Gully erosion is a serious global environmental problem associated with land degradation and ecosystem security. Examining the influencing factors of gullies and determining susceptibility hold significance in environmental sustainability. The study evaluates the spatial distribution, influencing factors, and susceptibility of gullies in the Sunshui River Basin in Sichuan Province, Southwest China. The frequency ratio method supported by satellite images and the gully inventory dataset (1614 gully head points) with different influencing factors were applied to assess the distribution and susceptibility of gullies. Additionally, gully head points were grouped into a training set (70%, 1130 points) and a test set (30%, 484 points). Spatial distribution results indicated that most gullies are located in the middle and upper part of the basin, characterized by moderate elevation (2100-3300 m), steep slopes (11.63-27.34°), abandoned farmland, and Cambisols soil, and fewer gullies are located in lower part characterized by lower elevation, gentle slopes, and low vegetation coverage. Land use and land cover influence on susceptibility is significantly greater than other factors with a prediction rate of 33.9, especially farmland abandonment, while the occurrence of gullies is also more often on southwest-orientated slopes. Gully susceptibility highlighted that the study area affected by the very low, low, moderate, high, and very high susceptibilities to these gullies covered an area of about 16%, 23%, 32%, 26%, and 3% of the total basin respectively, which indicates 61% of the study area is susceptible to gully erosion. Moderate to high susceptibility is situated in the upper and middle part, consistent with the spatial distribution of gullies in the basin, and very high susceptibility (3%) is distributed in both the lower and upper parts of the basin. These results have important implications for soil loss control, land planning, and integrated watershed management in the mountainous areas of Southwest China.

OBJECTIVE: To explore the mechanism of proactive personality influence on nurses\' sense of social responsibility through a serial multiple mediation model of volunteering motivation and self-efficacy.
METHODS: Further analysis of a cross-sectional and survey-based study.
METHODS: In June 2023, a study was conducted with 722 Chinese nurses from four hospitals. Data were collected using the Proactive Personality Scale, the Self-Efficacy Scale, the Motivation to Volunteer Scale and the Nurses\' Sense of Social Responsibility Scale. Structural equation modelling was used to analyse the relationship between nurses\' sense of social responsibility and its correlative factors.
RESULTS: Structural equation modelling showed a good model fit. Proactive personality, self-efficacy and motivation to volunteer can directly influence nurses\' sense of social responsibility (β = .12, β = .04, β = .50, p < .05). According to the test of chained mediation effects, proactive personality was significant through a single mediation path of self-efficacy (Z = 2.33, p < .05) and motivation to volunteer (Z = 7.32, p < .05) and through successive mediation paths of both variables (Z = 3.33, p < .05).
CONCLUSIONS: A proactive personality can motivate nurses\' social responsibility. Therefore, prompting nurses to be more proactive can effectively enhance nurses\' sense of social responsibility.
UNASSIGNED: This study was reported following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist for cross-sectional studies.
UNASSIGNED: This study explored the mechanisms influencing nurses\' sense of social responsibility at the end of the epidemic. The results may inform the maintenance of high levels of long-term effects of nurses\' social responsibility and shed light on building a standing workforce for public health emergencies.

Estimating the impact of pesticide residue bioaccessibility in fruits on dietary exposure is a complex task in human health risk assessment. This research investigated the bioaccessibility of ten commonly used and detected pesticides in bananas and mangoes, as well as the factors influencing it, using an in vitro model. The highest bioaccessibility was observed at pH levels of 2.5 and 6.5 in the gastric and intestinal stages, respectively. Bioaccessibility decreased significantly with increasing solid/liquid ratios for most pesticides. The consumption of protein and four dietary components (carbohydrates, protein, lipids, and dietary fiber) could significantly reduce pesticide bioaccessibility by 9.89-48.32% (p < 0.05). Bioaccessibility in oral and gastric stages among four populations followed the order of adults/the elderly > children > infants, due to decreasing concentrations of α-amylase and pepsin. Pesticides in bananas generally exhibited a higher bioaccessibility (18.65-82.97%) compared to that in mangoes (11.68-87.57%). Bioaccessibility showed a negative correlation with the Log P values of the target pesticide, while no clear relationship was found between bioaccessibility and initial pesticide concentrations. Incorporating bioaccessible pesticide concentrations into risk assessments could lower dietary risk estimates by 11.85-79.57%. Assessing human exposure to pesticides based on bioaccessibility would greatly improve the accuracy of the risk assessment.

In total, around 631 million broilers were slaughtered in Germany in 2022. This evaluation included data of approx. 198 million broilers of different ages and breeds that were transported in Germany in 2022 (31% of all cases of broiler chicken transport in 2022). The aim of this study was to analyze German broiler chicken transport (n = 14,054) to the slaughterhouse between January 2022 and May 2023 with regard to the dead-on-arrival (DOA) rate and the possible influencing factors. Therefore, the relation between the total amount of animals per transport, the duration and distance of the transport, the planned stocking density in the transport cages, the average daily temperature and time of day and season of the transport as well as the DOA rate were statistically evaluated. The results showed a mean DOA rate of 0.09% (SD 0.09). Transport conducted at midday (11:00 to 17:00) showed higher DOA rates (p < 0.05) than transport at other times (day split into 6 h intervals). The highest mean DOA rate (0.10%) was found in the fall, followed by the winter, while transport in the spring and summer resulted in the lowest DOA rate (p < 0.05). All in all, the relatively low DOA rate (%) in Germany indicates the good standard of their broiler transport compared to available data from research in other European countries.

The century old Maillard reactions continue to draw the interest of researchers in the fields of Food Science and Technology, and Health and Medical Sciences. This chapter seeks to simplify and update this highly complicated, multifaceted topic. The simple nucleophilic attack of an amine onto a carbonyl group gives rise to a series of parallel and subsequent reactions, occurring simultaneously, resulting into a vast array of low and high mass compounds. Recent research has focused on: (1) the formation and transformation of α-dicarbonyl compounds, highly reactive intermediates which are essential in the development of the desired color and flavor of foods, but also lead to the production of the detrimental advanced glycation end products (AGEs); (2) elucidation of the structures of melanoidins in different foods and their beneficial effects on human health; and (3) harmful effects of AGEs on human health. Considering that MRs have both positive and negative consequences, their control to accentuate the former and to mitigate the latter, is also being conscientiously investigated with the use of modern techniques and technology.

As a new product of rapid urbanization, the sprawl of urban construction land can objectively reflect urban land use efficiency, which is of great significance to China\'s new urban construction. This study aimed to summarize the expansion patterns and utilization efficiency of urban construction land in China from the perspectives of the status, speed and trends of expansion, and to uncover the key factors that lead to the differential distribution of the expansion of construction land. It can also provide land management experience for other countries with rapid expansion of construction land. The results show the following. (1) The expansion of China\'s construction land presents a \"point-line-plane\" pattern of evolution, forming changing stages of point-like aggregation, linear series and planar spread. (2) China\'s construction land shows the characteristics of disorderly spread, a low utilization rate and low output efficiency. The speed of expansion presents clear characteristics of being high in the east and low in the west, mostly concentrated in the Yangtze River Delta, Pearl River Delta and the Beijing-Tianjin-Hebei urban agglomeration. Shanghai, Beijing, Shenzhen and Guangzhou have the highest intensity of construction land use. In Shandong Peninsula and eastern coastal areas, the intensity of the construction land use is generally high. In Xinjiang and Xizang, the intensity of construction land use is relatively low. (3) The urban economic level, population size, industrial structure, foreign investment and land policies have significant effects on the spatial distribution of the expansion of construction land.

OBJECTIVE: To explore the latent profile of depression in older adults raising grandchildren in China, and to analyze the differences in the characteristics of the different profiles of the population and the factors influencing them.
METHODS: This study utilized the 2018 China Health and Retirement Longitudinal Study (CHARLS). Through a cross-sectional study, the latent profile analysis was used to analyze the potential classification of depression among older adults raising grandchildren, and using ordered multi-categorical logistic regression analyses to assess the effects of each factor on their different classifications.
RESULTS: The 1271 older adults raising grandchildren with depression symptoms were divided into three categories: low-level depression (55.4%), moderate-level depression (31.2%), and high-level depression (13.4%). Ordered multi-categorical Logistic results showed: Gender, marital status, pension insurance, physical health status, life satisfaction, and IADL were predictors of latent profile classification of depression symptoms in older adults raising grandchildren (P < 0.05).
CONCLUSIONS: In the future of primary care, it will be more meaningful to provide targeted interventions for different subgroups of depression in older adults raising grandchildren.

BACKGROUND: Shortening the prehospital emergency medical services (EMS) response time is crucial for saving lives and lowering mortality and disability rates in patients with sudden illnesses.
METHODS: Descriptive analyses of prehospital EMS response time and each component were conducted separately using ambulance trip data from the 120 Dispatch Command Centre in the main urban area of Chongqing in 2021, and then logistic regression analyses were used to explore the influencing factors.
RESULTS: The median prehospital EMS response time in the main urban area of Chongqing was 14.52 minutes, and the mean was 16.14 minutes. 44.89% of prehospital EMS response time exceeded 15 minutes. Response time was more likely to surpass this threshold during peak hours and in high population density areas. Conversely, lower probabilities of exceeding 15 minutes were observed during the night shift, summer and autumn seasons, and areas with a high density of emergency station. 33.28% of preparation time was greater than 3 minutes, with the night shift and high population density areas more likely to be greater than 3 minutes, while the summer and autumn seasons, and high GDP per capita areas had a lower likelihood of having preparation time greater than 3 minutes. 45.52% of travel time was greater than 11 minutes, with peak hours, summer and autumn, and high GDP per capita areas more likely to had travel time greater than 11 minutes, while night shift and high emergency station density areas had a lower likelihood of travel time greater than 11 minutes.
CONCLUSIONS: The primary factors influencing prehospital EMS response time were shifts, traffic scenarios, seasons, GDP per capita, emergency station density, and population density. Relevant departments can devise effective interventions to reduce response time through resource allocation and department coordination, staff training and work arrangement optimisation, as well as public participation and education, thereby enhancing the efficiency of prehospital emergency medical services.

BACKGROUND: Systemic lupus erythematosus (SLE) is a heterogeneous autoimmune disorder with varied clinical courses and prognoses, not only did the patients suffer from physical impairment, but also various physical and psychiatric comorbidities. Growing evidence have suggested that mental disorders in SLE patients, can lead to various adverse consequences.
OBJECTIVE: To explored the features and influencing factors of mental health in patients with SLE and clarifying the correlations between mental health and personality characteristics and perceived social support. The results would provide a basis for psychological intervention in patients with SLE.
METHODS: The clinical data of 168 patients with SLE admitted at the First Affiliated Hospital of Hainan Medical University between June 2020 and June 2022 were collected. Psychological assessment and correlation analysis were conducted using the Symptom Checklist-90 (SCL-90) and Perceived Social Support Scale, and the collected data were compared with the national norms in China. The relevant factors influencing mental health were identified by statistical analysis. A general information questionnaire, the Revised Life Orientation Test, and Short-Form 36-Item Health Survey were employed to assess optimism level and quality of life (QoL), respectively.
RESULTS: Patients with SLE obtained higher scores for the somatization, depression, anxiety, and phobic anxiety subscales than national norms (P < 0.05). A correlation was identified between total social support and total SCL-90 score or each subscale (P < 0.05). The factors significantly affecting patients\' mental health were hormone dosage and disease activity index (DAI) (P < 0.05). The average optimism score of patients with SLE was 14.36 ± 4.42, and 30 cases were in the middle and lower levels. A positive correlation was found between optimism level and QoL scores.
CONCLUSIONS: Patients with SLE develop psychological disorders at varying degrees, which are significantly influenced by hormone dosage and DAI. Patients\' mental health should be closely monitored during clinical diagnosis and treatment and provided adequate support in establishing positive, healthy thinking and behavior patterns and improving their optimism level and QoL.

BACKGROUND: Psychological problems are becoming increasingly prominent among older patients with leukemia, with patients potentially facing stigmatization after diagnosis. However, there is limited research on the stigma experienced by these patients and the factors that may contribute to it.
OBJECTIVE: To investigate the stigma faced by older patients after being diagnosed with leukemia and to analyze the potential influencing factors.
METHODS: A retrospective analysis was conducted using clinical data obtained from questionnaire surveys, interviews, and the medical records of older patients with leukemia admitted to the Hengyang Medical School from June 2020 to June 2023. The data obtained included participants\' basic demographic information, medical history, leukemia type, family history of leukemia, average monthly family income, pension, and tendency to conceal illness. The Chinese versions of the Social Impact Scale (SIS), Perceived Social Support Scale (PSSS), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) were used to assess indicators related to stigma, social support, and mental health status. We used Pearson\'s correlation coefficient to analyze the strength and direction of the relationship between the scores of each scale, and regression analysis to explore the factors related to the stigma of older patients with leukemia after diagnosis.
RESULTS: Data from 120 patients with leukemia aged 65-80 years were analyzed. The total score on the SIS and PSSS was 43.60 ± 4.07 and 37.06 ± 2.87, respectively. The SAS score was 58.35 ± 8.32 and the SDS score was 60.58 ± 5.97. The stigma experienced by older leukemia patients was negatively correlated with social support (r = -0.691, P < 0.05) and positively correlated with anxiety and depression (r = 0.506, 0.382, P < 0.05). Age, education level, smoking status, average monthly family income, pension, and tendency to conceal illness were significantly associated with the participants\' level of stigma (P < 0.05). Age, smoking status, social support, anxiety, and depression were predictive factors of stigmatization among older leukemia patients after diagnosis (all P < 0.05), with a coefficient of determination (R2) of 0.644 and an adjusted R2 of 0.607.
CONCLUSIONS: Older patients commonly experience stigmatization after being diagnosed with leukemia. Factors such as age, smoking status, social support, and psychological well-being may influence older patients\' reported experience of stigma.