RESUMO: Este estudo adota uma perspectiva mais macroscópica para focar na questão da pobreza rural na China. Ao selecionar indicadores que refletem vários níveis de recorrência da pobreza, considerando factores de risco em múltiplas dimensões e empregando métodos avançados, construímos um novo indice de risco de recorrência da pobreza rural na China. Utilizamos um modelo de mudança de Markov para aprofundar os mecanismos de recorrência da pobreza. Com base nisso, desenvolvemos um sistema avançado de alerta precoce de risco de recorrência de pobreza usando um modelo de memória de longo e curto prazo de rede neural convolucional (CNN-LSTM). O sistema é optimizado através de previsões baseadas em mecanismos para melhor captar as mudanças dinâmicas na recorrência da pobreza. Os resultados empíricos demonstram que o sistema integrado de monitorização dinâmica e de alerta precoce tem resultados significativamente eficazes na abordagem da recorrência da pobreza rural. RESUMO China avançados nisso CNNLSTM. CNNLSTM CNN LSTM . (CNN-LSTM) (CNN-LSTM

ABSTRACT: This study adopted a more macroscopic perspective to focus on the issue of rural poverty in China. By selecting indicators reflecting various levels of poverty recurrence, considering risk factors across multiple dimensions, and employing advanced methods, we constructed a novel China Rural Poverty Recurrence Risk Index. We utilized a Markov switching model to delve into the mechanisms of poverty recurrence. Building upon this foundation, we developed an advanced poverty recurrence risk early warning system using a convolutional neural network-long short-term memory (CNN-LSTM) model. The system is optimized through mechanism-based predictions to better capture the dynamic changes in poverty recurrence. Empirical results demonstrated that the integrated dynamic monitoring and early warning system have significantly effective outcomes in addressing the recurrence of rural poverty. ABSTRACT dimensions methods Index foundation networklong network long shortterm short term CNNLSTM CNN LSTM (CNN-LSTM mechanismbased mechanism based

In order to extract hesperidin from Citrus aurantium L. through green and efficient ways, a novel method based on deep eutectic solvent (DES) assisted extraction has been developed. Compared to known alkali extraction and acid precipitation or organic solvent (ethanol, methanol) extraction, this new DES system of choline chloride/diethanolamine (DES-14) method exhibited excellent extraction efficiency for hesperidin. Under optimal conditions, the extraction yield of hesperidin reached 6.26 ± 0.05%. Further studies with infrared spectroscopy, 1H nuclear magnetic resonance, and density functional theory showed the DES-14 was formed mainly through the interaction of H-bond and van der Waals forces. In addition, scanning electron microscopy and density functional theory revealed the strong dissolving capacity, and the H-bond formation between DES-14 and hesperidin, as well as van der Waals forces all contributed to efficient extraction of hesperidin. The results provide a new strategy for efficient extraction and utilization of hesperidin in Citrus. L ways (DES developed ethanol, ethanol (ethanol methanol chloridediethanolamine chloride diethanolamine DES14 14 (DES-14 conditions 626 6 26 6.2 005 0 05 0.05% spectroscopy H resonance DES-1 Hbond bond addition capacity DES1 1 (DES-1 62 2 6. 00 0.05 DES- (DES- 0.0 0.

ABSTRACT Introduction: We aim to compare the safety and effectiveness of the KangDuo (KD)-Surgical Robot-01 (KD-SR-01) system and the da Vinci (DV) system for robot-assisted radical nephroureterectomy (RARNU). Materials and Methods: This multicenter prospective randomized controlled trial was conducted between March 2022 and September 2023. Group 1 included 29 patients undergoing KD-RARNU. Group 2 included 29 patients undergoing DV-RARNU. Patient demographic and clinical characteristics, perioperative data, and follow-up outcomes were collected prospectively and compared between the two groups. Results: There were no significant differences in patient baseline demographic and preoperative characteristics between the two groups. The success rates in both groups were 100% without conversion to open or laparoscopic surgery or positive surgical margins. No significant difference was observed in docking time [242 (120-951) s vs 253 (62-498) s, P = 0.780], console time [137 (55-290) min vs 105 (62-220) min, P = 0.114], operative time [207 (121-460) min vs 185 (96-305) min, P = 0.091], EBL [50 (10-600) mL vs 50 (10-700) mL, P = 0.507], National Aeronautics and Space Administration Task Load Index scores, and postoperative serum creatinine levels between the two groups. None of the patients showed evidence of distant metastasis, local recurrence, or equipment-related adverse events during the four-week follow-up. One (3.4%) patient in Group 2 experienced postoperative enterovaginal and enterovesical fistulas (Clavien-Dindo grade III). Conclusions: The KD-SR-01 system is safe and effective for RARNU compared to the DV Si or Xi system. Further randomized controlled studies with larger sample sizes and longer durations are required. Introduction KDSurgical KD Surgical Robot01 Robot 01 Robot-0 KDSR01 KDSR SR (KD-SR-01 (DV robotassisted robot assisted RARNU. . (RARNU) Methods 202 2023 KDRARNU. KDRARNU KD-RARNU DVRARNU. DVRARNU DV-RARNU data followup follow up Results 100 margins 242 [24 120951 120 951 (120-951 25 62498 62 498 (62-498 0.780, 0780 0.780 , 0 780 0.780] 137 [13 55290 55 290 (55-290 10 62220 220 (62-220 0.114, 0114 0.114 114 0.114] 207 [20 121460 121 460 (121-460 18 96305 96 305 (96-305 0.091, 0091 0.091 091 0.091] [5 10600 600 (10-600 5 10700 700 (10-700 0.507, 0507 0.507 507 0.507] scores metastasis recurrence equipmentrelated equipment related fourweek four week followup. up. 3.4% 34 3 4 (3.4% ClavienDindo Clavien Dindo III. III III) Conclusions KD-SR-0 required Robot0 Robot- KDSR0 (KD-SR-0 (RARNU 20 24 [2 12095 12 95 (120-95 6249 6 49 (62-49 078 0.78 78 13 [1 5529 (55-29 6222 22 (62-22 011 0.11 11 12146 46 (121-46 9630 9 30 (96-30 009 0.09 09 [ 1060 60 (10-60 1070 70 (10-70 050 0.50 3.4 (3.4 KD-SR- (KD-SR- 1209 (120-9 624 (62-4 07 0.7 7 552 (55-2 622 (62-2 0.1 1214 (121-4 963 (96-3 00 0.0 106 (10-6 107 (10-7 05 0.5 3. (3. KD-SR (KD-SR (120- (62- 0. (55- (121- (96- (10- (3 (120 (62 (55 (121 (96 (10 ( (12 (6 (5 (9 (1

Resumen Introducción : Los trastornos hidroelectrolíticos asociados a la colistina son efectos adversos poco estudiados en la literatura médica. Nos propusimos evaluar su incidencia en pacientes adultos mayores hospitalizados. Materiales y métodos : Se realizó un estudio lon gitudinal retrospectivo, del tipo serie de tiempo inte rrumpida, en pacientes internados mayores de 65 años que recibieron colistina, con potasio, magnesio y calcio séricos normales al inicio. Se recabaron valores de di chos electrolitos previo, durante y luego de suspender el antibiótico. Se compararon los valores mediante test no paramétricos y se realizó un modelo multivariado de regresión lineal con intervalos robustos para evaluar las características sociodemográficas y clínicas asociadas a las concentraciones séricas. Resultados : Se incluyeron 89 pacientes. La tasa de hi pocalemia fue del 77.5% (n = 69) y las variables asociadas al descenso del potasio fueron mayor edad, aumento de creatininemia, y duración de tratamiento con colistina. Se informaron trastornos del magnesio en 66 (79.5%) de los 83 pacientes evaluados. El descenso de ambos electrolitos fue estadísticamente significativo en los tiempos medidos, y ambos normalizaron valores tras 72 horas de suspendida la antibioticoterapia. La incidencia de insuficiencia renal aguda en pacientes con creatinina basal normal fue del 63.6%, (42/66) y con creatinina basal anormal de 47.8% (11/23). Conclusión : En pacientes tratados con colistina, el trastorno más frecuente fue la hipocalemia, mos trando resolución tras la suspensión del antibiótico. Es importante la monitorización constante de los niveles de electrolitos y la función renal durante el tratamiento con colistina.

Abstract Introduction : Water and electrolyte disturbances as sociated with colistin are understudied adverse effects in the medical literature. We aim to evaluate their incidence in hospitalized older adult patients. Materials and methods : A longitudinal retrospec tive study of the interrupted time series type was conducted on patients admitted to Dr. César Milstein Hospital. We included adults aged 65 and older who received colistin with normal serum potassium, mag nesium, and calcium at the outset. Electrolyte values were collected before, during and after suspending the antibiotic. Values were compared using non-parametric tests, and a multivariate linear regression model with robust intervals was performed to assess sociodemo graphic and clinical characteristics associated with serum concentrations. Results : A total of 89 patients were included. The rate of hypokalemia was 77.5% (n=69), and factors associated with potassium decline included older age, increased creatinine levels, and longer colistin treatment dura tion. Serum magnesium disturbances were reported in 66 (79.5%) of the 83 patients evaluated. The decrease in both electrolytes was statistically significant in the measured times and both values normalized after 72 hours of stopping antibiotic therapy. The incidence of acute kidney injury during colistin treatment in patients with normal baseline creatinine was 63.6% (n = 42/66), and in those with abnormal baseline creatinine, it was 47.8% (n = 11/23). Conclusion : We report high rates of electrolyte dis turbances in patients treated with colistin, with hy pokalemia being the most frequent, showing resolu tion following discontinuation of antibiotic therapy. Continuous monitoring of electrolyte levels and renal function during colistin treatment is crucial.

RESUMEN: Anatomía Humana es el primer curso de especialización médica para estudiantes de medicina clínica y cultiva las virtudes de los estudiantes de medicina, ayudándolos a establecer los valores humanitarios. Por lo tanto, es crucial integrar la educación en valores humanísticos en el curso de anatomía humana. En los cursos de anatomía para estudiantes clínicos se utilizan avances en línea, aprendizaje grupal basado en problemas clínicos y conferencias teóricas en la educación anatómica que se integra con actividades extracurriculares para la educación de los valores humanos, como historias médicas clásicas, humanísticas grupales, cultivo de valores, una ceremonia en memoria de los "mentores silenciosos", concursos de dibujo morfológico y habilidades experimentales básicas, y actividades de bienestar público. Después de un año de implementación y análisis de investigación, se demostró que los estudiantes tenían una mayor disposición a participar en las actividades curriculares en este sistema de aprendizaje combinado, y estas actividades podrían estimular el interés de los estudiantes en el aprendizaje, lo que es beneficioso para el cultivo de habilidades profesionales y valores humanistas.

SUMMARY: Human Anatomy is the first medical specialization course for students of clinical medicine and cultivates the virtues of medical students, helping them to establish the humanitarian values. Therefore, integrating humanistic values education into the course of human anatomy is crucial. In anatomy courses for clinical students, online previews, group-based clinical problem- based learning, and theoretical lectures are used in anatomical education which is integrated with extracurricular activities for the education of human values, such as classical medical stories, group-based humanistic value cultivation, a memorial ceremony for "silent mentors", the morphological drawing and basic experimental skills competitions, and public welfare activities. After a year of implementation and investigation analysis, it was shown that students had a higher willingness to participate in the curriculum activities in this blended learning system, and these activities could stimulate students' interest in learning, which is beneficial to the cultivation of professional and humanistic values.

ABSTRACT Sugarcane-duck symbiosis (SDS) is an ecological breeding production method wherein meat ducks are released in sugarcane (Saccharum officinarum L.) fields during the middle and late stages of sugarcane growth. The effects of SDS on sugarcane rhizobacterial diversity remain poorly understood. We conducted field experiments with sugarcane monoculture (SC) and SDS and performed genetic analyses on the rhizobacterial communities based on 16S rRNA across different growth stages of sugarcane. The effects of soil physicochemical factors on the bacterial community structure were analyzed via redundancy analysis. We found that soil organic matter (SOM), total N (TN), nitrate N (NN), and ammonium N (AN) contents of sugarcane rhizosphere soils increased during different growth periods in SDS. During the perennial root stages, the Shannon-, Ace-, and Chao1 indices increased, whereas the available P (AP) content decreased. The soil pH was more balanced and its effect on the soil bacterial community was insignificant. The dominant sugarcane rhizosphere flora were Actinobacteria, Proteobacteria, Chloroflexi, Acidobacteria, Firmicutes, norank_f__norank_o__Gaiellales, Sphingomonas, norank_f__Roseiflexaceae, Bacillus, and norank_f__Xanthobacteraceae, but with significant inter-annual variations. Redundancy analysis showed that SOM, TN, NN, AN, AP, catalase (CAT) and invertase (INV) activity were closely associated with the diversity of the soil bacterial communities, and TN and INV activity were the main drivers of sugarcane rhizobacterial communities in the SDS groups. In conclusion, SDS improves the fertilizer supply capacity and soil quality of sugarcane soils by regulating major soil nutrient content, available nutrients, and microbial diversity. This study provides a theoretical basis for scientifically managing SDS and the screening of biocontrol bacteria.

Abstract Objective: Periventricular-intraventricular hemorrhage is the most common type of intracranial bleeding in newborns, especially in the first 3 days after birth. Severe periventricular-intraventricular hemorrhage is considered a progression from mild periventricular-intraventricular hemorrhage and is often closely associated with severe neurological sequelae. However, no specific indicators are available to predict the progression from mild to severe periventricular-intraventricular in early admission. This study aims to establish an early diagnostic prediction model for severe PIVH. Method: This study was a retrospective cohort study with data collected from the MIMIC-III (v1.4) database. Laboratory and clinical data collected within the first 24 h of NICU admission have been used as variables for both univariate and multivariate logistic regression analyses to construct a nomogram-based early prediction model for severe periventricular-intraventricular hemorrhage and subsequently validated. Results: A predictive model was established and represented by a nomogram, it comprised three variables: output, lowest platelet count and use of vasoactive drugs within 24 h of NICU admission. The model’s predictive performance showed by the calculated area under the curve was 0.792, indicating good discriminatory power. The calibration plot demonstrated good calibration between observed and predicted outcomes, and the Hosmer-Lemeshow test showed high consistency (p = 0.990). Internal validation showed the calculated area under a curve of 0.788. Conclusions: This severe PIVH predictive model, established by three easily obtainable indicators within the NICU, demonstrated good predictive ability. It offered a more user-friendly and convenient option for neonatologists. Objective Periventricularintraventricular Periventricular intraventricular newborns birth periventricularintraventricular periventricular sequelae However Method MIMICIII MIMIC III v1.4 v14 v v1 4 (v1.4 database 2 nomogrambased nomogram based validated Results output models s 0792 0 792 0.792 power outcomes HosmerLemeshow Hosmer Lemeshow p 0.990. 0990 0.990 . 990 0.990) 0788 788 0.788 Conclusions ability userfriendly user friendly neonatologists v1. (v1. 079 79 0.79 099 0.99 99 078 78 0.78 (v1 07 7 0.7 09 0.9 9 (v 0.

Coal spontaneous combustion in longwall gobs is a major concern in coal mines. In comparison to other hazards, this phenomenon is difficult to detect. Fifteen factors influencing coal spontaneous combustion in longwall gobs were identified from the literature. The logical relationships between these factors were evaluated and quantified by decision-making trial and evaluation laboratory (DEMATEL) and interpretive structural modelling (ISM) methods. A four-level hierarchical structure model was established. The research shows that combining DEMATEL and ISM can reveal the key factors that influence coal spontaneous combustion in longwall gobs and establish the interactions and relationships among these factors. The results can provide the basis for preventing and controlling coal spontaneous combustion in longwall gobs.

Higher Himalayan catchments are often poorly monitored for hydrological activities involving flood flow prediction for the safety of riverside communities and the successful operation of hydropower projects. This study aimed to estimate the comparative performance of artificial neural network (ANN) based flow prediction models using 10 years of daily river flow data of Kaligandaki catchment at Kotagaun, Nepal, which is a snow-fed catchment in the Himalayan region. The flow prediction models were trained and tested at a hydrological station using the previous 3 days' river flow data to predict the 1-day ahead flow data. Eight different training functions were employed in an ANN model for comprehensive statistical assessment of accuracy and precision of each training function. The most significant and validated result obtained in this study is the comprehensive comparison of various training functions' performance, and identification )f the most efficient training function for the study case. Among the training functions investigated, the Levenberg-Marquardt backpropagation function exhibits the best performance for the model having Nash-Sutcliffe efficiency, root mean square error and mean absolute error values of 0.866, 209.578 and 75.422, respectively. This study provides a fundamental basis for accurate flow prediction of topographically challenged catchments where hydrological monitoring and data collection may be limited. In particular, r his model will help to improve early warning system, hydrological planning, and the safety of riverside communities in the Himalayan region.

Abstract Background Stroke is a leading cause of death worldwide, with oxidative stress and calcium overload playing significant roles in the pathophysiology of the disease. Ozone, renowned for its potent antioxidant properties, is commonly employed as an adjuvant therapy in clinical settings. Nevertheless, it remains unclear whether ozone therapy on parthanatos in cerebral ischemia-reperfusion injury (CIRI). This study aims to investigate the impact of ozone therapy on reducing parthanatos during CIRI and to elucidate the underlying mechanism. Methods Hydrogen peroxide (H2O2) was utilized to mimic the generation of reactive oxygen species (ROS) in SHSY5Y cell reperfusion injury in vitro, and an in vivo ischemic stroke model was established. Ozone saline was introduced for co-culture or intravenously administered to mice. Apoptosis and oxidative stress were assessed using flow cytometry and immunofluorescence. Western blotting was utilized to examine the expression of parthanatos signature proteins. The mechanism by which ozone inhibits parthanatos was elucidated through inhibiting PPARg or Nrf2 activity. Results The findings demonstrated that ozone mitigated H2O2-induced parthanatos by either upregulating nuclear factor erythroid 2-related factor 2 (Nrf2) or activating peroxisome proliferator-activated receptorg (PPARg). Furthermore, through the use of calcium chelators and ROS inhibitors, it was discovered that ROS directly induced parthanatos and facilitated intracellular calcium elevation. Notably, a malignant feedback loop between ROS and calcium was identified, further amplifying the induction of parthanatos. Ozone therapy exhibited its efficacy by increasing PPARg activity or enhancing the Nrf2 translation, thereby inhibiting ROS production induced by H2O2. Concurrently, our study demonstrated that ozone treatment markedly inhibited parthanatos in stroke-afflicted mice. Additionally, ozone therapy demonstrated significant neuroprotective effects on cortical neurons, effectively suppressing parthanatos. Conclusions These findings contribute valuable insights into the potential of ozone therapy as a therapeutic strategy for reducing parthanatos during CIRI, highlighting its impact on key molecular pathways associated with oxidative stress and calcium regulation.

Abstract Objectives Nasopharyngeal carcinoma (NPC) is an aggressive epithelial cancer. The expression of miR-186 is decreased in a variety of malignancies and can promote the invasion and metastasis of cancer cells. This study aimed to explore the role and possible mechanism of miR-186 in the metastasis and epithelial-mesenchymal transformation (EMT) of NPC. Methods The expression of miR-186 in NPC tissues and cells was detected by RT-PCR. Then, miR-186 mimic was used to transfect NPC cell lines C666-1 and CNE-2, and cell activity, invasion and migration were detected by CCK8, transwell and scratch assay, respectively. The expression of EMT-related proteins was analyzed by western blotting analysis. The binding relationship between miR-186 and target gene Zinc Finger E-Box Binding Homeobox 1 (ZEB1) was confirmed by double luciferase assay. Results The expression of miR-186 in NPC was significantly decreased, and transfection of miR-186 mimic could significantly inhibit the cell activity, invasion, and migration, and regulate the protein expressions of E-cadherin, N-cadherin and vimentin in C666-1 and CNE-2 cells. Further experiments confirmed that miR-186 could directly target ZEB1 and negatively regulate its expression. In addition, ZEB1 has been confirmed to be highly expressed in NPC, and inhibition of ZEB1 could inhibit the activity, invasion, metastasis and EMT of NPC cells. And co-transfection of miR-186 mimic and si-ZEB1 could further inhibit the proliferation and metastasis of NPC. Conclusion miR-186 may inhibit the proliferation, metastasis and EMT of NPC by targeting ZEB1, and the miR-186/ZEB1 axis plays an important role in NPC. (NPC miR186 miR 186 miR-18 epithelialmesenchymal mesenchymal (EMT RTPCR. RTPCR RT PCR. PCR RT-PCR Then C6661 C C666 C666- CNE2, CNE2 CNE 2, 2 activity CCK8 CCK assay respectively EMTrelated related analysis EBox E Box ZEB (ZEB1 Ecadherin, Ecadherin cadherin, cadherin E-cadherin Ncadherin N CNE- addition cotransfection co siZEB1 siZEB si si-ZEB miR186/ZEB1 miR186ZEB1 miRZEB 186/ZEB1 miR-186/ZEB miR18 18 miR-1 C66 (ZEB miR186/ZEB miR186ZEB 186ZEB1 186/ZEB miR1 miR- C6 186ZEB

SUMMARY OBJECTIVE: The objective of this study was to explore the relationship between serum soluble fms-like tyrosine kinase 1 and the severity of acute pancreatitis and its diagnostic utility. METHODS: This study was carried out by searching Chinese and English literature from the establishment of the database to July 9, 2023, systematically, and assessing the quality and heterogeneity of the articles included. RESULTS: Thirteen studies with a total of 986 patients were included. Patients with severe acute pancreatitis showed higher levels of soluble fms-like tyrosine kinase 1 compared with mild acute pancreatitis [weighted mean difference=76.64 pg/mL, 95% confidence interval (95%CI 50.39–102.89, p<0.001)]. Soluble fms-like tyrosine kinase 1 predicted pooled sensitivity, specificity, and area under the curve were 79%, 74%, and 0.85 for severe acute pancreatitis, with some heterogeneity (I2>50% or p<0.05). In the subgroup analysis, cutoff >150 pg/mL was found to be a heterogeneous factor. CONCLUSION: Soluble fms-like tyrosine kinase 1 is a reliable tool for identifying acute pancreatitis severity, but only as a screening tool. OBJECTIVE fmslike fms like utility METHODS 9 2023 systematically included RESULTS 98 weighted difference7664 difference 76 64 difference=76.6 pgmL pg mL 95 95%CI 95CI CI 503910289 50 39 102 89 50.39–102.89 p<0.001. p0001 p p<0.001 . 0 001 p<0.001)] sensitivity specificity 79 79% 74 74% 085 85 0.8 I2>50% I250 I I2 (I2>50 p<0.05. p005 p<0.05 05 p<0.05) analysis 150 >15 factor CONCLUSION 202 difference766 7 6 difference=76. 50391028 5 3 10 8 50.39–102.8 p000 p<0.00 00 p<0.001) 08 0. I2>50 I25 (I2>5 p00 p<0.0 15 >1 20 difference76 difference=76 5039102 50.39–102. I2>5 (I2> p0 p<0. > 2 difference7 difference=7 503910 50.39–102 I2> (I2 p<0 difference= 50391 50.39–10 (I p< 5039 50.39–1 503 50.39– 50.39 50.3 50.

ABSTRACT During the harvesting of waste straw in the field, a self-propelled baler undergoes significant oscillations in the longitudinal direction around its centre of gravity, which greatly affect the stability of operation and the comfort of the driver. In order to analyse the vibration characteristics of the main frame under multi-source excitation, the complete frame is divided into a chassis frame and a baling frame. A nine-degree-of-freedom vibration system model of the whole machine is established based on the relationship between the internal motion devices, and simulations are carried out using MATLAB/Simulink. In addition, a multi-body dynamics simulation of the compression device is carried out, and the law governing the variation in force at different unit points of the mechanism is analysed. Finally, the vibration response of the main frame under different working conditions is explored. The results show that the main frequency component of the frame in the no-load state is 80 Hz, and the main response frequency of the frame is about 1.6 Hz, a finding that is consistent with the operating frequency of the compression mechanism. In particular, the displacement amplitude of the simulated signal at the centroid position is consistent with that measured in experiments, which verifies the validity of the dynamic model. Our results can provide guidance for future work aiming to further reduce the body vibration amplitude and optimise the design of the frame. field selfpropelled self propelled gravity driver multisource multi source excitation ninedegreeoffreedom nine degree freedom devices MATLABSimulink MATLAB Simulink MATLAB/Simulink addition multibody analysed Finally explored noload no load 8 Hz 16 1 6 1. particular experiments

High-altitude hypoxia exposure can lead to phospholipase D-mediated lipid metabolism disorder in spleen tissues and induce ferroptosis. Nonetheless, the key genes underlying hypoxia-induced splenic phospholipase D and the ferroptosis pathway remain unclear. This study aimed to establish a hypoxia animal model. Combined transcriptomic and proteomic analyses showed that 95 predicted target genes (proteins) were significantly differentially expressed under hypoxic conditions. Key genes in phospholipase D and ferroptosis pathways under hypoxic exposure were identified by combining Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis techniques. Gene set enrichment analysis (GSEA) showed that the differential gene sets of the phospholipase D and ferroptosis signaling pathways were upregulated in the high-altitude hypoxia group. The genes in the phospholipase D signalling pathway were verified, and the expression levels of KIT and DGKG were upregulated in spleen tissues under hypoxic exposure. Subsequently, the mRNA and protein expression levels of genes from the exogenous pathway such as TFRC, SLC40A1, SLC7A11, TRP53, and FTH1 and those from the endogenous pathway such as GPX4, HMOX1, and ALOX15 differentials in the ferroptosis signalling pathway were verified, and the results indicated significant differential expression. In summary, exposure to high-altitude hypoxia mediated phospholipid metabolism disturbance through the phospholipase D signalling pathway and further induced ferroptosis, leading to splenic injury. Highaltitude High altitude Dmediated Nonetheless hypoxiainduced unclear model 9 proteins (proteins conditions GO (GO KEGG (KEGG techniques GSEA (GSEA highaltitude high group verified Subsequently TFRC SLC40A1 SLCA SLC A SLC7A11 TRP53 TRP FTH GPX4 GPX HMOX1 HMOX ALOX ALOX1 summary injury SLC40A SLC7A1 TRP5 SLC7A