Abstract:The Ningxia Hui Autonomous Region of China (Ningxia) is an important food production area in northwest China severely affected by drought. The Standardized Precipitation Index (SPI) and Standardized Precipitation Evapotranspiration Index (SPEI) were calculated based on monthly meteorological data to explore climate change and variation in drought intensity, duration, frequency, and spatial extent in Ningxia during 1972-2011 show that the SPEI is more applicable than the SPI for exploring climate change and drought variation in Ningxia. The Ningxia climate experienced a significant drying tendency. Annual SPEI decreased about 0.37 decade −1 during 1972-2011. Drought was exacerbated by this drying tendency. Regional average duration, maximum duration, intensity, and frequency of drought identified by the SPEI increased by one month, three months, 0.15%, and 36.1%, respectively, during 1992-2011 compared to the period of 1972-1991. The spatial extent of drought identified by the SPEI increased about 14.4% decade −1 in the spring during 1972-2011. Spatially, drought frequency increased from north to south. Average intensity (maximum duration) of drought calculated by the SPEI increased (decreased) northward and southward from the central arid area.

low-to-high and east-to-west warming trends to increase with the latitude and elevation while to decrease with the longitude in the CH, respectively. Annual precipitation increases, but not significantly during the 1971-2007. Seasonal precipitation has no significant trend during the same period, either. Spatial discrepancy of the variations in precipitation is particularly great. It is evident that the climate was significantly warming and drying in the western CH over the past 37 years.

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Abstract:The Ningxia Hui Autonomous Region (NX region) of Northwestern China is threatened by increased meteorological drought induced by climate change (CC) and constraints on water supply from the Yellow River. Thus, the NX region is representative of attempts to adapt to CC and variability in China's arid regions. Field visits, a questionnaire and in situ inspections were conducted in 2012-2014 to understand people's perception and awareness of drought and its impact, particularly with respect to adaptation strategies. We mainly focused on drought adaptation actions and planning implemented at the government level under the double pressures of drought and allocation. We described a suitable adaptation pathway for socio-economic sustainable development and discussed existing adaptation barriers. Construction of modern efficient water-saving agriculture lies at the core of drought adaptation, with socio-economic sustainable development being the ultimate goal. To achieve this, policies and institutional, engineering, technological, structural and social initiatives and measures-classified into macro adaptation strategies and specific coping measures-are implemented. Adaptation often encounters obstacles, e.g., policy issues from household contract responsibility systems, funding difficulties of low-income farmers, traditional behavioral habits and low education and literacy levels among farmers. The adaptation pathway involves the construction of modern efficient OPEN ACCESSSustainability 2015, 7 15030 water-saving agriculture. Agricultural water savings are then transferred to developed industries, which back-feed socio-economic sustainable development in the NX region.

Objective: To date, there is limited evidence for health care providers regarding the determinants of early assessment of poor outcomes of adult in-patients due to earthquakes. This study aimed to explore factors related to early assessment of adult earthquake trauma patients (AETPs). Methods: The data on 29,933 AETPs in the West China Earthquake Patients Database (WCEPD) were analyzed retrospectively. Then, 37 simple variables that could be obtained rapidly upon arrival at the hospital were collected. The least absolute shrinkage and selection operator (LASSO) regression analyses were performed. A nomogram was then constructed. Results: Nine independent mortality-related factors that contributed to AETP in-patient mortality were identified. The variables included age (OR:1.035; 95%CI, 1.027-1.044), respiratory rate ([RR]; OR:1.091; 95%CI, 1.050-1.133), pulse rate ([PR]; OR:1.028; 95%CI, 1.020-1.036), diastolic blood pressure ([DBP]; OR:0.96; 95%CI, 0.950-0.970), Glasgow Coma Scale ([GCS]; OR:0.666; 95%CI, 0.643-0.691), crush injury (OR:3.707; 95%CI, 2.166-6.115), coronary heart disease ([CHD]; OR:4.025; 95%CI, 1.869-7.859), malignant tumor (OR:4.915; 95%CI, 2.850-8.098), and chronic kidney disease ([CKD]; OR:5.735; 95%CI, 3.209-10.019). Conclusions: The nine mortality-related factors for ATEPs, including age, RR, PR, DBP, GCS, crush injury, CHD, malignant tumor, and CKD, could be quickly obtained on hospital arrival and should be the focal point of future earthquake response strategies for AETPs. Based on these factors, a nomogram was constructed to screen for AETPs with a higher risk of in-patient mortality.

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