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The Guizhou Plateau, with the most extensive and representative karst landforms worldwide, is characterized by severe soil erosion and a highly fragile ecological environment. However, large-scale assessments of soil conservation services in this region remain limited. A key challenge lies in identifying appropriate datasets and methodologies for regional-scale soil conservation service evaluations, particularly under conditions of data scarcity or limited data accuracy. In this study, Unmanned Aerial Vehicle imagery, runoff plot observations, ground survey data, and multi-source satellite remote sensing data were integrated to refine LS and C in the Revised Universal Soil Loss Equation (RUSLE), thereby establishing a parameterized and localized soil erosion model. This improvement provided a methodological foundation for soil conservation service research in the region. Subsequently, the spatiotemporal variations in soil conservation services in the Guizhou Plateau over the past two decades were assessed. Furthermore, the relationships between soil conservation services and other key ecosystem services, including water conservation and carbon sequestration, were quantitatively examined, and the driving factors were analyzed. Soil conservation on the Guizhou Plateau exhibited an improving trend from 2000 to 2020. In karst areas, the relationship between soil conservation and water conservation was primarily influenced by temperature, altitude, and vegetation coverage, whereas in non-karst areas, it was regulated by rainfall and slope. Ecological restoration projects have enhanced the synergy between soil conservation and carbon sequestration by promoting vegetation cover. These findings could contribute to the next stage of ecological engineering initiatives and ecological policy implementation in Guizhou.

The Guizhou Plateau has an extremely fragile ecological environment with prominent soil and water losses. Since 2000, conservation policies and ecological restoration projects, e.g., the Grain for Green Project (GGP), have been implemented on the Guizhou Plateau to control soil/water losses which have achieved notable accomplishments. Using the Revised Universal Soil Loss Equation (RUSLE) to estimate the soil conservation service (SCS) on the Guizhou Plateau, this study analyzed the dynamic characteristics of its spatiotemporal variation based on multiyear (2000–2018) meteorological and remote sensing data to determine its driving mechanisms. Residual analysis of the meteorological and remote sensing data was used to evaluate the effect of anthropogenic activities. Results showed a clear upward trend (1.39 t ha−1 yr−1) of SCS on the Guizhou Plateau during 2000–2018, and areas with a highly improved positive effect on SCS were distributed primarily in karst landform regions. Precipitation and vegetation fractional coverage (VFC) were found to be positively correlated with SCS on the Guizhou Plateau. Specifically, the highest proportion of significant positive correlation between precipitation and SCS was related to the Wildlife Conservation Nature Reserve (WCNR), and the highest proportion of significant positive correlation between VFC and SCS was related to the GGP, i.e., 76.59% and 53.02%, respectively. Residual analysis revealed a significant positive role of anthropogenic activity on SCS improvement via ecological engineering in areas with a poor ecological background, e.g., the GGP in western areas where the ecological environment is fragile and the problem of water/soil loss is serious. In areas with a more robust ecological background, e.g., the engineering area of the WCNR, the effect of anthropogenic activity has had a largely negative effect on SCS. The findings of this study could make an important contribution to the development of ecological management projects and the work to control soil/water losses on the Guizhou Plateau.

Since the implementation of the Development of Western Regions in 2000, a series of major ecological construction projects have been implemented, leading to a series of changes in the ecological conditions and ecological services of western China. This study calculated the amount of ecosystem services in total in the western region from 2000 to 2019, and analyzed ecological changes and the characteristics of spatio-temporal variations in ecological services. A relevant analysis method was applied to explore the tradeoff and synergy of service. It was found that the area of settlements and wetland ecosystems in the western region increased significantly from 2000 to 2015, whereas grassland showed a downward trend year by year. The vegetation fraction showed a decreasing belt-like distribution from south to north. It showed a fluctuating increase during 2000 to 2019, with inter-annual and large spatial differences. The water conservation service (WCS) had a slight downward trend from 2000 to 2019, and the main decreasing areas were distributed in southeastern Tibet, the western part of the Three Rivers Source region, and the karst rocky desertification area. The soil conservation service (SCS) showed an increasing but fluctuating trend, with the greatest increases observed in the Loess Plateau region, western Sichuan and Yunnan, northwest Tibet, and southeast Tibet. The windbreak and sand fixation service (SFS) showed a downward trend, and the sharp decline was mainly in the central and western parts of Inner Mongolia, Tibet and parts of northern Xinjiang. Ecosystem supply and WCS, and SCS were mainly synergistic, which were found in areas north of the Qinling Mountains-Huaihe River (QM-HR) line, especially in Ningxia and Inner Mongolia. Ecosystem supply was mainly tradeoffs with SFS, and it was found in the agriculture-pastoral transition zone. The synergistic degree of ecosystem services in areas subjected to ecological engineering policy was greater than that in non-engineering areas. Quantitative assessment of ecosystem service changes and their tradeoffs is helpful for scientific ecological management and maximizing ecological benefits.

The Upper Yellow River is the most important area for water retention and flow production in the Yellow River basin, and the statuses of the ecosystems in this region are related to the ecological stability of the whole Yellow River basin. In this paper, the fractional vegetation cover (FVC), net primary productivity (NPP) of vegetation and water retention, soil retention, and windbreak and sand fixation services of the Upper Yellow River ecosystems were analysed from 2000 to 2019 with the trend analysis method. Ecological restoration degree evaluation indices were constructed to comprehensively assess the ecological restoration situation and restoration potential of the ecosystems in the Upper Yellow River region over the past 20 years and to quantitatively determine the contribution rates of climate factors and human activities to these ecosystem changes. The results showed that the settlement ecosystem area exhibited the greatest increase, while the grassland ecosystem area decreased significantly over the study period. In the Upper Yellow River region, the ecosystem quality and ecosystem services generally remained stable or improved. Areas with moderately, strongly and extremely improved ecological restoration degrees accounted for 32.9%, 21.0% and 2.8% of the entire Upper Yellow River region, respectively. Areas with strongly improved and extremely improved ecological restoration degrees were mainly distributed in the Loess Plateau gully areas and on the eastern Hetao Plain. The contribution rates of climatic factors and human activities to the NPP changes measured in the Upper Yellow River were 81.6% and 18.4%, respectively, while the contribution rates of these processes to soil erosion modulus changes were 77.6% and 22.4%, respectively. The restoration potential index of the FVC in the Upper Yellow River was 22.7%; that of the forest vegetation coverage was 14.4%; and that of the grassland vegetation coverage was 23.0%. Over the past 20 years, the ecosystems in the Upper Yellow River region have improved and recovered significantly. This study can provide scientific support for the next stage of ecological projects in the Upper Yellow River region.

We propose a theoretical framework for assessing the ecological benefits provided by key national ecological projects in China over the past 20 years. A dataset consisting of six primary indicators and nine secondary indicators of ecosystem structure, ecosystem quality, and ecosystem services for 2000–2019 was generated using ground survey and remote sensing data. Ecological benefits were quantitatively evaluated following the implementation of these projects in China. Areas with medium, relatively high, and high degrees of ecological restoration accounted for 24.1%, 11.9%, and 1.7% of the national land, respectively. Degrees of ecological restoration were higher in areas with greater numbers of ecological projects. Areas with relatively and absolutely high degrees of ecological restoration were mainly concentrated in the Loess Plateau, the farming–pastoral zone of northern China, the Northeast China Plain, and an area spanning the borders of Sichuan, Yunnan, Guizhou, Chongqing, and Hunan. The relative contributions of climatic factors and ecological projects to changes in vegetation net primary productivity were 85.4% and 14.6%, respectively, and the relative contributions of climatic factors and ecological projects to changes in water erosion modulus were 69.5% and 30.5%, respectively. The restoration potential of national vegetation coverage was 20%, and the restoration potential percentage of forest and grassland vegetation coverage was 6.4% and 23%, respectively. Climatic conditions can inhibit ecological restoration. Areas with relatively high and high degrees of ecological restoration were mainly distributed in areas with an average annual temperature greater than 0°C and annual precipitation greater than 300 mm. Therefore, the limitations associated with climate conditions require consideration during the implementation of national ecological projects. The implementation of combined measures should be emphasized, and the benefits of ecological investment funds should be maximized.

As an important vegetation parameter and ecological index, vegetation net primary productivity (NPP) can intuitively reflect changes in the ecological environment and the level of the carbon budget. However, the change trend of NPP and its recovery potential in China over the past 20 years remain unclear. Here, we used trend analysis, multiple regression analysis and residual analysis methods to analyse the change trend in the NPP of China’s terrestrial ecosystems from 2000 to 2019, as well as the climax background, restoration status and restoration potential of the NPP of forest, grassland and desert ecosystems. The results showed that (1) the change in vegetation NPP in China from 2000 to 2019 showed a continuous upward trend, with a change slope of 2.39 gC/m2/a2, and the area with a positive slope of change accounted for 68.10% of the country’s land area. The contribution rates of meteorological conditions and human activities to vegetation NPP changes were 85.41% and 14.59%, respectively. (2) The results obtained by the regression analysis method of meteorological conditions based on nature reserves could reflect the zonal climax vegetation status to a large extent, and the obtained values had a smooth transition within each ecogeographical division and between each ecogeographical division, which truly reflected the law of gradual change in climate, vegetation and natural conditions. The annual total NPP of the climax background vegetation in China’s forest, grassland and desert ecosystems was approximately 2.76 ± 0.28 PgC, and the annual total NPP of the three ecosystems was 1.90 ± 0.2 PgC, 0.80 ± 0.07 PgC and 0.009 ± 0.0005 PgC, respectively. (3) The annual total vegetation NPP of the restoration status of China’s forest, grassland and desert ecosystems was 2.24 PgC, and the annual total vegetation NPP of the three was 1.54 PgC, 0.65 PgC and 0.007 PgC, respectively. Benefiting from the effective implementation of climate warming and humidification and ecological engineering, the agro-pastoral zone, the Loess Plateau, the eastern Sichuan Basin and the Greater Khingan Range had the most significant increases in the past 20 years. (4) The annual total vegetation NPP of China’s forest, grassland and desert ecosystem restoration potential was approximately 0.52 ± 0.28 PgC, which accounted for approximately 19.05% of the annual total NPP of the climax background vegetation. The annual total vegetation NPP of forest, grassland and desert ecosystems restoration status was 0.36 ± 0.2 PgC, 0.16 ± 0.07 PgC and 0.002 ± 0.0005 PgC, respectively; the restoration potential accounted for 18.80%, 9.67% and 23.95% of the climax background vegetation NPP, respectively. The deployment of ecological projects should fully consider the restrictive climate conditions for decision makers and ecological scholars, and the benefits and costs of the projects should be considered comprehensively.

The Three-River Headwaters Region (TRHR) is an important part of the ecological barrier of the Qinghai–Tibet Plateau. Understanding the TRHR’s major ecosystem service trade-offs and synergies is important for scientifically integrating and optimizing ecosystem services. We studied the spatial–temporal changes, trade-offs and synergies of the TRHR’s water retention (WR), soil retention (SR), windbreak and sand fixation (WD) and forage supply (FS) services from 2000 to 2019. The results showed that: (1) The TRHR’s WR, SR and FS services gradually decreased from east to west in space, and showed an increasing trend between years; the WD service gradually decreased from west to east in space, and showed a downward trend between years. (2) The synergistic relationship was the dominant relationship between the TRHR’s grassland regulation and provision services. Future research on ecosystem service trade-offs and synergies should consider both the type of ecosystem services and the ecosystem’s multifunctionality. (3) The improvement of the TRHR’s ecosystem services in the future needs to focus on improving the fraction vegetation coverage (FVC) through ecological engineering measures in Maduo, and other areas near the 400 mm precipitation line, and enhancing the synergy of ecosystem services. (4) The restoration of TRHR FVC needs to consider the difference in natural endowments. It is recommended to adopt near-natural restoration in the northwest of the TRHR, and avoid setting too high restoration targets. Planting high-quality pastures in the southeast of the TRHR with good water and heat conditions and rationally allocating grassland ecological and production functions are recommended measures. (5) The TRHR’s grassland should give priority to the development of the ecological functions of natural grasslands, and then give full play to its production functions. Overgrazing is strictly prohibited, so as to avoid the “over-transformation” of ecosystem regulation services to supply services.

The National Key Ecological Function Zones (NKEFZ) serve as crucial ecological security barriers in China, playing a vital role in enhancing ecosystem services. This study employed the theoretical framework of ecological benefits assessment in major ecological engineering projects. The primary focus was on the ecosystem macrostructure, ecosystem quality, and key ecosystem services, enabling quantitative analysis of the spatiotemporal changes in the ecosystem status of the NKEFZ from 2000 to 2019. To achieve this, remote sensing data, meteorological data, and model simulations were employed to investigate five indicators, including land use types, vegetation coverage, net primary productivity of vegetation, soil conservation services, water conservation services, and windbreak and sand fixation services. The analysis incorporated the Theil–Sen Median method to construct an evaluation system for assessing the restoration status of ecosystems, effectively integrating ecosystem quality and ecosystem services indicators. The research findings indicated that land use changes in NKEFZ were primarily characterized by the expansion of unused land and the in of grassland. The overall ecosystem quality of these zones improved, showing a stable and increasing trend. However, there were disparities in the changes related to ecosystem services. Water conservation services exhibited a decreasing trend, while soil conservation and windbreak and sand fixation services showed a steady improvement. The ecosystem of the NKEFZ, in general, displayed a stable and recovering trend. However, significant spatial heterogeneity existed, particularly in the southern region of the Qinghai–Tibet Plateau and at the border areas between western Sichuan and northern Yunnan, where some areas still experienced deteriorating ecosystem conditions. Compared to other functional zones, the trend in the ecosystem of the NKEFZ might not have been the most favorable. Nonetheless, this could be attributed to the fact that most of these areas were situated in environmentally fragile regions, and conservation measures may not have been as effective as in other functional zones. These findings highlighted the considerable challenges ahead in the construction and preservation of the NKEFZ. In future development, the NKEFZ should leverage their unique natural resources to explore distinctive ecological advantages and promote the development of eco-friendly economic industries, such as ecological industry, ecological agriculture, and eco-tourism, transitioning from being reliant on external support to self-sustainability.

Background Spinal tuberculosis (STB), the most common bone and joint tuberculosis, often causes spinal deformity and impairs quality of life. While microRNAs (miRNAs) regulate various disease pathogenesis, their expression and function in STB remain poorly understood. Methods 100 STB patients (observation group) from Ningxia Medical University Affiliated Hospital (Jan 2021-Dec 2024) and 100 healthy controls were enrolled. miRNA high-throughput sequencing of 3 samples per group identified differentially expressed miRNAs, validated via known STB signaling pathways. Real-time fluorescence quantitative reverse transcription PCR(RT-qPCR) quantified peripheral blood miR-29a-3p in all participants. Clinical data were collected. Independent samples t-tests, linear regression, Spearman correlation, and receiver operating characteristic(ROC) curves analyzed miR-29a-3p’s expression differences, associations with clinical parameters, and diagnostic performance (alone or combined with conventional indicators). Results Peripheral blood miR-29a-3p was significantly lower in STB patients (AUC = 0.864). It negatively correlated with erythrocyte sedimentation rate(ESR) and C-reactive protein(CRP) but not with white blood cell count, disease duration, or neutrophil percentage. Combining miR-29a-3p with bacteriological testing, T-cell spot test(T-SPOT), and imaging significantly improved diagnostic performance. Conclusion miR-29a-3p shows distinct low expression in STB patients’ peripheral blood, associated with inflammation activity and conventional diagnostic indicators, making it a promising auxiliary biomarker. Critically, integrating miR-29a-3p into combined detection strategies enhances and optimizes current STB diagnostic frameworks, addressing unmet clinical needs for more accurate and efficient diagnosis, thus holding substantial value for improving STB management.

Background Multi-segmental spinal tuberculosis is a severe infectious disease of the spine affecting multiple vertebral bodies, often leading to spinal instability, progressive kyphosis, and irreversible neurological impairment. Its diagnosis and treatment are notably challenging due to the extensive distribution of lesions and severe bone destruction. Methods A retrospective analysis was conducted on 95 patients with multi-segmental spinal tuberculosis involving four or more vertebrae, who were treated at the Department of Orthopedics, General Hospital of Ningxia Medical University, from January 2001 to December 2024. All patients underwent a combined surgical strategy of posterior long-segment pedicle screw fixation followed by anterior radical debridement, decompression, and autologous iliac crest structural bone grafting. Clinical efficacy was systematically evaluated by assessing preoperative and postoperative indicators, including Erythrocyte Sedimentation Rate (ESR), C-Reactive Protein (CRP), Cobb angle, Visual analog Scale (VAS) for pain, and Oswestry Disability Index (ODI). Results At 6 months postoperatively, ESR and CRP levels approached normal values and were within the normal range at the final follow-up. The correction rate of the Cobb angle was 48.32% ± 16.77%, with a mean loss of correction of only 4.85° ± 3.27°. The bone graft fusion rate exceeded 90% at 6 months and 95% at 1 year, with an average fusion time of 4.5 months. At the final follow-up, successful bone fusion was achieved in all patients, with 89 cases (93.7%) achieving Bridwell Grade I fusion and 6 cases (6.3%) achieving Bridwell Grade II fusion. VAS pain scores and ODI scores were significantly lower at 6 months post-surgery compared to preoperative values and continued to decrease thereafter. Neurological function showed significant improvement. No severe neurological complications were observed. Only two patients experienced wound complications and four had transient hepatic or renal dysfunction, all of whom recovered after conservative or minimally invasive treatment. Conclusion The combined surgical approach of posterior long-segment internal fixation with anterior debridement and intervertebral autologous strut bone grafting is effective in controlling infection, correcting kyphosis, reconstructing spinal stability, and promoting neurological recovery in patients with multi-segmental spinal tuberculosis. The incidence of perioperative complications is low and manageable. Given the single-center, retrospective design of this study, further multi-center, prospective, randomized controlled trials are needed to validate its safety and long-term efficacy.