Evaluation of three decades of the burden of low back pain in China before COVID-19: Estimates from the Global Burden of Disease Database 2019.

Background: Low back pain (LBP) is reported as an urgent public-health concern globally because it occurs in all age groups and is now the leading cause of disability, with health systems unable to cope with this burden. We present China's burden of LBP by estimating its prevalence and years lived with disability (YLDs) from 1990 to 2019. Methods: We obtained the data relating to LBP from the Global Burden of Disease Database (GBD) 2019. Then we calculated years lived with disability caused by LBP by multiplying the prevalence of LBP sequelae by their corresponding disability weights. We performed an analysis of the age-, sex-, and province-specific prevalence and YLDs of 33 provinces/regions in China, as well as their relationship with the sociodemographic index (SDI). Results: China has the largest numbers of people with LBP (91.3 million) and YLDs (8.6 million) globally, and LBP is the leading cause of YLDs. The age-standardised prevalence was 7.25% in 1990, and this decreased to 5.13% in 2019. The age-standardised YLD rate was 579/100 000 in 2019, having decreased by 28.97%. Both measurements increased with age, being higher in women and varying across the 33 provinces/regions. For the 5-to-14-year age group, the prevalence (4.50%) and YLD rate (4.51%) increased in 2019 from 1990 (3.21% and 3.21%, respectively) when compared to the elderly group. Age-standardised YLD rates experienced decreases with increasing SDI, while there was an increasing tendency as SDI increased further; the changes for women were more obvious. Conclusions: Over the three decades considered, China has continued to have the largest number of people with LBP in the world, even though the age-standardised prevalence has decreased. YLDs were found to decrease as SDI increased, but they subsequently increased again. LBP still presents a burden, particularly for children and postmenopausal women.

Purely Organic Fluorescence Afterglow: Visible-Light-Excitation, Inherent Mechanism, Tunable Color, and Practical Applications with Very Low Cost.

Purely organic materials with visible light excitable fluorescence afterglow are promising for applications. Herein, fluorescence afterglow with various intensity and duration was observed on fluorescent dyes once being dispersed in polymer matrix, thanks to the slow reverse intersystem crossing rate (kRISC ) and long delayed fluorescence lifetime (τDF ) derived from the coplanar and rigid chemical structure of the dyes. To verify the mechanism, different polymers were used to tune singlet-triplet splitting energy based on solvent effect. And commercial acriflavine (Acf) film showed blue shifted fluorescence compared to purified one, with slower kRISC (≈100  s-1 ) and longer τDF (0.6 s). Via energy transfer from Acf to rhodamine B, the afterglow color was further regulated, with the largest fluorescence quantum yield of 42.4 %. It was demonstrated that the materials worked on color tunable light sources, and low-cost ($2 for 50 000 labels) anti-counterfeit labels recognized by white light.

China Health Related Outcomes Measures (CHROME): development of a descriptive system to support cardiovascular disease specific preference-based measure for the Chinese population.

PURPOSE: Preference-based measures have been increasingly recommended to measure health outcomes for economic evaluation. However, none of existing cardiovascular disease (CVD)-specific health-related quality of life (HRQoL) instruments are preference-based. This study aimed to develop the descriptive system of preference-based HRQoL instrument for Chinese patients with CVDs under the Initiative of China Health Related Outcomes Measures (CHROME). METHODS: Qualitative face-to-face interviews were conducted with Chinese patients with CVDs. Content analysis was employed to generate candidate items for the instrument. Then expert consultation and cognitive debriefing interviews were conducted to guide further selection and revision of the items. RESULTS: We interviewed 127 CVD patients with 67.7% being male and 63.8% living in the urban area. A hierarchical code book comprised of four themes, 20 categories, 62 sub-categories, and 207 codes, was developed. Candidate items were selected based on the criteria set by the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) methodology and ISPOR PRO guidance. An online survey and meeting with an expert advisory panel (n = 15) followed by cognitive debriefing interviews with 20 patients and 13 physicians were conducted to further select and revise the candidate items. The descriptive system of CHROME-CVD consists of 14 items, namely frequency and severity of chest pain, chest tightness, palpitation, shortness of breath, dizziness, fatigue, appetite, sleeping, mobility, daily activities, depression, worry, and social relationship. Four or five level responses were selected based on cognitive debriefing results to each item. CONCLUSION: The current study developed the descriptive system (items and response options) of CHROME-CVD, the future CVD-specific preference-based HRQoL instrument for Chinese CVD patients.

Water quality evaluation and ecological-health risk assessment on trace elements in surface water of the northeastern Qinghai-Tibet Plateau.

The Qinghai-Tibet Plateau is a unique area with water sources for approximately 40 % of the population in the world. Water resources and water quality are closely associated with ecological security and human health. Fifty-one trace elements in surface water samples (n = 40) were measured, and water quality, health and ecological risks were assessed. Trace elements showed significant variations in different surface water bodies in the study area. Concentrations of minor elements were relatively high in saline and salt lakes while those of REEs varied from 0.05 to 33.62 µg/L with an average value of 3.80 µg/L. The Nemerow pollution index (NP) values of trace elements ranged from 0.08 to 3.48, with an average value of 0.36 in rivers, fresh lakes and reservoir water samples; The heavy metal pollution index (HPI) values ranged from 3.70 to 21.18, indicating that most samples were within the critical limit; The heavy metal evaluation index (HEI) values and degree of contamination (DC) values indicated a free pollution status. The water quality index (WQI) values showed that 96 % of the samples belonged to excellent status in rivers, fresh lakes and reservoir water samples. More attention should be given to the Cr, Zn and Hg in the study area according to potential ecological risk assessment. Hazard quotients for residential children in 30 sites exceed 1.0 with maximal value of 10.97, suggesting the high non-carcinogenic risks for children in the study area. U, Zr and Cr for the ingestion pathway, Cr and U for the dermal pathway were primary contributors to the total health risk. Carcinogenic risk values of trace elements for residential and recreational receptors were in the range of 3.20 × 10-5-7.38 × 10-3 and 8.62 × 10-6-3.63 × 10-3, respectively. The carcinogenic risk values of Cr in surface water were higher than the target risk of 1 × 10-4, while the carcinogenic risk values of As were below the target risk. The results of this study provided information on trace elements for human health protection and water management in the northeastern Qinghai-Tibet Plateau.

Effects of seasons and parts on volatile N-nitrosamines and their exposure and risk assessment in raw chicken and duck meats.

The N-nitrosamine (NA) concentrations and types in raw chicken and duck meats of different parts and seasons were estimated by headspace solid-phase micro-extraction with gas chromatography-mass spectrometry (HS-SPME-GC-MS). The exposure level and hazard quotient of each detected volatile N-nitrosamine (VNA) were conducted. The selected chicken and duck samples were contaminated by VNAs to some extent. The major types and contents of VNAs in different parts of chicken and duck meats varied seasonally. For chicken samples, the order of the total VNA concentrations was as follows: autumn > spring > winter > summer. For duck samples, the order was changed as follows: winter > autumn > summer > spring (thigh samples) and autumn > spring > winter > summer (breast samples). The estimated exposure levels for adults caused by duck consumption were slightly higher than those by chickens, which was consistent with the tendency in 2-3 years old children. According to the linear regression correlation between the 10% benchmark dose limit (BMDL10) and subtriplicate of median lethal dose (LD50), BMDL10 values of each VNA were calculated. Due to this hypothesis, the risk assessments of each detected VNA and total VNAs posed by consuming chicken and duck meats in Tianjin, China were of low concern. Supplementary Information: The online version contains supplementary material available at 10.1007/s13197-021-05195-1.

Assessment of reactive oxygen species production and genotoxicity of rare earth mining dust: Implications for public health and mining management.

Mining rare earth elements (REEs) can release large amounts of metal(loid)-rich dust, which can pose significant health risks to local residents. However, compared to other types of particulates, toxicity of mining dust has been largely overlooked. To provide experimental evidence on toxicity of REE mine dust, the study assessed the oxidative stress potential and genotoxicity of inhalable particles collected in a REE mining area, and associated toxicological response with source compositions. Both source types (i.e., mine and tailing area) and distances from source (i.e., industrial and residential areas) were considered when selecting the 44 sampling sites. The particle samples contained 2.3-3.5 folds higher concentrations of tested metal(loid)s than background concentrations in soil. Specially, elevated Fe, REEs, Cd, Pb were found. In spite of low cytotoxicity in lung epithelial A549 cells, there was increased cellular ROS production by of particle exposure. Samples with higher mining-originated source contributions (Provenance Index <0.3) had higher cellular ROS production (1.72 fold, 95%CI: 1.66-1.79 fold) than samples with lower mining contributions (1.58 fold, 95%CI: 1.52-1.65 fold). The factors soil (~46%), mine (~22%), and heavy metal (~20%) sources were recognized by source apportionment analysis as the main contributors to cellular ROS production; importantly, mine and heavy metal sources counted more in industrial samples. While samples generated genotoxicity, there were no differences in DNA damage between the location groups of sampling. Collectively, the results indicate that particles in mining areas may cause ROS production and DNA damage in lung cells depending on mine dust. Coupled with the long-range transportation potential of mine dust, safety measures on open pit and dust disposal sites should be adopted.

Risk assessment of atmospheric heavy metals exposure in Baotou, a typical industrial city in northern China.

Industrial activities have led to serious air pollution and the potentially toxic elements in atmospheric particles can cause various health problems to humans. In this study, inhalable particulate matter (PM10) and fine particles (PM2.5) were collected from four typical sites in Baotou, an industrial city in northern China. We investigated both the mass concentrations of particulate matter and the concentrations of heavy metals (Cr, Ni, Pb, Cd, Cu, Mn, Co, and Zn) in the collected samples. We assessed the public health risks associated with atmospheric heavy metal exposure. The results showed that the mass concentrations of PM2.5 and PM10 as well as these heavy metal concentrations varied notably influenced by the prevailing wind directions. Among the studied metals, Zn, Mn, Pb, and Cr were the main metal pollutants in both PM10 and PM2.5. The results of the health assessment showed that the eight heavy metals studied pose significant non-carcinogenic risks and Cr, Cd, and Co pose lifetime lung cancer risks to local residents, especially to children.