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Urban parks can effectively reduce surface temperatures, which is an important strategic approach to reducing the urban heat island effect. Quantifying the cooling effect of urban parks and identifying their main internal influencing factors is important for improving the urban thermal environment, achieving maximum cooling benefits, and improving urban sustainability. In this study, we extracted data frobut this is often unrealisticm 28 urban parks in Zhengzhou, China. We combined multivariate data, such as Landsat 8 data, to retrieve the land surface temperature (LST), extract the park interior landscape, and quantify the cooling effect using three cooling indices: park cooling distance ( L ∆max ), temperature difference magnitude (∆ T max ), and temperature gradient ( G temp ). Furthermore, the relationship between the internal landscape characteristics of the park and the average LST and cooling indices of the park was analyzed. The results showed that different buffer ranges affect the LST-distance fitting results of urban parks, and a 300-m buffer zone is the optimal fitting interval. However, specific parks should be analyzed to select the optimal buffer range and reduce the cooling index calculation errors. Additionally, the mean values of LST, ∆ T max , L ∆max , and G temp for the 28 parks in Zhengzhou were 34.11, 3.22 °C, 194.02 m, and 1.78 °C/hm, respectively. Park perimeter (PP), park area, internal green area (GA), and landscape shape index (LSI) were both significantly correlated with ∆ T max and the main factors associated with maintaining a low LST in parks. L ∆ max was mainly affected by the GA, LSI, and perimeter-area ratio, whereas G temp was positively correlated with PP. Finally, the threshold value of efficiency for parks in Zhengzhou was 0.83 ha, and comprehensive parks showed optimal cooling in every aspect.

Due to the differences in land cover and natural surroundings within cities, residents in various regions face different thermal risks. Therefore, this study combined multi-source data to analyze the relationship between urban heat risk and local climate zones (LCZ). We found that in downtown Shenyang, the building-type LCZ was mainly found in urban centers, while the natural- type LCZ was mainly found in suburbs. Heat risk was highest in urban centers, gradually decreasing along the suburban direction. The thermal risk indices of the building-type LCZs were significantly higher than those of the natural types. Among the building types of LCZs, LCZ 8 (open middle high-rise) had the highest average thermal risk index (0.48), followed by LCZ 3 (0.46). Among the natural types of LCZs, LCZ E (bare rock and paved) and LCZ F (bare soil and sand) had the highest thermal risk indices, reaching 0.31 and 0.29, respectively. This study evaluated the thermal risk of the Shenyang central urban area from the perspective of LCZs and combined it with high-resolution remote sensing data to provide a reference for thermal risk mitigation in future urban planning.

Shoulder and neck pain (SNP) is common in office workers and represents a serious public health problem given its detrimental impact on quality of life, physical functioning, personal finances, employers, and the health care system. Management with painkillers has adverse implications such as tolerance, addiction, and opioid abuse. Safe, sustainable, cost-effective, and evidence-based solutions are urgently needed. The non-invasive, painless, non-infectious, and safe modality of low-level laser acupuncture (LLLA) has shown promise for SNP management. The overarching aim of this study is to provide evidence of the feasibility and therapeutic efficacy of LLLA for office workers with SNP. This is a pilot, single-blind, double-armed, randomised controlled trial on the feasibility and therapeutic efficacy of a two-week LLLA therapy for office workers with SNP, aged 18 to 65 years. Each of the two study groups will contain 35 participants: the intervention group will receive LLLA from a licensed acupuncturist at the researchers' university clinic (10-20 min/session, 3 sessions/week) for two weeks; the control group will receive usual care without painkillers. Outcomes will be measured at baseline, throughout the two-week intervention, and at trial end. Surveys including open-ended questions will be completed. The primary outcome of this study is to evaluate the feasibility of a two-week LLLA therapy for office workers with SNP, as measured by recruitment and completion rates, patient safety, and treatment adherence and compliance. Participants' attitudes, motivation, and challenges to participation, intervention non-compliance, and experience of participating in the trial will be investigated via qualitative data. The secondary outcome is to evaluate the therapeutic efficacy of LLLA on SNP using the visual analogue scale (VAS) and the Short-Form McGill Pain Questionnaire (SF-MPQ); the work productivity and activity assessment (WPAI:SHP); 12-Item Short Form Survey (SF-12) for quality of life assessment; and the past 3-month out-of-pocket (OOP) cost for prescription and non-prescription SNP therapy, which is an indicative of the economic burden of SNP on patients and health care systems. This study was approved by Edith Cowan University's Human Research Ethics Committee (No. 2021-02225-WANG). Data collection will commence in December 2021 with anticipated completion by December 2022. Safe, sustainable, cost-effective, evidence-based interventions are needed to minimise the negative implications of SNP in office workers. LLLA is a promising modality in managing SNP. However, more consolidated evidence is required to provide insight regarding the effectiveness of LLLA. This study is expected to contribute to the challenging work of reducing the burden of SNP in office workers. Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12621000426886p; https://www.anzctr.org.au/ACTRN12621000426886p.aspx.

Many cities face heat wave (HW) events, combined with the existent surface urban heat island (SUHI) effects. This places pressure on human settlements and sustainable development. However, few studies have investigated the SUHI effects from the perspective of HWs. In this study, the summer HWs in Beijing from 2001 to 2021 were calculated, and the evolution of HWs and SUHIs was quantitatively analyzed based on the dynamic nature of the urban-rural boundary. Beijing experienced 27 HWs in the 21 years, including 10 instances in June, four in July, and 13 in August. The SUHI varied during HWs, between 2–3°C in most years. The highest SUHI occurred in 2019, reaching 3.99°C and covering the largest area (10,887 km 2 ). The fluctuation in HWs and SUHIs generally displayed the same spatiotemporal pattern, and HWs amplified the SUHIs to a certain extent, with the highest correlation coefficient being 0.44. Additionally, impervious surfaces and cropland contributed most to SUHIs, and night light enhanced SUHIs. Observing the co-evolution of HWs and SUHIs will be helpful for ecological maintenance and urban infrastructure optimization and provide theoretical support for reducing heat risk and improving the human settlement environment.

Global warming has led to the enhancement of diurnal (daytime-nighttime) compound heat waves, which can severely affect the population’s physical health and productive life; this is particularly the case for vulnerable populations that are more susceptible to psychological and physiological harm with the future normalization of heatwave scenarios. In this study, we attributed the changes in population exposure under diurnal compound high temperatures (HTs) and extremely high temperatures (EHTs) to the influence of climatic (exposure duration) and population factors and their combined influence to determine the relationship between exposure duration and the changes in exposure of vulnerable populations. Diurnal compound HT and EHT covered a land area of 4,016,800 and 1,984,200 km2, respectively. The heat-exposed area spread step-like in all directions, centering on the 24-h high-exposure area with a strong gradient effect. The area of prolonged exposure shifted from the Yellow-Huai-Huai Plain across the geographical boundary between the south and the north to the middle and lower reaches of the Yangtze River Plain. Meanwhile, the average maximum value of vulnerable population exposure reached 186,800 and 93,100 person-h, with high values in Zhengzhou, Chongqing, Wuhan, Chengdu, Beijing, and other cities. Changes in vulnerable population exposure were dominated first by demographic factors and then by climatic factors, with the dominance of climatic factors evident in areas of prolonged exposure. Under prolonged exposure to daytime-nighttime compound EHT, changes in the exposure of child and older populations were dominated by climatic factors with a contribution rate of 87.16% and 87.43%, respectively. Therefore, suitable cooling measures should be proposed for vulnerable populations under prolonged exposure, focusing more on the physical and mental health of children and older adults exposed to compound EHT.

Background Numerous studies have examined the association between safety and primary school-aged children’s forms of active mobility. However, variations in studies’ measurement methods and the elements addressed have contributed to inconsistencies in research outcomes, which may be forming a barrier to advancing researchers’ knowledge about this field. To assess where current research stands, we have synthesised the methodological measures in studies that examined the effects of neighbourhood safety exposure (perceived and measured) on children’s outdoor active mobility behaviour and used this analysis to propose future research directions. Method A systematic search of the literature in six electronic databases was conducted using pre-defined eligibility criteria and was concluded in July 2020. Two reviewers screened the literature abstracts to determine the studies’ inclusion, and two reviewers independently conducted a methodological quality assessment to rate the included studies. Results Twenty-five peer-reviewed studies met the inclusion criteria. Active mobility behaviour and health characteristics were measured objectively in 12 out of the 25 studies and were reported in another 13 studies. Twenty-one studies overlooked spatiotemporal dimensions in their analyses and outputs. Delineations of children’s neighbourhoods varied within 10 studies’ objective measures, and the 15 studies that opted for subjective measures. Safety perceptions obtained in 22 studies were mostly static and primarily collected via parents, and dissimilarities in actual safety measurement methods were present in 6 studies. The identified schematic constraints in studies’ measurement methods assisted in outlining a three-dimensional relationship between ‘what’ (determinants), ‘where’ (spatial) and ‘when’ (time) within a methodological conceptual framework. Conclusions The absence of standardised measurement methods among relevant studies may have led to the current diversity in findings regarding active mobility, spatial (locality) and temporal (time) characteristics, the neighbourhood, and the representation of safety. Ignorance of the existing gaps and heterogeneity in measures may impact the reliability of evidence and poses a limitation when synthesising findings, which could result in serious biases for policymakers. Given the increasing interest in children’s health studies, we suggested alternatives in the design and method of measures that may guide future evidence-based research for policymakers who aim to improve children’s active mobility and safety.

Purpose This multicenter Phase II clinical study assessed the efficacy and safety of hypofractionated radiotherapy (HFRT) in combination with a PD-1 inhibitor, granulocyte macrophage-colony stimulating factor (GM-CSF), and thymosin-α1 in patients with heavily treated metastatic solid tumors. Methods Patients were enrolled between September 2022 and May 2024. HFRT was administered to targeted tumors, and GM-CSF was administered for 14 days from day 1 of radiotherapy. Thymosin-α1 was injected concurrently twice weekly until disease progression. Immunotherapy with camrelizumab was started following HFRT and repeated every 3 weeks. GM-CSF was administered daily for 7 days before each cycle of immunotherapy. Results By June 15, 2024, there were 37 study participants. The median follow-up duration was 5.97 months (range 0.40–20.9). Median progression-free survival was 3.5 months (95% confidence interval 2.73–4.23) in the intention-to-treat population. The objective response rate was 23.08%, and the disease control rate was 65.38%. Overall survival data are not yet mature. Abscopal effects were observed in 6 patients (23.08%); four of whom achieved a partial response. Patients who achieved a partial response were significantly more likely to have an abscopal effect( P  = 0.025). The group with a lower baseline neutrophil–lymphocyte ratio had a significantly lower risks of distant metastasis and death( P = 0.024). Seventeen adverse reactions were reported, including six grade 3 or 4 adverse events. There were no grade 5 adverse events. Conclusion In conclusion, the trends in efficacy observed in our study are promising; however, well-designed protocols are essential to validate these findings.

Urban ventilation corridors introduce fresh air into urban interiors and improve urban livability, while mitigating the urban heat island (UHI) effect. However, few studies have assessed the impact of urban ventilation corridors on UHI intensity (UHII) from the perspective of the local climates of different cities. Therefore, this study integrated multisource data to construct ventilation corridors from the perspective of local climate zone (LCZ) and analyzed its impact on UHII. The results showed the following: (1) the average UHII of constructed LCZs was higher than that of natural LCZs, among which the building type LCZ10 (heavy industry) had the highest intensity (5.77 °C); (2) in extracted ventilation corridors, the pixel number of natural LCZs was substantially larger than that of constructed LCZs, among which LCZE (bare soil/paved) was the largest; and (3) for natural LCZs, the average UHII of each LCZ was lower within the ventilated corridors than within the non-ventilated corridors (except for LCZG [water]), with the UHII of LCZB (scattered trees) exhibiting the greatest mitigation effect. Quantitative research on the composition and function of ventilation corridors can not only assess the ability of ventilation corridors to mitigate UHIs, but also provide a reference for urban ventilation corridor planning.

In the context of the Healthy China initiative, studying the spatial distribution characteristics of urban sports venues will benefit sports venue planning in cities and promote the health of urban residents. Therefore, considering the main urban area of Dalian City as the study area, in this study, we investigated the spatial distribution characteristics of fitness venues and their accessibility through spatial and buffer zone analyses using data of public fitness venues, school sports venues, and the traffic road network. The conclusion is as follows: (1) In Zhongshan, Xigang, and Shahekou Districts, public fitness venues are more densely distributed in non-coastal areas. (2) Within 0–15 min, Xigang District showed the highest ratio of the public fitness venue service area (24.42%), which was followed by Shahekou (19.02%), Zhongshan (17.13%), and Ganjingzi Districts (4.82%). (3) The number of sports venues increased from 272 to 1117 when school sports venues were considered. Due to this, the service area ratio of fitness venues in all districts was increased, and the ranking was also changed. After this, Shahekou District had the highest ratio of the sports and fitness venue service area (55.65%), which was followed by Xigang (48.43%), Zhongshan (35.68%), and Ganjingzi Districts (11.91%). Therefore, solutions to introduce more school sports venues should be investigated to ensure a uniform spatial distribution of urban fitness venues. This study provides a reference to plan and develop fitness venues in cities.

Study of divergence of freshwater fish populations between island and adjacent mainland areas can shed light on the phylogeographical relationships of these regions. Neodontobutis hainanensis is a freshwater fish species restricted to Hainan Island and in Guangdong and Guangxi provinces in the southern mainland China. We examine the phylogenetic relationship and population structure of N. hainanensis based on 3,176 nuclear loci using a gene-capture method. STRUCTURE analysis and principal coordinate analyses (PCA) indicate that populations from Guangdong, Guangxi and Hainan are each distinct, except that some individuals of the Guangdong population share minor genetic components with individuals of the Guangxi population. In the concatenated gene tree, the Hainan population is grouped with the Guangdong population, but the coalescent tree groups the Hainan population as the sister to the Guangxi population. Finally, coalescent simulations confirmed the divergence pattern supported by the coalescent tree and revealed a one-way introgression from the Guangxi population to the Guangdong population, which can explain the discordant results supported by the concatenated and coalescent phylogenetic analyses. Due to recent decline of N. hainanensis populations and the genetic patterns in this species, as revealed in this study, the populations in the three areas should be treated as separate conservation units.