Climate change has significantly increased adverse effects on human health, and economic growth^1–3. However, few studies have differentiated the impacts of extreme temperatures at the city level, and analysed the future implications for human health under various climate change scenarios.^4–6 Here, data on historical relationship among six kinds of climate-sensitive diseases (CSD) hospitalizations and temperatures across 301 cities (over 90% of all cities) and more than 7,000 hospitals in China are leveraged, and a nonlinear distributed lag model is used. This study projects hospitalization risks associated with extreme temperatures through to the year 2100 and develops the Hospitalization Burden Economic Index to assess the burden under three carbon emission scenarios in cities. Five dimensions including spatial distribution, disease categories, population age groups, future time horizons, and carbon emission development pathways have been evaluated. Historical data specifically indicate more temperature-related risks among the CSDs in northwestern and southwestern China. Notably, gestation-related disease risk is associated with increased vulnerability to extreme heat in specific regions. The projections reveal that, under current thermal conditions with no adaptations, the excess hospitalizations from extreme heat will reach 5.1 million people by 2100 under the high emission scenario.These findings highlight the need for targeted climate change mitigation strategies to reduce uneven climate-related hospitalization risks and economic burdens while accounting for differences in city geography, extreme temperatures, population groups and carbon emission development pathways.

Recently, most countries have entered the outbreak period of the novel coronavirus epidemic. This sudden outbreak has caused a huge impact on the global economy, which has intensified the division of globalization and the recession of the global economy. Although the epidemic situation in China has gradually stabilized, the severe situation in the world still inevitably impacts China's economy. Based on the uncertainty of future epidemic, this paper sets up three scenarios to analyze the impact of the epidemic on China's economy. The first is that in June, the epidemic both at home and abroad is under control without rebound; the second is that the domestic epidemic is basically controlled but the foreign situation is not effectively controlled; the third is that the epidemic situation in China has a serious rebound due to the influence of the imported cases from abroad, which destroy the economy again. At the same time, some corresponding guidelines are put forward for the recovery of economy, and to minimize the economic losses as well as accelerate the pace of national economic recovery. In addition, it is believed that these suggestions may have certain reference value to other countries.

Background: Different endometrial patterns have an important effect on the relationship between endometrial thickness (EMT) and clinical pregnancy rate. There is a significant difference in age, selection of cycle protocols, and clinical pregnancy rates among four groups with diverse endometrial patterns. Methods: This retrospective study aimed to assess the association between EMT on human chorionic gonadotropin (HCG) administration day and the clinical outcome of fresh in vitro fertilization (IVF). The 5th, 50th, and 95th percentiles for EMT were determined as 8, 11, and 14 mm, respectively. Patients were sub-divided into four groups based on their EMT in different endometrial patterns (Group 1: < 8 mm; Group 2: ≥ 8 and ≤ 11 mm; Group 3: > 11 and ≤ 14 mm; Group 4: > 14 mm). We divided patients into three groups based on their endometrial pattern and evaluated the correlation between EMT and clinical pregnancy rate. Results: We found a positive correlation between pregnancy rates and EMT in all endometrial patterns. Multiple logistic regression analysis proved age, duration of infertility, cycle protocols, number of embryos transferred, progesterone on HCG day, endometrial patterns, and EMT have significant effects on clinical pregnancy rates. Meanwhile, there was a significant difference in age, selection of cycle protocols, and clinical pregnancy rates among four groups with diverse endometrial patterns. Conclusions: Different endometrial patterns have an important effect on the relationship between EMT and clinical pregnancy rate.

With the development of the economy, environmental pollution caused by energy consumption has become increasingly prominent. Improving the efficiency of energy utilization is an important way to solve this problem. Firstly, we used a data envelopment analysis (DEA) model to calculate the energy utilization efficiency of China’s provinces and regions from the perspective of environmental constraints, including four inputs—labor force, capital stock, energy consumption and carbon emission—and one output, GDP. Secondly, an entity fixed effect model of panel data was built to investigate the influence of openness, urbanization, marketization and industrial structure on energy utilization efficiency in the process of economic structure change. The results indicate that China’s energy efficiency shows a trend of first stabilizing and then declining from 2007 to 2017. Meanwhile, the comprehensive energy efficiency of all provinces and regions is not very ideal. Only Beijing, Shanghai and Guangdong constitute the forefront of China’s energy efficiency. The lack of pure technical efficiency in most provinces is the main reason for the low comprehensive efficiency, but there are also obvious differences among provinces and regions. In addition, urbanization, openness and industrial structure have a negative impact on energy efficiency, while marketization has a significant positive impact on energy efficiency. Finally, based on the regional differences, some suggestions were put forward to improve China’s energy utilization efficiency.