unclear and largely depends on their aetiology. These lesions often involve a focal “tear” or partial disruption of the arterial wall. Penetrating aortic ulcers (PAUs) and intramural hematomas (IMHs) are examples of focal tears in the aortic wall that can either progress to dilatation (saccular aneurysm) or fail to fully propagate through the medial layers, potentially leading to aortic dissection. These conditions typically exhibit a morphology consistent with eccentric saccular aneurysms. The management of focal non-infected pathologies of the abdominal aorta remains a subject of debate. Unlike fusiform abdominal aortic aneurysms, the inconsistent definitions and limited information regarding the natural history of saccular aneurysms (sa-AAAs) have prevented the establishment of universally accepted practice guidelines for their management. As emphasized in the latest 2024 ESVS guidelines, the focal nature of these diseases makes them ideal candidates for endovascular repair (class of evidence IIa—level C). Moreover, the Society for Vascular Surgery just referred to aneurysm diameter as an indication for treatment suggesting using a smaller diameter compared to fusiform aneurysms. Consequently, the management of saccular aneurysms is likely heterogeneous amongst different centres and different operators. Endovascular repair using tube stent grafts offers benefits like reduced recovery times but carries risks of migration and endoleak due to graft rigidity. These complications can influence long-term success. In this context, the use of endovascular bifurcated grafts may provide a more effective solution for treating these focal aortic pathologies. It is essential to achieve optimal sealing regions through anatomical studies of aortic morphology. Additionally, understanding the anatomical characteristics of focal lesions in challenging necks or para-visceral locations is indeed crucial in device choice. Off-the-shelf devices are favoured for their time and cost efficiency, but new endovascular technologies like fenestrated endovascular aneurysm repair (FEVAR) and custom-made devices enhance treatment success and patient safety. These innovations provide stent grafts in various lengths and diameters, accommodating different aortic anatomies and reducing the risk of type III endoleaks. Although complicated PAUs and focal saccular aneurysms rarely arise in the para-visceral aorta, the consequences of rupture in this segment might be extremely severe. Experience borrowed from complex abdominal and thoracoabdominal aneurysm repair demonstrates that fenestrated and branched devices can be deployed safely when anatomical criteria are respected. Elective patients derive the greatest benefit from a fenestrated graft, while urgent cases can be treated confidently with off-the-shelf multibranch systems, reserving other types of repairs for emergent or bail-out cases. While early outcomes of these interventions are promising, it is crucial to acknowledge that limited aortic coverage can still impede effective symptom relief and lead to complications such as aneurysm expansion or rupture. Therefore, further long-term studies are essential to consolidate the technical results and evaluate the durability of various graft options. Full article

Valuation of ecosystem services (ESs) is crucial for understanding the benefits provided by ecosystems and informing sustainable management and policy decisions related to ecosystem protection. This study explores the disagreements in ecosystem service value (ESV) at the county level across China in 2020 by comparing ten land cover datasets of varying resolutions from 500 to 10 m, using the equivalent factor method. Significant disagreements in ESV estimates are identified, revealing spatial heterogeneity and large inconsistencies among estimates from different datasets, even with high spatial resolution (10 m). Across all counties, the typical discrepancy in ESV estimates between any two datasets reaches 3503 CNY/ha, and the ESV estimates for each county show an average coefficient of variation (CV) of 0.186 across the ten datasets, indicating considerable inconsistency attributable to dataset selection. The results highlight that ESV evaluations based on the CLCD, Globeland30, and GLC-FCS30 datasets demonstrate higher consistency and reliability, making them suitable for regional ecosystem service valuation. Both the landscape configurations and the area disparities of different land types have significant impacts on ESV disagreement. This study provides valuable insights into the applicability of different datasets for ESV evaluation, thereby enhancing the reliability of ESV assessments and supporting informed decision making in ecosystem management. Full article

Background/Objectives: According to the guidelines established by the European Society of Vascular Surgery (ESVS), a minimum 2 mm diameter is advised for both the radial artery (RA) and cephalic vein (CV) to perform a radio-cephalic arteriovenous fistula (RC-AVF). However, studies have suggested that larger vein diameters, over 2.5 or 3 mm, or even smaller vessel diameters, above 1.6 mm, can yield satisfactory outcomes in both the medium and long term. This study aims to analyze how preoperative vascular mapping influences the long-term RC-AVF failure, considering adherence to guidelines. Methods: This retrospective, monocentric, and observational study enrolled 110 patients with ESKD who were admitted, between 2018 and 2024, to the Vascular Surgery Department at the Emergency County Hospital of Târgu Mureș for the creation of an RC-AVF. Demographic characteristics, comorbidities, preoperative vascular mapping data, and laboratory data were meticulously collected from the hospital’s electronic databases. Patients enrolled in the current study were categorized into two groups based on their adherence to guideline recommendations. Results: Patients whose RC-AVF was created outside guideline recommendations demonstrated smaller arterial (p < 0.001) and venous (p < 0.001) diameters. Additionally, a higher percentage of these patients were on hemodialysis via CVC at the time of RC-AVF creation (p = 0.041), as well as a higher incidence of 6-week AVF maturation failure (p = 0.012) and long-term AVF failure (p = 0.016). In ROC Curve analysis, a threshold of 2.75 mm was established for the RA (AUC: 0.647, p = 0.005) and 2.52 mm for the CV (AUC: 0.677, p = 0.001). Additionally, patients whose RC-AVF procedures adhered to guideline recommendations had a significantly lower risk of long-term RC-AVF failure (HR: 0.44, p = 0.012). This association lost significance after adjusting for cardiovascular risk factors and the presence of CVC at admission (HR: 0.69, p = 0.328). After full adjustment, only the CV remained an independent predictor of long-term successful RC-AVF (HR: 0.68, p = 0.026). In contrast, RA lost significance after adjusting for cardiovascular risk factors and the presence of CVC at admission (HR: 0.71, p = 0.086). Conclusions: In conclusion, this study reveals that only the diameter of the CV is correlated with the long-term failure of RC-AVF, independent of age, gender, diabetes, hypertension, active smoking, and the presence of a CVC at the time of AVF creation. Therefore, while adhering to the threshold diameters of the AR and CV, as recommended by the ESVS guidelines, facilitates the creation of a functional RC-AVF, we assert that additional cofactors, such as demographic data, usual cardiovascular risk factors, or CVC presence, must also be considered to achieve optimal long-term AVF. Full article

As critical zones for ecological conservation, national parks necessitate integrated management of transportation corridors (TCs) and ecosystem service value (ESV) to advance ecological civilisation. This study investigates the TC-ESV mutual construction mechanism in the Giant Panda National Park (GPNP). This research employs the TOPSIS method to measure the development level of TCs, applies the equivalent factor method to calculate the ESV, and uses a coupling coordination model and local spatial autocorrelation analysis to evaluate their interaction patterns. The results show that TC development in the GPNP has been increasing, accompanied by a significant rise in ESV. A coupling coordination relationship exists between TCs and ESV, with notable spatial differentiation. TCs not only increase the market ESV by reducing distribution costs and facilitating the outward flow of ESV, they also improve the accessibility of national parks, promote ecotourism and cultural services, facilitate the movement of people and the exchange of knowledge, and enhance the ability of local populations and migrants to realise the ESV in the long term. However, challenges persist, including ESV conversion difficulties and TC construction’s potential impacts on ESV realisation. Therefore, we propose optimised green transport corridors and differentiated ecological compensation mechanisms, and by analysing the interaction between them, the innovation of this paper is to provide an innovative framework for sustainable spatial governance of ESV conversion and TC development in national parks, enriching the interdisciplinary approach. Full article

Jilin Province is an important ecological security barrier and major grain-producing region in northeast China, playing a crucial role in ensuring ecological security and promoting regional sustainable development. This study examines ecological resilience from three dimensions: resistance, adaptability, and resilience. Based on multi-source data from 2000 to 2020, an ecological resilience indicator system was constructed. Spatial autocorrelation and OPGD models were employed to analyze temporal and spatial evolution and the driving mechanisms. The results indicate that ER exhibits an overall spatial pattern of “high in the east, low in the west, and under pressure in the central region.” The eastern mountainous areas demonstrate high and stable resilience, while the central plains and western ecologically fragile regions exhibit weaker resilience. In terms of resistance, the eastern mountainous regions are primarily forested, with high and sustained ESV, while the western sandy edge regions primarily have low ESV, making ecosystems susceptible to disturbance. In terms of adaptability, the large-scale farmland landscapes in the central regions exhibit strong disturbance resistance, while water resource adaptability in the western ecologically fragile regions has locally improved. However, adaptability in the eastern mountainous regions is relatively low due to development impacts. In terms of resilience, the eastern core regions possess stable recovery capabilities, while the central and western regions generally exhibit lower resistance with fluctuating changes. Between 2000 and 2020, the ecological resilience Moran’s I index slightly decreased from 0.558 to 0.554, with the spatial aggregation pattern remaining largely stable. Among the driving factors, DEM remains the most stable. The influence of NDVI has weakened, while temperature (TEM) and NPP-VIIRS have become more significant. Overall, factor interactions have grown stronger, as reflected by the q-value rising from 0.507 to 0.5605. This study provides theoretical support and decision-making references for enhancing regional ecological resilience, optimizing ecological spatial layout, and promoting sustainable ecosystem management. Full article

As ecologically sensitive interfaces shaped by the interplay of land and sea, coastal zones demand close attention. Uncovering the spatiotemporal evolution of ecosystem service value (ESV) and the intricate interrelations among ecosystem service (ES) functions is imperative for the informed governance of human–land interactions and for fostering sustainable regional development. This study analyzes the spatiotemporal evolution of ESV based on the modified equivalent factor table, combining the Geo-information Tupu, Markov transfer model, and standard deviation ellipse. Additionally, we introduce an ecosystem service tradeoff degree (ESTD) to assess the tradeoffs and synergies among various ESs, and we utilize GeoDetector to elucidate the driving forces behind the spatial disparities in ESV. Our findings reveal that (1) Although the land use composite index in the Liaoning coastal economic belt (LCEB) increased, the pace of land use transformation demonstrated a trend toward stabilization over the study duration. (2) Between 2000 to2020, ESV initially declined but subsequently experienced an upward rebound, resulting in a net gain of approximately 48 billion yuan. Spatial analysis indicated continuous enlargement of the standard deviation ellipse, with its centroid consistently located within Yingkou City and a gradual directional shift toward the southwest. (3) The dominant relationship among ESs showed synergy, with notable tradeoffs between hydrological regulation and other services. (4) Topography and climate factors were the primary drivers of spatial heterogeneity of ESV in the LCEB. The research provides spatial decision support for optimizing the ecological security pattern of the coastal zone. Full article

Background/Objectives: This study aimed to compare changes in functional and strain parameters in young and old mice using cardiac MRI before and shortly after myocardial infarction. Methods: In this prospective experimental study, 7 young mice and 10 old mice underwent a cardiac MRI 5 days before and 2 days after myocardial infarction by LAD ligation. Functional parameters such as EDV, ESV, EF, SV, and Strain were determined. Results: EDV in the young mice before LAD ligation was significantly lower than in the old mice (p-value 0.002). EDV significantly increased after infarction in both groups. ESV was significantly lower in young mice before infarction than in old mice (9.7 ± 2.6 vs. 13.8 ± 3.9 [µL], p = 0.029). After infarction, the mean value was still lower but no longer significant. There was no significant difference between young and old mice either before or after infarction for the EF. But again, the decrease was significant for both groups (old: p < 0.0001 and young: p = 0.0009). Each global strain showed deterioration after infarction. This difference was significant in both subgroups for young mice and old mice for each strain. There were no differences either before or after infarction between the young and old mice. Conclusions: There were differences in functional parameters between young and old mice in EDV, SV, and CO. Changes in strain parameters in the acute phase post-myocardial infarction did not differ significantly between young and old mice, while there was a clear deterioration in strain parameters after infarction in both groups. Full article

Balancing ecological conservation with development pressures remains a critical challenge in regions hosting mega-events like the Winter Olympics. This study evaluates the ecological impacts of pre-Olympic construction in Chongli, China (2016–2021), through the integrated analysis of ecosystem service value (ESV) and landscape ecological risk (LERI). Using Sentinel-2 imagery and spatial statistics, we quantified land-use changes, applied benefit transfer methods for ESV assessment, and calculated the LERI using landscape pattern indices. The results revealed a 4.6% increase in the total ESV (266.4 to 278.7 million CNY), which was driven by afforestation initiatives that expanded the area of shrub-grassland and forests. Concurrently, the proportion of high/moderate LERI areas decreased by 12.3%, indicating reduced ecological vulnerability. Spatial correlation analysis demonstrated significant negative relationships between the ESV and LERI, particularly in zones that were undergoing ecological restoration. However, urban expansion weakened these synergies locally. The findings of this study highlight that strategic greening effectively enhanced ecosystem services while mitigating landscape risks during preparations for the Olympics. We propose an adaptive zoning framework that emphasizes dynamic ESV-LERI monitoring, tourism carrying capacity regulation, and payment for ecosystem service mechanisms to optimize post-event management. This integrated approach provides a transferable model for ecological governance in ecologically sensitive areas facing rapid development pressures, demonstrating the value of dual assessment methodologies in sustainable spatial planning. Full article

Ecosystem service flow (ESF) provides a new perspective for understanding the spatial transfer of ecosystem services across urban administrative boundaries, which is of significant importance for optimizing the regional ecological resource allocation. Taking the Yangtze River Delta (YRD) urban agglomeration as a case study, this study analyzed the spatiotemporal evolution characteristics of the ecosystem service value (ESV) and ESF in 41 cities of the region from 2000 to 2020, combining the modified equivalence factor method and the breaking-point model. It also revealed the regional division and evolution patterns of per area ESV and per capita GDP based on ESF in the YRD. The results showed that from 2000 to 2020, the overall ESV in the YRD exhibited a declining trend, with a spatial distribution showing higher values in the south and lower values in the north. Forest contributed over 50% of total ESV, while the value of hydrological regulation services consistently held the largest proportion and contributed the most significant growth. The overall decline in ESF was only 0.6%, with more than 70% of the flow occurring within provincial boundaries. Hangzhou, Taizhou (Zhejiang), and Chuzhou had the highest net outflows, while Jinhua, Changzhou, and Taizhou (Jiangsu) led in net inflows. The number of service-providing areas (SPAs) and service beneficiary areas (SBAs) remained relatively stable. Furthermore, a four-quadrant framework based on ESF, per area ESV, and per capita GDP was constructed, showing that the cities in the YRD mainly shifted between Quadrants I, II, and IV, with several cities transitioning from Quadrant III to II. Based on these findings, optimized management strategies for the coordinated economic-ecological development of the YRD are proposed. Full article