| 1 | Assessing Agricultural Sustainable Development Based on the DPSIR Approach: Case Study in Jiangsu, China显示文摘According to the contemporary ecosystem approach, the linkages of human actions with their environment have to be assessed in an integrative manner. The Driver-Pressure-State-Impact-Response (DPSIR) model is applied to identify and describe processes and interactions in human-environmental systems. An example application from a research project dealing with the development of sustainable management strategies for the agriculture in Jiangsu, China, illustrates the potentials and limitations of its sustainable development. The concept and indicators of ecological integrity are used to assess the indicators in the dimensions of DPSIR between 2003 and 2006. The main drivers included population growth which caused increasing demand for food, growing environmental demands, and rapidly decreasing of land and other natural resources. The main environmental problem was water pollution. The results show that in the dimension of driver, total grain output and agricultural land productivity both increased. Labor intensive agriculture has been promoted to increase agricultural land productivity. In the dimension of pressure, on the positive side, infrastructure got greatly improved, the input level such as total power of machinery, and level of fertilizer use increased, and level of pesticides use decreased, but on the negative side, cultivated land per capita and irrigation rate decreased, natural resources keep decreased. Environmental pollution indicators such as industrial wastewater discharge and acid rain rate increased in Jiangsu Province. In the aspect of state, ecosystem state was improved, plant coverage index increased, biological abundance index increased, fertilizer productivity increased, eco-environmental quality index increased, but land degradation index also increased. In the aspect of impact, output level increased, output efficiency enhanced, farmer's social economic benefit improved. In the aspect of response, social support was greatly improved, input for environmental governance increased. To assess the effects of environmental governance, Jiangsu government was successful to increase compliance rate of sulfur dioxide emissions, but not so efficient in compliance rate of industrial wastewater discharge. | ZHOU Shu-dong Felix Mueller Benjamin Burkhard CAO Xing-jin HOU Ying | 2013 | Journal of Integrative Agriculture2013，12，7： | 12 |
| 2 | Increased liver stiffness in alcoholic liver disease:Differentiating fibrosis from steatohepatitis显示文摘AIM:To test if inflammation also interferes with liver stiffness (LS) assessment in alcoholic liver disease (ALD) and to provide a clinical algorithm for reliable fibrosis assessment in ALD by FibroScan (FS).METHODS:We first performed sequential LS analysis before and after normalization of serum transaminases in a learning cohort of 50 patients with ALD admitted for alcohol detoxification. LS decreased in almost all patients within a mean observation interval of 5.3 d. Six patients (12%) would have been misdiagnosed with F3and F4 fibrosis but LS decreased below critical cut-off values of 8 and 12.5 kPa after normalization of trans-aminases. RESULTS:Of the serum transaminases,the decrease in LS correlated best with the decrease in glutamic oxaloacetic transaminase (GOT). No significant chang-es in LS were observed below GOT levels of 100 U/L. After establishing the association between LS and GOT levels,we applied the rule of GOT < 100 U/L for reliable LS assessment in a second validation cohort of 101 patients with histologically confi rmed ALD. By ex-cluding those patients with GOT > 100 U/L at the time of LS assessment from this cohort,the area under the receiver operating characteristic (AUROC) for cirrhosis detection by FS improved from 0.921 to 0.945 while specificity increased from 80% to 90% at a sensitivity of 96%. A similar AUROC could be obtained for lower F3 fibrosis stage if LS measurements were restricted to patients with GOT < 50 U/L. Histological grading of inflammation did not further improve the diagnostic accuracy of LS.CONCLUSION:Coexisting steatohepatitis markedly increases LS in patients with ALD independent of fibrosis stage. Postponing cirrhosis assessment by FS during alcohol withdrawal until GOT decreases to < 100 U/mL signif icantly improves the diagnostic accuracy. | Sebastian Mueller Gunda Millonig Lucie Sarovska Stefanie Friedrich Frank M Reimann Maria Pritsch Silke Eisele Felix Stickel Thomas Longerich Peter Schirmacher Helmut Karl Seitz | 2010 | World Journal of Gastroenterology2010，16，8： | 10 |
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