Introduction Early prediction of long term outcomes in patients resuscitated after cardiac arrest (CA) is still challenging. Guidelines suggested a multimodal approach combining multiple predictors. We evaluated whether the combination of the electroencephalography (EEG) reactivity, somatosensory evoked potentials (SSEPs) cortical complex and Gray to White matter ratio (GWR) on brain computed tomography (CT) at different temperatures could predict survival and good outcome at hospital discharge and after six months. Methods We performed a retrospective cohort study including consecutive adult, non-traumatic patients resuscitated from out-of-hospital CA who remained comatose on admission to our intensive care unit from 2013 to 2017. We acquired SSEPs and EEGs during the treatment at 36°C and after rewarming at 37°C, Gray to white matter ratio (GWR) was calculated on the brain computed tomography scan performed within six hours of the hospital admission. We primarily hypothesized that SSEP was associated with favorable functional outcome at distance and secondarily that SSEP provides independent information from EEG and CT. Outcomes were evaluated using the Cerebral Performance Category (CPC) scale at six months from discharge. Results Of 171 resuscitated patients, 75 were excluded due to missing of data or uninterpretable neurophysiological findings. EEG reactivity at 37 °C has been shown the best single predictor of good outcome (AUC 0.803) while N20P25 was the best single predictor for survival at each time point. (AUC 0.775 at discharge and AUC 0.747 at six months follow up) Predictive value of a model including EEG reactivity, average GWR, and SSEP N20P25 amplitude was superior (AUC 0.841 for survival and 0.920 for good outcome) to any combination of two tests or any single test. Conclusion Our study, in which life-sustaining treatments were never suspended, suggests SSEP cortical complex N20P25, after normothermia ad off sedation, is a reliable predictor for survival at any time. When SSEP cortical complex N20P25 is added into a model with GWR average and EEG reactivity, the predictivity for good outcome and survival at distance is superior than each single test alone.

Recreational and leisure areas play a special role. These areas mitigate or eliminate the disadvantages of living in large cities, and they enhance the quality of life in small towns. The aim of this study was to analyze the share of recreational and leisure areas in Polish counties in 2022. In Poland, recreational and leisure areas constitute a separate land-use category in cadastral registers. Annual cadastral data from the Land and Building Register at county level (in tabular form) were the main source of data for the study. The analysis revealed that the share of recreational and leisure areas was higher in counties situated in western and south-western Poland, as well as in cities. The spatially varied influence of socioeconomic factors on the share of recreational and leisure areas in Polish counties in 2002 was determined with the use of local Moran's I statistic and geographically weighted regression (GWR). The study confirmed that population density was significantly related to the share of recreational and leisure areas in Polish counties. The impact of the remaining socioeconomic factors associated with spatial and economic development varied across regions. The study also revealed that in addition to the current socioeconomic determinants, the share of recreational and leisure areas in Polish counties was also influenced by historical factors and the counties' development since their establishment.

GRACE-derived Terrestrial Water Storage Anomalies (TWSA) continue to be used in an expanding array of studies to analyze numerous processes and phenomena related to terrestrial water storage dynamics, including groundwater depletions, lake storage variations, snow, and glacial mass changes, as well as floods, droughts, among others. So far, however, few studies have investigated how the factors that affect total water storage (e.g., precipitation, runoff, soil moisture, evapotranspiration) interact and combine over space and time to produce the mass variations that GRACE detects. This paper is an attempt to fill that gap and stimulate needed research in this area. Using the Nile River Basin as case study, it explicitly analyzes nine hydroclimatic and anthropogenic processes, as well as their relationship to TWS in different climatic zones in the Nile River Basin. The analytic method employed the trends in both the dependent and independent variables applying two geographically multiple regression (GMR) approaches: (i) an unweighted or ordinary least square regression (OLS) model in which the contributions of all variables to TWS variability are deemed equal at all locations; and (ii) a geographically weighted regression (GWR) which assigns a weight to each variable at different locations based on the occurrence of trend clusters, determined by Moran’s cluster index. In both cases, model efficacy was investigated using standard goodness of fit diagnostics. The OLS showed that trends in five variables (i.e., precipitation, runoff, surface water soil moisture, and population density) significantly (p<0.0001) explain the trends in TWSA for the basin at large. However, the models R2 value is only 0.14. In contrast, the GWR produced R2 values ranging between 0.40 and 0.89, with an average of 0.86 and normally distributed standard residuals. The models retained in the GWR differ by climatic zone. The results showed that all nine variables contribute significantly to the trend in TWS in the Tropical region; population density is an important contributor to TWSA variability in all zones; ET and Population density are the only significant variables in the semiarid zone. This type of information is critical for developing robust statistical models for reconstructing time series of proxy GRACE anomalies that predate the launch of the GRACE mission and for gap-filling between GRACE and GRACE-FO.

Using the 2011-2020 digital inclusive finance data released by Peking University and the index system constructed by the Blue Book of China Rural Revitalization and Development Index (2018), this paper analyzes the dynamic evolution of the digital inclusive finance and the rural revitaliza-tion from time and space dimensions with the help of kernel density estimation, Markov chain and Moran index. Using The Gini coefficient decomposition method to analyze the source of differ-ences in digital inclusive finance, and then using the spatial autoregressive (SAR) model and ge-ographically weighted regression (GWR) model to study the boosting effect of digital inclusive finance on rural revitalization from the perspective of spatial aggregation and spatial differentia-tion, respectively. The results show that: (1) The growth rate of China's digital inclusive finance slows down year by year, and the inter-provincial differences increase year by year and show gradient characteristics, indicating that there may be a trend of multipolar differentiation. The overall level of Rural Revitalization shows an increasing trend, and the gap between provinces is still apparent. (2) The evolution of digital inclusive finance and rural revitalization is a slow ad-justment process, and there has been no cross-level jump in the past ten years. In digital inclusive finance, the liquidity from the highest and lowest levels to the medium level is high. However, the liquidity in the states of rural revitalization development level is not high. (3) Rural revitalization has a positive spatial spillover effect. The level of rural revitalization in the western area is signif-icantly lower than in the eastern area. At the same time, there is no significant difference between the east and central areas. The depth of the use of digital inclusive finance has a significant positive impact on the revitalization and development of rural areas, indicating that the further promotion of digital inclusive finance business in rural areas can substantially boost the revitalization of rural areas. (4) The boosting effect of digital inclusive finance on rural revitalization shows prominent spatial differentiation characteristics. The depth of use and the degree of digitization generally show a positive impact. The central and eastern coastal cities have the highest impact, decreasing toward the southwest and northeast. The areas with the lowest usage depth impact are clustered in the northeast, and the areas with the lowest digitization impact are clustered in the southwest.

Topographic factors are recognized as one of the key factors influencing vegetation distribution patterns, and studying the interactions between them can contribute to enhancing our understanding of future vegetation dynamics. We used the Moderate-resolution Imaging Spectroradiometer Normalized Differential Vegetation Index (MODIS NDVI) image dataset (2000-2019), combined with Digital Elevation Model (DEM), and vegetation type data for trend analysis, and explored NDVI variation and its relationship with topographic factors through an integrated geographically-weighted model in the Three Parallel Rivers Region (TPRR) of southeastern Tibetan plateau in the past 20 years. Our results indicated that there was no significant increase of NDVI in the entire basin between 2000-2019, except for the Lancang River basin. In the year 2004, abrupt changes in NDVI were observed across the whole basin and each sub-basin. During 2000-2019, the mean NDVI value of the whole basin increased initially and then decreased with the increasing elevation. However, it changed marginally with changes in slope and aspect. We observed a distinct spatial heterogeneity in vegetation patterns with elevation, with vegetation in the southern regions showing higher NDVI than the north as a whole. Most of the vegetation cover was concentrated in the slope range of 8~35°, with no significant difference in distribution except flat-land. Furthermore, from 2000 to 2019, the vegetation cover in the TPRR showed an improving trend with the changes of various topographic factors, with the largest improvement area (36.10%) in the slightly improved category. The improved region was mainly distributed in the source area of the Jinsha River basin and the southern part of the whole basin. Geographically weighted regression (GWR) analysis showed that elevation was negatively correlated with NDVI trends in most areas, especially in the middle reaches of Nujiang River basin and Jinsha River basin, where the influence of slope and aspect on NDVI change was considerably much smaller than elevation.

Topographic factors are recognized as one of the key factors influencing vegetation distribution patterns, and studying the interactions between them can contribute to enhancing our understanding of future vegetation dynamics. We used the Moderate-resolution Imaging Spectroradiometer Normalized Differential Vegetation Index (MODIS NDVI) image dataset (2000-2019), combined with Digital Elevation Model (DEM), and vegetation type data for trend analysis, and explored NDVI variation and its relationship with topographic factors through an integrated geographically-weighted model in the Three Parallel Rivers Region (TPRR) of southeastern Tibetan plateau in the past 20 years. Our results indicated that there was no significant increase of NDVI in the entire basin between 2000-2019, except for the Lancang River basin. In the year 2004, abrupt changes in NDVI were observed across the whole basin and each sub-basin. During 2000-2019, the mean NDVI value of the whole basin increased initially and then decreased with the increasing elevation. However, it changed marginally with changes in slope and aspect. We observed a distinct spatial heterogeneity in vegetation patterns with elevation, with vegetation in the southern regions showing higher NDVI than the north as a whole. Most of the vegetation cover was concentrated in the slope range of 8~35°, with no significant difference in distribution except flat-land. Furthermore, from 2000 to 2019, the vegetation cover in the TPRR showed an improving trend with the changes of various topographic factors, with the largest improvement area (36.10%) in the slightly improved category. The improved region was mainly distributed in the source area of the Jinsha River basin and the southern part of the whole basin. Geographically weighted regression (GWR) analysis showed that elevation was negatively correlated with NDVI trends in most areas, especially in the middle reaches of Nujiang River basin and Jinsha River basin, where the influence of slope and aspect on NDVI change was considerably much smaller than elevation.